I had a dream

Few days back, in the eve of the morning...

"Three of us, myself (as the spiderman), iron man, and a female superhero (unspecified superhero) were caught and prisoned by the bad guys in a castle on the hill. Though not being tortured , we were finding ways to escape and to get help.

I managed to get a flying device which shaped like a bow and the wings can be kept inside, when opened up the length of the whole flying device can reach up to 1 metre.

So we decided to send that female superhero to fly out and get help. (Why in the first place Iron man couldn't ask for help since he has all the latest communication technology and he is able to fly?) However the girl was too afraid to fly with that flying device which has not been tested, so I did the testing for her.

I asked Iron man to fly with me in case the flying device not functioning and I drop down, so he agreed. I held the device, standing at the window of our prison, with the push of my leg I was flying out of the window successfully with the device while winds blowing. Both my forearms and my chest were supported on the device and the rest of the body was just hanging. Enjoying the breathtaking view around this hill and the castle, no enemy was actually noticed that I had escaped. Iron man who was flying with me in the beginning returned to the prison after I flew safely. (So obedient right? The Iron man could actually bring that  girl out and together three of us could escape.)

After a fly circling the castle, I also returned to the prison. On my way to the window of the prison, the bad guys saw me flying outside so they were trying to attack me. With the aids of my spider web I kicked them and got to the window very quickly....."

Oops I awoke out of sudden!! The time was 6.50 in the morning. Jumped out quickly from the bed and brushed my teeth ready myself for my work... as a MO.

Ahha.... What an illogic and funny dream I had, maybe my life was just too relax, or perhaps I watched Avengers quite recently?? Although this was quite meaningless, I just feel like to take this down, to make a little joke out of something I have in my simple life. Cheers!

The Avengers that was released last month. 

I prefer movie with more superheros, the spider man is just right in the front (always my favourite character), hope the next Avengers can recruit as many superheros as possible not to forget spider man and X-men.

A transition through time

my right hand: Raynaud's phenomenon?

What happened to my hand? Raynaud's phenomenon? Peripheral cyanosis? I am not a smoker nor second hand smoker, no chance to get Chronic Obstructive Pulmonary Disease (COPD), never had any congenital heart diseases, never had history of asthma....

No, no, it was the blue ink stained my fingers when I used the brand new cartridge pen for the first ever time, when I was a houseman working in Surgical Department of HKL. Being a houseman there we had to do patients' reviews three times in a day, meaning that the ink in our pen will finish up very fast. Too many pen that I bought were used up very fast, ended up that I had to use this cartridge pen which was a door gift by a sales representative during a seminar. Because of not familiar how to function the pen, I had stains on my fingers, aiks.....

Times flies, after Medical, Paediatrics, Obstetric and Gynaecology, Orthopaedics, Emergency Medicine and General Surgery, thankfully I was able to finish all these postings as a houseman in the shortest given time, which was 2 years. Now that I am a Medical Officer, currently waiting to be posted out of Kuala Lumpur or Klang Valley, which is good, because I have already feeling bored with this city, enough with the egoism of the patients and bosses.

The sunrise on my daily route to HKL, stopped by to appreciate and snapped this. As a medical officer, I tend to wake up late and I only need to reach hospital by 8am (used to be 7am as a houseman), so truly happy for being able to see this kind of rising "egg-yolk" sun at this hour.

As a consequence, I was stucked in this traffic jam along the exit of Sprint Highway to Jalan Duta, not too long the jam, just taken up my 5 minutes. Still managed to snap this photo and enjoyed the sun, yet not being late to the clinic.

There is an end to everything, so does the place that I have worked in for 2 years, and the route taken everyday. All the sorrows, hard time, fun time, escaping time, sleeping time, sharing time will be deeply remembered and become a boost for me to carry on.

I will be back, KL,when I feel bored towards another city.

龙年行大运

今年的农历新年过得特别精彩，上山过海，一家团圆，吃尽山珍海味！怎么过呢？让我用照片来说故事吧！

"龙年发财“隔壁家的铞饰，恰恰好在天公坛的上面！


爸爸买回来的大吉，一盆才十多块而已！好大粒（利）呀！


年三十的团圆饭，有“盆菜”在中间哦！


新年新村烟花大汇演！在我家拍到的烟花！


仁仁与烟花，新村路口燃放烟花的地点与盛况！这里可是新村人跟外地人聚集的地点哦！

可是就在燃放烟花的当儿，发生了一些小状况，一名外地人驾的车（黑色赛加）先后跟新村人的摩哆和车子（白色vios)磨擦，可是那司机（箭头者）态度嚣张，又不道歉，可怜的他被团结的新村人围了起来，最后还要被捱上几拳，可怜！而本来看烟花的焦点，都被移到他的身上了！他的新年还蛮倒霉的！


年初一，我们家的早茶！都是新年糕点！


吃过了早点，就是红包的时间咯！看小孩们穿得多漂亮！


礼品和新年糕点！

大年初二，爆竹一声响连天！发呀!


