I started this blog few month ago with high spirits. To share my limited knowledge and offer some guidance to my colleagues taking internal medicine.
I've always wondered why despite 3 postings(180 people) who have taken medicine, less than 10 is willing to share. Like i've always said, We need to complete each other, not compete with each other. Holding on to this, I tried my best to offer guidance to my colleagues, whoever interested.
But it seems that i overlooked the dangers of teaching, especially in a medical faculty. Different people have different styles and these people always say other methods are wrong except for their own.
Therefore, my opinion may differ from other people. Although i am 101% positive i am right, how am i going to argue with an MMed or MRCP's opinion?
and some not so nice comments also passed from mouth to mouth that I am being "too free". The irony is, i am in O&G. So i think i must be very brilliant such that someone noticed me of being too free in this hellish posting.
Some wind told me about getting arrogant, from my style of walking etc etc
Come on.....some times i walked a little fast and maybe limping to one side because i have chronic back pain of unknown origin(possibly due to my mattress contour). Not trying to look like a consultant or something. And most of the mistakes i corrected is MY mistakes. In every little advice i give, i was hoping the receiver will be far far above me in the exams by not repeating every little stupid mistake i make.
If you think its useless, you can just assume i am singing a very lousy song. If you think i'm being too fussy over small small mistakes, trust me, the consultants you will be meeting will be far more fussy than i am. If i don't know an answer to a question you asked, i will say i don't know, i will offer a possible explaination, i will ask you to look it up and up to you to prove me wrong! If you choose to swallow whatever i said, then whose fault it is?
So the best thing in my mind now is, don't ask me anything, go find from books. Any questions from now onwards will meet a same universal answer from me -->"I don't Know".
And 1 most irritating things going around is that i only share with my "gang". Whoever is my "gang" i don't know, but so far, i think i've never turned down any request for advice or guidance.
Some people find it irritating for me to question them. They want everything to come out from me for me to absorb. But believe me, questioning is a method to know where you stand. If i do not ask the questions that had been asked in short and long case, how are they going to know what to expect? Sometimes, i may ask some quite "unimportant" questions, this is to scare you into studying so that you will excel......not to,like yi hui put it, "berlagak" that i know the thing in front of you!
Sometimes, i overestimated people's level and sometimes, i underestimate. Trust me, this is disastrous.
In my medicine posting last time, how i hope that someone will offer some guide to me. How i hope someone will show me what short case is like. How i hope to know how long case feels like. Luckily, i have a very dedicated supervisor and registrar who did just that, with liberal amount of tachycardia, of course. Which is why i wanted to give exactly the same thing to my colleagues, without the tachycardia.
But i just seem to create a not so nice environment for myself. Feel weird that people don't even smile at me when i pass through the corridors in the Medicine wards. Really, i am 190 cm tall, its not that hard to saw me isn't it?
Back in my form 6 days, i used to generate a wonderful bond with all my friends in our Biology study group. I tried to apply the same idea here, unfortunately the early results seem to fail quite miserably. My style is terrible and incompatible here
therefore, my point is i am not giving any more teaching or guide to anyone anymore. It's not worth sacrificing my image for it.
Before i get labelled as a Consultoid (Yew yew teach me this term haha) by other people, i'd better quit now:)
PPD component
I learn that medical students are just too smart to be cared for :)
Tuesday, December 30, 2008
Monday, December 15, 2008
Ashamed,,,,,
in response to kuan yew's blog Times when I am ashamed to be a chinese. -不管别人瓦上霜
This is my comment
I agree!! Sometimes chinese people just don't give a shit about what happen around them.
They think that to care about their surrounding is a stupid thing to do.What happen is, when they are in trouble and nobody help them, they start making so much noise!! Complain to DAP,complain to MCA, complain here complain there, government not good la, dis la, dat la...sometimes quite insensitive to other people's feeling.
