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A Medical Student's Motivational & Inspirational Guide

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  • Dr. Phang Cheng Kar M.D.

    A Medical StudentsMotivational &

    Inspirational Guide

  • The contents of this book may be reproduced and reprinted

    in part or in whole ONLY after prior notification & permission

    [email protected]

    1st edition 2001 2nd edition 2004 3rd edition 2007 4th edition 2010

    An online sequel to this book is available at

    http://upmedic.wordpress.com/

    ISBN 978-983-43335-0-8

    NOT FOR SALE !

  • COMMENTS FROM READERS

    "I found Dr Phang's book to be so useful and encouraging that I wish I had his book when I was a medical student. It would surely have made my medical student days that much easier and more rewarding. After reading it, I immediately pass a copy to my nephew who was entering medical school so that he may benefit from it. But, this book is not just for medical students. It's for anyone walking the path of life. When you're down or feeling discouraged, read this book to perk you up again." - DR. ONG TIEN KWAN (M. B. B. S. ), General Practitioner - This book contains visually captivating content that can inspire students that life is about being intelligent in medical studies and being wise in life management as well

    - ALWIN AW, Student in Psychology - It is really easy and interesting to read as it is full of illustrations and posters. All the short stories really gave me a lot of moral values on being a useful human being. Thanks for writing such useful and wonderful motivational book

    - SIEW WENG KEONG, Student in Educational Science -

    Your generosity towards your fellow men is inspirational and I feel honored knowing you. This book has helped me to get thru some frustrating moments. Thank you for being youa true treasure

    - WAI CHIN, NGO Volunteer

    I think Dr. Phangs book is really very interesting and has a lot of funny pictures, jokes and stories

    - TIFFANY LEE, Primary School Student -

    Inspirational, funny and illuminating!

    - NICOLE LEE, Secondary School Student -

  • COMMENTS FROM READERS Having done the first two years of medical degree, I had thought that the worse was over. But, this clinical year surprises me with a greater amount of amazing challenges. I'm enjoying every bit of it, but reading No WORRY-Lah, Be HAPPY had equipped me with better skills to handle those challenges (especially the illusive art of saying 'I don't know'). You would think you know most of the lessons in the book, but I certainly need to be reminded of them. May this book help more students out there

    - TAN LAI LING, 3rd Year Medical Student in Edinburgh -

    "Simple yet powerful messages to uplift our spirits and edify our minds" - MITRA CHONG ENG BENG, Trainer, Speaker, Consultant & Co- author of "Secrets of a Successful Student"

    Dr. Phangs book provides useful and easy way to cope with stress and worry with humor thrown in, making it an enjoyable book to read. If you work in a fast paced and stressed environment with endless deadlines, this is a must to have book

    - LOW YIN THENG, Customer Relation Officer -

    Attractive & impressive style of presentation!

    - CHAI WEN LEE, Financial Planner -

    It is simple and easy to understand, and it gives a deep impact, especially to those who are too serious about their learning life!

    - AGGAPHALA, Counselor - A book that guides you through your career, not only for medical student but for all those who want to have an inspiring career and be able to tackle the problems along the way until you achieve your career objective - TEH SOO TYING, Assistant Management Consultant -

  • This book is specially dedicated

    to all the first batch of doctors who graduated from UPM Medical School

  • On reading this book, I promise myself that no matter what happens during the course of this medical programme,

    Ill always tell myself,

    NO WORRY-Lah, BE HAPPY

  • CONTENTS FOREWORD ACKNOWLEDGEMENT PREFACE

    Chapter 1 : THE BEGINNING Page Yeah! Im in medical school 1 Greatest mistake in life 2 My true story 3 A new day 5 Why worry? 6 Pioneer 7

    Chapter 2 : A PRE- CLINICAL JOURNEY Medicine too difficult? 8 I can 9 Awaken the giant within 10 Bullied by seniors? 11 Asking 12 Histology whose angry? 14 Microbiology does size matter? 15 Aim high 16 Thinking 17 Detachment 18 Teach a friend 19 Forgetting 20 This is very important! 21 Optimum stress 22 I dont know 23 Smoke gets in your eyes 24 One thing at a time 25 Burn all the mistakes 26 Bookworm 27 Pakto-logy 28 Choose a door 29 Kiasu-ism 30

  • Last batch was better! 31 Meaningful difference 32 I cant stand you! 33 Footprint 34 Sail the sea 35

    Chapter 3 : A CLINICAL JOURNEY Looking 36 Cannot see 37 Learn with a purpose 38 Practical 39 Physical examination 40 Habit 41 On patients bed 42 Uninteresting patient NBM 43 Seeing is believing 44 Risk 45 K.I.S.S. 46 Malu-ism 47 Courage 48 Systematic 49 You should know! 50 Bullshit 51 Shake it off, step up 52 A great lecturer 53 Nasty lecturer 54 Napoleon Bonaparte 55 Pleasing everyone 56 Common things are common 57 The big rock 58 Anxiety and depression 59 Great mind 60 Medicine is an art 61

    Chapter 4 : DEALING WITH PATIENTS The most important customer 62 One, one, one 63 Attitude 64

  • Money talk 65 What money cant buy 66 Money the root of evil? 67 Better to be safe than sorry 68 Loosing your head 69 Chaperon 70 X-Ray view 71 Final judgemental 72 Making a difference 73 Doing small and simple things` 74 Scorpion stings frog 75 Mother Teresa Effect 76 4 therapeutic thoughts 77 Antibiotic 78 Common cold 79 Vaccination of goodness 80 Changing people 81 Practising your profession 82 Patch Adam 83 Could you just listen 84 Symptoms 85 How long am I going to live? 86 Power of words 87 Social clerking 88 A terrible noise 89 Mind-body medicine 90 Plastic surgery 91 Old or young 92 Evidence based medicine 93 Prayer 94

    Chapter 5 : PATIENT AS A TEACHER A doctor instead of a patient 95 Important but not urgent 96 Good health 97 Health is wealth 98 Bells palsy 99 Smile 100 Laughter is the best medicine 101

  • Allergy to bullet 102 Bottle ghost 104 I didnt drink, Mom! 105 Alcoholic illusion 108 Caring for others 109 Beauty 111 Blind 112 Happy Birth-day! 113 Flower delivery 114 Blood 115 Breast 116 Guchii! Guchii! Guchii! 117 Paediatric lesson 118 Aging 120 What do you think of me? 121 Death Are you ready? 122 A sorrow free death 123 Quality of life 124 To remember me 125

    Chapter 6 : PREPARING FOR HOUSEMANSHIP Im a good doctor 126 Community service 127 The lost horse Shit! 128 Creativity 129 As cool as cucumber 130 Excellence 131 Initiative 132 Giving your best 133 My boss and I 134 A cracked pot 135 Same value 136 Teamwork 137 Everyone counts 138 Work should not be.. 139 Contented fisherman 140 Volunteer 141 Doing good for health 142 The trouble tree 143

  • Chapter 7 : EMERGENCY MEDICINE Give yourself a break 144 Dont you quit 145 Im only human 146 Im still gay no matter what you say 147 Dont sweat the small stuff 148 Marathon 149 Mushroom vs Oak Tree 150 Fly high 151 Perspiration 152 No pain, no gain! 153 Confront! 154 Nobody to Somebody 155 One more time 156 Failure 157 Be thankful 158 This too will pass 159 It could have been worse 160 Yesterday and tomorrow 161 Mental immunization 162 Moso the bamboo plant 163

    Chapter 8 : GRADUATION The end of the beginning 164 Declaration of Geneva 165 Convocation 166 Fresh medical graduates 167 Changing the world 168 Sharpening the axe 169 Postgraduate study? 170 Slow down the speed of life 171 Doctors have no social life? 172 Three rings in life 173 End of the day 174 Thats all 175

