Next Posting Starts Tomorrow!!! *collapsed & die*

Okay....

My long holiday is ending soon... by that I mean today!!!

I'll be starting new posting tomorrow! For real?!!

It's not official, but I was told by the person-in-charge in HR that I'll be starting Medical Posting tomorrow!! (as I am so lazy to hand in my log book, will only be doing so tomorrow morning.. heh).

Wish me luck, peeps! And it seems like I need loads of luck as there is only 6 (S.I.X.!!!) H.O.s in Medical at the moment. *die! die! die!*

okay bye.. need to hit the books!

yeah rite.. i mean hit the bed!! *_*

February Updates

Hello peeps~!

It's been a while since I wrote something here.. Kinda miss blogging to be honest..

So, let's pick up where we left shall we?

2nd February was Mr fiance's 26th birthday!! =D

We had a really romantic candle-lit dinner in a French fine-dining restaurant somewhere in the city center. Sorry, no pictures allowed! =P

HAPPY BELATED BIRTHDAY, MY LOVE~!!

2 Fridays ago, my colleagues & I went for a dinner in TGIF, WangsaWalk.. we had great fun chatting & laughing away. Then some of us went for bowling & I went to watch The Green Hornet with Mr Fiance. That's when I lost my pouch.. which includes my Blackberry, my iPod touch, my ID, my licence, my ATM card etc etc... yeah, was really pissed off...

as a result, i'm RM2k poorer as I just bought myself a new iPhone4. Just settled with my temporary ID card & licence.. and I have to go to the bank tomorrow to settle all that.. Thank God I'm on a week-long holiday! *woot woot*

one of the last pictures taken by my BB.. *sigh*

Oh wait! Have I not tell u already?? I'm done with O&G!!! I've gathered all my holidays (well, just 8 days per posting) and enjoying the long holiday now before going on to the next posting.. which I have no idea which yet ... either Medical or Surgical posting... wish me luck!! Was actually hoping for Medical first so I could get the worst over and done with and save the lighter ones near to the big day!

To commemorate my end of O&G posting, Cik Jiah & I went for a spa retreat last Sunday in Aurora Beauty Spa Saloon in Ampang. Felt so good to be pampered and massaged from head to toe.. =)

can u see the glow on our faces? hee..

would definitely recommend this place & would definitely go there again! ;)

Weekend Blues tips

weekend blues situation #1: what to do when you're sleepy but u have to drive somewhere on ur own +/- traffic jam

to avoid dozing off while stopping at the traffic light or stuck in a massive traffic
1. drink coffee or eat loads of kopiko (coffee-flavoured candies)
2. put on the radio on full blast (loud but still bearable to ur hearing level, that is)
3. sing along your favourite songs, with head-banging preferably.. as loud as u can, at the top of ur lungs with full emotion.. without any care in the world of what the dude in the car next to u might think
4. when there is an opportunity of speeding or overtaking the car in front.. go ahead! u need the adrenaline!!

weekend blues situation #2: when u feel u've had enough with people around u.. and feel tired of dealing with homo-sapiens..

1. buy urself a pet.. anything u like.. cats, fish, iguana
2. they'll make u feel wanted & needed..
3. talk to them and let your heart out.. they will listen & stare at you.. and they will not be judgmental..
4. all they will ever want from u as a return, is enough food & shelter (and of course cleanliness).. they won't ask for more.. well, except for a head-scratch or two..

to be continued...

head over heels.... still

I know.. I know.. It's been over 3 weeks already.. but seriously I can't help it!
Sorry~!! heeeee...


just one more.. pleaseeee... *wink*


Call me cheesy but after 7 1/2 years of long term & long distance relationship, at least I know it is finally going in the right direction. InsyaAllah.. =)
Pray for us..

p/s: quoting mr boyfie.. (i mean, mr fiance.. eheee) wedding business is a huge business.. planning is a tough job!! help!!

More Pictures...... and some promos

the photographer: Ariff Lee

the make-up artist: Erin Omar

the pelamin: becomingmrsbridal

the vanity ;)

the favourite picture

the present

01.01.11

A great day to start the year.. And I'm still grinning from ear to ear.
These are some pictures taken from FB. Formal pictures will be uploaded once they're available. ;)

with kasus (the representative of carriglea)

fellow Corkians

us.. 1 step closer.. =)

with Gina.. =)

tired looking people.

