1. So, would you rather be a captain of a canoe or first mate of a large cruise? Go!

2. Some connections unfold future and create destiny, these are the connections that will always come under attack, keep those connections alive

3. It may sound surprising, but 90% of my destiny is found inside other people

4. Hence the saying that destiny comes out from community

5. Barnabas, the son of encouragement

6. Ps Phil kept everyone til 8pm, dinner at subway til half past 9, back in JB by 10

1. Always watch out for hidden costs, always be aware that they exist

2. True faith must be preceded by true repentance

3. Your confession should be as wide as your transgressions

4. Visited a German owned condom factory at Senai today. The attention to details. Impressed. The label "Tight" actually means snug fit, which actually means small.

5. Found a new place for WINGS

1. Returned from a fruitful meeting. I really like to sit back and listen to people talk about/share/explain ideas, especially since they are wiser. Listen, then speak.

2. And the King will answer and say to them, 'Truly I say to you, Inasmuch as you have done it one the least of these my brothers, you have done it to me.'

3. Attended an unpleasant case presentation this week where it seemed as if some of the students were more interested in preying on the faults of their colleagues as opposed to learning medicine; god forbid that any of us enjoyed the spectacle. Was there reason to be unkind? To humiliate our own? Shouldn't we defend and protect?

4. There can be reason to disagree and to argue, but there should be no reason to be unkind

5. This is how we judge others:

When an enemies make a mistake, they're idiots

When friends make a mistake they're only human

Double-standards

6. We are all the same, in need of amazing grace

1. Lest we forget what made this day significant

2. A time to search and a time to give up

3. Longing for the days when the Big Mac was actually BIG

4. Mr Ushwe: " So now, you in Sabah, and you are the surgeon. There is no endoscope and you are in the OT, how would you find the source of bleed in the bowel?"

" Don't know Sir"

" Ah, you use the district method!"

- We teach global, but practice local

1. Completed my 5th Mini case record today. Patient with a known Hx of Colorectal Ca presented at the A&E with a one week Hx of abdominal distention worse after eating. Associated with non specific abdominal pain that involved the back, altered bowel habits and one episode of non-bilious vomitus. All these were classical symptoms of intestinal obstruction. My initial impression was adhesion colic because of a previous history of abdominal surgery. However, the patient was also mildly jaundiced and slightly febrile. Physical Examination was unremarkable except for the fact that he was jaundiced. Blood investigations revealed a normal full blood count, there were no dilated loops of bowel in the abdominal x-ray. An ultrasound of the pancreato-biliary tree and liver was carried out. The findings were, a thickened gall bladder wall and stones. A serum amylase was subsequently ordered, it was in the thousands - 2206. A Provisional Diagnosis of Gall stone Pancreatitis was made.

The interesting thing about the patient was that he looked too well for his condition.

At the A&E, the differentials that the houseman arrived at were 1. Non-specific abdominal pain 2. Colon Ca with secondary metastatis.

In the ward, the surgeon's impression was adhesion colic. This was before the abdominal x-ray results were ready. On seeing that there were no abnormalities on the abdominal x-ray, the surgeon subsequently ordered a serum amylase as well as USG abdomen which nailed the diagnosis.

Lesson- In non-specific abdominal pain, do not forget serum amylase!

2. Met up with the boys the day before, was most impressed when

David said: " I'm not making full use of the NLB"

Darren said: " Sometimes, I find that prep is too short"

3. Ps Tan spoke about turning points. Whenever Naaman looked at his baby like- skin, he is reminded of his object of service; whenever Gehazi looked at his leprose skin, he also is reminded of his object of service

4. The traveling experience is less then satisfying but the destination is worth it

1. There is always a cost and with it a reward

2. Its Dad's birthday today. The person whom I have the utmost respect for; the person I will tell my kids about; the example for everything I want to become

3. The washing machine is making weird noises

4. Do you love me, Peter? Then feed my sheep

1. Was reminded over dinner last night that I have to start preparing for my SPM BM paper, still unable to find the motivation to do so; I need another fella with the same predicament

