Saturday, October 24, 2009

Another year wiser.


HAPPY BIRTHDAY TO ME... Hahahahaha
And I'm off to Murud Bario tomorrow.. pray for my safety:)

Sunday, October 18, 2009

A legend unknown.


Read reviews about this movie on the paper. What made me interested was not about who was in this film but about the legend itself. Its very close to where I came from and I've never heard of this before. To make the story simple, it is about a man called awang who in fulfilling his custom by going away before marrying his true love, betrayed and when he came back ran amuk and killed 99 people during his ex fiance's wedding. There is always some truth in every legend and I guess , the unfortunate 99 killed were true and maybe the spear's magic could have been exagerrated as how legends are.
Its not the first time a johorean is associated with amuk. Remember Laksmana Seri Bentan who killed Sultan Mahmud Mangkat Dijulang? or the famous legend of Kiyai Salleh Selempang Merah who slashed the communists during chaotic 14 days of terror.
I wonder( those who know me may have witness this trait) my sudden burst trait is an inheritance? If that is so.. jangan main-main oooo.. hahaha

Why why oh Liverpool...


The 1-0 loss to Sunderland last night was an agony to watch. After a 3 match streak of lost, I am totally dissapointed and depressed with the current situation. To top it off, Liverpool is not playing well at all total and utter crapness!! Hahahaha I really thought this season I was going to watch a different and classier Liverpool considering last year's achievement. I know the manager is at his greatest pressure in his career to hold on to his job and we'd never know, while I'm writing this he's already being sacked!! Rafa...Rafa....
MAfeitz Mamat

Raya dah nak habis..


Syawal will be over very soon. It had been a good celebration by Malaysians despite the uncertainty of economy by the number of invitations I received for open house. In a way it spoilt me because I've been eating, eating and eating... gained weight and my running traning programme .. hancus !! hahaha
I am keen to organize my own open house ; inviting family, neighbours and friends for a good food and meet up after a long hiatus. Facebook reunited me with lots of old friends and how nice it would be to see them again. This is especially since we've moved to the new place.
However, my intention was shot down to the grown and buried 7 feet under.. hahahaha with statements like..
"Rumah belum habis pindah nak fikir open house"
"You always think about enjoying yourself and I have to do the shit work.."
WTF? Which i felt there was no point arguing with wifey when crappy negative statements like that were produced. I refused to be drawn into purposeless and stupid argument and if I do, I'll be the stupid one!!
I guess I have to wait till the time she comes out of her antisocial mode.. Patut pun tak ramai kawan..

Saturday, October 17, 2009

National Anaesthesia Day - Day2-3

After the hectic first day, day 2 and 3 was just a breeze. Day 2 was about Prof YK continuing her Acute Care Workshop. I've always enjoyed Nawar's session on Losing Control. A true life experience of hypoxia and death with videos to depict it will always be the highlight of this workshop. His invaluable experience in the Top 10- Astronaut selection is priceless and only those who had been there can share it well with all the audience.

Day 3- Friday was the MSA CPD ( Continuous Professional Development) lectures where we had our own Profs namely YK Chan, MArzida and Patrick to share their knowledge and we had Dr Sharidan from UKM as well with us. The topics were interesting but I guess being on a working Friday, only those who were really free would be able to join us.

Overall, I reckon the committee had their share of fun and stress while officially skiving from the usual normal routine! I must congratulate Meng Li, Lai, Carolyn and of course the backbone staff of Susanty, Sham , Zahu and Khairil for without their upmost commitment behind the scenes, we could have embarrassed the department.... BIG TIME... I salute Prof Marzida for her persistence and calmness on managing crisis situations which I reckon if I was in her shoes ..dah lama meletup!! Hahaha And of course, to Prof YK Chan for her vision on her pet "Acute Care".I wished that we had the VC himself on the opening ceremony to see how we manage to organize it well, thus i do hope that the DVC who came on his behalf would be kind enough to mention it. However, as one of the insignificant events that can be unlikely!

However, I am a bit dissapointed that we did not have the full suppose-to-be support from the department. Who else should celebrate Anaesthesia Day if it is not us? The attendance from the department with the greatest human capital in the hospital was appauling to the max. I know my colleagues were all very happy to come for these events at least on the opening ceremony cum book launch day but they were tied up to do list in the OT. I don't know why it was not at all possible to have the OT list half day that day.. Are we just plain degraded slaves who do not have any rights at all? I cannot comprehend the level of communication we are at !
It was a good experience for me and I realize that in the future, I know what I want my department to be like.

