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...
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