Friday, July 25, 2014

It is just a job

Get it done.

And go home.


Sunday, July 20, 2014

Goldberg criteria

Just woke up from my post work after dinner nap, with my working clothes on.

Clock shows 1105pm.

S**ts. I am oncall tomorrow.

Just as the title above, in this entry I am going to be medical.

Today I learnt of three things that I thought I know but actually I dont.

1. Fentanyl patch are contraindicated in approaching end stage renal failure. Treat pain in HD patients with more ?i dont care.

2. Sterile method does matter - post central line insertion in a contaminated field will produce infective period despite being on strong antibiotics.

3. I satisfied most of the Goldberg criteria.

Pre call blues.

Sleep early tonight.

Hope for a good call tomorrow...

(oh god why am I becoming so chicken as years pass...)

An old song I heard on Flyfm on the way back just now:

I still prefer this videoclip, as it reminds me so much of how I, myself, surprise,


at times.

Saturday, July 19, 2014


Been reading a lot about the MH17.

2014 is a bad day for Malaysia Airlines.

Taking flight nowadays seems dangerous.

The other day I was dreaming about going some place in a small plane and it crashes. Cant remember the details tho.

As usual I have some problem with orthopedic addiction; kept imagining my ulnar and radius will be fractured when I was falling down the sky with my arm crosses to protect my head.

And the view of the ground became bigger and bigger as I drew nearer to the ground.

But I never gets to the ground.

I was falling down and down and down and down with the view repeating itself of the ground getting nearer and nearer and I bracing for impact.

Till I woke up.


RIP MH 17.

Hope those affected will be able to get through it with time, the greatest healer.

And although the co-pilot is from PFS, I have no recollection of my contact with him, Mr Hakimi.

Also there is another young lady from CGL seemed to be in the ill fated flight as well, cant recall her name now, read from Msianinsider just now.

Ok, good night people.

# Life can puncit anytime. and the damn thing is that it always do when you dont have your spare tyre with you.

Friday, July 18, 2014

Cameron Highlands

Love the highlands.

One day I will ride a superbike up here and have my BOH tea.

Monday, July 14, 2014

Bastille Day

Happy National Day France!

Can you imagine if the French lift the 2014 World Cup this time on this date as well?

It would be super double celebration!

As I have been saying for more than 10 years already (since Form 4 after I learnt the Bastille Day) I gave the French, a reason to celebrate my birthday. 

Ok Mr Whatablog; Have a goodl year ahead.

No I dont like Birth Day song


I read one of my friend's blog many years ago.

He writes on and off when he was around, I didnt follow closely.

After his passing, I read through his entire blog.

There is one entry about how he coped with depression. It was a catchy piece, I enjoyed reading it, mainly because it really surprised me that he, a rather chirpy guy, was at one point, battling depression.

However, I remembered when I was reading the piece some years ago, it wasnt that brilliant a piece compared to now,I just finished his book for the second? third? time. 

(His mother made some of the content of his blog into a book, and that entry about depression has been selected)

I particularly like that part he talked about how he drove for hours from his house to some random places at night.

Everyone will feel down once a while.

I must say that I find driving - therapeutic.

Driving gives you a purpose, in everyone else's eyes. You are moving from Point A to B, and you are not doing anything else because, err, you are driving. 

Spending time purely on your own, and listening to random music programme, songs you dont understand the lyrics.

Your mind is focus on driving, but actually not focusing on driving. 

Deep leh.


Oh course for another person who has something else to do, driving is wasting time.

I spent RM600 a month on driving to and fro work.

Thats expenditure I put under account - Entertainment.

Sunrise; my usual drive to work. 

Saturday, July 12, 2014

Why would anyone wants to be a doctor, after this.

I read with great concern, the news regarding the allegation of a son of a 76 year old patient in one of our government hospital.

He alleged that the ECG wires and oxygen hose connected to the patient was been strucked off too hard and too fast, thus somehow causing the death of her mother.

My deepest condolence for his loss.

But it is very difficult for me to accept his complaints, oh well, this is my blog so I get to decide what to say.

Now, I am in no way trying to defend the hospital, or agreeing with the allegation, just based on one sided story.

But, the way it was reported is worrisome.

It would be getting harder to be a doctor in the government service with all these negativity.

Patients are getting difficult to deal with.


Or is it that we are getting worst in dealing with this change of patient characteristic?

I dunno la.

In the future;

Patients would be extra vigilant to any potential error or any near-error to be committed by the government doctors. 

They would be on the look out for errors.

Every minute spent waiting for consultation would be potentially causing harm to them, and in the event that the waiting time is subjectively too long, explanation is warranted from the head of service.

Every prescription would be questioned, the red tablets, the white tablets, the blue tablets, and even the arrangements of the ECG wires. The fixed, unshakable perception is that goverment hospital's medications might cause harm to their patients.

Every MC turned down is an act of arrogance of a filthy rich doctor who did not spend more than 15 minutes time to talk to the patient and thus unable to empathise the patient's need for a sufficient rest from work.

Every rejection for requests for stocking up pain killers, gastric medications and cough syrups for future use would be construed as an act of uncaring doctors, hoping to cash in from future transactions of consultations for the said medications.  

Every explanation of disease process must not be taken as it is be it from a house officer, medical officer or specialist, but it must be verified by internet and facebook.

Every death of an elderly person is no longer being accepted as a natural process, but as a failure and potential negligence of the medical treatment. 

Every doctor who doesn't smile would be considered unacceptably rude, and being rude is going to negatively affecting the psychological healing of the patient, and a potential legal action can be pursued.

Patients would be issuing warnings of potential legal actions against the doctors in the event of their love ones being mistreated, or if it seeming so.

Media would be zeroing in hospitals administration's Key Performing Index as mainly on the complaints filed against the ministry. It has nothing exciting else to publicise, not the statistics of patients who are discharged well, not on the boring dengue breeding sites abolishment, not on the blood donation campaign or health prevention activities.

And the doctors who hope to serve like yours sincerely, 

would be wondering why and how, to serve well.