i have grown up?

i was so excited yesterday as i was told by agent that the owner's willing to sell his unit to me...i didn't expect i could get my own house at age of 30.

so i went on to do some calculation. Oh My God! all of a sudden, i felt i was indebted. the feeling is really scary and worried. My 7 years saving will be gone... ... the feeling is so complicated. i started to question myself. am i doing the right decision?

Cute Mommy

mother and son talk

mother: boy, can you whatsApp me the name of the drug you gave me previously when i had flu? (coincidentally, that flu medication also cure some itchiness she had on her limbs). i told her that the flu drug was an anti-histamine medication. "one stone kills two birds"

steve: why you need the drug name?

mother: auntie S was having itchiness on her limbs? ..."kepohying". she requested me to ask you for the medication name.

steve: ma, i served you that medication as i know your condition well. but for auntie S, i know nothing about her. if she recovered after taking that drug, god bless, happy ending. how if she develop allergy after taking that drug? you are troubling yourself. don't you?

mother got scared

mother: okay, noted. i will let auntie S know.

A treat to my dearest NSF

not sure if you ever been to KK Hospital. if you ever been there, especially when you step out of A&E department, you will smell something Good.

sent one 15 years old boy to KK today, he studied at Deyi Sec School. he missed the step and fell from staircase, hit on the gate and cut his forehead.

After settling him in KK A&E department, we went to buy the "must buy" waffle. for your information, the smell Good source is actually from this bakery shop. As usual, i will get myself two waffles. blueberry and Kaya flavour.

Unfortunately, today is a busy day. Ah Boy(NSF) left his chicken rice in the station...he was starving and we were basically in the ambulance, attending calls from noon to evening. Poor Ah Boy, he felt so hungry...i passed my Kaya flavour waffle to him. he said he will pay me back.

i smile

i told him:. just eat. no need to pay

Come on, he is working for the nation. $1.60 is nothing as compared to his scarification to the nation.

Acute Asthma Attack

after sending an alcohol intoxicated uncle to TTSH, we headed back to fire station.

en route to fire station, we received another call from command station. via GPS allocate system, the ambulance was closed to the casualty home at Toa Payoh.

we rushed to appointed location. Omg, i got shocked in my life. old ah ma was sitting on the chair, leaning forward, she has a bad ? scoliosis or ? kyphosis. she looked blue(super cyanotic) and her SPO2 only 40%. she said she has past medical history of asthma. Maam performed 1st auscultation. she told me and the NSF. "i cant hear air entry"

subsequently, we prepared 2+2 nebulizer for ah ma according to Civil defence protocol. 2+2 means 2 mls Ventolin and 2mls Normal Saline neubulizer. to reaffirm her finding, maam asked me to re-auscultate her lungs. my finding was closed to maam finding. "very tight, diminish air entry".

her Spo2 finally picked up after receiving the neubulizer, yet she was still weak, breathless and cyanotic. inside the ambulance, we performed ECG monitoring and gave her another dose of 2+2 nebulizer. we also called for medical standby.

we rushed to hospital immediately. Encik activated the emergency siren, blasting at full volume, with his skillful driving skill, i felt i was like participating in the F1 racing competition. at last we reached to the hospital within minutes.

... ...get well soon ah ma. i just cannot imagine what would happen to her if we arrive late...

Happy Nurses Day 2017

I joined nursing in year 2010. Back then, I was posted to medical oncology ward. Ward 5b. It was a super hectic ward. That is also the place where I learned the fundamental of nursing and a little knowledge about oncology as well as palliative care. Starting from the role as a junior nurse and subsequently being promoted as a senior nurse, I learned that my career path was deviated to management slowly.
As time goes by, I felt very depress. As a nurse, I don't know how to interpret a 12 lead ECG, I am weak in anatomy and pathophysiology, I felt panic each time during resuscitation as I don't know how to titrate/ calculate intravenous inotropes. I also don't know much on the emergency drugs, antibiotic and what to look out for, eg. the adverse reaction.

Finally, I asked for transfer out. It was a tough decision. if I would have stay in that unit, I may get promotion easily. On the other hand, the sense of uselessness continue to bother me.

Now, I am proud to say I am a nurse. I can't say I am 100% perfect. At least, I have better knowledge on drugs, ECG, anatomy and pathophysiology, etc... I lost the chance of getting promotion but I gained so much on knowledge and clinical skills.
I am a nurse,
I am a senior nurse,
I am a critical care nurse.
HAPPY NURSES DAY 2017 .

Some thoughts about life. money perspective.

let me count. at least 4 patients with neurological issue with no sign of waking up stayed in ICU. in the other words, these 4 patients will not be recovered and the neurological deficit will be impacted on them permanently

To my surprised, family members are still putting so much hope on their loves one 

I am happy to have these 4 patients in ICU as these patients are our big clients. they contributed at least 15 to 20K daily income for the company. 
on the other hand, do you think these people( doctors or family members) are abusing our healthcare system? 
finally, is it humane to keep them in ICU? 

i guess you will never see this in government hospital and sometime it is kind of a major setback for me to work in private setting. sometime, i think this huge sum of money can be spent meaningfully than invest on a dead body. 

very complicated feeling.

毒舌

During a patient's family with doctor conversation
family member asked: can the patient recover?
doctor expressed: he/ she is going to die.

from the family point of view, they hate this type of doctor and always classify it to have very bad bedside manner. as for their perception, this doctor cold and impersonal with patient.

for you, who read this post may have the same thought as well

on the other hand, if i ever get a disease related to this doctor speciality, i will be running to beg this doctor to be my doctor.

i knew this doctor prof E for years, he is a superb diagnostician and an unerring clinician

Chinese described him as 毒舌
i rather to have someone telling me the truth than someone keeps faking the whole incident and make life terrible

don't you realise, healthcare is not purely healthcare anymore. it has emerged and become a business/ commercial product.