Assalamualaikum & hi everyone!

You are now in 3rd week of your EP journey! Good job on your progress so far!

Please share your experience with your friends. You can write, upload lots of pictures & videos. Do comment and give a like on your friends’ posts too =)

1. Your name, matric number, date

2. Your progress so far

3. Your feelings and thoughts

4. How did you learn and apply the skill of decision making in your EP journey?

5. How did you manage your time throughout this EP journey?

6. Your plan for next week (Week 4)

(A189432) : 22.8.2024

Hi! I just finished the third week of my electives, which means that I had completed a week of attachment at the physiotherapy service of KPJ PGSH. Below is my Week 3 recap :

Week 3 Summary

Thursday (15.8)

• Introduced myself to my supervisor (SV) at 8.30a.m.

• Received a short briefing from her about the types of services offered by physiotherapists in patient care.

• Walked around the place to see the equipment available and the infographics on the walls.

• Joined the physiotherapist in-charge to do treatments for in-patients.

• Observed how cryotherapy was done.

• Delivered walking aids ordered by the doctor in-charge to a patient who had fractures.

Friday (16.8)

• Assisted in suctioning a baby who had been warded for quite some time. It was my first time holding a baby that young.

• Observed how a physiotherapy guided a patient to do rehabilitative exercise, focusing on her hamstring and quadriceps as part of her recovery care.

  
  

Sunday (18.8)

• This day was a busy day because there were only 2 physiotherapists available with quite a number of patients.

• Tried doing back percussion for chest physiotherapy to a lady with a wet cough.

• Went to wards for cryotherapy procedures.

Monday (19.8)

• Assisted in suctioning for the same baby as before, glad that this was his last session before being discharged.

• Observed chest physiotherapy, mainly on adult patients.

• Spent more time testing the functions of the machines available here and how patients were taught to use them correctly.

Tuesday (20.8)

• Assisted in suctioning a 1 y/o boy. He cried and moved a lot.

• Went to wards for cryotherapy.

• Delivered hot packs, crutches and wrist support to in-patients.

• Observed how a leg brace was applied.

• Observed laser therapy.

  
  

Wednesday (21.8)

• Assisted in suctioning the same boy. He was better adapted this time but still shouted in my ears.

• Taught patients on how to use a device called 'Myolito' for pain management.

• Observed more chest percussions being done on pediatric patients this time.

Thoughts & Feelings for Week 3

• On the first few days of attachment, I learnt a lot of new things related to the service such as the types of cares offered and the devices used in treatments. I think it's interesting to get to know and also have the opportunity to educate the patients.

• I am also happy that now, I am more familiar with kids. Seeing how they approached the kids made me realize how significant patient interaction is because it influences the effect of the treatment.

• I am more comfortable with holding babies now. It was not as awkward as my first session and I am happy about it.

• From my observation, I can see how a physiotherapist used his social skills to communicate with patients of different personalities and varied age group. I could feel that he made the patients felt comfortable and I am currently working on it.

• Dealing with patients' relatives is also not as easy as it seems, especially with parents. They became quite fussy when it was about their children and yeah, understandable. Hence, knowing what to say and how to act on the situation without offending them are crucial to avoid unnecessary issues.

Skill of Decision Making

• Throughout this one week, I learnt to make decisions by balancing priorities with efficiency. It makes a big difference in terms of reducing our workload and at the same time, maximizing patient's comfort.

• For example, applying decision-making skills for our workflow such as which ward should first be visited, what kind of treatment and devices were required and which patient needed more time for their care, all of these small decisions have roles in work optimization and avoiding mistakes.

Time Management

• As I only have a day off every week, I make full use of it to do laundry, play sports occasionally and the most fun part, resting at home with my family. The rest tasted sweet because I felt like I did something beneficial during the weekdays.

• I also have a routine now, after a month of messed up sleep schedule. I wake up at 6 in the morning, get dressed, and drive to the hospital. Then at 1pm, I have lunch, pray and continue at 2pm before going back at 5pm sharp. Then at night, I'll do some work and prepare for the next day.

• Being able to manage my time better and be quite productive throughout my electives help to reduce the sense of guilt of not doing enough.

Plan for Week 4

• Practice doing chest physio

• Learn more about pain management

• Learn how to interact with patients and their guardian.

Date: 21/8/2024

Assalamualaikum and good evening to everyone! Today is the third week of my elective posting at KPJ, but my first week in the dietitian department. I would like to share a brief recap from my third week of working with my Dietitian supervisor, Puan Munirah. Happy reading!

I started attaching to Puan Mun on Thursday, August 15, 2024. After a brief greeting, she assigned me a table in her consulting room. On the first day, there were no patients, so she handed me the task of creating a Google Form for her scheduled medical check-up programme next week. She also instructed me to develop a website titled "Panduan untuk Pemakanan Sihat." Since it is still in progress, I will share the QR code next week once it’s finished. While making the websites, I gained a lot of new knowledge on food calories and diets recommended by dietitians. It was a fruitful experience to get insight on dietary information and apply it to my diet.

On the following day, I accompanied her to the hospital cafeteria and the Gloria Jeans café to do inspections. I was surprised to learn that dietitians not only look after patients' food, but they also manage the hospital's food outlet. It was an eye-opening for me to learn about all the mistakes she pointed out to the workers because the majority of them are really common, as we do them frequently at home. Some of the inspections include cleanliness, food labelling (receiving date, date of preparation, date open and for tomorrow use), workers’ attire, chemical bottle placement, expiration dates, and many other issues. We also inspect the hospital's Total Meal Solution (TMS) kitchen. I also discovered that all meals provided for patients in hospitals were measured and adhered to the dietary requirements advised by the concept of "Suku-Suku Separuh."

My activities in the following days focused mainly on patient diet counselling, with the majority of them being diabetic patients. I am constantly astonished at how much information I gained from the counselling. Puan Mun always respects the patient's point of view and honestly addresses their diet without passing judgment on their poor eating habits. I learned a lot from her, and it has made me realize how crucial it is to maintain a healthy diet for future disease prevention. Next, I assist her in delivering the baby's formula milk to the ward and some adult milk to the ICU. I also created a poster and card game known as “True or False” in conjunction with the Nutrition MythBusters event for Dialysis patients. We went to the haemodialysis unit to carry out the activity. It was entertaining to watch the dialysis patients respond to Puan Mun's myth-busting questions. She then explained why the answer was incorrect and cleared up any misunderstandings.

Feelings and Thoughts

• I am excited to expand my diet knowledge, particularly with the food that I consume daily. I also share most of what I have learned that day with my mother.

• One of Puan Mun's advice to the patient during consultation has caught my attention: "Diet is important, but in one day of our lives, we do not live for diet; we live for so many other things. Hence, being always hungry and unhappy with our current diet will have an impact on our lives.” It reminds me that consistency is essential because it is not about how quickly you can lose weight, but about how effective your strategy is.

• I am also happy with the positive environment at the KPJ. Everyone seems so friendly, especially the nurses in the ward and the clinic. They always help me to show the way when I seem lost on my way to the nursery or ICU.

Skill of decision-making

• Throughout this week, I discovered the significance of making informed decisions about a patient's nutrition during consultations. Understanding the patient's needs, daily dietary habits, health status, lifestyle, and physical activity will allow the dietitian to create personalized meal plans for them.

• Addressing the patient’s obstacles is also crucial in managing the dietary plan to avoid burdening the patient with a plan that is not suitable for them.

• Creating the Google Form and the website has also taught me to properly use the technology as an alternative platform to explain complex nutritional concepts so that the patients can easily understand.

Time management

• Since this has been the third week in my elective posting, I have been managing my time quite well. Even though waking up every day at 6am and returning home at 5pm is not easy, doing it every day has made me feel used to it. To have such a routine back after almost 2 months staying at home has awakened my soul to be a productive person.

