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I wonder if there will be another 10 admissions during the night?

The temporary beds are reaching the ward entrances. I guess the row of seats can at least let some of the patients to have a seat while wait for the discharge coming morning.

I was really puzzle why people likes HKL some much so they don’t mind stay in such environment. It’s hot and humid, oxygen tanks stood beside the beds, some time it’s made a loud noise when it was accidentally knocked down. If you had watch “Atonement”, in which one scene depict wound soldiers treated in the ward hospital, my ward basically like that. Well, some patient relatives shocked to see the ward and request a second or first class ward, well too bad, those places are alway full or at least wait for one or two days.

New hospital like Serdang Hospital, which really it’s third class is equivalent to a HKL first class, but it’s left empty.

Obviously, HKL Is the old and trusted “brand”. It’s official, HKL got the title from Reader Digest reader.

BUT seriously, despite the ever busy setting of the ward (chaotic sometime) , reassure that the nurses, PPK and the doctors are working hard in taking care of the patients. My bosses are really hard working,  makan medicine and tidur medicine kind of doctor. Guys, HKL indeed a better choice.

It’s had been a satisfying dinner. Mom had cooked my favourite soup , the fried egg soup. I feel like sharing the simple soup to everyone out there.

So, here’s the recipe.

First, fried some eggs the usual way and keep aside.

Now, the soup, which can be many type but my mom like to make from ikan-bilis. So heat up the wok and fry ikan-bilis with cellot for 1 or 2 minutes and added water. Remember to add some ginger (very important) and when the soup is ready, just put the fried-eggs inside and it’s done.

It’s been almost a year into services and I am glad to meet many of my seniors.  Since  2001,  IMU had managed to produce ? number of doctors every years. My medical MO who a graduate of 2004 had taken PACES recently, the final hurdle before getting his MRCP.

I alway wish my seniors can be successful and hope they became specialists which a prove that my varsity is capable of producing good doctors.

Well, I happy to see the present results.

At the same time, as the reputation grow, the school is not as affordable as 5 years ago. Those days the whole course cost 250K and now, it’s between 330-340K.

Just finished reading an article on Health section of New York Times, in which a story of an old lady almost died from taking a small pill for her leg cramps. The physicians managed to save her but the actual culprit was found after carefully history retaking. It does not need any tests at all.

It remind me of a patient which was admitted for jaundice yesterday. I ask a brief history of jaundice and other constituted symptoms. I think it should be a simple of obstructive jaundice. What is surprise me it diagnosis is acute hepatitis, which in fact, not wrong at all, with the ALT raised to 700++. But, I found it not really fit into the patient presenting history of severe pain at epigastric for past 2 years, which likely due to gallstone. Further, recent hepatitis B/C screening were negative and patient had denied promiscuity.

Patient had an urgent U/S and bingo, it’s indeeds a case of choledocholithiasis.

It’s a case of listen what patient said and arrive a diagnosis.

Everyone should watch Oscar winning movie No Country for Old Men, which is a fantastic movie. Anyway, I doubt it as most people will choose brain-less Transformer over NCFOM.

I’m not sure what the title really related to the main story but I think it something to the with the people as they grew older, the world is getting more violet and it’s made the old folks distress and sad.

Well, our country and the government also had been harsh to the old folks. OK, more specific, failure to grant citizenship to the red IC holders.

As usual, the government said they must meet rules despite the fact they’d been living in this country for more than half a century.

And they can grant citizenship to people who come abroad with that second-home programme.

See, total heartless and unreasonable.

Just glad the recent poll had taught them a lesson.

dontjaildoctors
April 2008
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