tag:blogger.com,1999:blog-27236212160125680062024-03-14T00:58:57.900+08:00Peace In My FantasyHappiness is all around us, it's just a matter of appreciationIvan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.comBlogger185125tag:blogger.com,1999:blog-2723621216012568006.post-12944772862501667572020-12-25T01:10:00.000+08:002020-12-25T01:10:19.377+08:00Chest tubesAccident cases are happening all the time, and serious cases like pneumothorax are not uncommon recently. <div><br></div><div>I had just inserted a chest tube last week, and this week another patient came with pneumothorax which requires chest tube insertion.</div><div><br></div><div><img id="id_33da_af1a_f172_94f3" src="https://lh3.googleusercontent.com/y-qjFdIh_9NNwVgyc66CrQf8JwrT82Plq6BBPJvYZJwTPnnV6fI3kQuYAqrK3OM" alt="" title="" tooltip="" style="width: 392px; height: auto; margin-left: auto; margin-right: auto; display: block;"></div><div><br></div><div><div>This patient is referred from a district hospital, sustained multiple jaw-dropping injury like extra-dural hemorrhage, shaft of femur fracture, and bilateral pneumothorax.</div></div><div><br></div><div><img id="id_6b24_ec20_eb25_3dd6" src="https://lh4.googleusercontent.com/1MN75VmnXGF_-Uy80VACeeVHsywJ2ufpPrSq0jpFqGxrGu7C05HoohRs1rvUpPo" alt="" title="" tooltip="" style="width: 392px; height: auto; margin-left: auto; margin-right: auto; display: block;"><br></div><div>The initial Chest X-ray only noted left sided pneumothorax with lung collapsed, chest tube was inserted in the district. </div><div><br></div><div>However, repeated Chest X-ray noted there is expansion of pneumothorax over the right side too, albeit not obvious to the naked eye.</div><div><br></div><div><img id="id_4739_8344_747a_65a9" src="https://lh5.googleusercontent.com/1Er8w-gAmO4tyO4Sg1P9P54XGKn1urPBSTXApFO9cG9GeXorbnWcilaR5-zi1xU" alt="" title="" tooltip="" style="width: 392px; height: auto; margin-left: auto; margin-right: auto; display: block;"><br>We managed to pick up the findings when we perform eFAST on the patient. The presence of 'lung point' on the right side prompt us to have a closer look on the 2nd Chest X-ray, which if observed closely, a rim of >2cm is present. </div><div><br></div><div>Thus, I inserted the chest tube with Oscar who is the surgical MO oncall. It was quite a good learning process as both of us are still learning and are juniors in procedures like these. </div><div><br></div><div>Take home message: eFAST scan saves life! <br><br></div>Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-21237559474374831702020-12-17T10:13:00.001+08:002020-12-17T10:13:56.075+08:00A terrific day It was the smell of disaster and accidents when the conditional MCO (movement control order) is relaxed, allowing people to travel inter-state. Some may argue that relaxing it may cause a sharp rise in travelling rate and hence, accident rate. However, just like the human body who will undergo illness and injury, people too, may not have good luck all the time.<div><br></div><div>Lue and I were the only MO (medical officer) working in red zone yesterday. I decided to pen it down as the injury is so devastating and the loss is beyond words. </div><div><br></div><div><img id="id_2641_15f7_32a4_9d19" src="https://lh5.googleusercontent.com/aTbia9H-mijOOXeW_aNTYFflRP779ryB3Hm7W6He2jEm1mvSUwzT-13EZmeTbBU" alt="" title="" tooltip="" style="width: 392px; height: auto;"><br><br></div><div>Being the junior MO, I was carefully guided by Lue. Thankfully we have a group of diligent team in the zone. We received an ambulance call for an intra-abdominal injury, were being told that few others had died on the scene and they manage to extract only this patient. </div><div><br></div><div>Initial assessment had been done, we thought that there is only injury on the abdomen since it's tender and guarded. However, the Chest X-ray decided to add horror to our day. It was pneumonediastinum (thanks to Lue who is able to spot it) and pneumothorax! </div><div><br></div><div><img id="id_1fe5_d1bb_d57f_fe6" src="https://lh6.googleusercontent.com/NiwasR3KcGPDIFcpjjENoMZmmcl2ShNdo7bNnsIEep40vh-I_uW2odEceppS8ms" alt="" title="" tooltip="" style="width: 392px; height: auto;"><br><br></div><div>Chest tube were inserted immediately, albeit we encounter slight difficulty initially, but thankfully Janice came and helped. Ventilator setting has to be low in view of the pneumomediastinum which may be caused by tracheobronchial injury. </div><div><br></div><div>Surgical team came and assess the patient. They requested for CT Abdomen and Pelvis. However, our radiology team noted the extensive subcutaneous emphysema and decided to do a CT Thorax too. True enough, all the other injury you could possible think of is present.</div><div><br></div><div><img id="id_1387_70b7_8ef0_8ad6" src="https://lh6.googleusercontent.com/zRK8KwhS0WHOEziwzNoFHbhRc6BQfvzrGGxgxciqh4Sxo4bH0sNmMZSK6IjJvy8" alt="" title="" tooltip="" style="width: 392px; height: auto;"><br><br></div><div>This is just one of the patient for my shift. Not mentioning the other accident patient we attended with Le Fort II fracture (involving inferior orbital wall and maxilla); the one DKA (diabetic ketoacidosis) patient whom we can't find the source of infection; the anterior chest wound patient at the beginning of our shift which pushed to OT straight; the stranded patient in our zone who developed hypotension; the vagabond whom we don't know the cause of his altered mental status; the elderly patient from Hospital Bahagia who had persistent hypoglycemia; and many others.</div><div><br></div><div>As a junior MO, I feel the patient does not wait for you. You just have to progress, and improve. Patient will come with the worst possible injury without asking who is the most senior in the Emergency Department. </div><div><br></div><div>In order to strive, sometimes we have to make tough choices although easier ones are available. </div>Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-68958394706708039292020-10-10T12:16:00.000+08:002020-10-10T12:16:27.665+08:00Home Quarantine Day 4-6 <p style="text-align: center;"><b><span style="font-size: large;">Day 4</span></b></p><p>By the end of Day 3, I got my first swab result, and of course, its negative.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-M1e9wimMR4k/X4Ez6XX5OYI/AAAAAAAAC8k/-9kAI61C-vkRnDMAxEQ8Wyt1JihdNHZ1ACNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.08.11%2BPM%2B%25281%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="828" data-original-width="1024" height="323" src="https://1.bp.blogspot.com/-M1e9wimMR4k/X4Ez6XX5OYI/AAAAAAAAC8k/-9kAI61C-vkRnDMAxEQ8Wyt1JihdNHZ1ACNcBGAsYHQ/w400-h323/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.08.11%2BPM%2B%25281%2529.jpeg" width="400" /></a></div><p>Another day of studying goes.</p><p>I tried to relax my mind by watching some movies that I've missed for the past years.</p><p>Secret Life of Pets 2.</p><p>Greatest Showman (rewatch for the 6th time).</p><p>A call to Spy.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-D83gG0XNamY/X4E0FDKM7JI/AAAAAAAAC8o/pYxQzU4jvVYYKjvCFvdqYPkM-lVRWFtdQCNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25283%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-D83gG0XNamY/X4E0FDKM7JI/AAAAAAAAC8o/pYxQzU4jvVYYKjvCFvdqYPkM-lVRWFtdQCNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25283%2529.jpeg" width="300" /></a></div><br /><p>I think by the end of Day 4, I already got past my denial stage.</p><p><br /></p><p style="text-align: center;"><span style="font-size: large;"><b>Day 5</b></span></p><p>We were once again to ask for 2nd swab today.</p><p>As I walked past the road of my hospital, I actually never realize that the building is so mesmerizing.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Jgy1ev8fnGw/X4E1Rz81PSI/AAAAAAAAC9U/VvKHHjxzggYCC01g6yNUKdQANm5a0D0_ACNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25284%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-Jgy1ev8fnGw/X4E1Rz81PSI/AAAAAAAAC9U/VvKHHjxzggYCC01g6yNUKdQANm5a0D0_ACNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25284%2529.jpeg" width="300" /></a></div><br /><p>Simple, stable yet provide care for the folks of Ipoh for so many years.</p><p>Swab taken at 7.30am by my lovely MO, Dr Chen. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-bOnHIhZ1vqw/X4E0L8QTlAI/AAAAAAAAC8s/oVRPCahgxp8qBSbDfYg04sH4J_XkU2eAACNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25281%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-bOnHIhZ1vqw/X4E0L8QTlAI/AAAAAAAAC8s/oVRPCahgxp8qBSbDfYg04sH4J_XkU2eAACNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25281%2529.jpeg" width="300" /></a></div><br /><p>I like how he can always joke on everything eventhough the situation is like fire burning on yr feet haha.</p><p>This time, shit just got real.</p><p>We were required to wear the legendary pink wristband, the prisoner band, that forbids us from moving a single inch out from our house.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-tXt3HBg4tn8/X4E0Sv0-RbI/AAAAAAAAC8w/fyGZWY5d6cUviGCq1QrR3nZxSdssa00mACNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25285%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-tXt3HBg4tn8/X4E0Sv0-RbI/AAAAAAAAC8w/fyGZWY5d6cUviGCq1QrR3nZxSdssa00mACNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25285%2529.jpeg" width="300" /></a></div><br /><p>One of the staff nurse I met that day, told me that his husband is working in the police force, and one of their job is to conduct regular spot checks on us.</p><p>True enough, police came knocking on my door in the evening.</p><p>I was instructed to lift up my hand to show the pink wristband for them to snap a photo to proof that I am at home.</p><p>So this is how it feels when freedom is being taken away....</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-K8c1F5-7Mho/X4E0fX9UI6I/AAAAAAAAC84/FISICOdt59YGeZWl9mhN7-nfv3Myh-u0ACNcBGAsYHQ/s608/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.08.11%2BPM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="505" data-original-width="608" height="331" src="https://1.bp.blogspot.com/-K8c1F5-7Mho/X4E0fX9UI6I/AAAAAAAAC84/FISICOdt59YGeZWl9mhN7-nfv3Myh-u0ACNcBGAsYHQ/w400-h331/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.08.11%2BPM.jpeg" width="400" /></a></div><br /><p>and yeah, my 2nd swab is negative, of course!</p><p><br /></p><p style="text-align: center;"><span style="font-size: large;"><b>Day 6</b></span></p><p>I woke up to the voice of my mom urging me to go downstairs, as our dear police officers are here again 'to make sure I'm alright'</p><p>Urghhhhhh</p><p>I am okay with the way they conduct spot checks but to take photos, its so frustrating.</p><p>Maybe its their SOP for doing so.</p><p>But its so uncomfortable, especially when some of your neighbours are peeking through the cement wall only to have more question marks on their head as of why police officers will come to my house everyday.</p><p>I am so bored.</p><p>I was suppose to go for BBQ session in my friend, Fadhirah's house.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-oOmS5GCewz0/X4E0nYeFAII/AAAAAAAAC9A/oXsGayJXgj40bIf-K3RPisQ646SBXCNXgCNcBGAsYHQ/s896/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25282%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="896" data-original-width="414" height="400" src="https://1.bp.blogspot.com/-oOmS5GCewz0/X4E0nYeFAII/AAAAAAAAC9A/oXsGayJXgj40bIf-K3RPisQ646SBXCNXgCNcBGAsYHQ/w184-h400/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25282%2529.jpeg" width="184" /></a></div><p><br /></p><p>It was suppose to be a last gathering among me and my colleagues, but yeah, sometimes life just cheat on you when you are most vulnerable.