To be a Better Man；一个普通人。。。

Colours of India, 17 days trip in India..

2011-08-03T06:18:00.000-07:00

India, has been a place where most of the people would like to visit, yet scared of travels in this country. I had put on my first footprint in India on 5th July 2011. The initial plan was a travel with 4 other friends of mine. However, 2 were left out for some certain reasons.
We booked our flight ticket from LCCT, KL directly to New Delhi via Air Asia (pre-booked 1 year ahead), with a really cheap prize. Of cause, I would advise you to read up more before you step into this country as there will a lots of sudden change in plans from time to time.
We had pre-booked an hotel through internet before we arrive in New Delhi. However, we were in the stage of cultural shock when we reach the Hotel. The Hotel was hidden before some small buildings where u need to go through some small path, yet able to smell some urine smell on the way to it. At that moment, I was quite a shock as i am stepping into the capital city of India - New Delhi, but not some small town or villages. Undeniable, at that moment, i am thinking how am i going to survive for the next 17 days. Luckily, the receptionist has been doing a great job in receiving us on the night of our arrival. Slowly, i felt more comfortable and adjusted myself into this adventures yet marvelous trip in India.
An small reminders to everyone. India people will always say.. tipping is their cultural. They would actually ask for tips rather than allowing you to decide whether you want to give tips.
Most of the travels guide will recommend you to be extra careful for not being cheated, touts. Keep it up with this small reminders if you are going to travel in India.
17 days of India trip, I would say "wow for the landscapes." It was really amazing and beautiful. Will show you guys some pictures from time to time. The conclusion for the trip will be.. IT IS REALLY A INCREDIBLE INDIA.. you may want to visit this incredible country when you are mentally and physically prepared.

A&E junior MO?

2011-05-04T01:50:00.000-07:00

Completing the HO training end of next month. Just happen that the current A&E doesn't have enough medical officer. So, 2 most senior Houseman will be selected to function as Junior MO. heard that my name is one of the shortlisted name. Hope that this is not true. As usual, things always got its pros and cons.
If i to take the JMO post, i will be able to have the chance to become center of reference by other HO where i can learn how to see cases with the responsibilities of MO. good dispose to me as i am going to start the MOship soon. However, it will compromise my chance of learning in red and yellow zone as they wanted JMO to base in green zone.. haih.. why can't they just put the JMO to learn in yellow and red? then, will settle all my queries.. zzz...

tough decision..

2011-04-02T06:05:00.000-07:00

to leave or to stay..
it is a final decision now..
so many many things to consider..
some may says.. i think too much..
but some may says.. a wise thinking..
in the end..
which will be a better 1?..

if stay..
can spend more time with family..
if leave..
can try to experience something new in life..
where should i head to.........

Emergency Department

2011-02-27T06:36:00.000-08:00

came into this posting.. ED. 1 of my top 3 choices to further my career. Hoping this will be a good posting for me. working in ED is a totally different kind of houseman life for me. here, we work in shifts. each days is either 7 hours or 10 hours shift. yet, you need to be fast and accurate in making ur diagnosis with all the adrenaline rush.
Even when you are working in a yellow or red zones, you need to be mentally prepared at any time that any kinds of cases would just appear in front of you. lots of the things learnt in first few posting already locked up far inside my deep seated memories.. hopefully can dig it out in this few days... hoping for the best in this department..

afterall, we all are still learning..

2011-01-28T05:09:00.000-08:00

has been off from my blog for quite some time.
mainly due to the hectic surgical posting.
initially heard that this posting is really enjoying, yet most of us didn't really enjoyed it.
anyway, finishing this posting soon.. moving to my last posting in 1 month time. cross finger nothing prevent me from stepping into new posting. haha.
did realise something in this posting. no body ever appreciates. No matter what you did, you are always wrong. If u did better, people will put it in a way that you are expected to be good. On the other hand, if u did a small mistake, people will say you are totally useless.
The quality of houseman might not be as good as last time. Please don't forget that who are the one that training those houseman? new systems keep on changing and changing. it only causing bigger and bigger differences between the new graduates doctor and older generation. always keeping those new graduates working behind protected screen covered by some senior houseman actually will make them even more incompetent in the future.
frankly speaking, some are deserved to be extended in their posting. If they does, please do so as passing them may endanger the community. For example,
1) passing someone from surgical when they say McBurney point is between ASIS and Symphysis Pubis.
2) 3rd poster who is going to end the medical posting, cannot put in a CBD 16F for a hematuria patient who has been on CBD 18F for several days. Btw, she shouldn't try to change to 16F in the first place.
3) someone that did ARM when fetal head station -3.
i just hope that the overall services can be improved or at least maintain without futher drops..
Remember when i was in final year medical school.. i always questions myself.. am i good enough to handle a patient's life? Always hoping for the best for my patients..

桂林-阳朔之旅（1）

2010-10-23T20:45:00.000-07:00

终于来到了中国。。 5天4夜的桂林-阳朔之旅也就告一段落了。。
看到了那么的优美的风景。。真是让人流连忘返。。

第一天的食物。。几乎每餐都会有啤酒。。导游说：男人不醉，女人没小费；女人不醉，男人没机会；人人不醉，酒店没人睡。。

竹鼠，好想尝尝。可是没人陪我。。而且还蛮贵的。。

在旅店房间里放着的一个告示牌。。
侗族的dewan rakyat/parlimen..

Life

2010-10-04T06:07:00.000-07:00

Life is complicated
Even more complicated with more complicated people around
However, sometimes it is fulled of joy
Medical field allows me to see different kind of people from time to time
I saw once, a son who loves his aged 80 years old father so much
till he is willing to come back from KL to bring his father to warfarin clinic on every wednesday
I saw once, a family that gave up treatment for the father who had a stroke
they just turn away by saying.. surely will die.. despite trying my best to convince them that there are still hopes, it is a stroke but patient otherwise stable
I saw once, family members who were in deep anger when doctors issue DIL, nearly wanted to fight with staffs
I saw once, a patient passed away after denying her condition for 1 week just for the seek of celebrating Raya
I saw patients who lie to doctors when we talk about smoking in a patient with Heart Disease
What's the point?
Life should be joyed
It should be warmth with loves, cares..
Fights till the end.. but not lies till the end..
Afterall.. it is still for a SIMPLE but a better LIFE..

Frozen

2010-10-02T22:47:00.000-07:00

After a relationship failed..
The heart need to be frozen..
Not because of scared to be hurt..
but scared to hurt more people..
It takes time..
To recover from the wound..
But Time is always the best medicine..
Believing in yourself..
Tomorrow will be a better day..
Cheers.. =)

Emotional..

2010-09-18T22:52:00.001-07:00

It is going to be a new start...
Life has never been easy..
It is full of mixture of emotions..
can be filled with joys.. Sadness..
Doctors are just normal human..
Just that our career is the profession..
Take it off, and we remains who we are.. A human

Since the first day we enter University,
People do ask us.. Why you choose Medicine..
So, why u choose it? After few years, do you still love this career?

I would say.. I do love it... and i will try to be a better one..

yph birthday-lumut restaurant

2010-05-30T03:53:00.000-07:00

Went to a restaurant in LUMUT upon my sister birthday. This shop was recommended by my eldest sister for quite some time, but she has never been brought us there. Finally, we decided that we really need to arrange for it if we don't want to miss some tasty food. This is the birthday gal... this is the restaurant.. situated somewhere near the lumut port.

first few randoms...

2010-05-27T05:59:00.000-07:00

first time shooting with my new camera.. haha.. lots of function still dunno.. just random and simply shoot first... hehehe

my new hobby.. hehe

2010-05-24T08:08:00.000-07:00

i am broke.. haha.. so, this is what i finally spent on after 1 year of considerations... new beginner.. hopefully i can fully make use of it.. and happy shooting.. heheh!!!

Sony Alpha DSLR-A380 digital camera specifications

Image

wat a special day....

