The one with the Ramblings

i was having my lunch (= bread+can drink) while reading a nursery rhyme book. then i found this. why can't we be like a wise old. unlike some people in the department preferred to be a mocking bird, peacock, eagle, a dying vulture. i want to be a wise old. less talk, but listen and see a lot. i couldn't remember when was the last time i received a compliment. i did last week, during my oncall. i have a lady gasping for breath. she was acidotic with a very bad premorbid. known case of hypertension, diabetes, known heart disease and acute renal failure. we had a problem in resuscitating her in view of her heart problem and kidney problem. i barely knew about the case because i was not from the ward. it just that i have to be there because i was oncall. in the end, we need to call anesthetist for a help. she needs ICU care. the anesthetist that showed up that night was the same person who once had hang up on me when i referred him a case when i was in o&G. i was just introduc...

motivasi? perlukah seseorang itu mempunyai motivasi diri? motive? motif? untuk ape? sesuatu perkara atau bende yang dapat memotivasikan diri agar dapat meneruskan sesuatu kerja? mungkin aku ada. motivasiku, setiap hari aku pergi kerja, aku harap seseorang kanak2 tertentu itu akan sentiasa sihat dan bertambah sihat. pertama kali dia datang dan dimasukkan ke dalam wad itu, keadaannya amat lemah. budak yang berumur itu mempunyai susuk tubuh yang kurus dan kurang berat badan. selalu menangis, terpaksa menggunakan bantuan alat pernafasan untuk beberapa hari. hari ini, aku melihat dia tersenyum. mataku bergenang. dia kelihatan gembira tapi masih dalam keadaan lemah. akan tetapi dari riak matanya aku seakan dapat mengerti. dia kini berasa lebih selasa dan seakan ingin mengucapkan sesuatu. terima kasih? atau aku dah kenyang? aku harap agar aku dapat melihatnya tersenyum lagi besok. supaya dia makin sihat. mungkinkah dia akan pulang dengan keadaan yang lebih bagus sebelum aku meninggalkan surge...

why do we need a hostile environment in our working place? as if they have nothing to do hence the spend their leisure times by finding housemen's faults. yes it so entertaining until it bursts their mind and herniated the stomach till they can't breath. gossiping about housemen like their dinner everyday. stuff them everyday till they fat and can't move. if the medications not serve by the nurses. who's fault? - houseman if the blood samples not send by the attendant. who's fault? - houseman if the patient fell due to slippery floor. who's fault? - houseman if the specialist "accidentally" open someone's abdomen for patient that come with epigastric pain. who's fault? - houseman if the specialist can't poops or pees or poopees. who's fault? - houseman yes we are the scumbag that takes all the blame. why world is so hot?- houseman's fault why Paris Hilton is a slut? - houseman's fault i am tired of this unnecessary and irrelevan...

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...

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...