Powered by Blogger.
RSS
Container Icon

Proper care

The joy of being a doctor is, being appreciate by ur patients.

Was in the so call busiest ward in the busiest hospital, (konon-Nya only la), manage to get the HO room a free table fan, thanks to the UGIB uncle that I had been taking care of, get the nickname of methadone queen, being so well known among the IVDU patients, even the nurse oso make the remark that "most IVDU in the ward knows dr Qian"....

really dono why, I had been so fated with these RVD+ve patient, my friend in the same ward, from the day enter till the day left, never encounter RVD+ve patient; me, from tagging till now still not yet leave the ward, edy encounter more than 10 RVD+ve patients. I still remember I nearly cry on the first time I get these patients n wear double o triple gloves to take bloods n insert branula for them... 

Went to stable ward yest , one IVDU patient need a new IV line, so all the other IVDU patients come crowd around me find that patient's vein for me to set line. Such a special experience. Anyway sometime I felt bad for those that addicted to drugs, as i witness the withdrawal episodes, the patient drag himself walking plus crawling with the whole body shivering towards me bagging for methadone, n I need to keep calling the Psy MO come prescribe methadone to them...

Another thing in medical ward is the ABG, I really bad in radial ABG at first n kept taking brachial ABG initially, but since being "lectured" by my MO, I guai guai take radial ABG everytime, now patient request me to take their ABG. Sigh, workload is ok ok since everywhere is floated with HOs, my only regret is I have problem communicating with the specialist , whom I dono why all girls like him. Haiz.

So now my bf is sick with indication that I think if he come ED HKL he sure be advised to admit ward, but I can't be with him cause I'm busy completing my calls. T_T One month past, three months ahead, all the best to me.

Till then.

Ps: I super miss home, been not back hometown for 5 months now, @_@

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

About CHC

While all these happen, I'm so glad that many had stood up and support Pastor Kong. I believe in God, I believe in His righteousness. Even Jesus had undergone persecution two thousands years ago.

Would like to share these articles here...

TOC Breaking: City Harvest Executive Member alleges COC Defamation

City Harvest Church Responds to Allegations (28 June 2012)

Pastor Kong, we support you!

Btw, while browsing through City Harvest Church web page, i found this:

CHC'S STATEMENT REGARDING NEWS ARTICLE ON REV. DR. YONGGI CHO We refer to the Straits Times article on 22 September 2011 relating to Rev. Dr. Yonggi Cho and the alleged misappropriation of church funds. From the report, Dr. Cho has categorically denied the allegations and attributed them to "a smear campaign by a very small group of people in [the] church". The report states that a group of 29 elders in his church is accusing Dr. Cho of the alleged wrongdoing. Yoido Full Gospel Church has more than 800 elders in total. .......
So not only Pastor Kong, Rev Dr Yonggi Cho, the pastor of the world largest church face the allegations before.

Being a pastor of a Mega church is very challenging, but I believe God had chose them and He will show His grace over them. This is our God. I put my 100% faith in Him.

As a Christian, and a follower of Christ Jesus, I strongly believe in offering. And after i give, i have full trust in the person that manage the church fund. Cause no matter how it is, is just between God and the church leader, I just need to do my part, which is give offering with a willing heart, and believe that God will bless me abundantly. - Malachai 3:10-12 -

It doesn't matter where the church fund goes, as we have a God who is watching over us 24-hour-ly non stop, you know you can't hide from God. - Psalm 139:7 -

It just happen that i'm a daughter of a pastor (ppl named us PK - Pastor Kid), so i know even in a local church which is not so big, we had many Elders and church leaders to audit our church fund, and I know it's so tiring and troublesome to do the church account every month. Trust me, my dad, as an Elder in church, will spent the whole Sunday afternoon sitting at the table just to audit and come out with the breakdown of the church account spending. Then, either me or my sister will typed out the account. And I know most of the time, the church leaders did not claim back the money when they buy something for church, cause we are educated in the way that we believe giving to church is a blessing!