  • BONUS The art of saying, I dont know 176 Be our guest 180 Re-Search 181 Promise yourself 182 More humane working hours for interns 183 Experience at what cost? 184 Medical students wellness guide 186 Dont worry, be happy a song 187

  • FOREWORD I consider it a special honour to have been asked to write this foreword by the author. The author had managed to capture his various experiences over the five years spent in the Medical School of Universiti Putra Malaysia. For those who have been his contemporaries, this book will be a diary of their life at UPM. For the new students, it helps to throw some light to what life at our Medical School is all about. It can act as a guide and remove some of the apprehensions they may have. For the teachers, you get a glimpse of how the students view our teaching and us in general. It is a learning process for all. I must congratulate the author for having shown that despite the heavy work schedule of a medical student, there is always time to take a second look at life and enjoy it. This is a good lesson not only for the other medical students but also for us the teachers. There is more to life that the medical text. I am sure as the author goes through his career as a medical doctor he is going to produce more gems. ASSOCIATE PROFESSOR DR. JAMMAL AHMAD BIN ESSA DEAN OF FACULTY OF MEDICINE UNIVERSITI PUTRA MALAYSIA 16TH JULY 2001

  • ACKNOWLEDGEMENT I would like to state on record here that in the compilation of this book, I have taken some graphics, some portion of writing, quotations, stories and similes from many sources. If due acknowledgement has not been made, I sincerely regret the omission and apologise for the oversight. I hope this acknowledgement would serve as my sincere request for permission, in order that many will benefit from the compilation of this book. However, some of the articles that appeared in this book bear the name Unknown Author or without the name of the writer. If you happen to know who the writer is or the source, I would be very happy to hear from you.

    I would like to especially thank the following people who have directly or indirectly contributed to this book in various ways:

    DR. JAMMAL AHMAD BIN ESSA DR. ZAINAB BINTI ABDUL MAJEED DR. NOR HAMIDAH MOHD SALLEH

    DR. NIK SHALIZA HUSSIN DR. TEE BEE CHIN DR. NG LIP YANG

    DR. LIM CHERN SEARN DR. JULIAN LIM JIUN HOW

    DR. DERRICK PANG CHEE GENN

    &

    ALL PATIENTS, LECTURERS, COURSEMATES, HOSPITAL STAFF AND FACULTY STAFF

    WHO HAVE CONTRIBUTED TO MY EXPERIENCE AS A MEDICAL STUDENT

  • PREFACE I still remember vividly the joy I had when I was offered a place in medical school. I accepted the offer gratefully even though I had to start from scratch again after spending two years in my previous programme, Veterinary Medicine. As I am writing this, I am actually very happy because I have just completed my medical programme, after a long journey of seven years in university. Any regret? Definitely NO! Having said that, my perception towards medical student and doctors life has evolved over the years. It is now crystal clear to me that life as a medical student or doctor is not really glamorous, efficient or even sexy as portrayed in TV series like ER, Chicago Hope and so on. Instead, it is generally stressful especially towards the final year and during house-officer year. This is particularly true for myself as I was a pioneer medical student of a new medical programme in my university. Thus, I had to live with tonnes of worries and uncertainties all year round. Medical student training is certainly not something easy. There were a lot of hardship and obstacles that I had to endure in the five years of training. When I knew I passed my final exam, the joy I had was tremendous and I felt as though I was on top of the world. Besides those difficult times that I had as a medical student, I also had a lot of wonderful and inspiring experience that I would eagerly like to share with all medical students. The result is the birth of this book, NO WORRY-LAH, BE HAPPY A Medical Students Motivational & Inspirational Guide, which I compiled after my final examination in conjunction with my graduation, and also to prepare myself for my housemanship in Kuala Lumpur Hospital. With the publication of this book, I wish I could do my part in helping medical students to relieve their stress, and to inspire them with various meaningful life lessons that can be acquired from a medical students life. I have also specially designed Chapter 7 : EMERGENCY MEDICINE for those medical students who are under extreme stress. So, you may bypass the initial chapters and go straight to chapter 7 if you need urgent and large dose of motivation and inspiration. I hope you would all enjoy reading this book as I much as I do, and I wish you all well, happy and always free from all worries. No WORRY-Lah, Be HAPPY PHANG CHENG KAR 21ST JULY 2001

  • HAVE AN

    OPEN MIND!

    THE MIND FUNCTIONS LIKE A PARACHUTE

    IT FUNCTIONS BEST WHEN IT IS OPENED!

    -Frank Zappa-

    If we can find truth from any source, Then accept that truth without any prejudice

  • Chapter 1

    THE BEGINNING

  • DONT WORRY, BE HAPPY

    1

    YEAH! I MANAGE TO GET INTO

    MEDICAL SCHOOL

    Be GRATEFUL that you are the lucky one!

  • DONT WORRY, BE HAPPY

    2

    MISTAKE! MISTAKE! MISTAKE!

    TAKING UP MEDICINE IS THE

    GREATEST MISTAKE

    IN LIFE,

    BUT IT IS A

    GOOD MISTAKE! - Associate Professor Dr. Sabariah Abdul Rahman -

    (Deputy Dean, Faculty of Medicine & Health Sciences, UPM) - in reminding us that studying medicine is challenging and needs a lot of hard work but is very rewarding -

    WELCOME TO MEDICAL SCHOOL

  • DONT WORRY, BE HAPPY

    3

    MY TRUE STORY

    Once upon a time in 1996, a medical course had sailed and landed in UPM. Together with its pioneer batch of students, they marched bravely

    into the realm of medicine. And here is how my story goes

    First to be implanted into my memory, Happened to be Anatomy, Physiology & Biochemistry,

    Day in day out, week in week out, Nothing is without a doubt.

    This took some time to be completed,

    Then goodbye to them, I greeted, For the farewell party I waited,

    But with my heart they departed. That was when my ice cream MELTED!!

    And emotions affected.

    Then comes the 2nd year, Hercules and Snow Whites were my lecturers,

    There they led me without fear, And nurtured me so dear.

    The research with white rats was great,

    Their brains and adrenals became my playmate, Unfortunately, they made me lost 4 kgs of my WEIGHT!!

    I managed to get rid of them before its all too late.

    A new beginning in HKL, About the experience.I could almost YELL!!

    But its the journey, I would rather tell, Which ended up so well.

    The BEST, they are training us to be,

    So, U should know everything from A to Zee,

  • DONT WORRY, BE HAPPY

    4

    As for me, tough life is what I see, Coz theres no time for even a cup of tea!

    Vocab! Vocab! So much to grab, Jargon! Jargon! They make me U turn & turn,

    Everything sounded like French, Even when I stood on a bench!

    Posting after posting had past,

    Time after time all so fast, Closer & closer Im heading my final,

    Nearer & nearer Im getting to my title.

    Not so much of the salary that they pay, As long as, at the end of the day,

    Im well, Thanx Doc is what my patients say, Then, that will really make my DAY!!

    Till the end of time from now,

    To U.UPM, I shall bow, For who I am,

    Its all thanx to UPM.

    MISTAKE MISTAKE. THE GREATEST MISTAKE IN LIFE..

    BUT ITS ONE OF THE WISEST

    - Dr. Lim Chern Searn - (Pioneer medical graduate, UPM Medical School)

  • DONT WORRY, BE HAPPY

    A NEW DAY

    This is the beginning of a new day God has been given me this day to use as I will

    I can waste it or use it for good But what I do today is important

    Because I am exchanging a day of my life for it When tomorrow comes this day will be gone forever

    Leaving in its place something that I have traded for it I want it to be gain and not loss

    Good and not evil Success and not failure

    In order that I shall not regret The price that I have paid for it

    As a medical student, I pledge that..

    I WILL MAKE FULL USE OF THIS DAY TO ACQUIRE MEDICAL KNOWLEDGE,

    SKILLS & EXPERIENCE

    5

  • DONT WORRY, BE HAPPY

    6

    WHY WORRY?

