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TODAY when I decided to sleep at 4am before this, I saw the sky turned blue! #@%$^%$ I was kinda’ freak out as I know that seeing a blue sky means..

it’s getting nearer to the morning= it’s actually another day = I have 1 day less to prepare = stress!

Today, I needed something from my dad so I decided to call him. But the stupid Laos system doesn’t allow an international call to the mobile I guess. So I have to call up my mum in Malaysia and tell her to sms my dad (yea, my sms from Russia to Laos can’t be sent/received).

It is quite troublesome. And I called few times, waiting impatiently for my dad to reply her.

And after few calls, I decided to call home (Malaysia) one last time for today. If my dad still didn’t reply my mum, I would call again tomorrow.

And maybe this is some family tie in it or some blood wave transmission, my dad called my mum’s mobile just a minute after my mum picked up my call! I can imagine my mum putting the mobile to speaker mode and put it near to the house phone so that I can have a conversation with him.

But as you all know, radio wave and sound wave, it is impossible. I can hear him but can hardly distinguish what he is saying. In the end, my mum need to be the medium between my dad and me.

I just feel sad all of a sudden..

So near…. yet so far….

Geezz.. never thought my previous post can generate some comments, anyway, thanks for dropping by and leaving some trails on my blog -lah! Recently I had disabled the comments moderating options so that you all can see your comments straight away after you post it instead of waiting for me to online and approve them. Actually this has its own advantage and disadvantage, advantage is, I made my readers more ’syok’ (high) because you can see your comments straight away; disadvantage is that I am now vulnerable to all bad comments! So, please don’t tembak (criticize) me leaving me with thousands of holes, have mercy!!

Spring has come!!

During this time of the year, students like us will usually get a bit lazier as it is getting warmer! Don’t need to wear thick jackets anymore, girls come out with sexy short skirt, guys in short sleeves or shirtless. And usually this is the time that you don’t think about the coming final exam but plan one step ahead for your future - holidays!!!

I already have some stuffs in my mind, this summer holiday I will need to do my practicals in the Kluang hospital, and then learn how to use Wordpress, buy my own domain, start a dot com, learn how to swim professionally (I can swim but kinda not the correct way, it’s called the kampung style), gonna take my bro to McD for breakfast, visit my bro who started his class in TAR, accompany him to buy a computer, meet some friends and blablabla…

But, this is also the time when we are running out of stock!!! What do I mean??

!!!! Red Alert !!!! Ikan bilis cube out of stock! No more Milo and Horlicks! Kicap pekat is long gone since winter!! The dried chili that we brought from Msia is finished! No more udang kering!! No more TOMYAM CUBES!!! (yea.. we don’t have that here, stuffs that we brought from Msia is finishing in a very scary rate).

Well, today I’m in mood to teach you some Mandarin simpulan bahasa.

“????” hua4 bing3 chong1 ji1

Literally it means ‘drawing a biscuit to ease the hunger’. It is very easy to understand. Depends on how you think of it, it can be viewed as a very optimistic way of living, while it can also means that it is a useless action.

And this is what happened during my class today..

recipe in professional disease class!! we are running out of Malaysia’s material to cook, so I think this is just a way of satisfying our not suppressible cravings for good food! Warn you, the chinese recipe there is published by my classmate’s brother-in-law, showing all typical Malaysian chinese food!

there are no difference when you talk about food, guys or girls… grrrrr… I demand nasi lemak! Damn, the wikipedia’s picture for nasi lemak is so damn inviting..

Well.. you can’t see the others there because we have some other things to do! For example..

this is happening exactly opposite the 3 fellas who is busy reading those recipe books. I think you can clearly realize the advantage of getting a wife!

not close enough, you can’t see my anger in the photo.. but I’m sure you will feel what I feel by looking at the pic below… Super ZOOM!!

see? food comes before studies (book under the bread). I want my mum(she gives me money for food in exchange for my freedom. this is the stage that I can sell my freedom for good food back home, thus wanting her… if not.. errrr)!!!

That’s all folks! Just joking around -lah.. We study, we play, we EAT!

p/s : Imagine huimin just blogged this post the very moment I published this post! Grrrr.. I wanna go cook instant noodle now!!

I had a chance to see how IMU arrange their students’ posting timetable from TFTD’s blog and I kind of started to compare what they have and what we were offered here. Their new timetable basically shows that they have 4 to 7 weeks in various departments for the coming semesters. It is something like our cycles here, except that our cycles are in a shorter time span, lasting from a week to 2 weeks..

