Genting & Election

I went to genting highland with my family last friday. Why friday, a day before election? Well, this was the only day that i could get the hotel room. All rooms were FULLY BOOKED at the day of election and following weekends. What happened to all these peoples? No need election meh.. Of course not. U still could elect before and after going to genting.

That day was really cold, 14C, but this did not stop us from enjoying ourselves. We stayed there for 2 days 1 night. We went to the outdoor & indoor theme park, archery for the first time in my life and movie ' FLOOD' @ 1.30AM. My parents complained about the 'tight' schedulle.

Parents: I think u girls are crazy. Movie at 1.30AM, no need to sleep meh...damm tired!!Zzz

Daughters: Dad & Mum, congratulation!! U still survive after all these. Dont u feel younger!

Parents:............ (speechless)

Daughters: HOHOHO

pirate ship..dun be scared, little mun mun!

let's race!!

monorail

boat bumper

me and my sis

boating..

archery

Promise

These were the declaration by imu MBBS graduands during the oath taking ceremonay. I personally found these words were meaningful!! It would be my guidance as a doctor. I hoped that I kept my promises and served the society with all I could.

Now that I am about to enter the noble profession of medicine,

I solemnly commit myself to observing its highest standards and traditions

In caring for patients and in the pursuit of scientific knowledge,

I shall at all times act in ways that show respect for human life and dignity.

I shall always and only use my medical skill and knowledge for the good humanity,

in healing the sick and injured, in preventing ill-health, in relieving pain and distress,

in overcoming disability, in preventing untimely death

and in caring for the comfort and well-being of those who are at the end of their lives.

I shall seek always to deserve the trust of patients.

To this end I shall be truthful in my dealings with them, defend their interests,

show due regard for their wishes, preserve the secrets which they confide in me as their doctor,

as far as my duty to society as a whole will permit, and act fairly between one patient and another

I shall respect patients' values, beliefs and traditions, especially where they differ from my own

I shall never abuse in any way the trust placed in me as a doctor

I shall seek constantly to improve my medical knowledge and skills,

and to share these with my colleagues and students, in order that we may serve our patients better

I shall carry out my professional duties, including teaching and research,

with honesty and integrity.

In this and other ways I shall treat my colleagues in the profession and related professions

with respect and cooperate with them for the good of patients

And, by an honorable life in the eyes of God, and in the service of humanity,

I shall bring credit to this University and those who have taught me

Finally, finally..

28 February 2008

Today was an important moment for my batch. The final semester exam's result would be out today. We're asked to be at imu around 9AM. However, I only left home around 1030AM. I just too scared. Exam was cruel. I just had some bad feeling that not everyone of us could make it. I just hoped that it wasnt true. 'Is it me? ' I dun know. I just couldnt take it anymore. I knew that the result wont be out on time. As usual, the exam board would start to have meeting at that time. They were the one who decided who passed or failed. I could feel my heart beating and my hands sweating. My mind was in a mess. I did not know whether I could do it. I drove slowly, 70km/hour. It took me 1 hour to reach seremban. I got my result slip from someone (u knew whose the one, quite embarrased to tell why this happened..haha :P).

The deaneary and faculty are pleased to inform

that u have passed the semester 10 examination

Yeh! I passed. I was so excited. I congratulated and hugged whoever I met. I called my parents and told them about it. Years and years...finally I am a doctor now. Thanks my the family, lecturers, housemates, batchmates..etc for all the supports. All the effort, hard work, challenges and failure along the way...It really meaned nothing. It was never easy but i had overcome all these. Yeh!!

My heart sinked when I knew that not everyone made it. Exam systems in imu really sucked!!! Luck was always an issue. U could get common long case or rare diseases that u never encountered throughout ur life. For those who could not make it, I understood what u're going through. Always believe yourself, u're the best!!!!!!

Now, I have around 2 months holiday before housemanship starts. I have not been for holiday for a long time. At this point of view, I just want to rest, rest and rest....

