Showing posts with label Student life -- fun or torture?. Show all posts
Showing posts with label Student life -- fun or torture?. Show all posts

Wednesday, July 27, 2011

just realized

just realized, i am living in my comfort zone all this while.
just realized, i am taking my own sweet time to do things at my own pace.
just realized, i am left so far behind.
just realized, i have so much to catch up.
just realized, i am not doing what i am expected to do.
just realized... hopefully is not too late.

Saturday, July 16, 2011

Changes

class had started 2 weeks so far. empty timetable meaning more self study and self learning. plus the using of e-learning system in nursing, we have less face-to-face time with the lecturers now. so we gotta hear lectures online instead of sitting in a class listening to the chalk and talk session. besides that, there are some online activities that we have to do on the web-side. so we got the chance to discuss with the group members in a forum about certain given topic.

to me i think this system is a change for students. we are moving away towards the traditional chalk and talk session which does not have much flexibility. this new learning system enables me to access the lectures and homework anytime and anywhere. i will be able to arrange my time accordingly and i am able to repeat the lectures as many time as i want. haha =D but of course the time of contact with the lecturers are lesser. but i think i like this change...

Monday, July 4, 2011

the start of Year 3

Wow!! can't believe that i actually stop writing for more than a year. well, i left my whole year 2 blank without writing any life stories... anyway, today will be a start for sem 5 which means i am an official year 3 student now. time flies....

this sem will be a semester which is different form the previous ones. no more medical-surgical kind of routine work. i will be studying O&G, paes and psy this round. and the most happy news is that my timetable no more showing 9am-5pm classes. the classses are less in this sem, meaning i have more spare time or does it mean more self directed learning? i wonder.

wishing myself a very good morning and ALL THE BEST!!!! ^^

Sunday, May 16, 2010

Happy Nurses Day

12/5/2010 (Wednesday)

Hands that turn caring into action;

Touch that turns compassion into comfort;

Smiles that turn love into healing...

Happy Nurses Day to all the nurses!!!


Tuesday, May 11, 2010

实习手札 #3

7/5/2010 (星期五)

第一个月的实习终于结束了。在这一个月里,所经历的事情多不胜数。
在病房里所经历的一些,在我的生命里占了不可缺少的一部分。
所看到的, 学习到的,除了让我更加尊敬,爱护生命,还让我有许多感触。

这个星期是我在second class ward实习的第一个星期。
虽然再上一个学期已经来过,但是感觉上还是有一点点的不习惯。
最重要的是,时常找不到要用到的东西。
所以在刚开始的几天,每天都花不少的时间在找东西。
除此之外,这个病房会和之前工作的病房有一些的分别。
首先当然最明显的是这里有冷气吹,可以整天都不出一滴汗。哈哈。
这里的病人会比较挑剔,会比较有要求。可能因为他们付着比较昂贵的价钱吧。
同事们大致上都还好,只是对学生们都不会太友善。可是我还比较幸运,至今还没有被骂过。=D

首先接触到的是一位患了子宫颈癌的女士。就称她为女士A吧。
患了第三期癌症的她,因为接受化疗的关系,头发都掉光光了。
刚刚结束化疗的她,因为要接受观察,加上泻肚子所以住进了医院。
可是她的病情还不算严重,还可以在病房里走来走去,用她极大的嗓子和我们交谈。
之所以会对这位女士特别有印象是因为这位五十几岁的女士每当需要打针时,
都会大喊。还是喊得像个五岁的小孩一样。
记得那一次护士要为她插针打点滴,针都还没有插下去,她就开始在那边大喊了。
喊得护理站的同事们都以为发生了什么事,纷纷的跑进来看个究竟。
结果就看见同事拿着那支针停在半空中,无奈的等,等她叫完了,才替她插下去。=)
还有还有,最令我不明白的是,
明明可以走动的她就偏偏不要去厕所,宁愿一天用去整十片的纸尿片。
厕所就在她的床位隔壁而已,不用五步就可以抵达的距离。
那一天她七早八早就按铃,要我替她换纸尿片。
其实当我走近她时,就可以嗅到那股超级无敌的味道。接下来更不用说了。
我和同学只好屏着呼吸加快手脚,目标只有一个,赶快做完了就逃,以免晕倒在里面。
当我们帮她擦干净,换过新的纸尿片后,她就爬下床。
我们两个眼睁睁的看着她走下楼下的杂货店,买了两杯冰淇淋,坐在床上很享受的吃了起来。
我们两个你看我,我看你,被气的说不出话来。
哪里有人泻肚子,七早八早,连早餐都还没有吃就吃冰淇淋的?=.= 没话说。。。

