allenliau

HAPPY CNY

2009-01-28T16:12:00.001+08:00

wish to say happy CNY to all.

be prosperous this year.

invest in unit trust

2008-01-31T12:25:00.000+08:00

www.signalinvest.com.my is a good website to link all your unit trust investment all in one. And it automatically updates the unit trust prizes to dates.
so u don't need to key into a excel file which most of us are doing.

:)
using website to monitor your investment . please.

Regular top up when the prize is below your cost of buying is worth a try.

good luck in investing.

dr peds

2008-01-31T12:20:00.001+08:00

came by dr peds after doing a google search. Dr. SK from india..

website like www.peditips.com worth a look.

AGE, premature baby, pneumonia

2008-01-31T12:17:00.003+08:00

well, today seen some cases of acute gastroenteritis, pneumonia and a premature baby that was born at 33 weeks gestation. No RDS in that baby.

工作量大不過勞的六個方法

2008-01-30T12:14:00.000+08:00

【工作量大不過勞的六個方法】
《威力午睡》越來越多醫學報告證實，工作日下午抽空睡２０－３０分鐘，有助於提升工作效率、降低錯誤以及減少人際衝突。這種短而有效的充電方法。
《學習新嗜好》抽空報名學習一種新語言、球類運動或是樂器，給你不隨意加班的正當理由，又可以認識新朋友，靈活你的大腦與創意，提供更多與客戶聊天的話題。你將發現同樣的錢拿去繳學費，比買名牌衣服的投資報酬率高出許多。
《不把電腦帶回家》下班後不只是你的筆記型電腦，最好連ＰＤＡ、黑苺機全部都留在公司。這樣做會強迫自己工作時更有效率，下班時心情更輕鬆，更可省下家裡的電費。
《工作與家庭清單》許多人或許已經養成隨時寫下需要完成的工作清單，但是卻很少人寫下為家人的需求清單。記住！工作的主要目的之一不就是讓家人幸福嗎？
《長假不如短休》上班族與其引頸期盼一年一度的出國旅遊，不如妥善安排每天上班時的短休。在桌上放個計時器或網路下載提醒軟體，每隔５０分鐘就讓自己從位置上起身，不管是喝口水、伸展筋骨、深呼吸、上洗手間，都能讓你疲勞的肌肉以及腦袋得到適時的休息。
《勤練放鬆技巧》讓自己表情輕鬆，腦袋清楚。
許多人或許會說：「放鬆？這有什麼困難。」但是卻看見太多病人深受頭痛、失眠、焦慮、憂鬱等症狀所苦。心理諮商師邱永林指出偏偏這些都是身心長期無法有效放鬆的後遺症！除了上面提到的行為技巧，想要放鬆最首要還是心態和價值觀必須作調整！
人類的身體跟心智就像一組彈簧，既不能永遠緊繃，也不能永遠放鬆否則就會失去最佳狀態！有智慧的人會在緊張的工作中，發現值得輕鬆面對的趣味；也會在放鬆的生活時刻中，領悟到嚴肅的生命意義。
資料來源：http://www.uho.com.tw/hotnews.asp?aid=4098

leukemia

2007-05-23T23:08:00.000+08:00

new leukemic patient
8 year old girl, presented with one week history of fever, pallor and easy bruising.
Hb 6.2g/L, total white count 30x10^9/L, platelet 16 x 10^9/L.
liver 2cm, shotty cervical lymph nodes, no gum hypertrophy.

Blasts cell seen from peripheral blood film.

clinical diagnosis: ALL.

refer to oncology centre

Nurses day

2007-05-12T21:58:00.000+08:00

my ward nurses reminded me today is nurses day. asked them what they want.

Well, they requested secret recipe cakes + pizza hut..

treat them pizza + a secret recipe cakes. The cake cost me RM130, Pizza RM133.20.

rather expensive.

once a year event

leukaemic patient that refused treatment

2007-05-11T14:24:00.000+08:00

newly diagnosed in 31/1/2007 at a local university hospital. stayed one week at hospital as preparation for chemotherapy. Somehow the child was very apprehensive/afraid of needle. I think must be needle phobia.

Then the parents made decision to bring her back without chemotherapy.

presented to me 1 months later with extreme pallor. advised again by so many people for chemotherapy. yet parents still refused.
all they want is to blood transfusion and then discharged.

true enough to my prediction. they came in again in another months time. extreme pallor, with lots of bruises. transfused blood again. being told that their illness is very critical.

