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Showing posts with label World Issues. Show all posts
Showing posts with label World Issues. Show all posts

Monday, June 15, 2015

Pengorbanan Kali Ini

Drama queen betul. Heh.

Okay, last night I had to through away my whole work attire (except tudung) to the bin. My top, pants, socks & shoes. They were cheap on clearance ones, but still I threw away my work outfits. All into the bin.

The last case that I saw last night prior going home was an epistaxis (nosebleed), a young professional who has been living with anxiety, which is causing their very high blood pressure & each time this will lead to a nosebleed. X came before my shift started & saw my boss, had their treatment & went home. X came back just before I finished my evening shift with blood pouring out of her nose. 

Normal practice is that I would put on my disposible protective gown & gloves (which are removed once you step out of that particular cubicle) and cover an epistaxis patient with some blue +/- gown, +/- cover the floor with some blue, get the suction ready, etc. It is an arterial bleed, yes, but that extra few seconds of keeping the area safe does make a big difference. So those were what I did anyway with this particular patient.

But of course X didnt bleed when I was attending them. No source of bleeding in either nostrils, other than the obvious 200/120 blood pressure. During the observation, I had to attend to another young hypertensive emergency that already had bleeding & swollen retina in their both eyes that we had to transfer out of the Eye & Ear hospital. And of course, X had to bleed massively while we were doing that. 

On the way to grab a new set of protective attire, X had to cough, cry, stress out. And in turn more blood gushing out of X's nose in response to the climbing blood pressure. And that was when some blood splattered onto my lower half of my front. Sheeeeeessshhhh... So much fun! 
Threw away the attire at home, and yes, I deserve to be a drama queen. 

I dont fully blame patients when this things happens. Orang kata apa guna jadi doctor, hey, kalau takut darah, kencing, tahi & all those disgusting bodily produce. 

Think about you as a patient, mesti u ada sket2 pandang slack kat doctors yg lepas pegang u dia terus basuh tangan, "macam aku ni geli sangat!". Well, think about this again, you as a patient, the doctor dah lepas pegang pesakit lain kat cubicle/ katil sebelah yang u tau ada penyakit u anggap geli or lepas exposed to some darah, phlegm, etc, tanpa basuh tangan terus periksa u. Best tak?

Healthcare is not only about caring & managing health, but also is about prevention. We as healthcare professionals should as much as possible not spread germs, also as much as possible to actually protect ourselves from contracting any diseases. Not worth it at all. In a controlled situation, a little extra of these simple efforts make a very big difference. Of course in real disaster, sometimes you cant avoid it. And nowadays we can actually afford that extra 1-2 minutes to simply grab a pair of gloves/ goggles/ gown. Based on these experiences, I always make an effort to have at least a pair of gloves in my pocket, bags, car, etc coz you will never know.

I dont really have to dwell into it much, just think of the basic. Setiap healthcare professional akan dilatih very basic: DRSABC for any clinical situation. And to me, the first 3 principles can be applied to any situation too.

D= Danger. Avoid, remove any danger.. SAFELY!
R= Response. Check for response.
S= Send for help. 
A= Airways.
B= Breathing. 
C= Circulation.

Yes, and yup, last night memang aku dah jadi a drama queen, tapi at home lah.. Takde kerja la nak meratap bagai kat ED sana nun.. hehehe.
Hopefully doesnt happen that often again. 

Wednesday, December 24, 2014

Feeling Entitled?

My thoughts on this article published by blogger Aku dan Kehidupanku
Link: http://zouldahanblog.blogspot.com.au/2014/12/aku-dan-minggu-ini.html?showComment=1419379571822#c2548898691721824253

"Assalamualaikum, I feel for you. I agree with your note here. Memang kita sebagai healthcare workers sangat serba salah. Some people think its their right to get free medical treatment, but are willing to pay hundreds & thousands of dollars for their alternative supplement/ rawatan/ beauty products in the name of prevention & cure.

Doctors yang ada business sendiri, while they are making money themselves, at the same time kena bayar for the business sustainability tu jugak. Itu kerja diorang, their occupation. As a job, you deserve your gaji. Sama macam kalau kerja jadi cikgu, you deserve to get your gaji, right. So why pertikaikan the charge?

And healthcare business is not like business jual shaklee or jual asap. Government banyak sangat kasi subsidi to the klinic kesihatan, hospital, etc and thats why orang2 yg pergi to these healthcare premises tak nampak. Cuba kita tunjuk spreadshit of the cost of each item--> blood tests, syringes, alcohol swab, medicine, electricity utk guna computer setiap kali jumpa patient tu, air utk basuh tangan after jumpa setiap patient to minimize infection risks, etc dan termasukla service consultation. Hence, that's how much probably you pay for each GP clinic visit.
RM100 yes nampak banyak sangat, but kalau doctor buat kerja cincai & charge murah supaya patient tu kekal sakit & datang kat dia semula, agaknye tu yg the public nak. There are reasons why some people need some tests, some people just need consultation. Tak semua patients sama macam cube Lego. And yes kesihatan is your right, but only if you are taking all the appropriate steps to look after yourself first... not smoking, no alcohol drinking, no illicit drugs, senaman keep active, tak gemok, jaga makan, jaga tido, jaga emosi, jaga keperluan spiritual, etc.. then the healthcare is your rights.