Uncertainty

It's over. Really really over! Nothing I can do at this moment. What I can do is waiting!! Argh... I really hope that I can make it. I did not do well in my long case discussion. I was quite shock with the case that I got. The history was weird. Really really weird!! What the patient told me was what happened 8 years ago. He took a type of medication since then and did not have any relapse for the past 7 years. There was not much of signs on clinical examination. However, I really did my best. I 'pretended' to be confident (well, I wasnt sure what the case was about), presented the history as loud as possible, answered as much as I could. At the end of the examination, I almost wanted to say 'Pls pass me!!!' Luckily for me, portfolio discussion wasnt that tough. I quite satisfied with my performance. I got surgery, gynae and ortho cases for discussion. I could answer most of the questions.

Argh, it's finished. I drove back home, took shower, and slept. I was tired and exhausted physically and mentally. I hoped that's end of it. I did not want to undergo all this again in my life. It's really tough! I almost reached my limit.

Now, apart from waiting, I have something more urgent to deal with....Argh, I really do not want to talk about this. I really hope that I have money now.....a lot lot of $$$ :(

So close..

100 meters start line..

The last 100 meters in this point of your life
When you're so close to the end...
You never forget all the things which happened along the way
The friends who have brightened up your life
Or made u more miserable
The hurdles which you have overcome
Or brought u down
The deadlines that made u tougher
Or almost killed u
The delicious foods that made u happier
Or fatter
..................................

Now,

The time has come
To look for something better at the other end
The closure of one chapter in your life

Will mark the beginning of a new one

Are you ready?
On your marks, get set, go...

By sunshine

Special thanks preetha

Deadlines!!

Time is a factor! There is 7 days a week, 24 hours a day. And yet, I feel that I do not have enough of time. It is a competition and I am racing with time. I have to complete impossible tasks before the deadlines, hope for days perhaps hours for leisure and yet....it just become impossible. That most important day in my life(this point of view) is coming closer and closer. I can feel my heart beating. All my effords for the past 5 years is to suceed in this important moment. My future is at the hand of them, a group of 6 peoples. Arghh...sien and yet I cant do anything to stop it. What I can do is trying my best, maximising my potential, consolidating all my knowledge, to impress them and get a PASS. I do not have other way to go. I'm scared and yet I do not have other way to go. I'm not sure whether I can do it and yet I must try. Try harder and harder until I'm close to that point. Come on, you can do it! At the same time, all the best for my fellow friends!!!

Deadlines:

1. ortho portfolio~21 Jan 08

2. housemanship interview~31 Jan 08

3. Submit portfolio~1 Feb 08

4. Clinical & Portfolio Discussion~25 Feb 08

5. My Tasks:

• ortho portfolio
• portfolios correction(paeds 1 & 2, int med 1 & 2, psyche, obst, gynae, surg 1 & 2, ortho)
• certified certificates, writing resume
• prepare for interview (baju kurung, general knowledge)
• buying clothes for chinese new year
• go back home 1 day before chinese new year
• meet my high school frens during chinese new year
• study for my portfolios and long case
• plan for my accomodation a day before the long case

All the best!!!!! ^_^

Me? Future radiologist?

I did a medical specialty aptitude test 2 days ago from this URL http://www.med-ed.virginia.edu/specialties/. I was quite surprised with the result. Totally unbelievable!!! According to this test, radiology, preventive medicine, pathology adn nuclear medicine were the most suitable medical specialties for me. Hmm..until now, I still had problem reading chest plain radiograph, CT etc. I never understood pathology since phase 1. Well, totally had no idea why preventive medicine and nuclear medicine were one of the top 4. Haha...seemed like my potential was not yet fully establised. I loved orthopaedics, surgery and delivered babies. These 3 specialties were at top 10. However, what was true that dermatology and opthalmology were not my cup of tea. I always screwed up with internal medicine. And the ranking all these 3 specialties were almost the bottom.

