aiyoo...

i am having a backache! a sovernior from KL to me. =( i have been taking panadol (the magic pill) with no help. damn that magic pill! with occassional sneezing (and if u know how i normally sneeze) the pain is aggravated. any more panadol i think i will have to be taken in for over-dosing. damn... how and what did i do to get this terrible backache?!

drama = life?

different people have different preception of the same issue. steming from these differences comes different coping methods. its been a draining week. stuff i thot i rather watch in drama playing out in reality. thank God for His mercy i was just a second line supporting actress in this drama.

my heart bleeds for the people involved in the main casting. although i would love to skip forwards these terrible parts and go straight to the last episode, there isn't any available. i am just glad "out of sight = out of mind". this is 1 set of the dvd that i rather not keep nor replay but somehow i know it will autoplay itself in the episodes to come (just like some silly recap or flashback shit). still i am hopeful that the story will take interesting twist and turn that eventually we will see a 'happily ever after' ending.

in it all we all see the hand of God working in our midst, timing was just almost prefectly. despite the drama, with the coming in of different people and logistic things were settled in a less drama way. i pray that GOd will minister to everyone of us in His unqiue ways tailored to each ones' needs and level.

Ps-u don't have to understand this, perhaps it is just a way for me to be creative in my writting. =]

care of renal pt

i use my vox account to blog abt stuff i learn regarding nursing but i decided i will stop that. since there isn't much interaction there (although initally it was intended to be a ground for discussion and stuff...)

so might just as well blog it for my own consumption bah. recently a specialist missy was invited to our ward for a talk on how to care for the renal pt. i love such talk. its catered for our specific needs. cuz we deal so much with overflowed renal pt, we should be adquately trained! and having a talk with a grp size of 10 to 15 allows more interaction. it was very informative and good! i so very love it! i love learning basically. =)


<- haemodialysis (3x/wk)

<- peritoneal dialysis (daily, 5x/day)

also now we know the difference btw AVG vs AVF. how old it takes to mature these 'lifeline' before it can be used. the importance of these 'lifelines' and how to care for them. the theraputic use of the meds-why r they ordered and how to max. the effect of the meds. also what are the options for a renal pt-> HD, PD, transplant or pallative care. wats the difference btw dry wt vs wet wt. what really goes on during a HD session. what to do when a PD pt pass away-wat do we do with the tankcoff cath?

it is good that mina will be trying to get in other specialist missy to come and give us talks. topics includes, chest tube drainage (ambulating pt d/c w such drainage how to managed n teach the families), breast care (post op ref, f/u) and onco/ palliative. the down side of it is that WE (the ward staff) are expected to prepare such sharing session too. =( that is on top of our regular clinical case-study session. i like learning but preparing to give such talk/ casae study isn't my favourite activty. cuz if i teach stupid things i am doing others a dis-service and wasting others' time. =(

an new experience

welcome to malaysia... selemant datang ke malaysia. i also like this cute tiled sign. i love the cool turtle in sunglass and the beautiful (though faded) hibiscus. as far as i can remember as a kid it was there all the time. seeing it will mean that we are just minutes away from stepping into johor! but... things are changing or rather should i say changed? with effect of 16 dec the malaysia custom is now moved a few km from the old place. i was glad to be the 1st few hundreds/ thousand to be using it due to my recent visit to malaysia.

i didn't manage to take pictures of the inside of the new custom but its really pretty, spacious and air-conditioned. although the ride up to the new place is a uphill task (literally), with a peaceful heart and non urgent pace we waited for our bus (170) to reach the new custom with a relatively joyful ride.

these are pictures of the building from outside. it looks good. but my travelling mates seems to have plently to say about the distance and the functionability of the new custom. but i am hopeful that malaysia bolek! =) every new stuff will certainly face rejection in its initial phase hopefully the authority looks into the suggestions and make the necessary improvement. so that in years to come, this new custom will bring the malaysian proud and happy.

