mamak in the jungle at night

a mamak stall in the jungle
at night, atmosphere is so romantic and nice
the only drawback is....

there is a lot of mosquitoes

new emergency department in HTAR

new emergency department in HTAR
now in service. to accommodate more patients
this is a good news for public
but is bad for stuff, because we still under-stuffing

somehow at least this is a change

what car is it?

see how creative the artist can be...
painting the car till like this
and yeah, this artist is not human
but is crow..

sekeping serendah

the morning after BBQ, this is really a nice place
cool morning, like sleeping in the forest, waking up in the jungle
only few hours of sleep, can bring the energy to a high level

BBQ night

tonight is the BBQ night
we planned to leave hospital about 5pm, but somehow we left at 630pm
from klang to rawang is far, furthermore the highway is so jam...
(better to describe as car park then highway)
and there was a terrible accident at NKVE near rawang area

this is not the worst still, the worst is: it is raining all night long

luckily the BBQ site is under the shuttle, and we started our supper BBQ about 10pm
of course after that is drinking session... up to early morning...

preparation for BBQ

yeah is BBQ time
the place is at serendah, is an isolated place
that place is opposite pusat serenti serendah, need to go in from a very narrow road
and will pass through several orang asli settlement
furthermore there is no handphone line!!!

scary ler...

but, but this is a cool place for outing and event

this is the map showing how to get there
from this, u can see this is really really isolated area...
let see what happen for the BBQ night

pseudo-ambulance

saw this small juara parking outside emergency department
at the ambulance parking...

hey don't u think you are cute and also with label of HTAR then u can park at ambulance's slot
wait until u bigger first lah
:)

difficult intubation

there was a difficult intubation
both of the anaesthetists were struggling to tube this patient
and the bloody surgeons help nothing, but still there chit-chatting
finally they use 30 minutes to settle this, and the operation just last for 20 min...

brainstem infarct

that was a on call day, we busy until 11pm, then team-mates calling to go for dinner
i told them that i got food for today
and would like to study some topic of neurology
they sound weird: oh! neurology

and this is my effort of studying...
hey guys!!! why can't i study neurology?

must read story

It will take just 37 seconds to read this and change your thinking..

Two men, both seriously ill, occupied the same hospital room.

One man was allowed to sit up in his bed for an hour each afternoon to help drain the fluid from his lungs.

His bed was next to the room's only window.

The other man had to spend all his time flat on his back.

The men talked for hours on end.

They spoke of their wives and families, their homes, their jobs, their involvement in the military service, where they had been on vacation..
Every afternoon, when the man in the bed by the window could sit up, he would pass the time by describing to his roommate all the things he could see outside the window.

The man in the other bed began to live for those one hour periods where his world would be broadened and enlivened by all the activity and colour of the world outside.

The window overlooked a park with a lovely lake.

Ducks and swans played on the water while children sailed their model boats. Young lovers walked arm in arm amidst flowers of every colour and a fine view of the city skyline could be seen in the distance.

As the man by the window described all this in exquisite details, the man on the other side of the room would close his eyes and imagine this picturesque scene..

One warm afternoon, the man by the window described a parade passing by.

Although the other man could not hear the band - he could see it in his mind's eye as the gentleman by the window portrayed it with descriptive words.

Days, weeks and months passed.

One morning, the day nurse arrived to bring water for their baths only to find the lifeless body of the man by the window, who had died peacefully in his sleep.

She was saddened and called the hospital attendants to take the body away.

As soon as it seemed appropriate, the other man asked if he could be moved next to the window. The nurse was happy to make the switch, and after making sure he was comfortable, she left him alone.

Slowly, painfully, he propped himself up on one elbow to take his first look at the real world outside.
He strained to slowly turn to look out the window besides the bed.
It faced a blank wall.

The man asked the nurse what could have compelled his deceased roommate who had described such wonderful things outside this window.

The nurse responded that the man was blind and could not even see the wall.
She said, 'Perhaps he just wanted to encourage you.'

Epilogue:
There is tremendous happiness in making others happy, despite our own situations.
Shared grief is half the sorrow, but happiness when shared, is doubled.
If you want to feel rich, just count all the things you have that money can't buy.


'Today is a gift, that is why it is called The Present .'

what is this

he presented with a lump at the right chest wall
in 1 year time, the size of lump increase from a peanut to this big
hmmm terrible ler
full history and examination not suggest any malignancy.

academic purpose: what do u do next?

clue: refer to the earlier post of CUPS

p/s: there is no fixed rule said that u must do this or that
everything is just a guideline, somehow we must do the best for the patient