Little Thoughts In The Morning

Little Thoughts In The Morning

Good morning, tumblr!

I mean good afternoon or good evening. I don’t know. It is literally morning here, but even if it is afternoon or evening, I guess I will still be using “Good Morning” instead, only because I personally think morning is the best time of the day; not only because of the sunshine, but also because of the birds singing, the morning breeze, and the morning haze that makes everything in the morning so good to enjoy.

Right now, I am sitting at my bed enjoying this very special feeling of mine about this morning. I don’t how to explain this, but I’m feeling really good about this morning; not only about this morning honestly, but also today. And it makes me wonder if it’s because today is Saturday or because I finally have a DAY OFF literally from all the hospital stuffs and the work as a 5th year medical student. I think it is both.

Yeah, I have been busy; not only busy, but too busy to even get to take care of myself (here I go again being hyperbolic). Well, not as busy as that... I still have time to take care of myself of course even though in a messy way. But for doing any other things that I love, my answer is NO. I honestly have no time for any other things that I love doing like tumblr-ing, writing, going to see movies, shopping, and even reading good novels (I have like 3 or 4 new novels that I haven’t done reading; not even started reading them yet).

Well, I love being at the hospital taking care of patients and learning about new things there, but sometimes it can get a little bit overwhelming and frustrating and tiring, especially when I have tons of homework to do and tests coming while having another responsibility to do: NIGHT SHIFT and NEVER ENDING MORNING SHIFT everyday.

But that is just it. That’s just how things work here as a medical student, especially when you finally get to practice medicine as a co-assistant at the hospital. I think I finally am used to it, and better... I enjoy doing things that I am doing here, despite of the pressure, paperwork, homework and test that I have to face everyday here. :)

It’s tiring, but it’s great... And I need to remember and cherish every moment that I have here as a med student because one day when I become a doctor, I will look back on these days and smile.

By the way, I still want to talk about other things here.

But I have to hit the shower right now. I got a quality time with my family today. Well, not exactly a quality time. But I have to drop my grandma at her house today, because she has something important to do there.

Well, my grandma is staying with me right now at my parents’ house because I’m living alone here. My brother who happens to live with me is having a great time with my Mom somewhere at East Asia seeing Cherry Blossom blooming at the spring time, while I stuck here in South East Asia seeing palms tress and coconut trees everywhere with the sunshine burning my skin tone. And people in my family believe that it is not good for a 21 years old single girl to live alone. So, here I am... staying with my grandma for a week.

Don’t get me wrong... I love staying with my grandma. She’s a good person to live with... :) but somehow I just don’t like it how the people in my family still treat me like a little kid, while I feel just mature enough to live alone for a week. Well, I am not sure honestly... but I’m glad that my grandma is staying with me somehow...

Okay, I’m kinda in a rush so I guess this post just ends here.

Have a beautiful day, people.

See you later, Aligator. :)

Developmental assessment with a 3-year-old boy

Paediatrician: What's your name?

Child: Spider-Man!

Paediatrician: What's your other name?

Child: ...

Paediatrician: Do you have a last name?

Child: I'm Spider-Man.

Paediatrician: Can you tell me how old you are?

Child: I'm three.

Paediatrician: And are you a girl or a boy?

Child: Spider-Man.

Be better today than you were yesterday.

(via psych-facts)

Absolutely! :)

I like this part: "We don’t win every fight, but when the curtain goes down, let it drop with dignity." 

Update on my patient with no diagnosis

Well, its been nearly 2 weeks. We’re still not sure what the diagnosis is exactly but we think its a vasculitis. The patient has now gone into 5 organ failure. There is no coming back from this.

Liver function is now deteriorating.

Renal function is non existant, haematuria still present and is relying on haemofiltration.

Pulmonary - still having haemorrhagic sputum, dropping sats and having major difficulties in being weaned off the ventilator

GI - a distended abdomen, passing faeculant liquid into his NGT, ?possible ischaemic bowel event, not stable for surgery

Cardiac - runs of arrythmias requiring DC cardioversion on Tues, high troponins, cardiac event

Long discussion with the family and we have decided that the best thing for this poor patient is to withdraw inotropes, filtration and let them go. 

Always a sad moment, but in this world of medicine it is vital to remember to not only try to save lives but to always give the patient that needs it a “good death”. Something I heard one of the bosses talk about the other day. To know when to withdraw, when it is futile and make sure they are comfortable at all times. We don’t win every fight, but when the curtain goes down, let it drop with dignity.

One reason we don't see God do great things is because we only ask Him for small things. Most people pray over their food, pray for protection, or pray for wisdom. That's all good, but don't limit what God can do. Dare to ask God for something impossible, something out of ordinary.

Today's Word by. Joel & Victoria Osteen