The last few pages of my ‘medical life’ story…

Time flies. lallalalalaaa… I’m finishing medical. 12 days to go..yippie!!! I need to make sure I didn’t make a single mistake in my last few days. Otherwise 1 month extension. no no no no!!

How am i feeling now? Great. It is a hard and complicated posting. But i’ve learnt how to be a good, competent, SAFE doctor in medical posting then in other posting. In medicine everything has a reason. For example, a patient got a temperature spike and you’ll crack your head to find the source ..is it infection? inflammation? antibiotic fever? something is definitely wrong somewhere… the MO will stand next to me during our morning round and ask  ”ur patient is having fever, y huh? tell me.. y? ”  and as usual, i’ll give him this look jeng jeng jeng…

..donno....don't be angry..

I still remember not so long ago where i would be complaining and cursing on how i hate long working hours, sleepless night, the scolding, the pressure, the dying patients, the fussy relatives.. but now i see all of these from a different point of view. These are the like peppers you sprinkle on roast beef. Medicine means nothing without those hardship. The more difficult it is, the sweeter is the end result. The more difficult the case is, the more satisfaction i get in the future. Weird it is, but it’s the truth

Currently i’m taking care of the ICU and the H1N1 isolation ward. Dem the second wave is coming. My patients are getting more and more and everyone is coughing!!! I’m behind the mask all the time. And you know what, I don’t even care to put on my lip gloss or blusher. Pakai pun saper nampak :p hehehehe….

As i’m writing this blog, i feel like i’m more confident then ever to face the rest of my medical career. It’s sad to think that I have another year to wait before i can go back to medical. Not as a HO but as a MO  :). Wish me luck peeps~!

i really2 need to watch kungfu panda.

haven’t had a good laugh in ages!!!

i wanna watch kungfu panda now!! now!!

i marry anyone who give me a big ‘kungfu panda’ teddy bear hehehehehe..

medicine is a noble job. the job meant to help people, giving hope, being sincere and equal. but some people don’t understand these. those who are selfish.. think only for their own benefit, and put others aside. These people would do everything they can to make sure their request is fulfil at the expense of others. i am so ashamed to think that i have to bow to their request. dem the politician. don’t use political pressure in medicine. if you demand this and that, go to the private hospital straight away. there are patients who are more ill, critical and need the hospital bed or referral more than you or your love one need. Argh!! geramnyer!!!

hehehe…it looks like this blog is dead.

but here i am!!!

anyway, it’s still raya …. so i would like to take this opportunity to wish selamat hari raya maaf zahir dan batin to my frens and readers..

Raya 2009

Life is unpredictable. very very unpredictable. Just like a few minutes ago, a good fren of mine is inviting me to his wedding end of this yr. Dem, i can’t even tell he is seeing someone. Need to learn his skill la on how to keep it a secret and drop the news unexpectedly like a bomb! A bit confuse in a beginning but now I’m so happy for  both of them. Finally meeting the right person is such a bliss. Yup that’s for sure. Me? hahaha good question. I dont even wanna talk about it. somehow there’s a single crack in my heart, but dont worry it is not shattered into pieces. Someone should just come with a sellotape and mend the  wound.

Can i go back to UK now and work there? i shouldnt be here anymore. I have made such a rush and immature decision last year. Right now i just wanna lie down on a green grass of a lovely park somewhere in the UK with a cool breeze sweeping over my tired face. Then i shall have a venti latte, hot tuna melt with a slice of blueberry cheese @ Starbuck and sit on their soft comfy sofa the whole afternoon watching people passing by. What an perfect way to soothe a weary soul…

Talking about the unexpected, I had such a bad call yesterday. I can’t even close my eyes. People fall sick and die. For things we think we can control, we can never change Allah’s will. It’s true for joy or sorrow. And behind those, there is always a lesson to be learnt.

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Only one word to describe it TOUGH.

Thank god i just have 7 days of tagging My tagging days started as early as 5am and i went home at 1 or 2am. Slept for 2-3 hrs a day for 7 days had turned my head upside down. But even i’m no longer a tagger now, i still have to go to work at 5 am and come home as late as 10 or 11pm. If i’m lucky, having dinner at home at 9pm is HEAVEN!

so how medical in general? tiring. busy. but dem i luuurrrrrveeeee it!!!! you just cannot stop thinking in medical. you think and think and keep thinking. why? how? can i? what if? what is wrong? and on..and on… so many questions lingering in my mind! Suddenly, medical make me a thorough and safe doctor. I have to think super deep just to prescribe one medication (the side effects? any interaction? any contraindication? bla…bla..) hehehehe..

there so many thing that i don’t know. and doing medical without knowing anything is scary!

wish me luck people!

yeay! i’m off tag already. lalalalalalala… owh pitymy feet. i was thiniking about putting my swollen feet pic in the blog, but considering how awful they look like, so nevermindlah. Anyway i am so relieved now!

aigoooo…here and there people keep talking about H1N1 aje. I think the media is exaggerating the issues. I need new topic and new gossips please.

To the public,

Calm down. Don’t worry too much. Yes H1N1 is everywhere. If you are healthy there is nothing to worry. H1N1 is a virus that cause ‘flu’ like symptoms (ie: cough, runny nose, muscle ache, fever or in some cases diarrhoea, vomiting or abdominal cramps).  Generally people would get 2 or 3 episode of flu a year. Usually in “normal” viral flu/cold , paracetamol a.k.a panadol, bed rest and drinking a lot of water is enough. In most viral infections, the symptoms last for about 5-7 days. No antibiotic is needed (antibiotic is for bacterial infection only).

