volvulus or volvolus?

It is just sad to be VOLVO-LESS.

But it is worst to have volvulus.

cane-brain disease | serembam virus

newly discovered virus. DNA (dumb nonsensical ass) double-stranded virus.

currently actively spreading in the city of Serembam.

claimed first victim - 9 years old student.

believed to be actively spread along the hands and the brain.

where trauma or inflammation on the any parts with high viral load (hands or brain) will result in the inflammatory response in other parts of the body, especially the central nervous system.

incubation period still under observation.

believed to have spread to the media people reporting the death of the 9 years old as just another case of student abuse.

believed the primary lesion in the media people is the brain, in contrast to the hands of the 9 years old.

therefore, it is also believed virus primary site of attack will greatly determine the prognosis of the disease.

unable to determine whether the spread of the disease is by air droplets or affinity by sheer stupidity.

therefore, all the citizen of seremban or nearby places are advised to keep your hands in a safe place, preferably at below -5 degree Celcius or at least hope that the virus primarily attacks the brain.

prevention and control of this virus is still under low budget research.
Sponsor are welcomed.
Kindly click on the upper left side of this website under 'Stalker's Pocket money'

Signing off

Berkhidmat untuk negara.

day one of life

grateful to: Dr. S, T, A, L, K and H for making my day one productive.

D1.

reached NICU 0630H. Heard Dr Thiyagar will start round around that time.

Oops. He will start coming in Sunday.

Maybe that's an unintended April Fool's joke for me.

Nonetheless, I had more time to explore NICU and got myself orientated.

Resuscitated 3 babies under Dr. L. Real training definitely rocks!!

So far, most memorable thing I had noticed in the NICU is the baby with Antenna, as Dr. H puts it...

"This baby long story... Now got Astro.. somemore"

Guess what's that antenna?

equality is overrated

2 days ago, I approached Dr. Thiyagar, HOD Paeds, the most respected man in the hospital, IMHO. Mostly because of his effective plan of management, early ward round starting 0630H and always the encouraging force for the MOs under him to learn up more and new things in Paed.

I heard a lot about him when he was not around in the hospy, sabbatical leave in Aus or so I heard.

"Pengarah had approved my attachment in Paeds, but I need to be on call in O&G"
"Oh, I was thinking about you doing tag calls to learn more about paed resus."
"Ya, I was thinking about the same thing, but..."
"So, how many calls you're doing there?"
"6"
"or then, you can't do much on call in Paed, you try to learn as much."

Personally I appreciated doing attachment in Paed, mainly NICU, but not being able to maximize my learning experience is just a sad thing that I did not want to voice out because I am thankful for what been given. It's probably not in my nature to be demanding. I probably silently make a note in my blog.

More often we're happier, not because we have more,
but because we demand less.

My colleague, Dr N, who just came back to work after long maternity holiday, reminded me of the times when the other colleague went for 2 months attachment and not required to do any call.

I do remember those times vividly.

During one of those on call, she was running around all wards, and even required to attend clinic as I was stuck in OT C-sectioning. She was so stressed up until she experienced some premature contraction, and in helping out, I cover her alone from 8pm onwards. Luckily she did not progress and subsequently she was indicated for 2 weeks of medical leave.

At that time, I had to cover her one of her on call - making my total calls per months = 9.
The higher level simply do not 'dare' to call the colleague on attachment back to cover N's 2 on calls. I was slightly unhappy to do the extra calls, but I justified it thinking other people will cover me when I go for attachment next time.

At present time:

Initially, I expressed my wish to do 2 weekends call, 2 Fridays (here, weekend is Fri and Sat. I know it's freaking weird, but gotta live with it), as it won't disturb my attachment during weekday. But I was given different math to work with.

Now, with minus me, there is still 10 medical officers in the department. Still, I have to do 6 calls out of 60 calls (1st and 2nd) per month. Easy math.

My time in Paed will be lessen due to my on call and post call drowsiness. I kept reminding myself

"It is not how much time you have but
how much you'd done with the time you have"

Sometimes, the inequality and mismanagement at microlevel will repeat itself.
Equality is always overrated.

The good thing about this inequality is self-righteous and self-indulgence gets into the equation, not race or skin color.

My dearest rarely came up with word of wisdom told me this:

It's OK if you fail in something (in this case, getting equality),
but just don't fail in your life.

I believe
Kamma always works mysteriously.
All efforts won't be wasted.
Every action has an equal reaction.

On forth, to the hybrid April.

P.S. I look forward to learn not just Paeds, but to learn more good values of Dr. Thiyagar.

record holder - 15, 16

congrats to my colleague, A, for breaking the record of having the highest number of C-Section in one day of on call 2 nights ago.

the 'lucky' number was 16.

that's about one C-Section every one and a half hour.

wondering whether does it got to do with the new roster that A put up in the pantry.
sometimes, kamma do works in a very mysterious way.

now, all wards is packed and loaded with undischargable post C-section patients.

whereelse, in Bukit Selambau, On 29 Mar, the EC finally announced a record breaking 15 candidates for the seat — the BN's Ganesan, PKR's Manikumar, and 13 independents.

probably some of the gullible independents thought about hitting the gold mine if they're elected and hopped. some people do take politics as a serious business.