Horse racing

Found a new favourite lately. Addicted to Erhu and indulged at its solid and expressive melody. My new target it will be, to get one and learn! Presented the famous "Horse racing", playing solo and in orchestra. Enjoy!

A day to remember

It was just an ordinary pre-call day that I intended to gather the only few friends of mine in Bintulu for a simple dinner. Ernest and I planned it on a Sunday despite having his post-call fatigue since I was oncall on my birthday. So I invited my landlady first. She questioned straight away "Whose birthday?" 

Hence, the secret unveiled. Instead of giving me a surprise, she cutely ordered a birthday cake and asked me to collect from the bakery before dinner. Unpredictably, when we picked them from the doorstep, all the other friends of mine were all gorgeously dressed up with make up while I was only in my routine dress and slippers!

It wasn't an ordinary dinner there after. We had western cuisine followed by the long missing K-session with the most oldies I'd ever sang in the short 2-hours! There I realized singing K isn't just the youngsters' activity.

Lighted up with ♥ :)

Birthday presents sum up! Of course not forgetting the big present from Ernest, the buy 5 free 1 facial package which can't be included in the picture! =D

Thank God, for bringing me thus far, for providing all I need. Thank you everyone, for your wish be it in a form of material, service or verbally via SMS, Facebook or a hand shake. Thank you mum, for giving me the best you can! I appreciate it all.

Yup I'm again another year wiser :)

On the day he's a year older

Blessed birthday my dear! 

May our relationship continue to blossom with more birthdays to come celebrating together!

Do browse Facebook for more pictures :)

God is good, all the time

I experience God's faithfulness from day to day. Even when I am down in the dungeon with the worst things in the world happening to me. His mercy never come to an end.

Today, I praise God for two significant events. Firstly, the need to jump start Ernest's car. We always car pool and for only once in a blue moon we drove two cars to work today so the engine was immediately restarted when needed.

Secondly, Ernest has passed MRCS Part 1! He is so happy and danced the Gangnam style! His hard works and weight losing got paid off.

If we look into our heart, there are many things to praise God for. My faithful God, thank You for everything! And all the time, You are good!

Leng's graduation

God is faithful. By His grace, she walked through her rough rides and graduated with degree in hospitality and bussiness management. I feel thankful even to watch my sister's graduation ceremony via live streaming.

If Dato' Lee Chong Wei's Olympic match brought the whole Malaysia together, this graduation ceremony has  definitely brought our whole family together. Congratulations once again, my dearest sister! We are so proud of you!

MRCOG Part 1 recent past papers

mrcog1 pastpapers 2001-2005 Mrcog Part 1 Recalls 2005-2009 Mrcog Past Papers

Four more precious days to go... God speed us!

Hang on there

My discipline, stamina to stay up to study and memory are failing me. 

Or are those signs of aging? 

It is only 28 days left. 

God grant us the wisdom, the ability to excel. 

To Ernest, Dr Abi, Dr Myat and myself, hang on there!

Picture taken 25/12/2010 at Olives' house, by my humble Sony Ericsson U10i, AINO.

The denture

Accompanied my land lady to get her denture done this fine morning. There hide a classic denture maker in Bintulu town with furnitures easily age a decade. Enjoy the pictures, after trying out what my photoshop can do!

My land lady and the ancient dental chair - colour enhanced.

The attentive denture maker and his master pieces - colourized.

My fav: The piles of dentures - deepened.

Piles of dentures close-up - decoloured.

Electrical kettle and the boiling water - sephia.

Another new hair do

It took courage to end my few years effort of hair keeping, thanks to the significant alopecia recently! Following my last perm 8 months ago, here we got our hair cut on this blissful weekend day off :)

Gawai Dayak festival

Every first of June is Gawai-Dayak festival, a celebration of the Ibans and Bidayuhs. It is a public holiday in Sarawak and I am blissfully having half day off today!

Entering my third year stay in Sarawak, this was my first visit to the long house to share the joy of this event, thanks to our SN Lorna who invited us for her open-house. It was indeed an eye-opener! Never will I imagine a long house can be so modernized, and the interior design can be even more grand than any of the urbanized house!

The families are friendly, hospitable and treated us like no strangers eventhough it was our first meet. Let the pictures speak its colours and culture.

Starting to tour from the first house to the last.

Welcome from the vice tuai rumah.

Every house has got someone to serve tuak (rice wine). And it is a compulsory to take a sip using a sharing cup. So imagine  how much alcohol you content when you reach the last house.

The offering tree.

Speech giving by Dr Abi, O&G department representative!

Surgeon representative, Dr Ernest Ong!

Leaving the most modern long house I've ever seen!

