convo trip..

The drive to the east coast was a tiresome one…as Yun need to attend classes, we have to pushed off late in the afternoon. The drive was smooth despite of the 70 km winding mountain route. We reached Yu Li for dinner after 4hrs of driving. Yu Li is famous for its noodle and Qing Chao(hot). The noodle tastes like wantan mee and we had found a local shop which is delicious during our last visit. We missed the Qian Chao as the shop opens at 9pm…

The rest of the 100km took 1hr40min and we reached the hotel at 8:30pm. We took a short trip to the night market nearby before we retreated to the room.

The buffet breakfast was great but it started late. I barely made it to the seminary but was still in time for the ceremony.

The ceremony was an exceptional one as most of the graduate were aborigine from different tribes. When a graduate was called, the audience would sing hymn from the tribe…I was the only foreign graduate this year.

We headed down south and take a rest in a resort near Chi Sang area. We took a bicycle ride at the famous “heaven road”; spectacular view and a good workout.

The journey back home was less stressful and we visited K city later in the night for a movie (insidious 3).

BBA....

BBA  = bachelor of business administration Born before Arrival (to hospital)
Well, I was catching a nap when the nurse yelled from outside--> baby born before arrival...
My nurse asked me -> should we take it ?, I gave them a positive answer...Why did they ask? because some of my colleague would requested a immediate referral without managing the duo...
Well,  as usual, everything was not smooth, lack of cord clamp, lack of catgut, lack of big towel , lack of weighing scale, lack of...with grace, everything was fine.
I had recently read about the training of house officer back in Malaysia; 20% drop out rate during house officer stage. I think load of Malaysia senior doctor could not imaging why house officer quit when they are only in charge of less than 10 patients. We were looking after 15 beds ( plus 10 patients laying on the floor , in between beds) in the medical and surgical ward during my training days. Massive exposure and management of cases is the key to a good training and retention of skill.
Well, those golden days of training are over....

High STake

Shift had become more hazardous lately...I told Lem that we would end up with a medical suit sooner or later as everyone of us is over stressed.

Many weeks ago, there was this trio who came to ED; middle-aged male, aged lady and a girl. I thought was it was a combo of granny, son and grandson and I was wrong.

The girl had presented with a laceration over her lips. The middle-aged male did the talking first – he identified himself as Dr C from the local dental clinic. He had accidentally injured the girl while managing the caries. I could feel the fear as his voice was “shivering”. The lady appeared to be the granny of the girl and was worried about the wound. I reassured her that the lips seldom leave any scar and we would take a good care of the patient. I had taken the girl to the OT for suture and the duo follow us into the room. The dentist had however requested impolitely that he wanted to stay and I had without hesitate asked him to leave. In most of the case, I would invited the doctor to stay but his attitude irritated me somehow….

The procedure was a smooth one and later the father of the girl arrived. He was specifically told the dentists that he had never read news about injury of lips during dental procedure…he specifically told the dentist that there is definitely negligence in it. The dentist just stared at the father blankly and did not reply….

He should have apologized and battered his own chest while telling the girl’s father that he would responsible till world’s end regarding the wound, this is what we were taught in the past when encountering medico-legal case...

The case reminded me that to be careful as our stake have become higher due to overcrowding in the ED.

K had encountered a case last week; pt had expired and luckily the family did not take any action...

convo...

I had handed in my final report and concluded the course last week. The whole family is coming for the convocation. Xian convocation is on the night of 16^th and mine is on the 18^th morning. We would be heading east at noon of 17^th…..as 19^th is a public holiday, I planned to take a 3d2n tour with my family during this occasion to the east coast.

The course was really a challenge for me, struggling between night shifts, post calls and fighting the sleeping worm during lectures.

There were a few occasions which I thought of quitting but yet I managed to get through it.

There were 24 of us in the beginning; later 7 quit and only 10 of us managed to graduate this year….

It is s milestone for me….after years of graduating from college, I was still able to complete a post graduate course which is entirely different from my basic course..