Just to wish everyone Happy New Year 2009...
May everyone healthy, happy and harmony... the 3 Hs
and i do hope that i'll settled down in my new rented place. No more problems.
And of course, study well and everyone back home in Penang healthy and happy.
Happy New Year 2009... have a BULL year ahead!
Hope i can write more frequent
Wednesday, December 31, 2008
Saturday, December 13, 2008
KL life...
Staying in KL for two months... how was it? well... sweet and sour i guess... mixture i guess...
first thing first... the work in IJN, two months attachments there were really drained me off... trust me, i need one week of rest to recover from it... everyday, my eyes are like half open, once i suspect myself having ptosis... blurring of vision...
Working in IJN.... mmm pretty hectic but manageable. met few new colleagues... learn how things are done in IJN. blar blar blar
Traffic is really getting into my nerve.... with my driving skill, i think the KL drivers are cursing me... sorry yeh... am born Penang driver... hehe
Luckily i got my GPS with me, so getting around in KL should not be a major problem... one day, my wife asked me to pick her up at UKM Cheras as her housemate went home early as not feeling well... after my last case at 630pm, rush for the premed and by the time i turned on my car it was 730pm and zoom out of the IJN multi level car park
punch in UKM Bangi... and off i go... half way, jam... damn!!! the GPS directed me thru the worst road in KL, Chow Kit!!! squeezed thru here and there... and for those weaked heart, not advisable to travel in my car... and thru Dataran Merdeka and then Jalan Syed Putra.... What la!!! am circling around and then i don't care.... just follow the GPS, 'turn right in 300m, take the 3th ramp on the right... blar blar blar...' one thing for sure.... to drive in KL, all roads can lead you to the destination, just make sure the petrol tank of your car is full!!
So, at last i reached UKM, time 845pm!!! ok, dinner??? Korean food opp our rented apartment in Old Klang Road...
End of a working day... typical...
Life continues on... LIfe in IJN...
Two months in IJN posting in KL were not enough for me... everyday woke up at 6am, got everything really and by 630am I will be in IJN to begin the hectic work schedule of IJN. Drugs dilution and preparing for the cases and blar blar blar... i always remember this line by one of the consultant cardiac anesthetist... 'slow is smooth, smooth is fast, so slow is fast...' which i later on found the same line in the movie Shooter, minus the last part of slow is fast... i guess what he said is correct... everything should be planned and carrying it out smoothly... when the patient arrived to OT, I will greeted the patient and make sure the patient is the one on the list... check the name tag on patient's wrist and on the patient's folder... and the check list is going on and on.... all for the patient's safety...
The first case will be started around 830am and ended around 1230pm, of course, it all depends on the Surgeon. There are a few who did Valves Replacement faster than Lap appendectomy! wow, u can say that again....
Then, the Consultant will come and relief you for lunch... and then back to the OT to transfer the patient to CICU. and the cycle starts again for the second case... drug preparation, identification of the patient, setting the peripherals line for induction and arterial line for IBP monitoring... and then asked the patient to say their respective prayers before putting them to zzzzz... yes... it is important part for the patient to say their respective prayer so that their minds will be calm and relax... (to anesthetist also) and then gently holding mask in assisting them to breath and wait for few minutes before putting the endotracheal tube into their trachea... secured the tube, put in the nasal probe into one of the nostril to monitoring the body temp... and tape the eyes... and then scrub for the neck line.... and femoral arterial line... all have to be done in less than 30mins... yeap.. less than 30mins...
Good training for speed....
One of the Consultant does tell me this, 'learn to smell the artery and insert the cannula!' too bad till now, my nose is always blocked and unable to smell... :P
then put up the infusion line for inotropes... put the TEE probe into the mouth... wow... lots of thingy on the patient.. no holes are left... nasal, mouth...
then prepare to disconnect the ventilator for awhile when the 'great' surgeon said out 'lungs down' and you reply back 'lungs down' don't you like it?! and after the chest is being sawed open, he will say lungs back up...
then watch out the blood pressure... and then pay attention to the word HEPARIN in... yes and then count down for 3mins for checking the ACT time... before the surgeon goes on pump.... and things continue on till around 6pm.... chest closed and sent the patient to CICU, do the blood gases and settle the ventilator... and then review the next day patients, minimum 2cases... and if not lucky, being caught by this indian SR by the name of Dr Raja, he will ask you to do his premed and do all kinds of dog jobs... really exploiting...
By the time all premed seen, it will be around 8pm and then hurry to the car park and out of IJN and landed yourself in traffic jam of KL... sigh! by the time i reached home, it was 930pm and luckily wife prepared the dinner. Shower and dinner and eyes are already half shut and dozeeee off...
The alarm went off... and the cycle continue on... for two months...
The first case will be started around 830am and ended around 1230pm, of course, it all depends on the Surgeon. There are a few who did Valves Replacement faster than Lap appendectomy! wow, u can say that again....