    A study was conducted in University of Columbia and it showed that an average person spend a

    great portion of valuable time worrying over unnecessary problem.

    Things that never happen 40% Things past and cannot be changed 30% Needless worry about health 12% Petty worries 10% Real and legitimate worries 8%

    Thus, 92% valuable time is wasted

    TWO MEN LOOKED OUT FROM THE PRISON BARS, ONE SAW MUD AND THE OTHER SAW STARS Choose to be HAPPY, not to be WORRYING!

  • DONT WORRY, BE HAPPY

    7

    FIRST FEW BATCHES OF DOCTORS ARE ALWAYS THE BEST IN ANY

    MEDICAL SCHOOL

    Ooooops, they are treating us like guinea pigs again!

  • Chapter 2

    A PRE-CLINICAL JOURNEY

  • DONT WORRY, BE HAPPY

    8

    MEDICINE - TOO DIFFICULT? There was a young woman who had taken ballet lessons all through her childhood and finally she felt that she was ready to commit herself to it. She wanted to become a prima ballerina but first she wanted to be sure that she had the talent. So when the ballet company came to town, she went backstage after the performance and spoke to the ballet master.

    I want to be a great ballerina, but I dont know if I have the talent, she said. Dance for me, the master said, but after only a minute or two he shook his head and said No, no, no! You dont have what it takes.

    The young woman went home, heartbroken. She tossed the ballet slippers in the closet and never wore them again. Instead, she got married, had children and when the kids were old enough, she took a part-time job running a cash register at the corner store.

    Years later when the same ballet troupe came to town, she attended it and on the way out she ran into the old master who was then in his eighties. She reminded him that they have spoken before. She showed him photos of her children and told him about the job at the corner store and then she said, Theres just one thing that has always bothered me. How could you tell so quickly that I didnt have what it takes?

    Oh! I barely looked at you when you danced, the master said, Thats what I tell all of them who come to me.

    But..but thats unforgivable! she cried. You have ruined my life! I could have been a great ballerina!

    No, no, I dont think so, the old master said, If you had what it takes, you wouldnt have paid any attention to what I said!

    TAKE CHARGE OF YOUR THOUGHTS,

    YOU CAN DO WHAT YOU WANT WITH THEM!

    Am I intelligent enough to study medicine and be a good doctor? YES! You can as long as you are willing to work hard and dont give up no matter what happens. Anyway, one of my O&G lecturers said that he could even train a monkey to practice medicine. So, you definitely CAN unless you are.

  • DONT WORRY, BE HAPPY

    9

    I CAN

    If you think youre beaten, you are If you think you dare not, you dont

    If you like to win But you think you cant

    It is almost certain you wont

    If you think youll lose, Youve lost

    For out of the world we find Success begins with a fellows will

    Its all in the state of the mind

    If you think youre outclassed You are

    Youve got to think high to rise Youve got to be sure of yourself Before you can ever win a prize

    Lifes battle dont always go

    To the stronger or fastest man But sooner or later The man who wins

    Is the man who thinks he can

    - C. W. Longenecker

  • DONT WORRY, BE HAPPY

    10

    From the embryology lesson,

    WE HAVE UNLIMITED POTENTIAL IN

    DEVELOPMENT

    Lets awaken the giant within!

    We have 12 BILLION brain cells and most of us only make full use of a small portion of it. Deep down within us,

    are powers we know nothing of and never use.

    EXPLORE THOSE POWERS!

    Why do some people have very good memory while some people dont? The reason is that those who have good memory have tapped into the

    power of the mind and know how to make full use of it for memory work. Sad to say, students spend more than 10 years in school learning,

    but most have never been taught the art of learning e.g. how to have good memory. Anyway, we can never change the past but we can decide on our

    future. Get a book on learning skills immediately!

    LEARN HOW TO LEARN BEFORE YOU START LEARNING!

  • DONT WORRY, BE HAPPY

    11

    BULLIED BY SENIOR?

    DO NOT DO UNTO OTHERS,

    THINGS THAT YOU WOULD NOT LIKE OTHERS TO DO UNTO YOU!

    Treat your seniors how you would like to be treated.

    Dont be ARROGANT! If your senior is really nasty, make sure you dont treat your junior likewise. Else, you are no different from your senior. Think positive! Thank your senior for being so nasty because

    they have helped you to develop antibody to the nasty-people-antigen. You will meet many of them when you come out to

    work in the dog-bite-dog world

  • DONT WORRY, BE HAPPY

    12

    EVERYBODY NEEDS SUPPORT

    DONT BE SHYTO ASK FOR HELP

    PRIDE IS AN EGOISTIC STATE OF MIND

    WHICH IS WORTHLESS BUT A FOOL IS WILLING TO PAY FOR IT

    Dont allow SHYNESS and PRIDE

    to stop you from ASKING for help

  • DONT WORRY, BE HAPPY

    13

    ASK FOR HELP AND YOU SHALL RECEIVE

    Help! Help! Help!

    If you dont ask, nobody will know that you need help. Dont blame people that they dont help you.

    It is your responsibility to ask for help if you need any. If a person refused to help you,

    that doesnt mean others would also say NO. For your own sake, give people the

    OPPORTUNITY TO SERVE YOU.

    Make sure you ASK and do it before its too late.

  • DONT WORRY, BE HAPPY

    14

    From the histology lab,

    HISTOLOGY

    Are you scolding me?

    Which part of me are you scolding at? System? Organ? Tissue? Cell? Organelle? Molecule? Atom?

    Particle? Energy? Sorry, nobody is at home.

    No ONE is angry! And you will never be angry

    no matter how terrible people scold you.

  • DONT WORRY, BE HAPPY

    15

    From the microbiology lab,

    DOES SIZE MATTER?

    Have the HUMILITY to admit that human being, despite being the most advance

    creature in the tree of evolution, is not almighty!

    BE HUMBLE!

    HUMBLE PEOPLE DONT THINK LESS ABOUT THEMSELVES

    THEY THINK ABOUT THEMSELVES LESS -Norman Vincent Peale-

  • DONT WORRY, BE HAPPY

    16

    AIM HIGH A college professor prepared a test for his soon-to-be-graduating seniors. The test questions were divided into 3 categories and the students were instructed to choose questions from only one of the categories. The 1st category of questions was the hardest and worth fifty points. The second, which was easier, was worth forty points. The third, the simplest was worth thirty points. Upon completion of the test, students who had chosen the hardest fifty-point questions were given As. The students who had chosen the forty-point questions received Bs. Those who settled for the easiest thirty-pointers were given Cs. The students were frustrated with the grading of their papers and asked the professor what he was looking for. The professor leaned over the podium, smiled, and explained, I wasnt testing your book knowledge. I was testing your aim.

    MAKE NO SMALL PLANS, FOR THEY HAVE NO POWER TO STIR YOUR SOUL (Niccolo Machiavelli)

    Aim for DISTINCTION & if dont make it, youll at least PASS Aim for PASS & if you dont make it, youll be called for BORDERLINE viva Aim for BORDERLINE PASS and if you dont make it, youll FAIL

    AIM HIGH & YOU NORMALLY HIT WHAT YOU AIM FOR

    - Byrd Baggett - Have you been planning for your academic pursuit? Remember that when you FAIL TO PLAN, YOU ARE ACTUALLY PLANNING TO FAIL - Alan Lakein -

  • DONT WORRY, BE HAPPY

    17

    IM A THINKING STUDENT I ASK A LOT OF QUESTIONS

    Thinking, thinking, thinking!

    Questioning exercises the mental muscles.

    For every question you ask, you develop a new group of brain cells. It was figured out that

    you have enough brain cells to create 150 new ideas every minute day and night for seventy years.

  • DONT WORRY, BE HAPPY

    18

    DETACHMENT

    Preparing for examination?

    DISINTERESTED students say, Who cares and why bother to study? DESPERATE students say, If I dont pass, Ill sure die! DETACHED students say, If I dont pass this time, its OK and Ill try harder the next time.

