no bets

doctors shouldn't bet, because by nature, we're supposed to be averse to taking risks, whether calculated or not.

i was on-call the other day when my obstetric colleague asked me to do a procedure on his patient. he said he'd bet that the patient would scream her head off during the procedure; otherwise, he'll buy me a beer, not that i'm the drinking type.

to his & my surprise, she didn't even let out a whimper.

so today, after a hard day at the hospital, i'm having beer after dinner.

& someone else wants a piece of the action as well!

cheers!

like i said, doctors shouldn't bet.

framed

why would anyone use someone else's name to commit a misdeed?

the nurse used my name to falsely obtain psychotropic drugs, examples of which include pain-killers like morphine & sedatives like valium, from the locked cabinet. apparently he's (yeah, he's a male nurse) been doing it for some months before someone snitched on him.

today, the guys from the pharmacy division of the health ministry came around to conduct its enquiry. because my name was used to perpetrate the theft, i was asked to give a statement which went on for a few pages. and yeah, these guys can't string a sentence in proper english.

but this is not the 1st time i've encountered this problem. psychotropic drugs are widely prescibed in the emergency department as well as in the operation theatres. when i was a trainee in OT at a teaching hospital,  one of the lecturers was found unconscious & frothing at the mouth one evening. it was later found that he had multiple injection marks on his limbs. another trainee with a similar problem was asked to leave the postgrad course.

this is not just a local issue. when i was in UK, a fellow trainee as well as a specialist were found to be drug-dependent. however, instead of being punished, they were sent for counselling 1st, after which, the trainee ended up in general practice while the specialist went into early retirement.

the male nurse has since left the hospital. at the very least, his nursing licence would be revoked. but he is only in his 20s & he is street-smart, which will likely see him thru. after all, he often lamented that he has been left largely to his devices in his growing years while both his parents had been busy working.

brainstormer

come on, take a guess!

three times a lady

somehow, i thought of lionel ritchie's hit song when i read about the passing of heart-transplant girl tee hui yi. her heart failure had been initially & temporarily managed with a mechanical heart. the battery which operated it looked like a trolley bag which she lugged around with her. she then had a heart transplant in 2007 which failed. she was extremely fortunate to have found another donor heart within 24 hours & the 2nd transplant had kept her alive till yesterday.

technically, she had lived 3 lives & captured the imagination of the nation with her grit & determination to live. she's truly one tough lady!

And now that we've come
To the end of our rainbow
There's something
I must say out loud

You're once twice
Three times a lady.

i hope that you will be remembered for your courage & tenacity to beat the odds, more than the pseudo-heroes we were led to worship, like the space traveller, channel swimmers & mountain climbers.

hui yi, may you rest in peace.

learning to resuscitate.....the proper way.

do you know there are courses that teach the general public as well as paramedical & doctors how to help the collapsed man-on-the -street?

the basic life support course is mainly for laymen while those who have attained basic knowledge can sit for the advanced course. the latter is mainly geared towards paramedicals & doctors.

the course content is essentially based on the guidelines provided by the american heart association or european resuscitation council, & may be modified for local requirements. this was not part of medical undergraduate training, so most of us should attend these courses to update ourselves on advances in resuscitation. i said should because it is not compulsory at the moment.

so, i took it upon myself to attend one last weekend. the content of the course has remain largely unchanged since i last participated more than 10 years ago. it was very useful, to me at least, to re-learn the rigmarole of providing critical care.

each of the participants were tested on the theory & practical aspects of resuscitation. on successful completion of the course, a certificate was given. this is not the end, mind you. the certificate rightly is valid for only 5 years, after which one should to be re-tested. again, i mentioned should because this is not compulsory at the moment.

for more details in learning basic life support, check-out the following websites:
http://www.sjampenang.org.my/training_blsaed.htm
http://www.yjm.org.my/index.cfm?menuid=6
http://blstst10.blogspot.com/

is crime rate really down?

the IGP said it is. the Home Minister agreed.

my taman has been extremely peaceful, ie. no reported break-ins since the 1st residents moved in 12 years ago. but yesterday, 3 happened within a day.

at about 3pm, no one was in when persons unknown broke into a businessman's home, just across the street from where i live.

at midnite, thieves ransacked the home of another businessman behind the street from where i live.

at 6.30am this morning, 6 masked men jumped across the wall into my neighbour's home just 2 doors away. apparently, they had been waiting for the husband to send the kids to school before making their move. they warned the wife they only wanted money & jewelry, otherwise they'll hurt her.

the policeman said this is the 1st time they've been to the same taman 3 three times within 24 hours. as expected, he gave that sheepish look when asked if he thought crime rate was down.

