Sunday, 29 April 2007

A walking zombie

Back from the gym ..... had char siew pau for breakfast. Still a zombie and got a sms from a friend willing to go through respiratory physiology with me. Gonna shower and rush to see my friend. Hope I can retain something in my zombie state. Only slept about 2 hours max..... well time for some caffeine help.

Could not sleep ..... hmmmm

Surprisingly was not able to sleep that well the past 2 nights. Been up since 3 am and nothing is going into my head. Maybe I will just head over to McD for a drink and hit the gym which opens at 6 am ..... hmmmm

Saturday, 28 April 2007

Another 12 days to go....

Another 12 days to go ....... sometimes it gets overwhelming ... and the mind plays tricks. I feel like I am facing Goliath. But if I fix my eyes on God .... I can do it...so I will just keep going on since so much effort had been put in already.... besides what is the worst that can happen ?

Well got up late this morning as I was not able to sleep last night and there was a raging thunderstorm last night. Just great .. now my buddy "Headache" is back.

Well this morning went for the yummy boneless fish head mee hon soup at USJ 16 with sis and her boyfriend. It was nice to have breakfast together as most of the time we dont see each other in the mornings. I am already off to work by 6 am. So these one of the rare occassions where we can just sit and have a nice meal together.

Later in the evening, ( my sis and her bf had gone to KLCC to check some house decor exhibition ) .. so I am left to my own devices. Took an afternoon nap as I was still not able to study much due to my headache. I decided to take my scooter for a ride. I need to fill up petrol anyway. I have not used my scooter in ages as I had promised my mom and a few friends that I will not use it until after my exams. Coz they were worried loh .... anyway it was a good idea not to use for now as it was raining daily. So I took the scooter for a spin and decided to have noodles and sweet and sour pork for dinner ( my all time favorite and brain food )
There is one place where I go to study late at night ... A&W USJ near the 3K complex. It is open 24 hours and I really like the root beer float and they also have wifi connection ..only thing is they dont provide the electricity plugs like Starbucks. Sometimes it can get really busy especially the weekends so I guess I will be studying at home today. Another place which I am gonna try out is McD is now open for 24 hours in Taipan USJ. I might give it a try tonight....see how much I get done today at home. So if you guys happen to be around any of these 2 places ... do drop in and see if I am stuffing myself with food or dozing off when I should be studying.

I just received 2 sms from 2 good friends at the place where I am working at ... it goes like this " DONT GIVE UP ON YOURSELF WHEN WE HAVE NOT GIVEN UP ON YOU !!!!!" Yeah I do have a tendency to give up at the last minute when it gets too overwhelming. But this time I will keep going on as I had put in so much effort already.

Root beer .. my favorite drink :D

Pictures taken with my Treo 650. Hmmm make a mental note to get a better camera phone or a compact camera for blogging and more after exams :D

Thursday, 26 April 2007

Another 2 weeks

Just another 2 weeks to go. Phew finally finished all my calls for April. I will be doing the PM shit this Fri and then I am off till the exams. Must make full use of these 2 weeks and and study smartly. Will be sticking my butt in the library during weekdays and I need to find another place to study during the weekends as the lib will be closed ... hmmm .... a 24 hour McD or A&W ?

Post call exhaustion and flu

Well I am post call and exhausted and sick...... what a time to fall sick (the usual suspects - Fever, Running Nose, Headache and Bodyache ). Just another 2 weeks before the exams. I hope I recover fully tomorrow so that I can really concentrate on my studies.

Ok good night guys....

Saturday, 21 April 2007

Update ... on call again

The patient who had to undergo the excision of tumor in the left temporal region in the brain was stable intra operatively. The operation went smoothly. Patient will be discharged back to HDWS where he can be with his family. Thanks for praying :D

On call again .... the joy of the Lord is my strength !!!

