Happy New Year 2009

Happy New Year 2009 everyone! Best wishes from Volgograd, Russian federation. Tonight is the time for feast and party. Haa...

A good news for Malaysian Housemen

Read about this good news on TheStar Online,

Day off after 24-hour duty for trainee doctors

KUALA TERENGGANU: Trainee doctors will now get a day off after carrying out their 24-hour on-call duty.

Health Minister Datuk Liow Tiong Lai said the directive will take effect immediately.

He said it applies only to housemen on active call and at the hospital the entire time.

“We will not let these trainee doctors be overworked. We will look into their welfare,” he told reporters yesterday after visiting the Sultanah Nur Zahirah Hospital.

Liow was asked to comment on grouses from trainee doctors that they sometimes had to work almost 24 hours and then report to their superiors the next day.

Some trainee doctors complained that they had to work seven days a week without a single rest day during their two-year stint in government hospitals as housemen.

Liow said trainee doctors should also be allowed to concentrate on getting the right exposure and medical proficiency by giving them off-days.

A trainee doctor at Sultanah Nur Zahirah Hospital, who only wanted to be known as Sally, said she was relieved to hear that the ministry would look into their welfare.

“Frankly, we are very exhausted as we have to focus on our training and also carry out clinical rounds frequently,” she said. “It is stressful.”

Sally said she and her colleagues were unable to pay attention during their stints due to fatigue and time constraints.

Some thoughts to share after reading ?Mine is just simple : Same pay, more time to study, less time getting scolded. Haha....Anyway, i was joking about the 'less time getting scolded' part.. I am sure the senior doctors scold the trainee for their own good rite. :-)

24th Birthday Celebration

1stly, thanks to my groupmates from Group 38 (Yat, Mozac, Ben, Cip, Cud, Ina and Diana) for celebrating my birthday with me at Yat'&Mozac's place on 13th Dec...Shall update the pics after getting them from Ina:-)...
Now i wanna update the pics taken during my birthday celebration in Kim hostel by my hostel mates, on 14th Dec(the exact day). Thanks so much! To Melvin, Bernard, Yhu Voon, Hannie, Yi Jia, Huey Yee, Tesini and Li Liang...I didn't expect all those, esp.ly a home made cheese cake..hehe...Since it' was a celebration at the hostel, somemore it was in my room, so it's considered 'informal',and we just wore like usual...
And finally, thanks to those who wished me, either in person or via internet/phone:-)

















Hostel mates (from the left) : Huey Yee, Hannie, Yi Jia, Li Liang, Yhu Voon, Bernard(in white ,with specs), Melvin (in black)..And i am the one in the middle,squatting...























Melvin's turn to be the photographer..Newly included in this pic is Ms. Tesini Nathan.


















Me with a home made cheese cake..It tastes yummy!Hehe...heard it was being baked 'illegally'.















Cake handing ceremony, by our guest of honour, Ms.CHN.

How to perform a perimortem cesarean section (c-section)?

Read about this in a newly located site : My EmergencyMedicine Blog.

Indications:

• pregnant patient in cardiac arrest who has not responded to resuscitation efforts within 4 minutes of onset
• viable fetus, generally > 24 weeks (but somewhat institution dependent)

Procedure

• vertical incision from 2-3 cm above pubic symphysis to 1 cm below the umbilicus
• extend incision through subcutaneous fat to rectus sheath
• grasp rectus sheath with forceps and carefully make incision through it with scalpel/Mayo scissors
• expose the uterus
• make midline vertical incision through uterus with scalpel/scissors
• deliver fetus

Sources

Reichman, E MD and Simon, R MD. “Perimortem Cesarean Section” Emergency Medicine Procedures. McGraw Hill. 2004.

Roberts, J MD. et al. “Perimortem Cesarean Section” Roberts: Clinical Procedures in Emergency Medicine 4th ed. Elsevier. 2004.

Happy Birthday!!

Found the presents...hehe! Love this doraemon!

Wanna wish my dear HAppy happy birthday =) ..

Have a wonderful year ahead! and stay healthy and happy!

Think positive....

Today finally we went back again to the slum..for a dental programme and health talk for the kids and distributing the used clothes..Thanks to all the members and the lecturers esp..Dr Annama, Dr Sateesh and Dr Vasudha who are willing to spend their precious time to help us out..THings went on well til the final part whereby the ppl there became a bit out of control when we started giving out clothes... chaos...ANyway.. we learnt a lesson from this first project and the juniors might benefit from it for their next project..Hope Huluran KAsih organisation wil prevail in MMMC...
Sunday night again...so fast... Yesterday called home....managed to talk to mum and bro..and just now talked to my dear awhile... My life is just so blissful and comfortable...nothing for me to worry... I should be grateful.. After seeing many kids who are ill, some came with nephrotic syndrome, some babies with thalassemia who required life long blood tranfusion, I resented myself to not living my life to the fullest and wasting time doubting myself and get anxious over some illlogical stuff... Recently saw a baby, grossly pale and looked limped, came in with only 2% Hb due to undiagnosed Thallasemia..all this while the mother thought the baby is fair.. after first blood tranfusion , the baby's condition improves so much..so energetic and cheerful, keep laughing , and we had a wonderful time playing with her...Hope the baby be strong enough to face many more challenges in her life ...sometimes I wil be thinking, why must god punish these babies who did not do anything wrong at all in their life... though i know everything that happens has reasons behind it.. At this moment of life, I have it all ..good health, wonderful family and loving & understanding bf.. but life is just too good til sometimes I feel so scared that all this wil be taken away from me one day due to my mistakes..mistakes that i wil never ever do in my sound mind... I am scared of dissapointing my parents...i m scared of losing him.. Til now, I still haven got the courage to say "Thank you" to Mum and Dad...I wil.. one day...
I wil be more confident of myself...have faith and trust myself...think positive always.. Be optimistic!

Posting in Udupi...

Time flies..so fast I am coming to the mid of my 3rd posting(OBG and Paed in udupi)..3 more months left in india..the first week spent in PAed ward in Udupi hospital was really fun..got to talk and play with the kids..the 3 musketeers...came to know bout a famous Cricket player.."Doni" from the elder boy..he got so excited when we asked him bout cricket..haa... His mother even wrote for me my name in KAnnada...so nice of her...:-) tml my group wil switch from paed ward to OPD..
My dear must be studying hard now for his paed exam tml... All the best to u darling!