2010-04-19T08:35:00.000-07:00

was a special day... started with this 3 colleagues who just happened to wear the traffic light colour in my ward... luckily the ward is not too crowded... and we were kind of lepaking in the ward..
Subsequently had a nice nice sleep... and went to meet up someone special for paktohlogy.. poor little gal who was sick yet still don't want to tell me.. sad that i am not able to detect it on my own.. such a bad bf.. sorry ya!!!
Went back to my Tang Soo Do training in the evening.. recently, restarted my training slowly.. hopefully can get rid of the life where i work like an working robot.. wanna get a better health..
so, there is a junior who suddenly come for me and ask for free sparing. Long time didn't fight, lost all my sense of fighting d.. got a big kick on my face by the junior which directly hit my nose and mouth.. ouch.. so painful.. but luckily i am not too bad.. able to kick his ass back.. hahaha
really hope that i can gain back my skills and gain back my ability to fight.. probably it is something important so that i can make people around me feels safe... =)

Mengkuang dem..

2010-04-13T07:54:00.000-07:00

Last week went to Bukit Mertajam for Poh Yenn's convo. So, it happens that it is bee san's and siow wei's convo as well..
So, whenever you think of bee san, surely ching leong will come into place, rite?
So, guest what me and ching leong did that time? we didn't go into the ceremony.. but, both of us ended up in Mengkuang dem... nice, rite? hehe..

Tired?

2010-04-08T07:26:00.000-07:00

Is it people who are tired will just simply think too much? Or it is just because thinking too much untill become tired? huhh.. whatever it is.. the conclusion will just be the same.. TIRED...

congratulations to MBBS 05/10

2010-04-05T15:47:00.000-07:00

Finally..
new badge of MBBS coming out d..
congratulations to all of you who passed your MBBS 05/10..
though it was a tough 1, but yet... more tough work is waiting for you in the working world...
be prepared mentally and physically...
you might just encounter any difficulties just like what all of us had went through..
anyway, do enjoy up to max for the next 2 months before you start working...
again, congratulations to all who passed....
for those who were unfortunate,
don't give up easily. You cannot be judged by an exam... but you are the one who is going to judge yourselves..
who knows? you might be a better DR in future..
good luck to all of you.. =)

新的开始。。。 a new beginning

2010-04-03T08:37:00.000-07:00

it has been quite some time since my last blog..
no ideas on what should i write...
looking back to the title of my blog.. Happy go lucky.. Am i happy and lucky?
yeah.. i guest i am in certain things..
ya.. after some influences...
i think i would like to be a norm.. someone with a more simple life..
am i tired? may be...
watever it does... doctor is also a normal human after our work..
we do have feelings.. we do feels tired.. we do feels needs to be care.. we do needs loves..
we does.. just like a normal human being..
一个普通人。。。希望能够平平凡凡的过日子。。。

AUNTIE LEE SHIA wedding..

2010-03-22T08:38:00.000-07:00

Well, it had finally come to Wee Lee Shia wedding last sunday (14/3/2009). So, few of us attended her wedding lucheon in KL. Really happy on behalf of her and it was great to meet some of the coursemate again la.. Ranjeev and ah Lian purposely come back from singapore for the wedding lucheon as well.. so nice...
Lee Shia was quite busy at that time. so, didn't able to get much photos with her.. but we manage to shiok sendiri with our own photo shooting.. hehe..the first dish.. the second dish... "hu qi" haha.. the last dish..

In Love...

2010-02-23T06:55:00.000-08:00

A new year begins...
so do the same to me...
this year..
i am starting with a new life...
i am in love...
thanks to this girl..
who come to my life...
thanks to you for bringing colours to my life..
i hope we can forever and ever stay together...
till the end of the life..
just because..
i am in love with u.. ben dan!

Cameron highland gathering

2010-01-10T19:21:00.000-08:00

Oops, look like i forgotten my blog for quite some time again. Haha. Well, it is now 2010 and i think should wish all of you a Happy New Year.
Just came down from cameron highland 2 days 1 night trip with few fellows. After working for the past 6 to 7 months, we hardly meet each other anymore. I think the last met was in august 2008, during our convocation. Anyway, everyone was busy that time and guest this is such a wonderful trip where we can spend time together, after so long.
The trips was started with an idea of having gathering... hehe.. of couse, someone suggested BROGA hill.. haha.. which we think very crowded nowadays and we finally come out with cameron. After 2 months of plannings, we finally come to cameron highland and had a great gathering there. Of course, we eat non-stop. hehe! The initial plan is for more than this numbers. But few of them didn't join us even though being invited. Guest what, they are just like the strawberries in our mouth.. haha!! make them regret for not joining. hehe! sounds so evil, rite?
So, here are what we had in cameron highlands. of cause, we have more than this. basically, we spent time eating and eating only. the cooling weather in cameron make us get hungry easier and we just enjoy our meals all the time. hehe!
If you realise.. those photos are really nice. rite? thanks to our PROFESSIONAL CAMERAMAN.. Sam sam skills is very good now. When we view those pictures.. we were asking each other.. eh.. those plants are such beautiful mehhhhhhhhhhh??? haha!
Haha. sorry to Meng Hsien. Forgotten to view what he had snap before edit this blog. Haha. Meng Hsien is another great cameraman also. Always snap lots of nice photos. Must really learn from them regarding snapping photos la. Anyway, 2 days and 1 night pass really fast. We did enjoy ourself. But, tomorrow will be a working day again.. haih.. can't wait for the 2nd gathering.. hahaha!! cheers la...

meals..

2009-11-20T04:49:00.001-08:00

working in labour room recently. Basically, it is an excited but dangerous area. Dangerous in the way where we are managing 2 lifes at the same time. However, it is fun to see those mothers delivered their baby safely.
However, working in labour room also means that we cannot go out for lunch. The moment we start work, we have to stay in the labour room until the time when we are off. With these, all the meals will be fully supplied to us. Most of the time, I will only have my breakfast and lunch at around 3+ pm.
Hospital foods......... haha.. lots of people hate it, rite? but i personally like our hospital food quite much. =) at least, i think better than 6th college le. But, i do realise that patient's food is even better than mine. May be theirs will be tasteless especially when we have to eat diabetic diet or less salt diet.
Out of so many days diet.. i like the fried rice the most.. hehe.. it is friday lunch le.. which is today.. see.. look so healthy, rite?

haha.. but realise that today they didn't serve me the fried egg together with my fried rice.. WHO STOLD MY FRIED EGG?? anyway, today is a crazy day.. wack 1 nasi lemak together with this fried rice as my lunch... huhuh.. hope will gain back my 6kg lo......... huhhu

jln jln in KL..

2009-11-15T06:18:00.001-08:00

finally.. spent 2 days holidays in KL. Just arrive home (teluk intan) after 2 days jln jln in KL. It was tiring but nice trip as met quite a lot of friends. hehe
this is my only leave since early OCT. just realise that i am lacking of leaves.. haha.. should try to enjoy myself much.. haah
compare with those in KL.. feels like i had subconsciously became a working machine/robots.. look like i need to make some changes to my life d.. life doesn't equal to working and sleeps and on calls only.. we NEED MORE ENTERTAINMENTS.......... haha
erm.. which means .. i need to plans up more things and enjoy lo.. haha.. plan no 1.. must active in sports again.. long time no exercise feel very bad.. but i lost 6 kg even though i didn't exercise.. don't know how much more to lost if i start to exercise.. haha.. will see the result then..
of course.. sure buy few things and spent recklessly for this 2 days jln jln in KL... enjoyed the foods there and shoppings there.. unfortunately.. MEGASALES haven't start... sure will buy more if MEGASALES now.. haih.............

Working life..

