my-piece-of-mind

-untitled-

Sun, 29 Mar 2009 09:01:35 GMT

I just wish I could have known a bit more...

It's funny how things happen....

Fri, 27 Mar 2009 21:33:40 GMT

but I�m sure I�m gonna be missing it when everything ends.

I freaking dreamt of myself rehearsing how beta blockers prevent cardiac remodelling in Heart Failure. At some point, I tried to recall the specific word (cathecolamine bombardment) to describe the condition. I wanted to refer to my notes!

And then I started asking myself, �How come I�m not sleeping?�

In my dream that is.

How nice.

One of the proud moments�

Thu, 26 Mar 2009 20:22:43 GMT

We had an unforeseen �lecture� today. The topic of learning was �attendance�. All that we were asked to �learn�; a 75% participation. Oh, and probably putting initials to our own name, and only our name.
The adverse event must not be missed; (incidence ~50%) getting BAR-red from finals.

Glad we learned well, you know we are no hardworking persons. But we went by the rule and CLEAN was the word they used.

Yea, we are CLEAN!

Bravo buddies!

P/S : I haven't ~~written~~ hand-write a letter in years.

Today, when I am here.

Tue, 24 Mar 2009 17:58:04 GMT

The 4 years course to the Bachelor of Pharmacy (Hons) ended today. Some may see it as just another day, but somehow it meant a little bit more to me. Remarkably, LT 2 was actually our batch's first gathering point, if u recall? And we ended the 4-years run here in LT 2 today.

I wished I managed to sit through the last hours of 'lecture' more calmly, perhaps falling asleep would even be better. I just missed days where the workload were crazy and the lectures were so packed, we couldn't help but to nap in the melodic tone of our lecturers. *No offence* But my seminar presentation has to be scheduled this late, I haven't really started studying, and who am I to cheat, I was feeling nervous waiting in line for my turn, just as how it went on my first day in the university.

When I first enrolled in, this seat I got was perhaps, a dream come true. And when the workloads and expectations came, I've perhaps lost count of the times where I just wanted to give up. Fortunately, each time the thought was brushed away very quickly, with the help of YOU-s who are reading this.

Life could have been simpler.....if only I had allowed it to be.

It was perhaps one of the 4 years I would really miss in future, ups and downs, but never mind about the later. In no time, I'll probably be blogging about bills, work and other boring stuffs.

All that is needed now is a 14 days' miracle to a photographic memories of the systems taught in past semesterS.

All the best pals!
No turning back, we're going to GRADUATEEE!

Bringing in joy...

Thu, 29 Jan 2009 18:32:29 GMT

                                                    Doggie the 'fei lui'


                                                and Kancil the-pampered

*hearts*

The delayed update

Sat, 17 Jan 2009 15:31:01 GMT

I've just realized, practically none of the past year resolutions was achieved. It feels like the harder you try to make things work, the harder it gets.

Perhaps, I had too much to accomplish in 2008 and yet none of it was achieved. To double it, I had drifted even further from where it begun.

In 2008, the 1^st quarter of the year was practically spent catching up with time and the semester 6 schedule, the 2^nd quarter attending gym and sports practice, the 3^rd learning about calories and the 4^th .......... I've actually tried to make things more productive, catching up with the previous semesters' lectures. It was pretty monotonous, I can only remember sending the poor nokia for a bath in the washing machine, unintentionally that is.

Hehehe, few weeks after that, it work again!!

And oh, the 10^th of October too.

Whether or not I like the New Year it came nonetheless. Truthfully, it feels like I'm backing off for I'm not sure if I'm ready for the challenges 2009 is bringing. We are going to be graduates! And months later, joining the work force. It's not that interesting as you thought; no big fancy international companies, no biggie office, just; government hospitals and expectations!

When I first enrolled to the hospital as a trainee, it pretty much reminds me life's not a bed of roses. And yea, while we were wasting life out there, some other people are struggling to stay alive in the hospital, like a terminal they're stopping by to get 'repaired'. And to our dismay, not every terminal is a drop in. The less fortunate ones never got to walk away.

I've always thought that doctors, in general lacks empathy, the care and support the patients needed. I've never understood till I dwell too much in one of the patients I was assigned to; GML, 76. In fact, I shed tears listening to her in the ward and the sight of her asking me to safe her never fades till today.

Every patient has a story to tell, and when we get involved in it, it only saddens us.

