Monday, December 28, 2009
Today i met the biggest bit** in the ward!
Then, came a great nurse who came in my cubicle and gave a sarcastic comment and rude remarks on me,who opened and inspected the wound of patient for superficial skin graft planned later evening.-----Second shit of the day
The sister who was busy chit-chatting with patient caught my attention,expressed my dissatisfaction to her.Which again a lot of cover up was done.Her shocking statement:"yeah,saya ada pantau,bila saya takada mereka berani buat.Ada nurse yang telah direject sent ke sini ba.Dan Dr kena faham kita understaff ba,malam-malam 1-2 orang sahaja yang kerja"wow,a great reason for not doing your job,understaff.-----Third shit of the day
Highlight of the day---Talked to Surg houseman to inform an ortho case which was done together with surg team,and for them to review and wether to off CBD(continuos bladder drainage---tube for passing urine,insert into urethra and reaching bladder) as patient haematuria(Patient had extensive ulcer which involed medial thigh and scrotum,afraid CBD was part of surg team management).That particular surg ho was uninterested and rude.I got frustrated and just walked off after the Ho said she will inform their MO to review later,with a "but"---with her rude tone she was saying:"im not sure when will my MO or specialist will come.Just a few seconds later i was hearing her shrill voice,with another man who seems like a MO,came up to me and the MO asked me:"why u were so rude to my HO""We as Dr must speak professionally""It's this how you refer cases?"----Fourth shit of the day.
Later of the day,suddenly one of the nurse inform me that one of the case for emergency wound washout was not posted,but the name on the list.Flipped back the case note,it was again that fellow Ortho Ho who never do work properly,never document properly,and never posted that case.In a frenzy i took the blood,traced it and called GA urgently ,but was rejected because too many pending emergency cases.-----Fifth shit of the day
Lessons learned today:
1)Never fully trust what you see(esp on chart boards),but trust your patient,most of the time they dont lie.
2)Be honest with yourself and others,making excuses for other people incompetencies is just sad.
3)Beware of a combination of pretty Surg Ho(esp tht particular one) and a GUY MO beside her.Because even when you are just doing your job and making sure other people are doing their part,shit will just get thrown to you.Maybe pretty female HO just really get the extra attention(used to have this conversation with Celery).
4)There are people who appear they are doing their work,but actually is the most LAZIEST person in the ward.Even though 4th poster,act like MO,but even a first poster works better.
Conclusion:
One of the shittiest day ever,and tomorrow is going to be a long day(assissting Trauma operation theater)....better vent it all out now and get a good night sleep.
Saturday, December 26, 2009
Thursday, December 17, 2009
No pain no gain?
Gain: Know which shop to avoid in One Borneo,KK,Sabah
Pain: Waiting like ages for MO to do a skeletal traction on a 60 years old lady
Gain: Steinman pin if drilled with a handrill is actually less painful(must use tht next time if got chance)
Pain: Seeing a nail that was nearly cut off being sewn back to the finger
Gain: Avulse the nail,avulse it.........
Pain: Helping out with counter traction of hip dislocation,which obviously i was not cut out for
Gain: Know my limitation,swim more to built on that tiny muscles....-_-"
Pain: Sitting in a cinema with no air condition.
Gain: Watched an excellent,stunning,and brilliant movie (Avatar)which worth the pain of going through 2 and a half hours of stuffy air,urine smelled stairway and spooky parking lot.
Pain: Getting more and more broke with all the "extracuricular" activities
Gain: Getting to know friends better,enjoyed good meals,living my life at least...
Note to self:
1)Seriously,no pain no gain in life is so true.
2)Found some similarities between new friends and old friends,really missed my old friends,and grateful for new friends....
Monday, December 14, 2009
Im not crazy im just a litlle bit unwell...
Tuesday, December 1, 2009
Hypocrisy or hippocrates???
HO:Erm,sorry,i have a problem to consult dr
SP:What is it??
HO:Patient blood culture grew MRSA positive,and the culture was on 24/11,i already referred ID team.They suggested to start IV Vanco.
