Delayed..

thank you boss.. 

Managed to sort out the last document for my "pelepasan dengan izin" from KKM. Thank you boss !! Never thought that you'd actually write a letter for me.. usually , the official chop and signature on my application letter was sufficient !!! Now.. the next frontier and challenge. To actually get the pelepasan.. hmmmm.. Wifey had a terrible time last year but she managed to pull through.. So i would just have to go through the vicious pathway..

I was so sleepy this morning after waking up for subuh.We had a very tiring badminton session last night . Wanted to ditch the Tutorial ; but somehow i dragged myself off my bed , into my satria and to our anaes conference room at 7 am this morning !! haks.. i was half dead while listening to Hafiz and Lip YAng. I certainly do appreciate these sessions as i don't think they do it anywhere else !! Bummer.. tomorrow morning is the department's CME which starts at 7 again ! haks.. and i 'm still not asleep yet..

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Today's plastic list was suppose to end by 3 pm. Somehow , the last case dragged. It was a 28 year old lady with a mass on her left hypochondrial region ; initally diagnose as lipoma in Melaka . However , the mass became bigger and they did a CT , it was a funny mass , unknown origin and looked liked it was sticking to one of her ribs. It was intraperitoneal and everybody thought it was a simple procedure.

" It'll just be one hour " said Mdm Normah.. the plastic consultant.( a fit looking consultant woo.. haks.. ) it turned out to be a stormy 5 hour op.

When the surgeon was making the excision around the mass which somehow became bigger than expected .. the patient just just bled ! giller bleeding ; loosing almost 1 liter as Mdm Normah and her gang negotiated the mass. It was stuck to the omentum and it was bloody. her vitals became haywire ; heart rate up to 150 / min !! BP was shooting up despite Mak ai.. gelabah giller.. She only had i IV access on her left dorsum which was quite crap for resuscitation purposes. I had to insert another access on her other hand which position was awkward for me.Dah la draped kan..

" Pernah tengok Dr. insert branula backhand tak ? " i asked the GA nurse. She looked confused. haks..

I managed to do it anyway ! haks..in the most awkward and freestyle fashion ! haks.. But it was a good line.. Managed to catch up on fluids but she was in a lot of pain ! My morphine was already maximum so pakai wonder drug ahh.. ketarolac !! haks.. and yes.. it worked so well that when she woke up she was pain free !! ( considering the long transverse incision made by the surgeons.. ) They took of the omentum and the abdomen was bare ! The liver was exposed.. damn man ! They managed to close the abdomen with a mesh inserted. But my guess is she'd doomed to get incisional hernia sooner or later...

I'll be doing the neurosurgery list for 2 consecutive days before my FIRST Neuro call on Saturday.Belasah jer la.. A bit scary though .. haks.. but its my next step towards completing my anaes training.

p/s macam Jedi la pulak..