Assalamualaikum & hi everyone

Congratulations you are already in the Week 2 of EP journey!

Please write, upload pictures/videos (lots of them please!), and share your journey with your friends. Like & comment on others sharing too!

1. Your name, matric number, date

2. How is your progress?

3. Points to remember from week 2!

4. Your feelings & thoughts

5. ONE good thing from what you did that you can practice now!

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

7. Your plan for next week (Week 3)

1. My name is Zulaikha binti Zulhilmi with a matric number A188612 (12/8/2024)

2. My progress in Week 2 has been good so far. The notes I took last week were very helpful in helping me easily remember the functions of the equipment and when they should be used. This week, I am focusing more on identifying dental equipment and learning how to count teeth because Dr. Luq mentioned that I can start assisting him next week. So, I need to put in 100% effort this week to avoid making any mistakes while assisting Dr during treatments.

3. 10/8/2024 was a day to remember because Dr. Luq gave me the opportunity to assist him during a simple procedure, which was a tooth filling. I received guidance from another dental assistant, Nora. As a first-timer, I would say my performance wasn't that great. I have many things to improve, such as adjusting the lights, using a light cure, preparing the necessary equipment on Dr's table, and much more.

4. When Dr. Luq said that I could assist him, I was happy to have the opportunity, but at the same time, I was very nervous. There were so many things I doubted about myself during the procedure—what if I made a mistake? What if I caused the patient to choke with the suction tube? These 'what if' questions kept running through my mind, making my hands shake during the procedure. I was too nervous.

5. One good thing I can practice now is being prepared. Whatever the situation, being prepared is key to being a good student. Before going to the surgery room to assist Dr, you need to be familiar with the details of the treatment. This way, the procedure can run smoothly.

6. In week 2, the thing that has been bothering me the most is my shaky hands due to nervousness. The only way to overcome this is by getting more practice assisting Dr in the surgery room.

7. My plan for next week is to familiarize myself with the flow of several procedures, including tooth extraction, scaling, tooth filling, and teeth whitening.

A187809

14th August 2024

2. What have you done?

Throughout the 2nd week of my elective, I have observed several procedures in the treatment room, as simple as teeth scaling, to tooth extraction, dental fillings, root canal treatments, as well as prosthetics and orthodontics. One treatment procedure that captured my attention the most is root canal treatment. When we have a painful infected tooth, instead of removing it through extraction, the tooth can still be saved through this treatment! After removing the bacteria from the root canal, the dentist will put dental filling and top it off with dental crown to restore our bite and prevent bacteria from getting into the tooth again. I think it’s a vital treatment so that we can preserve our natural teeth and we don’t have to depend on prosthetics for a lifetime (only if we take a really good care of the natural teeth tho!)

I also got a chance to assist the dentist in a procedure where I did the suction to keep the patient’s mouth dry while the dentist is performing the treatment. At first it was really hard and nerve-wracking since it was my first time doing the hands-on, and I didn’t know where exactly is the placement of the suction tube should be. However, the dental assistant was very kind enough to teach and show me the correct way of doing it.

3. Points to remember from week 2!

• Oral hygiene education to patient, how to brush teeth correctly. They claim to brush their teeth everyday but there are still a lot of food leftover in between their teeth which gradually develops to plaque. This also made me realize to take care of my teeth well and make sure to know how to brush my teeth properly and floss regularly.

• Effective communication with the patient is totally vital to make sure they understand what treatments are they going to receive. Not only that, it is also crucial to be aware if the patient is in pain or distress while the treatment is ongoing because all dental procedures are not supposed fo be painful. Communication is also needed to manage patients’ anxiety, because not only paediatric patients get anxious, sometimes adult patients also become extremely nervous in front of the dentists.

• Patients with underlying medical condition like hypertension & heart disease must be taken extra note of their medications, such as anticoagulants before doing any dental procedure.

• Patients with underlying cardiac conditions like prosthetic heart valves have higher risk for infective endocarditis, hence prophylaxis must be done before doing any dental procedure.

4. Your feelings & thoughts

This is only the second week, but honestly I already started to feel quite tired from standing all day, observing the procedures and once in a while assisting the dentist (if they let me).

However, I am so grateful to be able to learn something from seeing those dental patients everyday— importance of oral hygiene of course!

I’m also happy to learn some correlations between dental procedures and medical conditions that both dentists and medical practitioners must be aware of to avoid complications to the patients.

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

I only found out that for this elective, we must take pictures of ourselves while doing the EP. However in this clinic, when the procedure is ongoing, each staff is preoccupied with their own tasks and work so there is no free hand that could help to capture me assisting the dentist. However, I made sure to take selfies and when there is no patient, the staff also helped to take a picture of me in the treatment room.

6. 2 words to describe elective posting progress so far

Fruitful, Tiring

7. Your plan for next week (Week 3)

• Start outlining the content for my EP outcome (a brochure!)

• Look up for some common dental diseases and discuss with the dentists what should be done and how to prevent them.

Date: 14/8/2024

Assalamualaikum & Good evening to my dearest gentle readers. As I’m writing this journal, it marks my 2nd week of elective posting, which also means my last week in Physiotherapy department. I’m enlightened to share with all of you everything that happened in week 2. Happy reading!

My progress in Week 2:

• First of all, I can see some improvement in terms of my communication skills with the physiotherapist and the patients since I joined them going to the ward at least twice everyday. Even though I am unable to perform some procedures and must instead observe, I am grateful for the opportunity to tag along. Not just that, I also gained their trust in holding the babies during suction, even if the parents were in the suction room with us. I suppose it was because some of the parents were afraid of blood and thus loosened their grip on their precious babies. Unlike myself, a medical student who does not feel anything when I see blood thanks to my OT experience during my surgery posting.

• Last Friday, I was offered a chance to help the physiotherapists at the counter as three of them were on leave. My assigned tasks included assisting outpatients with registration at the counter and answering phone calls. I was on pins and needles, knowing I had to answer a call for the first time, despite being taught how. Just as I believed there would be no phone calls today, a ringing sound hit my eardrum. "Ringg..ring.." Without hesitation, I answered the call and acted as politely as possible: "Hello, Selamat pagi Physio, saya student bercakap bole saya bantu..." As the caller was providing me the patients' details, my fingers were busy writing down on a piece of paper because I knew if I didn’t write them, I would surely forget.

• Besides, I was assigned a small duty of delivering the Malate finger splint to the orthopaedic ward along with clarifying its size and application to the nurse. I felt helpful even though the task in hand was effortless and quick.

  
  

Points to remember from week 2:

• Aside from learning physiotherapy knowledge, I also had the opportunity to encounter a postsurgical patient who suffered an ACL tear. Hence, I took advantage of the opportunity to recap my understanding of ACL tears and other types of ligament tears. If I have spare time, I will take a brief history from the patients to improve my history-taking skills.

• I have learnt the right way to perform percussion during chest physiotherapy, which is by cupping my hand & clapping the patients back for 5-10 minutes. This vibrates the airways in the lungs and helps loosen the mucus so it can be coughed out. I also recently found out that it can be performed on adults & not only on children.