what i learned from these unfortunate events, besides being a lot more careful & aware of the surrounding, is to keep some cash at home to appease any potential intruders. loss of cash trumps personal injury or loss of lives anytime!

i can count the number of gated/guarded communities in this town in 1 hand but that could change soon. i heard vendors of home alarms & CCTVs are doing a roaring business.

keep safe!

the horse has bolted la!

just saw the late news. the PM, while officiating the ground-breaking ceremony of  MAHSA university's new campus, said fewer schools offering high quality medical education would be a far better strategy than having too many offering sub-standard education.

is he admitting that the mushrooming of private medical schools in the country, the licence of which were issued by his govt, thus far had been a bad strategy? too many sub-standard schools producing too many sub-standard doctors, who show neither dedication nor conviction in their line of duty?

too little, too late, don't you think?

now here's a scary thought  - make an appointment with a doctor from hell...... at a hospital near you!

national service

my daughter was called up for the 3rd batch of national service this year. the letter arrived 3 weeks ago. naturally, she would not be able to attend but i'll have to apply for exemption. or rather, in this case, postponement.

but, if she could go, would i have gladly let her?

not really. going by horror stories of how young healthy youths perished from known & unknown causes during camp, compounded by the lackadaisical attitude of the authorities, unconvincingly assuring that things are under control, i would think many concerned parents would object, if they had a choice.

furthermore, i doubt if the main objective of fostering closer relationship amongst youths of the different communities would be achieved. yeah, a few will become friends but by & large, they will remain segregated because they have been so since primary school. after 11 years in school where each student is made aware of the differences amongst the communities & yet not encouraged to reconcile, how will 3 months in a survival-like course make them bosom buddies?

& after the enforced camaraderie & apparent comradeship is over & everyone goes home, life goes on as before.

same old, same old.

oh no, not another blueprint....!

on tuesday, the education ministry will announce yet another education blueprint, to move towards the uncharted territory called world-class education.

amongst the elements of this transformation, drawing high calibre graduates to teach & awareness that students are better off being bilingual or trilingual, will be given emphasis. so, i found this statement rather odd.....

shouldn't those english teachers who are found to be low or non-proficient be asked to teach some other subjects, instead of flogging the proverbial dead mule? looks like our kids are going to be subjected to another round of trial-and-error education. solly, I no speak Ingrish.

this reminds me of a blog posting i read recently (read here) where a faulty landing gear of a new MAS plane was not fixed within the 30-day grace period. so far, MAS has not denied this allegation.

isn't this scary? we know what plagues the country, yet the people who can fix this aren't doing it? doesn't this give you the sinking feeling, or in aviation parlance, mayday, mayday?

brave new world

uprooting oneself to move to another country is a daunting experience for many.

21years ago, on sept 1, i started my new job as a trainee doctor in a small NHS hospital in dover, england. i was thrilled to receive the acceptance letter in late july that year, after having sent out more than 10 applications for a training post. suddenly, there were hordes of things to do before leaving, eg. apply for no-pay leave (which was denied), send out resignation letter, book flight tickets, settle income tax, sell the car, pack the stuff to bring along (mostly notes & books) & discard the rest, and oh yes, spend time with the parents in the hometown. yeah, i remembered my father shed tears as i drove off that day.

it helped that the wife had been to london before. so, it was a breeze to catch the coach from heathrow to victoria station, & then a train to dover in the south coast. the hospital has a accomodation officer who took us to our rented house.

i hit the ground running. no observation or familiarisation period but straight into the job, which was to be the 1st of many. the whole training process had taken me from dover to brighton, sheffield & leeds. i have to admit that i was very impressed with the work culture in the NHS. the service is consultant-based & the trainees are given ample opportunities to learn hands-on, attend courses & time-off for exams.

after 4 years, i'd like to think that i became a better doctor from the experience. i achieved the post-grad degree i had initially set out to attain, made some good friends & colleagues, travelled widely & returned home with an addition to the family - a lovely daughter.

on hindsight, would i have done anything differently?

maybe, i should have stayed back.

just maybe.

saya yang mengikut perintah

many letters from govt departments end with these words. it means that the writer is just following instructions "from above," even though that person may well be the head of the dept. i thought it rather odd - if everyone is following instructions, can no one do things differently, or must it be strict compliance to "the instructions" from whoever who issued them?

i was interrupted in my sleep early this morning by the nurse from ICU, informing that my patient's breathing was laboured & the oxygen  content in his blood was very low. having rushed to hospital in double quick time, i was dismayed that the nurse had administered to him only 2 lit of oxygen per minute all that time, a miserly amount given his dire condition. she defended herself by stating that was the flow rate the previous doctor had ordered.

naturally, i snapped at her & criticised her for not using her discretion. 2 lit/min of oxygen is fine for most patients who are not critically ill, but when they develop breathing difficulties that result in low oxygen content in the blood, the oxygen flow needed to be increased. the level of treatment must be appropriate for the condition of the patient - is that too difficult a concept to grasp???

anyway, everything turned out ok for the patient. i left the ICU with the sinking feeling that the public sector's "saya yang mengikut perintah" culture has already pervaded private medical care.