I've got 2 excellent examples here:1) In front of my house, last few months, a 50++ year old woman have her necklace snatched and this cause her to fell off her motorcycle. My neighbours saw it happen because they tengah menyibuk. But they did not help the poor lady at all! They straight away cut short their menyibuk session and go into their home and shut the door,because the victim is a malay lady!
2) when jo ee visited melaka, i was waiting for him at a famosa when a road bully(CHINESE) is bullying a female driver(ALSO CHINESE). I intervened and the bully threatened to hentam me as wel. A whole lot of CHINESE kepoh chees are looking but they couldn't be bothered. At last, before i start wrestling with that fat guy, a MALAY lady shouted and called the police and the bully fled!And the worse part is the female driver just go off, without even a word of thanks!
Tun Dr Mahathir said, Melayu mudah lupai say,
I said, Cina takkan lupa, kerana cina tak pernah ingat :(
Wake up people...
This is my comment
I agree!! Sometimes chinese people just don't give a shit about what happen around them.
They think that to care about their surrounding is a stupid thing to do.What happen is, when they are in trouble and nobody help them, they start making so much noise!! Complain to DAP,complain to MCA, complain here complain there, government not good la, dis la, dat la...sometimes quite insensitive to other people's feeling.
I've got 2 excellent examples here:1) In front of my house, last few months, a 50++ year old woman have her necklace snatched and this cause her to fell off her motorcycle. My neighbours saw it happen because they tengah menyibuk. But they did not help the poor lady at all! They straight away cut short their menyibuk session and go into their home and shut the door,because the victim is a malay lady!
2) when jo ee visited melaka, i was waiting for him at a famosa when a road bully(CHINESE) is bullying a female driver(ALSO CHINESE). I intervened and the bully threatened to hentam me as wel. A whole lot of CHINESE kepoh chees are looking but they couldn't be bothered. At last, before i start wrestling with that fat guy, a MALAY lady shouted and called the police and the bully fled!And the worse part is the female driver just go off, without even a word of thanks!
Tun Dr Mahathir said, Melayu mudah lupai say,
I said, Cina takkan lupa, kerana cina tak pernah ingat :(
Wake up people...
Monday, December 8, 2008
All the best!!
to all my friends going for Medicine shortcase on wetnessday....
Just relax and hope for the best!
Everybody will do fine. Why do i say that? Greet the patient and ask for permission to examine, you got 2 marks out of 12 already. Just conduct the examination step by step and you got 4 marks. Now, that's 6 out of 12, pass already: ) During discussion, even if you are making up stories, do not look as if you dont know. Look at the examiner in the eyes.
To kuan yew, soon hooi, alex and gang, i'm sure you all will score one! Just be confident :)
Just relax and hope for the best!
Everybody will do fine. Why do i say that? Greet the patient and ask for permission to examine, you got 2 marks out of 12 already. Just conduct the examination step by step and you got 4 marks. Now, that's 6 out of 12, pass already: ) During discussion, even if you are making up stories, do not look as if you dont know. Look at the examiner in the eyes.
To kuan yew, soon hooi, alex and gang, i'm sure you all will score one! Just be confident :)
Friday, December 5, 2008
Who say people Malaysia no clever speaking the England?(Siapa kata orang malaysia tak pandai cakap Inggeris?)
This is the most atrocious English I've ever imagine i could encounter in this life. What's more, it comes from a Government office website!! Kudos to Department Registration Country (direct translation of Jabatan Pendaftaran Negara) for giving me, and the whole world a good laugh.Keep up the good work!(and we will soon be down the drain)
. I’m 17 year old, when should I change my identity card replacement?
A person whose had got first-time identity card namely during old 12 year, are required change again his identity card when have reached the age 18 year. If this change made within life time 18 - 25 year, no any penalty imposed.
2. I already 25 year old and still not have my own identity card. What shoul I do?
To them not yet own identity card although already aged more 16 year are advised to come to any nearby NRD to apply identity card past record. Applicant and promoter must showed up together to be interviewed, bringing with together following documents:-Applicant Born Certificate / AnakAngkat’s Certificate / W’s Form OrApplicant Enter Permit / Confirmation Form National Standard(if concerning)Promoter Identity Card
3. I a foreign citizens and have gotten permit of entry from Jabatan Immigration Malaysia. Whether I qualified to apply identity card? What is conditions for I apply identity card.