Your rights to eat, patut ke people give you food for free kat any tempat makan because it is your right to eat?

Everything in this world is a business, all have their own costs; monetary, time, energy, emotional costs. Memang banyak yg tak nampak semua tu. Contoh, when you are attending an office family day. Cuba fikir the time & energy spent to prepare the food, to kemas rumah, to make sure semuanye berjalan lancar. Tambah lagi kalau ada ahli-ahli buat pasal tak nak tolong ke apa, dah naik kos emosi kat situ. Apatah lagi the money spent for that particular event. Datang plak tetamu-tetamu ni yg datang amik food sebanyak-banytaknye (esp kalau buffet lah), then siap nak bawak balik coz its their right to food so nak bawak balik utk ahli keluarga diorang.. maklum la office punye function, aku kerja situ, aku layak bawak balik semua ni utk anak2 aku. Heh...
And of course the tuan rumah hafta buat sehabis baik lah nak kasi semua cukup semua kenyang, and tak membazir, etc. Kalau sekadar buat ala kadar, air minum pun setengah gelas utk setiap tetamu, kerusi takde, sayur lunyai, tissue kain lap takde, etc, and buat tetamu mcm pengemis je, tu semua sangat2 tak patut.

Contoh saja ni. But in healthcare, similarly, a business in itself. Both the system & patients kena la respect each other. Of course banyak lagi menda to point out on each side. We cant control the system. We can only look after ourselves.

And since this article is about frustration of how some patients are, there, this is my 2 cents as a healthcare worker."


Sob, sob, kena kerja on Xmas season... today, tomorrow xmas day, lusa boxing day. Hubby is off for amost 2 weeks during this festive season here. And I am stuck at the hospital. Setiap tahun... Just because I dont celebrate xmas, doesnt mean I dont have a family at home who have their days off during this time of the year. 
Sabar je lah yg mampu. Keep going. Hopefully all Victorian & visitors are well & safe, tak perlu datang hospital buat masa ni... Sigh... 


Wednesday, July 16, 2014

What am I...

Salam Ramadhan.

More than half way until Eid, Alhamdulillah fasting has been cool for hubby & I. Cool & cold. Hah. 
Seksa nak bangun sahur coz so freakin' cold, and coz of buka puasa awal both of us tend to over-eat. 

I read a blogpost about a girl who wrote on her dilemma of coming from a mix-marriage family. I can totally relate to her; growing up I didnt have it easy, and I can kinda say that I sort of hated my school years. 

My siblings and I are rojak offsprings. (I love rojak!!). I am a Muslim, and proud of my roots.

Growing up I rarely had many friends, let alone 'best-buddies'. My friends were those ones who were being shunned away from the people around us; those who were chubby, from mix-marriage family, not-as-cute-&-pretty, those with disability; you know, those who are 'different'.

I remember, in junior school, which ever group that I tried to be friends with, I kept on getting this: you are not Malay, you look like 'Indons' so go to the others, then laughters. you are not Chinese, you dont look like us, you cant even talk Chinese, go away, then laughters. you are not Indian, you dont look like us, you dont even understand us, then laughters. Those who have seen either my parents send me to/ pick up from school will just make funny remarks e.g. keling / cina bab* / indon etc. Very very hurtful words. This went on through high school, not as much coz most of the time I would not dare to say I was from a mix marriage family. A bit shameful. That for the sense of being accepted that I'd been longing for.
I cannot imagine how my brothers went through school with all these.. did they go through the same or was it just me being over dramatic.

I continued my studies in Melbourne a while back. In short, the experience really opened my mind & my heart after so long of covering everything. I am proud of who I am and my roots. As an adult only I feel much appreciated by people around me.. I am special. Now I dont really care of what people say or think of me. I am proud of my family, those who actually made me who I am now & who continue to support me ups & downs.

When I accidentally meet those people who bullied me when I was at school, looking at their lives, I sometimes would just say to myself 'look who has the last laugh now'. I feel bad to think that low. People can be as nasty as they want to be.. in the end karma will bite back. That I believe. And I am just grateful of what I am, what I have achieved so far & just life.
People will continue to judge as long as forever, but its you who has the power to shine through all this. And for those people who have helped me grow even in those nasty ways, I wish you well. 


Alhamdulillah to life & all.

Take care.

Sunday, March 09, 2014

A Sad Day..

8th March 2014.

