Friday, October 31, 2008

Today , this was our R n D

In the strong tradition of Sifu-Ling's Regional Anaesthesiasm , we did the Continuous Interscalene Brachial Plexus Block for a 73 year old man who was about to undergo a shoulder operation ; Rotator Cuff repair. The technique was more for post operative pain control rather than anaesthesia for procedure. The position for the patient can be really uncomfortable and that is the reason why we GA patients for this procedure. It is a common fact that knee and shoulder operations can be DAMN PAINFUL post op !!

According to NYSORA , he most difficult aspect of this technique is stabilization of the needle for catheter insertion after the brachial plexus is localized. This was Ling's first ever interscalene catheter insertion under ultrasound guidance. We did it meticulously and we were lucky Uncle was very cooperative ! he even laughed when his shoulder "moved" when we stimulated it !
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Continuous nerve blocks require the use of larger needle gauges and thus intraarterial placement (e.g., carotid artery) has greater implications and IT IS NOT FUNNY !! That is why , ultrasound guidance is gold standard to do this procedure ..and WALAH !! MAlaysia Boleh !!

Thursday, October 30, 2008

Chameleon

It is not easy to be somebody you are not. It becomes an internal crisis and affects one psychologically .. slowly but surely munching the real you. It threatens to maul your spirit and soul ; infiltrating the darkness over what hope is left. One tries to imagine light at the end of a dark tunnel but WTF ? The energy of such focus cannot sustain as how one thought it could be.
Some say it is easy to forgive and forget , but what if it is not ? Which is better ; to forgive or to be the unforgiven ? How long can tolerance prevail.. how long can one accept suffering? Some might say its all in the mind but others may beg to differ and perceive it as real.
Apa apa pun.. SIVAJI THE BOSS.. you're the MAN !!!

Wednesday, October 29, 2008

What is normal ?


The jitters of Genting-trailblazer is getting tenser. I do try to fit in either post call morning runs or evening near Maghrib runs in the past 2 weeks. The Syawal food indulgence certainly became a motivation to burn all the carbo ( more of fat i reckon !!) that is being loaded way to early before the competition day. The weather is getting much warmer and its damn hot by 9am in the morning !!
I do feel that i am fitter now compared to when i did my first 21k early this year ( KLIM 2008 ). It is a good feeling really and somehow nowadays i do feel more confident. My weight loss is still minimal but people did notice somehow ! It must have been my eating habits which is way different !! This is my hobby nowadays and its my health which is benefitting.
Its going to be wet and wild this Sunday ; but it'll be fun !! Hahaha

Monday, October 27, 2008

You know him ?


I received 2 similar birthday presents from Azad and Nor. ( the above illustrated biography ) Eventhough they did not plan it , somehow when they saw this "comic" ; they remembered me. I must say I am flattered to be remembered after a great personality and idol in Malaysia ! Hahaha.. Untung jugak sharing the same initials... Thank you ! Thank you !!
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It was unplanned ; we were at the MACY warehouse sale to look for bargained curtains for the BJ house. We did not achieve that target , instead we bought TWO BEDS with mattresses and bed ! Hahaha totally unplanned and that adds my accounts DEFICIT.My EZYPAY installments are getting bigger and bigger each day.. hahaha

Saturday, October 25, 2008

How I nearly grew older

I am 32 now.. ( I'm not sure how old Sultan Pahang is though.. ) A year older , A year wiser they say. The denial factor is always strong but one has to accept the reality that one is getting old ! I must say , this year's birthday was a lot different from the ones before. People around me somehow celebrated it with me ; and of course I felt happy !! Thanks to facebook as well , the birthday wishes streamed from right , left and centre through sms , emails and of course on my facebook wall !! Hahahaha.. gile overwhelmed.. Thank you everybody for your warm gesture !
HOW MY COLLEAGUES DID IT
I was on call on the 23rd . Jahan ( the lecturer ) on call did mention that we should celebrate the occasion because it was Suana's birthday and she was oncall as well ! I was the only male in the team and that qualified me to own the single room that night ! The call was pretty cool because by 6pm we were almost done. The last case then was a finger tendon and nerve repair which we easily did a brachial plexus block ; so its the surgeon's den to settle ! Jahan bought the oncall team pizza hut and it was pure indulgence !! Hahaha.. thanx boss for the food and the whole oncall team was certainly all smiles !

