闭关一个月

或许是好事。能安静读书，没有WHATSAPP，没有烦恼。

信

算了。

没有人会想浪费时间听别人的烦恼

自己笨就好。

Copy from website.

Below is a letter i copy from ref: http://baby.sina.com.cn/news/2012-06-14/103855210.shtml 

梁继璋写给儿子的一封信

(梁继璋，前香港电台第二台节目主持人，也是一位名DJ、作家，曾从事广告、电视台等媒体创作。)

　　我儿：

　　写这备忘录给你，基于三个原则：

　　(一)人生福祸无常，谁也不知可以活多久，有些事情还是早一点说好。

　　(二)我是你的父亲，我不跟你说，没有人会跟你说。

　　(三)这备忘录里记载的，都是我经过惨痛失败得回来的体验，可以使你的成长少走不少冤枉路。

　　以下，便是你在人生中要好好记住的事：

　　(一)对你不好的人，你不要太介怀。在你一生中，没有人有义务要对你好，除了我和你妈妈。至于那些对你好的人，你除了要珍惜，感恩外，也请多防备一点。因为，每个人做每件事，总有一个原因。他对你好，未必是因为真的喜欢你，请你必须搞清楚，而不必太快将对方看作真朋友。

　　(二)没有人是不可替代，没有东西是必须拥有的。看透了这一点，将来你身边的人不再要你，或许失去了你最爱的一切时，也应该明白，这并不是什么大不了的事。

　　(三)生命是短暂的，今日你还在浪费着生命，明日会发觉生命已远离你了。因此，愈早珍惜生命，你享受生命的日子也愈多。与其盼望长寿，倒不如早点享受。

　　(四)世界上并没有最爱这回事，爱情只是一种瞬时的感觉，而这感觉绝对会随时日，心情而改变。如果你的所谓最爱离开你，请耐心地等候一下，让时日慢慢冲洗，让心灵慢慢沉淀，你的苦就会慢慢淡化。不要过分憧憬爱情的美，不要过分夸大失恋的悲。

　　(五)虽然，很多有成就的人士都没有受过很多教育，但并不等于不用功读书，就一定可以成功。你学到的知识，就是你拥有的“武器”。人，可以白手兴家，但不可以“手无寸铁”，切记！

　　(六)我不会要求你供养我的下半辈子，同样的我也不会供养你的下半辈子，当你长大到可以独立的时候，我的责任已经完结。以后，你要坐巴士还是开奔驰，吃鱼翅还是粉丝，都要自己负责。

　　(七)你可以要求自己守信，但不能要求别人守信；你可以要求自己对别人好，但不能期待人家对你好。你怎样对人，并不代表人家就会怎样对你。如果看不透这一点，你只会徒添不必要的烦恼。

　　(八)我买了20年的彩票，还是一穷二白，连三等奖都没有中过。这证明人要发达，还是要努力工作才可以，世界上没有免费午餐。

　　(九)亲人只有一次的缘分，无论这辈子我和你会相处多久，都请好好珍惜共聚的时光。下辈子，无论爱与不爱，都不会再见。

　　你的爸爸梁继璋

This is a good passage that contains things & lessons we will learn/ meet in our life. 

Hall of Fame

Yeah, You could be the greatest
You can be the best
You can be the king kong banging on your chest
You could beat the world
You could talk to God, go banging on his door
You can throw your hands up
You can be the clock
You can move a mountain
You can break rocks
You can be a master
Don't wait for luck
Dedicate yourself and you can find yourself
Standing in the hall of fame
And the world's gonna know your name
Cause you burn with the brightest flame
And the world's gonna know your name
And you'll be on the walls of the hall of fame
You could go the distance
You could run the mile
You could walk straight through hell with a smile
You could be the hero
You could get the gold
Breaking all the records that thought never could be broke
Do it for your people
Do it for your pride
Never gonna know if you never even try
Do it for your country
Do it for your name
Cause there's gonna be a day
When your, standing in the hall of fame
And the world's gonna know your name
Cause you burn with the brightest flame
And the world's gonna know your name
And you'll be on the walls of the hall of fame
Be a champion, Be a champion, Be a champion

Self explanatory.
Be a champion for yourself. Break your own records; Ignore criticism and judgment from people. Remove all negative thoughts and create your own paths and run for it!

Give and Receive

"Sacrifices are part of life. Doesnt matter HOW much you sacrifice, it matters what your INTENTION is while you sacrifice. Do you sacrifice out of love or out of hatred or out of irritation?

Be smart, if they try to use you then do not let them. " (Quote from Yahoo)

If people don't appreciate your good intention; why continue? Might as well do something good for yourself. Love yourself more. 

