kanak-kanak ribena!

enough dealing with the adults for 3 weeks... now, this 2 weeks are for the kids!!. so bear with me.. (but please, jangan jadi beruang la..haha~).. dalam kisah bersama kanak-kanak ribena  ini...

aaaa.. what to begin.. ok! first day.. this is the first time dealing with kids aka pediatrics.. so for sure still so blur la.. then, as usual la.. go meet the therapist in charge, briefing.. n etc .. shocking news on the first day : CASE STUDY PRESENTATION THIS FRIDAY.  .

omg! what???? astaga!! meaning to say.. we need to have a case study in these 2 days.. fuhhh! habes..

ok.. deep breathing2.. ! first pediatric pt of the day I had.. which I directly take this as my case study..  (Thank God)  new case, a student, 11 years old.. diagnosis.. epilepsy + slow learner.. since it was my first day and as I've mentioned earlier.. mc blur and lowong2 lg.. dunno what to do with this pt.. but.. truly grateful on that time.. nsb ada senior2 yg sudi membantu... (Thanks once again!)

ultraman guna tangan kiri!  heee.. for sure you guys haven't think of that kn.. got this one pt.. aim is to promote the use of the left affected hand.. and since he is soo into the ultraman.. so we need to like , say this phrase a few times so that he'll use his left hand.. and it work! gooooood.

Then, there was this event called "Child Sexual Abuse".. this talk is to promote awareness among the public  that children themselves have their own rights too and they need to be protected. Not only talks but shows and performance from the kids..

It's a formal event but can't help it that, I'm able to witness some, a few I guess funny moments with these kids.. (most of the kids are pt from OT)..

ok. before that. these kids will be performing few songs on the stage.. just a very spontaneous one.. so, afraid that it might turn out to be " not - so - good", one of the therapist suggest me to join the children on stage.. "Irene, you ikut budak2 ni atas stage ye.. you kecil sja.. nmpak mcm budak2 jg"...  ( haha - speechless on that very moment )

kids performing on stage.. so comel!

but then, on the exact day.. sy tidak pn nek atas stage bersama budak2 comel ini.. ( heee ~~)  duduk plg depan ja bersama therapist2 len ... bt action song bersama mereka.. (action song : bapa ku pulang..haha!)

after the performance, it was the time for some fun games and activity for the kids while their parents are listening to the talks given.. activities are.. kotak beracun.. and coloring + drawing. 

( only managed to do these two only due to time constraints)

<---- one of the kids. nama dia yusof.. sy sgt suka tgk dia.. sbb dia sgt          comel... =).. 

*  kwn2 yg laen ade suru die bt tangan usop mak limah..die bt jg!. haha.. but then, i didnt manage to see that one.. *

then, friday comes.! semua pn nebes tahap dewa la.. sbb... case yg mo d present blum siap.. habes la.. *dlm hati - hope dorg senior ni lmbt stat present, spy kmi x smpat*.. jahat py pikiran. hesh2~~

skali tu.. actually sempat sorg lg mo present.. ya.. d most unfortunate one is me.. I mean, one of therapist suggested my name to present... ahahaha.. but I guess.. I'm ssssssoooooo lucky... right on that very moment, sy ada di wad.. jadi.. xda la present.hahaha.. (sempat la beguling2 time wikend kc siap...!)

the next following week.. everything's going fine... getting used ody with the peads environment kn... enjoy juga la bt peads ni.. hehehehe... buli la melihat pelbagai ragam kanak2 ribena... 

among them.. got this one pt.. so hyperactive one.. sepanjang treatment session, there's never a minute dia duduk diam.. all the time, dia menyanyi , menari .. lari sna n cni... sy yg penat tingu dia cm tu.. funny thing is... give her a tune.. I mean, satu baris lagu la.. cnfrm dia smbung nyanyi pas tu.. lagu dangdut plus dance pn dia bt.. kmi mmg sgt terhibur melihat gelagat dia ni..  she's hypersensitive also.. mo la knu bt sandwic sma dia ni.. tp susa btl even mo bt dia baring atas mat yg ada bulu2 tebal tu.. skali tu, her mom tangkap dia, letak atas mat.. habes! dia telah pn menjadi sandwic... tp dia sgt kuat.. meronta2 lg tu.. mo patah pinggang jg la menahan dia..  hesh2.. sandwic dia x mo..tp bila kn peluk.. dia ok pla.. hmm.. a bit weird la jg..

long story short.! presentation day. ( dis time, mmg siap sda la.. x tau brp kali sda edit..) Thank God, everything going on well and fine.. 

after 5 wiks of struggling, I need to pamper and refresh myself with some makan-makan.haha~

* Dear Lord, thank you for everything... grateful that I'm able to finish my clinical posting despite of the challenges I face during the early weeks.. amen*

suka-suki saya bersama ortho n surgikal!

