menu plan for syarif...

Yesterday as usual ari Rabu pgi aku kena jaga k.diet utk outpt…the whole morning I was bz with pt yang takde la ramai pun..then ada dktr MO jr 6S call sb minta wat meal plan for Syarif. Syarif is a pt yang sgt cachexic sb ada CF..oral intake is poor..so nak increase kan oral intake dia pnya la ssh sb appetite low..camana kita nak force pt makan if dia tak nak mkn mlainkan msuk Ryles Tube utk start RTFdg…that’s the only way nak optimizr intake without pksa pt mkan…but RT dah off ritu sb apa tak tahu la…

Ok…diorg nak meal plan, aku buat la meal plan..but yang aku tak sukanya, bila ptg tuh. Diorg dah call bnyak kali tnya aku taknak naik ke tgok..aku sort of geram la juga..kita nak wat meal plan its not as if kita bleh whizzed off like a wizard n here we have a meal plan…u have to calculate the requirement, CHO, fat prot etc, then tgok fave food dia..apa yg dia tak suka..apa yg available…diorg expect aku nak wat plan, just main reka ja apa2 menu..then dapur bleh mskkan trus especially utk dia…hello….this is Gov hosp tau…bkn private or rmh yang kita simply bleh request…its not as easy as that…tmbhn dpur tgh renovate so nak dptkan menu yang plik2 payah la sikit…so kena la tgok menu dpur..n reka menu for the pt. ..kita bleh la buat menu but pt nak mkn ke tak that’s another issue..but as Doktrs nak juga soh buat menu plan..tak kira la pt leh mkn ke tak..then aku buat la…but pd aku its just a waste of plan as pt takle nak totally comply pun 100%..just skdar nak cntikkan dlm folder pt ada menu plan…hmmm..if review balik lps ni, why pt wt tak naik..hmmm..msti nak slahkan dietitian balik…tak manage properly..salah siapa sbnrnya….

Sumtimes doktrs tend to assume that we are all don’t have other jobs to do than tgok pt…n they tend to think manage diet pt is as simple as balaja masak…ingt sng camtuh ke..if tak, takde la smpi 4thun kena blaja utk dpt degree dietetic…n sumtimes I think doctors are quite self absorbed wif themselves…whatever they want or need, its pronto…no waiting whatsoever…if they think they are rite n know it all, they not tend to listen to other professionals’ opinion…huhuh

So to my dear frens or sisters (Rehan, Nawal, Nabilah) who’s going to become a doctr, or is a dctr, please remember that u need others to ensure the pt is being taken care off n heal them..u need others to be a good dctrs…U cannot do all the thing by urself..let others do what they know best…n be a good dctr that take people’s feeling into consideration…