</p><p>It's so thoughtful of them to give me a call. They knew I wouldn't miss this kind of fun gathering especially with colleagues cum friends whom I have been working with for the past 2 years.</p><p>I even tried out the trending game, Among Us with my friends.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-2B2m7lAdsVw/X4E07rZhveI/AAAAAAAAC9M/vPDfgSHx2nYj3jjHK4wsb0PURhSLpyTzgCNcBGAsYHQ/s896/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25286%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="414" data-original-width="896" height="184" src="https://1.bp.blogspot.com/-2B2m7lAdsVw/X4E07rZhveI/AAAAAAAAC9M/vPDfgSHx2nYj3jjHK4wsb0PURhSLpyTzgCNcBGAsYHQ/w400-h184/WhatsApp%2BImage%2B2020-10-10%2Bat%2B12.00.20%2BPM%2B%25286%2529.jpeg" width="400" /></a></div><br /><p>That is definitely a stress-relieving game indeed.</p>Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-29363207287697244672020-10-06T10:42:00.001+08:002020-10-10T12:16:41.593+08:00Home Quarantine Day 1-3<p style="text-align: center;"><b><span style="font-size: large;">Day 1</span></b></p><p>So apparently I've come into contact with one of the COVID PCR positive patient while I was working in trauma clinic in Emergency Department.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-fGfieJ1hb0Q/X3vZNio6amI/AAAAAAAAC8Q/R6N4BbAqziQSEyBnOTb8w9sC8iMfIEsfACNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM%2B%25281%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-fGfieJ1hb0Q/X3vZNio6amI/AAAAAAAAC8Q/R6N4BbAqziQSEyBnOTb8w9sC8iMfIEsfACNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM%2B%25281%2529.jpeg" width="300" /></a></div><br /><p>This comes as a surprise as the patient was not complaining of any respiratory symptoms, but just trauma related complaints. </p><p>I've seen the case with one of my colleague.</p><p>On the day when the result is out, I was shocked when my colleague is the first person to notify me.</p><p>Subseuently, 2 of my emergency physician contacted me.</p><p>I was working in yellow zones that day, having seen total of 6 patients from 3.00-5.00pm, and able to discharged 4 of them.</p><p>Yellow zone was busy as usual, but I'm glad we have great souls like Dr Shankar and Dr Iman to tank the zones.</p><p>I was asked to immediately go back home.</p><p>I clocked out at 5.30pm.</p><p>Sat in my car.</p><p>No idea what to do.</p><p>Later I received a call from occupational health and safety unit. Briefed me about what to do, the need for isolation.</p><p>I was so frustrated, angry and sad at the same time.</p><p>This means that I am not able to work, my service is abruptly stopped, albeit temporary.</p><p>I reached home late at 8.30pm, breaking the news to my mom, who just recovered from the trauma of my dad being hospitalized for secondary dengue infection.</p><p><br /></p><p style="text-align: center;"><span style="font-size: large;"><b>Day 2 </b></span></p><p>I woke up feeling aimless. </p><p>Although I've longed for a holiday before I'm being sent out to other hospitals, but I've never expected it to be in this way.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-A3u6cZ2_6w8/X3vYjGcN70I/AAAAAAAAC7s/OBzX11rm9u87JYTuMRj9psq-Abe_4fXOwCNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM%2B%25282%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="300" src="https://1.bp.blogspot.com/-A3u6cZ2_6w8/X3vYjGcN70I/AAAAAAAAC7s/OBzX11rm9u87JYTuMRj9psq-Abe_4fXOwCNcBGAsYHQ/w400-h300/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM%2B%25282%2529.jpeg" width="400" /></a></div><br /><p>Most of my friends were able to see the part of me being granted free MCs..</p><p>But the psychological stress is real. This is same like the needle stick injury I got during my first posting as a houseman. You know the result is likely 99% negative but the 1% scares the shit out of you.</p><p>I tried to minimize contact with my mom, and advised her not to go out too.</p><p>I concentrated on my studies, watching one movie to divert my mind, only to step back to reality after the credits rolled.</p><p>Later that night I was again informed to take a COVID swab coming morning.</p><p><br /></p><p style="text-align: center;"><span style="font-size: large;"><b>Day 3</b></span></p><p>I reached at 7.30am to the COVID container. This is a full container where healthcare workers are able to take swab for patients requiring pre-op assessment and for PUI (persons under investigations).</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-fnWRZDlX11U/X3vYpPlVHFI/AAAAAAAAC7w/QL951tIthokVS9P0PIvRniaEOB-1h0YuQCNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-fnWRZDlX11U/X3vYpPlVHFI/AAAAAAAAC7w/QL951tIthokVS9P0PIvRniaEOB-1h0YuQCNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-06%2Bat%2B10.34.07%2BAM.jpeg" width="300" /></a></div><br /><p>Usually I am the one who is taking the swab for others.</p><p>But today, the feeling is different. I was taken swab by Dr Hariz (my senior MO). </p><p>The feeling of me not being able to serve, but for others to serve me, is devastating, especially when I'm asymptomatic!</p><p>I'm also required to fill in a google doc to assess my daily symptoms and temperature.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/--VkdAYOfjKQ/X3vYvahZx4I/AAAAAAAAC74/zMKGn1Js1uInroTRw2umGQokfuRXK-YMACNcBGAsYHQ/s1080/WhatsApp%2BImage%2B2020-10-06%2Bat%2B8.06.00%2BAM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="810" height="400" src="https://1.bp.blogspot.com/--VkdAYOfjKQ/X3vYvahZx4I/AAAAAAAAC74/zMKGn1Js1uInroTRw2umGQokfuRXK-YMACNcBGAsYHQ/w300-h400/WhatsApp%2BImage%2B2020-10-06%2Bat%2B8.06.00%2BAM.jpeg" width="300" /></a></div><br /><p>At noon, I was again received call from psychological unit, to assess my mental wellbeing.</p><p>All this has come too sudden.</p><p>I still need time to process.</p><p>Hopefully during quarantine, I am still able to utilize this time to benefit myself and to serve more in the future.</p>Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-36727230528082421242020-09-28T12:00:00.000+08:002020-09-28T12:00:37.744+08:00 Do we have control over our lives?<p style="text-align: center;"><b><span style="font-size: large;"> Do we have control over our lives?</span></b></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-JB6eHTRPjXU/X3FfJBH1jLI/AAAAAAAAC6o/jdVPWFvJZOAIh9sYbxG9H_7FnpcdgoEYQCNcBGAsYHQ/s1024/WhatsApp%2BImage%2B2020-09-28%2Bat%2B11.56.40%2BAM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="300" src="https://1.bp.blogspot.com/-JB6eHTRPjXU/X3FfJBH1jLI/AAAAAAAAC6o/jdVPWFvJZOAIh9sYbxG9H_7FnpcdgoEYQCNcBGAsYHQ/w400-h300/WhatsApp%2BImage%2B2020-09-28%2Bat%2B11.56.40%2BAM.jpeg" width="400" /></a></div><br /><p>Since we were born, we were guided by streams of culture, sets of rules and social upbringing. The path is clear, we just have to walk on it.</p><p>Slight deviation from the path is risky, as we were told to have a path that is clearly defined, but not necessarily refined.</p><p>People who deviate from the path can be huge successful, or they may go downstream, unnoticed by the world.</p><p>Great things and discoveries can only be done by people who dare to take the first step; as the journey of a thousand miles begin with the first step - Lao Zhi</p><p>So ask yourself, what do you really want?</p><p>Time?</p><p>Money?</p><p>Happiness?</p><p>or all of them? which we knew its utter impossible.</p><p>Or we can have a balance, and only you can determine your own balance.</p>Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-28779304032226582762020-07-27T12:40:00.000+08:002020-07-27T12:40:08.518+08:00Thankful <div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://1.bp.blogspot.com/-iZvdKJJ51go/Xx5Z3-yBS4I/AAAAAAAAC54/041uF8WQXHUFQq2MWJHiq8xGUG0rp5JTwCNcBGAsYHQ/s1600/IMG_5545.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1200" height="400" src="https://1.bp.blogspot.com/-iZvdKJJ51go/Xx5Z3-yBS4I/AAAAAAAAC54/041uF8WQXHUFQq2MWJHiq8xGUG0rp5JTwCNcBGAsYHQ/s400/IMG_5545.JPG" width="300" /></a></div>
<br />
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
How often do we complaint?</div>
<br />
When someone is not doing their job right, or they are slacking, being irresponsible, and the long list goes on.<br />
<br />
We always complaint.<br />
<br />
Don't get me wrong, complaining is not a bad thing, we all tend to repair our wrongdoings and improve, and we hope people learn too.<br />
<br />
But do we thank them when someone is doing a good job?<br />
<br />
Think about it.<br />
<br />
I think we should all be thankful. To the people around us. Towards what we have.<br />
<br />
The above photo is an example of a typical Malaysian 'hospital meal'.<br />
<br />
Most of my colleagues will complaint that the taste is awful, or its cold, or its meant only for patient.<br />
<br />
<div style="text-align: center;">
<b>THEY ARE ABSOLUTELY RIGHT!</b></div>
<br />
There is no perfect meal in this world, even if there is, it's just for our temporary happiness.<br />
<br />
I started to be thankful towards the meal that I have everyday. As I know happiness comes from within, not from external sources.<br />
<div style="text-align: center;">
<i><br /></i></div>
<div style="text-align: center;">
<i>For it is not the happy people who are thankful.</i></div>
<div style="text-align: center;">
<i><br /></i></div>
<div style="text-align: center;">
<i>But the thankful people who are happy.</i></div>
</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-69616411695740737402020-07-22T14:46:00.000+08:002020-07-22T14:46:36.951+08:00FRCEM Primary!<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://1.bp.blogspot.com/-M84RRuzs7k8/XxfgAjXL9LI/AAAAAAAAC5s/w4e5mducRg0ijF909B2SUfS8jqcZr2dxgCNcBGAsYHQ/s1600/FRCEM%2Bbooking.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="417" data-original-width="1079" height="246" src="https://1.bp.blogspot.com/-M84RRuzs7k8/XxfgAjXL9LI/AAAAAAAAC5s/w4e5mducRg0ijF909B2SUfS8jqcZr2dxgCNcBGAsYHQ/s640/FRCEM%2Bbooking.png" width="640" /></a></div>
<br />
<div style="text-align: center;">
It's set!</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
The pathway to becoming an emergency physician!</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
<i>To cure, sometimes</i></div>
<div style="text-align: center;">
<i>To treat, often</i></div>
<div style="text-align: center;">
<i>To comfort, always</i></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Ivan Tan</div>
<div style="text-align: center;">
22/7/2020</div>
</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-63027363379877148522020-07-04T00:19:00.000+08:002020-07-04T00:19:18.921+08:00Don't stop<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://1.bp.blogspot.com/-7CeNXmRBRfM/Xv9aQ-g6SYI/AAAAAAAAC5c/MhcggfKpMCwCmyfBu4kR8IslX1fiOJLGACNcBGAsYHQ/s1600/WhatsApp%2BImage%2B2020-07-04%2Bat%2B12.16.43%2BAM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-7CeNXmRBRfM/Xv9aQ-g6SYI/AAAAAAAAC5c/MhcggfKpMCwCmyfBu4kR8IslX1fiOJLGACNcBGAsYHQ/s400/WhatsApp%2BImage%2B2020-07-04%2Bat%2B12.16.43%2BAM.jpeg" width="296" /></a></div>
<br />
Hey friend, I didn't know so many things happened to you until you told me just now.<br />
<br />
It must have been a rough journey for you. If it was me, I don't know if I have the strength to endure it all by myself, alone. But I'm glad you still manage to storm thru all these.<br />
