2004 年 9 月 15 日 星期三 【晴】

A&E department is quite funny a place
I am now in PYNEH

do call me if you guys have time to meet

Take good care of yourself

>>September 15, 2004 at 4:47:40 PM GMT+8

2004 年 9 月 7 日 星期二 【晴】

I am learning to be myself
I will try

The world is very different from what I think before
So as ppl's mind and act

Complicated !

>>September 8, 2004 at 3:55:11 PM GMT+8

2004 年 8 月 30 日 星期一 【晴】

Hello, dear friends

How are you?
It is really a long time that I didn't write anything here...
Reason?
Just busy and no mood at all

Working is really physical demanding... not mentally demanding

That is what in my mind recently...
In the past, when I was still in the medical school
Professors always remind us that when we choose to perform a physical examination or some investigations,
we need to do so only when those things are indicated for that specific patient,
it is "brainless" to perform something which cannot help in managing patient or is not indicated (useless)

However, I found useless and senseless investigations all around me recently...
SOME of the doctors always perform investigation without thinking...
such as, ABG when patient is not SOB... Trop I when patients feel chest discomfort... Blood culture when patients get a fever even though they are taking several antibiotic...

there are many many things which are beyond the things I learnt from medical school. I understood that they do so because they don't wanna miss anything which may affect their career...but... do they still remember what they have learnt? If all doctors just prescribe or order something in such an inflexible manner... Computer can be doctor in the future !!!

Interns are supposed to learn from senior... but... do I need to learn from them like this?
I wonder...

Life is still going on...

>>August 31, 2004 at 3:35:23 PM GMT+8

2004 年 8 月 6 日 星期五 【晴】

很久沒有寫日記了
不是沒有心情
而是真的沒有時間
別人常說骨科應是很悠閒的一科
其實一點也不是這樣
骨折的還不是那些年紀老邁的
要處理他們其他的內科毛病
比處理骨科的毛病還要多,還要時間

再者,其他瑣碎的工作裹很多...唉

不過,最難適應的是同事之間的相處
要上司賞識你,要同事認同你...真的一點也不易

今天,在電視上聽到一段訪問
其中受訪的一個成功人士道:
"若你常覺得自己懷才不遇,常自怨自哎,感到泄氣,這是不對的...
如你是一頭千里馬,不要只單單的坐著乾等伯樂出現,
正是因為你是頭千里馬,你就更要跑得比別人快,要去找你的伯樂...
千里馬不跑,伯樂又怎知這就是千里馬..."

我一定會努力去找我的伯樂

>>August 7, 2004 at 4:12:02 PM GMT+8

2004 年 7 月 20 日 星期二 【晴】

Time really flies,
it has been about one month after starting to work

Well, life is really very different...
not in a sense of status
but the nature of pressure

In the past,
when I was a student,
the only pressure was from study, or most specially whether I can pass or not
Now,
the pressure comes from the human relationship between colleague; from work; from the night time shift ...

However, I still prefer working to studying
hahaha...

I really need to work hard, coz competition is extensive and if I want to find a job, I have to make myself notice and friendly to people,
BUT, HOW???...
I realize that I am not very good at handling this...
Please let me know what can I do to become more popular...
how can I find a job...

Friends,
Do keep in contact

>>July 20, 2004 at 4:24:53 PM GMT+8

2004 年 7 月 8 日 星期四 【晴】

Life is extremely difficult here...
Too busy that you can hardly imagine

I face a very "malignant" ppl...

I hope I have more clinical experience..
I hope there will be one who can be my good supervisor...
I hope I can find a job later

>>July 8, 2004 at 5:05:11 PM GMT+8

2004 年 6 月 26 日 星期六 【晴】

剛從日本回來...
所有工作立即開始

我實習的首三個月在瑪加烈醫院骨科部工作
所有所有的事情都很新鮮
要面對的事情真的很多...
畢竟讀書和工作之間,的確有一個很大的鴻溝...
例如:
人事的適應
同事之間的相處
工作的重大責任
等等...

希望一切都可以順順利利
相信這一年會是相當的忙碌

>>June 26, 2004 at 6:51:18 PM GMT+8

2004 年 6 月 17 日 星期四 【晴】

6月11日是我人生一個轉捩點
我畢業啦 !!!

多謝各位的支持,
讓我可以走過這關口
無以為報...
從心的感謝你們

當人生進入另一個里程碑時,
真是百感交集
五年光音的過去,
那黑暗時間是沒有人會明白,
但我走過了,
用我的一雙腳走過了

重拾精神,
要再次上路了
我會更加努力

大家也要振作...
努力向著未知的將來, 奮鬥呀 !!!!!!!!!!

>>June 17, 2004 at 5:28:02 PM GMT+8

2004 年 6 月 9 日 星期三 【晴】

完成了考試,
但願 11/6/2004 是一個好日子

>>June 9, 2004 at 4:48:40 PM GMT+8

2004 年 5 月 28 日 星期五 【晴】

I begin to feel that I may suffer from some psychiatrical problems after the 3rd of May...

as followed:
depressed mood
irritable,
agitated,
poor sleep quality
poor concentration,
ahedonia,
social withdrawal,
poor memory,
preoccupied,
ataxia,
bulimia,
sometimes chest discomfort, palpitation, nausea
some flush back of the memory
hypnagogic hallucination
.....

what do you think my disgnosis is?

Differential diagnosis:
1) Depression
2) General anxiety disorder
3) Panic disorder
4) Adjustment disorder
5) Post traumatic stress reaction
6) Personality disorder
7) Dissociative amnesia
8) Early Dementia

DIAGNOSIS is ALL !!!!!!!!!!!

Management:
1) Biological: GRADUATION GRADUATION GRADUATION
2) Psychological : GRADUATION GRADUATION GRADUATION
3) Social: GRADUATION GRADUATION GRADUATION

>>May 28, 2004 at 4:41:38 PM GMT+8