Yes I am on call again ... I think I should put up on label : "On Call". Yes I am on call again for 24 hours. I was greeted with 4 cases. One of it is a 60 year old Chinese Male who had nose cancer in 1995 completed radiotherapy and it recurred again in 2001 where he completed cheomotherapy which kinda messed up his left ear ... now he has tinitus at the left ear (some kind of ringing sensation heard at the ear ). He also started developing double vision and bouts of giddiness since Jan 2007 ( he had fallen down 6 times due to giddiness since then whenever he gets up ). MRI scan revealed a cystic lesion measuring 1 X 1 cm in the left temporal region compressing on the left superior cerebellar artery. The scan was done in Jan 2007. But only now after a series of referrals to other units, he was referred to the neurosurgical team. Moreover the symptoms had worsened. He is getting giddy more frequently. Fortunately there were no other neurological symptoms. His muscle power and sensory on upper and lower limbs are intact. He has no problem with his bowel habits or micturition (basically no problem passing urine and motion). He walks up 3 flights of stairs as he lifts in a flat with no lift assess. There was on problem though...the radiotherapy had caused his jaw to have limited movement ... therefore the mouth opening was limited.

So now the plan is : For fibre optic awake intubation with High dependency Surgical ward (HDSW) or ICU backup. So do pray together with me that the operation will be successful and that he can discharged to HDSW fully awake and alert.

God in His timing and mercy and sovereignity is slowly changing me even without me knowing it. Previously I would have been so worked up thinking there are so many cases to do and problematic cases.....besides I have my mock vivas this coming Monday. But here I am excited to do the case because we are giving the patient a chance. I know I still have lots to cover, to study ... but yet there is a peace that guards my heart and mind. His joy is my strength.

Things on my mind :
1. Tons of cases to do
2. Still lots to study and remember
3. Exams in 2 weeks time
4. Mock viva this coming Monday morning

Surprisingly I am walking with a smile on my face.....because I know that no matter what happens to me ... my life is in His hands. And because He has given me another day, all I can do it rejoice and praise Him for another chance to live life to the fullest. To love Him and worship Him ....that is my highest goal. I am learning to see myself the way God sees me. I am believing what He says about me in His Word. I am amazed that He knew just how to break and mold me and to change for me the better. Truly my God will make a way where there is no way. He will bring forth streams of overflowing water in the desert. And truly He can use our failures into lessons to glorify Him in the end.

Friday, 20 April 2007

Breakfast, masala ginger tea, sneezing and coughing .... what a combination

Been sneezing and coughing since I got up this morning. I am not working today and I plan to "goreng" my brain and books no matter what. Have already popped in all the required tablets and medicine. Surprisingly I have not taken Panadol in ages .... I guess I got past the withdrawal symptoms and the craving for Panadol. Panadol had been my constant companion since I started my housemanship in Klang Hospital in year 2000 ( wow did not realise that I had been taking Panadol for so long). 15 on calls ( for 24 hours ) a month is not joke. I did whatever I could to survive the one year of grueling training. I took the Panadol mainly for the frequent headaches I have been getting. Now I use Acupressure and Essential Oils to help soothe the headache which surprisingly had been effective.

Anyway I decided to make breakfast for myself. Fried some Ramli Chicken sausages and a low cholesterol egg.

Then I decided to make my favourite drink Masala Tea ( I have modified it into Ginger Masala Tea )..... making this drink reminds of a good friend that I have..it brings back good memories.

So here is the recipe.
I use one packet of Gold Roast 3 in 1 instant tea. Add in some hot water about 150 ml. You can always add 2 packs if you want a stronger tea. Or you can get the ones without sugar added in so you can add the sugar later.
This is the ginger honey powder which I bought from Mydin and it last for ages because you need about one table spoon. Anyway it is up to you.... if you like a stronger ginge.r taste you can add about 2 table spoon. But sometimes it is too sweet due to the honey. Anyway you can just custom make it to your taste.

Erm I dont have the picture for the masala powder used for the tea. You can get it from any Madura Grocery stores. I did a google search and found out that you can actually do your own masala powder.

