Sunday, December 21, 2008

I learned...

It's good to have emotion towards what we do but it shouldn't reach an extend where it impairs our works or daily activities.

Thank God for this new day. Isn't life interesting?

Happy winter solstice festival people! Can't wait for my glutinous rice ball... ^^

Saturday, December 20, 2008

She needs space

In her late twenties, she came to the Gynaecology clinic with a few complaints. She is married with 2 children, the youngest being 5-year-old and unable to conceive there after. Her menstruation was irregular but heavy. She complained of something coming down through her coital passage. After detail history, physical examination and relevant investigations, she was diagnosed polycystic ovarian syndrome and reducible second degree uterovaginal prolapse with retroverted uterus and cervical elongation. (For the benefit of the non-medical personnel, it means the prolapse of part of the genital tract just enough to block the vagina passage.)

Doctor explained to her regarding her conditions and the available treatment options, including surgical treatment of cervical shortening. Out of which she was advised only for conservative treatments such as weight reduction, pelvic floor muscle exercise and to minimize straining. The patient didn't seem to be satisfied and repeatedly questioned the doctor of the ways to get rid of the prolapse. She started tearing and expressed how this problem had interfered her sexual intercourse and the relationship with her husband. She couldn't meet her husband's pleasure.

Things must have been bothering enough for a woman to tear in front of public (9 medical students, a doctor and a staff nurse). Her major concern wasn't how to get pregnant or why is she menstruating abnormally but how to restore the husband and wife relationship.

Bearing in mind that the conservative treatments take time and the efficiency is very much less than that of surgical intervention, I would want to sign her for cervical shortening and simultaneously advise her for the above mentioned modifications to reduce the risk of recurrence. My idea got rejected by the doctor, I felt helpless.

She needs a space, in her vagina just enough for sexual intercourse. She needs a space in her husband's heart. She needs a little more consideration.

Undoubtedly, sex is an important act to a marriage. But why should it comes to take a place in causing marital disharmony? Isn't love supposed to be greater? Why are women always the ones silly enough to consider for everyone else except for themselves?

Perhaps I am not being realistic enough. Or I am just too emotional...

I regretted of not going after the patient to talk to her more. She must have stepped out of the consultation room feeling more miserable than she just stepped in.

Sincerely, hope things are fine with her.

*Useful facts

Tuesday, December 16, 2008

A great mum was borned on this day

Dedicate to my dearest mummy, Madam Wong Ngoh Ying...
A beautiful woman smiles in troubles,
gathers strength from distress,
grows brave by reflection.

I see how beautiful my mum is.
Happy birthday mummy!
I am so proud to be your daughter.
We all love you!

Monday, December 15, 2008

A dumb day resolved

It spoilt my day when I started it by waking up late. Again, I stayed up, doing unnecessary stuff the night before. Ended up slept with books by my side. It wasn't hardworking when I wasted my weekends away and trying to compensate.

When things didn't go my way, when ward work wasn't efficient, when I was chased out from clinic, when I dozed off in class till I failed to reach a doctor after multiple attempts... Everything seemed just dumb! And exam is really near, when can I be more aggressive?!

Allow me to rant... This day has ended pretty beautiful anyway.

Thank God for the bunch of good friends surrounding me. When I think I would feel better on my own, it is your laughters that cheer me up. When I am stressed questioning my competency, it is your encouragements that keep me going.

Thank you friends. We must get through, together!

Sunday, December 14, 2008

That little organ

One little organ, as big as a fist.
Oh how great, as it shelters fetus.
It bleeds monthly, and contracts badly.
Oh how joyous, as it grows a person.
A woman's joy, but it brings pain.
Hollow little organ, uterus by its name.
That little organ, wonderful creation.

P/S: Just found the pantie interesting, not mine by the way. Haha.

Saturday, December 6, 2008

Our very last Diwali Night

I reported a complete Diwali Night last year, the best one I'd ever have. For our very last Diwali Night which fell on 4th Dec. 08, here are some random shots.

Azi, my pretty housemate, nearly pass her by without recognition.
Ushers alert!On eating break...
The only Sem 9 performance.The climax of the day not more than appearance of Prof. Harwant.Last but not least, a group snap.
My sincere thanks to Raju, the best dancing partner, ever! For your effort and fun that are worth to be put into all time remembrance. Thank you, it was an honour being able to work with you too!

It wasn't as enjoyable as it used to be. I know the factor of STRESS has definately contributed a whole lot. The past one week hasn't been a good one for me. Skipping oncalls, didn't cover beds, not reading up, got scolded... I just didn't play my part!

It's time to get back on my toes. Gynae is fun, by the way!

