Tuesday, April 24, 2007

hah,
Codeki slice d Wu Can Rou
i friend ikan bilis n Wu Can Rou.
Ang cook soup n vege,

n we had dinner

Hiking in Sandakan

Ever knew tht In sandakan there's also a hill called Bukit Bendera (Penang also got one hill called bukit bendera-it's Penang hill, hehe) Cement road with no spider web. 30 degree steep with paku-pakis surronding the road.

Beautiful scenery up their




There is Bandar Ramai-ramai below there, got nice Sea food Bah Kut Teh there (But d Bah Kut Teh r not ours Herbs punya Bah Kut Teh, more to spice Pepper soup). N d land on d other side is Philipphines, jus kidding, jus d other part of sandakan. The sea is jus d teluk of sandakan, remember the geography? sandakan situated in d mouth of a canine?

Wednesday, April 18, 2007

S.U.R.G.E.R.Y

Started surgical posting, ha!!! as usual, organized ward, no funny smells, less patients, "Yao Yink" punya surgeon - Mr Ng. Jus d voice too soft. N D "Hallmark" of surgery - CLASSIFY (hehe, only UPM medical friend will know, surgery r always full of classification, causes --> clssification, complication -- classification) First day got clinic n i clerk more pt thn i do in me surgical posting (corrected ratio - one day clinic in HDOK n one day clinic in HKL). 2nd day i scrub in for surgery... ...

Luckily i brought our ultimate-power Mr Kwan's notes, until now still haven let me down, d OT/Ward round/Bedside-must-ask questions still valid... ...

hmmm, i think better get some updates from omy junior also. Good thing never scare much right, hehe

Saturday, April 14, 2007

Medical-Medical-Medical

3 weeks in Medicine posting in Hosp Duchess of Kent (HDOK, Sandakan), finally it ending. It's my last day officially there (permission was granted by Dr Tynt Mint for going to d ward of got "interesting case").

Funny tht i was complaining alot for d medical posting, yet i still felt tht i m gonna miss medicine.

As usual, medicine ward r crowded, not with medical students in HKL, but with student nurses. Pt number was so-so, may be due to d less bed available.The MO's and d specialist are nice.
Cases seens here, out of expectedly was d usual non-communicable disease-DM, HPT, IHD, stroke but TB also common lah. But i was expecting something like rheumatid heart disease, valvular heart disease, thyphoid fever (got one pt recently but expired, dead in other word, on d day i came to sandakan which was d 1st saturday),Malaria was also so-so, like 3-4 four case during d 3 weeks' time(but no classical relapsing fever, no spleen, no cerebral malaria).
Got cholera outbreak here but it was isolated in other ward.

Ppl wear mast in female ward b'cause you'll never know a pheumonia pt came out to be pTB, a CCF patient came out to be defaulted TB treatment. (have u saw TB endometrium??? i saw one here, due to language barrier, never able to elicit d history whether it was extrapulmonary TB or due to STDs :) )

Some pt were very very poor in education and pt education also. Got one Dusun aunty dunno what is "Jantung", therefore, "sakit" jantung means nothing to her.

Today we went to the monthly "Medical Motility Meeting", it's really fun seeing the Drs presenting the case to the medical team. Fun part was we able to think alike with the doctors, may be we got great minds, so think alike lah, hehe)

Medical posting - always un-organized but had always never let me down cause it's fun!

Wednesday, April 11, 2007

Meth-amphitamine

Montana Meth Project is a campaign on preventing first time Methamphetamine use.
Click on the link below to visit the campaign’s website


Montana Meth Project
D advertisments r good :)

Sunday, April 08, 2007

Sepilok Orang Hutan n other monkey trip

Went to Sepilok Orang Hutan Sanctuary on Saturday...
Kinda tired for tis topic cause i typed twice n i got deleted without sempat being posted, thanks to d power cut in d cyber cafe n snail-comp-tht-hang-when-too-much program-being-on in d HDOK. and it's so hard to reduce d size of photos when u dont have ur comp around.

I brought back a leech from sepilok. Fed him with my femoral blood. n he jus left without saying goodbye :(

Next stop of d day was Labuk Bay to see d "Pinochio" Monkey. Those who watch cartoon will know why i call them like tht - cause they hav long nose - Proboscis Monkey. No close-up photo from d monkey cause they r really far (ok i know sound so "fai" for tis sentence). There were some other monkeys which was "Boh Kiah Lang" one, which i able to be up-close-and-personal with...... Photo from d "Keh-Leh-Feh" monkey from tht place

Ok, the above r not the monkeys.. d below one is


In a nutshell, tht is kinda like biology class lawatan sambil belajar of our Nenek Moyang, hehe applied for those who believed in Darwin's theory......

Tuesday, April 03, 2007

Viral Infection??

Fever, bone pain, tiredness......
2 out of 6 of us in Sandakan kena alr,
Not Dengue, Not Malaria, Not "Yit Hei" (Heaty in Chinese)
Not raised white blood count
OPD treat as viral fever 2` URTI, even without sorethroat

Hopefully it's not something like fINAL dESTINATION ----> 4 TO GO