More in facebook :)

Hello friends! Sorry for not being active nowadays in blog. Maybe because i'm rather busy these days, and also because i'm more active in facebook now. In facebook there is much better interaction and easier photo sharing. So add my facebook as below to keep us up to date :)

http://www.facebook.com/chuanhuan

MASUM 2009 - UM Squash Team

It was an exciting week in UUM for MASUM (Majlis Sukan University Malaysia) 2009. Ponteng 1 week class to join the um team for the men squash team event. I'm in specialized surgery posting for this week (neuro, plastic and paed surgery), anyway it's over d, hopefully doesnt affect much lar. This was a great opportunity and experience to go out and join the atlets from other Unis. I'm stepping into final year already, this would be the last chance to paint more colours in my Uni life.

I'm not the greatest squash player in UM, but few of the players were not managed to go, so Ronie and I were recruited to UUM, Kedah to fight for UM. Changlun, a place full of memory, a place where I took my pre-U course (Matriculation) 4 years ago, had changed alot. There is a new shophouses and huge supermarket, which was not exist during my time here. Anyway, it's good to come back here after many years.

UM squash team, which had 2 superb players (Fizul & Asraf), managed to get into semifinal in the tournament. However, we lost to UPM in semifinal with 2-3. It was a tough game, where I as the 5th player, was under great pressure to play the deciding game. The guy from UPM was very good (at least to me), I lost the first game, and beat him back on 2nd game, then he grabbed back the 3rd game, then i managed to win the 4th game to make it 2-2, and sadly on 5th game, I lost to him with 2 points. Just 2 points that we needed to enter Final. Anyway it was a great match. My thigh muscle is still painful after many days now. We beat UIAM and got 3rd at last.

Squash complex with 4 courts outside UUM campus

Hooray for um team!

With coach after receiving the medals

Relax la..

With UiTM team (champion)

Closing ceremony in Dewan MAS UUM

Squash team during closing ceremony on the stage

with manager Chia

Changlun new shopping mall

Time for lunch in Mas cafe

Neurosurgery, going into the brain with IGS (image guided surgery)

Wednesday was Dr. Dharmendra's OT day, we were lucky to have the chance to see the IGS performed on 3 patients. Moreover, three of them were using the different technique of IGS. Basically IGS is a image guided surgery, in which the computer helps the surgeon to identify and localize the lesion in the brain in order to perform some procedures such as biopsy, drainage etc.

Brain is the most vital organ in our body. Any small damage may cause serious impact on the patient function. Therefore, these modern technology help to localize the lesion to even less than 1 mm error, giving a much better operation outcome and reduce morbidity and mortality.

IGS uses the help from CT Scan and MRI, it can combine both images to produce the desire picture. 3 types of IGS are framed, frameless and making a preset pathway. The computer is from BrainLab, currently on trial period, and the technicians were there to explain and show the way to use the computer.

This is the first patient with frame. After CT scan immediate before surgery, the CT picture is transferred to the computer. After setting a preferred pathway to enter the brain for biopsy, the computer will calculate the angles for surgeons. You can see Dr. Dharmendra is setting the angles on the gadgets.

The top and bottom gadgets are set with the same angle to calibrate the accuracy. The needle touching right on the centre showing good accuracy.

After incise through the scalp, drilling is done to go through the skull.

One can see the drilled hole on the skull. Scary isnt it?

The second patient uses frameless technique, not as accurate as the framed one, but still has very high accuracy. Note that there are 'cameras' on the patient to identify the probe location.

The location of probe will be translate into the CT Scan of patient taken earlier. However, this technology doesnt show the insight view after procedure is performed eg. abscess drainage on this patient. Brain structure may change after drainage, thus the image is no longer accurate after that.

Third patient has a preset pathway to let the needle enter. A needle holder which looks like a robot hand, is set up based on the calculated angles. The biopsy needle will then enter the brain, and the computer will show on live of the needle entering.