2. Pay the extra RM 1 if you know that the other box of fresh milk tastes better even if another company tries to undersell to you. Be the loyal customer, not the convenient one

3. Packing your own bottled water to meals does save money

4. How does one jump start a cooling relationship?

1. Even the best surgeons may perforate bowel

2. Wonder how it feels to be on the front line in the hospital

3. Had a "deep calls to deep" conversation with a certain drummer dude, may the omnipotent one enlarge our tents

4. Reminded again that mentors are indispensable and precious

5. Was mightily impressed by the fitness level of the medical students at the inter medical varsity games. Note to self, do not rest on your laurels!

6. Do something for the kid in you everyday

1. Let go and again i say, let go

2. The best antidote to fear is to take initiative again and again

3. Keep on meeting up again and again

4. CCF or AECOAD?

1. Been having discomfort on the medial meniscus of both my knees after standing for an extended period of time. Pes planus, you are starting to rear your ugly head. In-soles.

2. To play or not to play basketball? The satisfaction of scoring a field goal is orgasmic, but is the pain that you discover while standing under the shower worth it?

3. If you have time to worry, you're not busy or doing enough or thinking enough

4. A diagnosis of PUO means "I have not looked hard enough". Look into the ears, the throat, the nose, the web spaces in between the toes, the lymph nodes, the back for punctums, the site of the branula, the CBD, the CVL, the chest tube, the chest drain, the NG tube.............

and you don't need to wait for the fever to last for more than 2 weeks.

5. There is such a thing as work related stress leading to hyperthermia

6. Don't lose the initiative

1. Money does grow on trees, that is after you've put in the necessary (ground) work. Elaeis guineensis

2. Re-familiarized myself with Koch's postulates

3. Been tailoring with the idea that - clothes doeth maketh a man

4. The prospect of and requirements to enrolling into an MBA program is intriguing; I need material for the essays, real life stories

5. Some things you leave on the back burner and forget, some things you leave on the back burner but not forget

Taking stock and being thankful thus far for:

1. Longines

2. Lovely PBL mates

3. Awesome Tutors, Dr Wong, Prof Toh, Prof Khalid, Dr Pagal, Dr Yap

4. Studio Unit

5. New Nike Bag

6. Warm Cell Group, Dorothy

7. Ps Chee Kiang

8. Seafood meal with Ps Kevin, Esther, Heng

9. Road Trips to Papar and the land office

10. 7 a.m. Genting with Amos, Joel, Eric and of course Uncle Lim

11. 3 a.m. Sri Petaling Dim Sum with Eric, if not for Joel locking me out of the hse

12. 12 a.m. Jln Ipoh Dim Sum with Heng

13. Half empty/ Half full Glenfiddich bottle

14. The Zone

15. Mizuno trainers from David and Darren

16. Part of Heng's Heng Tai and burning lips

17. Dinner at Tony's and Outback with brothers and friends

18. Free Rosmarino dinner with Heng

19. Fresh Prawns from the Southern Prawn King

20. Malfunctioning car aircon in Singapore and the subsequent journey

21. Ah Mao, for letting me stay at his place and the opportunity to tidy it up

22. Breakfast with Hocks

23. The long walk back to Aloha

24. New gym partner

25. Home-cooked food from Johann

26. Chinese seafood dinner with Johann and parents

27. Late night supper with BOb

28. Dinner at Tao with Amos, Brian, Andrew, Ah Mao, Heng

29. The eventful journey from Damansara- Sentral- Banggi- Nilai- KLIA to see Amos off with 10 minutes to spare

30. Lost my phone

31. My understanding of the ECG

32. Friendly MO Dr Fazli

33. Asia Conference and all the lessons

34. Experience of helping out in a school camp and earning money

35. New pathology tutor, may my love for the subject grow, susah.....

36. Movie night with family

37. 3 CME dinners!