23rd October oncall team
Then Edmund joined us and of course , being the "generous"one after the dinner he went out with Jahan to get us a birthday cake ; and the memorable TGIF starter to indulge us some more ! Woohohoo.. apa lagi , makan tak ingat la gang ! It was a memorable birthday and I must say well celebrated! Thank you everybody ! ( eventhough i had to get up at 4am to continue a hand case which went on and on and on and on.... )

Sedapnyyee...

birthday boy and girl
HOW MY WIFE DID IT
I got a surprise phone call in the morning from wifey that she was picking me up. I was all set to take the bus home and it was a surprise !! Hahaha.. mentang-mentangla birthday! I should not get into details what happened when we got home ( keh keh.. ) but she surprised me later with a booking at a spa in KL !! Waahh... imagine having your wife's permission to be touched by another woman !! Hahahahahahaha We went to Body Countour in KL as they were having the couple spa promotion. It consisted of a jacuzzi session and followed by body massage. Wifey wanted the massage as her pregnancy now is really taxing her back and legs. As for me it was such a pleasure after the oncall. I slept half way and dunno whether i snored ! hahaha

memang jakun.. hahaha
Initially we wanted to go to KLCC's chillis for lunch. However , the spa was just behind Pavilion ; thus we had to reroute our plan. After my friday prayers me and wifey dined at Tony Romas !! Waah.. memang indulgence !! They were having steak promotion and of course , it is a chance i would not miss for the world ! The steak was excellent with its rich texture and taste.. ( hmmm.. i can still imagine it now ) It was a good outing and I certainly appreciated wifey's effort and plan!
Thank you Ja !! *muahs* its going to be a challenge for me to go one level higher in celebrating her birthday next time..

Sudah puas... hahahaha

Wednesday, October 22, 2008

Being brave


We had a 16 year old girl for Op today. She had lymphoma and with it a big mass inside her chest cavity ( mediastinal mass ) . It is compressing one of her lungs which impairs her respiratory function. Thus; the very visible shortness of breath and bad oxygen saturation. On top of that , her pleural effusion which needed regular tapping is not helping the situation. She CANNOT lie flat at all and needed to sit up and crouch her body to make herself comfortable.
She was due for excisional biopsy of her big cervical nodes ( along her neck ). If it was assymptomatic , I don't think the surgeon would have called for our help. She was very breathless and cannot sit still ; more over to lie her down and do the excision. As fast as any surgeon can do , it would take more than 10 minutes. Having a patient who moves because of breathlessness will slow things down and mistakes are due to happen !
Of course ,General anaesthesia was out of the question as her mediastinal mass was compressiong 50% of her airway( the big pipe !! ) and shifted her heart to the right side of the chest. It is her muscle tone which is sustaining her and obtunding this will result catastrophy and that maybe the last time we'll see her alive !
Of course , SI-FU LING ; was the person to consult ! Our regional block master concurred with my plan to block her superficial cervical plexus. We had one advantage , the girl was very co-operative and that was really helpful to make this procedure succesful and avoiding GA.On top of that , she would be pain free ! The only risk is , her "good" lung was the right side and the surgeon was keen on taking out the nodes on her right side of the neck. If my block is too deep , then I will be blocking the phrenic nerves and that may impair her breathing effort some more !

We had to perform the procedure with the patient 60 degrees propped up becuase that was her most comfortable position.
" MAfeitz ahh.. u better make sure it works ! "
Yeah right.. Thanx for the encouragement !! Hahahaha
The girl was very brave as I gently performed the block. She did not cry nor sulk eventhough she was just 16 , I guess she was suffering so much that "simple" things like this doesn't affect her at all.
Alhamdulillah , the block worked well and the biopsy was done with the patient pain free. She smiled at me when I brought her to recovery area.
"Ada sakit tak ? "
She said no... " Thank you Doctor.. " she smiled , eventhough she was still breathless.