Some gadgets of the 'robot' hands.

Aspirating the syringe to biopsy some tissue.

BrainLab computer

I'm in neurosurgery, plastic surgery and paediatric surgery for this 2 weeks. They are highly specialized surgical field, and I have no idea what's going on most of the time. But it's nice to have the chance to see how things work nowadays. I believe this opportunity is not available everywhere, as it requires a modern facilities, good technicians, suitable patients and skilled neurosurgeon (there are only very few neurosurgeon consultant in this country!)

Btw, we had lunch in OT (first time) with Dr. Dharmendra, he is very nice and we are glad to learn with him. Going for for MASUM (Majlis Sukan Universiti Malaysia) in UUM Kedah today, playing squash. Gonna back on next Wed or Thurs, will miss quite a few classes. Hopefully I will pick up.

Flying Kites at Kepong

Second time climbing Batu Cave staircase

Last Sunday I had a wonderful birthday with my darling. I went to Batu Cave for the second time, and dropped by a place when on the way back to PJ. It was a famous kite flying place, well known in Kepong. Thanks to TC for introducing the place to me.

Simple but colourful rainbow kite, it's big!

It was located at the side of the highway, you won't miss it if you are driving on the MRR2 highway. There is a sign board stating "Awas! Kawasan Permainan Layang-layang" something like that, just keep left and you will find an entrance to the park. The parking is free and I find many locals went there for jogging and enjoy kites.

Is'nt it easy?

There is a big nice lake in the park with jogging track around it. Running 1 round would already make u sweat profusely. The scenery is beautiful, a good place for recreational activity. Right beside the parking, one can see many beautiful and colourful kites hanging nicely along the pathway to be sold. The kites are not that expensive, a normal simple one would cost about RM3,5,7 depending on the size and design.

Looks like dear need to run a bit to keep it flying

We bought a RM5 with rainbow colours :) It's big and easy to fly (according to the Tauke) It was windy and many people were on the spacious grassy field. The kites were very nice, got all kinds of cartoons, spiderman, batman, with special design and shape, looks cool! Flying the kite was not as difficult, just leave it on the air opposing the wind, and slowly release it. The wind was strong and it is very easy!

Lots of kites flying in the air. Each of them are unique and beautiful.

It was a fun place to hang out, can't believe there is such a relaxing recreational place with traditional activity going on. So many cars were parked beside the highway when we were leaving at 5 something. So plan a weekend there to relax your mind and bring back your childhood memory!

Our kite in the air!

A doctor's writing, can u read?

This is the handwriting seen commonly in the ward. Maybe it's not the worse, but can u read it? I had given up after attempting to imagine what are those 'symbols' representing.. finally end up not knowing what happen to the patient. Ask others? i think the person who himself wrote it might not able to read also haha :)

So, practice good handwriting, at least in a readable way.

If u can read them, kindly share it here :p

Eat Eat Eat! But watch out the price :p

Been to some places to eat recently, most of them are nice, but sometimes must watch out the price! Let's start from lower price :)

3rd college nasi goreng USA RM4, a place for dinner after jogging around UM, 

nice and satisfying (big portion)

Looking for fast food? Pizza is having promotion in lunch i think, 

but i went in dinner :p

SS2 Dim Sum. Second time having dim sum at KL since here for almost 5 yrs!

Not bad lar, but more varieties in Penang Dim Sum.

with friend AK

No time to look at camera also haha

William's corner. First time there with friends. Note the bottom plate of chicken spaghetti, guess how much? RM25! I think Italianese or Chilli's might also around that price, and it's only a mamak stall! 

Same place at William's, Chicken premium steak RM15. I think this is nicer and worth.

Lasagna meatball RM20, better try Pizza Hut's or Secret Recipe's, with half the price!

