it's so long tht i didnt write for my blog, none of my friends updating their blog also, so it seems it's down time for blogging within my circles, further more no one may be reading anyway......

not happy recently, talk to my best friend, talk to my aunt
nothing helps actually,
i felt like a big baby
needing for scolding n guidence

music sooths, but sore still there
lunch n dinner with friends do help brighten up my day, but underlying problem still there.......

a few jugs of beer might help, could someone spare the time?.....

Dream, aim and reality

Dream?
sometime it's sad to know that our dreams lost in the sand of time,
we dream when we r small, dreaming when we r teenager and dreamt when we r young adults...
my secondary school teacher, My Yau told me never to forgot to dream,it's an innate spinal cord reflex kinda thingy in human, jus that we develop our own operon to control it,
i still can remember the story tht how he touched the hand of the buddha statue in Borrobudor even when it's impossible,
i did not really understand d what so called "hidden meaning" at that time, but seems like we need aging process to unlock the meaning.

Dreams sometimes r d only thing that keep u from falling down when u r being knock off by harshness of reality.

aim?
i cant imagine life without aim, may b i m OCD or what, i need aim so that i wont get myself lost,
it not fun waiting in the "lost and found" box, waiting for some saviour to come to distribute enlightenment.
Friends do help, but this feeling came too often, i think it just pending to break down.......
things jus get a little out of hand lately n i dunno what i m doing actually.

Reality?
reality is unspeakable, after all the years i still come back to d same old question with the same answer but with a "but" at the end of the answer
Q: why i want to becoma a doctor (thanks Mr Kw.. for always reminding during on call)
A: i jus want to be able to help, when my love ones (parents, family, friends, wife-still dunoo who she) is in need. They mean eveything to me,without them i m nothing, but i dunno when this answer will last , cause i started not to see the "living" in doctor's life.

It's a grey grey day, rainning soon? weather is jus so unpredictable......

It time for me to re-think n re-form

i ve been harsh on ppl, thanks pp for saying "hey man, just gif them a chance", it strucked me......we need chances for imrpovement, i may not get them but i can definately gif them out, i think i should keep the harshness to myself

i ve gained confidence in my medical student life, as well as arrogant, i didnt see d obvious tht both of often came in a package......it's time to be careful, 2 in 1 doesnt always means better......

my life planning is terrible......

Trip to Kota Kinabalu, Sabah

Let photos tell d stories

PADAS White Water Rafting...





Malukan Island & Sapi Island, Taman Negara Tunke Abdul Rahman





i got sunburnt :( didnt know tht water-proof-sun block doesnt mean tht it was not water-wash-able-proof, n now i m back in penang in d process of metamorphosis, skin peeling level 3 attained, i can c wings coming out from my back alr..........


Tanjung Aru





Mount KK



Sadly we didnt not able to climb mount KK, thanks to d always-fully-book-hotel-room, n seems-impossible-to-be-connected-Sutera-Santuary-Lodge n not to mention blood-sucking-agent-tht-charge-at-leastRM350 per person-agent (if settle by ourself will cost less thn RM200)

In a Nutshell, tis trip was great

Last Day in Sandakan

Here's my last night in sandakan,i m glad cause i m going back home, i m tired from all this elective thingy n d KK trip. i miss d usual clerking patient n presenting case. Funny isnt it...... may be i like routine n improving what i usually do
but at least i can get 2 weeks leave b4 starting my final war to become a doctor.
5th years is kinda scary to me, still remember when i was in my 1st year, 5th year senior seems so mature n insane, and i told myself, i should get tht kind of mature but not d insane part, but now seems i m not really mature but nearly insane alr, haha....
Like forrest gump said (though i didnt really understand tht statement, but it seems kinda appopriate to use here), life is like a box of chocholate, u'll never know what you gonna get......

