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Saturday, May 30, 2009

God, where are You when i need You?



God, I've praised you and being your humble servant for so long in this life,
But my life seemed to be in such a confusion lately, why?
Have i done wrong, have i angered you in any way?
But i thought you to be the ever forgiving Father until the end of time?

My life is breaking apart by the bits
Didn't you hear my plea, God that i so often pray to you
Did the Heavenly Father wants me to go through hell on Earth,
If you do, be prepared to stretch your arm out to support me, Father.
I know you test us from time to time as long as we live,
not to punish us, but merely to prepare us for the worse in life
To strengthen my mine, my heart, and soul,
But Father, i am at the point of breaking a part....

Please Father give me a rest to recuperate,
Or do you want your child's soul to greet you at the Pearly Gate?
I am so attached to my children, Father, please don't let us part,
Once taken away from me, my damned soul will be seeing Lucifer instead.


--CH Wan,30th May 2009

Thursday, May 28, 2009

A beautiful song -a dedication to my daughters

You make me feel brand new
My love
I'll never find the words, my love
To tell you how I feel, my love
Mere words could not explain
Precious love
You held my life within your hands
Created everything I am
Taught me how to live again
Only you
Cared when I needed a friend
Believed in me through thick and thin
This song is for you
Filled with gratitude and love
God bless you
You make me feel brand new
For God blessed me with you
You make me feel brand new
I sing this song because you
Make me feel brand new
My love
Whenever I was insecure
You built me up and made me sure
You gave my pride back to me
Precious friend
With you I'll always have a friend
You're someone who I can depend
To walk a path that never ends
Without you
My life has no meaning or rhyme
Like notes to a song out of time
How can I repay
You for having faith in me


Angel
Gotta find me an angel
To fly away with me
Gotta find me an angel
Who set me free
My heart is without a home
I dont want to be alone
Gotta find me an angel
In my life

Too long have I loved
So unattached within
So much that I learn
That I need somebody so
Still Ill just go on
Hoping that Ill find someone
Gotta find me an angel in my life
I know there must be someone someone for me
Ive lived too long without the love of someone
And theres no misery like the misery I feel in me

Gotta find me an angel in my life
Shell be there now dont you worry
Keep looking now just keep looking

Wednesday, May 27, 2009

One step closer ....

I received a parcel today, and boy was i excited when i saw it was from MicroMedik, the medical company that sells medical instruments. I've made several order to equipped my emergency section.. And when the parcel arrived, i was like a kid eagerly waiting to see my new toys!
First i took out the laryngoscope, its a device used in assisting doctors to insert an endotracheal tube into their larynx when they aren't breathing on their own, the other end which is attached to a artificial respiratory machine or an ambu bag.
Open the box, reveals the blue plastic case.....containing.....
Taaa daaaaa......
The blade of the laryngoscope is attached to the handle like this
Then open up the suitable size of endotracheal tube to be inserted into the man for forther resuscitation.
Below is a video on the insertion of the endotracheal tube.

So, i hope the video did not turn you off or made some of your puke. Eh he???
Next, to check for Oxygen saturation in the blood during the whole resuscitation process, you would need a pulse oxymeter which would cost you a bomb to buy one. So, i managed to get a equally reliable wireless pulse oxymeter.
This has got to be the cutest thing for any doctor in the resuscitation table to see.
Its wireless and operated on AAA size batteries.
Just look how cute is it compare to the conventional oxymeter used in our hospital like this,
Wowser!! What in tarnation is this biggy biggy thingy???? Oh, ho, its the monitor for the pulse oxymeter which is attached to the index finger
I am proud to display my increasing numbers of items to make my clinic an emergency centre.
I got a whole lot of IV fluids , ranging from Hartmans, 0.9 Normal saline, 0.45 dextrose, Urinary catheter and its urinary bag.

Day by day seeing this little corner getting filled up with the necessary drugs to save life. Yeah!.
That's a challenge.

Tuesday, May 26, 2009

A thousand friends you have, huh, think twice........

I believe meeting the people in this life is not an act of randomness
But instead a predestined part of the vast cosmic play
when you least expected, someone enters your life and begins a partnership
Its sweet, filled with hope, positive feelings that only possible stems from within
That uncertainty, the mystery of getting to know one another....
makes you feel alive, makes you feel strong enough to swim across the seven seas just to catch a
glimps of her.
All for the sake of getting to know her better.
Just like this fresh budding flower that bloomed, the heart felt the same.
You adore the freshness, young and beautiful.
But as both individuals get to know each other, flaws starts to appear, but still tolerable. You forgive and forget repeatedly.... until the fresh flower starts to wane and shows sign of dying.
Petals began to discolor, inevitable sign of dying. Cracks begin to appear, the tolerance that once endured begins to transforms into frustrations. Ill feeling stems from within. Name calling begins. By then, the supposingly flourishing flower begins dying.
True friend are hard to find. In life i learned that you don't need a large number of friends, just a few good ones will do for a lifetime.
Likewise all friendship started beautifully like the flower with promises many which ended up
challenges your hope for a beautiful friendship fails.

