I just cant stop the beat....

I meant my extra vigorous heart beat=palpitation...

Recently i kept having this palpitation plus adrenalin rush,here's why:

1)Delivering a set of twin,1st fetus cephalic,2nd breech.(the 2nd twin probably delivered himself).

2)Doing my evacuation of retained product of conception(afraid puncturing the uterus every minute i currete)

3)Doing my 1st caesarean section(with a great help from my Mo's of course---anything can go wrong)

4)Seeing things that soothes the eyes...(Ding and iron woman should know what i meant,ha!)

5)When mothers having poor maternal effort

6)Or they are screaming their heads out while wanting their baby's head to get out from the vagina

7)Seeing a humangous haematoma on the vagina...8x9cm,my goodness(must suture perineal tear and episiotomy wound meticulously !!!!!)

8)Going to Stadium Keningau which seems a bit creepy (the male toilet part),but the pool was OK.

Life is interesting when there's reason for your heart to work harder...:)

Peaceful day in Keningau...

Occasionally i do need some time off from from hospital..and today was the day.People asked me :"what you wana do la with the one day off in Keningau."

Probably just drifting away into sleep,and just enjoy the time being away...

Yes,some alone time it's good for the soul...

It's not all sugar and honey in Keningau ...

Since the begining started with the wrong foot.Being compared to the previous "excellent" four put even more strain on the 4 newbies who knew nothing about the computerized system here.Yes,less patient,but when the in-charged MOs is not happy,life can get tough.

It's not the reason of laziness or stupidity,the problem would be organization and human relation.Yes,being a DR can be a sucky job when most of the time rapport with people comes into play...especially to survive in a whole new place...The so called the first impression...

The brighter side,less houseman,less competition in doing procedure.More focused on learning...more 1 to 1 exposure and more weird2 cases and ghost stories...Starting my oncall tomorrow...

Will try my best...not to be discouraged,but to gain something from all of this...As the saying goes:"things happen for a purpose....."

People i wana avoid in life...

People who likes to take advantage of others,especially during working times...

People who always think they are right,and the whole world revolves around them...

People who will do what they can to get want they want,regardless of how friends might think of them...

People who are lazy in doing work,avoiding task and pushing responsability to others...

People who thinks they are funny and cute,but actually it is making people sick...

I am "fortunate" enough to meet her when started working in sabah,and truely it came with a whole package.Enough is enough i say to myself,and it doesnt worth my time and energy to let this kind of people disturbing my life.Please stay far far away from me....

I am a Keningau Boy!

For the next two months i will be posted to district Hospital Keningau ...it's going to be a whole new adventure!!huhu!!

It was announced officially and letter was issued to us who were involved...I am very hopeful of this new unexplored teritory....:)

Only the lucky 4 were choosen,and i am one of them....:)

One of those oncalls that you just have to write about...

The OBGY experince i got so far is truely out of this world.

First time oncall in labor room,one would really hope it was uneventful and everything go smoothly.

A lady came in with Gravida 2 Para 0+1(her second pregnancy but first pregnancy miscarriaged),os was 6 cm.Cardiotocograph(like a ecg for fetus) doesnt looked good.I enthusiaticly went to attend the patient.

Left lateral position,oxygen,hydration....at last i wanted to drain out the urine.

I was searching the urethra hole,and my eyes were really focused,vision and distance of my head from the target was ...hmm...half a meter apart...then i found it.With a PPK as a chaperon,i inserted the drain.Not even 1/3 in,my patient told me:" Dr,saya rasa mau berak la!"

I looked at the patient:"huh?masih awal lagi la puan..."

The next thing i knew,the drain suddenly flew out.A fountain of golden urination flashed by in front of me...Recall back the distance,my head was within the range,and the next thing i knew,my specticle got spots of urine,i think my hair got some drops on it too...i think my expression at tht time was priceless.My diligent PPK was laughing her hearts out,and so were the nurses at labor room...

My friends told me OBGY and liqour(amniotic fluid) is inseperable,one would have the privillege to be touch by it sometime at unwanted places.But this time i wana add in the list,urine also....

My 1st working day in OBGY

Today was the official working day in OBGY,PAC is the first line where all obstetric admission came in.I am currently working with a bunch of nice people,making my day bearable.Since morning the admission came in with a constant flow,whn most of the drama happen to the patients i've touched...

1st dramatic patient,came in with labor pain,not enough months(prematurity,many children before),i was busy setting line and taking blood,just started to interview when my dependable nurse told me:"DR!patient macam sedang teran la!"Immediate vaginal examination,baby's tip of the head was already visible...Pushing the mother like mad with my nurse to the labor room,passing over the case to my colleagues in LR...it happen like within a few minutes...Soon after tranfered bed,the baby popped out,in the end the baby looked termed,probably it was wrong date....i heaved a sigh of relief....

After 30 minutes, 2nd patient( 10 children before),came in with labor pain.Again the same scene:"Dr!patient macam mau teran la!"I ran and checked placenta was not low lying(vaginal examination can cause bleeding if low lying placenta was injured).The nurse did VE at once,again,baby's head is coming out."Hantar labor room sekarang!!".when we wanted to tranfer patient on to another bed in LR,she said:"Nurse,saya rasa macam mau berak!.''.When we open the blanket,the newborn baby was already shaking her hands and crying vigorously ...The nurse and i was shocked but had a good laugh later...

Both patients delivered uneventfully...It was sure a busy day,but it did ended with some new invigorating experince...:)