**sigh**

claypot loh shi fun

some years ago, a friend brought me to Yoke Heng restaurant in seri kembangan for the unique claypot loh shi fun.

made a day trip into KL yesterday & i decided to try to find it by GPS. it was actually listed under the dining section. it's that famous also because on the wall of the shop are media clippings of famous personalities who have feasted there, although i couldn't recognise any of them. the guy who took our orders also recommended the deep-fried taufu & seafood noodles.

did you see that HUGE prawn with the noodles? have a closer look here....

yeah, this dish caused a HUGE dent on the wallet as well!

:-)

false impression

do all doctors in private practice drive big cars?

not necessarily true, but the parking attendant at the hospital seemed to think so.

being a holiday yesterday, i drove the wife's little proton & parked randomly in one of my colleague's lot. when i returned to the car park several hours later, one of the wheels had been clamped.

more amused than shocked, i reported to the parking office. the attendant apologised profusely while admitting, "tak sangka doctor pakai kereta proton la!" (translation: never expected a doctor to drive a proton!)

so there, that's one myth busted - now you know of at least one doctor who drives a little proton.

on the same note, not all doctors in private practice are mercenaries, either, but that's a post for another day.

just say sorry.....

i remember in the 60s, the singapore government actively promoted their "stop at 2" & "2 is enough" policy on TV. this was in reference to limiting the number of children to 2 for each family, one reason being that the small land mass of the island may not be able to support a fast growing population.

fast forward half a century & as a result of that policy, they find themselves short of skilled labour & professionals, resulting in the rapid influx & immigration of foreign workers, much to the angst of the local residents.

in an interview some years back, lee kuan yew, the ex-PM who enforced that policy, confessed that he had made a mistake & in a turn-around, encouraged couples to have 3 children or more, if they could afford it. now, with the low fertility rate threatening to change the demographic profile of singapore, his national day message was headlined as this:

it was a mistake, he admitted, & the government is trying to reverse the trend. at least, he was being honest.

now, can we expect our government to confess its mistakes, take responsibility & then try to correct them?

gold

i'm as patriotic as the next guy & i do so want lee chong wei to win malaysia's 1st ever gold medal at the olympics but......

there's just too many unnecessary distractions to that cause, the biggest being the immense financial rewards promised for the feat. this includes the prize money, pension for life, a block of solid gold (valued at rm2.5m) & probably a host of others offered by his sponsors.

now, the PM's wife is making a special trip to london just to lend support for the realisation of the malaysian dream.

i have no doubt chong wei is one of malaysia's true sportmen whose professionalism & commitment to the game is beyond doubt, but he is human & all these pressure will play on his mind.

i have reservations but i hope he proves me wrong.

i hope he plays for the gold medal, not the bullion.

in any case, he's a national hero already, being the only sportsman to win medals in consecutive olympics.

go, chong wei!!

(our doubles pair has consistently disappointed us, this time by faltering in the semi-finals)

it's not what you say; it's how you say it.

a caring goverment

1st they dish out bantuan rakyat money for the needy...

then students get book vouchers & free laptops...

taxi owners get free tyres....

undergraduates get discount cards....

this week, civil servants & pensioners get bonuses....

and today.....doctors in private practice get to increase their fees by up to 14%!!

don't you love a government that has the rakyat's interest at heart??

glamour teams

that's the name given to nurses & paramedics who are part of subspecialty teams, eg. neurosurgery or cardiac surgery. it's perceived to be glamorous because they are personally handpicked by the respective specialist to assist in complicated surgeries.

they also get special time-off from work & opportunities to attend courses but they have to be present when duty calls, whether on weekends or public holidays.

or, any time. like tomorrow, the 1st day of the fasting month & a public holiday. i can see some of them pulling long faces already.

suddenly, it's not so glamorous, huh?

maybe it's like, following a whim or fancy, you choose a career in medicine. anticipating the glamour that is perceived to go with the profession, suddenly the realisation that the long hours of sleepless nights, demanding patients, mean nurses & overbearing superiors hits you. & just as you think the worse is over, you realise you can't quit to open your own clinic because wherever you had in mind to operate, there are already 10 others before you. & it takes ages to enter the post-grad masters program because, somehow, others are given preference over you.