38. Favourable MCR scores and tutors

39. Transport to cell group and church, to the people who gave me a ride, may your gas tank runneth over

40. Memorable Singapore trips with friends and brothers

41. Dad's visit to JB and the dinner he cooked

42. Mom for being patient and understanding

43. Sadong Jaya Ramly and Spain > Portugal at 230 with Doug and Marco

44. Lunch with Ragh at Likas Square

45. Attended first auction with Dad

46......

You got my attention first thing in the morning and you did it the way only you know how.
I am grateful.

1. Sometimes fear speaks

2. Sometimes greed speaks

3. Sometimes jealousy speaks

4. Sometimes insecurity speaks

5. Sometimes joy speaks

6. Sometimes love speaks

7. Sometimes hope speaks

8. But always wait for faith to speak

1. If I could have a wish right now, I would like to play for the Boston Celtics for the NBA championship or Spain for the World Cup

2. Forgive one's self, even for the tiniest of things

3. WTF! - what is the first thing that comes to your mind? :)

4. Kimmelstiel- Wilson Lesion

5. Narrow is the gate that leads to life, and few find it

6. Eat at 11, hungry at 3

1. Woke up with this thought, will you be a clinger or kisser?

2. Had the most awesome weekend of the year so far

3. I'm pro - claiming

4. Chumbawamba is stuck in my head

5. Realized that the soul does long for fellowship

6. Met a long lost high school friend at Changi Airport

7. Again, met a long lost primary school friend at the expo mrt - what are the odds?

8. Again, connected with Wisnioski through FB

9. Had the awesome privilege of driving amos to the airport, it took me twice as long to get home.

10. 1 week away from reaching the halfway point as a medical student- cause for celebration or evaluation?

1. Never say never in medicine

2. A bleed stretches the neurons, an infarct kills the neurons

3. Nothing like feeling closer to earth

4. True fans or strangers

5. Seth Godin writes well

6. Miracle: Lost phone returned to friend

7. Hungry la

1. God is in the details

2. The peripheries always have a story

3. Everybody has a seizure threshold

4. Say epilepsy and people stop thinking

5. Beat China and lose to Japan again in the Finals?

6. Our condominium has 95 units and 96 swimming pools

1. A new RM 15 haircut means you have to spend an extra RM 15 on wax and an extra 15s a day

2. Be meticulous when examining

3. The cold chain of medication transportation cannot be broken

4. Tan Sri Jeffery Cheah paid a mining company RM 100,000 for the piece of land, which is now Sunway

5. Lonely places make one sharper

6. Once a melioidosis, always a melioidosis

1. Ended the day with more questions than answers

2. Sometimes ECGs can look normal

3. According to the MMA, we should be able to work 18 hrs/day, 7 days/wk for the rest of our lives

4. Dr. Debakey only slept for 2 hours a day while he was alive

5. I need 7

Professor KangKung

1. Somethings are not meant to be carried alone

2. Laughter is good stuff. Thank God for sitcom

3. Neuroanatomy, Thou art a ..........

The entreprenuer

Mas has landed again at 1.90
when should we board?
when will it take off?

Change is what people do, a fad is what people merely talk about.
The entreprenuer searches for change, responds to it, and exploits it for profit.

Buy when its in the red

We can all make it with a little bit of encouragement :)

We shouldn't wast time crying when being corrected

We will always be questioned again and again

It's a practice

I know who I want to be

Someone who is committed to personal growth

In the same vein

I know who I am looking for

Someone who is committed to personal growth

Human Factor in Management

Hello,

1. I've got a couple things on my mind
How should one prioritize?
It seems that we can only pay attention to only one thing at a time
Are we then products of what we pay attention to?

2. It's been an interesting weekend
Time spent in Singapore, as usual, is awesome esp w great company
It is amazing how soul connections work and feel
Now if only the Ringgit would catch up

3. Read a chapter in the book
"Startup Nation: Is Israel's Economy the strongest in the world?"
Harvard, Princeton, Yale - Everybody knows Everyone
It's on my wishlist

4. Good music in a car is hard to come by

5. Spent some time shopping for groceries today
I find consumer behaviors v interesting

6. I promised to be home by 1030

7. Management must be built on communication and personal responsibility. All members need to think through what they aim to accomplish- and make their associates know and understand that aim. All have to think through what they owe to others- and make sure that others understand. All have to think through what they, in turn, need from others- and make sure others know what is expected of them. ~ Drucker

Mixed Feelings

I watched the final episode in the season finale for both Prison Break and Friends and ended up with mixed feelings.

