Tuesday, August 31, 2004

Dinner with Parents n Frens

Venue: Golden Dragon City Restaurant, PJ
Date: 28th August 2004


Dinner was great. It was funny all along. Kutuked each other like crazee. Missing from the pictures are Yinni and Yeow Hun. Maybe the pictures are in Jin Sern's camera. Will ask him to send me those soon. I'll let the pictures do the talkings..


Eh..? Wat are they doin ere? hahaha...


From left: Daphne, Me, Jin Sern, Jill, Young Lee, Alain




On the other hand, the M2/04 orientation is hell of a boring thang. No chicks, no nothing...no substance at all... first day of classes were alrite. Hv to start studying already.

HAPPY MERDEKA!!

Sunday, August 29, 2004

random

I came across this today..

" I'm a vegetarian not because of my health, but the health of my chickens.."

-Isaac Bacheris-

Classes resumes tmr.... bet I'll be having lotsa fun..

Wednesday, August 25, 2004

Detox

I'm on a Detox programme today. Hopefully can last till next week.

I had an apple in the morning for breakfast, Nando's Mild Peri Peri for Lunch, went for a movie, and after movie had assam laksa...

Tuesday, August 24, 2004

Lalalalala....

Today marks the last day of my Assunta job. What hv I learnt from these 2 weeks?
  1. Assunta is a small-haggard looking-unimpressing piece of antique
  2. It's the first private hospital
  3. It's the worst private hospital - even University Hospital prints all its labels
  4. Assunta treats its employees very badly, giving lotsa priviledges to the customers HINT: Don't go work there...muahahahaha
  5. Drug names by its brand
  6. Canteen food sux
  7. PJ old town food roxx
  8. Fix my handwriting, for all mankind
  9. Working is fun, but Assunta sux
  10. Assunta sux
  11. Assunta sux
  12. Assunta sux

Yea......finally get to holiday..hahaha...dunno wat to do oso..


Sunday, August 22, 2004

Nice weekend

Haven't had such a good weekend since working. I ponteng work yesterday. Haha. Cos the nite b4 I went to Zouk. Not really impressive that place. B4 that was in Jazz fest, then moved to Bangsar and had a drink. Zouk's alrite. But music sux. Erm, environment also not very impressive. Not worth.

Work ends in 2 days time. Finally get to holiday abit b4 uni starts next week. haha. tired.

Wish yall a pleasant day.

Wednesday, August 18, 2004

Busy

Very busy with work currently. Quite fun to work in the pharmacy. But hv to be really careful. Because any mistake that you do while dispensing medications, the nurse in the wards hv the right to lodge a police report. This may sound a little bit OUTRAGEOUS, but thats the way things are handled here. The police report will be followed by a report written by the pharmacist to explain the negligence.

Assunta Hospital is considered quite a backward hospital compared to most private hospitals like SJMC or Pantai. The paperwork here is done manually, that is pen, and Cellotapes, and files. Even the medication packets r being labelled manually. They actually tried to computerize the hospital but only lasted 2 weeks. Everything went haywired. The doctors will not co-operate with the admin (they don't want to use the computer) (maybe cos they're old and not computer literate). So they had to resort back to the manual labour. The pharmacy as I said is divided into two sections. We badly need Pharmacist!! Currently there are 6 vacancies for Pharmacist.

Very hectic working in this pharmacy. Especially when u hv to deal with the shit the stupid nurses give you. When we get a order, we will try to dispense it as quick as possible. Then call the wards for these motherfuckin nurses to come collect it. They'll answer YES convincingly. Yet for another 2023 years, they're still not at the counter. Then after these years hv passed, they will conveniently call us and ask, "Why you haven't finished dispensing.."...why so long ar"... FUCKER. WE FUCKIN CALLED YOU LIKE AGES AGO!!

Anyway enough bitching about the nurses. Pharmacy department is basically the Scapegoat of the hospital. Doctors write wrong prescription, we dispense salah ubat, PHARMACY KENA. Nurse writes wrong prescription, PHARMACY KENA. Dispensed and called the nurses to come collect medication, but framed for not doing so, PHARMACY KENA....everything oso pharmacy kena la. The doctor's dog is sick, PHARMACY KENA. Nurse's mum marah her, PHARMACY KENA.

Haih...

