Medical Books

Hmm..let see what i wana read during this 1 week raya holiday..

1) Thalley Clinical Examination

2) ICT Opthalmology

3)Lecture Notes of Opthalmology

4) Basic Opthalmology- Jaypee

5) Ict Dermatology

6) Dermatology secret

7) Clinical Dermatology

8) Clinical Medicine - jaypee

8 book!!! Crazy..i am actually bringing back 8 medical book and i am sure by the end of 1 week i wouldn't even finish any of those. Haha

Anyway, i just want to see if i can finish some of it and how far my determination will bring me to..Haha



Update

manage to read 4 chapter of basic opthalmology and that is all. Haha

Balik Kampung !!!!

Next week will be the incoming big celebration for the Malays, and me as a chinese of course will take the opportunity of 1 week holiday to go back to my hometown in Kedah. Though i wouldn't be celebrating it but still it's a nice time to go back to home sweet home...

Of course, this time the journey will be different. I will be taking the journey with wz and strive our way back using the "old" or conventional road. This also mean all the speed will have to be reduced to 80 km/hr. Orelse? Rm300 loh...

Anyway, i still want to try out the old way as i can really cave on all those tol expense which is really terrible..i mean adding with the petrol that i will be spending on. Haha

Couldn't Start the Car !!!!

It was still fine when i was driving the car for dinner around 6:30pm. But, when i was on my last step in reaching hospital...

Put in the key, turn to on and then further turning the key...

NO SOUNDS AT All !!!!!...

DAmn..I know something was wrong and probably that was from the unfinished bad luck. Had a few try but it just happened to be too quiet, no respond or whatsoever to give me of a clue that what went wrong.

It was then too dark for me to check the car as it was almost 8:30pm by that time and i couldn't do anything besides going back to the room and wait for my housemate to wake up and ask :"Are you going to the hospital?". To my disapointment : "No". Haih..what to do? I can only stay home and study. But , i didn't manage to study anything at the end...Sigh..


Anyway, after the whole boring day in Uni and Hospital, i manage to go back and called someone to the help. He checked everything and also the battery, in which nothing was wrong.. Finally, he went and grab one of his plyer,; get into the deeper down part of the engine; knock knock; go back to the car and turn the ignation...

It was settled. The car was started!!! Finally, orelse i will get some "bleeding" from my pocket. Haha

He didn't charge me for anything so i just thought maybe i should just change the engine oil as well since he actually come all the way to my house to fix it. And, of course my engine oil is diminishing and almost near to the date.

Girls ??

When a girl is quiet
Million of things are running in her mind

When a girl is not around
She is thinking deeply

When a girl look at you with eyes full of questions
She is wondering how long you will be around

When a girl answer "I am fine" after a few seconds
She is not fine at all

When a girl stares at you
She is wondering why are you lying

When a girl lay on your chest
She is wishing for you to be her forever

when a girl wants to see you everyday
She wants to be pampered

When a girl says "I Love You"
She mean it

When a girl says "I miss You"
No one in this world can miss you more than that

Life only come once
so make sure you're spending with the right person

Find a Guy, who calls you beautiful instead of hot:
Who calls you back when you hang up on him.

Who will stay awake just to watch you sleep
Wait for the guy who ...
kisses your forehead.

Who wants to show you off to the world
when you are in your sweats.
Who holds your hand in front of his friends.


Who is constantly reminding you of how much he cares about you;
and how lucky he is to have you.

Who turns to his friends and says, ' That's her!! '

Real Emergency in A&E

It’s has been 1 week since I was in Accident & Emergency Department and it was almost calm as the peaceful water in a stagnant pool. Does that mean a good thing? Well, certainly not for me to learn anything to be a practical doctor in the future.

Anyway, I was really seeing an emergency happening in the Accident and Trauma Unit !!!! Well, I am not saying I haven’t seen any emergency in Emergency department but it’s just not the kind of emergency where everyone will rush to patient, surround the patient in rescuing the patient. Luckily enough, I finally saw one yesterday.

Way before the emergency case coming in, there was a lady who presented with End Stage Renal Failure in the critical zone mostly likely due to noncompliance in fluid restriction. Just about half an hour after that, the double siren was alarmed indicating red zone case coming.. A young unconscious patient which most likely suffering from Motor Vehicle Accident come in with severe head injury and bleeding from the head and nose. All the doctors, nurses and medical assistant came in rushing in attending to the patient; cervical collar was already in place in order to prevent cervical injury. He was then transferred carefully onto another bed for the whole resuscitation process.

Normal saline and later Gelafusine was given for fluid resuscitation in order to revive patient’s Blood Pressure which has fallen into 90/30 (Normal ~ 120/80). Laryngoscopy was performed for intubation with great difficulty and carefully as the patient tongue was protruding out and obstructing the mouth. Then, we also helped out in the pumping the air into the patient and suctioning of blood which kept on gushing out from the mouth of the patient. Almost 1/5 of the patient blood was suctioned out throughout the process. And each time before the blood is be suck out, it will splash on towards the surrounding which is severely distressing as it mean massive bleeding which was happening inside the patient body.

Besides that, the L chest was hyperexpanded with evidence of pneumothorax (air in the lung) and probably subcutaneous emphysema also. So, a large bore needle was inserted through the chest to allow the portion of the air to flow out before a chest tube was attached to the left chest in the safety area to drain out the air in the lung. The bulging of the left chest became lessened by about 20% however not so fully.

The whole condition became very messy as the patient kept on having bleeding flowing and gushing out from the mouth and thus splashing on most of the apron we wore. The floor also stained red because of that.

After a while, the patient was having Ventricular Fibrillation and Defibrillator was needed to bring the patient back onto normal rhythm. All of us have to stay far away from the patient body in order not to be the next patient lying on the floor.Haha..

After 2 time of defibrillation, patient doesn’t show much positive response. And, the heart became asystole which we proceeded for CPR. The patient was announced dead after a short while.

To be honest, this is the first time I seen a “real emergency” and I really learned a lot about it. Hopefully, I myself will be competent enough to handle every case with care.

A & E – Accident and Emergency

MVA- Motor vehicle accident/ Road Traffic Accident