Currently in surgical posting now, rotating under general surgery. Relaxing? not really.. Have to cover ward (sien..), follow clinic, watch surgery in operating theater, go on-call, attend ward rounds (7am in morning!).. wat else? but it's not as stressful as Paeds :p 

How to upgrade your Nokia phone?

I am using a Nokia 3120 classic, and i noticed many discussion about upgrading from firmware 7.16 to 9.41. Due to unknown reason (itchy hand), I tried to upgrade it. Thought of doing it long time ago but since I don't have the USB cable until yesterday when it comes with my father new handset.

First you need to have things below:

• Nokia phone (Fully charged)
  
• Nokia USB cable CA-101 (Cannot update via bluetooth, memory card etc.)
• Stable and fast internet
• Nokia software updater (download at http://www.nokia.com.my/A4500249)

1. Backup all your data in phone! (Menu>Setting>Sync & backup>Create backup)
2. Save backup file in your memory card or better still in your computer
   
3. Install Nokia software updater (NSU)
   
4. Connect your phone to computer via usb cable
5. Choose PC Suite in phone
6. Load NSU and follow the instruction to complete
   

Upgrading is quite an easy and simple procedure, but my phone turn out to be 'taiwan-ised' when I noticed I can't type Chinese input in 简体 and pinyin 拼音. Otherwise it was okay. So I want to share my experience here of how to solve it, i think quite useful for other nokia model users also.

I googled around the net and learned that everyone has its own product code (in my case is 0564330), for the same model, it can have many product codes for different regions and countries. This is because with the product code, the NSU will install the relevant softwares including language package for that region. So in order to get the Chinese pinyin input, I found that the product code 0559100 has it. It has the firmware 9.41 also. By changing the product code, the phone should have the required language.

Warning! This is an invasive procedure, any error might cause damage to your phone. If you are using original nokia phone, better go to the authorised service centre to fix it. Although i doubt they will concern about the language thing.

Now you need another software: Nemesis Service Suite (NSS)

1. Install NSS in your computer
   
2. Connect your phone to computer via the same usb cable.
3. Open NSS, click the top right button 'scan for new device'
4. Click 'phone info'
5. Click 'scan' under the action column
6. Wait for all the details appear (about half a minute)
   
7. Click the 'Read' on the right, the Product Code will appear
8. Replace the previous product code with the new one (that you have found)
   
9. Click 'Write'
10. Close NSS

Now you can update your phone again using NSU, after finish downloading and installing, your phone is up to date!

Comments mentioned there are some upgrades in the video function, otherwise i have not noticed any major changes so far. So do it only after benefits are ascertained :p

小儿科short case

今天终于来到了，等待了好久，小儿科的最后一个星期，考了临床检查(bedside short case)就无忧无虑了。在马大医院各部门中，对大部分学生来说，小儿科是最‘恐怖’的。八个星期的posting不是开玩笑的。。

今天考short case，早上八点半，我七点就跳起来，不知道还有什么没准备好，Developmental assessment背熟了吗？四大系统（呼吸系统，心脏系统，肠胃系统，神经系统）一直在脑袋徘徊，教授会考些什么怪怪的东东吗？小孩不合作怎办？哭了要怎么哄？

又想到不会回答怎办？搞错诊断，弄错finding，又或者miss掉重要finding，到时真的会死到很难看罗。。

没完没了，最后不想再想了，有太多东西担心啦！到时见机行事吧。。

告诉自己，再恐怖的都经历过，去年在Klang时被出名恐怖的教授拿过，还好当时大步难过，虽然今天的老师还好，但她们也是厉害‘洗人’的。

检查了上战场的武器（儿童玩具，用来检查成长进度的），听筒，两支笔（一个给孩子跟住写），Red pin，测量尺等等，就这样出发了。

虽然只是End of posting test，但是大家都很紧张且害怕。。主要是因为儿科讲师吧。有大半人肚子都不舒服(anxiety 啊),有的手脚发冷，还有朋友不停上厕所，像得了糖尿病似的：）