Saturday, November 15, 2008

Heart full of gratitude

With the above birthday cake, they stood at my door step when the clock stroke 12am on the day I was turning 24. Although having given the same surprise to my own housemate, I did not expect one for myself. Here it started, together with (from the left) Wan, Chyi Earl, Khung Ying and Nana. And of course I have censored the pictures of me in pyjamas! :)

Thanks for sacrificing your beauty sleep, especially the gynae posting friends who needed to be in ward before dawn. The night ended nostalgically when everyone started to hug goodbye. It won't be long before we bid goodbye but I'll never forget having friends who walk me through all the challenging days. Thanks for your concerns, advices and the never ending encouragements all the while. I love you guys, too!

The second celebration was held in Kensington, Era Walk. Without princess partying dress, I had loads of fun too! To Ernest and Sabena whose plans were going against one another, thanks a bunch for all your efforts. And to Melissa, Tek Jee and those who made your way there, I can't say enough thank you for making my day a memorable one.

The third celebration was given by my dad for Japanese buffet. The food was surely scrumptious, with an 'eye-opening' cost! Nevertheless, it was precious being able to spend time with family.
Besides the treats, most of my birthday presents are wearables. Out of which I've got thoughtful Tenom coffee sent all the way from Sabah! My appreciation to Allen, Pauline, Min Ran, Azi, Farah, Shiqin, Wan, Nana, Khung Ying, Chyi Earl, Hui Chien, Saw Choo and Chiu Shing for the wonderful presents.
Not lossing count on the warm wishes via phone calls, SMSes, facebook, friendster and the wishes in person. Thank God for everything. I'm truly beyond blessed.

Tuesday, November 4, 2008

I am a lemon

Since there is a sudden fruit fiesta in my blog lately, I tried out this test from Chee Koon's site too.



You Are a Lemon



You have a very distinct personality. And if you're not being sweet, you're a little hard to take.

You're a bit overpowering, especially in one on one situations.



And while you are very dominant, sometimes your power is needed and appreciated.

You can liven up a dull situation, and you definitely bring a fresh outlook.



You are a bit of an acquired taste, and you tend to grow on people over time.

People feel refreshed and rejuvenated after spending time with you.


It's quite accurate, to some extend.

Friday, October 24, 2008

Chikungunya

Bearing in mind the Chikungunya fever has an outbreak in Malaysia, let's learn something about it today.

Chikungunya is an Aedes mosquito borne disease which transmits Alphavirus. The incubation period is from 2-4 days, with dengue-like symptoms including fever (>39℃), petechial or maculopapular rash, arthralgia or arthritis. Non-specific features include headache, injected conjunctiva, slight photophobia and insomnia.

Distinct differences between Chikungunya and dengue:
- Chikungunya fever normally lasts 2 days and ends abruptly; dengue fever shows saddle back feature which pit on day 4 or 5 lasting 7-8 days.
- Chikungunya reports no mortality rate so far but arthritis may persist for months to years.
- Chikungunya specific IgM is present.

It is symptomatically managed:
- Ensure hydration
- Paracetamol as anti-pyretic
- NSAIDs (ibuprofen) for joint pain; Chloroquine can be used for persistent arthritis.

References: Wikipedia, Mahsuri.

With this, I would like to introduce two of my friends, CheeKoonKhungYing, whose birthdays are only one day apart.

With the coordination of Wan on the other side, we successfully threw a surprise to the birthday girl. It was a long tiring day from the ward but the fun and laughter we shared were memorable. I'm definitely going to miss night like this.

Next came our usual birthday celebration spot in JJ, Seremban with Chee Koon.
Time really flies. The celebrations with them a year ago are still remaining vivid in my mind. It's the last birthday celebration before everyone embarks their own journeys after graduation. It did mingle with some extend of nostalgic feeling undeniable.

To Khung Ying my all time fun housemate. A person that I can count on when I need a listening ear. I cherish every moment spent with you. Who knows we may be posted to the same place for houseman in time to come :)

And Chee Koon, one whom I've known for 6 years! I remember what you wrote on my autograph during the college leaving day. I feel the same too. Thanks for being such a supportive friend.

Have a great year ahead Chee Koon and Khung Ying! I am truly blessed to have you both as friends!

Thursday, October 23, 2008

Paediatrics' fun

In the second meet with Dr. SG Ling, we learned how to make balloon animals. It had actually cheered up my stressful long day. I am all ready to fulfill my dream of being a free lance clown after acquiring this skill!

With Hai Liang, our leader. And my master piece was the tallest blue giraffe on the right.
Group snap by Hang Cheng, missing Harveen, Chi Wooi and Joo Ee.
Next up, rabbit!
I brought home mine instead of giving to the kids in the ward. Wanna practice making, too bad it leaked after repeated twists.