除此之外,睡在靠窗床位的那位uncle,是一位患了癌症的老人。
癌细胞已经散播到他的肺部,肝和脑部了。
这位消瘦的uncle长期都得 忍受那折磨的疼痛。
自从他有了Malena stool(粪便里有血)之后,我才真正的与他聊起天来。
记得这一天我要给他换纸尿片。可 是心情不好的他一直拒绝我的帮忙。
我们几位护士,加上他的太太都无法说服他。
于是我就和他聊起天来。这位uncle不断的要求回家。
可 是以他的病情,医生不能答应他的要求。
他一直坚持要太太为他收拾东西,带他回家。
在说服病人的时候,他告诉我说他有心事,是一些关于家庭 的问题。
我想也许是儿女的关系吧。
因为自从他住院,从来没见过他的儿女来探望他。
心事重重的他也拒绝透露太多。但是他答应我不会 想太多,专心养病。
当天下班后晚上在网上遇见刚放工的同学,他们告诉我那位uncle的病情突然之间恶化。
血压和SpO2突然之间跌到很 厉害,pupil size也放大到8mm了。
在护士们一番的开解之后,病人的太太终于决定带他出院,回家去。
同学们说,当他被送上救护 车时,他的情况很糟。
不知他能不能挨到家。
当我听到这个消息的时候,当场吓呆了。
想不到早上还好好跟我说话的的一个人,会突然之 间离开人间。
虽然说已经知道这迟早会发生,可是心情还是很难过。
特别是第二天早上看见那空着的床,心里非常的不好受。
突然觉得人很“化学”,小小的癌细胞能为一个人带来令人无法忍受的折磨, 甚至能夺取一个人的性命。
死亡,不只是老人家的专利。死亡,其实可以和大家离得很近。
有很多时候事 情是不能预测,也是不能被预算到的。
再次的警惕自己,要警醒等候。 因为那时辰,没人知道.
只好尽最大的努力,时时刻刻预备好自己。

但愿我不会沉醉在这世界而忘了生存的意义及目标。


心情还未平复,第二天就遇见另一名病重,在生命边缘争扎的女人。
患了第四期乳癌的她因为癌细胞不受控制的扩散,导致她的情况并不乐观。
这位55岁的女人是五位女生的母亲。自从妈妈入院后,每天24小时都有孩子陪伴在侧。
在passing-over之后,就先跟着同事们进行一轮的巡视。
在还没有进去这间房间时,就听到病人痛苦的呻吟声及喊叫声。
在剧痛当中的她,只能靠吗啡来止痛。
当我第一眼看到她时,已经察觉到她许多的器官已经在逐渐的丧失功能。
因为病人的jaundice-looking++是肝脏衰竭的特征。
她用力地在呼吸着high-flow mask里氧气,血压也偏低,而且她的肾脏衰竭,导致她也不能排尿了。
孩子们知道她的情况不乐观,纷纷赶到医院来。
下午在医生来看病人的时候,她突然之间从肛门里排出大量的鲜血。
她的血压也非常的低,甚至仪器都无法测量。在她的手上也感觉不到脉搏了。
孩子们看见这样的情况,都吓得哭红了双眼。
在医生向病人的家人解释病情后,他们决定将临终的母亲用救护车送回家,好让她能在家里舒服的走。
目睹着一个生命在手上失去的感觉是非常的无奈的。
眼看着病人徘徊在死亡的边缘,但却不能做什么使他们好起来。毕竟,生命的主宰不在于我。
残酷的是,眼看着他们即将失去得救的机会,除了为他们祷告之外,也只能束手无策的站在旁边。
只能尽力安慰,鼓励病人及家属,并默默的祈求圣灵在他们身上动工,好让我还能在天堂里看见他们...