  
  

Feelings & thoughts:

• I felt more confident and calm when handling patients and children in the second week. However, deep down, I'm a little sad to be leaving physiotherapy and my cool physiotherapists before joining dietitian next week. Two weeks went by faster than I imagined.

One good thing from what I did that I can practice now:

• Performed the chest percussion on babies or adults to help loosen the mucus. Since I have observed the techniques multiple times performed by one of the physiotherapists I always tag along with, Kak Yat, I can't wait to apply them in the future, especially on my family members. Also today, Eddin, the other physiotherapist asked me to perform the percussion on the patients and he observed me doing it. I felt that my percussion was slightly weak because the cupping sound was not as powerful. But he still praised my technique and assured me that it was my first time and that I performed well.

Difficulties/ Concerns:

• One difficulty I faced was talking to the paediatric patients in a cute and goofy voice. At first, I thought I had overcome this problem because the crying babies stopped crying when I played ‘cak cak’ to attract them. However, this was not the case for children older than three years old. They don’t seem to be interested in these tiny tricks, so I realised that talking to them in a motherese tone and asking them questions would attract their attention more. I hope I can practice more before entering paediatrics posting later.

  
  

My plan for week 3:

• Introduce myself to the dietitian in charge of supervising me for another 2 weeks of the elective posting.

• Explore more on the dietary knowledge and attach to my dietitian supervisor during patient counselling.

• Have fun learning new stuff everyday and meet new people.

(A189432) : 14.8.2024

Hi! I am here today after completing my attachment with the dietetics service for 2 weeks. Let's get into my week 2 summary!

Week 2 Summary

Thursday (8.8)

• Continued working on CKD diet website

• Fire safety inspection at the hospital's kitchen

  
  

Friday (9.8)

• Printed and did filing for audit reports for 2024 data analysis.

  
  

Sunday (11.8) : Public Holiday

Monday (12.8)

• Followed my SV to the cafe premise for infection control training.

• Continued working on the website.

  
  

Tuesday (13.8)

• Edit slides for health talk regarding protein and salt diet via Canva

  
  

Wednesday (14.8)

• Finished and finalized the CKD diet website and discuss with SV for amendments.

Thoughts & Feelings About Week 2

• I think this week is quite of a slow one as there is no patient at all. I mainly did desk works, but I get to learn a lot from them.

• During the slides editing, I read the key points and managed to grasp the concept of different kinds of diets for different diseases. For example, for CKD patients, intake of ions such as sodium, potassium and phosphate need to be monitored closely.

• I think by completing the websites (heart and kidney health), I need to read and do some research for the facts and through these, I slowly understand what and why certain advice are given for specific individuals.

• I also got some feedback regarding the way I send e-mails from my SV. She taught me how to put a signature at the end of my e-mail and said that by sending a good e-mail, we are giving a good impression to the receiver. Since then, I created my own e-mail signature and used them in the subsequent e-mails.

One good thing I can practice now :

I can counsel patients with heart and kidney problems with the main and basic dietary advice which are customized with their daily food intake and their underlying diseases.

Difficulties/Concerns + Coping Mechanism

• I don't think I faced any during the week, but if I have to state one, I will say that there is not much paper work that I can help with as it requires access to the system (so sometimes I feel a bit useless there haha). To fill my time, I continue to edit the websites and just read some interesting facts to include in them.

Plan for Week 3

• Start reading some articles about types of rehabilitation.

• Participate in patient care in physiotherapy.

  
  

Can't wait to start my attachment in the physiotherapy department!

p/s : I'm a beginner haha, they definitely need to be improvised in terms of designing and layout but I had fun making them!

𝐀𝟏𝟖𝟖𝟖𝟏𝟗

𝟏9𝐭𝐡 𝐀𝐮𝐠𝐮𝐬𝐭 𝟐𝟎𝟐𝟒

𝐻𝑖, 𝑔𝑜𝑜𝑑 𝑑𝑎𝑦 𝑒𝑣𝑒𝑟𝑦𝑜𝑛𝑒! 𝑇ℎ𝑖𝑠 𝑖𝑠 𝑚𝑒 𝑤𝑟𝑖𝑡𝑖𝑛𝑔 𝑎𝑏𝑜𝑢𝑡 𝑚𝑦 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒 𝑜𝑣𝑒𝑟 𝑡ℎ𝑒 𝑠𝑒𝑐𝑜𝑛𝑑 𝑤𝑒𝑒𝑘 𝑖𝑛 𝑀𝑎𝑙𝑎𝑦𝑠𝑖𝑎𝑛 𝑀𝑒𝑛𝑡𝑎𝑙 𝐻𝑒𝑎𝑙𝑡ℎ 𝐴𝑠𝑠𝑜𝑐𝑖𝑎𝑡𝑖𝑜𝑛 (𝑀𝑀𝐻𝐴).

