Friday, November 21, 2008

If I Were a Boy

This song is fantastic! Boys might not like it for obvious reasons...

If I were a boy
even just for a day
I'd roll out of bed in the morning
and throw on what I wanted and go

Drink beer with the guys
and chase after girls
I'd kick it with who I wanted
and I'd never get confronted for it
cause they stick up for me

If I were a boy
I think I could understand
How it feels to love a girl
I swear I'd be a better man
I'd listen to her
Cause I know how it hurts
When you lose the one you wanted
Cause he's taking you for granted
And everything you had got destroyed

If I were a boy
I would turn off my phone
Tell everyone it's broken
so they'd think that I was sleeping alone

I’d put myself first
and make the rules as I go
Cause I know that she’ll be faithful,
waiting for me to come home, to come home.

If I were a boy
I think I could understand
How it feels to love a girl
I swear I'd be a better man
I'd listen to her
Cause I know how it hurts
When you lose the one you wanted
Cause he's taking you for granted
And everything you had got destroyed

It's a little too late for you to come back
Say it's just a mistake,
think i'd forgive you like that
If you thought I would wait for you
you thought wrong

But you're just a boy
You don't understand
and you don't understand, ohhhh
How it feels to love a girl
Someday you wish you were a better man
You don't listen to her
You don't care how it hurts
Until you lose the one you wanted
Cause you're taking her for granted
And everything you had got destroyed

but your just a boy

Tuesday, November 18, 2008

Green Man

The Incredible Hulk, Hell Boy.....what do they have in common??

They are human-like creatures that have distinctive skin colour.

For instance, the Hulk has green skin, while, Hell Boy has red skin.

Now, who would imagine that such skin colour actually DOES exist in this world??

Today, I met a GREEN man (he probably holds the world record for being SO GREEN!).

Yeap...no kidding. He is as GREEN as the Hulk, but with a darker shade. Nope, he didn't paint himself green. He is naturally green because he has too much bilirubin in his body! His liver is in fulminant failure, and I think he's not going to live very long. But, he was a real eye opener!

Friday, November 14, 2008

Hi, I am Dr. Death

I think one of the most obvious duty of a doctor that was NEVER stated in the job description is to break bad news to patients. Before I entered the clinical years of medicine, it never occurred to me that one day, I would be the one giving the patients bad news. And now, it has happened. Nothing could be worse than telling a patient that he or she has cancer, and only has a few more months to live.

And to add more "spice" into my life, what coincidence that I had to inform 2 of my patients that they have cancer on the same day! I felt like Dr. Death. In the morning, I sat down with a lovely patient, and broke the news to her that she has metastatic cancer. No matter how I tried to let the news out gently, I found it so difficult to even say the word "cancer." But I have no choice. I paused for a split second to wait for her reaction. And as expected, she broke down into tears. I felt myself welling up with tears too....but I told myself that I can't be crying with the patient... I need to be strong for her....to give her support. Not easy...especially when I can be rather emotional too.

Later in the afternoon, I thought my day was going to be better. Huh! Dream on! I discovered that another patient has an irregular shaped mass in her body. Sigh. I dreaded going through the whole process again. Anywho, I approached the patient. Luckily, her husband was with her. This patient admitted that she has thought whether she has cancer....and she was kind of mentally prepared for the bad news I broke to her. Unfortunately, as cancer is associated with death, she started to cry. Although I think her cancer is in the early stages and likely treatable, the general population would think that death is inevitable in a few years' or months' time.

Sigh. I felt like an evil person at the end of the day. I couldn't help but think that I had the Death Aura around me. I wondered, why in the world did I choose this profession.....I hate telling patients that they have cancer. I have done it many times since I started working...and you would think that it gets easier. Yeah rite.

Friday, November 07, 2008

Rock 'n' Roll Star

"Slip inside the eye of your mind,
don't you know what you might find,
a better place to play.
You said that you've never been
but all the things that you've seen
will slowly fade away."