But despite all this, working in the pharmacy is nice la. You learn alot. REally alot. Especially names of drugs in their brands. During classes, we learnt them only by the generic names. Then by talking to the pharmacist, we can actually know the working conditions in a Pharmaceutical Company for example Glaxosmith. Its cool la.

My work ends next week. Enuf time to join the Treasure Hunt. Haha...


Saturday, August 14, 2004

Pussylady

If anyone of yall don't like cats, DON'T go watch Catwoman. It'll make u hate cats more. The movie is a total disaster.

Suck like cock..

End

Tuesday, August 10, 2004

Work..

Sorry for not been blogging. Was very busy nowadays. I took up a job in the Assunta Pharmacy. Working from 8.30am to 5.00pm. Very tiring, but overall its fun. Today is my 2nd day. I do dispensing, recording, data input and some other stuff in the Central Pharmacy. We dispense to wards.

One difficulty which I encountered was reading those doctor's prescriptions. Their writing is worse than a ECG strip of 250 beats perminute. For example, if they need Zinnat, the writing will be something like Z. . .n..T. Well it takes time to understand these doctor's encrypted text. Those extremely experienced pharmacist will know exactly what they want. So very frequently I will need to consult them.

So you doctors out there *wink*, pls jaga ur handwriting. It is the major source of malpractice nowadays. If the pharmacist read the wrong label and dispensed the wrong drug, sia-sia only the patient. I think I better practice my handwriting again, especially on those Buku No. 5 of the primary school. I think that is of great help. But my writing is okla...

Anyway will blog again when I'm free.

Happy Holidays to you guys....

Friday, August 06, 2004

GP posting ended..

Sorry couldn't blog for the fourth day of GP posting. Was exhausted to the bones. Anyway GP posting ended today. It was really cool. Well, we gave doc a Thank You card, and took a photo with him.


Doc and us..


I did say doc rides a motorcycle rite, thats his iron horse.


Lil and doc's motorcycle
Anyway below are the summary of cases:-
Day 4
  1. Infection of foot - podia pompholyx
  2. Frozen shoulders requiring physiotherapy
  3. Asthma
  4. Normal lady with Auscultation Gap
  5. Familial Hypertriglyceride***
  6. G6PD patient with anxiety, slight retardation, hyperventilation, hysterical
  7. Paroxysmal Atrial Tachycardia (PAT)
Last Day (5/5)
  1. Swelling of Joint, suspecting syphillis bone disease
  2. Relative Neutrophilia
  3. Micturition Syncope
  4. Stomach Ulcer with H. pylori
  5. Frontal Sinus Headache
  6. Parasthesia of Hands

*** According to the Lab Test, triglyceride level was suppose to be <200 for a normal person. But this guy has a triglyceride level of 1900!! Doc said that basically the oil is just floating inside him. The wife said that the husband, instead of donating blood, can donate OIL!



Boren's Dinner..

Date: 5th August 2004
Venue: Pizzaria Restaurant, SS2
Occasion: Celebrating Boren's Belated B'day

The food in this Italian restaurant is superb. It's cheap and nice. I had beef bacon fettucine while others had pizza, carbonara, and others. We had red wine as well...absolutely fantastica.. After dinner we hopped to Yijun's house. While others check out her dog, Bruno, we chilled out in the hall, chatting and making hell of a noise.

It was a good dinner/gathering. Should do it more often..


4th/5

Sorry no blogging today...exhausted..

Wednesday, August 04, 2004

Hari Ketiga

After three days of GP posting, I'm feeling quite exhausted already. Well fun is fun, but walking under the hot sun, with car exhaust fumes is quite bad. But at the end of the day when we look back at our cases and see what we've learnt, its quite worth the hardwork.

Today's summary of major cases:-

  1. Carrier of HIV guy, 70 year old, healthy and needs monitoring of CD4/CD8 markers
  2. Conjunctivitis
  3. Urinary track infection - urethritis
  4. Chronic Suppurative Otitis Media
  5. Gout with vestibular neuronitis
  6. Food poisoning
  7. Old lady with H/O of hypothyroidism, IHD, neurosis - under Thyroxine treatment

The cases were not much different from the previous days. But at least we get to have variations. I guess the 20 cases write-up for me and Li Lian is not a problem. There's a virus spreading around in the KL area. Out of 10 patients who came in, half of them presented as URTI (Upper Respiratory Tract Infection). They present with cough, sorethroat, running nose and fever. Nothing serious, but from what we can see, there are much similarities between the cases.

