hazy day

recently days are so bad
hazy and hot.. and today even can get some burning smell..

advices

1. avoid outdoor (so no more jungle tracking, ok)
2. drink more water (unless u are ESRF)
3. wear a mask whenever going out (get N95 mask) hehehe.. to prevent swine flu
(i still like the word even though the name has been changed by WHO)
4. consult your doctor early if in doubt (please don't look for a surgeon for this)

my dog

oh gosh.. she is so big..

i saw her at my gate.. huge and fury

long time not see her, been leaving home for some time..
still remember her, that time she is just a puppy, with size of a kitten..
haha...
but now, see... she is so huge, even bigger and heavier than my little sister..
and, she is over weight + dirty..
like a stray dog..

aneasthesiology

is kind of fun posting..
seeing patient coming into operating theater, filled with scare and anxiety
then i am telling him: i am going to put u into sleep
and when u wake up, everything was done, and u will get well
of course i will also will scare him with various possible bad outcome..
hmmm sound nice... but .... but...

few things are killing me...

1st: so many drugs need to memorize, including dilution, dosage, effect, side effects, when to give, indication and contra indication... aiks... pengsan...

2nd: the human physiology... had already returned to my teacher, (see, if i not return it, how could he give to other students..)

3rd: i don't know already lah.. too tired..

TRUS biopsy

how this to be done?
hmm as elaborated in picture, seem some scanning probe need to be poked into the ass
then locate the prostate and take some sample by using a specific biopsy needle
is just a simple procedure taking 5 to 10 min, but the draw back is
oh.. gosh..the scanning probe just too huge.. OMG!!!

worst ever call in urology

this should be a passive call, meaning that
u should be sleeping at home on night..
but due to some operation complication, all night long we are in OT
clearing out other people shit..
today still have a day to go.. a long long sunday..
oh gosh, give me a break and give me a rest

urodynamic study

previously i wonder what is this test.. always heard consultant said if patient with problem of passing urine, should send them for urodynamic study..

it sound like :"wow" ...

seem like: "i will solve all your water work or plumbing problem"

now after seeing and performing this test.. it is actually nothing great..
just a diagnostic tool, and then the usual phase of doctor: "continue the same"
haha...

how to do it? hmmm it is weird, like some sort of crazy lab performing incredible hulk transforming procedure.. .. .. to the private part..

it need 2 transducers, each to the different hole of perineum, ie the urethral meatus and anus
with 2 wires connecting to the computer.

besides, it need also 3 taps, 2 tapping at both sides of the anus, and 1 at the thigh..
with wires connecting to the computer as well..

then with water instilling into the bladder through the penile transducer, the computer will measure the water work and pressure change etc etc etc..

interpretation is by manual, and all the high 5 term and medical jagons being used

and.. and... the management plan is the typical words: "continue the same"

这个月没有假期

是的,这个月是工作月..
星期一工作,星期二工作,星期三工作,...
星期六工作星期日都工作...
一号工作,二号工作,三号工作...
三十号工作,三十一号都在工作...
几时才能休息呢?

我知道all work and no play makes chong a dull guy
but what to do....

give me a break!!!
and stop questioning me...