It is true that maybe duration wise, we have less exposure and less chances but when I try to analyze it more, I came to realize that actually the chances are always there..

I’m pretty interested in Surgery, so I asked for the permission to stay after class to observe - permission granted. My friend wants to learn more about pediatrics and asked the department to assign him to a doctor during after class period on every friday - permission granted. We wanted to know how it feels to be a paramedic, travel to people’s house to see and observe extreme cases - permission granted. My friend wanted to experience a paramedic’s on-call time at night - permission granted (he got to hunt and pick up some fella’s hand which was not attached on him, in some drain).

Chances are always there. How many times you had sit inside the classroom and refuse to go to talk to your patients? How many times when a teacher offer you a chance to see something but you decline it? How many times you go home first and refuse to spent an hour or 2 to observe something that you don’t see during classes?

All we need to do is ask. Maybe get scolded by the Russians but hell just do a face as if you don’t understand their words..

And I remembered a post written by palmdoc in MMR about those new housemen that graduated from Ukraine that said that they don’t have O&G professor there and so they have lack of exposure, I seriously doubt it. They didn’t give in any effort and got to blame it on the university? Plus I think Crimea State university certainly has a lot of professors. Maybe the housemen are so ignorant that they don’t even know the professors. Maybe they can’t even identify a hospital from a flat.. -_-’

I would think twice if in the future I’m blamed or criticize for not knowing anything. Until now, I think saying ‘I don’t know’ is certainly better than putting the blames on some other people. Anyway, to avoid that, I better make sure I know more now..

This is the rocker oncology teacher who likes to ask what wish that we have (if you read my previous post). Seeing this picture it makes me remember the good time studying under him but at the same time remind me of my badly done MCQ. Arghh.. Anyway, I know it is not really good to idolize a teacher or somebody too much but I think he is cool, I should learn from him! But I think my muscles will surely not be as big as his. Haih… Lol.. for those that never meet me in person, you know which one is me or not?

Was chatting with h2m just now and recalled some of the stupid things I did when I was in 3rd med year doing my elective posting in HUKM. It was my first time doing a posting and of course I’m all nervous. Allow me to recapture some of the moments which I think is worthy for a laugh (at the same time showing how stupid I was last time).

First day of the posting, I was in a new shirt, a pair of black pants and leather shoes. I think that is the most formal look I can manage since 3 years here. Had been wearing jeans and sneakers all the time here, even now! ( Danny was in t-shirt and jeans, even worse) And I think I was safe…

me : Good morning doctor.
doc : Good morning… where are you from?
me : (wondering should I answer where I study or where I live)… Johor.
doc : No, I was asking where you study?
me : Oh.. (sweating..).. in Russia.
doc : Where is your tie?
me : … (kept quiet)
doc : Doctors in Russia don’t wear tie? Don’t you know that you need to wear tie here?
me : …. No..
doc : Well, you are not in Russia now, you should know that.
me : Yes, sir.. (sweat)

Later that day, another doctor..

doc : Ok, so you can see, these are the SLE patient. Do you know what is SLE?
me : Err..
(I haven’t study that before, well, different syllabus laa that time, the thing is I know it now ok!)
doc : Disease name is same everywhere wat.. What they call SLE in Russia?
me : (tembak only laa. since I was in the nephrology ward so I decided to tembak this one)
me : ???????? ??????????????? (yea I said in russian, and it actually means renal failure)
doc : (Looking at me in a way that I dunno how to explain to you here) It’s systemic lupus erythematosus.
me : Errr.. ok ok..
doc : What is the clinical sign? (We were in front of the patient)
me : Errr… (looking at the patient).. Got rashes, bone deformity, errr.. renal problem?
doc : (Showing me the rash) What is this called?
me : (Looking at it so closely.. think for almost a minute) Purpura?
doc : (Looking at me) You better go back and study.
me : (Sweat)…

Later on, yet another doctor, in front of an old woman with end-stage renal failure.

me : (just to strike up a conversation) Errr.. Doctor, what is the treatment for end-stage renal failure since it is already end stage?
doc : What do you think is the treatment for end-stage renal failure?
me : Err.. Kidney transplant?
doc : Do you think an old woman like her is going to accept the transplant without a problem?
me : No.
doc : So why should kidney transplant be your first answer?
me : Err.. dialysis?
doc : (Walked away)

she didn’t answer my question anyway.. -_-’

Above mentioned was some 2 years ago lah.. just for a laugh.. I think I need to clarify that today I know what is SLE. The fact that I went for that posting helps me to be a better student. You can laugh as long as you want but don’t be too long, if not I’m going to overtake you, anytime soon.