<br />
I think the hardest part now is how to continue this windy road ahead.<br />
<br />
Well, its really not easy in my opinion. I remembered when I was a first poster, inserted a branula was the most challenging thing for me, especially when the pregnant ladies' vein are large, and I still managed to bunk it.<br />
<br />
But I feel the most difficult part is not bunking the vein, its the moment I decided to pick up the branula and poked it into the patient's skin.. that's step 1 for me, and I feel step 1 is always the hardest, no matter what procedures I'm doing.<br />
<br />
Of course there are times where I will avoid doing it, as the fear of me bunking it again is so intense. But then I realized, the more I repeat step 1, the more I can progress, physically with skill, or mentally with courage.<br />
<br />
Often I have to repeat step 1 for upto three/four times to be able to proceed to step 2, and I tell myself that's ok, because patients come and go, but my skill will build overtime.<br />
<br />
Sometimes in ED, we have to use the ultrasound machine to guide us when we encounter difficult branula insertion, and we succeed. But come to think of it, we can succeed is not due to the ultrasound probe, but it's because we ourselves pick up the branula and insert it.<br />
<br />
You may have stucked in step 1 now, and have tried few times, but still felt helpless. I'm sure deep inside you, you wanted to do step 1, and many of us are willing to help you to pick up the branula again, but you must insert the branula yourself.<br />
<br />
Give yourself time, but not too long.<br />
<br />
I'm always available.<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-12788854405052764572020-07-02T00:20:00.001+08:002020-07-02T00:20:49.599+08:00A holistic approach<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
While dealing with specialist, one would usually learn more from the experienced ones.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
While there are things that we often miss while dealing with patients, there are also things that is obvious but deliberately missed by us, the healthcare 'professionals'.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In the emergency department, we often tend to give treatment to patients, without explaining much to them, or to their next of kin.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
The lesson I have learnt from Dr Chan Pei Fong was a valuable one.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Most of the patients need to pass urine, pass motion and some will feel hungry after more than 6 hours in the ED.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
However, we often ignore them while dealing with more vital stuff, forgetting that those are the basic human needs as well.</div>
<div style="text-align: justify;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-1Q087LhFrgw/Xvy3Q22IY9I/AAAAAAAAC5I/xKnEB9gSqvEx6F01pYs3nQs1ghFgIdRtwCNcBGAsYHQ/s1600/WhatsApp%2BImage%2B2020-07-02%2Bat%2B12.08.59%2BAM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-1Q087LhFrgw/Xvy3Q22IY9I/AAAAAAAAC5I/xKnEB9gSqvEx6F01pYs3nQs1ghFgIdRtwCNcBGAsYHQ/s400/WhatsApp%2BImage%2B2020-07-02%2Bat%2B12.08.59%2BAM.jpeg" width="296" /></a></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: center;">
<i><span style="font-size: large;">'Patient will remember you if you take care of those 3 things, and not by how much medication you have administered to them', said Dr Chan.</span></i></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
This is undeniably crucial.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Those are basic human needs.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Also family members are worried too, it is our responsibility to explain to the family members and reassure them!</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
So yesterday I did the exact same thing, I guided a 80 years old patient to the loo, step by step, slowly.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I looked out for patients without blanket, and asked if they would like to have one, and nicely covered it on their shivering body.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
I guess after 2 years of working, there is a need to revive the compassion in me.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
There is no excuse to just focus on the 'important' stuff, while ignoring the 'basic' stuff.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
It's time to improve!</div>
</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-21134193192486861172020-06-25T23:08:00.000+08:002020-06-25T23:08:17.970+08:00How is my night?<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-c1t9rH4PmeA/XvS9MhYcTeI/AAAAAAAAC40/6sszUV4kGscIvRorKXOuWbAOmIOsAGlUgCNcBGAsYHQ/s1600/WhatsApp%2BImage%2B2020-06-25%2Bat%2B11.03.31%2BPM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="683" height="400" src="https://1.bp.blogspot.com/-c1t9rH4PmeA/XvS9MhYcTeI/AAAAAAAAC40/6sszUV4kGscIvRorKXOuWbAOmIOsAGlUgCNcBGAsYHQ/s400/WhatsApp%2BImage%2B2020-06-25%2Bat%2B11.03.31%2BPM.jpeg" width="266" /></a></div>
<br />
<br />
Last night I was dealing with 2 deaths in red zone ED itself.<br />
<br />
As contrary to what others believe that doctors are acclimatized to death, what I can say is, I have seen death in the past 2 years more than most people in their lives, but the scene of family members weeping in front of the cold body lying lifelessly is still not a good sight to me.<br />
<br />
There is an old aunty who was involved in a road traffic accident, and sustained multiple extensive intracranial hemorrhage.<br />
<br />
Her conscious level started to drop after few hours, and by evening she is already not responding to call.<br />
<br />
'Ma, I am back to see you', uttered her son who rushed back from JB to see her one last time.<br />
<br />
There was no response from his mother, not even a single sound, except for the constant beating sound of the cardiac monitor.<br />
<br />
The woman died 3 hours after being sent to the ward for comfort care.<br />
<br />
I wondered how many of us would be saying the exact same words when we are back to see our parents?<br />
<br />
Saying it for a thousand times when they are gone does not make up the time loss when they are still around.<br />
<br />
Another one was an Indian gentleman who has a wife and 2 children, suffered from heart attack.<br />
<br />
We were starting chest compression from the moment he entered the ED door upto the zone itself, as he were already lost his consciousness before arrival.<br />
<br />
He did not make it.<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<i>Heart rate and pulse oximetry not recordable.</i><br />
<i>Breath sound and heart sound could not be heard.</i><br />
<i>cardiac monitoring showed asystole (flat line)</i><br />
<i>blood pressure unrecordable.</i><br />
<i>pupils 5mm/5mm fixed and dilated.</i><br />
<br />
As I penned down this routine words which is not something new to me, family members rushed in.<br />
<br />
I did not talk to them. As I believe no words can replace a living man.<br />
<br />
I was observing from afar, saddened by the harsh fact that we cannot save all lives, and eventually everyone will have to return to their creator.<br />
<br />
I do not believe there is any doctors who are good in dealing with death, maybe not from my experience.<br />
<br />
Life is temporary. Death is inevitable. </div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-21872405518137015092020-06-11T22:25:00.001+08:002020-06-11T22:25:32.277+08:00'I am busy'<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://1.bp.blogspot.com/-k7IY6i5na2c/XuI9fKZ3ZJI/AAAAAAAAC4M/bPMCCzsMN-UXtJUoee3w0f_MmwMoMdu5wCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s1600/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-k7IY6i5na2c/XuI9fKZ3ZJI/AAAAAAAAC4M/bPMCCzsMN-UXtJUoee3w0f_MmwMoMdu5wCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s400/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM.jpeg" width="298" /></a></div>
<div style="text-align: center;">
<b><span style="font-size: x-large;"><br /></span></b></div>
<div style="text-align: center;">
<b><span style="font-size: x-large;">'I am busy'</span></b></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Perhaps the most overused words for me, with such under rated meaning behind it.</div>
<br />
<div style="text-align: justify;">
When 'I am busy', I am spending 30 minutes taking blood from a difficult patient, with constantly cursing and screaming directly at my face.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
When 'I am busy', I am tracing an important CT brain for a patient, as I am worried bout the outcome of the fall from 2 storey height that he had.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
When 'I am busy', I am attending an unstable patient, whose blood pressure is constantly low despite giving high noradrenaline support.</div>
<div style="text-align: justify;">
<br /></div>
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<a href="https://1.bp.blogspot.com/-ccjCBOiouVo/XuI9fHhWT4I/AAAAAAAAC4Q/nJl6Jo4U7kM3WOMclFZRoTeGgshtyuWcwCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s1600/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM%2B%25282%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-ccjCBOiouVo/XuI9fHhWT4I/AAAAAAAAC4Q/nJl6Jo4U7kM3WOMclFZRoTeGgshtyuWcwCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s400/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM%2B%25282%2529.jpeg" width="296" /></a></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Yet there are people who will say words like 'There is no such thing as too busy to reply a message, it just depends on your priority'</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
While some seem to be offended, it is actually quite true. Priority always comes first. And when you are dealing with humans who have excruciating pain, your priority is to win the deal between you and the grim reaper who wants to suck the life out from your patient.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Thus, the word 'busy' seems to not able to compensate the daily warfare happening in the hospital.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
It should be replaced by:</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
- I was having a back-breaking call last night attending to the non-stop admissions to yellow zone</div>
<div style="text-align: justify;">
- I skipped my lunch as my 30 minutes early referral to ICU is more crucial than my rumbling stomach </div>
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- I was late to home 2 hours as the patient decided to vomit blood and life out, right before I stepped out from the hallway</div>
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<a href="https://1.bp.blogspot.com/-n0ELmOrEvtA/XuI9etqxSKI/AAAAAAAAC4I/N_6oj5WMEucfMAo0iOJrNBT2mni19X_uwCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s1600/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM%2B%25281%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-n0ELmOrEvtA/XuI9etqxSKI/AAAAAAAAC4I/N_6oj5WMEucfMAo0iOJrNBT2mni19X_uwCEwYBhgLKtMDAL1OcqzDys-ZdVpWCQ0_Vmk8ZbCQfrT6dNGdrEGBfLdITwFcjierVoBQ8a8_S6Wlsn-DaWY7va9_AadWBpZS1PxlEHXAcTrprC4aBbuXLe2MmJgxV5cwk3jc6ZpDYw40JjuAPV5phklHlmt-dnRzHDWsUbegX7bzNsHqbp0GhtwAe44kj_ginacQIfOfyc45eVNszQXCYbtLyeifkIUxy6zOl0X2FuI-d3J8K2Bo9TLpKAA5_p4ArdR0EP34ReGjWZGW7pL1iylEDlnI8Y0DwTaEQU14RQzkIohckiyxFT4tCmsJrfp2quRWQrUUIn6aaF6lcNSee5dRQxCst57iNf-v35Ze9A53uFMHIy4M9j8AeOMAD4amboJssidSJ1GWzBXiUi3rsHGHvQ7fxCQDzpA5hd2Tc2U8H3YUcseCVU1x4SebcM7DMJrGnsYhRMvOeTxI9hSWCVxvqVefM2oCUnqTSflx7pnkFm-eNDYlMYyUvdh_7maGoEJZp-5kq0EUsROrGQO-M8uaNcF8qfLau5jTq3VgTxu5oHUpnc_Oz_tiZUD-eMIcWk5YLLTPOfDESgJX5wo_eVqu3ptoy-_0xtv6FF59TrT3PLh1R0BJJHKe3cUw3P-I9wU/s400/WhatsApp%2BImage%2B2020-06-11%2Bat%2B10.18.27%2BPM%2B%25281%2529.jpeg" width="296" /></a></div>
