My prayer was heard and there was ok as no one had come for harassing our locum ED physician…
We had shifted to the new compartment. Nicely set and I had a good sleep during the 1st call I did. The 175 is 1/3 of the size of the former one. Lem and I were satisfied with the current setting although some minor tuning is needed in the future.
There is this auto toilet installed which can give the anal a good flush after the passage…
The “prince” is a famous actor cum singer, the princess is a famous singer cum TV show host. The prince, together with some 40 peoples are investigated by the prosecutor office for forging record and illegal hiring foreign maid. The prince had instantly admitted his crime and was put on probation while the other accuse who plead not guilty were charged in the court of law. After the probation decision, the princess had told the press that they were in a mass than, she was pregnant and expecting the baby, their granny had fallen sick in the ICU and they had no man power to spare so that they had complied with the suggestion from the labor deploying company in order to get help…
She look so pity and innocent…but I think she treat the people like a fool…lies and deceit trying to gain the mercy from the public…
Just look at the lies…
1. Granny lying in ICU means the ICU staff would look after the patient… why need a maid to assist ?
2. There is this so called da LOCAL MAID…which charge NT30000 more than the foreign maid…the princess had a gross income of over RM 4 million last year… NT 30000 /months is just like hair from a cow skin…
Bad thinking, bad excuses and bad example for the public….
But there is still justice, the probation was rejected by the court of law and the prince was sent back for reinvestigation....
I had seen the news over the TV last night. A famous singer from Malaysia, Micheal Wong(光良) had written an article on the blog accusing of a impolite act of a ground service crew, he had posted a picture and told the public to avoid the counter manned by the crew mentioned or take another airline….One member from the group (a hair stylist) had placed a spraying gel in the luggage. The crew had asked them to open up the bag for removal but his act was regarded as impolite and unsuitable. Many versions of the incident were posted over the net. According to one of the newspaper report; Micheal had asked the crew why it is forbidden to bring such item…. For a frequent flyer like Micheal, it is a basic knowledge to know what you can carry on aboard and what you can’t – this incident which tried to embarrass other had exposure his lack of common knowledge…..
T is our chief of ICU(trained as a cardiologist but never took the board…), whenever we met during his going off and my coming to work, he would grin and greet me,” going to the beach again ?”. I usually wear a Bermuda shorts, T-shirt and a sandal to work( change to the working suit later of coz…).
Since my childhood, I had been fascinated by fairy tales and legend, my mother was a good story teller and later when I could read, I had a good supply of comic from my cousin. I still can feel the thrill of entering the library of the primary school. Borrow books and read through them…..it expanded my view, expanded the fantasy dream of a young boy. Reading was not enough and the fun was involving in it. During my secondary school, my father bought us a computer, an XT, 4.77mHz c 2 floppy drive and a VGA monitor( a luxury then…, most of the XT come with a monochrome).
We were poor then yet my parents fulfilled our dream – I had my first adventure game – Ultima III.
 | game by the famous Lord British....
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My English was above average then most of my classmate but yet, it took me weeks to understand “thou art…”. My favorite character is Paladin which had a balance of magician and fighter. Joining the St. John and later building my path to the post of Warrant officer had enabled me to master the skill of living in the wild.
I often wander if there would be a day when I could venture into the unknown dimension and lead a life of an adventurer…
Life was cruel and I had to coup with the reality; I got lucky as my effort pay off….
I had the eagerness for the wilderness life; tried very best to get myself closer to it. The thought had influenced my life -> everything I purchased is explorer oriented – another reason of buying an 4wd SUV. I added Wenger Ranger, G-shock Mudman, Teva Itunda into my arsenal lately.
 |  |  |
| enlarge version of the victrorinox, more suitable for wild life use.... | twin sensor c a compass.... | fast dried and spider rider suitable for wet and muddy terrain.... |
All came in handy while working in the farm and just a preparation for my next stop – Taman Negara……
I had to do night shift on Sunday once per months…the dep supt(medical care) was on call that day and we had a discussion about a case. The case was managed by our locum doctor. The patient had gone into arrest after hours of management in ED. Case was later transferred out to a medical center on a PEA wave. I did not concur with such act….the management was kinda old fashion and might not meet the standard of present day care. But still the family attitude which is that major cause of anxiety….
