Archive

Archive for the ‘UK’ Category

急诊室

February 26, 2014 1 comment

似乎是找到了内心的挚爱。

真的适合急诊吗?虽然之前就有说过喜欢,但总会考虑很多因素。适不适合作为一辈子的事业?能不能有正常的生活作息?我考虑很多。但不知道为什么最近想了很多,也许是周围认识的人所发生的事,也许是看到急诊室内进进出出的感叹无奈,觉得自己应该要选择自己所爱。不管它难不难,最重要自己得喜欢。

这是第一次那么享受工作,I love my job. 虽然轮了很多晚班夜班,每天都是累得半死的回家,但心中没有怨言。有的只是满足。

昨天有位病人的女儿,因为我在她们离开前没有见到他们,她特意要我的主治医生对我转达她们对我的感谢,还有觉得我很出色。心理莫名的感动。我只是作好我的本分,尽我所能想查出病因,所以问得仔细,同时也向他们解释我为什么问这些问题,并把我的想法和他们沟通讨论,用很浅白的方式向他们解释病症的起因等等。

其实很多时候病人们要得很简单。在她们最无助的时候,如果我们很基本的几句话,做到我们该做的,由同时能温暖他们,并在我的心里掀起一波涟漪,何乐而不为?

*****

还有今天,把脱臼的肩膀接驳回去。另外还有第一次由病人在我面前癫痫发作,紧张之余学习让自己冷静下来,向熟练的护士们学习简单的紧急措施,又让自己成长了不少。

I am thriving much in EM.

****

满足的同时,又很希望能有双能听我分享每天的快乐悲伤不爽满足的耳朵,让那双耳朵也能听听我的故事。。。

Advertisements
Categories: crap, Medicine, Random Thoughts, UK

Sorry sir, you are now bilaterally below-knee-amputated…

October 23, 2013 Leave a comment

Losing a limb is an ultimate loss, a great trauma to a man. Not to mention if one has already lost one leg.

This patient has underlying cardiomyopathy which had led to multiple thrombo-embolic event, thus has had right leg BKA. (BKA= below-knee-amputation)

Now his left foot was at risk of ischaemia and infarction. Radiological result showed that his AT (anterior tibial) artery was blocked, hence the surgeon wanted to explore the PT (posterior tibial) artery to see if it is salvagable for a bypass using his long saphenous vein.

Unfortunately, his PT was blocked too. So they decided to do a BKA.

It is a huge decision, of course I am sure they would have already told the patient about the chance of getting to this stage. However, the patient was under epidural anaesthetics, he could hear and might even feel what was going on. The surgeon just stood up from his wheel-ed chair and said, “okay, BKA!” and proceeded to cutting his leg.

He sensed something wasn’t right and was shouting “What… what’s going on?”

The surgeon, without bothering to at least explain to him about their findings and why they decided to do so, continued chopping off the muscles and sawing the bones.

Poor fellow, and the anaesthetist too, didn’t address his concern, went on to top up his epidural dose and sedative to calm him down, thinking that he reacted that way because he could feel the pain.

I was scrubbed in to assist, and to be honest, I was a bit traumatised and felt sad & sorry for the man.

Is there truely nothing better can be done for him?

Ponder…

Categories: crap, Random Thoughts, Rants, UK

I am officially a 5th Year Medical Student!!!

July 24, 2013 Leave a comment

WOOHOOO!!! Nothing can describe how relieved I was when I found out I passed 4th year exam.

As usual, the inefficient medical school is inefficient. We were told that result will be released today, somewhere in the late afternoon. One of my batchmates enquired and was told the result would be out around 4pm. Out of frustration, I went to The Edge for my last day of Summer Gym membership promotion workout, just to kill time and distract myself from the stress & tension while waiting for result.

Halfway through my cardio workout on the treadmill, Henna called me but I didn’t answer. On one hand I was too out of breath to answer the phone, whilst on the other hand I knew she wanted to ask about result. Hence I continued running until a point where I slowed down to catch my breath. I replied her via whatsapp to rant about the med sch. Then only I realised I received another whatsapp msg from housemate, asking me how’s my result.

“Hey Kian, result is out! How’s your?”

@.@ WHAT! It’s out? I thought 4pm? Immediately I opened the VLE app on my iphone. The stupid app showed a long list of student id number who need to repeat 4th year with all of them jumbled up.

