Tuesday, November 10, 2009

2 days to exams..

Isaiah 26:3 - You will keep in perfect peace him whose mind is steadfast, because He trusts in you

Currently listening:
Laura Story - Perfect Peace

Stay close by my side
Keep your eyes on me
Though this life is hard
I wlil give you perfect peace

In this time of trial
Pain that no one sees
Trust me when I say
I will give you perfect peace

And you'll never walk alone
And you'll never be in need
Though I may not calm the storms around you
You can hide in me
Burdens that you bear
Offer no relief
Let me bear your load
Cause I will give you perfect peace
Stay close by my side
And you'll never walk alone
Keep your eyes on me
And you will never be in need
Though this life is hard
Know that I will always give you perfect peace
I will give you perfect peace

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Monday, November 09, 2009

Year 5 postings

Provided I pass my exams (which I'm now cramming :p), my next year's posting in Melbourne would be:
1. Cardiothoracic surgery and neurosurgery in Alfred Hospital, Prahran.
2. Aged care and rehabilitation in Dandenong.

Wednesday, October 28, 2009

Friday, October 23, 2009

A mock OSCE moment..

Scenario 1 (Nephrotic syndrome): Mr Azman, father of a 7-year old boy (Ali) took leave to accompany his son for his 5th hospital admission this year due to a swollen face.
What happened:
*enters room, greets Dr Paul (examiner)*
Me: Hi, good morning (even though it's afternoon) Mr Azman (simulated patient), my name is Gary and I'm your doctor for today. I understand that you brought your son Ali for admission today, right? Is it possible for me to get you to leave the examination room now? This is to ensure confidentiality as I talk to Ali *turns towards Dr Lai who happened to be sitting in*
Dr Lai: *horrified look* No no no, I'm not Ali. You are supposed to talk to Ali's father.
Me: Oh. *swt*

Addendum:

Scenario 2 (Emergency contraception):
Patient (speaking very fast): Hi, I'm very nervous coz last nite we had a party, and everything kinda got a bit wild and I ended up sleeping with this guy I met at the party.. i just don't want to get pregnant doctor.. how ar?
Me: Ok, first I would like to ask u a few questions 1st is that ok?.. let's see, So, let me just confirm, last night you had sex with a guy whom you did not know?
*silence as patient and examiner gave me that horrified look - there goes your mark for rapport as my friend put it*

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Thursday, October 22, 2009

Trio of reflections..

Currently listening: Phillips, Craig and Dean - When God ran

1. My IVDU patient with HIV is due for pre-HAART counseling soon.. bumped into him as he was playing with his beautiful young daughter (she's probably 4-5 years old) outside the wards. Can see her pacing up and down the corridor, dancing around the visitor's benches..

2. Have not studied for mock OSCE (what more the real one). Need to get my psychiatry log book done soon. And my handwriting is getting more horrible *swt* :p
3. As she stood in front of her 5th grade class, she told her children an untruth. Like most teachers, she looked at the children, and told them that she loved them all the same. However, that was impossible, because there in the front row slumped in his seat was a little boy named Teddy Stallard.

Miss Thompson had watched Teddy the year before and noticed that he didn't play well with the other children, that his clothes were messy, and that he constantly needed a bath. And Teddy can be unpleasant. It got to the point where Miss Thompson would actually take delight in marking his papers with a broad red pen, making bold X's and then putting a big 'F' at the top of his papers.

At the school where Miss Thompson taught, she was required to review each child's past records, and she put Teddy's off until the last. However, when she reviewed his file, she was in for a surprise. Teddy's 1st grade teacher wrote, "Teddy is a bright child with a ready laugh. He does his work neatly and has good manners. He is such a joy to be around." His 2nd grade teacher wrote, "Teddy is an excellent student, well-liked by his classmates, but he is troubled because his mother has a terminal illness, and life at home must be a struggle." His 3rd grade teacher wrote, "His mother's death has been hard on him. He tries to do his best, but his father doesn't show much interest, and his home life will soon affect him if some steps aren't taken." Teddy's 4th grade teacher wrote, "Teddy is withdrawn, and doesn't show much interest in school. He doesn't have many friends, and he sometimes sleeps in class."