2009-10-21T06:42:00.000-07:00

started working for 4 months d. Started feelings tired due to the hectic life. Huh.. but really can't imagine that we actually passed the 4 months so fast. Which means we are moving to the second posting now. So, it is time for me to say bye bye to ORTHOPAEDIC. To be honest, i feel that it was a interesting and great posting. Hehe. Now moving toward Obs and Gynae. Hopefully can survive in this coming posting. hehe.
Of course, we tends to become lazy after starting work. Hehe. Same thing happen to me. My life currently ended up with working and eating and sleeping, which is very much different from my life as a medical student. I no longer having supper every night (sounds like really healthy), sleep at 11pm every nights (sounds very early), wake up at 6am every days (sounds very hardworking). No longer got enough time for me to watchh tonnes of movies. No longer play any sports. Huh. guest what, despite eating so much, my weight has been in the declining trend. I lost 6 kg within first two months of working which is what we called as significant weight lost where i lost more than 10% within 3 months. HUHU.. yet, it is ORTHOPAEDIC only.. not sure how much i have for me to lose in the coming O&G posting.
Haih.. after tomorrow then will have to tagging in O&G d. thinking of EOD tagging for 2 weeks already feel tonnes of tiredness waiting for me. haih.. anyway.. hope everythings going to be fine. okla.. good luck to all of you and hope i have more time to blog la.. heheh...

Foots..

2009-07-23T05:21:00.001-07:00

Working in orthopaedic department as a HO now. Basically, we are dealing with quite a lot of fractures and also diabetic foot. Let me talk a little bit more about this diabetic foot today.
Basically, diabetes patient has to take good care of their sugar level. This can actually delay the progression of developing multiple complications of diabetes. One of the known complication is diabetic foot. Basically, the foot doesn't have the ability to recover even with a small wound/crack. had been seeing quite a few of patients with diabetic foot for the past few weeks.
Ended up, the foot might need to be amputated. It is sad to say that, we see quite a lot of youngster nowadays that ended up having the toes being amputated due to diabetes. Somehow, i think that there is some problem with our lifestyle which causing the diabetes to occur in a younger age group nowadays. Come on, if i am the patient, i don't want my toes to be amputated at the age of 30's.
For those elder age-group, some of them are really lacking in knowledge regarding hygiene. They seems to never take good care of themselves even though they are in hospital. They look so untidy and unkempt even though they just stay in the ward.
Basically, diabetes patient do adviced to take good care of their foot through a proper foot care method. For example, wash foot everyday and dry it with towel. At the same time, inspect the leg for any wounds or injuries. Guest this should be learn properly so that they will appreciate the pleassure legs.
Prevention is always better than cure. I do believe a change in our lifestyle might be required to prevent us from getting this disease in a young age group. Together we should change our lifestyle into a healthier lifestyle in order to prevent this disease.

What do you feel when u step into a HOSPITAL??

2009-07-11T21:58:00.000-07:00

HOSPITAL.. sounds like a big word. a serious place. Most of the people especially chinese doesn't like to go to hospital because they feel HOSPITAL is "dirty". The word dirty = spirits. With these mind set, Chinese generally doens't like to go to hospital.
But, I do realize that it's different as compared to the Malays. Their family bonding is so strong until they bring the whole family to the hospital when they come to visit someone. I will always use the discription.. "picnic". Since i was in medical student, I saw lots of crowds in hospital especially during weekends. Most of them were Malays and most of them are sitting all around the corner of the hospital and enjoying the food which they brought together when they come to visit their family members. May be this is what we need in the society in order to build a loving society.
When you come to hospital, everyone came with a different kinds of feelings at all the time. Some of the patient will feels.. "haih.. need to come to hospital again." But some might feels.. "yeah.. i am coming to hospital again.. and i so happy to see those doctors again.."
For a visitor.. they might have different feeling in different visits. In the first 2 visits, they feel anxious about they friends/family members condition. After few visits, they start feeling bored in hospital and start asking to be discharged.
But for a doctor, I think we don't have much feeling.
The first moment when i step into Klang hospital when i enter clinical year, I was told that Klang hospital had been described as Pearl Harbour Hospital because of overloading of patients. Then, I felt anxious about what going to happen in the next few years when i started working as a doctor. Slowly, hospital had become my home. The place where i stay had become the second home as I spent more time in hospital rather than at home. Now, Stepping into hospital in any part of the country will just mean nothing. It is yet still a home for people like us...

A new chapter of my life..

2009-07-03T05:18:00.000-07:00

It is now a new chapter of my life. The first time i am writing this blog after i started working in hospital. So, guest i should describe briefly on what am i doing for the past 1 week, rite?
Working doesn't like studying. I am now in Hospital Teluk Intan Ortho department. I was posted into this posting together with Dr. Punitan, a new friend of mine from Ipoh. So, both of us kind of very fresh kids in these department.
Basically, when you work as a HO, you have lots of responsibilities. You have to really understand and take care of ur patient. No longer like last time.. clerk the patient then can just cabut after ward round presentation.
Taggers in this posting require eod tagging call. and my working hours is from 6.45am to 5.00pm. For example, if i on call on monday, then i will have to start working on 6.45am(mon) till 5.00pm(mon) as a routine. then will follow with on call tagging until the next day 6.45am(tues) and continue with tuesday work until 5.00pm(tues). then wed will repeat the cycle again and thursday only can go back home. Here, we were required to do at least 2 weeks of tagging which means 7 days on call.. So, we are really lacking of time for ourselves. My patients started to ask me.. Doctor, you never go back home ar...???
Becoming a HO do have lots of paper work. Then, we need to know how to communicate not only with our patients, but also to our boss and our colleagues. Of course, all of us do screwed up. But after 9 days of working, slowly I am adapting to it d.
Here, we also have lots of exam. And we must really try hard to pass those exam as failing the exam will cause some punishment to your service. Huh.. sounds quite stressful, rite? However, I do like what am I doing right now. At least, I am seeing patients and I am trying my best with my knowledge and SMILES to help them. Hopefully they do feel satisfied with it.
The journey had just started and it is a long long never-ending journey. But i do hope that this will be a happy ending journey... =)

Beginning of my working journey..

2009-06-16T06:17:00.000-07:00

I am currently now in Kuala Berang, Terengganu for my kursus induksi. After 2 weeks of pack schedules, we are finally moving to Malacca this thursday for BTN. Then next tuesday will directly report myself in Perak Health Ministry and then Hospital Teluk Intan.

Happy as i get hospital Teluk Intan, a place where i was born. The feelings is really hard to be described.. or should i say.. 25years ago, there was a baby boy (cute 1) born in this hospital. But after 25 years, this boy finally become a doctor and came back to this hospital.. hoping to save more lifes.. helps more people.. =)

This few days really thinks a lot. Thinking of how happy am i when i am a child. Can just ignore everything except games. At these point of time, what I hope is just to get a day to act like a child. =)

Moving into working life reminds me to my jobs after STPM. It was a tough 1 because was cheated to be cheap labour. Sad thing is he was brother of a close friend of mine. Luckily it doesn't affect our relationship much. 4 of us was really live like beggars in golden triangle, KL at that time. Still remember that time we suffers so much where all of us are living in KL without moneys. All our moneys has been spent yet we didn't get paid at all even after he promised and promised for so many times. The most critical time was we have to cut off our budget for food until less than RM5 per day if possible. My highest record is RM2 for 3 meals per day. Which means buy a RM2 bun and ate it for breakfast, lunch and dinner. It persisted for few days. When we really cannot withstand it, we will treat ourselves slightly better. Still remember i awarded myself with 2 piece of roti canai for my dinner. That time, the old lady in the shop shows her empathy to me when i refuse to order drinks instead of 2 roti canai only. Then she just offer me for a glass of plain water without informing her boss (they charge for plain water).

At that time, everyday we worked under the sun, running all over around the golden triangle without any pay. Great thing is that i get to know few great people around there. They just happened to work somewhere near there where i always loiter (sit at roadside, taxi stand). They were workers in an ais-cream shop and they offers me lots of cheers and happy moment. Suddenly feel like missing them. Although we all work together as small worker, but we do enjoy the moment to be together. Even the female worker there will ask me whether she dress nice or not? Unfortunately, miss their contacts d. Wondering whether when i work in hospital, will angels be there to guard me? help me? Few years ago when i go back to the place, they are no longer working there. May them be bless and live happily. =)

Another journey of the life had just started.. working will be another big chapter of my life and hope that we all can do well with it.. =)

Save the earth...!!

