.:a sUdDeN sLiP:.

It started with an ordinary day for us…when suddenly Panin (our arse-hot surgical resident) called us to gather at the ICU.

and he did mention seconds before that, we are going to witness THIS for the first time, and the last time in our life…that prove to get my adrenaline pumping higher than it suppose to be (I recalled feeling a prick of sweat in my forehead).

and there he is…

laying on the ICU BED, with sedative + analgesic IV drop, was a 52 year old man, with multiple wide blue spots on his abdomen, lower extremities, and an ulcer-gangrenous area on his left toe.

He was having the dreadful Cheyne-Stoke disease (In Malay they called it Nafas Nazak), you know those kind of rare, deep inspiration. HE was obviously unconscious to his surrounding,though at certain times he lift his fingers, (which I cant confirm whether it is a reflex, or if he try to say something)

Since it is the ICU, we weren’t allowed to stay there much longer . And after a brief explanation, our resident asked us to guess what the hell is it?

various terms splurred out from us, from the simple eczema, psoriasis, and even septic embolism (I recall someone suggest neurotonic disorder..which I cant really imagine what the hell is it)

the closest we get (and yeay!! I guessed that) is a deep vein thrombosis…and Panin, quite surprised, asked us for details, like..where the hell is the thrombosis located..
and we stayed quiet. Since DVT is not even RARE…it is soooo common that people called it "The economy-class disease".

It turned out his thrombus is located in the INFERIOR VENA CAVA ( one of the widest vein human body has), Indeed it is rare, since thrombus dont usually form in those wide vein..

on our way back, I took the opportunity to ask for the treatment. Shaking his head, our resident said the only probable way to save him is perhaps via balloon thrombectomy ..but then again, in such difficult situation, they really dont have the expertise..

**********************************************
the next day, I was expecting to see him again, but as I had guessed earlier, the patient had passed away after 12 hours being admitted into the ICU….

YESTERDAY I HAD TO SIT OPPOSITE OF THE "BLACK SPIDER" DURING MY WHOLE JOURNEY BACK HOME

I arrived at my room feeling a little bit "dumber" than the previous 1 hour

At last!! Weekend arrived, with the most waited saturday-off due to the reconstruction at the ENT dept that had taken ages since it started around 250 BC.

and this weekend, my friend, I’m planning a self-getaway from all the hectic daily-life norm in the hostel, to…somewhere else.
Well, the idea of renting a hotel room all alone had indeed perked inside my head,
but since I doesnt have the luxury to do that, I had to satisfy myself by bunking up at yat’s apartment for two (yes, two!!) nights ..hahahhaha

And his birthday is just around the corner, and his life-partner (that doesnt sound weird isnt it?) birthday was a few days, ago, so we decided to throw a belated and be-early birthday party for them..

well, not exactly the tranqulizing and serene geaway I was hoping for, but I can do with some companies

never wonder why I cant stop gaining weight. All my friends are hard-wired to be a top-chef in case we had to leave med school Here are our menu (that suppose to be simple as the party was planned in less than 48 hours):

1. A luxurious Le Poulet Rôti avec le Miel et le Sésame
(Spicy Roasted  Chicken with Honey and Sesame) served with Cream Bread stuffings.

2. Spicy fried calamaries with chilli dippings

3. Vegan clear soup with caulliflowers

4. The classic Ikan Bakar Air Assam !!!

5. Banana-layered chocolates Brownies

6. Cake (we bought this one and it have some Russian transcription that must not be included here)

7. Selection of juices, chamomile meadow infusion, and …the malay’s staple - the good ol’ boiled white rice

What’s better than a weekened getaway + friends + scrumptuous food ????