Then, the Consultant will come and relief you for lunch... and then back to the OT to transfer the patient to CICU. and the cycle starts again for the second case... drug preparation, identification of the patient, setting the peripherals line for induction and arterial line for IBP monitoring... and then asked the patient to say their respective prayers before putting them to zzzzz... yes... it is important part for the patient to say their respective prayer so that their minds will be calm and relax... (to anesthetist also) and then gently holding mask in assisting them to breath and wait for few minutes before putting the endotracheal tube into their trachea... secured the tube, put in the nasal probe into one of the nostril to monitoring the body temp... and tape the eyes... and then scrub for the neck line.... and femoral arterial line... all have to be done in less than 30mins... yeap.. less than 30mins...
Good training for speed....
One of the Consultant does tell me this, 'learn to smell the artery and insert the cannula!' too bad till now, my nose is always blocked and unable to smell... :P
then put up the infusion line for inotropes... put the TEE probe into the mouth... wow... lots of thingy on the patient.. no holes are left... nasal, mouth...
then prepare to disconnect the ventilator for awhile when the 'great' surgeon said out 'lungs down' and you reply back 'lungs down' don't you like it?! and after the chest is being sawed open, he will say lungs back up...
then watch out the blood pressure... and then pay attention to the word HEPARIN in... yes and then count down for 3mins for checking the ACT time... before the surgeon goes on pump.... and things continue on till around 6pm.... chest closed and sent the patient to CICU, do the blood gases and settle the ventilator... and then review the next day patients, minimum 2cases... and if not lucky, being caught by this indian SR by the name of Dr Raja, he will ask you to do his premed and do all kinds of dog jobs... really exploiting...
By the time all premed seen, it will be around 8pm and then hurry to the car park and out of IJN and landed yourself in traffic jam of KL... sigh! by the time i reached home, it was 930pm and luckily wife prepared the dinner. Shower and dinner and eyes are already half shut and dozeeee off...
The alarm went off... and the cycle continue on... for two months...
Monday, December 08, 2008
Time flies...
"Jingle bells, jingle bells..." Christmas tree, Santa decos are everywhere...
Time really flies... now it is december and 20days it will be 2009!
Looking back... as usual, life is full of ups and downs... that's what make life interesting right? 2008...mmmm... lots of ups and downs for me.
Jan 08 till May 08, pretty ok for me as I'm still in Hospital Penang for the posting. However, in the month of May, pretty shaky as I'm going to a new place for my the other 2years training, meaning, i am leaving my loving daughter behind in Penang for my mom to take care and my wife is in KL. Gosh...
June 08 till right now... In month of June08, settling down in Kota Baru aka New Castle (make it sounds more promising). got myself a tidy room but equipped with internet WiFi. Then came the problem of housemate... PSYCHO in the house, who has different wave of thinking, and I guess, that's why he is into PSY master programme, to find a cure to himself??!! He admits his driving skills is not good, yet insult Hyundai by getting the Coupe. (please, if he is reading this blog, GO and LEARN how to PARK)
Maybe someone should let him know, what are MANNERS? and what is the word SHAME means...
OK, wasting the internet space by writing on this PSY... like one of my colleague said about him, FULL OF FARTs....
Oct and Nov08, these two months I was posted to KL, yes!! Near to my wife! but still no enough time spent with her. Reason: am in IJN posting, or rather going to South Pole... why? seeing no sunlight, going to work at 630am and coming back at 8pm... by the time i reached the rented apartment where my wife stays, am dropped death too tired! My legs were aching... trust me... NO LIFE!
But i got no much of complaining, as i am with my wife... but daughter still in Penang. Honeymoon period, like one of my best friend said. Too bad. IJN posting drained most of the time!
to be continue...
Time really flies... now it is december and 20days it will be 2009!
Looking back... as usual, life is full of ups and downs... that's what make life interesting right? 2008...mmmm... lots of ups and downs for me.
Jan 08 till May 08, pretty ok for me as I'm still in Hospital Penang for the posting. However, in the month of May, pretty shaky as I'm going to a new place for my the other 2years training, meaning, i am leaving my loving daughter behind in Penang for my mom to take care and my wife is in KL. Gosh...
June 08 till right now... In month of June08, settling down in Kota Baru aka New Castle (make it sounds more promising). got myself a tidy room but equipped with internet WiFi. Then came the problem of housemate... PSYCHO in the house, who has different wave of thinking, and I guess, that's why he is into PSY master programme, to find a cure to himself??!! He admits his driving skills is not good, yet insult Hyundai by getting the Coupe. (please, if he is reading this blog, GO and LEARN how to PARK)
Maybe someone should let him know, what are MANNERS? and what is the word SHAME means...
OK, wasting the internet space by writing on this PSY... like one of my colleague said about him, FULL OF FARTs....
Oct and Nov08, these two months I was posted to KL, yes!! Near to my wife! but still no enough time spent with her. Reason: am in IJN posting, or rather going to South Pole... why? seeing no sunlight, going to work at 630am and coming back at 8pm... by the time i reached the rented apartment where my wife stays, am dropped death too tired! My legs were aching... trust me... NO LIFE!
But i got no much of complaining, as i am with my wife... but daughter still in Penang. Honeymoon period, like one of my best friend said. Too bad. IJN posting drained most of the time!
to be continue...
Wednesday, August 13, 2008
Act of stupidity?