Monday, October 20, 2008

Picking your leader

I dunno if anybody realized this ; ( after the MCA elections during the weekend )

MCA is led by an IR ; engineer , 2nd in command a doctor. The vice presidents being a pharmacist and a doctor. The other two i'm not so sure about their education background but one served as the Deputy Minister of Science n Tech Ministry as well as Finance Ministry. Therefore I conclude ; all of them were from the Science stream.
A lot different from the UMNO scenario huh ? hahaha
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Its good to see Malaysia scoring freely against their opponents in the ongoing Merdeka Tournament. It is sad however to note the bad turnout from the higher ranked teams invited. Our ASEAN country mates certainly do not see Merdeka Cup as a challenge. Its sad that our standard is at par with Nepal and Afghanistan. To make things look worse , we paid them to play in this tournament !!!
I dunno whether I would go to watch the team in the finals.. but being a hardcore fan.. MESTILAH !!! JOM !!!

Thursday, October 16, 2008

The Untouchables


What can I say .. I had a wonderful call yesterday ! One of those zombie 24 hour call but honestly I had fun with the guys ! It was Hady and Adam doing the OT call with Aktar as our SMO. I was the "Crash" person ; and being an all boys group ( few parties were jealous of us... !! ) we had Vas doing his virgin Lecturer call. And how "sumbang mahram" it was !!!
I had to do Cerebral Aneurysm Coiling in the radiology deparment to do in the morning. We had our interventionalist who came back from training in Turkey to do it and I must say , me and Dr Ling were impressed with his plan and work. It is always nice working in an environment when 2 working parties communicate well.
For my crash call last night , my pager was behaving well because I was hardly paiged overnight. I " converted" my call to OT because of the 2 interesting cases that cam up after 7pm. The first was a fairly middle aged mum who had massive pulmonary embolism ( blockage in the pulmonary circulation ) and she was due for surgical embolectomy( removing the blockage out literally ! ) .It was a high risk case with chances of mortality > 70% while doing the procedure. I always find by pass amazing and it was still amazing yesterday seeing the perfusionist manipulating the normal body.
We finished at 4am.. and thought that a good night chocolate milk in Delifrance was the last toast for the night..

picture taken after the embolectomy..
And boy were we wrong !! immediately , there was a trauma involving a young foreigner where it was suspected that her pulmonary ( lung ) vessels were ruptured ! She bled > 3 liters from her chest tube before coming to us in OT.
The four of us was there and I can tell you , we were SO tired by then. Hady could not open his eyes and Adam shook his head in disbelief when he was informed of another craniectomy that was to be done at the same time ! but because we had an impending death upon us ; the adrenaline certainly brought us to another level. It was difficult inserting arterial line and central venous line for this lady as she was bleeding away and in hypovolaemic shock. We pumped in blood like nobody's business wooo !! And because it is a requirement for the patient to be on double lumen tube we tried all our might and Aktar is a really supercool anaesthetist ! Tabik spring bro !! He managed to insert it well and although we did not properly confirm the placement after the right lateral positioning ( with me holding it in position tight after that lah.. hahaha ) ..but when it was time , the lung which was required to be collapsed was collapsable ! She became haemodynamically stable after the surgeon found what was causing the massive haemorrhage. And we felt good...
The case was taken over the the next day's oncall team at 830 am.. but we were still in our elements but the fatigue came but honestly , I felt the satisfaction eventhough it was one of the most ridiculous call I've ever had !!
We felt like... we were the Untouchables !!

camwhoring outside the cardiac theatre..
p/s the dates on the pic.. bukti tu !!

Sunday, October 12, 2008

Klang 12K


The day started early as this was our official run after raya. Mafiz picked me up at 0530 from my MIL's place as we were sleeping there because Mak was away. We made our way to Azad's in Shah Alam and to our surprise he was still asleep when we rang him up in front of his house gate !!! I dunno why Edrin did not make it ; we were supposed to meet him at Azads but i guessed something must have came up.
Azad was not sure of where the starting point would be but being a Sunday morning , it will not be difficult to see swarm of yellow shirts ( the official running gear ) walking to a similar point. The run started at 7am sharp and off we went !! The weather was excellent but after 8am it became a bit too hot ! We were running on a busy two lane state road and I guess on a normal day it will be almost impossible to complete the track ! I was not happy with the only one water station they provided in this Klang run ; but i guess seeing the crowd today it must have been something expected. I decided not to wear my usual black Adidas top and in exchange was the German Adidas. Nak tukar sikit la gambar asyik baju sama je.. hahaha.. However , the shirt injured my nipple and I was holding my shirt off on the last 2km. It was painful !! Mak ai.. i really need to use vaseline or tape my nipple off because it became more painful during the shower after !!!
I am happy with the run because I felt good doing running. The whole 12K was flat and I went all out. I wanted to see how long I can last. I did not puff nor did i feel exhausted while running. I guess the runs I manage to squeeze in after Trusmadi & Tambuyokon during ramadhan did the trick. I guess I am much fitter now compared to earlier this year. I did roughly 12K in 80 minutes which i think is not too bad for my standard. I better start timing myself from now on eih ? Congrats Azad and Mafiz !! It was indeed a good outing !