"How many special people change
How many lives are living strange
Where were you while we were getting high?
Slowly walking down the hall
Faster than a cannon ball
Where were you while we were getting high?"

hehehe....
ooohh....I love Oasis, especially when they sing my favourite songs!
I am not a particularly crazy fan, but I thought it would be a excellent to catch them live! And I DID!

hehe... yes, they performed live in the SECC, Glasgow 2 days ago. And, it was a good performance. The whole concert hall was FULL! Although standing amongst the crowd would have been really fun, but I was glad that I bought seating tickets. The crowd was crazy; it was close to a stampede, and alot of them were performing the usual Glaswegian ritual of throwing beer around the hall. So I was glad that I escaped that!

They started off by singing "Rock n Roll Star," and they continued to belt out a few songs from their new album "Dig Out Your Soul." I felt that the performance was short, but that was partly because I really enjoyed it. The sang continuously for about 1 hr or so....and did an encore for 30 to 40 mins. They finished off with the song "I'm a Walrus," which was a hit song by the Beatles.

My ears were deafened by the end of the performance...but I really enjoyed it. Now I have their songs playing over n over again in my head! hehe. Loving it! Maybe I should catch their performance at Edinburgh's Murrayfield Stadium, with Kasabian and The Enemy, next summer? hmm...well, I will see what my working schedule is like first, because I think that gig will be held on a weekday.

Friday, October 31, 2008

What Have I Done Wrong?

The sarcasm continues today....in fact, it has been going on all week, and it has really killed me over, I think.

It was ward round day. My boss has not seen anyone all week because he has too many duties and chores to attend to. So this was his first time meeting all his beloved patients. We had alot of patients, and the ward round dragged on till 2 pm.

At the end of the ward round, I was physically tired, and more importanly, I was filled with shame, zero confidence and unhappiness.

Today, nothing I did was correct...somehow, he had something to pick on. Every patient we saw, I didn't seem to have done the right thing.

I told him that this particular patient (who was admitted via the renal unit) needed to be on IV antibiotics for 14 days as advised by the renal doctors. Ok, well this patient was admitted under his care, but the renal team has also been involved because they are quite particular about what antibiotics their patients get etc. Anyway, he asked me, "Why does this patient need such a long course of antibiotic?" I said, "Patient has a positive blood culture and the renal consultant wanted such a long course." Before I knew it, he said, "Oh come on, don't give me such crap"

I was like O K. Indirectly, he was implying that renal was being unreasonable and I was being stupid to listen to them.

The other situation was when one patient with progressive cancer and chronic leg oedema, developed acute renal failure. I told him that I had discontinued the patient's nephrotoxic meds, which included her diuretics, for a few days to allow her kidney function to improve. Now that it has stabilised I have restarted her diuretic at a lower dose. He told me later that, "You did the wrong thing. I don't give a shit about her kidney function. Her urea can be 50 and her creatinine can be 400. She's dying. You should have kept her comfortable by continuing the diuretic to allow her oedema to settle. Now, look at her legs, they are so swollen and puffy to the extent that they aretoo heavy to lift up." "Now, if it was your grandmother, would you like her legs to be so puffy?" I thought to myself, "well, of course not, but I do not want to accelerate her death by speeding up her kidney failure." I remained silent.

Sigh...We went on to another patient. This patient has newly diagnosed enlarged kidneys. I told him that I had spoken to the urologist and they were not going to decompress the kidneys and would not get involved in her care unless her kidney function deteriorates. Before I could even proceed, he went on to talk about the case and pointed out, "Why is the patient now on the list for a cystoscopy? That was not what you told me. You said they were not going to be involved."

I was thinking to myself that I haven't even finish my explanation earlier...and now you're telling me that I am contradicting myself? He didn't even let me complete my previous conversation.

Sigh...I totally gave up halfway during the ward round. I felt so vulnerable, and stupid. I started to wonder whether I'm made for this job...my confidence level went down to zero. I am still pretty upset about it all. I know I am learning, and I honestly do not mind being told I'm wrong. But somehow, I felt that this was unjustified. Oh, I know I should not be sour....it could be worse, I guess. I'll get over it after a cup of tea and a bottle of wine......

Thursday, October 30, 2008

Whoa...sarcasm to the max!

Honestly, I am quite fed up with my boss at work.

First of all, I think he doesn't care about this patients. A consultant should review his patients twice a week...but heck no, not even once this week. He doesn't even enquire whether his patients are still alive?!

Secondly, he is pretty sarcastic. Give you an example.