Ingredients
2 sticks cinammon
1 tsp ginger powder
3-4 cloves
4-5 cardammoms
1/2 tsp saunf(fennel)
1 peppercorn

Method
Powder all the above ingredients and mix.
Store in an airtight container.
Will keep well for years.





More information on the masala tea powder and what you can do with it....interesting.

All you need is a pinch of masala tea powder to add into your tea.

The last ingredient is Fresh Milk. I use Marigold HL low fat milk. You can add about 100-150 ml into the tea. You can try out different types of milk and find out which one you like best.

Ok then you just put the cup of tea into the microwave and heat it up for about 1 minute and voila !!! You have your own homemade Ginger Masala Tea.

Time to enjoy my breakfast ... have a great day.

Cheers

Thursday, 19 April 2007

Another 20 days to go

Hi guys .... just another 20 days to go. At least this time I am in 5th gear when compared to my previous attempts. Thanks for all the support and prayers. I have been getting encouraging sms from my consultant and friends from my previous hospital and it was really encouraging and helps me to keep going on. I thank God for all the memories and lesson learned.

The most important lesson that I learned is that I am learning to accept myself and make peace with myself. Accepting my strength and my weakness. So I thank God for the journey and the process it took to help me find myself again.

Well right after my exams I am looking forward to watching 2 movies ... Spiderman 3 and Transformers ..... yippeee .... oppss back to my books. Later guys.


Thursday, 12 April 2007

Communication

Found this at Wikipedia .... about communication

Purposes of Communication

Communication is a process by which information is exchanged between or among individuals through a common system of symbols, signs, and behavior. As a process, communication has synonyms such as expressing feelings, conversing, speaking, corresponding, writing, listening and exchanging. It's funny how we know so much about communication, but we rarely give a second thought. We should create a whole day for communication. People communicate to satisfy needs in both their work and non-work lives. People want to be heard, to be appreciated and to be wanted. They also want to accomplish tasks and to achieve goals. Obviously, then, a major purpose of communication is to help people feel good about themselves and about their friends, groups, and organizations. For true communication, there must be a transmitting of thoughts, ideas and feelings from one mind to another. If love may be called the heart of happy family living, then communication could be called its lifeblood. whatever they want.

From this I can see that a sure way to kill any relationships is to stop communicating. Hmmmm......

Tuesday, 10 April 2007

My little sister is getting married !!!!!

Well I am just so excited !!!! My little sister is getting married next year. Last year my younger brother got married. Now my sister ......

Now only left me ..... I am gonna get a lot of questions again .... haha .... so any takers ?? =)

Power !!!!!




Singer : David Phelps
Lyrics :: POWER
From the album Life Is A Church

NOTES:
Have you ever been in a difficult circumstance for so long that it drains you of all your energy? Sometimes it can even be hard to get out of bed. When I've been there and have called on God in my need, He has always been faithful to let me plug into His supernatural power plant. Like a loving father He shows up to remind me that with Him, "All things are possible!"


LYRIC:
No mountains ever moved one inch at my command.
No waters parted at my feet.
I’m just a witness to the wonders God can do
Through willing instruments like me.
And when my best seems insignificant and frail
He offers me
The source of strength
That cannot fail…

Chorus

Power, straight from the Father
Making me stronger
And I know it’s not my own.
Power, straight from the Father
Love like no other
I’ve ever known.

There are days when circumstances spin out of control
In ways I just can’t understand.
It’s as if the best of my intentions have conspired
To reveal how powerless I am.
But there is One whose voice alone
Brings me peace
And when on high
He hears my cry
He gives to me.

This holy energy can save, redeem and heal
Like electricity, it flows through me
And I can feel…


This song is on repeat when I drive to work in the morning ........ Yes I can do ALL things through Christ Who strengthens me.

Saturday, 7 April 2007

Have a blessed Easter

Have a blessed Easter ...... I am reminded that my life have been bought with a price ... His blood shed on the cross for me so that I can live again and that I will have everlasting life ... most important ..... I can have a relationship with God Almighty. And on the 3rd day He rose again.... yes He is risen .... He is the Almighty God.

