歌曲：左边 歌手：杨丞琳 专辑：遇上爱 总是忍不住寂寞掉下眼泪 你才会给安慰 担心短暂的晴天随时都可能 被阴狸收回 等待有机会最坏也最甜美 我乐观却疲惫 因为太怕失去你 所以连快乐里都装满伤悲 你不曾发觉 你总是用右手牵着我 但是心却跳动在左边 你和我之间的遥远 永远隔着亲切爱少的可怜 伸出右手想陪着你向前走 感受你爱我的心跳在左边 那么深深爱你的我 想信你会了解 杨丞琳-左边 总在埋怨过你的冷漠之后 又急着说抱歉 彷佛向疏远的你乞求一点体贴 都是我不对 结果有可能最美也最可悲 我做好了准备 也许太自由的你心里面 那个家谁也不能回 你不曾发觉你总是用右手牵着我 感受你爱我的心跳在左边 你和我之间的遥远 我一直相信总有一天 你会用左手牵着我走向明天 未来很遥远却会实现 心在同一边就能够听见 你说的那句我爱你 你一定看得见
Saturday, August 25, 2012
Friday, July 20, 2012
Easy No Tension
They said, ENT = easy no tension. Partly true, but I'd say it's interesting but tough. Actually ENT stands for ear nose throat, or otorhinolaryngology (ORL). 5 days in ENT seems to be like 5 weeks, with so many happenings and fun.
Perhaps coz it was the first week, lectures come striking us like falling rain. Had 12 lectures in 4 days, that is 3 lectures per day. On top of that, had to join clinic sessions, operation theater procedures and being on-call. It is very exciting but tiring. We were exposed to this field of surgery for the 1st time in medical school but i'm starting to like it. I was lucky to witness a rare operation conducted by Prof Dato Lokman on stapedotomy yesterday and a cochlear implant by my Prof. Dato is one of the few (3 perhaps?) surgeons in Malaysia that offer this operation. But the unlucky part was we had to leave the OT when the implanted cochlear device was just about to be inserted into the cochlear. From the patients in the ENT ward, to the paeds ENT ward, there are just so many cases to learn about.
The best session of the week was perhaps the clinical examination we just had this evening. Thanks to the doctor for teaching us the examination of the ear, nose and throat. We even got a chance to see the nasal cavity and the throat through the fibre optic scope. Thanks to my friend Haziq who had to endure the pain =)
Psychiatric posting left me many sweet memories but also many morals of the day and ENT posting has given me a broader perspective of how doctors work. Can't wait for week 2 to start, yeay ! But my theory...plenty to work on this weekend >''<
yikping
919pm
Perhaps coz it was the first week, lectures come striking us like falling rain. Had 12 lectures in 4 days, that is 3 lectures per day. On top of that, had to join clinic sessions, operation theater procedures and being on-call. It is very exciting but tiring. We were exposed to this field of surgery for the 1st time in medical school but i'm starting to like it. I was lucky to witness a rare operation conducted by Prof Dato Lokman on stapedotomy yesterday and a cochlear implant by my Prof. Dato is one of the few (3 perhaps?) surgeons in Malaysia that offer this operation. But the unlucky part was we had to leave the OT when the implanted cochlear device was just about to be inserted into the cochlear. From the patients in the ENT ward, to the paeds ENT ward, there are just so many cases to learn about.
The best session of the week was perhaps the clinical examination we just had this evening. Thanks to the doctor for teaching us the examination of the ear, nose and throat. We even got a chance to see the nasal cavity and the throat through the fibre optic scope. Thanks to my friend Haziq who had to endure the pain =)
Psychiatric posting left me many sweet memories but also many morals of the day and ENT posting has given me a broader perspective of how doctors work. Can't wait for week 2 to start, yeay ! But my theory...plenty to work on this weekend >''<
yikping
919pm
Friday, July 13, 2012
Sunday, July 8, 2012
Mid Semester Break
Back to where i belong--Penang, after a gruelling 8 week start for my forth year. And yep, that's a quarter of it gone.
I was just done with my posting in the psychiatric department. For which was supposed to be the easiest and most relaxed posting through out the clinical years, I had to struggle with a brand new environment which lead to many episodes of break down. Recapping on what had happened for the past 8 weeks, I was just glad it's now over.