SP:What!Why u wana keep patient in the ward for 6 more weeks for antibiotic?He's on haemodialysis right?Dont do anything for him.Keep quiet!After MRI we can discharge him already.
HO:.....
The Ho was dumbfounded,confused and speechless,plus dissapointed.Is medical care has become fast food type of service where everything must be done fast,complicated cases is just a pure nuisance?Or those who suppose to teach us to become DR are teaching us to see things and do things their way?
Hmm...maybe a lowly Ho,who knows nothing should just keep silent,build a cocoon and just change the colour of the sky when the time comes...Sometimes i wonder,when all the accusation and complaint was made towards HOs,are the more seniors one looked into the mirror lately,or they just see what they want to see...i wonder....
Wednesday, November 25, 2009
1st bloom
Sunday, November 15, 2009
When days are rainy and wet....
It's a gloomy day indeed,i just learned that one of my patient back in paeds passed away...maybe that's why it rained...:(
Hopefully the sun will shine brightly next weekend...
Saturday, October 31, 2009
A Law Abiding Citizen
Saturday, October 24, 2009
A memorable ending means another hopeful beginning
Even though coming to ortho may come as a huge relief ,i still feel that the hard times in paeds really was worth the sweat and tears.Getting to know new people and learning from them really put my view on life in a new perspective.Probably it was the best thing that could happen to start off with paeds.I cant thank all the people in paeds enough for helping and guiding along the way.
Im trying to keep myself in a positive light,yes...orthopaedic would be a very nice posting as interposting between paeds and OBGY....im crossing my fingers...:)
(photo= sunset view outside my room window)
Thursday, October 22, 2009
The reason why i fell in love with Sabah...
There is a high tower for shooting photos...Mt Kinabalu,i will conquer you one day...bwahaha...
Next we reached Kundasang after nearly 2 hours of drive...Kundasang War Memorial was our second stop.It was a place to comemorate prisoners of wars from Australia and Britain who died during the "March of Death" from Ranau to Sandakan during Japanese occupation in Malaya.It was a scenic place with gardens and flowers,flowers,flowers...Tried Hutan Durian also,smaller size and more orangy in colour,not as tasty as the usual durian though.
My little Myvi worked hard to bring us up the hill to the last destination of the day,Desa Dairy Farm.Seriously i really had the feeling of being in New Zealand(the good old Fernleaf milk advertisement)...the rumor was true after all...But the damn thing was my camera's battery died before i got a chance to catch some more photos....-_-"
The cows were visible as specks here...lousy phone camera...sigh....Overall we spent about nearly half a day there,reached home about 4pm in the afternoon...Kundasang...another great place to be...:)
Sunday, October 18, 2009
Spontaneous island trip
Beaches here in Sabah is definately cleaner and more scenic.But snorkling.. .hmm...Redang is still the best place to be.Tried my first Parasailing...omg,i seriously enjoyed flying in the air,the air blowing softly on my face and the sensation of looking down at the sea from above...it was as i imagined ....There were also plenty of tourists around were a plus.....hehe...
Since the islands are so near to Kota Kinabalu,a half day trip was already enough...hmm...i loved the sun,the sea breeze and everything about the islands....
Hishamudin also visited Jesselton point(harbour to go to the islands) today.His arrival in the evening caused a big fuss at the area.......but the food in Nasi Padang Restaurant caught my attention more...:)
Wednesday, October 14, 2009
I had a dream
Friday, September 18, 2009
The Red Tide
Wednesday, September 16, 2009
Seafood mania
Suppose to go Tg Aru,but then it rain like cats and dogs....sleeping was a great option for analgesia....
The road to Gayang restaurant was a bit ulu,but then the food awaiting were unimaginable.Cheap and superb in taste.Not to mention the size of the prawns,fishes,and other varieties of seafood that i never seen before.....