So I don't believe the accusation pointed to Pastor Kong and his fellow church leaders. What can they do with the 23 million sing dollar? Why should they misuse the church funds when God had blessed them abundantly too.

I'm not a law nor mass communication student, i know nothing about these two fields, but i know anything can be twisted and turned easily in these fields. Anyway, i believe fact will remain fact, integrity person will remain integrity no matter what happen. Whatever will happen in near future, God still reigns, and His Kingdom shall come, His Will shall be done on earth as it is in heaven. - Matthew 6:10 -

Amen!


Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

CA - in Kids

It's devastating, it's disastrous, it's heart-breaking, it's just saddening - when you talk about ALL, AML, CML, Lymphoma, Retinoblastoma, Neuroblastoma, Germinoma, Rhabdomyosarcoma, Osteosarcoma, etc - in children.

The good news is, it is a curable disease, the child can be cured of their diseases with the appropriate treatment and care.

The bad news is, the process of going through the treatment is disastrous, and the oncology emergencies situation such as Tumour Lysis Syndrome, hyperleukocytosis, anterior mediastinal syndrome, SVC syndrome & CVL sepsis is not uncommon. The common side effects from chemotherapy or even antifungal drugs that patient will be on includes nausea & vomiting, febrile neutropenia, bone marrow suppression, mucositis, hypertension, hyperglycemia / DKA, and tubulopathies causing electrolyte imbalance.

These are not that uncommon, judging on the amount of Blood C+S being done, and the number of patient came in for febrile neutropenia.

Worse still is when i witness child underging RT. I've seen RT in adults when i'm doing attachment in NCI, now i'm seeing 2 years old kid going through that, felt sooooo pity for them!

Yeah, i'm in paeds oncology ward for 2 weeks now, as a houseman, ranked the lower-most among doctors in the ward. So, i'm not treating or directly involve in the management of the patient, i'm just there in the ward, doing all the miscellaneous job including tracing results, running to the main lab (finally i counted officially that it took me only 5 minutes to walk from Institute Paediatric to the Main Lab with a super fast walking speed), getting the results ready so chemo drugs can be started, filling up forms for either blood transfusion or laboratory tests, calling (plus being scolded) the PDN MO to request for blood products, diluting drugs, clerking new cases, calling patients that didn't turn out for the appointment, escorting patient to certain procedure - just to administer sedation drugs in case they did not sleep during the procedure, writing the discharge summary, assisting MOs in the procedures, and putting in results forms to patient's folder. If lucky, get to do chemoport insertion and removal, administer chemo drugs and do the book for patient.

LP and BMA is a norm there, FBP and CSF result is the essential indicator there, Blood C+S result is super important, as well as the blood counts cause it determine the patient is suitable for the next cycle of the chemo drug, oh not to forgot the TDM level as it determine whether to increase hyperhydration or the percentage use for the next cycle of chemo drugs, esp MTX.

I'm talking alien i know.

One more thing, i felt sad for newly diagnose case, one is the bright student in school but turn out to have AML, another one is a cheerful girl, the final diagnosis is ALL, pre-B, officially registered in the ward on the last few days i was there.

So that's about my life there. After 2 months of work, still very new and fresh i know, I realize it's not so easy to please everyone, and we got to act very fast and think really quick. And most of the time, praying is very important, seriously!

Going back to general paeds ward next week, felt stress, but i got to move on, striving through God's grace.

Till then.


  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Graduation

Because I got no Internet In the hostel that I'm staying currently n I'm just so lazy to go subscribe one ( due to bad experience with the broadband previously.....), so I didn't blog about my graduation. But I got a very good sister who blog about this, n she upload most of the pic that until now I haven't even seen those photos, read the post here. Congrats to me, thanks God for the blessings!!!!! Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

HKL

So to everyone, i'm going to work in the biggest hospital in South East Asia (according to the psychologist there....) starting on next monday. Hospital Kuala Lumpur..

My dear bf Nick told me i can go act in the show Oncall36 edy, cause it's 6 of us from the same batch reporting to that hospital on monday.

