Friday 24 April 2015

Clerkship 1st part

Have you ever heard of Clerkship?
Clerskhip...
It means the  practice of medicine by medical students
finally you actually feel like a medical student..
In CMC,
" Clerks" (i mean that is what they adressed us ) usually is a third year medical student..
one thing i like about it, no lectures.no slides.no books...
Just work...just you and your patients.. 
nothing else

 I finished up my Surgery Clerkship a while back 
and thought it was about time I gave you guys a peek into the daily life of a medical student 
rotating through surgery!
 I was a little terrified going in,
 but the residents all mostly turned out to be very down to earth (hard-working and busy, but down to earth) and helpful.




The clerkship :


1. about 3 weeks in HPB surgery...
 2. overnight calls --- – Basically arrive at the hospital around 7am as per                                                                                   usual and leave the next day around evening .

Daily Routine :
  • Usually arrive around 7am and round on your patients, be ready for morning checkout by 9:00am.
  • Morning Checkout: Goes through all the patients admitted overnight and ensures all surgeries for the day are scheduled and covered by registrars and consultants
  • The rest of the day : wards/OT / radiology meeting / transplant meeting/ grand rounds /casualty.
  • Typically hostel between 8pm and 10pm, depending on how busy they are.
  • scrubbing into surgeries..thats the fun part.. I somehow managed to do a lot.
  • Holding a cautery was the first time.

What I Like :
  1. Working With My Hands: This field is centered greatly around the use of tactile skills. I liked that we were always doing something like taking out drains, central lines, peripheral lines, blood samples, blood culture, write history, etc.
  2. Night Call: I did not expect to love trauma call, but it was so fun! There’s something exciting about being able to immediately solve an awful problem with your own two hands (and by “own two hands” I mean…other people’s hands…because let’s be honest, my hands don’t solve anything other than follow behind the registrars. I love the peace and calm night in the hospital
  3.  LAPARASCOPIC CHOLECYSTECTOMY - In HPB , you just cannot prevent theses surgeries because most of the patients come with gall stones in the gall bladder or in the CBD..Man.i am kind of expert in that now, not manually, but description of each steps.
  4. The staffs --They were really helpful and willing to teach us. and we went for a dinner too.
  5. Connection with patients-- though sometimes language was a problem for me , but it never stop me from going to talk to them, I mean they have so many stories behind them, sometimes they just need someone to LISTEN to them.

What I Dislike :
  1. Constantly Standing In One Place: Some surgeries are LONG – standing in one place for few hours surgeries on a regular basis makes me kinda exhausted.   I just don’t have the stamina for that.
  2. Variety: Too less variety because its a speciality department..
  3. Lack of Relationships: Except in very rare circumstances, these doctors are (rightly) not focused on getting to know their patients or developing long-term relationships with them. I mean cant blame them bacause there's no time at all..especially in OPD..one patient after another.

Overall, I really enjoyed my surgery posting..
.I never thought surgery is so interesting until clerkship.
Now i might actually consider of becoming a surgeon....
I want to thank God especially that He led me through this period because music comp was happening at the same time...so intense and stressful..

next destination = Medicine department ..we 'll see how it is...

Never regret to come here...

CHEERS =D




1 John 3:2 “Beloved, now we are children of God; and it has not yet been revealed what we shall be, but we know that when He is revealed, we shall be like Him, for we shall see Him as He is.”










Saturday 27 September 2014

God's blessings

Sabbath morning..suddenly I realised something...that...
God has blessed me so much..
Trying to count his blessings..
but it is definitely uncountable....

Life is good when everything is smooth for us...
but what if its not...
what do u hold onto
to help you....
Thats very important...

There's a few things I really want to thank God...

I thank Him ,
for guiding me for past 2.5 years
I thank Him ,
For molding me into a better vessel through painful experience
I thank Him,
for giving me some loving people around me
I thank Him,
for teaching me to put His will before my own Desires
I thank Him,
I was able to open my heart to another person after.4 years..
I thank Him,
For the loss of a wonderful friend
I thank Him,
that I am a stronger person now...
I want to thank Him,
He loved me even at my darkest hour...

one of my friend said: can I cry on the lap of Jesus till my pain goes away??
Me :You can.....but why cry when you have the chance to be a blessing to the people around you.??