By now, Miss Thompson realised the problem, and she was ashamed of herself. She felt even worse when her students brought her Christmas presents, wrapped in beautiful ribbons and bright paper, except for Teddy's. His present was clumsily wrapped in the heavy brown paper he got from a grocery bag. Miss Thompson took pains to open it in the middle of the other presents. Some of the students started to laugh when she found a rhinestone bracelet with some of the stones missing, and a bottle that was one-quarter full of perfume. But she stifled the children's laughter when she exclaimed how pretty the bracelet was, putting it on, and dabbing some of the perfume on her wrist. Teddy Stallard stayed after school that day just long enough to say, "Miss Thompson, today you smell just like my mum used to."

After the children left, she cried for at least an hour. On that very day, she quit teaching reading, writing and arithmetic. Instead, she began to teach children. Miss Thompson paid particular attention to Teddy. As she worked with him, his mind began to come alive. The more she encouraged him, the faster he responded. By the end of the year, Teddy had become one of the smartest children in the class, and despite her lie that she would love all the children the same, Teddy became one of her 'teacher's pets'.

A year later, she found a note under her door from Teddy, telling her that she was the best teacher he'd ever had in his whole life! Six years went by before she got another note from Teddy. He then wrote that he had finished high school 3rd in his class, and she was still the best teacher he ever had in his whole life. 4 years after that, she got another letter, saying that while things had been tough at times, he'd stay in school. He'd stuck with it, and would soon graduate from college with the highest of honours. Again he assured Miss Thompson that she was still the best and favourite teacher he'd ever had. Then, 4 more years passed, and yet another letter came. After he got his bachelor's degree, he had decided to go a little further. She was still the best and favourite teacher he'd ever had. But now, his name was a little longer.. the letter was signed 'Theodore F. Stallard, M.D.'

The story does not end here. There was yet another letter that spring. Teddy said he's met this girl and was going to be married. He explained that his father had died a couple of years ago, and he was wondering if Miss Thompson might agree to sit at the wedding in the place that was usually reserved for the mother of the groom. Of course, Miss Thompson did. And guess what? She wore that bracelet, the one with several rhinestones missing. And she made sure she was wearing the perfume that Teddy remembered his mother wearing on their last Christmas together. They hugged each other, and Dr Stallard whispered into Miss Thompson's ear, "Thank you for believing in me. Thank you so much for making me feel important, and showing me that I could make a difference." Miss Thompson, with tears in her eyes whispered back, "Teddy, you have it all wrong. You were the one who taught me that I could make a difference. I didn't know how to teach until I met you!"

You can never tell what type of impact you may have on another's life by your actions, or lack of action.

Adapted from: Three Letters from Teddy
by Elizabeth Silance Ballard

Tuesday, October 20, 2009

You can make a difference


Where: Taman Sri Skudai
When: 21 October 2009 (Wednesday). 7.30pm.

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Saturday, October 17, 2009

Of late night patient hunts,festival of light and gifted hands

1. Was planning to clerk an IVDU patient who is under psychiatric evaluation for my log book. Patient went out for a walk. Guess I'll come back tomorrow, since it's already 10.30pm.
Update: Had a chat with the patient,nice guy whom was actually married with 4 children - he did shared about his life as a former drug addict for 10 years, sleeping by the drains for months and being in-and-out of jail for years - which was why he did not get to see his daughter when she was born until she was 2 years old. Despite this, his wife stood by him for the past 15 years. He was admitted for splenomegaly, pain on his back and ribs, and there was a heart murmur. The diagnosis on the chart mentioned infective endocarditis, with vegetation on the aortic valve, and he is on antibiotics. Last week, test results came back that he was HIV positive, but his CD4 has yet to hit <200. I asked him indirectly whether he had any medical illness, but he said no - either he knew and preferred not to talk about it, or nobody has informed him of his condition..

2. Happy Deepavali, and have a wonderful long weekend :-)


3. Benjamin Carson starts out life with everything against him: an African American child from a single parent home with failing grades at school, ridiculed by others, glued to the television screen, and in need of glasses. But his mother, who dropped out in the third grade, experienced financial struggles, and at one stage was hospitalised for depression, never gave up on him, but instead started making decisions for him and his brother, shutting off their TV habits and ordering them to read two books per week from the library and writing a report of what they read, and Ben started developing his intelligence, imagination and belief in himself. Despite the odds, she also moves them to better schools, as Ben eventually tops the class.

