末日冬至快乐

话说今天是末日，
大家都感慨说末日还不是得死去上班！
末日没可怕的，
如果大家都灭亡，你死不掉，那才可怕吧？

别发梦了，
地球哪有那么快当掉？
赶快回来现实继续苦干吧！

别忘了吃碗汤圆来庆祝啊！

还有四星期！

还有四个星期我们就正式告别实习生涯！ 兴奋的不是因为自己不再是池里最小的那条鱼， 而是尾随的三星期假期！ （条件是，如果211212不是世界末日的话。）

不可思议

YIF,最近火速窜红的魔法艺术家，擅长近距离魔术。
很神，很神。。。他究竟怎么办到的？ 让我不得不开始怀疑，难道世上真的有超能力？

好贵的咳嗽

年约二十的中国小伙子，咳嗽一星期，进来挂急诊。
除了咳嗽，其他一切正常。
不懂说英语，碰见了我，我用我的三脚猫马来西亚中文和他问诊。
原来他不懂他正在急诊室，他说要看医生，朋友便带他来医院。
他没有医疗保险，必需自己掏腰包付三百三十块澳币。
我告诉他，伤风咳嗽应该去看家庭医生，几十块而已。
有时候，我不得不佩服一些人的勇气，语言完全不通也能离乡背井到某国家工作，居住。

快乐的时光

再快乐的日子也会过去，
所以，
再辛苦的日子也会过去。

八天新加坡之旅，
告一段落。
感谢姐姐，姐妹们和老朋友的照顾。
皮肤黑了，
行李重了，
钱包扁了，
该回去干活了！

Roti

I am having lunch alone today. Today's food of choice is roti canai, Singaporean calls roti prata.
I started using my fork and spoon to tear the roti, with great difficulty. I am reluctant to push really hard because the fork and spoon are like paper thin, they will bend if u r too 'gu'.
Then I saw this angmo at table opposite me using his hand to eat roti, I realised, right, I can use hands!
The problem is now, my fingers are all oily and the oil is now on my phone screen as I type...

MRT

I always think MRT should charge people less for standing. It's fair, I make an effort to stand to my destination.
I always think, if there is 1 or 2 seats left, should I sit down? I will be off the train in 10-15 mins anyway. It's nothing compared to a medical ward round.if i sit down, later will need to stand up to give the seat away to elderly, kids, parent with kid, pregnant ladies and disabled people. Yes, I am sort of pessimistic.
So, unless I am dead tired, I won't sit down most of the time. Maybe if it's crowded, I will, so that I won't get German pork handed. But then, if it is crowded, usually I don't act fast enough to spot a seat, and then the whole giving seat away and getting off in a few minutes scenarios appear in my head again.
So yeah, I am standing and still able to publish this post :)

$2 的早餐

两块钱，我有一杯kopi,两片kaya牛油toast。
Kopi很gao,kaya很香。
我的心很满足，
但我的脸已经开始出油:(
还有我忘了，这里得自备tissue...

新家坡的第一个早晨 ：）

家用

家用这两个字对我来说并不陌生。从小，爸爸每个月都会给婆婆家用，大概有五百块吧。那时侯的五百块，加上住在乡下，当然比现在好用得多。当姐姐开始出来社会打拼后，也会每个月给父母家用，还有每次回乡就会给姑姑们零用钱。身为家里最小的成员，这些传统耳濡目染，我深知道这是孩子应当负的责任。（想起那个给爷爷用椰壳吃饭的故事...）

话说已经出来工作接近一年了，存了一些钱给家人。他们辛苦了那么多年，应该让小辈来改善他们的生活，家里可以添置用品，可以去旅行，爱吃什么可以买来吃。

好奇心驱使下，我去Google了“How much money to give parents in Malaysia?" 读了很多forum的谈话，发现了一些打工族的趋势。

1）大部分觉得不要给父母太多期望，宁可新年红包给大大，也不要有每个月给父母家用的那个负担。赚少了/花多了，红包可以缩水。
（有几分道理，老人会赞颂那个给大红包的孩子，而忘了那个每个月准时给家用的。）

