Saturday, January 17, 2009

Surgical Posting

now in my second posting...surgical
already been informed by my kawan-kawan
O&G posting is like hell n surgical posting is a place worst then that...

firstly, Here we do TDS round (3 time rounds per day)
each one including houseman round, followed by Medical officer round, thn registrar thn surgeon...
basically 3 x 4 = 12 rounds...
The plans r always additive, never subtractive....

Secondly, It's infected with STAT virus (though i m a person who want things to be settle fast, yet.......)
FBC stat, BUSE stat, tract investigation stat, send booking slip stat, send gxm stat,
STAT...STAT...STAT....
(FOR UR INFORMATION, STAT means immediately without any delay, it's few ranking higher then ASAP, it's --> as fast don't care how - ASDCH)

3rdly,houseman r like Paramecium in the ecosystem......
we do d PPK work, we do d nurses work n also d houseman work......
Yet we only get housaman pay...
PPK work like snail, depend them in the fulminat STAT virus world, patient will die n follwed by us...
Nurses, minimally are competent... it's usually "bukan saya punya cubical", "tak tahulah","saya tak ambil","semalam shift punya orang","mereka tak pass over lah","ye ke?"

4th. we dont really manage patient, we carried out plans.....
dextrose stick high ---> KIV to start s/c insulin
BP high ---> KIV to start antihypertensive
Fever with creps on d right lung --> KIV to start antibiotic after blood C&S, KIV chest X-RAY
it's another bug---> KIV bacilli

but at least i get to learn chest tube insertion, long lines, I&D
Hopefully can do appendicectomy la....

Just started my posting, this is how i felt, it might change at d end of the day,
it's a very "careful" posting and yet
i still like surgery =>

Thursday, December 18, 2008

Nephro

Finished my medical posting d lo....
spending my last 1.5 weeks in nephro posting...
IJC stiches, guide wire exchange, blood C&S from infected IJC patient (blue, red lumen, peripheral), learn how to bungkus d IJC, Fem cathether nicely, did my stab peritoneal dialysis....it's a posting full of procedure.....fun, fun, fun...

HD, STAB PD, CAPD, IPD, APD--> glad at least i knew what r they...
Renal dosing-->cant remember d dosing at all, but it's a must for renal pt
long term renal replacement plan--> ha... at least i know something...

will be missing ya -- medical(my kawan-kawan, MOs n specialist, and especially d wednesday n friday breakfast)
here i come -- surgical

Tuesday, November 18, 2008

Haemato -> Blood -> FBC -> Hb/TWBC/Plt

1st day in Hemato ward
I saw chicken CHOP & also FISH & chip (short forms here n there, chemo med which i dunno how to pronounce when i see at a glance)

MO Lim... - y they do this to u, u 1st poster, got reason not to go in
MO Sw...- dont worry, 2 weeks onli right, very fast, will go through one

D stress level is d same as when i jus get in medical
new style to suit d MO, n also the specialist
She is like d old english teacher in convent girl school who speaks proper english, who asked the shool girls to sit square n straight n knock their finger with rulers if they dont.......

I m curious about hemato,
i like some changes here n there
but i miss 7a alr

Sunday, November 16, 2008

请了两天假。。。
到金马伦了。。。







很开心 =)

Saturday, November 01, 2008

Convocation

<--Under construction -->

Friday, October 31, 2008

Studio photo for convocation


Joey Potter is shotting for the new promo =)
Though it's maroon color, but it still look like harry potter suite

Anyway, my family photo



Grandma, i m a doctor now. Yet i stll owe u one, in d process d, will try my best.
Grandpa, i know u really wanted to come, seeing me wearing the tile-like-hat. I did, tht's d least i can do for u......

