scary moment~

assalamualaikum...

pernah pergi jumpa doktor x??
haha..mesti pernah kn...
same goes with me...
sometime klu kita perasan...
dr asyik tanya mcm2 je kt kita kn waktu kita jumpa dia tu..
haha...before this i keep wondering...
perlu ke tnya soalan2 yg lain tu...
buat physical examination..x ray..ckupla..
kompem tawu kita sakit apa nt...

finally my question was answered...
n today is my first experienced as a medical student to take an history from the simulated patient..
wow..
history taking...
yes this is what we called when the moment,the dr start to act like an investigator...
jeng jeng...
igtkan dulu soalan2 yg patut di tanya adalah spontan dr doktor...
rupanya dia ada flow dia..
bkn men pakat tanya je..

talking about my experienced...
wow...
sometime i feel like a scary moment..
sometime i feel like..wow..exciting...
but..to be honest..
it was so nervous..
even your head start to blank whenever the patient sit next to u..
alamak..nak tanya apa ni??
aduss...apa la pnyakit dia ni??
serius...
otak jd blank...
dgn nervous lg..
ak x tawu dh nk ckp apa...
nk tanya apa..
doktor ngiu dh mula usha lain mcm..
last2 byk maklumat yg ak miss
time nk present case mula la pening...
hahaha..
itula terjadi bila kita CUAK..



so..kami d ajar cara yg sebenar utk ambik history taking..
once u follow the flow..
then,it should be okay..

1.greeting n introduce yourself..
bak kata dr ngiu td..always tell ur name first before ask patient name..
hi..saya dr luqman..
nama encik apa ye??
boleh saya tahu umur encik??
encik kerja apa ye skarang??
duduk dkt mana ea?


2.ask for the complain..history of presenting illness..
ye..encik..ada apa masalah yg sy boleh tolong??
sakit ni dah berapa lama ye??
mcm mana progression dia?mkn lama mkin sakit or dh berkurang?
biasanya sakit ni dia mncul wktu siang or malam??
klu saya bg skala 1-10..berapa skala level sakit yg pakcik rasa??
sakit ni dia ada radiate kat mana2 organ lain x encik??
selain dr sakit2..ada x simpom2 lain yg terjadi kat encik..muntah ke..pening2 ke..rs nak pitam???


3.ask about his past medical history
sebelum ni encik ada ambik ubat apa2 x??


4.ask about his past surgery history
sebelum ni encik pernah menjalani apa2 operation??


5.ask about his family history
encik..mcm mana dgn family encik yg lain??
emak encik sihat?ayah encik sihat??
ada x sapa2 dlm keluarga encik yg dpt penyakit yg sama??
encik sudah berkahwin?
klu dh berapa org anak ea??
mcm mana dgn anak encik?
sume sihat2 belaka ??


6.ask about social history..
rokok n alcohol are the most important..
encik merokok x??
maaf klu soalan sy menggangu sensitiviti encik,tp soalan yg saya tanya ni hanya utk menjadikan diagnosis kami lebih tepat..(especially for muslim patient)
encik pernah mengambil alkohol??
encik pernah melakukan hubungan seks??


7.dont forget to ask about his allergies


8.ask about her last mensus
yg ni dulu ak pelik..asal lak nak tanya dia pnya period..
bkn ada kaitan apa2 pn dgn penyakit dia..
td br ak taw..
kita wajib tanya soalan ni pd sume patient wanita..
sebab apa??
utk tawu sama ada mereka mengandung atau pn x..
let say klu mereka mengandung..
tp kita lupa nk tnya..
then kita suruh depa buat xray ..
sekali je pancaran xray tu boleh menyebabkn keguguran..
so..be careful..
anda mgkn akan d saman..!!


9.n lastly klu mcm dh xde apa nk tanya..tanya lg..
encik ada x apa2 bnda penting yg saya lupa nk tanya tp encik nk bgtahu.
mgkn sy terlepas pndang td...

so..
this is the flow...
bkn maen hentam je tanya..
once u become a medical student,then u will know how nervous it was..
fuh..
semua nmpk gigil je tgn td..
mklumla..1st time...
really2 a scary moment for me..
n im waiting for many others scary moment to come...:)
medical field is quite challenging...
its not easy as everyone taught..
either u accept the challenge..
or u quit...
u choose..!!