Let's not forget the price God had to pay to bring us back to Him.

Wednesday, 4 April 2007

Can you hear them??

Can you hear the cries of the lonely ones ??? Can you hear it ??? They are everywhere. They try to fit in but people just shut them away because they dont fit into their mold. Some people label them and stay away from them. People say that they are negative, confused, insecure, low self esteem, boring, etc. But all they want is to fit in .... to belong..... to know that someone cared..... that someone is bothered.. Do we only be friends if people fit our criteria.... and reject those who dont?

Remember the time when someone believed in you and gave you a chance and you felt you belonged ? We are prone to forget that we were once in their position.

They are everywhere .... and Lord may my heart always be sensitive to Your voice to reach out to people who You died for. Lord never let me be afraid to go beyond myself to care for people who are different from me because You have given me so much and loved me so much.

Tuesday, 3 April 2007

On call again ....... non stop ....

I am on call again today and I have not stopped since morning. I was really hoping that it will not be a busy call so that I can get some studying done .... well tough luck.... here I am stuck stuck doing a vascular case for nearly 5 hours now.....and they are just putting in the graft now and then it will be the orthopedics turn. This unfortunate 45 year old male had an accident. He was riding a motorbike ( man the nightmare of riding the motorbike all over again ... no wonder my motorbike is rusting away in front of my apartment ... anyone wanna buy my scooter ?? Hehe ... I still use it to go to the gym and go around my housing areas and nearby areas ) ... ok back to this man .... he had an accident and he sustained a fracture at the tibia plateau... at the leg. And this fracture was pressing on the artery (popliteal artery ) which runs just behind causing decreased blood flow to the leg as there was no pulse detected at the foot which is the dorsalis pedis artery. An emergency angiogram was done which revealed the clinical findings of the popliteal artery being compressed. So now the vascular surgeon is going to do a femoral popliteal bypass for the affected limb. So here I am stuck with this case for nearly 5 hours and it might go on till tomorrow ... because the orthopedics team has to fix the fracture.

Just when I thought that is could not get any worst .... I was just informed of an emergency spine case.....duh ...... this patient was just operated on for scoliosis and now they found out that patient has no sensation over the lower limb and the CT Scan findings were noted. So the implant will have to be removed.....hmmm..... well just another exciting day in my life and yes I am still the JONAH wherever I go .... hehe.

And there goes my studies ... oh well I will just have to make up for it tomorrow and that is if I am still lucid after I get up from my zombie like state .... and no amount of sleep in the day will be able to replace the sleep lost in the night. Ok back to work ......

Monday, 2 April 2007

Still down with flu and I am on call tomorrow!

Man .... am still down with flu ..... just got up and feel like shit .... popped in the anti histamine .... I did not use panadol ( thanks LM ). Now I got a few tricks up my sleeve ... thanks to LM and Eve ... will try out the HOR YAN HOR tea. There goes my studies and I am on call tomorrow !!!!!!!! Duh .... hope it will not be too busy tomorrow.

Countdown ... just another month to my exams in May.

Sunday, 1 April 2007

Down with a freaking flu

Did not get much studying done during my break as have been unwell and of course the temptations of the bed calling me ...... nope I did not touch my camera or the PS2. I did not go anywhere. Been trying to study. And studies is so so so so slow. Well in the end I can only do what is humanly possible. I have been down with flu recently also (hmmm maybe las montanas' bug got to me.... ) the worst part was that I ran out of anti histamines and all I could do was pop in Vit C and Panadol to get rid of the fever and bodyache so that I can get some studying done. Been blowing my nose so hard that now I look like Rudolf the red nose reindeer....not to mention that the secretions are not blood stained ... yucky.

It is also takes alot of energy to shut out the negative thoughts ... to keep pressing on..... in a situation which looks bleak. But the battle aint over and I will fight till my last breath,