2009-05-26T20:51:00.000-07:00

Everybody starts talking about how much the weather had changed over the past few years. It is really hot nowadays. Actually, all of us should take up the responsibilities and do something before the condition worsen.

Burning in the public area is common. This is what i have in the neighbourhood. But, what can we do? People will never listen.. haih..

However.. this is even more great! People started to misuse the word "环保” just like what i saw in one of the flier send to my house.. huh.. Selling economic rice also name their economic rice as environment friendly economic rice. The only thing that i felt it is acceptable is the part where they ask people to bring their own container if they are going to take away.. and they are going to charge extra RM1 if you are going to use their disposable container..

roles play

2009-05-17T06:08:00.000-07:00

We do plays a role in the family, society, office, and even the community. It happens in a very dynamic way. When we were young, our role as a child is to play. But slowly when we grew up, we started to earn our freedom, our ability to make our own decision, our own role in managing our own financials. At the same time, parents are decreasing their role to take care of us in all terms of life necessities. Slowly, they allow us to take care of our own financial, our own time control and make our own decision. Until a stage where the dynamic interaction had reach the optimum level, it remains stable. Whenever ones no longer able to function properly and there is a interuction of the interaction, others in the community needs to take over the roles to compensate for it.
In each and every levels, we can see different kind of people playing different kind of roles. Without patients, there will be no doctors. Without people, there will be no politicians. Without crimicals, there will be no police. Imagine if one party of these examples had been eliminated, it sounds so wierd and not harmony. However, we do hopes that less criminals as we are hoping for a peaceful life.
Each and every roles play in a society is also very important. Chairperson, secretary, treasurer, and even up to a AJK. Each and every of them should always perform in their best and co-operates in order to organise a successful events.
I do think that we need to identify our roles as an individual. No matter what you are working as, or what you are working for. As long as the jobs that we perform are not something against the criminals, against the act of goods. Then i think you did a good job in playing your roles to maintain a harmony community.

Swine Flu..

2009-04-29T20:03:00.000-07:00

Another on-going pandemic is coming.. Swine Flu.. Back to the few year ago, We had Nipah, SARS and followed by Bird Flu. It seems like we really having lots of zoonotic diseases nowadays. Mutation of the viruses which previously hosted in animals had changed them to be able to transmit to human. This is something dangerous. But with the advance of technologies and medical support, most of the pandemic can be handle within a short period of time. How about the Swine Flu that occur recently. I do believe that WHO and all the medical personnels from all over the countries are trying their best to get it control. Meanwhile, we need to optimize our hygiene level to reduce the infection rate.
I was told that SARS had actually affect most of the first line medical personnel. Lots of doctors, nurses... had been sacrificed in the war with SARS as all of us are not aware of it especially in the early stage of SARS. Same thing might be happening now as medical personnel are exposed to the patients in the first line.
Probably for newbies like us (fresh graduates). It doesn't seem to be a good sign. It just show us that there are lots more preparation that we need to have in order to face these type of situation now and in future. But of cause, we were trained to face it bravely. Fight to the end for these type of wars. There is no way to hide but to face it with our full strength. But what i want to say here is.. everyone don't try to be heroes. Please and please. Work in a team and always take universal precautions. For newbies like us, I think we should really listen to what consultants had ordered. Take this issue seriously as we are a TEAM and i am sure they will guide us well in handling this type of situation. Work smartly without fears so that we can get the Swine Flu controlled without much damage. We are doctors but not SUPERMAN... so, i hope that all my colleagues in all over the countries will take good care of yourselves meanwhile optimizing the health care.. TAKE CARE!!!

A trip to the North

2009-04-17T20:10:00.000-07:00

More and more people are leaving 6th college. Currently, i think less than 5 people from my badge are in the hostel. So sad. Everyone is leaving and leaving me here.
Spent a few days travel to the northern region together with few friends. Those are really close friends who i spent lots of time playing around with. Though it was tiring, it was such a memorable and wonderful trip.
We first arrived in Sg Petani, a place where Ranjeev Kumar stay. Haha! Thanks to her parents for treating us a BIG MEAL there. Feel shy because i just went there 6 days before the trip and her parents treat me for second BIG MEAL within 1 week. Huh.. thanks to aunty and uncle la. Haha!
We then leave to SONGKRAM celebration in one of the Thai temple in Kulim. For the first time we can splash water on each other like we are in battle. Of course, we bullied some kids there.. haha! A uncle also challenge others to splash him and seem that we were there.. all 13 of us ended up attacked the uncle.
Such a sudden plan when we ended up to go Langkawi that time. This is my first time to Langkawi le. Of course, i am not the only one la. These are those first timer.. haha!
Can you imagine that these are those chocolate that we bought? so much.. it cause few hundreds ringgits..
After Langkawi, we were rushing back to UM d. But we did stop in Kampar and Teluk Intan. Thank to Neoh's parents and Chui Yng's parents. We did had a great dinner in Kampar. Chui Yng's parent purposely prepare for our dinner le.. Hakka food.. hehe.
We arrive at Teluk Intan around 1030pm and of cause the most attractive part of Teluk Intan is.. Chu Cheong Fan, something that they said wanna eat for the past 5 years. At least they had tried it now.. haha! Overall this is a great trip. A great farewell trip.. Going to miss u guys and gals lo.. take care!!

MBBS graduation..

2009-04-07T19:17:00.000-07:00

After 3 weeks of study weeks and 2 weeks of stressful exam.. MBBS 2004/2009 had finally come to the end. We were called to the lecture hall on 6/4/2009 and the names for those graduaters were called 1 by 1. It was such a tension moment especially when your name start with Y as you have to wait for your name until almost the end of the ceremony. Finally, being so lucky as my name was called.. Thanks to everyone who were so supportive to me..
Passing MBBS is not the end, but it is the begins of another journey of life. Full of mixture of feelings. Happy because we had pass the exam, Sad for those who couldn't make it and for leaving our friends and UM, anxious regarding our HO training, distractibility because full of plans for this holidays.. Anyway, we still enjoy it for the time being.
After the result, we were full of activities which include faculty graduation dinner, post MBBS maniak in ICEbar, oath ceremony.. but we do enjoy it together.. at least for the last few moments that we can spend together..
the journey in these career is still very long. Hope that everyone will do well in their career and may the spirits of MBBS 2004/2009 will carry on till the end of life.
Special thanks to Lee Shia, Charlotte and Ranjeev (left to right on picture) for being my study groupmates. Thank you for being considering and taught me a lot. Seriously, I wouldn't be study if i don't have you all. Haha.. Glad to have you guys/gals as I enjoy the group a lot. Will always remember well the moment we spend together from phase 3A to Vietnam trip, to phase 3B and to Kuantan trip, the study weeks and the intensive OSCE training sessions.. =) you guys/gals are the best!!
Thanks to Kok Soon, Kyan, and Ding head for always accompany me to go swimming. Haha! Although my swimming skills doesn't improve much for the past few years.. but i do enjoy it!! thanks ya!!!
Thanks for my family members for being so supportive all the time. Encourage me when i am scared.. Thank you and thank you!
For the rest, I hope that everyone will be able to achieve their dreams in this career. Always remember our slogan: "One Team, One Aim, One Dream".. Good luck and all the best to each and every..

Just a break..

2009-03-26T22:08:00.000-07:00

Had been struggling throughout the past 4 weeks for the exam. I had started my exam since 4 days ago. 4 days, but felt like years had gone. It was such a slow but torturing experience. 3 papers done. 2 more clinical exam to go which is the long case and short cases.
Those exam papers were tough. Get panic attack from time to time especially during OSCE exam. Felt mentally and physically so free after the OSCE exam. However, 2 more tough clinical exam still waiting for me. Must try my best to study and be prepared for it. Will re-update my blog after my MBBS exam.. wish me luck ya! and of cause.. good luck to all my friends also.. =)

1st week of study week..

