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...

busy week

sigh. what a busy week..

have 4 calls in 7 days, including 2 weekend calls

people outside how to understand this type of life..

even though some said urology call should not be busy

but still.. having such a busy week

packed with works...

on call

u know what is the most depressing call?
that is now.. doing nothing but waiting for a patient to die
he is an advanced cancer patient, who been showed sign of deterioration
i predicted that he will die soon, and anytime from now..
in fact, i have waited his death since 4pm, but he is still hanging on
whole family is here, of course they all crying and surrounding
we have already decided not for active resuscitation, just waited for him to stop breathing
sound cruel... but what to do, this is life...
chinese people believe that better for somebody to pass away at home rather than in hospital
but for malay, maybe this is different...

raining day

come to work in a raining day
heavily rain, cats and dogs
barely see the road and traffic
arrived in time, but been trapped in car
due to heavy rain

also not bringing my laptop along
because it has already broken down
and i have no time to send for repair..

life... is just too busy....