Ask me am i happy with this choice, i'm quite happy. Initially wanted Hospital Seremban badly, but after think carefully, and after saw the letter with Hospital KL printed boldly there, i had accepted the fact. Appealing just for the sake of confirmation, and yupe, God wants me to go HKL, so i better pack and go and start a lifeless life there.

I hope i got chance to blog more in near future, probably i won't be scolded so badly and be labelled as strawberry generation spoilt brat again......

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Handbag! hishopmy sale of up to 70% off #Marla bags!

A girl can never have too many handbags, so add on to your collection with the @hishopmy sale of up to 70% off #Marla bags!

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Medan

Actually, if you fly from Penang to Medan, it only took about 30-45 minutes. It's like u board the plane, sit there, waiting for the plane to take off, then when the plane finally on the air, the air stewards show all those emergency precaution etc etc, then sit for a while, then the airplane captain will start announcing about the landing of the plane.

So in total, one hour oso not reach u edy need to get out from the plane....The first thing i was thinking when the plane was landing was "har? i haven't got enough sleep....". Oh well, fast is good, time saved! The weather in Medan is hot, really hot.

The view from plane, on Medan.

Yupe, Bingo, it's Airasia..

Went there with my mum, cause she's going there visit some church friends and bring something for them. is related to Zan Mei Cao (赞美操) one. Stay in a doctor's house there, he owns Medan Specialist Centre which is one medical centre that os affiliated with Sime Darby Medical Centre in subang jaya. He bring patients here for either surgery or consultation every now and then. The Medical centre is really big, and his house is above the medical centre.

My mum taught the church members there zan mei cao, the leader for zan mei cao in that church is the doctor's wife. Photos of the church:
It's a big and nice church! I forgot the church name anyway...

Oh ya, on the first day we arrive there, the doctor's daughter-in-law recommended us to this spa for massage...

I swear, the full body massage in Medan is AWESOME and it's CHEAP!!! Really really, much much much better than the China one, and much cheaper, 100,000 rupiah for 2 hours, so is RM35++, i think i can only get foot massage for this price here in Malaysia....

Oh the grand-son of the doctor is very very cute!!
Playing with this kids most of the time cause i oso bored he oso bored...

And of course, the FOOD there....

Ya, there is part of the reason why i become soooooooooo FAT. T_T T_T T_T

Lastly, view from the plane again,

Our very own Penang Bridge!! Looking at it from the plane felt like this bridge is very awesome!

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

全球每月最佳旅游胜地

Other than Medan, i didn't travel overseas during this super long boring holiday, due to certain reason. But it's alright, sometime, life is just so unpredictable.

M going for the "brainwash" induction course on next Monday. Digging out my sister's old track suit n some old collar T-shirt to bring there, oh and not forget my mum's batik baju kurung....1Malaysia, Yeah. =_= 

Found some nice place to go for travel from web....Super Nice wor....

旅游的确是件惬意的事情,不仅可以松弛我们紧张的情绪,同时也是对自己的最好褒奖。

随着天气渐渐转暖,新一轮的旅游高潮即将揭开“战幕”,大家不妨停下忙碌的脚步,挎上背包,给一个偷懒的借口,启动自己的“休闲模式”吧!
一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一
1月:马尔代夫

马尔代夫位于赤道附近,属热带海洋性气候,受季风影响,四季温暖,日夜温差不大,风光美丽,气候宜人,是旅游休假的好地方,基本上全年皆适合观光旅游。

气温:25.4℃-30.4℃;常年水温:26℃-29℃;最佳旅游月份:1月-4月,7月-10月。

2月:威尼斯

春秋两季是意大利威尼斯最美丽的季节,不仅气温适宜,同时在这个季节还有狂欢节(2-3月)、冈多拉节(9月底)等热闹有趣的活动。夏天的威尼斯不仅炎热,运河蒸腾的水汽和气味也令人感觉不舒服。但夏天来到威尼斯的游客仍然很多,主要是习惯夏天度假的欧洲人。