2009-03-08T10:39:00.000-07:00

Having study week for my MBBS exam. The monkey mind still can't stay still. Have been running around. Basically the performance of study can be describe as dropping from days to days. huh.. another 2 weeks to go.. sounds like not long from my final exam, but actually it is quite torturing..
Has been practising long cases recently. Seen a few cases which make me feel so pityful. Sometimes, really feel that how lucky we are to be able to stay healthy and free from any illnesses. Probably we have some underlying problem, but at least we are still enjoying our life as it doesn't affect our life yet! Exam is suffering, but i think having some chronic uncurable disease is even more torturing.
Did we actually enjoy and appreciate every seconds that we have? Enjoy everything that we have? I do think we should.
Heard that mat rempik exist in Teluk Intan d.. Sometimes really wonder what came into their minds. They knows that they will get accident because of the reckless riding, yet they become mat rempik. When something bad happens then only they regretted.. what a waste at that point of time. Don't they know how to appreciate life? I think those patients with cancer, end stage renal failure patients, etc. will appreciate life so much better than them.. As what chinese proverbs said: You will only appreciate it after you had lost it.. =) Hope they realized what they were doing.. =)

Dilemma of works..

2009-02-26T05:12:00.001-08:00

Suddenly not being that happy. Slightly down going mood. haha! Then, this thought come into my mind. What do we think about doctor? Although i haven't become doctor.. this are things that came into my mind..

A doctor is someone or involved in:

Superior to normal people vs inferior in the hierachy of medical profession (at least for the first few years)
Caring vs Emotional
Ethical vs Laws
Tried all his/her best vs being greedy
Do good vs Do harm
Earns a lot vs not enough earnings
Good doctor vs Bad doctor
Ego vs confidence

We all see things differently. Everydays, we do have different kind of feelings and different points of view. Same to the people around us. No matter how good we are, sure there are complaints from others. No matter how bad we are, sure there are someone appreciate our hardworks.

In the end of the day, the most important thing is.. we tried our best and no matter what's the outcome, WE HAD TRIED OUR VERY BEST....

Feeling bad to those patients..

2009-02-22T03:24:00.000-08:00

Final exam soon. Will be on 23rd march 2009 onwards. All the students are desperately practising on short cases and long cases in UMMC. I am sure those lecturers and patients also notice that students are quite active recently.

Good thing is.. we are much more hardworking than usual days. Bad thing is.. we will catch whoever that owns clinical findings in the hospital. A patient calculated how many medical students in total that had examined him in UMMC. The figure was 66 when goes to 1 of my colleagues. By the way, I think i haven't caught this patient yet.

If you step into UMMC now, sure you will met with any medical students anywhere in the hospital. just because.. WE ARE ACTIVE NOW..

Loves and Cares..

2009-02-11T19:36:00.000-08:00

Recently, James posted up a Note in his facebook talking about a single mother patient with end-stage breast cancer who has a 5 year old daughter. She had settle with her daughter adoption before she is in her critical condition. I had saw this patient 3 months ago in the palliative team. At that time, what this patient was planning and doing is all for the benefits of her daughter. She wish to leave for few months more in order to celebrate her daughter birthday. Just before she is going to sleep for a long time, she wish to be discharged with all the supportive machines disconnected so that she can leave a lovely impression to her daughter before she passed away! What a touching real life story decribing how great a mother can be!

Today, I see how bad a daughter in law and children can be! Patient is an old age lady with a fracture of the hip (neck of femur). She needs a surgery and her condition is not encouraging as she had heart problem. So, the risk of anaesthesia will be extremely high. It happens that the daughter in law is the only one there. According to her, she is representing the whole family and she need to ask in details so that she can "REPORT" to the this patient's children. Can't really imagine that she use the word "REPORT" as those children never care about their own mother at all. Probably they are busy. But, I think if they concerns about their mother or loves their mother, they would have come to the hospital to see her condition instead of listening to the great reporter's REPORT! What ashame of this attitude!

Things become more irritating is when we inform her about the risk of anaesthetic, it seems like it doesn't bother her at all. She said she underwent a heart operation 2 years ago and same things had been told to her 2 years ago. Her mother-in-law remains ok after the operation and nothing happened. Come on, I do not expect an old lady will remain as fit as 2 years ago! I am sure she is weak enough then only she slipped down when she try to stand up. If she would had strong enough, sure she wouldn't had fractured her hip.

Sometimes, I really felt that involvement in medical professions does allow me to see more things. It allows me to see how beautiful a human can be and how ugly a human can be! As usual, I do felt that a sense of loves and cares would be good enough to provide sufficient moral supports to the patient.

In certain occasions, we do see patient brought in from nursing home/old-folks home. The funny parts is their children seems to know nothing at all when we tried to get some past-medical history or history of presenting illness. Huh.. really feels that this community needs more LOVES and CARES....

Being A Temporary Mechanic

2009-02-07T00:40:00.000-08:00

Things are different nowadays. We have to learn and know many things. Being a medical student also must know a bit a bit about a car.. hopefully next time not only can treat human, but also can treat a car. If being a doctor cannot cari makan, still can work as a part-time mechanic ma.

Haha! This reminds me on my SPA (suruhanjaya perkhidmatan awam) interview. I was asked by the DATO: "do you think economic recession can affect you? and are you really to TANAM SAYUR when malaysia have too many doctors and no more vacancies for young doctor???" huh...

Within 2 weeks, i had involve in 2 incidents about car. The very first one was a punctured tyre. My car was PUNCTURED in PJ. huh.. then ended up have to change the tyre by the roadside. luckily, the rain started once i am done with it. huh!

The next incident is not my car la.. but it was my neighbour's car. Sam's car ended up with a problem with his water tank. We were just came back from supper and the car ended up with lots of smokes in front of college. Sounds like recently a lot of smokes... sure Chuan Huan will understand what i mean..

On the next morning, we did some physical examination and investigation. We think there is a leak on one of the major vessels(main paip) where the water flow into the heart (engine) from the peripheral (water tank). So, we were very happy and snapped some photos and bring those photos to a mechanic in PJ. The uncle was really nice. We presented the finding to him and he said it is a simple procedure. He just gave us a suitable paip and ask us to change the paip on our own. If really cannot then only call him. by the way, he let us go with his spare parts before we pay him! huh..

After 45 minutes of operation, both of us also stained badly with the oil inside the engine compartment. And finally, we manage to cut of the main vessels and change with a new vessels. The car has finally gone back to normal.

This is the main reason of the SMOKEs...

A trip to Thien Hou Temple

2009-01-31T17:53:00.000-08:00

Although we had came back to UM, but most of us are still in the Chinese New Year mood. We decided to go to the Thien Hou Temple last night as we have nothing much to do in the hostel. The traffic near the temple was really jam and we decided to park our car at the bottom of the hill and walk all the way up to the temple.

It is a really nice place to visit during chinese new year. The decorated the temple so well. In Thien Hou temple, you really have the "Chinese New Year mood". Haha!

Sorry la. Although it is an Ox year, but i still like this mouse really much. Haha! Among 5 of us, I am the only 1 born in the year of mice.

When you step up to the level 2 in the temple, you see lots of red lantern.

So far, I had been few temples which decorates the temple very nice during chinese new year festival. Thien Hou temple in KL, Dong Chan Shi in Jenjarum, and Kek Lok Si in Penang. If you happen to be nearby any of these temple, go and visit at night time and sure you will get lots of nice photos. Hehe!

After all, we manage to go for a pray! hehe! Pray for a better year.. hehe! Probably this is what we call as.. 临时抱佛脚。。。haha!

Chinese Niu Year

2009-01-27T07:51:00.000-08:00

Time passed really fast. We had come to the end of second day of Chinese New Year 2009. This year is an Ox year and we do hope that these ox year will bring great fortune to us.

Spending the past 2 days with lots of gathering. Perhaps, Chinese New Year is one of the most pleassure time for any gathering that we wish to have. This included a gathering with friends which we had never met for years. Not only that, it is also a great chance for all the family members and relatives to be gather under one roof. For me, Chinese New Year is no longer an event for Angpow collection. It had become an important event for us to stay connected with my friends and relatives no matter how far we were distributed throughout the nation/world.