2）结了婚的，有各自的家庭负担的，会有各种理由而无法每个月给家用，只有不时给 ”买东西吃” 钱。

3） 结了婚的有工作的女儿，有些会说，老公负责我们的生活费，我会用我的薪水给我的父母，他管不了那么多。
（女儿比较有保障吧？儿子都去养别人的女儿了！）

4）住在大城市的，会说自己生存都成问题，家用就等等吧！

或许现代的父母已经对这方面没什么期望了，自己理财退休，自己养老。
不给家用没问题，没倒过来向我拿钱就已经心满意足。

New Found Love - Ellen DeGeneres

Accidentally bumped into this talk show on YouTube by Ellen DeGeneres
She is funny and i cant stop YouTubing her
There goes my anual holidays :) + :(

Sooo Kiiiiiut

Pikaaaaa chiu!
So kiut!
Never thought I will fall in love with this yellow fella...
I know...it is probably 20 years too late (or not) :)

隐藏着的歧视

医务人员，本来就得本着医者父母心，众生皆平等的态度去面对每个病人。
可是难免，
看到瘾君子病重出现在急诊，
还一副不肯合作的模样，
就想脱口说：“怎么样，不要就走啊！谁管你死活！大把病人在等啊！”
心想也算了，
拿不到爱心出来，
也不应该歧视！

每个人背后都有故事，
不是吗？

急诊室的第一天

接到通知，
一个中风病人正往医院途中。

64岁健康妇女，
早上醒来家人发现她不对劲，神智不清。
脑扫描发现大量脑溢血。
白血球偏高，红血球，血小板偏低。
血科接到通知，检验了血样本，
发现几乎都是急性血癌细胞。

家人说，
她昨天没有异样或不适，
她只是最近有点累。
体检她也没明显症状，除了脚上有两三个不起眼的淤青。

她情况不乐观，
即使费尽所有办法抢救有幸醒过来，
她也不会再是昨天的她，
她将不能行动，说话，辨认。
最后家人同意了让她安然过世。

无常让生命变得珍贵，
不是吗？

假期计划。尘埃落定

台湾宝岛，明年初我们要来咯！
听说你那儿有好多好吃的，好多血拼的地方，
还有漂亮的风景。

九天八夜，
没有行程表，
到时候想到哪，就去哪。
订了个民宿叫牡丹居，
听说居主阿姨准备的早餐很棒，
还会给租客旅游贴示。

再过三周，
锁定新加坡，
将会和阿姐，姐妹淘团聚。

我迫不及待:D

网购

刚网购了将近四百块的衣物和包包，
我想我疯了！


:D :D :D :D :D :D :D :D :D

下个星期会是个特别漫长的一周因为有特长shift+周末shift，
现在至少有一些东西弥补，
让我期待。

网购虽然不太可靠，
照片有可能蒙骗双眼，
但精彩的点在于拆开邮包的那一刻，
惊喜
兴奋
好期待:)

十月

时间一晃，已经十月。
这个中秋，没有月亮，没有月饼。
昼夜忙碌，
停下脚步时尽管挥霍时间，
越无聊越好。
我想那是应该的。
心不在焉地工作，
只因厌恶，腻坏了，
没试过那么那么久没有假期去呼吸，
我的理性在很不理智地抗议。
我无法怎样，
继续一边抗议，
继续一边行尸走肉。

乌云乌云快走开

献给星期天就开始感觉星期一的乌云的你:)

New Toys

 即拍即有

即冲既有



这两样玩意，都是在患上“工作后遗症”后买下的。
用物质来弥补心灵，不够好，但还不错。

现在大相机几乎是搁着，出门都只带iphone和即拍。
我爱即拍的感觉。
是浪漫的，是兴奋的，是珍惜的，是分享的。
享受当下等待画面慢慢的浮现，
可以现场送给别人，
而且可以拥有独一无二的一张照片，
没有相底，没有存档。
因为相底不便宜，物以稀为贵，所以学会珍惜。
得改变以往用数码相机，多次按下快门，拍到满意为止的习惯。