How on earth a team of surgeons to operate if they don't know the anatomy marking of a structure? Before they can operate conventionally, they want to venture into something fancy.... can anyone imagine that?
Am not going to let them operate on me.
Struggling since morning with the new fancy way to operate and have to convert later in the evening and still struggling when i passed over in the night....
Half way thru, one of them asked, 'where is the nerve?' 'is this the structure?'
Am not going to let them operate on me.
Struggling since morning with the new fancy way to operate and have to convert later in the evening and still struggling when i passed over in the night....
Half way thru, one of them asked, 'where is the nerve?' 'is this the structure?'
Monday, August 11, 2008
Funny Road Name...
I have been here in Kelantan for two months and this is my third month here. I went to few regular places for my dining and few of the road's name really amazed me... got Jalan Pintu Pong, Jalan Gajah Mati, Jalan Pintu Geng and list goes on.... Some of the menu also got strange name, Kuih Malas, juice TAR? don't believe me, just check it out the photos i took...
Wednesday, July 02, 2008
Slow useless Web page
My wife was complaining to me about the web page she try to access for the past two hours, she blamed it on the DIGI data line i got her... so i try to download the forms from Kelantan with my Streamyx line and to my dismay i think the government need to upgrade their web page... and make it easy for viewing and stop putting the stupid lady photo... irritating!!!
if you don't believe me, try yourself and you will know and understand my frust!!
http://humanres.moh.gov.my/search.php?query=borang+harta&action=results&sel_lang=english
if you don't believe me, try yourself and you will know and understand my frust!!
http://humanres.moh.gov.my/search.php?query=borang+harta&action=results&sel_lang=english
Minor Accident....
What a day...
Two days ago, I was driving back from Penang to Kelantan... it was afternoon and no doubt, traffic were slow... not because of heavy traffic... but it was because of those stupid slow drivers.... inconsiderate... come on, this is national highway, at least your speed should hit 90km/hr or 110km/hr if the road is good... they were driving at 40km/hr in the middle of the road!!!!
I was driving and following these asshole driver that was driving at the speed of 60km/hr on the highway and when i tried to over take, he sped up!! so, i didn't want to risk my life but to follow him...
I think i made a mistake of following him... he was just braking and braking for nothing, making me impatient and braking also... so when approached the round about of Pasir Mas, my break malfunction due to frequent braking.... i can't brake in time but knocked into his Wira Aeroback...
OMG, that's what i can said that time, in my mind, i was thinking where and how to repair my faithful accent... i pulled aside and we came down to examine the damage, the Wira bumper dented, not a big issue... but to my surprise, there is no damage to my bumper or any scratches.... WOW!!! Accent's bumper really tough!!
Anyway, paid the mother f*&(er whatever i had in my wallet and apologize to him...
Two days ago, I was driving back from Penang to Kelantan... it was afternoon and no doubt, traffic were slow... not because of heavy traffic... but it was because of those stupid slow drivers.... inconsiderate... come on, this is national highway, at least your speed should hit 90km/hr or 110km/hr if the road is good... they were driving at 40km/hr in the middle of the road!!!!
I was driving and following these asshole driver that was driving at the speed of 60km/hr on the highway and when i tried to over take, he sped up!! so, i didn't want to risk my life but to follow him...
I think i made a mistake of following him... he was just braking and braking for nothing, making me impatient and braking also... so when approached the round about of Pasir Mas, my break malfunction due to frequent braking.... i can't brake in time but knocked into his Wira Aeroback...
OMG, that's what i can said that time, in my mind, i was thinking where and how to repair my faithful accent... i pulled aside and we came down to examine the damage, the Wira bumper dented, not a big issue... but to my surprise, there is no damage to my bumper or any scratches.... WOW!!! Accent's bumper really tough!!
Anyway, paid the mother f*&(er whatever i had in my wallet and apologize to him...
Friday, June 20, 2008
Life In Kelantan...
Today is Friday, weekend in Kelantan... am not going back as i'm taking off this month end...
Life is bit different here...
Had my first ICU call in USM.... started in the morning but not in ICU but on standby for any ECT, Embolectomy, CTScan and ICRT in A&E.... there was a case in ICRT in A&E minor OT... Ca Cervix Stage 3b
Then praying hard nothing else till my take over at 4pm....
At4pm, taking over and few beds are empty... after taking over, doing my rounds and then in the evening, things started to happen, pager goes off as usual.... referral here and there... Medical, Neuro, Ortho, Premed!!! also... can you imagine that?!
Anyway, didn't complaint much, just do it by priority....
12am, case just finished from OT and transferring in... case started in morning and ended in the night!!! Hypovoluemic shock, hypothermia and i need blood and warmer... not bad, quite fast in ICU (luckily)
then after settling the case, it was 2am and headed to my call room to catch some nap...
referal here and there, settled thru phone....
Life is bit different here...
Had my first ICU call in USM.... started in the morning but not in ICU but on standby for any ECT, Embolectomy, CTScan and ICRT in A&E.... there was a case in ICRT in A&E minor OT... Ca Cervix Stage 3b
Then praying hard nothing else till my take over at 4pm....
