thank you peeps for making my birthday so special this year :D

korean variety show.

Labels: kvariety

too tired to update about work leh
quite pressurising.
im only slightly blogging because im doing nose mask for black heads now (bought from korea! etude house.. quite good)

work work work.
i think im quite a blur person. ahh
and really working on patience!


p.s. both my colleagues smoke.......................................................................


tmr morning going to bai bai before reporting to work @ 2pm.
maybe i will blog again on sat..... since sat only work one shift in the morning.

Labels: work

although i always feel that i never miss my pri sch classmates and that i have no very good friends within them anymore (little contact with my past clique), it is always enjoyable to be with these friends during outings..
although i always feel hesitant to go for the gatherings everytime, i always went in the end and never once regretted..
although we don't share secrets like best friends do, we always have stuffs to talk about and wasted no time with silence..
i don't know what this is called, but i guess these are what made us try to appear for gatherings, even if it is always a small group.. not necessary with just the above 7 people..
although we are never very close to one another, but the 10 years of friendship might have somewhat bonded us somehow.. hopefully gatherings will still go on 10 years, 20 years, 30 years down the road... :)
happiness or sadness, go uni, go work, get married or failure, heartbreaks, somebody passed away, we will always be there for one another..

(for record: we went for picnic at botanic gardens lol, then we (mh, des, hc, anjo) went island cremery)
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anyway, ahhhH! although i agree, people don't have to remind me how wasted it is not to experience high school love ._.
那些年错过的大雨，那些年错过的爱情~~
not like i have 错过的爱情.. maybe that particular one!
the past 6 years also no suitable 对象 what! maybe that particular one..
even if i want to experience high school love, i also don't want to random find one 野草.. i doubt i want to recall a 野草 as my 初恋 when i become older... of course must be someone worthwhile..
and to be worthwhile 就要慢慢找。。。。。。。
aiyah talk so much for what, graduated from high school can no longer talk about high school love liao ._.
look forward to uni love!
ahh.. im trying to resist my 渴望-ness.. since they always say 当你在追求爱情的时候，爱情偏偏就会与你擦肩而过，something like that (or maybe my quote HAHAHA).. then later i become more emo ):
even ms ong lay hua's love story is damn sweet loh! the bf waited for her to finish her research until midnight and then accompanied her back to hostel!!! during the uni time.. piang leh..
okay i should stop talking too much

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i think i really have new 口头禅。。
i keep using kanasai, and jin jjia (which means "really!" or 真是的 in korean)
and i use a lot of tmd (他妈的）, especially at home, to my mom
i know it's very crude and quite rude, but sometimes just cannot tahan..
at least (i hope) it still sounds better than F. i really cannot stand people spamming F or ccb..

Morning:
Neuro ward 57
followed SN Nancy. she is really really helpful i think this is the only place where i spent almost no time stoning. although some stuffs i saw in the other ward, she really try to explain everything and saw me everything.
neuro is brain, so most of the patients have stroke. nancy was in charge of the highly-dependent cubicle, so a lot of things to do.. check vital signs regularly (bp, blood oxygen saturation, pulse), then got doctors test reactions of patient (like which leg am i touching, right or left? to see if they can feel and react).. test reflexes of patient (normal response, no response, mild extension, something-start-with-f-and-i-cannot-recall-now-again).. draw blood, do hypocount.. procedures done to new admitted patient..
oh the most gross stuff is see how the psychiotherapist draw out the mucus of a patient. need to keep beating the chest to allow better secretion of the mucus, to let the mucus in the different bronchi to go to the windpipe etc, then today he suddenly drawn SUPER THICK MUCUS.. it was so thick that it is stuck on the tube and he asked me to help him hold so that he can use another tube to suck it out (ok i was wearing gloves and apron). i doubt you understand what i am talking about, but it's gross alright. (then again, actually i dont mind cos im a saddist. muahahaha)


afternoon
endo/gastro ward 64.
mostly diabetic patients. since it's afternoon there's nothing much to see again.
lol im lazy too. so that's about it.


