BP 200+/100+
Na:LOW
K:LOW
Creat:250 and increasing, ie. CrCl:<30ml/min

and you insisted

HCTZ 50mg od (instead of prazosin/methyldopa "because I don't feel like it")
N/S 4pints/24hr
ORS 2packs qid
Slow K 2tab od
Mist KCl 30ml tds

you were basically over flooding the patient and then draining them again.

is your ego really that important?or is it simply because you defaulted your appointment with HBUK?

Mr Cassidy a/l Devarajooh

I'm addressing you as Mr because I personally DONT'T respect you as a Doctor.

I was the one who insisted to stop giving perindopril and do a BUSE/Creat as patient's serum creatinine was increasing.

I was the one who discovered the "bilateral renal arterial stenosis" scribbled in the patient's appointment card and informed you immediately.

You were the one who insisted that it's necessary to increase patient's perindopril dose from 2mg to 8mg and that "I don't give a damn about doing another BUSE/Creat"

You were the one who shouted "fcuk!fcuk!fcuk!why did they write it in an ortho appointment card?!!!" when i told you about it.

You were the one who went around later on telling others that it was "the pharmacist" who told u it's okay to give perindopril 8mg to a bilateral renal arterial stenosis patient.

and today,

You claimed that "if i myself did any mistakes,i'll definately admit."

yea rite.

MyChristmasWishList

1.
2.
3.

I'll rather have No.3 without the other two...sigh.

Merry Christmas.

I had a whole bowl of chicken soup rice as dinner.

When i was still back in HSM OPD...a junior passed this to me.

sorry dude.whoever you are...I'm no longer in HSM. > <"

so I'm posted to Hospital Tapah.about 1.5hr drive from home.(shit MrTan better not read my blog lor)

Hospital Tapah,a hospital with 5 Medical Officers(including the pengarah herself),4 wards(male/female/paed/wad bersalin),A&E and a stor integrasi. oh not forgetting the non-functioning Dewan Bedah.no surgeons ba...how to bedah?
1MO to 1ward including the A&E.
5 pharmacists so also the same.haha no la just joking not funny hor.

I find this photo funny..yet meaningful.
quite stupid tho...they built a bigass highway-like bridge showing "jalan terus,teluk intan" but the bridge ends abruptly with "jalan mati" XD

the OPD...100Rx max/day. anyone wanna join me here?
shit i better not jinx the OPD..

random flowers infront of my room in Tapah.
it has been sometime since I was once obsessed with macro shots of plants n flowers eh?


yea confirm is my room.registered trademark on the bed =D

Just chunked everything available on the tree and voila..not bad hor?
ceh but christmas won't be around also.

the current Boss at home.

BOO!