He learns to spell, explore the world of books, grows in creativity. But he also begins to mix with the wrong crowd, and as a result of his short temper, nearly killed somebody. He runs to his room and cries out to God, praying for deliverance from his temper.

The foundation his mother helped to lay in his early days would later proved to be a driving force, as with hard work and a strong desire, he gets a scholarship to college, passing the exam which enables him to enter medical school. Carson faces adversity from fellow doctors and students while working at Johns Hopkins Hospital in MD. It is here he performed a surgery as a resident without attending supervision, risking his medical career to save a man's life. At one point, he also had to deal with the loss of his twins. Eventually it came to a point where he was tasked with performing a complex surgery to separate 2 7-month old German conjoint twins, and he worked out a miracle with success. Today, he is one of the world's leading neurosurgeons, and a professor and director of paediatric neurosurgery at Johns Hopkins University Hospital.

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Thursday, October 15, 2009

On success

Just a saying Ethan reminded me some time ago..

2 traders went to a few towns in a particular country to scout for prospective business opportunities on behalf of their companies. The 1st one returned and sighed in despair, "The people here don't wear shoes! There is no point for us to waste time here, as there is no way I can sell shoes to them." The second guy came back and proclaimed, "Wow, nobody here wears shoes! Great, we have a huge market!"

Which one are you?

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Tuesday, October 13, 2009

Moving to our new home - Part 1





More updates to come..
Venue: Skudai Parade

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Friday, October 09, 2009

Exam season - Snippets of God's faithfulness

"....give thanks for my shepherd, whose sharing deeply encouraged and renewed me in my walk with God. He did mention the importance behind every choices we make, and that one of the key to breakthrough in certain areas that we can see, is seeking 1st God’s kingdom and His righteousness, to lay down ourselves and put Him at the centre of what we do. Then, we see how God is able to open the floodgates of heaven, because 1st and foremost, God looks at the heart, not at your ability. As we continue to do so, we know that He will be with us always, in the things that we do. One example includes how despite his final thesis presentation scheduled the next morning, and he is only half-done with it, he made the decision not to compromise, but to sacrifice whatever little time he had left and attend the Vision and Philosophy class on that very night, and by the time he got home it was already past midnight. Nevertheless, despite the lack of time, able to see how God helped him pull through, and even provided him with the best thesis and overall top architecture student award in UTM. It definitely served as an encouragement to me as we approached the season of final exams.."
Christopher Heng

"....I wanted to testify to God’s goodness over the past week or so, where I have been extremely busy with submission. Although the presentation has been postponed to Friday, but I fell sick on Monday and it became so bad even on Tuesday that I was unable to get out of bed. I felt very weak and needed to rest, and initially did not intend to go for caregroup on Wednesday despite being rostered to come up with games for this week. Nevertheless, I got reminded of a passage where God loves a cheerful giver, and I want to give Him my best. Today, I resolve to tell myself not to complain, give excuses or do things just for the sake of completing it, but in our everyday ministry and serving Him, let us truly see it as a privilege to do so. Throughout the process of preparing and leading games, gradually I experienced God’s renewal not only spiritually, but also physically. All glory belongs to Him."
Jing Jing

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Tuesday, October 06, 2009

You will never walk alone


Matthew 18:20 - For where two or three come together in my name, there am I with them.
Ecclesiastes 4:9 - Two are better than one, because they have good return for their work.

Where: Taman Sri Putri, Skudai
When: Wednesday, 7 October 2009, 7.30pm

Photo acknowledgements: Antonius Susanto Thambrin

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Friday, October 02, 2009

Light of the world 2

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Thursday, October 01, 2009

Graduation photos - UTM





Looking back at what had gone down, how time really does flies.. soon my turn will come, probably as quick as next year [sigh]

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Saturday, September 26, 2009

When 2 become 1 :-)


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Friday, September 25, 2009

Whatver the case, You are in control

Currently listening: Planetshakers - Jesus Reigns

Psalm 62 (NIV)
1 My soul finds rest in God alone;
my salvation comes from him.