One of the earliest thing I learnt from my ancestors long ago, is ..
DONT BLAME A COMPLETE STRANGER FOR WHATEVER MESS YOU ARE IN..
there’s reason why we were adviced to contemplate ourselves before start bitchin’ to a complete stranger and blame them…

so, here the story goes..

there was an honest bank manager who happened to befriend with a regular seem-down-to earth guy..

well, this "guy" happened to have a bitch-girlfriend, who throng around feeling that she is the best human being ever born, and all other people somehow have to obliged her and swallow whatever she feel like throwing to them…

and it happened one day, God-willing, the bitch money was lost from her account. Since the writer suppose she had one of those mental-hormonal disorder, the writer believe she didnt think long. Since she is financial-banking-illiterate, and didnt know much about banking system, she somehow came up with the idea "IT MUST BE THE BANK MANAGER WHO STOLE MY 100 RINGGIT, WHO ELSE?"

it was a calm and steady evening for the bank manager, when he decided to finish some up of his paperwork. BUt not long then, the bitch come face to face to her, and in those thundering minutes of raised-voices, hateful-glare, and plain-stupid biases, she bitchin around the bank manager, saying what not…

and the bank manager , a complete innocent, humble guy who never face a bitch before, lost for word. Well, he did try to gain some momentum, but he can still think logically and rationally, and decide if he want to thrash the bitch around, he need to do it systematically..

he rang up his friend from all over the world, (mind you his friends is among the best banking manager in the world!) , check with the bank superior, gorged into the bank database system ….and aha!!! found the link of who actually steal the money…well, at least, the location from where the money is stolen

it was traced back to the bitch’s boyfriend banking terminal (whatever that mean, I’d lost of substitute words)…

The bank manager was ready to reveal this to the bitch, when only a minute before that, the guy came and confess the crime. He didnt plead it out, but the bank manager understand, he was actually saying " I DID IT, BUT PLEASE DONT TELL THE BITCH. I CANT STAND HER BITCHING AROUND ME"

and so, out of humanity, the bank manager meet with both the bitch and her bf, and made up story where he stated that he found out the money was stolen from the guy’s terminal, but perhaps somebody else is using the terminal or better yet (this is the best part) some sophisticated computer-virus hacked into it and steal the bitch’s money (hahahaha)..

and the guy, thanking me for "Solving the problem" (when actually he’s thanking me for not making him the bitche’s dinner), but the bitch still sit recklessly there, obviously angry, and ashamed too since her accusation is totally wrong, and she’s too proud to apologize…

6in the end, you’re the one who lost your face bitch!!

and I wonder why the bank manager is such a kind-hearted person. Thinking back, I would advice him just to reveal the whole thing up, and watch awefully when the bitch started cutting her bf body to pieces and swallow it all up….

Disclaimer : This story is picked from a communal banking post located in Denver, US. It is by no mean, correlate to any of the event happening at present moment. But, as you can see, there’s a lot of bitches around, even might be at your next door. So, the possibility of it to happen is always there.

p/s: I found this incident is sooo   %&^*&&^^& I think Im gonna post up a NO BITCH sign at the entrance…

to whoever got this post,

I actually said it wrong, and was just trying to be funny…
well, I thought wrong..
and if howsoever I did said anyhthing wrong that hurt you in anyway, I apologize..and was sorry for the way I behave..

and, since I dont think you want me to address about this matter face-to-face (since maybe Im wrong, maybe u dont even care what I said ) ,  I still do feel the need to apologize

so again, Im sorry and hope nothing gonna change just because I make some silly mistake. I took full responsibility on that, and will assure it will never repeat itself again

thanks mate!!!

I love neurology.

I mean, its cool poking around somebody , and ask them to do silly little thing like "can u walk like a duck??" or " do u know what the synonym of asshole (gee I dont)".

and then, in a minutes, you point the guy/gal as having some seriously haunting disease without a clear ethiology, and with no other treatment than vitamin, and nootropic agent..

It must feel great to be in such a powerful position. U sat there with your judgemental eye, and tell everybody how crazy/stupid/obsessed/discoordinated they are..

power play..

and in the end…

I hate neurologist


p/s: my neurology lecturer just being an ass…thus the post…hahaha

he looked like DORALIN..but dont be fooled, he’s not that NICE..hahah
 

That’s what you get when you are studying neurology for the cycle, and in the middle of understanding what the hell is vegetative dystonia, the OnG exam is actually trailing just a footstep behind you…

and when he/she reaches his/her hand out and pat you on the shoulder….