• Considering that I only have Saturday off, I always arrange an activity with my brother and my cousins to spend our weekend together doing sports like badminton and jogging. I also use my free time at night watching movies with family and unwind after a long day. By doing these activities, I felt more useful as a human, as I balanced my life doing things that I enjoy with people that I love.

Plans for Week 4

• Utilize my last week of elective posting by joining more patients’ counselling.

• Help the dietitian during the next week's health screening.

• Ask many dietary questions to broaden my knowledge.

• Enjoy my last week of elective posting at KPJ PGSH.

That's all my sharing for elective posting week 3. Thank you for reading.

A187705

18 August 2024

Your progress so far

Pheww, it is already my third week of posting! This week is almost the same as last week, same procedures observed, same routines as the previous 2 weeks. However, I manage to do some hands on work, in which I manage to do models from impressions. Since I have seen a lot of them for the past two weeks, I ask permission from the dentist to try doing them with guidance. It is such a fun experience for me as it is not as easy as I thought. It requires skill to produce a perfect model. Besides, I think I am already used to managing patients from their registration to discharge and payment process. I become less awkward doing all those things.

Your feelings and thoughts

I am actually happy with what I have been doing for the past 3 weeks. Although there are some boring days, especially when there are not many patients in the clinic, I get to use the free time to reflect and revise what I have learned to do better in the next days. I am also impressed by the dentist's skill in handling the patients alone. The smooth communication between the dentist and dental assistants is also something I look up to.

How did you learn and apply the skill of decision making in your EP journey?

I have realized the importance of decision making throughout this elective posting. This is especially about deciding the best treatment for the patients. To make a decision, it is very crucial to identify patients concerns. Once they are addressed, we shall carefully explain the best recommended treatments to them, including the process, benefits and costs. Once the patients agreed to that, the decision can be executed. However, if the patients do not give their consent, we should try to think of other alternatives before making the final decision.

How did you manage your time throughout this EP journey?

I think my time management throughout this EP is getting better. During the first week, I feel that I am always rushing in the morning as I am afraid if there will be unexpected traffics and I will be late to the clinic. However, I feel that I can have a chiller morning as I will go out early at around 8.15am so I can ensure to reach there before 9am. The clinic is closed at 5pm so I will drive back and reach home at 5.30pm. I will then do some house cleaning or get my personal errands done and rest at night. I usually spend my weekend with my family to maximize the time with them before I start my break ends.

Your plan for next week (Week 4)

I plan to master and be well versed about the process and things in the dental clinic since it will be my last week of attachment. Besides, I will try to clear up any doubts and questions regarding dentistry before the week ends.

𝐀𝟏𝟖𝟖𝟖𝟏𝟗

25𝐭𝐡 𝐀𝐮𝐠𝐮𝐬𝐭 𝟐𝟎𝟐𝟒

𝗬𝗼𝘂𝗿 𝗽𝗿𝗼𝗴𝗿𝗲𝘀𝘀 𝘀𝗼 𝗳𝗮𝗿

• 𝐼 𝑟𝑒𝑐𝑒𝑛𝑡𝑙𝑦 𝑎𝑡𝑡𝑒𝑛𝑑𝑒𝑑 𝑡ℎ𝑒 "𝑂𝑓𝑓𝑙𝑖𝑛𝑒 16 𝐻𝑜𝑢𝑟𝑠" 𝑒𝑣𝑒𝑛𝑡 𝑎𝑡 𝑡ℎ𝑒 𝑇𝑟𝑜𝑝𝑖𝑐𝑎𝑛𝑎 𝐺𝑜𝑙𝑓 & 𝐶𝑜𝑢𝑛𝑡𝑟𝑦 𝑅𝑒𝑠𝑜𝑟𝑡 𝑖𝑛 𝑃𝑒𝑡𝑎𝑙𝑖𝑛𝑔 𝐽𝑎𝑦𝑎, 𝑤ℎ𝑖𝑐ℎ 𝑠𝑒𝑡 𝑎 𝑛𝑒𝑤 𝑟𝑒𝑐𝑜𝑟𝑑 𝑖𝑛 𝑡ℎ𝑒 𝑀𝑎𝑙𝑎𝑦𝑠𝑖𝑎 𝐵𝑜𝑜𝑘 𝑜𝑓 𝑅𝑒𝑐𝑜𝑟𝑑𝑠 𝑓𝑜𝑟 𝑡ℎ𝑒 𝑚𝑜𝑠𝑡 𝑎𝑐𝑐𝑢𝑚𝑢𝑙𝑎𝑡𝑒𝑑 𝑚𝑜𝑏𝑖𝑙𝑒 𝑝ℎ𝑜𝑛𝑒 𝑜𝑓𝑓𝑙𝑖𝑛𝑒 ℎ𝑜𝑢𝑟𝑠 𝑖𝑛 𝑎 𝑑𝑎𝑦. 𝐴𝑠 𝑝𝑎𝑟𝑡 𝑜𝑓 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡'𝑠 𝑓𝑜𝑐𝑢𝑠 𝑜𝑛 𝑚𝑒𝑛𝑡𝑎𝑙 𝑤𝑒𝑙𝑙-𝑏𝑒𝑖𝑛𝑔, 𝑀𝑀𝐻𝐴 𝑤𝑎𝑠 𝑖𝑛𝑣𝑖𝑡𝑒𝑑 𝑡𝑜 𝑝𝑎𝑟𝑡𝑛𝑒𝑟 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡, 𝑎𝑛𝑑 𝑤𝑒 ℎ𝑎𝑑 𝑎 𝑑𝑒𝑑𝑖𝑐𝑎𝑡𝑒𝑑 𝑏𝑎𝑙𝑙𝑟𝑜𝑜𝑚 𝑡𝑜 𝑠𝑒𝑡 𝑢𝑝 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑏𝑜𝑜𝑡ℎ𝑠. 𝑇ℎ𝑒𝑠𝑒 𝑖𝑛𝑐𝑙𝑢𝑑𝑒𝑑 𝑎𝑛 𝑖𝑛𝑓𝑜𝑟𝑚𝑎𝑡𝑖𝑜𝑛 𝑏𝑜𝑜𝑡ℎ 𝑤ℎ𝑒𝑟𝑒 𝑤𝑒 𝑖𝑛𝑡𝑟𝑜𝑑𝑢𝑐𝑒𝑑 𝑀𝑀𝐻𝐴'𝑠 𝑠𝑒𝑟𝑣𝑖𝑐𝑒𝑠 𝑎𝑛𝑑 𝑐𝑜𝑢𝑟𝑠𝑒𝑠, 𝑎 𝑐𝑙𝑖𝑒𝑛𝑡-𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑒𝑑 𝑏𝑜𝑜𝑡ℎ 𝑤ℎ𝑒𝑟𝑒 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒𝑑 𝑎 𝑑𝑎𝑦 𝑖𝑛 𝑡ℎ𝑒 𝑙𝑖𝑓𝑒 𝑜𝑓 𝑠𝑜𝑚𝑒𝑜𝑛𝑒 𝑤𝑖𝑡ℎ 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑖𝑠𝑠𝑢𝑒𝑠, 𝑎𝑛𝑑 𝑎 𝑓𝑒𝑤 𝑚𝑖𝑛𝑑𝑓𝑢𝑙𝑛𝑒𝑠𝑠 𝑏𝑜𝑜𝑡ℎ𝑠. 𝑂𝑛𝑒 𝑜𝑓 𝑖𝑡 𝑔𝑎𝑣𝑒 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑎 𝑐ℎ𝑎𝑛𝑐𝑒 𝑡𝑜 𝑤𝑟𝑖𝑡𝑒 𝑙𝑒𝑡𝑡𝑒𝑟𝑠 𝑡𝑜 𝑡ℎ𝑒𝑖𝑟 𝑝𝑎𝑠𝑡 𝑜𝑟 𝑓𝑢𝑡𝑢𝑟𝑒 𝑠𝑒𝑙𝑣𝑒𝑠, 𝑤𝑖𝑡ℎ 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑒𝑠 𝑓𝑟𝑜𝑚 𝑜𝑡ℎ𝑒𝑟𝑠.

