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Last One Standing

Different specialities often have different perspectives when looking at a patient, sometimes to the exclusion of other details. On Friday, I was looking after a patient who had a prolonged procedure for an elective parotidectomy, it went until 7pm and beyond. The mass was the size of a tennis ball so I can understand why it took so long to excise it without damaging the facial nerve. When talking about this case with Yeu Sheng, her first question was "What type of malignancy was it? Not sure really....

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Last One Standing | dkylau.blogspot.com Reviews
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Different specialities often have different perspectives when looking at a patient, sometimes to the exclusion of other details. On Friday, I was looking after a patient who had a prolonged procedure for an elective parotidectomy, it went until 7pm and beyond. The mass was the size of a tennis ball so I can understand why it took so long to excise it without damaging the facial nerve. When talking about this case with Yeu Sheng, her first question was What type of malignancy was it? Not sure really....
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Last One Standing | dkylau.blogspot.com Reviews

https://dkylau.blogspot.com

Different specialities often have different perspectives when looking at a patient, sometimes to the exclusion of other details. On Friday, I was looking after a patient who had a prolonged procedure for an elective parotidectomy, it went until 7pm and beyond. The mass was the size of a tennis ball so I can understand why it took so long to excise it without damaging the facial nerve. When talking about this case with Yeu Sheng, her first question was "What type of malignancy was it? Not sure really....

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1

Last One Standing: Destined for COPD

http://www.dkylau.blogspot.com/2014/12/destined-for-copd.html

Just saw a kid who looks like he's barely 18, coughing and coughing and then pulls out a pack of cigarettes. See you soon when you have your first admission to ED with COPD or when I tube you for your lung cancer lobectomy B-). December 17, 2014 at 7:11 PM. Subscribe to: Post Comments (Atom). Born in Australia, made in Hong Kong, then imported back. View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Live life to its fullest! Fragments of Time, Pieces of Me. Breaking Steps in Life.

2

Last One Standing: October 2012

http://www.dkylau.blogspot.com/2012_10_01_archive.html

You want to know the difference between a doctor and a med student? Reading the first year med student OSCE I have realised the main difference between being a student and being a doctor. Still remember learning the basics of taking a history? The acronym WWQQAA and using the biopsychosocial model when questioning patients about their problems? What about symptoms of obstructive sleep apnoea? The psychosocial bit just gets swept under the rug. Do you care for anyone? How are your finances? Because we can...

3

Last One Standing: November 2012

http://www.dkylau.blogspot.com/2012_11_01_archive.html

Give Me.Blood Culture Bottles! MET call today in the psychogeri ward. Patient febrile; septic. 18G IV access, drew 20 mL of blood. Quick, give me a red top, purple top and blood culture bottles". Then I get handed the blood tubes but.no blood culture bottles. Response from the intern, "这里很参的啦,什么都没有.". OKno blood culture bottles, even on the crash cart? The Beauty Of Rehab. What did everyone think? Fluids whilst we wait for ambos? Or sit on the tachycardic patient? Subscribe to: Posts (Atom).

4

Last One Standing: Not Coping

http://www.dkylau.blogspot.com/2014/12/not-coping.html

I've found something worse than acopic rehab nurses; it is acopic ED nurses. Yep, you wouldn't believe it but they do exist. Tonight in ED, it was a particularly bad night, even by MMC standards. At the end of the night shift there were 30 patients waiting to be seen, some hitting 4 hours already. At one point in the night, I counted 15 patients arriving in one hour; terrific. When I walked in, the first thing this acopic nurse asked was: "Can you document her NFR? Now, I wanted to lose my temper at this...

5

Last One Standing: March 2013

http://www.dkylau.blogspot.com/2013_03_01_archive.html

Les Miserables = Les Boring. This expensive appliance has created much debate within my family. It has been on special at Myer/David Jones recently so what does my family do? Spread the news and buy all available stock of course. But as far as I can determine, this circular cooker is nothing more than a glorified oven. They say that you can "Cook a kilogram of chips with only one spoonful of oil! The Sign of a Good Coffee. Bubbles = fresh ground. Subscribe to: Posts (Atom). View my complete profile.