老师特地从名单最后一个开始，我就成了最后那几个。天啊！等待比想象中痛苦噢。。以前考试我都在蛮前面的耶。没办法，等罗。从八点半等到十一点多，朋友一个一个被叫去，在房内等待的越来越少，大家都不出声。

有些人相当镇定，有些坐立不安，有些还在死命的读，这时可看到各人处理压力的表情罗。我一直努力让自己镇定，不要乱了脚，不然肯定不能做好。

好不容易轮到我了。带我去个七八岁男孩前，当时有点开心：因为第一，不需要做成长测验（变数很大，小孩不合作或忘了部分成长里程碑，都是致命的），第二，不需要做newborn assessment，因为我也没真正做过，惭愧！第三，小孩蛮大了，应该相当合作，躺在那边乖乖让我检查就好了。

结果老师没叫我做任何系统检查，只是叫我看。发现他嘴下方有淤血。就这样进行下去，看了整身，其他部位也有点淤血，蛮大片的，还有些很细的红点，但是很少，还好看到。一面问答一面检查，一路排除几个可能性，最后印象是ITP。

如此另类的Short case出乎我的预料，因为通常都做系统性的检查啊。不过过程需要很多思考和检查技术，Short case的目的依然是一样的。其实还有更多特别例子，比如nutritional assessment，还有去年曾经有朋友只是要求检察头部。如果你没feel到fontanelle稍微full（不是bulging这样明显！），就糟糕啦！

所以说short case可以很恐怖，尤其是在明年Final时。到时又有时间限制，10分钟一个病人（包括检查，报告和讨论），连续做三个病人，包含全部部门（内科，外科，骨科，儿科，妇科等），紧张又刺激，医学生的心脏还不错，能承受考前和考时的压力，要不然早心脏病暴发啦。

看完罗，明天回家休息一下吧！下个星期踏入外科罗(surgery)，也是一个不好搞的posting，surgeons脾气都不怎么好，硬着头皮上吧！

Stop searching for ideal unity

Everyone in UM is racist. We sit in the dining hall according to race, even in lecture hall you can see clumps of people arranged according to race. When the students go out for social activities, they do so in groups according to races. When we room, we room according to race.

Then again, even within the race, there are cliques of best friends. You will notice that when people go for class, it is in groups (unless alone). Even when they sit in lecture hall, it is with their best friends (unless alone). Even when they go out to eat/watch movie/what not, it is still with their bloody best friends. But somehow no one faults them for that. Why? - Because everyone has an understanding that you are part of that clique because you share the same interests and beliefs.

My point is, the whole reason why people go around by race in the first place is because they are more comfortable with people with similar culture and background, just as each race has subgroups with people arranging themselves with people they like, who have the same/complementing personalities, beliefs and goals.

So what is the big deal with division of the races within campus?

People can see that the lecture hall is divided into races, but does no one care to see that we are all in the same lecture hall? Does no one care to see that we sit in the same dining hall and eat in peace without fuss at why another race is sharing the place? And does no one realize we go to class and interact well without getting at each other’s throats everyday?

What we need is a different perspective on unity and racism. Everyone’s talking about unity as if they expect everyone to gel in together as a homogenous mix of people. But in order to have a homogenous mix of people, you need everyone to be (most importantly) of a single culture and a single language. But how are you going to do that when people insist on keeping to (and only to) their own language and culture? I’m not saying that it’s a bad thing. What I’m trying to say is this – If you expect to stick to your own language and culture for most of the things you do (which is natural because we are all most comfortable with the way we were brought up – I repeat, I’m not saying it’s bad), don’t expect an ideal, unrealistic form of unity! Just be thankful we are all here, in the same place coexisting harmoniously, albeit within our own subgroups and race or whatever!