OF course, we will normally spend time for gathering with secondary school mates. This year, i also manage to spend some time for gathering of my primary schoolmate and few friends from Buddhist camp PBHP few years ago. It's tiring but something enjoyable. Happy to see all of them. Kind of have a feeling that they are de-stress for me.. haha! Anyway, may all of my family members, relatives, friends that i know, friends that i might know, and friends that i will never know in life to stay healthy and happy... =) Happy Niu Year ya.. Moo....

Postgraduate Talk in 6th college

2009-01-15T07:55:00.000-08:00

Just came back from a postgraduate talk in 6th college. This year they had invited Prof Patrick Tan and Prof Lee Way Seah. Overall, i would say that it is a great talk.

Prof Patrick was really informative and gave us a lot of information regarding the future career. However, what was really inspiring was to ask us enjoy the journey instead of rushing to be a specialist. Being good to the nurses are good as they will ended up be our guardians when we are Houseman.

Prof Lee who is our UM seniors, had give an overall picture for the path to be a specialist especially becoming a paediatrician. With his inspiring and creative way of presentation, the talk became more interesting.

Both of them had delivered the same message to us, which is "GO SLOW, AND ENJOY.." After the talk, really felt stress up because we are a step clearer to our future career. It is another long running journey for us. Passing MBBS is not the end, but it is a starts for a new journey.. No matter how tough is the work, the most important is to enjoy the journey..

Disappointment..

2009-01-10T06:21:00.000-08:00

As we are nearer to exam, I felt more stress. Stress not only due to the exam, but also the responsibility that we are going to bear in the future. Becoming a doctor is not an easy work. But, this has been what i am looking forward. I think a great responsiblity in handling patients is necessary or basic requirement in this career. Some how, this will become a great challenge for everyone in order to conduct a good practice.
2 years ago, the dean of faculty had told me how much UM medical students nowadays are lacking in their responsibility and I just ignore it. But, i started to understand what he said at this point of time. It has been quite sad when i look around and notice quite a number of students who always take things for granted and never volunteer to take up responsibilities.
Yesterday, an idiot had just push all her responsibility to me and ended up i was scolded for no reason because she didn't do her work properly. It is a norm in my group for pre-call student to be in-charge in blood taking for patients in that particular wards after the morning chart rounds. Any urgent blood will be taken by the post-call students. Who knows, this post-call idiot who didn't attend her call the day before and ended up rushing for her patient reviews before chart round did not take an urgent blood for that day. The doctor had asked her to do so and she just ignore it until 10 minutes later when the ward called me (pre-call) and i promise to rush in within 10 minutes. When i arrived, the "GREAT MO" scolded me straight away for something that i don't know.
With that, I throw my temper towards the idiot and she asked me: "Why do you scold me? You should scold another post-call student (who went to cover the whole ward the day before)." I am so shock!!! WOW.. how can she push all the things to others like that? She don't have any sense of responsibilities at all? Wonder how people can work in a team with her in the future.
Responsibility is not an uncommon issue in my badge. No one want to pick up responsibility to be a leader is so so so common. Even though everyone had agreed to do rotation and each one become leader for at least 1 posting, there are still peoples who always tried to sneak away from this responsibility. Even if you had pointed them out, they will still give tonnes of nonsense reasons or manipulate others so that he/she can sneaked away. Most important is in the end of the days, most of them makes the most comments regarding how BAD the leader was.
I really hope that no one will carry this attitude further in their career. Not only in medical profession, but others as well. We are adult enough to make wise decision and I am sure we are adult enought to carry the responsibility that we should have.

A new START for A new YEAR

2009-01-01T00:49:00.000-08:00

Every one like that say: It is a new year, let's hope for a better year. Well, I would say that this is a very optimistic way of thinking and it is really good. We must always live with hope, rite? If not, will be ended up as HOPELESS person. Haha!
2009, a brand new year, with a brand new hope and lots of plans, and some on-going changes in my life. First, have to finish my MBBS exam and graduate as a doctor. Then, have to live time to fullness. Appreciate every moment that i can spend with my family and friends. And also hope that I can try to do something for the benefits of Teluk Intan community or the community within my service hospital. Of course, I really hope that I can become active in PBHB and Tang Soo Do again.
Anyway, the most important things that I wish for, is WORLD PEACE!!! It is such a painful feelings to see the changes in the world. It is painful to see the War, Terroristism, Criminals, Environment Pollutions. How many years left we can keep on hoping if there is no WORLD?
A new Year of 2009. I wish it could be a new START of every one in the world. Happy New Year, My Friends!!!

Police + Horses

2008-12-30T20:40:00.000-08:00

Went to section 17 this morning. Suddenly saw 2 policemen riding horses and patrol in that housing area. felt so suprise and snapped this photo. Geik Kuan said don't know whether they can chase motorbike or motorbike chase them. Bear in mind that those policemen are not that well trained for riding a horse oh.. haha!

In Malaysia, we hardly see horses except when we go to Zoo. But now, heard that the government might want policemen to use it for patrolling. Can it works? If really going to start, those policemen with BMI more than 30.. can they ride those horses? poor little horses....

Police Academy..

2008-12-28T04:51:00.000-08:00

Was spending my weekend on these movies.. POLICE ACADEMY.. not sure whether you guys still remember or watch these movies before. But seriously, I like these movies a lot when i was young. However, when i watch these movies again, felt so funny but kind of lost the feelings as when i was young that time. Anyway, it is still a nice movies which you might have forgotten after such a long time away from our childhood..

Just a thought of what is relationship..

2008-12-24T06:27:00.000-08:00

I think Psychiatric posting did help me in understanding the act of an human. This posting do allow me to understand myself. What personality am I and what is the problem with my own personality. Same to the people around me. I started to understand that sometimes people do act "wierd" and it is actually due to their personality. Nothing can be blamed. There were a lot of doctors who said.. the way you act actually implicating how you were brought up by your parents. If your parents are drug addicts, then you might be ended up with the same problem as well.

Something make me felt sad yesterday. There is a psychiatry patient who told me that their family members ask him to move away from the family. I am not sure whether he is telling the truth or not, but i am sure that this is a sad story that I can never imagine. He was a breadwinner of a family. Now, he is mentally sick and the family member ask him to move away. I ask him.. Why? How could you give up like that? He just answer me that He also afraid he will be out of control and hurt them. It is better for both parties if stay separately for few hundreds KM away. Just curious whether who will do this to the family members?

What does a family mean? For me, it is a safe place where we can live as our own self without worries. Unfortunately, different people have different perceptions towards FAMILY. I received an email before and it is quite interesting as it said that FAMILY is stand for Father And Mother, I Love You. Of course, I do understand the situation of his family members and I am not blaming anyone because of that. But I do think that the world can be better with a bit more cares and loves...

Caning..

2008-12-12T06:01:00.000-08:00

Caning. Do you agree with the act of caning? I think most of the people from our age group will still agreed with caning. Even I myself also agreed with it as I think this is a good way to discipline a child. Agree? People like me will give explaination that we were raised like that and you see.. we are still alive and stay in a very good condition and some of us may even achieve a succeful life.

The condition had been changed from time to time. Parents in the 80's and 90's will still can their child in order to discipline their children. But, as the development of human's right and child's right.. people start stigmatising caning as some of them may see it as a matter of violence.

I was having a tutorial sessions with a Child Psychiatrist this morning and she asked how many of us actually agreed with caning. Immediately, I raised my hand as high as possible as I think that caning with reasonable reason is good in discipline a child. What do you think? agreed? But what the Doctor said was true. When we can, we do leave some impact towards the child. Indirectly tell them that we are allowed to can other people. Your children will react like you as they learn mostly from parents.

There is always a better way to discipline a child. Can always use the award method. For example, star system. whenever they behave good for a day, give them a star. when they get enough star, award them with something beneficial. Do not awards with something material as they will become greedy in future. For eg: Can take them for a picnic, making cake together (strengthen the bond between parents and child). If they behave badly, take off a star which they earn with efforts.