Specialty & Score

1. radiology 49
2 preventive med 48
3 pathology 48
4 nuclear med 48
5 obstetrics/gynecology 47
6 general surgery 46
7 physical med & rehabilitation 46
8 orthopaedic surgery 45
9 occupational med 45
10 urology 45
11 neurosurgery 45
12 neurology 44
13 pulmonology 44
14 nephrology 44
15 colon & rectal surgery 44
16 anesthesiology 44
17 allergy & immunology 44
18 thoracic surgery 44
19 aerospace med 44
20 plastic surgery 43
21 pediatrics 43
22 otolaryngology 43
23 cardiology 43
24 infectious disease 43
25 emergency med 43
26 med oncology 42
27 rheumatology 42
28 radiation oncology 42
29 psychiatry 42
30 endocrinology 41
31 family practice 41
32 hematology 41
33 dermatology 41
34 ophthalmology 40
35 gastroenterology 39
36 general internal med 37

Perhaps after 10 years..i will like to prove how accurate is this test!!!!! ^_^

New year resolution

Time flies. I can't believe that year 2007 is almost over. 2 hours later, here comes year 2008. Am I prepare for that? Haha..as usual, dunno (blur) I kept on thinking what I had happened for the past 1 year. Here was some hightlights:

• Started blogging
• Move to batu pahat
• Started Facebook & being superpoked n times
• Met some old friends that had not been meeting for 'ages'

My new year resolutions:

• pass semester 10
• start my housemanship & hopefully not posted places that i dun want
• buy a new laptop(brand yet to be confirmed)
• renovate my room at hometown
• travel: korea & vietnam(hmm if i have extra$$$, probably europe, australia, usa...endless list)
• cooking
• meet new friends
• Beijing olympic 2008 a great success

Well, we will see how things going. Nobody knows what happened in this coming year 2008. All the best!!!!!

Happy birthday aziemah...31 December 2007 @ secret recipe, batu pahat.

photoes : visit my facebook/friendster!!!!

Countdown @ bp walk with batchmates. Thanks, I really had great time!!! :)

Some thoughts...

Not know why, I met them again after 5 years. 5 years ago, we were the same. We left our country and went to a foreign land. We left my family,friends, country behind. What we wanted was to persue our dream. We did not know anyone & anything in that foreign land. We started our new life in that small island. What i knew was uncertainty,fear or perhaps 'culture shock' surrounded me. I left home for the first time in my life. (well, i was just too pampered by my parents before this) .Everything was too 'well-developed' and 'systematic'. Rules & regulations were everywhere. U would get fine for small mistakes. This country imported geniuses around the world. Everyone was 'somebody' in their country. Challenges were everywhere. The environment was 'competitive'. Maybe I was not equipped to face all these. Just had a feeling that this land was not suitable for me.

I had make an important decision in my life. After spending 1 year in this land, I quitted and back to my country. Although my parents did not against my decision, I could feel their disappointment. Everyone around me was curious. They wanted to know why. In their opinion, the small island was a best place to persue my degree and work. But, I just did not belong to there. I joined a new course and wanted to start my new life. Things had not ended yet. I was haunted with all questions by relatives, friends, neighbours, school teachers. They thought i shouldnt be selfish and spending so much for my education as i still had siblings. I was tired & exhausted physically and mentally. I just did not understand why they cared so much or too much. It caused significant distress to my life and I just could not stand it. I just could not concentrate on what i was doing. Things just went wrong when u were emotionally distress!!!

Argg!! For the 5 years, i tried to avoid this issue. I never talked to anyone about this. I always pretended to be strong. It looked like a ulcerated, necrotic wound deeply inside my heart. However, this had come to the end. Time was the best medicine for any 'trauma' i guessed. I wanted to move forward and continued what i wanted.

I talked to my these friends. Although we had not met for years, i found one thing in common. We really worked very hard for surviving. Life is too tough sometimes. Relax and have fun at the same time. Happiness is much more important!!!

Erwin, Emmy & Kin seng...batu pahat is a small town. Nothing much can explore. Hope u all really have great time!!! thanks for coming. All the best in the future...

Christmas party @ 2007

christmas party @ boren's house, batu pahat 26 December 2007

meet my fellow batchmates..

eating at the VIP table

photo in front of the christmas tree..

what so interesting ah..the gals & the birthday boy

only preetha looks at the camera..cheese :)

necklace from secret santa

my secret santa:dina...thanks so much.i like the gift

special thanks siewlian for the photoes..

