N Justin ® 徐旭隆
Never be erased ♥
What does Bush remind u of?
Who is Bush? As far as my memory allows, he's someone who likes physics, things like bomb n cash. I love physics, I have no idea what I'm doing in medical school. I's a consistent top scorer in physics back in secondary school, but they never taught us how 2 make bomb. It's quite sad, or else I'll overpower Bush. Bush reminds me a few stuff.1. This name reminds me of my medical knowledge. I learnt how to describe something in a proper n professional way, probably in 2 sentences. eg. There is a lump on the left upper quadrant of the left breasts. It's hard n immobile, 2cm in diameter with ill-defined margin n rough surface, suggesting a carcinoma. How do we describe hair? We dun, normally. But if u want 2, u can do it in just 1 simple but meaningful sentence. Mr X has black, curly, well-nourished pubic hair with Bushy appearance, each approximately 5cm long.
2. When was the last time u watched a Tamil movie? People r obssessed with Bollywood nowadays, nobody watches Tamil shows anymore. I did, when I was in secondary school, when there's no show on TV in the afternoon except for 3-hour Tamil movies. I enjoyed them, really. Nice songs, dances n especially the professional well-planned fighting scenes with good sound effects. I liked the exaggeration of the punches n kicks thrown by the tall, dark, handsome n muscular heroes into their enemies, particularly the sound effects that went 2gether with the punches into the tummy - BUSH ! BUSH ! BUSH! bush-bush-busssshhhhh... (echo). Great heroes who never died...
3 . What's the most popular drinking water in Malaysia? Spritzer? I'm pretty sure. I'd never buy Spritzer anyway. Why would u wanna buy it if u can get a Carrefour drinking water for less than RM1? U get H20, n same type of bottle ma. However, back in IMU, a lot of my lady frens had a particular obssession with 1 brand - La Boost . They loved the nice bottle design, I think... Sorry I dun have a photo of that but u can alwez get one in any supermarket in Malaysia. Ladies, dun support La Bush la...it's disgusting.
4. Do u realize Bush craps a lot? None of his speech made any sense, n none of his action made any sense either. It's just some sort of Bullshit la...I picked up this cool graffiti when I was walking back to halls from SGH. Coolest I've seen.
Gentleman
What's a Gentleman's club? How come I've never heard of it even though I've already been in London for almost a month?
This is just a brief description of Gentleman's club from my loyal basketball mate, Tommy in Sheffield. Today, I've just known the existence of such a club. They've got one in Sheffield. Is there one in London as well? Steve, let's go n check it out!
Weather forecast
It's autumn now n it's getting colder. This is the weather forecast for the rest of this week. It's not that bad... but it's really bad for my running nose which hasn't recovered after more than 3 weeks.
Chart taken from http://www.bbc.co.uk/weather
Exciting? Disappointing?
9am-9pm in the hospital was really a long day. Having on call today from 5-9pm was a blessing. I thought it's gonna be another boring evening with boring clerking and teaching. Instead, it wasn't."Who wants to take his blood?"
"Me?" Surprisingly, I voluntereed to do something today. I gave myself a big fright coz I thought I was possessed by a devil. I's pretty sure it's not me. Impossible leh...
This guy was a huge man with veins twice the size of my veins. So I was pretty confident that it would be successful even thought it's my 1st time doing venepuncture on a real patient.
"Can I take ur blood?"
"Help yourself." That was the coolest consent I've ever got from a patient. So I helped myself, no hesitation. Anyone would get nervous when taking blood 4 d 1st time. I was trembling n having palpitation but I had 2 pretend that I'd done this procedure many times b4 n I had 2 act like I's more confident than anyone else in the ward. The main reason was that I didn't even tell him that it's my 1st time taking blood from a patient. Who the hell cares la...just poke la. I did it. I successfully took 5 bottles of blood specimen using vacutainer.
"Justin, go take Mr. H's blood." my regitrar told me.
What?Again?Not even 5 minutes of rest 4 my tremor 2 recover. But this time I's full of confidence. I was neither trembling nor having palpitation. Just poke la... but I failed this time. Why wasn't the blood coming out...Come out la, pls...
Finally I had 2 withdraw it n asked the nice friendly medical assistant to do it using cannula. It's really easy for him. I's impressed.
"Do you wanna do ABG, Justin?" my registrar asked me.
What... Unsuccessful venepuncture led to doing ABG (Arterial Blood Gas; where I had 2 withdraw blood from his radial artery) ? What a day I'm having...