• 𝐴 ℎ𝑖𝑔ℎ𝑙𝑖𝑔ℎ𝑡 𝑜𝑓 𝑖𝑡 𝑤𝑎𝑠 𝑚𝑒𝑒𝑡𝑖𝑛𝑔 𝑃𝑒𝑎𝑟𝑙𝑦 𝑇𝑎𝑛, 𝑡ℎ𝑒 𝑓𝑜𝑟𝑚𝑒𝑟 𝑛𝑎𝑡𝑖𝑜𝑛𝑎𝑙 𝑏𝑎𝑑𝑚𝑖𝑛𝑡𝑜𝑛 𝑝𝑙𝑎𝑦𝑒𝑟 𝑤ℎ𝑜 𝑟𝑒𝑐𝑒𝑛𝑡𝑙𝑦 𝑝𝑙𝑎𝑐𝑒𝑑 4𝑡ℎ 𝑎𝑡 𝑡ℎ𝑒 𝑃𝑎𝑟𝑖𝑠 𝑂𝑙𝑦𝑚𝑝𝑖𝑐𝑠 2024. 𝑆ℎ𝑒 𝑤𝑎𝑠 𝑎𝑛 𝑎𝑚𝑏𝑎𝑠𝑠𝑎𝑑𝑜𝑟 𝑓𝑜𝑟 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡. 𝐹𝑜𝑙𝑙𝑜𝑤𝑖𝑛𝑔 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡, 𝐼 𝑏𝑒𝑔𝑎𝑛 𝑎 𝑛𝑒𝑤 𝑟𝑜𝑢𝑡𝑖𝑛𝑒 𝑖𝑛 𝑡ℎ𝑒 𝑊𝑒𝑙𝑙𝑛𝑒𝑠𝑠 & 𝑅𝑒𝑐𝑜𝑣𝑒𝑟𝑦 𝑃𝑟𝑜𝑔𝑟𝑎𝑚, 𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑖𝑛𝑔 𝑎 𝑟𝑎𝑛𝑔𝑒 𝑜𝑓 𝑝𝑠𝑦𝑐ℎ𝑜𝑒𝑑𝑢𝑐𝑎𝑡𝑖𝑜𝑛, 𝑠𝑜𝑐𝑖𝑎𝑙, 𝑎𝑛𝑑 𝑠𝑒𝑙𝑓-𝑑𝑒𝑣𝑒𝑙𝑜𝑝𝑚𝑒𝑛𝑡 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠.

𝗬𝗼𝘂𝗿 𝗳𝗲𝗲𝗹𝗶𝗻𝗴𝘀 𝗮𝗻𝗱 𝘁𝗵𝗼𝘂𝗴𝗵𝘁𝘀

• 𝐴𝑡𝑡𝑒𝑛𝑑𝑖𝑛𝑔 𝑡ℎ𝑒 "𝑂𝑓𝑓𝑙𝑖𝑛𝑒 16 𝐻𝑜𝑢𝑟𝑠" 𝑒𝑣𝑒𝑛𝑡 𝑤𝑎𝑠 𝑎 𝑡𝑟𝑢𝑙𝑦 𝑒𝑦𝑒-𝑜𝑝𝑒𝑛𝑖𝑛𝑔 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒. 𝐼𝑡 𝑓𝑒𝑙𝑡 𝑒𝑚𝑝𝑜𝑤𝑒𝑟𝑖𝑛𝑔 𝑡𝑜 𝑏𝑒 𝑝𝑎𝑟𝑡 𝑜𝑓 𝑠𝑜𝑚𝑒𝑡ℎ𝑖𝑛𝑔 𝑡ℎ𝑎𝑡 𝑛𝑜𝑡 𝑜𝑛𝑙𝑦 𝑠𝑒𝑡 𝑎 𝑛𝑒𝑤 𝑟𝑒𝑐𝑜𝑟𝑑 𝑏𝑢𝑡 𝑎𝑙𝑠𝑜 ℎ𝑎𝑑 𝑠𝑢𝑐ℎ 𝑎 𝑚𝑒𝑎𝑛𝑖𝑛𝑔𝑓𝑢𝑙 𝑓𝑜𝑐𝑢𝑠 𝑜𝑛 𝑚𝑒𝑛𝑡𝑎𝑙 𝑤𝑒𝑙𝑙-𝑏𝑒𝑖𝑛𝑔. 𝑇ℎ𝑒 𝑎𝑡𝑚𝑜𝑠𝑝ℎ𝑒𝑟𝑒 𝑖𝑛 𝑡ℎ𝑒 𝑏𝑎𝑙𝑙𝑟𝑜𝑜𝑚, 𝑤ℎ𝑒𝑟𝑒 𝑀𝑀𝐻𝐴 ℎ𝑎𝑑 𝑖𝑡𝑠 𝑏𝑜𝑜𝑡ℎ𝑠, 𝑤𝑎𝑠 𝑣𝑖𝑏𝑟𝑎𝑛𝑡 𝑦𝑒𝑡 𝑟𝑒𝑓𝑙𝑒𝑐𝑡𝑖𝑣𝑒—𝑝𝑒𝑜𝑝𝑙𝑒 𝑤𝑒𝑟𝑒 𝑔𝑒𝑛𝑢𝑖𝑛𝑒𝑙𝑦 𝑐𝑢𝑟𝑖𝑜𝑢𝑠 𝑎𝑏𝑜𝑢𝑡 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ, 𝑎𝑛𝑑 𝑖𝑡 𝑤𝑎𝑠 𝑟𝑒𝑤𝑎𝑟𝑑𝑖𝑛𝑔 𝑡𝑜 𝑠𝑒𝑒 𝑡ℎ𝑒𝑚 𝑒𝑛𝑔𝑎𝑔𝑒 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑤𝑒 ℎ𝑎𝑑 𝑠𝑒𝑡 𝑢𝑝.

• 𝑀𝑒𝑒𝑡𝑖𝑛𝑔 𝑃𝑒𝑎𝑟𝑙𝑦 𝑇𝑎𝑛 𝑤𝑎𝑠 𝑎𝑛 𝑢𝑛𝑒𝑥𝑝𝑒𝑐𝑡𝑒𝑑 ℎ𝑖𝑔ℎ𝑙𝑖𝑔ℎ𝑡; ℎ𝑒𝑟 𝑝𝑟𝑒𝑠𝑒𝑛𝑐𝑒 𝑎𝑑𝑑𝑒𝑑 𝑎 𝑡𝑜𝑢𝑐ℎ 𝑜𝑓 𝑖𝑛𝑠𝑝𝑖𝑟𝑎𝑡𝑖𝑜𝑛, 𝑒𝑠𝑝𝑒𝑐𝑖𝑎𝑙𝑙𝑦 𝑔𝑖𝑣𝑒𝑛 ℎ𝑒𝑟 𝑟𝑒𝑐𝑒𝑛𝑡 𝑎𝑐ℎ𝑖𝑒𝑣𝑒𝑚𝑒𝑛𝑡 𝑎𝑡 𝑡ℎ𝑒 𝑃𝑎𝑟𝑖𝑠 𝑂𝑙𝑦𝑚𝑝𝑖𝑐𝑠. 𝐼𝑡 𝑤𝑎𝑠 𝑎 𝑟𝑒𝑚𝑖𝑛𝑑𝑒𝑟 𝑜𝑓 𝑡ℎ𝑒 𝑖𝑚𝑝𝑜𝑟𝑡𝑎𝑛𝑐𝑒 𝑜𝑓 𝑚𝑒𝑛𝑡𝑎𝑙 𝑟𝑒𝑠𝑖𝑙𝑖𝑒𝑛𝑐𝑒 𝑖𝑛 𝑎𝑙𝑙 𝑎𝑠𝑝𝑒𝑐𝑡𝑠 𝑜𝑓 𝑙𝑖𝑓𝑒, 𝑖𝑛𝑐𝑙𝑢𝑑𝑖𝑛𝑔 𝑠𝑝𝑜𝑟𝑡𝑠.