I still looking for the gp photo we took that night, just wonder whose camera was it?

memories @ kampung othman..

c2/05, thanks everyone to make the community project a big succeed..

little pondok @ the school

plants @ the sekolah agama

housemates of the day: ann, aziah, little baby boy

nice bouquet at the house

the indian dance's dancers..

me & the performers for the cultural night

my current groupmates (r)preetha,me, jingwern& soon han

me & azman

more photoes, pls visit my friendster..www.friendster.com

What the Holidays Mean To You?

For you, the holidays are about emotional connections and bonds. You are happiest being around those you love.

You celebrate the holidays in a offbeat style. You believe the holidays are for doing whatever you feel like - and some of your "traditions" are pretty wacky.

During the holidays, you feel magical. You love all of the decorations and how happy people are. You like to sit back and take it all in.

You think the holidays should be energetic and packed with activities. You'll double up on caffeine and sugar if that's what it takes to get you through them.

Your best holiday memories are of childhood foods and traditions. You secretly still wish you believed in Santa Claus.

What Your Handwriting Says About You?

You are a fairly energetic person. You know how do pace yourself, and you deal well with stress.

You are somewhat outgoing, but you're not a natural extrovert. You think first before you act. You tend to be independent, rational, and logical.

You are balanced and grounded. You know how to get along well with others.

You need a bit of space in your life, but you're not a recluse. You expect people to give you a small amount of privacy, and you respect their privacy as well.

You are somewhat traditional, but you are also open to change. You listen to your head and your heart.

You are a decent communicator. You eventually get your point across, but sometimes you leave things a bit ambiguous.

Community service @ Kampung Parit Othman

15 & 16 December 2007 were special days for the us. All the semester 10 students were heading to Kampung Parit Othman 2 days 1 night for 'kampung angkat' community programme. We were having health screening, exhibition and talk programme, telematch, 'gotong-royong' and staying there for 1 night in respective family. Special thanks to all the commitee members, fellow batch colleagues and kampung peoples to make the project a great success. And of course, the lecturers that came and support us!!!

I was involved in the health screening programme, telematch and gotong-royong. I was in-charged of adult vision acuity test with shangkeree and hajar and cleaned the religious school with my current o&g group. As it was raining in the evening, the telematch ended up to be in the religious school's hall. I was in the red team and had so much of fun. YEH!!!! I stayed with aziah and ann in my keluarga angkat's house. It was a precious experience for me.It was my first encounter staying in kampung. I had so many 'stupid' questions to ask. Really sorry for that. However, I survived... Haha..

**coming soon..some photoes i took during the community services.**

O&G rocks!!!!

O&G posting officially came to the end. I had a short holiday, around 6 days before my last posting, surgery started. I realized that I had not been updating my blog for a long time. Although O&G posting was hectic and tiring, I really had a good time. I had a lot of hands on opportunities that made me more competent. I scrubbed in for the first time to assist surgeries, conduct deliveries, set up intravenous drips, stay up the whole night for the calls and try to stay alert the day after for clinical teaching. On call was really challenging as I needed at least 8 hours sleep a day for me to function normally. I realized the challenges and difficulties that faced in the O&G career. The 'meconium baby' incident made me understood that mistakes could lead to morbidity and mortality to both mother and baby. Special thanks to my group members preetha, jingwern and soon han for the support. I could not forget to learn swabbing and tightening pads from my fellow friend. (well, u knew who!!!haha..) Life was more easier and fun with the presence of u all.

I never forgot how nervous was I the first time I scrubbed in to assist operation. It was an emergency lower segment caesarean section for pre-eclampsia. My hands were freezing and I could feel my body was shaking. I was lucky enough to really functioned as a houseman at the end of the operation while the houseman had scrubbed out to assist another operation. Bleeding occurred for unknown reason when the surgeon tried to closed the wound. The surgeon had to reopen the suture and stopped the bleeding. The experience was precious. In my mind, I really hoped that I was the one who performed the operation one day!!!:P Surgery was 'addicted'.The second operation was elective LSCS with 1 previous scar. The surgeon faced difficulty to identify the lower segment of the uterus due to the adhesion. The surgeon accidentally hit the left uterine artery. Blood was shooting up to 90 degree like a fountain. Blood was everywhere. I was shocked. However, it was amazing that the surgeon could identify the source of the bleeding and ligate the uterine artery cooly and calmly. The bleeding stopped at last. I realized complications could happen any time and the most important thing was how we dealed with it.