White cell count of 173 x 10^9/L.

Discharged after blood transfusion.

readmitted one week later with sudden loss of consciousness. collapsed at home.

sent to ICU one day. died after 8 hours of admission.

parents said i want chemotherapy now......

misdiagnosis

2007-05-11T14:17:00.000+08:00

one patient with 3 episodes of fitting. came to me.

A CT brain was done, it showed a small 1cm x 0.5cm at frontal cortex. subsequently radiologist reported as a small meningioma over the left frontal cortex.

Urgent referral was made to Mahkota Medical Centre. No such brain lesion was noted from the 2nd scan.

Patient's father called and said why i told him that there is a brain tumour. Since the radiological report say so, i have to tell them such thing.

Any discrepancy have to be born by the respective radiological doctor. and not me.

:)

premature baby twin

2007-04-13T12:38:00.000+08:00

32 weeker premature baby were delivered via LSCS.
1st twin at 1.97Kg, 2nd twin 2.07kg. Apgar score for both were 9 at 1 minutes and 10 at 5 minutes.
both require minimum oxygen.

feeding were stepped up slowly. eventually touching full feeding at day 5.

sucking reflex establised at day 6.

discharged at day 7 of life.

The World's Fourth Smallest Baby Born in Miami

2007-02-21T07:24:00.000+08:00

Miami, FL) - A child believed to be the most premature baby ever to survive is expected to go home from the hospital Tuesday.Amillia Taylor was born only 21 weeks and six days into her mother's pregnancy.She has spent nearly four months in the Neonatal Intensive Care Unit at Baptist Children's Hospital in Miami.Amillia overcame a number of problems ranging from under-developed lungs to lacerations on her skin. Her caregivers call her a miracle baby.She also happens to be the world's fourth smallest baby, weighing just under 10 ounces.

incredible.

new year still working

2007-02-19T14:11:00.000+08:00

hope to wish all of you here Happy chinese new year

Juvenile Rheumatoid Arthritis

2007-01-23T22:48:00.000+08:00

one 1 year + child presented with prolong fever for more than 1 month. Developed maculopapular rash over the neck, trunk. Diagnosed as JCA by my Professor.

I have high regard to my former teacher and he taught me to be through in my work as a professional.

thank you

baby sitting

2006-11-01T19:12:00.000+08:00

my baby was delivered in august 2006. lovely girl.

weight 3.6kg. via caesarian section.

name her catherine.

Admiring and caring for her daily.

wish she will grow up well

2006-07-25T21:56:00.000+08:00

spider lily

2006-07-25T21:54:00.000+08:00

plumeria obtusa

2006-07-25T21:53:00.000+08:00

bruises in ITP

ITP

2006-07-25T21:49:00.000+08:00

saw one child with itp. 1 year plus presented with spontaneous bruises. increasing in severity. presenting platelt count 18 x 10^9/L. no hepatosplenomegaly. blood film normal.

give him 2g/kg of iv Ig. One vial 2.5g. total 12 vials as his weight is 15kg.
one vial per hour with iv lasix in between.

2006-06-29T16:00:00.000+08:00

plumeria grew from seeds

2006-06-29T15:55:00.000+08:00

banana is growing

plumeria cutting

2006-03-30T18:52:00.000+08:00

after a thunder strom my plumeria obtusa crack and it form a cutting about 2 1/2 feet long.

I put the plumeria cutting into a sandy soil (mix 1/2 perlite 1/2 soil) and put some sand on top of the pot. And i layer a bed of river stone on top to prevent the cutting from moving.

i think rooting will occur in 2 to 3 weeks time. Just wait and see.

2006-03-30T14:53:00.000+08:00

adenium

2006-03-30T11:43:00.000+08:00

ravenala

Plumeria

2006-03-20T21:18:00.001+08:00

recently i developed a special interest in Plumeria.

Therefore started a hobby of planting plumeria (frangipani). I have plumeria rubra (red colour), obtusa (white), and pink, and yellow.

the white variey i have two variant. one with bigger flower, the other one is smaller flower. Out of the 4 plumeria. The white one has very nice fragrant. The pink one has a sweet fragrant. Red one smell like rose.

Incidently i have spotted plumeria seeds in my old pink plumeria. Then i plant it in small pots. It has germinates within 2 weeks. I used 50% sand and garden soil. Plan to transplant it into larger pots when it is bigger.

2006-03-20T21:18:00.000+08:00

my garden