    Which type of STUDENT are you?

  • DONT WORRY, BE HAPPY

    19

    EXAM IS A TEST OF HOW FAST WE CAN RETRIEVE INFORMATION

    FROM OUR NEURONS

    Practice output learning!

    If you could teach or share information with a friend, it shows that you have understood the subject well!

  • DONT WORRY, BE HAPPY

    20

    TO FORGET IS HUMAN

    I swear I read it somewhere but I have forgotten where and what about it!

    FORGETTING IS IMPORTANT IN LIFE. Imagine you keep on remembering all the unhappy events in the past. Life will then be pathetic. So, its OK to forget as long as we know

    where and how to look for the forgotten things.

  • DONT WORRY, BE HAPPY

    21

    YOU DONT NEED TO KNOW MANY THINGS TO PASS YOUR EXAM, IF YOU

    KNOW THE FEW THINGS THAT ARE

    IMPORTANT

    This is very important!

    Lecturers are trying desperately to pass all students. Make sure you study things that they emphasize!

    THE HARDER AND SMARTER WE WORK, THE LUCKIER WE GET

  • DONT WORRY, BE HAPPY

    22

    FROG IN THE POTHOLE A frog was hopping about one day when he happened to slip into a large pothole along the country road. All his attempts at jumping out fell short. Soon a dog came upon the frog trapped in the hole and offered to pull him out. He, too failed. After various country animals made gallant attempts to help the poor frog, they finally gave up. Well go back and get you some food, they said. It looks like youre going to be there for a while. However, not long after they took off to get food, the frog hopped past them. They couldnt believe it! We thought you couldnt get out! they hollered out. Oh, I couldnt, replied the frog, but you see, there was a big tractor coming right at me, and I had no choice.

    OPTIMUM STRESS IS NECESSARY FOR US TO

    STUDY HARD & DO WELL IN EXAM

  • DONT WORRY, BE HAPPY

    23

    THE MORE YOU KNOW, THE MORE YOU WILL KNOW THAT

    THERE IS A LOT MORE

    THAT YOU DONT KNOW Why cant I finish studying this?

    LOOK AT WHAT YOU HAVE

    ACCOMPLISHED, NOT ALWAYS ON WHAT YOU HAVE NOT

  • DONT WORRY, BE HAPPY

    24

    SMOKE GETS IN YOUR EYES

    Be careful not to BURN OUT!

    Exam stress is common amongst students.

    Good study habits, exam techniques and exam readiness reduce stress to manageable levels. Keeping up with

    other students socially and academically, regular attendance at lectures, group studies

    and discussion, pooling of resources and information with classmates, and balancing academic

    work with social and leisure activities are crucial to peak in exam performance.

  • DONT WORRY, BE HAPPY

    DO ONE THING AT A TIME

    My God, I have tonnes of books to read!

    Try to concentrate on one task at a timeand dont forget

    YOUR TASK IS NOT ONLY TO FINISH EVERYTHING YOU NEED TO DO,

    ITS TO ENJOY WHILE DOING IT AS WELL

    25

  • DONT WORRY, BE HAPPY

    26

    BURN ALL THE

    MISTAKES!

    Computer attacked by virus

    and you have lost all your precious files?

    The great inventor Thomas Edisons factory once caught fire. As he helplessly watched it burn,

    his costly experiments and equipment going up in smoke, he called his son Charles. Come Charles! he said,

    You will never see anything like this again! And then he called his wife. As the three stood gazing

    at the blazing inferno, Edison smiled and said, There goes all our mistakes! Now we can start

    over afresh! Immediately, he started rebuilding his factory and it was not long after that,

    he invented the phonograph.

  • DONT WORRY, BE HAPPY

    27

    DONT BE A

    BOOKWORM

    Be an ALL-ROUNDER!

    There are a lot of lessons in life, that cannot be acquired through reading!

    &

    THERE IS A LOT MORE IN LIFE BESIDES MEDICINE

    Be promiscuous in acquiring knowledge! A good doctor must be supported by other important skills and knowledge e.g.

    leadership, management, communication, information technology, emotional intelligence, spiritual intelligence etc.

  • DONT WORRY, BE HAPPY

    28

    From the pathology lab,

    PAKTO-LOGY (Pakto in Chinese means dating)

    Im sure many of your course mates are in love.

    Have you ever wondered how would the children be in the future?

    George Bernard Shaw was once approached by a seductive young actress who cooed him in his ear,

    Wouldnt it be wonderful if we got married and had a child with my beauty and you brains? George Bernard Shaw who was hardly a

    handsome man replied, My dear, that would be wonderful indeed, but what if our child

    had my beauty and your brains?

    People say that you usually can have either BEAUTY or BRAIN and not both simultaneously. People also say

    that doctors are brainy. What is your comment?

  • DONT WORRY, BE HAPPY

    29

    CHOOSE A DOOR Dealing with mad people in the psychiatric posting was a wonderful experience. Heres a silly yet profound story about a mans consultation with a psychiatrist. A fellow in New York whose life was bungling along rather miserably, and so decided to consult a psychiatrist to help him change. He selected an address on Park Avenue and entered the doctors reception room, tastefully appointed but without a receptionist. There were two doors, one marked Men and the other Women. He went through the door for Men and came upon two other doors, one marked Extrovert and the other marked Introvert. Knowing he was an introvert, he opened that door and found himself in a room with two more doors. On read Those making at least $ 20, 000 and the other, Those making less than $ 20, 000. He knew he made less than that sum so he entered that door and found himself on Park Avenue! Happiness, success, peace, well-being, and growth result from our own choice and decision, not others. So, choose your door wisely.

    IF YOU DO WHAT YOU HAVE ALWAYS DONE, YOU WILL

    ALWAYS GET BACK WHAT YOU HAVE ALWAYS GOTTEN

    -Anthony Robbins-

    If you have always studied very hard and still do badly in exams, it means you have used the wrong technique to study. Insanity is doing the same thing over and over again and expects a different result. Change the way you study. Study smart!

  • DONT WORRY, BE HAPPY

    30

    WINNING Kenneth was excited and eager about participating in a day of Special Olympics events. He won first game and was proud of his ribbon and the cheers from the crowd. He ran in the second race. Just at the finish line, when he again would have won, he stopped, and stepped off the track. His parents gently questioned him, Why did you do that, Kenneth? If you had continued running, you would have won another race. Kenneth innocently replied, But, Mom! I already have a ribbon. Billy didnt have the ribbon yet. Many students are very KIASU in learning medicine. KIASU people wont share knowledge with you. They wont share exam tips with you either. Neither would they feel happy when you do well in exam. They will only be happy if they do well and all other people do badly. Remember,

    YOUR TASK IS NOT TO COMPETE WITH

    OTHERS YOU SHOULD COMPETE

    WITH YOURSELF

    We should practise WIN-WIN and not WIN-LOSE!

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    WHY DO LECTURERS LIKE TO

    COMPARE STUDENTS?

    A lecturer was very frustrated and said,

    You people are worse than the previous batch of students! The students responded in their whisper, And you are the worst of all lecturers!

    WHEN YOU DONT JUDGE, YOU WOULD NOT BE JUDGED

    (Matthew 7:1-5)

    Be constructive in criticism!

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    ITS GOOD TO HAVE MEANINGFUL

    DIFFERENCE! ELSE LIFE WOULD BE VERY BORING

    Are you having problem with roommate, housemate, course mate, toilet mate?

    ITS EASY TO SEE ONES

    WEAKNESS BUT IT TAKES YEARS TO DISCOVER ONES STRENGTH

    WHEN YOU UNDERSTAND,

    YOU DONT HAVE TO TOLERATE ANYMORE

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    LOOK AT THE HEART NOT THE BEHAVIOR

    I cant stand what you are doing!

    Sometimes parents do things that are intolerable to children.