"Er..."
"It's a fairly easy procedure. Have u seen anyone doing it b4?"
"Yea...I saw a F1 doing it but she failed."
He kindly showed me the procedure which I've only practised on manikin b4 n handed me the syringe.
"What if I can't get it?"
"Just go medially n u'll get it."
"If I still can't get it?"
"U will get it. I have faith in u. Now grab ur gloves n go." *A pat on my shoulder.
That was really comforting. He really boosted my confidence once more after I felt down for failing the 2nd venepuncture. But I still didn't know what I should do if I didn't hit the artery! What the heck la...just poke la.
So I grabbed my gloves without hesitating n poked Mr H again, in the wrist this time. Again, I forgot 2 tell him it's my 1st time...
Dun play with me la, God...No blood again? Ok, go medially... Still no? It took me 2 minutes 2 look for the bloody artery b4 I decided 2 give up n withdraw the syringe. Amazingly, Mr H didn't feel any pain at all. So I's relieved. I was expecting this from him after failing twice.
Instead, he gave me a smile n told me it's ok. Terima kasih, wahai Tuhan. I think he must have had paralysis on his hand that he didn't feel any pain. That's a good thing though.It was an exciting but disappointing evening. I got to assist in a lumbar puncture procedure n observe a drainage of abscess. Most importantly, I got to do 2 procedures that I'd never done b4, succeeded once but failed twice on 2 different procedures. Anyway, it's my 1st time. This is the only excuse I could give 2 make myself feel better. Every doctor had their 1st time. So did I. I'm sure 95% of guys experience premature ejaculation on their 1st sex. So, no worries, plenty of time for me 2 polish my skills b4 I start poking like a pro!
Underwear!
| Your Lucky Underwear is Yellow |
 You're an extremely happy, laid back, fun soul. And your lucky yellow underwear can help you get even more out of life. In life, you rather play than work. You're apt to quit any task that doesn't nourish your creativity and inner child. Sometimes your drive for freedom hinders your quality of life. You find it impossible to do anything unpleasant. If you want to have responsibilities and still have fun, put on your yellow underpants. They'll help you make a party out of the most mundane tasks. |
I've never had a yellow underwear. No wonder so soi la!!
I play football?
This is my new shoes for indoor football that costs me 23 pounds but I prefer to call it football + casual shoes. Anyway, it looks damn cool on me. Not everyone can look that good in this kind of shoes, u know.Lateral view :
Superior view :
Pls last longer... I need 2 wear u very often!
Wax it
What would u do when u c this sign board?
Turn left to Madame Tussauds, turn right to London Zoo. Turn left lo...
Paying 25 pounds 2 enter a wax museum made my extremeties cold n clammy n made me having tachycardia n tachypnoea coz I really did not know what 2 expect. What's inside..?bunch of wax...?Steve, Jane n I were gonna discover it...
The 1st thing I got 2 experience was to grab Kylie's ass. It wasn't as exciting as u would think. That felt kinda sucky though. It's hard...
If u smeeeeeeeell what the rock is cooking... Feel like giving him a choke slam. I dun like cocky face.
J. Lo is hot... This is J. Lo 5 years ago. She's slim that time, but her ass is alwez good.
I got to lay my hand on victoria's thigh. That felt good especially when the dumb husband was just next 2 her. U can easily tell from my hamsap face.
Steve n I wanna join The Darkness someday. I can play the triangle.
Captain Jack Sparrow didn't treat me rum. So I's a bit tulan la. Johnny Depp isn't that tall...That's a new discovery
Hulk is really cool. Huge n green. He's in his shorts, so I didn't know if he's really "huge".
I didn't know Sarah Michelle Gellar was that short. She's only my mum's height!
When I was busy looking at celebrities, I bumped into some famous politicians who shared with me their ideas n ambitions. I gave Blair some advice b4 he left n Bush some useful advice n tactics on war so he'd win all his battles. Watch out.
This man is a bit angry with me coz I didn't teach him stuff that I taught Bush.
I was delighted 2 meet them. I couldn't take my eyes off her...Hot 2 da max. Fat lips plus curvy body...yummy.
On my way, I met up with some football managers n we had a good chat about the future of Chelsea n England football team.
I was surprised 2 meet Beckham again. How did he change so fast? Wasn't he with Victoria?
I thought I saw Herbert. Herbert!!!How r u doing la, bro. How come u look like Dalai Lama d?
