bigtail kitchen - chapter one

getting warm

did shopping after work... and prepared dinner for my beloved family tonight...

started off with shopping...

wash and dry...

preparing ingredients...marinate chicken thighs with garlic, lemon, honey, salt & pepper...

wash the rice...

ready to bake...

frying broccoli...

done!

it looks okay... but it tastes awful... esp the chicken, it's basically tasteless... am really upset... trust me i used made it really nicely... i dunno... probably too little marinate since i didn't cook for a long time... plus the chilled chicken thighs have a really really strong refrigerator odour... mochung and yingyingbird's faces were exactly those of ronald cheng and edmond leung in the beauty kitchen... the only difference being i'm not a beauty...

the bigtail kitchen

light shower

amy started her annual leave yesterday... my home is bound to be chaotic for the coming weeks... nobody to do cleaning washing ironing cooking nor bathing for the three yings... though momochung is back, it won't help... he'll only create more work for the maid... more clothes to wash and more beds to tidy...

starting today... i'll run my bigtail kitchen every postcall day... though i'm supposed to be the busy doctor who works >70 hours a week... i'm the earliest person who finishes work here... remember the days in england when i did shopping and cooking after school... it's okay to do anything with the oven/steamer... once it go to frying pan that it's difficult for me to control... am looking for more easy-to-cook and nice recipes...

upset

cloudy

look... good things usually come together... so are bad ones... granny started mobilisation 3 days ago... she's able to sit up and walk a few steps... just as we thought the worst is over... she sprained her knee... and sustained a medial tibial plateau fracture... huh? another one?? her bones must be very very very osteoporotic... it means she'll go through all the pain and complications of pain killer and immobilization again... perhaps she'll never walk again... this is what she used to fear most... now her mind is still so bright... i'd rather she's demented... perhaps she suffers less that way...

please god... make her comfortable... being happy and pain free is so simple that we take for granted... yet it can be so difficult for others...

post-op

fine

yungyung had vertebroplasty done on friday... much less pain... my family is slightly relieved... it's just the beginning of her journey of rehabilitation... we dunno how far she will recover... anything is good so long as she is out of pain... of course it'll be beautiful if she can walk again... anyway... am grateful that it went smooth... let's wish everything works well...

ECG

slightly cloudy

bumped into this site where u'll find plenty of online ECG questions... good for MRCP part 2A...

yungyung

light shower

long since i have time to sit down and post...

it has been a busy week... filled with calls and very malaise post-call days... my to-do list is building up again...

granny is not well... and it bothers me more and more... she's been quite well all her life until the beginning of 2007... she's in her eighties, premorbid "lived with family, ADLI, walked with stick"... it started off with a vasculitis and CVA... she then become "poor vision and walks few steps indoor with frame"... only now we know that's just the beginning... the neurologist started her on steroids... it improved her sight but complicated by an osteoporotic compression fracture of T12... the pain was very severe... it does not go away with bed rest + pethidine + physiotherapy... she already experienced pretty bad ileus from the opiods before the analgesic became effective... because of DM + renal impairment she is not fit for NSAID... then because of prolonged bed rest + hospitalisation, a tiny sacral sore is budding, she's becoming delirious... not to mention she's wasted and deconditioned... she's screaming in pain every day...

being a physician trainee, i deal with elderly patients every day... my patients complain of pain here and there... usually i tell them this is degeration and noting much can be done and put down analgesic balm LA bd + dologesic 1 tab qid prn +/- physio x pain relief... it's hard to believe there's pain which cannot be controlled in the modern world... her situation is quite a bad one one can get... this is suffering... what's more, yungyung is the one who brought me up and is my very dear grandma...

now the orthopaedic surgeon offers fluroscopic vertebroplasty with bone cement... apparently my granny and family wants to give it a try since she's in so so so much pain... the risk is small but can be very devastating... it is a benign disease but why is she going through all these suffering... sigh...