You know what..I tell you...You can be a girl that people will look up to..and say : She is a girl after God's own heart....and God will bless her so much..just like how He promised in the bible :I came to bless you more abundantly...




"From the rising of the sun to the going down of the same the Lord's name is to be praised."psalm 113:3

Happy Sabbath..its a great day to serve the Lord

Have a blessed day ..all my.loved ones:)



Tuesday 2 September 2014

hello september

SEPTEMBER...
ohhh  wake me up when september ends..
FEELING nostalgic ..
Well..its been a few months since i wrote a post...

Let me update myself..
I AM now in second year medical school..
I cant believe ...its soo fast...
I am halfway through


Second year is soo much tougher..i lost my interest in learning..
I dont know why...but tats bad..:)


Well...i became senior of two batches...
U know..i am glad that Justin came...
HE IS SUCH A TALENTED PERSON..
May God use him fully...


I AM GOING TO JINA"S PLACE ---NAGERCOIL...IN FEW DAYS...
i heard its a beautiful place..

Its time to take a break after months of working..
......

And yea..I am happy:)
Dont worry ..





Tuesday 14 May 2013

I+R+O+N M+A+N

Finally..
.Mom decided that we ll watch Iron Man tonight...
I 've heard some good feedback from my friends...
was excited 
M
who knows...i fell asleep...such a pigggg....
lol..then at 7 o clock...mom came into my room. YVONNE!! wake up...we are leaving..
I think i woke up and answered : OHHHHH...ok...!!!
then i fell backwards to my soft beddddd...
I remembered she came a few times...
Then she gave up...
after that my brother came and say : Jie.....wake up..we 're going to b late...
I say wait.let me sleep for 5 minutes..;p
..i have no idea why i was so tired..my mind wanted to wake up...but my physical won..
then end up at 7.30..i woke up..10 minutes before the movie started...
I think : Oh Gosh..they are going to kill me..they 'll miss the movie..
i woke up..didnt change...just look into mirror to comb my hair..then grab my bag and run....
my mom was scolding : no need to watch...u r sooo late..
I was feeling so guilty...
if i ruined it...i ll feel so bad...i think..
in my heart i prayed : God ..hope that we can reached on time....
once we reached..i rus


The show is just awesome...
He is tooo handsome mannn...
So much action...
But touching part was when he is willing to give up to be iron man just because of his girlfriend...
=)..
nice movie....


It is 12 now...
14th MAY..
My DEAR BROTHER's birthday...
i can't believe he is 17 now...
thanks for being my companion for the past 17 years.,..
life would be so boring without you....
=)
I hope tat u will grow more mature...
Be the second man...in our family...
May god bless you...
i wont say this in front of u..
BUT I love u bro....
;p

In the toilet while waiting for mom...so jobless...i can only do this kind of things in malaysia..

My dear sister before going into the theater=)...







Tommorow will go out with " APPLE"
looking forward to that
BTW
received someone miss call tonight...
I don't intend to avoid your call...
I want u to understand...If you are reading this..
I dont want to hurt anyone...
please put yourself in my shoes...
and understand it...
=)


FOR IN THE DAY OF TROUBLE HE  WILL KEEP ME SAFE IN HIS DWELLING, HE WILL HIDE ME IN THE SHELTER OF HIS TABERNACLE AND SET ME HIGH UPON A ROCK " 
Psalms 27 : 5

What a great promise God has given to me...







Monday 13 May 2013

Weakness

I know..
sometimes its just hard to explain..
or don't even need to explain..
people dont have open minded like you...
they won't understand....

Perhaps...
should just keep quiet

Sunday 12 May 2013

MOMMY's Day

                                                                        You know..
I am thankful for the day
for 21 years I think
 I never miss any mother's day!!
THis year i did not buy anything for her..
however...whole day i was with her
Morning we went to have breakfast...
" LUI CHA"
Funny name for the food...greeny thingy..
I used to hate it soo much when i was small..now i like it..
even missed it when i was in India.

1PM
 went to market to buy ingredients..

thought that tonight i will show off my cooking SKILL..;p

Malaysia's market is soo nice..you can find anything you want here...
Green vegetables everywhere..white & smooth tofu which i 've been craving for..
Finally done with shopping...
bought so many things ..
KInd of excited that i am going to cook all of them.

