Getting Gastric
Mood:  bright
Topic: Everyday life (weirdness)
Suddenly last week I realised... Having seen so many patients with either diabetes, gastric complaints or both, I now finally realized that it’s the food !! Having feasted for the last 6 months on the local food; Indian, Chinese and, in way lesser extent, Malay food, I too start to feel its consequences. Abdominal discomfort after meals started kicking in for me as well and this week I decided that after the exams I’ll have to figure out a way to improve my dietary habits in order to get a healthier intake. Even if it means in the end I’ll have to start cooking for myself again despite the shortage in time…I'd have to get a dishwasher then first though...

How's life ?
Mood:  caffeinated
Topic: (scary) hospital stories
Het Pluche Helmondse Leventje is voorbij. Geen halve nachtdiensten meer in kinderbedden met teddyberen (waar is die foto potdorie nou alweer ?). Nee, hier is het echte werk begonnen met 4 a 8 32-uurs diensten per maand en alleen elke 1e en 3e zaterdag vrij; de overige zaterdagen wordt er tot 12:00 gewerkt. Nee, hoewel ik in het begin wel even moest wennen en het hier op sommige gebieden een zootje is, heb ik nog steeds geen cent pijn van mijn keuze. In 2 maanden tijd had ik al zo’n 25 sectio’s gedaan en op werkelijk alle vlakken is de klinische “exposure” hier veruit beter dan in Nederland. Ik moet eigenlijk wel een beetje gniffelen om de incidentele negatieveling die breedsprakig verkondigde dat een opleiding van 4 jaar in Maleisie onmogelijk kon leiden tot een goede gynaecoloog; waarschijnlijk heb ik straks meer klinische ervaring dan het merendeel van deze sceptici. Zoals jullie waarschijnlijk ook aanvankelijk wat moesten wennen aan mijn persoontje, zo geldt dat ook wel voor de zusters hier. Ze vonden en vinden waarschijnlijk nog steeds mij maar een rare vogel. Maar er wordt ook gelachen en omdat ze me toch ook eigenlijk wel een beetje grappig vinden denk ik dat het allemaal wel goed zal komen. Wat helpt is dat er nagenoeg geen taalbarriere is, want het Engels zijn ze niet allemaal even goed machtig. Klick the Pic voor meer...

My first...
Mood:  a-ok
Topic: (scary) hospital stories
Hurray !! Today removed my first JJ-stent !! And also already have the first series of cystoscopy done.... Progress is good...

Wet-wet-wet
Mood:  accident prone
Topic: Everyday life (weirdness)
It was raining like mad, so I actually decided it was a good time to go out... Was it ? Well, it might not seem logical, but after the rain it'll be nice and fresh and sitting outside on some terrace is for sure more attractive than hanging around in the appartment. So I tried to make myself believe I can also study @ Starbucks and went out. The rain by now had turned into some kind of dribbling and I decided to walk instead of taking a cab. Wrong choice !! While I was walking, suddenly it started to gush down again, and within 5 minutes I was not only trying to keep my head dry, but my feet as well. While standing there and hoping for an empty cab to pass by, some student calls me up to ask me about the MRCOG exam. She wants to meet up in the ward and I try to explain to here I'm very occupied trying not to get soaked (too late, I think by myself). Alas, eventually a cab pulls over and I manage to get in, only to arrive 5 minutes later air-con-chilled and all, @ the Amcorp Mall...

Misty mind...
Mood:  blue
Topic: House & Garden Philosophy
Coming out of the trauma centre thick clouds of smoke where everywhere. For everybody who once saw that very bad movie “The Fog”, no, it was not like that… It gave the whole place an interestingly spooky atmosphere though. But this time no scary monsters out of the dark. The only monster around actually is the Aedes mosquito carrying the Dengue virus. On a yearly basis still quite a number of people die from haemorrhagic Dengue fever. As the matter of fact, there were 2 pregnant women during my 3 months in labour ward who actually succumbed from Dengue. The only way to combat this little flying vampire is to “fog” the areas prone to breeding of this mosquito with actually the same medicine used for lice or scabies. Mmmhh, I guess in certain red light districts it might have dual functionality…

