tough week..

Final day of on call week.
We are on call for one whole week starting Saturday and ends Friday of the following week. The nursing division in Malaysia start their shift week on the Saturday, which is the 1st day of the week. The thing started since colonial time.
Yesterday, so many thing happened.1st thing in the morning, my peers tell me that one of our colleague, who is on morning shift,is in ETD(emergency and trauma Department) The previous night, I have a problem in the male surgical dept. So I went there to see to it .Then ,I went to take over duty from the morning Nursing Sister with all the other matrons.We finished around 10; 30am. When I reach the ward, my ward sister told me that that colleague of ours is having right sided paralysis. OMG! I went down to ETD to see her.She looked quite blank and can't talk.She is having CVA ( cerebral vascular accident) I manage to get our cardiologist to see her as well.I am so grateful that Dr Alan is so good. He went to OT to see the neuro surgeon for opinion.Praise the LORD.
Another of my Hospital support staff come to tell me something ridiculous. He said that his motorbike parked next to me, was stolen on Thursday. He said it in such a way that I bust out into laughter.Hey, matron, kenapa orang tiada curi kita punya? kenapa dia curi saya punya? you punya pun cantek? OMG! he want mine to be stolen as well!

TV & parabola..... go on holiday.It just refuse to show good screen. I get someone to repair it today. Condemn lol. We buy new one.Praise the LORD. Everything is OK now.

Don't left only money!........

PSALMS 16---A prayer of confidence

1. Protect me,O God; I trust in you for safety.
2.I say to the LORD ," You are my LORD ; all the good things I have come from you."
3. How excellent are the LORD's faithful people! My greatest pleasure is to be with them.
4. Those who rush to other gods bring many troubles on themselves.I will not take part in their sacrifices; I will not worship their gods.
5. You , LORD, are all I have, and you give me all I need;my future is in your hands.
6. How wonderful are your gifts to me; how good they are!
7. I praise the LORD, because he guides me, and in the night my conscience warns me.
8. I am always aware of the LORD's presence; he is near, and nothing can shake me.
9. And I am thankful and glade, and I feel completely secure,
10. because you protect me from the power of death. I have served you faithfully, and you will not abandon me to the world of the dead.
11. You will show me the path that leads to life; your presenceills me with joy and brings me pleasure forever.

The Pasteur talked on " Don't left only money. Though is a bit difficult to understand, but it is very meaningful.

someone get trapped in the lift.

The hospital telephone operater informed me that the specialist get trapped in the lift for 1/2
an hour already. OMG! Is this my problem? I told them what to do in the phone. Anyway, they also know what to do. But the hospital director wants to talk to me. I told her to wait till all problem solved 1st. About 20 minutes later, problem settled. I rang the specialist to ask if she is fine. Then I rang my boss.

on call week..

on call business.

For the past one year, we have been doing on call duty. we worked so hard. we get nothing. The management side always tell us that we can't claim anything cos we are the management level our self. So beginning of 2009, we propose to our director that we want equivalent time off. Instead, the management decided that we can claim overtime. But only 6 hours in a month. well, fair enough, at least we get something. Yesterday, is my 1st on call that I am allowed to claim..........Yahoo.Thanks . Lord Jesus.. thank you so much. The bible says.. Ask ,will be given.

weird
during my round, I met a couple from Sarikei in the oncology dept. I met the wife 1st. I ask, why are you here? Then she related the story that her husband is having cancer of the brain and lung. I go near him. He asks... any cure for me? I answered.. Everything, leave it to GOD. I go back to him again when I have finish my job there.He related to me that the ICU nurses are very bad.His 2nd wife was also there. She said that he never been to ICU. He shouted to his wife" Shout up!" I was sturned and walked away.Is he sensible? He just had his brain and lung operation.

poor decision
I went to this problem ward. I ask for the team leader to go round with me. They answer me.. all of us are team lead. OMG! How can! I related the ship captain example.So many captains in one ship... which harbour to go? I want to vomit blood!

General findings
I point out few things during my round. I ask.. if I give you this.. do you want? they all answer me--- no. I ask.. why? They all shake their head. OMG! Don't do to others what you do not want them to do to you.

pet fish
DD has been asking for few things lately. At 1st--- a dog---then --hamster.... then a fish. Well, I keep thinking.... what is good for her? the one that is easy to live longer and with little intervention. She never has any pet by her self as yet. always people help her out. So it is time she has a pet all by her self. I wish her luck and passion to her little' wiggles'

past week events..

unstable decisions..