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If you have been through what I have been, you will appreciate life and understanding more about suffering.</div>
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But fortunately, if you have also not been through what I have been, look around you, you should be grateful =) </div>
</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-65306702558939429632020-06-08T13:11:00.002+08:002020-06-08T13:11:32.492+08:00Who is your best friend?<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://1.bp.blogspot.com/-dLrwZdU6S-o/Xt3HZJC8eUI/AAAAAAAAC3k/SQjAeKjEXkco16bg6ggR92TIvN73SDO7ACNcBGAsYHQ/s1600/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.05.17%2BPM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="472" src="https://1.bp.blogspot.com/-dLrwZdU6S-o/Xt3HZJC8eUI/AAAAAAAAC3k/SQjAeKjEXkco16bg6ggR92TIvN73SDO7ACNcBGAsYHQ/s640/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.05.17%2BPM.jpeg" width="640" /></a></div>
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<span style="font-size: x-large;"><b>Who is your best friend?</b></span></div>
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A question that is asked way too frequent.</div>
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The older you are, the wiser you become, and so they said, which is partially true.<br />
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As I continue to grow in the society, I realized that this question, which I can easily answered if you were to ask me 10 years or 15 years ago, is not an easy question afterall.<br />
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I have friend AAA, the friend who is aggresive in learning, believing in focusing on self, who constantly improves oneself. Whenever opportunity strikes, I am humbled to learn together alongside him. This makes him my best friend when I am learning while working.<br />
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<a href="https://1.bp.blogspot.com/-Uha8LFp6ebc/Xt3H_RXYuzI/AAAAAAAAC30/oZhRYJ_YxYoxYjmmCvfPJK2l_t2xaC9bQCNcBGAsYHQ/s1600/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM%2B%25281%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-Uha8LFp6ebc/Xt3H_RXYuzI/AAAAAAAAC30/oZhRYJ_YxYoxYjmmCvfPJK2l_t2xaC9bQCNcBGAsYHQ/s400/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM%2B%25281%2529.jpeg" width="296" /></a></div>
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I also have friend BBB, the friend who believes in work-life balance, the one who will not give extra effort once past her working time, which is not wrong afterall. This makes her my best friend, as she is the one who constantly reminded me of the life after work, that we do not dedicate our lives to just work, and life's too short not to enjoy with your love ones.<br />
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Not to mention friend CCC, my best friend when it comes to dealing with my hard times. He may not be physically with me all the time, but he assured me that he will be there whenever I needed advice or help. The one whom I will forget when I'm in my comfort zone, but will only remember when I'm down, and he doesn't mind!<br />
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<a href="https://1.bp.blogspot.com/-UVOmNSbpJwc/Xt3H-jmhcDI/AAAAAAAAC3s/D0cz7MjK8b8d-HJAyICkJA1lDRBvVvrygCEwYBhgLKs0DAL1Ocqy1uWZNrROTehn3fejQH1JlKOaGaC_xc8ik5udtycYHOb8elSNhrSGntSsq6EZHEGVreTPtB9geAfzBXBMOJoiy0JKI7eO1l6sc2DC_FhYTSL1dhO5jZFltcOJMSdqYKljOkfoZXlRlr_bv14inZZL-TnQ6L4WfKuY5xvGCz2mZcFXLxAdV8Hi85gOeMohCujucIbFb-xUPbDANb_0XWPvlT_cKva_ueTePSdHRhU5n_q9cIYmnLZjvjVq9ABpo0U1SVywA9-wDJ00A7qEmh7hJVxOw0PQAfULEqrN7zW2MR4eEH6H8Dg2CAdttGnjLEHUnY5o1_ndOJo_ZJye0x8JN705AfvqceTJWtR5v6TrchlzOEPujDfl6WcuiAwflVJ71rOQQtEjTszOE97_fcshRkZDMaMrdMbB4oYFG0SktBmQV1IwrLJ930d3xKT3W1jJ1DWz9kY76T5clZQfrgw_JSPhmJ5tDRkrgHZbmCe0zfduGvUfN8Z5rxr5ot4s8BShy72be9AoWR3mSdD6RwDHxtNy8P9p8C9g2Lw_FJzN_p1XZwWpL6xynKhppGmKGgOGXaoVmQTNgPX_bZaCYw-8UjbqsOR2yNBsw55T39gU/s1600/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM%2B%25282%2529.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1024" data-original-width="768" height="400" src="https://1.bp.blogspot.com/-UVOmNSbpJwc/Xt3H-jmhcDI/AAAAAAAAC3s/D0cz7MjK8b8d-HJAyICkJA1lDRBvVvrygCEwYBhgLKs0DAL1Ocqy1uWZNrROTehn3fejQH1JlKOaGaC_xc8ik5udtycYHOb8elSNhrSGntSsq6EZHEGVreTPtB9geAfzBXBMOJoiy0JKI7eO1l6sc2DC_FhYTSL1dhO5jZFltcOJMSdqYKljOkfoZXlRlr_bv14inZZL-TnQ6L4WfKuY5xvGCz2mZcFXLxAdV8Hi85gOeMohCujucIbFb-xUPbDANb_0XWPvlT_cKva_ueTePSdHRhU5n_q9cIYmnLZjvjVq9ABpo0U1SVywA9-wDJ00A7qEmh7hJVxOw0PQAfULEqrN7zW2MR4eEH6H8Dg2CAdttGnjLEHUnY5o1_ndOJo_ZJye0x8JN705AfvqceTJWtR5v6TrchlzOEPujDfl6WcuiAwflVJ71rOQQtEjTszOE97_fcshRkZDMaMrdMbB4oYFG0SktBmQV1IwrLJ930d3xKT3W1jJ1DWz9kY76T5clZQfrgw_JSPhmJ5tDRkrgHZbmCe0zfduGvUfN8Z5rxr5ot4s8BShy72be9AoWR3mSdD6RwDHxtNy8P9p8C9g2Lw_FJzN_p1XZwWpL6xynKhppGmKGgOGXaoVmQTNgPX_bZaCYw-8UjbqsOR2yNBsw55T39gU/s400/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM%2B%25282%2529.jpeg" width="296" /></a></div>
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Also friend DDD, the one who is way older than me, who constantly enjoy food all the time. I may not be a food lover, but I can't deny that sometimes a good meal with good companion is all I need after a long day work.<br />
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How bout friend EEE, the one whom I seldom meet, although we stayed not far from each other, the one who constantly shared the same beliefs and ideology, who believes in inspiring young people, our juniors, as life is not just about living with ourselves, but to interact with others.<br />
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And not forgetting friend FFF, GGG, HHH and so many more, who will only appear at certain times, a certain moment in my life, a certain place which is unpredictable, and at a certain stage of my life..<br />
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<a href="https://1.bp.blogspot.com/-hRVKD1dY93g/Xt3H_Ec3aZI/AAAAAAAAC3w/0JHGWFM2JmQ21o4MheS3KtD9ZtcUU2UwACEwYBhgLKs0DAL1Ocqy1uWZNrROTehn3fejQH1JlKOaGaC_xc8ik5udtycYHOb8elSNhrSGntSsq6EZHEGVreTPtB9geAfzBXBMOJoiy0JKI7eO1l6sc2DC_FhYTSL1dhO5jZFltcOJMSdqYKljOkfoZXlRlr_bv14inZZL-TnQ6L4WfKuY5xvGCz2mZcFXLxAdV8Hi85gOeMohCujucIbFb-xUPbDANb_0XWPvlT_cKva_ueTePSdHRhU5n_q9cIYmnLZjvjVq9ABpo0U1SVywA9-wDJ00A7qEmh7hJVxOw0PQAfULEqrN7zW2MR4eEH6H8Dg2CAdttGnjLEHUnY5o1_ndOJo_ZJye0x8JN705AfvqceTJWtR5v6TrchlzOEPujDfl6WcuiAwflVJ71rOQQtEjTszOE97_fcshRkZDMaMrdMbB4oYFG0SktBmQV1IwrLJ930d3xKT3W1jJ1DWz9kY76T5clZQfrgw_JSPhmJ5tDRkrgHZbmCe0zfduGvUfN8Z5rxr5ot4s8BShy72be9AoWR3mSdD6RwDHxtNy8P9p8C9g2Lw_FJzN_p1XZwWpL6xynKhppGmKGgOGXaoVmQTNgPX_bZaCYw-8UjbqsOR2yNBsw55T39gU/s1600/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1024" height="474" src="https://1.bp.blogspot.com/-hRVKD1dY93g/Xt3H_Ec3aZI/AAAAAAAAC3w/0JHGWFM2JmQ21o4MheS3KtD9ZtcUU2UwACEwYBhgLKs0DAL1Ocqy1uWZNrROTehn3fejQH1JlKOaGaC_xc8ik5udtycYHOb8elSNhrSGntSsq6EZHEGVreTPtB9geAfzBXBMOJoiy0JKI7eO1l6sc2DC_FhYTSL1dhO5jZFltcOJMSdqYKljOkfoZXlRlr_bv14inZZL-TnQ6L4WfKuY5xvGCz2mZcFXLxAdV8Hi85gOeMohCujucIbFb-xUPbDANb_0XWPvlT_cKva_ueTePSdHRhU5n_q9cIYmnLZjvjVq9ABpo0U1SVywA9-wDJ00A7qEmh7hJVxOw0PQAfULEqrN7zW2MR4eEH6H8Dg2CAdttGnjLEHUnY5o1_ndOJo_ZJye0x8JN705AfvqceTJWtR5v6TrchlzOEPujDfl6WcuiAwflVJ71rOQQtEjTszOE97_fcshRkZDMaMrdMbB4oYFG0SktBmQV1IwrLJ930d3xKT3W1jJ1DWz9kY76T5clZQfrgw_JSPhmJ5tDRkrgHZbmCe0zfduGvUfN8Z5rxr5ot4s8BShy72be9AoWR3mSdD6RwDHxtNy8P9p8C9g2Lw_FJzN_p1XZwWpL6xynKhppGmKGgOGXaoVmQTNgPX_bZaCYw-8UjbqsOR2yNBsw55T39gU/s640/WhatsApp%2BImage%2B2020-06-08%2Bat%2B1.08.09%2BPM.jpeg" width="640" /></a></div>
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But one thing is always certain, we not only grow physically older, but our minds grow mentally wiser day by day.<br />
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Who is my best friend? This is a question way too easy but too complicated to answer.<br />
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-51244989868559640022017-02-04T14:58:00.000+08:002017-02-04T14:58:13.060+08:00FFXIII<div dir="ltr" style="text-align: left;" trbidi="on">
Wishes can come true, but not if you just wait for miracles. Miracles are things we make for ourselves, here, and now.<br />
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<a href="https://3.bp.blogspot.com/-2Oy3RIg8fBw/WJV7BDfCUPI/AAAAAAAACtU/_OiFZV0aXt80xjjqo_D6EJ9lJDbzkjDFgCLcB/s1600/final-fantasy-xiii-cocoon-wallpaper-final-fantasy-xiii-wallpaper-1080p-8.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://3.bp.blogspot.com/-2Oy3RIg8fBw/WJV7BDfCUPI/AAAAAAAACtU/_OiFZV0aXt80xjjqo_D6EJ9lJDbzkjDFgCLcB/s1600/final-fantasy-xiii-cocoon-wallpaper-final-fantasy-xiii-wallpaper-1080p-8.jpg" /></a></div>
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It's easy to lose sight of things in a world as wide as this one, but if you keep going, you're sure to find what you're looking for sooner or later.<br />
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When prayers turn to promises, not even fate can stand in our way. We held the light of hope in our hearts, and achieve the impossible.<br />
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Now we live on, to greet a new dawn. </div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-5451799274526408902017-01-18T22:27:00.000+08:002017-02-04T15:46:43.775+08:00Distribution of Oranges & Love<div dir="ltr" style="text-align: left;" trbidi="on">
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18 January 2017 - Tzu Chi Melaka have their usual weekly Wednesday visit to Hospital Melaka but this time it was special because we distributed mandarin oranges to patients in the Medical, Palliative and Oncology wards in view of Chinese New Year next week.<br />
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<a href="https://1.bp.blogspot.com/-FTwE7frdv8Y/WJWEgk67MfI/AAAAAAAACts/NiutJVkyQyoOC9DfUGc2eZZqd45aVxBqACLcB/s1600/tz01.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://1.bp.blogspot.com/-FTwE7frdv8Y/WJWEgk67MfI/AAAAAAAACts/NiutJVkyQyoOC9DfUGc2eZZqd45aVxBqACLcB/s1600/tz01.jpg" /></a></div>
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We visited with only 1 aim, that is to brighten someone's life up by giving hope and lending ears to those who need it. It is a skill that I need to acquire and practise in order to initiate conversation with patients, especially the non-formal conversation, asking concerns, and try not to go overboard.<br />
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In this visit, I have particularly noticed a few things that I have learnt:<br />
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1. Patients with chronic illnesses (stroke, cancer) are in despair and sorrow, we can offer them hope by reminding them of the things that the currently have. For example, a stroke patient can still speak fluently (left sided stroke will have impaired speech), or a cancer patient is just tired but free of pain and have good family support. They, just like us, need to be constantly reminded of the things that we have, rather than the things we do not have.<br />
