DAY 1772-1786

Jul 10 - 24

1) It has been a good two weeks since my last blog post. Things have been chugging along for us in Group B, as we continue our clinical exposure in Obstetrics and Gynaecology (O&G). This is our last rotation before the end of fourth year examinations. As expected, the pressure of exams is building up, as we barely have a week's respite after O&G exams before having to sit for the final examinations. 

2) Regardless, I have found O&G to be a very interesting, if challenging field. Essentially, obstetrics covers care before, during, and after pregnancy, including childbirth and the post-partum period, while gynaecology covers the health of the female reproductive system i.e. vagina, uterus, ovaries, and breasts. Our curriculum is structured such that we spend a week each in the obstetric ward, obstetric clinics, gynaecology ward, and gynaecology clinics. We also have a session each in the fertility clinic and urogynaecology clinics, as well as five labour on-calls (essentially "night-shifts") where we are given the opportunity to witness childbirths. 

3) In addition, we have a total of five case reports to write: three labour cases, one obstetric case, and one gynaecology case, where we discuss the management of the patient as well as outline any learning points from each case. It's a busy rotation to say the least. I'm not going to lie - waking up early to clerk at least one case for presentation before 8.00am is not something I look forward to, given that we have two bed-side teachings in day - one at 8.00am and another at 12.00pm. At the end of the day, my mind is usually saturated with information. Thankfully, we have the rest of the day for self-study. 

4) Last Monday, I was pleasantly surprised to find out that an art submission of mine had been selected as one of the top three winners for the "Artist's Impression: The Heart" competition organised by the RUMC Peer-Led Assisted Learning Society (PALS). As the title suggests, the theme revolved around the heart - so that inspired me to draw a heart undergoing a heart attack, along with the progressive build-up of plaque leading to atherosclerosis, which can result in a heart attack. It was really fun to take my mind off studying medicine and instead concentrate on one of my old hobbies i.e. drawing.

5) Next week, it is our turn to enter the gyanecology wards. So I think it best to end on here. Thanks very much for visiting as always, and have a lovely weekend. Stay safe, and stay happy. Cheers! 

My submission for the art competition:

i) The main picture shows a heart undergoing a heart attack, with the shaded zones representing myocardial (heart muscle) necrosis (death), injury, and ischaemia 

ii) The diagrams on the right show the sequence of plaque formation, which can result in a heart attack

iii) The wavy lines on the bottom show the ECG changes over time in a patient with a heart attack

My O&G group mates @ the infertility clinic

(l-r: Myself, Ainin, Vinny, Ain, and Aida)

A negative COVID-19 swab test was required for us to resume our clinical training in the wards

We booked our free screening and received our results in under two hours :)

DAY 1746-1759

Jun 14 - 27

1) So this week I got my first dose of vaccination! This may sound like a thing of the past for those in other countries, but in Malaysia, vaccination uptake has been very slow. Thankfully, in recent times, vaccination rates have been increasing exponentially, with the latest data showing at least 15% of the population having received their first dose. 

2) My vaccination appointment was at the SPICE Convention Centre, so I carpooled with my good friend Daniel (who coincidentally had a morning appointment as well). My appointment was an hour earlier, so I thought I would wait for him after I was done. In the end, they allowed him to be vaccinated at the same time, so we could go home even earlier. The entire process was very quick and efficient. All we had to do as we progressed through each station was to keep showing the staff our app ("MySejahtera") which contained all our particulars, and our identification card. 

3) After about 15 minutes, we were led into the actual stadium, where multiple booths had been set up for mass vaccination to take place. I was asked if I knew which vaccine I was getting (the AstraZeneca vaccine), and whether I had any allergies or previous reactions to anything. The staff then briefed me about the vaccine and asked me if I had any questions. Next, I sat outside the booth waiting for my turn to get vaccinated. The doctor went through the same quick screening, and then proceeded to show me the syringe containing 0.5mL of AZ vaccine. 

4) Before I knew it, the contents had been injected into my left deltoid, and it was all over - I did not feel a thing! The last part was to wait for 15 minutes in the waiting area (just to monitor for any immediate reactions). Daniel came right after me, and we both left without any reactions. All in all, it was very smooth-sailing and uneventful. Barring a little tenderness over the injection site, I have had no reactions/ adverse complications since getting vaccinated. Before leaving, they gave us a card with our next appointment (within 3 months), which would complete the two doses necessary for immunity. Half way there, half more to go then.

5) The rest of the day (and week) was uneventful. I had missed the whole morning session that day, so I had to take down notes from my friends. Thankfully, I will not be missing any more classes after this (until my next vaccination of course!) And on that note, I shall end my blog post for today. Thanks very much for tuning in as always, and have a great week ahead. Stay safe and stay healthy, cheers!

The card reads "I've been vaccinated!"

Daniel and I, waiting for our turn to register :)

Translation: I've been vaccinated - you should too! :)

That's exactly how the COVID-19 vaccine looks like 

(not to scale of course XD)