September 29, 2008

Random

Ling was browsing her handphone photos while waiting for the dreadful Bus no. 9 at the bus-stop, and she realised she has taken quite a few photos in office... ...





MSS people likes to gossip and also "interrogate" their peers especially in the area of Love & Relationships. Gossips and Interrogation can take place anywhere, but of course all these are done after work. No wonder I don't get to reach home on time.


Our CCs 谈判-ing at our newly opened Healing Garden..



Our strategy for Captain's Ball. In the end, our strategy is no strategy.




Dear Nasim desparately wants to show-off that she is the first to reach the office because she will never have the chance to be the first.




Of course, Ling wants to show-off too.

Ling can imagine that these chicken at the canteen's chicken rice stall are dancing ballet... ...

MSS people are also very cultural... They have tea appreciation session in office too!

Cannot remember what this drink call. It is a common drink among the Malay community when breaking fast. It has a very unique taste as it comprises lots of ingredients like sago seeds, nuts, spices...

September 27, 2008

thank you HBH for the not-so encouraging comments and also anonymous for the encouraging ones..

more often than not, i think people just need to ventilate, naggggggggg, grumble, scold, complaint etc etc all the shitty things and after that, things will go...

if it does not work for u, it does work for me..

I can complain complain grumble grumble about how nonsensical is the referral, how "highly" you are thought to be (so "highly" that they think you are God and can solve their problems immediately), and after that, you can see me chatting interviewing the patient machiam like old friend.. .. And after that, you speak to the family trying to be as calm as possible, and after that, started to grumble about them.. (haha..)
sometimes i wonder whether all these ups and downs of my emotions will increase my risk of becoming schizophrenic..

today's home visit, the husband asked us "what you want to be in this line? I don't think anyone would want to be"

I dun think I have any answers for him.. It has been my interest to work in the medical setting and i am glad i haf the chance to do so.. Even luckier to haf the chance to work in trauma area, which i think is the more hospital type of area..
My view: To start doing "exciting" cases while young, if not, you will probably not have the time or energy to do it when u are older..

Just an update: so far my interest is still in lost and grief... but now haf a little curiosity on working with children on the topic..
HBH, I am interested in slack, sleep and eat too.. :)

September 22, 2008

It doesn't pay to do my job.. ..

Sometimes I think that it doesn't pay to do my job, and ya, it doesn't pay well literally too..

We do discharge planning which well... some patients will relate to "are you chasing me out of hospital even when the Dr never say a word about it?"

We explore care options and of course, given the limited services, there'll surely be instances when family find not even one of the services is appropriate and this means "huh? You mean that's all? I can be a MSW too!"

Recently, I was telling this family member that patient will likely get rejected by facility L because he is not suitable. And this family member said that I am a wet blanket, spoiling all her hopes and efforts she made for finding this place.
Fine. I understand her anxiety of patient's discharge. And I acceded to her request telling the ward that family is insistent in making the referral.
Guess wat. I reviewed casenotes this afternoon, family member told the Dr that she thinks MSW doesn't understand patient's condition saying that facility L will reject.
Well, facility L really reject this application.
But glad that Dr did 挺我 regardless it is from the heart or not.

Ling is already quite upset about this. And the student makes it worse by writing "MSW informed that patient is already independent and will not be suitable for day care"
~Haiz. not day care. Is facility L. ~Haiz.

And before that, Ling was told that she has no heart, for wanting to chase pt out of hospital.
~haiz.

It doesn't really pay to do my work..

September 16, 2008

3rd "trauma" case today..
hm... almost a "trauma" case everyweek.. looks like i am getting a rather regular dose of "excitment" nowadays..

wasn't really emotionally affected by today's case.. though it's a different feeling between an adult's death and a child's death..

was trying to do some reflections on why I wasn't much affected by today's case, which i think I should be.. (On the contary, I felt more emotional during the first trauma case)..
Am I really not affected? Have I really become "emotional-less"?
Or was I tired out by the whole process?

Bee Hong asked me today if I really wanted to continue in psychotrauma, whereby there is higher probability of handling such cases that involve sudden death.
I think currently i am still coping.. and i think i still need to learn a lot of skills to manage such cases better... which sparked my interest in going for courses relating to Lost and Grief, maybe Working with Children on grief too..

I shall continue to try out for a few more months.. Unless I develop PTSD myself... haha.

September 13, 2008

Our brain is really an amazing thing.. it can really relate from one thing to another..
Ling was having her shower just now, thinking whether she should drop in the office for a few hours tomorrow.. Below is a series of thoughts in relation to the previous thoughts:

Should I go to work tomorrow?
--> Maybe I should just go for 2 hrs to finish my reports
--> If i haf extra time, I can clear my Medifund cases as well
--> how come I never seem to clear my backlogs?
--> think the current outpatient people should have lesser backlogs
--> Oh.. because they have the computer in front of them, so they can try to type while interviewing patients
--> how come when I do outpatient that time I don't have time to finish documentation?
--> because my cubicle is inside, so can only interview patient in interview room which doesn't have any computer
--> now the outpatient people good. when u do outpatient, u get to take the front cubicles
--> maybe because that time I was temp staff, so got no such priviledge
--> hm... ya... yanah also something like temp staff
--> wah... we both initally started as temp staff and both converted to perm staff!
--> and we both are still surviving!!

--> We are really a good catch!!

September 9, 2008

? Psychic

Woah! It seems like Boss has psychic power!

She wants me to attend the workshops by this HMDP expert on Grief and Loss!!
Yay!!

So excited!

September 8, 2008

Psycho-trauma

Announcing in office that other people's cases are exciting or yawning too much in office is not a good thing because they will register it in their mind -> "cerene need excitment"
True enough. I always think that since I am still young, still able to run fast. I should take more "exciting" cases.. And not until when I am married with kids, or grow old and hunching.. by that time, "exciting" cases will be more of a precipitating factor leading to heart attack.
By "exciting" cases, we usually refer to Trauma cases, which mostly involves patients who come to hospital after Road Traffic Accident, jump/ fell from height, sudden death etc. And more often than not, our presence is to give support to the patient's family.
Recently, Ling has been well remembered for these "exciting" cases. Her first case was actually quite some time ago.. She got her 2nd case last last Friday, which marked the end of her exciting August.
Ling got her 3rd case last night at about 8pm, and only went home at 1am. Her mum initially don't believe that she has to go to work at such odd timing!!

After the 3rd case, it sets Ling into thinking:
- what could I have done better?
Because usually for such cases, Ling hasn't done much but just to provide the practical support (e.g. a hug, tissue paper, warm water, light snacks). And yes, all these are what we can do for the family at this critical moment. Facilitating information, bringing family to the toilet or somewhere warm, prompting family to say their last goodbye to patients...

And all these make Ling having more interest in "upgrading" herself in doing grief work..