Thursday, October 22, 2015

nothing ventured, nothing gained.


my colleague started private practice the same year as i did in 1997. 3 years later, we moved out & joined different private hospitals. another 3 years later, he moved out again & opened his practice in a shoplot & subsequently expanded to the adjacent lot as well.

his practiced flourished & he could employ 2 specialists to work for him. his 2-floor shoplot even had elevators installed.

everyone knew he was doing exceedingly well.

you'd thought he's reached the pinnacle of his career. behold, the coup de grace......

a Singapore group came over & offered to buy over his practice in a multi-million ringgit deal.

while most of us are contented practicing within the safe confines of a medical centre, my entrepreneurial & far-sighted colleague obviously took the path not taken & that has certainly made a difference.

congrats, my friend, you deserve the success for your courage & vision !!

Wednesday, October 21, 2015

lapse of concentration


i had a lapse of concentration yesterday.

i was doing an invasive procedure called central venous cannulation, essentially inserting a plastic tube (red arrows) into a vein lying within the chest, when i accidentally punctured the left lung.

this resulted in an abnormal collection of air (yellow arrows) called a pneumothorax in the space between the left lung and the diaphragm. it was potentially life-threatening and was managed by inserting another tube into the chest that provides an escape route for the air pocket into a bottle.

i just think it could have been avoided had i been more cautious. in a way, it was timely that it happened. i've been on a roll lately & this is just the wake-up call needed to remind me of the oath i took at the beginning of my career.....

first of all, do not harm.