Sunday, February 13, 2011
“autie,你有hepatitis C?" Hepatitis C 都会令人联想到瘾君子妓女。。
一般人多無症狀，需要經過驗血才能確定，感染 C型肝炎時的症狀和B型肝炎類似，然而有六成五左右的患者會 導致慢性 C型肝炎，造成肝功能 (GOT、GPT) 異常，肝臟壞死。部份人會有全身無力、食慾不振、疲倦、噁心、嘔吐等症狀。若不幸發展到肝硬化末期，可能會有倦怠、黃疸 (皮膚和眼白均呈黃色，尿液呈茶褐色)、腹水、水腫的症狀出現。而肝癌末期時則可能會有體重減輕、食慾不振、腹瀉、黃疸
涂鸦by no name at 1:08 AM
Friday, November 6, 2009
going back to the ward round life...it's sucks
need to wake up in the morning , do rounds, wait for specialist to round, do ward work, clerk new case and pretend to be humble to SN though i'm damn humble and polite....what a stupid life..
somemore some weirdo implemented some weird rules which treat us like immature kids...
alot of cunning people using their tongue to twist and nid perfect lies accusing others just to cover their ass and never repent themselves...
wish their tongue necrotic in one days or fibrosed their vocal cord..hahha
new batch HOs act like they are damn hardworking but actually they are inefficient as they spend more time but just to complete a minor thing
amazingly shock about this department, may be it's due to medicolegal stuff
and i also learn many things from these rotten sickening humankind so that i wont be the same
mirrors shd be hanged in their clinics or wards so that they can look into their ugly face and weak points and make some improvents rather than using their power/rank just to cover their ass / as a show off to their subordinates which really embarrasing us as a doctors.
just wish time flies and i learn the most and then leave this department fast...
Saturday, October 3, 2009
Sunday, August 9, 2009
my sis is getting married end of this year or next year...it's my younger sis :(
while i still alone, never have a lover and neither being dated...
i tin it's a revenge as i rejected once before...and now i'm the one being rejected...
why i'm always being ignored? why i'm always best friend of other gals' bf?
am i too bad?or too boyish?or losing my feminism?
and why i always being so insensitive?
why ppl's bf always say ,"u din giv me a chance also, how am i going after u?" but actually they did nothing at all?i just tin that they r just bluffing~
sometimes, felt depressed especially driving back home alone in the dark midnight~
may be i'm destined to be single in my life...
Friday, August 7, 2009
Good ETD MOs in my hospital left only 3: Dr S, Dr Az(pregnant) and Dr Anz(pregnant)...others(not pregnant) suck~
as a HO, u r destined to be bullied~
working at ETD is the worst among all the posting but u r rewarded with a personal life..haih got pros and its cons :(
i really hate working the night shift with those MOs that just exploit HOs to the maximum!!
previously i thought laziness gene is inherited in the same race but actually is not at all..i finally met a very very lazy MO in this hospital, DR A.K !
that night, he asked me to cover the yellow zone while my HO fren and i tried to clear up the long queue in the green zone so that all of us can take rest earlier before any nightmare comes..
shockingly,there was just 2 pts in the yellow zone and he just sat that playing the computer game and expecting me to clerk those pts which he could just handle them within 5 mins but he just refused to do it~
"dump ur fren in green zone lar..let her settle..u can rest here in yellow zone,"he said in grin when i finished settling the 2 pts and wanted to help my fren in green zone.???why got such lazy dr??ignore him~he just continued playing his game..
i continued clerking green zone pts in yellow zone while there was no yellow zone's pt.
pts started pouring in the ETD in the different zones when night came~
" come to red zone help me, there are 4 pts~" he ran to yellow zone,asking me for help~WTF??!!the 4 pts in red zone, 2 of them were from yellow zone which i already settle all the clerking and investigations~what he needed to do is just to pass over to the speciality MO oncall..this he also needs my help?
so who's going to handle the yellow zone which 6 beds was filled up continuously?
the answer definitely is Me again~
i ignored him as i was buzy handling the yellow zone~
he also pretended to be bz in red zone~
after he settled his red zone, he just sat at the counter of yellow zone playing his game and surfing his internet and ignored Me alone bz clerking pts in yellow zone~
whenever a new pt entered yellow zone, he will run away or go to observation zone to settle those stable pts..
