Sunday, September 18, 2011

1st week in terendak

Lack of update lately. Mainly due to no internet connection in Terendak camp, secondly is due to my busy and hectic schedule in clinical years. Had a long weekend break but I wasted my Friday to work part time in Clinique. Then I was so regretted whole day there, so I decided to not work on Saturday and Sunday.


In Terendak Hospital was fun! The doctors there are so good, compared to those in Putrajaya. They really treat us like student and not HOs or MOs. The most important thing is, in Terendak Hospital, there aren't any Hos or Mos!!! haha! We are like the doctors there and no need to see those people faces like in Putrajaya. Some of the nurses there were helpful as well.


Do. Rosman and Dr. Ali are the doctors there. Dr. Rosman was kinda hot and he is chinese looking. When we saw him for the first time, I thought he was chinese, until he greet us in Islamic way wtf. He is quite funny as well. Dr. Ali is very very funny. He is not kiasu type unlike Dr. Rosman. So happy go lucky and during his class, it's fun and enjoying.


We actually act like a HO in hospital. Every morning we have to clerk the patient and give updates and progression to the doctor as we go for ward rounds. Some time we feel pity to both of the doctors cause they have to take history and do physical examination themselves unlike in HPJ there is HO and MO which had done the job.




On Tuesday, we have class in Putra Hospital. Not Putrajaya but Putra. The Melaka Southan hospital which later change its name to Putra Hospital. Dr Nor Izham, which is a cardiologist is teaching us once a week. So that day I drove my groupmate there as they are not familiar with the place. We hand lunch at mamak stall near Hang Tuah street. There is a disable boy selling tissue there. He is not only disable but also mentally retarded I think. No other words than retarded? sound so rude! And so we saw he is walking towards us, he was selling tissue and was saying Rm1 for 1 pack of tissue. Even though it's quite expensive, but we still bought it. He is much more better than those who are asking for money than really work hard to earn money. He is pity, but I doubt he want people to feel pity towards him.


After lunch we went to Putra hospital and Dr Izham bring us to a patient, as us to take his history and examine him. He had stroke few days ago and his signs and symptoms are obvious, but he is recovering as well. After that we have to present to Dr Izham and he will correct us if we were wrong. Then we encounter another patient in his clinic. She is a chinese lady who came to get medicine. Dr Izham out of sudden ask us to go into his clinic and ask us to examine this chinese lady. When his chest wall is exposed, the heart beat is so obvious. We can see the heart hitting the wall. When palpate 4 ares, there is apex beat, parasternal heave and palpable aortic and pulmunary area. When auscultate, there is mixture of murmur, S1 and S2 heart sound and it was so loud. This chinese lady has ventricular septal defect (VSD), probably for a very long time but didn't seek and treatment. But she still can live a very healthy normal life until recently she feel uncomfortable so she is seeking medical help. How often we can see a real life case of this? Even though VSD is very common, most of them will get surgical treatment when they were small, or after born, depends on the defect itself. I feel so lucky to have the chance to see and experience it.


At night, I join Jac and her group for Mid-Autumn celebration. We light lantern and also share a piece of mooncake among 10 people I guess.









There was a very funny incident when we had ward round on either Wednesday or Thursday. A patient had a crush on Dr Rosman! We were doing ward round in the female ward and there was this patient with right side eye defect. Dr Rosman was asking the patient to look his finger and follow the movement of the finger. In the same time we are suppose to hold the patient's chin so that she will not move around by turning her head. But when Dr Rosman want to hold her chin, she keep avoiding. Until Dr Rosman tell her: let me hold your chin. But the patient was soooo shy and she put down her head. It was so obvious and she say she is shy. My room mate clerk the patient and she told me the day before, the female patient say that Dr Rosman is handsome. hahahaha... and she actually only few years older than Dr Rosman but he call her Mak Cik!!! wtf!!! Of course it's because he didn't realize the age difference and he actually look a lot younger than his age. But still!!! This let me learn that don't simply call people uncle or aunty. It will be better if address people as Miss or Mr.


On Wednesday night we went out for dinner and also birthday celebration for Ehsan. We were actually split into 2 sub group in Terendak and most of them are from group B. My group was boring. I have to say that. When we already plan to go for dinner in Melaka town, I am the only girl from group A as the other 3 of them aren't joining. It was so disappointing. Why can't we go out as a group? Well, no comment. But I had fun with another group and guys from my group. The asam pedas claypot was awesome! Totally worth it as we don't know the way and was wrongly guided by Syue's friend. At last when we found it, it was around 8pm and all of us are starving! I feel hungry now when think about it. Should bring my friend there and try it one day. I actually pass by that area so many times but we never bother to go and try the food there. The stall is open by a chinese-muslim. He is so chinese look and we were all discussing about him after dinner. Cause he speak fluent Malay!!! and he understand chinese when a chinese customer talk to him in chinese. All of us get curious and test him. As in order plain water in chinese and my friend talk to him in chinese. At last all of us can't stand it anymore and Ehsan ask him if he is chinese or malay. Hahahahahaha... totally hilarious! He say he is chinese and has a 11 years old son. ok fine! haha...