Perhaps I was still in holiday mood(1st posting of the 4th year, after the 3rd year break) , I hardly took things seriously until there was a dire need to reproduce something expected. I did not have as many teaching sessions with my supervisor as the other groups experienced, but that was not something I could lament on. Indeed, I lacked the own initiative to gain valuable learning experiences from the wards and the clinics, which would explain how I regretted when I left this posting. I do admit I need a push to get forward, and that was how it went when I was not pushed.
The more common cases in Psychiatry include Schizophrenia, Major Depression, Bipolar Mood Disorders, Anxiety disorders, and Substance Abuses. I used to think that patient who are diagnosed with a kind of psychiatric disorder are dangerous. Perhaps this was just my prejudiced opinion. After clerking some patients, especially schizophrenia patients who are stable, I can figure out what they were thinking during their relapsed state. Take an example of this patient, who was singling and labeling everyone out there as some royal person from the past. She was also smiling to anyone she saw, and to the extent of bowing to them. She later clarified that she had a delusion that everyone was from the royal family and the bowing was just a show of respect. I also noticed many patients with depression, who merely wanted someone to listen to them, and be with them. I had an experience of being with a patient for 2.5 hours just to listen to her complaining about her marriage and her life. Pitiful, yet helpless.
Overall, I think the best moment of the whole posting was on the day we had our exam. Observed long case examination. We were supposed to take a direct history of presenting illness and present the case to our observing supervisor. Then, we were to describe the mental state and discuss the appropriate investigations and managements. 5 of us were given a chance to clerk the patient and assessed on the spot. Although it lasted for around 4 hours, I really learnt a lot from the session (although it was an exam). The moment i exited the exam room ( interview room) was perhaps the best and the worst of the posting. The best that I had passed this posting and going to proceed to the holidays but the sad thing was going to part away with psychiatry for some time.
I will miss psychiatry, and the patients. Otorhinolaryngology or more known as ENT (ear nose throat) will be up next. For the time being, lets lay back with the 1 week semester break =D
yikping
300pm
I was just done with my posting in the psychiatric department. For which was supposed to be the easiest and most relaxed posting through out the clinical years, I had to struggle with a brand new environment which lead to many episodes of break down. Recapping on what had happened for the past 8 weeks, I was just glad it's now over.
Perhaps I was still in holiday mood(1st posting of the 4th year, after the 3rd year break) , I hardly took things seriously until there was a dire need to reproduce something expected. I did not have as many teaching sessions with my supervisor as the other groups experienced, but that was not something I could lament on. Indeed, I lacked the own initiative to gain valuable learning experiences from the wards and the clinics, which would explain how I regretted when I left this posting. I do admit I need a push to get forward, and that was how it went when I was not pushed.
The more common cases in Psychiatry include Schizophrenia, Major Depression, Bipolar Mood Disorders, Anxiety disorders, and Substance Abuses. I used to think that patient who are diagnosed with a kind of psychiatric disorder are dangerous. Perhaps this was just my prejudiced opinion. After clerking some patients, especially schizophrenia patients who are stable, I can figure out what they were thinking during their relapsed state. Take an example of this patient, who was singling and labeling everyone out there as some royal person from the past. She was also smiling to anyone she saw, and to the extent of bowing to them. She later clarified that she had a delusion that everyone was from the royal family and the bowing was just a show of respect. I also noticed many patients with depression, who merely wanted someone to listen to them, and be with them. I had an experience of being with a patient for 2.5 hours just to listen to her complaining about her marriage and her life. Pitiful, yet helpless.
Overall, I think the best moment of the whole posting was on the day we had our exam. Observed long case examination. We were supposed to take a direct history of presenting illness and present the case to our observing supervisor. Then, we were to describe the mental state and discuss the appropriate investigations and managements. 5 of us were given a chance to clerk the patient and assessed on the spot. Although it lasted for around 4 hours, I really learnt a lot from the session (although it was an exam). The moment i exited the exam room ( interview room) was perhaps the best and the worst of the posting. The best that I had passed this posting and going to proceed to the holidays but the sad thing was going to part away with psychiatry for some time.
