It still sends a chill down my spine when I recall the 'panic' incident I witnessed in the ward just before I had lunch.
I was strolling towards the canteen when the alarm bell lighted up. The high pitched siren was screaming across the doorway. Seemed that there was a situation in the male ward as the yellow colour light was blipping. I turned my back and headed towards the ward with intrigue. As I headed towards the ward, a staff nurse was asking me about the whereabouts of the security guard while the other said that one patient tried to escape. Cool isn't it?
Standing on the counter was the patient who was requesting to talk to the doctor. According to him, he wanted to go out and meet with the consultant in charge of him. Although I was not really clear about the situation out there, it seemed to me that the patient was disappointed by the decision made by the staff nurse. The gate into the ward was locked too.
The situation was tense as the alarm sounded but no security personnel were present. As the patient started to demand for the doctor and becoming aggressive, some nurses had to prepare with Haloperidol and Midazolam just in case there is a need of it. The nurse(male) was making a deal with the patient that if he receives his injection, everything will be fine and no one gets hurt.
Since the patient did not wish to cooperate, the middle cubicle(where he is located) was immediately emptied. Patients and medical students were required to step out while security personnel who had just arrived moved in. The tussle was a 'mild' one as the patient was quickly pushed towards the ground. And it required 6 men to get him lie still. Interestingly, another patient (Mr H), who just had his injection this morning for losing control, was there to stabilize him too. How cute =)
It's rather terrifying to witness one and i doubt if I would be interested to witness another event as such. On the other hand, I felt sad that the patient was sedated and had all four limbs tied to the bed. Is there any other method to calm the patient down? Hmm....Ohya, and the best part of it? Mr H was seen consoling the patient throughout the struggle and telling him that everything is fine, just like a friend in need. At least, that is heartwarming!
YikPing
147pm
Tuesday, May 29, 2012
Tuesday, May 22, 2012
Psychiatry
Yesterday marks the 2nd week of my posting in the psychiatry department, PPUKM. This is my first posting of my 4th year.
Yet, until today, psychiatry seems to be so abstract to me. Moving on to the 8th day tomorrow, I have still yet to tune myself into the minds of psychiatrists. Everything just seems to be so vague. Frankly, I have been trying to like and enjoy this posting but things did not turn out to be better. However, on a positive note, at least I have a direction and heading towards the goal set.
Clerking in psychiatry has been the most interesting part as far as I'm concerned. Unlike Internal Medicine or Surgery, the method of clerkship is quite different. I have clerked a few cases till date and most of them had been major depression or with suicidal attempts. Initially, I felt scared to even approach a psychiatry patient for the fear of the unstable mood they possess. To me, they appear to be violent, creepy and unfriendly.
I managed to clerk an interesting patient today. She was diagnosed with schizophrenia since 2006 and has been on medication since then. It still deters me to clerk a schizophrenic patient although I have been trained to clerk one. It turned out to be quite a new experience when I clerked her, with my 2 other friends accompanying me. I could not really get the history as she always wanted to go to the toilet. The reason? She has 4 bottles of mineral water bottles (1.5L) on her table and kept drinking them. She said that she must drink lots of water to keep her facial texture smooth and nice. On top of that, she kept saying that I must eat more as I appear so thin her. It happened thrice throughout the interview.
Will be attending a clinic session tomorrow with my supervisor. Finally ! I have longed to meet her since the first day. Hopefully she will be able to enlighten me and make me enjoy the 8 weeks in this posting =)
yikping
1003pm
Yet, until today, psychiatry seems to be so abstract to me. Moving on to the 8th day tomorrow, I have still yet to tune myself into the minds of psychiatrists. Everything just seems to be so vague. Frankly, I have been trying to like and enjoy this posting but things did not turn out to be better. However, on a positive note, at least I have a direction and heading towards the goal set.
Clerking in psychiatry has been the most interesting part as far as I'm concerned. Unlike Internal Medicine or Surgery, the method of clerkship is quite different. I have clerked a few cases till date and most of them had been major depression or with suicidal attempts. Initially, I felt scared to even approach a psychiatry patient for the fear of the unstable mood they possess. To me, they appear to be violent, creepy and unfriendly.
I managed to clerk an interesting patient today. She was diagnosed with schizophrenia since 2006 and has been on medication since then. It still deters me to clerk a schizophrenic patient although I have been trained to clerk one. It turned out to be quite a new experience when I clerked her, with my 2 other friends accompanying me. I could not really get the history as she always wanted to go to the toilet. The reason? She has 4 bottles of mineral water bottles (1.5L) on her table and kept drinking them. She said that she must drink lots of water to keep her facial texture smooth and nice. On top of that, she kept saying that I must eat more as I appear so thin her. It happened thrice throughout the interview.
Will be attending a clinic session tomorrow with my supervisor. Finally ! I have longed to meet her since the first day. Hopefully she will be able to enlighten me and make me enjoy the 8 weeks in this posting =)
yikping
1003pm
Thursday, May 3, 2012
Press Not-So-Freedom Day?
3rd of May marks the world press freedom day. Back in 1991, the United Nations general assembly declared this day as World Press Freedom day to increase awareness of the importance to freedom of press and also as a reminder to all governments regarding the freedom of expression. It is one's right to voice out something that is real and report if without biases. However, as far as I'm concerned, Malaysians do little to practice this freedom issue. 3rd of May might just be the day of world press freedom but the main idea is to create awareness for people to exercise their rights about facts, unlike baseless political scandals in Malaysia done to tarnish the image of another guy.
