Last entry for the year 2010

A year gone by so fast.....Many events,many emotions...Sometimes i wonder how i got through some of the things happened...

It was another memorable year.Hoping years to come will be full of suprises,happiness and learning experince! Goodbye 2010 and Happy 2011!

i just wana curl inside my bed...

A day to rest from night shift,initial had flight of ideas to go to town,pay car loan,a movie perhaps...but in the end woken up at 5pm.Then it rained.

Last night it rain too,but i was in hospital,attending patinet in total darkness(electricity blackout).

It's nice to hear it sings.Other people love rainy days,im one of them too...:)

Day become night,and night become day...

It's fully reverse now,limited houseman,no rehat malam,everyday im more and more nocturnal....I came back to to an empty house evry morning,seems a bit depressing,but liking the whole space for myself...Been skipping lunch nowadays,which means getting more and more cachexic....Everyday has been not easy,but this is life...Im so going to enjoy my new year holiday next year...so until then,work everyday like there's no tomorrow....Suprisingly in the mist of failure of the system ,somehow deep inside im kind of enjoying it...twisted isnt it?...

Simple,easy,just taking a breather..

Yes,recovering from my URTI,on and off will still have headache...It's been quite sometime i havent spend some time alone,just sitting there quietly,with a book infront of me,letting the time passed by ...

No obligations,no emergencies,no tension/stress, just taking a breather before the coming storm....(9 housemans in casualty...)

Hiccups...

It's been ages since i had one episode...and it just happen to occur when i had an bad case of upper respiratory tract infection.Runny nose,sore throat,fever and hiccups...

Some info about hiccup which to share(taken from emedicine-the website you trust XD)

Hiccup,medical term= singultus.It serve no purpose except to irritate you.It just an embarassement when you are having it while listening to patient's problem(but it does make d kids laughed).Usually affect the left hemodiaphragm.It can occur 4-60 times per minute.

Exact cause of it?=Mystery

Brilliant people has been postulating:

Hypocrates and celcus=liver inflamation

Shortt 1833=phrenic nerve irritation

Bailey 1943 has come up with a hiccup relex arch,which consist of afferent limb,hiccup center,connections to other systems and efferent limbs.

It will ring a red flag if the hiccup has been persistent more than 48 hours,which required a very detail history and examinations.Basically everything can caused a persistent /intractable hiccup.

Respiratory :pneumonia,empyema,asthma,bronchitis,diaphragmatic injuries.
Cardiac :pericarditis,myocardial infarction,
Electrolyte :low sodium,potassium,calcium,uraemia,
GI Tract :peritonitis,abscess,gastroenteritis,esophagitis...and there's more to go...

Treatment options:
Conventional methods:breath holding,changing breathing pattern,stucking a catheter into nose/mouth,digital rectal stimulation(wow),carotid massage...etc etc

Medical:
haloperidol,metochlopramide...

It's just a simple hiccup,but it can mean so much more...thankfully mine has resolved...

Life = Beautiful

I come to a conclusion that life can be very simple,to gain,there's always giving/sharing.plus that little luck factor.

With painful legs/knees for 3 days,i have seen the most beautiful sunrise in my life,made really good memories with my friends,and see how truely wonderful Sabah can be.

With sacrifice of being near to home,i have seen the beautiful side of Sabahan,being polite,helpful and generous(Even if it means driving up the pedestrian walkway to make way for ambulance)

With lost of most of my "me-time",i have seen myself better.

With all those moments of life and death,it made me realize "you never know what will happen when the next second comes".

With alteration of my physiology after going into accident and emergency department,i have seen some really interesting cases..(eg a small thread like worm sticking on my gloved finger after per rectal examination,a man walked in with creatinine level of 2817,rat as big as a cat bitten a 2 year old child,how a jelly fish can sting....)

I am just grateful for who and where i am.........Life truely can be beautiful!

How To Save A Life-The Fray

This song always reminded me of the ones i've lost,of those regrets ,and of those moments where i dont dare to relive...I am just glad i am here,and all that are still with me....thank you :).It's is October again,and i just wana say i missed you !

Step one you said we need to talk

He walks you said sit down it's just a talk

He smiles politely back at you

You stare politely right on through

Some sort of window to your right

As he goes left you stay right

Between the line of fear and blame

You begin to wonder why you came

Where did i go wrong,i lost a friend

Somewhere along the bitterness

And i would stayed up with you all night

Had i known how to save a life