You qualified to apply identity card with permanent resident status(Red). Applications requirements is bringing with permit of entry and passport and copy both of them and application fee as many as RM 40.00. Applications can be made in NRD Putrajaya Headquarters and NRD Branches only.
4. Is there any payment am being imposed in case happened damage for chip in my identity card.
Chip damage who is not due to purposely destroyed, misuse and others within one year from the date of submission card is give replacement by free, and if card period has been held by the applicant exceeding one year, payment as many as RM 10.00 imposed.
5. How many payment am being imposed if I loss identity card?
Lost identity card would be charged follow loss number. Please see payment schedule.
6. How long MyKad’s application period can be completed?MyKad can be completed within 24 hours as applicant whose opted to take MyKad in NRD Putrajaya headquarters.
For applicant opted to take MyKad in any NRD branches office in Peninsula of Malaysia, then MyKad would be completed within 10 working day while 30 working day for applicant opted to take MyKad in any NRD branches office in Sabah, a Sarawak or Labuan. MyKad’s charter completed this only involve applications from Warganegara Malaysia and prayer not problematical only.
7. Could I change address without change my identity card? If I can how many rates imposed?Yes. With payment RM2.00 and new address information would be updated inside chip. If you want change identity card one time, the charge is RM10.00 .
8. Is it NRD receive payment other than cash ?
Yes, NRD comply accept payment electronically namely via credit card, card debit and MEPS.However, there were limit minimum sum accept to payment via credit card
Actually, there's many many more of these garbage in the website, but i think the more we read, the more we feel ashamed of ourselves. If this type of english is allowed on a government website, then i doubt we could ever achieve Vision 2020,3030,4040 or 5050. How can this happen? Hopefully the ministers(especially Minister of Education) will be able too see this and make appropriate changes to our education system. I will use a Malaysian quote to describe this english. "The stage of england in Malaysia half eye cannot see la..."(Taraf Bahasa Inggeris di malaysia, sebelah mata tak boleh tengok)
. I’m 17 year old, when should I change my identity card replacement?
A person whose had got first-time identity card namely during old 12 year, are required change again his identity card when have reached the age 18 year. If this change made within life time 18 - 25 year, no any penalty imposed.
2. I already 25 year old and still not have my own identity card. What shoul I do?
To them not yet own identity card although already aged more 16 year are advised to come to any nearby NRD to apply identity card past record. Applicant and promoter must showed up together to be interviewed, bringing with together following documents:-Applicant Born Certificate / AnakAngkat’s Certificate / W’s Form OrApplicant Enter Permit / Confirmation Form National Standard(if concerning)Promoter Identity Card
3. I a foreign citizens and have gotten permit of entry from Jabatan Immigration Malaysia. Whether I qualified to apply identity card? What is conditions for I apply identity card.
You qualified to apply identity card with permanent resident status(Red). Applications requirements is bringing with permit of entry and passport and copy both of them and application fee as many as RM 40.00. Applications can be made in NRD Putrajaya Headquarters and NRD Branches only.
4. Is there any payment am being imposed in case happened damage for chip in my identity card.
Chip damage who is not due to purposely destroyed, misuse and others within one year from the date of submission card is give replacement by free, and if card period has been held by the applicant exceeding one year, payment as many as RM 10.00 imposed.
5. How many payment am being imposed if I loss identity card?
Lost identity card would be charged follow loss number. Please see payment schedule.
6. How long MyKad’s application period can be completed?MyKad can be completed within 24 hours as applicant whose opted to take MyKad in NRD Putrajaya headquarters.
For applicant opted to take MyKad in any NRD branches office in Peninsula of Malaysia, then MyKad would be completed within 10 working day while 30 working day for applicant opted to take MyKad in any NRD branches office in Sabah, a Sarawak or Labuan. MyKad’s charter completed this only involve applications from Warganegara Malaysia and prayer not problematical only.