My S-S (Shiok sendiri) photo

Thursday, October 02, 2008

不知如何面对,
我知道是我自己的问题,
觉得应该放手,
因为我是一个负担,
真希望我们不曾认识,
至少我对你不会如此的挂念,
不去想,不去知道,不回复
潜逃应该是最好的方案

原谅我

做工了

怡保的生活过得还好,
做着我喜欢做的事情,很忙,很满足,
这里的同事很好。。。

Wednesday, August 20, 2008

Induksi (retrospective entry)

Fun.
BTN - I still love Malaysia d way i do =P
Induksi - Huh~ Oh~ IC~ Govern servant ah~

Forgotten what to write d...
In point form la
Food - sucks in BTN, diabetic style in induksi

Photos
Padang Besar - Actually no padang one, more like pasar besar


UUM -


Performance - I m i body guard, had change to ride on a horse =)


Group F - Fantasy Lova-lova-coolest team i ever be with


Lastly, i got hospital Raja Permaisuri Bainun as my placing for houseman
Where was tht?
Actually its hospital Ipoh =)

Friday, April 25, 2008

I m stressed out .....

My windows player is playing the following songs in full max volume when ever i had no where to turn to for this condition

All good things (comes to an end), say it right- Nelly
It's all about us - TATU
Animal instinct, star - Cranberries
Ordinary day - Dolores'
Ten feet high - Andrea Corr
Going crazy - natalie
Hunter - Dido
Sorry - Madonna
No U Hang Up - Shayne
etc

jus tht my roommate is in the room, if not
it wont be jus media player, music on the headphone and sitting in front of th d comp...

Sunday, March 23, 2008

hai..... 又来了。。。

i felt tht she was something wrong these few days
she had hiccups and sounds funny
i think let her be for a while will be ok, may be it's jus d weather

and then she spoilt in the middle of the road
during heavy rain
n somemore stop zhun zhun at the overfloaded big longkang near K10, UPM Serdang

i think she get angry d cause i didnt accompany her for 2 weeks or more......
call a mechanics, get a towing truck,
really cheap lah!!

RM350 gone......

Monday, March 17, 2008

A team ? or a group?

Two head is better than one
multiple head is not more better than none

Why waste everybody's time to listen to our presentation
Bacially we present is just for reason of presentation only
not to deliver anything

jus imagine a postman come to ur house
he spent 1 and a half hour there
and when he left, u dont have any letter in ur hand......

ok, it's a bad example anyway

5 years alr, i thought i can accept
i) increase the apparent quality by increasing quantity
ii) compromisation of quality by sustaining harmony
iii) accepting the fact that i should not look down on ppl's effort even i knew tht its were an un-processed work form the internet.
iv) and i should say sorry alot when involving group work cause i'll be stepping on many people's tail, even they dont even have one

sometine it just un-acceptable......
i m not on top of anyone, jus that i wish i could make some reasonable contribution,
reasonable, it's really hard to get by, when u involved berkerjasama.....
team work should help a group to move forward, not pulling it backward

i think i should keep my motto for myself
"always keep things short and nice but concise"
Long,winding data are like those fairy tales that to be told to a little girl when she is going to bed, cause it makes her to bed...you can told her again and again cause she would never remember anyway...

anyway wednesday is the presentation day,
c how it goes.......

Let it be, let it be, let it be, let it be
whisper words of wisdom.........

Sunday, March 16, 2008

Sand Collecter

在网上遇到了这个字 - arenophile
原来世界上有着把收集沙当作爱好的人
我还以为我跟我弟弟而已

不懂几时开始,我每到一个海边,都会拿个瓶子,把一堆沙带回家
或许是回忆的证据吧,或许是便宜的留念品。。。。。。
每个海边,都有它的味道,一阵阵海风,都吹着咸咸的感觉,
每一堆沙,都有它的手感,偶尔倒在手上搓一搓,回味一下当时的感觉,
每一次离开海边时,带着的都是说不出的满足,是开心,是安心,是镇定,或是灵感。。。。。。

一群人的海边。。。。。。
一个人的海边。。。。。。
两个人的海边。。。。。。

当画面开始模糊时,这一瓶一瓶的沙就是我的回忆吧。





此刻真的有点想去海边。。。。。。

Monday, February 18, 2008

二月十八日

脚步乱了,
康复中的信心原来只是昙花一现,
原来有些事情,我真的不是很会handle,
开不开心,对我来讲,只是角度问题,
可是最近,角度斜了点,人生怎么看,好像没什么可令我sustain-able得开心,
真的,人的优点,往往是他的死穴,现在我看见我的优点一个一个都是potential的死穴,
狠下心来讲,白白的浪费了我六个月的时间,白白的被玩弄了六个月,
真希望可以回到N年前,
从新编排我做人的方案,
做个可以放一点的人,
做个不要这样在乎责任,应该不应该的人,
2007 年, 友情战-输了,感情战-kosong, 事业战-sustainable
2008 年, 友情战-好像有转机,不过没信心了,连信任都给丢了;
感情战-不会再做无畏的东西了,事业战-得拾回信心......