After a long journey, it's good 2 have a hotdog n a rest in the Regent's Park. Nice park with plenty of shit around the walk path n fat birds around. If only Steve brought some weapons to shoot them.
Shoot the BIRD!!!
I hear u, man...I feel u, man...
This is specially dedicated to my faithful DOTA kaki...Thanx for all the time we spent 2gether on DOTA...
Click here for DOTA
Nobody wants to be lonely...
The 1st feeling I've got when I came to London is loneliness. On d 1st day I arrived, my 3 other mates moved into the same floor n dumped me to the other floor, which I happily moved in coz I wouldn't have to climb so high, meaning that I can save more energy for the weather. So i was all alone in my floor for the 1st 2 nights...No moving objects seen, thank God.When the term started 3 weeks ago, I found making new friends a really difficult task, especially with the ang mo. 1st of all, they've been 2gether in a batch for 2 years, so they've got their own gang. Secondly, my english speaking skill sux. It's either I dun understand them, or they dun understand me. Disappointing.
Everyone knows I'm a sportsman. I'm almost perfect in every sports I play, except for football - n that's exactly what everyone plays here. There's only 2 guys from IMU including me. Lonely... no kaki for basketball, DOTA, n all d guys' things.
Now I'm with this medical team consisting of a bad-ass consultant, a bad-boy registrar, a SHO, 2 F1 n 3 medical students including me. It's like a small multicultural family, with the boss, d 2 F1 n 1 of my friends being ang mo, the SHO n another friend being black, the registrar being an indian (I think) n me being a Chinese. Cool. However, loneliness is still creeping in. The ang mo chick only talks 2 d black guy. Somehow I find it hard 2 talk 2 both of them coz of language barrier. So most of d time, they'll talk 2 each other n dun even bother 2 chat with me when I'm tyring hard 2 talk 2 them. It's pissing me off. This young white HO speaks like a sissy n only talks 2 the white chick n it's pissing me off too.
The biggest shit happened last week when I was on call till 8pm. 3 of us were assigned 2 a patient n we're supposed 2 clerk him n present d case 2 d bad-ass consultant. So I was asked 2 do the physical examination on him. I can proudly say that I'm quite good at this already coz I've done it so many times on normal persons. n I'm pretty sure I'm way better than the other 2 coz they haven't done shit b4 as they did Bio med b4 this.
Auscultation : " I heard crackles at the left lower zone of the lung," I reported. I's pretty sure I heard it. I've listened 2 normal ones so many times that I couldn't have possibly missed the loud crackles. This ang mo chick was looking at me, bewildered. So I asked the black friend 2 confirm it for me. He was shaking his head after auscultating.
Presentation time. It's ang mo chick's show time.
"On auscultation, lung is clear."
WHAT THE F***!!??
So we're not on the same boat now la? What's with "working as a team" ?Pissing me off, man. I did the physical examination n my own teammate reported a diff findings. U think I tulan or not?
Nah, forget it. Once I told a patient to be optimistic n 2 look at the bright side. So, I must do it too. This is me in my new 11.99 pounds original England football jersey, looking at the bright side.
This is me with my senior Eddie, looking at the bright side again...The camera flash is not bright enuff
Special request for my room photos. Here u go.
Small but comfy!
Sabbath Day
It's almost 10pm now n I just got back. I had on call from morning till 9pm today, my 2nd on call of the week. I's wondering...will I get punished by God if I can't go to the church on Sabbath day? Will the doctors go to hell if they can't turn up in the church on Sunday coz they have to take care of hundreds of patients in the hospital? Will heaven refuse them if they're not holy but they save hundreds, possibly thousands of people every year? So many queries yet to be answered n will never be answered. Priests, pastors and some self-proclaimed holy man can't give a definite yes-or-no answer. They'll twist n turn, beat around the bush and tell me to make my own conclusion. Rubbish answers.Sitting down after spending about 10 hours in the ward on a Sunday, my mind doesn't want me 2 do anything else besides going online, probably looking for Herbert in Aberdeen to play 1 or 2 games of DOTA to encourage globalization. Hiding my stethoscope is the best thing that I can do now. I dun wanna look at that shit for at least 12 hours or I'll go into depression.