Paeds' exam is in few days time. I think I had too much fun...

Monday, October 13, 2008

Birthday dinner

Barely remember the last time I cooked for more than just myself was a celebration after the end of Semester 7 examination which was 8 months ago in my neighbours' place. This time around, instead of nerding in library, I buried myself in the kitchen for 2 hours to formulate:

Salted vegetable taufu soup
Bitter gourd stewed chicken
Fried potato with meat
Stir-fried lettuce

Date: 13th Oct. 08 @ 7pm
Venue: My residence, Blossom Heights Seremban
Occasion: Ernest's birthday!
Special guests: (from the right) Tek Jee, Sabena, Melissa, my housemate Khung Ying, Ernest

It was actually the first time our dining table was kept clean surrounded by so much laughter. Simple dishes yet great time! Not forgetting the 'birthday egg tarts' and vanilla ice-cream courtesy of Melissa as desserts. Thanks :)

The egg tarts on fire were looking gorgeous! Once again, have a blessed year ahead Ernest!

The kid and his egg tarts glittering,
advice says get riped before eating;
Father I pray for Your guidance never ending,
as he continues to pursue his future undertaking.

Saturday, October 11, 2008

Drawing class

We had Dr. SG Ling few days ago for class. He is well known of asking interesting questions to get to know us. So this time around, his question was:

"Draw two things to describe yourselves."

After a quick sketch, my two representative objects are:

1) Smiling sun - Jovial

2) My home - Homely
(Bigger scale implies I'm the eldest of five.)

Drawing is a good tool to understand each other, and I agree that it is a good way to remember things too. What my friends had drawn are pretty much sticked with me now.

Monday, October 6, 2008

Sick

Paeds ward is infectious! The first day of posting I'd already started making wan tan, sorethroat is coming up.

The whole of today was like getting a sleeping spell, a good excuse to sleep slightly earlier. Good night everyone, hope to boost up my immunity to fight rhinovirus.

Challenging days are ahead. Keep going people!

*sneeze sneeze*
--
Updated on Saturday, October 11, 12.24pm

It just took too long to be self limiting. Here it goes:

Syrup diphenhydramine hydrochloride 15ml thrice daily
Chlorpheniramine maleate 4mg thrice daily

It tasted more horrible than I used to remember for more than 10 years ago. I'm allowing myself to be sleepy during the weekend. Don't think I'll comply to my medications once school started. Haha.

Saturday, October 4, 2008

Exploring Muar

First of all, we had two missions to complete in Muar:
1) Eat!
2) Find 'Putera' Gunung Ledang (Since the puteri had already long taken by Sultan.)

So here I went with Ernest and Tek Jee, for a 3 days 2 nights stay.

Mission #1 was completed, scrumptiously and contented, leaving behind mission #2 for the next round as we didn't register a week in advance to hike Gunung Ledang. Anyway, being able to enjoy some therapeutic massages from the water fall wasn't that bad after all.
The master of fishing who never give up on his fishing rod despite multiple mosquito bites and the scoffing of the passer by. Here, as a result of being patient, a fish which he claimed ugly was caught.
Special thanks to Jen Ern who tour guided us and the recommendations of nice food. And to Ernest's aunty who has been hospitable and lovely, it was fun listening to the endless real life stories.To my trip buddies, thanks for everything. I had a real good time with you guys!Click for more from Ernest and Tek Jee's posts.

Kite flying

Kite flying symbolizes freedom. I especially like the feel of running on grass staring at the high flying kites while the breeze blows everywhere messing up my hair.

I had a great home coming, with siblings and cousin to fly kite in a park near home. We, the kite flying illiterates failed to maintain the kite high up till the wind got weaker.

Even to hold the kite and posed, we had fun! I'll surely go fly again!

Time flies, the one week break is coming to an end. I am back in Seremban missing a family dinner tonight. Thanks be to God for a fruitful holiday, being able to spend time with family and catch up with friends were of so much joy and laughters.

It's true when they say, house is where you hang your hat, and home is where your heart belongs. I guess I'll get home sick for a while.

~My home sweet home~

Saturday, September 27, 2008

Girls' day out in Malacca

I was just saying "Yes" to Hui Chien's sudden enthusiastic recruitment for a Malacca trip right after the end of posting exam yesterday. And here we came...
Thanks Kealyn for tour guiding, Joanne and her parents for their hospitality. To Melissa, Hui Chien and Chiat Yin, it was a pleasant journey instead with all the heart felt sharings. Thanks for making it a wonderful trip. I had a good day out in Malacca!

And now, it's time to work out after two whole days of ceaseless eating!