I will miss psychiatry, and the patients. Otorhinolaryngology or more known as ENT (ear nose throat) will be up next. For the time being, lets lay back with the 1 week semester break =D
yikping
300pm
Tuesday, May 29, 2012
Panic Attack !
It still sends a chill down my spine when I recall the 'panic' incident I witnessed in the ward just before I had lunch.
I was strolling towards the canteen when the alarm bell lighted up. The high pitched siren was screaming across the doorway. Seemed that there was a situation in the male ward as the yellow colour light was blipping. I turned my back and headed towards the ward with intrigue. As I headed towards the ward, a staff nurse was asking me about the whereabouts of the security guard while the other said that one patient tried to escape. Cool isn't it?
Standing on the counter was the patient who was requesting to talk to the doctor. According to him, he wanted to go out and meet with the consultant in charge of him. Although I was not really clear about the situation out there, it seemed to me that the patient was disappointed by the decision made by the staff nurse. The gate into the ward was locked too.
The situation was tense as the alarm sounded but no security personnel were present. As the patient started to demand for the doctor and becoming aggressive, some nurses had to prepare with Haloperidol and Midazolam just in case there is a need of it. The nurse(male) was making a deal with the patient that if he receives his injection, everything will be fine and no one gets hurt.
Since the patient did not wish to cooperate, the middle cubicle(where he is located) was immediately emptied. Patients and medical students were required to step out while security personnel who had just arrived moved in. The tussle was a 'mild' one as the patient was quickly pushed towards the ground. And it required 6 men to get him lie still. Interestingly, another patient (Mr H), who just had his injection this morning for losing control, was there to stabilize him too. How cute =)
It's rather terrifying to witness one and i doubt if I would be interested to witness another event as such. On the other hand, I felt sad that the patient was sedated and had all four limbs tied to the bed. Is there any other method to calm the patient down? Hmm....Ohya, and the best part of it? Mr H was seen consoling the patient throughout the struggle and telling him that everything is fine, just like a friend in need. At least, that is heartwarming!
YikPing
147pm
I was strolling towards the canteen when the alarm bell lighted up. The high pitched siren was screaming across the doorway. Seemed that there was a situation in the male ward as the yellow colour light was blipping. I turned my back and headed towards the ward with intrigue. As I headed towards the ward, a staff nurse was asking me about the whereabouts of the security guard while the other said that one patient tried to escape. Cool isn't it?
Standing on the counter was the patient who was requesting to talk to the doctor. According to him, he wanted to go out and meet with the consultant in charge of him. Although I was not really clear about the situation out there, it seemed to me that the patient was disappointed by the decision made by the staff nurse. The gate into the ward was locked too.
The situation was tense as the alarm sounded but no security personnel were present. As the patient started to demand for the doctor and becoming aggressive, some nurses had to prepare with Haloperidol and Midazolam just in case there is a need of it. The nurse(male) was making a deal with the patient that if he receives his injection, everything will be fine and no one gets hurt.
Since the patient did not wish to cooperate, the middle cubicle(where he is located) was immediately emptied. Patients and medical students were required to step out while security personnel who had just arrived moved in. The tussle was a 'mild' one as the patient was quickly pushed towards the ground. And it required 6 men to get him lie still. Interestingly, another patient (Mr H), who just had his injection this morning for losing control, was there to stabilize him too. How cute =)
It's rather terrifying to witness one and i doubt if I would be interested to witness another event as such. On the other hand, I felt sad that the patient was sedated and had all four limbs tied to the bed. Is there any other method to calm the patient down? Hmm....Ohya, and the best part of it? Mr H was seen consoling the patient throughout the struggle and telling him that everything is fine, just like a friend in need. At least, that is heartwarming!
YikPing
147pm
Tuesday, May 22, 2012
Psychiatry
Yesterday marks the 2nd week of my posting in the psychiatry department, PPUKM. This is my first posting of my 4th year.
Yet, until today, psychiatry seems to be so abstract to me. Moving on to the 8th day tomorrow, I have still yet to tune myself into the minds of psychiatrists. Everything just seems to be so vague. Frankly, I have been trying to like and enjoy this posting but things did not turn out to be better. However, on a positive note, at least I have a direction and heading towards the goal set.