In the mean time I tried to get rid of the fog in my own head last week. A long-time friend past away 2 weeks ago in the Netherlands. Nothing I can do except for going on in disbelieve… She’s not gonna be there anymore whenever I’ll be able to visit my home country in the future. Sudden things like that are hard to grasp, and suddenly you realise how fragile life can be…

Roti boy & Roti girl
Mood:  hungry
Today I decided to let my bread machine have its maiden ride… I actually bought the thing already 2 weeks ago, but circumstances like slave labour and just plain unavailability of seemingly simple ingredients like dry yeast made me postpone it several times. Until now I was forced to visit the midvalley megamall weekly to get the only available alternative for bread around; the wallnut-raisin bread of bread shop “Roti Boy”. Ok, to be honest, it was quite ok, but just a flimsy bit too fluffy for my pampered taste, which is well known to all of you who know me. Hey, come on, these are important things in life, people need to have decent breakfast before they go to work ! And in my scarce spare time we need to really enjoy that beer, glass of wine or even coffee we’re having, otherwise it would be no use. Come on guys, just admit that you all miss my whining and that it would have made you more than happy to drag all my herbs, kecap, sambal and so on with us all the way to France because “the cook” prefers to work with good ingredients…. I bet by now you might even have considered letting me import some more African wine to wine-country France hehehehe….. Yeah yeah, I miss you guys as well, but no snowboarding for me the next couple of years… Anyway, to get back to “Roti Boy”, since I was getting bored of the same old fluffy bread you don’t even need teeth for, and also because Roti-girl never seemed to be around which I found quite non-stimulating, I decided to take control of matters and actually managed to get my hands on the cheapest bread machine around (hey, I’m Dutch, ok !), which, haha, actually also happened to be produced in my own country, in Breda.
So, while I’m writing this I’m in the process of making my own raisin bread; Roti-Ron. Actually, it’s supposed to be something like the bread my grandmother used to make, so it is Roti-nenek. Never mind though, it’s quite exciting I must say; I’m hanging above the little window in the machine to see how the dough is being kneaded and probably later on will go on staring how the bread is rising. I haven’t done that since I was a kid I guess… of course very exciting for you all too…. Will he succeed ? Will it be edible ? Don’t worry out there, it’s not exactly if this is the first time I’m baking a bread ok ? I’ve done this before, it was edible and moreover very nice, so if this thing turns out to be some monstrous pie, it’s the machines fault (or the fact I didn’t have a kitchen weighing scale). More about the bread later.

Thaipussam
Mood:  incredulous
Topic: Night life & other action
This is probably one of these days on which the already fragile traffic regulations in Malaysia are really hung in the highest tree. You only need to drive a car for 1 day in KL to understand what I’m trying to say here (or to work 1 night in first aid, when the injured motorcyclists start sipping in one by one). Did I tell that story about the woman who came in from Ipoh (2 hours drive from KL) with the rest of her arm in a cooling box on ice ? Well, she survived, and what’s more, they managed to put on the arm again with apparently intact circulation… bloody wizards, those vascular surgeons. Anyway, drifting away here; I was actually gonna tell something about Thaipussam. This is the big 3-day Hindu festival, with one of its highlights in the temple at Batu Caves, just outside KL. As the matter of fact, it’s quite easy to reach just by taking the LRT monorail-thing and subsequently a bus (for all you cheap Dutch back-packing guys, hehehe). Now I can tell you about the huge crowd over there and how part of it is made into a pseudo-fancy-fair-slash-night-market or about the interesting people who decided to walk for long distances (as I’ve been told) with their back full of hooks and other stuff, but I guess you’d better look at the pics (click-on-the-pick).
Back to the traffic; anybody ever seen that videoclip of REM ? Where the guy just pulls over his car and gets out and starts walking (I still haven’t figured out why) ? And all the cars stop and like a huge traffic thrombo-embolism the whole highway gets blocked ? Well, that’s what it looked like. The emergency lane as well as some areas with road divider markings were used as huge parking lots, people were crossing the highway in a manner as if they were looking for a nice place to have a picnic and some motorcyclists even figured that they just as well might convert the highway in a two directions lane on both sides. Is it a coincidence (if I remember correctly having read) that it was India being ranked as having the worlds most disastrous traffic situation a couple of years ago ? Of course in being a Hindu festival, most visiting people were ethnic Indians. Ah well, whatever, our bus driver, who got his license in Kamikaze-Traffic-College inc. ? got us home safely and in one piece (and today I still wonder how).