    Bear in mind that their intention is always good. Parents always do the best for their children.

    They have tried very hard to love you with THE BEST WAY THAT THEY KNOW, EVEN THOUGH IT MIGHT NOT BE

    THE BEST WAY FOR YOU.

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    F R I E N D S H I P

    Oooo

    Some people ( ) come into our lives ) / and quickly go.. (_/ oooO ( ) Some people \ ( stay awhile \_) and leave Oooo footprints on our ( ) hearts... ) / (_/ oooO ( ) and we are \ ( ~ never ~ \_) the same Many people will walk in and out of your life, But only TRUE FRIENDS will leave footprints in your heart (Eleanor Roosevelt) The A Z of Friendship A Friend (A) ccepts you as you are (N) ever judges (B) elieves in you (O) ffers support (C) alls you just to say Hi (P) oints out your mistake (D) oesnt give up on you (Q) uiets your fear (E) nvisions the whole of you (R) aises your spirit (F) orgives your mistake (T) ells you the truth (G) ives unconditionally (U) understands you (H) elps you (V) alues you (I) nvites you over (W) alks beside you (J) ust be with you (X) plain things to you patiently (K) eeps you close at heart (Y) ells when you wont listen and (L) oves for who you are (Z) aps you back to reality (M) akes a difference in your life

    THE BEST WAY TO ATTRACT GOOD FRIENDS IS TO BE ONE YOURSELF

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    SAIL THE SEA

    A step towards the throne of knowledge Is like a seamans first onto the deck bridge

    Knowing nothing Always groping

    He stumbles, he trips Trying to find a grip

    Lo came a seasoned seaman A captain who has sailed to many lands

    He guides and teaches the newbie The knots and ropes to challenge the sea

    He heads and guides The way through the tides

    At last the freshmans ready To test his mettle against the sea

    With a word of wisdom and a pat in the back The captain sends the seaman to the deck Now the sailor looks at the future smiling

    For with him is his captains teaching

    - Dr. Pang Chee Genn - (Pioneer medical graduate, UPM Medical School)

    35

  • Chapter 3

    A CLINICAL JOURNEY

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    FOR ONE MISTAKE

    MADE FOR NOT KNOWING, TEN MISTAKES ARE MADE NOT

    LOOKING - J. A. Lindsay -

    Thats when you LOOK but dont SEE!

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    WHAT THE MIND DOES NOT KNOW, THE

    CANNOT SEE

    Good doctors are medically paranoid They have,

    HIGH LEVEL OF SUSPICION & INCREASED CLINICAL AWARENESS

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    LEARN WITH A PURPOSE

    DEDICATE EVERY DISEASE YOU LEARN TO A FRIEND OR

    RELATIVE WITH THE DISEASE

    Daddy! I would like to dedicate what I have

    learnt about toothache to you! Let me see.toothache is..

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    AN OUNCE OF PRACTICE WORTHS MUCH MORE THAN

    A TONNE OF THEORIES - Mahatma Gandhi

    Practical is important!

    You can never deliver a baby You can never do venepuncture

    You can never do suturing You can never do cardiopulmonary resuscitation

    You can never do funduscopy

    NEVER, NEVER, NEVER

    BY JUST READING A BOOK

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    PHYSICAL EXAMINATION

    MORE MISTAKES ARE MADE FROM WANT OF A PROPER PHYSICAL EXAMINATION THAN

    FOR ANY OTHER REASON - Russell John Howard

    All skills are difficult before they are easy! Practice makes perfect!

    TO MASTER A SKILL WE MUST BECOME ITS SLAVE

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    HABIT IS DIFFICULT TO CHANGE

    Take away the H, you have ABIT, take away the A, you still

    have BIT of it, and even after taking the B, you will still have IT. So, make sure we pick up

    GOOD CLINICAL HABIT

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    DONT SIT ON PATIENTS BED! (A common advice for medical students as it

    may be culturally inappropriate)

    ..even though

    MEDICINE IS LEARNED BY THE BEDSIDE

    AND NOT IN THE CLASSROOM To study phenomenon of disease

    without books is to sail an uncharted sea, while to study books without patients

    is not to go to sea at all. - Sir William Osler -

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    A HOSPITAL IS A LIBRARY, THE WARD A BOOKSHELVE AND

    EACH PATIENT A BOOK

    This is an interesting patient!

    Medical students commonly say, Seen any interesting patients in the ward?

    All patients are interesting. Its just that you might not be interested.

    Imagine you are on a hospital bed with a tag,

    UNINTERESTING PATIENT - NBM (NBM = nil by mouth or fasting)

    That would really be an interesting PATIENT.

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    PICTURE PAINTS A THOUSAND WORDS

    SEEING IS BELIEVING

    The optic nerve is 17 times larger than most other nerves. So, we usually remember what we see much better.

    Make the initiative to SEE more clinical signs!

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    To learn to walk, we must risk falling over To make a dollar, we must risk losing it

    To influence people into business venture, we risk losing friendship

    Eating in the restaurant is a risk

    Winners take more risk than losers do That is why they win so much more

    But they also lose much more than losers do They are playing so often that their wins add up

    AND ACTIVE

    IN LEARNING

    In loving and caring, we risk breaking our hearts

    Getting a job is a risk Crossing the road is a risk

    St k Life is a risk

    arting a family is a ris

    Which do we prefer - to merely exist or to be truly living?

    - Unknown Author -

    TAKE RISK BE PRO

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    46

    K .I .S .S.

    Whatever you attempt to study, try to

    (K)eep (I)t (S)hort & (S)imple Dont complicate things &

    Dont waste unnecessary memory power!

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    47

    MALUISM

    In order to be ACE, you must learn with the NO FACE attitude.

    Dont be afraid to make mistake. Dont be shy when people tease or laugh at you,

    and you will be an A star student!

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    COURAGE IS NOT THE

    ABSENCE OF FEAR IT IS ACTING IN SPITE OF FEAR

    - Mark Twain -

    Im afraid to take blood. Therefore I should do it more often!

    THE ONLY WAY TO OVERCOME FEAR

    IS TO CONFRONT IT

    IF YOU CANTYOU MUST

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    49

    ALWAYS SHOW EXAMINER THAT YOU ARE

    SYSTEMATIC IN THINKING

    Information STORAGE and RETRIEVAL should be GROUPED systematically but APPLICATION OF KNOWLEDGE and THINKING should NOT be COMPARTMENTALIZED!

    What do you THINK?

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    50

    YOU SHOULD KNOW & I DONT KNOW Once, there was a king in the city. He called someone, saying, Come, my good man, go and gather together in one place all the men in the city who were born blind. Very good, said the man and he did as the king commanded, and when he had done so, the king said to him, Now my good man, show these blind men an elephant. Very good, said the man, and he did as the king commanded. He presented one blind man with the head of the elephant, one with the ear, one with the tusk, another the trunk, the foot, the back, and tail and the tuft of the tail, saying to each as he did so, O blind man, this is an elephant. Having done this, the man went to the king and said, Sire, the elephant has been presented to the blind men. Do what you will. So, the king went to the blind men and said to them. O blind men, have you seen the elephant? Yes, Sire, we have, said the men. Then tell me what an elephant is like. Then the one who had been presented with the head said, An elephant is like a pot. The one who had been presented with the ear said, An elephant is like a winnowing basket. They said the tusk was like a plough pole, the body was like a granary, the foot like a pillar, the back like a mortar, the tail like a pestle, and the tuft of the tail a broom. Then, they began to argue, shouting as they did, Yes it is It is not! An elephant is not like that! Yes, it is! Soon they began to hit each other, and the king was delighted with what he saw. None of the blind men had a complete picture of an elephant. Nobody knows everything in the medical world. Have the humility to admit that we dont know certain thing. It is absolutely OK if we dont know certain thing as long as we make the initiative to find it out later. No doubt lecturers will always pressure us by saying, You should know this. It is so basic. It seems that everything is basic to them. Please understand that lecturers are paid to do that, to tell us what we do not know. Anyhow, we should not be demoralized and we should have the wisdom to comprehend that..KNOWING WHAT WE DO NOT KNOW IS PART OF KNOWING & NOBODY KNOWS EVERYTHING.

