happy day!

Today is Malacca Historical Day..so it is a public holiday here...But since it is on wed, it doesnt make much difference to us coz we cant go anywhere far though..So, just spent time sleeping and resting today..
And, today I m very happy =) because my dear bought me a gift which i have yearned for long...Couldnt wait to get it....=)
Shall start studying dy...
My Medicine posting will end this week..next will be Community MEdicine..heard that it is fun too... Throughout this 4weeks medicine posting, I enjoyed it a lot... I learnt a lot, not only academically, but also certain things in life which I always take it for granted..I m glad that patients taught me a lot.. I begin to understand what is a good doctor...what is empathy is all about and what actually the patient wants/hopes from the doctor... or as a medical student now, what can I do at least to make them more comfortable...I realise now that mere sitting there and listening to their problems will give them some strength to move on.. I hope God will help them along the way.... :-)

yenny

When you call for emergency service

Imagine a scenario, while you walking on the street, you encounter an accident, involving multiple vehicles, and the scene is bloody. And you call the 999 service in M'sia, what is the 1st thing you gonna say? What happen? How many people involved? Dr. Chew has posted a useful mnemonics in his blog. When you call next time, just remember use the mnemonic ETHANE.
What' does ETHANE stand for?

E = Exact Location - The precise location of the incident

T = Type - The nature of the incident (trauma, non-trauma, heart atack, motor-vehicle accident), including how many vehicles, buildings etc. are involved

H = Hazards - Both present and potential (e.g., explosion, spillage of combustible materials, highly volatile hydrocarbons, chemicals, etc)

A = Access - Best route for emergency services to access the site, or obstructions and bottlenecks to avoid

N = Numbers - Numbers of Casualties, Dead and Uninjured on scene

E = Existing Emergency Services - Which services are already on scene, and which others are required - s0 as not to duplicate services, and for better utilization of services in other concurrently emergency happenings.

Remember this mnemonic and make a proper call to the ambulance service in case you need to in the future. You will never know that by providing accurate and necessary information, you might save a life/lives !By the way, don't make prank calls!

Are you prepared to be a doctor?

Came across this post ' Are you prepared to be a doctor' by Dr.Hsu. A big thank goes to Doracrates for telling. Seriously, i have never thought of some of the questions posted by Dr.Hsu. How about you? Below are the questions :

For those who are going into medicine, ask yourself:

Is it for money you are entering the field of medicine , or is it really for the love of helping people and alleviate sufferings?

Can you be patient enough to sit there for 60 minutes listening to an old lady telling the woes of her family ? Can you be human enough to comfort her,holding her, even when she smells and stinks ?

Can you stand the chores of standing there for over 10 to 20 hours to do or assist in an operation without asking to be relieved, since chances are there would be no one to relieve you?

Can you stand working from 8am in the morning on a Saturday and finish work at 4.30pm the next Monday (that was the weekend call I personally went through)?

Are you prepared to be on call for 24/7/365 a year , if you are the only doctor in town in some of the rural areas?

Are you prepared to face SARs or Ebola patients coming to your clinic to consult you without you scooting off from the back door? (During the SARS scare, doctors carried on seeing patients like normal, even though anyone with fever could be a SARS patient and you would definitely be infected in the small confine of your consultation room if the patient that walked into your room was a SARS case)…

Are you prepared to handle excretions of patients such as stools, urine and vomitus, or physically handle a foul-smelling and maggot-infested wounds?Even if they cannot pay you?

Are you prepared to face a lifetime of learning since medical knowledge needs to be kept up to date ?

As a hypothetical question just to illustrate a point, are you prepared to treat someone who might have killed your loved ones? Medical ethics demand that you do..

If any of the answer is no, then medicine is not for you.

For full post, please read in Dr.Hsu's Forum.

患癌如生命歷劫•劉子賢更懂保健盡孝

患癌如生命歷劫•劉子賢更懂保健盡孝
· 良醫
2008-03-19 22:49

· 如今劉子賢已精神奕奕，積極過健康的生活。

· 劉子賢：患癌前，我非常不孝，很少回家，母親開刀時，我只是寄錢給她；父親洗腎時，我也寄錢回家，以為這已是孝順。

· 劉子賢：很多人都不懂得預防的重要，患癌前叫他清早起來運動，他說：傻的，我不會多睡兩個鐘呀？可是患癌後，清晨5點太極，6點氣功，8點瑜伽……為什麼？怕死了啊！
（霹靂•太平）前NTV7新聞主播劉子賢於2003年12月初被證實患上生殖細胞癌，傷心欲絕的他差點就從醫院的窗口跳下去，所幸窗口細小，加上及時閱讀證嚴法師的《靜思語》讓他開悟，總算把往鬼門關裡跨的雙腳拉出來。之後，他進行3個月的化療，經歷生不如死的嘔黃膽汁、嘔血、便秘、排尿困難等後遺症。他也改為茹素，積極調整生活作息和情緒，最終重獲健康。說起這次的生命歷劫，劉子賢深深感悟：生病就是對雙親最大的不孝。
劉子賢在《光明日報•良醫下鄉》"生命的轉捩點"分享會上直言不諱說："了解我患癌症的過程後，保證你們這一輩子不敢患癌症！"
他表示，這過程非常非常的痛苦。2003年12月初，他仍是NTV7新聞主播。有一天他咳嗽，但咳嗽的感覺很不一樣，幾乎每一吋肺都在痛。他覺得不對勁，第二天馬上看醫生，並要求照X光。
"那醫生笑說，從來沒有人咳嗽一天就要照X光的。我說，你不用管我，我有錢，我要照X光。"
左支氣管有小白點
幸虧他堅持照X光，才儘早發現了他的支氣管左邊有小白點。當時醫生沒說什麼，但召來心臟和肺部專科醫生。
"我覺得奇怪，為什麼一個X光片需要兩位專科醫生看？接着，兩位醫生皺眉看看我，又皺眉對望。接着，醫生吩咐我數日後再回去做全身檢查。"
劉子賢表示，做全身檢查時，首先進行MRI（磁力共振影像）。他調侃，進行MRI的房間超舒服，穿上白色衣袍，躺在鐵片上，再被機器送進猶如"山洞"的洞口，像極了人死後被送進雪柜。
讀《靜思語》開悟
"過後，醫生說要切片，我以為醫生拿刀來切，豈料醫生拿出我從未見過最長最大的一支針，在沒有麻醉的情況下，直接從胸部插進我有腫瘤的地方。針插進時，基本上我已昏死過去！"
最後，他被確診患上生殖細胞癌。"我問醫生為何是我？醫生答說當然是你，不是你還有誰？接著，我問醫生醫療費多少？醫生說少則幾十千，多則百多千。最後我問我會死嗎？醫生答：Not sure。"
當時，他哭了，看到窗口很想跳下去。所幸，醫院的窗口細小，他跳不下去。他一直哭，後來隨手拿起《靜思語》一讀，結果他開悟了，不再尋死。
不顧身體等於不孝
"我12月中回檳城治療。一直以來，我很少回家，一回家我就告訴媽媽有事情告訴她。她笑得很開心，以為我要結婚，結果我不忍告訴她。吃飯時，我還是開不了口。那是2003年12月15日，我最後一次吃肉。吃完飯回到家，我告訴媽媽，我長了腫瘤，我媽問什麼是腫瘤？其實她是知道的，此刻她的臉部完全沒有表情，只說那就醫治啦！"
"那天晚上，我經過父母房間，關着的門傳出傷心的哭聲，哭聲令我很難過，這是我一輩子都無法忘記的。此時，我深深了解身體髮膚，受之父母，若沒有好好照顧身體，就是不孝。"
2003年12月16日，劉子賢第一次做化療。在等待時，一位伯伯教他一星期吃3條鰻魚，吃12個星期即可痊癒。子賢想到要犧牲36條魚的性命來換他的性命，他何德何能？於是立時決定茹素，直到今天。
全身腫脹嘔血
化療受盡苦頭
劉子賢坦承，化療令他流了不少淚。"針一插進我的血管，就會疼痛、腫脹、瘀青，那種疼痛是你們無法想像的。醫生看到我瘀青了，就從我的左手拔針出來，插入右手，一直換來換去。
我很感恩這雙手的血管可讓我用3個月，否則醫生就會在頸喉部裝個導管，這痛苦會更恐怖！"
另外，他也一直嘔吐。"我喝水吐水，吃飯嘔飯，總之吃什麼嘔什麼，嘔完所有的食物後就嘔黃膽汁，嘔完黃膽汁就嘔血。嘔血的感覺很恐怖，整個五臟六腑像被人捅了好多刀，一齊糾着痛。我就這樣嘔了3個多月的血。"
他說，患癌時，大小便也痛苦。尿急去廁所，站很久只尿出一兩滴，滴滴皆辛苦。他也很久沒有排便，有次插着針上廁所，結果一用力，針也飆出來，滿室都是血。
"化療後的第三個星期，我全身腫脹，長了好多黑斑，如今痊癒了仍殘留一些。這些黑斑提醒我一定要好好照顧身體。"
患病後領悟"前非"
遺憾眾人不懂保健
劉子賢表示，每個媽媽都不會放手讓孩子死去，但有次他在家裡吐血，覺得自己不行了，於是跟媽媽說：如果他死了，一定要放手，媽媽說好。"媽媽不忍心看到我受那麼多苦，寧願放手讓我離開，得到解脫。"
他表示，不需經過患癌的痛苦就能明白健康的重要是上等人。"我們跟死神搏鬥，撿回生命的是中等人，至於下等人已經死了，因為患癌了仍不願好好照顧身體。"
"我想，我這一輩子最大的福報是患癌症，它改變了我的一切，如生活方式。很多時候，生病並不是一件壞事，如果你懂得轉念，生病是不錯的事。現在，我每周探望病人時都很心痛，心痛他們不懂在患重病之後改變自己。"
慶幸仍可孝順父母
劉子賢坦承，患癌前他非常不孝，很少回家。母親開刀時，他沒有回家，只是寄錢給她；父親洗腎時，他也只是寄錢回家，以為這已算孝順。
"但當我患癌時，他們沒有只給我錢，然後叫我自己去醫院；相反地，無論爸爸洗腎多麼累，媽媽如何忙，他們每天都風雨不改地拿食物到醫院給我。如果一個人不懂得孝順父母，那他一輩子都沒有好日子過。我深深慶幸我懂得孝順的時候，爸爸媽媽還在。"
他說，3個月的化療耗掉7萬6000令吉，但感恩這7萬6000仍能夠換回他一命，畢竟很多人花了一大筆錢還是救不了自己。"不過，請記住，預防永遠勝於治療！"
光明日報•2008.03.16

blessed...

Today I feel very happy, and feel that i m blessed and lucky to have mum and dad who love me unconditionally and make sure I lead a happy life... Today, I also had a long chat with my dear after a long time...It feels really good and I am blessed to have him with me all the times. He is the pillar of strength to me at my moments of weakness when I feel helpless, alone, scared of wat wil happen tomorrow... yet he never walked away...not even a single step. Though sometimes certain life event is really harsh, without that I would have never known who really care for me and learnt how to appreciate my loved ones ..Now, I m glad that I do...Thank god for bringing him to me...

yenny

holiday!

First of all, Happy Naw Ruz to all Baha'is!!

Today is my second last day of holiday..3 weeks holiday passed so fast.. How I wish I have a longer holiday...After this I wont be having such a long holiday anymore :-( ... But, this holiday, I did a lot of things ...really had a great time. It started off with cousin's wedding...whereby many relatives..cousins came back....had a gathering in Ying's house..playing Wii..gambling..chatting...then off to Langkawi and Pulau Payar with Manda & Dhanesh...first time parasailing and snorkelling...then this year finally i managed to go chengbeng again after many years...we all were like picnicking together with Ah kong and Ah Po... Then during this holiday also, I took the opportunity to do something which i always wish to do..that is bringing my brother out for a day...watching movie, eating, walking around in shopping complex etc....This was the first time brother took a ferry to penang, it was also my first time getting to my grandparents' house by using public bus in penang...It was a wonderful experience for both of us...to go around penang using the bus =)

This post should be completed 2 weeks back..but then due to some problems, now only i manage to finish it....because today only i got my internet connection in my hostel

yenny

Post surgery cycle

Post surgery cycle night. Feel great to have Dennis Sergeivich as my teacher for this semester. He really brought us around to see patients, and what's important is he is among the few teachers which really emphasizes on bedside manners. Tomorrow will begin intensive therapy,which is my favorite in this semester. Anyway, today on the bus i failed to recognize a visually-impaired young man who was standing on a congested bus. Who recognized him? An old lady , who stood up and led him to an empty seat later. At that moment i just felt guilty and embarassed of myself. And i told myself, ' Be more observant next time , and you can always help someone in need'...