As seen in case number 4, the lady has suppurative otitis media. The statement that she made was damn funny.

"My ears has all this things I think becos last time when I was gardening, this insect entered my right ear. It didn't want to come out. So I took some alcohol and drip it inside my ear. The insect came out and it died. So I think rite, cos the bug scratch scratch my ear, thats why now got all this water thing..." she said.

Doc and Li Lian and I were just rendered speechless when doc said 2 seconds later "Pin tho yau kam keh si.." (Where got such thing)..hahaha

Then there was this couple, well the wife is a little bit horizontally UNchallenged. And the husband was quite small. The husband came to see doc because he had fever and ulcer in his mouth. Upon inspection he also had herpes simplex infection (a milder form of shingles, which leaves no marks on the skin). He also had dry skin.

So doc said "why not put some oil on the skin la, like Nivea or Baby Johnson oil. So less dry mer the skin..". Straight away, not more than 2 miliseconds the wife responded (before the husband could actually get the words doc said to his cognitive department of the brain), "Cannot la, look so handsome for wat, very dangerous man...". Yea dangerous for the lady maybe, cos she's like the 'hottest' model of the year rite, weighing 80kgs. Everything the doc said to the husband, before he could interpret it, the wife already sound kow him... Damn cham ler this guy...

Overall GP posting so far was just fun ler. Doc and us already are like frens. He kutuk us, we kutuk him back..haha.. Once, Li Lian went to the toilet so frequently both of us suspected that she had Urethritis. Den he explain la, about the female urethra is about 4 cm la and guy's one is longer. "But Alex, I think ur urethra is QUITE SHORT rite *wink*wink*?...FUcker... the whole time he was banging on the short the urethra thingy...keke

Anyway enuf blabbing for today ... I'm goin to hv dinner and OFF....

Oh btw, forgot to add, I did my ECG already. Done by doc. Did my eye test, audio test, and lotsa other tests for free...courtesy of doc's equipments..hiah hiah..

Tuesday, August 03, 2004

Day 2

Today was quite regular, almost like yesterday. Posted from 9.00am to 5.00pm just now. Freagin tired. Nothing really spectacular today..below r summaries of cases today..
  1. Sepsis of lymph vessels from fingers to axillary nodes
  2. Lipoma on the head with tension headache
  3. Maxillary Sinusitis
  4. HPT pt with 200/100 BP under thiazides, channel blockers and ACE inh.
  5. Herpes zoster infection (shingles)
  6. Onchomycosis with ingrown nails
  7. Dysmenorrhea
  8. Slight fracture of L1 spine

There was a drama today at the clinic. Some lady patient about 30+ came in to consult the doctor. Chief complain was dysmenorrhea. As usual doc will ask about menstrual cycle and the obstetric history. The lady was quite reluctant to tell the doc that she had two abortion before. After talking for a long time only she let it out. Doc wanted to do a physical examination on her. She was quite shy. In a sarcastic way she said, "I look like a specimen, checked out by so many eyes", which includes me and Li lian. Doc said that there was nothing to be shy of, as we're both medical students. She got a lil pissed off. Doc asked whether she was having any pain while he's palpating. She said NO. NO. NO. in a loud manner, sat up, and got out of the room, shutting the door LOUDLY.

Doc was as calm as ever, saying that he'll prescribe some pain killers for her. Li Lian and I were shocked by the way the patient had reacted. We asked doc if these things happen usually, and he said "yea..it's pretty normal..." Wow what an eye opener was that to us.

Heres something to cool things down...

There was this guy patient who came in complaining of groin pain. He happened to be the Selangor Basketball Team Coach (Under 18 and 15). So Li Lian the friendly gal tried to ask this..

"U're the Selangor Basketball Coach rite.."
"Yea.."
"Do you noe who is -some name I can remember- ?"
Thinks for a while, "Er..I don't think so, I can only recognize him.."
"There...he very tall one..."
"Er..."


Up to this point I'm quite impressed with Li Lian already. Yall just make a wild guess la...JUST ONE.. if yall think a basketball player is tall.... Raise up ur hands!!

I think Li Lian is just classic la..keke

Monday, August 02, 2004

GP posting was a BOMB!