Boss : what is the difference between prednisolone and budesonide?
Me : budesonide has less side effects.
Boss : why?
Me : I guess it gets digested quickly by the liver, therefore, it doesnt circulate at high levels.
Boss : You have no idea what you are talking about do you?
Me : Well, it was a guess. I haven't been reading up on this.
Boss : Hah! Thought so. It has high first pass metabolism.

wah...got slap right in the face.

Another example.

I was presenting a little case to him after clinic. Mind you, this was a GI clinic.

I said, "This is a 50 year old man with Crohn's colitis and sarcoidosis. He is currently on asacol, prednisolone - reducing regime, and alendronic acid." He stopped me abruptly.

"Hang on, is alendronic acid relevant? What does being on alendronic acid mean here? You have
to be more consise and relevant. What's the point in telling me he's on alendronic acid," he moaned.

" Well, he's on steroids for a long tem, and therefore, have developed osteoporosis secondary to steroids."

He then said, "Well, what does it have to do with his GI symptoms? Nothing."

I just kept quiet. No point trying to make a point...

I can take sarcasm very well...but I felt that this was unjustified, somehow.

Wednesday, October 22, 2008

Where Are You?

The cold days are back again. It has been raining EVERY single day. Mr Sunshine....where are you hiding?

Every morning, I wake up to embrace the rain, and on my way back from work, it rains again. The days are SO gloomy...temperature has not been any higher than 5 degrees so far. It was so bloody freezing that it actually rained sleet yesterday afternoon.

Having said that though, I see the rainbow almost every morning. I guess Mr Sunshine is actually trying really hard to show itself...but obviously, he is weak at present. Therefore, only a tiny wee bit of sun ray gets past the heavy dark clouds....and voila, you get a pretty rainbow. In fact, this morning, I saw DOUBLE RAINBOWS! yes... double, ie, one on top of the other. I could also literally see the end of the rainbows too...how wonderful is that?

Anywho, I hope for less rain and less wind....but I doubt that will happen.

Sunday, October 19, 2008

The Script - The Man Who Can't Be Moved

This song is soo sooo sweet... if only there is a man like him...if only.

Going back to the corner where I first saw you,
Gonna camp in my sleeping bag I'm not gonna move,
Got some words on cardboard got your picture in my hand,
Saying if you see this girl can you tell her where I am,
Some try to hand me money they don't understand,
I'm not...broke I'm just a broken hearted man,
I know it makes no sense, but what else can I do,
How can I move on when I'm still in love with you...

Cos if one day you wake up and find that you're missing me,
And your heart starts to wonder where on this earth I can be,
Thinking maybe you'll come back here to the place that we'd meet,
And you'd see me waiting for you on the corner of the street.

So I'm not moving...
I'm not moving.

Policeman says son you can't stay here,
I said there's someone I'm waiting for if it's a day, a month, a year,
Gotta stand my ground even if it rains or snows,
If she changes her mind this is the first place she will go.

Cos if one day you wake up and find that you're missing me,
And your heart starts to wonder where on this earth I can be,
Thinking maybe you'll come back here to the place that we'd meet,
And you'd see me waiting for you on the corner of the street.

So I'm not moving...
I'm not moving.

I'm not moving...
I'm not moving.

People talk about the guy
Who's waiting on a girl...
Oohoohwoo
There are no holes in his shoes
But a big hole in his world...
Hmmmm

and maybe I'll get famous as man who can't be moved,
And maybe you won't mean to but you'll see me on the news,
And you'll come running to the corner...
Cos you'll know it's just for you

I'm the man who can't be moved
I'm the man who can't be moved...

Cos if one day you wake up and find that you're missing me,
And your heart starts to wonder where on this earth I can be,
Thinking maybe you'll come back here to the place that we'd meet,
And you'd see me waiting for you on the corner of the street.
[Repeat in background]

So I'm not moving...
I'm not moving.

I'm not moving...
I'm not moving.

Going back to the corner where I first saw you,
Gonna camp in my sleeping bag not I'm not gonna move.

Thursday, October 16, 2008

A Little Too Much Alcohol

Vodka, whiskey, rum, gin, wine, cider, beer. What do they have in common? Yeap, they are all alcoholic drinks.

