Chuffed to bits

Was happily surprised when I checked my e-mail 2 days ago, and yesterday, even more chuffed. My offer been upgraded from ftsta to st1 at royal liverpool, with the st2 at isle of man. Bersyukur banyak2x, and thank god for granted me this opportunity.

Take the decision to accept it anyway. Will think of consequences later (altho' the prospect of working at a holiday island did fill me with glee). Am planning a venture in Manchester now with the hubby; and we have no idea how we are going to manage! Here to a more adventurous year!

Even more happier when my best friend Bel managed to bag herself an offer from Scotland yesterday. Many congrats Bel!

Nasty patient

I think the stress has got on top of me.One more night, then I will be having my break.

Had a nasty wicked little old lady who come to A&E with an intention to get IV morphine for her painful hip..Discharged from ortho wards last week, refuse to take her paracetamol and tramadol - because it doesn't work.If you didn't take your painkillers,of course it won't work, right. I have to be very firm with her, big NO iv morphine. And she started spitting her venom on me. Her words hits a nerve on me and it really hurts; and I have to stop the consultation and walked away and I wept. My colleague has been brilliant, he took over and somehow he managed to make her drink the po morphine, which according to her taste like poison. I don't usually take offence of what patients said, but this little witch isn't drunk and is fully conscious of what she said.

We managed to get her old medical notes for her recent admission. And found she is bloody lying to me!We send her home anyway. A&E is not pain clinic, and we have limitation with what we can offer.If you not taking painkillers, of course it doesn't work!


Accident & Emergency in UK is hard - not in the sense of clinical work itself; but patients behaviour over here is, a lot of them can get very verbally abusive to medical staffs (paramedics,nurses,doctors).We take everythings- drunks,IVDU,prisoners, self-harmer, people who couldn't be bothered to take paracetamol,diabetic who couldn't be bothered taking insulin, COPD on oxygen and still smoking away etc..someone who really ills doesn't really make the big proportion in A&E attendance.

A&E nights

2 more nights to go. Am feeling absolutely shattered right now.

A&E nights is so exhausting; I wished I could choose who can come to A&E. The thing about A&E is it is like open GP surgery, we take every shitte from the general public. Please stop sending drunks via ambulance to A&E. It annoyed me big time. Please don't come to Accident and Emergency because you have abdo pain from constipation.

I think the most difficult is sending TIAs home from A&E.People should realised we don't do CT Scan regularly, and even we do, there is nothing medical team can do apart from followed you up in TIA clinic, addressing risk factors and carotid endorectomy. Drugs are there to reduce the risk, doesn't mean further stroke cannot happen.but we are not GOD to prevent this. Truthfully, they are probably the worst risk patient group. Neurosurgeon role is only to decompress; if there is nothing to decompress in the brain, they don't really give a shiite.

Lewis Hamilton

Just finished watching Montreal race...wohoooooo!

What an inspiration. Really inspired me in this dark time. Give me a new spirit in terms of:

- persistence
- self-belief (this mmc kinda shook mine hard) and very strong-willed
- soooo focused with what he wants to achieve. And he didn't lose that despite the Kubica major accidents, 4 safety cars come out, Heidfield pushing him. I wish I could be as focused as him in my career aspiration.
- It took him 12 years to where he is now. Why the hell am I complaining then?

And hard work does pays off at the end.

Depressed

I am feeling depressed with current job situation. Still no news from North West (which I think I didn't get). Am pinning for Merseyside but I can feel the hope drowning. Isk..isk....

Should I change my career to cabin crew (of a flight) or restauranteur?