Clerking in psychiatry has been the most interesting part as far as I'm concerned. Unlike Internal Medicine or Surgery, the method of clerkship is quite different. I have clerked a few cases till date and most of them had been major depression or with suicidal attempts. Initially, I felt scared to even approach a psychiatry patient for the fear of the unstable mood they possess. To me, they appear to be violent, creepy and unfriendly.
I managed to clerk an interesting patient today. She was diagnosed with schizophrenia since 2006 and has been on medication since then. It still deters me to clerk a schizophrenic patient although I have been trained to clerk one. It turned out to be quite a new experience when I clerked her, with my 2 other friends accompanying me. I could not really get the history as she always wanted to go to the toilet. The reason? She has 4 bottles of mineral water bottles (1.5L) on her table and kept drinking them. She said that she must drink lots of water to keep her facial texture smooth and nice. On top of that, she kept saying that I must eat more as I appear so thin her. It happened thrice throughout the interview.
Will be attending a clinic session tomorrow with my supervisor. Finally ! I have longed to meet her since the first day. Hopefully she will be able to enlighten me and make me enjoy the 8 weeks in this posting =)
yikping
1003pm
Yet, until today, psychiatry seems to be so abstract to me. Moving on to the 8th day tomorrow, I have still yet to tune myself into the minds of psychiatrists. Everything just seems to be so vague. Frankly, I have been trying to like and enjoy this posting but things did not turn out to be better. However, on a positive note, at least I have a direction and heading towards the goal set.
Clerking in psychiatry has been the most interesting part as far as I'm concerned. Unlike Internal Medicine or Surgery, the method of clerkship is quite different. I have clerked a few cases till date and most of them had been major depression or with suicidal attempts. Initially, I felt scared to even approach a psychiatry patient for the fear of the unstable mood they possess. To me, they appear to be violent, creepy and unfriendly.
I managed to clerk an interesting patient today. She was diagnosed with schizophrenia since 2006 and has been on medication since then. It still deters me to clerk a schizophrenic patient although I have been trained to clerk one. It turned out to be quite a new experience when I clerked her, with my 2 other friends accompanying me. I could not really get the history as she always wanted to go to the toilet. The reason? She has 4 bottles of mineral water bottles (1.5L) on her table and kept drinking them. She said that she must drink lots of water to keep her facial texture smooth and nice. On top of that, she kept saying that I must eat more as I appear so thin her. It happened thrice throughout the interview.
Will be attending a clinic session tomorrow with my supervisor. Finally ! I have longed to meet her since the first day. Hopefully she will be able to enlighten me and make me enjoy the 8 weeks in this posting =)
yikping
1003pm
Thursday, May 3, 2012
Press Not-So-Freedom Day?
3rd of May marks the world press freedom day. Back in 1991, the United Nations general assembly declared this day as World Press Freedom day to increase awareness of the importance to freedom of press and also as a reminder to all governments regarding the freedom of expression. It is one's right to voice out something that is real and report if without biases. However, as far as I'm concerned, Malaysians do little to practice this freedom issue. 3rd of May might just be the day of world press freedom but the main idea is to create awareness for people to exercise their rights about facts, unlike baseless political scandals in Malaysia done to tarnish the image of another guy.
Rewind a few days back where i found this very interesting video posted on YouTube. It has been 21 years since the world press freedom day was declared but, as I said before, Malaysia is just simply out of bounds. And now we are in the hot water as BBC issued a warning and even took a swipe at us of for censoring what they had recorded. The media is controlled by the government and sensitive issues were not to be disclosed to the public. This were among the few methods that kept the opposition at bay for the past 50 years as the media only portrayed the flawless side of our government.
It's not difficult to spot what was lacking when played on our local media
Dr Chua Soi Lek voiced his concern about press freedom in today's The Star, urging the media to report news as it happens. On the other hand, Minister of Home Affairs Datuk Seri Hishamuddin also called for a special committee to investigate into the riot that caused injuries to the general public and to the cops as well. However, I always doubted their actions. 'Words always speak louder than actions' is something the Malaysian government are pretty fond of. Well, we will see about it.