𝐇𝐨𝐰 𝐢𝐬 𝐲𝐨𝐮𝐫 𝐩𝐫𝐨𝐠𝐫𝐞𝐬𝐬

• 𝐴𝑠 𝐼 𝑝𝑎𝑠𝑠𝑒𝑑 𝑚𝑦 𝑓𝑖𝑟𝑠𝑡 𝑎𝑛𝑑 𝑠𝑒𝑐𝑜𝑛𝑑 𝑤𝑒𝑒𝑘, 𝐼 𝑒𝑠𝑡𝑎𝑏𝑙𝑖𝑠ℎ𝑒𝑑 𝑎 𝑠𝑡𝑟𝑜𝑛𝑔 𝑟𝑎𝑝𝑝𝑜𝑟𝑡 𝑤𝑖𝑡ℎ 𝑐𝑙𝑖𝑒𝑛𝑡𝑠 𝑤ℎ𝑜 𝑟𝑒𝑔𝑢𝑙𝑎𝑟𝑙𝑦 𝑎𝑡𝑡𝑒𝑛𝑑 𝑡ℎ𝑒 𝑊𝑒𝑙𝑙𝑛𝑒𝑠𝑠 𝑎𝑛𝑑 𝑅𝑒𝑐𝑜𝑣𝑒𝑟𝑦 (𝑊𝑛𝑅𝑃) 𝑃𝑟𝑜𝑔𝑟𝑎𝑚. 𝐼 𝑙𝑒𝑑 𝑎 𝑠𝑜𝑐𝑖𝑎𝑙-𝑡ℎ𝑒𝑚𝑒𝑑 𝑠𝑒𝑠𝑠𝑖𝑜𝑛 𝑐𝑎𝑙𝑙𝑒𝑑 "𝑆ℎ𝑎𝑟𝑒𝑑 𝐽𝑜𝑢𝑟𝑛𝑒𝑦 - 𝐷𝑖𝑠𝑐𝑜𝑣𝑒𝑟𝑖𝑛𝑔 𝐸𝑎𝑐ℎ 𝑂𝑡ℎ𝑒𝑟." 𝑇ℎ𝑒 𝑠𝑒𝑠𝑠𝑖𝑜𝑛 𝑖𝑛𝑐𝑙𝑢𝑑𝑒𝑑 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑙𝑖𝑘𝑒 𝑀𝑜𝑜𝑑 𝑆ℎ𝑎𝑟𝑒, 𝑤ℎ𝑒𝑟𝑒 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑐ℎ𝑜𝑠𝑒 𝑒𝑚𝑜𝑡𝑖𝑜𝑛 𝑐𝑎𝑟𝑑𝑠 𝑎𝑛𝑑 𝑠ℎ𝑎𝑟𝑒𝑑 𝑤ℎ𝑦 𝑡ℎ𝑒𝑦 𝑟𝑒𝑠𝑜𝑛𝑎𝑡𝑒𝑑 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒𝑚; 𝐼𝑛𝑡𝑟𝑜𝑑𝑢𝑐𝑡𝑖𝑜𝑛 𝐸𝑥𝑐ℎ𝑎𝑛𝑔𝑒, 𝑤ℎ𝑒𝑟𝑒 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑖𝑛𝑡𝑟𝑜𝑑𝑢𝑐𝑒𝑑 𝑒𝑎𝑐ℎ 𝑜𝑡ℎ𝑒𝑟 𝑖𝑛𝑠𝑡𝑒𝑎𝑑 𝑜𝑓 𝑡ℎ𝑒𝑚𝑠𝑒𝑙𝑣𝑒𝑠; 𝑎𝑛𝑑 𝑃𝑒𝑟𝑓𝑒𝑐𝑡 𝐷𝑎𝑦, 𝑤ℎ𝑒𝑟𝑒 𝑒𝑣𝑒𝑟𝑦𝑜𝑛𝑒 𝑑𝑒𝑠𝑐𝑟𝑖𝑏𝑒𝑑 𝑡ℎ𝑒𝑖𝑟 𝑖𝑑𝑒𝑎𝑙 𝑑𝑎𝑦 𝑎𝑓𝑡𝑒𝑟 𝑤𝑎𝑡𝑐ℎ𝑖𝑛𝑔 𝑎 𝑟𝑒𝑙𝑎𝑡𝑒𝑑 𝑣𝑖𝑑𝑒𝑜. 𝑀𝑦 𝑜𝑏𝑗𝑒𝑐𝑡𝑖𝑣𝑒 𝑤𝑎𝑠 𝑡𝑜 𝑐𝑟𝑒𝑎𝑡𝑒 𝑐𝑜𝑚𝑚𝑢𝑛𝑖𝑡𝑦, 𝑏𝑦 𝑢𝑛𝑖𝑡𝑖𝑛𝑔 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑎𝑛𝑑 𝑟𝑒𝑑𝑢𝑐𝑖𝑛𝑔 𝑓𝑒𝑒𝑙𝑖𝑛𝑔𝑠 𝑜𝑓 𝑖𝑠𝑜𝑙𝑎𝑡𝑖𝑜𝑛. 𝐴𝑡 𝑡ℎ𝑒 𝑠𝑎𝑚𝑒 𝑡𝑖𝑚𝑒, ℎ𝑒𝑙𝑝𝑖𝑛𝑔 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑡𝑜 𝑑𝑖𝑠𝑐𝑜𝑣𝑒𝑟 𝑐𝑜𝑚𝑚𝑜𝑛 𝑖𝑛𝑡𝑒𝑟𝑒𝑠𝑡𝑠 𝑜𝑟 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒𝑠.

• 𝐴𝑑𝑑𝑖𝑡𝑖𝑜𝑛𝑎𝑙𝑙𝑦, 𝐼 𝑎𝑙𝑠𝑜 𝑐𝑜𝑛𝑑𝑢𝑐𝑡𝑒𝑑 𝑎 𝐻𝑎𝑛𝑑 𝐻𝑦𝑔𝑖𝑒𝑛𝑒 𝑠𝑒𝑠𝑠𝑖𝑜𝑛 𝑢𝑛𝑑𝑒𝑟 𝑡ℎ𝑒 𝑆𝑒𝑙𝑓-𝐷𝑒𝑣𝑒𝑙𝑜𝑝𝑚𝑒𝑛𝑡 𝑏𝑟𝑎𝑛𝑐ℎ. 𝑇ℎ𝑒 𝑠𝑒𝑠𝑠𝑖𝑜𝑛 𝑓𝑒𝑎𝑡𝑢𝑟𝑒𝑑 𝐷𝑟𝑎𝑤 & 𝑆ℎ𝑜𝑤, 𝑤ℎ𝑒𝑟𝑒 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑖𝑙𝑙𝑢𝑠𝑡𝑟𝑎𝑡𝑒𝑑 𝑎𝑛𝑑 𝑔𝑢𝑒𝑠𝑠𝑒𝑑 ℎ𝑦𝑔𝑖𝑒𝑛𝑒-𝑟𝑒𝑙𝑎𝑡𝑒𝑑 𝑖𝑡𝑒𝑚𝑠, 𝑓𝑜𝑙𝑙𝑜𝑤𝑒𝑑 𝑏𝑦 𝑎 𝑉𝑖𝑑𝑒𝑜𝑠 + 𝐷𝑒𝑚𝑜𝑛𝑠𝑡𝑟𝑎𝑡𝑖𝑜𝑛 𝑠𝑒𝑔𝑚𝑒𝑛𝑡 𝑜𝑛 𝑔𝑒𝑟𝑚 𝑠𝑝𝑟𝑒𝑎𝑑 𝑎𝑛𝑑 𝑝𝑟𝑜𝑝𝑒𝑟 ℎ𝑎𝑛𝑑𝑤𝑎𝑠ℎ𝑖𝑛𝑔. 𝐿𝑎𝑠𝑡𝑙𝑦, 𝑎 𝑅𝑜𝑙𝑒 𝑃𝑙𝑎𝑦 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑦 𝑐𝑎𝑙𝑙𝑒𝑑 "𝐺𝑒𝑟𝑚 𝐺𝑢𝑎𝑟𝑑𝑖𝑎𝑛𝑠" 𝑒𝑛𝑐𝑜𝑢𝑟𝑎𝑔𝑒𝑑 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑡𝑜 𝑖𝑑𝑒𝑛𝑡𝑖𝑓𝑦 𝑎𝑛𝑑 𝑚𝑖𝑡𝑖𝑔𝑎𝑡𝑒 𝑔𝑒𝑟𝑚 𝑟𝑖𝑠𝑘𝑠 𝑖𝑛 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑟𝑜𝑙𝑒𝑠.