Rewind a few days back where i found this very interesting video posted on YouTube. It has been 21 years since the world press freedom day was declared but, as I said before, Malaysia is just simply out of bounds. And now we are in the hot water as BBC issued a warning and even took a swipe at us of for censoring what they had recorded. The media is controlled by the government and sensitive issues were not to be disclosed to the public. This were among the few methods that kept the opposition at bay for the past 50 years as the media only portrayed the flawless side of our government.
It's not difficult to spot what was lacking when played on our local media
Dr Chua Soi Lek voiced his concern about press freedom in today's The Star, urging the media to report news as it happens. On the other hand, Minister of Home Affairs Datuk Seri Hishamuddin also called for a special committee to investigate into the riot that caused injuries to the general public and to the cops as well. However, I always doubted their actions. 'Words always speak louder than actions' is something the Malaysian government are pretty fond of. Well, we will see about it.
Turning our focus on the just concluded Bersih rally a week ago, it is not difficult to notice that our government yet again employed dirty tactics to divert the attention of the nation. With reference to the anti-Lynas gathering in Penang a couple of months ago, there is always one similarity during rallies: They start off peacefully, and then in a sudden, the crowd starts to go wild. Riots and crowd disorder immediately scream over the headlines of our dailies. The government is 'clever' to notice that if the rallies ended in peace, the message would be clear: To protest against some movement. However, with crowd violence in the frame now, papers are reporting about crowd violence, injuries here and there, and some big names calling for a committee to investigate into it. Seems that the committee that investigated about the anti-Lynas movement in Penang has just gone behind the scenes again. And did the papers report any genuine ideas regarding the Bersih rally for a change? You should know the answer.
On the other end, we can see Myanmar evergreen leader Aung Sun Syu Kii swearing into the parliament yesterday. Now, that is what I call democracy and liberality. The junta ( or so called military government) is willing to abide the citizen's call for a change in the country. Although the nation might be a little disappointed as Aung Sun Syu Kii was deprived the chance to take office, she still views it as a pride to stand in the parliament. 'Politics is not give and take. It's about yielding the wishes of the people', she siad cheerfully when questioned by reporters on her sudden U-turn from what she said on Monday.(She refused to swear in due to some issues regarding her party and parliamentary members in which the government would not tolerate) Malaysia is much more developed and has a higher education status than Myanmar but in terms of politics and sociology, we are nothing compared to them. I bet the Bersih rally and anti-Lynas movements just fell on deaf ears. But no matter what the government thinks about those activities, at least it has achieved its target of instilling awareness to the nation of the need of a change.
Signing off
Yik Ping
130pm
Rewind a few days back where i found this very interesting video posted on YouTube. It has been 21 years since the world press freedom day was declared but, as I said before, Malaysia is just simply out of bounds. And now we are in the hot water as BBC issued a warning and even took a swipe at us of for censoring what they had recorded. The media is controlled by the government and sensitive issues were not to be disclosed to the public. This were among the few methods that kept the opposition at bay for the past 50 years as the media only portrayed the flawless side of our government.
It's not difficult to spot what was lacking when played on our local media
Dr Chua Soi Lek voiced his concern about press freedom in today's The Star, urging the media to report news as it happens. On the other hand, Minister of Home Affairs Datuk Seri Hishamuddin also called for a special committee to investigate into the riot that caused injuries to the general public and to the cops as well. However, I always doubted their actions. 'Words always speak louder than actions' is something the Malaysian government are pretty fond of. Well, we will see about it.
Turning our focus on the just concluded Bersih rally a week ago, it is not difficult to notice that our government yet again employed dirty tactics to divert the attention of the nation. With reference to the anti-Lynas gathering in Penang a couple of months ago, there is always one similarity during rallies: They start off peacefully, and then in a sudden, the crowd starts to go wild. Riots and crowd disorder immediately scream over the headlines of our dailies. The government is 'clever' to notice that if the rallies ended in peace, the message would be clear: To protest against some movement. However, with crowd violence in the frame now, papers are reporting about crowd violence, injuries here and there, and some big names calling for a committee to investigate into it. Seems that the committee that investigated about the anti-Lynas movement in Penang has just gone behind the scenes again. And did the papers report any genuine ideas regarding the Bersih rally for a change? You should know the answer.
On the other end, we can see Myanmar evergreen leader Aung Sun Syu Kii swearing into the parliament yesterday. Now, that is what I call democracy and liberality. The junta ( or so called military government) is willing to abide the citizen's call for a change in the country. Although the nation might be a little disappointed as Aung Sun Syu Kii was deprived the chance to take office, she still views it as a pride to stand in the parliament. 'Politics is not give and take. It's about yielding the wishes of the people', she siad cheerfully when questioned by reporters on her sudden U-turn from what she said on Monday.(She refused to swear in due to some issues regarding her party and parliamentary members in which the government would not tolerate) Malaysia is much more developed and has a higher education status than Myanmar but in terms of politics and sociology, we are nothing compared to them. I bet the Bersih rally and anti-Lynas movements just fell on deaf ears. But no matter what the government thinks about those activities, at least it has achieved its target of instilling awareness to the nation of the need of a change.
Signing off
Yik Ping
130pm
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