• 𝑆𝑡𝑎𝑟𝑡𝑖𝑛𝑔 𝑡ℎ𝑒 𝑛𝑒𝑤 𝑟𝑜𝑢𝑡𝑖𝑛𝑒 𝑖𝑛 𝑡ℎ𝑒 𝑊𝑒𝑙𝑙𝑛𝑒𝑠𝑠 & 𝑅𝑒𝑐𝑜𝑣𝑒𝑟𝑦 𝑃𝑟𝑜𝑔𝑟𝑎𝑚 𝑟𝑖𝑔ℎ𝑡 𝑎𝑓𝑡𝑒𝑟 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡 𝑓𝑒𝑙𝑡 𝑙𝑖𝑘𝑒 𝑎 𝑛𝑎𝑡𝑢𝑟𝑎𝑙 𝑝𝑟𝑜𝑔𝑟𝑒𝑠𝑠𝑖𝑜𝑛. 𝑇ℎ𝑒 𝑒𝑛𝑒𝑟𝑔𝑦 𝑓𝑟𝑜𝑚 𝑡ℎ𝑒 𝑒𝑣𝑒𝑛𝑡 𝑐𝑎𝑟𝑟𝑖𝑒𝑑 𝑜𝑣𝑒𝑟 𝑖𝑛𝑡𝑜 𝑚𝑦 𝑤𝑜𝑟𝑘, 𝑎𝑛𝑑 𝑖𝑡 𝑓𝑒𝑙𝑡 𝑓𝑢𝑙𝑓𝑖𝑙𝑙𝑖𝑛𝑔 𝑡𝑜 𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑒 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑡ℎ𝑎𝑡 𝑝𝑟𝑜𝑚𝑜𝑡𝑒 𝑚𝑒𝑛𝑡𝑎𝑙 𝑤𝑒𝑙𝑙-𝑏𝑒𝑖𝑛𝑔. 𝑂𝑣𝑒𝑟𝑎𝑙𝑙, 𝑡ℎ𝑒 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒 𝑟𝑒𝑖𝑛𝑓𝑜𝑟𝑐𝑒𝑑 𝑚𝑦 𝑐𝑜𝑚𝑚𝑖𝑡𝑚𝑒𝑛𝑡 𝑡𝑜 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑎𝑑𝑣𝑜𝑐𝑎𝑐𝑦 𝑎𝑛𝑑 𝑡ℎ𝑒 𝑖𝑚𝑝𝑜𝑟𝑡𝑎𝑛𝑐𝑒 𝑜𝑓 𝑐𝑟𝑒𝑎𝑡𝑖𝑛𝑔 𝑠𝑝𝑎𝑐𝑒𝑠 𝑓𝑜𝑟 𝑝𝑒𝑜𝑝𝑙𝑒 𝑡𝑜 𝑒𝑥𝑝𝑙𝑜𝑟𝑒 𝑎𝑛𝑑 𝑒𝑥𝑝𝑟𝑒𝑠𝑠 𝑡ℎ𝑒𝑖𝑟 𝑚𝑒𝑛𝑡𝑎𝑙 𝑠𝑡𝑎𝑡𝑒𝑠.

𝗛𝗼𝘄 𝗱𝗶𝗱 𝘆𝗼𝘂 𝗹𝗲𝗮𝗿𝗻 𝗮𝗻𝗱 𝗮𝗽𝗽𝗹𝘆 𝘁𝗵𝗲 𝘀𝗸𝗶𝗹𝗹 𝗼𝗳 𝗱𝗲𝗰𝗶𝘀𝗶𝗼𝗻 𝗺𝗮𝗸𝗶𝗻𝗴 𝗶𝗻 𝘆𝗼𝘂𝗿 𝗘𝗣 𝗷𝗼𝘂𝗿𝗻𝗲𝘆

• 𝐷𝑢𝑟𝑖𝑛𝑔 𝑚𝑦 𝑒𝑙𝑒𝑐𝑡𝑖𝑣𝑒 𝑝𝑜𝑠𝑡𝑖𝑛𝑔 𝑎𝑡 𝑡ℎ𝑒 𝑀𝑎𝑙𝑎𝑦𝑠𝑖𝑎𝑛 𝑀𝑒𝑛𝑡𝑎𝑙 𝐻𝑒𝑎𝑙𝑡ℎ 𝐴𝑠𝑠𝑜𝑐𝑖𝑎𝑡𝑖𝑜𝑛 (𝑀𝑀𝐻𝐴), 𝐼 𝑔𝑎𝑖𝑛𝑒𝑑 𝑣𝑎𝑙𝑢𝑎𝑏𝑙𝑒 𝑖𝑛𝑠𝑖𝑔ℎ𝑡𝑠 𝑎𝑛𝑑 𝑝𝑟𝑎𝑐𝑡𝑖𝑐𝑎𝑙 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒 𝑖𝑛 𝑑𝑒𝑐𝑖𝑠𝑖𝑜𝑛-𝑚𝑎𝑘𝑖𝑛𝑔, 𝑒𝑠𝑝𝑒𝑐𝑖𝑎𝑙𝑙𝑦 𝑖𝑛 𝑎 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑐𝑜𝑛𝑡𝑒𝑥𝑡.

• 𝑀𝑜𝑟𝑒𝑜𝑣𝑒𝑟, 𝑑𝑢𝑟𝑖𝑛𝑔 𝑒𝑣𝑒𝑛𝑡𝑠 𝑙𝑖𝑘𝑒 𝑡ℎ𝑒 "𝑂𝑓𝑓𝑙𝑖𝑛𝑒 16 𝐻𝑜𝑢𝑟𝑠" 𝑒𝑣𝑒𝑛𝑡, 𝐼 ℎ𝑎𝑑 𝑡𝑜 𝑑𝑒𝑐𝑖𝑑𝑒 ℎ𝑜𝑤 𝑏𝑒𝑠𝑡 𝑡𝑜 𝑟𝑒𝑝𝑟𝑒𝑠𝑒𝑛𝑡 𝑀𝑀𝐻𝐴 𝑎𝑛𝑑 𝑒𝑛𝑔𝑎𝑔𝑒 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑝𝑢𝑏𝑙𝑖𝑐. 𝐶ℎ𝑜𝑜𝑠𝑖𝑛𝑔 𝑤ℎ𝑖𝑐ℎ 𝑖𝑛𝑓𝑜𝑟𝑚𝑎𝑡𝑖𝑜𝑛 𝑡𝑜 𝑝𝑟𝑖𝑜𝑟𝑖𝑡𝑖𝑧𝑒 𝑎𝑡 𝑡ℎ𝑒 𝑖𝑛𝑓𝑜𝑟𝑚𝑎𝑡𝑖𝑜𝑛 𝑏𝑜𝑜𝑡ℎ 𝑜𝑟 ℎ𝑜𝑤 𝑡𝑜 𝑚𝑎𝑛𝑎𝑔𝑒 𝑖𝑛𝑡𝑒𝑟𝑎𝑐𝑡𝑖𝑜𝑛𝑠 𝑎𝑡 𝑡ℎ𝑒 𝑐𝑙𝑖𝑒𝑛𝑡-𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑒𝑑 𝑏𝑜𝑜𝑡ℎ 𝑤𝑒𝑟𝑒 𝑑𝑒𝑐𝑖𝑠𝑖𝑜𝑛𝑠 𝑡ℎ𝑎𝑡 𝑟𝑒𝑞𝑢𝑖𝑟𝑒𝑑 𝑏𝑜𝑡ℎ 𝑠𝑡𝑟𝑎𝑡𝑒𝑔𝑖𝑐 𝑡ℎ𝑖𝑛𝑘𝑖𝑛𝑔 𝑎𝑛𝑑 𝑒𝑚𝑝𝑎𝑡ℎ𝑦.