the whole night, me and my fren worked like zombie,finally cleared up all ETD pts at 4am and what my MOs did in the night...nothing compared to us~
i settled all the yellow zones pt in that night
my fren settle all the green zones pt~
that night red zones pt is 2 only~which were handled by my dear MOs
1 pt presented with drowsy and vomiting post fall at home, reached yellow zone while i was buzy with another pt..this Dr A.K asked the staff nurse to put drip and give IV maxolon to stable the pt and continued playing his game~
" i go to bath okay~that vomiting indian lady i havent clerked yet~u just go and clerk her okay~anythg just call my hp," he ordered me when he saw me finished settling the pt..oh gosh, i tot he already clerked that pt and ordered the neccessary investigations..what the hell he wanted to bathe in 3am??he just took HO as granted~
when i saw that pt, it was so obviously pt had a stroke and BP was damn high which might be a hemorhagic stroke and this DR A.K just reluctant to see the pt which he could just have ordered a emergency CT brain immediately and the result would be available long time ago~
when he came back rom his bath, i presented the case and the CT brain result and my plan of management. he said,"all the pts are urs~what u decided to do is up to u~just write there seen by me.."huh!!he was so irresponsible~
working with such Mos is sickening~
Dr E and Dr A, bosses of ETD alwayz complained HOs do nothing in casualty compared in wards..they allocates HOs to be in triage, procedure room and somemore OSCC~SN complaint HOs do not taking blood and setting line for pts in ETD and they wanted to boycott us fromm helping us~
i really hate those ETD settings..nobody knows how HOs life in casualty, other department HOs are jealous about our life here but they dont know that we are doing MA's, SN's, MO's jobs~
somomore those locum MOs who are paid RM 80 per hour asked us to cover them in green zone and the money is goin to their pockets~
i just cant bear with those ppl who are lazy~
u are entitled to have a rest when u settle ur job~u want to play game /sleep is up to u..i wont care..
y those MOs who are fathers and mothers already still so irresponsible about their work~wont they feel embarassed being a lousy MO which will be looked down by their HOs??they just being ignorance
i wont tolerate any laziness in work~pts' life is important and we are responsible to them as we are addressed as dr~
nvm~i'm awaiting for next mth oncall ~those lousy MOs will have their lousy HOs working cooperatively struggling thru the night call for next mth..
emergency posting is such a heaven gift to me as i finally have a personal life as a HO..
never thought that spending time with great friends is such enjoyable..
kinda regret those years back in uni i never had a chance to enjoy outing with my uni friends and appreaciate it~
may be i'm too lonely..
away from family, friends are the only source of moral support at workplace..
i learn how to appreciate friendship and how amazing life would be surrounded by all best friends aka colleagues which share the same ambitions and destinations..
hopefully we all will be great physicians or surgeons in future...
Monday, June 15, 2009
life as a HO alwaz sucks...
last night i worked night shift..my 2 MO's were sleeping in their dreams and i'm the one settle those admission..nowadays many psychiatric patient turned up in the early morning just to seek treatment for the symptoms already appeared for ages...what so emergency about it~i found out that the public really abusing the meaning of emergency !!!
1st case: baby presented with crystalline urine
i reassured the parents that it's just crystalline urine, nothing to worried about the kidney.the parents were not satisfied and somemore telling me that the baby seems to be pale after the "hematuria"(bloody urine) and yet the baby was active and pink in front of me..oh my goodness, nowadays parents seem to have munchausen's by proxy(parents creating symptoms for their baby just to get attention). when i said the baby is going to be admitted to ward, they was so happy..really stupid parents, never thought that their baby was extremely healthy now had to stay with those sick children in the ward..
2nd case: young lady in comatose state
20+yo young lady brought in "uncosncious" state ...reluctant to open her eyes even though i pressed hard on the sternum(to assess GCS level) and Dextrostix(capillary blood sugar) was normal..my experienced MO already know the spot diagnosis--post-hypoventilation, he made a small trick and the patient had to open her eyes even though how she had been faking doing it for the past few minutes. on further questioning, she had quarrel with her father and she forced herself to hyperventilate..gila patient!!!
3rd case: young man with gum pain
initially i thought of mumps but when i saw the patient walking in without painful facial expression, i found abit weird. i asked him to open his mouth and saw a big ulcer sitting at the gum there, i was in rage..why people thought doctor is so free to be a dentist?a gum ulcer ...pleaselah, u can apply bonjela cream and it should be common sense that this is not emergency case!!!throughout the consultation, i had to suppress my anger and told him what to treat the ulcer he had.
4th ..100th case: MC ...MC...MC
since medical student till now, i never had a chance to get MC even though i was having high grade fever with chills and rigors..
nowadays, people use MC as an excuse to getaway from work, school and many other unacceptable reason.. i can diagnose a patient whether he is coming for MC or really truly fall sick by just seeing the facial expression..
i had 1 patient ..he was complaining everywhere pain and yet there's no suggestive signs and symptoms and also lab results was normal..in the end, he said he want 3 days MC's..damn insulting.sorry for those seeking MC's patients,I'm very stingy in giving MC's as i'm still not well trained to write MC's even though i had struggling through 5 years medical study~
haih..kinda disappointed with the casualty department without filtering those unwanted so-called emergency stuff...