Hv yall ever tot of being posted to a GP who owns...

  1. 3 sails, 2 yacht, a small aircraft, 3 motorcycles ranging from 1600cc to 500cc (he's around 60 years old and he does competitive wind sailing, rides the motorcycle to work and scuba dives for the past 20 years)
  2. a HP iPAQ 4150
  3. specializes in Aerospace Medicine (therefore being the only Senior Examiner of Aviation Medicine of the FAA (some exams for ppl doing aviation) in Malaysia)
  4. has connections with the MMA and other Deans from all sorts of Medical School in M'sia
  5. has a son who specialized in Pediatrics (a registrar in Uni. of Leeds) and a neonatal grandson?
Well, thats basically the outline of my GP, Dr. Yong. We didn't ask where he stays and how many cars he has, but up to this point, I'm already SuperFuckinBly impressed...

I reached the clinic at around half past nine...and guess wat we (Li Lian and I) were told that we're early. The journey to the clinic in the LRT and Monorail was fine. Just a lil bit of walking thats all. When we saw the clinic from across the road, we were like thinking.. omfg la, that clinic looks abit rundown. I'm trying my best not to imagine that the only patients there will be prostitutes and tranvestites from all the fuckhouses in KL.

We were WRONG!! The clinic was well tidied, very civilised sick ppl in there and the nurses were really friendly. It was already filled with ppl that time. The clinic is run by two GPs, Dr. Yong and another Indian lady. The Indian doctor wasn't around this morning, so the bulk of patient in the clinic was phenomenal. Poor Dr. Yong hv to layan all of them.

The number of cases we saw this morning..I think around 20..is more than wat we can get from our previous posting in Apollo Medical Centre. People with different sicknesses, ranging from a 8 year old kid to a 70 year old 'kong-kong' came to consult the doctor.

Examples of cases:-

  1. Murmurs associated with Anemia
  2. Elevated Liver Enzymes Lady
  3. Chronic and Severe Anemia with Hemoglobin level lady of 5.xx (11.5-16mg/dL)
  4. Cellulitis
  5. Trigger Finger
  6. Chronic Glomerulonephritis
  7. Lumbargo Rheumatoid
  8. Painful Arch Syndrome

Our first session was completed around 1.00pm. We're free for lunch. After that we took a LRT to Lebuh Ampang (near Masjid Jamek) for our second session with Dr. Yong. The session ended at 5.00pm. His clinic is in a building. Around the area are business centres filled with different types of international banks. Not a surprising thing that he's a panel doctor for almost 10 banks.

Overall our sessions today were really really fruitful. We learnt so much and oso that we know so little. Well can't really expect much from a REALLY REALLY integrated IMU system.

Any last words??? YES

Dr. Yong is absofuckinlutely happening...


Rest In Peace

I dedicate this blog to all 7 passengers of the Bell 206 Hornbill Skyway Helicopter which crashed near Mount Murud, Sarawak.

Somehow I think the Someone up there has better plans for you and ur family member. My CONDOLENCES.

This blog goes especially to my fren Jemima. Sorry about ur dad's incident. All I have to say is keep cool and keep calm. This is just a test. Everything is a test in this world. I'm sure you'll be able to pass it.

I'm off.....

Sunday, August 01, 2004

STUPID LADY!!!


Woman Pissing me OFF

I swear to god the woman was showing me her middle finger. She pissed me off. Just becos she sits in a BMW, she thinks she can flash her ugly fuckin middle finger all around la isit..FUcker, Damn no ManNers man.. argh....stress.....


Fucker..


Cibai..


Nia Sing ar...


Tiu...


Mahai ar..


Swear-fest..haha


Actually the woman didn't do anything at all. She didn't piss me off watsoeva. Just so happened that my car was next to her near the One Utama traffic lights. Her finger, with her angles and everything is just perfect for a 'fuck off' expression.

Haha..the tip of her middle finger was just resting on the upper border of her glass window. She's just happily chatting with her husband while I kutuk her in the car..haha..
I don't think she realised that..keke..

Anyway back to serious stuff, GP posting starts tmr. I'm posted to Jalan Imbi for god's sake..it's too far from my house. And I can't bear the jam..I think I'll take LRT+Monorail there tmr..haih. PC fair ended today. Didn't buy anything..haih no. 2.

Daily Bitcher..off