年初二的大餐，左下是“琵琶鸭”，左上是“五福临门”，和右上的“治士虾”


“法护槟城”， 年初四跟她的家人上了槟城极乐寺！


小孩玩乐！


好庄严的观音圣像！在灯光的照射下更显得金光闪闪！

左右护法，我非常喜欢这两尊神像的神态！在傍晚七点左右拍的。

观音圣像和八宝亭

槟城夜景！

极乐寺全景！美哉！

年初五，在回美罗的路途中特别去了怡保一趟，跟即将要去新加坡工作的雯姐聚聚，还不小心遇到了《阿炳心想事成》的影迷聚会！开心一下!

回到家，又是跟小孩玩乐的时候了！可是我只是摄影师哦！

年初六，跟爸爸妈妈和二姐夫上了云顶，他们去赌博，我们去吃风，顺便冷冷一下！


小声说，其实我还很好运的从赌场赢了一百块钱出来，请家人吃饭后，剩下的钱就买她喜欢的咖啡，看她多开心呀！在Times Square 那还有小叮当的摊位呢！

今天是正月二十二日，农历新年过完了，但就是好想保存当时的喜悦！

才刚刚开始我的外科部实习，这下是我发挥的时候到了！
接下来还要筹备情人节，忙啊！

圣诞节的感恩和感慨

Hohoho!! Merry Christmas, Merry Christmas boys and girls...

这是我在圣诞节里最爱重复的一个句子，见到谁都会用这个来打招呼，就好像在农历新年里“每个人的嘴里，见面第一句话，就是恭喜恭喜..."

圣诞节，其实就是庆祝主耶稣的诞辰，是一个感恩的节庆，大人会送小孩礼物，或者大家互相交换礼物，就是意味着耶稣的诞生带给了世人这一个那么好的宗教信仰，那么和平的世界！这就是那份珍贵的礼物，所以送礼物和收到礼物的人都回报着这一份感恩的心去庆祝这个日子。

昨晚是平安夜，她回了家乡，我也很平安地在家里睡了一个晚上。圣诞节大早，我又要回到医院当班了，现在做的是急诊部门。

一到了紧急部(Yellow Zone)，看到有几个病人躺在床上，待前个晚上当班的同事把案子交待给我们早上的医生，才知道这些病人发生了什么事。。。
第一个病人，平安夜，喝了醉酒后，在酒吧的厕所晕倒撞伤了头，必须留在医院观察可能会发生的脑震荡，醒来后平安无事让他回家了。
第二个病人，平安夜，狂欢醉酒后，驾车遇上车祸，结果脑溢血(extradural bleeding)。
第三个病人，在Pavilion KL外，喝醉酒，被不明人士及不明原因被打，结果断脚和脑溢血。
第四个病人，是第三个病人的哥哥，也是被打，在同个地方，结果轻微脑震荡。
第五个病人，在云顶下山途中，因为下雨和地面滑，车子打滑撞上了路敦，车子半天吊在山崖，幸好病人没事，只有轻微脑震荡和视线变弱。

这些只是今早还存在的病人，还没听到非常紧急部(Resuscitation Zone)的故事呢？不知昨晚有多少人因为这些醉酒，闹事，殴打，车祸而死，或被救活，或被送去深切治疗室(ICU),或者那些只有少许问题而被送到我们的非紧急部(Green Zone)。但可以肯定的是我们的骨科和脑神经手术科医生昨晚真是有得忙了。

刚刚说的第二个病人，是一个二十二岁的华人男子，在醒来后还算意识清醒，可是当他起身要走去上厕所时，屁股尽然露了出来还不知道（因为病人有必要被脱光光以被检查，所以会被穿上病人袍，在后面绑线那种），当他回来后尽然把病人袍索性脱掉，剩下三角内裤躺在那晒灯光。好几次被我的上司劝告了后，才乖乖的盖上被单。

这是Yellow Zone，之前拍的照片，今天早上可没有那么清静哦！

笑话，丑态百出的一个晚上，马来西亚，或吉隆坡的人，你们到底把圣诞节当成了什么？为什么非要把一个平安夜搞到那么不平安和不安详？对你们来说这是圣诞夜还是灾难日？虽然本人不是基督徒，可是请你们用尊敬的方式去庆祝这个节庆，不要因为凑热闹而搞到大家都不开心！

要记住，这是silent night... holy night...

吉隆坡人啊！是时候反省了啦！

Merry Christmas!!希望这小小的礼物能带给吉隆坡人一些反省！

Come come donate blood

My first experience in joining blood donation team, happened few days before Hari Raya, which was on 28 August, in this small tiny old Jusco Shopping Center at Taman Maluri!

the blood donation booth, located at the side entrance to the mall and next to the Vincci, but did not shop there, ahha!!

Because it was still a fasting month, so there were no many people taking parts in donating blood. Though it was a busy day screening over patients, we only managed to get 50 packs of blood back to the blood bank, due to not many Malay participating, but still there were some Malays that really impressed me that they still willing to donate blood in this Holy Month despite they were fasting.