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心的转角: April 2013

http://eshengeshi.blogspot.com/2013_04_01_archive.html

Friday, April 26, 2013. Friday, April 26, 2013. Monday, April 15, 2013. A Small Act That Won A Nurse's Heart. Monday, April 15, 2013. I was on my cover shift last weekend. A renal patient needed an IV cannula resite thus I went. The patient is old and crumbly and looks like he has had a stroke in the past because he couldn't move his left arm well. I put a new cannula in and then wrapped it up with a bandage to give it extra protection. She asked me, "When are you coming to renal? Saturday, April 6, 2013.

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心的转角: July 2013

http://eshengeshi.blogspot.com/2013_07_01_archive.html

Friday, July 12, 2013. The Bird On Our Shoulder. Friday, July 12, 2013. I wish I remember to ask the bird on my shoulder everyday,. Is it the day? Then hopefully I will live every day like it is the last. Then hopefully I will live every day full of courage to do what I want to do instead of what I should do. Friday, July 5, 2013. Friday, July 05, 2013. 8220;容县七号是我Kamo的家,也是一间民宿。地点位于霹雳州江沙,一处被群山、湖泊、还有冰冷山泉水怀抱的小镇-新寿活村(Sauk)。 容縣七號。霹靂新壽活新村。容許孩子奔跑,享受陽光、風、夢想和靜謐的地方。”. Subscribe to: Posts (Atom).

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心的转角: June 2013

http://eshengeshi.blogspot.com/2013_06_01_archive.html

Saturday, June 29, 2013. Saturday, June 29, 2013. Just finished 4 days of overnight shifts in ED. And I caught a cold. It's ironic to see more daylight when doing night shifts. It's fun to talk to sleepy consultant who is not grumpy. It's hard to tell whether elderly patient is sleepy or drowsy. Saturday, June 8, 2013. Saturday, June 08, 2013. Subscribe to: Posts (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest!

eshengeshi.blogspot.com eshengeshi.blogspot.com

心的转角: 2014年的尾声

http://eshengeshi.blogspot.com/2014/12/2014.html

Wednesday, December 31, 2014. Wednesday, December 31, 2014. 话说2014,对马来西亚来说是悲痛的一年。马航两架飞机罹难,前几天亚航也出事。而且还水患肆虐。我母校也淹水了。 从来我就认为人生是无常的,天灾人祸是难免的。但厄运接二连三也未免太令人痛心。同时也必须警惕自己,做自己想做的事,爱身边的人,对自己好一点。 我从来没有为自己设下新年resolution, 因为计划永远赶不上变化,随机随缘就好。 期望2015会是顺利的一年。为了training我得搬迁到乡下小镇去工作,在一个人生地不熟的地方自己生活。我总告诉自己,没关系,很多事是冥冥中注定。就像当初命运把我放在Eastern那样,才成就了今天的我。 Subscribe to: Post Comments (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest!

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心的转角: August 2013

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Sunday, August 18, 2013. Sunday, August 18, 2013. 屋后的空地, 立着几棵矮树,因为正是冬天,无花无叶。 旧屋主没说那是什么树,我们倒觉得花草树木很麻烦,打算有日把它们给砍了。 墨尔本这几天阴天吹大风,昨天好不容易有阳光,往后院一望,惊觉那是两棵白色的樱花。我说舍不得砍了。 好强啊!有些地方树都倒了,这数天的强风并没有把樱花吹落满地。 今年达成了买房子的愿望。还有下定了决心不再往Physician Training走下去。我要一个我要的一周五天,朝九晚五,没有oncall, 没有太多医院人际政治而又不离开医科的生活。决定了走幕后读病理科。幕前的大风大浪就留给真正有心有能力的人吧! Subscribe to: Posts (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest! Breaking Steps in Life.