On the brighter side, it feels really great when the patients thank you so sincerely when they get discharged. In one of the circumstances, I've made hematinic recommendation to my preceptor and she has kindly brought it up. Regrettably, the patient wasn't discharged with it because the doctor did not sign for approval. I wrote her a note of the 4 supplements, (Folic Acid, Vit B Complex, etc) and told her it would help her condition, so she could get it outside easily�..if it's affordable.

She thanked me, a total of 10 times perhaps.

I've just completed the week 3 of the attachment, in the Cardiology Care Unit. The turn-over rate in the ward is so high, where out of the 6 beds, usually 4 would make it through. It's not quite right to like it (patients in critical condition) but CVS is one of the most interesting posting thus far. The drugs are more predictable it feels like we're working to solve the puzzle, and�..perhaps the ward is air-conditioned.

At 18۫C that is.

Also, because I had a partner to go with? Someone to hear me out and someone to share the absurd fear in the ward.

The biggest achievement throughout the 5 days was perhaps the counselling session we gave the Chinese uncle who had a very bad AMI. His heart could just stop beating anytime, but he insisted to get discharged because he feels well, and he has a job order the next day he has to attend to. The staffs to no avail, told him if he is to leave, he would have to sign the form and the hospital would not be responsible to his condition once he's discharged.

Thank God, PH and I managed to persuade him (in ~15 mins) to stay back for further observations until his vitals are stable.

The government hospital isn't that bad after all.

Nonetheless, there are reasons why the private sectors are superior but it's not appropriate to be discussed in here.

Oh, and I still dislike the stare the patients' family give when we walk around especially at the waiting area!

Hospital Attachment ?

Sun, 30 Nov 2008 15:43:12 GMT

Clinical Practice Guidelines - Hospital Attachment

1. Wash and iron the lab coat that has now spider 'web-ded' to the back of your door.

2. Reward yourself with a palm!

3. Heels that don't kill so you can walk all day.

4. Start looking for short-sleeved shirts instead of the long ones!

That reminds me, I still have ironing to do!

5. Stock up your oil blotters!

6. You'd like to avoid occupying the hospital bed, get a portable battery-operated fan.

and spare batteries stand-by in the bag.

7. Prepare a miniature bottle of your facial wash in bag just in case your eyes refuse to

cooperate and when acne threatens to erupt.

8. Get a map plan of the hospital, pharmacy departments are always located beside the

mortuary.

9. Burn and drink all clinical practice guidelines

10. Learn to walk with a smile on your face. You dread the attachment, they

wish they don't have to be there either.

All da bestttt, B 105!

Home

Mon, 10 Nov 2008 15:05:49 GMT

For the upcoming semester 8, I was posted to do the 9 weeks� attachment in the Hospital Besar Malacca. *horror*

At the same time, I thought it serves more like a pre-moving-home period, an appetizer to the working life in H.O.S.P.I.T.AL B.E.S.A.R M.A.L.A.C.C.A, if I�m to apply to come back for my 4 years stint.

As for now, I only remember the place being quite BESAR, and the wards were old and horrifying. I�ve tried to convince myself, it�s alright, I can offer my help to people who really needs it. But who am I to fool? You know our capabilities and the job-scope, and and my fear!

It�s gonna be miserable. Very miserable days ahead.

On top of that moving on back was never easy.

As I was packing, I�ve a feeling like something was pressing against me.

The heavy heart, that is.

That explains why the cupboard was still half-full, same goes for the book-shelf, the other shelf, and that other shelf and and that other shelf too...

Y*smin!

Wed, 05 Nov 2008 08:18:19 GMT

You coated tablet of 3mg drospirenone and 0.03mg ethinylestradiol.

Friend or foe?

Undesirable effects

Endocrine system; menstrual disorder, intermenstrual bleeding

Central Nervous System : Headache, changes in libido, depressive mood/mood changes

Vascular system : Migraine, hypertension, hypotension, thromboelbolism

Gastrointestinal tract : nausea, vomitting other gastro-intestinal complaints

Eyes : contact lens intolerance

Various : FLUID RETENTION, CHANGE in BODY WEIGHT!, hypersensitivity reaction.

Adapted from Scheering.

Benefits

REDUCES DYSMENORRHOEA

Reduces pre-menstrual syndrome

Can be used for treatment for heavy periods in dysfunction uterine bleeding, reduction of anaemia

Reduces incidence of Pelvic Inflammatory Disease

Dropirenone & EE contain antimineralcorticoid effect � produces less water retention effect.

P/S : How come my watermelon-y face is back?!

2 simple things.

Sun, 02 Nov 2008 15:25:52 GMT

To handle yourself, use your head

To handle others, use your heart.