I do think that the above method mentioned is quite useful. Probably caning is no longer a useful way of discipline a child. We are moving in 21st century d.. Probably things does change and we also need to change.. what was taught might not be always correct. With realization of problem existed, then only we can progress into a better condition..

Psychiatry

2008-12-06T19:11:00.000-08:00

Just posted in the psychiatric posting for 1week. It is a scary but interesting posting. We call psychiatry as a mental illness which means the patient is sick mentally. However, normal people would like to label them as crazy...

Before i enter this posting, I was having the exactly same thought as psychiatric patient are crazy, loss of connection with normal people and some of them may become violent as well. It was quite a shock when i notice that most of them are actually really smart. They know very well with their own problem and sometimes they can even challenge you with their thoughts.. of course, don't ever challenge them back as you might provoke them..

From there, I was told that psychiatric patient wouldn't hurt other people except someone they know.. friends, family members.. That's why I built up my confidence and go to interview thems. Sometimes, will find that what they said were pretty true.. luckily I was warned by a senior buddy not to think too much regarding what they said.. if not i will ended up like them also.. haha!!!

There was once in the ward when i was attacked by 4 of them together.. huh.. so scary..!! once of them caught me and ask about Pethidine (pain killer - opiods type). The other came forward and listen and interrupt by asking me to do researches.. then, the 3rd one came over and introduce herself to me and keep on talking non-stop regarding her conditions and her hobbies. There come the 4th person, asking me about Patients' Rights.. huh..

Schizophrenia patient have hallucination. Imagine how scary it is if they tell you that they see someone behind you.. hohoho.. Scary, right??? hehe.. but overall, i do feel pity on their conditions. This is not what they want. They also wish to be a normal person but there is some problem with their brain which make them into a "CRAZY" person.

Mental illness become more and more common nowadays which can be due to the stressful life events nowadays. We shouldn't stigmatized those people. If we are to diagnosed ourselves, I think most of us (esp medical students) have some mental problems which might progress to Psychiatry illness anytime..

The old days in Tang Soo Do

2008-11-22T04:19:00.000-08:00

Tang Soo Do, is a kind of martial art which is quite similar with other martials such as Taek Kwan Do. This martial art originated from Korea and it is slightly different from Taek Kwan Do in terms of techniques.
I joined Tang Soo Do since 1997. Slowly, I obtained my black belt 1st dan in the year 2000. It is quite an interesting sport for me as i feel great with all the movements, techniques coached by my master. Of cause, I aim to be fast and smooth with all the techniques. Tried to kick the opponents with each and every attacks. Trainings gave us a lot of chances to get to know each others. When it come to the training for national tournaments. it's really really tiring but challenging. I would say that the national championship training can kills us within half an hour if we are not well prepare mentally or physically. Even skipping a meal before the training or a improper rest/sleep the night before the training will make you suffer for half a day. Still remember that I get nauseated and have to lie flat for 15 minutes after half an hour of training. Aiming to kicks the kicking pad for 30 times within 1 minute is not as simple as jumping 30 times for 1 minute. Every kicks require combination of speed and power.
Tournaments are the best time to ensure your own ability. I started to participate in tournaments since yellow belt and I was lucky enough to be able to go to national championship in year 2001. Of cause, the presence of a few companions who were always tried to improve and beat down each other make the training and tournaments more challenging. We can actually see a big difference between state championship and national championship. In national, some people can fight by just standing on a single leg. don't be suprise that he can actually chasing you and beat you down by just hoping with a leg. Every kicks and punchs can make you fall down and slipped through the floor..
Still remember that there was once in a tournament, my opponent using "Spinning back side kick" and hit on my chest. Immediately i flew and slipped through the floor. Such a painful kick which stays in my mind until now..
We were asked to chop the breaks during upgrading exam to black belt. 2 breaks at a time is not an easy job. We also have to use the speed of our punch to create a blow that can blow off the candle's light (The white big candle lo.. not the tanglung/birthday small candle).
As a black belt holder, we used to help master during upgrading exams. A candidates who are taking a black belt upgrading exam requires to fight with 2 black belt 1st dan holder at the same time. For the candidate, it sounds like being in there just to get bullied. Of cause, black belt holders will take care of the juniors provided they know the way to get rid of attacks.. But i do notice that female candidates like to attack the private part of male seniors.. haha!
Tang Soo Do remained as the sport that i love the most. However, I had not been training for 6 years due to some injuries. Those are the old days with joys. It remains as fresh memory. Even though when i see the juniors' sparring nowadays, I still hope that i can stand on the stage again and participate in the tournament. But now, i need to convert those spirits into my studies! Need to be prepared for my final MBBS exam! Fight and fight to pass the exam and graduated as a doctor...

Ethic??

2008-11-13T05:30:00.000-08:00

Ethic is a set of moral principles and we do believe that ethic is an important components in the practice of medical professions. What ever we did must be good for patient without getting or wish to obtain advantages in return. There is no 100% rights or wrongs when we talk about ethic but we do hope that we can do good with the guide of ethic.

When i was in first year of medical school. I was given an topic regarding EUTHANASIA(painless killing of a patient suffering from an incurable disease or in an irrecersible coma). Most of the country doesn't accept or pass the law for euthanasia as we think that we shouldn't have terminates someone's life. I also agrees with it as I think we as human should try to save lifes instead of terminating lifes. But, sometimes you will feel sad when you see someone suffering from a incurable disease and this is even more when the patient is someone you cares and loves. We do hope for the best for the patients and thanks to the law that doesn't pass the euthanaisa law as I believe a lot of doctors will ended up emotionally unstable if they were asked to terminate someone's life.

Sometimes, I feel sad when I see someone suffering and yet i can do nothing. Remember when I just started clinical year where we were exposed to patients instead of basic sciences, we were taught with a lot of physical examination teachniques. At that point of time, I become afraid of patient. Patients having abdominal pain but we still have to press on the painful abdomen. Isn't it seems to be a bit cruel? Then i started to avoid examining properly until when i realize that what I did is even more cruel if I missed the diagnosis.

A lot of my friends or relatives said: " Wah.. how come you guys are so darring and never scared of massive bloods, opening up peoples abdomen, seeing dead bodies..." Some people even said: "don't you have feelings?" I think most of us do have feelings and these profession does require us to fight together with patient who are standing in the border between life and death. And this even make us cannot be emotional and must always remain rational. That's why we are not encourage to treat our own relatives.

A Professor told me that sometimes we do wonders whether what we did is really good and beneficial for patient. For me, who are the ones that suppose to judge us regarding ethics at the end of the day? Who is the one that will determine whether we are doing the right things or not? But I do belive that we need to always remind ourselves that we hope that we are doing the best for the patients...

Memorable scenes..

2008-11-07T07:26:00.000-08:00

Busy life in Kuala Lumpur. Finally can take a short break and come back to my hometown. On my way back to Teluk Intan, i saw quite a beautiful scene before the sun set. It was so beautiful. Since young, I like to be near with naturals. Like to enjoy the beautiful and natural scene. Here, I am going to share some of the pictures with you.. All these pictures leave a sweet memories for me during my growthing process and i felt so relax when i look at it.. When you are free, can always visit these places and get some good snap on it.

Over the left was a photo recently taken in Bukit Panorama, Sungai lembing in Pahang. It was situated 45 minutes drive away from Kuantan. But make sure that you arrive the village below the mountain around 5am. You need at least 45 minutes to 1 hour track before you are able to get up to the mountain and have this view. Nice??

This is another picture taken by Hsen in FRIM (Forest Research Institute of Malaysia). You can actually have a jungle trek and see some rain forest canopy within the jungle. There is a waterfall situated nearby and we did had a great picnic lunch and a birthday celebration with Ciang Sang over there. The waterfall wasn't take nice as compared with what i had in Bentong, Pahang.

Below is a picture taken in the look out point in Kuala Lumpur during DEC 2007 when we went out to celebrate a few birthday gals and guy birthday. The place was really nice and recommended by a lot of people. Of cause, it is a restaurant with a great view...

