is turning from blue to brown and damp

Saturday, November 26, 2005

rain and diarrhoea

today is a cold and rainy day. So nice to sleep. Altogether i took about 3 naps and night is not even here yet! Kept getting woken up by the colicky abdominal pain. Kind of reminded me of that day.

It was also raining and i was having pain and diarrhoea. It was very dark and shu fu, but i wasn't able to sleep cos needed to go to the loo ever so often. It was as though i was shitting pee. Just loose watery diarrhoea without any formed stools. The comforting words i got were," so poor thing." and got a hug.

Today i was told by my sister not to vomit onto her bed. So nice.

Thursday, November 24, 2005

shut up. Just shut up.
shut up. Just shut up.

catchy tune

Wednesday, November 23, 2005

the medical marathon

this whole journey is like a race.

In the beginning, when everyone was at the starting line, we were all excited and ready to run the race. Everybody thinks that they are the best and has the stamina.

The beginning of the journey was tough. Struggling with every single new word and phrase. But it got easier with time. Slowly, we started building momentum and sometimes even get a high from the new experiences and knowledge. Sometimes, the going gets tough and we wonder why we're doing this. But everyday we are getting nearer to the finish line, each step is a constant struggle, but step by step, we'll get there.

Some will drop out because of the hard work, some will drop out because of injury. But most of us will hang on because we're in the middle already.
Just because.

It is nearing the end of the race. After a long hard fight, the finish line is almost here. Now is the time for the final sprint. Those we trained hard previously will be able to last till the end, those who didn't will still reach there, but with lots of hard work and perseverance.

It doesn't matter if we finish first or last. As long as we crossed the finish line, no matter how long we take, as long as we get there.

Wednesday, November 16, 2005

d.e.a.t.h.

I've encountered a few deaths in my short career as a medical student. I remember the first time was during my first posting. I walked into a room full of people but everybody was very quiet except for the, "one and two and three and....clear....". i was quite stunned then, didn't have any role to play in the resuscitation but i still felt quite useless standing there.

i met a lady during my posting at A&E. She's quite young, probably 30+ years old, with a history of heart disease and has a pacemaker/ defibrillator. She came into the A&E very sick. As the staff were busy resuscitating her with cpr, defibrillator etc, she suddenly defibrillated herself with her own defib. Despite all our efforts and her own defibrillator, she still didn't make it.

Yesterday a patient died in the ward. He was quite young too, probably 50+. The strange thing was during the ward rounds in the morning, the doctors were discussing what to write as the cause of death in case he dies. I thought that was very depressing but i know it's necessary. There is no point waiting until death itself then rush to find a diagnosis. The relatives will be very upset because they will want to know the cause. Once during night call and there was a very sick patient in the ward, the doctor-in-charge of the case was telling the doctor-on-call that in the event that the patient dies, everything was written in the case notes and he just has to follow everything in the notes. I don't know if the patient survived the night. Always be prepared i guess.

Today i found out a patient i saw a few weeks ago died recently. He was a nice guy, i remember him even though i only saw him for a little while.

Today, just before the day ended, another patient died. It was quite unexpected as he seemed quite well this morning. Ok, not well as in walking around-talking-and-laughing kind of well, well as in not febrile, does not seem to be too sick. He was bed-bound with multiple contractures and speaks only malay. Everyday when i have to draw blood from him, i'll ask him with my limited malay," apar kabar?" (dunnoe how to spell, sorry) and he always says baik.

don't get the wrong idea that people drop dead all the time in the hospital. More people die in the hospital than anywhere else because people are sicker there. But there are many more patients who recover well and go home.

i guess the moral of the story is you don't know when you are going to die. Anyone might die anytime due to some freak accident so, we must live life to the fullest. Even though everyday is so busy and there're always so many things to do, stop and take time to smell the roses. Look at the colour of the sky. Taste the sweetness of the ice-cream. Feel the soft and nice smelling pillow.

life is not THAT bad.

Friday, November 04, 2005

moral education

just watched the most recent episode of survivor. i had high hopes for the blond guy with curly hair and the blond girl. Both of them thought that jaime (the guy with the big mouth and no class) should go, both thought that they should follow their heart but yet when it's time to vote, the million bucks blinded them. Of course one million dollars is a lot of money, after taking away tax, after paying off your loans, you won't even have enough to buy a decent house (at least in singapore). So disappointing! Like the girl said, you can eat when you get home but you won't have another chance to do what you're doing in survivor. Similarly, you can earn the money from your 5-minutes of fame when you go back home but you can't undo what you've done, especially not if you did it in front of national televisioN!! I know survivor is not a game about morals, that's why richard hatch won, but at least you can still leave the game with your head held high.

Here's one good moral i learnt from my moral education class.

PICK UP YOUR LITTER!