• 𝑇ℎ𝑟𝑜𝑢𝑔ℎ𝑜𝑢𝑡 𝑚𝑦 𝑒𝑙𝑒𝑐𝑡𝑖𝑣𝑒 𝑝𝑜𝑠𝑡𝑖𝑛𝑔, 𝐼 𝑙𝑒𝑎𝑟𝑛𝑒𝑑 𝑡ℎ𝑎𝑡 𝑒𝑓𝑓𝑒𝑐𝑡𝑖𝑣𝑒 𝑑𝑒𝑐𝑖𝑠𝑖𝑜𝑛-𝑚𝑎𝑘𝑖𝑛𝑔 𝑖𝑛 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑠𝑒𝑡𝑡𝑖𝑛𝑔𝑠 𝑟𝑒𝑞𝑢𝑖𝑟𝑒𝑠 𝑎 𝑏𝑎𝑙𝑎𝑛𝑐𝑒 𝑜𝑓 𝑒𝑚𝑝𝑎𝑡ℎ𝑦, 𝑎𝑤𝑎𝑟𝑒𝑛𝑒𝑠𝑠, 𝑎𝑛𝑑 𝑝𝑟𝑎𝑐𝑡𝑖𝑐𝑎𝑙 𝑗𝑢𝑑𝑔𝑚𝑒𝑛𝑡. 𝐼 𝑎𝑝𝑝𝑙𝑖𝑒𝑑 𝑡ℎ𝑒𝑠𝑒 𝑠𝑘𝑖𝑙𝑙𝑠 𝑏𝑦 𝑐𝑜𝑛𝑡𝑖𝑛𝑢𝑜𝑢𝑠𝑙𝑦 𝑎𝑠𝑠𝑒𝑠𝑠𝑖𝑛𝑔 𝑡ℎ𝑒 𝑛𝑒𝑒𝑑𝑠 𝑜𝑓 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠, 𝑏𝑒𝑖𝑛𝑔 𝑓𝑙𝑒𝑥𝑖𝑏𝑙𝑒 𝑖𝑛 𝑚𝑦 𝑎𝑝𝑝𝑟𝑜𝑎𝑐ℎ, 𝑎𝑛𝑑 𝑎𝑙𝑤𝑎𝑦𝑠 𝑝𝑟𝑖𝑜𝑟𝑖𝑡𝑖𝑧𝑖𝑛𝑔 𝑡ℎ𝑒𝑖𝑟 𝑤𝑒𝑙𝑙-𝑏𝑒𝑖𝑛𝑔. 𝑇ℎ𝑖𝑠 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒 ℎ𝑎𝑠 𝑠𝑖𝑔𝑛𝑖𝑓𝑖𝑐𝑎𝑛𝑡𝑙𝑦 𝑠𝑡𝑟𝑒𝑛𝑔𝑡ℎ𝑒𝑛𝑒𝑑 𝑚𝑦 𝑎𝑏𝑖𝑙𝑖𝑡𝑦 𝑡𝑜 𝑚𝑎𝑘𝑒 𝑖𝑛𝑓𝑜𝑟𝑚𝑒𝑑, 𝑐𝑜𝑚𝑝𝑎𝑠𝑠𝑖𝑜𝑛𝑎𝑡𝑒 𝑑𝑒𝑐𝑖𝑠𝑖𝑜𝑛𝑠 𝑖𝑛 𝑚𝑦 𝑝𝑟𝑜𝑓𝑒𝑠𝑠𝑖𝑜𝑛𝑎𝑙 𝑗𝑜𝑢𝑟𝑛𝑒𝑦.

𝗛𝗼𝘄 𝗱𝗶𝗱 𝘆𝗼𝘂 𝗺𝗮𝗻𝗮𝗴𝗲 𝘆𝗼𝘂𝗿 𝘁𝗶𝗺𝗲 𝘁𝗵𝗿𝗼𝘂𝗴𝗵𝗼𝘂𝘁 𝘁𝗵𝗶𝘀 𝗘𝗣 𝗷𝗼𝘂𝗿𝗻𝗲𝘆

• 𝑀𝑎𝑛𝑎𝑔𝑖𝑛𝑔 𝑚𝑦 𝑡𝑖𝑚𝑒 𝑒𝑓𝑓𝑒𝑐𝑡𝑖𝑣𝑒𝑙𝑦 𝑑𝑢𝑟𝑖𝑛𝑔 𝑚𝑦 𝑒𝑙𝑒𝑐𝑡𝑖𝑣𝑒 𝑝𝑜𝑠𝑡𝑖𝑛𝑔 𝑎𝑡 𝑡ℎ𝑒 𝑀𝑎𝑙𝑎𝑦𝑠𝑖𝑎𝑛 𝑀𝑒𝑛𝑡𝑎𝑙 𝐻𝑒𝑎𝑙𝑡ℎ 𝐴𝑠𝑠𝑜𝑐𝑖𝑎𝑡𝑖𝑜𝑛 (𝑀𝑀𝐻𝐴) 𝑤𝑎𝑠 𝑐𝑟𝑢𝑐𝑖𝑎𝑙 𝑡𝑜 𝑒𝑛𝑠𝑢𝑟𝑖𝑛𝑔 𝑡ℎ𝑎𝑡 𝐼 𝑐𝑜𝑢𝑙𝑑 𝑓𝑢𝑙𝑓𝑖𝑙𝑙 𝑚𝑦 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑖𝑏𝑖𝑙𝑖𝑡𝑖𝑒𝑠 𝑎𝑛𝑑 𝑚𝑎𝑘𝑒 𝑡ℎ𝑒 𝑚𝑜𝑠𝑡 𝑜𝑓 𝑡ℎ𝑒 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒. 𝐻𝑒𝑟𝑒’𝑠 ℎ𝑜𝑤 𝐼 𝑎𝑝𝑝𝑟𝑜𝑎𝑐ℎ𝑒𝑑 𝑡𝑖𝑚𝑒 𝑚𝑎𝑛𝑎𝑔𝑒𝑚𝑒𝑛𝑡:

• 𝑃𝑟𝑖𝑜𝑟𝑖𝑡𝑖𝑧𝑎𝑡𝑖𝑜𝑛: 𝐹𝑟𝑜𝑚 𝑡ℎ𝑒 𝑜𝑢𝑡𝑠𝑒𝑡, 𝐼 𝑖𝑑𝑒𝑛𝑡𝑖𝑓𝑖𝑒𝑑 𝑘𝑒𝑦 𝑡𝑎𝑠𝑘𝑠 𝑎𝑛𝑑 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑡ℎ𝑎𝑡 𝑟𝑒𝑞𝑢𝑖𝑟𝑒𝑑 𝑚𝑦 𝑎𝑡𝑡𝑒𝑛𝑡𝑖𝑜𝑛, 𝑠𝑢𝑐ℎ 𝑎𝑠 𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑖𝑛𝑔 𝑔𝑟𝑜𝑢𝑝 𝑠𝑒𝑠𝑠𝑖𝑜𝑛𝑠 𝑙𝑖𝑘𝑒 "ℎ𝑜𝑝𝑒𝑠 𝑣𝑠 𝑓𝑒𝑎𝑟𝑠" 𝑎𝑛𝑑 "𝑀𝑜𝑜𝑑 𝑆ℎ𝑎𝑟𝑒." 𝐼 𝑝𝑟𝑖𝑜𝑟𝑖𝑡𝑖𝑧𝑒𝑑 𝑡ℎ𝑒𝑠𝑒 𝑏𝑎𝑠𝑒𝑑 𝑜𝑛 𝑡ℎ𝑒𝑖𝑟 𝑖𝑚𝑝𝑎𝑐𝑡 𝑜𝑛 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑎𝑛𝑑 𝑡ℎ𝑒 𝑜𝑣𝑒𝑟𝑎𝑙𝑙 𝑔𝑜𝑎𝑙𝑠 𝑜𝑓 𝑡ℎ𝑒 𝑊𝑒𝑙𝑙𝑛𝑒𝑠𝑠 & 𝑅𝑒𝑐𝑜𝑣𝑒𝑟𝑦 𝑃𝑟𝑜𝑔𝑟𝑎𝑚. 𝑇ℎ𝑖𝑠 ℎ𝑒𝑙𝑝𝑒𝑑 𝑚𝑒 𝑓𝑜𝑐𝑢𝑠 𝑜𝑛 𝑤ℎ𝑎𝑡 𝑤𝑎𝑠 𝑚𝑜𝑠𝑡 𝑖𝑚𝑝𝑜𝑟𝑡𝑎𝑛𝑡 𝑒𝑎𝑐ℎ 𝑑𝑎𝑦.