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<a href="https://2.bp.blogspot.com/---P89jfRQ5E/WJWEghmNDtI/AAAAAAAACto/QV8TjL8N_H0VfXznTScjsWmVF0B3GqFpQCLcB/s1600/tz02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://2.bp.blogspot.com/---P89jfRQ5E/WJWEghmNDtI/AAAAAAAACto/QV8TjL8N_H0VfXznTScjsWmVF0B3GqFpQCLcB/s1600/tz02.jpg" /></a></div>
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2. Not all patients will listen to me, it depends on the 'channel', if the topic is good, then we can talk for long, but if its not, then its better to move on. No matter how good or how well can I speak, some patients just refuse to listen, this always remind me to be down to earth, we cannot save the whole world.<br />
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3. Family members need support too! The best that we can do is to listen actively to their pleas and hardship. I knew it is not easy to take care of an adult especially if they are sick for a long time. Most of the time I can only give suggestions to them, and give them some positive inputs as to remind them of how tough and how filial they are.<br />
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To be frank, hospital visit appears to be easy but it actually requires great mental strength and motivation from the volunteers like us. The first person we must motivate is ourselves, once we are in the phase of mindfulness, the road ahead will all be laid out smoothly~ =)<br />
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<a href="https://1.bp.blogspot.com/-I15CLKr2oSc/WJWEgiyQymI/AAAAAAAACtk/SbR7B0tTnZUBj_Cdf2jAmWEeKtTrNlrgACLcB/s1600/tz03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://1.bp.blogspot.com/-I15CLKr2oSc/WJWEgiyQymI/AAAAAAAACtk/SbR7B0tTnZUBj_Cdf2jAmWEeKtTrNlrgACLcB/s1600/tz03.jpg" /></a></div>
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<i><span style="font-size: x-small;">Video and Photos source: <span style="font-family: "arial" , "helvetica" , sans-serif;">Tzu Chi Malaysia youtube </span><a href="https://www.youtube.com/user/tzuchimy">https://www.youtube.com/user/tzuchimy</a></span></i></div>
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-42328632907111347512017-01-15T14:35:00.000+08:002017-01-16T14:35:37.744+08:00Tzu Chi Clinic with Dr Yap<div dir="ltr" style="text-align: left;" trbidi="on">
15 January 2017 - How many of you have seen a person who are well to do in the society, highly respected, and at the same time, treats everyone equally and same? Well, I have the opportunity to knew this man, Dr Yap.<br />
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<a href="https://4.bp.blogspot.com/-jWzEAAa1H40/WHxpIuSWFoI/AAAAAAAACq8/7A_MsQzty9c4cHpII-qOaT9RMWy8NB7mQCEw/s1600/16122331_10157918236955198_1121475381_o.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://4.bp.blogspot.com/-jWzEAAa1H40/WHxpIuSWFoI/AAAAAAAACq8/7A_MsQzty9c4cHpII-qOaT9RMWy8NB7mQCEw/s1600/16122331_10157918236955198_1121475381_o.jpg" /></a></div>
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Dr Yap comes to Tzu Chi free clinic on the 3rd Sunday every month with his wife to give free medical consultation services to the poor and needy in Melaka. I am particularly inspired by his attitude in life and his approach to each of his patient, listening attentively, giving respect and building rapport with his patients.<br />
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In my lifetime, I have only encountered a few person who treats everyone equally. If you are thinking whether you are the one? Try to think of the people you have seen on the street, the cleaners, the security guards, lecturers, professors, doctors, nurses, bangladeshi workers, the auntie who sells lottery, the uncle who sells tissue and the young Indian boy who sells kacang putih, do you treat them all equally? Yes, I do, and Dr Yap is also one of the people who does it.<br />
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Today I have learnt the technique of ultrasound to visualise a uterine fibroid with his guidance. He told medical students like us that it is always a need to treat the patient as a whole, to detect their underlying problem and not just the presenting complaints.<br />
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His humble personality and his openness to approach to medical students like us made me feel that there is still hope in the doctor's world. Doctors who are highly educated are not all arrogant and egoistic, he is one of the exception.<br />
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I am always grateful that I am exposed to Tzu Chi in Melaka early. The experiences I have gotten so far, made me a stronger person in life.<br />
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-25720638324242402292017-01-11T22:00:00.000+08:002017-01-16T14:05:31.929+08:00Visit to Nazarath Home<div dir="ltr" style="text-align: left;" trbidi="on">
11 January 2017 - Starting the year of 2017 (Year of the Rooster) with this new post! How time flies~ I started this blog 10 years ago in year 2007 to describe my experience during one of my St. John duties in Stadium Perak. Link below:<br />
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<a href="http://ivantan5.blogspot.my/2007/08/thr-raaga-concert-duty.html">http://ivantan5.blogspot.my/2007/08/thr-raaga-concert-duty.html</a><br />
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How much I have grown, physically and mentally 10 years ago compared to now. One thing is for sure, I am becoming better and better day by day. I wonder how will I be 10 years from now? Will I still be able to maintain my current personality to adapt to the challenges in the near future? Only time will tell~ =)<br />
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I joined my college student council family to spend my Wednesday evening in Nazarath Home, an old folks home cater to the poor and needy in Klebang Besar, Melaka. I always love participating in events like this, events which keeps me in touch with the people of the neglected society.<br />
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There are 43 students, mostly from BDS (Dentistry students) in which some I have knew them earlier (Melissa, Abok), and fortunately, both my groupmates, Izzul and Wei Hoong were there with me too, if not it must be awkward to be with so many people whom I have not known. Oh, Ian was there, a good buddy of mine who carried his guitar and played the carol songs for the people there.<br />
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Some people joined because they wanted to bring joy to others, but for me, it works both way. I realised that my communication skills in approaching strangers is improved this time, I am able to initiate a smooth conversation with the people, thanks to my professor, Dr Ng Sin Hui who always demonstrated to me the art of communication in the hospital wards. Thank you Sin Hui (if you're reading).<br />
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Visit to homes always makes me grateful, not only for what I have physically, but also constantly reminds me of my peaceful state of mind, undisturbed, unaffected. The people there have different stories and different experiences in life, some speaks for us to listen, while others actually speaks for themselves with us as listeners. I feel that the only way to get in touch with the people is to actually go to them and understand their story, not to comment nor suggest anything. It is through experience that we keep ourselves on our toes all the time~ =)</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0Klebang, Malacca, Malaysia2.2045692 102.223323299999952.1886167 102.20306729999994 2.2205217 102.24357929999995tag:blogger.com,1999:blog-2723621216012568006.post-28749630754078000902016-11-24T18:29:00.000+08:002016-11-26T19:01:16.915+08:00小明拔牙记<div dir="ltr" style="text-align: left;" trbidi="on">
24 November 2016 - It was a usual Thursday afternoon when my class ended early at 3.30 pm. In view of my free time, I went to the dental clinic in my college for a check up on my supernumerary tooth (an extra tooth which grows out of proportion in the oral cavity) for the first time.<br />
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Upon arriving, I had a normal check up by the dentist on the ground floor of the clinic, Dr Raeshma. She noticed that one of my molar tooth (wisdom tooth) is slanted and decayed. I was shocked and surprised at the same time, how could my wisdom tooth decayed without any symptoms, I was talked to myself. After that, she referred me to 3rd floor for 'further evaluation', which I thought is great.<br />
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However, when I arrived, there are so many dentistry students there, some of them were the ones I knew like Yi Wei, Chopper, Kit Yee, etc. The feeling is strange because I am meeting them as a patient rather than as a friend. Each of them wanted to have a look at my tooth condition, which I happily agreed, because I understand, yes, I understand the feeling of an eager students who wants to learn.<br />
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Since my case is just a normal tooth extraction, the dentist there advised me to do it on the same day itself, I agreed. The guy who gave local anesthetic to me is a first timer, with his seniors teaching him how and where to inject the 2% lignocaine. I personally have no problem with it, I don't mind being a subject for learning, as I recalled the situations where I gave my first injections, first cannula, first glucometer, etc, but I can't deny that I was nervous, not because of pain, but simple just nervous, because this is the first time I am actually seeing a dentist for my oral hygiene.<br />
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Andy, a year 4 dentistry student started the procedure, with his juniors surrounding me. They were speaking in their dentistry language (bucker tooth, tooth 1-8) and as usual asked me not to be nervous, I finally knew the real feeling of being a patient and surrounded by so many enthusiastic students at once. However, Andy could not extract the tooth out, and had to called for help from Chopper, a final year student. After much effort and swapping of instruments, changing of maneuveres, he could not remove it too.<br />
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I was checking my pulse rate at the same time and I had tachycardia because of the long procedures. I thought mine was an easy case, but when they finally asked the doctor for help, I knew something must be wrong with my tooth. After an hour, the lignocaine effect starts to wear off and I can feel mild discomfort, and with much effort, the doctor removed it and it was found that the root of my tooth is bend to 90 degrees, that explains the difficult procedure. The entire procedure took more than an hour, but I knew it was not their fault, as my wisdom is not like the rest, wisdom tooth I meant.<br />
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I personally wanted to thank all the dentistry students and dentists in the dental clinic for their hardwork and because of me, they have to work beyond 5 pm. I decided to blog this because the experience in the dental clinic is so new to me, and I am able to really feel what it feels like to be a patient myself. At the same time, I would also like to advise those who are reading this to have a regular dental check up because who knows, you may detect a big problem early! :)</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-43754178219251278092016-09-23T23:52:00.000+08:002016-09-26T03:44:53.183+08:00Segamat<div dir="ltr" style="text-align: left;" trbidi="on">
