幼稚和天真的完美主义分子
Sunday, April 11, 2010
幼稚和天真的完美主义分子
每天操着不要朝九晚五的生活
向往无忧无虑的刺激生活
高风险的态度和行为有时是好的
但是如果个人的基础是幼稚和天真的话
我只能祝你不要跌到太凶
你可以不负责任的责备你不属于的地方
但是一味的指责和给于幼稚的意见
只会另人厌倦
讲那么多却没有一件事情是做的轰动的
就请你不要再继续了吧
posted by Shyang @ 7:14 PM,
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My Grandpa
Friday, March 26, 2010
before this exam,
i really talked to my grandpa up there somewhere (somehow la!),
tell him please dun let his physician be my examiner,
i agree he is a wonderful guy, but please dun let me get him,
i will thrilled and confirm die!
finally, i still got him.
and i suppose my grandpa did know what is the best for me.
posted by Shyang @ 12:59 AM,
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又冷又怕
Thursday, March 11, 2010
今天被将会是后星期做我考官的专科医生吓
吓到我话都不会讲
吓到我非常后悔做么要进医科来受苦
吓到有一种想法
就是如果现在忽然不幸就不知道怎么样死掉的话
可能会是一种解脱的那种感觉
又冷又怕
不要在剩几天就要去考试的时候
才来吓我们啦！
posted by Shyang @ 9:04 PM,
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Boring Day
Wednesday, September 23, 2009
too bored todayis there any place u can get an escape package?
like they will come n pick u up at home n throw u somewhere
anyone?
grr..
posted by Shyang @ 5:47 PM,
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不切实际的鼓励和赞赏
Tuesday, September 01, 2009
如果说这个社会是一个学校的话
今天我上了一堂课
今天你表现了你的才华
很好真的很有潜力
大家给你很好的鼓励
很好的赞赏
我也觉得你真的很棒！
希望你继续努力！
抛砖引玉，
大家纷纷模范了你
很好！
被你抛砖引玉引出来的
如果是一块很好的料
当然也会得到全堂喝彩
只是表现平平
大家却虚伪的给于鼓励和赞赏
给我看来
这些虚伪只会给你带来更大的伤害
称的上是你的老友的却在最不适当的时候
给了你最虚伪的赞赏
请你不要在被蒙在鼓里而暗暗自爽
因为我是一个旁人
看了都为你心寒
称的上老友的
请你给他一个正面的建议吧
宁可虚伪的为他喝彩
适当和正确的鼓励和赞赏对每个人的帮助是很大的
过分和不切实际的鼓励和赞赏对人的伤害很大
与大家共勉之
posted by Shyang @ 9:17 PM,
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OK! WHATEVER! AS YOU LIKE!
Tuesday, August 25, 2009
today is my obs/gyn long case assessment day
posted to obs/gyn wards for 9 weeks, and i m happy that i got gyn for long case
dun really like (or hate!) obs!
very happy, when its my turn, Prof saw me n he actually brought me away to another case, which he think is better...so i like phewh~ good..i going to present to Prof, the senior obs/gyn consultant in SGH...someone who really appreciate ur knowledge n really good! so with all the good n high hope..i introduce myself to the patient nicely n start my 1 hour clerking.
my patient is a vr nice lady, 27 yrs old malaysian iban. G3P2, current in 23 weeks gestation.
was referred from KK Gita (Matang) cuz no fetal heart detected on daptone.
at SGH...scan was done n was told to have 'kandungan anggur' - a molar pregnancy.
ok good, time to shine! since i nvr expect to get this kind of case..but still good!
i think i clerk well with this case (associations, risk factors, past obs, etc) and had come out a vr good management plan for her..and yes...i even do a dipstix bedside..n protein was traced (?PE) so with all these in mind..i m ready to present this case to prof!!!!
SUDDENLY!!!!! I WAS BROUGHT TO THE OTHER LECTURER...THE WAT-THE-CRAP-SMKB!!!
and that time i really see SNOWSTORM!!!!!
i presented at least till management n follow up..but along the way i got irritated by so many atypical questions, which i would like to share with all of u!!! tamade!!!!
A is me; B is SMKB
1.
A: patient's blood group is AB, which is a risk factor for Molar preg
B: what!? then what is the paternal blood group? isnt that important!??
A: ...ok, sorry i didnt ask.....(so far i only come across the importance of maternal blood group, but also not proven yet!!)
2.
A: patient did not complaint of any abd mass or any acute pain, which i m worried of any theca-lutein cyst which tort and ruptured easily
B: ok..wadever, so do u noe how many % of patient will have theca-lutein cyst
A: in molar is around 10-30% (most literature quoted around 20%)
B: ur range is too wide, ok wadever u like
A: what!!???...
3.
A: uterus on palpation correspond to 20 weeks, not larger than date
B: so?? u should tell me the consistency!!!