What a lousy sentence.

Shopping

Different people have different risk appetites, I like a little bit of everything, but a little too much alcohol can change that.

1. Buy into good counters
2. Buy the leaders of the sectors
3. Buy good dividend paying stocks

and wait..........

thankful for the big and small

Things to be thankful for in 2009

1. Passed MED 2042

2. Passed Cell Leader's training

3. Flew to Bali w Joel

4. Flew to Ho Chi Minh w Amos

5. Flew to Singapore to catch up w David and for AR Bernard

6. Flew to Singapore w Darren to help him settle in

7. Flew to Shen Zhen w family

8. Brought some kids to Bubba Gump for lunch. hahah

9. Took Part in Emerge 2009 Manhunt

10. Took Part in Emerge 2009 Preaching Challenge

11. Preached my first sermon in leader's meeting

12. Able to find accommodation in Sunway

13. Amazing cell members from w31 and w51

14. Amazing cell leader: Nat

15. Made it through CBP (Awesome CBP mates too)

16. New Crocs

17. New New Balance shoes

18. A good time shopping in Ikea

19. Jalan Ipoh Dim Sum

20. Ridzuan Bah Kut Teh

21. Bicycle that lasted only 2 weeks

22. All the scoldings

23. Powerful Subzone Leader: Mr Heng

24. For being part of the POS team that performed during Pastor's Bday

25. The opportunity to be a cast for HTV

26. Mr Jason Tham, for lending me his suit

27. Jackass Lee, for lending me his shirt

28. Joel, for lending me his shoes and ideas

29. Opportunity to work in a law firm

30. Myopia didn't get worse

31. Found a new passion for athletics

32. A free month's gym pass at California Fitness

33. Haagen Daaz eat-all-you-can, 15 scoops was the max

34. Survived Jackass Lee's driving on the highway back from JB (He hadn't driven since he passed his driving exam and that was 3 years ago)

35. Survived Joel's driving in Bali (He didn't even have a license)

36. Almost crashed into KFC in Ho Chi Minh (Riding a bike for the first time in Vietnam)

37. Rode a motorcycle for the first time in Vietnam, the best city on earth to learn how to ride

38. Visited Ben Tanh Market (nth much to see)

39. Played guitar for chinese church for the first time w Amos + Joel

40. Mom, for never failing to pay my rent and bank in allowances

41. Listened to Bro John Avanzini preached

42. Got singled out by Keith for zoning out, gotta be sharper

43. 2 new pairs of skinny jeans

44. Converse for only RM 25

45. Special PCL members and kind PCL tutor

46. Leader's meeting on tuesday nights

47. Brian, for staying over every weekend

48. Dad, for coming to visit me and putting up my curtains and sleeping on my bed

49. David and Darren, for all the good inside jokes

50. Books! The Outlier, What the dog saw, Revolutionary Wealth, How I Caused the Credit Crunch

51. RM 500 Culture Couture voucher

52. Managed to keep in touch w friends, you guys know who you are (cliche-nya)

53. No serious illnesses

54. RM 150 Haagen Daaz Voucher

55. Surprise Birthday Party, my parents and brothers and sister managed to con me, yet again.

56. New Hobby

57. Learnt a bit more patience

58. Worked as a secretary

59. Friends who sent me off at the airport- Samuel, JeeKit, Chee Meng, Stan d man, Priscilla

60. Farewell gathering at Desmond's Hse, it made me realize the everything was worth it

61. Dr Penafort, for giving me a ride home

62. Handphone didn't die on me

63. Avatar 3D @ Singapore

64. Ps Kong's preaching

65. .....still thinking..