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心的转角: December 2014

http://eshengeshi.blogspot.com/2014_12_01_archive.html

Wednesday, December 31, 2014. Wednesday, December 31, 2014. 话说2014,对马来西亚来说是悲痛的一年。马航两架飞机罹难,前几天亚航也出事。而且还水患肆虐。我母校也淹水了。 从来我就认为人生是无常的,天灾人祸是难免的。但厄运接二连三也未免太令人痛心。同时也必须警惕自己,做自己想做的事,爱身边的人,对自己好一点。 我从来没有为自己设下新年resolution, 因为计划永远赶不上变化,随机随缘就好。 期望2015会是顺利的一年。为了training我得搬迁到乡下小镇去工作,在一个人生地不熟的地方自己生活。我总告诉自己,没关系,很多事是冥冥中注定。就像当初命运把我放在Eastern那样,才成就了今天的我。 Thursday, December 25, 2014. Thursday, December 25, 2014. 第一次公共假期肯定有我份。 赖在家听周杰伦,收拾一下屋,点我的香熏, 简单无聊也可以很写意。 或许应该读书。。。 看看吧。。。嘻嘻. Thursday, December 11, 2014. Lene Marlin - s'pose.

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心的转角: September 2012

http://eshengeshi.blogspot.com/2012_09_01_archive.html

Sunday, September 30, 2012. Sunday, September 30, 2012. Sunday, September 16, 2012. Sunday, September 16, 2012. 这两样玩意,都是在患上“工作后遗症”后买下的。 用物质来弥补心灵,不够好,但还不错。 是浪漫的,是兴奋的,是珍惜的,是分享的。 因为相底不便宜,物以稀为贵,所以学会珍惜。 得改变以往用数码相机,多次按下快门,拍到满意为止的习惯。 Subscribe to: Posts (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest! Breaking Steps in Life. Just Not Long Ago Posts. FEEDJIT Live Traffic Feed.

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Amazing Love | Let's celebrate | Page 2

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Malaysia – JB. After 20 hours of travelling, we reached JB at 3am, 11 Dec 11.🙂. It feels really good to be here. With great people and great food. Thank you Lord for give us this wonderful break to re-charge ourselves before go back to Melbourne and continue to serve You. Me myself and I. The tear. Not sure how many times I almost broke to tear. The tear of disappointment. The tear of fear. The tear of shame. 8220;Remember to give thanks and ask for guidance.”. 8220;You are not alone.”. It’s easy ...

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心的转角: February 2013

http://eshengeshi.blogspot.com/2013_02_01_archive.html

Monday, February 11, 2013. Monday, February 11, 2013. Subscribe to: Posts (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest! Breaking Steps in Life. Just Not Long Ago Posts. FEEDJIT Live Traffic Feed.

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心的转角: May 2015

http://eshengeshi.blogspot.com/2015_05_01_archive.html

Thursday, May 21, 2015. Thursday, May 21, 2015. 找回学习的乐趣,即使感觉时间不够,也不是负面的情绪,而是喜悦的. Subscribe to: Posts (Atom). View my complete profile. 來自 Alor Setar 的外星語 Adik Alor Setar Style (Part 1). Lene Marlin - s'pose. Live life to its fullest! Breaking Steps in Life. Just Not Long Ago Posts. FEEDJIT Live Traffic Feed.

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Last One Standing

Different specialities often have different perspectives when looking at a patient, sometimes to the exclusion of other details. On Friday, I was looking after a patient who had a prolonged procedure for an elective parotidectomy, it went until 7pm and beyond. The mass was the size of a tennis ball so I can understand why it took so long to excise it without damaging the facial nerve. When talking about this case with Yeu Sheng, her first question was "What type of malignancy was it? Not sure really....

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THIS IS A BLOG THAT EVERYONE WISH TO SEE. SO TAKE THIS OPPURTUNITY TO VIEW IT AND LEAVE SOME COMMENT.THANK YOU FOR READING MY BLOG. Wednesday, June 17, 2009. My brother just get hos driving license. So he kept telling my dad to let him drive. Ok, nevermind.but he just brought us nightmare. When he stops for a traffic light at a hill, he cant accelerate the car when the traffic light green. Then the car start moving backwards, then i was like ARRHHH! Then he cant follow directions given by my dad. I went ...

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Infrequent updates from the desk of Doug Kyle. 5 Steps to Effective Time Management. As much as everyone likes to think they're highly effective, the simple truth is, most of us aren't. I've definitely got my own days where things just don't get done, even though I feel I've been busy the whole day and in fact, these days can often translate into weeks. So how does one get effective? Prioritize the items. I wait until I've written down the times for each as I like to take into account a "bang for the...