Glad all of us enjoyed the meal...and HK is leaving us tomorrow,now our house will have less people....with house as spacious as this sure will double the emptiness...Just wish him all the best....and i am impressed with his courage...
Saturday, September 12, 2009
In September
Never knew anything
Wednesday, September 9, 2009
I simply loved rooming in...
Today it was the first time i went to forensic lecture,took a long long route,but in the end reach on time,my colleague sure think im super blur....after the lecture today,i accidentally went to town,and accidentally went into Centre Point,(ignoring the fact that some selfish person asked me to came out from there after i took the parking ticket)
Watched a movie filled with death,bought some nice anime dvds'(Bleach of course),bought my reading material of the month....ahh....meaningful day....yes,i must do this often.Mkae good use of the remaining days in Rooming in....
Sunday, September 6, 2009
Hot Sunday Afternoon...
Thursday, August 27, 2009
Perseverence
The sight of intramuscular asparaginase on those chemo days,sometimes are just too much to bear with.It is just a simple jab on the upper outer quadrant on the buttock to some people,but it means so much more to others.
There are still so much to learn ...and so much to see.It is difficult,but i will try my best.
We must seek strength and wisdom in others,so that when other are seeking for answers and hope,we can provide with what they need.Being a doctor is not an easy job....but i must persevere...
Friday, August 14, 2009
Im going home..:)
Let me just leave behind all those responsability for awhile,until i return and move on with my life,i just need a break,to rest this weary soul....at least for now,to walk a longer journey ahead...
Let me care for myself instead for now,so that i can continue to care for others...
hOMe here i come!!!
Sunday, August 9, 2009
Sleep....
Wednesday, July 29, 2009
Small reminder...for myself...
I always braced myself for the worst,this time it just exceeded my expectation.Perhaps i was caught off guarded,and all the rejection and negativity sets in...
I must remmeber,how Razmy smile and greeted me every morning in Melur 2.Her few episode of skipping breakfast and hypoglycaemic attack gave me quite a scare though...
I must also remember,how Azwa improved after a simple Acute Gastroenteritis(infection of the bowels),complicated by septic shock secondary to scalp abscess...(systemic review play its vital role here)...a lesson of perserverence in the face of hardship..
No matter how stable a patient can be,always review of patient seriously....(if that day i didnt auscultate the lungs of my patient,i might have missed the pericardial effusion which i thought was a case of pneumonia...)
Last but not least,all those kindness and encouragement my fellow UM mates,senior HO,MOs and specialists gave directly or indirectly(those sarcasm and rough reminder,in a way they meant well)....
I forgot,when half of the globe is filled with darkness,the other side is filled with sunshine....huhu...must always remind myself....
Tuesday, July 28, 2009
ONE OF THOSE DAYS....
Have you ever had one of those days where you feel so alone in the world?
Have you ever had one of those days where you missed the carefree days ,not a moment to worry about?
Have you ever had one of those days where you just want to run away and hide from all the nonsense the people around had created…?
The frustration and negativity, the sense of fear and never-ending problems/tasks…for a moment I just want it all to stop and give me a break.
For a moment, I regretted I had taken this path. At the peak of the negativity, I really feel like giving up and just run away….
I really do missed a lot of things….i missed the days where I have my family/friends near to me and I can just confide anything, anytime…barrier…separated by distance..
I need a source of strength…in the darkest hour of all….when will I see the light???
I need a place to go to…in the moment of weariness….when will I able to breath???
Sometimes it is just too much, and people and things around you just don’t know when to stop…
Humans are such a complicated being. Studying and learning to practice medicine, made the facts crystal clear. Patient’s life and new colleagues, it further stretches the viewpoint I had on life.
Emotions…what made us humans…I wonder if I have a switch and turn it off for awhile, wouldn’t it be great…
Perhaps this is just a phase I need to get through.
Perhaps by putting more effort and determination, the sun will shine again…Yes, the previous stress during medical school days seems so trivial now. This is the real deal…Depression during housemanship ,now I understand why it can happen…
(Ps: Didn’t meant to whine ,just wanted to vent out all the negativity built up inside for quite awhile ….hoping for an inspiration to type a more positive post next entry….and hoping for everything to turn for the better….)