time flies so fast.. phew!!.. jika sebelum ini, saya sungguh x sabar menunggu hari ini.. bila tiba hari sebenar.. sedih la jg pla sikit.. huhu.. =(

seperti yang kalian sedia maklum, in the early weeks,, I've been in quite- a-hell -la! on that time, I was desperately looking forward to this day.. nah! skrg smpi sda pn..

first week ( despite of the lappy + antibiotic side effects problem that I had).. since masi bru2 lagi.. jd mc blur2 and lowong2 lagi la.. dlm pikiran.. mo therapist sja yg tlg tunjuk mn satu case study... or in short, mo tunggu arahan therapist la dulu bru mo bertindak.. padahal.. boleeeee sja sda bt apaaaaa sja ko mo.. (yg relevan la).. sda buang masa selama 3 hari tnpa sebarang hasil mencari case study n untuk case summary... time tu la sy rs.. sy sgt lembab..kalah2 lembab hujan ni..(haha!).. sy terasa knp la sy slow sgt.. sda byk buli bt actually dlm masa 3 hari tu.. huhu.. nsb la d next two days.. setelah membuat refleksi diri (yg x memerlukan cermin).. bru la sy bertukar jd produktif sedikit...

kah3.. d 1st week ini.. wujud sda scene2 yg bakal2 menjadi ingatan  nti.. bermula dgn satu kes ini.. besa la kn klu student.. mesti cm ikuttt ja.. especially, klu pt request minta bt ni or etc.. then, sy kn 1st time dtg sna.. sure la sy mc blum arif ttg keadaan suasana especially ragam2 dan gelagat2 pt.. ada la satu pt ni.. diagnose : brachial plexus injury.klu x silap la. selalunya psg TENS around area tangan ja.. tp dia pla.. smpi ke bahu2 dia mo pasang.. which yg dia x sampai.. yg memerlukan urg pigi selak baju dia mo kc masuk tgn pigi lekat tu TENS.. 1st day itu, sy la yg plg dekat dgn dia.. jd sy la yg memsngkn TENS di bahu dia tu.. ( dlm hati n pikiran : xpa. niat sy mo tlg dia.).. pulang seja tu pt.. trus therapist ckp ma sy, "... len kali, awak bt dunno je bile die nk minta tlg psg  TENS tuk die.. die tu mmg suke pmpuan pegang2 bdn die..bagi lelaki je psg"  respon saya..: " ye ke?" ..oh no! OMG.. astaga! semua la yg sewaktu dengannya.. semenjak dr ari tu.. bila masa pt tu dtg, sy cuba pura2 tidak melihat dia., bt dunno la.. 

tidak habis dgn pelik tu.. ada lg satu yg pelik tp joke jg la..haha! ( sy ketawa duluan la.. wakakakak!).. ni pt chinese la.. in my opinion, pengetahuan 1 Malaysia dia ni kurg skit.. buli2 dia ty kwn sy yg muslim mkn  "tuuuttt" ka x.. sda terang2 kwn sy itu pakai tudung.. aduh!.. bru 1st time jpa kmi tu.. dia offer mo blanja makan sda..dia sanggup tunggu smpi lunch break kmi.. duh!.. tepaksa la kmi mencipta alasan2 munasabah untuk menolak tawaran dia yg kmi x interested pn.. fuh!

moving on to 2nd week.. in between tu... time weekend la.. sy tersgt nervous,.. riso ni.. stress la in short.. sbb ds 2nd week, sy posting cni main dept.. bt burn and surgical cases.. yg bikin stress ni.. posting area ini.. memerlukan kebolehan aka skill untuk jahit menjahit... terus terang sy katakan, sy tidak expert dlm hal ini.. amateur pn bukan.. well, I guess,. a beginner la kali.. hehehe..  suda la sorang2 kn rotate cni kn.. maka lagi la terserlah kelowongan n ke"blur" an sy ni.. tp.. so far so good, sy berjaya juga menjahit beberapa helai kain PG .. mmg ada beberapa cubaan la.. tp sy rs sgt best  jg sbb tu hasil usaha sy sendiri.. Thanks God!.. nek wad surgical.. bt aktiviti.. cm style psy pn ada jg.. (mmg style psy pn)... tuk pt2 dlm wad RT n Onko.... seswai jg la bt ni.. sbb dorg mesti la sgt boring dlm wad.. jd dgn adanya aktiviti2 ini mcm.. bole la dorg enjoy skit.. x la rs depress sgt kn.. 1st day nek wad.. kn suru bt exercise.. sy ni blur3 lg.. dgn berbaju2 kurung la sy ni bt step2 aerobik.. (aduh! nasib la x tekuyak kain kn.. keayuan mc maintain la.. haha!)