Nespresso是昨天刚加入行列的新成员。
说真的那是冲动，
咖啡还是得喝咖啡厅的，
即冲还是不怎么行，
但身为咖啡迷的我们，
结果还是逃不掉即冲咖啡机的诱惑，
想拥有一台。

希望它们不会很快的又被搁置吧 :P

幸福的咸鱼

有人说没有梦想的人和咸鱼没两样，
我正觉得我就是传说中的那条咸鱼。

因为生活必须选折，
我搁浅在一个不知名的沙滩，
挣扎。

也因为搁浅，
我遇见了幸福，
被两种非常极端的感觉冲击着。

在这挣扎的过程，
我是一条绝对幸福的咸鱼。

新官上任

大老板今天第一天上班， 有种非同凡响的气势， 干脆，清楚，仔细， 最重要是， 我也觉得自己获益良多。 我的九个星期就这样混混噩噩地过了。 只觉得忙忙碌碌， 没学到什么。 最后一个星期， 终于有道曙光出现， 但可惜我也即将离开。

Dear Friends

听这首歌，
有很大的感触，
作词者似呼写出我的心声。
我亲爱的朋友，
无论你在哪里，
这首歌代表了我对你们的想念。
希望你们在忙碌地为未来打拼的当儿，
是快乐，是平安，是健康的。

扑克脸

我的扑克扑克脸

世界很小
医疗界更小

永远不知道
何时山水有相逢

保持良好关系
才是上策
才是生存之道

多不堪的人
尤其是上司或同事
还是得忍
还是得扑克扑克脸

星期一的蓝

超级不想上班，
我想那个懒惰的我开始呐喊
我要假期！
周末是不够的！

又是老王卖瓜的时候了

该怎么自夸？


好懒得写cover letter啊！

年轻

当病人说你看起来像十六岁，
心里会暗爽一下。

然后会想病人可能在隐喻我不可靠。

管他，
我的确还是新鲜人，菜鸟。

然后又继续暗爽 :D

花钱。冲动

花钱需要冲动，
那种一见钟情的冲动，
那种为什么会闪婚的冲动。

昨天看中了一台手提电脑，
今天狠下心就买了。
我人生的第二台手提电脑。

muahahahahah...
八年的老ASUS终于成了前浪，
由后浪Dell Inspiron推去沙滩上啦！

老男孩

这首歌旋律很悦耳，朗朗上口。
这女生叫曲婉婷，
声线有点像我超爱的王若琳，
但多了一份豪迈，
好棒！

原唱是筷子兄弟，原版也不错 ：）

人类的好朋友

它们永远都那么友善热情
无法挡啦
舔完再去洗脸就好啦

夜车

我比较喜欢日间搭车，
可以不断地看窗外的景色。
夜车就不能，因为窗子的玻璃会反射车内的光，结果只看到车内的倒影。
好奇心驱使下，
坐夜车时会把脸靠在窗前，
尝试用手掌挡着左右两旁的光线，以为那样就可以看到外面，
很多时候都是徒劳，
结果都只会把窗口弄得油腻腻。
然后因为太无聊，
也只好睡一觉好的。

以柔制刚

面对一个讨人厌的病人
一开始心里有一股气，
然后脑袋冷静，
不去计较一秒前她说话的语气，
想像一个病人的痛楚，
突然我可以面带微笑，
继续问诊和检查，
病人的态度也有些改善。
面对恶人，
不能以硬碰硬，
微笑他就拿你没办法。

Slurred speech

Assessing a delirious patient
Reg: do you think his speech is slurred today? (it's a patient that we know well)
Fifth year student: ya, it sounds a bit slurred.
Me: I think that's because he doesn't have his dentures on...

T.T
I endured another day.

I don't think there is a fracture!

Around 9pm,
a Friday night.
I was holding my groceries in my hands and loitering in Coles Supermarket.
Mobile phone rang.

Reg: How's things going on the ward after I left?
Me: Good, not much happening.
Reg: Did you check the xrays report of Mrs X?
Me: Oh no, I forgot...
Reg: *silence*
Me: (Try to be convincing) But she can weight bear with no pain, I think the chance of her having a fracture is really low...
Reg: Ya...that's true.
Me: I will check the result from home....(OS: You are the reg, why do u agree with me?!)