A: (so so so so wad la! molar is a cause of uterus larger than date wad!!!) ok..it does not feel doughy!
B: ok, not dough, wadever u like
4.
A: so management is suction n curretage with oxytocin after procedure
B: what is the name of the thing they use to do SnC
A: er...its a curette with suction power..2 holes at the tips to prevent blockage
B: the name!
A: er......(thinking what special name tat thing have!!?)
B: SUCTION CURETTE!!!
A: mai high..that's not a name!!!
5.
B: ok, tell me advantage of suction compared to normal currettage
A: ok..to prevent embolisation during procedure, as the tissue is sucked out..not further curretted into the uterus
B: ok wadever u like
A: ....
6.
A: so after SnC, i will send the sample for HPE to confirm molar n to see any presence of invasion
B: tell me the characteristic HPE findings
A: ok, can see generalised/focal chorionic villi swelling + diffuse trophoblastic hyperplasia and +/- of fetal tissue
B: no, not specific enough!
A: ......
B: faster, i m waiting
A: ....sorry i duno
B: faster! i m waiting
A:......i really duno
B: hydroscopic degeneration of the cells.
A: ok. (wadever u back!)
A: during follow up i would advise for effective contraception, better to be barrier method, avoid IUCD and hormonal
B: why?
A: effective contraception, so when patient bleeds..pregnancy would not be an option; and since IUCD n hormonal can have breakthru bleeding..the presentation will affect my judgement on the progression of ds
B: ok, whatever u like!
A: ........
7.
B: lets say u following up patient and u c a vaginal mets
A: ok..so rare le..vaginal mets
B: tell me the exact site of mets in the vagina
A: er..........fornix?
B: NO
A: ....anterior n posterior vaginal wall??
B: ok which one!!!?
A: anterior?
B: NO!
A: posterior.
B: ok. then what should u treat?
A: since jus now i had started her on single chemo (methothrexate with folinic acid), now i would like to go for the EMACO regime
B: ok...good, EMACO, tell me the s/e of etopoxide
A: mana tahu la!!!!!
WADEVER U!
WADEVER U SMKB!
WASTED ALL MY EFFORTS FOR GYN/OBS!
U BETTER DUN FAIL ME!
F U!
posted by Shyang @ 2:30 PM,
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No More Rainforest!
Thursday, July 09, 2009
Form 4: Pengawas Camp; cannot go
Form 5: Pre-SPM Exam; cannot go
Form 6: Pre-STPM Exam; cannot go
Year 1: Orientation; cannot go
Year 2: Orientation Committee; cannot go
Year 3: Sibu Posting; cannot go
Year 4: Bintangor Posting; cannot go
Year 5: FINALLY CAN GO!!!! ooops...H1N1; cannot go
great!
great!
great!
posted by Shyang @ 5:48 PM,
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不要为你自己的错误找一个借口
Monday, June 22, 2009
其实很多时候我都在思考一个问题
一般人都觉得读医的应该都是很聪明很勤劳的那种人
还记得第一年进医科
我看到了很多聪明的朋友
我也看到很多很努力的朋友
我因为先天资力不足，所以只能靠后天的努力
终于在过去的四年里成绩还算不错
刚记得大家刚认识时
每个人都很有冲劲
很自动自发，连走路的速度都很快
很多事情也不会去介意做得太多
四年过去了
我所了解的情况也不再看得到了
很高兴的，
有一些朋友还是带着一样的态度
自动自发，很努力的在学习
但是，这群人毕竟少之又少
所以当表现的勤劳一点的时候
反而会遭来闲话
"XXX还会在哪里？一定是在ward啦! hahahaah!"
其实我觉得自己懒就算了
人家勤劳就请你把嘴闭上
不要为你自己的错误找一个借口
为什么我写这些东西？
因为我不希望在不知不觉中被同化
与大家共勉之
诗翔
22/6/09
posted by Shyang @ 9:24 PM,
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O Hantu O Hantu!
Thursday, June 18, 2009
鬼啊！鬼啊！
所怕的
所不想见的
所讨厌的
所不能接受的
称于鬼
鬼们
混在一起
商讨大事
损己利人，不做
损人利己，做
但是还要给自己理由
说是为了大家
鬼啊
鬼啊
posted by Shyang @ 9:49 PM,
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iPhone?
Monday, June 08, 2009
AirStrip Technologies out of San Antonio, Texas has just received FDA approval of the company's real time waveform monitoring software for the iPhone and Blackberry smart phones. The AirStrip OB application displays a live intrapartum fetal heart tracing and uterine tonometry data for obstetricians to watch over even while breaking for lunch in the cafeteria.
maihigh,
next item on the top of my wishlist -->iPhone!
kinda broke after my japan trip,
so yeah, might need some times...hahaha
not really necessary for a final yr medical student s well...
so for the time being...jus wait....
eagerly...
posted by Shyang @ 11:45 PM,
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