• 𝐿𝑎𝑠𝑡 𝑇ℎ𝑢𝑟𝑠𝑑𝑎𝑦, 𝐼 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑡𝑒𝑑 𝑖𝑛 𝑡ℎ𝑒 𝑣𝑒𝑟𝑦 𝑓𝑖𝑟𝑠𝑡 𝑐𝑜𝑙𝑙𝑎𝑏𝑜𝑟𝑎𝑡𝑖𝑜𝑛 𝑠𝑒𝑚𝑖𝑛𝑎𝑟 𝑜𝑟𝑔𝑎𝑛𝑖𝑧𝑒𝑑 𝑏𝑦 𝑀𝑀𝐻𝐴 𝑡𝑜𝑔𝑒𝑡ℎ𝑒𝑟 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑐𝑜𝑚𝑚𝑢𝑛𝑖𝑡𝑦 𝑜𝑓 𝑃𝑒𝑡𝑎𝑙𝑖𝑛𝑔 𝐽𝑎𝑦𝑎, 𝑤ℎ𝑒𝑟𝑒 𝐼 𝑔𝑎𝑖𝑛𝑒𝑑 𝑣𝑎𝑙𝑢𝑎𝑏𝑙𝑒 𝑖𝑛𝑠𝑖𝑔ℎ𝑡𝑠 𝑖𝑛𝑡𝑜 𝑚𝑒𝑛𝑡𝑎𝑙 𝑤𝑒𝑙𝑙-𝑏𝑒𝑖𝑛𝑔 𝑓𝑟𝑜𝑚 𝑎 𝑡𝑎𝑙𝑘 𝑏𝑦 𝐷𝑟. 𝐹𝑢𝑎𝑑 𝘈𝘩𝘮𝘢𝘥 𝘍𝘢𝘳𝘰𝘶𝘬, 𝑎 𝑝𝑠𝑦𝑐ℎ𝑖𝑎𝑡𝑟𝑖𝑠𝑡 𝑓𝑟𝑜𝑚 𝑃𝑃𝑈𝑀.

𝐏𝐨𝐢𝐧𝐭𝐬 𝐭𝐨 𝐫𝐞𝐦𝐞𝐦𝐛𝐞𝐫 𝐟𝐫𝐨𝐦 𝐰𝐞𝐞𝐤 𝟐

• 𝐻𝑜𝑙𝑖𝑠𝑡𝑖𝑐 𝑈𝑛𝑑𝑒𝑟𝑠𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝑜𝑓 𝑀𝑒𝑛𝑡𝑎𝑙 𝐻𝑒𝑎𝑙𝑡ℎ: 𝐺𝑎𝑖𝑛𝑒𝑑 𝑎 𝑐𝑜𝑚𝑝𝑟𝑒ℎ𝑒𝑛𝑠𝑖𝑣𝑒 𝑣𝑖𝑒𝑤 𝑜𝑓 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑖𝑠𝑠𝑢𝑒𝑠, 𝑖𝑛𝑐𝑙𝑢𝑑𝑖𝑛𝑔 𝑡ℎ𝑒 𝑖𝑚𝑝𝑜𝑟𝑡𝑎𝑛𝑐𝑒 𝑜𝑓 𝑎𝑑𝑑𝑟𝑒𝑠𝑠𝑖𝑛𝑔 𝑡ℎ𝑒𝑚 𝑡ℎ𝑟𝑜𝑢𝑔ℎ 𝑎 ℎ𝑜𝑙𝑖𝑠𝑡𝑖𝑐 𝑎𝑝𝑝𝑟𝑜𝑎𝑐ℎ 𝑡ℎ𝑎𝑡 𝑐𝑜𝑛𝑠𝑖𝑑𝑒𝑟𝑠 𝑏𝑖𝑜𝑙𝑜𝑔𝑖𝑐𝑎𝑙, 𝑝𝑠𝑦𝑐ℎ𝑜𝑙𝑜𝑔𝑖𝑐𝑎𝑙, 𝑎𝑛𝑑 𝑠𝑜𝑐𝑖𝑎𝑙 𝑓𝑎𝑐𝑡𝑜𝑟𝑠.

• 𝐶𝑜𝑚𝑚𝑢𝑛𝑖𝑡𝑦 𝐸𝑛𝑔𝑎𝑔𝑒𝑚𝑒𝑛𝑡: 𝐸𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒𝑑 𝑡ℎ𝑒 𝑣𝑎𝑙𝑢𝑒 𝑜𝑓 𝑒𝑛𝑔𝑎𝑔𝑖𝑛𝑔 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑐𝑜𝑚𝑚𝑢𝑛𝑖𝑡𝑦 𝑡𝑜 𝑟𝑎𝑖𝑠𝑒 𝑎𝑤𝑎𝑟𝑒𝑛𝑒𝑠𝑠, 𝑟𝑒𝑑𝑢𝑐𝑒 𝑠𝑡𝑖𝑔𝑚𝑎, 𝑎𝑛𝑑 𝑝𝑟𝑜𝑣𝑖𝑑𝑒 𝑒𝑑𝑢𝑐𝑎𝑡𝑖𝑜𝑛 𝑎𝑏𝑜𝑢𝑡 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ.

• 𝑃𝑟𝑎𝑐𝑡𝑖𝑐𝑎𝑙 𝐸𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒: 𝑃𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑡𝑒𝑑 𝑖𝑛 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑠𝑢𝑐ℎ 𝑎𝑠 𝑜𝑟𝑔𝑎𝑛𝑖𝑧𝑖𝑛𝑔 𝑒𝑣𝑒𝑛𝑡𝑠, 𝑚𝑎𝑛𝑎𝑔𝑖𝑛𝑔 𝑏𝑜𝑜𝑡ℎ𝑠, 𝑎𝑛𝑑 𝑖𝑛𝑡𝑒𝑟𝑎𝑐𝑡𝑖𝑛𝑔 𝑤𝑖𝑡ℎ 𝑖𝑛𝑑𝑖𝑣𝑖𝑑𝑢𝑎𝑙𝑠 𝑓𝑎𝑐𝑖𝑛𝑔 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑐ℎ𝑎𝑙𝑙𝑒𝑛𝑔𝑒𝑠, 𝑤ℎ𝑖𝑐ℎ 𝑒𝑛ℎ𝑎𝑛𝑐𝑒𝑑 𝘮𝘺 𝑝𝑟𝑎𝑐𝑡𝑖𝑐𝑎𝑙 𝑠𝑘𝑖𝑙𝑙𝑠 𝑖𝑛 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑎𝑑𝑣𝑜𝑐𝑎𝑐𝑦.