It is ok to drink alcohol within proper limits. Alcohol is a way of socialising, it is a way to de-stress, a way to soak your sorrows away, a way to help you sleep, a way to make you go off-limits and crazy, and lose all inhibitions! BUT, as fun as it may sound, alcohol is quite a deadly drink as well.

I was in utter shock when a saw a young girl, who shared the same birth year as me, dying in front of my eyes, due to alcohol related liver damage. Imagine, she was as old as I was. And yet, there she was lying in bed, slowly making her way into her own grave. It was due to excessive alcohol intake over a number of years that led to her liver damage.... Her liver was so scarred and inflammed that it could no longer function properly.....hence, she became sicker and sicker, and eventually died. The worse thing was I actually saw her a few weeks earlier when she came in with the DTs. I remembered emphasising the importance of stopping alcohol as her liver was quite damaged....but I guess it fell onto deaf ears.

Shocking, isnt?

I was pretty dumbfounded. How could someone so young self-destruct herself into such a state?? I mean we have tried to give her alot of advice, support and all the medications we could think of, to help her....however, she has lost her own battle to survive, purely due to her own irresponsibility.

sigh.

Tuesday, October 14, 2008

My Pic Diary

A picture diary about the food I had and the places I went when I was back home.
The tasty claypot loo shi fun @ Sri Petaling.

Maggots @ Singapore Biennale 2008


Aliens and a spacecraft, Singapore Biennale.

Funny phrases @ the Singapore Biennale 2008.

Funky bus stop in Singapore.

Tasty beef teriyaki wrapped around mushrooms @ Sushi Tei.

Amazing presentation for sushi @ Sushi Tei. Those are unagi pieces.

Extremely spicy Szechuan steamboat (the reddish soup) and ham choy soup by the side (to neutralise the spiciness!). Yummy!


Garlic Fried Rice @ Sakae Teppanyaki

Chawanmushi cooked in an onion @ Sakae Teppanyaki! Lovely!

Black Forrest Ice Blended @ The Coffee Club. It had tasty cherry pieces in it! Thumbs up!

My gal palies. Miss you guys!

SzeL & I @ her house, Ipoh.

Nasi Lemak @ Old Town Cafe

My 1st love with banana pie @ McD.

Kiki, Shopping and Tasty Food

My less than 2 weeks break at home went by SO quickly. I had a FABULOUS time.

When I first got home, Kiki was there to greet me at the gate. I have not seen her for 2 years, and the moment she saw me, her tail was wagging so fast, and she started to do her little dance for me...aww.... I really miss her. I gave her a biigg BBIIGG cuddle. I could see she was enjoying the attention as she relaxed into my arms and closed her eyes....

Malaysia is all about good food! And I was not going to waste my time eating Western food or bread. I had asam laksa and char kuay kak for dinner when I first arrived. The following days, my stomach felt so contented and happy, as I filled it with yau char kuai, ma kiok, chee cheong fun, nasi lemak, maggi mee goreng, roti canai and also, the best claypot loo shi fun ever. I was eating like there was no tomorrow. I even squeezed in a short trip to Ipoh to visit SzeL...and of course when I was in Ipoh, I had to try the taugeh chicken, dim sum and white coffee.... oohh... even thinking about them makes me so hungry!

Shopping was quite fun too, as I managed to catch the Raya sales...so in the end, I bought 2 pairs of lovely shoes, a couple of blouses, etc. However, I must admit that the prices are getting ridiculously higher compared to the last time I was home. Ohh...and I finally managed to visit the new malls, ie, Pavillion and The Gardens.

And now...I'm back at work, back to living in this cold refrigerator, better known as, Glasgow. It's back to the daily routine. Life has to go on. Surprisingly, my jetlag isn't too bad.

Tuesday, October 07, 2008

Crazy About Donuts

Dunkin Donuts.
Krispy Kreme.
And now...J Co?


I didn't know that there is a craze over donuts in Malaysia...that's until I came home. There is a new donut store in town, J Co.

My first encounter with this store was at The Pavillion. Bro said, "You've gotta try...its a craze here." I looked at the queue at this popular shop...and I would say it was pretty long for a weekday. Bro continued, "Oh....this is nothing. Once the queue was probably 1 km long!"

