shellgal

A newborn doctor who is enthusiastic about her career and passionate for her life and of course, she also dreams a lot when she is awake...

Saturday, July 29, 2006

How would you rank these 5?

Given 1.money 2.friends 3.family 4.career 5.relationship, how would you rank them?
A friend of mine ranks family and relationship at top, then money and friends tie at 3rd and 4th place and lastly career. For him, family is always there from him through every ups and downs, relationship is something lasts until the end of life, career goes last as it does not provide emotional and psychological well-being which is essential to sustain good quality of life. (By the way, he's a doctor). Kind of agree with him in certain reasonings. Well, will let you know about my own thoughts at the end of the post.
Another friend of mine, thinks that family is the priority, followed by relationship, then friends, career and money. He said he's kinda out of the norm as people at his age (according to Chinese horoscope, who are born in the year of dog), will choose friends the most important. Dogs are loyal...(quite superstitious huh..)
And a final survey from a friend who also prioritizes family and relationship, followed by career=friends=money. To him, the last three are inter-change-able in terms of their ranking at diffrent times and different circumstances. Yes, this is answer!
I'm not a very flexible person, but yet not too rigid! (err...isn't this statement contradicting). To me, at this stage, career is the most vital element in my life. Family and relationship tie at second and third place while friends and money the last two. As I still remain single, and kind of enjoying my working life right now, career is more important than any other things. (Family always goes hand in hand with whatever my top priority is). Until one fine day, when I have found my other half, then I might divert my focus on relationship!

Wednesday, July 26, 2006

Racism



This is pretty much a sensitive issue to be talked and discussed over here. A friend forwarded this email to me yesterday, and with no intentions to raise any bombardment here, i would like to share the article with you all.

A scene took place on a BA (British Airway) flight between Johannesburg and London. A white woman, about 50 years old, was seated next to a black man. Obviously disturbed by this, she called the air Hostess.
"Madam, what is the matter?" the hostess asked.
"You obviously do not see it then?" She responded.
"You placed me next to a black man. I do not agree to sit next to someone from such a repugnant group. Give me an alternative seat."
"Be calm please," the hostess replied.
"Almost all the places on this flight are taken. I will go to see if another place is available."
The hostess went away and then came back a few minutes later.
"Madam, just as I thought, there are no other available seats in the economy class. I spoke to the captain and he informed me that there is one seat in the business class. All the same, we also have one seat in the first class."
Before the woman could say anything, the hostess continued:
"It is unusual for our company to permit someone from the economy class to sit in the first class. However, given the circumstances, the captain feels that it would be scandalous to make someone sit next to someone so disgusting."
She then turned to the black guy, and said,
"Therefore, sir, if you would like to, please collect your hand luggage, a seat awaits you in first class."
At the moment, the other passengers who were shocked by what they had just witnessed stood up and applauded. This is a true story.

Sunday, July 16, 2006

Learn to prioritize!!!

I'm oncall in PICU again today.As usual, I do my stuff and see my patients and eat my lunch, dinner and go for a tea break in the afternoon. It was an uneventful oncall also, except that I got to go to other wards to help my colleague (which I am under no obligation to do that, we are supposed to stay in our own ward during our oncall). Not that he is busy or having a lot of admissions, just that he's not efficient enough and good at prioritizing cases. (I reckon ability to prioritize our ward work is very important, as we (house officers) are the sole warden of the ward, and I'm still learning to become a good warden :).
I helped him to handle 2 outpatient cases (Haemophiliac# patients coming to the ward to get Factor VIII and IX injections), to draw blood for culture & sensitivity (C&S) and to set intravenous (IV) cannula (for inpatients). Guess what, in order to relieve his ward burden, my M.O. who's oncall with me in PICU also came to help him. She came by to discharge few patients just to try to partly evacuate the ward for him!And, of course, I helped him to finish the discharge summaries also.
At the end, I can't blame him also, as it's a weekend, and we kinda expected a more than usual busy oncall day. But seriously, we need to learn how to prioritize our work tasks. Please do not go and do the blue book summary (any child who needs long term follow-up in our paeds clinic, has a blue book to summarise their disease progress or improvement, their hospitalizations and records of medications) when the child is not yet stable for discharge, meanwhile Haemophiliac patients who are bruising all over and having gum bleeding, are coming in for factor VIII injection. Please kindly set an IV line first, while waiting for the blood bank to approve the blood products. Bleeding in a patient with coagulopathy^ is not a trivial matter, do take it seriously. And please go and draw blood for C&S and set an IV line at the same time, in order for the nurses to give intravenous antibiotics. Delaying in treating an infection can cause undue consequences (good example is meningitis*)!
Think and act!

#patients with genetically hereditable blood disorders that impair the body's ability to control bleeding. The lowered plasma clotting factors'(factor VIII or XI) activities cause compromised blood-clotting
^a medical term for a defect in the body's mechanism for blood clotting.
*infection of the brain