  
  

𝐘𝐨𝐮𝐫 𝐟𝐞𝐞𝐥𝐢𝐧𝐠𝐬 𝐚𝐧𝐝 𝐭𝐡𝐨𝐮𝐠𝐡𝐭𝐬

• 𝑇ℎ𝑖𝑠 𝑝𝑙𝑎𝑐𝑒 𝑐𝑜𝑛𝑠𝑖𝑠𝑡𝑒𝑛𝑡𝑙𝑦 𝑒𝑥𝑢𝑑𝑒𝑠 𝑎 𝑠𝑒𝑛𝑠𝑒 𝑜𝑓 𝑠𝑖𝑛𝑐𝑒𝑟𝑖𝑡𝑦, 𝑤𝑖𝑡ℎ 𝑒𝑣𝑒𝑟𝑦𝑜𝑛𝑒 𝑡𝑟𝑒𝑎𝑡𝑖𝑛𝑔 𝑒𝑎𝑐ℎ 𝑜𝑡ℎ𝑒𝑟 𝑙𝑖𝑘𝑒 𝑓𝑎𝑚𝑖𝑙𝑦. 𝘐 𝘳𝘦𝘮𝘦𝘮𝘣𝘦𝘳 𝘥𝑢𝑟𝑖𝑛𝑔 𝑎𝑛 𝑒𝑥𝑝𝑟𝑒𝑠𝑠𝑖𝑣𝑒 𝑚𝑢𝑟𝑎𝑙 𝑎𝑟𝑡 𝑠𝑒𝑠𝑠𝑖𝑜𝑛 𝑙𝑒𝑑 𝑏𝑦 𝑎 𝑐𝑜𝑢𝑛𝑠𝑒𝑙𝑜𝑟, 𝑤𝑒 𝑤𝑒𝑟𝑒 𝑒𝑛𝑐𝑜𝑢𝑟𝑎𝑔𝑒𝑑 𝑡𝑜 𝑓𝑟𝑒𝑒𝑙𝑦 𝑑𝑟𝑎𝑤 𝑎𝑛𝑑 𝑠ℎ𝑎𝑟𝑒 𝑜𝑢𝑟 𝑡ℎ𝑜𝑢𝑔ℎ𝑡𝑠 𝑜𝑛 𝑎 𝑙𝑜𝑛𝑔 𝑝𝑖𝑒𝑐𝑒 𝑜𝑓 𝑝𝑎𝑝𝑒𝑟. 𝑇ℎ𝑒 𝑎𝑡𝑚𝑜𝑠𝑝ℎ𝑒𝑟𝑒 𝑤𝑎𝑠 𝑠𝑎𝑓𝑒 𝑎𝑛𝑑 𝑜𝑝𝑒𝑛, 𝑎𝑙𝑙𝑜𝑤𝑖𝑛𝑔 𝑓𝑜𝑟 𝑔𝑒𝑛𝑢𝑖𝑛𝑒 𝑒𝑥𝑝𝑟𝑒𝑠𝑠𝑖𝑜𝑛.

• 𝑂𝑛𝑒 𝑐𝑙𝑖𝑒𝑛𝑡, 𝑖𝑛 𝑝𝑎𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟, 𝑠𝑡𝑜𝑜𝑑 𝑜𝑢𝑡—𝑐𝑙𝑖𝑒𝑛𝑡 𝐴—𝑤ℎ𝑜𝑠𝑒 𝑒𝑛𝑐𝑜𝑢𝑟𝑎𝑔𝑖𝑛𝑔 𝑤𝑜𝑟𝑑𝑠 𝑖𝑛𝑠𝑝𝑖𝑟𝑒𝑑 𝑎𝑛𝑑 𝑢𝑝𝑙𝑖𝑓𝑡𝑒𝑑 𝑒𝑣𝑒𝑟𝑦𝑜𝑛𝑒. 𝘍𝘰𝘭𝘭𝘰𝘸𝘪𝘯𝘨 𝘵𝘩𝘢𝘵, 𝐼 𝑛𝑜𝑡𝑖𝑐𝑒𝑑 𝑎 𝑡𝑜𝑢𝑐ℎ𝑖𝑛𝑔 𝑚𝑜𝑚𝑒𝑛𝑡 𝑤ℎ𝑒𝑛 𝑐𝑙𝑖𝑒𝑛𝑡 𝐵 𝑎𝑓𝑡𝑒𝑟 𝑟𝑒𝑐𝑒𝑖𝑣𝑖𝑛𝑔 𝑡ℎ𝑒 𝑝𝑜𝑠𝑖𝑡𝑖𝑣𝑒 𝑒𝑛𝑒𝑟𝑔𝑦 𝑓𝑟𝑜𝑚 𝐶𝑙𝑖𝑒𝑛𝑡 𝐴 𝑔𝑒𝑛𝑡𝑙𝑦 𝑝𝑎𝑡𝑡𝑒𝑑 𝑐𝑙𝑖𝑒𝑛𝑡 𝐶 𝑜𝑛 𝑡ℎ𝑒 𝑠ℎ𝑜𝑢𝑙𝑑𝑒𝑟, 𝑜𝑓𝑓𝑒𝑟𝑖𝑛𝑔 𝑐𝑜𝑚𝑓𝑜𝑟𝑡 𝑡𝑜 𝘩𝘪𝘮 𝑤ℎ𝑜 ℎ𝑎𝑑 𝑏𝑒𝑒𝑛 𝑎𝑛𝑥𝑖𝑜𝑢𝑠 𝑡ℎ𝑎𝑡 𝑚𝑜𝑟𝑛𝑖𝑛𝑔. 𝑊𝑖𝑡𝑛𝑒𝑠𝑠𝑖𝑛𝑔 𝑡ℎ𝑖𝑠 𝑒𝑚𝑜𝑡𝑖𝑜𝑛𝑎𝑙 𝑒𝑥𝑐ℎ𝑎𝑛𝑔𝑒 𝑚𝑎𝑑𝑒 𝑚𝑒 𝑟𝑒𝑎𝑙𝑖𝑧𝑒 𝑡ℎ𝑒 𝑝𝑟𝑜𝑓𝑜𝑢𝑛𝑑 𝑖𝑚𝑝𝑎𝑐𝑡 𝑜𝑓 𝑝𝑒𝑒𝑟 𝑠𝑢𝑝𝑝𝑜𝑟𝑡.

• 𝐼'𝑚 𝑎𝑙𝑠𝑜 𝑔𝑟𝑎𝑡𝑒𝑓𝑢𝑙 𝑓𝑜𝑟 𝑡ℎ𝑒 𝑜𝑝𝑝𝑜𝑟𝑡𝑢𝑛𝑖𝑡𝑦 𝑡𝑜 𝑖𝑛𝑡𝑒𝑟𝑎𝑐𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 𝑐𝑜𝑢𝑛𝑠𝑒𝑙𝑜𝑟𝑠 𝑎𝑛𝑑 𝑐𝑙𝑖𝑛𝑖𝑐𝑎𝑙 𝑝𝑠𝑦𝑐ℎ𝑜𝑙𝑜𝑔𝑖𝑠𝑡𝑠 ℎ𝑒𝑟𝑒. 𝑇ℎ𝑒𝑖𝑟 𝑢𝑛𝑖𝑞𝑢𝑒 𝑎𝑝𝑝𝑟𝑜𝑎𝑐ℎ𝑒𝑠 𝑡𝑜 𝑤𝑜𝑟𝑘𝑖𝑛𝑔 𝑤𝑖𝑡ℎ 𝑐𝑙𝑖𝑒𝑛𝑡𝑠 𝑎𝑙𝑙𝑜𝑤𝑒𝑑 𝑓𝑜𝑟 𝑑𝑒𝑒𝑝𝑒𝑟 𝑐𝑜𝑛𝑛𝑒𝑐𝑡𝑖𝑜𝑛𝑠 𝑎𝑛𝑑 𝑖𝑛𝑣𝑎𝑙𝑢𝑎𝑏𝑙𝑒 𝑙𝑒𝑎𝑟𝑛𝑖𝑛𝑔 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒𝑠.