So bro went on to queue. To be honest, I am not a huge fan of fancy donuts... you know, like those sold by Dunkin or Krispy Kreme. They are just too sweet and not original. My kind of donut is the traditional sugar-coated ones.

Anyway, after a good 20 mins or so, bro returned with 3 different donuts... one was topped with choc hazelnut, the other was topped with alcarpone, and the third one had dates on it. I took a bite from each donut...hmmm...really not my kind of donut, and seriously, do not understand what the craze is all about. Having said that though, J Co's donuts are certainly not as sweet as Krispy Kreme.

We took our time to finish up the donuts...and more and more people started to queue up at the J Co counter to pack donuts home....some had like 10 boxes worth of donuts?! Crazy!




Sunday, October 05, 2008

Less Than 1 Week Left

Ahhh.... it's a great feeling to be back home!

I arrived last Monday. The first thing I noticed was the humidity. I was sweating profusely the moment I stepped out of KLIA airport. It is so different being back home... suddenly, I see so many Malays, Chinese and Indians! haha.. I know that is what Malaysia consists of...but it is a bit strange for me, because I have spent nearly 2 years in Glasgow, not seeing THAT many asians around. Everywhere I go was Caucasians.

Home sweet home. Kiki, my lovely cute wee doggie, who is 8 years old now, still remembers me! How sweet! She wagged her tail and starting to dance around the floor. Aww...I really miss her VERY much. She was so "manja" with me... she started to turn her body upside down and rubbing her face on my feet.... =)

I have eaten alot too...in fact, maybe a little too much. The first day itself I savoured tasty, spicy asam laksa and char kuay kak. Then, the next day, I had pan mee.

My family and I made a short trip down to Spore. Bro was really kind to take us around Spore trying various different food...sushi, teppanyaki, SzeChuan Steamboat (which was SUPER spicy), coffee...etc... Boy, such an eating frenzy!

Being back home also gave me the opportunity to meet up with old pals, and my cousin sis who is getting married! Lucky me, I was the first to look at her wedding photo album....She was pretty... I still need to catch up with a couple people...but time is running short... =( There is less than 1 week before I need to go back to the human refrigerator in Glasgow. sigh.

okla...now need to sleep...and wake up for more yummy food tomorrow.

Saturday, September 27, 2008

Harassed

It was a pretty exciting day for me at work today.

It started off with a gentleman with a NSTEMI and sepsis of unknown origin. He went into shock. I was not sure whether it was cardiogenic or just purely sepsis. To complicate matter, he went into fast atril fibrillation and his BP dropped even further. Never have I seen a patient as blue as he was. He was both peripherally and centrally cyanosed.

The second patient was a patient with active variceal bleed. By the time I saw him, he already vomited like 1L of blood! The surgeon inserted a Sengstaken blakemore tube to stop him from bleeding. I remember being a medical student and reading about variceal bleed. As far as I could recall, Sengstaken is used during clinical emergency where there are no other means to stop the bleeding.....and this is normally RARE.

Anyway, me being me, I was panicking. I have no idea how to manage this tube. The surgeon who inserted it started to give me instructions about how to inflate and deflate the balloon...how often I should do them, how long I should leave the tube in..etc...

As he was speaking, nothing was registering in my brain. Everything sounded Greek to me. It was too much information in an emergency situation. Then I went into a phase where I could see his lips moving, but I could not hear anything (i know this is very sad). All that came into my mind was this patient needs to go to HDU because no one in the receiving unit would know how to manage the tube.

The poor man was actively retching and bringing up fresh red froth. He was also actively losing blood from his rectum. The surgeon was busy trying to maintain the balloon of the Sengstaken tube inflated. The nurses were suctioning his mouth. I was trying to get a better IV access in him. It was all abit chaotic at the endoscopy unit.

He was nearly in shock. His BP went to about 109 systolic, he was tachycardic at 176! The nurses wanted to go home because it was 5.30pm already. But there was no way there were going to transfer him back to the normal ward. He has to go to HDU. But the nurses insisted on leaving and they just moved back to the ward against my advice! sigh. What can I do. But this really annoyed me.