At4pm, taking over and few beds are empty... after taking over, doing my rounds and then in the evening, things started to happen, pager goes off as usual.... referral here and there... Medical, Neuro, Ortho, Premed!!! also... can you imagine that?!
Anyway, didn't complaint much, just do it by priority....
12am, case just finished from OT and transferring in... case started in morning and ended in the night!!! Hypovoluemic shock, hypothermia and i need blood and warmer... not bad, quite fast in ICU (luckily)
then after settling the case, it was 2am and headed to my call room to catch some nap...
referal here and there, settled thru phone....
Sunday, June 01, 2008
first day in USM
First day in USM OT.... am posted to Pedia Surgery... total got 4 cases, first one is under LA. Second case, bilateral inguinal hernia, third case, hypopediasis and last case, anal repair... OT starts at 9am... after meeting at dept for those just join in campus 3rd year, total 5... we went to Dean office to say Hi... then went to the respective duty... me and one more gal from KT posted to OT. Raziman and the rest posted to ICU. ICU posting is for a week...
so, since there is no PM shift, i wonder when am going to finish my list... anyway, i already prepared for the worst...
the OT is like a maze... and I am like a mouse... to make things worst, there is few colours for the scrub gown... got PURPLE, got blue, got YELLOW, got brown, got Green, got PINK!! luckily i managed to find one... BLUE scrub (Divya will surely take the PURPLE), and off i go to OT4.... which is somewhere, some part of the OT complex... OK, got it...
still first case... last case got postponed from Surgical site, very good... so left two more GA cases, bilateral hernia and primary repair of hypopediasis... so that's means i can finish early and do my premed early and go back early.... YAHOO!!!
to my dismay, nothing like that happen... induce patients at 0940hrs, but surgeons are not around... MO after seen us induced, disappeared... so, cool down. in campus, not suppose to make any noise... wait wait wait for 1hour plus, then surgeon came... ok... second case induced at 1240pm and case started at 1340hrs.... finished at 1630hrs and off i went for my premed...
Lunch was provided in the OT for all the doctors.... just like call food, baggers can't ask much...
so, since there is no PM shift, i wonder when am going to finish my list... anyway, i already prepared for the worst...
the OT is like a maze... and I am like a mouse... to make things worst, there is few colours for the scrub gown... got PURPLE, got blue, got YELLOW, got brown, got Green, got PINK!! luckily i managed to find one... BLUE scrub (Divya will surely take the PURPLE), and off i go to OT4.... which is somewhere, some part of the OT complex... OK, got it...
still first case... last case got postponed from Surgical site, very good... so left two more GA cases, bilateral hernia and primary repair of hypopediasis... so that's means i can finish early and do my premed early and go back early.... YAHOO!!!
to my dismay, nothing like that happen... induce patients at 0940hrs, but surgeons are not around... MO after seen us induced, disappeared... so, cool down. in campus, not suppose to make any noise... wait wait wait for 1hour plus, then surgeon came... ok... second case induced at 1240pm and case started at 1340hrs.... finished at 1630hrs and off i went for my premed...
Lunch was provided in the OT for all the doctors.... just like call food, baggers can't ask much...
Tuesday, May 13, 2008
No Brain?
At my neighbourhood, there is a Sai Baba Center... where there will be lots of devotees coming to do their worshiping. They will parked their vehicles the way they like, not caring the residents over here...
the road over here is narrow and the way they parked their cars really created a headache and nonsense to the residents here...
Monday, May 05, 2008
Saturday, May 03, 2008
Healthy Call Food?
this is one of the many call food that we have to take during on call... check the level of oil...
Tuesday, April 22, 2008
Hospital Care...
I did round today and i noticed this in one of the patient... please do take care of this small basic thing...
See the way the branula is being anchored, and the extension to the ventilator tubing, leaking without being noticed by the nurses in the ward... there is persisted hissing sound from the tubing...
Monday, April 21, 2008
Pay before you stay??
I would like to share this incident that I have encountered recently...
I am going for the MSA meeting this coming April in Langkawi. The venue is in Awana Langkawi but it is fully booked by the MSA secretariat. They offer other hotels. I have no choice but choose one cheaper hotel, Aseania Resorts Hotel, Langkawi which costs 150RM per night. I called and made the booking... it was not a pleasant first impression... it took so long for the operator to answer my call, and when I said I would like to make the booking, they transfered my call to the hotel reservation which again put me on hold for 15mins. Then, after I mentioned that am attending the MSA, they passed me to the person in charged, and I was told that I have to fax in the hotel reservation with my particulars and credit card details. As I have previous made hotel reservations with my credit card and there were no fault so far, so I faxed and made the hotel reservations.
Two days ago, I received my credit card statement. I was shocked that the hotel has charged me the full amount of 3 days stay even before I'm going to the hotel!!! I have traveled many places and made hotel reservations online, as i know, they will swapped the credit card for deposit and when we checked out, they will only billed you and teared off the deposit slip...
I called the hotel management about the above matters, to my dismay, they told me, full payment has to be made before you stayed in the Hotel!!
Am I missing out something??