23 September 2016 - Going to Segamat, Johor for my 1 week labour posting is definitely an enriching and memorable one~ =)<br />
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<tr><td class="tr-caption" style="text-align: center;">MMMC (Segamat Campus), actually it's just shop lots~</td></tr>
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Days before going to Segamat, I was worried, mainly because of the current comfort zone in Melaka I have been enjoying all these while. I need time to adapt to a new environment (I guess everyone does), and going there for 5 long days means no aircon, no good food, no friends and no comfy bed.<br />
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<tr><td class="tr-caption" style="text-align: center;">Main entrance to Segamat Hospital</td></tr>
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I was driven here not only by car, but also by the positive feedbacks I got from my friends and seniors from the experiences they had in Segamat Hospital. On the first day itself, I examined a placenta with the guidance of Staff Nurse Tay. I can feel the soft and bouncy consistency of the placenta along with its umbilical cord.<br />
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<tr><td class="tr-caption" style="text-align: center;">Examining the placenta (more like washing vege)</td></tr>
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Fortunately, there are 2 other friends from Batch 32 who came for labour posting as well, and they are Wei Ling and Fatin Shahira, so it means we have female chaperons to facilitate in procedures and also for permission to observe some obstetrical procedures, YAY! As males, Yong Jin and I faced many rejections in the O&G postings (in Melaka Hospital!) even to see some basic abdominal ultrasound scans~ =(<br />
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<tr><td class="tr-caption" style="text-align: center;">The 4 of us sticking together all the time~</td></tr>
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First day of posting is on a Sunday, since the official working day for Johor starts on that day. Nevertheless, we stayed until 9 pm to watch the last emergency LSCS (lower segment caesarean section) to sum up our day! Felt so occupied and tired for the day but we have definitely learnt a lot compared to Melaka.<br />
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The rest of the days in Segamat were well spent, with the exception of me going back to Melaka for portfolio defense on Tuesday and coming back on the same day ~_~<br />
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<tr><td class="tr-caption" style="text-align: center;">The dorm view from my bed</td></tr>
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For our stay in Segamat, we are granted a dormitory which is actually modified shop lots few minutes away from Segamat Hospital. There are various students from other postings who were staying with us too. The ground floor is the male dormitory whereas the 1st floor is for females. There are also washing machines, clean toilets with functioning heaters for bathing purposes and a study room with aircon for us.<br />
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<tr><td class="tr-caption" style="text-align: center;">Guess what is my bed number ;)</td></tr>
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Frankly speaking, the dormitories are quite stuffed up and it gets warm at night. This condition also favours some blood-sucking visitors to drop by and feed on us, they are none other than the cute cute bloody mosquitoes x_x This reminded me of my time when I was staying in an old hostel room in Tagore hostel, Manipal. I told myself that I have survived that hostel for a year, and now these temporary uncomfortable-ness are just tiny challenges in life~ =)<br />
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<tr><td class="tr-caption" style="text-align: center;">Dinner at Kampung Cafe</td></tr>
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Food in Segamat is good. There are many hawkers centers around and also some nice cafes nearby. The cost of living there is lower as seen by the price of the food. A plate of chicken rice costs RM 4 while in Melaka, it easily costs more than RM 5. For the first 2 days, Yong Jin and I were just roaming around during meal times to explore the unexplored areas LOL. On the 3rd day itself, we had dinner with Wei Ling and her friend, Kah Suen who is in Anaesthesia posting.<br />
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<tr><td class="tr-caption" style="text-align: center;">Aircon study room, time to take a nap!</td></tr>
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Some new friends I have met in Segamat:<br />
1) Wei Ling: With the surname of Lee, she is one of the person from Batch 32 whom I know she exists but I don't know her personally before this. Quiet and shy at first but friendly, approachable, and straight-forward when we get to know her. Laughs a lot. Laugh threshold moderate.<br />
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2) Kah Suen: Knew her since first year because of Chin Leong. Can laugh suddenly walao, without any triggering factor or stimulus. Laugh threshold lowest among humanity. But as future doctors, we don't discriminate our <strike>patients</strike> friends~ jk<br />
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3) Fatin: She is a proactive person and a learner. Even with 3 of us as Chinese friends, she doesn't isolate from us much. She even remembered that the first time we met was in Kochi, but as usual, I couldn't recall my first encounter with people that I'm not close with LOL<br />
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4) Leon: He is a final year medical student from Monash, based in JB. Serious looking at first but is approachable and helpful at times.<br />
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5) Dr Cheong & Dr Woo: Both of them are housemen graduated from MMMC Batch 25. They totally understood the pain of having a portfolio that need to be filled by doctors (if you get what I mean). Dr Cheong is good in his CME presentation, with adequate medical knowledge, he knows what he is presenting and is able to answer questions directed to him. Definitely one of the person I am going to look up to!<br />
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6) Hasif: The one who slept beside me (not on the same bed). Super-friendly and is willing to share his experiences and advice to me all the time. He is from the same batch as me but different class.<br />
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Oh and did I mention the super cool UD52 O&G specialist I encountered on the first day, Dr Arivendran. With a stylish classical maggi hairstyle, hawaiian shirt, bluetooth headphones on his neck and a croc slipper, he just go for ward rounds as usual with his soothing English accent~<br />
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<tr><td class="tr-caption" style="text-align: center;">Definitely one of the place I will miss~ </td></tr>
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Experiences in Segamat is one that I have learnt the most in my O&G posting. I managed to get hands on to conduct the 3rd stage of labour (placental delivery), perform a PV examination to look for cervical dilatation and effacement, and many of the practical things I am only able to get from textbooks if I were in Melaka.<br />
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<tr><td style="text-align: center;"><a href="https://2.bp.blogspot.com/-SI_18hAFHfI/V-gkozO748I/AAAAAAAACn8/Q8R9tQ25v80LvTcP2xRalQb74xa44XSQgCEw/s1600/14467155_10157358507860198_338884414_o.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://2.bp.blogspot.com/-SI_18hAFHfI/V-gkozO748I/AAAAAAAACn8/Q8R9tQ25v80LvTcP2xRalQb74xa44XSQgCEw/s1600/14467155_10157358507860198_338884414_o.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Went through ups and downs, thick and thins, thank you guys~ =')</td></tr>
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Thank you to all who have guided me this far. I am currently in my room in Melaka, enjoying the chilling aircon and back to my comfort zone~ =)</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com1tag:blogger.com,1999:blog-2723621216012568006.post-37551267870246071302016-08-23T15:15:00.000+08:002016-09-03T01:51:53.024+08:00Going 'High'<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "arial" , "helvetica" , sans-serif;">23 August 2016 - I have just returned from my 2 days 1 night trip from Cameron Highlands! </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The last time I visited Camerons was last year, with my deba, makmak and ah ling yiyi. Not much has changed, except for the weather which is slightly warmer than before, maybe it is because of the changing climate coupled with global warming. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">My friends and I decided to come here because it was the beginning of our semester break of 1 week, and because we wanna have a place to chill and relax due to the hectic schedule of our postings. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The main organiser for this trip is Wei Jie because he is familiar with the places in and around Camerons. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">We started our journey around 9am from Wei Jie's house in Seputeh and headed north to a market place in Kampar, Perak to have our hearty breakfast. After that, it was time to climb up the sloppy hills! </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">After we have unloaded our luggage in Parkland Apartments in Brinchang, the first place we visited was Cactus Valley. I am not a fan of cacti, neither am I aware of my friend's hobby of having one because to my surprise, all 3 housemates of mine (Wei Jie, Siong Keat & Yong Jin) bought some small cacti which costs few ringgits each. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Next, we head down to Starwberry Farm. There are so many strawberry farms around the area, with some prominent signs, usually written 'pluck your own strawberries!'. However, the cost of it is not cheap, priced at RM 30 for minimum of 500g, thus we just visited the strawberry products shop. There are variety of strawberry-made/associated products, jam, cakes, chocolates, to name a few. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">We even stopped by at some market place and did some window shopping before heading to Brinchang town for our hot and steamy steamboat dinner! We finished our dinner before 8pm so as to watch the finals for Olympics badminton men's single match between Lee Chong Wei and Chen Long (China). Heartbreaking news followed suite.... </3 Malaysia's dream of getting a gold in the Olympics just dashed away, but the hardwork and perseverance of the athletes are remarkable and beyond words. Thank you to all who have worked hard to bring up the name of Malaysia!</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The next day, we went to BOH Tea Plantation at Sg. Palas after breakfast and checking out from our apartment. The greenish tea leaves at the plantation hills are so pleasant to our eyes, and the refreshing BOH iced tea is undoubtedly soothing to our taste buds. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Before heading down to put a full stop to this wonderful trip, we stopped halfway to take some amazing photos on the plantation sites.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Life is always beautiful if you choose to see it this way. I am truly grateful for the fabulous friends I have, who constantly provide supports and bring joy to my life always. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">With this, I am officially a semester 9 student~ =)</span><br />