There are some few nice location as well.. but all those photos all gone together with my hard disk last year.. wasted.

My journey in Vietnam and Cambodia also have lots of nice view. Below this is the new 7 wonders of world - Angkor Wat. So so so incredible.. The scene is so beautiful especially during sunset. You must go back to Angkor Wat during sun set as the lighting will make the Angkor Wat looks gold in colour. By the way, my suggestion is to go Angkor when you are young. Cause you really need to walk a lot. We decided to take bicycle and we ended up having pain over the gluteal region because of prolonged cycling..

These is a super super nice photo taken by Mr. Ranjeev from our way to see sunrise in Hanoi City, Vietnam. The water was so clear and the scene is so beautiful. I really miss this a lot. Really miss the journey in Vietnam. Once i see these photos, i always can stop from thinking to go for vacation. What to do? No holidays in medicine. Have to work hard lo. Hope that can pass my exam and there go my another journey looking for nice views....

My CPR experiences

2008-10-31T19:18:00.000-07:00

Another 4 months before my final exam. As usual, we were trained and taught with the Basic Life Support. 2 years in clinical years and I had just did 5 CPR (Cardiopulmonary Resuscitation). Out of my limited experience, 2 manage to survive meanwhile another 3 cannot be safe. Those cannot be save were happened within the recent week. One of them was an Indian during Deepavali.

This man was brought into Emergency Department at the evening of Deepavali. At that time, I was happened to be in Emergency Department during my surgery on call. We started Cardiopulmonary Resuscitation but the patient was unable to go through it. What make me feel sad was the moment when the doctor in-charged breaking bad news to the family members. The Emergency Department was crowded with 20 to 30 friends and relatives of this Indian Man. The moment when the doctor inform the family and relatives, I felt that it was really quiet with that slow running time at that moment. Break of the silence started with tears which floaded the Emergency Department.

It was an Deepavali for Indians. No body will ever wish their family members to leave them behind especially in a big celebration like this. For them, a happy celebration ended up with tears.

Another limited experience of mine was a Chinese Man brought in with Acute Myocardial Infarction (Heart Attack). Patient was cyanosed when he arrived in Emergency Department. We started with CPR and the patient was survive with the CPR. This make me feel great as I was able to help the patient.

CPR is something can be performed by any individual provided they know what they are doing. Taking a course and having a proper training will make you understand the CPR better and perform better.

Before we conduct a CPR, remember DR. ABC!!!
D = Danger. Make sure that the place and condition is safe for you to conduct the CPR.
R = Response. Tap or shake his or her shoulder and ask loudly, "Are you OK?" Proceed if the patient is not responding.
. = Stopped! Call for help. Ask someone nearby to call 999 (In Malaysia)
A = Airway. Make sure the airway is patent. AIRWAY: Clear the airway
Put the person on his or her back on a firm surface.
Kneel next to the person's neck and shoulders.
Open the person's airway using the head-tilt, chin-lift maneuver. Put your palm on the person's forehead and gently tilt the head back. Then with the other hand, gently lift the chin forward to open the airway. If there is foreign body, evacuated it out.
B = Breathing. Use 5 seconds to check for normal breathing. Look for chest motion, listen for breath sounds, and feel for the person's breath on your cheek and ear. If the person isn't breathing normally and you are trained in CPR, begin mouth-to-mouth breathing. Pinch the nose for mouth-to-mouth breathing and cover the person's mouth with yours, making a seal. Then give 2 rescue breath. Make sure the chest rises during each breath.
If you believe the person is unconscious from a heart attack and you haven't been trained in emergency procedures, skip mouth-to-mouth rescue breathing and proceed directly to chest compressions to restore circulation.
C = Circulation. Place the heel of one hand over the center of the person's chest, between the nipples. Place your other hand on top of the first hand. Keep your elbows straight and position your shoulders directly above your hands. Use your upper body weight (not just your arms) as you push straight down on (compress) the chest 2 inches (approximately 5 centimeters). Do it fast and hard. After 30 compression, repeat with "B" statement with 2 breaths. Then repeat "C" and "B". You may check the pulse again in every 5 cycles of "B" and "C". Do it until there is sign of movement or Ambulance arrive.

Please always refer to the standard guide of CPR and go through a proper training course. It is a life saving procedure. By the way, the method mention above is only applicable to adult. Children would need another method. I had come across with the website of The Heart Foundation of Malaysaia (Yayasan Jantung Malaysia) and I believe they can provide a training to you. If free, please have a look on what they do in there.
* Any mistake, please inform me.
* Always refer to the proper guide and update yourself with the newest CPR method.

Be brave.. Face it..

2008-10-27T00:24:00.000-07:00

Was having a student ward round few days ago and there, i met a patient with breast cancer which is ulcerating. After some history taking and I realise that the patient has been hiding from the family for quite a long time. None of the family members are aware of it. It is really sad to say that these does occur quite often in our community. A lot of patient are afraid of disease and they choose to avoid it. Probably they wish to try traditional medication or they just don't bother about it and hopefully it will get better by itself.

According to my lecturer, most of these cases can be seen among those who stay in rural area. When they came to us, the cancer had become an advanced disease. I think that education does play an important role. It is so important that every one know that early detected breast cancer can be treated well. To all my friends out there, please do not hesitate to see a doctor if you feel that something is wrong. Don't hide. Be brave enough to face it so that we can help you. Another lecturer of mine always tell us that: "there is always something we can do about it. Even with an end stage disease, we still can offer palliation to reduce the suffers."

Screening test for breast cancer is available. For those with strong family history of breast cancer, please screen yourself from time to time so that early treatment can be done if you have it. If you are busy with works and always say that you have no time to go to clinic/hospital, please do a self breast examination. Learn the proper technique for self breast examination and if you find a breast lump, go to the nearby clinic immediately. Most of the breast cancer presented with painless lump. This make self breast examination become more important as it can be asymptomatic in the early stage.

Last but not least, it is your own decision whether you want to seek any medical treatment or not. But I seriously hope that every one will take it seriously. Just like what the advertisement always say : "Ingatlah orang yang tersayang." Remember their loves to you and be brave...

Great effect of each words..

2008-10-26T05:54:00.000-07:00

Since the first day i stepped into medical school, i was told that medical profession is always in the professional group in any of the community hierarchy. That's why a lot of people always ask for opinions from doctors as they always respect doctors. Of cause, the medical advice from doctors always have a great value and great impact towards a patient's life.
At first, I don't really understand how powerful a word can be. But slowly, I realize that words from a doctor can be very influencial. Let say if you SUSPECT a patient to have a cancer and you are just about to tell her that i am suspecting a cancer. Do you know how much this will affect the patient?
Once ago, a patient's relative told me how much he is disappointed with a doctor because of what the doctor had said. Even i myself also feel sad when i heard about those words used by the doctor. Doctors were given a trust, a respect by patient that they will act the best on behalf of patient. With this, doctors are given the power to break bad news which can be very cruel to the patient or patient's relative. Imagine that you need to tell patient that "Sir, I am sorry to tell you that you are having cancer", or "Sirs and Madams, I am sorry that we had tried our best and the patient cannot make it". Seriously, I feel that I am not ready for that stage yet. Not ready to break this type of news to patient or patient's relative.
I was impressed by a surgeon when i was posted in Klang hospital last year. There was a patient with Upper Gastrointestinal bleeding. Lying on the bed and not really responsive. He was taken care by a 15 years old son who is having a national PMR exam in 2 months time. This boy skipped his classes just to take care of his father in the hospital and this was realized by this surgeon. And she make such a comment to his medical officers and house officers: "We must do something and help them. We cannot let the situation like this and we must save them". I was really happy and amaze with this comment just like i felt a wave of bright light shinning out from her.
In hospital, simple word like how are you does means a lot to the patient. Same thing to a medical students like me. A simple word from us like how are you can guarantee a smiling face from patients and relatives.
Getting closer and closer to my final exam. Really wish that i can be a good and caring doctor and be aware of every words that i use as it really affects a patient's life a lot.

To be a Better Man； 一个普通人。。。