Start of a life as housemanship

I started my housemanship one month ago in HUKM, placed under surgical department, vascular team. First two weeks, I suffered. But IMU prepaid me well through the o&g and stress, so it's still bearable for me. Long standing hours, running here and there ended up with numbed toes (nope, I'm not joking), stress of workload, not used to the system and how things worked, skipped meals until late at night, irritating boss, demanding patients, difficult procedures, the lists never ended. Everyday, there is a challenge, and I feel relieved at the end of the day when I walked out of the hospital, happy that I passed my test.

Here is a comparison of patients we encountered.

A. Difficult patients.
I'm sure every housemen encountered this. Because we are dealing with humans, not machine, they have feelings, demands and .. life.
They can make things difficult for us.
For example, when I was on call last night, I have a new admission that I needed to clerk.
When I sat dwn to talk with her, she refused to be clerked.
Everything that I asked, it's a 'I don't know, I really don't know. You ask the doctor la. They admitted me, I really don't know anything. Go and look at the file la." I IRRITATED me so much. I keep telling her, her records are not here yet, I have to get something from her so I can present it to my boss tomorrow, so that they will know what they are dealing with because we have to assume that they might not know what is your case. Yet. she continued to give me the 'I don't know'.
When I go read a bit more on her basic details, I realized what might have depressed her.
Her husband passed away.
She probably has anorectal cancer (anterior resection was done) and TAHBSO (can be gynecological or advanced cancer spreaded to gynecology structure).
She has stoma bag.

Yupe, that summed up all. Life sucks for her.

I was reminded of another patient who has similar attitude as her.
That 'I don't know. Go check yourself.' attitude. (she's post aka patient, bed sore, and adl dependent, no husband.), I understand they might be depressed, angry so I tried to be nice with them. But they still have a hell lots of attitude to get to you.

Of course, not every patient is like this.

B. Grateful Patients

I feel great when I'm thanked by my patients. I remembered, I always remembered a patient, who has bg scleroderma, c/o bilateral malleoulus chronic ulcer, who stayed in ward for almost two weeks, and I have to dress the wound every day. I was new at that time, got scolded, no meals etc, she sees me suffered, understood me.
At the end of her stay, she thanked me, kissed me on the cheek, and keep telling me, "Sabar, sabar, Dr Ivy..." She's inspired me the most. I sincerely thanked her for her support.
And it's a true happy feeling, when I heard my patient pointed to me and said "saya nak Dr buat untuk saya. Tak mau orang lain." Yes, it really gives me the joy.

I guessed this is what it meant to be a doctor.
I guessed this is where, during the moments of stress and depress, we find ourselves the meaning of being in this profession.

It's the joy we gained from treating patients.

Facial Product and Cosmetic haul from Korea

I made my research before going to buy, and how right I was about the time-limit. Thus when I got there, I tried to make use of the max amount I have by swooping all the stuffs that I had read online with positive reviews eg egg foam wash, nature republic cleansing oil, innisfree no sebum mineral pact and the lip scrub and some others are just randomly grabbed simply because 

1. I lacked them

2. staff recommended: bb cream and primer 

3. they looks promising

List of stuff I bought from Myeongdong: 

1. Skin food egg pore foam 

2. Nature Republic Aqua max peeling gel

3. Skin food vitamin c facial mist

4. Skin food omija facial pact

5. Nature Republic cleansing oil Argan  

6. Innisfree green tea lip scrub

7. Skin food lime shine pact 

8. Face shop: shimmer blush 

9. Etude house 

10 Skin food eye shadow

11. Innisfree no sebum mineral pact

12. Face Shop blusher

13. Innisfree air skin fit bb cream spf 35 ++ 

14 Innisfree no sebum primer 

15. 10 pieces of face masks from Face Shop

Hair clip and assessories, and two earrings. 

Freebies cotton pad

Freebies from all the shops, mostly from skinfood. :) 

Korea + Jeju 8D6N Spring tour 2013 Part 2

Everland 

Day 3-Flight back to Seoul in morning at 9am (Rainy) 

Journey to Everland for the rest of the afternoon. (Windy) 

Dinner

Check in at Phoenix Ski Resort (temperature 2 degree Celsius) 

Caught my sore throat after Everland. I didn't drink enough water due to the cold weather. And it freezes my hand while taking photos with the wind. 

