Monday, December 28, 2009

holiday-ing

Day 3 of holiday, i came back from kampung with my family for a cousin's wedding, and am currently in bangi...
tomorrow should be going to penang to see the chaps up yonder.

Wednesday, December 16, 2009

I'm the coolest person on earth (if I'm the only one there)

it's time for my 'newest insecurities' post..
If anyone ever bothers reading this crap, they'll notice some personal issues being broadcast out into the light...all intentional i assure you, however direct or poorly expressed they were, it was part of the blog that i thought should be there, to remind myself that i'm not here to show off or anything, and i dont really care if anyone reads this or not, and I'm confident enough to tell about myself that way and not feel like a self concious idiot, or some crazy dude people would shun. But I've always believed that we should live by a conscience through which we define ourselves, in every situation and changes we encounter, certain credos just above the tabula rasa from which we evolved into the adults we are. This just sounds deep but is actually getting crappier the more I try to explain.
insecurity no 1)
my 4th posting, but I'm still scared about my assessment in a few days..I guess it never gets easier, especially when the threat of consequences after a failure is real
2) I'm suddenly feeling pretty lost, like I dont really know myself anymore
3) I havent let go of some things I should have, and I feel that I have yet to accomplish anything in my life

positive consequences:
by acknowledging my weaknesses, I will try to get rid of them, and I now have a goal I can materialize and strive for

I might actually seriously study for the assessment if i get scared enough
the "need to accomplish" might make me do stuff other than work, read stuff, read manga, and stare at the computer screen for hours before dozing off
i dont know much about losing my "selfness" ...maybe it's just a transient feeling.maybe i should get a pet or a girlfriend or something, but I like my privacy, free time (albeit limited) and self-indulgement days right now

Tuesday, December 15, 2009

my latest pic

i was minding my own business, making insensible comments on facebook, when it became blurry...
and poof!


sebab komen da
lam facebook, kene sumpah jadi gardenia?




Thursday, December 10, 2009

Down's

Sometimes the best moments in your working day, where you learn the most, is at the end of it...well, at least that’s my reason for going back a bit late today although I was post call.

My friend doing newborn screening downstairs kept passing up babies with hypoglycaemia to the neonatal ward ( I changed wards about 2 ½ weeks ago). Being the kind to do so, he went up to check up on the babies he admitted, I was just about to go home when i saw him. Another friend was clerking a new case. While casually looking at the baby, the friend from downstairs suddenly commented – hey, doesnt that look like a Down’s baby? – no way, but hey there are single transverse palmar creases on both hands. We searched around a bit and found a bit more – low set ears, upward slanting of eyebrows, flat nasal bridge, sandal gap deformities bilaterally..

We called the MO who had also seen the baby for hypoglycaemia. Initially sceptic, he finally concurred with our findings. The more we looked, the more signs we saw.. the flat facial profile, incurved fifth finger etc. Fortunately the tone was normal, and no murmurs can be heard, yet. We decided to document our findings but not diagnose the baby yet.

Then we called our ward specialist, who had also seen the case and was ready to go home. Surprise, surprise, her opinion echoed ours and she ordered for chromosomal studies, an echo, and to counsel the parents on the possible diagnosis and prognosis. Unexpectedly, the baby had passed through 4 doctors of different levels, but everyone was more concerned on the hypoglycaemia, which was the most urgent matter anyway, but it was the one who initially admitted the baby who noticed first. It's pretty exciting when you find something your superiors missed, isn't it.

Since all was well, my friend from downstairs continued on his was to find his baby, only to come back since the one we were examining all this while was the baby he was looking for!

Even the best can miss a thing or two sometimes..hehe

*a few days back, the same specialist told us that if we did learn anything from our stay in the neonatal ward, she wants us to at least be able to diagnose a Down's Syndrome baby