Just as I was switching on my fon that was charging earlier, got a message from my dad that my beloved uncle just passed away :'(


Innalillahiwainnailaihirajiun.. a very much respected, admired & loved family just returned to the Almighty Creator. Semoga rohnya dicucuri rahmatNYA & ditempatkan di kalangan orang-orang beriman. 

Arwah paklong dah selamat dikebumikan petang tu. Alhamdulillah pemergiannye mudah & dia diuruskan with all dignity that he deserved. 

I honestly dont know what to do because I am here, they are overseas. I really want to be there with my family. Terpaksa kerja with sick patients to distract my head. I guess life has to carry on. Kita yang hidup akan terus mendoakan kesejahteraan our loved ones di alam barzakh & keberkatan for those yg masih hidup.

Sedih. I am here treating the sickies but I am so far away to be able to make a difference for my own family across the sea. Cant wait to finish this freaking training to get back to my family :'(

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Then later that day read in the news that MH 370 KL- Beijing outbound was MIA 2hours into their journey. The flight carried 327 passengers + 12 crews, and we dont really know their status at this stage. My heart really goes to them & their loved ones. May everything goes smoothly & everyone around them are given the strength to go through this. Tak lupa juga those involved in searching, organizing, coodinating, info centres, etc in relation to the search of MH 370. 

For others yg nak mempolitikkan & menghina this event, shame on you. If you refuse to redirect your soul & attitude, just keep it to yourselves. No one wants to share your rotten thoughts at this moment, or ever.

Its been a sad weekend indeed. Take care everyone.

Friday, February 28, 2014

OHS Workshop: Self-defence at Work Place

Petang semalam we had this very interesting workshop during our registrars teaching. OHS (occupational health & safety). This guys was talking about aggression at work, which we face every single day at the hospital. Mostly by mental health patients, frustrated patients & family, those in pain, those in fear, delirius patients, etc whatever situation it is. 

A lot of the workshop involved theory, discussions etc. Then second half kami diajar how to physically deflect & defend ourselves if we are physically attacked, at the same time to buy some moments while help is seeked/ coming. Very interesting. Ada gaya-gaya martial arts sket, cuma modified sket. We were also reminded on how not to counter attack 'coz selalunye once we are attacked we tend to naturally want to balas balik in view of self protection & making sure the other person wont be able to attack further. Kalau buat gitu, automatically we are liable for assault. Susah kan dok kat negara yg sket2 saman & well-developed legal system. 

Ada la lebam-lebam sket my limbs 'coz kami disuruh practise with each other to almost a real setting. Ada defend kalau kena grab kat tangan, masa kena tendang, avoiding kena gigit/ ludah oleh patient, defend kalau kena cekik, headlock, defend kena push on the floor, etc. Seronok aaa. Teringat masa zaman karate training kat uni dulu. Hahahahah.

Less than 2 wks ago, this neurosurgeon was attacked & stabbed multiple time kat foyer Western Hospital, Victoria. Critical. Sebelum-sebelum tu banyak news pasal hospital staff kena serang mostly dalam hospital/ compound, ada jugak somewhere outside in the public. Victoria banyak sangat mental & social issues. Macam-macam things implemented especially now to enhance staff safety. But ada these new legislations coming up that it will be a lot more difficult to use the physical restraining on patients & others esp in psychiatry settings. We are moving towards prevention & pharmacological restraints as the first steps, before absolutely necessary to use the physical & mechanical restraints. Tough.

Naudzubillah la me or my loved ones or anyone being attacked. But hopefully kalau nak terjadi jugak kuasa Allah swt kan, Allah swt kasi akal kita panjang to be able to defend ourselves well. 

Take care all.

Sunday, February 02, 2014

Dah Bosan Dengan Situasi Kini? Begitulah

http://zouldahanblog.blogspot.com.au/2014/01/aku-dah-bosan-menjadi-doktor-bertauliah.html?showComment=1391331877119

Good reading, good summary of our frustrations re: today's public health. I can say that here in Australia, we are going through the same frustrations as well.. 
Sigh... apa nak jadi dgn public..

Tuesday, January 14, 2014

Membaraaa...

Seksa betul tido siang tadi afta night shift. Its 40°c-45°c average today tomorrow lusa. Aku kerja night shift ok la kot kat spital ada aircond. RUmah ni takde aircond. So tadi tido with some ice pack.. still rasa seksa. Nak bukak tingkap angin pon panas macam udara yg keluar dari oven.
I would rather sleep at night dari kena sleep during the day afta night shift. At least malam udara luar lebih sejuk dari dlm rumah. Siang no escape. 


Ni jap gi nak siap2 gi kerja again. Hopefully xde la rubbish patients like last night...

Thursday, October 10, 2013

IOS 7

Apsal la buruk bebeno layout ios 7 nih. Baru jap ni update ios on my ipad. Not only the system, Banyak yg aku kena update my ipad ni. Isi kandungannye dah sepahsepah. The charger pon dah kejap kaput kejap on. Kena beli baru.