no, it's not exactly what you REALLY had planned to do for the rest of your life, the honorific "doctor" notwithstanding.

now, was that a dream or nightmare?

bonding with the neighbourhood kids

can i say that most of us don't know a lot of people in our neighbourhood?

if you're like me, we work all week & when the weekend comes, we spend it with the family. maybe visit or go out for a meal with some close friends.

the interaction with the neighbours is mostly a hi & bye type, except for the occasional open house or wake service.

the kids in our taman at least have a common interest. they play football at the field on sundays & some parents have begun to join in as well. not many but it's a start.

hopefully, with time, more will join in & we can have some semblance of the muhibbah spirit of days gone by.

is it a good time to be a taxi driver?

taxi owners seemed to be getting a lot of goodies this year.

last week, they were promised a set of 4 new tyres a year. yesterday, they were offered rm100 a month for 12 months if they were courteous to their passengers. soon, they may even get socso benefits & group accident insurance coverage.

yeah, it's good to be a taxi owner in election year - only problem is that a permit may costs an arm & a leg.

soon, maybe doctors want to demand for a new pair of Nike Air (for running around the hospital) & extra rm100 a month for being courteous to the patients.

or, teachers may demand a new wardrobe & rm100 a month for being courteous to the students.

but, wait a minute here ....... aren't the taxi drivers, doctors & teachers supposed to be courteous anyway?

another can of worms opens.....

sushi king, anyone?

i only take japanese food once in a while & go to sushi king maybe just once a year. most times, i get the cheaper version at jusco when they sell the day's portion at 30% off after 8pm.

yesterday, my nurse assistant told me sushi king is offering rm2 a plate for all types of sushi. she loaned me her membership card & this was what happened when you go to sushi king only once a year.

this was possible only because i had missed lunch.

Studying

i think this image aptly portrays what my dear daughter is going thru. the can of soda, bar of chocolate & iPod are all frighteningly familiar.

yeah, she's even mentioned the "D" word.

advantage

malaysian students studying in s'pore have one distinct but small advantage over the local students - mastery of the malay language.

what's the big deal, you ask.

no big deal la, except that they make up most of the debaters for polytechnics/junior college teams in the national schools malay language debate. for the local malay schools, the madrasahs, the malay students participate.

my daughter's school, VJC, managed to scrape through the round-robin stage to enter the last 8 for the knock-out competition. the school's debaters are all malaysians.

what's ironic is that in the quarter & semifinals, they consecutively knocked out 2 madrasahs, only to meet, in the final, yet another madrasah, one whom they had earlier lost to in the round-robin stage.

they debate tomorrow. may the better team win. go VJC!!

fickled-minded

after 2 weeks of wan tan mee, char kuay teow, mee siam, roti canai & dim sum, i kind of miss a good full english breakfast.

starting with oven-fresh bread with butter & juice, the main course usually consists of bacon and/or sausage.....

potato patties, baked beans & eggs.

the scrambled egg has a rich yellow colour because it's duck eggs. besides its high content of protein, vitamins A & E, it's also high on cholesterol.

just goes on to show that too much of anything can't be good.

awfully quiet

my daughter has just gone back to the hostel. of the 4-week term break, we spent the 1st 2 weeks on vacation, & she pretty much stayed in her room for the next 2 weeks to revise for her mid-year exams starting next week.

it's not that she is loud or boisterous but the home seems awfully quiet without her presence. one less person at the dining table, one less passenger in the back seat & one less child to kiss goodnite.

we can't wait to have her home again in august!

MAS - rightfully the nation's pride

a lot has been written about the deplorable state our national airline MAS is in, suffering losses in successive years for some time now, despite having gone through several so-called transformation programs. these essentially involved cost-cutting, staff severance & asset stripping, amongst other painful processes.

we flew on MAS recently. the 747 jet looks old & the interior could do with some serious refurbishing. but i have to say, the cabin crew served with diligence & more surprisingly, a friendly smile despite the long haul trip. we had 2 main meals, which were pretty good,  & a snack with plenty of drinks in-between. the in-flight entertainment had recent movies.

even though the recent financial crises & rising jet fuel costs have affected the bottom line, as other regional airlines are similarly affected, ours has been a perennial problem for longer than that. the many management changes suggest that matters are not well at the top.

are we lacking competent & dedicated professionals to run our national corporations? i think not. just look at Air Asia. in the mean time, i hope the cost-cutting would not affect passenger safety.

yes, i've been watching too many episodes of Air Crash Investigation on Nat Geo channel, & a crash is not a pretty sight!

fathers' day

a little token from the kids...

and just to share this.....

blessed fathers' day!

