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Archive for June, 2007

This is it…

Yup, this is it. Reporting for work tomorrow. Boy, am I nervous. So many uncertainties. Sincerely hope I will survive this.

Stuffed my knapsack with many documents, CXR, lab coat, stethoscope and Oxford’s Handbook of Clinical Medicine, just in case…

I hope I can sleep tonight…

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Gonna head back to KL tomorrow and start the next phase of my life. The working life. It’s ironic how CN- and I were so happy to finish med school and to finally run away from that sh*thole to end up posted to the “madhouses” of Malaysia. Nevertheless, as she said, we will try our best to survive and hopefully not kill anyone in the process of learning.

Been packing like crazy the past 2 days. Even though I left most of my stuff in KL, it seems that there’s still tons to pack. This time I couldn’t ask CN- for help (she’s a genious “packer” while I totally suck when it comes to packing) so I had to do it all by myself.

Now that the slothfulness-inducing holidays are over, I realized that there’s still so much I wanted to do before starting work but looks like those stuff will just have to wait. This is the price of procrastination and thinking that I can always do it “tomorrow”.

Anyway, your prayers are greatly appreciated.

I will try my best, to do my best and to learn as quickly as possible.

Last but not least, wishing all my batchmates, “Selamat bertugas!”

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The letter

Yup, the letter has finally arrived. Supposed to report on the 18th of June, which is 2 days away! I haven’t packed and still have some unfinished business to do. I guess I’ll just report a bit later…

SIGH. My holidays have officially ended.

The days of being a sloth is over. Time to slog, time to grow up and be an adult 😦

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Argh

I’m not in a hurry to start work, but the suspense of not knowing when the holidays end, and when the slogging will start is annoying. It’s like on a death roll, without knowing when your last day will be. As CN- read from somewhere, it is hardest to do nothing when you do not know when it ends. Hah.

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This year, I decided to bake a cake for my mum’s birthday. Judging that I’ve never really baked a cake before (apart from making ChiQ’s cheesecake), I set out on a mission to NOT burn down the kitchen. Well, the cake looked a bit weird, but tasted alright, fortunately. There you go, a moist sultana butter cake. Ok, I’ll admit that I cheated and used a cake mix…Hah.

Happy Birthday, Mum. I love you.

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Take this test at Tickle

You’re Dr. Meredith Grey

Always at the heart of it all, it’s a good thing you’re a real peacemaker, just like your Grey’s Anatomy match, Dr. Meredith Grey. Caring and giving, you enjoy taking time out to help other people, even if you’ve got a few complications of your own, and that’s what makes you a real life saver.

You’ve obviously got a lot on your plate, but you still have the skills and the drive to succeed. Keep your chin up, and remember – you’re the star!

Which Grey’s Anatomy Character Are You?
Brought to you by Tickle

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I saw this test at CN’s and decided to try it out. One of the questions was

Your desk is:
1. Totally sterile
2. Basically sanitary
3. Not embarrassingly messy
4. A biohazard

I was going to click on answer No. 3 when I could almost hear CN-‘s voice saying, “Not embarrassingly messy?? Your desk is a total biohazard!”

Haha…

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I am currently watching TVB’s “The Last Breakthrough”. This show, about a bunch of doctors who do charity work via Life Force was shown on Tv sometime early this year. Somehow I watched snippets of it, but since my friend gave me a copy of the whole series, I decided to watch it at my own pace…which is why I still haven’t finished watching it after so long.

Anyway, since it’s in Cantonese with Chinese subtitles, I find it hard to follow some of the medical stuff they talk about, in which case I would draw my own conclusions or simply ignore it. Nevertheless, one of the cases struck my curiosity. A guy was on the cellphone in the hospital when he suddenly collapsed while walking. They found him pulseless and in ventricular fibrillation (VF). They managed to defib him and was he was later diagnosed to have Brugada Syndrome.

Basicly the Brugada Syndrome is a genetic disease inherited in an autosomal dominant pattern. It is characterised by abnormal ECG findings (coved/saddle shaped ST elevations in V1-V3, RBBB and T wave inversions) and an increased risk of sudden cardiac death. It’s also known as the sudden unexpected death syndrome (SUDS). Due to mutations in gene SCN5A, some epicardial areas of the right ventricle have abnormal repolarization causing reentry tachycardia and/or fibrillation, thus leading to sudden cardiac death.

The cause of death is ventricular fibrillation, and since there is no treatment modality to prevent VF, the principle of treatment lies in termination of VF before it causes death. Implantation of an implantable cardioverter-defibrillator (ICD) will enable the heart rhythm to be monitored continuously and will defibrillate the individual when VF is noted.

In the show, the patient was adviced to undergo this procedure but was told that it would cause 20K, and that the device would need revision every 3-4 years. The patient refused the option, saying that he could not afford it, and later died of VF when he collapsed again, this time by the roadside…

There you go. Must make a mental note to tell my dad that I’ve actually learnt something from watching canto serials. Hah.

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