the last prime

from behind, the truck is almost completed

but from front, still can see some flaw here and there

sigh... the optimus prime

the last prime of the galaxy

it would never completes in my hand...

live conference

observe a live surgery on screen

there is a conference, and we all sitting at auditorium

interacting with the surgeon, getting information about how a surgery is performed

is an interesting experience, like watching a movie

and at the same time, can talk to the actor in the show...

christmas

everybody has a christmas tree in his/ her mind

how your christmas tree look like?

that is mine... misty evening, yellow-lighting lamp post

and shadowed-looking tree

refrigerator filled up

don't hate me, for having all these drinks in my freezer
all these are from my hard work of doing 10 calls in a month
with minimal spend of on call kupon
so use all that to exchange for these drinks
they contain my sweat, my blood and my tear....

ugly hair cut

went to barber shop today

and request for an ugly ever hair style,

so he give me this spiky look

just after cut, it is really ugly, like wearing a songkok on top

but after bathe, it seem to be too good...

shop that selling shit

a famous bread shop in town
selling this shit-like product
believe me, i still dream of it...

mamak in the jungle

mamak in the jungle should be a nice place

a place that i dream to go for long

.......

now only have an alternative option of visiting this mamak stall

another kind of mamak in the jungle

mango that worth rm 20

yeah this is my dinner, and this stupid mango cost rm20.. gila right

and after eating, it is not really that special also

an on call night at 10th floor

i went to review some patient at 10th floor

out from the window is the view of KL center, including twin towers

but in the pic, the scene is not as nice as seen with naken eye

can see that the hospital is on top of a small hill

nonsence in clinic

look, there was an invisible man visit at the clinic ..
he only showed up part of his hand when he is about to go..

hehe..

how childish i am..

关于作者

她相信承諾，喜歡一切美好的東西：
漂亮的衣服、美味的食物、男人的諾言。
她找尋幸福，然後發現，
失望有時候也是一種幸福，
因為有所期待，才會失望。
遺憾，也是一種幸福，
因為還有令你遺憾的事情。
她追尋愛情，然後發現，
愛情，從來就是一件千迴百轉靠不住的事

所有事情，是不是在行將失去或是已經失去的的時候，我們才會發現它的好，才會覺得萬般不捨？
那些一起走過的日子，那些甜蜜和酸澀的時光，那些笑聲和眼淚，那雙牽過的手，親吻和擁抱，耳鬢廝磨，兩個人之間絮絮叨叨的家常話與綿綿情話，一次又一次的吵嘴與事後的和好，當時只道是尋常，直到一天，無奈要割捨，或是知道必須要割捨，我們幡然醒悟，曾經以為的尋常往事，如許細碎，卻也不會重來。
於是，我們禁不住責備自己，當擁有的時候，為什麼不好好珍惜？
然而，所有事情，是不是只要珍惜便不會失去？抑或，曾經傾心付出，曾經珍惜，也就可以無所悔恨地抹一把眼淚，告訴自己，向前走吧，別再回頭了。
當我們緬懷逝去的愛情，恍然明白，那些尋常往事，是生命中最綺麗的波瀾。所有的深情，原來是由許多細碎的時光一一串成的，就像一串亮著迷濛微光的小燈泡，靜靜地俯伏在腳邊，照亮著我們彼此相依相伴的身影。當時只道是尋常，直到一天，燈火已闌珊，我們才發現，那些尋常日子是多麼美好的祝福。

感情需要不停的惊艳

轻轻的搔是痒，重重的搔是痛。轻轻的拍是安慰，重重的拍是处罚。轻轻的爱是温馨，重重的爱是情伤。

如果有一种机器，能够透视人心。每个光鲜亮丽的衣衬和壮阔的胸膛后面，一定都有颗伤痕累累的心。有刀痕，有鞭痕，有锁链的勒痕。。。。

而且爱得越多的人，伤得越深。因为最重的伤害总来自最心爱的人。

情到深处总是伤！！

paste from a friend

陪你看尽夜色的人－语录张小娴部落格
陪你看日出和看日落的，是不是同一個人？這一生，有些人是陪你看日出的，另一些人是陪你看日落的，就像有些人只能陪你看星星，沒能陪你等待明天的第一道曙光。然而，到了人生的最後一抹黃昏，你念念不忘，始終牽掛著的，是那個陪你看日出日落，還是陪你看盡夜色的人？今天，有個人跟我說，婚姻早已經把愛情消磨掉。是的，歲月也消磨了多少甜蜜的夜色？又消磨了幾輪日出日落？一天，你突然明白，到頭來，深情終究是一趟孤獨的旅程。

深情，终究是一趟孤独的旅程。。。

5 symptoms that women will be fat soon

women must read: if u have any of this, then congratulations!!!

1. craving: like to eat a lots

2. become lazy.. refuse to do work

3. feeling tired easily

4. sleeping more than usual

5. afraid of exercise

so if u have this... hehe sorry lah

heart-shape liver

this patient has hepatocellular carcinoma of right lobe of liver

thus right hemihepatectomy was done

this is a difficult operation because of the tumour was large and involving right and middle hepatic veins

somehow we found that the liver after operation turned out to be a 'heart'

a rm 6000 medicine

anybody can imagine that, this injection costs rm 6000

is much more expensive than botox injection

as u can see, this is sandostatin LAR

is a kind of treatment for endocrine producing tumour

and it need to be repeated every 28 days

for how long? god knows...

because there is barely anybody can come out rm 6000/ month just for an injection

the survey still on going..

if u had the cancer that need this medicine, would u really will spend such an amount of money?

even though said rm 6000 for a month life is worth...