Scammers - i'll break your neck and shit into your head!!!

First of all, i would like to apologize to the profanity that i'll be using only in this post! Well, Isabelle was all happy waking extraordinarily early today by herself at 7.30am. She was so excited to as today her kindergarten will be going to Zoo Negara. I kissed her goodbye and the last thing i told her was enjoy yourself ok, Isabelle!
Then at 9.30am, i left for the clinic. I was sitting comfortably preparing my coffee looking forward for another fruitful day.
What a way to start my day,
a jarful of hot concentrated Nescafe,
Everlasting hope that business will pick up today
forget about the the collection you had yesterday.
Because today is a brand new day!!!!!

I've changed my mindset, there is nothing you can do with the global economical crisis, but you can change your perception on the situation. The sooner you accept it and do something constructive is better than watching your business going down the drain.

I was jovial and happy, and until i received a phonecall from my dad. He told me that about 10 minutes ago after i left the house, he received a phone call. It sounded like a child of perhaps 7-8 years crying hysterically. Obviously my father panic and the first thing that came across her mind was there anything wrong with my family members in Kedah, or my uncle in KL? The girl spoke fluent in Mandarin. Kept on calling my dad "papa.... please help me papa!!!!!!" while sobbing and crying. " Who are you?!!!" my father replied, "Don't you recognize me????
papa??"
"Who are you!!!" my father repeatedly asked, as e was sure it wasn't Isabelle as she doesn't sound like her, and she will never plead in Mandarin. After my dad asked for the identity of the child, they slammed the phone down.
He called me and told me about it. As a dad, even if it0.000001 percent chance its Isabelle, i don't to take the risk. I managed to track down the headmistress handphone number and she told me that Isabelle is just standing right in front of her.! I was relieved...

For those scammer who had done this in several areas in KL and managed to extort money from unsuspecting parents, well, I wish you a short life and may you be sent to the 10th level of hell and get tortured!


These people are truly irresponsible and plays around with human sentiment to extort money and this scam was reported in the newspaper and there are victims who actually paid the ransom money.
This really spoil my day. I really want to grab hold of that asshole and break his head and shit into his neck!!!
I can't trace the number as they made the phone call to my house phone. Believe me, if i dedicate some time, i am sure i can find where the call was originated from.

Monday, May 25, 2009

Songs of U2 and its significance

Yes...
I cant believe the news today
Oh, I cant close my eyes and make it go away
How long...
How long must we sing this song?
How long? how long...
cause tonight...we can be as one
Tonight...

Broken bottles under childrens feet
Bodies strewn across the dead end street
But I wont heed the battle call
It puts my back up
Puts my back up against the wall

Sunday, bloody sunday
Sunday, bloody sunday
Sunday, bloody sunday (sunday bloody sunday...)
(allright lets go!)

And the battles just begun
Theres many lost, but tell me who has won
The trench is dug within our hearts
And mothers, children, brothers, sisters torn apart

Sunday, bloody sunday
Sunday, bloody sunday

How long...
How long must we sing this song?
How long? how long...
cause tonight...we can be as one
Tonight...
Tonight...

Sunday, bloody sunday (tonight)
Tonight
Sunday, bloody sunday (tonight)
(come get some!)

Wipe the tears from your eyes
Wipe your tears away
Wipe your tears away
I wipe your tears away
(sunday, bloody sunday)
I wipe your blood shot eyes
(sunday, bloody sunday)

Sunday, bloody sunday (sunday, bloody sunday)
Sunday, bloody sunday (sunday, bloody sunday)
(here I come!)

And its true we are immune
When fact is fiction and tv reality
And today the millions cry
We eat and drink while tomorrow they die

The real battle yet begun (sunday, bloody sunday)
To claim the victory jesus won (sunday, bloody sunday)
On...

Sunday bloody sunday
Sunday bloody sunday...

