October 20, 2009

what’s YOUR choice?

No choice?

or..

Too spoilt for choice?

Whatever the situation,

WE all have to make choices – whether we like it or not! (each and everyday! right?!)

HEE :D

this week, We’ll be having ‘Choices’ – PART ONE

same time. same place (blue glass doors)

SPREAD the word kay =) [be apart of the publicity team too]

IMUCF - Oct 23

 

until then, have a good week ya’ll :)

October 13, 2009

“fishy” business (hehe!) – UPDATED!! ["fish" cake]

here’s the “FISH cake” for the week. hehe. for a complete meal, a nice yummy dessert there after, would give a satisfying meal , isn’t it? So, here’s your fish cake :)

“ta-pau” message for ‘fishiology’

1) Cast your nets in prayer

2) be the Light :)

3) point the Light

***

 

yes! Something fishy’s happening in CF this week! HEHE! :P come, come, come with an expectant heart, ready to receive the word of God :) [bring your bibles]

toodles !

IMUCF - Oct 16

October 13, 2009

“ta-pau” message for ’so you wanna save lives?’ =)

hello everyone.

this is a “review” of last week’s CF. :) for those who couldn’t make it for CF, here’s the teeny-wheeny gist of what happened and what was shared and spoken :)

By, Wai Ying :)

Hello, everyone!! How was your weekend? Hope you all had a restful one. =)

About last Friday’s “So you wanna save lives?”, we hope that it was beneficial for those who came. However, for those who couldn’t make it, do not be disappointed! Haha..  Here’s some good news for all, we’ve emailed a senior who’s currently in her clinical years (IMU Seremban), to ask her for some advice. These are the few questions we think should be helpful for you all and along with that, she shared with us some ways in which God had used her as a blessing others. =D

Q: What do you think are some critical areas we need to work at, before we proceed to clinical years/working world?

A: Medical phase equipped us with medical knowledge – prepare us for exam, clinical phase trains us to see as many cases in the ward – prepare us for a more accurate diagnosis, but we must learn 1 thing, after all these… we need to learn that WE ARE NEVER PREPARE ENOUGH, AND WE CAN NEVER BE PREPARED 100%.

No matter how much u studied, how many cases u practice a diagnosis, how much u know about a management, the knowledge on cancer tells us that it is a neoplasm, and a positive result of cancer marker proven that a person is having cancer, and the management will be… try your best to prolong the person’s life but not prolong the person’s suffering (improves their quality of life), but all you can do is writing down on the case file (when you are a doctor), that management, but knowing that you are not any where near to “saving a life”.

So, what you need to work at, is not keep studying, is not keep seeing cases or clerking cases, keep doing assignments (like what every doctor are pressured by to do), but keep working at your attitude – to look at patient as a human, a life that you have a chance to bang into – that moment, and able to make a difference just by showing a good testimony – by just giving a warmer touch, a comforting word, a brighter smile (although it is hard to smile brightly at a gloomy ward environment), care enough to educate the patient – you will be surprise that simple knowledge will help greatly (eg. why should they take the medication?).

Q: What doesn’t med. school prepare you for?

A: Pathology is actually not as complicated as being taught in class. Medical school prepared you full range of background knowledge which is enough for PhD. (Except for the investigation and management part of course). So when you finish phase 1, you have known all that you should know, so make sure you know them now (because there is no time to study after coming back from a tiring day of ward work), but do not be discourage when everything that you read is as important, because you still have the chance to reinforce it again and again. For example, when you first failed to discover a heaving apex beat and get scolded by your cardiologist, which is when you really remember how a heaving apex beat sound like. You will always have the chance (to be corrected).

Medical phase didn’t prepare us to see real patient, that’s why all our CSU sessions are just practising for OSCE, but when you meet your real patients, you find that clinical skill is much more interesting, that is just your best companion in the process of diagnosis, in a way, you are doing the skill for own self benefit. but when you are still in medical phase, don’t pressured yourself to be a clinical student. YOU ARE NOT YET A DOCTOR, NOT YET A CLINICAL STUDENT, so what you need to do now is… to be A MEDICAL STUDENT. your time will come.

medical phase din prepare us to face life and death, so when you witness the first death (in medical phase) – you actually feel thrilling that you have seen one, when you are not involved in the mourning process, you feel the horror that life just passed you by, sometimes worrying your own family members health; when you witness another death in clinical phase, you start to feel abit deeper for that patient, because you may have just clerked him and said a good morning to him that morning, and far from home then, you started to miss your home deeply; when you face a patient’s death when you are a houseman and a doctor, your only reaction is – thank God he is not my patient, or I will be in trouble. SO, YOU STILL WANT TO SAVE LIFE?

YOU STILL WANT TO SAVE LIFE, IS NOT A QUESTION TO ANSWER NOW, IS A WARNING TO KEEP IN HEART THAT ONE DAY YOU MAY JUST BECOME THE OPPOSITE, AND DOWN THE ROAD OF MEDICAL STUDIES, THERE ARE MORE AND MORE THINGS COMING ALONG YOUR WAY, CHALLENGING YOU TO GIVE YOU THIS DECISION TO SAVE LIFE, AND COMPROMISE TO THE TEMPTATION.

Q: What is your advice for the juniors?

A: Take hold of every chance to be happy. Because this is a very precious thing to do.

Just some stories:

Now in the ward, God gave me many many chances to experience His goodness and miracle.

  1. First day In Surgical ward, I had a post-appendectomy patient, after PE, I decided to close up the curtain and asked if I can pray a prayer for her, she accepted, and sharing gospel can be that easy. I may not be able to prescribe her a curing medication, but I prescribe her a medication for her soul, which is more vital for her healing.

 

And I did many more after that.

  1. I met a terminal breast cancer patient with stomach metastasis, at her countless time of chemo in the ward, and she is numb about her condition already. After clerking, I felt the empathy, I felt like crying, and I passed her a small card with a verse there “all you who are weary and heavy-laden, come to me and I will give you rest”. She looked at that card and tears came down from her eyes, when she started to tell me her story.
  2. In surgery ward, an Indian man post-op pancreatic ca, not going to make it for long, he was groaning day and night, how to clerk this case? I know I cant make it, since it was so, I gave up, I saw him as a human that moment, I walked near him and touched his hands, whispering a prayer to remove his pain, he stopped groaning, quiet for very very long, and he was able to fall asleep that night.
  3. A very young teenager drunk driving, knocked into a tree and ended up coma in the ward, his mother was beside him day and night for 2weeks, I needed to clerk him  for the first day, but he is no longer my patient the second day, someone took over, but I missed him, I really want to see how he progress. Glasgow coma scale 3/15, oh no, but…I only pray that God will preserve his life, his eyes was not reactive to any command, voice, light, but I looked into his eyes and told him – Jesus loves you, he will heal you. 2 weeks later, he was able to walk, and he told me “thank you, I remember you”.
  4. My family medicine doctor is so keen in his palliative care – his specialty, specialize in caring the terminally ill patients so that they can pass away peacefully, without anymore anger, doubt and fear, dying with dignity. He is so near to the verge of life and death, and I really hope that he knows who is God, one day, I asked if I can give him a bible as present? He accepted. And he told me his story of searching for God. We won’t know how God works, we are just vessels.