another cert and medal as proof !!

Gigit medal gambar wajib !!
And guess what ??!! Mafiz who's always the lucky one when it came to lucky draws got lucky again !! We were looking at the "MAPIAU" before our usual photo taking session when suddenly Mafiz screamed... "Hey..323.. thats my number !!!" Hahahaha.. We looked closely and yes , it was his number ! Damn lucky guy !!

Tuesday, October 07, 2008

Hujan di tengah hari

I was pushing out my patient from the OT , when suddenly i heard a loud GASH!! It was waterfall like and I quickly rushed to the counter.
To my amazement , water was pouring down from the ceiling of our OT entrance !! Waaahh... a sudden flash flood appeared and everybody came to the scene ( typical Malaysian style la tengok accident !! ) One patient who was due for Op went out of his bed and stood looking at the "small" disaster ! ( He was due for BKA - below knee amputation - mind you... hahaha ) The scene was like when you were back in kampung ; hahaha. The OT is having its feel of raya as well I guess.
Our UMMC appropriate staff came to the rescue , and the matter was resolved pretty soon.. hahaha.. what an event to celebrate my first call post raya holidays..

Monday, October 06, 2008

Aidlifitri blog entry

I was a bit too tired to type last night , I ended up downloading pictures which i went through few times and smiled. Each picture had its own story and i believe that is the beauty ; seeing your offsprings grow.
Pre raya : weight 77kg..
Raya day 5 : weight 79kg... hmm..not looking great huh ? hahaha

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I was technically still working on Raya eve , however as there was no OT list I was put on standby. I was with Dzaeff and Qaisya at home as wifey was working half day. We went over to Maks on Raya eve and spent the night there. It was the first time , everybody in the family under that DJ roof. Wifey helped Mak to prepare dishes for raya . Rendang was my favourite but I tried very hard to control the desire to wallop the food !! Hahaha I slept in the living room which was a bit uncomfortable ; but its raya and that is acceptable ! We had fun with the fireworks Yo brought back from Kulim and the finale "KLCC" 25 shots was a blast ! According to YO , that was the cheapest and mildest but I can tell you , it shook the neighbourhood off !!
I prayed in TTDI but this year I did not manage to find my peers around. I only met DIl but there were a lot of juniors around ; thanks to Facebook the faces are now familiar !!

After the picture taking session , we went to Pak ngah's house and Acik's place . It is the usual routine that we do every raya. However it was different this year because we only started our journey back to Muar at 4pm ! Its the kids ! Its not efficient anymore but then hey.. I am not complaining !
Muar was "kecoh" as it was full house ! It was congested with my family , Auntie Nor's and Auntie Roha's !! This was the raya experience Iwant my children to enjoy !! Hahahaha.. It was fun doing the tidur lambak and having to queue for your turn to use the toilet. Luckily Uncle Malik stays next door as for "emergency" use , we run next door !! hahahaha
I tried very hard to resist the temptation to control my appetite , but its raya folks ! After the first day raya binge , I did something which I've never done before ! I ran from Parit Setongkat to the Muar bridge and back ! Its a different Muar in the morning and I've never been on my two feet crossing the bridge. The total distance was 8 km and I felt really great after doing it ! hahaha.. memang dah kena penangan adrenaline. When I came back , everybody was still asleep . A definitely different approach to fitness doing raya this time around.
We came back from Muar on Friday afternoon and surprisingly the traffic was mild. We continued our raya in KL as most of wifey's family is from KL anyway.
This year eventhough my leave was till the weekend , it was not as hectic as how it used to be. Preparing your children and taking care of them is not as easy as one thought it is ! Qaisya was certainly very moody and Dzaeff had his eccentric moments as well! I really dunno how we'll cope with the third next year for Raya !

