Tuesday, December 13, 2011

PERJALANAN SEJAUH INI

Macam biasa memulakan entri yang tertangguh atas desakan hidup. Alhamdulillah, meski pelbagai dugaan melanda, masih mampu untuk bangun solat subuh di awal waktu (sambil memaksakan mata dibuka dengan luas) setelah menghembus doa bangun tidur yang dibaca kuat-kuat untuk menghalau syaitan yang membaca mantera sambil melilit leherku dengan tali yang kuat

 (tidurlah! Malam masih muda. Walhal subuh sudah mahu berangkat pergi
sedangkan kita semua tahu dan mengerti menarik selimut saat azan subuh rancak berkumandang dianalogikan sebagai berselimut dengan kulit khinzir.

When there is a song, likely there is dancing 
Entri kali ini berkaitan dengan hidupku sebagai seorang pelajar. Owh..sudah lama tidak berbahasa Inggeris.

Lets start.

Being in this dentistry world almost 4years ++ gave me a lot of tears, saliva and blood to be surrounded with. A lot! Started as pioneer batch add more experience to be familiarize with. New course, new kuliyyah, new lecturer, new building and of course new campus.

Situated in Kuantan (no bus from my beautiful and beloved hometown to hereL), this city provides a good environment to study in. Far from hustle and bustle of the city plus not much place to do window shopping and so on.

I choose this course (initially I want medical but spm’s result in Bio prohibits it-I just got B3) thinking that i wouldnt be regretting later. Yes, i have no regret entering this course. It just normal to have up and down in life in any of the course. This is colourful life we live on.

When you want to give in, please think a good reason why you hold up for so long time.

4 years in this course, many things happened. ALWAYS EXPECT UNEXPECTED. This is the rule of the thumb here.

Let’s take a look at several situations. The study years can be divided into 2 parts which are:

1.  Preclinical years: Year 1 & Year 2
2.  Clinical years: Year 3, 4 & 5

You wont success if you're not able to accept the twin, the failure
Preclinical year means you will learn basic medical sciences and in dentistry, practical only with phantom head, not real patients. Professional exam, one each in the end of the year will be the benchmark whether you are eligible to proceed to the next year. If not, you will repeat the whole year maybe only for one subject that you have failed. That is the price you have to pay. It’s not cheap, right?

Year 3, you will start to deal with patient. Do a basic examination and diagnosis (E&D) and simple treatment like filling, extraction, scaling and denture. This is where the real life begins. This is where the true colour expose itself. We can see the real character shows.

How people act to achieve certain requirement to help themselves proceed to the next year. Some are selfish, arrogant, ignorant, but we still able to see some kind characters here. How certain people move faster with magnificent skill and others are slower with poor or just so so skill.

How we are blaming ourselves with the lack of skill (without realizing we’re not able to compare because every person is unique and every case is different). We’re starting to feel nervous when we’re still doing our cavity preparation when the adjacent cubicle are already finisedh the work, starting to disinfect the chair.

The hand starting to tremble, the heart pumping increasing volume and the nervous is translated to tense move and the work started to lose concentration. We try to coax ourselfelves, keep telling it’s fine, this is gonna be ok, but no one works.
Will I marry me?
At last, we finished up doing lining twice or thrice, and end up doing temporary filling (TF) due to ringing bell indicated the time is over. Please prepare your patient to be dismissed, just finish whatever you are doing. It’s time to instruct your patient to close the mouth, gargle and say goodbye: see you next appointment.

And we end up the day by gloomy face. Feeling so bad that we’re not even finish one tooth to restore. That feeling continued to haunt until the night appears and till the next weekand come. So, we fill the day by day with the guilt and unsatisfaction feeling. So gloomy.

craving 
That is the 3rd year story. By the time, then we started to learn. For example in conservative department in year 3, it takes 3 visit just to do complete E&D.

1.  1st visit to do full mouth examination-taking chief complain (CC), history-medical&dental,intraoral&extraoral exam
2.  2nd visit just to take routine xray-bitewing both side &periapical whenever indicated,do pulp test (queue for 2 room xray i
s too long)
3.  3rd visit to do scaling-supragingival&subgingival

By the end of the year, you’re expected to finish at most 2 visit full E&D. By year4, you’re expected more-to finish in one visit. If possible to do restoration in 1st visit. Only thing you need is good management of yourself (most important), time and the patient. Some patient has gag reflex, it makes your works delayed etc.

The skill should be improved by time. Still remember when the first starting in oral surgery department, 2 hours is just to take full E&D. Last one hour is used to do exodontia. In perio, 1st visit is just for charting. Second visit to do scaling, usually not finished and should be continued for next visit. Now, in one visit, we can do charting and finished up the scaling&polishing. How fast time flies that we’re progress more.

A friend in need is a friend indeed
Still in 3rd year story. In addition to dental requirement to be fulfilled, we also have Professional exam to go through: General Medicine & General Surgery. Being the 1st batch of dental students to learn under medical lecturers in HTAA is quite stressing.

People look with abnormal looking. What dental students are doing posting in the hospital? Fortunately, medical colleagues who at 1st give weird look at last accept the reality. We learn what they learnt. Following ward round, clerking patients for long & short case, joining bedside teaching, doing physical examination according to system-respi, cvs, abdominal etc

1 month at HTAA posting general medicine, 1 month posting dental back, another one month posting general surgery and come back to dental posting for one semester. Forget all about gmgs and jeng...pro exam come.

It’s the most critical part of my life. Most longest 60min for short case & 10min for long case in my ever life. Only Allah know how chaos life was.
Thank Allah i pass. A year passes very fast.

What i want to highlight here is the skill obtained by year used to do the job as dental students (dentist to be Insya Allah).

i didnt dislike you, it's just the character
Each year, in addition to the Promotional/professional exam to be passed, we have certain requirement to be achieved. This is to enhance the skill to make sure we’ve undergone such training to qualify us to grad. So, this requirement sometimes make us requirement oriented, doing thing for the sake of the requirement. But, with time, soon we’ll learn to do thing for the sake of Allah to give the best options of treatment to the patients.

Many dental students have to repeat the year not because they’ve failed the exam, but they are short of requirement. This is normal situation. The reason? Maybe patient FTA-fail to attend during appointment, problem with the tooth, labwork or whatsoever.

Some students have good patient, punctual and the treatment goes smoothly that they’re able to finish the requirement earlier. But, bear in mind that every case is different and every person is unique.

How to deal with patient is another story. Punctual patient, you give the appoinment 5minutes late because you know he/she will come 10minutes earlier. Late patient, you give appointment 15 to 30minutes earlier.

When your patient suddenly called to cancel the appointment for eg at 1.40pm for 2pm session, you know how to look for back up patient because every session is very precious and you dont want it burn just like that.
How to deal with lecturers & staff-also some political way in communication should be learnt.

Another thing is prostho session. In the schedule, there is no time allocated for labwork. Basically you’ll used free time when there is no class or between 1pm&2pm (lunch hour) or after b5pm to 6pm. It’s a usual phenomenon that i’ll miss my lunch to finish up the lab work that i’ve learnt myself to restrain from eating when i’m hungry. The bad result is i cant eat althought i’m very hungry now-LOA (loss of appetite). Well, it’s just usual condition for a dental student.

Now, i’m preparing for my Final Year Proejct-research entitled screening for undiagnosed diabetes mellitus. Tomorrow, we (me&Afzan) will submit the soft copy of the presentation. I’ll be the presenter (insya Allah). Wish me all the best on this big day 27th December.

 p/s: certrain picture may not coincide with the story, but this is life..sometimes it's not organized orderly

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