I am going for the MSA meeting this coming April in Langkawi. The venue is in Awana Langkawi but it is fully booked by the MSA secretariat. They offer other hotels. I have no choice but choose one cheaper hotel, Aseania Resorts Hotel, Langkawi which costs 150RM per night. I called and made the booking... it was not a pleasant first impression... it took so long for the operator to answer my call, and when I said I would like to make the booking, they transfered my call to the hotel reservation which again put me on hold for 15mins. Then, after I mentioned that am attending the MSA, they passed me to the person in charged, and I was told that I have to fax in the hotel reservation with my particulars and credit card details. As I have previous made hotel reservations with my credit card and there were no fault so far, so I faxed and made the hotel reservations.
Two days ago, I received my credit card statement. I was shocked that the hotel has charged me the full amount of 3 days stay even before I'm going to the hotel!!! I have traveled many places and made hotel reservations online, as i know, they will swapped the credit card for deposit and when we checked out, they will only billed you and teared off the deposit slip...
I called the hotel management about the above matters, to my dismay, they told me, full payment has to be made before you stayed in the Hotel!!
Am I missing out something??
Tuesday, April 15, 2008
New Spec...
It has been awhile am using my spec... managed to get a new pair this week... want to try out something new... the 2 Inch series.. fashion...
Sunday, April 13, 2008
On Call...
Yesterday 12 April was my ICU call... it was bad.... bloody bad... patients collapsed like flies and dialysis for bed 1, bed 4, bed 6 and bed 7... all happen in one day and half way thru the dialysis, BP of the patient drops... but the nurse in charged of the dialysis was not there with the patient....
Then ward staff nurses called, "doctor, patient di wad 12, pergi ke wad 7 untuk dialysis on ventilator, itu punya ventilator tiba tiba henti berfungsi, boleh pergi ke wad 7 ka?" (in english... Doctor, the patient in ward 7 which is from ward 12 went for dialysis in ward 7, currently the verntilator stops functioning, can you please look into the matter?) I rushed there, looking at the MA ambu bagging the patient... the staff nurse didn't connect to the main power supply and the ventilator was on battery till it fails...
I guess nowadays, the nurses are not like those days... these days, the nurses are not well communicate in English... even the word 'prone', they can't understand...
One more incident, ask for GXM blood of a patient and this nurse, wrote down the consultant name on the sample blood tube (patient's blood) and asking the consultant for the IC no to be written on the sample blood tube to be GXM!!! Can you imagine that?!!
Then ward staff nurses called, "doctor, patient di wad 12, pergi ke wad 7 untuk dialysis on ventilator, itu punya ventilator tiba tiba henti berfungsi, boleh pergi ke wad 7 ka?" (in english... Doctor, the patient in ward 7 which is from ward 12 went for dialysis in ward 7, currently the verntilator stops functioning, can you please look into the matter?) I rushed there, looking at the MA ambu bagging the patient... the staff nurse didn't connect to the main power supply and the ventilator was on battery till it fails...
I guess nowadays, the nurses are not like those days... these days, the nurses are not well communicate in English... even the word 'prone', they can't understand...
One more incident, ask for GXM blood of a patient and this nurse, wrote down the consultant name on the sample blood tube (patient's blood) and asking the consultant for the IC no to be written on the sample blood tube to be GXM!!! Can you imagine that?!!
Sunday, April 06, 2008
Medical' Perspective on Why the BN Lost
A 'Medical' Perspective on Why the BN Lost in the Recent Elections
Saturday, 29 March 2008
With the thrashing that they got in the 12th.GE, the BN is now in ICU and they are doing a post mortem to find out what happened.
To help BN with this task, the following medical report has been prepared to identify the diseases/illnesses that have been plaguing it and how these ailments have caused this sickening organization to become so sick that major surgery is now being considered.
Diagnosis
Overeating – gorged themselves and ate too much of the people's money
Heart failure – did not have a heart to really care about the rakyat
Rectal cancer and constipation – did not expel all the shit from the system
Diabetes – fondness for sweet things, i.e. saying sweet things to try and con the rakyat ( in plain English, lying)
Stroke – stroked too much of their own ego and became too arrogant
Overworking – too busy running here and there cutting deals for own benefit
Alzheimer's – forgot to play the proper role of an elected representative
Obsessive-compulsive neurosis – obsession with cleaning, especially sweeping things under the carpet
HP6 – a mutation of the deadly H5N1 ( bird flu) virus which manifests itself in the form of idiocy or semi-idiocy, thus the descriptor ' half past six ( HP6)'. Many members of the BN are infected.
VD – Very Deaf. Did not listen to the grievances of the rakyat and did not heed the healthy advice and feedback from bloggers.
Color Blind – a form of visual impairment which is directly the opposite of being color blind. There is a fixation on color and everything must always be discussed in terms of 'color' – Malay, Chinese, Indian etc.
Liver problems – failure to de-Liver on promises
'Inverted Cerebranus ' – a new form of disease where the cerebrum and anus are transposed causing highly irrational and objectionable behaviour, like brandishing ancient weapons and ranting racial slurs and threats
Prognosis
Not good and definitely a terminal case.
Chances of recovery are 1 in a gadzillion, about the same odds as Osama converting to the Jewish faith and becoming a messenger of world peace.
Cure
No known cure. Euthanasia recommended.