• 𝑃𝑙𝑎𝑛𝑛𝑖𝑛𝑔 𝐴ℎ𝑒𝑎𝑑: 𝐴𝑡 𝑀𝑀𝐻𝐴, 𝑤𝑒 𝑐𝑟𝑒𝑎𝑡𝑒𝑑 𝑎 𝑤𝑒𝑒𝑘𝑙𝑦 𝑠𝑐ℎ𝑒𝑑𝑢𝑙𝑒 𝑡ℎ𝑎𝑡 𝑜𝑢𝑡𝑙𝑖𝑛𝑒𝑑 𝑎𝑙𝑙 𝑜𝑢𝑟 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠, 𝑖𝑛𝑐𝑙𝑢𝑑𝑖𝑛𝑔 𝑝𝑟𝑒𝑝𝑎𝑟𝑎𝑡𝑖𝑜𝑛 𝑡𝑖𝑚𝑒 𝑓𝑜𝑟 𝑠𝑒𝑠𝑠𝑖𝑜𝑛𝑠, 𝑚𝑒𝑒𝑡𝑖𝑛𝑔𝑠 𝑤𝑖𝑡ℎ 𝑐𝑜𝑙𝑙𝑒𝑎𝑔𝑢𝑒𝑠, 𝑎𝑛𝑑 𝑎𝑛𝑦 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑟𝑎𝑡𝑖𝑣𝑒 𝑡𝑎𝑠𝑘𝑠. 𝑇ℎ𝑖𝑠 𝑎𝑙𝑙𝑜𝑤𝑒𝑑 𝑢𝑠 𝑡𝑜 𝑎𝑙𝑙𝑜𝑐𝑎𝑡𝑒 𝑠𝑢𝑓𝑓𝑖𝑐𝑖𝑒𝑛𝑡 𝑡𝑖𝑚𝑒 𝑓𝑜𝑟 𝑒𝑎𝑐ℎ 𝑡𝑎𝑠𝑘 𝑎𝑛𝑑 𝑎𝑣𝑜𝑖𝑑 𝑙𝑎𝑠𝑡-𝑚𝑖𝑛𝑢𝑡𝑒 𝑟𝑢𝑠ℎ𝑒𝑠. 𝑊𝑒 𝑎𝑙𝑠𝑜 𝑏𝑢𝑖𝑙𝑡 𝑖𝑛 𝑠𝑜𝑚𝑒 𝑏𝑢𝑓𝑓𝑒𝑟 𝑡𝑖𝑚𝑒 𝑓𝑜𝑟 𝑢𝑛𝑒𝑥𝑝𝑒𝑐𝑡𝑒𝑑 𝑐ℎ𝑎𝑙𝑙𝑒𝑛𝑔𝑒𝑠 𝑜𝑟 𝑎𝑑𝑗𝑢𝑠𝑡𝑚𝑒𝑛𝑡𝑠.

𝗬𝗼𝘂𝗿 𝗽𝗹𝗮𝗻 𝗳𝗼𝗿 𝗻𝗲𝘅𝘁 𝘄𝗲𝗲𝗸 (𝗪𝗲𝗲𝗸 𝟰)

• 𝐹𝑜𝑟 𝑊𝑒𝑒𝑘 4 𝑜𝑓 𝑚𝑦 𝑒𝑙𝑒𝑐𝑡𝑖𝑣𝑒 𝑝𝑜𝑠𝑡𝑖𝑛𝑔 𝑎𝑡 𝑀𝑀𝐻𝐴, 𝐼 𝑝𝑙𝑎𝑛 𝑡𝑜 𝑓𝑜𝑐𝑢𝑠 𝑜𝑛 𝑑𝑒𝑒𝑝𝑒𝑛𝑖𝑛𝑔 𝑚𝑦 𝑖𝑛𝑣𝑜𝑙𝑣𝑒𝑚𝑒𝑛𝑡 𝑖𝑛 𝑏𝑜𝑡ℎ 𝑡ℎ𝑒 𝑊𝑒𝑙𝑙𝑛𝑒𝑠𝑠 & 𝑅𝑒𝑐𝑜𝑣𝑒𝑟𝑦 𝑃𝑟𝑜𝑔𝑟𝑎𝑚 𝑎𝑛𝑑 𝑡ℎ𝑒 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝐼 𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑒.

• 𝐼'𝑙𝑙 𝑡𝑎𝑘𝑒 𝑡𝑖𝑚𝑒 𝑡𝑜 𝑟𝑒𝑣𝑖𝑒𝑤 𝑡ℎ𝑒 𝑓𝑒𝑒𝑑𝑏𝑎𝑐𝑘 𝑎𝑛𝑑 𝑜𝑢𝑡𝑐𝑜𝑚𝑒𝑠 𝑓𝑟𝑜𝑚 𝑡ℎ𝑒 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝐼'𝑣𝑒 𝑓𝑎𝑐𝑖𝑙𝑖𝑡𝑎𝑡𝑒𝑑 𝑠𝑜 𝑓𝑎𝑟 𝑎𝑛𝑑 𝑚𝑎𝑘𝑒 𝑎𝑛𝑦 𝑛𝑒𝑐𝑒𝑠𝑠𝑎𝑟𝑦 𝑎𝑑𝑗𝑢𝑠𝑡𝑚𝑒𝑛𝑡𝑠 𝑡𝑜 𝑖𝑚𝑝𝑟𝑜𝑣𝑒 𝑡ℎ𝑒 𝑠𝑒𝑠𝑠𝑖𝑜𝑛𝑠. 𝑁𝑒𝑥𝑡, 𝑤𝑒 𝑤𝑖𝑙𝑙 ℎ𝑎𝑣𝑒 𝑐ℎ𝑒𝑐𝑘-𝑖𝑛𝑠 𝑤𝑖𝑡ℎ 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑤ℎ𝑜 ℎ𝑎𝑣𝑒 𝑏𝑒𝑒𝑛 𝑝𝑎𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟𝑙𝑦 𝑒𝑛𝑔𝑎𝑔𝑒𝑑 𝑜𝑟 𝑡ℎ𝑜𝑠𝑒 𝑤ℎ𝑜 𝑚𝑎𝑦 𝑛𝑒𝑒𝑑 𝑎𝑑𝑑𝑖𝑡𝑖𝑜𝑛𝑎𝑙 𝑠𝑢𝑝𝑝𝑜𝑟𝑡. 𝑇ℎ𝑖𝑠 𝑤𝑖𝑙𝑙 ℎ𝑒𝑙𝑝 𝑢𝑠 𝑡𝑎𝑖𝑙𝑜𝑟 𝑓𝑢𝑡𝑢𝑟𝑒 𝑠𝑒𝑠𝑠𝑖𝑜𝑛𝑠 𝑡𝑜 𝑏𝑒𝑡𝑡𝑒𝑟 𝑚𝑒𝑒𝑡 𝑡ℎ𝑒𝑖𝑟 𝑛𝑒𝑒𝑑𝑠. 𝐴𝑡 𝑡ℎ𝑒 𝑠𝑎𝑚𝑒 𝑡𝑖𝑚𝑒, 𝐼’𝑙𝑙 𝑠𝑒𝑒𝑘 𝑓𝑒𝑒𝑑𝑏𝑎𝑐𝑘 𝑓𝑟𝑜𝑚 𝑚𝑦 𝑠𝑢𝑝𝑒𝑟𝑣𝑖𝑠𝑜𝑟 𝑎𝑡 𝑀𝑀𝐻𝐴 𝑡𝑜 𝑒𝑛𝑠𝑢𝑟𝑒 𝑡ℎ𝑎𝑡 𝐼’𝑚 𝑜𝑛 𝑡ℎ𝑒 𝑟𝑖𝑔ℎ𝑡 𝑡𝑟𝑎𝑐𝑘 𝑎𝑛𝑑 𝑡𝑜 𝑖𝑑𝑒𝑛𝑡𝑖𝑓𝑦 𝑎𝑟𝑒𝑎𝑠 𝑓𝑜𝑟 𝑓𝑢𝑟𝑡ℎ𝑒𝑟 𝑑𝑒𝑣𝑒𝑙𝑜𝑝𝑚𝑒𝑛𝑡.