“no no no I can’t read this.” Hoping that mine wasn’t in there, I opened another proper file with both written and OSCE result.

Phewwwwwwwwwwwwwww… I heaved a sigh of relief. A long one indeed. Couldn’t believe it, I rechecked to make sure there was no error on reading. Double-checked, triple-checked. YES!!!! WOOHOO!

Not to mention how I was teased by Henna about how blur I was that I didn’t even know the result was out. XD But who cares? I passed!!!!!!

Sadly, there are quite a number of us didn’t make it through and need to repeat year 4. It was rather depressing. On one hand I was happy that I passed. But on the other hand I am not, as they are part of us, they would be the last few ppl that I would expect to fail. =(

Would really like to thank all of you guys who showed support and love throughout this tough period. Jeremy, Yeekuan, henna, Lydia Albert Leslie, all the lovely batchmates who fought through this battle together. We sailed through a thunder-storm!!!!!!!!!!

Anyway, done with 4 weeks of my elective, left 4 weeks, there I would have completed the very first task of year 5! :D

Hot hot Malaysia here I come!!!!!!!

Categories: crap, Friends, Rants, UK, updates

Is Friendship that Fragile?

April 9, 2013 Leave a comment

I must say that I am quite a sensitive person. If a friend of mine sitting next to me is not with-holding his/her emotion on purpose, I could feel it

I have no idea if I have offended you in any way. It felt sucks when you just ignored my existence 97% of the time whilst there were two of us sitting in front of you. Hence I chose to confront you via whatsapp since you seemed to be avoiding me.

If I were to be in your shoe and I did not want that person to misunderstand (provided I do not have hard feeling towards him/her), I would take the effort to at least explain, or maybe even apologise that if I accidentally portrayed the image that I was unhappy with him/her.

But you did not. And with your personality, you would definitely be bothered to explain if someone misunderstood. I have to say, I felt hurt.

I confronted you because I cherished our friendship.

Again, really sorry if I offended you. But I shouldn’t be that harsh to myself either.

Forgive those who have hurt you in the past. But more than this, forgive yourself for allowing them to hurt you.

 

Is friendship that fragile?

Oh well, perhaps only friends back home are true friends? Miss you guys.

 

To change for others is to lie to yourself. Don’t lie, just “like” yourself.

 

 

Fine…

Mysterious white hair

February 3, 2013 1 comment

Ahem, this was actually taken few years back.

It was my greyish-white nose hair. I found it fascinating to see a nose hair in such colour so I decided to post it on my Instagram.

Turned out to be one of my most commented pics there, but all of them commented “…”

Lame ppl, lame!

See the colour!

See the colour!

 

On the other hand, finally finished my CCC case report.

Something funny I noticed. When I was doing my report, it tends to have so many things going on at the same time and I am easily distracted. So many webpages to browse, so many videos to watch and so many people to chat with. But once I finally swallowed the bitter pill to get my report done, I have nothing else to do.

Multitasking it was.   =.=

Hope I can pass it.

Time for proper revision. (How many times have I said that?)

Categories: a pic a day, crap, UK

31.1.13

January 31, 2013 Leave a comment

The last day of Jan 2013.

Time flies @.@ without me noticing.

Passed my literature review for my SSC4, and got a decent B. Kinda unexpected but very happy with that. Put in much effort and I was just hoping for a pass. Hope this will be a good sign for a better year. :)

Have been feeling very tired everyday after placement. Struggling to do any revisioin when I am at home at night. Hopefully things will get better once I submit my case report for CCC, and can focus better during the stay in BRI oncology.

Struggling to sleep early, and struggling to wake up early =.= I should change the title of this post.

Just to share smth irrelevant. Myself with my snow baby!

Snow baby!

Snow baby!

Categories: a pic a day, crap, UK, updates

Retain information

January 30, 2013 Leave a comment

Nothing much to talk about.

Guess it is quite demoralising when things you have studied are not retained in your brain.

Probably I still need to work harder.

Sigh…

To switch mood, this is what I made last week.

chocolate cereal bar -- white and milk chocolate!

chocolate cereal bar — white and milk chocolate!

Categories: a pic a day, crap, Rants, UK
%d bloggers like this: