Showing posts with label life elsewhere. Show all posts
Showing posts with label life elsewhere. Show all posts

Jan 10, 2013

Close monitoring

Consultant: Why do you want to keep this patient in High Dependency Unit?
Me: She requires close monitoring as she is a high risk patient.
Consultant: Come, take off your shoes and lie down on the bed beside the patient. Now, you can closely monitor her.

(=,=")

Reminds me of my first boss, Dr K.

Dr K saw the plan in the case note, nicely written "Strict Pad Chart"
Dr K: So, what is strict pad chart? Do you use a microscope to see the Pad, Pilo?

(=,=")

P.S. Bring back good memories..


Jun 30, 2012

Obgy terminology at dinner

There I was attending wedding dinner. My family was placed at the same table with 2 Consultants from different departments. Both of them was a couple and pretty much made a lot of impact in my houseman's year and those early MO's year.

Lots of catching up with them, but mostly bout work with personal stuffs here and there.

There was a moment when the dish at the central of the table was a distance away from the people sitting opposite to me. The consultant attempted to turn the round tabletop at the middle. Due to some possible rust or malfunction, it just would not turn. And I just stretched my hand and gently shoved the dish closer to the other side. More practical and faster approach.

And she commented:

Pushing. Yeah, I didn't think of that. You in O&G must be good in that.

And we exploded into laughters.

Apr 5, 2012

Devastation


https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-ash4/393041_280621735346941_118147031594413_618565_283806506_n.jpg

Devastated by something that come through the email today.
It felt as if I had fell flat on my face.
It wish I can be palm-facing myself 1000 times.









https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-ash3/559587_279186545493534_144998815578975_598904_1600058078_n.jpg




I found that I can hardly find any reasons to console myself.
I maybe happy, cheeky and happy-go-lucky,
but I guess its time to put my optimism aside
and get my blardy enthusiasm high up again.



Mar 6, 2012

Going through the 'Curve'

https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-ash4/404215_258734624205237_188416687903698_583566_1300905207_n.jpg
i know the above look girly & sissy, but the whole message is awesomely macho!

my pens as my blade...
my brain (whatever left of them) as my firepower...
... and I'm off to battleground...

https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6XPzWvv1PM9dCjyzXCbgqWKNdBjWtgQjIhMwmMQdGlf0lz1Dt35-JBIdoBsbhsYNLYNNFAQu9lCmkz19AluUrgiQOgMYOQ0ZR8zaNuRNQReKhMVh0Ewug8aqu5ZLHQC1L1jCEA9Xk1r4/s400/GREATEST+07.jpg
SPPPAAAAAARRTAAAAAAAAAAAAAAAAAAA!!

Feb 12, 2012

RIP Whitney Houston

Whitney Houston
Whitney Houston has died aged 48

One of the most celebrated female singers of all time and my favorite singer.

Music classes at online universities will teach you why Whitney Houston is legendary and what her remarkable contributions are in the music industry.

2 songs of hers that I love the most are...





Her Obituary. Her life in pictures.

Jan 17, 2012

daily cardio exercise

https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-snc7/402019_10150491584674843_117892039842_8932148_604258282_n.jpg

quite elated that i have this exercise almost everyday...

and i am sincerely glad my friends are doing this exercise along with me...

Dec 31, 2011

A brand new year?

Or just a continuum of time...

https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-snc7/317767_165989180158509_100002422838369_316321_1034369742_n.jpg
GOOD BYE 2011!!

https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-snc7/s320x320/408656_189454404483020_100002553865328_341630_2022054030_n.jpg
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

Dec 24, 2011

Ho Ho Ho.. Merry X'mas!!



http://maxcdn.thedesigninspiration.com/wp-content/uploads/2011/12/XMAS-l.jpg

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!!

Dec 23, 2011

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.

http://maxcdn.thedesigninspiration.com/wp-content/uploads/2011/12/Destroyed-In-Japan-l.jpg

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.

Dec 21, 2011

brief moment in the air

https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-ash4/264351_221833364516801_211212998912171_734949_6392106_n.jpg

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...

Nov 23, 2011

Value has a value only if its value is valued

30 seconds speech by Bryan Dyson: Former CEO of Coca-cola
Imagine life as a game in which you are juggling some five balls in air. They are Work, Family, Health, Friends and Spirit and you're keeping all of these in the air.

You will soon understand that Work is a rubber ball. If you drop it, it will bounce back. But the other four Balls - Family, Health, Friends and Spirit - are made of glass. If you drop one of these; they will be irrevocably scuffed, marked, nicked, damaged or even shattered. They will never be the same. You must understand that and strive for it.

Work efficiently during office hours and leave on time. Give the required time to your family, friends and have proper rest.

Value has a value only if its value is valued
I was again and again and again enlightened by this short speech.

Jul 25, 2011

the Lawliet position

http://images.wikia.com/deathnote/images/f/fe/L.png
today's random thought

somehow i find myself concentrating more and absorbing greatly when i read in this position.
nah, it's the furniture lacking of proper ergonomics. either that or i'm going cuckoo.
i chose to believe in the former, possibly in denial.

Jun 2, 2011

got me thinkin'

Just came back from the first day of the OGSM Congress with the awesome Prof's Kula preCongress workshop in the morning till evening followed by the night time welcoming talk and reception. Had throbbing headache shortly after the workshop, but luckily, recovered after an hour of rapid-eye-movements supine on the couch of CH's sponsored room. Too bad PT's not around.
Link
This is my 2nd OGSM, with my virgin OGSM being 2 years ago. If I remembered it correctly, there was more fanfare previously, but still, it was nice to meet up with my friends and colleagues within the fraternity who came from all over the country.

Just as the congress decided to call it a day, managed to sit down with a friend to my colleague. Found out more about the current climate of working in Ireland - the workload, the quality of life, work, opportunity and all. Basically, the shades of grass aren't that greener, just it's different. Somehow, the fact that being in the system is usually required to beat the system, still hold water.

I have always eyed Down Under (no pun intended). But at this stage, as my children growing up rapidly (Yes! Genevieve finally could say 'papa'), and I am not getting any younger, I really wonder whether I should make a bold life-changing decision, at this point of time.

My Natatorium
I wonder whether I am ready to take the plunge for all its worth.

Timely as it seems, I got to read about The Migrant's Eye, an essay by Shaun Tan, made it to the finals in the World Bank 2011 Essay Competition (
http://www.essaycompetition.org/ ).

And I simply love the few lines below:

"It allows us to take more risks and dare greater things. The open door presented by migration therefore simultaneously hinders and helps the process of change in Malaysia."

The essay in full:

THE MIGRANT'S EYE

"Our young people represent the future of our country." This phrase has been echoed by almost every politician in almost every country in modern history. However the changes instigated by the increasing ease of migration are such that not even this time-honoured cliché holds the weight it once did. Young people still represent the future, but it is the future of whichever country they decide to settle in or impact, which may or may not be their country of origin. As with most changes, there are new benefits and drawbacks, and new winners and losers. Among the most pressing questions countries now face are how to prevent their young people from migrating, and how far they should go in providing for the migrants residing within their borders.

Exodus

Smart Indians go to med school,

Smart Chinese go to investment banks,

Smart Malaysians go to Singapore.

— Anonymous

My first brush with migration was in 2002. My father came home one day in a state of great excitement. My father is an excitable guy. He is also an alumnus of a university in New Zealand, and he had just learned that, because of this, our family was entitled to permanent residency (PR) status in New Zealand upon fulfilment of a few (relatively minor) requirements. One of the requirements was that we reside in New Zealand for at least three months over the next two years. We discussed it and decided it might be fun. We packed for summer.

Within a few weeks I was bored. New Zealand was charming enough in its own way, but it didn't have the vibrancy of my home city of Kuala Lumpur, and I couldn't imagine us choosing to live in this land of sheep and five o'clock closing times instead. And yet I understood why my father pushed for PR status so eagerly. He remembered the Indonesian racial riots of 1998, and he kept the pulse of rising extremism in Malaysia. If violence ever broke out in Malaysia my family would have a back door, a way out.

Later on I saw that most of my Malaysian friends who could afford it went abroad for at least part of their education. Some went to boarding schools in Singapore, Australia, and the UK. When it came to university, almost all my Malaysian friends went to Australia, the UK or the US. The reasons they (and their parents) gave for wanting a foreign education were the same: the racial quotas in Malaysian universities, the skewed syllabi, the controls on free expression, the low standard of the Malaysian education system (apart from a few private university colleges), and the relative quality and prestige of foreign schools and universities.

At university this trend continues. Many of my Malaysian friends plan to remain overseas after graduation, or to work in Singapore. "Everything in Malaysia is on such a small scale," one of them said, "it can't compare with the training you get overseas." Some of them hope to return to Malaysia later, but only in the distant future, after earning enough money and establishing themselves in their industries. I know the power of inertia, and every year that goes by makes it less and less likely that they will return.

Asian societies have very tight family bonds. Most of my friends have parents who miss them very much, and who dislike them living far away. However, far from meeting with parental opposition, these plans have full approval: the message my Malaysian friends get from their parents and relatives is: "Don't come home."


No Brain, No Gain

Malaysia faces a brain drain crisis. Recent decades have seen the migration of many ethnic Chinese (comprising 26 per cent of Malaysia's population) [1] and Indians (8 per cent) [2], as well as considerable numbers of Malays, the majority ethnic group (53 per cent) [3]. Shamsuddin Bardan, executive director of the Malaysian Employers Federation, reported that there are 785,000 Malaysians working overseas. [4] Unofficially, the figure is thought to be over a million. [5] According to the World Bank, the number of Malaysian emigrants has increased almost a hundred-fold in the past 50 years, from 9,576 in 1960, to almost 1.5 million in 2005. [6] A parliamentary report revealed that 140,000 Malaysians emigrated in 2007. [7] According to Deputy Foreign Minister Kohilan Pillay, the figure between 2008 and 2009 was 304,000. [8] As of 2007, 106,000 Malaysians had renounced their citizenship. [9]

Many of these Malaysians go to Australia, the UK, and the US. [10] About half of them go to Singapore, [11] which has a GDP per capita almost four times larger than Malaysia's [12]. The portion of the Malaysians who return is minimal (Prime Minister Najib Razak reported the figure to be less than 1 per cent) [13] prompting former Prime Minister Mahathir Mohamad to suggest that other countries should pay Malaysia for having seduced them to stay "since by right, the graduates' training and knowledge should be called intellectual property." [14]. Prominent writer Mariam Mokhtar outlines the reasons given by emigrants: "improved employment and business prospects, higher salaries, better working environments, greater chances of promotion and a relatively superior quality of life." [15]

This has severely retarded Malaysia's development. Malaysia continues to be the poor cousin of the Asian Tigers — Hong Kong, Singapore, South Korea, and Taiwan. Malaysia's growth rate dropped from 9 per cent a year, from 1991 to 1997, to 5.5 per cent a year, from 2000 to 2008. [16] Stewart Forbes, the executive director of the Malaysian International Chamber of Commerce and Industry, explained that many of Malaysia's lost investment opportunities stem from the brain drain — because international companies had trouble finding skilled employees in Malaysia. [17] "People have left, growth prospects have dimmed, and then more people continue to leave," [18] said Danny Quah, an economics professor at the London School of Economics and Political Science, and Council Member on Malaysia's National Economic Advisory Council. "It's a vicious cycle that the economy has had to confront for the last decade or longer." [19] The increasing ease of migration has produced new winners — countries like Singapore, Australia, the UK and the US, who get to cherry-pick from a global talent pool. It has also produced new losers. Malaysia is certainly one of them.

The Malaysian Dilemma

As there are new winners and losers from migration, so too are there new benefits and drawbacks. A classroom discussion threw this debate into stark relief.

It was last year. The date was the September 27, the country was America, and I was in my International Relations class. We were discussing globalisation, and having gone through some of its benefits, we moved on to its drawbacks.

"Well," said one of my classmates, "one drawback is that it increases the brain drain effect and leads to greater inequality between countries. Developing countries lose a lot of the talent that they badly need." This received a general nodding of assent.

I raised my hand. "Actually," I asked, "is greater inequality necessarily a bad thing?"

My class, accustomed by now to my mannerisms, still looked at me strangely.

"I mean, it's true that many developing countries end up losing their talent, but really, some of these countries bloody well deserve to lose them."

This created a small firestorm. From my classmates' reactions you'd have thought I'd asked what was wrong with genocide. There were gasps. Before I could finish, a forest of hands shot up to respond. One of my classmates burst out angrily; "Now you're just being facetious!"

My professor moved to restore order. He was a kindly old man who usually let our discussions run their course. He did however step in whenever our discussions threatened to turn into a pseudo-intellectual brawl.

He turned to me. "I assume you said that to be deliberately provocative," he said gently; a teacher reasoning with a difficult student.

"No," I said, "not at all."

I looked at the rest of my class who now whispered amongst themselves and eyed me warily, apparently taken aback to see their (I hope) usually charming and amiable classmate say such callous things.

But to me my statement seemed as normal as breathing. And said to any reasonably informed Malaysians, it wouldn't even have raised an eyebrow. I realised then that there were perspectives on this issue that are unique to Malaysians, and to those who have experienced similar circumstances.



Push and Pull

I've left a few unanswered questions over the course of this essay. Like why do loving parents tell their children not to come home? And why do many Malaysians think Malaysia deserves to lose its talented young people? Now at last is the time to answer them.

Malaysia has a lot going for it. It has much untapped potential. It is devoid of natural disasters and rich in natural resources. It is a country with warm weather, amazing food and hot women. Its people are generally warm, friendly, and (with certain exceptions like yours truly) humble. Pull-factors like these would require considerable push-factors to trigger mass emigration.

But there's a darker side. A side behind the strained tranquillity and Malaysia Truly Asia adverts. Since its independence in 1957, Malaysia has been run by the Barisan National (BN) party, and its regime is an autocracy that institutionalises racism. Non-Malays, including the ethnic Chinese and Indian minorities, are discriminated against in favour of the majority Malays, whose support BN depends on. Malaysian laws make non-Malays pay higher prices for certain goods and services, allocate them only a small percentage of places in public universities, and impose significant barriers against their advancement in the military, police force, civil service, and in government-owned companies. The BN government persecutes minority religions, and major Malay politicians often refer to Chinese and Indian Malaysians as pendatang (immigrants), of inferior status, while the current Prime Minister Najib Razak is alleged to have threatened to "bathe a keris dagger with Chinese blood".

The BN government is also very protectionist, making it even more difficult for international companies to set up business there, for example, international law firms can only operate in Malaysia by acting in partnership with a local firm. Furthermore, the BN government is both grossly incompetent and highly corrupt. Billions of dollars in public funds are squandered on cronyism [20] and ill-conceived mega-projects [21], instead of being properly used to develop the country. The judiciary is largely comprised of underqualified yes-men, the police force is unreliable, and the public schools and universities are of low standard, such that even Malaysia's top university, University Malaya, has dropped out of the top 200 universities in the world on all major rankings. [22]

This is why loving parents tell their children not to come home. They don't want their children to live as second-class citizens in Malaysia, where their ambitions will be limited by institutional inefficiency, where they will be passed over for promotion in favour of others, not for any lack of skill, but for the colour of their skin. "Money does have a significant role but the most important factor… is opportunity," outlined Wan Saiful Wan Jan, founding chief executive member of the Institute for Democracy and Economic Affairs. "Malaysia is too politicised and opportunities are not evenly available to everyone." [23]

This is why Malaysians flock to Singapore, not because Singapore's government is less despotic (it is even more so), but because the Singaporean government at least prizes efficiency, and recognises merit regardless of race. When a Malaysian renounces his citizenship, he doesn't see it as an unpatriotic betrayal, he sees it as washing his hands off a regime that has marginalised and persecuted him. As one Malaysian, Wan Jon Yew, explained: "I'm not proud of being a Malaysian because I think the government doesn't treat me as a Malaysian." [24] Migration is beneficial because it increases efficiency; it allows young Malaysians to move to take their best offers, to move to where their ability is truly valued. A mind is a terrible thing to waste, and migration helps to reduce this wastage.

Not all Malaysians mass-emigrating are Chinese and Indians. Many Malays are emigrating too. Although they do not face racial persecution, many of their reasons for doing so are the same as those of non-Malays: the corrupt and inefficient system, the lack of security and religious freedom, the quashing of free expression, human rights abuses. Furthermore, Malays face a different form of religious persecution — forced piety by the overzealous Islamic moral police. Non-Muslim Malays and Malay homosexuals are jailed or sent to "re-education centres" [25], and earlier this year 80 Malays were arrested for celebrating Valentine's Day [26]. In light of this, Malaysia deserves to lose the talents of its young people. It doesn't appreciate these talents; it punishes its best citizens — those brave enough to stand up for themselves, or those too principled to fake devotion to a religion they don't believe in — and instead it rewards its worst elements — the religious extremist, the racist, the snivelling sycophant. In a sense, we as Malaysian citizens deserve to lose the benefits those talents would have brought, because through our participation or collective inaction we allow this wretched state of affairs to continue. Migration is beneficial because it allows Malaysians to leave, and to live in a country that accords them the dignity commensurate with their status as a human being.



The Open Door

The ability to migrate presents young Malaysians with an open door to the rest of the world. This is not without its drawbacks. Many of the Malaysian émigrés leave not because they are weak or cowardly, but because they are ambitious, or because they are uncompromising — they refused to take orders from those who are their inferiors, or to remain party to a system that is morally indefensible. One cannot help but imagine how much good such spirit could have done if they had no choice but to remain in Malaysia. Not necessarily by engaging in overtly political activities, but by simple apolitical acts — by living their lives in their own way, free from compromise, and refusing to curb their ambitions. As Vaclav Havel explained in his book "The Power of the Powerless", such simple acts are often the most potent weapons against oppressive regimes. Thus, migration has its drawbacks — it makes it harder for Malaysia to achieve real change because it takes away some of its most spirited people.

However there are also many young Malaysians who choose to return, and who seek to bring real change to the country. People like Nathaniel Tan — a Harvard graduate, who writes books exposing the abuses of the BN regime, even if his efforts meet with harassment and detention. Or Alea Nasihin — a friend of mine, and a student at Nottingham University, who resolves to return to work as a human rights lawyer. [27] Or myself. For us the open door is comforting. It gives us the courage to say or do things we might otherwise be wary of. Because it reminds us that there are limits to what an oppressive government can do. Because we know that even if our efforts harm our careers in Malaysia, even if the BN government hounds us and bars us from getting a job at any major company in Malaysia, there will always be many other places eager for our talents. It allows us to take more risks and dare greater things. The open door presented by migration therefore simultaneously hinders and helps the process of change in Malaysia.

Point of Origin

From a Malaysian perspective, good measures for broadening opportunities for young migrants in their countries of origin are relatively straightforward. The most obvious one is to increase meritocracy, to distinguish merit instead of race, religion, gender, or sexual orientation. When each citizen is judged solely on the basis of his ability, when high standards are promoted, when the most innovative people are rewarded and encouraged, the whole country progresses and develops, creating greater opportunities for all. Nepotism and cronyism should be prohibited in all industries, so that positions and promotions go to the most able candidates. This policy should be pursued in conjunction with scholarships and financial aid for poor youths to attend schools and universities, again awarded on the basis of merit.

The other obvious measure is to liberalise. A liberal society that respects human rights provides the broadest opportunities for free expression and the free practice of religion simply because fewer things are prohibited. Laws should be enacted against the interference with an individual's expression or religious practice, unless he harms or grossly misrepresents another person in doing so. The judiciary should be allowed to become strong and independent, so that everyone has the opportunity for a fair trial.

Meanwhile, opportunities should be given to migrants who consider returning to their country of origin. Those living overseas, but with vital skills in various fields should be invited back and offered senior positions, with PR status or citizenship offered to their families.

A fair, liberal government that rewards merit provides the broadest opportunities for its people. Measures like the Malaysian government's Returning Export and Brain Gain Malaysia programmes fail to attract young people because they make only cosmetic changes, refusing to give effect to the principles of fairness, liberalism, and meritocracy, that are the essence of true improvement of opportunity.

Destination

Good measures for broadening opportunities for young migrants in their countries of destination are relatively straightforward too. They largely consist of refraining from the policies these migrants were fleeing from in the first place. Other than some free basic language-training programmes, no special privileges should be given to these immigrants, and no affirmative action policies should be implemented. Instead, these immigrants should be allowed to compete for (generally) the same opportunities as everyone else, judged on the basis of their merit, rather than race, religion, gender, or sexual orientation. They should be given equal opportunity to exercise their civil rights, like the rights to free speech, association, and religious practice. Their right to marry should be recognised regardless of sexual orientation, and the continued ban on gay marriage is an instance where the US has fallen short of this standard.

However governments should be conscious of where granting formal rights in fact restricts opportunities. In "Beyond Liberal Democracy", Daniel Bell contrasted Western and East Asian approaches to dealing with migrant workers. He described how migrant workers in East Asia are denied citizenship (and thus full legal protection) no matter how long they stay, while those in Western countries are able to obtain it much more easily. The result of this is that East Asian countries are able to officially admit many more temporary contract workers. Comparatively, Western countries can officially admit few migrant workers, although many more work there illegally, without any legal protections at all. "In the West," Bell explained, "the liberal political culture places higher priority on the justice of legal forms… In East Asia, by contrast, the authorities prefer to enact… laws that allow for large numbers of migrant domestic workers to engage temporarily in legally protected work in their territories." [28] Governments therefore should not dogmatically pursue form over substance, but should be pragmatic in their measures to achieve the best results for immigrants.

Ich bin ein Inmigrante

"Once I thought to write a history of the immigrants in America. Then I discovered that immigrants were America."

— Oscar Handlin

America is not without shortcomings in providing for its immigrants. True equality of opportunity can only be achieved with the shattering of glass ceilings, and there are numerous social barriers that still need to be overcome. To this date, the highest office in the country, that of the President of the United States, can only be held by someone born on American soil. And yet America remains the land of opportunity for so many people. The immigrants in America are integrated far better than those in Europe, because Americans are conscious of the fact that they were all immigrants once. And America has benefited greatly from this. It gets physics from Einstein, political theory from Arendt, movies from Ang Lee, eye-candy from Maggie Q, and literature from Junot Diaz. The fact that Irish-Catholic immigrants like the Kennedys could become America's most prominent family, that an Austrian immigrant like Arnold Schwarzenegger could become Governor of California, and that a black man born in Hawaii and raised in Indonesia could become President, is a testament to this tradition.

I am the product of migration. It was through migration that my ancestors from Fujian province in China came to live in Malaysia. It is through migration that I have been able to grow up in Malaysia and study in Britain and America, and it is through migration that I have had the privilege of learning from people from all over the world. My accent is a bastard mix of British, American and Malaysian. My upbringing was a schizophrenic blend of liberalism and Asian Tiger Mom-style parenting. I revel in living in a mixed-up world and having a mixed-up self. [29] I have tried to live consistently with the principles advocated in this essay. Where in my life I have failed I have accepted it and tried to learn from my mistakes. Where I have succeeded, I have taken pride in the knowledge of having done so myself, not needing any legal crutch to prop me up. The only right I have demanded is the right to a fair contest. I think that the right to fair competition is the only thing we can and should expect.

Jun 1, 2011

疑人不用, 用人不疑

Sometimes I really don't understand why I do thing that I do.

Ice Lolly
Exactly how I felt today, except with more hair. scalp hair, that is.

May 17, 2011

the real big spender

Just when u thought that orang putehs are the big spender, well, in the event of wedding, the big spender award went to Indians. Hands down.

Check out the top 10 most expensive wedding list compiled by Natalie Jaro

For these folks, if their wedding day(s) weren’t the happiest days of their lives, then something is seriously wrong. If you thought your wedding was astronomical, try these top ten of the most extravagant weddings to date ranging from $2 million to $78 million dollars where broadcasting your wedding vows to the world is as important as showing the lining of your wallet.

10. Tom Cruise and Katie Holmes ($2 million)

Tom Cruise Katie Holmes

They’re still together, almost 6 years later, Tom Cruise and Katie Holmes and they come in at number 10 on the top ten list of grandest weddings of all time. After Tom proposed to Katie on the top of the Eiffel Tower, 19 months before the wedding date, they were married in Italy at the 15th century castle, Odescalchi Castle in Rome on November 18th, 2006. Giorgio Armani designed all the apparel for the bridal party and Andrea Boccelli gave a musical performance. The wedding was attended by 150 guests. The couple honeymooned in Maldives following the elaborate wedding event.

9. Paul McCartney and Heather Mills ($3 million)

Paul McCartney Heather Mills

Fireworks, grand feasting and dancers dressed in Indian costume performed for Paul McCartney and Heather Mill’s wedding in 2001. The $3 million dollar wedding ceremony took place in County, Monaghan, Ireland. The ceremony was held in St. Salvador’s Church and the reception took place at Castle Leslie with 300 guests. Heather Mills wore a dress she herself fashioned and carried roses named after her husband. Following their affair they honeymooned at a private island in Seychelles. They spent their first evening on a $20 million yacht for $19,000 a night.

8. Liza Minnelli and David Gest ($3.5 million)

Liza Minnelli David Gest

Held at the Manhattan’s Collegiate Church in 2002, with a sum total of 850 wedding guests, the wedding was a monumental event with guests including Natalie Cole singing “Unforgettable”, a 60-piece orchestra also kept the guests entertained along with Tony Bennett. The wedding included a $40,000 6-foot, 12-tier cake, a staff of 500 and a bill of over $700,000 in flowers.

7. Elizabeth Hurley & Arun Nayar ($7 million)

Elizabeth Hurley and Arun Nayar

Wed on June 29, 2006, Elizabeth Hurley and Arun Nayar, an Indian businessman married in a 15th century castle in Sudeley Castle in Gloucestershire in Britain. The festivities lasted for 8 days across the 2 continents of Europe and Asia. The proceedings began at Sudeley and then the wedding party traveled to Umaid Bhawan Palace in Jodhpur, India. The palace suite cost $10,000 a night.

6. Delphine Arnault and Alessandro Vallarino Gancia ($7 million)

Delphine Arnault and Alessandro Vallarino Gancia

Who said a bride isn’t worth it, especially when she’s the daughter of the wealthy French businessman, Bernard Arnault? A father coined the ‘pope of fashion’ in France too means of course, a fancy dress, in fact, one so fancy that it was fashioned by the famous designer, John Galliano. It certainly was a price you’d not find on the racks at David’s Bridal either. Add to a wealthy bride a wealthy groom with a family with a wine dynasty business and you’ve got a splendid party, with of course, plenty of fine wines. They couple wed in 2005 at the Cote d’ Azur in France. The venue was decorated with 5,000 white roses. Harper’s Bazaar called it the “Wedding of the Year”.

5. Wayne Rooney & Coleen McLoughlin ($15 million)

Wayne Rooney & Coleen McLoughlin

Okay if that previous wedding bill wasn’t enough to impress you, try doubling that with a few little extras and you’ve got the wedding of Wayne Rooney and Coleen McLaughlin at $15 million. Colleen McLoughlin, a television presenter/product endorser plus a Manchester United/England football star resulted not only in an expensive wedding but an interesting one at that. The 4 day wedding ceremony took place in Villa Durazzo in Portofino Italy on June 12, 2008. With stunning views of the Italian Rivera on a yacht with 64 guests flown in on five different private jets, the ambiance was beautiful. After spending almost $4 million dollars on a dress designed by Georgia Chapman’s Marchesa label, guests had to wonder if the budget had run out after being served pizza for the reception. In the end, they were able to cut costs of $5 million by allowing Britain’s OK! Magazine to publish exclusive information and pictures about the event, that is, after the pizza was served.

4. Vikram Chatwal and Priva Sachdey ($20 million)

Vikram Chatwal and Priva Sachdey

Let’s make it an even 20 after 15, that is, $20 mil, and then everything will be up to par for the wedding of Vikram Chatwal, son of a New York hotel magnet and a jet-setting hotelier and actor and for his model/actress/investment banker bride, Priya Sachdey (who ever said a man couldn’t have it all). The wedding took place on February 18th, 2006 and is known as one of the most luxurious weddings ever in all of India. Bill Clinton was on the guest list along with many other well-known, high-powered people. The wedding took place over 10 days and was spread across 3 cities in India (Mumbai, Udaipur, and Delhi). There were 600 guests from 26 countries who were all retrieved for the event on chartered jets.

3. Miss Yugoslavia Aleksandra Kokotovic and Andrey Melnichenko ($30 million)

Aleksandra Kokotovic and Andrey Melnichenko

Topping a $20 million dollar wedding isn’t easy but for Miss Yugoslavia Aleksandra Kokotovic and Andrey Melnichenko, it wasn’t hard with a $30 million dollar extravaganza that made history in world famous weddings. Andrey Melnichenko, the Russian billionaire and founder of MDM Bank and the Serbian model, Miss Yugoslavia Aleksandra Kokotovic married in Cote D’ Azur, France on September 3rd, 2005. There were performances by Christina Aguilera and Whitney Houston for a full house of guests of the rich and famous. The singers alone cost $3.6 million each to perform.

2. Sheikh Mohammed bin Rashid Al Maktoum and Princess Salama ($44.5 million)

Sheikh Mohammed bin Rashid Al Maktoum and Princess Salama

The Arabs really know how to have a wedding party and especially the ruler of Dubai who married Princess Salama in 1981. The wedding earned a place in the Forbes list of “Billionaire Weddings”. A stadium was built just for the occasion to entertain 20,000 guests for 7 days of luxury.

1. Vanisha Mittal & Amit Bhatia ($78 million)

Vanisha Mittal & Amit Bhatia

The Indians, however, outshined the Arabs on November 18th, 2004 when Vanisha Mittal & Amit Bhatia wed in what is recorded as the most expensive wedding in history. 1,000 guests from around the world attended after each had received a 20-page silver card to the event which included all the lavish details the entire venue that lasted for 5 days. The party took place at the finest chateau and garden in France, the 17th century, Vaux le Vicomte. The bride, Vanisha Mittal, daughter to the steel tycoon Lakshmi Mittal and Amit Bhatia, the investment banker wed in sheer riches. A performance by Kylie Minogue the pop singer was the high-lighted attraction to the event. 100 different dishes were prepared by a top Calcutta Chef and the wine cost $1.5 million. The costs of everything else we’ll leave to your imagination!

Weddings are a happy time for all, especially for the guests who were able to attend the top ten most expensive weddings in history. Of these wedding events, the real two questions are who is still together and who will be next to top the list?

May 16, 2011

the contemporary Dāna

Happy Visakha to all Buddhists all around the world!
http://www.tengyeling.ca/images/WESAK.jpg

The Malay word Dana which meant a fund, takes its form from the Pali/Sanskrit word of Dāna, which grossly bring about the meaning of generosity.

Dāna, is one of the perfection that Buddhism encouraged. Yet, through this virtuous practice, it became a prime target of many parties who go all out to take advantage of this generosity to accumulate their own wealth.

If you'd watch the famous local production movie 'WooHoo', you'll remember a vivid scene when a guy masquerading a multiple characters to con the Char Koay Teow hawker to donate as much as money for him, quoting multiple charity bodies, from the school board to the temple. If you haven't watch it, one should go look it up. Although, the impersonation may seems like complete jokes, but the massive increase in these so-called charity bodies, all well-equipped with letters from police, letters from doctors, photos of the unfortunates, the premises, and etc, is really something real. Happening, right here, right now.

http://travel.nationalgeographic.com/exposure/nirvana/image/image/37169_0_608x405.jpg

Just for the information of people condemning or condoning the practice of monks in begging for money, well,
in Theravada Buddhism, monks (Pāli: bhikkhus) and nuns go on a daily almsround (or pindacara) to collect food. This is often perceived as giving the laypeople the opportunity to make merit (Pāli: puñña). Money should not be accepted by a Buddhist monk or nun, although nowadays not many monks and nuns keep to this rule (the exception being the monks and nuns of the Thai Forest Tradition and other Theravada traditions which focus on vinaya and meditation practice).
Whether or not contemporary modification of the practice of almsround is justifiable, I guess it is up to the situation or the circumstances that force such changes.

A story about the novice monk and the master monk at the river came to my mind. I guess lots should have heard about this story by now. In short, a girl was at the river bank with them. To make sure the girl safely crossed the river, and not being swept by the rapid undercurrent of the river, the master monk carried that girl on his back to the other side.

http://i5.ce.cn/english/Life/trend/200904/20/W020090420526247672312.jpg

The novice monk was pretty disturbed after that and the next day, he asked the Master monk "Are we, monks, not supposed to be close or touch women? How can master carry that girl?" "I already let go off her at the other side of riverbanks, why are you still 'carrying' her?"

Changes in contemporary Dāna is not a must, but it is just the nature of things. Everything changes, well encapsulated in the words of Dhamma as sabbe sankhara annicatti (All things are subject to changes)

I believe we should move on from charity to philanthropy.

Here's top finance-blogger Dali's take on Charity vs Philanthropy (full article here)
Charity and philantropy are not just money, but time and planning.

Much of the contributions to disasters such as the Asian tsunamis and Katrina in US is Charity. Charity is a gift made without any expectations beyond the immediate alteration of a need (giving to a beggar).

Philanthropy takes a more strategic approach as it addresses social challenges such as poverty and inequality, education, health, environmental degradation.

Therefore the need to advance and strengthen philanthropy for social investment and social justice is urgently needed for the following reasons:
  • Decline in volunteerism and giving
  • Reduced role of the state as a provider of social services
  • Diminishing resources for civil society
  • Growing disparities in society
  • Severe environmental degradation
  • Poor mobilizisation of indigenous philanthropy

Worldwide philanthropic models are undergoing sea of change. Company portfolio’s now include social investments and social audits. Consumers are purchasing products from companies that practice ethics and corporate citizenship. Contemporary philanthropy is increasingly organisational in nature.

Global challenges as well as factors like education, economic success are transforming the field of philanthropy. Donors too are concerned about making the world a safer place. Philanthropy is sharing of private wealth through vertical (Corporate) and horizontal (community giving). Strategic Philanthropy is to integrate vertical and horizontal forms of philanthropic giving.

To end, when we find ourselves trying to second guess the real intentions of a philantropist, revert the question to yourself. To the philantropists, it would be encouraged that all go through more self introspection when it comes to altruism - its just your soul, really.
Even if we're not loaded with bucks, we can put in our time and planning.

We need to realize our role to advance and strengthen philanthropy for social investment and social justice to minimize the growing differences in society, the lack of resources for civil society, the environmental decline and the declining role of state in providing social services.

http://insightsabah.gov.my/img/wesak2011.jpg
Happy Wesak to all

a galacti ae?

Part of my clinical interest is dissection. Not just body dissection. Also literate dissection, which simply means I dissect out the phrase that people like to use as whole and look deeply into every words. I do that only for academic purpose, otherwise purely for the entertainment during stressful times in clinic.

For the last 2 weeks, in the absence of the medical officer in-charge of the clinic, I had to struggle through lunch hours, finishing the clinic barely few minutes to 2pm. And some people think doctors made them wait for few hours just because we're hiding in the room blasting off the Elvis Zombies with the Machine Gun Plants, in between patients. Of course, many left around 1pm when they see there are no more patient's folder in the tray, while a few continue to see the patient they still holding up in the rooms. And on top of that, after finishing clinics, I gotta rushed back to my ward to see to it that everything got carried out before I'm stuck in meeting/pm clinic/some departmental formal gathering which usually started around 230pm. I guess my main bulk of nutrient came from swallowing my own saliva and the residual breakfast that I had stuck between my lower molars, assuming those amylase haven't knock them out yet by then. Thank God my parotids are working well.

It is relatively not uncommon for house officers to turn to me, holding on to a patient’s folder, semi-clerked and semi-examined, eager to discuss the patient with me, asking the most simple yet (fill in vulgarity here, please) question - “Errr, Dr. Pilo, are you available?”

This may sound like a question, but it is anything but. It is a cry for help as much as a cry for lunch.

My reply would be - “No, I am already married.”

Someone echoed this answer on my behalf today. I am truly surprised. Possibly, my dark twisted annoying purposeful misinterpretation had finally found a fan.

I am more surprised to see another patient in the ward which I had committed to having Group B Streptococcus (GBS) had been re-labeled as GBS negative but Streptococcus agalactiae positive.

GBS is important in obstetrics mainly because adequate antibiotics coverage should be given, usually in the event of prolonged membrane rupture, mainly to prevent neonatal streptococcal pneumonia which is associated with grave outcome. If my memory doesn't fail me, one in four will die if not properly treated.

Just for the sake of academic dissection, GBS is actually the Group B groupings of streptococcus microbes.

Streptococcus is

a genus of spherical Gram-positive bacteria belonging to the phylum Firmicutes[2] and the lactic acid bacteria group. Cellular division occurs along a single axis in these bacteria, and thus they grow in chains or pairs, hence the name — from Greek στρεπτος streptos, meaning easily bent or twisted, like a chain (twisted chain).


... for people who can't handle heavy reading - it's a bacterial that grows like a chain.

Before streptococcus being grouped by Lancefield, they are being grouped by their hemolysis (breaking down of blood) potential.

alpha, ironically, unlike alpha dogs, only breakdown partially.
beta breaking down completely and
gamma is a no-action, lame to blood.

Then, the beta-hemolytics are subgrouped by Lancefield based on specific carbohydrates in the bacterial cell wall.

· Group A - Streptococcus pyogenes

· Group B - Streptococcus agalactiae

· Group C - Streptococcus equisimilis, Streptococcus equi, Streptococcus zooepidemicus, Streptococcus dysgalactiae

· Group D - Enterococci, Streptococcus bovis

· Group E - Streptococcus milleri and mutans

· Group F - Streptococcus anginosus

· Group G - Streptococcus canis

· Group H - Streptococcus sanguis

· Group L - Streptococcus dysgalactiae

· Group N - Lactococcus lactis

· Group R&S - Streptococcus suis

· other Streptococcus species are classified as non-Lancefield Streptococci

Just if one is wondering, who is smart fella by the name of Lancefield, well, her full name is Rebecca Craighill Lancefield (January 5, 1895 – March 3, 1981) was a prominent American microbiologist. Yes, the smart ones are usually the females. Life aint fair, right?

As a conclusion, yes, streptococcus agalactiae IS group B streptococcus. Possibly, the microbiologist who wrote the report trying to test or prank us, since the conventional results usually comes in clear 'Group B Streptococcus' tag. That person probably is a she, i think.

Well, as you can see basic science can be rather interesting to indulge in, especially if you're NOT sitting for an examination on them.

Or else, life would be a bitch.

Glad that's all history behind me now.

Phew!

May 11, 2011

hydrotherapy - can't live without it

somebody wondered.

why being in the department at the brink of collapse,
with the shocking scarcity of registrars,
with the possibility of doing 10 on calls per month from June onwards
with all the swarming demands to run workshop, course
with the daily clinics running into 1 to 2pm, sparing only a quarter of an hour for lunch

why knowing after all the stress and labor of exam,
and knowing risk of failing it being similar to the rising rate of C-Sections

i still can keep that broad smile and lovely sunshine in my heart

that is because with my family and kids, all my venom and bitterness simply melts away


LOOK!! the latest design in swimwear - AEROPLANE SWIMMING TRUNK


Bad pilot or excellent homicidalTaliban?


Guess what, you're in water!


Sporting the 'eyeware as hairband' style


flights of water... before take off


on route... to the other side


sharing some emo moments...


she ain't heavy... she's my overweight, chubby, cute moi ang

May 10, 2011

Hair (hell) - raising incident

Link
3 minutes of videos showing few students bullying a fellow student by cutting and pulling her hair created a turbulence in the cyberworld.

the pathetic move for the mainstream media to censor the culprits' faces is just a pathetic.
Linkthe ministry's move to suspend the culprits by 2 weeks also created the subsequent wave of turbulence.
Link
the bigger joke was for him to stress the importance of enforcing mobile phone bans in curbing such a problem in the future.

honestly, I believe the society had run wild with its own failed logic and common sense.

conversely, i felt suspending the four bullies for 2 weeks is definitely way too long for them. It only continue to deprive them more of the necessary disciplinary action, counselling or education that they were being deprived of all this while.

the person who should be suspended is the people behind our current school system or our education system that allows such decline of discipline to continue to slide. Matter as grave as this don't happen in a blink of an eye.

This expose, in its own ugliest ways, had succeeded where no other could have achieved in a decade in slowing or perhaps deterring the culture of bullying in school, thanks to the rowdy crowd of facebookie, and indirectly the mobile phone and youtube together with the few star actresses of short video clip.

i fully agree that education ministry should not play judge, but the very least, they should recognize this problem is real, and come up with a proper game plan after a proper detailed investigaton. I am sure the public is eager to hear about it, not just the knee-jerk reminder on the handphone ban, like someone sweeping dirt under the carpet. Face it. You don't see it, doesn't mean it is not there.

Looking upon our own medical fraternity with the overproduction of house officers leading to reduced clinical exposure, it is just a matter of time, when we have our own hair-raising revolution.



Only time will tell.

May 6, 2011

Historical trials and tribulation

I should be proud to be a part of history.

I must be proud to be a part of history.

No Vacancy

I am proud to be a part of history.

I could not really say that on behalf of my other Master program’s batchmates, but as time passed (as it always did without us having any power to do anything about it, except ranting about it, or making an unrealistic sci-fi film about time-changing power or machine), the first wave of adrenaline and cortisol surge is finally over.

No, the surge ain’t part of the history I was referring to.

Being the first batch of guinea pigs trainees to went through the 1st Conjoint MOG (Master in O&G) Part 1 Exam for four universities was part of history, which thrilling enough to be worthy of quoting the significance of this exam as mentioned by one of our prestigious Professor back in our orientation in Bukit Gambang.

“We are going through evolution. We are getting better; we are no more testing you all on Basic Science as in other route of Part 1. We are testing you all on Applied Science. Smart Science. It is just asking about the basic science in everything that you do everyday.

In the core of it, the majority (or perhaps all) of us apprehend that short motivating speech in English down to each syllables. Yet, none (or perhaps, a minority of us) could hardly find comfort, not knowing how the examination would stray otherwise. Perhaps that’s part and parcel of being the guinea pigs trainees. We need to expect the unexpected and respect the expected.

Being the evolution thing, as Charles Darwin beautifully described in his theory of survival of the fittest, obviously from the comparison of the attendance to this exam to the crowd in the Gambang’s orientation, there were few faces less.

I was shocked from crump to rump when I was going through the past year’s questions which covered a great range of questions and topics that mastering them would more or less hike up the unemployment rate of biochemist, microbiologist, physicist and etc.

The decision not to spread my neurons wide and far

Bulb Cerebra

to cover other distantly-required knowledge was a painstakingly difficult choice, requiring lots of convincing beta-blockers and relieving anxiolytics, literally.

Praiseworthy enough, the examination was kept at an extreme level of focus and relevance. Indeed, most of it was so down-to-earth that failing to excel in them, really suck us all into the harsh reality of how much we had failed to humbly look down and appreciate the vital supportive earth on our feet.

No matter how much I would like to be excused for my depleting memory space due to overloading of ground level basic sciences, honestly,

The Small Hand That Kills

I am truly ashamed of my own weak grip on the basic footwork in this specialty.

At such ground level of focus and relevance, being lost in this examination became a cardinal sin, which none of us who called ourselves trainees should make, even at the highest level of elevated stress and adrenaline rush.

The unofficial results, hearsay and gossips apart, revealed a rather gloomy state of affair. Only four candidates passed the MCQs (with weightage of a quarter of the exam) and one third of us bite the dust for the entire exam – almost at the same level of the rising Caesarean rate.

Well, so much for having the ‘right cohort’ and forming the elite group of trainees to deter off the demanding critics.

Perhaps in the fine cuisine of excellence, stress and resistance should be part of the recipe, but not its major ingredients.

Fingers crossed, locked and cock up till next week.

Prayers better work this time round,

or else, like what I said in the beginning,

I am history (Not really proud of this version of history, though)