A brand new year?

Or just a continuum of time...

GOOD BYE 2011!!

Hellooooo 2012!!

2012年寫給自己的話：
1.再難也要堅持。To persevere in difficult times
2.再好也要淡泊。To be indifferent in good times
3.再差也要自信。To have confidence even when I'm weak
4.再多也要節省。To save even with abundance
5.再冷也要熱情。To be warm even in the coldest moment

slope of QR

I was being kept going. And finally today, I am on the slope of QR.
I will be mentally prepared for any drop to S wave.
I learnt not to overestimate happiness, joy and ecstasy.

Today, there's just too many things to be happy about,
new rotation next year
good rating by superiors
but mostly Thank God It's Friday!!

a splendid X'mas gift!

It maybe 3 days after X'mas
He maybe not of the same physique as Santa
not even the same religion
He maybe looking down on the list,
not the same naughty or nice list

But today, he had given us the most beautiful gift of all.

Deep down in our hearts (or at least, my heart): Thank you!

P.S. a returning gift of gratitude is within contemplation.

A Desaru Xmas...

Santarina Genevieve


Little footsteps on the beach..

public hypocrisy

A week ago, I read the following letter to The Star (the paper, not the celestial unit) titled "Housemen need the hours"

I AM a house officer in my first posting in the Orthopaedics Department of Hospital Sg Buloh. I strongly disagree with the ruling to cut down on the working hours of house officers to 60 a week and to be given two days off a week.

The housemanship programme is a training programme. Freshly recruited house officers are mostly, let’s face it, incompetent.

Two months into the programme and I still find there are a lot of things I need to learn, including even the basics.

How can we benefit from reduced working hours? It is laughable to think that with less training, one can be a better doctor.

Let’s not forget that doctors of the previous generations all survived a much more intense training programme. If they could do it, why can’t we?

And to have our parents fight for us? We, who are in our 20s? A shameful act, indeed.

We need the training. We need the scoldings and the discipline. We need to become doctors, not killers. We need much more than 60 hours a week, believe me.

Let me postulate this situation for you, the public: You have heard stories of incompetent doctors making horrible mistakes.

Imagine doctors of the future who would have had even lesser training than these incompetent doctors.

Imagine yourself needing a medical procedure and you can only turn to glorified butchers and shamans, instead of surgeons and doctors.

Just imagine.

Dr JOHAN ARIFF JUHARI,

Sg Buloh.

Dear Johan,

Although your letter had struck a few good chords with most MOs and specialists who had read it, I agreed to some parts of it, and other parts of it, it believe it is just pure hypocrisy. A hypocrite house officer trumps any lazy house officer, anytime.

I fully agree that house officers need more hours and more training. Plus, house officers who still have not wean off from their breastfeeds after graduated from medical school are truly shocking, too.

I am also shocked that at 2 months into programme, you have not grasp on your basics.

Although the system had restricted your working hours to 60hours, it does not mean that you can’t extend own time in the hospital at your own leisure.

The hospital is open twenty four seven and I don’t think any consultant, specialists or MOs will keep you out of the ward or operating theater if you offer to come back. Plus, outside your working hours, you can also do more reading about the basic sciences about the disease of patients or learn up more about thing that you’re lacking in.

The point is Dr. Johan, you’re a slacker and your letter further proves you’re a hypocrite slacker.

Nowadays, I been doing more and more house officers work, because people like you, Dr Johan, who do not have initiative to learn how to do it and chose to be pampered in learning.

Few years back, whenever I finishing C-Section at subcutaneous layer, I would release the assisting the house officer to go and type in the postop note in the computerized system. I would tell them the basic essential details and the rest is more or less the same. And I would double-check for the less bright ones. The bright ones will have the wisdom to do it correctly and responsibly. To write a post op note is not rocket science. I believe any 3^rd year medical student can do it, because it is straightforward, repeated and basic.

These days, I had seen the worst of the worst. Few days back, a house officer just sat there idle and told me she did not get the personal password to the system yet, because she is in her first posting. Some of her first posting friends already got their own passwords, why couldn’t she get one? And she already in the department for 1 month plus. Why can’t she call any of her other 30 or 40 fellow house officers for the temporary passwords? Why can’t she come back to OT to ask me my password instead of sitting idle, wasting all our time?

The recurrent time-wasting phenomenon recurred again after 2 days. Another house officer opened the surgical note template and told me he does not know what to write because the computer system had been down when he was tagging 1 week ago, so he had not learn it, but the system already recovered for a week. For the record, he is a house officer in the 2^nd posting. The computer system already back to normal for 1 week, why can’t he take the initiative after his compulsory 60hours to learn up? His other fellow house officers in their first posting can already prepare post op notes even for the 2 different complicated elective gynaeoncology operations, and being in 2^nd posting, he can’t even prepare post op notes for a simple C-Section?