met up with Rachelle to do some feedback after that. haha.
i think that i still want nursing.
most of the nurses told me not to join nursing because it's tough work. but it's okay if you have the passion. (then again, the nurses at paeds ward were like "passion? *laughs*" i think some nurses just treat nursing as another job for income)
i really don't mind. i want to work in medical industry but med is just too tough for me. the broadness of nursing is just right. others like physio, occupational therapy, speech therapists seem a bit more narrow for me to explore.. but i shall research all over again to double confirm if there's anything that attracts me more..

if i really go nursing, i really need to try, i must get masters of nursing. i tell myself.
i am really aiming to become an Advanced Practise Nurse. (this position is even higher than the highest position of usual nursing track, Director of Nursing). As an APN, you are just like a doctor, you can see patients and prescribe medicines.. Confirmed with Rachelle that some of the APN in NUH have their own clinics too.. Which means that APN is just like a GP (just that GP is still more pro i guess). since i can't go medicine, i might as well aim to be APN. i really like this thought ever since the alice lee centre came to our school for the nursing talk last year.


i was thinking, i get degree (& honours), i'll be 23. then i go work for 3 years, 26. then i go get my masters 2 years, 28. then i can get married. APN has more regular hours too then i can take care of my family then too.


really really must get masters. otherwise the career path is too short already.

Labels: nursing

Morning:
O&G Ward 22, Delivery Suite
O&G = Obstetrics & Gynaecology (deals with giving birth and woman's reproductive area etc)
interacted with staff nurses pretthy, lay hua (i totally thought of ms ong) and florence.
didnt manage to see much cos i wasn't allow to see any patients.. so i was just taught of different cases and what instruments do.
-there are 3 kinds of pain relief for mothers: by oral (usual pills, painkillers), by gas (where mothers wear mask with 50:50 mixture of oxygen and nitrous oxide) and by water (dip in warm water.. bath tub in the suite)
-in order to give birth, mothers have to experience a lot contractions. irony: doctors give medicines to give mother contractions = pain, yet at the same time need to give pain relief so that the mothers won't feel the pain of the contractions..
-natural birth: mothers can give birth on the bed, or in water (in bath tub!), which both will do in the ward.. this is advisable, unless mothers experience complications in giving birth, or baby's situation is abnormal (like legs face down instead of head) or accident such that the baby has to come out immediately, then they have to go to operating theatre..
what else, mostly like this, others are just instruments.. when baby is born, they have to be under light (which give heat to construct a stable environment, together with oxygen etc)..
oh, although i cannot see patients, i saw a newborn baby that was transferred to the nursery here from the operating theatre! the nurses then clean the baby, measure head diameter, body length, weight etc..

i think that among all the wards, most patients go to hospital because they have illnesses to be cured. midwifey is almost the only ward that is more cheerful, because you are welcoming a new life to this world, and you are to protect 2 lives at one time.. (provided everything is smooth.. abortions etc is another different case)..

but then, cos got a lot of time in this ward, we interacted.. since midwife is a specialisation, the nurses here already worked in this industry for >10years.. all of them are discouraging me from nursing.. cos they find it a bit wasted to join nursing when i take alevels (you can just take nursing in poly!!), and tell me to try to go for more prestigious courses if my grades allow. then got this surgeon beside us interrupted and asked me to go law, cos all his friends got higher basic pay.. then all of us were like =.= him and the nurses were like "we are not talking about money here hello!", then the surgeon "okay okay sorry lah! im superficial ok! that's why im a surgeon" HAHAHAHAHA.. see how lah


afternoon:
O&G ward 48
patients here are either pre-natal or post-natal (given or waiting to give birth) or problems with the you-know-where..
afternoon really always nothing much to see since they do stuffs in the morning.
staff nurses (those diploma holders) usually give out medicines or writing reports or passing reports to the next shift..
so i was told to follow assistant nurse (ITE) or healthcare assistant (even lower than assistant nurses) to see them do their procedures (those ah-hem stuffs). i followed HCA Indra. okay actually quite interesting. saw her removing the urine etc and measuring them, then saw her remove a urine catheter from a mother waiting to deliver. (urine catheter is a tube you place inside the vagina to pee. i totally saw how you remove it. ouch.)
didnt manage to see how the nurses teach the mothers how to breastfeed =/
oh ya oh ya there was this patient with ASCITES (something wrong with abdomen), then she has another abdomenal tap other than urine catheter.. urine bag is yellow urine, but the abdomenal is reddish-orange to suck out i-forgot-what from the abdomen. i think the nurse told me there's blood but i dont think it's a bloody color =/


oh well that's about it for this day. ahh. students on attachment everywhere.
oh and got this ITE nursing on attachment was like "NO DONT JOIN NURSING" when she heard me saying i want to go nursing after As also.. =/=/