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    IF YOU DONT KNOW THE ANSWER, IT IS BETTER TO SAY

    SORRY, I DONT KNOW THAN TO

    Do you know the art of saying,

    I DONT KNOW?

    If you dont, please turn to page 176 in the bonus chapter

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    52

    SHAKE IT OFF & STEP UP! A parable is told of a farmer who owned an old mule. The mule fell into the farmers well. The farmer heard the mule braying or whatever mules do when they fall into wells. After carefully assessing the situation, the farmer sympathized with the mule, but decided that neither the mule nor the well was worth the trouble of saving. Instead, he called his neighbours together and told them what happened. He enlisted them to help haul dirt to bury the old mule in the well and put him out of his misery. Initially, the old mule was hysterical. But, as the farmer and his neighbours continued shovelling and the dirt hit his back, a thought struck him. It suddenly dawned on him that every time a shovel load of dirt landed on his back, he should shake it off and step up! This he did, blow after blow. Shake it off and step up..shake it off and step up! he repeated to encourage himself. No matter how painful the blows, or how distressing the situation, the old mule fought panic and just kept on shaking it off and stepping up! It wasnt long before the old mule, battered and exhausted, stepped triumphantly over the wall of that well. What could have buried him blessed him, all because of the manner in which he handled his adversity Mikeys Funnies I always reflect on this story whenever any lecturers scold me and Ill tell myself, You have the right to say whatever you want about me, and I have the right to choose how I want to response to you. I choose to response positively and constructively and I CHOOSE TO BE HAPPY. IT IS NOT WHAT OTHER PEOPLE SAY TO YOU THAT MATTERS,

    IT IS WHAT YOU SAY TO YOURSELF AFTER THAT

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    53

    A GREAT

    LECTURER

    Bad lecturers Complain Mediocre lecturers Teach Good lecturers Explain &

    Demonstrate Better lecturers Motivate Great lecturers Inspire

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    54

    BE GRATEFUL TO YOUR LECTURERS

    You stupid fool! Its so basic! You should know!

    Nasty lecturers?

    Be grateful to them anyway, because they have taught you

    PATIENCE and TOLERANCE

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    55

    YOU MEDICAL PEOPLE WILL HAVE MORE LIVES TO ANSWER FOR IN THE OTHER

    WORLD THAN EVEN WE GENERALS - Napoleon Bonaparte -

    Dr. TS Ng, the head of UPM Medical Department frequently quoted this saying whenever students gave a wrong answer to his question. Recently, I found an interesting response to this saying in the Malaysia Medical Association (MMA) newsletter,

    MOST MEDICAL DOCTORS HAVE MORE LIVE

    PATIENTS WHO HAVE BEEN GRATEFULLY SAVED THAN THE GENERALS WHO

    FRIGHTENED THE PUBLIC AWAY FROM GOOD MEDICINE AND PROPER HEALTHCARE

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    DONKEY Once, a man and his son were taking a donkey to the market. As they were walking, some people saw them and remarked, Look at these fools, why dont they ride the donkey? The man heard this and asked the son to ride the donkey while he walked alongside. An old woman seeing this remarked, What is the world coming to? Look at that young man riding comfortably while he makes his poor father walk! So, the young man got down and this time the father rode the donkey. As they went along, a young woman passing by said, Why dont both of you get on the animal? So, they listened to her and both rode on the animal. Yet another group who saw them and said, Oh! What a poor animal. It has to carry those two fat good-for-nothings! How cruel some people can be. By this time the father and son were getting quite fed up. They decided to dismount and carry the donkey instead so as to stop everyone from talking. This led people to laugh and said. Look at these human donkeys carrying a donkey. When you try and please everyone, you will end up pleasing no one, and in the end, you will only land yourself in trouble. YOU CAN NEVER PLEASE ALL LECTURERS. As long as you are not totally wrong, it would be good enough. YOU CAN NEVER LISTEN TO EVERYONE AS WELL. You may listen for opinions but eventually you have to listen to your heart and make a decision that is best for yourself. Nobody knows you better than yourself. Trust your instinct and decide what is best for yourself.

    DONT TRY TO PLEASE EVERYONE, WHEN YOU TRY TO PLEASE EVERYONE, YOU WILL END UP PLEASING NO ONE

    56

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    57

    YOU CAN NEVER FINISH STUDYING MEDICINE

    IMPORTANT ONES SHOULD ALWAYS COME 1ST

    COMMON THINGS ARE COMMON ..except MCQ of course

    (MCQ is multiple choice questions. MCQ or objective questions are usually easier in

    any exam but in medical exam, its the killer and many people fail because of it)

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    THE BIG ROCK One day, an expert on time management was speaking to a group of business students. To drive home a point, this expert used an illustration that those students will never forget. As this man stood in front of the group of high-powered overachievers, he said, Okay, time for a quiz. Then, he pulled out a one-gallon, wide-mouthed mason jar and set it on a table in front of him. Then, he produced about a dozen fist-sized rocks and carefully placed them, one at a time, into the jar. When the jar was filled to the top and no more rocks would fit inside, he asked, Is this jar full? Everyone in the class said, Yes. Then he said, Really? He reached under the table and pulled out a bucket of gravel. Then he dumped some gravel in and shook the jar causing pieces of gravel to work themselves down into the spaces between the big rocks. Then, he smiled and asked the group once more, Is the jar full? By this time the class was unto him. Probably not. one of them answered. Good! he replied. And he reached under the table and brought out a bucket of sand. He started dumping the sand in and it went into all the spaces left between the rocks and the gravel. Once more he asked the question, Is this jar full? No! the class shouted. Once again he said, Good! Then, he grabbed a pitcher of water and began to pour it in until the jar was filled to the brim. Then, he looked up at the class and asked, What is the point of this illustration? One eager beaver raised his hand and said, The point is, no matter how full your schedule is, if you try really hard, you can always fit some more things into it! No, the speaker replied, Thats not the point. The truth this illustration teaches us is that if we dont put the big rocks first, well never get them in at all. Try to prioritise the things we want to achieve in life. There are 2 disasters in life: 1. Not getting what we want 2. Getting what we want but found out later, that thats not important. So, know WHAT you want, WHY you want it, and do it FIRST.

    PUT FIRST THING FIRST - Stephen Covey, 7 Habits of Highly Effective People

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    Psychiatry from the exam hall,

    ANXIETY AND DEPRESSION IN EXAMINATION!

    Emotionally, there is ANXIETY as long as you are trying to control an unpredictable situation, then DEPRESSION and giving up when the situation seems beyond control.

    When you step into the exam hall and try to answer as many

    questions as possible (TRYING TO CONTROL), you have ANXIETY. When you come out of the exam hall finding that

    you could not answer many of the questions (BEYOND CONTROL), you begin to have DEPRESSION

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    GREAT MINDS TALK ABOUT IDEAS

    - Eleanor Roosevelt -

    AVERAGE MINDS

    TALK ABOUT EVENTS

    SMALL MINDS TALK ABOUT PEOPLE

    I HOPE YOU DONT MIND WHEN I SAY THAT

    IF YOU SPEND HOURS ARGUING OVER SOMETHING THAT IS NEVER MIND

    YOU ARE REALLY OUT OF YOUR MIND.

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    MEDICINE IS AN ART

    CLINICAL DIAGNOSIS IS AN ART THE MASTERY OF AN ART HAS NO END

    YOU CAN ALWAYS BE A BETTER DIAGNOSTICIAN

    - Logan Clendering -

  • Chapter 4

    DEALING WITH PATIENTS

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    A saying at the mamak stall,

    A CUSTOMER is the most important visitor on our premises.