Quality over funky

                                                    (Pic above: Bose OE2i audio)

Bose beat Beats by Dr dre.
In the beginning my options were Bose OE2i and Beats Solo HD. They both around the same price. I chose Bose at the end because of several reasons:
 - Bose is very light, very soft and comfy. 5/5
 - Beats, on the other hand, very firm, bigger than Bose, heavier, not as comfy. 4/5
 - Most of the reviews found in internet support Bose OE2i over Beats. 
 - Two things that make Beats very attractive: powerful Bass and their funky colorful design. I shifted to Beats a few times because of these 2 criteria. 
 - at the end, i went for Bose. Small size, small head, not a disco person (once in a while), i guess Bose suits my daily usage. 

A medical student, I'm still pretty amateur in the field, as such, i might not be accurate on what i'm going to mention.

-As to diseases, make a habit of two things - to help, or at least, to do no harm" By Hippocrates. 


Primum Non Nocere - the first principle taught in medical school.

How many doctors out there actually practising it? How many seniors out there are actually guiding the juniors to avoid harm to patient? How many healthcare systems out there actually set up to do no harm to patients?

Another random issue :-
Helping people, doing good thing ≠ you will receive similar amount that you have been given in.
    I have acknowledged this principle since the first year of medical school. No matter in friendship, relationship, family, studies... whatever you do in this world, there is rarely equal amount in return. Don't get to frustrate about it. It just how it works. A little expansion on the fact. Medicine is a field, where you require huge investment at first, then a life-long commitment to your work. I remember in my lecture last week, maybe in aussie or some other country where there is law that all doctors, including psychiatrist are obliged to help in emergency situation.  Pls think carefully before you enter this course. Especially to those who live in a society where they value doctors as being the high class job, easy $$$, easy job, genius with knowledge on everything. wtf??! It's actually the opposite. Talk to someone else if you unsure.

Child Abuse and Mandated Reporting

Title of this year Personal & Professional Development (PPD) is "Document the indications for Doctors in Western Australia for mandatory reporting and discuss the ethical issues regarding mandatory reporting in clinical practice". 

Google is always the first or if not, 2nd choice when it comes to writing assignment. The moment I typed "Mandatory reporting", 1-10 topics that appeared in front of me are about DCP and child abuse. 

Further my research into history of mandatory reporting. I found one PPT website that touched on the history of child protection law in US. It's interesting to realise that "animals protection" law actually came 10 years before child protection law. When it was first introduced, there was no obligation to report abuse; reports stemmed only from incidents which involved serious physical injury or death. In those days, what happened in the family was regarded as a very private manner; children were considered their parent's chattel. Until 1962, one doctor urged physicians to report suspected child abuse. 10 years later, it became a mandatory reporting by law. 

The first reported child abuse case - Mary Ellen McCormack-Wilson 

She was rescued at 10 years of age. 

Her testimony in courtroom: 

"My name is Mary Ellen McCormack. I don't know how old i am... I have never had but one pair of shoes, but i cant recollect when that was. i have no shoes or stocking  this winter... i have never had on a particle of flannel. my bed at night is only a piece of carpet, stretched on the floor underneath a window, and i sleep in my little undergarment, with a quilt over me. I am never allowed to play with any children or have any company whatever. mamma has been in the habit of whipping and beating me almost everyday. she used to whip me with a twisted whip, a raw hide. The whip always left black and blue marks on my body. i have now on my head two black and blue marks which were made by mamma with the whip, and a cut on the left side of my forehead which was made by a pair of scissors in mamma's hand. she struck me with the scissors and cut me. I have no recollection of ever having been kissed, and have never been kissed by mamma. i have never been taken on my mamma's lap, or caressed or petted. i have never dared to speak to anybody, because if i did i would get whipped. whenever mamma went out i was locked up in the bedroom... i have no recollection of ever being in the street in my life." 

Her foster mother was prosecuted for assault and battery. She was placed into a new home and grew up healthily. The ppt i found, it said "grew up normally" hmm i wouldn't use "normally" in such case. It's never going to be normal in the back of her mind. 

She married, had 2 children. died at the aged of 92. 

A few things.

1) After comparing Beats & Bose headphones, I have decided to go for Bose. And my options are $199 normal headphone and $449 wireless noise cancelling ! haha. Had a look at HK bose website, it's cheaper over there. If i'm going for $449 one, i'll buy it in HK.


