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lotus surviving life remaining pure to urself lotus surviving life remaining pure to urself monday may 09 2011 just a thought i am just too lazy to blog these days and given the confidential nature of my work i have to be careful what i write here today a patient asks me to be his hiv physicians during my rotation at my current hospital have to say i kinda feel honoured being asked to do so especially me being so early on in my specialty i am still a baby hiv physician trainee oh well i will start to have my own immunocompromised patient list by end of this month so many new things to learn the new anti retrovirals drugs combo just keep growing and with a new horizon of treatment for hepatitis c i think i will struggle just to keep up and doing the infectious disease on call is still pretty exciting for me i start to get the hang of the usual malaria tb stuffs meningitis and encephalitis stuffs fever of unknown origin but there are still rare ones like chikungunya i was like chicken what not a very exciting disease actually i still go wow wouldn t say i missed acute medicine on call but i do feel slightly less confident in managing general stuffs i am still quite amazed to get call as far out as bristol birmingham since i thought they will ring london school of hygiene and tropical medicine probably its just me who find all this stuffs very exciting its just soo different from my previous work posted by lotus at 2 09 pm 0 comments monday february 07 2011 opinions big society nhs reform and gp consortium failure of multicultural society raising university fees library closure what s next all these spells r u i n s to me bodoh i hope egypt will find its footing soon may allah bless and provide his guidance i have been reading some vile comments from umno supporters who say only to save umno people in egypt in this random website which should remains nameless i personally think such comment can only come from the scum of the earth who unfortunately lack education and happen to be umno supporter i don t trust any politicians you see nor support any political parties you are human treat and respect other human please regardless religion sexuality ethnicity or background allah maha besar and who are we to judge other fellow human beings posted by lotus at 2 25 pm 0 comments friday november 26 2010 moving on wrap up mrcp journey finally then the 3 diplomas i need to do as part of my exit exam bring it on i am moving on to a greener grass of doing non acute non resident 24 hour on calls bloody yeay lets hope it will match my expectations and i will be learning a hole lot of new stuffs exciting probably fancy doing lab tests i used to enjoy doing this acute on calls but i start to find some house officers incredibly annoying no sense of trying to learn or working out what s wrong with the patients doing tests for the sake of tests patients suffered post op complications as simple as urinary retention after surgical discharge cos nobody bothered to examine someone s tummy i will go mad if i was the patient don t even start on people leaving can do in the morning clinical procedures for night team gosh set my temper flying already posted by lotus at 11 41 am 0 comments monday september 20 2010 on behalf of my owners who are currently terlampau malas nak update blog we all would like to wish selamat hari raya and maaf zahir batin anything accidental ampun maaf yer lots of love and kisses kitty and her beloved guardians posted by lotus at 2 26 pm 0 comments thursday august 12 2010 knowsley safari park recent trip to this park picture include lion crossing right in front of our car a group of cute meerkat and the sealion show posted by lotus at 4 43 pm 1 comments sunday august 08 2010 egypt and vasculitis it has been a rather odd week medically speaking i had a few young men who all ended up with diagnosis of vasculitis and all of them have visited egypt few weeks either during or prior evolvement of the disease one of them is very sick indeed having vasculitis affecting his kidney his gi tract bleeding pr skin developing pressure sore which is odd in an active and prior to this perfectly healthy 20 sth man probably infarcted his tonsillar artery and it is just awful the renal team is hitting him hard with cyclophosphamide which cause azoospermia and probably have to think of other immunosuppressive drugs if this doesn t control his disease the other one is looking more like limited wegener s and we are pulsing him with methylprednisolone again coming back from egypt and in clinic i had someone who developed reactive arthritis post diarrhoea in egypt and the clinical picture is looking more and more like ankylosing spondylitis odd indeed posted by lotus at 2 08 pm 0 comments sunday august 01 2010 kitty posted by lotus at 1 41 pm 0 comments about about me name lotus location united kingdom is doing spring cleaning view my complete profile previous just a thought opinions moving on on behalf knowsley safari park egypt and vasculitis kitty al fatihah kitty sigh archives july 2004 october 2004 november 2004 december 2004 january 2005 february 2005 march 2005 april 2005 may 2005 june 2005 july 2005 august 2005 september 2005 october 2005 november 2005 january 2006 march 2006 april 2006 may 2006 june 2006 august 2006 september 2006 october 2006 november 2006 december 2006 january 2007 february 2007 march 2007 april 2007 may 2007 june 2007 july 2007 august 2007 september 2007 october 2007 november 2007 december 2007 january 2008 february 2008 march 2008 june 2008 july 2008 august 2008 september 2008 october 2008 november 2008 december 2008 january 2009 february 2009 march 2009 april 2009 may 2009 june 2009 july 2009 august 2009 september 2009 october 2009 november 2009 december 2009 january 2010 february 2010 march 2010 april 2010 may 2010 june 2010 july 2010 august 2010 september 2010 november 2010 february 2011 may 2011 friends belinda elly s elly w nadine judd june dalie ahmad azuradec odyssey bija fareeza blue scrubs melissa high spirited atenah courageous nadio stronger than steel mobilemom read spg fotopages atika hazrin lizaterry musadam kamallyla fitt azhar hezra h