---U2---

U2, dubbed as the greatest rock band in the world happens to be one of the band that i regularly listen to. Their lyrics aren't what it seemed to be if you were to study them. Their songs regularly revolves around socioeconomic issues, poverty, power, corruption, and politics.
For a person who just started listening to U2, you'll probably thought, what's with the title?
Bloody Sunday is the term to describe the incident at Derry,Northern Ireland where unarmed civilians was slaughtered in full view by the press and public by the 1st Battalion of the British Parachute Regiment on 30th January 1972. For those who is interested in the incident can read about it here.
One(1991 from album Achtung Baby)
Tension stemming from different opinion on the direction of which the style of U2's music should lean towards. U2 was in the verge of breaking up until they decided to write the song "One".
This song was inspired by the fall of the Berlin Wall and the reunification of Germany on 1990.
Bono described the the song as. " It is a song about coming together, but it's not the old hippie idea of 'Let's all live together.' It is, in fact, the opposite. It's saying, We are one, but we're not the same. It's not saying we even want to get along, but that we have to get along together in this world if it is to survive. It's a reminder that we have no choice"
"One". Bono said the lyrics "just fell out of the sky, a gift"; the concept was inspired by a note Bono sent to the Dalai Lama declining to attend a festival called Oneness - the note read, "One - but not the same". The song's writing inspired the band and changed their outlook on the recording sessions. Mullen Jr. said the song reaffirmed the band's "blank page approach" to recording and reassured the band that all was not lost.
Very often U2's poetic style of conveying significant messages are strengthened by the music videos. Watch the music video for "One" and tell me what do you think.

I hope fellow readers who shares the passion for U2s music could write some comments and what is their perception of their songs.

Saturday, May 23, 2009

Its stock check day!!

Nothing bores me more than doing stock counts in the clinic. Checking the exact number of hundreds of different medicine, no matter its solution or in pills in boxes. Man, i am having gastric pain as i am writing this post.
So, halfway doing the stock count, i sneak away and took couple of shots of my wife and nurse in action.
Looking at ladies doing boring stuff. Check how much this medicine left? Update it onto the computer!.... this been going on entire morning and afternoon.
With this observation, i have concluded that women's brain were designed for long dull, repetitive, mechanical work, wherelse,men!! ha... are designed for experiencing constant excitement and everchanging working environment to ensure the mind's synapses are kept flickering and buzzing with electrical activities. (for the women who felt offended reading this, don't. This is purely my observation and not by some intellectual's opinion.,ok??
Doing the count on the vaccines in the refrigerator as no big deal, but doing counts on these is a read mother******!!!

Then comes to creams, ahhh, not so bad, since i managed to sell away most of the product.
My wife was entering the numbers into the computer while my nurse was actually doing the counting. Then came to the alphabet C, "ok Ubat CIALIS 20mg ADA BERAPA?", "Doctor, ubat Cialis ada kat mana?"
Ehh! Di sini...As i took it out from my locked drawer where i kept the psychotrophic and expensive drugs, like Stilnox,Dormicum, Viagra, and Cialis.
"Ubat apa ni?" errr.....errrr....... put it under Vitamin punya kategori,lah....." I replied sheepisly.
But she was wondering if it was just a vitamin, why would i sell them for 32RM per tablet!!!
Well, let truth be told. Cialis in a sense its a vitamin alright. It energizes, and gives vitality to certain part of the male anatomy. Ahhh... you read it yourself,lah!

Understand why i was err erring about telling the purpose of the drug to my nurse for? Well, i am just selling it, not using it!!!! :D

Friday, May 22, 2009

Upgrade my clinic to a emergency centry

The memory of the man i tried to revived at his home keeps haunting my memories. The sound of his sister, wife, son wailing praying to God not to take him..... it all seem too vivid thought it has been for more than 1 month time.
Thought it wasn't my fault as when i arrived at the scene, patient was already cyanosed, and no heart beat with fixed papillary reaction to light. But since the whole family was surrounding me to do something, what can i do?? He is already dead?

It was a a melodrama that night. I came back home, not able to sleep, my thoughts were with the family of the victim.
If only i could..... If only i have the right apparatus...
then it hit me.
I've decided to turn my minor OT room into a resuscitation room..
But first, the essentials, the emergency medicine.
The top items are for cardiac resuscitation.
Then for patient who is on insulin but overdosed....
Of course when a patient who was brought in with the heart already stop breathing, you need to easily reach out for the necessary drugs like adrenaline and atropine.

Iv lines, Hartman, 0.9Normal Saline, you name it, i got it. Urinary catheter with urine bag, got it.
Now i am just awaiting for the pulse oxymeter and the laryngoscope which is coming soon. Too bad a proper cardiac monitor cost around 10K.(forget it)
I have my suction machine on the right and the nebulizer on the left in case of asthma patient.
Every medicine is ergonomically placed for easy reach without loosing concentration on the patient.
My ECG machince doubles as a cardiac monitor.
While active resuscitation was done while awaiting for the ambulance to arrive, we have a oxygen tank that would probably last about 45minutes

And of course , the ambu ....
There is it. Klinik Wan Cosmetic Centre, General Practitioner, and Emergency Medicine.