Tuesday, May 17, 2016

fading specialty....

I encountered a emergency labour case few weeks ago. The patient was a G6P5 , 39 weeker. The husband had rushed her into our ED during a busy Saturday. We had double consultation going on but yet, the initial scenario stunned my nerve. My colleague (a junior cardiovascular surgeon) told me that she had no experience of handling such case. The 2nd event was the meconium stained liquor which was noted on my vaginal examination. The os was fully opened and contraction was regular. Rupture of membrane was noted few hours before their arrival. No pitocin/ergot available was another disturbing fact which should have been corrected a long time ago. While I was worried about how could I take care of both the patients, one of nurse told me that our visiting obstetrician might still be around. She had called up and the obstetrician came to ED and took over the labour. I set up another resus area praying that the kid would be fine after delivery although the quick sonography look revealed the kid’s heart was still pumping.
The baby came up within minutes and I was cheering when the baby was passed over to me….the Apgar score was 9 and I did a suction via endotracheal tube without difficulty….
1 hour later, the mother and baby were on their way to another hospital.
I was lucky the baby did not come out flat, although there were still a few things to complaint about. The visiting obstetrician did not repair the episiotomy wound and he later refuse to issue the birth certificate. I had asked around and found that he had some medico-legal issue earlier and he had given up his practice of obstetric. He is currently attached to our health screening team and doing pap smear only. I had recalled once that I had consulted him about a missed abortion for DnC and he told me that he is a Buddhist and declined the job.
The medico-legal case had scared the hell of out of him; lots of the obstetrician had quit and practice cosmetic medication since the last 10 years.

Well, I am not the lucky one that day….the kiddo was….

Sunday, May 15, 2016

Arcade。。。。

I am not a man of action…not in the gaming world. My reflex is not good and most of the time, I am a watcher rather than player in the world of action gaming. But yet I completed the street fighter round during my college days (in easy mode of coz). The only arcade game that I had completed outside my home is the Warrior of Fate; with a bag of coins…
As Xian grew over the years, he had started to join me in the world of gaming. Lately when we transformed our 4th floor into the entertaining area, Xian had started to show interest in  action game. I introduced him to the world of Street fighter and Mortal Kombat. We got a couple of game from the xbox online store and it took only a  few days for me to realize that I had hit my ceiling. My hand is clumsy and my hand muscle is weak as well…my hand sore after 15 min of play and the successful rate of performing combo and special move reduce to 30%.
There is only one solution but I was reluctant to proceed with it. The struggle is as painful as deciding to get a 60 inch TV or a projector. You know what was the best choice but yet there was  something that refrained me from proceeding.
Finally I gave in and started my search for an arcade stick. As usual, the bottom line of my budget was being raised from time to time as I googled more. My challenge was to get 2 arcade sticks which can be used on xbox360 and PS4.
It was mission impossible initially until I came across the “BROOKS”…. USB adapter which enable inter-usable of arcade sticks between different consoles.
I got a Q4 initially and it work fine on the xbox360. Both of us enjoy it but yet we are still one arcade stick short; the other arcade stick should be a PS4 compatible preferably with touchpad….my hunt continues…
There is a local game shop up north which offer custom made arcade stick, price should be RM200 cheaper but the problem was the long waiting list- > up to 4 months of waiting…
So there were only 2 left on the market for me to choose from, HORI and MAD CATZ. HORI is definitely at the bottom of the list a there is no authorized dealer in this country. MAD CATZ TE2+ was last on the strike list but yet it was out of stock 1 month ago. TE2 was next but I was reluctant to take it as it does not feature the touch pad….
Last week, TE2+ was back on the market and I had ordered one...
2 days ago, Yun saw the parcel and after she knew the price, she had asked me a question, “ what was the key leading to the decision of spending the price of a PS4 on 2 joysticks ?”. The answer was crystal clear for me –“to complete the childhood dream that I had left out…”

I had never had the luxury to play in the arcade center nor own a TV game back in those days; all I could do was to watch. I considered myself a lucky person but again…I envy Xian….