what is left of the old building and location? just the run down structure of the past yellow buildings and replacing the long trail of cars/ buses is just a few polis-mini vans. the old custom looks oddly peaceful and quiet.

while just a few meters south of the quiet old location, construction noises and steel rods sticking out of the ground is noted everywhere. look! a 'bridge/ road' that is 1/2 completed! my advise to people traveling on the new custom... just stick to the long trial of cars/ people jamming up the area, if u dare travel to the less crowded area u may see urself flying/ dropping off the road! =P

*ps- the new custom isn't very foot-traveller friendly. meaning... if u enjoy walking across the causeway to exercise ur muscles, u might jolly well find urself (A) confused (B) tired to death! also if u r an elderly who can't lift ur legs more than 45deg angle, i suggest u get ur son to drive u cross the custom cuz if u take a bus the high kerb where the bus lands requires u to lift ur legs, babes!

Vietnam Trip

vietnam in my view is the up and coming thailand. i believe it will see more of the local (singaporean) flying in for a rest from the busy schedules of theirs and for a good buy. its really funny how singaporean loves buying, almost everything!!! but that's quite another story in itself.the distance from singapore to vietnam's saigon (or ho chi min city) takes about 2 hours but since we flew in to hanoi 1st, it took us 4 hours. 4 hours in Vietnam Air means nothing more than sleeping, eating and talking. =( but good for us, my sister is a great conversation'er (got such word?!) she started talking to the gal next to us and blah blah blah it went. hanoi-halong bay is beautiful, the breeze brushing against our cheeks and the smooth sailing of the boat makes it quite an experience for me. but the meal on board was err... lets just say i am not a keen lover of they style of cooking there. (that may quite explain why people there are generally slim?! as for the short part i have no explaination for that. =P)

1 interesting thing there i found out was...korean was everywhere!!! yes! instead of the common used foreign language used on sign-boards such in singapore and lots other countries where we use japanese, hanoi's sign-boards are inscripted with korean-hangul. i see lots of koreans there too. turn on the tv and there u have korean drama in vietnamnese language and korean kbs channel. huh? i wonder did i travel into a mini-korea? i wonder if it got anything to do with north korean is communist and hanoi is the capital of socialist?

after hanoi, we flew in to saigon (ho chi mi city) via domestic flight. my dear suitcase which is affectionly known as "pak-ka" lost it's wheel here. it had since been repaired by the airline rep. in singapore. anyway, saigon is really busy! like i said vietnam is like thailand...traffic is crazy!! only that vietnam's motorbike is king! there are so many of it that there is a lane on the road just for it! helmets are like accerssories sold on the streets and they are really pretty/funky. again... food is err... ok. people there like the taste to be really strong, either very sweet (fine w me) or very salty (too much for my liking) or very bland (huh? so different sia) then they also love sweet n sour stuff. to achieve the sweet n sour effect in their soup they have starfruit and pineapple thrown in to the soup, interesting huh? they seems to like spices alot too, lemongrass, pepper, basil leaves, mint, etc.

now... the main attraction to all really BUSY singapore is the best BUYS (how interesting buys and busy has all the same alphabets! hahaha).... there are plenty of places to shop. but branded stuff are more expensive there, i suppose the tax is higher there? otherwise street buys are pretty decent in their workmanship and the prices are pretty much the same as thailand. however the security seems a lot better than thailand. there are beggers no doubt but i do feel its at least safer than malaysia. =(

so if u r interested in traveling to vietnam, can u forget about calling me along. but do have lots of fun cuz its a country where u can meet lots of other singaporeans! lol and also foreigners such as the Koreans, China-chinese, Malaysians, Taiwan-nese, Americans and French people. Most of the tourist there speaks good english as have fun communicating with them!

going china...

i finally tried the stall of china-chinese food. it had sticks of meat BBQ and buns that i found really tempting. so i had been wanting to try so finally i got the chance. these are the pictures. oh they even have the chinese version of our malay "soup-to-lang" only its pork bones instead of the mutton bones or is it beef bones?! not very sure. i like the meal though.