Friday, December 26, 2008

Conversation

In room No 6 was a 48 year old Chinese man connected to a breathing machine, he was bought in breathless with fluid filled his lungs and his blood pressure down in the basement.

There's not much surprise there since his heart only pumped at 31 percent of his normal ejection fraction.

Cardiomyopathy and acute pulmonary oedema are never meant to be together.

As he lied there looking as though he was asleep, his wife would came by and sat next to him talking to him and caressed his face.

She asked me whether he could still hear her. I dunno. I like to believe that he could. Even though he's sedated with 5mg/hour of midamorphine.

"Yes. Talk to him" I didn't look at her, afraid that she might knew I was probably lying.

As I leave the room, I could almost hear them talking to each other.

Saturday, December 20, 2008

Haha

Got this from MMR website.

A cardiologist died and was given an elaborate funeral. A huge heart covered in flowers stood behind the casket during the service. Following the eulogy, the heart opened, and the casket rolled inside.The heart then closed, sealing the doctor in the beautiful heart forever.

At that point, one of the mourners burst into laughter.

When all eyes stared at him, he said, "I’m sorry, I was just thinking of my own funeral………I’m a gynaecologist".

A proctologist fainted.

Tuesday, December 2, 2008

Trial

The department's mortality & morbidity review or fondly known as M&M is an intense weekly activity that no MO (medical officer) likes.

Supposedly its intent is to highlight cases that shouldn't have ended up in mortuary. Just face it, people die.. and we can't stop that from happening. But the M&M is never about that. It's not the WHAT - but merely the HOW is what gonna screw the MO's asses.

Really.. what supposed to be an educating session for the junior docs i.e the HO (house officer), turns to get carried away into a court drama session at times.


"Are you saying that you didn't check up on that patient for the second time that night?" the professor asks the MO 'in charge' of that case.


".. but.. but I was busy.. with another patient in different ward" the young man looks like a pale moonlight.


".. not an excuse.. wrong answer...I expect.. " the professor losing his patience.


"You want answer?" a tone of irritation building up in the young man's voice.


"I want the truth!" the 60 year old professor stands up.



"YOU CAN'T HANDLE THE TRUTH" the MO hit the table with his fist.


-- a cengkerik make a sound in the lecture hall, and HOMO (HO-turning MO) just peed in her pants.

Saturday, November 22, 2008

Popcorn

Eagle eye is a one damn good movie, a smart thriller like this doesn't come often... though some of the concept isn't really original. A super computer develops sense of awareness and wants to annihilate humans.. hello is that you Space Odyssey 2001.






That Shia guy is all right for action movies... I supposed he had improved his 'panicked face' this time. Anyhow his potrayal of the legendary Francis Ouimet in 'the greatest game ever played' is rather convincing. Now that is one classic sport movie. A feel good - inspiring piece of work. Where the odd was played well and better still it's based on real life event.


On the other hand..

Romactic comedy genre make a comeback with 'Made of honour' which in a way make me wanna flirt with the notion of romantic idealism. Huh, I reckon hollywood has embedded the idea that there a soulmate out there for everyone. Blurrgh!

Oh Btw, Michelle Monaghan is such a babe. I'm officially in love.

Monday, November 10, 2008

Ciggie

I walked into the oncall room and found Kamil a cardiology registrar stood at a corner staring out the windows. Something burning in his left hand.

"So u smoke?" Asking the obvious.

"Nope, I'm just using my becotide inhaler, asthmatic since 10" He laughed and took another puff. The tip of menthol-flavoured Dunhill burned slowly. Bit of ash on the floor.

"Here light this up" he nod me a ciggie

"Tempting, but I quit since 5th form, it gives me cataract" trying to think something witty for a comeback.

"okay catch you later.. I'm late for an angiogram" He threw the half burning ciggie out the window.


Nasib baik no one shouted adoi from below.

We do live in an ironic world.



Monday, October 20, 2008

Anger



How do we deal with angry patient?

"Eh Doc!... Why took you guys so long to see us ah! You know how long I tunggu kat depan tu... anak I cry kat rumah.. and I have to pick my hubby kat tempat keje dia.. if like this besok pon tak abis!!" the 40 year old auntie grinded her teeth while showing her canine side to me.

I studied her face and posture. She looked as If she's gonna chew me slowly taking her time. Well she's a
bit hairy too... could easily has a werewolf gene inside her.

Thank God it's not full moon.


Here is where I pulled out my multiple choice answer response template:

A) Well.. hang on there, I get you the doctor. I'm the new nurse here.

B) Shut up or I'm gonna rip that mouth of yours using this syringe.

C) Hmm (long pause) have a seat, how can I help you mizz?

D) Oh God.. please - please I beg you don't hurt me.


I gave her my best-actor performance smile, pull out a chair and have her seated. Without acknowledging her 'madness', I proceeded to the 5 min-consultation.

Gave her the priscription, and off she went.

Do not in any circumstances provoke the anger. Playing fire vs fire would not help in this case. Just chill, act cool and do your job.

I find that in most cases, these anger-outburst moment are not circumstantial. The feeling has already built up inside that person way back before they walk into the clinic. It could have been death in the family, fighting with spouse, didn't get laid for a month - you name it...

... the long-waiting hour to see the doctor, is rather the last straw that break the donkey.

With that I'm not implying that auntie is a donkey.
(Well.. hey but a werewolf sure! Heheh!)

Sunday, October 5, 2008

Raya!


Raya came and went in a smooth ride. No bump, no glitch in the matrix. Got a few days off and went back to kampung. What a nice way of spending one's holiday. 3 in 1 stuff - I love it.




  1. Get away from hospital


  2. Road trip


  3. Meet the parents (my own parents)



The idiom goes that during holiday season, the hospitals in KL would be almost empty. Lotta people want to be discharge home (even they insist on AOR - 'against medical advice' ~~ Okay I admit I forgot why the abbreviation doesn't match).



On the other hand, the hospitals in kampung area - say Kota Bharu would be full. Coz the children who balik kampung would find that their papa & mama's foot ulcer, diabetes are not controlled and took them to hospital.

Ha ha luckily I'm working in KL.



Friday, September 19, 2008

Cuka

"Doc tolong sign ubat ni" Juita nurse yang tembam sapa aku yang tengah dok tengok sorang patient.

"Eh sapa pulak yg order nyer?" Aku terkezutt.

"Dr Yasin.. dia nak cepat tadi.. die tak sempat nak tulis and sign kat drug chart" Juita bagi alasan yg kukuh lagi solid.

"Eh mana bleyyy... maneleeehh bahayeer, bukan patient I tu. I tak familiar ngan kes tu.. nanti ape-ape side effects nanti.. I yg kene.. sbb my signature kat situ" Aku buat muka seposen.

"Page Dr Yasin key...mintak dia sign sendiri. Byee" Langkah kakiku sayup-sayup ke arah pintu.

Juita tarik muka. Muka masam macam cuka.

Friday, September 5, 2008

Merdekaa!

Merdeka was such a nice day to relax and unwind at home. But instead I was oncall coz someone really had to stay and guard the fort while the other foot soldiers were playing hollahoop with their kids at home.

Come what come may. We were ready.
Err.. btw, so you know.. our hospital was running low on ventilator and ICU bed.

Friday, August 22, 2008

Genesis

What shall I write here?

1st day at blogging and I'm stucked with writer's block.

I suppose King, Clancy and Pak Sako had the same problem before. And those guys were giants.

Anyhow, let see how long I can keep myself interested with this blogging concept.