notice in the house officer on call room

this notice is cute and nice
seem there are some awareness be arouse among the house officers
so we cannot say that all house officers are useless, try to curi tulang
there are still some responsible doctors around
(but maybe the 1 who wrote this is one of their kind...)

pancreatic pseudocyst

we are evil, bias to the patient, not all the patient been treated alike
this indian guy brought in by police officer, apparently was a rapist
try to escape in a police chase, and during the chase he hit his abdomen
then developed pancreatic transection, later formed a pseudocyst
we went in for gastrocystotomy.. under GA
and during the operation, hmmm something happen lah
the analgesia peri-operative tried to be optimized
hehe...
anybody can tell me, where is the doctor protocol and hippocratic oaths...

necrotising fasciitis

the patient has necrotising fasciitis over the right thigh
she was admitted to orthopaedic ward
then the infection spread up to the loin region, surgical was referred
ortho burger said: "we will debrid the thigh region, and then surgical should come in for the area above inguinal ligament..."

somehow this phase was heard by MR Y, he was dame piss...
so, he shouted back to the ortho guys: "you all burger please discharge the patient, surgical will take over and we will do everything for the her!!!"

i feel kinda happy to hear that, as we all doctors should do the best for the patient, is not doing thing like work division, u do upper part, and i do the lower...
patient should be managed as a whole, not by the body part...

intra abdominal audit formal

finally formal audit form was out
and data collection started
but suddenly found out that there are too many cases been ignored
in 6 weeks time, surprisingly so many accident happen
maybe nowadays too many cars on the road, with all the reckless drivers
all the best to all traffic users

this chinese new year i try to change my image
start wearing short pant + formal shirt
(found that shirt selling at this shop is nice, shop name: ready 2 suit,
but not really found in every shopping mall)
and also wearing earing on 1 side of ear
but i do not exactly know which side to wear, cos friends told me 1 of the side = gay...

thus i start wearing it on right side, then when go out, there are lots of gay-looking ppl keep staring at me...
i thought: perhaps should not wear on right side.."
then i change the earing to left side, but outcome still the same, still so many gay staring at me
gosh, maybe i should not wear like this kua...

queuing for what?

early in the morning, there are so many ppl queuing up in front of a shop
even though the shop not yet opened
the first person is an indonesian maid
suppose is her boss asked her to stand there from 6am

actually they are queuing up to buy meat : bak kua...
one of the unhealthy food, but kinda must eat food during chinese new year
thus so many ppl do last minute shopping to buy it...

do u bak-kua already?

nice coffee shop

how nice a coffee shop like this
even though the pic was taken by my lousy camera that attached to my handphone
but it still look nice...

paint ball

this was a post call day, surgical team decided went for some out door activities
there was a paint ball game, at Kuang Sungai Buloh

it was fun, exciting and relieving
and also, by the name: 'PAIN ball'
yeah it was painful.. cos the pallet/ bullet than hitting on u
will leave a bruise on the body

while playing, we usually won't feel the pain,
this is due to adrenaline rush
and after bathe and rest, the pain start coming

if u ask me whether i wanna play again
yeah the answer is definitely : YES

what disease is it?

there is a patient admitted with cellulitis, but he has this congenital disease
i do not know what syndrome is it, neither the patient
somehow a plastic surgery was performed before

thus i started calling it a balloon disease, then during ward round
all the house officer also call it balloon disease
worse come to worse, the formal documentation was also written similarly

after that, i keep telling ppl that this is not a balloon disease
but still there are lots of ppl keep saying this is balloon disease

gosh, perhaps this is how a disease being named.. :)

finally Dr Ang told me this is called constriction band syndrome.. :)

acne treatment protocol HKL

recently i had lots of acne coming out from my face

perhaps the skin is not that thick to resist the outbreak of acne

thanks to one of my friend, take this to me, it is helpful

it no need u to thicken ur skin, but to solve the problem from inside out

thus i graded myself into moderate group and start treatment accordingly

but then my friend said: hey come on, like that call moderate acne? just few marks and u mengheboh-hebohkan...

faint me...

Doraemon

Doraemon showed on a shopping mall
and ppl give me a ticket to take photo with them
OMG, they must be thinking that i am so childish is it?
but this could be simply mean that i am still young kua... (shock sendiri only)

my FM fort escape team

on my way back from work
i met this: my FM fort escape team
they are playing game there
i took a picture and proceed with my journey

my first craniectomy

this is a 4-year-old boy, alleged fall and sent to hospital with GCS 3
pupils 4mm sluggish
thus after CT scan done, proceed for craniectomy

my first craniectomy, excitingly done
supervised by my specialist
simple and straight forward operation
settled within 1 hour

but outcome: as the common phase surgeon use
operation success, but patient died