Alfatihah..

Aidilfitri 2008 family moments


Malam raya bunga api madness..

Salam2 with Pak Long

After many years , everybody was back and the picture is complete !

Tok Ma and Meng

Salam Aidilfitri 2008@ Raya sebulan ooi...

Understanding the young


" Oh..oh..oh.. balik kampung.... " Dzaeffran was singing this as we were driving back to Muar. I dunno who taught him this but he was happy ! This will be his 3rd raya and he had begun to appreciate more about this festive season.
"Dzaeffran balik kampung sapa ? "
" Tok ma... " he answered... smart.
"Jumpa sapa ?"
" Atok GOYANG... " " Sapa ??? " .. " Atok Goyang.... " i paused.. and i laughed !! I get it !!!
Hahahaha... He was referring to ATOK MOYANG !!! Its just that he cannot gather to utter Moyang but Goyang instead !!
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"Bagi Walid.." i offered myself to keep the angpow money he received.

" Tak Nak... Dzaeffran simpan.. "
"Walid bagi yang ni..dzaeffran bagi walid yang tu... "
He gazed at me , looking disinterested in the RM1 that i am offering.
" Nak Puluh..puluh... " he told me sternly . Hahahaha.. He knows that I am cheating his RM 10 / 50 for a mere RM 1 !!
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Qaisya was crying non stop after we woke her up as we arrive in Muar that evening. She was certainly very moody and wifey was struggling with Dzaeffran. I offered to pick Qaisya up and brought her outside.
Her volume was immediately reduced when we were outdoors and the "chicken" family , the rooster , the hen and the small chicks were crossing our path.
The rooster decided to crow and that stole Qaisya's attention.
" Hmmmmm..." she said.. pointing at the rooster.. , she looked at me and sort of asked.. " Dog... dog.... "
hahahahaha... I guess it was the first time she came in contact with a rooster and thought that it was some dog species !
Suddenly from behind... MOOOOOOOOO...... Both of us turned heads back .
" Ooooohhh... " she said again with excitement. " Dog... dog !!... " as she pointed to the cow!!
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"Kenapa Dzaeffran nangis tu ? " I asked my wife as I entered the room. I could here Dzaeffran screaming his lungs out for quite sometime. Dzaeffran was still crying , refusing.
" Hmmm... dia taknak pakai jubah ni "wifey told me. She just bathed Dzaeffran after our first day of raya.
" Nak baju handsome... " he pleaded.. referring to the silver baju melayu with the sampin that he wore the whole day that day..
Hahahahaha... anak Walid ni... melaram la pulak !!

Tuesday, September 30, 2008

Salam Aidilfitri 2008 !!

Its Aidilfitri tomorrow !! MY best wishes to all Malaysians who are celebrating it !! Maaf Zahir dan Batin sekiranya ada tersilap bahasa budi bicara.
Aidilfitri is the day that I really adore as long as I can remember. Its a day of celebration with families getting together. I have my own nuclear family now and I do hope to teach my young ones to appreciate the meaning of Syawal post Ramadhan ! I will be driving down to Muar tomorrow afternoon after spending time with MAk and the family in Damansara Jaya.
The challenge for me this year is not to turn into a mentekedarah with the feast ! Difficultto resist good food.. the ketupat , rendang , lodeh ..etc.. yum..yum.. Hahahaha..Macamana ni ? I hope to maintain my lucky 77 .. heks.. kita tengok lepas raya !!

Sunday, September 28, 2008

The holy ramadhan..


Syawal this year would be a bit different as my youngest sister is away to pursue her dreams in UK. She was always there yo accompany my parents and the scenario has changed now. I salute my dear sister for her efforts ; obtaining dean's list in her diploma and that was her ticket to UK. She's a fighter and very determined. She is very hardworking and I believe that she will succeed in her life .. Insya Allah..
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It was only today that I managed to bring the family for raya shopping. We went to One Utama and I was glad that the crowd was not full packed as expected. I reckon most families had gone back to their hometown . Only a handful , the throughbred locals qho are still around . I did met a few of them and we exchanged raya greetings.
Me and wifey had been busy doing calls and our postings that for the last three weekends we rarely saw each other. I went to Shah Alam alone during one of my post calls days for my kids' raya clothings. It was more practical that way and I don't like to wait till the very last minute. Today was a breather , me and the small nuclear family enjoying ourselves. ( well..stress jugak bila budak2 nangis because penat !! aHAHAHAHa )

santai.. watching the show..