satu hari itu, time x nek wad.. ada la pt geri dtg.. oh! sy rs dia sgt  comel.. hehehe.. time dia ketawa n senyum lagi la tmbh comel.. dia py carer mmg sgt prihatin dgn appearance dia.. siap kn kc pakai lipstick lg.. rmbt pn kn sisir kemas n cantik.. (yesh! ini mcm la.. this is how we treat our loved ones).. at the end, before dia pulng dia salam sy lg.. hua3.. comel3.. * geri pn siok jg mo handle.. looking forward jg nex time*

then.. smpi la 3rd week..aka final week.. wic is oso d presentation week.. nebes2 .. takut2.. dlm pikiran, tebayang2 sda scene tembak menembak di antara therapist and student.. tp Thanks God,.. it's not as bad as I've imagined.. sy dpt menjawab jg soalan2 yg dilontarkan.. oh.. sebelum itu. time hari present ni.. sy pn pki la bju kurung merah I tu.. heeee~.. ( ayu gitu! haha~)... then, suddenly.. ada two pt.. indian lady.. ty sy sabahan or sarawakian.. sbb dorg npk cross d necklace sy.. " i thought u were malay or chinese".. ( dlm hati: oh.. I get that a lot.. ^^).. then after some brief conversations with them, before they head home la.. dis one aunty.. she suddenly hug me.. saying,  it's so nice to meet me here.. wah! I was a bit shocked actually.. dis one touches my heart a bit.. sy rasa kehadiran sy d situ di hargai walaupun tidak lama..

I'm enjoying my 3rd week.. sbb kn sda lama skit cni.. pt pn sda knl2.. sy sendiri pn hampir arif sda dgn ragam2 n suasana dlm dept tu.. buli sda bergurau senda ma pt knun2.. ( bergurau senda?haha!).. mostly.. cni. mmg ramai case CTS, De Quervain n Brachial plexus injury la.. ada satu kali tu.. bederet satu baris n satu meja BPI ba.. but with different level n problem la.. then, ada stu pt BPI ni.. still a young boy la.. I was attending his case.. ( buli tahan la rupa.. mmg ensem.. suka sy melihat rupa paras beliau ni.. haha!).. dia mmg sgt aktif bertanya ttg diagnosis dia ni.. n yg best skali.. dia mmg sgt compliant dgn suma tx yg kn bt.. sy suggest suru bt exs ini mcm.. dia bt jg.. hesh2.. sgt mendengar kata.. ini mcm py pt la yg best mo bekerjasama.. hehehe

3 wiks in ortho.. overall, I conclude.. I learn a lot la..up to the stage that, on some certain cases, I'm confident in making the best decision on what's best to do for those pt.. wpn sekarang,sy mc blum lg dpt master itu skill membuat splint n menjahit2.. but buat ortho ni mmg best n enjoy la.. dr posting ni.. I also learn that,  the most crucial thing is to take a good care of your hands.. because through my observation, mostly pt came for tx, it's because their hand has limited function d/t to the condition .. pain.. numbness.. stiffness.. contracture n etc.. limiting their performance in everyday life..sampai ada yg x dpt keja suma.. jadi.. whatever happens.. jaga la tangan anda sebaik mungkin.. bcos u never know u might lose them someday..

another thing is.. to really have a good motivation in the healing process and the needs to be compliant with all the therapy session.. all through my posting in ortho, I see some of the pt are not so motivated n compliant with the tx session.. got this one pt..  both his hands stiffness sda... smpi all the fingers flex.. it's been a few months after he sustained the injury, and around ds time, he should get full recovery sda.. tp tmbh teruk pla.. sbb he admit that dia mmg x pernah bt exercise as prescribe time d rumah.. bila kn ty.. dia ok sja dgn keadaan dia mcm tu.. but little did he think that he got a family to support. and with that condition, there's no way dia bole support family dia..

but, it's a good thing actually.. after some talks, recently, dia sgt compliant dgn tx and appointment dia.. n look.. in ds 3 weeks.. sda byk perubahn yg berlaku.. if before this.. he is totally dependent on his wife for brushing the teeth.. dressing and etc.. now.. dia bole bt sda sendiri.. great!.. I can see that his wife pn sgt excited and happy with the progress.. ( time wife dia becerita ma sy).. felt good actually.. becos  bole witness sendiri improvement dia.. 

oh ya. one more thing that I learnt here is.. the importance of having a social support either from your family members or friends.. becos it helps in the healing process.. mcm pt ni jg.. his wife mmg sentiasa ikut pigi tx session.. time husband dia merasa sakit kn bt passive ROM.. there she was standing next to him  sambil usap2 rmbt dia.. 

as a conclusion, mmg siok bt ortho n surgikal ni.. ds time around, I learnt a lot.. thanks to all.. nex week is pediatric.. hope everything will be as enjoyable and interesting as ortho.. hee!