Friday, May 7, 2010

实习手札 #2

23/4/2010 (星期五)

刚开始在没有冷气的病房里工作的日子,只能用一个字来形容--热。
每天都从早上七点开始流汗到下午两点,不然就是从两点开始到九点,
没有一刻是不汗流浃背的。
可是老旧,闷热里的病房里却是充满了人情味。
和蔼可亲的护士们,学姐们都非常的乐于助人。
她们会为我留着我所要的药物说明书,还有把我们可以做的procedure留起来给我们。
她们都很有耐心地回答我这个“问题少女”所提出的问题,也很乐意的分享她们的经验及心得。
还有还有,她们从不介意当“母鸡”,让我这只“小鸡”跟着她们东走西走。
跟着她们去派药,抽血,到血库去拿血,打点滴。。。
专业的她们还会边做边教我们这班junior,让我能现场看到示范。
感谢神让我遇见了这班可爱的护士们。

在这病房里,我经历了许多,也学习了许多。
还记得那位中风的阿姨,住在廉价的病床上。
她有糖尿病,血压高,胆固醇也很高,还有忧郁症。
这一次的中风,使她对右半身失去了控制能力。
住在登嘉楼的她老远地来到吉隆坡治病。
经济能力有问题的她只求自己不成为家人的负担。
送她进院的丈夫在安顿好她之后,就得匆匆地赶回登嘉楼去工作来维持生活。
照顾她的责任,就落在她八十几岁的妈妈身上。
这位伟大的母亲每天清早起来,炖了补品,就开车来到医院探望女儿,
陪女儿做物理治疗,向医生护士们跟进女儿的病情。
在跟这位母亲聊天的时候,从她口中知道原来这位病人有一位二十几岁的儿子,
可是这个独生子却是弱智青年,长住在残障中心。
看着这对母女,她们的遭遇实在是让我心酸。
除了为她们代祷,及尽力照顾病人之外,我也不知道我还能为她们做些什么。
在有空时就会去看看这位阿姨,喂她吃饭,鼓励她,要她不要放弃康复的机会。
值得欣慰的是,当她转到中医院住的时候,她的病情好了很多。
能笑得很灿烂,还能对护士们说谢谢。
这位阿姨提醒了我,
幸福不是必然的,当我们拥有它时,就要珍惜和感恩。
藉着神的恩典,充充实实的度过每一天。

还有另外一位阿姨,也是患有严重的糖尿病。
血里过高的糖分, 使到她颈项及背部的伤口不会痊愈。
深深的伤口,还有细菌的感染,让她每天都要忍受两次清洗伤口的疼痛。
她十五岁的儿子告诉我说他妈妈的脚之前被重物压到,
所以导致现在双脚没有力,必须长卧在床。
今年年初中三的他被逼休学,留在家里照顾妈妈的起居饮食。
正处在叛逆期的他,对爸爸妈妈说话的语气非常不好。
时常在病房里大吵大闹,搞得我被逼要求他降低声量,以免打扰到其他的病人。
这位阿姨住了大概一个礼拜,就因着经济能力有问题,无法再呆下去了。
最后,她的丈夫将她转到政府医院去继续接受治疗。
祝她~早日康复。
自从在医院实习以后,我更加学会了珍惜及感恩的功课。
感谢神,让幸福的我拥有健康的双亲。
有工作的能力他们,让家里不必为着柴米油盐而烦恼,我们四姐妹也不必为学费操心。
对我而言,这些已经是神给我最大的祝福。
因此献上,满满的感恩~~

Monday, April 19, 2010

实习手札 #1

11/4/2010 (星期日)

实习开始咯!这个学期的实习将会在同善医院进行,为期两个月。
第个二学期所学习到的知识比上一个学期的多,
这也意味着在病房里要兼顾的事情多了,责任也大了。
大家也会对我的期望提高,哈哈,压力就会来了。

