The answer is…


The picture I posted of  an insect yesterday is that of the Anopheles mosquito. It is the vector (or carrier) of the parasite that causes malaria. The earlier picture was that of healthy red blood cells and 2 ruptured red blood cells, a process called hemolysis, when the malaria parasites which has multiplied in the cell force its way out of the cells. Each episodic hemolysis of thousand of red cells correspond to the high fever and chills that a person suffering from malaria will experience.

Btw, the reason I put up the photos was because I see an average of one malaria case a month in my hospital. So, dengue isn’t the only problem we have to worry about when it comes to mosquitoes. :-(

Thurs, 310806 @ 1321

Merdeka Break


It’s been a quiet day today. My MO fell sick and so I told him to go get some rest. I wonder if he did. He didn’t look well at all. However my boss didn’t exactly give him a green light as such so I really don’t know if he went home to rest. I have always held on to the principle that we doctors must take care of ourselves if we are to take care of others. I would expect the same kind of courtesy extended to me if I fall sick. Sad to say, that is not always the case.

I remember a couple of times when I was so sick that I practically shivered and yet was made to work on till the day was over. I remember a time when my mum was admitted for uncontrolled hypertension and I couldn’t leave work to visit her till late evening because my boss said to finish the work first. In the very place where compassion should abound, paradoxically it is the very place where it is wanting. Doctors aren’t always compasionate to fellow doctors.

It’s been 3 months that I have been in ID. Sadly, I have become increasingly disillusioned about what I am doing. I have also become demoralized in many ways. I am really looking forward to the next couple of days. I took leave on Friday, so it will be a stretch of days where I can rest and think things over.

I have to accept the fact that I have failed to meet my self imposed dateline to finish my thesis by the end of this month. Perhaps I can finish the first draft by the end of next week. Sometimes when I think about it, I feel really depressed. :-(

Tomorrow our nation celebrates 49 years of independence. As a nation, I think we have gained much but sadly we have also lost much. The streets are no longer safe, every now and then politicians flame the old fire of race issues, we are still stuck in the dark ages as far as our habits are concerned, the air is choked with neighbourly smoke, prices are sky rocketting away… I could go on and on. I won’t coz it’s far too depressing.

Anyway, have a good break everyone. I definitely need one. And Happy Birthday Malaysia. For all your ailments, I still love you, my beloved land. :-)

Wed, 300806 @ 1641

A Memorable Patient – the dancing queen


She was a middle age Malay woman who was G6P5 (meaning it was her 6th pregnancy and she has 5 other children).

It was in the middle of the night when she came in to give birth to her 6th child. The birth was uneventful enough (when you have delivered 5 times previously, nothing really becomes an event anymore).

I was the House Officer assigned to stitch her up. Actually it was rather ironic that she needed any stitching at all as most ‘experienced’ women like her would have given birth without so much as a bruise to the birth canal. But she did, and it was a rather large laceration down south.

What was supposed to be an easy assignment turned out to be a lesson on ‘stitching in continuous locomotion’!

She just could not lie still. She was, in fact, doing the lambada or Macarena or a Shakira number on the delivery table as I attempted to close her wound. I gave her enough local anesthesia, warned her a billion times not to move but still she did. Ricky Martin would have been put to shame by her gyrations.

And suddenly, the unthinkable happened. I pricked myself with the needle! And yes, I bled. It has pierced through my gloves and nicely implanted itself into my finger.

I was so horrified and angry at the same time that I simply dropped the surgical instruments I was holding. I told her, rather sternly, that her vigorous dancing has resulted in me getting a needle-prick injury, and I walked away; leaving her bewildered and with a string attached to a needle held by an artery forceps dangling from her vagina. She wasn’t dancing anymore then.

A nurse picked up where I left behind.

I never saw the patient again.

I decided then that any form of surgical procedure was not my cup of tea.

PS: ‘A Memorable Patient’ is a series of stories written from the experience of a decade in service.

Wed, 300806 @ 0749

A Malay Wedding


I had the priviledge of being invited to a malay wedding over the weekend. I am ashamed to say that it was the first malay wedding I have ever attended! (That is unacceptable in our ‘multiracial country living in perfect harmony’). Not that I have never been invited to a malay wedding but it’s just that I could not attend all the previous ones due to other commitments.

