thank you Errica

random kid

kids are amazing. they are like 30-year-old mature man in a 4-year-old body. even though i hate every single day of me in paediatric department but i can't deny i felt in love with some of the kids i have met so far. they are charming, and inspiring. the most brilliant persons i have ever met.

i was in Onco ward last 2 weeks where i deal with mostly cancer children. yes, it was an interesting posting. the boss was scary. yes, was. but after working with her for 2 weeks, i somehow respect her the most and impressed with her commitments to her work. she is very dedicated to her work and cares about her patients. she remembers all the patients well. so i don't mind working for her and i'll make sure everything went smoothly. (yup the same boss i blew last time during my presentation). i met a 4 year old Iban girl who had moved my heart and gave a different perspective towards cancer children. she came with neutropenic sepsis and the sepsis was not settled even though clinically child was getting better. her name is Errica. she was a very cute girl with an exploding tantrum sometime. but most of the time, she is the cleverest girl i have ever met. since she's having sepsis, she needed frequent blood taking and yes it is painful. she even hate me for that. but one day, i saw her playing with herself and i was shocked of what kind of game she was playing. she was imitating me taking blood in a very proper procedure from a doll! the way she hold the doll's hand was correct, the way she hold the syringe was correct, the steps were correct. maybe she was a very good observant but she does understand why is she here and for what. i asked her once. "Errica, what are you doing here?".
she answered back in Iban "for radiotherapy and i have bugs in my blood. so i am sick". i asked her again, "so when are you going back?". surprisingly rather than saying; after i get better, she answered, "after my scan". it is so amazing to find 4 year old to understand so much about herself and be strong about it compared to 25-year-old single who stills hazy about what she is going to do in the future. Kudo for Errica.

for cancer patients especially those blood cancer that diagnosed since young must need a very good support from the parents. i found that the parents here are very supportive and they do play an important roles in treating their children. what can i say is that kids with cancer here in Sarawak are taken care of really well, both by the parents and the doctor. hopefully most of them will go into remission.

a bit about H1N1.
what the heck. that's what i can say. yes, i do agree that government has done it well in promoting and educating public about it. but i found that the publicity was tooo strong or should i say tooo "effective" that most of the public are too aware about it and becoming too health conscious. even with a simple cough and cold will bring them to the hospital. and the burden are all on us the medical practitioners and medical staff. we overwork and becoming more stress. i still blur about the guidelines. i think they keep changing it every week and making me confuse. in terms of who should we screen? who should we admit? who can be quarantined at home? and when can we discharged? we receieved few patients who are referred from private hospital here for positive for INFLUENZA A. yes, these rich people somehow claimed they are rich went to private hospital for cough and cold and asked for the test for H1n1 and this blood sucker hospital also did a rapid test (which is less specific and sensitivity). when it came back as influenza A positive, they referred to us for further managment. huh. so what if you have influenza A? it is not H1N1 subtype, and you are clinically well so why worries? you can have you rest at home and no need for treatment yet. and now, because of that, my ward have the influx of unnecessary admissions and innocent hazardous exposure. hope this H1N1 issues settled so leave us all this trouble. haih..