Blessed Day, my Father in heaven!

what's there not to like about england?

well, not a lot.


1) a direct flight takes about TWELVE hours!


2) if your joints ache when it's cold, they still will even in summer - the weather is just too unpredictable!

3) in winter, the sun rises at 8.30am & sets 3.30pm, and the days seem to pass really fast!


4) the ringgit doesn't take you very far - a big Mac alone costs rm20;


5) after 5 days of bacon & sausages/sandwiches/fish & chips/meat pies, you'll crave for nasi lemak or char kway teow & you won't find a warung/food court up your street selling that!


6) if you drive, petrol is rm6.60 a lit!


and finally, if you're a victim of a poor education system and SPEAK NO INGRISH, you'd better off staying home.

what's there to like about england?

plenty, actually.


1) MAS flies twice daily direct to Heathrow;


2) frequent train/bus connections into London & beyond;


3) hotels & car rentals can be booked online;

4) people are generally friendly, courteous & honest;

5) people EXPECT you to be friendly, courteous & honest;


6) free entry into London museums ;

7) travel cheap on the bus/train/underground after 9.30am on weekdays & all day on weekends;

8)some cities charge high parking fees, & therefore provide good Park & Ride services - one fee includes car parking with bus ride into the city;



9) almost always a sainsbury/tesco/asda/morrison everywhere you go, some are opened 24/7;


10) almost always a good offer if you search hard enough;

11) a paradise if you love sandwiches;


even better in summer when the sun rises around 5.30am & sets 9.30pm.....

which gives you at least SIXTEEN hours to explore!!

4 wishes

i wanted to be  here......

she liked the atmosphere here......

he was thrilled here.....

and, the wife was on retail therapy at all three locations!

a leopard never changes its spots?

after 12 days away from home, having full english breakfasts

stew & boiled veggies

sandwiches

scones with strawberry jam & cream,

the 1st things on our minds for dinner were laksa, char kuay teow, prawn mee & cendol. 


once a malaysian, always a malaysian?


PS. nasi lemak? oh, we had that on the return flight.

travelling light

when you travel by low-cost airlines, you tend to travel light because they charge for baggage. but when you travel by full-fare airlines, usually 20kgof  luggage per person is allowed without charge.

we usually travel light &  this time is no exception. with 4 of us, we checked in only 2 luggage bags. the total weight?

28kg.

can anyone beat this?

detoxify

when i told a colleague that i was going on vacation with the family soon, he said it's good to detoxify yourself.

detoxify?

i was stumped for a moment, but then, realised it's an appropriate although unusual description.

of late, it has been rather stressful at work, not only because of increased workload (often seasonal) but also a succession of patients with difficult problems. throw in the contagious bugs & germs, & yes, i'd say the hospital environment can certainly be toxic.

well, i'll be off till the end of school break, & i can't say i'd miss the hospital one bit! also glad the general election is not called while we're away.

cherio, mates!

hiding the truth

it quite common that we will loudly proclaim good news & keep silent on less happy events. when you read the mainstream media, most likely the govt's finest achievements will be front-page news while misjudgments will be consigned to a footnote, if mentioned at all.

after all, who wants dirty linen on public display?

my son certainly doesn't want that either.

that's why he hid his english test paper from us. the wife found it this morning tucked deep into a side compartment of his school bag. when asked why he didn't show it, he cunningly replied it's because we never specifically asked for it. ha ha, i can see where he gets this crafty trait from.

needless to say, he only got 85%. that by itself is average, but will be difficult to accept, considering that some of his chinese-speaking classmates outscored him.

he will be punished - no, not for the marks but for hiding the truth.

i, too, wonder if the govt should also be punished accordingly for hiding the truth?

be careful when flossing

i floss 2 - 3 times a week. most times, when i flossed vigorously, the gums bleed a bit.

last nite was a bit different. while doing it, the floss seemed to get stuck in between teeth. as i tugged firmly with fingers at both end, something popped out. i feared it was a tooth but there was no bleeding.

turned out to be a filling instead.

went to the dentist today to replace the filling.  she said a filling normally lasts up to 10 years, by which time it would have loosened or cracked. i can't remember when i had that filling done but next time the floss gets stuck, i'd just release one end & thread the loose end thru the teeth instead. that would have saved me a visit to the dentist.

with that constant drilling, it's no walk in the park!

a pleasant surprise at the check-out counter

there is a promotion for assorted flavours of bottled green tea at the supermart. normal price is $2.00 each but for this weekend, 2 bottles for $2.85.

