central venous line

triple lumen CVL at subclavian vein

double lumen CVL at femoral vein

set of double lumen (left) and triple lumen (right)

how many central line that u know of?
how many method that a central line can be inserted?
that would be too many?

well that could be divided grossly
- into subclavian vein, internal jugular vein, femoral vein, basillic vein etc etc..
- long line, short line
- single lumen, double lumen, triple lumen...
- the usage??

a day in ICU, i was going to re-route a triple lumen, and Dr YSS would insert a femoral line for dialysis...

YSS walked near and leaned at the couch: hey SS, i dun know how to re-route a CVL, can i observe?"
"oh ya," i replied :"me too dun know how a femoral line being inserted, can u show me?"
" of course... but let us close the curtain first, dun let others see.." YSS said, followed by a chicky smile.

thus, we pulled the curtain to cover us, with the patient within.. but it so sound like we were doing something bad.. hehe..

then, suddenly a head tucked in, "hooi.. what both of you doing here, GAY is it?" Dr TT with a weird smile: "talk softly but laugh loudly, you two hah..."
"ya ya, u know la." YSS said: "keep quiet and dun tell others ok.."
i added: "or u want to join, then we can play threesome"

opps... that is not for child, if u are below 13, please close this page ya..

working on sunday morning

this sunday i have to work in clinic from 9am onward
traffic is good, no jam is this early time on sunday
so i reached clinic early
able to get a breakfast..
my favourite "chee cheong fan"
look not that interesting
and yet is bit salty

but nevermind la,
with a cup of nescafe, still making it to be an awesome breakfast..

haze haze, hate haze

i drive to work early in the morning everyday
leaving by 6.40 am daily
and will reach hospital by 7.30am
this mean that i can avoid traffic jam..

this morning is a special morning because i noticed that the environment is different
just like i am in cameron highland
the highway is blurr, which cannot see too far away..

well in the pj area, this should not happen
hmmm it is not mist..
but is haze.. covering entire scene.. make vision bad

gosh, please stop pollute our mother earth
she is just too ill..
reserve some green for our children

icu

my hospital icu has 12 beds, 10 normal beds, with 2 isolation room
full monitoring to each and every patient, with connection to the counter monitor
it also have a online program of icu bed watcher

it seem to be perfect, like the picture shown
but... but...

there is under stuff, the nursing is not up to 1-to-1 care
and also only with 1 medical officer and 1 specialist.. for entire icu..

sigh..

luckily my specialist is very experienced, dedicated and efficient
so we still have kind of good time in the stress work place
and learn a lots from her..

thanks you so much

busy week in ICU

sigh, what a busy week..
in-charge in ICU alone with a specialist, basically i am the house officer
as well as the medical officer
sometimes need to part time as attendant or assistant nurse so on..

2 goods things: first lots to things to learn; second there will be a nice breakfast

bad things are: after breakfast there is no time to eat, no time to pee, no time to shit
sometimes i just felt like i forgot to breath... wah-lau...

and next month all the on-calls are in saturday.. shit ler
bully me, dunno how to spell DEATH aar...

张小娴部落格

愛情永遠沒法衡量誰賺了誰又虧了，兩個人為什麼要恨恨地數傷口，然後說：「我有六十二個傷口，但你只得五十七個！」，相愛的那個過程，你也是享受過的吧？
有一天，緣盡了，不要去計算誰欠了誰。都是自願的，憑什麼說：「如果不是你，我會比現在幸福，會比現在過得好！」這些苦澀而沒意義的話？如果不是我，你也有可能是一片空白。

语录自张小娴部落格 17／6／09

transformers

transformers is coming for revenge
yeah: revenge of fallen..
no word yet.. just to show some collections
and newer update is coming soon