2 He alone is my rock and my salvation;
he is my fortress, I will never be shaken.

3 How long will you assault a man?
Would all of you throw him down—
this leaning wall, this tottering fence?

4 They fully intend to topple him
from his lofty place;
they take delight in lies.
With their mouths they bless,
but in their hearts they curse.
Selah

5 Find rest, O my soul, in God alone;
my hope comes from him.

6 He alone is my rock and my salvation;
he is my fortress, I will not be shaken.

7 My salvation and my honor depend on God [a] ;
he is my mighty rock, my refuge.

8 Trust in him at all times, O people;
pour out your hearts to him,
for God is our refuge.
Selah

9 Lowborn men are but a breath,
the highborn are but a lie;
if weighed on a balance, they are nothing;
together they are only a breath.

10 Do not trust in extortion
or take pride in stolen goods;
though your riches increase,
do not set your heart on them.

11 One thing God has spoken,
two things have I heard:
that you, O God, are strong,

12 and that you, O Lord, are loving.
Surely you will reward each person
according to what he has done.

Note: Thanks Sze Yean :-)

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Wednesday, September 23, 2009

Here I am waiting.... for an answer, for a breakthrough.

Currently listening: Hillsong - Shout to the Lord
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Psalms 13 (NIV)
1 How long, O LORD ? Will you forget me forever?
How long will you hide your face from me?

2 How long must I wrestle with my thoughts
and every day have sorrow in my heart?
How long will my enemy triumph over me?

3 Look on me and answer, O LORD my God.
Give light to my eyes, or I will sleep in death;

4 my enemy will say, "I have overcome him,"
and my foes will rejoice when I fall.

5 But I trust in your unfailing love;
my heart rejoices in your salvation.

6 I will sing to the LORD,
for he has been good to me.

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Thursday, September 17, 2009

Sacrifice / Unconditional love


Synopsis:
Senior Chief Ben Randall is a top legendary rescue swimmer with over 200 saves, who has been juggling his crumbling marriage and his work with the U.S. Coast Guard. When he loses his crew and best friend in a helicopter mishap, he reluctantly chose to take up the post as senior instructor at a Coast Guard training facility to recompose himself, where he encounters Jake Fischer, an arrogant candidate who happens to be a top competitive swimmer with scholarships to every Ivy League university.

Ben's unorthodox training methods turned the entire programme upside down, and egos collide as he tries to force Jake into quitting, but Jake ended up beating all his records. While complaining to his girlfriend, Jake was humbled when the local barkeeper told him about an unbeatable record, when Ben saved all the victims of a ship fire, and with one victim left and a broken winch, held the last victim by his fingertips all the way until the helicopter landed, resulting in severe hand and shoulder injuries.

Nevertheless, Ben learnt about Jake's past, that he was the driver and only survivor of a motor vehicle accident which killed his relay team, and he was searching for his place in life. After being one of the few candidates left who graduated, Jake was posted to Kodiak, Alaska to oversee protection of the Bering Sea, Randall's post. During a rescue mission, Ben experienced a flashback of the night when he lost his crew, and had to be rescued by Jake. At this point, he realises he cannot continue, and hands in his resignation letter.

As Ben remorsefully spent time handing in divorce papers to his wife, and clearing his office, he overheard the radio chatter that Jake is trapped in the hull of a sinking ship while rescuing the crew. Ben gathered his gear and rushes to the scene. He managed to rescue Jake, but as the winch jams and cable unravels, he realises that it can't hold both of them, and unstraps himself, plummeting into the sea, never to be seen again.

"What makes a legend? Is it what someone did when they were alive... or how they're remembered after they're gone? There's a legend — of a man who lives beneath the sea. He's a fisher of men. A last hope for all those who have been left behind. He is known as The Guardian. Ben Randall always said life is about making choices. In the end, by making his, he helped me make mine."

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Tuesday, September 15, 2009

Why God is never late in answering prayer :-)

Currently listening: Your grace is sufficient
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4th year medical students have to do a case write-up on a chronic illness / disability patient as part of their GP posting. So while at my private GP, I clerked and examined a boy who came in with his mum, due to poorly controlled asthma. Took down his medications, and enquired a bit about his family and stuff.. technically I'm supposed to review him again a 2nd time, and I was only at the private GP for 6 weeks, not knowing when he will come in. So in the 2 weeks leading up to the deadline I decided to give my patient's mum a call to check on how they are doing, and to request more information required in the assignment guidelines.