Btw, anyone knows how to switch off the app yg dah guna so that it is not running still in the background walaupun kita dah tukar app? This is to jimat battery. IOS yg lama boleh double click button then hold the icon lama2 then close by clicking 'x'. Yg baru ni macam mana eh?

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(Update)

Okay, dah tau.
Double click button tengah tu. Then slide mini screen ke atas, not the small icon. Ooo macam lagi senang je.

Perasan tak the folder view lagi kecik, nampak 9 icons max on 1 page & ada pages to swipe across the folder. Dulu like 12 ke 15 ntah n takde pages in 1 folder.

And kalau nak adjust screen brightness or ipad volume just swipe ke atas je on ur very bottom screen. Dulu kena double click button tgh then swipe ke kanan.

Then kat page safari ada toolbar apple, disney, espn, yahoo! yg menyibuk so my safari screen is smaller now. I have to find a way to get rid of it. Menyemak je.

And kat front page ipad wall paper tu, yg locked toolbar kat bawah tu bckground dia dah tak lutsinar. So the wall paper is smaller than before. Ish.

Monday, February 11, 2013

Doakan daku..

Assalamualaikum, salam sejahtera.

I really need a lot of doa's & luck here. Friday will be my Primary exams (Physio, Pharmacology, Pathology). At these very last few days prior to exams.. yg aku mampu hanyalah banyakkan doa & berserah je lah. 

This will determine wether I go into my advanced emergency medicine training or still being a senior in my basic training (which means repeat lagi exams in Aug/ Sept nanti).. huhuhu...

Doa-doakan daku ye.. :'( And terima kasih banyak2 for the doa's.

Ni yg rasa macam nak tukar carrier jadi PA ke cikgu tadika ke.. Why am I leading this misserable life pon I donno la.. sigh....

InsyaAllah, hopefully all is well & I am strong... Amin.

Thursday, September 20, 2012

VIVAs Tomorrow: Anatomy & Pathology

Esok final perjuangan for my Anatomy & Pathology. Its the VIVAs part of the 2 subjects. Tomorrow a.m. in Albert Park.

Doakan I will pass these 2 subjects with flying colours. Amin. InsyaAllah.

I just want to move on to the next 2 subjects: Pharmacology & Physiology. Then to advanced ED trainng. 


Then I want to re-learn to play my guitar.

Ya Allah.

Monday, June 11, 2012

Winter = Kejung!

Winter started 1st June 2012 as per calendar. Tapi aku rasa in the past 2 yrs we've been cold-wet-windy with very occasional sunshine all through out the year. 
Temperature biasa la minimum can reach below 5°c & max kononnye 15° kat most metropolitan area. Biasa kalau pagi2 buta dlm 3°c kejung beku la jugak. Some rural areas masih dapat sunshine & their crops masih mendatangkan hasil.

Hari ni weather forecastnye kata sunshine. Bila betul kuar matahari baru aku nak percaya. Now masih gloomy & depressing. 






Me & myself, been antisocial lately. Lagi 2 bulan nak primary exams; pathology & anatomy. Tension sangat bila fikirkan boleh ke abis all the syllabus. Dah la kerja full time. Dengan normal house stuff (masak, laundry, cleaning, gardening). Huhuhuhu...
Oh ye, hari tu lupa nak cakap aku passed my Advanced Paediatrics Life Support yg aku amik 3-day course kat city hari tu. Alhamdulillah. Berbaloi aku nyer blanja au$2000 for the course. Now I can go to all the paeds code blues. Hehehe.


Okay, now, nak gi sambung study. (I hate studying in cold, dark, gloomy weather)
I'm doing arvo shifts this week. Last week abis weekdays night shifts, uneventful, so best & not bad.


Ciao.

Sunday, January 15, 2012

Perihal a Better Weather Outlook

Alhamdulillah, the weather is looking better today. The past week has been soooooo miserable. Cuaca sangat la tak bestnye.. sangat-sangat sejuk. Dropped to as low as 10°c on most early mornings & nights, while max 16°c but due to the wind-chill factor rasa cam 12°c most of the time. Ada la dlm 2,3 hari time aku tido siang afta night shifts aku terpaksa bukak heater coz couldn't sleep at all sejuk sangat.

Mesti la aku rasa cam miserable coz its mid-summer but the temperature has been in the low 10s°c, while its supposed to be around high 20s°c to 30s°c. Summer tahun lepas & summer tahun ni, cuaca agak sejuk in summer & occasionally je panas yg sedap & sekali dua je panas membara cam 2wks ago. In winter pon sejuk jugak.. its like sepanjang tahun lah sejuk. Ni la effects of global warming. No wonder lah each time aku balik M'sia bunyi cam ngada-ngada tak tahan panas but at the same time nyampah kalau aircond/ kipas tu pasang kuat-kuat. Rasa cam my temperature tolerance has become narrower.. tak suka panas more than 32°c but tak suka sejuk less than 25°c.

Hari ni Alhamdulillah average 21°c, clouds clearing up. Aku pun dah 3 loads of laundry dah buat & jemur, tinggal nak lipat the 20thousands loads of baju yg dah kering =P Hehhehehe... Out of all the housework, rasanye ni yg paling malas aku buat =P
Anyways, the sun will give all the love that my pokoks need. Kesian diorang muram durja je sepanjang minggu lepas. Diorang mebbie survived coz setiap hari I never fail to borak dgn diorang. Ada a few of the cili padi dah start memerah. Mebbie next week aku dah boleh start petik some & jemur/ simpan dlm freezer/ fridge. Yaahoooo..

Ni weather forecast frm The Age:
Kalau ikutkan rain outlook cam sepanjang bulan hujan je kan. But I think that's probably in certain suburbs je kot, mainly the Western/ Northern areas. My area, Alhamdulillah, good weather nampaknye. Baru la rasa cam hidup sket with the nice sun outside.

Monday, January 02, 2012

Hot & sizzling new year 2012

Assalamualaikum & Salam sejahtera to all.

Not too late kiranye aku nak ucap selamat tahun baru 2012. Semoga tahun ini kita hidup dengan lebih aman, damai & gembira, berusaha lebih bijak & kuat, semoga kita diberi lebih kekuatan, motivasi & kemudahan menghadapi segala pancaroba kehidupan, semoga hidup kita lebih diberkatiNYA. Amin.

I feel like I havent stopped working at all since I came back frm my M'sia hols. Hari tu kerja weekends Xmas night shifts, then cuti hanya pagi Isnin boxing day lepas balik frm night shift & hari Selasa. Then sambung kerja morning shifts frm Wednesday sampai la semalam. Hari ni cuti 1 day only, then sambung arvo shifts sampai Friday. Urggh! Letih!

And yg 'best'nye, cuti 1 day, the weather is 40°c!! Great! Kalau kerja ada la airconditioning kat spital & my baby Mazda3 would be in the undercover parking lot. Now kesian dia terbakar kat halaman rumah nun coz kereta hubby is in the garage. Ni yg susah rumah just ada 1 garage.

Kat sini total fireban, extreme weather. Ni weather forecast & analysis of today's condition. Now dah dekat kol 1 tgh hari. Dah mencecah 36°c. Extreme UV since a month ago, so setiap kali aku bangun tido sure aku slap on sunscreen sebab tak nak kena skiin cancer (and tak nak hitam obviously) & kalau kuar rumah to drive during the day kena pakai sunnies sebab tak nak kena cataract. Ikut weather analysis ni kata, feels like 78.2°c! Mula2 tu aku ingat diorang cakap pasal °F. Gosok2 mata jap, rupanye betul la its in °c! Hahahahaha. Cuba click kat gambar bawah ni nak kasi clear. Tapi memang betul panas. Kena top up water non-stop la nampaknye.
Kesian pokok-pokok cili, mint, stroberi, kesum, aloe vera aku kat luar tu, harap2 diorang tak kering hangus. Kalau jemur baju ni 1jam dah kering menggoreng. Seb baik our lounge/ dining area now a little bit luas than rumah lama & the ceiling pon rasa cam tinggi sket, banyak plug for us to pasal all the kipas we have.
Hopefully tonight it will get a little cooler, kalau tak susah la nak tido, esok kerja nih.

Gambar-gambar credit to TheAge.com.au

Update (2145hrs):
Temperature now is about 35°c. Tadi max temperature kat sini at 4-5pm around 40°c. Alhamdulillah both of us survive today with lotsa icy water to drink, keep the blinds closed & kurangkan bergerak.
Alhamdulillah jugak this area takde kebakaran.

On the other hand, in the Western/ Northern Victoria, the temperature reached up to 43°c kat certain areas. Western/ Northern Victoria banyak kawasan farm/ grass. Aku bukak berita tadi, as expected, fire kat grass area in the Western/ Northern. Seb baik the CFA dah bersedia awal this time, so most of the fire dah dapat contained & padam in a mere short few hours. Kat news jugak kuar berita pasal org kena heat emergency, ada jugak emergency budak2 terkurung dalam kereta. Seb baik tak jadi apa-apa.
All those fire news make me more bersyukur that I dont live in the Western/ Northern or country Victoria. Alhamdulillah tempat kami tinggal now terlindung dari most bencana alam kat Victoria ni.

Esok another hot day, predicted max 37°c plus a thunderstorm. Aku kerja starting at 2pm, huhuhu, tengah peak temperature tu. Harap-harap masa tu la thunderstorm, takde la aku kehitaman hangus driving to work esok.

Saturday, November 12, 2011

Victoria Healtcare Crisis

http://www.theage.com.au/victoria/nurses-close-one-in-three-public-hospital-beds-20111111-1nbxi.html

Hmmmm....

Jom docs beramai2 rally jugak coz kami pon the lowest paid docs in Australia, DiTs get almost lower than some nurses n cleaners, against our most horrible workload n working conditions in the country.

Saturday, September 10, 2011

11 Years!! And about giant garbage..

Dah sebelas tahun dah rupanye aku kat negara asing ni!! Cepatnye masa berlalu!
Last year masa tahun ke 10 aku kat Australia ni, aku tengah busy berpesta raya Aidilfitri kat Malaysia. Hehehhee.

Dulu masa datang masih muda remaja takde dark circles & kedutan kat muka. Haha. Dulu body masih kurus, sihat.. now dah sengal-sengal, lemak lapis-lapis sana-sini. Ahaks.

I have seen many changes dari tahun 2000 until now 2011, and macam-macam important events/ milestones either in my own development or everything around me.

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Anyways, I was thinking of just nak celebrate sorang2 kat rumah since baru balik from night shift kan. Nak buat some Milo & makan keropok ke apa.

But... such a bad night shift malam tadi. Bukannye teruk sangat pon overnight. Sebagai junior reg aku dah boleh cherry-pick what patients I want to see, mostly the very sick ones lah, senang, tak yah jumpa those silly cases. But tadi actually overnight we were under control, until at around 530am. 1 category 1 72 y.o. man arrived: VF arrest, upper GI bleeding, then respiratory distress. Patient ni dah intubated before coming, dah kena zapped, now kena ionotrope supports, blood transfusion sumer. Tak stable in ED. Macam-macam. Tak sampai 1 hour after that, datang lagi sorang asystolic arrest 20 something man datang, same la category 1, intubated jugak zapped jugak, ni sebab overdose plak. Same tak stable in ED.
Kalau ikut prognosisnye seems like these 2 patients macam dah ada permanent brain damage & wont stand long coz of what it sounds like a prolonged downtime. Dua2 patient dah showed fixed dilated pupils with no neuro response at all on examinations. So I guess at this stage ICU role is to look after each organ individually & taking it hour by hour lah. Tak tau la brapa lama 2 org ni akan bertahan di dunia yg fana ini.
Macam-macam issues, machine tak berapa working, understaff, on call consultant plak tak datang, seb baik 2 senior registrars that morning datang awal straight away helped us with these 2 patients.
Record overnight 4 category 1 patients datang. And we sorta ketinggalan bila these 2 very sick patients datang.

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Nak dijadikan cerita. Aku sampai rumah pagi tu around 11 am. Ingat boleh la terus padam kat dalam katil. Tapi lori pemusnah barangan rumah & white goods had to scout around our area this time. I thought kami dapat memo about this it was supposed to be last weekend. Agaknye coz byk gila barang orang2 kaya Melbourne ni nak buang maka kena buat berkali-kali la kot. Kami takde buang apa2 coz memang semua barang guna since aku mula2 sampai sini, ada sket2 dah kasi orang. Kami boleh dikategorikan sebagai miskin la jugak. Ehehehe.

Sila click utk tengok sampah-sampah ni
Ni baru kat jalan ni, kalau tengok jalan2 belah sana lagi la. Rasa cam tinggal dalam junk yard
Kat sini ada la dlm 3,4 kali max pembersihan begini setiap suburb. Semua org akan campak barang2 diorang outside kat luar pagar, then lori-lori berkenaan akan hapuskan & lupuskan barang2 besar ni. Sementara menunggu lori2 setiap hari kita drive akan rasa cam driving thru a junk suburb. Serious sakit mata. Kadang-kadang akan ada orang scavange to look for goods yg diorang boleh guna like some meja kecik ke, kerusi ke apa2 lah yg boleh diguna for watever reasons. Aku teringat dulu time student dulu ada la jugak aku & housemate gi kutip some kerusi/ meja kecik etc for use at our student house. Heheheh. Ye la time student dulu kan miskin. Guna je la 2nd hand stuff. Masih elok pon.
Sabarje la hubby kata ntah2 next turn my white car plak lori tu akan angkut coz diorang sure confuse mana satu white goods yg nak kena buang. Hampeh!!

Aku intai-intai gak thru my window cam mana agaknye diorang angkut menda2 gabak tu. Canggih la jugak lori dia terus hancurkan barang2 tu. Masih banyak lagi electrical stuff kat luar. Aku rasa dioang hapuskan perabots dulu then kemudian the white goods.

Mintak2 la cepat sket diorang clearkan barang2 ni. Tak sanggup aku dah nak lalu setiap hari tengok longgok2 barang sekeliling kawasan perumahan ni. Hmmm... talking about how much sampai setiap manusia di muka bumi ni hasilkan & pencemaran alam.. kesian bumi kita...

Okay ciao, time to get to work.

Wednesday, April 13, 2011

Hujan sajerk!

This is the kind of weather that we had in summer last December. Sejuk manjang, gloomy gelap gelita, hujan mencurah-curah (basuh kereta free dgn hujan acid.. hehehhe). And we had very very little nice warm sunny weather all through out summer until now dah pertengahan autumn. Alhamdulillah in summer takde kejadian bad bush fire, ada je tapi not as bad as during the 2009 Black Saturday ones. Tapi masalah ribut taufan banjir pulak in these 2 seasons. Disebabkan hujan manjang bulan ni some Victorian suburbs dah menghadapi banjir. Hari tu bulan Feb dah banjir besar merata-rata. Harap-harap kali ni tak le banjir byk sgt cam gitu kalau nak banjir pon.
Anyways, Alhamdulillah tempat tinggal tak pernah lagi banjir even though terletak di bawah bukit, Alhamdulillah hospital tpt aku kerja pon tak pernah lagi banjir coz dia kat atas bukit. Cuma jalan di antara rumah & hospital je slalu banjir even tho nak ke spital tu kena lalu lereng bukit panjat bukit.

Tengok aaa ni, kalau hujan manjang gini & sejuks, kalau nak basuh baju nampaknye kena jemur all the laundry dlm rumah sambil pasang central heating pas tu jemur dlm bilik2 yg ada direct central heating. Kiranye satu rumah jadi dryer lah.
Hujan-hujan ni buat aku rasa merana je sentiasa. Sejuk! Rindu family aku, rindu the sunshine. Aku rasa aku ni ada seasonal depression.

Amik gambar guna camera LX5 hubby. Gambar weeds kat blakang rumah lepas hujan.
Ni plak kat depan rumah sebelum hujan tadi. Ada lagi weeds &
the bunga rose dari pokok renek tu.
Tangan aku yg kena needle stick injury mlm kelmarin dah hampir baik even though masih pedih-pedih lagi. Aku memang sookie dlm hal-hal sakit-sakit ni kalau kena kat diri sendiri (heh, pas tu bleh lagi kutuk patient ngada-ngada kan.. hehehhe).
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Ni dinner masak tadi. Sup daging.
Makan dengan the left overs smalam. Aku teringin nak makan soup, dari smalam lagi terbayang-bayang soup. Nak cicah dgn roti, or makan dgn meehoon, or makan dgn nasi putih, or hirup soup saja.
So aku pon masak la. Yang sedihnye hubby setitik pon tak rasa soup ni. Mebbie dia dah bosan dgn with my cooking kot. Oh well...

And aku teringin nak gi movie dengan hubby. Movie 'The Diary of A Wimpy Kid 2' baru kuar sini. Ingat nak gi esok lepas Maghrib. Initially hubby sed he'd think about it. After a few hours dia kata dia dia busy & akan balik lambat esok malam.
Oh well...
Esok petang ada tutorial. Mebbie lepas tutorial aku akan ke cinema sorang2 tengok apa movie yg available.

Tuesday, March 01, 2011

1st day of Autumn

Hari ni ialah hari pertama Autumn ikut calendar. Tapi kalau ikutkan rasanye sejak Spring lagi dah start Autumn, and only a few short weeks of nice & warm & sunny weather in the 3 months of Spring & a few more short weeks of nice & warm & sunny weather in the 3 months of Summer. Sangat peliks this time, and its all sebab La Nina.
Sejuk gila hari ni, around 16°c kata suratkhabar, tapi aku rasa cam lagi beku dp tu. Ni ha dah pakai lapis-lapis dah ni.

Our little prairie depan rumah
Pokok rose renek yg masih bertahan walaupon cuaca buruk
Tak tahu weed apa ni, tinggi betul
Another jenis pokok pagar, ntah bila dia tumbuh, bagi aku dia adalah weed =P
Bunga luar pagar kat post box. Apa ntah nama dia
Ni berita pasal the lack of heat we are getting here in Melbourne. http://www.theage.com.au/victoria/the-sun-all-rise-and-no-shine-20110228-1bbqz.html

Oh ye, aku kan asik-asik negative je kan slalu. Haha. Ok la, ni aku bubuh berita yg okay from The Age.

http://www.theage.com.au/national/most-support-muslim-immigration-20110228-1bbr5.html

Nowadays, if to compare masa aku mula-mula datang dulu, dah okay sangat dah. Dah senang cari masjid & makanan halal. Walaupon tak semua, tapi majority orang-orang di bandar lebih open minded about Muslims. Yang lebih tolerant terhadap other races are obviously the non-Whites, and majority of the whites kat kawasan metropolitan okay towards us berbanding dulu. Cuma di kawasan-kawasan far outer suburbs & rural areas je orang-orangnye sedikit bangang.
Kiranye perubahan positive for the past 10 + years sejak aku ada kat sini. But, as per personal experience I am happier to live in the metropolitan area than in the whoop whoop. And this is one of the major reasons why I chose Emergency Medicine training over other specialties, selain daripada minat in acute care medicine.