Time for a break...

Christmas is coming, & you can feel it everywhere.........

santa clause, christmas trees

& snowman

cherry bloosoms

in the world of christmas

Me

WE went lunch @ wang kok restaurant @ Pacific mall. That restaurant served hongkie food.

fried zhu cheong fun

with XO sauce

cheese baked rice with roasted pork

sausage pancake

What i bought :Some christmas cards,a belt & a bag (not shown in the pic)

2+3 Compulsory Service...

Move to make sure all doctors have required skills

By AUDREY EDWARDS

PUTRAJAYA: Newly-qualified doctors will have to undergo two years' compulsory housemanship from next year.

Currently, they only have to do a year of housemanship.

Health Minister Datuk Seri Dr Chua Soi Lek, who announced the Cabinet decision yesterday, said the move was considered important to increase the knowledge, skills and experience of graduate medical officers.

“This will improve the quality of services and healthcare standards,” he said.

A rotation system of four months in six departments will be implemented. With the newest inclusion being the accident and emergency department, the rest are medical, paediatric, general surgery, orthopaedic, obstetrics and gynaecology.

“We have observed that in the past few years, about three to five per cent of graduate medical officers do not get full registration because they have weaknesses in knowledge or skills,” he told reporters before chairing his ministry’s post-Cabinet meeting.

“We cannot let this continue. We hope the move is seen as a positive one by future graduates and we are confident the rakyat (people) will support us.”

After the two-year housemanship, the doctors would have to serve their three years' compulsory service with the Government or its agencies, he said.

Dr Chua said the ministry would apply to the Government to place them under the U43 grade upon completing the two years' housemanship compared to the current U41. The U43 pay scale is RM500 more than U41.

He said the doctors would be able to pursue their specialist courses or Master’s after serving two years' compulsory service compared to the current situation whereby they can only apply to further their studies after three years.

About 1,200 local medical students graduate annually.

From: http://thestar.com.my/news/story.asp?file=/2007/11/22/nation/19545463&sec=nation&focus=1

Congratulations Dr Kenny Lee!!!

A selfless doctor that chose to serve the rural community, sacrificing comfort to live out his convictions!

Kenny came from an ordinarily poor family where he is the eldest, followed by two younger sisters. His relatives chipped in to send him to further his studies in UK. Since then, he was inspired by the spirit of humanity found there.

When he returned to Malaysia, while many would go for the hospitals in the major cities, he applied to work in the rural areas instead. Truly a compassionate doctor who seeks to serve the poor and needy.

more on: http://www.ayaawards.com/index.php?option=com_content&task=view&id=48&Itemid=1

方力申 - 好好恋爱

共你相识三千天 我没名无姓
庆幸也与你逛过 那一段旅程曾是日夜期待你
施舍一点同情 这算是固执 做梦或太热情

在世上 没有多少会尽如人意
多数像讽刺 遂年成长必经苦恋故事
我爱你 你扮作不知

完了吧如无意外 重今开始该好好恋爱
放下从前一后感情才能追求未来 你就似没存在

完了吧 仍旧撑起来前进便让自尊心放开
告别从前总是不易 然而假如只得我在

这不是场定成败的比赛 (也不愿盲目留在这爱海) *
旧信息应该删走 再没留凭证
我共你去到最远 也只是友情 如现实是场玩笑
一早清楚内情 过去是勇敢 或是未肯适应

Repeat *
我与你 就算始终不能相爱

这一种情份 可一也都可再

我用心恋爱 下段道路定更精彩

完了吧 如无意外曾失恋的

都必须恋爱 放下从前一后感情

才能追求未来 你就似没存在

完了吧 仍旧撑起来 前进便让自尊心放开

告别从前总是不易 然而假如只得我在

爱不是场定成败的比赛


http://www.66xi.com/html/music/3/54373.htm

I'm sick!