Week 3: 19 - 23th August 2024

Your progress so far?

Week 3, I truly did a lot of new progresses:

• Set up and play  the clinic’s Spotify music background every morning.

• Although there were not many patients during this week, I got the chance to handle a number of registrations, medication and billing. I admit initially I was very awkward in performing the task, but with the guidance of the clinic assistants that were very helpful and supportive I manage to perform it better and better one after the other.

• Being in the dispensary unit as well as assisting Dr. Meera and Dr. Wan during their consultation has truly enlightened me and built my understanding on the common medications given in the clinic.

• I also assisted in a number of procedures. Aside from the common measuring weight and blood pressure task, I also assisted Dr. Meera performed ear wax removal (irrigation and suction) and took the task of taking a little blood sample (just by the tip of their finger, like for blood sugar test) to have a look at the patient's full blood count (FBC).

• Made a file with pictures to ease Dr. Wan’s explanation to her patients. The printed contents were on: 1) Menstrual cycle, 2) Endometriosis, 3) Adenomyosis, 4) PCOS, 5) Infertility Plan, 6) Subchorionic Bleeding and 7) Things Noted in Structural Scan (which includes baby’s presentation, nuchal translucency (NT - for at 13 weeks), nuchal fold (NF), choroid plexus, ventricles, placenta localization, spine, cardio and chest, abdomen, chord and lastly, cervical length - showcasing the normal and the abnormal.

• Managed to be in Dr. Wan’s TikTok (@drwanklinikfamili), joining her in explaining the difference between adenomyosis and endometriosis as well as the bits of our menstrual cycle.

• Assisted Dr. in writing out a few referral letters and patient information, details on their new obstetric patients clinic blue book.

Your feelings and thoughts.

It is always an amazing time in the clinic. I can never be more than grateful and happy as I am given the opportunity to be placed here, whereby those around me were so welcoming and hearty. Not only those who work in the clinic, but the patients too. I am always pleased with their presence. It may be a bore being in the clinic, but honestly as I was in Week 3, I could not stop thinking that next week would be my last week and I will be leaving soon. The fact and reminder just saddens me, at the same time, motivates me to do a lot more in the clinic! This week, I made a lot of progress and what I am quite proud of would be how I managed to get to know the common drugs in the clinic. Now I have a better understanding of the medications we should take for certain conditions, and can also educate and guide my family about it when they are sick. Every day was surely an exciting day which I look forward to.

How did you learn and apply the skill of decision making in your EP journey?

In clinics, decision making is definitely the place where you would witness it a lot and through observation itself, from Week 1 to 3, I can say I learned a lot of the skill. It starts from the moment the patient sits in front of the doctor. Doctors would ask “Apa yang saya boleh bantu, puan?”. Dr. Wan taught me to always let the patient talk and not to cut the patient in the beginning. Let the patient tell you their worries and concerns until they have nothing left to talk about. This is in cases of patients who like to talk or have a long history regarding their condition. Meanwhile, for patients who seem shy and are not the type to talk much, then the doctor needs to be the one to ask and become the “kepoci” or detective, ask specific questions in attaining the diagnosis. Speaking of which, in all patients, as the doctor listens and gets to know of their condition, would also have to think of a list of differentials and likely provisional diagnosis. 

Aside from history, performing investigations also highly require decision-making. Investigations come with a cost, be it a transvaginal scan (TVS) or just a simple swab at the nose test for COVID and Influenza. It is always important to think whether it is necessary to do so or we can instead advise patient to do the test at their own cost at home. Unless the patient came for the second time with a much worse condition, then it is necessary to do so or immediate referral to the hospital should better be done to reduce the cost the patient spent unnecessarily in the clinic especially when it would be done again there.

Lastly, in determining the treatment of a patient, as I mentioned in Week 1, definitely not only requires the decision of the doctor but also the patient. Without the patient being involved and in power of the decision, the patient might just leave out and seek other advice instead from a doctor who wishes and tries to understand them. Treatments especially the ones that need to be referred to, Dr. Wan would always inform the patient on the cost, ask if they have insurance and give them options either public or private. It is always key to understand the limitations of the patient at all times. Same goes for creating a treatment plan for patients.

How would I apply the decision-making skills in my EP journey? Well, I may not be able to apply it much yet at the moment as a clinic assistant. But still, I believe that these knowledge and skills would shape me better in making informed decision making in the future years ahead, starting with the small and low-risk ones to gradually as I become a doctor where I hold more responsibility and comfortable to do so in the future. Whatever it is, always think not what is best for you, but best for the patient!

How did you manage your time throughout this EP journey?

I would say I manage my time quite well in these 3 weeks of EP. My daily week starts with me reaching the clinic by 8:45 to set up Dr. Wan’s consultation room and assist with a few registrations, weight and BP taking. Consultations start at around 9:00 and the last one usually ends at about 14:30-15:00. After the consultation, I would usually have a lunch break at the small dispensary unit with the clinic assistants before making my way home. A day at the clinic is definitely tiring. Once I reach home about 15:30-16:00, I would quickly bath, change clothes and take a short power nap of 30 minutes to recharge myself. Right after, I would then have early dinner, do some house chores and at night would usually work on tasks relating to the elective, some event works and minor readings until I go to sleep which is usually at 23:00. I am only working on weekdays, hence weekends I was able to spend a lot of time with my family at home or outdoors.

How I make the time I have in my EP to the fullest would be:

• Setting clear objectives - I would define what I wish to learn and align with my supervisor regarding the goals I wish to achieve.

• Utilising downtime wisely - review patient’s previous visits, medications, shadowing the consultation and procedures and ask questions and clarify any doubts with doctors when there's any free time in between consultations.

• Oftenly reflect - Daily and weekly, I would reflect on what I did and adjust my approach according to the next days.

Your plan for next week (Week 4).

• Make at least 2 new educational videos for the clinic (which I did not manage to do in Week 3).

• Learn and expose myself on paediatric cases, especially how doctors determine dosage of their medications (as my first posting for Year 4 is Paediatrics).

• Assist doctors in more interesting procedures that I have never done or seen before.

• Get a chance to try to perform an ultrasound scan.