涨潮是困扰威尼斯居民的大问题,水位上升,广场和街道都被淹没。但对旅游者来说这是很新奇的体验。

3月:日本大阪

大阪位于北温带,四季分明。春秋二季是最佳旅游时间,春天赏樱,秋天看枫叶。

春季(3月至5月)最低温度为3℃-15℃,最高温度15℃-25℃。在次期间不仅可欣赏桃花,亦可欣赏妩媚的樱花。

4月:希腊雅典

雅典的气候温和宜人,一年四季适合旅游。夏天雅典的温度大约为26-32℃,冬天为10-15℃。雅典年降雨量只有150毫米,集中在冬天。艳阳天每年有300多个。

从整体上看,最好的旅游时间是4-6以及9-11月份。8月份是旅游者最多的时候。当然,也可以在冬天到希腊去。这样,可以享受一份清静和悠闲了。

5月:加拿大

加拿大旅游的最佳季节是5月到10月,在这段时间可以体会加拿大独特的极具风情的清凉夏季和枫叶层林尽染的秋天。加拿大属于北欧型态的大陆型气候,气候比较寒冷,冬季漫长而夏季短促,四季分明,但东部和西部沿海一带,以及靠近美国的哈得逊河流和五大湖地区,气候温暖湿润,是加拿大人口稠密、经济发达的区域,气候差异很大,不同地区在每个季节的气温和降水量都有很大不同。

6月:冰岛

冰岛为温带海洋性气候。每年6-9月以及1-3月间是最佳的旅游时间,这时温度凉爽宜人,平均气温为10度左右,最高温度可达24度。冰岛因为靠近北极 圈,夏季日照时间较长,6月中下旬尤甚,有极昼现象。冰岛的冬季时间较长且多风雪,冬季日照时间则非常短,一般游客较少。

7月:澳大利亚

位于南半球的澳大利亚,气候宜人,没有极端温差,约可分为两个气候区。在南回归线之上的北部地区(约占澳大利亚40%土地),为热带区。其他地方(即南回归线以南),则属于温带区。澳大利亚幅员广阔,以至区内气温仍有差异。温带区内四季分明,而热带区只分夏湿和冬干两季。同时澳大利亚的地形很有特色。西部和中部有崎岖的多石地带、浩瀚的沙漠和葱郁的平顶山峦,东部有连绵的高原,在靠海处是狭窄的海滩缓坡,缓斜向西,渐成平原。沿海地区到处是宽阔的沙滩和葱翠的草木。

8月:俄罗斯

俄罗斯各地气候差别很大:东欧平原气候较温和,夏季温暖,冬无严寒;西伯利亚地区的冬季则非常寒冷,最低温度可达零下70度;由于俄罗斯多数地方纬度较高,总的说来,气候以寒冷干燥为主。俄罗斯最佳的旅游时间为5月至10月,此时的俄罗斯凉爽宜人,最适合前往避暑度假。当然,冬季的俄罗斯也有它的独特魅力,四周银妆素裹、白雪皑皑,同时也可以去俄罗斯滑雪狩猎的大好时机。

9月:韩国

秋季从9月持续到11月,天气温和,是旅行的好季节。韩国属于温带气候,可观赏四季变幻的景观将是旅游最大的乐趣之一,其中秋天是旅游的最佳季节。在韩国,十月初的雪岳山枫叶转红,落英缤纷;到了十一月上旬,首尔的古宫已是红叶满园,秋意正浓;此外,还有含羞带怯的波斯菊。

10月:巴西

巴西9月22日至12月21日为春季,12月22日至3月21日为夏季,3月22日至6月21日为秋季,6月22日至9月21日为冬季。巴西以热带气候为主。各地特别沿海地带湿度相当高。当地夏季是旅游旺季,如果想避开人潮和摄氏37度以上高温的话,4到10月是比较好的时间。

11月:开罗

地中海式气候的开罗,一年只有夏秋两季。夏天炎热而干燥,秋天清爽宜人。到了11月,开罗古老而神秘的风情将一一呈现。当然,旅行者要带一些防寒衣物,以应对昼夜的温度变化。