Life is always drag by something else...
my plan just interrupted..
we went to shopping while waiting for my brother to finish his class( i mean tuition )
IPOH PARADE..
nice shopping mall..
we went there..so coincidence...there was competition for " BEauty MAMA''
12 mothers got into final...
its so nice to look at them..although they might not looking as young..as beautiful..as good as young people when they try to perform .
such as dancing..singing...
but i think their hands are the most beautiful one..
because they work and take care of the family...


Mother is the most wonderful women  in the world

We were sitting there to watch this contest..
a few judges were there....
they are really talented and brave..
the oldest one - 57 yrs old...
Really salute her...courage ...braveness...

Story till here..
I was suppose to get back earlier to start cooking...
end up we reached home only at 5pm...
then I immediately took another car to AEON with my brother..
wanted to buy pasta sauce...
thought we wont get any parking slot..because everyone will be in the Mall due to this special day..
But thank God..i am so lucky that i found a good slot as soon as i took my parking ticket..
haha..my parking skill still not tat bad...hehe..:p
within half an hour..we were done with shopping..bought extra thingy as well

5.40 pm
Start .....
lol...I don't allow my mom to enter kitchen..but she got so worried..so i allowed her to observe..
hahaha..but obviously she helped a little...
So my sister, brother & I were going to accomplish our mission..
Who look more professional??look at the next pic...hahaha...it was so hot...hmm..look tasty thou..

Asked u not to come into kitchen..still u want to..this is MOMMY..they tend to worry too much.;p

HMM...guess we cook too much,,so we asked aunty and grandma to come over...thank God they came to help out 

we have pianist playing piano in between..my brother and me switch to play...help them in digestion
Pasta///guess...i cook too much

LOVE THIS

FRied TOFUu..SWEETTT

The best according to me....;p..proud of myself..

Siblings & cousin...younger generation

Happy mothers day to mommy .ah yi..& po po

Family...I LOVE YOU GUYS ...soo much..MUaCkz....<3 br="">

Had an awesome day..although its quite tiring..
But i thank God for such an awesome & sweet mom
to take care of us..
without you..nurturing
ur mumbling
ur scolding
everything...
i dont think i ll be myself today..
MOMMY>..we love you..

Happy MOthers Day to all the mommy in this world..
May God bless you...









Monday 11 February 2013

BORED

I am sitting in library...
VITAMINS,,,,  HEME SYNTHESIS>.
why nowadays I became so lazy..
no interest in Biochemistry.................
How to cultivate???
really have to do ssomething
STRESS BUT RELAX at the same time...
haiz............
GOd pls help me to study
=)

Friday 4 January 2013

RELATIONSHIPS

Recently heard about lots of stories..friends broke up..
You know..
relationships ..i mean Boy- girl relationships.
are really complicated
I don't understand..how can a person like a person soo much 
until you r willing to do everything for her...
then suddenly u said you have no feeling anymore..
so BROKE UP...
Even LOve marriage
U fell in love..two people decided to get marry and build a family
Then end up divorcing.
after few years..
you said: YOU can't get along with each other...we does'nt suit for each other..
THAT'd does'nt make sense at all 
marriages that are commenced through Western dating have the same divorce rate as America — over 50%
SURPRISINGLY

I read a book titiled" I KISSED DATING GOODBYE"
its written by PASTOR Joshua Harris
It's a book about how to handle relationships which is right in the eye of God...
One of the passage said:when I stopped worrying about whom I was going to marry and began trusting God's timing, I uncovered the incredible potential of serving God as a single.
It's a pretty inspired line..

You have to put God in your relationships..
That's should be a christian way in relationship..
when dating is controlled by God’s love, it will be radically different from the relationships around us.
It will want to protect that person's purity as well as from evil and harm because it pleases God
 
1 John 4: 11 - Dear friends, since God so loved us, we also ought to love one another.

GOD DESIGN MARRIAGE FOR US ..

Remember the wedding vows read: To love and cherish till Death do us part NOT till Divorce do us part! 

HOW DO YOU KNOW HE/ SHE IS THE RIGHT PERSON..??