So what make H1N1 different? nothing much really. It’s a new strain of virus. It gives same symptoms as in ‘normal’ flu infection. In healthy human being, it lasts for 5-7 days. Your own body a.k.a immune system will fight the viral itself. So, if you are a healthy adult with no other medical disease, just treat it as a flu. Nothing to worry. Take paracetamol/ panadol, bed rest, drinks a lot of water. H1N1 only gives BIG problems to those who are immunocompromised a.k.a mereka2 yg x sihat dan kurang daya tahan or antibodi. For example old people, people with chronic diseases (sakit jantung, asthma, kencing manis, sakit buah pinggang bla2…, cancer patients, AIDS patients, kids, small babies…) In these immunocompromised patients, they have very weak immune system. Therefore their body is not strong enough to fight the infection. So, from simple H1N1 flu it will melarat jadi penumonia (radang paru2 la dlm bahasa melayunya). In severe peumonia, you have problem breathing. If you can’t breath, you die. And of course, we as doctor will try to help you. We give oxygen, control the infection and if necessary we would put you under mechanical ventilation (in worst case scenario lah).

Currently in suspected or confirmed H1N1 cases, only those who requires hospital admission will be admitted (yg teruk2 aje). For those yg ader selsema, batuk2, we just give you MC to stay at home atau dlm bahasa glamernyer QUARANTINE for couple of days. Medication wise, we can give you antiviral. But usually, your body will fight the infection themselves. So take a good care of your body. We give paracetamol/panadol for your fever, muscle ache or headache and we advice for good hydration. Take a good rest. And please don’t spread your disease. If you are sick, don’t give your love ones free kisses hehehe… Kalau ader baby, jgnlah pegi cium baby tu. Kalau nak batuk, cover2 la sikit mulut/hidung. Practise good hand hygiene. Stay in bed and watch DVD!

I think there are few private clinics/hospitals yg provide H1N1 vaccine. By having the vaccine, you’re exposed to virus earlier. It will stimulate your body to produce antibodies and memory cells. So in the future if you’re contacted with the real H1N1, your body will say “hmm..this virus looks familiar, i fight them before. i already have some memory cells to produce antibodies in mass production and destroy it right away!”.. So, your flu episode would be shorter Having H1N1 vaccine does NOT mean you are protected from H1N1. Don’t forget you can have flu like symptoms as well with the vaccine! Plus, the efficacy and the side effects of the vaccine is still not fully established (still under research)

My advice:

1) Prevention is better than cure. So stay away from sick people. If people next to you is coughing, run away!

2) Stay healthy. exercise + eat healthy food with lots of fruit. Vitamin C will boost ur immune system. So a glass of fresh orange juice at lunch would be great

3) Don’t spread the disease. if you are having flu, stay at home. Take panadol/paracetamol, drinks a lot of water, bed rest. if your fever or symptoms worsen,  seek appropriate medical treatment.

4) practise good hand hygiene (exp: Mr X a H1N1 victim is coughing. He wipes his nose with a tissue. Then he continue writing. Mr B come to Mr X desk and say “May i borrow ur pen?”. Mr X says “okay” and gives Mr B the pen that he is holding. Mr B starts writing. Suddenly Mr B rasa nak korek hidung. And he did! Guess what?? all the H1N1 virus from the pen is now in Mr B nose. Mr B got flu 3 days later hehe..) So, wash hands before korek hidung, wash hands after wipe ur nose, wash hands before eating, wash hands after going to toilet. wash hands, wash hands, wash hands!!!

5) stop smoking. don’t damage your lungs. nanti bile dpt infection or pneumonia, your lungs have to work double or triple harder to compensate the damaged lung tissues as the result of chronic smoking. Smoking –> damage lung –> + infection –> breathing would be MORE difficult –> you DIE easily!

So, don’t panic.

Again i say, don’t PANIC.

Relax la babe..

It’s just a flu outbreak.

P/s: the chances of me getting H1N1 is higher than yours coz i work in the hospital. Tapi semua org yg keje kat hospital tu relax je. So you guys yg kat luar tu patutnyer lagi la x payah nak panic2. relax aje.. stay cool :8

what a looooooong weekend. from thursday till tuesday. gosh. i wish i dont have to go to work on wednesday.

went to a friend wedding on sunday. surprise2 i met few other ex-schoolmates

owh, my lovely cat gave birth to 4 wonderful kittens hehehehe. Yup, another ‘mommy’ is counting days also. waaah the more the merrier hehehehhe… i’ll put up the pics later.

what else…hmm.. i spent most of my time in bed. it dem nice….lying down, doing nothing.

i made another page for this blog. my WISH LIST page hehehe..

now i shall continue what i did best in the last couple of days. Sleeping.

another cleaning session..

finally, my bedroom looks liveable hehehehe..

anyway, believe me this tidiness won’t last. 2 weeks of tagging starting next week, jgn harap i will have time to tidy up my room. I’ve been shopping lately. lots of new clothes so the old ones need to be recycled a.k.a sedekah la yer. xde tempat nak letak dah ni . So i take a look into each drawer of each cupboard today. ok, this baju, that seluar i haven’t wear for months it’s time to go to the charity bin. yup summer cleaning is on the way!!!

Now that i have emptied half of my cupboard, it’s time to buy MORE new garments!! lalalalala… baju raya especially wink* wink*. (unfortunatley, i might not got cuti raya this yr, yelah medical posting la katakan…junior in the department plak tu. spoil betul!)

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