A traditional long house on the way back.

As a result of having too much tuak-Chivas, the hyperaemic postcaller knocked off soon after he got into the car.

A blessed Gawai and gayu guru gerai nyamai!

The cause of death

It was a missed miscarriage of a 15-weeker with the fetal parameters at only 12 weeks size, showing either an arrest or shrinkage. Note how its cord tightly entangled around the neck, multiple times till the blood supply was depleted. Hence the fetal demise.

First public forum

It was by chance, that my boss was invited to an event organized by St. Thomas Church to give a talk on breast cancer and cervical cancer. Being a Muslim, she passed the task to the only available non-Muslim in the department - yours truly.

It was only a two-and-a-half-days short notice. I was all stressed up, knowing that being an obsessive compulsive maniac, I would definitely need more time to prepare. Moreover, the stipulated time for the talk was 2 hours! How much do I need to prepare to talk for 2 hours?! I had been praying, for impartation of the message, at least to create self awareness for both breast and cervical cancer.

So today, without familiarizing the crowd before hand, I arrived at destination 10 minutes before time. It was a women fellowship with roughly a hundred of them. They had started praise and worship. With warm welcome, I was ushered down the aisle. The first question directed to me by the chair person was: 

"Doktor caku Iban?" (Does doctor speak Iban?)

"Minta maaf. Aku nak nemu caku Iban..." (Sorry, I do not know how to speak Iban...) I answered with a head shake but agreed to deliver my presentation in Bahasa Melayu even though my slides were English written. In my heart, I was a tad worried as to speak Bahasa is fine, but to deliver a formal talk, it would take time to phrase and translate.

I must really thank God that the session went well with good response.

Thank God for the opportunity, for the experience to worship in Bahasa Iban, and for the attentive group who did raise up a lot of questions that showed they really concern.

Also, thanks to the deformed breast props I borrowed from the hospital. It stayed the crowd alert for some hands-on and of course, consuming time a little longer.

The token of appreciation.

New friend

I was just boosting that my laptop is 7 years old and still functioning! But to wait for it to start up takes forever, so as to load a webpage or download. So I passed it to Ernest to bring home for reformat, hoping that it would speed.

He came back and said: "I've got you a new friend!"

Hooray! I have got a new friend! No more waiting and frustrating!

Mine and his.

Thank you bf :)

Babies are gift from God

A Para 2 was referred to Specialist Antenatal Clinic at 24 weeks of gestation for fetal ascites. She was otherwise well. Transabdominal ultrasound scan revealed a singleton baby with parameters corresponded to date, but gross fetal ascites present. She was suggested to consult fetomaternal specialist in tertiary hospital with referral letter attached. However, she preferred to seek opinion from private sector first and isn't keen to follow up with us again.

Barely 3 weeks from her visit, I tried to call to review her well being. Successful only after a few attempts, she denied who she was initially. I got to know that she had aborted the baby, even before fetomaternal specialist consultation. Was a tad disappointed.

The baby deserves a chance to live, or at least further fetal well being assessment.

The killer embolus

We'd lost another mother lately, a Gravida 7 in mid thirties, expecting her fourth child with anterior placenta praevia type 4. An emergency caesarean section was performed for bleeding praevia at 35 weeks gestation. She collapsed on table shortly after baby was delivered.

She went under general anaesthesia. First noted a drop in end tidal volume followed by circulatory collapse with cyanosis, then DIVC with bleeding from multiple orifices. CPR of more than 2 hours commenced but couldn't beat her death to massive pulmonary embolism, evidenced by the clips recorded by anaesthetist.

Subcostal view, with liver shadow on left upper corner.

1) Foreign body, the embolus in right atrium

2) Enlarging embolus, behaving malignant.

3) Multiple emboli, flopping up and down.

Infraclavicle view, atria on the right and ventricles on the left.

4) Persistent emboli, prior to pulseless electrical activity. Right atrium and ventricle dilatation seen.

5) Acute right heart failure, note some emboli had gone out of atrium.

6) Dislodge of main bulk of emboli, with some small ones still visualized in right atrium.

Pregnancy posts 10 times higher risk of embolism compared to normal population. To undergo a caesarean section increases the risk up to 20%. It was tragic to have lost a mother who was previously so well to massive emboli. Her little daughter remained not cuddled.

If love is as a sweet flower,

then my mother is that sweet flower of love.

Twin!

Dragged myself for locum today. Can't content the happiness picking up a twin pregnancy from a patient who complained of nausea for the past 2 days but did 3 self-done-UPTs which returned negative for the same period of time.


It's a DCDA twin pregnancy!

Hooray! (Although they aren't mine...)