Tuesday, July 14, 2009
End of tagging days....hopefully for good...
Getting to know the mo's and specialist also put a strained on me...fulfilling their demands,helping patients tracing results,reviewing patient and blood taking plus all the blood culture...seems like the work will never end....The only thing that made me smile the whole day today was seeing some of the patients in recovery and playing actively....
It is a wishful thinking to have a day just for myself,without having palpitation all day writing review,plans for patients,running up and down for the results,calling other laboratory for test that never seems to be ready....i need a break, some time alone
I hope i get faster ,more precise and detail in doing work....hopefully all these stress reward me in some way in the future.It's a bumpy road,i might as well just get on with it...
Thursday, July 9, 2009
Hospital Likas,Paediatric posting...
Today was another hectic day....an acute admission
2 years old Murut child came in with fever,cough and poor feeding for the pass 1 week.He is 10.6 kg,with general appearence of lethargy,dry mucous membrane and reduced skin turgor and capillary refill time...Fluid resuscitation was needed but the line just couldnt be set...the nurse looked at me and said"Doctor cuba la!"...I resorted to callling MO because there's no time to delay...after Dr F tried countless of attempt on peripherally,he then set the line at femoral vein....or else intraosseous....
How frustrated i was today because could find that tiny tiny little vein and the child was in dire need of fluid...I must master the art of taking blood and setting line in children,no matter how unbearble their cries and shouting and kicking and spitting.In the end of the road,regaining their health is the ultimate satisfaction....
Monday, June 22, 2009
Im Leaving On a Jet Plane
I'm ready to go
I'm standin' here outside your door
I hate to wake you up to say goodbye...
(Chantal Kreviazuk-Leavin On A Jet Plane)
This song may not reflect the entire picture here and now,but it echoed in my mind long after the song ended,and i was singing it over and over,even though it was slightly pitchy(luckily simon isnt here).. ....Induksi Programe and Bina Tata Negara finally ended....To me,i did learn something ,values that i hold before became even more stronger, broaden my mind to things that i never thought i will see,and spending precious time with fellow friends before we part our ways...
It was truely a fun experince:"planning and modified sketch thousands of time,doing the indonesian bocor2 dance, the "kembara" session...plus nights of pillow talks between guys...(Gasp!!!)it felt so surreal,the process sometimes was slow and agonizing,and now ,im at the comfort of my home....
I can sense the sadness in mum and dad,and to be frank it caught me off guard.Over the years i find it a challenge to understand what they think and feel.This time,it is so obvious...Perhaps they might think they will lose another son,this time to distance and time. My sense of guilt made my determination grow even more stronger.I can't promise to return home so often,i can't promise to call everysingle other day,but i can promise that their sacrifices will not to be put to waste,it is their time to lay back and enjoy life,at least have a relaxed and happy life,and soon i will be home again(If everything goes as planned...pray hard...)
Tomorrow will need an early wake .Bus will depart at 5:15am.Plane will fly off at 12pm...Working life ,new enviroment,new people....everything will starts to unfold....:) And i hope with the hectic life,i still can have some time to log in here...huhu...
Saturday, June 13, 2009
A flash of update....beep2!
Ding See jong is my roomate...(everyday being bombarded with his singing.....noise induced deafness....ah....)...The urus-setia is quite laid back and i felt that everything here is just great....The dreadful exam is coming next monday and i have study and understand nothing...oh my god....
With the drama of induksi going on,i cant kept my mind off the fact that i am posted to Sabah(as i reapplied there).Accomodation,transport,and documents are pending to be settle..Im going to fly there on 23rd of June..A foreign place that is filled with excitement and all the unknowns.....im nervous,yet looking forward at the same time....my next chapter of life,is going to begin miles from home...wish me luck .....:)
Saturday, May 30, 2009
Bang,ada rokok??