𝐎𝐍𝐄 𝐠𝐨𝐨𝐝 𝐭𝐡𝐢𝐧𝐠 𝐟𝐫𝐨𝐦 𝐰𝐡𝐚𝐭 𝐲𝐨𝐮 𝐝𝐢𝐝 𝐭𝐡𝐚𝐭 𝐲𝐨𝐮 𝐜𝐚𝐧 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝐧𝐨𝐰

• 𝑆𝑒𝑡𝑡𝑖𝑛𝑔 ℎ𝑒𝑎𝑙𝑡ℎ𝑦 𝑏𝑜𝑢𝑛𝑑𝑎𝑟𝑖𝑒𝑠: 𝑏𝑜𝑡ℎ 𝑖𝑛 𝑝𝑒𝑟𝑠𝑜𝑛𝑎𝑙 𝑎𝑛𝑑 𝑝𝑟𝑜𝑓𝑒𝑠𝑠𝑖𝑜𝑛𝑎𝑙 𝑟𝑒𝑙𝑎𝑡𝑖𝑜𝑛𝑠ℎ𝑖𝑝𝑠, 𝑡𝑜 𝑚𝑎𝑖𝑛𝑡𝑎𝑖𝑛 𝑚𝑦 𝑜𝑤𝑛 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ. 𝐵𝑜𝑢𝑛𝑑𝑎𝑟𝑖𝑒𝑠 ℎ𝑒𝑙𝑝 𝑑𝑒𝑓𝑖𝑛𝑒 𝑡ℎ𝑒 𝑙𝑖𝑚𝑖𝑡𝑠 𝑜𝑓 𝑚𝑦 𝑟𝑒𝑙𝑎𝑡𝑖𝑜𝑛𝑠ℎ𝑖𝑝𝑠, 𝑒𝑛𝑠𝑢𝑟𝑖𝑛𝑔 𝑚𝑢𝑡𝑢𝑎𝑙 𝑟𝑒𝑠𝑝𝑒𝑐𝑡 𝑎𝑛𝑑 𝑢𝑛𝑑𝑒𝑟𝑠𝑡𝑎𝑛𝑑𝑖𝑛𝑔. 𝑇ℎ𝑒𝑦 𝑝𝑟𝑒𝑣𝑒𝑛𝑡 𝑜𝑡ℎ𝑒𝑟𝑠 𝑓𝑟𝑜𝑚 𝑜𝑣𝑒𝑟𝑠𝑡𝑒𝑝𝑝𝑖𝑛𝑔, 𝑤ℎ𝑖𝑙𝑒 𝑎𝑙𝑠𝑜 𝑔𝑖𝑣𝑖𝑛𝑔 𝑚𝑒 𝑡ℎ𝑒 𝑠𝑝𝑎𝑐𝑒 𝑡𝑜 𝑚𝑎𝑖𝑛𝑡𝑎𝑖𝑛 𝑚𝑦 𝑜𝑤𝑛 𝑛𝑒𝑒𝑑𝑠 𝑎𝑛𝑑 𝑝𝑟𝑖𝑜𝑟𝑖𝑡𝑖𝑒𝑠.

𝐀𝐧𝐲 𝐝𝐢𝐟𝐟𝐢𝐜𝐮𝐥𝐭𝐢𝐞𝐬 / 𝐜𝐨𝐧𝐜𝐞𝐫𝐧𝐬? 𝐇𝐨𝐰 𝐝𝐢𝐝 𝐲𝐨𝐮 𝐜𝐨𝐩𝐞?

• 𝐴𝑑𝑗𝑢𝑠𝑡𝑖𝑛𝑔 𝑡𝑜 𝑊𝑜𝑟𝑘𝑙𝑜𝑎𝑑: 𝐼 𝑎𝑚 𝑛𝑜𝑡 𝑡𝑜𝑜 𝑠𝑢𝑟𝑒 𝑓𝑜𝑟 𝑛𝑜𝑤 𝑤ℎ𝑒𝑡ℎ𝑒𝑟 𝐼 𝑤𝑖𝑙𝑙 𝑓𝑖𝑛𝑑 𝑖𝑡 𝑐ℎ𝑎𝑙𝑙𝑒𝑛𝑔𝑖𝑛𝑔 𝑓𝑜𝑟 𝑚𝑒 𝑜𝑟 𝑛𝑜𝑡 𝑡𝑜 𝑚𝑎𝑛𝑎𝑔𝑒 𝑎 𝑔𝑟𝑜𝑤𝑖𝑛𝑔 𝑤𝑜𝑟𝑘𝑙𝑜𝑎𝑑 𝑜𝑟 𝑎𝑑𝑗𝑢𝑠𝑡 𝑡𝑜 𝑡ℎ𝑒 𝑝𝑎𝑐𝑒 𝑜𝑓 𝑡𝑎𝑠𝑘𝑠 𝑎𝑛𝑑 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑖𝑏𝑖𝑙𝑖𝑡𝑖𝑒𝑠 𝘪𝘯 𝘵𝘩𝘦 𝘶𝘱𝘤𝘰𝘮𝘪𝘯𝘨 𝘸𝘦𝘦𝘬𝘴 𝑎𝑠 𝐼 𝑏𝑒𝑐𝑜𝑚𝑒 𝑚𝑜𝑟𝑒 𝑖𝑛𝑣𝑜𝑙𝑣𝑒𝑑.

𝐘𝐨𝐮𝐫 𝐩𝐥𝐚𝐧 𝐟𝐨𝐫 𝐧𝐞𝐱𝐭 𝐰𝐞𝐞𝐤 (𝐖𝐞𝐞𝐤 𝟑)