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-12363340036699543032016-08-06T16:25:00.000+08:002016-08-09T16:44:36.349+08:00Manipal Run for Life<div dir="ltr" style="text-align: left;" trbidi="on">
6 August 2016 - This event is organized by my college, and it's called 'Run for Life'. Neither do I know what's the meaning, or is it associated with <i>run for your life</i> or <i>run for a better life</i> or <i>what will you do if you sleep instead of running?</i><br />
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<i>Guess which wristband is mine?</i></div>
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Jokes aside. This is the first sports event I have participated since I came back from India last year. There is a similar event last year too but I was in Muar so I did not participate but this year itself, I am fortunate to be in Melaka along with some of my 'healthy' friends~ =)<br />
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I reached campus around 7am but as usual, the opening ceremony started at 8am+++++<br />
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<i>post-run selfie</i></div>
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They are giving away medals for the top 25 and for some little hope, I thought maybe I can try to aim for the top 25, but the reality is always cruel~ =(<br />
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However, I have tried my best and managed to run past as many friends as possible during the 5 km stretch which circles around my college.<br />
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With some training and extra effort in the coming months, I promised myself to set a new target to reach for the top 25 next year!<br />
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<i>Yu Hui, one of my friend who got into top 25~</i></div>
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Please support me physically and mentally.<br />
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Thank you~ =) </div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-55554108840518055512016-08-02T22:44:00.000+08:002016-08-09T16:08:21.092+08:00Home Visit<div dir="ltr" style="text-align: left;" trbidi="on">
2 August 2016 - Terrible, Terrible, TERRIBLE!<br />
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I joined the home visit organized by the Student Council on this moody Tuesday evening. We visited 2 different homes, namely:<br />
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<i><b><span style="font-size: large;">Handicapped & Mentally Disabled Children Center</span></b></i><br />
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<i><b><span style="font-size: large;">Pertubuhan Kebajikan Villa Harapan </span></b></i></div>
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Prior to that, we have already collected some donations from the students and bought some essential items such as rice, cooking oil, toothbrush, breads and so on, to be donated to the homes. The Student Council members lead by the Community Director, Yassin (my friend) really did a good job by sacrificing their time planning and by organizing these home visits.</div>
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The first home that we visited was the children center. Most of the children there suffered from cerebral palsy. They either have certain degree of mental retardation, or some have functional impairment and unable to walk or talk normally.<br />
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The environment there is bad. Most of the children have to sleep on beds without bed sheets and not much spaces were there for them. I thought the condition is bad until I walked upstairs, it is worse! Some people are locked in a room, and some are just abandoned in another room, with no attention being given or whatsoever.</div>
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The strong stench of urine is petrifying, along with the sticky marble floor that kisses our soles as we walked by, ewwww! More than 15 kids are staying upstairs, or should I say, thrown upstairs.<br />
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Most of the children are in the growing phase, but they are being dumped into the home just like that, ignored and abandoned. There are also some adults which suffered from the same disease as well, although they are able to converse in their mother tongue but they are not coherent and the things that they spoke is irrelevant.<br />
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The second home we visited is Villa Harapan. The name sounds like a grand villa filled with hope but actually, it's NOT! This home is actually catered for the homeless people on the street of Melaka. It is sponsored by the government to provide food, shelter and clothes to the homeless people.</div>
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Having said that, the residents are actually not allowed to roam freely outside, unless during the time where their family members (if any) were to come and visit.<br />
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Some of the are even locked in 'lokap' or jail, with the reason that they caused violence and are dangerous to the surrounding people. The condition is terrible as well. In a small cell, 3 people are packed within with just a toilet, no lights, no bed, nothing. I can't help but feel that the dogs in my neighbourhood lives better quality lives than them.</div>
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Visited these homes again reminded me of how lucky I am, compared to some unfortunate people on the same planet. I am sure each and every one of them have their own sad chapters in life, and those are the stories that no one is willing to read. </div>
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I personally feel that as individuals, the level of respect we have for one another should be regardless of race, religion, age, position or caste. The way I greet the hostel guard is always no different than to my professors. It is the way we acknowledge people that we will be acknowledged in the same way.<br />
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May all be well and happy~ =)</div>
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-53750149309302043352016-07-29T04:59:00.000+08:002016-07-30T18:21:23.263+08:00Soup Kitchen <div dir="ltr" style="text-align: left;" trbidi="on">
29 July 2016 - It was such a peaceful Friday night in the busy city center of Kuala Lumpur, and an amazing experience as a volunteer with Pertiwi Soup Kitchen!<br />
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For those of you who do not know what Soup Kitchen is, it is basically an NGO (<i>non-governmental organization</i>) formed to distribute free food to the homeless and unfortunate people on the street. Pertiwi Soup Kitchen has been operating in the city center for the past 5 years. Previously, they were operating with some sponsored food and vehicles along Jalan Chow Kit, but has been relocated to Jalan Medan Tuanku by the government and they were granted a place for establishment of a base for food and basic necessities.<br />
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I joined as a volunteer along with some of my friends (Sin Hui, Izzul, Sophia, Anis) in order to understand the operations of this organization, and to what extend does their action helps.<br />
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Even before the food distribution, hundreds of people (around 300-400 in numbers) already gathered along the street, waiting to get their portion of the food. Since there are sufficient numbers of medical personnel for the night, I was assigned to help out in the food session.<br />
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<b><i><span style="font-size: large;">So what do we do there?</span></i></b></div>
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The allocated time was 9 pm - 12 midnight and Soup Kitchen is operating 4 days per week. There were several stations operating at the same time, namely the food station, the free haircut station, and the medical check up station.<br />
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The food provided by Pertiwi Soup Kitchen are simple, which includes a packet of plain white rice with a small piece of chicken with gravy, a banana, and a drink (coffee or syrup drink). However, there are also some extra food sponsored by certain individuals, corporate or other organization, such as doughnuts and<i> Gardenia</i> bread.<br />
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The commonly asked question is:<br />
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<i><b><span style="font-size: large;">How do you know if a person deserve the food provided?</span></b></i></div>
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Well, the answer is simple, we do not know. In fact, we are not trained to identify those person. The criteria is whoever who comes to us for help, they will get the help needed. <br />
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<b><span style="font-size: large;"><i>Giving free coffee and syrup drinks</i></span></b></div>
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<b><span style="font-size: large;"><i>Distributing Fish Oil & Vitamin C </i></span></b></div>
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<b><span style="font-size: large;"><i>Providing free hair cut</i></span></b></div>
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For the haircut station, there were 4 barbers for the night. Whoever who thinks they need a clean and fresh look are warmly welcomed.<br />
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For the medical check up station, there were 2 doctors posted there, along with helpers and some medical students like us. We are allowed to prescribe medications (with advice from the doctors) and also referring some severe cases to the nearest hospital.<br />
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We went to 2 different places: Medan Tuanku & Kota Raya. The response from the general public is good, maybe it is due to the fact that they have already knew that there will be food aid for tonight. All the food and drinks prepared were fully distributed until none was left, and all are right~ #punning #flightofideas #psychiatrypsychopathology<br />
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It has always been my aim to join Soup Kitchen and experience what is it like to be a volunteer myself. Well, the feeling is good. The food portion for each person is priced at RM 2+ in my opinion, but some people just could not afford that, and had to depend on these aid all these while.<br />