把在衣橱里躺了好几个月的制服找出来,
还唤醒沉睡了很久的name tag, nurses watch,hair bunt...
明天要开工了... =D

12/4/2010 (星期一)

好久没试过那么早起身了。
八点的orientation,我得在六点起身,七点左右出门。
当大伙儿在到同善医院的当儿,不少路人都把目光投在我们身上。
大概是在怀疑为什么不是在换班的时间,但却有一大堆护士走在路上。
况且从轻快铁站到医院的捷径(Pudu巴士站)已暂时被关闭,
看来这两个月的实习大家都被逼绕大圈了。

在见了医院的护士长之后,大家都回到各自工作的病房里去。
在接下来的两个星期,我都会在third class ward里工作。
听CI(clinical instructor-实习的老师)说这个病房的procedure会比其他病房来得多。
一直都在祷告中纪念,希望在病房里有机会做到已经学会了的procedure。
祝自己工作顺利噢=)

刚强壮胆

8/4/2010 (星期四)

令人心惊胆跳的mock OSCE(practical test)终于结束了。
打从第一个学期起,大家都对这个考试产生了恐惧症。
第一,因为一个procedure只有五分钟的时间去完成。
第二,如果在这个考试的表现不好,那么上个学期所累积到的competency cross将会被decross.
大家都不想让自己一直以来的努力只因为那五分钟的表现而被删掉。

今天的考试,虽然只是mock,都足以让我心跳一百。
9个站意味着将会有2个书写的测验,及7个hands on 的 procedures需完成。
像足了营会时所玩的“过关斩将”的游戏。

每当铃声一响,进到房间里时,监考官严肃的表情让我顿时慌了手脚。
明明是会答的题目,因为紧张而脑海里一片空白。
只管看到什么,就做什么。
在完成了3个站之后,坐在休息站的我心里非常的不好受。
因为知道自己的表现没有达到一定的水准。
心情非常的紧张,在担心不知下一站又会遇到什么样的挑战。

就当我在望着雪白的墙壁在发呆时,脑子里出现了一节的经文:
你当刚强壮胆,不要惧怕,也不要惊慌。因为你无论往哪里去,耶和华你的上帝必与你同在。
好棒的一句金句,好实在的一个应许!
神对约书亚所说的这一句话,这时候也能够运用在我的身上。
是神的同在,让我有继续作战的勇气。
虽然今天的表现只是差强人意,但是我会在真正的OSCE继续努力! ^^V

Wednesday, March 31, 2010

Good listener

31/3/2010 (wed)

just now in class, Dr KG mentioned the "trust" element in nurse-patient communication. he asked us, how can you let patient build the trust on you? we gave all sorts of answers... but non of of us got the right one.

the answer is a very simple one - showing patient that you are interested. the primary and also an important element in communication. if you didn't show any interest, how can you expect people to develop the trust in you?

when he told us the answer, i was like "oh yea!!!" *knock on my head* i think i left out this most of the time. the essential element to become a good listener. not only towards patients, and also people around me especially friends... i think i always lost my patient while people is talking to me on something i am not interested in, and i definitely do show it in my non-verbal communication. gotta learn how to become a good listener...

lesson of the day: remember to show that i am interested while communicating.

Saturday, March 20, 2010

My group

19/3/2010 (Fri)

never stay in uni until such a late time.
left uni at 9pm+ just now. never been so late before. and today is friday!! =(
our group is working hard on the HA form which need to hand in on tuesday.
haha, last minute work.

but kinda enjoy group work sometimes.
as long as there is no "parasites" in the group.
and thank God for putting me in the group with all the wonderful friends.
you guys are cute and helpful... =D
even though we are tired and hungry, (after classes from 9am to 4.30pm,
and having dinner at 10pm.)
but we still manage to get things done.

the funny arguments between Fwo Yi and Galvin,
and the lame jokes by Wen Chieh can't stop me from laughing.
when we are having brain block or are pissed off by the work,
there will always be someone who starts the lame jokes that make everyone laugh.

thank God for you guys.
no matter what is the feedback and marks given,
we had tried our best.
and you guys rocks!!! =)

Tuesday, March 16, 2010

Test following by test....