after gym

a night after gym, rain has just stopped

the atmosphere still cool, the light still groomy

the surrounding still wet

and there is not many ppl at the street

neon is the best company for the night

it flowers the dark

it warms the cold

enjoy the cool night with cool feel and warm heart

ICG

this is one of the test that determine liver function

with this, we can select patient that with better liver reserve undergo hepatectomy

when i first come here, i never heard about ICG

even now i also cannot remember the full name of this

but.. somehow this test need to be known by heart

because it is surely come out in exam, even though it is not used in other hospital

don't ask me about the cost, here we do it for free, but the solution used is not cheap

medical always expensive, so ppl do think dr earn lots,

who will realise that we are actually high risk cheap labour..

dengue protocol

dengue is a common outbreak in malaysia

that's why we as dr should know how to manage dengue

even though in surgery, also need to know something about dengue

when i found the protocol in HDW, i quickly take a snap shot of it

don't ask me more about it, what i know is just so minimum

and the protocol keep changing/ updating.

from surgical point of view: hmmm to refer medical, not my problem.. hehe

a night during on call

a night during on call
forgotten what time, but i still running around in the hospital

and look at the corridoor, from east wing to west wing

from north wing to south wing..

there is nobody..

look carefully, if u able to see 'somebody'...

then believe this: this thing surely missed his way back after the halloween..

acreditation

hospital acreditation coming soon
so we will be having some briefing, some meeting

and also have to wear something weird

to show that we are joining in this

among that are:

- stupid batch saying: sedia menolong

- some stupid cards

- remember some codes and meaning behind it

and will have some rehasal during offiice hour

about code red, code yellow etc etc

to see how we react/ respond to each

The result

first rehasal started last friday:

anouncement made through hospital PA system:

ward 6A code orange, ward 6A code orange,

we responded: F U no free lah .... -- ignored--

then later, ward 5D code red, ward 5D code red

my stuff nurse told me, dr now code red oredi

i asked: "which ward? 5D right, then is not our problem

go and send the patient blood to lab. we need it stat.."

seem the acreditation surely will fail ler..

雾里看花

雾里看花总是美丽的。

迷蒙中带点神秘，让人可望不可及

但是一旦近观之，在垂手可及处，那就。。

没什么了不起，毕竟少了那一份的神秘感，

那一丝的朦胧之美。。。

DC bead

DC bead- new age of treating liver cancer

both colorectal cancer with liver secondaries

and primary liver cancer

but my big boss somehow dislike it

poison-- alcohol

ppl always like to poison themselves

and always, the poison is colourful and attractive

of course, it should be nice in taste

that's why so many ppl died

recently helping my boss doing epidemiology of hepatocellular carcinoma

found that almost all HCC is related to liver cirrhosis

and found that the most common causes of liver cirrhosis are

1) chronic hepatitis

2) alcoholism

the next thought in mind is: oh shit! i am an alcoholic

that fulfill CAGE criteriae..

die lah this time

cadaveric liver donor

some protocol..

hmm is very complicated ler

waiting... is like....

waiting.. is like... sitting is a coffee shop... and do nothing

waiting.. is like... hopping out of bed and thinking about the one

waiting.. is like... (err.. hmm... i dunno lah)

waiting, (from not me)

是不是每個人都會等到命定的那個人，他愛你就好像你是他的天命？
有人說：「真的可以等到嗎？不一定每個人都等到的呀。」
有人問：「意思是只要等就可以？那我還要等多久？」
很多人等著中巨額彩票，可是，大部分人一輩子也沒中過獎。幸運兒畢竟只佔小數。那麼，到底要不要等，又要等到什麼時候？
要是你珍惜你此刻所愛的人，你就是等到了。這世上，永遠也有更好的。那個未知的更好的，又是否愛你一如你愛他？
人生匆促，等待卻是漫長的。到底是空空的等待，一直孤身一人，浪擲光陰？還是百轉千迴的等待？愛過別人也被別人愛過，直到一天，終於遇上命定的那個人？
每個人的際遇不一樣。有句話很殘忍，卻也是事實：有些人的確是比其他人幸運，他們等到了。
要是你現在是一個人，等待的意思，從來不是坐在那裡什麼也不做。等不到命定的那個人，是不是就白活一場？沒有愛情的人生難道就不是人生嗎？有些人在等待的過程中逐漸老去，變成孤獨的老女人和老男人，虛度一生。另一些人，在等待的過程裡從來沒有忘記好好經營自己。即使他們最後還是一個人，卻活得精彩。
你是什麼人，就會有什麼樣的等待。等待，也可以不是被動的。等待，不是守株待兔，當然也不是餓狗撲兔，只要看到兔子就不理好歹胡亂撲上去。也許，等待是一種領悟。我們等待，我們長大，但我們並沒有白白老去，我們明白了人生也不過是一場等待。

after 5 EOD calls

this is after 5 EOD calls,

meaning on call every other days

and this noon still working in clinic

the eyes is like panda oredi.. swollen and black..

how to do eye treatment ler? cucumber or tomato?

is it will be effective?

see this in the pantry

somebody pasted this at the notice board in the pantry
should be for some of the stuff nurses here
is kinda fun

a raining morning

this is a post call morning
and i woke up in cold.
outside raining heavily...
err... so difficult to open eye
--- after a tiring night, with just minimal sleep
--- and in such a lovely morning
look out from the window.. see... so nice
but the work has just begun :(

10 calls per month

this month is crazy..
i have 10 calls in a month
this feels like being an HO in HTAR
previously they do 10 calls in a month
but recently changed to shift system
so envy of that type of life
while i still struggle for my heavy on call.