Thursday, October 15, 2009

National Anaesthesia Day 2009 - Day 1


Prof Emeritus Datuk Dr Alex Delilkan the LEGEND.. always known as the full time cricket player and part time doctor.. :)
The first successful documented anaesthesia was given on the 16th of October 1846 by William TG Morton in Massachusetts; hence the beginning of a specialty in Medicine!!
The Anaesthesia day is celebrated with the intention of providing the public information regarding our job and career. By history, we were always the comic superheroes; men behind the mask who save lives but slowly that is changing! Its not about recognition per say but more of the medico-legal implications where when things go wrong, we are the obvious scapegoat!! hahahaha
UMMC after at least 4 years hiatus ( maybe longer.. no documentation available to check) held its own celebration from the 14th to 16th. I was roped into the committee because I volunteered to do it anyway.. hahaha My last involvement was in HKL before I left; and it was fun as we had our own "OT machines" in the lobby area for show. In UM it is a bit different, we are doing activities for these 3 days. Today was the launching and we were proud to have Prof Dr Hamzah , one of the TNCs to officiate. VC gave us his word earlier but I guess he had other priorities to fulfill on Wednesday afternoon. Our TNC launched 2 books as well, one by Prof Alex Delilkan and the other Prof YK. THe launching ceremony went well despite the earlier scare of nobody attending.( I have some issues on this but i don't want to mention it here..) It went smooth and we fulfilled TNC's KPI for us to settle it in 30 minutes. I guess the highlight of the day was VC's speech read by TNC when he mentioned about the 5 year masterplan.. :)
Of course, when the TNC was ushered to view the exhibition, I could not resist the temptation to play few short videos which I thought was interesting and fun to watch by the audience !! Hahahaha
I guess I must have inherited ( somehow) the cheekiness from Prof Delilkan as he is indeed a vey fun loving smart individual. His Prof Emeritus status is legendary as he was the first Prof from the medical fraternity to receive this award. He did inspire me in a way to do Aanesthesia when we had him for critical care teaching when I was undergraduate. To hear him speak in the afternoon about his passion on medical ethics was refreshing. Thanks Prof and I hope someday to follow your footsteps in achievements!!
That was day 1.. still 2 days more to go..

Thursday, October 08, 2009

Looking for an airway?


It was a challenging ENT list today. I had fun in terror but it was definitely a good experience. What happened today showed how the important communication between ENT surgeon and anaesthetist is needed to ensure the success of the op planned. It was not easy but having a common interest( shared airway) prompted the 2 disciplines to collaborate!

We had a patient who had almost 100% obstruction above her trachytube; subglottic stenosis which was caused by ETT high cuff pressure during her ICU admission which caused necrosis and fibrosis. We did a Shian Lee which in the beginning i had no idea about! till our thorough discussion with the surgeon. It was interesting as I had to insert the J tube first before the start the Op! the stoma wassmall and i struggled initially to push it in! That was the easy part; the tricy part was when they hadto pull the Jtube out and go through and through with the Shian Lee stent.. hehehe suspen gak but it was m first time doing this and it was cool...:)

Then, i had a go at jet ventilation for another man with a similar problem but this time they were looking at trying once more to laser the stenosis to enlarge it. It was just not the airway but he had a bad heart; with a 35% ejection fraction!! hahahaha so imagine me & Alvin( the lecturer) threading very gently not to cause overshoot on either side. The jet part was a bit unsmooth in the beginning and i managed to get hold of the rhythm as we went by.. At this stage i have to be competent at this not only for my exams but for my future role as a specialist..kenalah pandai buat!!!

Thank you Mr ENT for the good coordination. Plan is certainly important and the execution was excellent i thought! A is always for airway right? :)

Sunday, October 04, 2009

Watch my priority!!


I really don't know why i feel so tried nowadays.. I did not manage to fit in any runs during ramadhan and so far in syawal it is not any better. Luckily my Salzburg trip had lots of walking in it.. ada lah calories burnt..
I guess the big bulk reason pertaining to my dilemma at the moment would be my late nights, juggling studies, family, activities and interest..( saja tak nak tulis FB here.. hahahaha ) I'm involved in a lot of things and I reckon thati have to straighten up to set my priorities..

M Anaes Part II May 2010... guess, this is my MAIN priority atthe moment. I do realize that I have not pushed into the right gear towards it though. My seniors told me its common but then hey, I'm not that bright to start of with therefore shouldn't i start early? hahaha ( cakap sorang-sorang..)
Let me list down what i will be doing from now on till Dec la kot to explain why i feel i'm doing lots of other things..