so, i got a bottle each of 2 different flavours, amongst other items. after paying, i was surprised i was billed $2.00 & $2.10 respectively for the 2 bottles. on closer inspection, i realised one of the two was a red tea, priced at $2.10 & not included in the promotion.

what was i to do? after all, i had paid & moved out of the counter already.

so, i decided to take a chance. i took another bottle of green tea & queued at the same counter. when i explained my oversight to the check-out lady & asked to exchange the normal-priced red tea with the promotional green tea, she promply amended my purchases & gave me a refund.

no hassle, no fuss.

how about that for exemplary customer service?

have you been frustrated by bad service & bad attitude from the supermarts?

turning 10

i have 2 birthday posts in May. though unplanned, both my kids were born in this month. the girl turned 18 in the last post & the boy turned 10 today.

looking back, this is how he's grown since the last birthday:

1) he's started using underwear. he knows the perils of not wearing it;  read here. 

2) he's sleeping alone at night;

3) best of all, he says grace before meals & prays before sitting for his tests/exams.

Direct your children onto the right path,
and when they are older, they will not leave it

                                                                  prov 22:6

turning 18

i used to think that when you're 21, you've finally achieved liberty. because on your 21st birthday, you usually get a key-shaped present, be it a pendant, a plaque or even a cake. the key symbolises freedom, but from what, i don't really know. not financial freedom, that's for sure, since most people at 21 still depend on their parents for living & education expenses.

now, i think youths achieve an independence of sorts when they turn 18. they can sign consent forms for medical procedures, they are entitled to supplementary credit cards & can operate a bank account on their own.

however, some see this rite of passage differently. i asked my daughter how she felt about turning 18 today. she said now she can consume alcohol & go clubbing.

i chuckled, though i'm not really sure if she was serious about going reckless. remember, she recently ran thru a red light on her driving test?

still, she is who she is, & i love her to bits! blessed birthday, darling daughter!

monkey see, monkey do.

while the food & drinks stalls were doing a roaring business during the recent bersih 3.0 rally, apparently a group of businessmen felt hard done by. read here.

really? did they lose that much? RM100m? in less than one day?

just because the rally was vilified by the govt, they've decided to ride on the coat-tail & claim their spoils. make hay while the sun shines, so to speak.

now, i wonder if they'd use the same figures when they submit their business income tax in june?

false identity?

i was at the wake service of my colleague's father-in-law last nite. at 76, he had been leading an active life till the heart attack took its toll on him.

one of his friends who stood up to speak of him, said he was very surprised that for the 6 years he had known the deceased, it was only recently that he found out the latter's son-in-law is a heart specialist. in other words, he had lived on his own identity, & not by whom he knew or was related to.

that impressed me a lot. how often these days do people like to boast of whom they know & who their friends/relatives are, just to gain a bit of recognition? i suppose you get that a lot in corporate dealings when agreements/contracts needed to be inked asap.

even some of the wives of my colleagues have forsaken given up their surnames & introduce themselves as mrs so-and-so. in the west, a married women is expected to take her husband's name, & some still keep them even after divorce, eg. ivanka trump, bianca jagger. however, i doubt if we are ready to relinquish our asian values at the current moment. furthermore, is there any place or a valid reason for a change in our identity cards, driving licences, passports, EPF, or income tax forms?

anyway, i speak for  myself & all these years, the wife is still known by her maiden name.

the new gold?

Our gold medallist at London Olympic Games stands to become an instant millionaire.

that's a story in The Star yesterday (read here). call me old-fashioned, which i am, but we always talk about the good old days when representing the country in the world's sporting arena was an honour & winning was the one desire in every sportsperson's dream. the prize money, though pittance those days, wasn't much to brag about.

remember the football team of arumugam, santokh singh, soh chin aun & mokhtar dahari? we were consistently the best in south-east asia & second only to south korea in asia. look where we are now despite turning professional?

in badminton, we have no clear chance of winning the thomas cup since 1992, when the razif brothers last brought glory to the country. now only lee chong wei has consistently won at international level while the koo-tan pair (in 2007) & roslin (in 2003) proved to be a flash in the pan at the all-england. unfortunately, squash is not yet an olympic event.

maybe money has nothing to do with our title drought but it sure can be a distraction.

on an unrelated matter, if you support electoral reforms, wear yellow tommorow.

it could well be the new gold.

the wicked truth

truth is not only about facts or reality. it's also what the majority of people agree on.*

like centuries ago, people believed the sun revolved around the earth, or that the earth was flat. they had no scientific proof then, so they just believed because that's good enough for them.

it's just down to perception.

i remember this conversation from the mini-series the kennedys. john f kennedy was worried about how the public would respond to their campaigning for presidency. his father reassured him : it's all about perception & with the right amount of money, we can make people think what we want them to. and as we all know, the younger kennedy was duly elected.

so, perception seems to create a more powerful impact than the truth. perhaps, there's actually no such thing as twisting the truth. just project the image you want people to see you as, & to them, that's the truth.

politics is such a crafty art.