Last week is a lousy week. Our manager keep changing her mind. One moment like this, next moment.. different. OMG! It is a tough job to have this' keep changing' decision. We feel so burnt out and tired. Praised the Lord.. it is all over.

Counselling..

I counsel a number of staff last 2 weeks. From this year onwards, we have to write what we have counselled , and to be documented. I got this stubborned staff... I talked to her and I get very annoyed. At the end, I bring the ward sister to counsel together. Whenever I talked to her, she Will frond her forehead and make funny expression on he ugly face.... every time like that. I even bring her to see in the mirror to see her image in it. It works.. but for a short time only. After that she go back to he frowning again! I get rather angry with her. The other staff also get very angry with her and they always reported to me. Sometimes she just stared at you as if want to eat you up!

Yesterday, I ask her to sign the counselling report. Woah! after she signed, she get away to one corner and she talked rather loud to the other staff . Who report me? I follow her back and stand there and listen to what she said. I pat her shoulder and say, I say I am the one! She keep quiet and go away quietly. OMG! She is so Junior and so daring.

Farewell party..

One of our cardiologist is for transfer to Sabah to open a cardiac center there. He is sort of funny man. He can't get along well with people. He likes to scold people. I think, lots of people hate him a lot.Last 2 days, I ask, any party for him? Everybody answered, don't know. Then I ask this Dr. He also not in good term with him. He said.. what for party... go lah. So surprised me... yesterday, someone informed me.......... matron. launch for so and so. I was taken by surprise. I quickly tell the other units ,to buy him some souvenir. I like my staff. 2 units manage to buy something for him.

music as a medical therapy.

Feel sort of funny.....

I went to listen to the Friday CPC yesterday. I feel sort of ashamed. The professor is a Japanese---- Dr Asou Yuji. He spoke broken English. But he is such a smart man! He can make people understand him with lots of laughter.That is the beautiful part of the whole thing. Mind you-- he speaks some words of Bahasa Malaysia as well. He took about 1/2 an hour to finish his talk.The shameful part is, he is a foreigner. He told us something about Sarawak that we our self don't even know. He shared us about TPC--network on tale-medicine in Sarawak. A lot of us don't know. No wander, the chairman introduce him that Sarawak is his 2nd home. After his talk, the music came ln. 2 ladies from Japan-- sing us few songs and violin solo as well. very nice. this 2 ladies will be in Malaysia for one year to teach us on music as medical therapy -- charity. gtg

de stressers

Blood results.

Nat's
Date blood collection--27/1/2009

Test Results Unit REF.RANGES
Cholesterol 5.01 mmol/L <5.2
Triglycerides 1.03 mmol/L <1.68
HDL Cholesterol 1.29 mmol/L >1.03
LDL Cholesterol 3.25 mmol/L <2.58
Total Bilirubin 21 umol/L (1-18)
AST 19 U/L (1-31)
ALT 12 U/L (1-31)
Total Protein 84 g/L (60-87)
Albumin 48 g/L (35-52)
Globulin 36 g/L (17-35)
ALP 47 U/L (35-104)



Rheumatoid Factor Result-------------negative




Jia's results
Blood taken on 27/1/2009 at 10.50am

Glucose(fasting) ----4.3 mmol/L . Ref. range--(3-5.6)

Hepatitis B Surface Antigen (EIA)-- NON REACTIVE
Anti-Hapatitis C Virus (EIA)------- NON REACTIVE

Hematology
Full Blood Count

TEST RESULT unit Ref. Range(universal)
WBC 5.57 10*3/uL 4.6-10.2
RBC 4.44 10*6/uL 4.04-6.13
HGB 13.3 g/dL 12.2-18.1
HCT 39.8 % 37.7-53.7
MCV 89.6 fL 76-96
MCH 30.0 pq 27-31.2
MCHC 33.4 q/dL 31.8-35.4
PLT 297 10*3/uL 142-424
RDW-CV 13.1 % 11.6-14.8
RDW-SD 42.3 fL 37-54
PDW 9.4 fL 0.0-99.9
MPV 8.9 fL o.o-99.9
P/LCR 17.3 % 13-43
PCT 0.3 % 0.17-0.35


Cholesterol 5.41 mmol/L
Some more , I will update to you later