In conclusion, Dr. Johan, like the 2 house officers quoted above, you’re a slacker because in spite of knowing you can do more than the compulsory 60hours but you didn’t. If you didn’t know that you can, then categorically you should be classified as retarded.

I apologize for being mean, because the one thing that medical fraternity could not tolerate more than glorified butchers and shamans are glorified hypocrite butchers and shamans.

Kindly refrain from blaming the system for your own incompetence.

xoxo,

Pilocarpine

means you're constipated

Ho Ho Ho.. Merry X'mas!!

Here's an obgy quiz related indirectly to christmas:
what syndrome is characterized by the association of polycystic ovaries and incomplete emptying of the bladder associated with abnormal electromyographic activity?
Answer: here and here.

P.S. typical nerdy Xmas posting. haha. merry xmas, everyone!!

idiopathic lens error

one moment, I was happily snapping photos of the lectures and the next moment, my lens wouldn't retract back. no trauma, no assault, no nothing. just like that. it got stuck, like my camera caught priapism without any foreplay.

i brought it to the service center and they came up with the repair price of one third of the cost of the whole camera. devastated, but i have to give in. no camera for x'mas, hope by chinese new year, it'll be ready and durable.

d election experimentation

election is round the corner.

that's what everyone was saying before november, but it didn't fall through, probably because the sentiment of anti-government was strong and it wouldn't be the smartest thing to call for an election.

But government been throwing out goodies and somehow in someway or the other, the sweet loving smell of cash may in some way or other, be enticing a whole lot of people in loving our present government.
there's this RM500 for the poor.
there's flash salary hike in the new SBPA scheme for government servant.
they are trying very hard to subconsciously plant the thought 'if the government changed, all this maybe out of the window' in everyone.

They also put up the facade of hypocrisy by displaying the false sense of justice by punishing an exposed minion in this game of politics.

And lastly, a friend of mine in the printing business exposed a secret to me. The Printers already all standby with the blue print of the campaign prints, waiting for that 'green light' to make millions of copies.

many people predicted it could be in march, but personally i felt it will be straight after chinese new year.

Will there be a change of central government? Personally, I don't think so.

But warfare for several state's governments may weave exciting and interesting tale.

Below is an experiment by an economics professor. Have a good read and share your thoughts.

An economics professor at a local college made a statement that he had never failed a single student before, but had recently failed an entire class. That class had insisted that Obama's socialism worked and that no one would be poor and no one would be rich, a great equalizer.
The professor then said, "OK, we will have an experiment in this class on Obama's plan". All grades will be averaged and everyone will receive the same grade so no one will fail and no one will receive an A.... (substituting grades for dollars - something closer to home and more readily understood by all).
After the first test, the grades were averaged and everyone got a B. The students who studied hard were upset and the students who studied little were happy. As the second test rolled around, the students who studied little had studied even less and the ones who studied hard decided they wanted a free ride too so they studied little..
The second test average was a D! No one was happy. When the 3rd test rolled around, the average was an F. As the tests proceeded, the scores never increased as bickering, blame and name-calling all resulted in hard feelings and no one would study for the benefit of anyone else. To their great surprise, ALL FAILED and the professor told them that socialism would also ultimately fail because when the reward is great, the effort to succeed is great, but when government takes all the reward away, no one will try or want to succeed. It could not be any simpler than that.
Remember, there IS a test coming up. The 2012 elections.

These are possibly the 5 best sentences you'll ever read and all applicable to this experiment:
1. You cannot legislate the poor into prosperity by legislating the wealthy out of prosperity.
2. What one person receives without working for, another person must work for without receiving.
3. The government cannot give to anybody anything that the government does not first take from somebody else.
4. You cannot multiply wealth by dividing it!
5. When half of the people get the idea that they do not have to work because the other half is going to take care of them, and when the other half gets the idea that it does no good to work because somebody else is going to get what they work for, that is the beginning of the end of any nation.

brief moment in the air

life experiences, work cultures differences and a whole different world of life... does make me think what I was hoping for...

and finally I know what I had always been hoping for...

monday-friday near-far complex

Insults | Denied

One day Buddha was walking through a village. A very angry and rude young man came up and began insulting him.. "You have no right teaching others," he shouted. "You are as stupid as everyone else. You are nothing but a fake."

Buddha was not upset by these insults. Instead he asked the young man "Tell me, if you buy a gift for someone, and that person does not take it, to whom does the gift belong?"

The man was surprised to be asked such a strange question and answered, "It would belong to me, because I bought the gift."

The Buddha smiled and said, "That is correct. And it is exactly the same with your anger. If you become angry with me and I do not get insulted, then the anger falls back on you. You are then the only one who becomes unhappy, not me. All you have done is hurt yourself."

"If you want to stop hurting yourself, you must get rid of your anger and become loving instead. When you hate others, you yourself become unhappy. But when you love others, everyone is
happy."

Bottomline: stop insulting yourself.

almost heaven...

almost... almost...