memories,so be it, memories, and it would be crafted in my heart, shared with my friends here in sandakan. I met new friends, pharmacist W-yang, Terrence, yee ling, grace; neighbour aka businessmen, Neo and his lovely wife, Tina; Teacher who is a friend to my aunt, Jiang Lao Shi and her sisters, d doctors here and many more......
hmm...
i made more friends here in 6 weeks time,
i went into OT here more thn 12 weeks time in HKL,
1 spend my money more thn i counld ever count here in 2 months' time...
i eat more seafood here thn in my whole life (until now)

Sandakan, Sandakan, i think i'll miss you,
huggies! and muaks! before i go

Gua Gomantong, Sandakan

i would never let myself kena bird shit b4 until this gua visit....
thinking about those cryptococcus, parasite.... (Though Prof Lai remind me tht those r for immunocompromised, but who knows :/)

d journey there from sandakan is around 100km.
2 4-wheel drive,with Mr Neo n Ms Tina, our neighbour (who already belanja us alot alot alot in many many many things alr---realy realy realy pai seh).
Guess what Mr Neo prepared us a 4-wheel drive to drive.

Gua Gomantong is d cave for edible bird nest (Yan Wo) haversting.
Swallows live peacefully with d bats there.
So a piece of advice, careful when u buy birdnest cause it may mixed with fertilizer (Bat's shit)--->ok cold jokes, false statement.......

ok bout d grandmother stories, here r some photo.

u can c millions of swallow flying around in d sky, ok million sound too much, thousands..


CAVES here






with our lovely neighbours, playful couple :)



p/s: Prof Lai got tooth ache, so cannot walk there with us......

Hmm i had an idea what to do for holiday, nothing near medical i supposed

i think i m gonna make a website to intro sandakan,
it fun to have an idea what-to-do to make up a webpage,
since my last Faye Wong fans page , which is near-zero update alr
didnt touch on any html script......Rusty rusty
Here is d page tht i did few years back
--> my FAYEWONG's page

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?

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

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!

Meth-amphitamine

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Montana Meth Project
D advertisments r good :)

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......

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

Sandakan, Here I Go!!!!!!

1st day in Sandakan, 3 hour flight from LCCT, no DVT :)
moved into our house, was unexpectedly big.
Two day b4 we arrived, js, pl and i called the uncle incharged,
n he gif me an impression of animal cage kinda size,
fitting 6 "IN A HOUSE" seems impossible,
luckily, in actual fact, fitting a footbll team in our house seems reasonable, there still got place for guest actually, haha, seems tht i worried too much.
Different ppl got different defination of "Small" and "big"
Fridge, tv, washing machines, hot water heater, bath tub....... it's kinda luxurious
cost us 1000 per month, with 300 as deposit
Guys share one room, but pl seems reluctant to sleep in the room, dunno whether he saw something tht we didnt see???????


Simple town, different ppl from KL, chinese is the most, i think ranging 50%, followed by Malay/Indon and 5% of Dusun and ?% of philippino. (no Indian i think, cause i only saw one indian near my place, may be she is doing elective, or she was not indian but charred from the damn hot weather in sandakan)
Beside classify the ppl here to races, they also can be classified into local, non-local and illegal immegrent.
Chinese speak cantonese and Hakka as well as mandarin, other speak Pelik-pelik punya Malay.

Food is "so-so" as compared to KL, worse as compared to Penang and Hulu Terengganu. Dunno will survive or not with my odd vegetarian diet...... nevertheless i saw one vegetarian shop, so, A star for sandakan inadvance :)

Monday will be starting our posting in Hospital Sandakan, a.k.a Hospital Duchess of Kent

..佛..

好久没有学佛了。原来人是这样的善忘，曾经了解及领悟的事情却如此轻易的被时间摧毁。

"When you wake up everyday
Please don’t throw your dreams away
Hold them close to your heart
Cause we are all a part
Of the ordinary miracle"

Spend some beautiful time with someone beautiful

if only i hav a second chance.........