• 𝐼 𝑤𝑖𝑙𝑙 𝑏𝑒 𝑡𝑎𝑘𝑖𝑛𝑔 𝑝𝑎𝑟𝑡 𝑖𝑛 𝑡ℎ𝑒 "𝑂𝑓𝑓𝑙𝑖𝑛𝑒 16 𝐻𝑜𝑢𝑟𝑠" 𝑒𝑣𝑒𝑛𝑡, 𝑤ℎ𝑖𝑐ℎ 𝑖𝑠 𝑔𝑜𝑖𝑛𝑔 𝑡𝑜 𝑠𝑒𝑡 𝑎 𝑛𝑒𝑤 𝑟𝑒𝑐𝑜𝑟𝑑 𝑖𝑛 𝑡ℎ𝑒 𝑀𝑎𝑙𝑎𝑦𝑠𝑖𝑎 𝐵𝑜𝑜𝑘 𝑜𝑓 𝑅𝑒𝑐𝑜𝑟𝑑𝑠. 𝑇ℎ𝑒 𝑒𝑣𝑒𝑛𝑡 𝑜𝑟𝑔𝑎𝑛𝑖𝑠𝑒𝑟 𝑒𝑛𝑐𝑜𝑢𝑟𝑎𝑔𝑒𝑠 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑛𝑡𝑠 𝑡𝑜 𝑠𝑝𝑒𝑛𝑑 16 ℎ𝑜𝑢𝑟𝑠 𝑜𝑓𝑓𝑙𝑖𝑛𝑒, 𝑝𝑎𝑟𝑡𝑖𝑐𝑖𝑝𝑎𝑡𝑖𝑛𝑔 𝑖𝑛 𝑣𝑎𝑟𝑖𝑜𝑢𝑠 𝑓𝑢𝑛 𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑖𝑒𝑠 𝑎𝑛𝑑 𝑤𝑜𝑟𝑘𝑠ℎ𝑜𝑝𝑠 𝑡𝑜 𝑟𝑎𝑖𝑠𝑒 𝑚𝑒𝑛𝑡𝑎𝑙 ℎ𝑒𝑎𝑙𝑡ℎ 𝑎𝑤𝑎𝑟𝑒𝑛𝑒𝑠𝑠. 𝐴𝑑𝑑𝑖𝑡𝑖𝑜𝑛𝑎𝑙𝑙𝑦, 𝐼 𝑤𝑖𝑙𝑙 𝑎𝑙𝑠𝑜 𝑎𝑡𝑡𝑒𝑛𝑑 𝑠𝑖𝑡-𝑖𝑛 𝑠𝑒𝑠𝑠𝑖𝑜𝑛𝑠 𝑐𝑜𝑛𝑑𝑢𝑐𝑡𝑒𝑑 𝑏𝑦 𝑠𝑒𝑣𝑒𝑟𝑎𝑙 𝑐𝑜𝑢𝑛𝑠𝑒𝑙𝑜𝑟𝑠 𝑓𝑜𝑟 𝑊𝑛𝑅𝑃 𝑐𝑙𝑖𝑒𝑛𝑡𝑠.

𝑇ℎ𝑎𝑡’𝑠 𝑎𝑙𝑙 𝑓𝑜𝑟 𝑛𝑜𝑤. 𝐼’𝑚 𝑙𝑜𝑜𝑘𝑖𝑛𝑔 𝑓𝑜𝑟𝑤𝑎𝑟𝑑 𝑡𝑜 𝑡ℎ𝑒 𝑜𝑝𝑝𝑜𝑟𝑡𝑢𝑛𝑖𝑡𝑖𝑒𝑠 𝑎𝑛𝑑 𝑒𝑥𝑝𝑒𝑟𝑖𝑒𝑛𝑐𝑒𝑠 𝑡ℎ𝑒 𝑛𝑒𝑤 𝑤𝑒𝑒𝑘 𝑤𝑖𝑙𝑙 𝑏𝑟𝑖𝑛𝑔. 𝐵𝑦𝑒.

Siti Aqilah Aina binti Azman (A179246) 

Date: Monday, 19 August 2024

Week 2: 12 - 16th August 2024

Dear lovely elective mates of Group D and esteemed Professor Farah,

Welcome to my second elective journal, where I share with you my experiences from the second week of my elective posting at Klinik Famili Dr. Wan Kamariah. I am excited to recount the memorable moments, valuable lessons, and enriching encounters that have made this journey truly special. Your support and encouragement means a lot to me, and I look forward to sharing these stories with you all.

How is your progress?

The past week I sure did a lot of progress, it truly excites me:

• I managed to upload the previous 4 videos I have made into the clinic's system and it is now played on the two TV screens of the clinic.

• I made a new video with the topic “Haid @ Menstruasi”, explaining to viewers and patients on the basic knowledges of period, the 3 phases in our menstrual cycle and highlighting the importance of taking note of our menstruation dates especially the first date of last menstrual period for cases of pregnancy.

• I was taught by one of the clinic assistants, Kak Zila, on how to manage patients' registration upon entry and also their prescription, including the labels. 

• I got the chance to be at the dispensary unit, hence took the opportunity to familiarise myself with the name and arrangements of the medication in the unit. Currently starting with one shelf at a time.

• With the knowledge I've gained from my studies and the guidance from Dr. Wan, I've been able to enlighten patients about their conditions, address their questions, and convey their concerns effectively. Common cases would be adenomyosis, endometriosis, PCOS and subchorionic bleeding, as mentioned prior.

• Aside from the usual O&G cases I come across with Dr. Wan, I had the chance to learn common general cases from Dr. Aslam too, one of it being Dengue fever, which then he taught me how to read a full blood count and the supposed to be normal values.

• Had examined the hands of a patient with Raynaud’s phenomenon.

• Assisted Dr. Meera in performing a female genital cutting also known as sunat.

• In addition to all, along the way I got to collect bits of knowledge regarding insurance in health and how it works from my doctors and clinical assistants.

Points to remember from Week 2!

• Be curious and ask questions, it is always nice to ask questions when you are confused or clueless. The colleagues in the clinic would definitely lend a helping hand.

• Continuously observe the flow of the workspace.

• When there is an often sudden rise of urticaria, patients should mark the coming occurence like a diary puting note: when it started and what might be the possible cause.

• Insurance does not often cover pregnancy, infertility and gynaecological issues.

• Causation of recurrent UTI should be explored after a still recurrence even after antibiotics. Luckily, in this case, we managed to dig-in and collect a history of possible adenomyosis and yes, upon scan it was noted as well with lots of floating debris seen in the bladder.

• Fungal infections which give out white milky-discharge are to be treated with vaginally-inserted clotrimazole.

• Upon taking antibiotics, it is recommended for patients to start on probiotics a week after to retain back good bacterias.

• As a doctor, always let the patient voice out their complaints and concerns first. Be a listener! Then, afterwards it is key to know when to interrupt and ask important questions to rule out differentials you have in mind and lead to the diagnosis. This surely takes time to master.

Your feelings & thoughts

I feel like my passion for family medicine and obstetrics and gynaecology grows stronger every day in the clinic. Although I still have much to learn, the past two weeks have been an incredible learning experience, constantly pushing and motivating me to delve deeper into these fields. 

Aside from that, I've been able to gain a deeper understanding of the knowledge from my PPA course, making it all more meaningful and applicable in real-world scenarios. I have had the opportunity to observe and learn firsthand the qualities that define a good doctor, such as how they communicate and give full attention to their patients, making them feel understood and heard. This experience has been invaluable, and I am grateful to witness it as part of my learning journey.

ONE good thing from what you did that you can practise now!

I am able to explain to patients the findings of their transvaginal and even detailed scans. This would be a huge thanks to my supervisor Dr. Wan and Thania the sonographer. I am able to interpret and relay the information, also educating the patients on the meaning and reasons of why we would like to observe these findings from their scans.

Any difficulties/concerns? How did you cope?

So far, I have not encountered any difficulties, but I am still struggling to familiarise myself with the patient registration system. I plan to ask for detailed instructions, guidance from one of the lovely clinic assistants and take the opportunity to assist them with a number of registrations to get the hang of it.