Finally I broke the 1000 blog hits barrier! I never thought I would make it this far but one thing about blogging is sometimes you just run out of things to say, and I guess that’s the reason why people stop blogging after sometime.

I started my surgery cycle yesterday. And from the look of the teacher, I kinda have the idea that this is going to be an ultimate disaster.

First of all, it is a class which my group need to be joined with another group, making up a number of around 15 people. I wouldn’t say that my group consist of people who is very quiet but at least most of my groupmates know that we are here to study and do some good in the future. The other group in the other hand, consist of people (all guys) who wanna get a better price (wedding time) when they get married by saying that they are doctors! They are people who:

• come to class at 10.30am when the class starts at 8.30am and ends at 12pm
• think that it is ok to be late?? (what is this?)
• make noise talking to each other loudly even when the teacher is in.

I am dealing with people who is almost 10 decades less civilized than me! Don’t worry, they are not Malaysians, I think if they are, some of us would already punch them to the floor. It is THAT geram! It had been 5 years and nothing changed (yea, we were with them for this long, occasionally when the groups need to be joined).

When they refuse to do anything, changes actually took part on our side. We tried so many ways! At first we told them to keep their voice down during break as some of us want to study, it failed. And when we developed tolerance to that, we told them they just need to keep their voice down when the teacher is here, it failed. And just during Oncology cycle not long ago, we told them to try not to be late as we need to wait for them to start the class, it failed. We tried talking in English and in Russian but it yields the same result. We tried talking to them nicely and even sometimes emotionally but they are just the same. We are not trying to change them, we just want them to respect the class and respect us and try to be blardy considerate but they are just deaf.. In return, we are the one who developed the tolerance to all the noise and mischiefs.

Grrr.. And then we complained to the Dean and asked not to be group up together with them but nothing happens. We are just on our own.

I wonder any good come from this when we are so patient. Maybe it means that we are already trained to be able to concentrate in our books with the Tamil music is playing in the background and unknown language in the air? (yea. you know where they come from now)

If only those concentration skill I mentioned is true, then I wouldn’t mind.

Ridiculous. Really ridiculous.

Secondly, I can almost sense the laziness in the teacher the moment I see him. He doesn’t say anything when these people are late. It is a bad sign! It means he doesn’t care.. When we are together with them, we prefer teacher who would shout at us, so that they got lotsa scoldings and I would be happy, shouting yahooo deep down. I’m not cruel or wicked or anything but I think sometimes I just need some of those to be balance! It makes me feel that there is still justice in this world. Lol. I know it is not their job to be strict to us as we are all adults but in our case I think it is really necessary so that the students who wanna learn will be saved.

Such a long post. Even after I click this publish button, tomorrow it will be the same thing and I’m going to face them again. And I already get use to this and it is ok, because one day, they will know that they are just wasting away the best time of their lives. Duh~

before i start saying anything here.. allow me to share my happiness.. MUAHAHAHHA!!! Dr. Jimbo commented on my blog!!!!!!!!!!!!!! KAKA… it’s like getting a sign from a HOLLYWOOD STAR… muahaha.. maybe more than that.. Lol!

anyway, back to my post here. just got back from the hospital actually.. kinda wanna blog this down fast since i still can remember some details.. i stayed over after class today to watch a Ivor Lewis esophagogastrectomy for a patient with esophageal carcinoma. (this is my wish to my teacher.. er.. the surgery, not the disease…) and today my friend and i (only both of us), observed the whole operation which lasted some 4 hours..

:: just to summarize the operation, it started with a midline abdominal incision, reach the abdomen, mobilize the stomach and after stitching up the abdomen, the patient was turn sideways, a posterior lateral right thoracotomy is performed, the right lung is then deflated (this is done by the anaesthesiologist who intubated the patient with a 2 opening probe), mobilized the esophagus along the mediastinum and the part with the carcinoma is then dissected and a side-to-end esophagogastric anastomosis is done. ::

well.. the surgeons were nice to show us a lot of things..