(Note: For those who would like to rebut and do see a group of people of different races hanging out, as in REALLY going out together often, eating and watching movies together, stop and observe – don’t you think they share the same language, culture and mindset? Even groups of mixed races do go out once in a while which I feel is overlooked a lot of the time, because it’s “only” once in a while, which makes it sound more trivial than its significance)

In conclusion, we are only racist because we have a strict definition of the word, blindly adhering to it without taking into account the factors I have mentioned above. I think we should stop sticking to the perfect idea of unity, taking into account how much we love to adhere to our own native languages and cultures, and take on a new concept of unity – living together with respect, in a friendly atmosphere without intentionally condemning or harming each other. Isn’t that unity in itself?

-adapted from Wai Cheng's note

Cheras Pasar Malam 臭豆腐

Went to Cheras pasar malam on Wednesday, a place where was once known to be the longest night market in Malaysia. This is my 2nd time there, since ss2 pasar malam nearby is more than enough for me :) However, there are something more special about this place!

Chau dau fu (臭豆腐), a famous stall here selling this 'smelly' dau fu is the main reason why people travel far to come here. One has to queue long for about 20+ ppl in front of you, but it's worth! The chau dau fu has a bad smell from far (especially when queuing), but when eating it, it is crunchy, only a bit smelly, and in fact taste quite nice, hehe! Although some of u might disagree with me..

There are so many more of delicious food here.. but i have not tried them mostly. Strong recommendation from friends!

One of the longest and largest night market, you can find anything here!

All kind of food, clothes, groceries, accessories, shoes etc etc, name it u will find it!

Very crowded..will be sweating even in open space, so wear short pants there :p

This is so interesting! Watch 食神 by Steven Chow before? That's the unique super meatball inside!

I would say shoes stall have the most number there, in fact most stall are for ladies haha! Kinda boring for guys except EAT!

Cute cartoons made into some kind of biscuit. I didnt buy of course haha..

The famous Chou dou fu! It's best to eat on the spot, with the sapecial sauce and vege with it.

Close ward this week for final year exam, so we are more free to go around. But next week onwards has to work hard, end of posting test is coming, so scare for the short case, lack of practicing ar, ward closing for so long..

明年今日

这两个星期是Final year学长的大考，这场仗就快要结束了，看见seniors那又紧张又期待的心情，感觉好羡慕哦！过了这关，宣誓礼后，你就是马来亚大学MBBS医学系毕业的医生了，没有人会再质疑你的身份，不再像我们这些Medical students在医院内给病人推三推四，将信将疑的眼神。

这场仗现在看起来容易，转眼就过去了，但背后的心血可不是一朝一夕的。五年的寒窗苦读，为的就是这一刻。好几个月前学长们很多都已经闭门修炼。人家在外看戏，你在读书。人家放长假回家，你还是在宿舍读书。人家在吃Tenji Sushi，你在宿舍打包回房吃。人家在外唱K，你只能在房间听听歌。人家在外到处旅游，游山玩水，你最多周末出去附近走走。。

一年只有农历新年和开斋节假期，其他都是non-stop的。。

或许这不只是他们，而是进入这科系的，一生都是这样忙碌。难道想要成为医生帮助别人，就一定要牺牲自己？每天为病人担忧，那谁来关心你呢？医疗的宗旨，不就是提升Quality of life，那医生的良好生活素质呢？提醒病人早睡早起，足够睡眠，多做运动，自己却晚上没得睡，迟睡早醒，运动或许只是在医院爬楼梯吧！

这些问题好多人都讨论过，报章也看多了，情况是有改善的了。

"You have one life, do something"