Bloody ice-cubes & bloody tenants
Mood:  irritated
Topic: Everyday life (weirdness)
Yesterday evening I was helping out in the operating theatre again, having a gig in an effort to cope with my disastrous financial situation (which is; still working without getting a wage). But actually assisting prof. BK & prof. Patrick is always good fun anyway, as the discussion topics will cover a wide range of subjects. Of course the main topic that evening was the technician, who thinks he’s some kind of half-god for managing to get the air-conditioning to function, while in the mean time we’re freezing our toes of. The only reason why the patient is not loosing too much blood is because the blood drops turn into little ice cubes as soon as they roll out of the blood vessels. But seriously, it’s not normal if in a tropical country, you have to wear 4 OT-shirts on top of each other, completed by an operating gown and even then shivering. Next time I want to operate with padded rubber gloves…
The other topic was of course my lousy tenants who are again not paying the rent (see also 31-10-2004). So prof suggested a possible solution to "convince" my tenants would be to hire a Thai hitman. An interesting suggestion it is, and it only costs 5000 ringgit !! However, prof also mentioned that in getting such a hitman it always involves getting a second Thai hitman as well; to get rid of the evidence by killing the first hitman. No worry about the price, cause by doing such the costs of the first hitman would disappear. However, in getting so complicated I think I'd better restart the procedure to get them to court, so I contacted my lawyer again. Let's see how strong their nerves are; never call me bluff...

Bloody ice-cubes & bloody tenants
Mood:  irritated
Topic: Everyday life (weirdness)
Yesterday evening I was helping out in the operating theatre again, having a gig in an effort to cope with my disastrous financial situation (which is; still working without getting a wage). But actually assisting prof. BK & prof. Patrick is always good fun anyway, as the discussion topics will cover a wide range of subjects. Of course the main topic that evening was the technician, who thinks he’s some kind of half-god for managing to get the air-conditioning to function, while in the mean time we’re freezing our toes of. The only reason why the patient is not loosing too much blood is because the blood drops turn into little ice cubes as soon as they roll out of the blood vessels. But seriously, it’s not normal if in a tropical country, you have to wear 4 OT-shirts on top of each other, completed by an operating gown and even then shivering. Next time I want to operate with padded rubber gloves…
The other topic was of course my lousy tenants who are again not paying the rent (see also 31-10-2004). So prof suggested a possible solution to "convince" my tenants would be to hire a Thai hitman. An interesting suggestion it is, and it only costs 5000 ringgit !! However, prof also mentioned that in getting such a hitman it always involves getting a second Thai hitman as well; to get rid of the evidence by killing the first hitman. No worry about the price, cause by doing such the costs of the first hitman would disappear. However, in getting so complicated I think I'd better restart the procedure to get them to court, so I contacted my lawyer again. Let's see how strong their nerves are; never call me bluff...

Tsunami
Mood:  blue
Now, about a week after the whole disaster, it becomes fully clear what exactly happened. For not being fully informed somehow eventually was merely caused by not having access to a decent television station as well as somehow not having lied my eyes on the news papers the subsequent 2 days after that... Many heart breaking stories that made it to the papers. Also heart warming on the other hand to see that so many people – not having that much money themselves – started gathering goods and money to help their neighbouring country; Indonesia. Finally religion (the main organisations) turns out to be good for something... As the matter of fact, 4 of my colleagues in surgery (where I'm currently stationed), are planning to join several aid organisations this week. that's when it downed upon me that – being so close to the whole thing – I could also contribute in helping the people in the disaster areas in being there for them as a doctor. After all, in Aceh for example, all 3 hospitals catering the whole city, have totally been washed away by the water, taking with it the lives of all the nurses and doctors working there. Being mainly trained in obstetrics however, I felt I would only have a minor role in helping out the victims. That's why I decided to help in another, maybe less inspiring way by deciding to donate my last Monday’s earnings in the private clinic to the international red cross, as for the presence of my colleagues ix no good if there's no money to get them medicines or equipment to work with... hope it inspires others nevertheless though being less heroic. Shireen, Sia and the others; good luck & take care !!