Imagine this. Say for example, if I was in the middle of trying to resuscitate a patient (just like what we were doing to the bleeding man), and it was 5pm, which is the time for me to go home, should I just leave and say, "Oh look, its 5 pm. I am going to go home. You guys can carry on resuscitating him." But have we doctors ever do that? A big and loud NO. But why do nurses get away with that?? This remains a mystery. We stayed on to work on him..until he is stable enough and we are happy that he is in the appropriate unit and has a proper management plan in place. (my apologies to any nurses reading this).

Back at the ward, the other nurses were giving me the stares. I felt guilty...but really, it was out of my control. Anyway, he eventually went to HDU...... like 2 hours later.

I felt so harassed. In the midst of all these events, I have the consultant surgeon on the other end of the phone telling me how ridiculous of us medics to leave a man with hepatic encephalopathy in HDU. To be honest, this patient had a GCS of 7 to start with...he obviously had picked up when the surgeons were there to visit the HDU. The HDU nurses were also on my back telling me to step this patient down. But I just didnt have the chance to do that because I was occupied with other sickies.

Then, when I went back to the ward, everyone seems to be looking for me. Imagine this. When I walked out from a particular room, one nurse, one houseman, one DVT nurse specialist, all decided to call my name in unison. I was being attacked at all angles.

Oh man...it was a crazy day. And I'm absolutely drained.

Wednesday, September 24, 2008

That's Not My Name

Attended their gig at the Barrowlands, Glasgow Sunday night...and boy, they rock! As irritating as their songs can sound on the radio, but when you see them performing live...it was brilliant! =)

They sang a few of their popular songs such as Great DJ and of course, the super catchy "Shut up and Let Me Go!"

Saturday, September 20, 2008

In A Difficult Position

I think many of us have been a difficult position before. It could be situations where you have to tell your mum that you broke her treasured vase, or situations where you have to tell dad that you drove his car into the back of another vehicle, or situations where you end your relationship with your boyfriend/girlfriend...etc...there are just so many situations that one could think of, that would place a person in a very difficult and uncomfortable position.

As a doctor, I think the most difficult situations I have faced so far is telling a patient that he or she is dying, or telling their loved ones that the patient is not going to pull through much longer. The other thing I find difficult is the decision making involved in the care of a dying patient. At what stage do you decide that you want to withdraw treatment and just keep the patient comfortable? And when you decide to take away all treatment, you are more or less "sending" the patient to his or her death. But then again, if you continue treatment, you are just prolonging the patient's suffering....and is that justified? Is that fair to the patient? This is tough.

A couple of days ago, I was left in another difficult position. A patient was terminally ill with cancer. To complicate matters, this patient was under police custody and have to stay in prison for a couple more weeks. Now, although I have never lived in the prison before (in fact, I sure hope I won't be at that stage one day), I am aware that it is not comfortable. The environment is gloomy and cold. It is certainly not the best place for a person who only has a couple more weeks to live. But at the same time, I can't allow him to stay any longer in the hospital given that we have treated what we could. It felt cruel sending the person back to prison. My colleague put this thought into my head, "It is unfortunate that the patient has cancer and is dying, but the patient commited a crime which led to imprisonment."

I guess she has a point. However, I couldn't help feeling sorry, but at the same time, I have to do my duty as a doctor, and discharge patients when necessary, to allow medical treatment for other patients.

I rest my case.

Foolish Me

I seem to be making an absolute fool out of myself more frequently these days. I wonder why.

The other day, when I was on call, I actually contacted the consultant who was at home having his dinner, to inform him of a patient whom I was pretty worried about. She was a young lady with funny movement in her left arm, power of about 2/5 in both legs, horizontal nystagmus and GCS 14. Although she was not hyperventilating, her arterial blood gases showed marked respiratory alkalosis. I thought about an urgent CT scan of her brain, therefore, I wanted to discuss this over with the consultant first.

This consultant of mine, is actually the consultant whom I have been attached with since I started working in this hospital. I told him about this patient, and I SWEAR, I heard that he thinks she may have a subdural haematoma. So I asked him, "So you wanna CT her tomorrow?" He said, "Yes."

Horror of all horror, when I went to work the next day, I met up with him to discuss about a few of his patients whom I have reviewed during the ward round. He revealed to me that, "I actually wanted the CT urgent, not the next day. She had it done at midnight yesterday."

