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.
Peace In My Fantasy
Happiness is all around us, it's just a matter of appreciation
Chest tubes
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.
A terrific day
Home Quarantine Day 4-6
Day 4
By the end of Day 3, I got my first swab result, and of course, its negative.
Another day of studying goes.
I tried to relax my mind by watching some movies that I've missed for the past years.
Secret Life of Pets 2.
Greatest Showman (rewatch for the 6th time).
A call to Spy.
I think by the end of Day 4, I already got past my denial stage.
Day 5
We were once again to ask for 2nd swab today.
As I walked past the road of my hospital, I actually never realize that the building is so mesmerizing.
Simple, stable yet provide care for the folks of Ipoh for so many years.
Swab taken at 7.30am by my lovely MO, Dr Chen.
I like how he can always joke on everything eventhough the situation is like fire burning on yr feet haha.
This time, shit just got real.
We were required to wear the legendary pink wristband, the prisoner band, that forbids us from moving a single inch out from our house.
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.
True enough, police came knocking on my door in the evening.
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.
So this is how it feels when freedom is being taken away....
and yeah, my 2nd swab is negative, of course!
Day 6
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'
Urghhhhhh
I am okay with the way they conduct spot checks but to take photos, its so frustrating.
Maybe its their SOP for doing so.
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.
I am so bored.
I was suppose to go for BBQ session in my friend, Fadhirah's house.
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.
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.
I even tried out the trending game, Among Us with my friends.
That is definitely a stress-relieving game indeed.
Home Quarantine Day 1-3
Day 1
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.
This comes as a surprise as the patient was not complaining of any respiratory symptoms, but just trauma related complaints.
I've seen the case with one of my colleague.
On the day when the result is out, I was shocked when my colleague is the first person to notify me.
Subseuently, 2 of my emergency physician contacted me.
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.
Yellow zone was busy as usual, but I'm glad we have great souls like Dr Shankar and Dr Iman to tank the zones.
I was asked to immediately go back home.
I clocked out at 5.30pm.
Sat in my car.
No idea what to do.
Later I received a call from occupational health and safety unit. Briefed me about what to do, the need for isolation.
I was so frustrated, angry and sad at the same time.
This means that I am not able to work, my service is abruptly stopped, albeit temporary.
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.
Day 2
I woke up feeling aimless.
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.
Most of my friends were able to see the part of me being granted free MCs..
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.
I tried to minimize contact with my mom, and advised her not to go out too.
I concentrated on my studies, watching one movie to divert my mind, only to step back to reality after the credits rolled.
Later that night I was again informed to take a COVID swab coming morning.
Day 3
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).
Usually I am the one who is taking the swab for others.
But today, the feeling is different. I was taken swab by Dr Hariz (my senior MO).
The feeling of me not being able to serve, but for others to serve me, is devastating, especially when I'm asymptomatic!
I'm also required to fill in a google doc to assess my daily symptoms and temperature.
At noon, I was again received call from psychological unit, to assess my mental wellbeing.
All this has come too sudden.
I still need time to process.
Hopefully during quarantine, I am still able to utilize this time to benefit myself and to serve more in the future.
Do we have control over our lives?
Do we have control over our lives?
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.
Slight deviation from the path is risky, as we were told to have a path that is clearly defined, but not necessarily refined.
People who deviate from the path can be huge successful, or they may go downstream, unnoticed by the world.
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
So ask yourself, what do you really want?
Time?
Money?
Happiness?
or all of them? which we knew its utter impossible.
Or we can have a balance, and only you can determine your own balance.
Thankful
When someone is not doing their job right, or they are slacking, being irresponsible, and the long list goes on.
We always complaint.
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.
But do we thank them when someone is doing a good job?
Think about it.
I think we should all be thankful. To the people around us. Towards what we have.
The above photo is an example of a typical Malaysian 'hospital meal'.
Most of my colleagues will complaint that the taste is awful, or its cold, or its meant only for patient.
There is no perfect meal in this world, even if there is, it's just for our temporary happiness.
I started to be thankful towards the meal that I have everyday. As I know happiness comes from within, not from external sources.
Don't stop
Hey friend, I didn't know so many things happened to you until you told me just now.
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.
I think the hardest part now is how to continue this windy road ahead.
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.
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.
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.
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.
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.
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.
Give yourself time, but not too long.
I'm always available.
A holistic approach
How is my night?
Last night I was dealing with 2 deaths in red zone ED itself.
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.
There is an old aunty who was involved in a road traffic accident, and sustained multiple extensive intracranial hemorrhage.
Her conscious level started to drop after few hours, and by evening she is already not responding to call.
'Ma, I am back to see you', uttered her son who rushed back from JB to see her one last time.
There was no response from his mother, not even a single sound, except for the constant beating sound of the cardiac monitor.
The woman died 3 hours after being sent to the ward for comfort care.
I wondered how many of us would be saying the exact same words when we are back to see our parents?
Saying it for a thousand times when they are gone does not make up the time loss when they are still around.
Another one was an Indian gentleman who has a wife and 2 children, suffered from heart attack.
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.
He did not make it.
Heart rate and pulse oximetry not recordable.
Breath sound and heart sound could not be heard.
cardiac monitoring showed asystole (flat line)
blood pressure unrecordable.
pupils 5mm/5mm fixed and dilated.
As I penned down this routine words which is not something new to me, family members rushed in.
I did not talk to them. As I believe no words can replace a living man.
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.
I do not believe there is any doctors who are good in dealing with death, maybe not from my experience.
Life is temporary. Death is inevitable.
Fantasy Playlist
The Dreamer
- Ivan Tan
- Ipoh, Perak, Malaysia
- A Michaelian, a medical student, and also a human with some common sense. I like to reach out to people and also bring joy to my surrounding. Ivan is what they called me.
Follow the Meteor
Cluster of Words
Close to Equator
To Another Dimension
- Aizuddin's fantasy
- Alex Morris's fantasy
- Alson Beh's fantasy
- Andrew Wong's fantasy
- Aw Sheng Yuen's fantasy
- Brother Matthew's fantasy
- Cheah Wai Hoong's fantasy
- Chow Swee Kwan's fantasy
- Chris Chong's fantasy
- Chuah Teong Hui's fantasy
- Cikgu Azhar SMI Updates
- Cikgu Azhar's fantasy
- Donivald Tham's fantasy
- Elyn Ling's sakai blog
- Elynn Lee's fantasy
- Eunice Chin's fantasy
- Foong Chee Hoe's fantasy
- Jane Lam's fantasy
- Lai Lin's fantasy
- Law Ming Xian's fantasy
- Lee Kam Wah's fantasy
- Lee Wen Jie's fantasy
- Looi Hong Wei's fantasy
- Mabel's awesome story
- Michaelian Military Band
- Miko's fantasy
- Nike Phang's fantasy
- Pei Kee's fantasy
- Phan Ji Wei's fantasy
- Phuah Sheng's fantasy
- Pui San's fantasy
- Quah Chee Sian's fantasy
- Sabrena Liew's fantasy
- Shing Yee's fantasy
- St John Ambulance SMI
- St. Michael's Institution
- Tan Sze Ngou's fantasy
- Tan Tihn Chern's fantasy
- Vincent Teh's fantasy
- Vizent Tang's fantasy
- Wong Joe Hang's fantasy
- Wong Yoong Xiang's fantasy
- Yoon Boon Hong's fantasy
- Yoong Lip Zhang's fantasy
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