Farewell Sir!

After months of persistent rumours, it is now confirmed and it is happening. Dato' Dr Ravindran, my boss, is finally leaving to KL.

Technically, he's my ex-boss. But, some figures remain 'boss' to us no matter how far we progress in life.

I were there at his farewell dinner. It was nice listening to all those parting words from my fellow colleagues. Though there was some amount of sadness, I was not emotional. You come to expect these things in government service. If I had been emotional, I would never have left my Alma mater, my favourite Hospital Tawau or even my memorable University Hospital. I felt a little guilty for not speaking out during his farewell but there was simply nothing much to be said. I have said it all in my Masters thesis. He is definitely one of the 'Giants' of O&G in Malaysia, who cared to lend me his shoulder during my uphill climb into this complex world of O&G!

I know there are many who despise him for one reason or another. But, as I sat there last night, trying to dig into my heart for some residual hatred, I found none. It is not that I have never incurred his wrath. There were awkward moments in the past......

In life, the best lessons are learnt when one is emotionally stirred. 'Boss' did stir up my emotions on many occasions! Alas, it was always attached with good lessons.

When you look back at your childhood, you only remember beatings that were meaningless .... without reason. Well deserved spankings are usually forgotten because the joy of realization overshadows the transient pain of torture.

Adios my boss!

Shoulder Dystocia

I really enjoyed the 'intellectual discourse' I had with the Sem 7 students yesterday. Left the discussion room with much contentment.

To my beloved students, I encourage you to visit this link (American Association of Family Practitioners):
http://www.aafp.org/afp/20040401/1707.html

Just to make sure you don't lose focus in Malaysian context:
1. You must be familiar with McRoberts manoeuvre + administration of suprapubic pressure
2. It is sufficient for you to be aware of the name & correct order of other manoeuvres but we will seldom ask HOW those things are done. Thats postgraduate stuff.

Remember, SHOULDER DYSTOCIA IS A HIGHLY UNPREDICTABLE OBSTETRIC EVENT. This underscores the need for ALL caregivers in the labour room to be ready / on their toes at ALL times. Labour room personnel should be ready to spring into action whenever this condotion is diagnosed. Frequent Shoulder Dystocia drills should be the norm and such events should be recorded and kept in a log by the Labour Ward Manager.

And for the benefit of those who missed my definition yesterday, here it is:

Shoulder Dystocia is defined as difficulty in delivery of the anterior shoulder with NORMAL traction with subsequent need for ancillary obstetric manoeuvres.

Nasopharyngeal Suctioning

I'm afraid I gave incorrect information to my students this morning.

I'm coming out 'naked' :-)

Its oral first, then nasal. But as I said, the usefulness of this procedure is controversial.

Visit this link:

http://www.obgynhealth.net/womens-health/obstetrics-gynecology/oropharyngeal-nasopharyngeal-suctioning-meconium-stained-neonate