Suggest to drink lacquer – at least it will ensure a beautiful finish.
By Political doctor
Saturday, 29 March 2008
With the thrashing that they got in the 12th.GE, the BN is now in ICU and they are doing a post mortem to find out what happened.
To help BN with this task, the following medical report has been prepared to identify the diseases/illnesses that have been plaguing it and how these ailments have caused this sickening organization to become so sick that major surgery is now being considered.
Diagnosis
Overeating – gorged themselves and ate too much of the people's money
Heart failure – did not have a heart to really care about the rakyat
Rectal cancer and constipation – did not expel all the shit from the system
Diabetes – fondness for sweet things, i.e. saying sweet things to try and con the rakyat ( in plain English, lying)
Stroke – stroked too much of their own ego and became too arrogant
Overworking – too busy running here and there cutting deals for own benefit
Alzheimer's – forgot to play the proper role of an elected representative
Obsessive-compulsive neurosis – obsession with cleaning, especially sweeping things under the carpet
HP6 – a mutation of the deadly H5N1 ( bird flu) virus which manifests itself in the form of idiocy or semi-idiocy, thus the descriptor ' half past six ( HP6)'. Many members of the BN are infected.
VD – Very Deaf. Did not listen to the grievances of the rakyat and did not heed the healthy advice and feedback from bloggers.
Color Blind – a form of visual impairment which is directly the opposite of being color blind. There is a fixation on color and everything must always be discussed in terms of 'color' – Malay, Chinese, Indian etc.
Liver problems – failure to de-Liver on promises
'Inverted Cerebranus ' – a new form of disease where the cerebrum and anus are transposed causing highly irrational and objectionable behaviour, like brandishing ancient weapons and ranting racial slurs and threats
Prognosis
Not good and definitely a terminal case.
Chances of recovery are 1 in a gadzillion, about the same odds as Osama converting to the Jewish faith and becoming a messenger of world peace.
Cure
No known cure. Euthanasia recommended.
Suggest to drink lacquer – at least it will ensure a beautiful finish.
By Political doctor
Friday, April 04, 2008
The 'Tidak Apa' Attitude
Today, I have the opportunity in setting up a slide show in the hospital CME in remembrance of late Dr Tan Bee Hooi.
I reached hospital at 710am, clocked in and went up to the auditorium. I saw a man opening the door to the auditorium. I was happy that at least I can set up the computer and check if the system goes well, just like how i check my GA machine, preparing the emergency drugs everyday before my day start.
I can't find the main switch and there is no computer system around... luckily I brought my Mac. I went to the library to see if the person in charged of the PA system was there... met the librarian, he told me at 730am the person in charged will come... I looked at my watch, it was 735am!
OK... the speaker came... fellow colleagues and other medical staffs turned up... but there was still no sign of the PA guy... it was 745am...
The hall was almost full... still there was no sign of the PA guy... no computer, projector was not on...
810am... I can't wait any more but offer my Mac, but no point cause the main switch for over head projector and microphone was not on... 815am... the PA guy turned up with the lap top... without a single word of sorry... just showing his 'tidak apa' attitude...
Hello boss, what time is it??!! it is 815am!! and the hospital CME is supposed to start at 8am... you are the support team person in charged of the PA system, you are supposed to come at least 30mins before audiences turn up!!! Is this the way you suppose to work??!!
Mind you... your tidak apa attitude will cause you dearly if everyone is behaving like this... imagine you are the critical ill patient and we doctors have the tidak apa attitude, how do you like it?? or your loved one is seeking treatment and waiting for doctors to come, do you want this to happen to you??!! No right?? So, PLEASE don't behave like you are the boss... one day you will taste the medicine...
Just like the Saturday allowance for doctors who run OT, the Health Minister already announced the 80RM/hr claims for MO and 200RM/hr for Specialist... but when we submit the call claims, the office in charged will say, no statement of that to allow doctors to make such claims...
Sigh... the so called system...
I reached hospital at 710am, clocked in and went up to the auditorium. I saw a man opening the door to the auditorium. I was happy that at least I can set up the computer and check if the system goes well, just like how i check my GA machine, preparing the emergency drugs everyday before my day start.
I can't find the main switch and there is no computer system around... luckily I brought my Mac. I went to the library to see if the person in charged of the PA system was there... met the librarian, he told me at 730am the person in charged will come... I looked at my watch, it was 735am!
OK... the speaker came... fellow colleagues and other medical staffs turned up... but there was still no sign of the PA guy... it was 745am...
The hall was almost full... still there was no sign of the PA guy... no computer, projector was not on...
810am... I can't wait any more but offer my Mac, but no point cause the main switch for over head projector and microphone was not on... 815am... the PA guy turned up with the lap top... without a single word of sorry... just showing his 'tidak apa' attitude...
Hello boss, what time is it??!! it is 815am!! and the hospital CME is supposed to start at 8am... you are the support team person in charged of the PA system, you are supposed to come at least 30mins before audiences turn up!!! Is this the way you suppose to work??!!
Mind you... your tidak apa attitude will cause you dearly if everyone is behaving like this... imagine you are the critical ill patient and we doctors have the tidak apa attitude, how do you like it?? or your loved one is seeking treatment and waiting for doctors to come, do you want this to happen to you??!! No right?? So, PLEASE don't behave like you are the boss... one day you will taste the medicine...