Another reason for this not-so-good achievement was, we as a medical practitioner there had to defer a lot of people who were really enthusiastic in donating blood but in fact they were not qualified to, such as old age, taken antibiotics, not enough breakfast, feeling unwell, not enough sleep, history of sexual promiscuity etc...

Sadly to know the level of knowledge of blood and organ donation programme among Malaysian are still not that encouraging, and many of the regular donours still do not know the appropriate interval between blood donation (which is 2 to 3 months depending on center), hope the conditions will be improved days after days! I don't mind to become busy entertaining you all, if I have another chance following this blood donation team! Malaysia boleh!!

the blood bank staffs, together we "suck out" more blood!!

The letter to the head of Department of O&G HKL

Dear boss,

It is my greatest honour to join O&G department of HKL. Many things that I didn't do or didn't know, now I have the chance to learn and perform it, eg: vaginal examinations, Pap smear, endometrial sampling, episiotomy etc. My only regret will be not being able to perform a Caesarean section or evacuation of retained product of conception (ERPOC).

Actually this is an enjoyable and exciting posting, we get to go through 4 different "sub-postings" ie labour room, PAC/Clinic, Obstetric ward and Gynaecology ward before ending the posting, therefore maximising our learning opportunities. Besides there were too many on-calls and tiredness, I really enjoyed the learning here.

My some constrctive criticisms about the psoting:

1. Blue scrub clothes are not allowed to be wore outside labour room and operating theatre (OT).

- although I understand this is a hospital policy, but I don't understand why we can't wear the blue scrub outside the labour room and operating theatre, to me as long as we keep it clean and change it whenever we enter OT, I think it shouldn't be a problem.

-blue scrub is a comfortable outfit when we are doing oncalls, so that we can avoid wearing white coat and become less heaty. I hope this can be allowed in wards or PAC during oncalls.

2. very senior staff nurses in labour room order us to work as if they are the boss.

- I don't mind if they are reasonable in doing so, but they order us to send some investigations which are not necessary (thus wasting money and time). eg: RBS and RP in patient tocolysed with nifedipien and contracting 1:10, I think it would only be appopriate if we KIV to convert to Bricanyl tocolysis.

3. the MO like to humiliate HO.

- some unfriendly MO like to scold houseman for small little matters eg: patient's name not written in capital letter in the consent form, the consent form is not completed (in areas of surgery's risks, benefits and by right the MO should fill up themselves.

- everybody is learning from the mistakes, and the problem should be solved by teaching but not by humiliating people, I wonder if the MO was so superb that he/she never done any mistakes or he/she was so knowledgable when he/she was a houseman.

- I think if the condition keep going on, I am scared if 1 day this particular houseman is on called with a particular MO he/she scared of, he/she wouldn't feel like to consult the MO because scared of being humiliated, and the housmean will make the decision him/herself in case of problems arised.

- although Dr. Noor Haliza (consultant) is well-known for scolding, I loved her scolding actually, because she scolded for reasons and she will teach after the scolding intended to impove us. I think myself improved a lot from her.

4. useless postnatal review in K5 and KK8 ( paeds ward)

- there is no proper documentation for mothers in K5 and KK8 for us to review.

- if the mother is just discharged from maternity wards and the baby is under paediatric, I think the mother's BHT should be in the paeds wardto review so that we know what are the antenatal, intrapartum and postnatal problems, to continue the care for 1 to 2 weeks postnatal.

- it is very difficult to trace back the old notes for mothers whose babbies get admitted few days after birth, the documentation for this group of mothers is very poor because no speicalfolder for them. (what more if the mother delievred at other hospitals??)

- to me, the mother can always come back to PAC/A&E if they have any problems after discharged.

After all these long winded complaints, I still got to leave O&G posting, I really want to thank the staffs in clinics/PAC/ward 3B/Gynae ward for being helpful and respecting us. The oncall foods are not too bad, I just hope that we can have an oncall pantry in the future so that we can go the have tea/bread/Milo whenever because we tend to skip meals especially working in clinics, labour room and PAC.

Thank you boss for reading my letter, really appreciate it. Hope my humble opinions can make some little changes in the future, not for myself or other houseman, I think it is better for the delivery of the health care.

Yours sincerely,

a leaving houseman

23/5/11

I hoped i have convinced him, not confused him! ahha!!

你以为我没听见吗

2011年4月9日 星期六 晴


最不喜欢你变不开心了，每次都要我哄你！
最心疼你变不开心了，把工作压得自己那样！
你知道的，我不会说哄人的话，
每次都要把我考倒，
知道你因工作不开心了，
好吧今天就顺你的心一些！
不要每次都说我不让你吃！

“辣子板面真是好吃，辣到把不开心的事都辣出来了！”
知道你一定会很满意这一餐了吧？
虽然是很便宜的一餐。
“我知道你是最好的。。。”
“吓？”（我听不到）
“我知道你是最好的！”
“吓？”
虽然稍微大声了一点，可我还不过瘾。
“风吹走了咯。。。”
“吓？”
其实本意是“你说什么？！”
“风吹走了！”


你以为我没听见吗？^^