One Utama's decoration is marvelous

First bunga api experience for Qaisya..

Mencari Lailatul Qadar


Running up Genting twice in one week is certainly something "crazy" I did this year. Last week was a killer , and this week I invited Azad and Mafiz to join me. To lure them to this temptation , I suggested that we go up half way - 9km from Gohtong Jaya to the top. My left ankle is still nagging me and because i want it to recover well before my Genting trail blazer ; I decided not to stress it too much.
However due to unforeseen circumstances , both of them had to skip the event at the very last minute leaving me alone to decide; to go or not to go. At that time if i wanted to "belasah" the 21k , I was late ! So .. thinking on achieving my target to get my weight down to BMI 25 by raya ; I said... GO LAH !!

like one of those weird ghost pictures.. check me out at the back !!

I was waiting in front of Seri Malaysia Hotel when i saw the first group of people running straight up without stopping at the mamak. Hmmm.. i thought.. might as well I start now rather than wait for everyone to come ; I am not that fast anyway ; people will surely catch up ! Therefore , with my bladder bag i proceeded with my short 9km run up to Genting. It was alright and of course , just starting I was full of energy and power. However at the 5 km point , my left ankle started to wiggle ; signalling it is in distress despite my Celebrex earlier. I slowed down and only ran when necessary ; because it was DAMN COLD !!!
Of course , the hardcore fit runners went pass me easily despite them having to run 12 k earlier ..hahaha..itupun dah semput... hahahaha.. tu la.. baru "soft porn" stage , belum graduate to hardcore lagi.. hahahahaha It was a nice feeling reaching the top again but this time my fingers were freezing cold. We were received by Genting PR fellas and the hot coffee was certainly nice !
I did not stay long though and looked for a lift down because my original transport plan did not materialize !! Thanx Adzim and Stupe for the ride down to Gohtong Jaya !! All in all , it was a good experience and mind you.. I don't mind being a part of it again next year..

P/s I was worried for a while when Stupe suggested that I start from Genting Sempah to get back to my car in Gohtong Jaya !! hahahaha...

Genting 3 Group pic..

the people behing great group pics :)

Friday, September 26, 2008

Kurang kerja


Yes.. I'm running up to Genting again Friday nite.. maybe not the full distance but once you've felt the "high" , I guess thats it ! I'll definitely blog about the last run before Syawal ! I dunno where i did manage to push the limited energy left post iftar for this run.. hahahaha

Today is my last day of SMO call ; wow.. a certainly tough and demanding job. I will not be doing this call till next year ; when it is compulsory for me to do it ! Fuuuhh... And now , I am still awake at 230am in the morning because the supposed to be appendix case became a laparotomy. SHe seems stable but so far she's lost 1 L of blood . Hmmm....
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Its heartbreaking to see parents coming for their children who are in distress. Everytime they are in trouble eg involved in an accident and requiring emergency operations , the parents will be contacted and the next of kin in giving consent for the anaesthesia and surgery. Most of the time , it comes as a shock becuase they do not know what their children did ; and when the news arrive ; they are in severe distress.
I get goosebumps everytime meeting them and explaining about what we were to anaesthetized for major operations. Most of the time you can see it in their eyes , the shock and at the same time hope. Certain injuries , i know have detrimental and bleak outcomes and that makes it hard to look into their eyes. I cannot imagine if one day I am in their position ; having to give consent and having the possibility that your fragile child has the possibility of mortality before you.

Monday, September 22, 2008

Things i learnt yesterday..


1.SMO JOB IS NOT EASY... Maybe i am not ready yet and i guess that is why only final year trainees do this job. One needs a lot of previous experience to make decisions. I am still "mentah".Its not easy being anaesthetist and a Clinical Specialist at the same time.