I had to pinch myself to make sure today is real.
Back to reality... I AM ENGAGED!! =D
BUT I'm on-call tomorrow!!!!!! *sigh*

Summary of 2010

new year 2010

coldest winter

intan in eire

turning 25

final exam over & done with

graduation

came home for good.. finally!

1st eid with family after 6 yrs away..

1st step of 3

my 1st car

family day @ cameron highland - with colleagues from PPUKM

A lot of things to be thankful for.

A huge transition in life occurs in 2010.

From being a student to working life, with different responsibilities rest upon these shoulders.

Memories of sweet sorrow to be cherished & learn from.

2010, you will definitely be missed...

PostPartum Haemorrhage (PPH)

I would consider myself lucky to be on-call on 2 nights in a week whereby 2 cases of PPH occurred requiring surgery. The best part is that I don't have to be the House Officer running back and forth to the blood bank, instead I was inside the OT to witness:

1. Total hysterectomy

- Para 4

2. B-Lynch suture

- Para 1 (with triplet pregnancy)

I have always been reading up and presenting about B-Lynch suture when I was a medical student. Now, after witnessing it with my own eyes, I think it is so cool! ;)

links: B-Lynch suture technique from RCOG

For House Officers out there, don't forget what you have to do in an emergency of PPH in the ward:

- ABC
- call for help (red alert)

- 2 large bore IV line & blood investigations: FBC, U&E, LFT, Coag screen, group x-match)

- crystalloid infusion

- monitor vital signs

Management of PPH

Uterine massage

Medical

→ 500mcg ergometrine IV/IM

→ Oxytocin infusion (40IU) → 10IU IV

→ Carboprost 250mcg IM (up to 4 doses)

→ misoprostol 800-1000 mcg PR

Bimanual compression

Surgical

Repair genital tract injuries

Uterine temponade (Rusch balloon)

Laparatomy

· B-Lynch suture

· Internal iliac/uterine A ligation → hysterectomy (50%)

· Uterine A embolization

· Total/subtotal hysterectomy

Prevention:

Active management of 3rd stage (AMTS) – syntometrine, CTT, uterine massage

~~the car that I'm driving.. I've bought it~~ lalalala

~~ all the women who are independent.. throw your hands up at me~~~

Introducing my new baby...

-taken by Cik Jiah's BB-

I look fresh for someone who is post-call right? because last night was one of those rare nights, I got to sleep 4 hrs straight without someone calling me. ;)

and i woke up asking the nurses, "anything for me??" heh.

Myvi SE dah laa.. kumpul duit nk kawen.. LOL

1st posting: OBS & GYN

As you know, I started work in PPUKM on the 1st of November (yeah, they've changed from H to PP). I am currently in O&G department.

I only did my tagging (where we have to learn stuff quick from another Houseman) in just a week, and started on-call on my own on my 8th day of "life" in that graveyard. So it was a freaking nightmare.. I was on-call every other day (EOD), which means (for non-medical readers) start work 7am today and come home at 5pm tomorrow and the cycle continues every day. I was off tag after day 7 and the 2nd week, I was on-call EOD again. (T_T)

Work has it's ups and downs (life in general is like that right?). Some days are fine.. not that many patients, a few discharges and no ward rounds with the Prof. But most of the days are hell, so many patients delivering at the same time, patient in high-dependency unit started to deteriorate, referrals and so many clerical things to do, and suddenly was called to assist C-section.. ALL AT ONCE!

And yes, to answer the burning questions in your mind, I do conduct deliveries, and not just put my fingers in ppl's vajayjays but cut & sew them as well.

Mum started complaining of how little time she got to see me at home, because most of the time I'll be sleeping in my room every chance I got, even in the car (when I'm not driving that is).

My friend, Aziah is in the same hospital but I've never met her in the hospital, NOT EVEN ONCE!!! Oh wait, I think I did in the first week, just her silhouette though... *sigh*

Okay.. okay.. fine... I do learn loadsss of things these past 3 weeks, plus I lost 2kg already.. So there is an up side to all of these... ;)

Later~~