Lance Armstrong was diagnosed with testicular cancer that metastasized to his lungs and abdomen but he survived and won another Tour de France. It's a great story of survival, how one person could fight to survive after an illness that could have easily taken his life away. Today, I talked to an 80-year-old man who survived after multiple fatal illnesses during the 80 years of life. I alwez believe that medicine alone does not safe a person without the person's strong will of surviving. Today, my thought was proven right. This man had angina n high blood pressure for 25 years, achalasia cardia 30 years ago, had cataract removed from both eyes, n had a pacemaker implant this year. Most strikingly, he survived a stroke 4 years ago n he had been successfully resuscitated from cardiac arrest for 7 times. 7 times, frens. When was the last time u saw the doctors successfully resuscitated a patient with cardiac arrest in Grey's Anatomy?
"I've lost him 7 times, but I got him back..."
His wife was telling me this. His wife took care of him meticulously since he had a hemiparalysis due to stroke, n fought really hard for a pacemaker implant for his atrial fibrillation. She told me the whole story of how she fought for a pacemaker 2 ensure that his husband could survive this disaster. I was impressed. I was struck by how much someone can do for the person he or she loves. Again, it's amazing.
It's a story that I'll remember for a long long time. He looked at me into the eyes, with tears rolling in his eyes, n said...
"This is a miracle, Justin..."
HbS, u know?
This morning I woke up with yellowish mucus suggestion an infection. I had been going around in da word with running nose producing colorless mucus since d beginning of this week. I haven't had a clue how and why it got worse today, n I had 2 be in ward d whole day! This SUX. Life sux. Get a life, medical students.Imagine u had 2 present a case 4 d 1st time in ur life during a ward round at 5.30pm to the most demanding n fussy consultant in d hospital, n worse, with a running nose and a sexy husky voice, n expected 2 stay for the entire ward round till 8pm. Old man, I's there since 9am ok...just be nicer 2 me la pls...but I still got screwed. Every single line in my history sheet needed an improvement. Damn it. As a medic student, I'm already used 2 taking humiliation humbly. I did, in front of a group of smart docs. Thank God that was on Tuesday...
My lovely consultant with a severe old english man accent didn't humiliate me 2day, thank God. Instead I've got a chance to humiliate him, if only I dared to.
As usual, Registrar, SHO, HO n 3 of us medic students grouped around the boss (C) discussing the cases. As usual, we remained in a solemn silence. Who wants 2 make noise when a bunch of genius r talking?
C : So, tell me about sickle cell anaemia. (Finally he asked something that I remember-me!me!)
HO : The patient has abnormal Haemoglobin (Hb), Hbs.
C : Yes, which part of the haemo-globin (emphasizing d hyphen) is affected?
Silence...
C : What does a Hb consist of?
SHO (smarter) : haem n globin chains.
C : How many globin chains?
SHO : 2 α n 2 β?
C : Yea. 1 of d β chain is modified. How?
SHO : Valine for...
C : No, it's glutamic acid for valine, at 6th position of d chain.
Me : ????
Maybe I was wrong, quickly checked the Oxford handbook...
He was wrong. Nah, just keep quiet la. I dun expect a 60-year-old (I think) consultant to remember biochem stuff. If I made noise, he'd probably fail me in this medicine firm 4 weeks later.
Probably i'm being punished for being so judgemental this morning...Fever just started 2 haunt me since 4pm...Freaking cold!
Got gadget?
Finally, I've got my wireless network fixed. Not exactly fixed. Loaning a network card that's compatible with the medical school's network system was the only thing I could do.I'm not really a gadget person. Just go 2 huboon.blogspot.com and ask d son of satan what gadgets I'd got when we were housemates. A freaking old desktop that couldn't even play DOTA, a sony erricson T610 cell phone that got me hypertensive almost every day,a...that's all I'd got? Shit. Pathetic medical student. I wasn't being kiam siak. I just preferred to spend a small amout of RM every week in cyber cafe than spending a large amount of RM at once on gadgets, even though the small amount would add up to the large amount in a short while.
Finally, b4 I got here, I decided 2 reward myself with a Toshiba laptop n a digi cam. Yay, I've got new gadgets. n this was my birthday present 2 hours b4 I boarded the flight in Kuching International Airport...
It's a mp4 player...
Thank u, Alex!
House?Grey's Anatomy?