Just like the Saturday allowance for doctors who run OT, the Health Minister already announced the 80RM/hr claims for MO and 200RM/hr for Specialist... but when we submit the call claims, the office in charged will say, no statement of that to allow doctors to make such claims...
Sigh... the so called system...
Thursday, April 03, 2008
Story of a Cab Driver...
Twenty years ago, I drove a cab for a living. One night I took a fare at 2:30 am, when I arrived to collect, the building was dark except for a single light in a ground floor window. Under these circumstances, many drivers would just honk once.
But, I had seen too many impoverished people who depended on taxis as their only means of transportation. Unless a situation smelled of danger, I always went to the door.. This passenger might be someone who needs my assistance, I reasoned to myself.
So I walked to the door and knocked. 'Just a minute', answered a frail, elderly voice. I could hear something being dragged across the floor.
After a long pause, the door opened. A small woman in her 80's stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940's movie.
By her side was a small nylon suitcase The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets.
There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard box filled with photos and glassware.
'Would you carry my bag out to the car?' she said. I took the suitcase to the cab, then returned to assist the woman.
She took my arm and we walked slowly toward the curb.
She kept thanking me for my kindness. 'It's nothing', I told her. 'I just try to treat my passengers the way I would want my mother treated'.
'Oh, you're such a good boy', she said. When we got in the cab, she gave me an address, and then asked, 'Could you drive through downtown?'
'It's not the shortest way,' I answered quickly.
'Oh, I don't mind,' she said 'I'm in no hurry. I'm on my way to a hospice'.
I looked in the rear-view mirror. Her eyes were glistening. 'I don't have any family left,' she continued. 'The doctor says I don't have very long.' I quietly reached over and shut off the meter.
'What route would you like me to take?' I asked.
For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator.
We drove through the neighborhood where she and her husband had lived when they were newlyweds. She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl.
Sometimes she'd ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing.
As the first hint of sun was creasing the horizon, she suddenly said, 'I' m tired. Let's go now'.
We drove in silence to the address she had given me. It was a low building, like a small convalescent home, with a driveway that passed under a portico.
Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move. They must have been expecting her.
I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.
'How much do I owe you?' she asked, reaching into her purse.
'Nothing,' I said
'You have to make a living,' she answered. 'There are other passengers,' I responded. Almost without thinking, I bent and gave her a hug. She held onto me tightly.
'You gave an old woman a little moment of joy,' she said. 'Thank you.'
I squeezed her hand, and then walked into the dim morning light. Behind me, a door shut. It was the sound of the closing of a life.
I didn't pick up any more passengers that shift. I drove aimlessly lost in thought. For the rest of that day, I could hardly talk. What if that woman had gotten an angry driver, or one who was impatient to end his shift?
What if I had refused to take the run, or had honked once, then driven away?
On a quick review, I don't think that I have done anything more important in my life.
We're conditioned to think that our lives revolve around great moments.
But great moments often catch us unaware-beautifully wrapped in what others may consider a small one.
PEOPLE MAY NOT REMEMBER EXACTLY WHAT 'YOU DID, OR WHAT YOU SAID, ~BUT~ THEY WILL ALWAYS REMEMBER HOW YOU MADE THEM FEEL.
But, I had seen too many impoverished people who depended on taxis as their only means of transportation. Unless a situation smelled of danger, I always went to the door.. This passenger might be someone who needs my assistance, I reasoned to myself.
So I walked to the door and knocked. 'Just a minute', answered a frail, elderly voice. I could hear something being dragged across the floor.
After a long pause, the door opened. A small woman in her 80's stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940's movie.
By her side was a small nylon suitcase The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets.
There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard box filled with photos and glassware.
'Would you carry my bag out to the car?' she said. I took the suitcase to the cab, then returned to assist the woman.
She took my arm and we walked slowly toward the curb.
She kept thanking me for my kindness. 'It's nothing', I told her. 'I just try to treat my passengers the way I would want my mother treated'.
'Oh, you're such a good boy', she said. When we got in the cab, she gave me an address, and then asked, 'Could you drive through downtown?'
'It's not the shortest way,' I answered quickly.
'Oh, I don't mind,' she said 'I'm in no hurry. I'm on my way to a hospice'.
I looked in the rear-view mirror. Her eyes were glistening. 'I don't have any family left,' she continued. 'The doctor says I don't have very long.' I quietly reached over and shut off the meter.
'What route would you like me to take?' I asked.
For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator.
We drove through the neighborhood where she and her husband had lived when they were newlyweds. She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl.
Sometimes she'd ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing.
As the first hint of sun was creasing the horizon, she suddenly said, 'I' m tired. Let's go now'.
We drove in silence to the address she had given me. It was a low building, like a small convalescent home, with a driveway that passed under a portico.
Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move. They must have been expecting her.
I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.
'How much do I owe you?' she asked, reaching into her purse.
'Nothing,' I said
'You have to make a living,' she answered. 'There are other passengers,' I responded. Almost without thinking, I bent and gave her a hug. She held onto me tightly.
