The one with the Ramblings

post call hari ahad kat surgery terutama kat male surgical ward memang parah. tahap lecur grade 4/5. tambahan dengan MO yang "panas" gitu. masukkan patient tak hengat. ditambah lagi dengan mereka2 yang dah tau nak kene bedah besok, tolong la datang awal kan, sementara doctor2 ramai. luckily i had Sam yesterday, as he still tagging till 5pm. he helped me with all the clerking. aku rase amat bangga sebab aku tak "tapau" anyone semalam. semua masih bernafas dan bernadi. terutama bed 33 yang selalu aku "kosongkan" everytime aku oncall. huhu my second day in paed surgical ward was so crap. i was super blur as if blur is my middle name. and azri was passive call hence he "chipsmoring", to OT on and off when there cases. and i was super freaky when he was not around. I DON'T KNOW TO DO THINGS. taking blood from those small hands. counting fluids management. everything all like new to me, tambahan lagi aku memang grade unta untuk paed. bawah lagi fro...

kitorang dah berjaya menyahut cabaran Earth hour. untuk tidak memasang lampu dari pukul 8.30pm until 9.30pm. kitorang off sampai kul 10pm. semua lampu tutup (except kipas la, panas siot) then makan malam dengan pasang lilin je sambil tengok dvd from komputer. sampai kitorang pun terlelap. sekian. selamat malam. sayangilah bumi anda.

seorang nenek tua yang ku temui di wad. disahkan menghidap kanser perut di mana rawatannya ialah pembedahan. tarikh pembedahannya ialah beberapa minggu selepas dia disahkan kanser. ini untuk membuat persediaan yang rapi untuk pembedahan tersebut. tarikh dah ditetapkan. nenek ini telah beberapa hari dimasukkan ke wad pada ketika aku mula-mula temui beliau dulu. di waktu ku temuinya, semua persiapan untuk pembedahan telah pun siap. pakar bius dah jumpa. semua ujian darah dan xray semua dah buat. cuma ada satu persoalan sahaja. aku: "nek, nek tau sik kitak sakit apa?" nenek: "ne kamek tau. kitak sik madah." aku: ????.." biar benar nek. sikdanya sik padah ngan kitak ka?" nenek: "sik" aku: "kalau cam ya, nek tahu sik kenak kitak masuk sitok?" nenek:" sakit perut la" aku: mmmm " kitak tau sik kitak ada kanser?" nenek: "apa ya kanser? kamek sik tau" aku: kanser tu..bla..bla...bla.. nenek: "oh, nasib baik kita...

there are 2 ways how to get rid of the virus in your computer 1) to use the most powerful antivirus you can find. double-or triple protect it 2) get your computer stolen. no computer no virus i somehow did the second one maybe i am just too generous or i am just a plain imbecile. my housemate got snatched one day while we were walking back home. inside her hangbag was her wallet, a VERY IMPORTANT PAPERS, stethoscope and HOUSE KEYS. we (my housemates) knew that its coming. i mean we knew that our house going to be the next target. no need scientist brain to figure that out. yes, we did have plans to buy new sets of keys, change the padlock etc. a really nice plan. but since the incidence happened late at night, we were all so tired since we still have to go to work the next day because the nation needs us, the whole idea to change the padlock thingy was "postponed" until we all finished work. i was the first person to notice it. how? the first thing i will do when i enter my ...