Wednesday, February 23, 2011

Itu le masalahnye sini haaa

http://www.theage.com.au/national/survey-finds-nsw-has-most-racial-tension-20110222-1b42m.html#poll

Sila click kalau rajin nak baca.

Ni la menda yg terpaksa aku lalui selama lebih 10 thn kat sini, esp. when I was in Whoop Whoop. Masa mula-mula sampai sini, lagi teruk esp. more tensed lepas peristiwa Sept 11th tu. Now dah tak berapa teruk, tapi ada la some bimbos yg bodo still ignorant & bengong. I'm quite surprised la jugak kalau media kata Au ni tak perkauman. Sedangkan Yg TakTerhormats tu pon boleh perkauman kat aku.

Oh well. Aku better start mengulangkaji pelajaran coz Thursday ada CME, plus aku kena berusaha abiskan study material for Advanced Paeds Life Support before 4th March & kena study before Saturday coz ada study group dgn Dr. BB on respiratory stuff.

(Konon busy eh, tapi still berblog lagi.. hehehhehe.. ni je la tempat aku nak meluahkan masalah jiwa nih.. huhuhuhu...)

Saturday, February 19, 2011

Pressure on healthcare system

http://www.theage.com.au/national/24-hours-in-gen-med-3-20110218-1azqd.html

Sila baca kalau rajin :P abis kerja esok aku sambung tulis. Only thing to say is I'm sooooo glad the media is put to good use this time... kalau orang2 politics ni buta hati & akal gak tak tau la...

Wednesday, February 02, 2011

Negara bencana alam

Meremang jugak bulu roma aku bila tengok news malam tadi pasal this cyclone Yasi that's hitting North Queensland, esp. Townsville & Cairns. Pagi tadi dah upgrade from category 3 to category 5, up to 300km/hr lajunye cyclone tu. I imagine the small islands yg tgh-tgh laut tu sure dah hancur dilanda cyclone ni semalam.

From siaran khas kat tv tgh hari ni, diorang dah pindahkan ICU patients, including those from PICU & NICU to Brisbane Hospital. Penduduk2 pon dah byk pindah mlm tadi. Airport masih jalan so far & will be closing sometimes today, at least sampai dah most penduduk dah dipindahkan ke pusat2 keselamatan. Talian telefon & electricity dah byk putus.

Baru je beberapa minggu lepas Queensland dilanda banjir besar, almost 3 quaters of the state tenggelam. Now dah disaster baru.. encik cyclone Yasi pulak. Kesian pelajar2 Malaysia di Queensland sana, especially yg beragama Islam. Kesian jugak kat wanita-wanita yg tgh piyed & yg baru bersalin tu & orang-orang disabled. Lain-lain pon aku kesian jugak. Semua lah. I wonder how those yg dekat psych inpatient unit sana.
Di Victoria plak, walau pon takde cyclone yet, hujan je manjang. Dah 3 hari (until yesterday) the temperature hit 40°c. Imagine balik night shift nak tido pon susah coz rumah ni rasa cam dlm oven je. Well, not as bad as the old house, but still susah nak tido. Rumah aku takde aircond, cuma bergantung kat kipas je. Kalau kerja siang, at least boleh enjoy the aircond kat spital. Malam bila balik kerja dah cool change.
Semalam baru dengar berita bushfire kat East Gippsland pulak, near Inverloch sana.

Aku bersyukur aku kat Victoria now, Alhamdulillah kawasan aku tak kena all these natural disasters; flood, bushfire, locus. Well, aku lebih gembira kalau berada di KL with my family right now. But as for now aku bersyukur apa yg ada.

Nampaknye harga barang & petrol akan naik lagi disebabkan bencana alam Queensland ni. Queensland is the agricultural state. Economy Australia akan merudum sket la nampaknye soon. The Federal gov dah introduced this levy to help out Queensland. Which aku rasa cam tak setuju coz rather than diorang buang duit diorang kat menda lain, better guna duit diorang utk this kind of thing yg every single year hit this country. You would think that they already have a fund/ a system for this each year. Tapi silap. Most people sengkek already with the sky high tax. And still orang menderma utk bencana alam ni secara ikhlas. Bila dah kuarkan levy gini, buat aku rasa tak ikhlas nak kasi langsung coz hidup aku yg sengkek ni & terasa gov lagi rip off us all dgn tax yg sedia cekik darah ni. Dah la infrastructure, services & health care hampes. Orang-orang kaya tak rasa semua beban kenaikan harga barang & services. Diorang seperti biasa makin kaya. Rakyat jelata lain makin miskin. Kalau hal-hal berkaitan dgn tax & fees ni aku memang kedekut, walaupon kedekut aku ni tak memberi kesan kat Au gov. Ptui!

And as for me, ha la makin miskin ni. Kena lebih jimat-cermat esp. in the sense of food & petrol. Harga & supply akan makin kurang la nampaknye. (More reason for to kurang makan & control weight).

Picture from theage.com.au
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