1. 14 - 16 Oct National Anaesthesia Day celebration in UM.. I'm involved heavily in it..
2. 24 My birthday .. hahahaha don't think I'll be super busy here..
3. 26-31 Oct Murud-Bario expedition.. in my quest to complete BIG 5
4. 1 Nov- Genting Trailblazer- really need to train now for this.. but i guess imeediately after an expedition trip, should be ok kot.. hahaha
4. Whole of November.. in IJN.. busy all the way and its a bit too late to do this posting isn't it?
5.Whole of December - ICU..

Hehehehe.. i really can't stop doing this to myself eih? a virus i caught since my school days.. checkmate..

MEME: Save Yvonne's sight..

Dah lama gua tak main tag or kena tag or anything like that.. but this time , ok lah ; its for a genuine cause.. ( kena tag ngan Nor ni..)
*****************************************

Twenty-two year old Yvone has a rare genetic disease – neurofibromatosis type 2 – that causes benign tumours to grow in her brain, spine and along her peripheral nerves – since she was 16. The disease is incurable.

Yvonne has survived several surgeries to remove tumours – one on her spine and the rest on her brain. She is now semi-paralysed on her face, deaf, partially blind, has poor balance and a stiff right leg. Right now she needs to undergo yet another surgery.

Yvonne, who runs a blog (www.yvonnefoong.com) is the author of I’m Not Sick, Just A Bit Unwell, (picture), has been raising money on her own to pay for her operations, is losing her eyesight. The operation is due in December and once again she needs to raise funds for it. The cost of the surgery is USD44,000 (RM154,770) and the cost of her hospital stay for two weeks is USD915 or RM3219.

She has already raised RM10,000 of this but obviously still has a long way to go. She’s hoping to raise the rest by republishing her book I’m Not Sick, Just A Little Bit Unwell in English and Chinese.The books are now available in Malaysian bookshops and from her website store. She is also selling T-shirts at bazaars and via her store. You can read about her surgery and donate to her fund here.

Yvonne Foong is in danger of losing her eyesight thanks to neurofibromatosis (NF). Please find out how you can help her by visiting her blog at http://www.yvonnefoong.com.

You can also help by sending on this meme. If you do, please follow these meme rules:

1. Create a blog entry titled “Meme: Save Yvonne’s Sight”

DAH BUAT...

2. List three things you love to see. Add in the picture of Yvonne’s book cover. The URL is http://www.yvonnefoong.com/images/banner/my-story.jpg

A) GUNUNG DAN BANJARAN DARI PUNCAK;SAUJANA MATA MEMANDANG..

B) MY CHILDREN LAUGHING..

C) LIVERPOOL WITH ALL 6 CUPS.. hehehe

3. End with the line, “Yvonne Foong is in danger of losing her eyesight thanks to neurofibromatosis (NF). Please find out how you can help her by visiting her blog at http://www.yvonnefoong.com.”

PTO.. hehehe

4. Tag 5 blog friends. Be sure to copy the rules, OK?

MAFIZ SURIANA TUN M KJ DR ZEK

5. If you have a Facebook account, please check out Ellen’s new invention, a “feme” pronounced FEEM, a meme designed for Facebook. And if you want to blog about NF, that would be great too!

YUP..DONE THAT..

****************************

I came across Yvonne and her illness when i was surfing the net to look for info on neurofibromatosis. Qaisya had few cafe au lait spots at birth and that triggered my worry . I had t be prepared if she was at risk of NF; but so far Alhamdulillah.. she's ok but I kow Yvonne is not. I really do respect her ways of coping with her disease and of course, pray for her health to sustain health in enjoying life ( i know she is doing it to the max since her diagnosis!!)

Yvonne Foong is in danger of losing her eyesight thanks to neurofibromatosis (NF). Please find out how you can help her by visiting her blog at http://www.yvonnefoong.com.

Will we stay lucky forever?


I am truly sadden by the catastrophic disasters which happened last week. It was one after another and to think that one was on our left and the other on our right ... hmmm..scary.. MY condolonces and Alfatihah to the victims of the tragic natural disaster in Samoa and Padang..

wiped out coastline..

strong heritage relationship with us Malaysia..

What if god would just change only 10 degrees of quake origin angle? It would have been us and the thought of "quake-free" as we are off the tectonic plate is myth after all. Impossible is nothing and with the current haywire climate change, anything is possible. I know for a fact that we are ot prepared ever for such a tragedy and if it hits us.. the damages would be unimaginable..subhanallah...
Looking back though, these disaster characteristics are very concordant to the signs of armageddon which i learnt yonk years ago. The description is as it is and of course, with all the turn abouts in the world. THe thought of death and end of days is interwinned with my readiness to face it if it really happens during my lifetime ( ironically la tu..hahaha) One cannot avoid and one has to embrace it with faith i suppose...

If i am being given the chance to be on ground zero to help, I would not hesitate at all .. Call me.. Insya-Allah!!!