Yes, my fault for not checking the result. But your over-ordering X-ray without proper examination first is not much better...

My 101 years old patient

Wow, 101!
But can you tell me why you need to rehab a 101 years old lady?
To go back to her pre-morbid functional status?

Isn't this a bit too much?

I am not discriminating elderly but seriously, at the age of 101, won't you think you have lived enough? With pneumonia, pulmonary oedema, rapid AF, NSTEMI, bowel ca, fractures...
Possibly the most torturing thing is that you see family members younger than you passing away.
Why would you come to rehab?
Wont you like to stay at home in your own bed?
Or rather I should say, why did u get sent to rehab?!


*grrrrrrrrrrrrrrrrh*

Killing me softly with rehab

If you ask me what I like the most about my rehab rotation,
The answer is always: I dont need to answer any pages.

Anything else I like about rehab?
Probably those cute elderly.

Anything else?
Maybe the Malaysian aunty nurses.

More?
No.

The rest?
#@*%!$*#!!!!!

Like this also can?

Like this also can? Won't get caught meh? Haha!

Bastard, So you lan si now, Got a young girlfriend, With big, Ning ku pao. Bastard, You think your dreams came true, Yes she gave you things, I couldn’t give to you. Old man, You think you’re so great, You don’t realise, You’re just a Cina-pek. I hate to turn up out of the blue uninvited, But, This use to be my house, You stupid bastard, You think that you have won, And that my heart is torn, But for me, It isn’t over. Nevermind I’ll find some Melayu, He’ll be nothing but the best, It’s true, I’ll be happy, You’ll see, And all my kids will be Bumi, They’ll get the benefits of the NEP, I’ll be included in Article 153. You know, You have UMNO ties, So the future will be the time of our lives. We’ll buy a big house, And a thousand cows, With the government loan, Because the world is ours. A contract will turn up out of the blue uninvited, rezeki jangan ditolak, We shouldn’t fight it, Used to drive a Kancil, But soon I’ll have a AP to buy the new, Landrover. Nevermind I’ll find some Melayu, Don’t care Ali, Ahmad or Abu, When you see me again, I might already be Datin. helping barisn in The election campaign I’ll have lunch with the King, Have everything, Won’t need to save up to buy diamond ring, Only thing I will have in the house, Is an anjing, Nevermind I’ll find some Melayu, He’ll be nothing but the best, It’s true, I’ll be happy, You’ll see, Cause all my kids will be Bumi, They’ll get the benefits of the NEP, Nevermind I’ll find some Melayu, Don’t care Ali, Ahmad or Abu, Yes, I’ll be happy, You’ll see, When I bergelar isteri, I’ll be his favourite wife although I might be number 3, I’ll be his favourite wife, Then he kahwin lagi.

Thumbs up to Douglas Lim

You will understand and LOL if you are a Malaysian :) Happy bak chang festival!

My 96 years old patient

Oh dear, my 96 years old patient is going for his pacemaker insertion for an intermittent second degree heart block that doesnt cause any symptom. And for god sake, he is also on the waiting list for a cholecystectomy.

I don't understand, can't we just let nature take its course?

Can't we just accept that people will die when they get old and stop investigating and intervening?

初级宅女

当宅女标准是什么我不懂，
但看动漫应该是必须项目之一。
我决定了要追Full Metal Alchemist。

Malaysian auntie nurses

I started to like my rehab ward,
Just because of those Malaysian auntie nurses. Many of them.
They are about my mum's age, or even older.
They look a lot like the auntie next door or next street...and they speak like one too!
I miss Manglish and they speak Manglish!
It feels like home.

Rehab rotation

I realised
Rehab is a dumping ground for patients who have multiple unsettled medical issues that are not dying right now.
It's a place where we create to relieve the increased amount acute ward patients.
It's a destination that doctors can discharge patients to when home is not an option.
It is a kingdom where allied health professionals find their identity,
and doctors lose theirs.
It's a place where patients do rehab and I do paperwork, lots of them.