Lem was worried later as he was afraid that the locum would have to give himself up as the family would come here for trouble. I was more worried than him as I would be the one going back to the 30 hrs weekend call….praying hard to GOD that this would never happen….
It was quite a good call…. No code blue, code red….I had a call just after I completed the upload of EMR chart. The shift lead of the ICU called me and informed that the ICU is now full and they no longer intake any patient. I was in a mist when I heard such news. Lem did not advice me on any new rules when he passed over the ED to me. I asked the leader about the new regulation. She told me that the ICU director and boss had agreed that there ICU would maintain 12 beds and no extra patient in the future.
Indeed the ICU had been over stressed for the past few years. We would accept any critical patient and there is no such thing that referral because of no bed available in ICU. The bed occupancy rate had most of the time been 105%-110%. The nurses are all stress up.
I pity them but I had to follow the order of da BOSS. I told her politely that no one had told me that I should turned down referral because there is no bed in the ICU, I would forget there conversation as I don’t want to get into any trouble. She told me that the head nurse had told them on the issue when they went off their shift last night. The agreement had been made….I told her that I doubted the decision and I would confirm it later.
During the conference, the issue was raised and Boss had strongly clarified that he had never promised anything even though such conversation had been made. It was a long discussion and the final verdict is the ICU director and Boss would try their best to maintain a 12 beds or less occupancy before they went off. In such case there would be 2 bed spare for critical patient from ED/ward. I had gone back and returned the next day morning before I went to the govt clinic. Lem had told me that our colleague K was barred from admitting a case with pneumothorax s/p chest tube to ICU by the nurses as the nurses had told him that the 2 extra bed is meant to accept case from ward instead of ED. I got really fired, night shift attending physician had been bullied and pushed around. I called up the matron and told her about our situation.
I knew the person behind is definitely the head nurse. She had been pushing us around and tried her best to work less… had been so during her day as asst head nurse….got pissed off as she had tried to spread such lie but still I had to let someone handle her….thing is not going to change if our man power is not increase….
I got a call from my brother yesterday. He asked me about if there is any disease that would kill without a renal transplant. Technically is no – one can live for a very long time on dialysis. He told me that one of the Chinese news paper in Malaysia had posted a news regarding a STPM student in Malaysia who need a transplant to “Save his life”. He was unpleased with the title and wished to complaint to the newspaper. I totally agreed with his opinion regarding the misleading title. But I was curious about the young chap who score 12A in his SPM.
I googled and find something out about this poor young chap. He had made news in 2009 when he was diagnosed with acute appendicitis during the SPM exam, he and his parent had decided to postponed the emergency surgery undertaking the risk of peritonitis to complete the exam. He had done great with 12 A. However during the perioperative period, he was diagnosed having glomerulonephritis. His condition had deteriorated over the next 2 years and had to undergo hemodialysis since months ago.
He had to stop his study after upper six.
Some of good hearted people had tried to raise a fund of RM300k for him to have a kidney transplant done in China.
An act of love but take a further step looking into the issue… Kidney transplant in China = “Buying” a kidney in China, a very unethical act. Save one by hurting the others…it is an suitable act ?
It was a very disastrous event to have a uremia in Malaysia. Hemodialysis 3 times/week and the cost would drag a family straight down to the land of torment. There are lots of charity funded hemodialysis center in Malaysia but no one is going to pay for the immuno-suppresssive drug after the transplant.(the Malaysia govt had decided that no free drug for transplant done abroad.)
Anyway still feel bad for the pity young chap….
_
The 175(duty room was) never a good place to live, however there was another place which is more inhuman……from the ED to the 175, there was this corridor; the doctor had to walk through the corridor to reach the ED. The 175 had a big window which face toward the corridor. The corridor is also the resting area of the cleaner.
The hospital cleaning service is contracted to a company. The boss had hired a group of ladies mostly aborigine and foreigner bride with a very low pay. The cleaners use to meet at the outside the 175 during the morning pass over. The boss was so kind to put 2 folding chairs cum beds outside the 175 for the cleaner to take a nap or rest.
In the night, I had to walk slowly without making noise as the cleaner on duty slept outside the 175
Life is so unfair. I told myself when I took the long walk in the night. Both doing night shift and the prey was so different. I am at the mercy and grace of the LORD…