    He is not dependent on us. We are dependent on him.

    He is not an interruption to our work. He is the purpose of it.

    He is not an outsider to our business. He is a part of it.

    We are not doing him a favour by serving him. He is doing us a favour by giving

    us an opportunity to do so - Mahatma Gandhi -

    OUR MOST IMPORTANT CUSTOMER IS

    PATIENT

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    ONE, ONE, ONE

    I never look at the masses as my responsibility.

    I look at the individual.

    I can only love one person at a time.

    I can only feed one person at a time.

    Just one, one, one .....

    So you begin .... I begin.

    I picked up one person -

    Maybe if I didn't pick up that one person,

    I wouldn't have picked up 42,000.

    The whole work is only a drop in the ocean.

    But if I didn't put the drop in,

    The ocean would be one drop less.

    Same thing for you,

    Same thing in your family,

    Same thing in your business,

    Wherever you go

    Just begin ... one, one, one.

    - Mother Teresa -

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    KNOWLEDGE

    SKILL

    ATTITUDE

    A man visits his doctor and said. Doc, my elbow hurts. What can I do?

    The doctor slams his foot on the patients toes. Owwwwww! Hey, what did you do that for?

    The doctor asks, Do you still feel the pain in the elbow? No, and the doctor shouts, Next.

    - Robin William -

    Knowledge can be gained, skill can be acquired, but bad attitude is resistance to change,

    but MUST be changed!

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    $ NO NO TALK?

    Patients life should always be the first priority!

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    MONEY CANT BUY.

    Money can buy HOUSE but not HOME

    Money can buy BED but not SLEEP

    Money can buy CLOCK but not TIME

    Money can buy BOOK but not KNOWLEDGE

    Money can buy FOOD but not APPETITE

    Money can buy POSITION but not RESPECT

    Money can buy BLOOD but not LIFE

    Money can buy MEDICINE but not HEALTH

    Money can buy SEX but not LOVE

    Money can buy INSURANCE but not SAFETY

    -Daniel Olsson -

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    MONEY CAN BE THE ROOT OF ALL EVIL

    IF WE ARE NOT CAREFUL

    Can I have an MC, please?

    When we cheat for money, our MONETARY BANK account can be increasing,

    but our ETHICAL BANK ACCOUNT will be decreasing. We have spend so many years to be in this noble profession

    with high social status. Dont ruin it!

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    IF YOU DO NOT KNOW

    ASK

    ASKING NEVER KILLS IT MAKES YOU APPEAR STUPID FOR A FEW SECONDS

    BUT WISER FOR LIFE

    IT IS BETTER TO BE SAFE THAN SORRY

    Be a safe doctor!

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    YOU CAN LOOSE YOUR HEAD BUT DONT LOOSE YOUR

    MIND

    Be Mindful!

    Its OK if we dont know how to treat a patient with the best ways available since nobody knows everything.

    But, its not OK if we are NEGLIGENT and irresponsible. Always tell yourself that you are dealing with a HUMAN LIFE,

    something very precious and priceless.

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    DOCTORS HAVE NO SEX 1

    BUT CHAPERON IS STILL REQUIRED 2

    Even when you examine an 80-year-old lady, make sure that you have a chaperon!

    1. A common reminder for medical students so that they dont feel shy in examining patients of opposite gender.

    2. Another common reminder for medical students so that both

    patient and doctor are protected should there be any alleged sexual harassment.

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    TRUE LOVE IS TO LOVE EVERYONE WITHOUT

    DISCRIMINATION

    Dont be judgemental!

    All patients look alike from an X-Ray point of view. Treat all patients equally,

    as though they are our own PARENTS.

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    DONT MAKE UNNECESSARY JUDGEMENT! It is time to elect the world leader and your vote counts. Here are the facts about the three leading candidates: CANDIDATE A : He associates with crooked politicians, and consults with astrologist. Hes had two mistresses. He also chain smokes and drinks 8 to 10 martins a day. CANDIDATE B: He was kicked out of office twice, sleeps until noon, used opium in college and drinks a quart of whisky every evening. CANDIDATE C: He is a decorated war hero. Hes a vegetarian, doesnt smoke, drinks an occasional beer and hasnt any extramarital affairs. Which of these candidates would be your choice?

    Avoid making unnecessary judgements e.g. negative ethnic stereotyping.

    Judge only when its useful e.g. making early clinical impression. We may think we have all the facts.

    In reality, the consequences can be disastrous. How often are we guilty of being judgemental?

    Candidate A is Franklin D. Roosevelt Candidate B is Winston Churchill Candidate C is Adolph Hitler

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    MAKING A DIFFERENCE There are so many patients in the clinic. How can I be kind to everyone? Does it make a difference after all? Once upon a time, there was a wise man that used to go to the ocean to do his writing. He had a habit of walking on the beach before he began his work. One day, he was walking along the shore. As he looked down the beach, he saw a human figure moving like a dancer. He smiled to himself to think of someone who would dance to the day. So, he began to move faster to catch up. As he got closer, he saw that it was a young man and the young man wasnt dancing, but instead he was reaching down to the shore, picking up something and very gently throwing it into the ocean. As he got closer he called out, Good morning! What are you doing? The young man paused, looked up and replied, Throwing starfish into the ocean? I guess I should have asked, why are you throwing starfish in the ocean? The sun is up, and the tide is going out. And if I dont throw them in, theyll die. But, young man, dont you realize that there are miles of beach, and starfish all along it. You cant possibly make a difference! The young man listened politely. Then bent down, picked another starfish and threw it into the sea, past the breaking waves and said, It made a different for that one. (Loren Eisley) IT MAKES A DIFFERENCE FOR THAT PATIENT

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    LEARN TO DO SMALL & SIMPLE THINGS WITH

    GREAT LOVE - Mother Teresa

    Blood pressure again?

    Taking blood pressure can be a very small and simple thing to do. But, if done with great care can help to

    establish a GOOD RAPPORT with patient. The same goes for greeting patient, taking history,

    performing physical examination, taking temperature and pulse rate, blood taking, giving injection etc.

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    SCORPION & THE KIND FROG As I looked at the drug addicts cum retro positive patients in the last cubicle of the ward, I asked myself, Should I be kind to them and treat them wholeheartedly. These patients might not even appreciate what I do for them and some dont even bother to get well for themselves. Should I treat them kindly just like any other patients?

    One day a frog was sitting by a stream. A scorpion came by, and said, Mr. Frog, I would like to cross the stream, but I am a scorpion and cannot swim. Would you be so kind as to swim across with me on your back?

    And the frog said, But you are a scorpion and scorpion sting frogs! Said the scorpion, Why would I sting you? I just want to get to the other side! OK, said the frog, Climb on my back and I will take you. They were just halfway across the stream when the scorpion stung the frog. Writhing in agony, and with his last breath, the frog said, Why did you do that? Now well both drown! Because, said the scorpion, I am scorpion, and scorpion stings frogs! Im a doctor, and doctor helps patients. Its my nature to save life & be kind to all patients.