2) Medicine is scary. Or, i should say Human doesn't like to change. I hate transition phase. I had a bad transition phase and it's a nightmare for me to imagine another one. Another 6 months to go... What can I say or complain. I guess nothing. I chose this, I have to do all my best to adapt. Some time, i wonder if i'm too lazy to complain or I just fed up to complain over unavoidable things. With the amount of time left, there are many big decisions ahead of me now...
 a) Between Malaysia vs Aussie - Still waiting for Aussie application result...
     In Malaysia - cant imagine myself working from 5am to 12am, no foods, verbal abuse flying here n there, and with my insufficient knowledge (& language problem), it's going to be nightmare.
     On the other hand, Aussie - 6am to 5 or 6pm, with lunch, no verbal abuse allowed, teaching by seniors. Less bullying. But i have english problems. haih... not sure if i'll pass my IELTS. Haihhh...
    This Question has been bothering me in the last 6 months, initially i wanted to go home, but after listening to friends' feedback about the health care system. I dont think i'll like it. absolutely no idea why no one actually suggest to change. It's horrible. Complaints floating around in the newspapers by the public about doctors. but do they actually realised what's happening behind the scene? Sigh. These people, just dont use their mind to think before they speak.
 b) Between peninsular Malaysia or East malaysia? I'm tired of being what you want me to be, what you wish me to be, I know what the society and what you guys expecting of me, to be honest, it put me under a lot of pressure. It's just impossible to ask people (esp senior people) to think from your side. I know they have a lot of experiences, but no one is ALWAYS right, they are not in my shoe! walk in my shoes and see what i see.


3) Human is super complicated animal. No one really knows what is actually in another person mind. And, No one can understands what you been through in your life. As i always mention in this blog, No one is also perfect in this world. I guess i dunno you.

Hike in John Forrest National Park

3rd of June 2012.
Sunday morning. Given the perfectly lovely day with bright sun and warm temperature we decided to go to one of the famous national park in WA. John forrest national park is the first national park in WA and one of the Australia's oldest conservation areas. It is located in Darling Ranges about half an hour drive from perth. Entry fee is $11 per vehicle. If not mistaken, gates close at 3:45pm.
Had a great time there, but it's too dry this time of the year, no water in the national park waterfall - we will definitely go back again in Aug-Sept for wild flower and hopefully waterfalls with water (haha!)

John Forrest National Park map. 

We only did few parts along the heritage trail - the tunnels, hovea falls and national park falls.

More pictures on facebook. 

It absolutely worth the visit. I'd recommend this place to anyone. 

Self-Reflective essay

Here, I’m writing out lessons I’ve learnt from my day-to-day experience.

1. Learning. It’s a daily activity we do unconsciously. I learnt a new term to describe my learning style now – Mozzaic Pattern. It means that as we sit in consultation or procedure room observing senior staffs, we also pick up their good and bad habits. Sticking all these habits and knowledge together, we modify them into our own Mozzaic Picture – A photographic mozzaic of your own life. As long as you still breathing, never stop learning.
2. Respect. I get offended (not to an extent that I’ll get angry or burst) whenever I hear people telling about back in my hometown, how those senior doctors behave and act to their junior staffs. Verbal abuse should be stopped. If junior staff is as clever as you, then why on earth the government still need you to handle those patients?? Everyone has a role to play in patient’s care. As a senior, you should thank your staff and not spitting vulgar/mean words on your juniors for no reasons.
3. Master your emotion. This takes times and years to conquer. I’m still doing my best for it. In young age, I was an easily mad person. But, what’s the point? If you ever angry at someone being foolish, why not just give them hints about their flaw? And if they just not listening, SCREW them. I admit that I’m bad in giving hints so I always skip to last step, which is to ignore/screw them… but learning.In medicine, I’m sure everyone has come across that non-medical relatives or frens often don’t understand what you thinking. Remember, it’s not their fault bcoz they didn’t take 5-6years of medic course and you do. I bet you wont understand their career and life either. So, back to Respect and don’t argue with them.
4. Failure doesn’t kill people. As long as you are still breathing, you can get back up and change your life. Although it would be best not to fail, but don’t give up. Previous 2 years of unsuccessful OSCE examination, it gains experiences and things that people don’t see. A lot of invisible scars, feeling of palpitation when logging into email, and many faculty staffs will want to meet you after your remediation (which is pain in the arse!)
5. Think before you act. Do not ever make decision when you’re angry. Do not make promises when you are happy. This is because once it’s done; there is no turning back. Consequences can be life-long or short term. Life can be hard if you need ur brain cells working hard every time you make decision. Weigh the risks and benefits of each case and decide yourself.  There is no such thing as best or good move apart from the person own mission of life. Therein he cannot be replaced, nor his life can be repeated.
6. No one is perfect. Human does all the negatives I mentioned above, it’s normal. It’ll be better if we can reduce them.