2.CONSULTANT ANAESTHETIST DO READ YOUR BLOG... so have to be careful of my "hot" pics postings ; must adhere to blogging ethics.had a friendly advice.. hek..hek..

3.FOLOW THE LEADER... Yesterday , i saw how a Consultant of mine charted his GA form.We rarely had chance to be in OT with him and the experience was one in a million!! Wow.. it was complete and no wonder people talk about it. Good examples should be followed.

4.KNOW YOUR PATIENT WELL, EVENTHOUGH YOU FEEL GROGGY IN THE MORNING.... before speaking to the consultant. Despite the pressure from the nurses for you to settle a task , be mindful and don't just follow BLINDLY. I embarrassed myself by talking about a different patient to him and only realized it after i put down the phone !!

Saturday, September 20, 2008

Hanya Orang gila yg buat kerja gila.. Ramadhan Genting 21K

I was reading through Stupe's and DocHisyam's blog ; and saw their story and pictures about this crazy yearly Ramadhan thingy they do every year. It was the run up to Genting Highlands and the starting point is from Genting Sempah. Hmmm... certainly tempting and challenging ! I never thought I would join this group of totally adrenaline junkie group of people until yesterday... Gila tu 21K from ground zero at 1800 ft to 5800 ft !

Courtesy of Stupe : pinjam blog ek bang profile ni... thanx !!

It was DocHisyam who extended the invitation in my last blog posting.He told me Doc Amir was going to be there too Hahaha.. he was the only one that i would know before joining the run last night. Pandai dia racun.. I was lured and succumbed to the ultimate self torture ! I went there as a lone ranger , mana kenal sapa2 ! HAntam sajalah !! hahahaha
We assembled at Genting Sempah McDonalds by 930 pm. Seriously ! sorang pun tak kenal and they don't know who in the hell is this guy either ! I guess, its the common interest that brings us together. Doc Hisyam and Amir would be starting from the halfway point ; Gohtong Jaya where Doc Hisyam will be riding his mountain bike up and down.
At about 1015pm we started the run up. Obviously , they were the elites ; all with traithlon , ironman etc experience ! Hardcore stuff man ! I met few good friends and end up with Louie to the top ! I was OK with the run for the first 9 km , only walking on few really inclining road. Tapi..memang mcm nak pecah dada ! Definitely first class stamina training. Up up and away all the way ! I brought my backpack High Sierra bladder with me and it was a wise move. It was dark and we had to wear our headlamps and redlight so that the fast moving cars would be alerted by our presence. I never knew , SO MANY people drive up to Genting on Friday night...

I had a bad fall in KM 7 . It was dark and the road was uneven. I twisted my left ankle and fell hard ! It must have been like nangka busuk coz Elicia and Luvis who was quite a distance away ran back to see whether i was ok !! Hahahahaha I was glad that my left ankle was not that bad ; but i guessed it was adrenaline that made the pain bearable. I was still able to run till the first regrouping point in Gohtong Jaya.

By the time we arrived there at 1130pm , the first grouphas gone ! Fuiyyoo.. itu memang tera punya gang !! Then it was the next 9 km uphill track. Mak aiiii !! It was hell and the ankle was hurting so much ! I was not able to maintain my run and ended up walking / trekking up to Genting ! Memang tak boleh GO ... hahahaha.. It was steep and easy for one to just say , Ok I've had enough.. but i knew I had to finish the run. Orang gunung maahh ! I was walking with Luvis and he made the mistake of not bringing any water with him which resulted him being dehydrated and tired ! Glimpse of my Tambuyokon climb came into the picture .. hehehe.. And i shared my water with him. It was good in a way to have a partner for motivational factor and I had a great company. The kurmas i brought was an excellent substitute for power gel.
It was cold... circa 15oC and we were wearing only our running gear. I had to limit Luvis' stops because the wind was blowing hard and I was freezing ! And there it went... 1km... 0.9...0.8... Move ! Move ! Move !

It was certainly a nice feeling reaching the top. We were at the usual end meeting point : Genting Starbucks .Everybody was very encouraging and I did it ! It was a lousy 4 hours ; non-comparable with the guys who did 2 hours to reach the top.. Memang hebat !! Thank you for the opportunity and I certainly enjoyed that rush of adrenaline up from midnight to mid morning.... :)