*from the musical wicked

love of my life

my daughter has been asking me to watch the musical wicked with her ever since it started last year. the show will end its run on apr 22, so since i'm free this weekend, i told her to get the tickets. she called while queueing for the tickets :

she : papa, the cheapest tickets are all sold out.

me: how much are the next category of tickets?

she : 95 bucks!

me: ok, go get it

she : it's so expensive! are you sure?

me : it's ok. you're the love of my life.

in a way, i couldn't quite believe i said those words but it's my strong belief, though simplistic, that children brought up in an environment of love, be it propagated by thoughts, words or actions, generally will grow up to give love as well. that said, i must confess that neither of my parents ever said words to that effect to me, although they did show it by their actions of caring for the family. not quite the same, is it?

anyway, i thought 95 bucks is not exactly an arm or a leg, but the time spent doing the same things she likes would eventually prove priceless.

of peas & little batteries

when i was still in primary school, my 4-yr-old neighbour stuffed some green peas into her nose. her concerned parents 1st took her to a nearby barber shop. it must be out of desperation because up till now, i can't figure out why they brought her there, but those barbers manning the shop flatly refused to do anything because the girl was struggling & that wasn't helpful. in the end, they took her to a clinic. don't know what the GP did to calm her down - probably didn't but just asked her parents to restrain her while he successfully removed the offending peas.

fast-forward 4 decades & kids haven't changed much in their propensity to stick things into their noses. this girl, also 4-yr-old, started producing blackish secretions thru one nostril associated with pain. her parents brought her to hospital & she was under general anaesthesia to find out the cause of her nasal discharge. this was retrieved.....

it's a miniature battery, either from an autogate or car alarm remote. the difference between this & a pea, is that small currents flow when the battery come in contact with the moist tissue in the nostril, causing miniature burns. it's been in the nose for 2 weeks & that would explain the black-coloured secretions. it also caused a perforation of one of the inner walls of the nasal cavity.

i imagined, had that been a more powerful battery, would there be smoke coming out of the nose??

another item to add to the "most expensive" list. read here and here

ah......now, that's another change!

my son just changed piano teachers. his 1st teacher, Grace, which i think is a lovely name, passed away after a long illness 2 years back. he's been with this 2nd teacher since, & we did notice over the years that he's neither been too enthusiastic about the homework nor practising at home. he used to play on his own initiative but now, we even have to coerce to get him to the keyboard.

then, we realised to our horror, that this teacher only teaches for 30mins on the piano, then gives out written exercises for the remaining 30mins, during which time, she teaches another student on the piano!

i beginning to wonder if this is the norm amongst music teachers?

now, the new teacher, coincidentally also named Grace, which makes me think that life has gone a full circle, assured us the boy will have her undivided attention for the whole hour. when we paid for the lessons, in advance as is the practice adopted by all music teachers we know, she issued a receipt.

we were surprised, mentioning to her that all the previous teachers just recorded payment in a notebook. she said she pays tax on her income & she's ok with that. she also quoted this from the bible :

"Tell us then, what is your opinion? Is it right to pay the imperial tax to Caesar or not?” the Jews asked.
Then Jesus said to them, “So give back to Caesar what is Caesar’s, and to God what is God’s.”
matt 22:17, 21

oh, did i forget to mention that her father is a practising pastor?

ah....now, that's a change!

as medicine seems to be the perennial flavour-of-the-month amongst young, impressionable school-leavers, it was indeed a refreshing change that someone else intends to pursue a different career path....

smart boy - not for him are those long hours & late nites his father spends at the hospital. still, it's early days yet & he could change his mind later. after all, i had wanted to be a bus conductor before.

see where i ended up?

iPaid

i'm not that grumpy - only paid for an iPod so far!

do you want to be a doctor?

i received a few queries from SPM-leavers enquiring about qualifying for med school & life as a doctor. as it happened, there is an excellent elaboration on this issue written by a physician in the form of a letter to a prospective medical student. all interested students should read it here.

i can vouch for Dr Wong's impeccable credentials. he was an excellent med student & i am proud to have been his classmate.

next time, drink beer from a can?

people accidentally swallow a variety of stuff. children swallow pieces of toys while adults, dentures, chicken & fish bone. so they come to hospital to have them removed under general anaesthesia.

this chap had a drinking session till late one nite. he must have been stoned drunk because he didn't realise anything wrong till the following afternoon. he felt something stuck in his throat.