Bought a cake along the way back from dinner when we suddenly realize nobody actually help Ehsan pay his dinner bill. Guys are so useless!! So we gave him a birthday surprise! He was in toilet when we were at his room. -____-!!!! All of us really enjoy so much!













Thursday, September 8, 2011

为什么需要有痛?


今天上完课就到医院去,当时已经是下午5点多了。去医院是为了准备明天的报告演示。
当时有几个实习医生还在轮班。跟他们了打个招呼,其中一个医生很友善的告诉我有几个不错的病列可以去看看。


另外一个实习医生说他们正要为一个病人输入中心静脉压(CVP),问我要不要去看。既然有机会,当然要去观察他们如何输入CVP。


病人是一个末期肺癌患者,看起来大约60岁,很无助的躺在病床上。有好几位实习医生站在床边协助。实习医生小心翼翼的找病人右手边的静脉,找得并不容易。终于决定要输入中心静脉压,可是事了很多次都不成功。虽然已经在病人的手上注射了局部麻醉,病人还是觉得痛。虽然病人非常合作,可是就是可以很明显的听到他忍住痛楚的声音。


试了两次,终于放弃。实习医生决定用左手输入中心静脉压,还好一次就顺了输入。可是当他们要把病人躺下,取得中心静脉压的读数,病人一直说很痛。我们也不知道他那里痛。也许是他的癌细胞扩散到骨头所以觉得痛。要取得中心静脉压的读数需要一点时间。我们很努力劝病人在忍以下,再过一下子就好了。他也很合作的忍住痛楚。可是过了不久病人又喊痛,还说救命,求求我们赶快让他坐起来。


当时我很无助,不知道要怎样劝他,也不知道要怎样安慰他、帮助他。为什么要有癌症?难道就因为他抽烟,现在他所受的痛楚都是应该的?都是报应?我心里也有点挣扎,好像有两人在争论。一个天使,一个恶魔。一个在可怜他,另一个却说这是他应得的报应,为什么要可怜他?


其实这是我第二次见证中心静脉压的输入过程。第一次的老公公也是一直说痛,我也只好跟他说,一下子就好了,在一下子......


为什么过程一定要有痛?可以不可以是没有痛的?我真得很希望他们不会有痛的感受。


医生不是应该减轻病人的痛楚吗?为什么却好像在增加他们的痛楚呢?

Monday, September 5, 2011

Book Fest 2011- Dr. George Lee

Lets rewind back to last Saturday, which I really hope I have a doraemon to help me do it.


Went to Book Fest 2011 in KLCC together with Lee since he's going too. Not really confident to go by myself so I tag along with him. I want to see Dr. George Lee which is a urologist and is teaching in Monash now. I first read his article in Sinchiew newspaper and I really like it. It's sentimental and mostly about his own feeling towards his life, work, family and so on. He is launching his new book on that day. Last year he came out with his first book "make each day count", I didn't make it to his book launching event and didn't get to meet him and get his signature. But I am lucky enough to have my friend, Xiang to bought it and get his signature. His first book articles are mostly same in the newspaper, it's like a collection of his article.




So I went and see him in person. It's so fun to hear his talk and I actually recorded it. I just want to show it to my aunt because she likes him too! She also read his article in newspaper too. She actually in love with his words and become worst than me. She even phoned me and talk about his book!




I bought 4 books in total, all of his books. 1 was published last year which I helped my aunt to buy it, another 3 were for me, my aunt and Xiang. He bought for me last year and this year it's my turn to return to him. All with signature!




He has a huge amount of reader and fans, some is his patients and some is his student. The autograph session last for at least 1 hour. The queue was so long. He actually say 'sorry for waiting' to most of the people. Had photograph with him too! So excited!


While waiting for his signature, a guy call Frederick talk with me. Out of sudden he was behind me. It was a girl behind me when queuing. I have no idea when he appear behind me.
He says: you're so greedy, bought so many books.
I answered (out of surprise, cause a stranger talking to me): oh... I helped people to buy.




Then he continue the conversation asking my name and his name and if I were still studying or working and so on... Well, it's very weird and kind of awkward. I just can't keep quiet and don't talk to him, it's not polite. My friend wasn't beside me so I can't get out of it. He was actually the guy who give support to Dr. George Lee when it was open to the crowd to ask question. He says Dr. George life value is very good, as he still come back to Malaysia after so many years in oversea.... etc. I don't know why he talk to me, even ask me to talk photo of him with George Lee and ask me email him. He actually reply my email saying he will add me in fb and ask me to approve him. Too bad, so far I guess he still can't find me in fb. haha!




I was so happy last weekend! Meet him in person are great!


p/s: left out a small little part. I actually meet my online chat friend. practically doesn't count as 'meet' cause only i saw him. he didn't saw me. we never meet before, never have face to face interaction but i just know it's him for the very first sight. sms and ask if he was in KLCC and he was so surprise i know his location. he actually check if his phone got auto check-in in fb but not. HAHAHA!!! well. it's so funny, and surprising as well. this is what call fate.