Chinese New Year 2010

This Chinese New Year was different. After a few years' absence from home town due to exams, this one was a happening gathering with my long lost extended family members. What made it distinguishing were,

1) I started working, and thus started to give instead of just receiving ang pow.

2) No one ever asked me anymore of when am I getting a boyfriend because I am taken! Hehe. So the questions had changed to: Why never bring along boyfriend?

It was a rushing limited 5 days off I got from my department, and I was literally at different states each day. KL-Pahang-Selangor-Perak-Sarawak. Anyway, it was all worth as I had a happy get-together.

Let the happiness symbolizing group pictures do the talking.

Reunion at Genting Highland.

My siblings and I missing Kiat who is camera shy as usual. Back to hometown, Sungai Siput, Perak.

With extended family.

Extended family dinner.

One Utama, KL.

And home alone in Kuching again, on DAY 4 of CNY with Maggie and CNY cookies!
Sad, back to work tomorrow...

Working and I

This post supposed to be posted earlier. Hectic work has slowly displace the time for myself. I am basically a slave to the hospital now. Bound approximately 100 hours per week for all 7 days. No rest, no play.

I'm sure this question has definitely crossed all housemen's mind:

"Why am I stucked here?"

I am of no exception.

Time flies. I'm in my forth month of training in Sarawak General Hospital. Another 3 more weeks before it comes to an end of Paediatrics posting and I will proceed to Obstetric & Gynaecology next if everything is smooth sailing.

Working life is tough. I totally agree with what people used to say that houseman is the lowest form of life in hospital, it probably applies more to us as first posters. I feel burnt out at times. Depressed when efforts are depreciated, when scoldings are unreasonable or when our right is violated.

Yes I noticed that. I am so full of grumbles instead of praise. Above all, what is training all about if it is only a bed of roses? Perseverance is the key, even since 6 years ago when I started to step feet in medical field. I was reminded again when the worship song crossed my mind...

Hidupku, hanyalah untukMu.
Segenap hatiku kagumkan kebaikanMu.
Nafasku, menceritakan kasihMu.
Ajarku berdiam dekat di hatiMu.

O Lord give me a learning heart and perseverance.

---

Last but not least, hello from all of us from Kuching!

IV Vancomycin 10mg/kg TDS

It is my first day in NICU. Unexpectedly, I'm emotionally held up by a mistake I did days ago.

It started when a staff nurse handed me prescription slip and requested for a drug topping up for a 945 gramer preterm baby. Copying word to word from the blurring off old carboned prescription slip, it was written:

IV Vancomycin 95mg TDS
(Weight: 945g)

The drug was served for 3 courses before I was called up for an incident report. Yes I missed a dot. A decimal place to differentiate 9.5mg from 95mg. I had served 10 times more of a potential dangerous drug to a fragile preterm baby.

Now, the baby is well known as the "Vancomycin-overdosed-baby" lying in the incubator. I am well known too because of a mistake I had made. I was reminded repeatedly to watch out prescription there after, to double check dose with MO and etc. Everyone basically knows about it.

Sigh. Sad that people remember me for my mistake. Blame it on me. I did not recalculate dosage for the weight before I prescribed. I was trying to kill instead of to heal. It is worth scolding and reporting.

Thankfully the baby's renal function is not impaired. Other side effects such as ototoxicity is yet to be found out.

IV Vancomycin 10mg/kg TDS for neonates. I will remember it for life!