12月:泰国

曼谷属热带季风气候,终年炎热,一年中最舒适的月份是11月至次年1月,那是曼谷的凉季,月均温度25℃-27℃左右, 各种花卉依然绚丽多姿,曼谷此时景色最美。而到了每年的12月,曼谷都会举行盛大的行军大典和泰国国王寿辰纪念活动。身着鲜艳军服的皇家军队和国民着意装点的街市,更加美不胜收。

Nice right nice right nice right awesome right???!!! If got $$$$ n got time n got ppl teman n got the energy to go, then maybe we should consider, after all, life is short to enjoy this world.

Till then. All the best for me in that brainwash course.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Upload ur #KotexEndCompromise to d FB contest and u might win a makeover worth USD1,000!

Dread that time of the month, ladies? Upload ur #KotexEndCompromise to d FB contest and u might win a makeover worth USD1,000!

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Something worth sharing

Recently, my dear bf Nick started to read 9gag.com, thanks to the 9gag iphone apps....

Saw this pictures weeks ago, and i think it's worth sharing here....

Co-incidence?!

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

A new look

Change a blog template, an easier one, no need anything everything need to go to the html code there edit here edit there. LOL.

Also cause i think this blog had been abandon for quite long edy and it's time to revive it. (ok i dono will i really revive it, but ya, we must be postitive...). Maybe this blog can use to record down what i had been doing for the past few years and things that had happen in my life.

The world is changing very very fast. My first blog is when i'm still using friendster, that time very popular to write blog using friendster. Then, facebook come, everyone is crazy about facebook and friendster had been left out. At the same time, blogging is very popular among college students and young working adult, and then nuffnang, googleAd etc etc appear, make blogging more popularize. Imagine all this happen in just 5-6 years, so what's going to happen in the next 5 years? Only God knows.

 Spending more time in my hometown makes me feel future is so far away from me. While most of the youngster had gone out to city to make a living, the elder parents are left here waiting faithfully for their children to come back says once in every two months? And life is simple here, not that hassle, things here much cheaper, people here much nicer, everyone knows everyone, most of the ppl here don't really care about branded stuff. I had few rich relatives, all told me, why use few thousands plus money go n buy a branded bag when u can spend the money on traveling, pay for children school fees, buy car, buy house, expand business, etc.... Yupe i agreed. Try to think of it, instead of buying a burberry bag, i think i can go for a trip in Taiwan and shop alot there for few days dy. Small town girl mindset. Yupe, but i think is quite true. haha.

Anyway, quite happy for a change finally. Hopefully my weight will change oso, drop more so i'll be more comfortable.

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Lotus eater

Ok, i admit i live like the lotus eater nowadays. ok, not as so not productive, at least i did learn alot of things, think alot and get to know Christ more.

I really encourage everyone, especially Christian, read the Songs of Solomenn, it's a very very good bible book that talks about our purpose in life and how to live a fruitful Christian life. Live your life well as we know we are just passenger of this world, one day, we'll go back to our Lord Father, or one day, our dear Lord Jesus will come to the world and bring us back there.

Oh and one more thing i gain LOTS of weight, that for the first time in this 1 year, when i go out with friends, they finally didnt critic on my weight, and also didn't ask me to eat more anymore, cause i'm too fat to eat more........T_T.........T_T......T_T

Well, other than eating eating sleeping gaining weight in my hometown....

I learn to appreciate beautiful things in life. Life is short, right? The nice rainbow captured in my hometown, really nice. Somemore that day i went out with my mum to help a patient who had been on palliative care treatment until late night.

God is good. He is so good.

No need further explanation, everyone come Sitiawan will know that other than Red Wine Mee Sua, the must-eat food is this "biscuit/cake" call Kong Pia, speciality of Fu Chou people..