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12/8/2024

Assalamualaikum and a good day to everyone! Welcome back to my 3^rd week of my elective posting journey padlet. Hope you will enjoy it.

2. Your progress so far

Time flies when you’re having fun seems so true where it was already 3^rd week before I could even realise. This is going to be my first week in cardiology department. As usual, I had to register at the office with Ms. Nurlina before meeting my new supervisor, Dr. Ahmad Faisal. I had to wait nearly 3 hours to be called by my supervisor’s PA and while waiting for my supervisor, I met a 4^th year medical student from UM who was also here to do his elective posting. We had some chats about our studies at each other's university. Then, my supervisor’s pa came and asked me to fill in some documents and brought me to my supervisor’s clinic at the IJN Private. I introduced myself to him, he was very friendly and nice to me. I attached to his clinic till evening and went back. I didn’t get to learn much on that day as it was all follow up cases. I went early in the morning the next day as he asked me to join the ward round with his other teammates. I got introduced to his boss, Datuk Ahmad Khairuddin, the senior cardiologist and his MO, Dr. Fatin. Both of them were very friendly and welcoming. We went for ward round, then had some chats at the pantry room where they asked me about myself and UKM as they were all UKM alumni. The doctors also taught me on how to read ECG’s and my supervisor’s boss asked me to read on brugada syndrome. Then, I went for lunch and joined a Nutrition programme that was held at the IJN lobby. Every Wednesday is cath lab for my supervisor, so I attach at the cath lab for the whole day. Then, the next day, my supervisor gave a me a patient details and asked me to clerk the patient at the ward without looking at the files. Hence, I went to the ward and clerk the patient and examine the patient and I came up with the diagnosis of acute coronary syndrome. I went back to my supervisor and asked if I could present but he asked me to present to his boss so I would get more exposure. So the next day during ward round, I asked if I could present to him, he denied due to his busy schedule and promised me that he would listen before my posting ends. My schedule was quite the same everyday where I’ll attach to his clinic, go for ward rounds, self study at the library and hang out with Dr. Fatin at the wards while helping her out. I would say that I’ve earned a good friend there as she was very kind to me and she has helping mind.

3. Your feelings and thoughts

I was excited but a bit nervous about diving into the cardiology department. Meeting Dr. Ahmad Faisal and his team, including Datuk Ahmad Khairuddin and Dr. Fatin, made me feel welcomed and part of the team. I’m really starting to feel more confident in my ability to navigate this field. Learning how to read ECGs was challenging but rewarding, and getting to diagnose a patient with acute coronary syndrome was a highlight for me. I’ve also been lucky to make a good friend in Dr. Fatin, which has made this experience even more enjoyable. Overall, I’m feeling motivated and more certain that I’m on the right path.

4. How did you learn and apply the skill of decision making in your EP journey?

This elective posting has really pushed me to make decisions on my own. Last week, when my supervisor was away, I had to decide who to attach myself to, and I chose a pediatrician after some quick research. It turned out to be a great decision, and I learned so much from that experience. In cardiology, I had to make clinical decisions, like when I was asked to clerk a patient without any prior information. I relied on my clinical knowledge and intuition to diagnose the patient with acute coronary syndrome. These moments have taught me that being decisive, while staying open to learning, is crucial in medicine.

5. How did you manage your time throughout this EP journey?

Time management has been key during this posting. I made sure to use any waiting time productively, whether it was chatting with fellow students or reviewing study materials. I also balanced my time between clinical activities and self-study. For example, after a day in the clinic or ward, I would review ECGs or read up on conditions like Brugada syndrome. Even on days when the cases were more routine, I stayed engaged by asking questions and helping out wherever I could. This approach has helped me stay on top of my learning and make the most of every day here.

6. Your plan for next week (Week 4)

• To focus on solidifying the skills I’ve been developing.

• Continue to actively participate in ward rounds and clerk more patients to refine my diagnostic abilities.

• I want to make sure I get the opportunity to present my case to Datuk Ahmad Khairuddin, as he promised.

• Spend more time mastering ECG interpretation and understanding complex cardiac conditions.

• Join any additional departmental activities that might be happening.

• I’m excited to make the most of this last week and leave IJN with a strong foundation in cardiology.

2. I’m still adapting to my work as a dental assistant here. This week, I learned how to properly assist the dentist by observing how other dental assistants assist the doctor during procedures. Last week was chaotic as a first-timer, but most procedures follow a similar pattern, so I just need to remember the steps. For example, if a patient comes in with sensitivity in a tooth, it is likely caused by cavities, and the only way to treat it is by doing a filling. By remembering the steps, I know which instruments need to be prepared on the dentist’s table, which helps the procedure run smoothly.

3. This is my second week assisting the dentist during procedures. I still feel nervous most of the time, but it is less than during my first week. There are still many things to improve.

4. There was a family wedding I needed to attend, but my boss needed me to work due to a staff shortage. I felt frustrated and sad at the thought of missing the wedding, where I had an important role. This is where decision-making skills come into play. Wanting to attend both, I asked my boss if I could take a half day off. I explained that I had family responsibilities but also had a work commitment. Luckily, the boss agreed, so I was able to attend the wedding in the morning and go to work afterward.

5. The clinic is just 5 minutes from home, so I usually leave at 9:25 AM to arrive by 9:30 AM. Although the clinic opens at 10 AM, we need to arrive early to set up everything—mop the floor, switch on the compressor for the dental chair, sanitize the surgery room, etc. We accept the last patient at 6 PM, as the clinic closes at 7 PM. Even though the clinic closes at 7 PM, we can’t leave immediately because we need to complete closing tasks. After everything is settled, I usually drive home by 7:30 PM and have dinner with my family. Our days off are not fixed, so I can choose my days off to spend time with family or friends.

6. My plan for next week is to continue learning and enjoying this work as much as possible because this opportunity is priceless and not easily found elsewhere.

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2. What have you done?

This week, besides watching treatments, I helped the clinic assistant sort out all the cleaned and sterilized tools. It was interesting to see how important it is to keep everything clean and safe for the next patient. It showed me how much work goes on behind the scenes that we don't always think about.

I also had to help with a pediatric patient who suddenly became aggressive during a procedure. It made things risky because of all the sharp tools around, but I learned how important it is to stay calm and use ways to distract the patient and help them relax.

3. Points to remember from week 3!

- Sterilizing tools is a big part of keeping patients safe and avoiding cross-contamination. There’s a lot of care that goes into making sure everything is clean and ready for the next use.

- Dealing with children, especially when they get upset or aggressive, can make a procedure tricky. Keeping calm and knowing how to talk to them in a way that helps them relax is super important, especially with sharp tools involved.

- The whole clinic team plays a role in making everything run smoothly. It’s not just about the dentist and assistant – everyone from the sterilization team to reception helps keep things in order.

4. Your feelings & thoughts

This week gave me a better idea of how a dental clinic really works beyond just the treatments. Seeing how every little part of the job fits together was eye-opening. Dealing with the aggressive child was tough, but it really showed me how important it is to stay cool under pressure.

Some tasks, like sorting equipment, got a bit repetitive and tiring, but I get why attention to detail is so important in a clinic setting.

5. Any difficulties/concerns? How did you cope?

Learning the names and uses of all the different dental tools while sorting them was a bit overwhelming at first. I got through it by asking lots of questions and taking notes to remember what everything was for. The clinic staff was really helpful, which made it easier to catch on.

Handling the upset pediatric patient was also hard. I coped by watching how the staff handled the situation and just tried to stay calm. I also learned some tips on how to better interact with kids to help ease their anxiety.

6. 2 words to describe elective posting progress so far

Insightful, Tiring

7. Your plan for next week (Week 4)

Next week, I’ll focus more on my EP outcome—the brochure on common dental diseases. I plan to ask the dentists for more info, pick out the most common diseases, and make sure to include tips on prevention and treatment to help make the brochure useful for patients.