HAAAHHHH!!!! how do u manage a complicated 2nd stage labor with placenta abruptio?? what??? acupuncture??? do we really stick a needle and everything gonna be ok??

I wish they all have the one and same answer…

C-section…hahaha

p/s: i got my exam tomorrow, and our neuro lecturer meanly , deliberately asked us to hand in the "full-russian-obligedly-handwritten" history case tomorrow as well!!!
I think I got an eclampsia…except..I dont have a uterus…

this three letter acronym conclude most of my weeks..

1. Guellian-Barre-Syndrome: my patient in neurology cycle had this. He’s a 22-year old male, having caught this disease after a severe tonsillitis. While the prognosis should have been 80% excellent recovery, lack of government fund to provide him with the necessary IgG courses (costing almost 1000 euro per course) had left him with 4 weakened, areflex, discoordinated limbs..

2. God!! what a Bullshit Scene : for the Queen Banana competitions during the Moscow game

3. Great Battle with Sugar : I was trying to stay away from carbs since my "should have been stationary" weight status had increased recently. But oh my, doesnt that McFlurry seems undismissable…

4. Gone Beyond Suspicious : I lost my handphone (again!!) its like for the…n-th times…confirming the superstitious rumors that I am one of those poor-clumsy guy who would lost a handphone (or more) every year..

well, am I not GoBbleSmacked???!!!

Congratulations to all hardworking people in Moscow, who manage to pass all the obstacle of facing with Russian-complete-cow bureaucracy.. I offer my sympathize over the materialistic attittude of some official there, making it difficult for students like us to manage a successfull events…but hey, been there, done that

and I do have to congratulates my arse too, for its durability and reliability during the endurance test of 12-hour journey to Moscow by bus with the freaking small leg-room and the freaking bumping Russian roadway. Like our cab driver always said in Volgo " Jalan Russia buruuuuuuuuuukkk!!" = he apparently learnt this from some Malay guy.

I’m in no position to comment on the championship, since I’m not one of the athletes, but I will really looking forward for more sportsmanship in the future events, since there are lot of rages and cursing in the field. I mean, yeah I do understand the adrenaline surge and all that hormonal thingey (mind you most of us are medical students there), but I couldnt comprehend it to be a reason as to put aside our ethical manner.

The garden party suppose to be fun, except it is not. The weather is freaking cold, and I wonder how the "sexy-dance group" manage to wear that tight shirt showing the lower half of their abdomen….I wish they didnt caught pneumonia or anything…but the bon fire idea was imaginative!!! and the food was scrumptuos!!! I honestly think Datin should open a Malay restaurant in Megamall Moscow as a part-time (or full time job) since she hadnt any job to do now except mingling with the elites of Muscovites. " Restoran Seri Hopeless" that sounds nice….

well, anyhow, its a huge success for me, since I manage to fit in the tight schedule to visit IKEA twice (yes! twice) and spilt my money there for a good 3000 rubles. It do satisfy my shopaholic side, only to find out later that out of that 3000, 2200 is actually spent to buy things for others. So instead of putting it as "leisure expense" I’m considering "unavoidable charity expenses"

anyway, here’s some pics..

with my Jasin schoolmates and juniors….that guy in the middle is taking course in Aviation in moscow…at last, a fresh add to the community of medical-geeks in Russia

with Neemo at the garden party. Hah! I havent told you that she is one of the three reason I went to Moscow. The other two was 1) my PDA and 2) IKEA..haahahaha

The Volgo team…oh, that’s a new shirt  I bought in megamall, a day before the Garden party…unfortunately due to the cold weather, I had to zip my jacket up..poor little S. Oliver had to stay hidden

just another non-blurry picture…congrats though for the takraw team, holding the bronze medal, ..and should have brough back the silver one if only the team still hang around for the unscheduled rematch