Turning our focus on the just concluded Bersih rally a week ago, it is not difficult to notice that our government yet again employed dirty tactics to divert the attention of the nation. With reference to the anti-Lynas gathering in Penang a couple of months ago, there is always one similarity during rallies: They start off peacefully, and then in a sudden, the crowd starts to go wild. Riots and crowd disorder immediately scream over the headlines of our dailies. The government is 'clever' to notice that if the rallies ended in peace, the message would be clear: To protest against some movement. However, with crowd violence in the frame now, papers are reporting about crowd violence, injuries here and there, and some big names calling for a committee to investigate into it. Seems that the committee that investigated about the anti-Lynas movement in Penang has just gone behind the scenes again. And did the papers report any genuine ideas regarding the Bersih rally for a change? You should know the answer.
On the other end, we can see Myanmar evergreen leader Aung Sun Syu Kii swearing into the parliament yesterday. Now, that is what I call democracy and liberality. The junta ( or so called military government) is willing to abide the citizen's call for a change in the country. Although the nation might be a little disappointed as Aung Sun Syu Kii was deprived the chance to take office, she still views it as a pride to stand in the parliament. 'Politics is not give and take. It's about yielding the wishes of the people', she siad cheerfully when questioned by reporters on her sudden U-turn from what she said on Monday.(She refused to swear in due to some issues regarding her party and parliamentary members in which the government would not tolerate) Malaysia is much more developed and has a higher education status than Myanmar but in terms of politics and sociology, we are nothing compared to them. I bet the Bersih rally and anti-Lynas movements just fell on deaf ears. But no matter what the government thinks about those activities, at least it has achieved its target of instilling awareness to the nation of the need of a change.
Signing off
Yik Ping
130pm
Rewind a few days back where i found this very interesting video posted on YouTube. It has been 21 years since the world press freedom day was declared but, as I said before, Malaysia is just simply out of bounds. And now we are in the hot water as BBC issued a warning and even took a swipe at us of for censoring what they had recorded. The media is controlled by the government and sensitive issues were not to be disclosed to the public. This were among the few methods that kept the opposition at bay for the past 50 years as the media only portrayed the flawless side of our government.
It's not difficult to spot what was lacking when played on our local media
Dr Chua Soi Lek voiced his concern about press freedom in today's The Star, urging the media to report news as it happens. On the other hand, Minister of Home Affairs Datuk Seri Hishamuddin also called for a special committee to investigate into the riot that caused injuries to the general public and to the cops as well. However, I always doubted their actions. 'Words always speak louder than actions' is something the Malaysian government are pretty fond of. Well, we will see about it.
Turning our focus on the just concluded Bersih rally a week ago, it is not difficult to notice that our government yet again employed dirty tactics to divert the attention of the nation. With reference to the anti-Lynas gathering in Penang a couple of months ago, there is always one similarity during rallies: They start off peacefully, and then in a sudden, the crowd starts to go wild. Riots and crowd disorder immediately scream over the headlines of our dailies. The government is 'clever' to notice that if the rallies ended in peace, the message would be clear: To protest against some movement. However, with crowd violence in the frame now, papers are reporting about crowd violence, injuries here and there, and some big names calling for a committee to investigate into it. Seems that the committee that investigated about the anti-Lynas movement in Penang has just gone behind the scenes again. And did the papers report any genuine ideas regarding the Bersih rally for a change? You should know the answer.
On the other end, we can see Myanmar evergreen leader Aung Sun Syu Kii swearing into the parliament yesterday. Now, that is what I call democracy and liberality. The junta ( or so called military government) is willing to abide the citizen's call for a change in the country. Although the nation might be a little disappointed as Aung Sun Syu Kii was deprived the chance to take office, she still views it as a pride to stand in the parliament. 'Politics is not give and take. It's about yielding the wishes of the people', she siad cheerfully when questioned by reporters on her sudden U-turn from what she said on Monday.(She refused to swear in due to some issues regarding her party and parliamentary members in which the government would not tolerate) Malaysia is much more developed and has a higher education status than Myanmar but in terms of politics and sociology, we are nothing compared to them. I bet the Bersih rally and anti-Lynas movements just fell on deaf ears. But no matter what the government thinks about those activities, at least it has achieved its target of instilling awareness to the nation of the need of a change.
Signing off
Yik Ping
130pm
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