I'm quite bored lately, still haven't got the wireless stuff sorted out. It's some kind of bullshit that the whole IT team is working on. It feels kinda cool when a few Asians here r making the entire SGH IT crew squeeze their brains 2 work on our wireless network. I'm surviving now on House and Grey's Anatomy, the standard boring dramas any medical students would watch. Ok, now I know SGH stands for Sarawak General Hospital, St. George's Hospital and of coz Seattle Grace Hospital where most of da boss would hump the interns. Grey's Anatomy sux. None of interns n docs r wearing their stethoscope correctly. Hilarious.We had a session on defribrillation. Now I know most of da time, these medical dramas r just crapping something out. n now i know the most common cause of cardiac arrest is ventricular fibrillation...Cool. I never knew that back in IMU. n I had the most useful 1.5-hour ECG session I've ever had in my entire 3 years...Dr. Timothy, u still need 2 work harder.
I guess I'll still go for House. Grey's Anatomy is just some crap la.
London II
In zone 3, I'll be bored to death if I dun have an internet access. But I kinda feel lucky to be here instead of zone 1 coz d cost of living here is much lower. At d same time, I can take a tube 2 central london in 20 minutes anytime I want to. 62 pounds a week is really low for accommodation in London. This is where I'm staying till next summer.
It looks cool from outside, u know, a unique building architecture that u'll never see in M'sia. My room is kinda small, hardly have enuff space 2 continue my quest of building up my biceps n aps which i've already stopped few weeks ago as expected. Who the hell could stand the boredom of working out? He must be a very boring person. Dude, grab ur balls n start doing some interesting sports so that u won't turn into a gay.
I have no idea y the sky could not make up his mind in London. It's freaking unpredictable. A dumbass like me who've never been 2 anywhere outside M'sia would b a victim of His extreme cruelty. 1 minute of sun, n d rain would just suddenly come in a split second. If u didn't bring an umbrella, u'd end up like us, stuck in d middle of nowhere with 4 people sharing a malaysian size umbrella, getting nourished by our wonderful natural H2O.
Sediakan payung sebelum hujan!
The girls might look very happy. U know, they get excited over different things. No idea.
This is where I'm gonna take a bus to my beloved St. George's Hospital if d weather makes me sick.
There's a beautiful rugby field with playground on my way to SGH. Lovely.
Being in London for d 1st time, a lot of simple things can amaze me. Katak di bawah tempurung ma...
Ths is one cool bus, although I haven't got 2 sit on the top level.
Longest bus I've seen
Oxford Street is kinda cool. Ok, at least it's really cool for da gals. They just love it coz it's sorta like a shopping heaven. Everything seems freaking expensive when I convert pounds to RM. Oh God, how am I gonna get a new pair of nike basketball shoes...
Covent garden
U wouldn't wanna eat ur sandwiches or pasta if u realize there r some big ass pigeons trying 2 aim their ass at ur plate. Yummy... Guys, they have cryptococcus neoformans in their shit, u know.
There r some weird people in covent garden too. I wonder why they attract the crowd instead of freaking them out.
A weird macho man applying make-up on himself in front of Bodyshop?
I have no idea about this one. Who bothers 2 donate money 2 this freak. 1 penny also I won't give ah, brudder.
This is where all the premiers take place. I's excited 2 be there, but no celebrities? What the... At least let me c Angelina Jolie ma. I've seen Amber Chia, that sissy guy in Melody, n almost all d malaysian badminton players. Now let me c some cooler celebrities!
It feels like home when I c this...
and this...
and the highest level of excitement, which we call climax or orgasm sometimes, was reached when I saw this in Chinatown...
This is not much of a cool stuff but it amazed me coz I've never seen one b4
Nottinghill Carnival was a new stuff to me. But I had no idea how 2 appreciate it. What's this???
I would prefer seeing more interesting stuff.
Biggest n most powerful stereo I've ever seen n felt in my entire life. Gals, stand in front of it n u'll be naked in 1 second. It'll blow ur clothes off!
Chicks here r pretty hot...
Although this looks weird to me...
Kids r adorable...reminded me of how ugly I was when I's that age.
We've been singing London Bridge since young. Now I got 2 see London Bridge! But... I wanna puke la after seeing it. Just look at this
??????????????????
This is a much nicer bridge. Tower Bridge.
This is definitely the most beautiful building I've seen on earth so far. The Big Ben?I'm not so sure.
London Eye is simply amazing. The view from top was breathtaking. I's surprised 2 find out that there were very few sky scrapers in London.
The Tower of London was great, although I did not bother the historical events that happened there. It was beautiful.
I'll have 3 years to explore more of London. Oh no...I've 2 be in d hospital from 9-5 every day... Dun send ur children 2 med school, dear parents...