The End of Surgical Rotation

I have mixed feelings at the end of my surgical rotation. It's probably my last chance in having any experience with surgery...not that I want anymore :p

To be honest, I didn't learn much in terms of surgical skills. I still don't know how to tie a surgical knot. I haven't cut open a patient. In the theatre, I am more like a secondary surgical instrument that can hold the primary surgical instrument. 99.9% of the time, I am more useless than any theatre nurse or technician.

What I learnt was every pt needs DVT prophylaxis, regular medicine, and analgesia charted. I learnt that it's ok not knowing how to manage medical problems because the med reg is just a referral away. I learnt that I have to run everything past my registrar, so I don't normally have to use my brain. I just need to do what I was told, and I don't have to do anything extra.

It's not good learning, but I don't really mind as long as I get paid.

During this rotation, I realised how great my co-interns are. We looked after each other and we survived together. I will miss the very nice registrars. Times when my reg said "let's go makan." and the free coffee I got from them. I will also miss the super nurses on my ward who will actually take blood and do blood culture.

My surgical rotation is a positive experience. I will miss the people of my ward just like I miss the people in Bairnsdale.

一个有教育性的玩笑

刚完成了我的weekend shift。
老天算对我不薄，我的周末并没有疯狂的工作量。
发生了一件至今仍令我深思的玩笑。

On our way from ED to the ward,
registrar: how's your day?
me: It's been good. I am just clearing the jobs on the white board. I feel obliged to clear those jobs and I don't like them piling up.
registar: You are a perfectionist, like me.
me: yea...it just feels good.

Walked past said whiteboard, no jobs...*feel awesome*

Sat down and played with my iPhone.

Oh, I need to write up the blood slip for patient X for tomorrow. So I walked out.
Caught a glimpse of said white board.

"Bed 1: failed supp. Pls do manual disimpaction." (i.e. clear the stools from the backpassage using a finger)

It's 9.15pm, and I have nothing else to do and just waiting to handover at 9.30pm.

So I told the reg what was on the board and getting quite excited to do my second manual disimpaction throughout my internship so far.

My reg cracked a joke:
Make sure you order an abdo xray after you do it.
Me: Why? Is that a must? (No one told me before...)
reg: look at your bony finger, it can cause a perforation...No, I am just kidding. You don't need an xray.

Ok...we had a laugh and I was ready to go.

Reg continued to say:
Are you really going to do that?
Me: yea...this will be my last job for tonight *happy* then i can handover. *walking away*
Reg: are you serious? you really going to do it? *walked with me towards the white board and RUB THE JOB AWAY*
Me: *confused* what?

Reg: I wrote that on the board! It's a joke!
Me: *feel a bit embarrased*

Then I had a 5 minutes talk from the reg about not doing what's written on the board blindly and the importance of escalating treatment.

Reg: Nurses dont always know how to escalate treatment but you do. That was a glycerine suppository. You can escalate to an enema.

有一种恍然大悟的感觉，
像被点通任督二脉。
是我们东方人的教育方式的问题吗？
我们崇尚听话，顺从，勤劳。
就是少了那么一点的变通思维。
长大后踏入社会，
受人钱财，替人消灾，
不懂变通，就会让自己觉得工作吃不消。

如果那天没有被开这个玩笑，
或许我还得继续撞墙个三五年才会学到这个道理吧！

八十后

老一辈的人会说我们这些八十后经不起风浪，工作压力，好吃懒做。
其实并不完全是错的。
哈哈！
就像现在的我，
想到开工就纳闷，
满脑子就只想假日什么时候到，
我的台湾之旅该去哪，
要吃什么好吃的...