Tuesday, January 15, 2008

Cameron Highlands

Finished my O&G posting..
Went to Cameron highland with my family.

It feels good, really good
I like cameron, to be actual i love cameron.

It's cold, afternoon is never hot, it's full of plants especially cactus (i was a cactus fanatics, was), it's full of vegetables (i m a lacto-ove-pesco vegetarian :) ), it's full of simple ppl, no traffic jams...

it's a unexpected trip, jus out of the blues, nearly boil soup cause of my O&G post mortum, but d post-m canceled d. Dad n mum also unexpectedly agree and able to go, ah Wei also skip his temp job, so basically, things jus go along with me.

I cant really expressed myself when mum n dad agree to go hike the longed-heard mossy-forest-which-so-many-times-i-wanted-to-go-but-my friends-seems-not-interested-at-all-kinda-thing, basically, its a 20 minutes drive from one of the fork road when we r on d way to Sg. Palas BOH Tea plantation (there is a sign saying Gunung Brinchang). It's a 25 degree slope road with 3-2-1-2-3 gear kinda drive, rather easy drive for me since i was driving a 1.5 manual P.Wira

Hehe, i told mum it'll be like LOTR kinda shooting place n she was not disappointed la at least, dad was kinda worried cause the mist, mum was rather sporting to go deeper...... ha, touching the mossy floor was rather satiate.


Instruction to ge there:

1) At Brinchang, take the off shoot from the mainroad to BOH Sg Palas Tea Estate.

2) therre is only one lane for thru n fro, and you'll soon reach a fork road.

3) Go straight will be heading the Sg Palas BOH Tea Estate, or

4) turn LEFT to Gunung Brinchang, prepared to drive with 2nd or 1st gear

5) after around 15 to 20 minutes (but depend how fast u can drive), you will reach a small jungle clearing near the summit where there is space for car parking (enuf for 7-8 cars)

6) start trekking from there. After u went up the wooden stairs, in fact a mere 30-40 meters off the road, u 'll c the mossy forest.





Thursday, January 10, 2008

finised my O&G exam, not happy, really not happy with my performance...shit
breech, breech, breech, breech,
i think there is security breech in my brain
better buck up myself!

Went Music Box to sing k with my friends after exam, jj, bird & yc, sl
it's a new karaoke place in Metropoint in Kajang, where is 30 degree from Hosp Kajang :)
System not good, but who care as long there are mikes n tv screen n a bunch of friends......

ah, sl, u reminded me something i left in subconscious for quite sometime d.....
now its concious again....

朋友 我當你一秒朋友 朋友 我當你一世朋友
奇怪 過去再不堪回首 懷緬 時時其實還有
朋友 你試過將我營救 朋友 你試過把我批鬥
無法 再與你交心聯手 不竟難得有過最佳損友

從前共你 促膝把酒傾通宵都不夠 我有痛快過你有沒有
很多東西今生只可給你 保守至到永久 別人如何明白透
實實在在踏入過我宇宙 即使相處到 有個裂口
命運決定了 以後再沒法聚頭 但說過去 卻那樣厚

*問我有沒有 確實也沒有 一直躲避的藉口 非甚麼大仇
 為何舊知己 在最後 變不到老友
 不知你是我敵友 已沒法望透 被推著走 跟著生活流
 來年陌生的 是昨日 最親的某某*

生死之交當天不知罕有 到你變節了 至覺未夠
多想一天彼此都不追究 相邀再次喝酒 待葡萄成熟透
但是命運入面每個邂逅 一起走到了 某個路口
是敵與是友 各自也沒有自由 位置變了 各有隊友