Gonna have BMS test afterward and now, i am too exhausted. i find that i can fall asleep no matter what i am doing. 'fishing' while i sit down, 'fishing' on the table when i do revision and 'fishing' in the bath also! terrible...

maybe the schedule is too pack and i am somehow anesthetic to exams already. no sense of nervous and pressure, even though i have not done all the revisions. reproduction, eye and ear left. and i think the rest of the input had gone into the short-term memory compartment. hopefully i still can re-call later.

after BMS, Pharma awaits on thursday and i will spend my weekend with Micro & Para. such an 'interesting' period.

and hopefully i won't fall asleep in the exam hall later... =.=

Saturday, March 6, 2010

Pack schedule

huh, haven't written anything for such a long time. because why?? i am having exams all the way long. they had started to torture me since 2nd of March and will continue to appear in my calender until April.. scary...

at first is A&P, then HA and Pharma, then A&P again. after that will be English, Mirco & Para, CM and at last mock OSCE before going out for clinical all in one week.. haih, still got a lot of stuff to be covered. and i just screw up my A&P paper this tuesday. T.T

well, stop thinking things in a negative way. have to be self-motivated. come on, i am a uni student already. not gonna depend on teachers, mummy or friends to motivate me like last time. is time to grow up now.

but i know Jesus is with me... he is the one who always know me the best and the difficulties that i am facing. although i only will remember Him when i need Him. =p i remember that he did said : My grace is sufficient for you. this is such a cool promise that given by God. to me, now is a very good situation to "claim" the promise. haha =)

ok, don't procrastinate anymore. is time to continue working....

Friday, December 4, 2009

harder...

work harderrrrrr...........

Sunday, November 29, 2009

Update

came back from PD for 3 days already. haven't started anything except for sleep too hard. sleeping for the whole day since friday. don't find myself eager to start my revision for EOS. right noe i only have 7 days, 13 hours and 30 minutes left. i am sure this is not enough for me to revise especially BMS and holistic.

the only thing i can do is CONQUER myself. i am sure if i keep on finding reasons for myself to procrastinate, success will leave me.. and of course my 3.5 . oh nooo.... gonna do something about it.. ^^

~~~~
today finally went to the church in kota kemuning. i forgot the english name for the church but it is a pretty nice church. i mean the brothers and sisters and the pastor in-charge. but one thing bad is the church youths are not active. the youth and adult fellowship is freezing currently. i am thinking, how can i survive living in a church that don't have fellowships? not even cell groups. then i can onlt join for sunday service and not even sunday school. huh... this wil be tough for me because i need fellowship like what i had in my hometown church. a place for brothers and sisters with this age like me to mix and worship together. how??? what should i do? find a new church? join other church's fellowship? not joining fellowships? i wonder....

however, God had brought me to this church, i think He has His plan for me.. just pray hard and follow His will while He does the rest. that is what i learnt from today's sermon.

Sunday, November 8, 2009

last week in tung shin

yesteray, the ah ma with liver failure passed away in the hospital. i remember the last minute i was looking at her, gasping for air but the next minute, she had already gone. feeling sad, and tears just rolled down uncontrollable. felt so sad while helping in her LO but i know, she had gone to haven to be with the Lord.

~~~~
leaving to PD later... just finished packing and i cant stop shaking my head when i see my lagguge. terrible. there are so much things to bring, including lots of food!! haih... dunno how am i coming back at the end of the posting. *yawn* good night.