八十后的生活主义应该是工作不忘享乐吧！
多数的我们没经历过困苦的日子，
最多只是听闻老一辈的以往穷困生活，
知道穷困是怎样但我们无法体会到底很穷是什么，
自然的也无法像他们般刻苦耐劳。

渐渐的我们成长，
用我们的经验形成一套自己的生活概念，
及时享乐似乎变得很普遍。
因为我们看见很多长辈的例子，
辛苦了半辈子终于可以享乐时却没有机会了。

工作千岁！
享乐万岁！

慷慨解囊

昨天和Daniel去救世军当义工筹款，
俗称door knocking。
现今不再是敲门，而是按门铃。

逐家捱户走了三个小时，
和形形色色的陌生人打招呼介绍自己，
看到不同的社会背景的人不同的反应。

1）华人家的老人戒心依然强烈，肯定拒绝捐款，不知你什么来头，万一被骗钱，孩子回来宰了他。
2）有些人毫无戒心，门开了，说“你等一会”，然后就一溜烟去拿钱，门也没上锁，让两个陌生人站在门口，难道他不怕我们是劫匪吗？我的额头又没刻上好人二字。
3）年轻人多数不捐。
4）中年或老人多半会捐。
5）最不懂怎么反应的回应：我没钱，但如果让你有点安慰的话，我死后这间屋子的一半会属于救世军。（好吧...祝你长命百岁？）
6）正在洗车的人通常会在车里挖出几块钱。
7）有些人会跟你长篇解释今天不捐的原因。哈哈，我心想你今天不捐我又不会鄙视你，干吗解释？
8）有个中年人，像大扫除家里的硬币般，到处搜，拿了一袋给我们。感谢感谢！
9）有些人会给我们一些言语上的鼓励。

总结来说，多数人还是会乐捐，
多少并不重要，积少还是会成多。

包包

家里已经有很多包包，
旧的，半旧的，甚至是新的。

从来不曾幻想拥有名牌包包的我，
有时甚至鄙视用名牌包包的年轻人的我，
不时更会怀疑路上行人的名牌包是冒牌的我，
做工元气大伤后，
竟然也想用物质来弥补身心灵的受创。

话说如此，
今天我把橱里的旧包包拿出来清洗，
又有焕然一新的感觉。

清醒清醒！
名牌包，
还是再等一等吧！

无病呻吟

今天上half day，
回家泊车时才发现，
地上落叶成山，
老树快秃了，
秋天到了。

平时上班时天还没亮。
下班时天已完全昏暗。
日复一日。

很多时候我会怀疑
这样子生活的意义。
我知道不会有答案。

看见同事对工作的热忱，
我有点羡慕。
我不讨厌我的工作，
但我也不见得很享受，
每一天我尽量完成我的任务，
然后就归心似箭。

如果我的人生一半的时间必须花在工作上，
这种态度应该无法让我开心地撑下去。

我唯有暂时得过且过，
毕竟我不懂什么时候伯乐会出现。
然后我的态度会改变。

muesli到处搜

近一年来，每到一间cafe， 我都会点他们的muesli， 不管是 bircher muesli 或是 toasted muesli。
上了一个星期的晚班， 早上有时间去搜寻popular的早餐地点。

Malvern - Livingroom Restaurant/ Cafe

Melbourne city - Hardware Street - Hardware Societe

Box Hill - Red Cup Cafe 

Balwyn - Snow Pony

Balaclava - Batch Espresso 

Bridge Road - Richmond Hill Cafe and Larder

看到漂亮的摆设，就会胃口大开。
加上新鲜的水果，或是poached fruit，
再来一杯香浓的咖啡，
早晨就完美了！

休息是为了走更长远的路

休假了三天
接踵而来的是连续八天的工作

在家里打扫整理 乐也
上网看天下 乐也
穷追港剧 乐也

比起
pager不断地响
护士不断地烦
没时间吃饭的日子
实在有天渊之别

自问没什么大志
不奢望悠闲自在
只希望安然无恙 平安大吉

我的长远的路

今朝有酒今朝醉
今朝有觉今朝睡

睡饱了就有力气战胜自己
再不愿也得跨步走 ：）

适不适合外科？

1）无奈早上七点开工，辽辽无期的放工时间。
2）分身术得比任何人厉害，穿梭于病房，手术室，门诊，会议。
3）外科巡房速度比火箭快，一个实习生必须拥有千手观音的外在条件加哪吒的风火轮，边用龙卷风快速度写字，边看病人的observation，urine output, drain output，你忙得出烟，你的大老板只是跟病人挥挥手说一切很好，然后拍拍屁股就一阵风走掉去另一个病人的床。然后一切重演。
4）你会在稍有空暇时觉得你老板除了会开刀之外，什么都不会，像个废人，然后你会开始鄙视他。当他请你喝咖啡时，你就会觉得这是你应得的。不会存有感激之心。
5）没有时间吃午餐。
6）病人流量很大，进进出出，太多paperwork。
7）会觉得很对不起病人，因为你没有时间好好问候，问诊，检验。你纪录的一切都是你的老板跟你说的。