'You gave an old woman a little moment of joy,' she said. 'Thank you.'
I squeezed her hand, and then walked into the dim morning light. Behind me, a door shut. It was the sound of the closing of a life.
I didn't pick up any more passengers that shift. I drove aimlessly lost in thought. For the rest of that day, I could hardly talk. What if that woman had gotten an angry driver, or one who was impatient to end his shift?
What if I had refused to take the run, or had honked once, then driven away?
On a quick review, I don't think that I have done anything more important in my life.
We're conditioned to think that our lives revolve around great moments.
But great moments often catch us unaware-beautifully wrapped in what others may consider a small one.
PEOPLE MAY NOT REMEMBER EXACTLY WHAT 'YOU DID, OR WHAT YOU SAID, ~BUT~ THEY WILL ALWAYS REMEMBER HOW YOU MADE THEM FEEL.
Wednesday, April 02, 2008
Butter or Margarine... something to share...
Margarine was originally manufactured to fatten turkeys. When it killed the turkeys, the people who had put all the money into the research wanted a payback so they put their heads together to figure out what to do with this product to get their money back. It was a white substance with no food appeal so they added the yellow coloring and sold it to people to use in place of butter. How do you like it? They have come out with some clever new flavorings.
DO YOU KNOW.. the difference between margarine and butter?
Read on to the end...gets very interesting!
Both have the same amount of calories.
Butter is slightly higher in saturated fats at 8 grams compared to 5 grams.
Eating margarine can increase heart disease in women by 53% over eating the same amount of butter, according to a recent Harvard Medical Study.
Eating butter increases the absorption of many other nutrients in other foods.
Butter has many nutritional benefits where margarine has a few
only because they are added!
Butter tastes much better than margarine and it can enhance the flavors of other foods.
Butter has been around for centuries where margarine has been around for less than 100 years .
And now, for Margarine...
Very high in trans fatty acids .
Triple risk of coronary heart disease .
Increases total cholesterol and LDL (this is the bad cholesterol) and lowers HDL cholesterol, (the good cholesterol)
Increases the risk of cancers up to five fold.
Lowers quality of breast milk.
Decreases immune response.
Decreases insulin response.
And here's the most disturbing fact.... HERE IS THE PAR T THAT IS VERY INTERESTING!
Margarine is but ONE MOLECULE away from being PLASTIC..
This fact alone was enough to have me avoiding margarine for life and anything else that is hydrogenated (this means hydrogen is added, changing the molecular structure of the substance).
You can try this yourself:
Purchase a tub of margarine and leave it in your garage or shaded area. Within a couple of days you will note a couple of things:
* no flies, not even those pesky fruit flies will go near it (that should tell you something)
* it does not rot or smell differently because it has no nutritional value ; nothing will grow on it. Even those teeny weeny microorganisms will not a find a home to grow. Why? Because it is nearly plastic . Would you melt your Tupperware and spread that on your toast?
DO YOU KNOW.. the difference between margarine and butter?
Read on to the end...gets very interesting!
Both have the same amount of calories.
Butter is slightly higher in saturated fats at 8 grams compared to 5 grams.
Eating margarine can increase heart disease in women by 53% over eating the same amount of butter, according to a recent Harvard Medical Study.
Eating butter increases the absorption of many other nutrients in other foods.
Butter has many nutritional benefits where margarine has a few
only because they are added!
Butter tastes much better than margarine and it can enhance the flavors of other foods.
Butter has been around for centuries where margarine has been around for less than 100 years .
And now, for Margarine...
Very high in trans fatty acids .
Triple risk of coronary heart disease .
Increases total cholesterol and LDL (this is the bad cholesterol) and lowers HDL cholesterol, (the good cholesterol)
Increases the risk of cancers up to five fold.
Lowers quality of breast milk.
Decreases immune response.
Decreases insulin response.
And here's the most disturbing fact.... HERE IS THE PAR T THAT IS VERY INTERESTING!
Margarine is but ONE MOLECULE away from being PLASTIC..
This fact alone was enough to have me avoiding margarine for life and anything else that is hydrogenated (this means hydrogen is added, changing the molecular structure of the substance).
You can try this yourself:
Purchase a tub of margarine and leave it in your garage or shaded area. Within a couple of days you will note a couple of things:
* no flies, not even those pesky fruit flies will go near it (that should tell you something)
* it does not rot or smell differently because it has no nutritional value ; nothing will grow on it. Even those teeny weeny microorganisms will not a find a home to grow. Why? Because it is nearly plastic . Would you melt your Tupperware and spread that on your toast?
ICU Block...
This month, I will be in ICU block posting... no need premed... but still lots of things to learn... Hopefully this ICU block posting will be enjoyable as it will be my last month over in Penang General Hospital before I enter 3rd year in USM Kubang Kerian, Kelantan... more glamour... New Castle (Kota Bharu)
New Blog Post...
It has been awhile for not posting up anything since my last blog post...
Just creating a blog spot for myself to write out and ventilate out if i can...
Hopefully am able to keep this blog spot alive...
Just creating a blog spot for myself to write out and ventilate out if i can...
Hopefully am able to keep this blog spot alive...
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