This morning I went to Paediatrics Ward 45.
which means most of the patients here are children..
in this ward, the patients here have renal failures.. either they go for dialysis or just had their kidney(s) transplanted..

i was introduced around the ward (by SN wan ling, and talked to SN indra), and since the whole ward only has 5 patients,
the ward was quite peaceful and nothing much to see.. 2 in haemodialysis in the children kidney centre.. (haemodialysis is dialysis by blood. there are patients who undergo dialysis by water, i forgot the term, but they can do it at their beds in the ward)

there was one patient in isolated room as she just got transplanted and being monitored for signs of rejection and taken good care due to temp low immunity.. wow, during rounds, there were certainly lots of people.. medical officers, pharmacists, dieticians, health officers, nurses etc.. everyone is so professional looking!
then 2 patients in their beds. one is joseph, he was preparing to be discharged.. funny and cheerful guy and you wouldnt think he's a patient.. transplanted kidney too, after discharge still need to feed on >10types of medicines and the health officer was testing him all the different med he has to take and all the different timings and days.. wow.
another patient is maryanne. also transplanted kidney, but i overheard the doctors saying that she has a tumor in the liver too. wow. she was complaining about how painful she was when she returned from her procedures and there were more in the afternoon.. she had her surgery in 2008 (that's a long time yeah?).. nevertheless she is still very friendly and willing to talk!

oh when i was talking to maryanne, two koreans came!!! (i saw them walking past yesterday in ward 41 since they were speaking in korean). they are studying in some university in seoul, one girl called jessica (majoring in japanese, year 3) and i cannot rmb the guy's name =X (majoring in urban planning and real estate.. unsure of year but is the girl's sunbae/oppa).. they are on a 6 weeks exchange programme in singapore (arrived on christmas) and attached to 2hospitals.. since they can generally speak english, i didnt even say ahnyeonghasehyo LOL...
so the two koreans played "connect 4" with maryanne. although maryanne said she is in pain, she is really a strong person and played happily together with unni and oppa! halfway i left to see how the doctors do their rounds, so i didnt manage to say bye to the koreans ): hope to see them again over the next two days xD

then actually there was nothing much in particular to see since there's little patients.. just general procedures..

after lunch (i just went to the kent ridge wing food court to buy kaya toast. wah totally got lost and kept randomly walking around to go back to main building. but i tried to look professional and held my head high lol)
i went to orthopaedic ward 54 and nurse clinician (I FORGOT HER NAME SHE GAVE ME HER NAMECARD BUT I CANT FIND IT NOW OH NO D:) brought me around! she was really kind and asked me if there's anything particular i want to see.. then she told me the importance about nurse-patient relationship, and how nurses require to communicate with the public = family members of patients... the career path of nurses etc.. she even brought me to other orthopaedic wards 51, 52 to see different conditions and different instruments..
however, i should have come in the morning to see how they change dressings and all the gross stuffs.. in the afternoon the patients only have lunch and eat their medicine........ aiya..
so i left early since there's nothing left for me to see :/

i think up till now although the attachment is not really interesting, it is not deterring me from pursuing nursing.. attachment is boring because i cannot do hands-on, and the timing is a bit weird, ending up missing to see procedures.. i still think nursing is a challenging and fulfiling career for me..

tomorrow im going to O&G ward! but not as excited anymore cos i think i know what to expect already LOL. cos i can't possibly go into the delivery operation room or something, so i only can see mothers in their beds resting after giving birth :/
ahh i really want to pursue my course asap so i can really experience and go and see all the procedures!