25 October 2007

We celebrated Ainon's birthday at KFC, The Summit. Thanks Ainon for buying us food. This sound abeit weird as we let the birthday gal to pay for the meal. Anyway thanks alot! :) We bought her a blueberry cake at the bakery shop nearby. It really tasty. Cake really boasted my energy up.

I started to have burning sensation in my throat during the afternoon clinic session. I thought this must be due to the ajinomoto.

26 October 2007

Generalised fatigue by the time I wake up from the bed. I had low grade fever. I decided to miss the morning ward work. I went back to bed after light breakfast and 2 tab PCM. I went for Dr vela's class as I felt better later on. I started to have dry cough and itchy throat. I took another 2 tab PCM before I went for class. That day was a disaster for me. Dr vela's class was about DM. Nothing went into brain. I just felt sick and tired. Fever was still there. The temperature was higher. I had chill & rigor at the same time. I hoped to off the air-conditioner but I did not do that. I want to leave the class and went back to rest. But, I didn't. It ended up I sat there and copied whatever he said. The class ended about 4pm.

I drove back and swallowed 2 PCM. I even slept without showered. I just too tired. I had myalgia and arthralgia. I did not have energy for others. I covered myself with blanket. The temperature was spiking. At the same time, I had chill & rigor. I switched off the fan and yet I was very cold. THe PCM was not working. I was just not ok. I decided to go to the A&E around 6pm. The doctor in charge recognised my face. Haha, I went to A& E for on-call 2 days ago and was under him. On examination, T=38.4C, PR=106/min, BP=128/75mmHg. Throat was congested and lung was clear. I was treated as bacterial pharyngitis. I was given PCM, EES, and Diphenhydramine. I was adviced to come back for blood test if the fever persisted for 3 days. (TRO Dengue)

I had light dinner that day. I had no appetite. I felt tired, fatigue and sleepy. I swallowed the medications and went to bed early.

27 October 2007

I woke up at the middle of the night around 1am and was looking for PCM. The fever was so high that I felt my head was bursting. In the middle of the dark, I was able to look for the medication & swallowed(I hoped it's the right medication) . My body & feet were cold and I shivered even with the blanket on. What happened to me? I went back to bed after taking PCM. I just had no energy. I did not do anything that day. I was just too weak. My whole day was about swallowed medications and sleeping. I did not even eat anything.

28 October 2007

I felt better today. I wasnt as tired as yesterday. Fever was not as bad as yesterday. However, I started to have hoarseness of voice, productive cough and running nose. My throat was super pain, even during swallowed saliva. I could not talk. At the same time, my tummy was not ok. It was due to the medications. I took the med with empty stomach. And again, all the new symptoms just made my life miserable. And at the same time, preetha was sick. She had the similar symptoms as I did. In addition to that, she vomitted for the whole night. Poor thing, she got the infection from me.

29 October 2007

I missed school today. I just couldnt stop coughing. My chest and abdomen's muscles were aching becaused of the terrible cough. The temperature had settled. I still couldnt talk as usual. I stayed at home and did my first portfolio. I took frequent nap as I felt tired easily. I wanted my health back I was immunocompromised. I couldnot finish my portfolio 1. I still had learning issue. Preetha went back to kajang. Her parents came and fetched her. She's so lucky. I really felt jealous. Hmm....why lah? Becaused my parents didn't come to bp? Haha..anyway they had called me and asked me to seek treatment and took good care of myself.

30 October 2007-1 November 2007

This 2 days were hectic. A/P Bernard came from seremban to conduct classes with us. He had ward rounds and portfolio review with us. I had to cover my bed and presented a case to him. My cough was terrible especially in the ward. I just couldnt stop coughing.I felt tired easily. At the same time, I was glad that i was able to finish my learning issues on time. Thanks pooi yee for putting me last for portfolio review. I posted my 2nd case on Dr vela's blog on time. This was a miracle for me!

Until now, I still havnt recovered from coughing. Crowded ward, fan, air-conditioner are the predisposing factors that worsen my cough. I' m looking forward the deepavali holiday. I need holiday and rest. I'm desperate to want my health back. Life is just too tough especially when you're sick.

Portfolio 2 learning issues on progress! Video conference is at tomorrow and A/P Khin is coming on tuesday!