Monday, December 31, 2007
Saturday, December 29, 2007
Friday, December 28, 2007
Thursday, December 27, 2007
Moving around is so much easier with the train system. I noticed that, the train was super fast, even the escalator moved faster.
May be I should give it a thought of crossing over to work in future.
Monday, December 24, 2007
I am here alone tonight to 'celebrate' Xmas.
I miss all friends and family back home and I would like to wish them a Merry Merry Wonderful Christmas.
Sunday, December 23, 2007
Anyway, now I have to hunt for food every night. I wandered off every night to different corners of the town looking for the right kind of food. It was quite tiring and sometimes I felt so lazy to even think and I would just skip dinner.
BTW, here are some good food:
Ginger and Onion Chicken Rice, RM5.00.
There are so many chicken rice shops over here, but this one stands out, cause it has the most customers, RM 7.00 (including soup).
Wednesday, December 19, 2007
Here, I was in the busiest street in town. There are many hotels but I did see many food stores around.
'Wan-Than-Mee-Without-Wan-Than' noodles I had, RM3.50 (Small).
Sunday, December 16, 2007
Tuesday, December 11, 2007
Food over here sucs too. So far, I have still not found a store that sell chap fan or economic rice. I haven't also found a hawker centre that sell variety of food. Most of the shops that I went to, sell only one or the most two types of food. Guess, shops over here favor specialty food.
Here are some of the food I had recently:
Wan Than Mee over here taste a bit funny. There is no soya sauce which makes it look pale.
Still, the price is above average as compared to Pg.
Friday, December 07, 2007
As I am new to this 'hi-tech' thing, I am still not get used to the system. Can you imagine, I took 15 minutes to finish seeing one patient (plus all the data entry) for a case that usually take me 5 minutes? I am quite dislike been a 'robot' as all our clinical notes are entered with many clicks. One step missed, we would not be able to proceed. That slows down everything if one is not familiar with it.
Thursday, December 06, 2007
Finally got myself registered on Day 1 after a long journey.
Sunday, December 02, 2007
Saturday, December 01, 2007
Friday, November 30, 2007
Thursday, November 29, 2007
A young lady was admitted to the surgical ward with severe epigastric pain. Half way through the clerking, the patient vomited out a worm in front of me. It was so shocking, yet interesting, and I decided to keep it in the formalin.
I also remembered during my diploma years, I helped a lecturer in Parasitology in a project where I was assigned to counting the eggs in the faecal samples collected randomly from a population in Kampung Cherang Laut. Believe it or not, the result showed more than 90% of the population were infested with the Ascaris worm.
Interesting facts about Ascaris lumbricoides:
1. It is the largest intestinal nematode.
2. A gravid female produces 200,000 to 250,000 eggs daily.
3. The eggs are resistant to various disinfectants and can survive in the soil for many years.
The adult worm stays in the small intestine. It was believed that when the female population exceeds the male population, the female worms would migrate to other sites to find mates, causing various complications, though, worm migration may be stimulated by anesthetic agents or subtherapeutic anti-helmintic treatment or by use of certain anti-helmintic (e.g. pyrantel pamoate).
How to prevent infection?
1. Eat cooked food and avoid taking green vegetables or salads, especially in places where human faeces are used as fertilizer and where sanitary conditions are poor.
2. Deworm every 6 months with anti-helmintic.
Wednesday, November 28, 2007
Time to give space and move.
The heat has turned cold now, fire is put off. I am leaving the slippers there for other emotionally tortured souls to
Tuesday, November 27, 2007
Well, congratulation to all our new physicians who had passed the MRCP in KL recently.
Word of cautions: Never put down your signature unless you receive those sample.
Monday, November 26, 2007
Actually, it was CHICKEN CLUB TACOS: Three flour tortillas (one already in the mouth) filled with mesquite chicken, chopped applewood smoked bacon, chipotle-ranch dressing, diced tomatoes, mixed cheeses and lettuce. Served with rice and black beans; RM 29.95.
I'm real sua pa (jungle) kau (monkey).
Sunday, November 25, 2007
Many doctors are still so ignorant about the fact that, there is no indication to start allopurinol for asymptomatic hyperuricaemia. Allopurinol is one of the most notorious drugs that can cause Steven Johnson Syndrome and Toxic Epidermal Necrolysis.
In the first place, there should not be a routine to do blood uric acid level, unless clinically indicated. It is sad that many GPs as well as private laboratories performing routine blood tests fail to understand such principle.
Friday, November 23, 2007
I am now trying to figure out, how to finish my 38-day leaves this year.
Sunday, November 18, 2007
Sooner, we should rename all our hospitals with a prefix 'charitable' hospitals.
Even right now, we are having some foreigners in our ward. One is a Myanmarese with dengue shock syndrome. He was intubated in the ICU for few days. Though he recovered from the initial episode, right now he is still fighting for nosocomial pneumonia.
Another one is a Bangladeshi admitted for typhoid fever and liver abscess. This Bangla, who doesn't understand a single word of BM, is so uncooperative today. He refused branula for IV antibiotics and even refused to have his blood taken.
Come to think of it, he should be damned lucky. Currently, he is being nursed in a single room, equipped with ceiling fan, air-conditioned and attached bathroom while our poor locals are being cramped into "refugees camp" outside.
He should be damned grateful, because, at the end of the day, his stay and treatment here are FOC, taking advantage of our weakness. According to our MOH's policy for communicable diseases, all patients with notifiable diseases are to be given treatment FOC irregardless of their nationalities.
Otherwise, these foreigner will never get enough to pay for the medical bills, even if they work ten years and eating grass.
I think our government has only two choices, perhaps consider collecting back the unpaid money from their countries' representatives, or start promoting our 'Health Tourism with Free Medical Treatment" world wide.