Dec 28, 2012

Princess's antenatal check up

Cloudy day on the last antenatal clinic day of the week

I glanced at the mother's name and prepared myself.

An African couple came in.

They were fluent in English. Thank God.

Full check-up and everything explained to the couple.

Couple reassured and delighted.

All smiles.

As they were at the door, my curiosity taken over and exchanged few words with the hubby.
Just wondering, I notice there's a "Princess" in your wife's name.
Yes, I am actually the Prince. (sport a sheepish smirk) 
Wow. So that makes me the royal physician.
Sort of. (more of a smile)
Alright, see you.

Perhaps they were just pulling my legs. But who knows.

Dec 22, 2012

Pain of inertia

Trolled by pain. Sigh!

I was in a sombre mood and pain score of 10 having to make the move - a change in my workplace.

It was an anticipated move, yet life changes in more than 360 degrees and my expenditures rises to the similar figure in percentage.

After 3 weeks here, absorbing whatever comes along the way, I am lucky not to be sucked into the black hole of unhealthy working environment.

See Explanation.  Clicking on the picture will download
 the highest resolution version available.
Black hole: Look pretty much like main interest in my line of work,doesn't it?

My fellow batchmate summarized it beautifully as
"It's freaking tiring like that, mentally and physically. Blaming game is one, defensive medicine is another, hierarchy system is another killer. Basically before getting the apple(credentials ) one has to get raped by everyone" 
Or perhaps my time have not come yet.

Still have not properly understand the natural history of such pathological phenomenon.

Yet, I should consider myself really effing lucky to start of my posting with such nice and dynamic team, especially the 3 senior colleagues who are always there for us, the 3 newbies, including me.

Dr S is informative and resourceful.
Dr N is funny and dynamic.
Dr Z is disciplined, pushy and things always get done - quick.

Lecturers are good teachers and sets fine examples to follow.

It is always nice to be in the junior pool again. Relief.

Horror stories had caught my ears. It isn't nice if one is caught with senior colleague who is lacking of the sense of teamwork.

My fellow Master batchmate was forced to the point of using the four letter work with the -ing suffix.
Four letter word would have been bad enough, but in continuous tense, it is definitely worse.

Now my pain score had gone down to 6-7.

P.S. the free usage of FB and blog in the hospy helps in reducing the pain score even further.

Dec 19, 2012

Penang's PalaGate


2004:The state govt (under Gerakan) approved the sale of the land of Kg Buah Pala to Koperasi Pegawai Kerajaan Pulau Pinang for RM6.42 million.

2005:On the recommendation of the then Deputy Chief Minister, the premium of the land was halved to RM3.21 million.

2005: The residents did not know about the sale but realilized something amiss when the state govt stopped collecting rent for the Temporary Occupation License in Kg Buah Pala.

2007: Eviction notice was issued to them, and they were offered a 850 sq ft three-bedroom low-medium cost flat or RM90,000 progressive payment...which they refused to accept.

2008: The residents were manipulated by certain parties, hence protested and DAP, the new state government was accused of mishandling the Kg Buah Pala issue.

2009: The court ruled with the developer and ordered the residents to vacate the land. 24 families came to an agreement and accepted offer by LGE and the developer. 9 other families refused to accept the offer.

April 2012: The 9 house owners who refused LGE's offer were given new home keys from PM under humanitarian grounds (not compensation). The houses are valued at RM220,000 each and are located at Taman Sejahtera Indah, Teluk Air Tawar)

Dec 2012: 24 house owners who accepted the offer from the developer received a compensation of a double-storey house of 1,400 sq ft (worth RM500k) along with RM8,000 in shifting cost.


Guan Eng Terus Malukan BN- Serah Rumah Mewah RM500K Kepada 24 Penduduk KG Buah Pala

Seramai 24 penduduk Kampung Buah Pala menerima rumah teres dua tingkat yang bernilai kira-kira RM500,000 selepas kemelut yang melanda kampung itu dua tahun lalu.

Ketua Menteri, Lim Guan Eng berkata, pemberian itu adalah hasil kerja keras banyak pihak termasuk Kerajaan Negeri yang sentiasa prihatin terhadap hak penduduk kampung berkenaan.

“Kita bukannya menganiaya mereka seperti yang dituduh pihak tidak bertanggungjawab. Kini penduduk tidak perlu risau kerana sudah dapat hak mereka dan ini juga bukti kita tunaikan apa yang dijanji.

“Saya bersyukur kerana Kampung Buah Pala masih kekal di sini bersama penduduknya walaupun namanya kini ditukar kepada Taman Buah Pala. Keadaannya juga seperti dahulu cuma rumah yang dibina lebih selesa.

“Pada 2009, Mahkamah Persekutuan memutuskan bahawa penjualan tanah kampung ini adalah sah dan pemaju berhak meneruskan projek mereka. Suka tidak suka, kita perlu terima bagi menghormati undang-undang.

“Namun Kerajaan Negeri mengambil inisiatif berunding dengan pemaju untuk mendapatkan pampasan buat penduduk dan kita bernasib baik kerana mereka menerima cadangan Kerajaan Negeri.

“Setelah berunding, seramai 24 keluarga bersetuju untuk menerima pampasan yang diberikan namun sembilan lagi tidak mahu menerimanya. Mereka mengatakan kita buat janji kosong dan menipu,” katanya.

Sementara itu, seorang penduduk, Annie Rose Micheal, 75, berkata, dia lega penantian selama dua tahun akhirnya berbaloi apabila diberikan sebuah rumah teres dua tingkat yang selesa untuk didiami bersama anak-anak.

“Selama ini saya hanya menyewa di sebuah rumah berdekatan kawasan ini selepas rumah saya dirobohkan dua tahun lalu,. Saya gembira dengan pemberian ini,” katanya.

Pada majlis berkenaan, Guan Eng menyampaikan kunci rumah kepada semua penduduk kampung itu termasuk sembilan keluarga Melayu they actually have gates for their homes.
This is the real deal of Janji Ditepati.
Not promise to build a new house after being voted in.
50years of being voted in, nothing being done.
After being voted out, you have the bollocks to vote you back in by promising the moon.
As the Federal Government, it is pretty obvious you don't give a damn about the rakyat in some States.
Why do you think we should give a damn bout voting you in. Grow up.

Dec 13, 2012

Crimson tide

The 'best' thing about the new hospy that I am working right now is all deliveries to be conducted by doctors.

All deliveries to be conducted by medical officers or house officers under medical officers supervision.

It does bring back good memories of the time when I first conducted my first delivery, which is in the same hospy but different labor room.

Now, the labor room is new and so-called advanced.

Computerized partogram. Data through computer. CTG centralized view.

Maybe it's inertia.
Maybe it's adjustment disorder.

The installed system has less pros and more cons.

Browsing through the computerized data takes a lifetime and the previous records still need to be traced manually on paper technology.

Although one may argue the invincibility and economics in intrapartum care records as its prime and sole raison d'etre, I beg to differ.

Files can be corrupted, hacked, stolen, altered and destroyed with good computer programming skills.

Plus, the poor record-keeping using the not-so-user-friendly system will work against the medical institution.

Feedbacks from Prof J on the review of the documentation can be summarized in one word - Rubbish.

When I had complicated third stage and documented in length in the 'remarks' column, the senior nurse partly 'censored' my entry because when printed out, it doesn't look 'nice'.

Lack of triaging also renders serious conditions do not get immediate attention.

When a preggie lady came with per vaginal bleeding, as I am busy, I instantly ask a loitering house officer to attend to the lady for brief history.

The house officer just ignored me and walked away.
When I confronted him, the nurse in charge backed him up, telling me about how the whole system works. Patients to be registered by the clerk. Then, reviewed and vital signs be taken by the nurse, before the lady can be clerked.

Probably there is a reason why a lady came with massive abruptio but was seen only after 15mins later.

All victims of technology, or rather victims of common sense deficiency.

Dec 8, 2012

Lameness of Jib Gor

Perdana Menteri Datuk Seri Najib Tun Razak hari ini berjanji untuk memberi dua hadiah besar kepada rakyat Pulau Pinang iaitu pembinaan 20,000 unit rumah mampu milik dan perkhidmatan monorel jika  Barisan Nasional (BN) diberi mandat semula untuk memerintah negeri itu.

Dear PM,

This is not 'Janji Ditepati'. It's 'Ugutan Untuk Undi'.

Are you threatening us that Penangites will lose 20,000 homes and the monorail if we don't vote for you?

Are you using YOUR own money or the PEOPLE's money for those 'Hadiah'?

This is cheap and lame. Mostly lame.

Don't bother to reply.

Yours truly,

Dec 7, 2012


Reviewing a post delivery patient.

Medical Officer: Houseman, please update the baby.
Houseman: update the baby?(scratching head)
Specialist: Yeah, update the baby about the mother.

Sarcasm of the day.

Dec 1, 2012

A melody that I will complete

restecpe. yup. dat's how Ali G would have spelled respect.

Respect is a very simple thing.
It has nothing to with money or status.
It has nothing to do with a great amount of time or sacrifice.
It has something to do with being sincere and open.

I may not have fate with that person for a long period of time.
May have seen that person 3-4 times.
But from that person, I had received the great motivation from that person.

That person have given me a simple mindtrack and mindset that I must project myself to be.

That person's ultimate victory has allow me to respect that person's rightful success.

That person also kept reminding me who is the person behind what he had achieved today.

Incidentally, I bumped into that person during dinner tonight and was re-motivated again.

And a song came into my mind.

To the song here in my heart
A melody I start but can't complete

Listen, to the sound from deep within
It's only beginning
To find release

The time has come
For my dreams to be heard
They will not be pushed aside and turned
Into your own
All cause you won't

I am alone at a crossroads
I'm not at home, in my own home
And I've tried and tried
To say what's on my mind
You should have known
Now I'm done believing you
You don't know what I'm feeling
I'm more than what you made of me
I followed the voice you gave to me
But now I gotta find my own..

You should have listened
There is someone here inside
Someone I'd thought had died
So long ago

Oh I'm screaming out, for my dreams to be heard
They will not be pushed aside or worked
Into your own
All cause you won't

I don't know where I belong
But I'll be moving on
If you don't....
If you won't....

To the song here in my heart
A melody I've started
But I will complete

Now I'm done believing you
You don't know what I'm feeling
I'm more than what you've made of me
I followed the voice you think you gave to me
But now I gotta find my own..
My own...