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Some of them are so hungry that they ate the food right away after getting them. I have never seen this side of our city center before. The joy in their eyes and grateful gesture they made is sufficient enough to make my trip worthwhile.<br />
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To be honest, driving to and fro Melaka-KL to 'do good deeds' is ridiculous for me. I feel that there are many other things which can be done in Melaka itself, instead of travelling all the way to help out. However, it is the valuable experience that I have gained and treasured, in order to serve better and perhaps, to do something similar & great in the near future~ =)<br />
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-44588539176864662292016-07-26T22:28:00.000+08:002016-07-26T22:45:10.480+08:00My Birthday Month<div dir="ltr" style="text-align: left;" trbidi="on">
26 July 2016 - The month of July is coming to an end in few days time, and I just had another birthday celebration yesterday although my birthday falls on the 8th of this auspicious month.<br />
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Let's start off with my 5 days of Hari Raya holiday which coincides with my birthday. I am fortunate for being able to be back to my hometown Ipoh this year for my birthday. Since it is a public holiday, most of my friends who are already working locally or abroad are back to Ipoh.<br />
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On Thursday night, I had <i>yumcha</i> session with my friends in Starbucks, Ipoh Parade. It was Pui San's idea because we have never met for such a long time. I think the last time we met was 3 years back during Chinese New Year. We had a tradition of visiting Esther's house for 拜年 every year for BBQ but after entering adulthood, frequency to meet are getting lesser. I was surprised that Vizent came too, but he was late (as usual) and that time was around 20 minutes before 12 midnight.<br />
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I was surprised that they bought me a slice of cake because the next day would be my birthday. I have never thought that they would have remembered it! We spent most of the time catching up with each other.<br />
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The next day itself I had dinner with my family in a Chinese restaurant in Excelsior Hotel. The cake that Uncle Michael made for me was a face of Detective Conan, my childhood favourite anime (the one and only anime I watched).<br />
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I particularly like Conan because I was always amazed by the thought process that he have and the way he organized and solved mysterious and difficult cases. It somehow inspired me since young because these are the things that can be real, unlike some other animes with super powers and fictional unrealistic superheroes.<br />
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Just as I thought my birthday celebration is over, the next day itself, my secondary school friends have another surprise for me in Wingzone, Greentown. For this night, Eon, Teik Sum and Haw Tung were there too. These are the faces I usually see during CNY but this time around they are back too! I really enjoyed the moment, along with the good ambience, reminiscing the good old times we had together.<br />
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I was continuous becoming the main character for 3 consecutive days, which made me feel so humble and blessed to be showered with abundance of love. Since I came back from India, I felt that I have grown up and mentally more mature. I somehow feel uneasy when the birthday song is being sang and I do not prefer to be the center of attention that much anymore. I have even deactivated my facebook birthday, unlike previously which I will count and check the people who have wished me on facebook. I have learnt that happiness comes from within, not by external stimuli~ =)<br />
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10 days after my birthday, on a Sunday, I was back to Melaka and I went to Tzu Chi free clinic as volunteer to help out. After the morning clinic, Elyn and Chee Sian were asking me for lunch. My stomach is already 80% full that time because lunch were provided in the clinic but I just followed anyway, without suspecting anything, but I was wrong, so wrong that this is the first time I fall into a birthday surprise trap myself.<br />
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The moment we reach Palazo restaurant, I saw Siong Keat and Wei Jie's cars but I did not suspect anything because I thought they would have went for lunch without telling me as I was involved in the clinic work. However, the moment I entered, I saw the whole group of my friends including Phuah Sheng, Ru Ting, Jonathan, etc and immediately I have that 'ouch' feeling inside me. How can I not see it coming?!? Nevertheless, I still felt grateful for the group of friends who have planned my birthday surprise.<br />
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Yesterday itself was suppose to be my end of posting party (EPP), an unofficial dinner with my groupmates to celebrate the end of my paediatrics posting. However, they bought a cake too to celebrate my belated birthday, 2 weeks after my birthday! LOL<br />
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This is the first time I have so many celebrations in a month, and I am truly blessed and felt so lucky to be loved by my family and friends (and also my girlfriend =P). I was overwhelm by the unconditional love from them and I knew I am truly one lucky guy on earth. Words can't describe how grateful I am to each and everyone of you~<br />
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<i><b>#lessthan3 </b></i></div>
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-33367641673541227932016-07-25T00:40:00.000+08:002016-07-25T00:40:48.397+08:00Psychodrama <div dir="ltr" style="text-align: left;" trbidi="on">
24 July 2016 - The clock has just struck past 12 midnight and here I am, whom will be starting my new Psychiatry posting tomorrow, but is too excited to post the experiences I had for the psychodrama course today.<br />
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It was a one day course organized by NCSM (National Cancer Society Malaysia) and was held in Oriental Melaka Straits Medical Center. Being a medical student for 4 years, this is the first time I encounter the term 'psychodrama' or 'psychotherapy'. The guest speaker for the day is Mr Wang Er Dong from Suzhou, China. We were told not to reveal the structures or the activities being carried out for the session, so I am just going to share my feelings and views in this post.<br />
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Psychodrama is mainly a therapy used to calm one self, to overcome one's fear and also to make one realise that there are energies around us. I personally felt overwhelm by the new things I have learnt today, and also discovered my 'professional' acting talent~ ;) </div>
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There are fears in each and everyone of us, which we need to overcome by ourselves. Psychodrama helps to re-enact the fears and also allow us to face it and solve it by ourselves. I realised that there are various things in life which we labelled as impossible to do, or it's too difficult to achieve. However, if you believe you have the courage and strength to do it, then you will overcome it by yourself!</div>
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As a person who is in the healthcare profession, I firmly believe in science and the existence of it. In spite of that, I know that there are many other things which cannot be explained by science, today I have found proof and experienced it myself~ =)</div>
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This entire session is 10 hours and we were exhausted after that. Thankfully, we got a nice treat for our stomachs in Saigon Joy Cafe, a vietnamese restaurant recommended by Jasmine, a new friend we have met today, whom attended the course with us too. Jasmine with her ever-cheerful and friendly personality was an active participants in events organized by NCSM too. </div>
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What a fruitful weekend indeed! </div>
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Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0tag:blogger.com,1999:blog-2723621216012568006.post-68994461498192494972016-07-23T23:55:00.000+08:002016-07-25T00:08:49.238+08:00Neurobytes 2016<div dir="ltr" style="text-align: left;" trbidi="on">
23 July 2016 - It was the annual Neurobytes again!! Nah, this is my first time attending it~ =)<br />
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The reason I attended is because I wanted to learn more about the hi.... just joking, it was because my friend Sin Hui is participating. Our college has sent out 2 teams which consisted of 4 top students in my college and Sin Hui is one of them.<br />
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Neurobytes is actually an International Medical Quiz and we managed to get teams from Indonesia, Ireland, India, Sri Lanka and also various medical colleges from Malaysia to participate this year. There were a total of 23 teams and 4 teams were selected to enter the grand finale. Among the 4 teams, 2 teams were from MMMC. Some of the questions asked were easy but in some knockout rounds, it requires speed as those who can answer fast enough than the opponent teams were given points.<br />
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Although some questions were quite easy and within our syllabus, I realised that the knowledge that I have is so fragile and I could not recall some of the answers, this made me nervous although I was just a spectator there.<br />
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I am really proud of all the participants there, as I believe that the sweat, hardwork and sleepless nights throughout their medical student years were just the submerged portion of the iceberg, what we were seeing is just the tip of it. To be able to study, to recall and to perform is something which I should salute them of.<br />
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The champions were from Pondicheri Institute of Medical Sciences, Chennai and the speed and knowledge they have is stunning and impressive! Nevertheless, our MMMC teams too, managed to get 1st and 2nd runner ups for this competition, which is the reason why I am proud of them~ =)<br />
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<b><span style="font-size: large;">1st Runner Up:</span></b></div>
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Ng Sin Hui (Batch 29)</div>
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Shailesh Anand (Batch 30)</div>
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<b><span style="font-size: large;">2nd Runner Up:</span></b></div>
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Lee Jingyi (Batch 29)</div>
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Choo Hui Xin (Batch 33)</div>
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Life lesson learnt: Stop giving excuses, read more, and read more to be the best out of yourself!</div>
Ivan Tanhttp://www.blogger.com/profile/14209868040098142454noreply@blogger.com0