Day 4- Seoraksan national park

Blue Canyon Hot Spring at 4pm. 

Dinner 

Enjoyed the hot spring really much~!  No pic. :P 

Ginseng chicken with Abalone as dinner

Day 5- Checked out Resort

Two hour journey to Nami Island 

Travel back to Seoul 

Gyeongbokgung 

Kimchi making session and Korean dress experience.

Dinner

Dongdaemum shopping 

Checked in at Itaewon Crown Hotel 

Day 6- Ginseng shop

Visit to Blue House 

Face Shop Duty Free

Lunch: Seafood Buffet (Best) 

Myeongdong Shopping 

We skipped dinner that day as the time given for shopping was not enough. From 3.30pm until 720pm. There were lots of shops that I wanted to go, but due to lack of time, we were practically rushing while buying things that we wanted, mostly facial and cosmetic products. These are just part of them. I had not included the freebies, which are TONS!!! Just LUVE IT! 

Knowledge learnt: the cultural society in Seoul,  重男轻女，上下阶层的礼仪

Day 7-Checked out at 9 am

Some more duty free local groceries 

flight back Malaysia with Korea Air at 4.40pm (local time) 

This is my tour group. 

And lastly, my main reason for ditching my job induction as doctor-to-be is for this! (and facial products :P) 

Overall: SA tour was a good choice. As said, we didn't pay any money for this tour. All charges were included. Tour guide was really nice. We're not disappointed by the accomodations and hotels as well. 

Korea + Jeju 8D6N Spring tour 2013 Part 1

Visit Korea in Spring time with SA tour

I said it's worth it. :) I received my induction letter one week before this trip stating my induction started on 22th April 2013, but I'm still in Korea at that time. T.T Since what my family paid was a huge amount, one person RM 4,900+ per person that included hotels, flight tickets, and entrance tickets basically everything,  and we prepared everything, it'd be a huge disappointment and money-wasting if we didn't go.  And it does turned out, we didn't pay any extras charges for this trip. 

Our tour guide, Liu Andy, was entertaining and shared lots of local stories, cultures and experiences with us. I learnt lots about Korea from him. 

First day we reached Incheon airport at 7am Msia time (8am Korea time). Temperature on arrival was around 8 degree Celsius. For the first time in my life, I noticed how the puff came out from our mouth when we breath and talked after coming out from the airport. One word: Freezing cold. and we realized, shit, we didn't bring enough clothes. Truth enough, we suffered and I brought back flu from this trip. 

First day-DMZ (north and south korea border visit) 

Flight to Jeju at 3pm. 

Visit to Teddy Bear Museum jeju island. 

checked in at Neighborhood Hotel.  

Knowledge learnt: The history between north and south korea, living condition in north korea, men serving country as soldier for 21 months and it is hard. 

Seongsan Sunrise Peak 

  Seong Up Folk Village

 Trick Art Musseum 

Day 2- Seongsan Sunrise Peak

Seong Up Folk Village (大长今拍摄地) 

Mysterious Road

Trick Art Museum 

Nanta Show 

Dinner: Abalone Seafood 

Knowledge learnt: korean woman make up since teenage/young adult, will not bare face to go out. Old woman (even cleaner or joggers) will wear thick make up. Their salary are high and even (no beggars), relatively, their living cost are high too. 

Lots of manufactures (Samsung, Hyundai) in Korea. Ridiculously more china visitors compared to Western visitors.  (due to distance one hour flight to china land from Incheon). Their weather prediction are very accurate!  

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IMU students: house to rent in Seremban 3

House to rent in seremban 3. single storey. 5-10 minutes drive to IMU. 
Three rooms, two bathrooms, airconned. Friendly neighbors and relatively safer street. One of neighbors is a taxi driver if you don't have a car. 2 min drive to nearest shops (family store, food). It is unfurnished. RM 400-450 (need to be discussed with owner) 
Buy-over from seniors: 
Furnitures with fridge, washing machine, water heater, gas, cooking stove. 
Room furnished with cupboard (from owner), beds, tables etc, also need to buy over. 
Available March/April onward 2013. 
Email me: ivy_ran88@yahoo.com