To my horror, the handphone number on the patient's case file was no longer in service, and my GP suggested me going over to the patient's house based on the address given, which I did, but nobody was at home (probably went out to buy food for breaking fast). Costly trip it was to go there twice(RM17 each time by taxi, return trip by bus). Since they were not around on this recent Sunday afternoon, left a note requesting them to contact me, and left. Prayed and ask God to open up a way, coz as much as possible I do not wanna make up stuff (ie cheating)..

It was an agonising wait, 7pm.. 8pm.. 9pm.. and all I've got so far is the basic skeleton of my assignment, with the next day (Monday) being the deadline. Then out of nowhere at 9.45pm I received a phone call from a source I completely did not expect. My GP called, "Gary, you remembered the asthma patient you wanted? I was about to close my clinic when his mum brought him in for an acute exacerbation. He is now on nebuliser. Would you like to talk to the mum?" All of a sudden the rest was history, did my best, and whatever marks came out from the assignment no longer mattered.

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Friday, September 04, 2009

Eureka moments from Kukup

Currently listening:
讚美之泉-單單只為你 (Stream of Praise - For You Alone)
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Wednesday, September 02, 2009

Nice music for stress relief

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Thursday, August 27, 2009

Overcoming barriers to success - where is your focus?

The fields were parched and brown from lack of rain, and the crops lay wilting from thirst. People were anxious and irritable as they searched the sky for any sign of relief. Days turned into arid weeks. No rain came.

The ministers of the local churches called for an hour of prayer on the town square the following Saturday. They requested that everyone bring an object of faith for inspiration.

At high noon on the appointed Saturday the townspeople turned out en masse, filling the square with anxious faces and hopeful hearts. The ministers were touched to see the variety of objects clutched in prayerful hands - holy books, crosses, rosaries.

When the hour ended, as if on magical command, a soft rain began to fall. Cheers swept the crowd as they held their treasured objects high in gratitude and praise. From the middle of the crowd, one faith symbol seemed to overshadow all the others: A small nine-year old child had brought an umbrella.

Laverne W. Hall
From: Chicken Soup for the Christian Soul


Hi, my name is Jing Jing, and I’m currently studying architecture in UTM. As many of you may already know, architecture is well-known in UTM as a 6-year course that never sleeps. Take a walk around the campus throughout the semester, and chances are there are times when you will find the faculty's studio lights still switched on even though it’s already 3am, as students worked on their projects. Today I want to share about how God helped me breakthrough in the area of focusing on Him in overcoming my challenges.

Recently, I encountered a challenge in the form of my 1st major project. As the deadline drew closer, I don’t even have a direction for my project, no idea of what to come up with. I started getting worried and feeling lost. Therefore I prayed and asked God to give me direction, wisdom, strength and peace. I wanted to finish up my project as much as possible so that I can join the student group’s Eureka Camp. Eventually, I found an interesting topic and God gave me the concentration I have never experienced before, as well as a burning passion for my project. I keep focusing on God’s presence rather than negative feelings, worry and tiredness, His power rather than my ability, His promise rather than circumstances. As a result, peace and joy filled my heart (John 14:27 Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid.).

On Friday before the camp, I intended to submit my finished project. Upon looking through my project, my lecturer asked me whether I am clear about the objectives of my project. I explained my proposal to him, and little did I expect that he would drop a bombshell by saying that my design and its objectives were already flawed right from the beginning, thus he rejected it. That meant I have to start re-doing it all over again from zero. Submission is on Monday and I’m supposed to be joining the camp later that evening! I know I can’t miss Eureka camp, because it is a camp that can change my life. The word ‘Eureka’ itself means ‘I have discovered something’, and I wouldn’t want to miss the experience of learning more about the wonderful plan He has for me (Jeremiah 29:11For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you a hope and a future.).

I prayed to God to guide me and give me strength so that I won’t be tired after the camp. By faith, I uphold my project into His hand and made the decision to go for the camp. By the time we returned home from camp, it was already Saturday evening, and next day we have Sunday service. After the camp, I continued with my work and God blessed me with people to help me too. His love sustained me through the entire process. It’s not easy but His presence comforts me.

After a gruelling weekend, I finally submitted my work on Monday. To my surprise, I was the only one who successfully submitted it on time, and this time my lecturer even praised me for my good work. All this is God’s work and blessing. His grace is always sufficient for me (2 Corinthians 12:9 – But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly of my weaknesses, so that Christ’s power may rest on me). He is faithful as long as I choose to focus on Him and let Him lead me.

Lim Jing Jing
U2A

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