Hitz FM常听到这句话，其实说得很对。人生最重要就是活得开心充实，所以热衷你喜欢的，同时别忽略身边亲爱的，同时也为大众服务，合理的牺牲是理所当然的。

明年今日，就轮到我们了，是怎样的心情呢？

毕业了，就是人生的另一个旅程，要面对更多的挑战。学长们，祝你们将来都能实现自己的梦想，把这颗炽热的心继续奋斗，也为我们UM MBBS争一口气！

Btw,考完试放大假耶，到处去游玩去见识吧！也让自己好好休息一下。

玩火自焚

昨天多手罗，去下载Partition Magic来试试，结果整个Drive D不见掉！其实是因为我的C Drive不够位置了，一直出现Low disk space，我用着的是旧型的IDE Hard Disk，所以买新的不值得，再加上我也没用这样多，一买就整两三百GB,超浪费的！一直都用着40GB所以也惯了，要时常“清理门户”罗！

想到个办法，将现有的Drive D清理下，然后把多余的位置让给Drive C，听说Partition Magic可以做到，就放手试了。才刚开始执行，发觉要很多时间，再过一阵姑姑车就要来，想想早停好过迟，就把任务中断。Restart后发现Drive D不见了，还以为照片都抄进家里电脑，以为还好，突然想到里面还有许多重要文件！糟了怎办？


还好Windows仍然能运作，回来KL后就一直试，用了好几种软件，有些看到了失去的文件，但就是Retrieve不到。原本的Drive D已经变成PqRP，partition magic的种类，Windows是无法读取的。在网上看了好多建议，但还是不行。直到深夜，在友人的协助下，终于有个软件能顺利将文件读取出来，谢天谢地啦！要不然我又要从打Case summary，不过也写没两面，但省了很多麻烦罗！

再次感谢友人哦！我也成功把Partition弄好了。学到的教训是：不要随便更改partition！一定要做好backup才可乱来 ：）

分享一个感人的短片 A touching story presented in a very unique way

This is a very unique and touching animation, without any conversation or narration. It tells many things about life, about how we go thru in life.. really.. hope u guys share it to others :)

SkyTrex - A physical and mental challenge! Don't miss it!

Yesterday almost 30 of us went to SkyTrex, a flying fox challenge in Taman Pertanian Shah Alam. It's fun to go with lots of friends, coz we were dominating the place! Haha! Situated not far from University Malaya, about 20-30 minutes drive (if no traffic jam), SkyTrex is worth for a visit. RM35 for adult, if more than 10 ppl can get 10% discount. Besides, one can go around the big taman to visit the other places.

Free shuttle bus service in the Taman Pertanian. It's open air~

It's a challenge of physical fitness & toughness, overcome the fear of height, go thru the challenge successfully, and enjoy the game! It's about 1 hour plus for the whole process, providing you are the first timer and no ppl 'taffic jam' in front of u :p

Doing preparation, wondering how to wear the stuff? ask Tatt, he will show u just simple like this!

I would say it's very safe, although we were hanging more than 20m (4-5th floor) above the ground, coz we were checked for the equipments, and had a briefing before start. The guy explain everything and everyone of us had to go thru a smaller challenge to know the correct step. Basically we had a roller to put on the rope, a primary hanger to attach on it, and another rescue hanger to lock on rope. So everytime when moving from a place to another, there will be at least a safety lock on u.

With my lovely gf, ready for challenge!

But anyhow, if u happen to detach both of them from u, there is absolutely no place to hold in the platform, falling down from 5 storey height is not joking :p The challenge was not as easy as thought, climbing 5 storey height on a 90 degree stair was not easy even for a fit guy in one shot. Some of the challenges were not easily done, if you cant make it, there will always an alternative (coz you are on safety attachment, also a 'chicken exit' for those who fail to move on).

Anyway, all of us manage to get thru these, and had a fun time there! We still able to take many photos on such height, risking the camera just to take down the valuable moments!

This is easy haha!~

Hands were tiring to overcome this, and balancing skill too!

"This fancy stuff is not a problem for me!"

Hanging in the air when on flying fox!

Took the free time to go the famous '4 Season House' in the park. Now is in spring mode, the flowers were so beautiful, it's cold inside there! Rm3 per entrance.

If you are in KL, dun miss this great opportunity!
TAKE THE CHALLENGE WHEN YOU ARE YOUNG!