tajuk di atas bermaksud bahawa penulis berasa amat penat akan tetapi hatinye tergedik2 untuk menceritakan apa yang telah penulis dan kawan penulis buat pada hujung minggu yang lepas. kepenatan telah melampaui kegedikan dan oleh itu penulis akan menceritakannya pada waktu yang lain. (besok penulis tak boleh tulis sebab ada seseorang yang tak berhati perut dan limpa telah meletakkan penulis on call besok. demn yu) penulis nak bercuti lagi.. sekian, harap dapat menjelaskan segala kekeliruan

i foresee that. i think i might be one. kak pah agrees. i foresee that i am going to be a very bitchy MO one day. the single, non sexually active, virgin, attention seeker, mood swinger MOs like how we describe those malignant single lady MOs at my hospital now the bitches who bombs i am sooo fine if it is totally 100% my fault and i take full responsibility of whatever mistakes i have done. fine by me. but if i have already informed to you regarding the case but you never care and never listen because you are deaf and blind, when anything goes wrong, it is NOT MY PROBLEM. i am immune with those bombs and lasers. want to shout to my ears? sorry i am deaf. you want to humiliate me? sorry my skin like 20cm thick. want to hang up the phone? your pleasure because the phone is not mine. want to curse me with all the bad words? i can add some more for your collection. want to threat me for extension, to go up to court? talk to my hand RESISTANCE IS FUTILE but again, who am i to say all this...

it may look really easy just to pronounce someone's death. no pulse, pupils fixed and dilated, no breath sound and that's equal to you're dead..just follow the light what some people says. but what if you to say that you are going to die in 5minute. yes i am definitely sure, you will die really soon hence i will sign your death certificate now. any last wish? i assisted my surgeon at OT last week. one of the case was a gentleman with recurrent colon cancer with stoma. stoma was not functioning and patient claimed unable to take food orally probably due to obstruction. so we did a laparotomy. when my surgeon open up the abdomen, we noted a lot of this carcinomatosis seedlings; carcinomatosis peritonei. with frozen pelvis, a lot of adhesions and dilated bowels. we couldn't get the part of bowel for a new stoma. we've tried so hard to pull it out but it was a failure until my surgeon gave me the statement " ok, prepare the death cert. let him eat anything he want...

1)...nak balik..nak pegi bercuti ngan family..to have some fun...a lot of fun...fun fun fun.. 2)...nak backpacking...ke mane2 sahaja..aimlessly...and hoping to find something new..something ape??..whatever...sape nak ikot??..jom g cherating...leh a.. 3)...nak kete!!!!!...now... 4)...nak rumah yang kemas, ade orang gaji yang boleh masakkan untuk aku dan basuh baju aku..terime kasih kak pah..haha.. 5)...nak DSLR...dengan lens yang berbagai-bagai..dan pergi backpacking..menggunakan kereta yang baru... 6)...nak belajar main gitar...pastu leh buat lagu...pastu buat album..pastu lagu masuk juara lagu..a singing doctor??..(biarkan dia dengan labu2nye) 7)...nak bangun pegi lambat tapi masih boleh pergi kerje dan tengok patient...nak buat appendix...pastu leh buat laparotomy...pastu buat Whipple...huaaaaaaa...leh lawan Dato Kanda a pastu..lawan sape punye lubang hidung paling besar..huhu.. 8)...nak jumpe ngan anak2 sedara aku..mesti dorang dah besar..pastu tak kenal aku lagi...aku doakan korang...

a gentleman presented with right abdominal pain and fever. lost of weight. no cough. no sign of obstructive jaundice. no previous history of surgery. LFT. normal with slight raised in AST, ALT and ALP. albumin normal. ultrasound noted liver abscess with paraaortic nodes enlargement. somehow, referred to ENT to rule out nasopharyngeal cancer. scope done and noted nasopharyngeal mass!!.. biopsy taken. few days later, HPE came back. guess what?. it was tuberculosis. AFB seen. CXR reported as possible presentation of TB (no cavity seen but small reticulonodular lesions noted) Spine Xray = decompression over L4-L5. possible TB spine. conclusion?. i have TB everywhere. it was the 3rd case within a week with TB. with 2 of them postive for TB from sputum. but for him, sputum AFB was negative. see. how exposed are we medical staffs to TB. TB is around us probably i may have inhaled some. i thought only my soul that decease in here. so does my body..ouch..