Also went to a 'holiday resort' at Trong, is a really country side place with nice view....
But mosquitoes repellent is a must for this type of trip. T_T



Since now i finally have time to watch some video, i watch 2 medical related video... First is the Japanese drama, named Code Blue


Is mainly about life in emergency department. Anyway, Japanese healthcare system is wayyyyyy too much advanced compared to Malaysia......This is my final conclusion from this drama. Doctors there open chest to do CPR one, we here press till patient's rib fracture to perform a "good" CPR. Emergency doctor there must learn to open chest, we here even general surgeon cannot simply open chest, it's cardiothoracic surgeon's job...

Another one is Hong Kong drama, named The Hippocratics Rush

Ok, this movie more suitable for us as it talks about Housmeman's life, also , about Neurosurgeon n Cardiothoracic surgeon, and some about Oncology n Orthopedic. I salute every neurosurgeon cause i know God arranged the neurosurgeon in KPJ Ipoh Dr Cheah to saves my father's life. They are really important...

I went Medan with my mum, and was glad that i'm a Malaysian. But the rich people there really rich. Ok i got no pictures from there cause go there mainly to relax.

Went KL meet my dear bf Nick every alternative weeks, we went IKEA (finally), had been talking about this few months after we got together...haha.
This one no need further explanation, the signature meatball in IKEA food court, a MUST eat item, nice, both of us enjoy it so much.....
Walked around at the furniture area, saw this two cute "babies". According to Nick, this item is a hot selling item as his colleagues bought this and enjoy playing with "them". LOL

And finally i try the Moo Cow frozen yogurt..
Abit pricy, but it's really nice. I would prefer this over Gelato, if the price is cheaper.......

Since it's Easter day last weekend, and cause i'm in KL, and Hui Ing invited us to join the Easter production in CHC Sunway, so Nick and I went for the Easter production, named Chromeheart there. I don't have the pic of the production, cause we're late and we are not allow to enter and we watch the TV outside the church. T_T
This is a pic took outside the church, the food stall at the church compound! The church is huge and nice!

Played Draw Something, my friend the draw the prettiest picture is Chloe, she's really a good artist and she can really draw!! See this:
There's once she drew me Hercules, and it really look like it, she is so talented!!!!

Few recent photos, the breakfast we had at the restaurant in front of Nick's office.

This picture, i just want to show that i become fatter. =_=lll


Lastly, i got a specs, i wanted to sell it, the story is like this, read here, the brand is Emporio Armani EA 9731 PDE, it had been in Nick's room for about half a year, cause he don't really need it.
Anyone interested or u got any friends wanted to buy a branded specs recently, pls let me know, i dying-ly wanted to sell this off to have more cash flow. LOL

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

New Polo

Have u seen the price for d new #VWPoloSedan ? Final price will be shown tonight!

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Snack on fried foods without the health worries with Princess' #FatFreeFryer.

Snack on fried foods without the health worries with Princess' #FatFreeFryer.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS

Graduated

Oh well, it had been few weeks, but i just wanted to post this up here in my own blog. Pictures taken on our last day in our dear seremban clinical school.....who knows some of us might go back there again when the big letter came.....

First the group photos...


The photos of prediction....the big 4 guys in our batch which consists of one super dean list...
Yea, really nice to have such batchmates which make our batch more  happening. Haha, true enough, all of us who are together since sem 6 went through this 2 n half clinical year together....None left behind. =)

More photos.....
Pretty girls handsome guys.......
Spoiler....PhotoBOOM.....

The sweet twins!!
Yeah, nadia is pretty. and the dean list jerming photo boom.


With my dear ex-housemates..

The oath taking ceremony. Yeah, we all got to take this oath before entering this profession.

Some of us might forget we took this oaths once start practising, but no matter how, i really hope all of us be good doctors in future.


More group photos......







Everyone is happy, yeah, this is just the beginning of the journey. I really treasure my IMU friends alot. I change alot since entering this uni, so do many of our batchmates. Hope the spirit of C209 will remain, and to all our future patient, this batch of young doctors are really a good one.

Till then.

  • Digg
  • Del.icio.us
  • StumbleUpon
  • Reddit
  • RSS