Tuesday, October 27, 2009

Life

Life, a precious gift given by God.
with a healthy body, we are able to live a great life.
nice food, the thing i enjoy the most.
the wonderful creation, which make me adore the awesome God.

but life can be taken away anytime,
maybe because of accident, disaster or disease.
and it can also be taken away,
just because of the nature cycle of human being,
going back to heaven,

to live in eternity.

appreciate life, and the health given by the Heavenly Father.
with all i have,
i'll do something, for the people who need help.
serve the community,
and let people know that there's someone who care for them.

~~~~
this afternoon, when i am working in the ward, i meet an old woman. she's 83 years old and she has a bad health condition. i am not sure about the medical diagnosis, but she has very low BP. both of her hand is on IV drip to give continuous medication so that her BP does not fall beyond the bod er line. and the worst things is she keep passing loose melaena stool. her condition is not positive, so we shifted her to the bed near the nurse counter.

later in the evening, i get a chance to do perineum care for her. her condition is far more negative than what i thought. the blood being passed out is a lot more than the stool. according to the I/O chart, she had passed 6 times of the malaena stool is the morning. the large amount of blood lost affects her BP. after the procedure, i am told by the staff nurse that the doc had declare that she's in DIL. her daughter all come and visit her, talk to her but she's too week to give any respond. i am so sad when i know nothing can be done for her recovery. i wish i can still see her tomorrow.. i pray....

Monday, October 19, 2009

starting...

the first day of clinical... although just sitting down for briefing, discussion and hospital tour, but still very tired after the orientation. tonight gonna sleep early and tomorrow have to wake up at 4 something for morning shift... crazy!!

to me, tong shin hospital will be an exposture to me, learning to appreciate what i use to have in my life. i got to see what is happening at another side of the world which i have not seen before. i am so blessed in the sense of the luxury that i enjoy when i am ill. at least i do not have to stay in a building that looks like the 60's building (although it is built in the 60's), walking through the scary corridor like what can be seen in the horror movie with all the antique grills and the fan which gives the "hoo hoo" sound when it turns.

and one more thing, the sister in my ward is so fierce. she talks so fast even before i manage to write it down. she told us, even you all have not learnt, but you all should know. =.=" hopefully i won't get scoldings from her.. impossible.....

well, going back home for MUET speaking test tomorrow after duty.. the test is on wednesday 7.30am, the earliest round. it seems like i can never escape from waking up early in the morning. haih... dunno what to prepare for the test. haven't started any preparation yet.... :(

Tuesday, October 13, 2009

The day is coming

woo....
tomorrow is the briefing on clinical posting..
time flies...
the day is coming.
my feeling?
excitied and also nervous.
i am not fully prepared yet.
not competent enough
got to revise all the procedures again..
nervous......

Monday, October 12, 2009

joke

last week i learned how to do last office for the expired patient and this afternoon, my class supposed to be practicing in the open ward. so my group were busy doing the procedure while i was busy watching at the side. when it came to sponging part, suddently we saw one of my groupmate wiping the manikin in circular motion. we looked at each other and sensed that something was wrong with the action. when we got what was wrong, we just could not stop laughing and laughing until the other classmates were looking at us. wahaha...

well, wiping in cicular motion is to promote blood circulation. but the expired patient had already dead and the blood circulation had stopped after the heart stop pumping. it will be funny to promote blood circulation on the deceased. :D now only i realise why the lecturers always tell me to work with common sense and think (where the planning comes in) before doing anything. i can't imagine if this happen in the clinical, the tutor or RN will most probably cannot stop from shaking their head.

anyway, this is the last week of the theory session and i really need to pull my socks up. i think i should be more focus on practicing and getting things clear in my mind. i hope i won't create any silly jokes in the hospital with my poor patients....

Monday, October 5, 2009

Unbelivable

unexpected.. now only i realise actually i can do it. never expect this before. always supress my self confidence and make me think i will not be able to do it. actually, all these are because of mental settings. if i think i can do it, i will be able to make it. i will develop a positive mind towards it and put more effort into it. because biochem is my another weakest subject besides maths :P

unbeliveable thing is that i can understand protein and lipid metabolism by myself. usually have to go and ask classmates and pity them explaining a few times to me only i will be able to understand. although still got some parts i am not sure, but at least not like last time looking at the God knows notes and terminology and keep falling asleep.

anyway, tomorrow is the test. anatomy and physiology. gonna reward myself no matter how's the result.. :P but tonight will be the last war fighting with sleepiness for A&P...

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