I was like "oOpppsss." I asked how did he find out that she didnt get a CT scan in the first place. He told me he contacted the ward to find out whether this lady had been for the scan, and as soon as he knew she hadn't, he requested for one.

I couldn't feel any sillier (if there is such a word). I made a total fool of myself. I kept thinking over the telephone conversation I had with him...sigh...but what is the point eh?

Glad to find out that her CT brain was normal. *phew. Imagine if she actually did have something serious, I would probably just kill myself.

To make matters worse, I told him about a middle aged lady who was admitted with diarrhoea and vomiting, who I thought actually had aspiration pneumonia, because she has been vomiting persistently for like 10 days. He laughed. He said, "How could a young lady get aspiration pneumonia?"

I was abit dumbfounded. I thought aspiration pneumonia happens when your saliva or your vomit or when anything went down the wrong tract (like vomitus too). He laughed further. hmm... and then, I soon realised how foolish I was! How could a fit and healthy lady get aspiration pneumonia, especially when she has no problems with swallowing?! But then again, how do explain cases where healthy patients get admitted because of aspiration of foreign objects, which most often affect the right lung, just because the right bronchus is more vertical than the left?

tsk tsk tsk. i dunno.

sawling, sawling, you really need to stop being so silly and foolish. Silly mistakes you make when you're not thinking properly. hehe.

Sunday, September 14, 2008

A Lovely Surprise

I got a little note from the postman to collect a parcel at my nearest post office a few days ago. I didn't have the chance to collect it until yesterday morning.

I do now know about you. But when I get a note saying that I have a parcel to collect, I actually am quite excited about it. I wanted to know who the sender is, and what is inside the parcel.

hehe...so on Saturday morning, I made my way to the post office. I was handed a big yellow envelope, which was very light, but pretty bulky. There was something inside the parcel which was quite big.

The moment I got home, this was what I received!



isn't so cute?? hehe... I absolutely loved it.

It was a gift from my buddy, SS. It was really sweet of her and not to mention, the hardwork put into creating it all. Everything was handicrafted by her!

SS, I am very impressed! Thank you so much!
HUGS! MUACKS!

Tuesday, September 09, 2008

And Let The Countdown Begin!

18 more days to go...

and guess what?

I'll be back to home sweet home. Yes, back to visit my mummy, daddy, koko, kiki, and my beloved friends. =)

ooh...I can't wait!

It has been a long time since I was last home....to be more exact, it would be 1 year and 10 months! This is indeed the longest length of time I have been away!

The Garden?? sorry, what did you just say? oh...where is The Pavillion? Is there even such a place in KL??

hehe...iIm very ulu, i know. But fear not, when I do get home...explore these places, I will!

right...now I just need to focus on my work...and without knowing it, I would soon be on the flight home!!

=) trust me, I am smiling from ear to ear even when I'm typing this. **tee hee hee

Saturday, September 06, 2008

James Morrison - You Make It Real

Oh...I can't wait for his new album to come out!! Love his voice, love his music!

Come, sing with me.

Mmmmm
There's so much craziness, surrounding me
There's so much going on, it gets hard to breathe
When all my faith has gone, you bring it back to me
You make it real for me

When I'm not sure of, my priorities
When I've lost site of, where I'm ment to be
Like holy water, washing over me
You make it real for me

And I'm running to you baby
You are the only one who saved me
That's why I've been missing you lately
Cause you make it real for me

When my head is strong, but my heart is weak
I'm full of arrogance, and uncertainty
When I can find the words, you teach my heart to speak
You make it real for meee, yeaaa

And I'm running to you baby
Cause you are the only one who save me
That's whyyy I've been missing you lately
Cause you make it real for me

Ohhh
Everybodies talking in words
I don't understand
You got to be the only one
Who knows just who I am
Your shinin in the distance
I hope I can make it through
Cause the only place
That I want to be
Is right back home with you

I guess there's so much more
I have to learn
But if you're here with me
I know which way to turn
You always give me somewhere,
Somewhere I can learn
You make it real for me

And I'm running to you baby
Cause you are the only one who save me
That's why I've been missing you lately
Cause you make it real for me

You make it real for me