早知解散後 各自有 際遇作導遊
奇就奇在接受了 各自有路走
卻沒人像你讓我 眼淚背著流
嚴重似情侶 講分手

有沒有 確實也沒有 一直躲避的藉口 非甚麼大仇
為何舊知己 在最後 變不到老友
不知你又有沒有 掛念這舊友 或者自己 早就想動頭
來年陌生的 是昨日 最親的某某
總好於那日我沒有 沒有 遇過某某

<最佳損友 - 陈奕迅>

Saturday, December 29, 2007

Jus read a FORWARDED message from a best friend

i missed my best friend, yet there is still a line which i promised myself tht i cannot cross. It was no one's fault yet i still blame either me or him,i still cant really make it out. Ive searched myself and everyone to c that what we went wrong, yet i've failed.

After sometime i do realised tht i 've been using some defence mechanism lately to ease my anxiety for that, reaction formation on the lower end and supression and sublimation on the higher end, Freud's theory do make me understand my behaviour.......

i know i m giving up something tht i will regret in near future, i m not d type tht give up a best friend without fighting d odds, yet it's bugging me for quite sometime, if i did not gif it a stop, i might not come out from d so-called dunno how to describe kinda cycle...

i wondered he realised this thingy is happening to me,
or may be i ve failed him as a best friend,
or may be i m jus a so-so friend to him
or many be i m jus no body n it does not worth d fuss to get into the even superficial part of the problem,
or may be i had problem n he does not
or may be it easier to let it go.....

i do really miss him

Thursday, December 27, 2007

Have Urself A Merry Little Christmas

It's not a lonely christmas afterall for this year, christmas eve at bangsar with a few of my gd friends do mark something different for d special day(though one my friend who did not go ask me wasnt bangsar are for uncles......, frankly it do not haha), got my beer at last, though it hadnt warn up my throat, it still satisfying :)
should had pick a place with a dance floor, but i doubted my friend would have dance.....

Gosh, one beautiful missy n aother handsome lad is missing in this photo, cont put other cause i dont look nice, hehe

I m not a Christian, so Christmas is more about Christmas tree for me, kinda lame, but i still love mother nature,

Hey where is my legs.......jus kidding, u do take a good photo :P

Saturday, December 01, 2007

昨晚不知为何和菱谈起王菲来,已经很久没有人谈她了,或许我大学的朋友之中没人懂我是多么的喜欢她。
喜欢她的声音,喜欢她在婆娑的乐坛竟能如此的做回自己,喜欢她对爱情的诚恳与痴心,喜欢她应用佛法来面对人生。
她是歌手,我是我, 应该是不相干的人物,但她的确是陪我度过了人生

她说过,如果有一天她不唱歌了,希望人们不要记得她
她好像不出唱片了,已经四年了,有点好想念她每次给的期待,她每次给的惊喜,她每次给的满足,
唱歌的人,从不马虎;听歌的人,永远认真。

大马第一场演唱会95年,MISS掉了,因为小学生无知,没话讲
大马第二场演唱会98年,MISS掉了,考着PMR,学业重要,没理由
大马第三场演唱会04年,去了,感觉说不出,如果高兴的scale里,有一到十,那时的感觉应该是十五吧。


王菲在中国04演唱会唱了朴树的那些花儿,昨天很偶然的在youtube看到了



...有些故事还没讲完那就算了吧
那些心情在岁月中已经难辩真假...

她有她的人生故事,需要继续写,或许她还继续唱歌,只是唱给他的丈夫和女儿听
我有我的人生故事,也需要继续写,或许我因该自己开始唱歌给自己听了,
祝福了。。。。。。。

Thursday, November 29, 2007

Partially finished.....

I've settled my case write up,
I've settled my paeds-group clinical pathological conference,
I've nearly settled signaturing my log book

I m turning blue and more blue by every minutes,
ok start breathing, breathe.......

next week is exam week again........
End posting again......
Didnt pick back much of my Paeds during this 4 weeks' time
i jus remember i did oncalls, i presented cases and i slept alot, i really do mean - alot......

ok, beathe......