Your plan for next week (Week 3)

• Helping out patient’s to register.

• Make at least 2 new educational videos for the clinic.

• Hope to try and practise blood-taking.

• Adenomyosis would be endometrium cells invading and growing in the muscle layer of the uterus. This then causes the uterus to swell and bulge.

• Endometriosis would be endometrium cells growing outside of the uterus, as menstruation retrogrades or backflow to the fallopian tubes, exit out, affecting not just the tubes, but often the ovaries (can lead to endometriotic cyst), peritoneal cavity, bladder and even bowel. In later stages, this may lead to excessive adhesions seen upon laparoscopy.

A187705

Date: 12/8/2024

Hello everyone!

I have done my second week of elective posting at Klinik Pergigian Noorhani. I will be sharing the updates here.

How is your progress?

I learn more about dental procedures this week. The dentist, Dr Simah teaches me some instruments that are being used in the treatment in more details. I also find out there are two different types of shots being given, depending on patients' needs. I grab the chance to observe more regarding dentures making and repairing. I find out that dentures are actually more fragile that I thought. They may break even with a slightly strong pressure. However, broken but not too bad dentures can be repaired in about 20 minutes. I also get to help preparing the materials for filling. Same as last week, I sit at the front counter, assisting patient's registration. I start to get the hang of this posting and learn more as compared to last week.

Points to remember from week 2!

• Tell patients estimated cost needed for the treatment when they ask. It helps them to prepare and manage their budget especially for those require high cost such as denture and scaling.

• Be eager to learn as dentistry is different from medical. Ask around, people are more than willing to help.

• Show courtesy, ask for patient's consent to observe the treatment as some patients do not prefer to have too many people in the room.

Your feelings & thoughts

I find that doing my attachment at a dental clinic located at suburban area is a good choice. I get to meet patients from different age groups and backgrounds, while learning the best way to communicate with them. Older people require more patience as some of them need more details explanation, with simpler terms. Even though some of them are not from well-off family, they are willing to pay more to get faster treatment in this private dental clinic. I am actually touched by how many of them are loyal customers in this clinic, since 20 years ago. They put their trust in the dentist to give them the best services.

ONE good thing from what you did you can practice now!

Be mindful of where I am. Coming to place to study requires me to be more polite and show more respect. In this case, to the dentist, clinic assistants and most importantly the patients. I shall train myself to always introduce myself properly and get patient's consent in whatever situation.

Any difficulties/ concerns? How did you cope?

As this is my first time ever preparing the filling materials, I do not know to estimate the amount and ratio needed for each substance. However, I am very grateful that one of the dental assistant, which I call Kak Nini guides me step by step for it. It is such an interesting learning process.

Your plan for next week (Week 3)

I plan to try doing the mould for dentures since I have observed a lot this week. It seems easy but I am sure it requires skills to make a perfect one.

A188109

6/8/2024

Assalamualaikum and a good day to everyone! Welcome back to my 2^nd week of my elective posting journey padlet. Hope you will enjoy it.

2. How is your progress?

My 2^nd week of elective posting progress went smoothly and on track. As usual, I attended my morning radio conference in the PCHC meeting room. Then my supervisor informed me that he wouldn’t be around for a week due to his business meeting outstation, so he asked me to attach under any doctor who’s available for that week. Hence, I was quite clueless about who to attach to so I went to the IJN website to see if I could find any friendly doctor. As I scrolled through the doctors' profiles, I found a doctor who did his undergraduate at UKM and I thought he would be the best choice. Then, I went to his clinic and introduced myself to him. As I guessed, he was very friendly and welcoming and let me attach at his clinic. My dream to become a pediatrician has increased a lot ever since I joined in this department, but I would say that this doctor has increased it much more. I was truly impressed with the way he handles the kids with so much of care and love. He was also very patient in explaining the problems to the parents and answer their doubts. I also got to learn about the diseases and the necessary treatment and management. There was a 6-month-old baby diagnosed with VSD at the clinic and the doctor asked me to examine the patient. I got to hear pansystolic murmur with a very fast heart rate for the first time on a baby. The clinic was just until afternoon on that day as there was less patients. So I went to grab lunch and then went to the library to study back everything I have observed so far and completed my 1^st week of padlet submission. I stayed at the library till evening then went back around 5pm. On the next day, I wanted to have an experience in OT in IJN. So I went to the nurse counter and asked if there were any procedures on that day and she asked me to get permission from the surgeon before entering. I messaged the cardiothoracic surgeon involved and she allowed me to enter. It was my first time to observe a open heart surgery in live. I would say that it’s a lifetime experience for me as I observed a live beating heart of a baby right in front of my eyes. I would say that it rather different to HCTM OT as I used to observe surgeries from far but here in IJN, I get to observe very near to the patient. The surgery was around 5 hours and that was all for that day. On the last day of the week, I went to the physiotherapy centre at IJN to learn what are the exercises performed by the patients post surgeries. I introduced myself to a physiotherapist there and she showed me around the centre and explained about the types of equipment being used for the patients and how their progress will be recorded. There were around 12 machines which allowed them to do 12 different exercises and at the end of the session, the progress will be recorded in a graph form and they would be advised on their progress and what are the exercises that should be continued to take care of their heart. All the physiotherapist there were very friendly and kind to the patients and the way they handle them were very professional. The patients were also very comfortable with them. It was new experience for me to learn on physiotherapy advice for the patient undergoing heart surgery. It was all for the week and I believe I learn new things everyday. My journey in PCHC department has come to an end with a good note.

3. Points to remember from week 2!

• Importance of adaptability: I didn’t complain about my supervisor not being around and attach under any doctor who was available that week.

• Pediatric experience: I got hands-on experience with a pediatric patient diagnosed with VSD and observed how to handle young patients with care.

• Open-heart surgery: Observing a live surgery up close was a significant and unique experience for me

• Physiotherapy learning: I’ve learned about post-surgery care and the importance of rehabilitation for cardiac patients.

4. Your feelings & thoughts

In my opinion, I would say that I was deeply inspired by the pediatrician's approach, which has further solidified my interest in pediatrics. The experience in the OT left a lasting impression on me, especially seeing a live beating heart during surgery. Also, my experience at the physiotherapy center provided me with new insights into patient care. Overall, I am motivated and excited about the new learning opportunities.

5. ONE good thing from what you did that you can practice now!

The way the pediatrician handled the young patients with care, patience, and effective communication is something I can practice in my future. Emulating this approach in patient interactions, especially with pediatric patients, can be beneficial in my future practice, where my first posting in year 4 is going to be pediatrics.

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

 The main challenge for me was to manage the whole week without my supervisor as it was a new place for me and new people around me. I learned to adapt myself to new environment and managed to find a new mentor to guide for the week. I also took efforts to go to the physiotherapy centre on my own and talk to the person in charge to let me learn about the exercises done for the post op patients.

7. Your plan for next week (Week 3)

• I'm joining cardiology department next week and I wish to continue building on the experience

• Seek out more opportunities to observe and learn in the other department

• Keep up with my studies and documentation.