It was the wedding of a fellow physician who decided to give a try at matrimony (oops, I didn’t mean it to sound that way). Took us a while to find the place; it was in Ulu Langat you see and the last time I went there was when I was 10 years old when we (the Boys’ Brigade) went camping there only to have our entire campsite washed away in a torrential storm and we had to spend the night in a sawmill factory.

Anyway, back to wedding. It was a traditional malay wedding set in a kampung (and everyone was invited, naturally). I totally enjoyed the wedding; the colours, the festivities, the company of good friends and the food.

All weddings are joyous affairs and this is no different. In more ways than one, I count myself blessed to be in Malaysia. Congratulations my friend! Here’s wishing the two of you a wonderful married life. :-)

Tues, 290806 @ 0814

19.10.2006


Got a memo in my pigeon hole yesterday. The due date for the submission of my thesis is 19 Oct 2006!!! Arrgh!!! And I have not even finished writing the first draft of it! Gulp! This is not good, not good at all.

Apparently I have to prepare 7 copies of it. It used to be 6 copies but now the HOD decided that his library could accomodate a few volumes of theses. Seven copies of hard cover bound thesis! Not only will it cost a fortune, I think it’s also a tragedy that many a tree will have to be sacrificed for it! I can’t understand why they can’t just accept a ‘soft copy’ on a CDROM! I’d gladly burn them a copy (if I can get the darn combo drive to work). Yup, I am a closeted-tree-hugger.

It’s going to be a long day today. Clinic in the morning, lunch talk, more lunch talk, rounds after that and more rounds and locum in the evening. Sigh!

I am getting a bit demoralized working in ID but that’s another story for another time.

Tues, 290806 @ 0802

One Happy Bandwagon?


Since the article on the results of my thesis was published last week in the NST, I have been told that a few individuals have asked that their names be included in the writeup which I hope will be published in a journal in the near future.
My initial response was one of disbelief! I mean, these are individuals who have not contributed a thing to the study and whose interest in the whole study was at best indifference, now wants their names to be included in the study!

When I did my first thesis back when I first pursued my BSc. my supervisor was kind enough to let my name to be written first in the list of authors when my work was published. Later when I ventured into dengue research while working as a research assistant, my supervisor then insisted that his name be put first. I believe this kind of politics in the academia has been going on for a long time. How else can you explain that some of our esteemed academics have a long string of research projects published with their names always in front? I mean who has that kind of time?
I suppose some would argue that since one is the supervisor and all the fundings for the thesis come from him/her, he or she has the right to insist his/her name be put first. Fair enough I suppose. But in my opinion, this attitude will, in the long run, only serve to glorify individuals who didn’t do all the work and stifle any new talents from blooming.

And now it has come to this, people who were totally unconnected to the study now wants their names mentioned as well. The chinese have a saying, which my mum used to quote to me often when I was young: ‘Using another’s backside as one’s face’. I think ‘disbelief’ is the wrong emotion I felt. It was more like ‘disgust’.

Mon, 280806 @ 1335

OGIM!


OGIM stands for ‘Oh God, it’s Monday!’ That’s how I feel at the moment. Woke up especially early today to beat the ‘jam’ because today’s the first day the schools reopen after a one week break. I personally think that schoolchildren and all things related to them contribute significantly to the rush hour jam everyday; hence if I am in power, I would relocate all schools to, oh… Timbuktoo? :-)

After successfully beating the jam and remaining intact, I bought breakfast (which tasted awful, but at least it’s organic and hence biodegradable), I sat down in front of the pc and found, much to my annoyance and disgust, that some bloody idiot has installed some unknown program into the pc over the weekend which slows down everything tremendously. It’s impossible to open more than 2 windows without the pc hanging on me. AAArgh!!!!!i

Attempts at clearing up the unknown program has been unsuccessful, mainly because it’s in chinese! And yours truly being a ‘banana man’ hasn’t an inkling what the words are. Sigh! A while ago, another (or the same?) idiot installed a ‘free movie pass’ for adult movies on this pc and it just about drove me bonkers as a window kept popping up every hour or so to ‘remind’ us to renew our porn license. Ugh! That’s the problem with shared facilities.

Anyway, I am writing precariously in one window hoping the darn pc don’t hang on me before I finish.

The weekend was a blur. Aquaria on Friday followed by a malay wedding on Saturday (pics to follow later) and before I know it, it’s Monday! I swear I missed Sunday! I so need another holiday!

Sorry for my sour gripes above. It’s therapeutic. I have loads to write but I have loads more work to do. Sigh!

More later….

Mon, 280806 @ 0825