Suddenly a bunch of secondary school kids came in the bus...ah...my secondary school memories...how nostalgic...and really out of the blue,this kid,who the face i didnt even see properly asked me from the seat behind:
"Bang,ada rokok??"
After an involuntary pause,i gave a brief and cold "Takda".He changed his seat far away from me.
In my mind:"What was he thinking???"
2nd/3rd thought in my mind:"Did my outter appearence gave away my long hidden secret that i enjoyed 2 packs of smoke everyday...or my mouth was holding on to a cigarrete that i didnt noticed..."
I hate cigarretes,and dont ask from me ....zzz.....
(At the end , my day was still great because i get to watch 2 movies-Night at The Museum 2,Monster vs Aliens,shopping,baju batik hunting,handphone hunting for my dad....bwahaha...the amount of money i spent also was a shocking amount...)
Tuesday, May 26, 2009
Waiting for my rocket to come...
I was told the "induksi" should start around 5th of June,i shouted:"Finally!!!".I just want it to get over soon because then the new journey in life will begin to unfold.Inevitably the feeling of apprehension that was once dominated back in the Final MBBS exam days made it comeback when i think of the working life.... Selene is doing great in Singapore,i wonder will i have the same fate and luxury???(i guess not....)
The title was stolen from Jason Mraz album,but i think it is perfect,because i want to start my life anew,meet new people,live in new enviroment...
Saturday, May 16, 2009
Men in tutus...WHAT???
The performance was actually men,performing ballet....i must clarify,a group of all men performers,taking both males and females role.They performed in their own intrepretation-aka humor,and their hunger for cheers and applaud was tremendous...the whole time,the performers wont leave the stage unless received enough applaud,in a very funny way that is,and they were not shy of showing it....The technical part perhaps Cqueen appreciate it more than me because i know nothing.Previously i thought ballet was only for girls...but actually men play equal role,and this performance show me that men can do equal job compare to their counterparts...haha
People get sceptical,and perhaps have some degree of stigma.But i truely enjoyed the show. Their effort ,courage,and techniques was beyond the description of words.My palms kinda have post-clapping syndrome now...:D.
Monday, May 11, 2009
Friday, May 8, 2009
Wednesday, May 6, 2009
Monday, May 4, 2009
Another read-The Secret Garden
Sunday, May 3, 2009
A puppy named Myiok....:D
Friday, May 1, 2009
The Holiday...
It's been awhile since i saw the sea glimmers under the warm sun above...we were travelling so fast like nobody's bussiness....:D
Our place for the next few nights...guess what's the room number?? 93 and 94(translate into cantonese and it will bring out the meaning...:D)Our eight legged neighbour...it was a bit less than a size of the palm...i think....
I was astonished on how breath taking the beach of Perhentian can be,after about five years it is still as pretty as ever...
We were immersed in deep sea of Perhentian....and we were trying our best to stay afloat??PL even got his google on.
This is the white plastic bag and I....(i didnt noticed the bag at first though...haha....)
Aside from snorkling around Perhentian,we also stopped at Redang island...to search for baby sharks..
All of us became so muscular.wahaah....dream come true...including SC..opps...she's already is...
Im not a bystander...Im in the game...and we won for all the matches we played against a bunch of "juniors"fr KMPP ,and a bunch of workers from Genting...haha.The sight of the flying fishes bursting out from the water to fly along our boat was spectacular by the way....sadly no photos to show.
We met a pair of good-looking Germans-Michael and Kristina,plus in the photo our snorkling guide...:)
Satay treat courtesy of Yin Cheng's parents....all the stuffed faces....
Finally...Lee Shia's house....hehe...wanted to go for a long time already....we helped her with the shop...(erm...not me...i spent the whole time watching National Geography,she subscribed Astro...)
Yin Cheng also brought us to a waterfall...which the name i couldnt really recall...Belata something....It was a great place to swim and picnic!!!It was a nice trip with lots of drama and excitement which will take a few more pages if to write them all down...I enjoyed it very much,THX!!!