his xray showed this:

the close-up:

and yes, he did remember he had quite a few rounds of heineken:

it would definitely be the most expensive bottle-cap in the world - once he gets the hospital bill!!

however, i doubt if he would drink beer out of cans after this. how else is he going to get the pretty promoter girls in tight skirts to serve him? heh, heh!

it's that $%#@&!! time of the year again.....

you know the one i mean?

yeah, the day when the results of the public exams are announced.

which is today.

headlining the news would be the top scorers with a whole bunch of A+s to their names. good for them because, i assume, they worked hard for it.

but what about those that worked as hard but just fell short of perfection? my colleague's daughter really took it hard. she didn't get THE CALL yesterday. apparently, the state education department calls up the straight A+ (not just A, mind you!) students a day before the results are announced to invite them for a special ceremony to commemorate their success.

so, she didn't get the call. she was upset & so was her mother. her father, my colleague, took the news better, probably because, like me, we went through the old system & were satisfied with the ...er...above-average results we got. those days were different, i guess. our MCE (& HSC for 6th form)) certificates were well respected & were easily accepted as entry qualifications into overseas colleges/universities.

as it turned out, she got 10 (yes, TEN) A+s & an A. a near-perfect score which, apparently, is not good enough these days.

in our time, we'd have partied thru the nite!! golly, don't we love those good old days!!

ps. as an after-thought, i wonder how many, if they have a choice, would stay back for the revamped STPM. the education ministry announced recently (& suddenly) that there will be assessment-based gradings instead of just one main exam, from this year onwards in a lab rat pioneering effort to enhance interest in the exam.

the week that was

the one-week school break sure passed by fast.

the girl has been home this whole week but i've not had much time to catch up with her except during dinner time. she did achieve one thing though - she finally passed her driving test. (read here)

the boy did something nice, too. he loves frozen yoghurt & he offered to give us all a treat today, limited to rm20.

as a working parent, sometimes my life is controlled by forces outside my control (read: patients) & there's a real danger that the kids grow up without my being there or my realising the changes that accompany their rite of passage.

so, in a way, i'm glad i agreed for the wife to be a stay-at-home mum.

acceptance

kids are often looking for acceptance from their peers. as students, they join school societies & cliques, & maybe out of school, they join secret societies & gangs.

my son has his own group of friends in school - the so-called english-speaking group. you know the type - speaking english amongst themselves despite being in a chinese-medium school. the other day, this group tormented a girl by calling her names. she cried as she told her mother. fortunately, her mother & my wife are friends & that's how we knew about that incident. when we questioned the boy, he revealed that although the group was verbally harsh to the girl, he just stood there & said nothing. the girl confirmed that my son was just a bystander.

i can imagine the predicament he was in. to support his group & harass the girl or do the right thing & abstain? to consolidate acceptance into the group or to risk alienation?

adults aren't much different. acceptance, recognition or approval - they mean the same, a desire to be part of a group, be it family, work colleagues or business circle. 

i myself found acceptance last week. my daughter finally added me to her FB.

yay!!

i know life's unfair but then.....

it's was one of those difficult on-calls but definitely a poignant one.

11-month-old child with brain tumour which suddenly bled & required surgery. results are not promising & he had to be transferred to a university hospital for further treatment.

70-yr-old man scheduled for neck surgery. on the night before surgery, he slipped & fell in the bathroom, causing a bleed in the brain & requiring emergency surgery. the bleeding had caused too much damage to the brain &, in all probability, he will not survive.

young mother into 8th month of pregnancy. the placenta separated prematurely from the uterine wall causing bleeding. the emergency C-section saved the mother but the baby suffered asphyxiation ( medic-speak for suffocation from lack of oxygen) & died the next day in ICU.

81-yr-old man with bowel cancer scheduled for surgery. 15 years ago, he had cancer in another part of the large bowel which was successfully removed. fortunately for him, the tumour this time was again completely excised.

often i wondered to myself why sometimes innocent people suffer while others who do evil flourish? there's no way we could predict what's going to happen tomorrow. how do you explain to the parents that their 11-mth child will not see teen years, or the expectant mother that her newborn has passed on? what do you tell the children that their father, just 6 hours before a routine surgery has sustained a fatal fall instead, or a man who has developed cancer twice?

yeah, bummer, isn't it? but i suppose if you believe in a Higher Being or a Divine Power, then you'll surrender your life to the fate you've been destined with. life just goes on thereafter.

For my thoughts are not your thoughts,
neither are your ways my ways,”
declares the LORD.
“As the heavens are higher than the earth,
so are my ways higher than your ways
and my thoughts than your thoughts.
Isa 55:8, 9