vegetarian meat

bought from a stall, been told is vegetarian meat
after eating, still feel weird, how come a piece of vege will be so alike as meat

by somebody

大家都說聰明又老實的男人很難找，怎會難呢？我不覺得耶。問題是，他要有多聰明和多老實。每個人對聰明的定義也有不同，否則，這世上不會有自命聰明的人。




我覺得我永遠不夠聰明，我人也不夠老實。一個人通常知道自己是不是個老實人，卻只有很少人知道自己其實沒自己以為的那麼聰明。我愛的人要比我聰明，比我老實。他有多聰明和多老實，當然是由身為「用家」的我來判斷，旁人不需要置喙。為什麼要比我聰明，比我老實？比我聰明，能夠使我進步，比我老實，才可以被我欺負。但是，他也不能老實到呆。



到底有沒有又聰明又老實又不呆的呢？每個女孩子心中或許都有一個理想的男朋友或丈夫，這種男人不是沒有，而且肯定還沒有絕種。然而，當你遇到這個人，你愛他，他會不會也愛你？這個才是最難的地方。


那麼，是由緣份決定他愛不愛你，還是你的努力？比如說，你想要愛一個什麼樣的男人，首先你也要有值得他愛的地方。在遇到他之前，你有沒有一直裝備你自己？遇到他之後，你有沒有不停進步？使自己與之匹配？
我沒法回答是緣份主宰一切還是也需要努力。有時我會希望是緣份，因為努力是很累的。

jay chou's brother

meet this person: Jay Chou's brother
see, they look so alike, just like from the same mould

intra abdominal trauma audit

i still not yet recover from the impact last few days
suddenly i was called to boss's room this morning...
i wondered:"why early in the morning wanna look for me, hopefully nothing too bad happen.."
of course i dun wanna become joke of the year..

my boss said:"can u do a prospective study of intra abdominal injury?" with a chicky smile on his face "do create a survey form and we can start from here..."
i stoned for a while... he still keep talking bla bla bla....
why he always wants to have some new idea, new pattern, new project?
somehow all his project will die off slowly, and no outcome...

so i just simply use a morning to prepare a form
basically is a modified copy of last year survey form, which died off eventually..
and then summit it in a new and tidy format...

then, my boss told me: hey chong, i am going for state meeting
"will use ur form to be the templet, to make the audit a state level!"

oh gosh! this should be a joke.... a even bigger joke
the form that i simply did... will go up to state level
hey dun kidding... my heart not that strong to stand that

without any delay, i said: "boss, let me fine tune the form and will pass it to u later'"
i was glad that time, my reflex arch still fast enough to react on this stressor...

then i use 2 more days, not eating, not sleeping and not shitting
just to creat a new form...
finally it look better

hope all will go well...

split skin graft

a badly done SSG, not all area covered
and also wasting of harvested skin
bad example, don't learn

CUPS presentation

today should have department CME,
dunno is my turn to present, or there is nobody prepare for that presentation
somehow i have to present a topic during CME
since i just read this topic : CUPS, thus i decided to present it...

i used my recent diagram of CUPS and composed it in power point format
the difficult part is: how to make a diagram into slide presentation
luckily i am "expert" enough to do so ...

u know, "expert" means: to make the simple thing complicated
or to complicate simple method
thus, i use my experty to produce a 30 slides power point
all are nonsence....
really nonsence

it started as CUPS , as below...

then into what ppl usually mean CUPS...

then bla.... bla... bla....

then into the topic that i wanna present: carcinoma of unknown primary site (CUPS)

surely this happened: laughter here and there
but outcome is....

u guess.......

my boss said:"well done chong, do make this our department protocol as the management of CUPS..."

me stunted: ".......", a while i said: : boss, are u sure ar?"

he said: "any problem?"..... so i have to reply:"no boss...""
oh gosh!!!!
like this also can... something goreng out from nothing, and now wanna make it formal...
i think this will be the biggest joke of the year soon....

sigmoid volvulus

this 26-year-old lady came it with intestinal obstruction...
X ray showed this classical coffee bean shape of sigmoid volvulus

MR Y said: "hey, this is sigmoid volvulus lah!"
then our smart MR A claimed: "u notice this, the mesentery of sigmoid colon is over left iliac fossa region, so the stalk of coffee bean should be from LIF..."
he paused for a while, waving the x ray film on his hand: "this film showed the stalk is from right iliac fossa, this mean it is not from sigmoid, and should be something else..."

he proceed with his high-fi theory of bla---bla---bla---

finally MR Y became unsure, instead of doing decompression colonoscopy, he did diagnostic laparoscopy...

result? hehe...
is sigmoid volvulus lah, or else what do u think...

while doing on table decompression colonoscopy under GA, he is cursing all his way

ESBL guideline 2009

latest ESBL guideline
a thin book that consist about 20 pages
after reading it, only found that these 2 pages are important
so just share it here

car park HTAR

night in HTAR
so late until all ppl and even birds are all sleeping
from ward, can have a beautiful scene of car park, with lamp posts all over
can locate my car from far... yeah that is!!!

scalp abscess

guess which part is it..

it is scalp,

incision and drainage done, exposing skull and necrotic periosteum

i really dunno how dressing to be done

and not sure whether the skull will survive or not
hope for the best of him...

p/s: finally this patient died, for massive upper GI Bleed
my team resuscitated him from 1am to 5am
finally we lost him....

rotational flap

rotational flap to cover mastectomy wound

kinda extensive surgery..

but she got bad breast cancer, where the wound cannot be covered conventionally

thus message is: detect and treat cancer early!!!!

CUPS

carcinoma of unknown primary site
derived from Washinton manual of oncology..

do appreciate it..

forrest gump

new generation ppl do not know who is forrest gump..
he is a famous person, who involved in Mac computer, invents smiling face icon
teach elvis how to dance, ping pong champion, fastest ever runner.... etc etc...

i had a friend, he said that he would watch forrest gump everytime that he lost in love, get ditched by girl, or faced unhappiness in life..

and here is one of his famous slogan...

karnival at jaya 33

long holiday, Jaya 33 has a happening karnival
i only see the scene behind the glass
same like, ppl do see me behind the glass as well
as a piece of exhibitional item...