7. Could I change address without change my identity card? If I can how many rates imposed?Yes. With payment RM2.00 and new address information would be updated inside chip. If you want change identity card one time, the charge is RM10.00 .
8. Is it NRD receive payment other than cash ?
Yes, NRD comply accept payment electronically namely via credit card, card debit and MEPS.However, there were limit minimum sum accept to payment via credit card
Actually, there's many many more of these garbage in the website, but i think the more we read, the more we feel ashamed of ourselves. If this type of english is allowed on a government website, then i doubt we could ever achieve Vision 2020,3030,4040 or 5050. How can this happen? Hopefully the ministers(especially Minister of Education) will be able too see this and make appropriate changes to our education system. I will use a Malaysian quote to describe this english. "The stage of england in Malaysia half eye cannot see la..."(Taraf Bahasa Inggeris di malaysia, sebelah mata tak boleh tengok)
Tuesday, December 2, 2008
The effect of Onania
Another interesting read..
Tissot’s scientific aims extended to the mental effects of masturbation.
Following the third law of Newton on action and reciprocal reaction, Tissot theorized
that orgasms were spasms of extreme nervous activity that necessitated an
equal and opposing depression of the nerves. This dampening of the nervous
activity caused permanent derangement when it occurred too frequently,
making the individual more susceptible to apoplexy, paralysis, insanity, and
other nervous diseases (17). This idea contributed to the 19th century notion
of “masturbatory insanity” caused by permanent brain damage due to constant
irritation.
Therefore, according to Tissot, masturbation denuded the body of blood
and, thus, gave rise to grave physical and mental consequences. Included
among these were weakening of the digestive system, loss of or excessive appetite,
vomiting, indigestion, breakdown of the respiratory system, general debility
and lassitude, as well as damages to the faculties and memory. The consequences
to women were even more grave, because masturbation led to hysteria, “vapeurs
affreuses,” incurable jaundice, stomach cramps, prophase and ulceration of the
womb, and clitoral rashes, for example. The young were particularly vulnerable,
as the loss of “precious liquid” stunted their natural physical development and
contributed to feeblemindedness (14,17).
By providing a pathological model of masturbation rooted in the seemingly
scientific and secular domain, Tissot’s book sparked the 19th century
medico-scientific masturbation phobia in the United States. Masturbation
was transformed from one of the many forms of seminal and excretory
loss into a sexual practice potentially fatal to individuals and society alike
Tissot’s scientific aims extended to the mental effects of masturbation.
Following the third law of Newton on action and reciprocal reaction, Tissot theorized
that orgasms were spasms of extreme nervous activity that necessitated an
equal and opposing depression of the nerves. This dampening of the nervous
activity caused permanent derangement when it occurred too frequently,
making the individual more susceptible to apoplexy, paralysis, insanity, and
other nervous diseases (17). This idea contributed to the 19th century notion
of “masturbatory insanity” caused by permanent brain damage due to constant
irritation.
Therefore, according to Tissot, masturbation denuded the body of blood
and, thus, gave rise to grave physical and mental consequences. Included
among these were weakening of the digestive system, loss of or excessive appetite,
vomiting, indigestion, breakdown of the respiratory system, general debility
and lassitude, as well as damages to the faculties and memory. The consequences
to women were even more grave, because masturbation led to hysteria, “vapeurs
affreuses,” incurable jaundice, stomach cramps, prophase and ulceration of the
womb, and clitoral rashes, for example. The young were particularly vulnerable,
as the loss of “precious liquid” stunted their natural physical development and
contributed to feeblemindedness (14,17).
By providing a pathological model of masturbation rooted in the seemingly
scientific and secular domain, Tissot’s book sparked the 19th century
medico-scientific masturbation phobia in the United States. Masturbation
was transformed from one of the many forms of seminal and excretory
loss into a sexual practice potentially fatal to individuals and society alike
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