Last day in UCH medical

Today is my last day in UCH medical, it was tough, I didnt learn much in way of patient management coz I was given too much practical task to do, but it gave me chances to make my blood taking and drip setting technique perfect.
Next up, OBS/GYN in Prince of Wales....

Yeah!!! I passed

I have passed the Primary Exam in A&E medicine...yeah, that is equals to passing Part 2 of MRCS. That is so cool.. and much beyond my expectation. I just got the result from the college.

Today is also my graduation day, very tiring, a lot of photos to take, places to visit. I have made a metal copy of my graduation cert.

Cirque du Soleil

Today I have watched the Quidam by Cirque du Soleil, it was very good, very moving, stunning, spectacular. Really worth the 600bucks. highly recommanded.

UCH Medicine

Been working in Unite Christian Hospital for 1 month now. Working my ass off in Medicine department. The night time call duty is a killer, super tiring. Nothing much to learn about patient management here, but a lot chance to practise some procedural skills..

Getting used to work

Gradully getting used to work in the ward. Started to fit into the place, getting to know the docs and nurses. But still, overnight call duty is super tiring.

Internship...it is like hell

Internship is finally here, working my ass off. For the first 3 days, I didnt even have time to for food, pee. Most of the time I am working on a empty stomach and full bladder. Now it is much better, when I got used to the work, it is actually quite routine, mostly clerical. On call duty is still very tiring, very tough.

My first Day of Real Work

Just finished my first day of real work, from 0730 of 2nd july all the way to 0930 of 3rd July. Slept for 3.5 hours in between and spent 1hr eating dinner and lunch. Pee for 2 times and bathed once. Drank around 750 ml of orange juice. It was tough, but manageable.

Most of the admissions are cellulitis, some minor hand injury and old age fractures. Nursing staff are good and they helped me a lot.

Prof PC Leung

Prof PC Leung is very old. He is also very famous, very kind and he is the professor of Orthopaedics in my university. He is one of the most respected doctor in Hong Kong and one of the worlds leading spinal orthopaedic surgeons. He is an expert in chinese medicine. I have always seen him as some kind of role model and look up to him with respect.

Today, he was seeing this young girl, around 9 to 12 years old. She has some funny, unknown disease and she is umder Prof Leung's care. This girl needed a nasogastric tube put it for some reason which she refused. Prof leung spent a lot of time (1/2 hr) to talk to her into complying, but failed. He then offer to receive a tube himself together with her. That shocked the ward manager, me and the attending M.O. and we all tried to stop her, while the girls seemed to be amazed and agreed to have the tube be put into the both of them.

Then I told myself, that is how a doctor should be.

BTW, today is our graduation dinner, I was one of the OCs and also one of the MCs. Had a lot of fun and it was great. After 2 months' preparation and I think the teachers were enjoying it too.

Intern Posting is out

The Intern Posting is out
I have got
PWH ORT
UCH MED
PWH OBG
KWH SUR
I am quite contended with my allocation

Doctor At last

Today I attendeda Basic Life Support course (which has been taugh again and again during medical school anyway) Today I also receive a letter from medical association of Hong Kong and was addressed as Dr Yang (at last)

attachment in China part 2 (Working)

Here the parents take care of their baby, instead of the nurses. Takinbg temperature, cleaning, using the nedbuliser (as shown in the father's hand). 


The nurses prepare the infusion for each patient in the morning. Most patients will need a infusion everyday, and they tend to mix all the medication they need into one bottle of fluid 


A snap shot of the ward. very crowded. These are additional beds for overflowed patients. It costs 42 RMB per day.  


The beds are put up until the lift. And you can notice the stairs are gated during ward round times, so no one can leave or enter the ward during rounds. There is also the only elevator in the hospital, that is not big enough for patient's bed to enter. 


Here we can see the corridor of the ward. On the left side is the nursing station where doctors and nurses work. On the left are the double and triple rooms. Doctors spend a lot of their time in the nursing station writing up history and progress. They use Chinese and do not use short hands in their patient record significantly increased the time they spend writing. You can also see beds in the corridor. 


Each in patient must sign a agreement to pay for any damage they cause the hospital, some of the prices of items are quoted as examples 


Here I caught a nurse packing and sorting out medications on the floor. Bad practice.  


Twice a week they will put up some "Huang Pak" and burn it around the ward to "sterilise" the ward.. 


Here is the Huang Pak before it was burn. They are shoaked in alcohol. 


They pay 6 dollars for SOPD (Expert.) For "Non-expert" it is 3 dollars 


There computerised ward management system. Didnt spend enough time to find out how it work 


"The patient in the ward at a glance" The red and green tag represent different nursing priority 


This mess will happen everyday and nobody bothered to fixed a tray for the printed paper. 


Their drip stands are unwheeled. So if you want to move around during an infusion. You need to have someone hold up the drip stand for you. 


Dr Woo is having dinner with us. He has just graduated for 7 months. 


The trolley in the supermarket has a built in toy cart. Cool!! 


A snap shot taken during a ward round 


chest physio machine. I have never seen this before and neither have I seen a physiotherapist or other allied health worker in the ward so far. 


another shot of the ward 


This is taken in the SOPD, there was this kid that has a large metal ring around the neck. No one knows what it is for 


opd is very crowded. You can only see the back of the 2 doctors. 


Shannon talking to a cute baby in the OPD 


infusion needle that they use. It is not a indwelling IV catheter, So you need to punture the skin each time you need to infuse something (that means at least daily) Quite bad 


That is the menu served by the hospital canteen. Never tried, heard it sucks. Anyway. the patients eat the same food. There is no way you can ask for DM or low salt diet. 


An Empty Ribavarin(the infamous SARS drug) Box with a patient's name of it. The patient does not need Ribavarin. They use empty drug boxes as speciment holder. If you notice a hole on the box on the upper right hand corner. That was where the test tube of blood was put there to clot in open air. Bad. All their lab results are slighly off. Most emzyme readings are elevated due to haemolysis. No culture has yield useful information as well. 


shannon in the short sleeve white coat 


me, nothing too fancy 


directory of the hospial, listing out the services. 


infusion room. This outpatient infusion is always full. People will just come it for an infusion and then go home. They just like infusion a lot in China.