• they actually move aside from time to time to allow us to have a look at it closely (as the mediastinum is quite deep from the thorax when viewed from the side).
• they talk to us all the time, asking questions, answering questions.. luckily i read about this stuffs before i enter…
• my teacher came to supervise us for a while, reminding the surgeon to explain and let us observe closer, and he asked for any other wishes as well.. muahaha..
• one of them was so proud to show us v. azygos…..
• one of them keep on flirting with the nurses, while the other is scolding him not to make too much noise.. but basically the atmosphere is just nice. not too tense, and it gives me more courage to ask questions.
• haiya.. it is good because when they ask, i can answer.. tats why i feel good lorrr.

even the anaethesiologist is good…

• he show me how to intubate the patient.. dah laa of course i never intubate a real person before but it is nice to learn from the Pro laa, and he even taught me how to turn the 2 opening punyer probe and some basic anaethesiology.
• i saw the ‘white stuff’ featured in amateurs transplant song ‘anaethesist hymn’. and it is actually called a Diprivan® (Propofol) Injectable Emulsion, used to induce a general anesthesia (sorry for being ignorant.. i kinda feel tat i should have know this much more earlier)..
• he is responsible, he was there all the time..
• he let me stand at the place that he is suppose to stand.. muahaha..

actually mayb all these are not really big deal.. but when i compare this to my surgical department… haih.. this is already BIG DIFFERENCE.. maybe wat students need is just initiative n the will to learn, maybe we didn’t show our surgery department’s teacher how ‘eager’ we r?? i’ll try to ask my surgery teacher to let me assist in some minor operation n let’s see whether she will allow it or not..

so, by the end of the day, all i feel is, i need to study harder! mayb next time when i got to do my own ivor lewis, i’ll think of this bunch of doctors again..

p/s.. sorry for a post with so much words! will post up something more colourful next time.. have a nice day!

i had started my oncology cycle for a week already.. and this is what i think about this department:

1. was surprised by the amount of oncologist working here.. this whole 8 stories building is only for onco patients.
2. the doctors are kinda cool, the head of department goes into the operation room with colourful bandanna. (yep, just like grey’s anatomy)
3. and the prof is really cool… young and energetic..
4. aiya.. everything there is just so cool…

and after 1 week with my teacher.. i think he is oso cool.. lolz.. these are the reasons..

1. he scolds the other teachers for know showing us something.. and he wants us to see A LOT of things.
2. he is big sized, loud voice, and he scolds other people except us . (so far so good)
3. like how he asked those terminal patients ‘wat is ur last wish’… he did tat to us.. the difference is that we will tell him that we wanna see esophagectomy, billroth 1 and 2, bronchoscopy, how to do mammography, how to palpate the breast correctly and etc.
4. he practically answer everything that we ask, be it a stupid question or a medical question or a stupid medical question.

so.. kinda like this subject and the people in the hospital.. not a bad cycle, lots to see and learn.. the only one thing that i wanna complain about would be…

how long would i need to stand beside and watch before i can really do it all by myself?

p/s : there is this comment that somebody left here giving me a link of some even better magazine cover-maker site.. have a look at this.

anyway… somebody had a prophecy about my future..

Human being had came a long way until today and suddenly i can’t help but notice that human being evolve by themselves too. And in the cases of male and female, i think changes are more critical in male.. well, there are few things that make me say this..

Thousands of years ago, how do me differentiate a man and woman? Well, besides the sex organs, we think of a man as physically strong, they need to work in order to feed themselves (plant crops, hunting and etc.) and at the same time, because of their ability to do rough work, they eat more, and the different structures of vocal ligaments make them sound harsh, rude.. Men of that epoch are brave, possess the ability of living in the nature, power and muscular. What happen next is when men use their brain more than their body and that is how we call the new generation ‘gentleman’. They no longer possess great body figures due to less work and trainings, they lost their ability to be a ‘man’ which they are suppose to be. They start to talk politely, opening doors for women, pulling their chairs for them to sit down.. They are no longer brave, running from beasts and even their own enemies.. And today, the men, majority are not physically built because it is not nescessary anymore! Some even have the muscles of a woman, or some woman even have bigger muscles than them.. Besides getting smaller, it is sad to say that men are maybe getting more stupid too..

If we see the evolution from the woman’s side.. they stayed the same since centuries ago. besides the changing on fashion, they are still who they were.. taking care of household.. and even now evading the business and science and everything which last time thought to be male-dominant..

With wars going on here and there, men are dying everywhere..

Are we going to be taken over by women?