silver jubilee

today is the silver jubilee anniversary of mum&dad's wedding... too bad i'm on-call... i want to celebrate with them badly... probably it's better to leave it to themselves... they're having a great time i believe...

me luv my parents soooooo much... perhaps they're not perfect but they're definitely excellent and responsible parents... me thank God for i'm born in this family... me really really fortunate to be their daughter and me super proud of them... (and they're proud of me too, hee!) me very very happy for them... i think that's the meaning of marriage... to be with someone whom i luv, respect & support, and walk along the journey of life...

post-piercing day 6

ear-rings in-situ...
right wound well...
left wound mild swelling & tenderness...
afebrile, no discharge...
imp: mild infection of left ear-piercing wound...
plan: daily dressing with hibitane... no need to start antibiotics at this stage...

ear rings the sequel

me super excited today... after nine months... finally i had it done... i have moved from "non-pierced group" to "pierced group" of the population... i've had 2 tiny craves before this real crave came... i've finally made up my mind to get a pair of ear rings to celebrate my parents' silver jubilee and my graduation...

i was accompanied by maymay and lolo to piercing... we each got a pair... pretty impressed by this sterile ear rings in the cartridge, so it's not touched before it's put on my ears... got a plain design... i aint sure if i've the patience to wait for 3 months before taking it off... by then xmas & lunar new yr will be over... it's way too long...

starting today, i have something more to shop...

companion wanted

look the WTO ministerial conference is so important... almost the whole of public workforce have to standby just in case anything happens... i heard that even schools in the area will not operate... all the staff in public hospitals will cancel their leave during that week... i dunno why i am the exception...

yes, except me... why??? i'm the only person who will take my week off during this WTO thing... i could only come to conclusion that i'm the most useless doctor in the hospital... i'm the one who can be forgone... great... all my fellow intern friends will work... who's gonna play with me??? and with all these potential chaos... i have nowhere to go... no attachments... thought of leaving hk but i dont wanna go alone... i hope my brother will spare some time for me...

o.t. tail

spent the morning in the operation theatre... each time before i put on the long gown... i have a disposable plastic apron beneath the gown... like any apron, i have to tie at the back... normally i tie at the waist, well it's meant to be... this apron is one-size-fits-all, so you can imagine is a bit long for me... today i tied right at my sacrum... so it's like a tail... made me very happy to walk around with a white plastic tail...

consultations

#1, to psychiatry

this lady has history of depression on blahblah. she is admitted for termination of pregnancy for anxiety state. termination of pregnancy is now completed and she would like to take OC pills for future contraception. please kindly assess and advise on fitness to take OC pills. thank you.

and then i got this reply:

there is no contraindcation to OC pills in psychiatric patient. i don't quite understand your consultation. for drug intervention, please consult BNF.

#2, to cardiology:

this lady has history of ischaemic heart disease. she is scheduled for pelvic floor repair for genital prolapse. please kindly assess and advise on fitness for OT. thank you.

reply:

(blahblahblah... )
may i suggest:
1. trace her private medical records and coro reports
2. please dont label a patient to have ischaemic heart disease if coro negative
(and then he crossed out the last line!)

clapclapclap... well, i don't mind... it's pretty fun to read these during afternoon rounds...

brittle thyroidism

there're these old terms brittle asthma and brittle DM, which refer to people with very poor control of asthma & diabetes... here poor control doesn't mean that someone is always out of breath... or that blood glucose level is always high... but the control is somewhat like a roller-coaster, fluctuates a lot... very high this minute and very low the next...

i'm thinking i may have "brittle thyroidism", at times i'm very hungry, eat plenty, efficient at work and keep talking talking... sometimes i'm slow, sleepy, very very tired and constipated... perhaps i should do a Q1H free T4 monitoring...