我的结论是我不适合外科。

苏打绿陪我过的日子

每个星期五傍晚，
我会象个游子，
赶搭最后一趟火车回家。

沿路是夕阳，大片的草原和结群的牛羊。
三个小时，
听着苏打绿的歌，很有感觉。
就这样，不断地重复了七个星期。
青峰的声音太引人入胜了。
他们的音乐甚至已经取代了周董在我心中的位置。

眼见下乡服务已经快告一段落。
没有了三个小时的车程，
换来了更忙碌的外科，
我还会有时间聆听他们的歌吗？





比较喜欢台语版本 ：）

IV cannulasss

I finally have some positive experience with IV cannulation after few years of practicing.

I still remember my first few ones, they were easy veins but just couldn't get in or at least have to try a few times. Practice really makes things I wont say perfect but at least much better.

I have got a patient telling me my cannulation is less painful than the one done by the nurse (and the nurse couldn't get it in :P).
Another patient told me today "it's a pleasure" even though he ended up not needing the cannula. So I poked him for nothing but he was not upset.
One patient didn't realise I was done with the cannulation.
I managed to cannulate a seizing patient in a MET call.

They were not difficult ones and they have got palpable veins. The really hard ones I still missed or didn't know where to start.

I could now say I am better than when I was in 5th year.

It's great to have some satisfaction from the work and some positive reinforcement too :)

Endless ward jobs

Things have been quite good on the ward until yesterday.

I really felt that everyone wants a piece of me. Drug charts, IV cannulas, referral letters, calls from GPs, calls to GPs, calls to patient family, calls from patient family, chase results, review patients with new complaints, deteriorating patients,admissions, last but not least, talking to an agitated patient with hx of IV drug use that we are not giving him any endone at 6pm whilst I was supposed to be finished at 4.30pm.

It's nearly impossible to get out of the ward, things come up 1 after another or at the same time. I understand that if the nurses dont catch me, they will have to page the cover doctor in ED and if ED is busy, no one will respond to them quickly. The nurse in charge was very nice though. She said if I have any problem claiming overtime, she will speak for me.

How I wish I have "3 heads 6 arms"...but I am lucky that I do have a really helpful registrar who shares some of my workload.

Without me realising, it's already Wednesday! Weekend is coming :D Hang in there!!!

独处

活到这把年纪，
似乎不曾独居。
这十个星期正是个好时机。
选择把时间留给自己，
追连续剧，
好笑时傻笑，感动时流泪。
过自己设定的生活，
不需要迁就和交待。
感觉像在放假呢！

Changes

It happened for a few times already,

Was going to say to patient "The doctor looking after you is going to..."

Then I realised,
I am "the doctor looking after you" too...

Grrr...

First Death

Something that we can't avoid as a doctor.
I am glad that the first death that I pronounced was not a traumatic one. The nurses were supportive because they know it's my first time.

The patient had end stage pancreatic cancer and was on palliative care before she passed away.

I could keep my emotion under control probably because I didn't have much contact with the patient besides writing up subcut morphine for her. The nurses who looked after her all these while couldn't hold their tears. I guess things just won't get easier no matter how experienced you are.

It's a special way to end my shift on a Friday. That's the end of my second week. Now I am on my way back to Melbourne to enjoy my weekend :)

CNY 2012

I haven't celebrated CNY for years. I think have to wait till next year to be able to do so at home.

We had a great catch up with the remaining us in the city before everyone goes back to work.

We have started work 1 week. We survived our 1st week. I am glad that I start in a small rural hospital with great support from doctors and very experienced and capable nurses. Furthermore I get free accommodation and 3 meals provided throughout my rotation.