You need to ask first whether you are the right person.
Does this person share the same faith and love for God?
Check to see if your parents approve of the person and seek the counsel of godly people for insights you may not have.
Do you feel peace and joy  from knowing that person

Marks of true love:


It waits for the right time and the right circumstances.
It has its roots in friendship.
It brings out the best in  the other person.
It has commitment and is respectful of the other

wondering why sudenly this post came into my mind...lol.....


Thursday 3 January 2013

21 21 21

21.. 21 ,...21...
dont think wrongly 
this is not the 3 measurements of my body...
BUT
CONGRATULATIONS to myself..
i am entering the 21st year of my life...
Can't believe..
Can't accept..
I used to be 17, 18 .19...
21..used to be very far for me..
anyway..have to accept the fact..
I have grown up..
There are some facts which i need to accept..

Fact 1: when people ask about your age..u ll feel shy to tell.
when i was 19..i can straight away tell my age...feel so proud somemore..

Fact 2: people will ask u whether u have boyfriend at this age..
then if u say : Nooo..
They will ask: why??must have...there must be some guys interested in you..
=_+

Fact 3: you cant act like a kiddd anymore....people will thought that u r so immature
so i cn only act like a kid in front of my parents..
Mushyy mushhyyy with them

Fact 4: You have lots to think about your future..
sometimes i can go into daydreaming when I was doing some work.
a lot of factors to consider

BUT THE GOOD NEWS IS>>
people still think that i am below 20...hahaha...
thank God for giving me a young face..


But i think the most important is u should have a young heart..:p


in 2013...
hope i can make a bit difference..
hope is always there..
hope i can achieve at least one of my new year resolutions....

I want to become a good doctor who will always be there for my patients..
I want to be a good friends of everyone..
I want to be the humble servant of God..
Lord use me as you will...
=)

Saw this on net today.
“Piglet sidled up to Pooh from behind. "Pooh?" he whispered.
"Yes, Piglet?"
"Nothing," said Piglet, taking Pooh's hand. "I just wanted to be sure of you.” 













I AM HIV+...will you hug me??

I am right here in CMC..
sitting here alone...
reading through my friend's BLOG
found this is very meaningful..
recently they have this program in their UNI..
I AM HIV+..WILL YOU HUG ME??
this is to create awareness...on the WORLD AIDS DAY...



GOOD JOB SIEN!!!
you have been working so hard for this...
i love the song-THE THEME SONG composed among the medical students..
Lyrics:
Verse 1
Can you imagine
Life goes on but it drags you back
Don't have the strength to get out of my bed
Tomorrow seems so far

What if the sun feels like will never rise again
What you see are the worried face(s) of them
There is no hope to cling on

Pre- chorus
That's why we are here
Each with little action
So that we can turn the things around
Let's carry them home~

Chorus
Hold the key in our heart, we'll stay strong
Stand the cold night we'll reach the morning
Hand in hand, going step by step, bear in mind
Now when life begin

Live the dream in your mind, we'll fly high
Walk through the rain we'll see the sunlight
(That) we waiting for
We will decide that it's forever
Just fight on with (the) gut we got

Verse 2
Echoes were heard In the chamber of silence
(As it) left no one else
Talk only to the air
Aching and lying solely

Kicked in the face
Not by (the) pain or sickness itself
But by the distrusting eyes
That pushes faith behind
Now care is the thing (that you long for)

Pre- chorus
That's why we are here
Each with little action
So that we can turn the things around
Let's carry them home~

We will hold you, hug you, share with you and be your friend , we love it
We will hold you, hug you, share with you and be your friend , we love it

Live the dream in your mind, we'll fly high
Walk through the rain we'll see the sunlight
(That) we waiting for
We will decide that it's forever
Just fight on with (the) gut we got

Chorus
Hold the key in our heart, we'll stay strong
Stand the cold night we'll reach the morning
Hand in hand ,Going step by step, bear in mind
Now when life begin

Live the dream in your mind, we'll fly high
Walk through the rain we'll see the sunlight
(That) we waiting for
We will decide that it's forever
Just fight on with (the) gut we got

P/s ..sorry sien..dont mean to copy ur song...haha.dont mind ya...