Came back to Melbourne this weekend to have reunion dinner with Daniel and his family. And we went on a shopping spree :D we bought an XBOX kinect, a multifunction laser printer, a computer screen, an oven and a tv program recorder for his dad. More to go next week :p

I am on the train back to Bairnsdale now. Listening to MyFM on my phone, I feel not too far away from home :)

Happy CNY my dear family and friends. Wish you all a prosperous year and stay healthy and happy :)

I am the New Rotamah Intern

The ward that I am looking after, Rotamah ward has medical, surgical, paeds and obstetric patients. I have 5-6 GP consultants coming in the morning to do ward rounds. Seriously, they all look almost the same...and I just cant remember their names, not to mention which patient is under their care. It took me 2 days to finally create my own patient list so that I get to update my list everyday like any other metropolitan intern :P But the GPs are way too efficient, probably because they are used to do all the clerical stuff by themselves (write progress notes, discharge summaries, medication charts, pathology and radiology slips) because they used to have only 2 interns covering the whole hospital wards, this year we have 4. I bet they are going to get spoilt by me...wahaha!

The nurses of my ward introduced me to other people, "Have you met YS? She is our new intern. We have our own intern now!" I guess I should be happy that I am owned by Rotamah? But they are really nice people, and they are very experienced, can do almost everything, except for signing the drug chart :P And thats what I am here for :)

Besides Rotamah, I also cover the dialysis and oncology units. I will get paged when they need a doctor to write up medications or to review patient who is not quite right.

When I get asked questions that I don't know, I always call for senior help :) I think this is probably the most useful bit that medical school taught me.

I spend more time writing drug charts, discharge prescriptions, discharge summaries, looking up results...than talking to or examining my patients. It's sad, but a doctor told me before, an intern is someone who can perform clerical jobs with a medical head. I can't agree more! Hopefully, after I have picked up all the skills of doing clerical work, I will have more time to spend with my patients :)

My Flat 3

Arrived at Bairnsdale today, settling in my on site intern flat.

I am using the desktop provided...can't type chinese character.

Ah well... can't complain. I have my own bathroom, kitchen and living room. The internet connection is good, at least i dont have to wait for YouTube video to load :)

The TV is broadcasting news but I don't watch, I just want some noise in the background.

Cooked my first meal i.e. pasta with fried egg.

Accidentally came across this singaporean series called The Oath on YouTube...seems quite interesting.

Another orientation day tomorrow:)

Good night Bairnsdale :)

实习医生生涯开跑

预备....
“砰”！

五年的医学生涯结束，
现在我们才真正开始起跑。

我的起点有点特殊，在维多利亚的一个乡镇。
Bairnsdale是个人口大概十二千人美丽小镇，
有海口，沙滩，湖，旅游业蓬勃。

大学第二年曾经到过那里的医院学习过短短的两个星期。
没料到三年后真的会去那里服务十周。

特殊的并不是什么好事，
而是最近那家医院起了大风波，
董事部裁了一名长期在那里服务的consultant，引起其他医务人员不满，相继有几名资深医生和护士长辞职。
资深医生离职，对于我们的影响甚大，
院方向我们这一群八只黄毛丫头保证，
他们会有其他医院的资深医生暂时代职，
以确保我们得到充足的监督和引导。

但实际情况是怎样，
那就得到哪儿才知道了！

还神！

谢了神恩，
乐了肚子，
完了胆固䣩！

Save by Spending - Salary Pakaging

Lots of receipts!!! @.@

你在烦恼什么

爱上了苏打绿
从《小情歌》，到《无与伦比的美丽》，到最新专辑《你在烦恼什么》。

新年勉励大家的一个MV


看了不要哭:P

新年新希望

过新年有迎新除旧的意义，感觉上可以把旧一年的衰运拋到脑后，在这个时间点许下对新年的愿望。
总结去年，过得还不错。有是有非，有高有低，有顺也有不顺。
有人说：向外求，不如向内求。意思是说，向神明或別人祈求让自己过得更好，不如学习自己向上向善，人生自然会比较顺利。
祝福大家：惜福，造福，幸福！