    KINDNESS IS THE LANGUAGE THAT THE DUMB CAN SPEAK AND THE DEAF CAN UNDERSTAND - C.N. Bovee -

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    J. Borysenko. 1985. Healing motives: an interview with David McClelland. Advances 2: 29-41

    MOTHER TERESA EFFECT

    Joan Borysenko reported her interview with Dr. Dabid McClelland, Harvard Medical School, USA, regarding his work called the Mother Teresa Effect. A group of Harvard students was shown a documentary of Mother Teresa lovingly ministering the sick. The immunoglobulin A (Ig A) level in their saliva was measured BEFORE and AFTER seeing the film. Ig A rose significantly in

    all students, even in those who considered Mother Teresa too religious or fake. Ig A is the antibody that protects the mucus membrane from virus and bacteria. BEST

    MEDICINE

    1. TENDER tds 2. LOVING tds 3. CARE tds

    BEING LOVING TO PEOPLE IS REALLY

    GOOD FOR HEALTH

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    4 THERAPEUTIC THOUGHTS FOR PRESCRIPTION

    - Sukhihotu -

    May you be well

    LOVING-KINDNESS

    Hope you will get well soon

    COMPASSION

    Great to see you well again

    APPRECIATIVE JOY

    Hmmmm.I see

    EQUANIMITY

  • DONT WORRY, BE HAPPY

    ANTIBIOTIC His name was Flehming, and he was a poor Scottish farmer. One day, while trying to make a living for his family, he heard a cry for help coming from a nearby bog. He dropped his tools and ran to the bog. There, mired to his waist in black mud, was a terrified boy, screaming and struggling to free himself. Farmer Flehming saved the lad from what could have been a slow and terrifying death. The next day, a fancy carriage pulled up to the Scotsmans sparse surroundings. An elegantly dressed nobleman stepped out and introduced himself as the father of the boy Father Flehming had saved. I want to repay you, said the nobleman. You saved my sons life. No, I cant accept payment for what I did, the Scottish farmer replied, waving off the offer. At that moment, the farmers son came to the door of the family hovel. Is that your son? the nobleman asked. Yes, the farmer replied proudly. Ill make you a deal. Let me take him and give him a good education, If the lad is anything like his father, hell grow to a man you can be proud of. And that he did. Flehmings son graduated from St. Marys Hospital Medical School in London, and went on to become known throughout the world as the noted Sir Alexander Flehming, the discoverer of Penicillin. Years afterward, the noblemans son was stricken with pneumonia. What saved him? Penicillin. The name of the nobleman? Lord Randolph Churchill, His sons name? Sir Winston Churchill. Dont underestimate the vicious effect of kindness. Who knows it can produce another great discovery in the medical world.

    AN ACT OF KINDNESS CAN BRING HAPPINESS TO COUNTLESS PEOPLE

    78

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    COMMON COLD The 7 stages of the COMMON COLD in the life of a young married couple is as following:

    The 1st year : Sugar, Im worried about my little sweetie pie. Youve got a bad sniffle and I want you to go to the hospital for a complete check-up. The 2nd year : Listen, honey, I dont like the sound of that cough. Ive called a doctor and he is rushing right over. The 3rd year : Maybe youd better lie down, honey. Nothing is better than a little rest if youre feeling bad. Ill bring you something to eat. The 4th year : Look, dear, be sensible, after youve fed the kids and washed the dishes, youd better hit the sack. The 5th year : Why dont you take a couple of aspirin? The 6th year : If youd just gargle on something instead of sitting around like a seal, it might help. The 7th year : For heavens sake, stop sneezing! What are you trying to do, give me a pneumonia? It sometimes appears that medical students and junior doctors are the ones much more kind and understanding to patients, as compared to senior doctors. Probably senior doctors are already immune to patients needs by the time they have seen hundreds or even thousands of them? So, make sure we immunize ourselves from the common COLD and always be WARM to patients.

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    VACCINATION OF GOODNESS Growing up in Africa, the son of English settlers, I often accompanied my mother, a doctor, on her rounds. My mothers single biggest lifesaver was he vaccination programme. Grand tours to inoculate people against smallpox, diphtheria, tuberculosis and polio became part of our dry season routine. I helped with the polio vaccine for the children. I had a tray of sugar lumps and would give one to each person. My biggest problem was to prevent them from coming around to get a second sugar lump. Those were days of relative peace. As I came to manhood, I left for England and took up journalism. In 1986, the paper assigned me to South Africa. I was unlucky enough to be caught as a spy by armed guerrillas and I was handed to their leader. I distinctly heard the commander gave orders to his servant in chiNdau, a dialect used by the Ndau people. I listened a little longer to be sure, and then tentatively greeted the commander on what I could remember of chiNdau. He was amazed. Where did you learn this language? he asked. I told him I had lived in the mountains, as a boy. Whats your family name? he asked. Godwin. Godwin, he said thoughtfully, turning over the name. Was your mother the doctor on that side? Yes, I said. He smiled and put out his hand for an African low five handshake, She was the one who vaccinated me when I was a child. Pulling up his sleeve, he showed me a small vaccination scar on his shoulder, Ahha..you gave me the sugar medicine. I remember now. Look, I grew up strong. He stretched his body proudly. In a few minutes I had been elevated from hostage to honoured guest.

    GOOD BEGETS GOOD, EVIL BEGETS EVIL Be careful with how you treat your patient!

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    WHEN A STUDENT IS READY A TEACHER IS ALWAYS AROUND

    If people are not ready to change, we can never help them!

    We spend a lot of time trying to educate people to improve their quality of life. In the process, we sometimes become frustrated and dissapointed. This often occurs when those whom we try to educate are our loved ones, and particularly

    so when the reason is that they dont trust you. Dont let those people stop you from your noble effort! There are a lot more others who need your expertise

    to bring light and happiness into their lives.

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    PRACTICING YOUR PROFESSION

    A fountain man salesman persuaded a merchant to order 500 dozen pens. He was writing the order in his notebook when suddenly the merchant exclaimed, Hold on! Im cancelling that order! Then, he turned to wait on a customer. The salesman left the store perplexed and angry. Later, the merchants bookkeeper asked, Why did you cancel that fountain pen order? Why? responded the merchant, Because he talked about fountain pens to me for half an hour, using a number of forcible arguments, and then booked my order with a lead pencil. His practice did not agree with his profession. Jerral Kay

    Do we ourselves in the

    medical profession practice healthy lifestyle before

    counselling patients?

    NONE PREACH BETTER THAN THE ANT HE SAYS NOTHING

    BUT PREACHES BY EXAMPLE - Benjamin Franklin -

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    THE PURPOSE OF THE DOCTOR IS TO

    ENTERTAIN THE PATIENT WHILE THE DISEASE TAKES ITS COURSE

    - Voltaire -

    Hello ! Its me again

    I recommend you to watch the movie,

    ROBIN WILLIAMS

    PATCH ADAM Laughter is contagious!

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    COULD YOU JUST - Unknown Author -

    When I asked you to listen to me, and you start giving me advice, you have not done what I askedgiving me advice, you have not done what I askedWhen I asked you to listen to me, and you start

    When I ask you to listen to me, and you begin to tell me why I shouldnt feel that way,When I ask you to listen to me, and you begin to

    you are trampling my feelingsyou are trampling my feelingstell me why I shouldnt feel that way,

    When I asked you to listen to me, and you feel you have to do something to solve my problem, When I asked you to listen to me, and you feel

    you have failed meyou have failed meyou have to do something to solve my problem,

    Listen! All I asked was that you listen, not to talk or do..just hear menot to talk or do..just hear meListen! All I asked was that you listen,

    Advice is cheap -Radio, TV, magazines and newspaper are full of itRadio, TV, magazines and newspaper are full of itAdvice is cheap -

    I can do for myself, I'm not helpless, maybe discouraged and faltering but not helplessmaybe discouraged and faltering but not helplessI can do for myself, I'm not helpless,

    When you do something for me that I can do for myself, you contribute to my fear and inadequacymyself, you contribute to my fear and inadequacyWhen you do something for me that I can do for

    So please listen and just hear me, and if you want to talk, wait a minute for So please listen and just hear me,

    your turn and Ill listen to youyour turn and Ill listen to youand if you want to talk, wait a minute for

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    SYMPTOMS

    They come, like poets to a reading and begin to recite their symptoms,

    Migraine. A circus hand putting up tent, His sledge-hammer pounding stakes into the ground of my head.

    Even the clowns cannot coax laughter From my spectator frowns.

    Manic depressive. Most times Im a ragged doll

    In the lowest shelf of the store-room. In between the charming hostess in the kitchen.

    Of course both rooms are in the house of my mind. And thats where my address is but no postman can find it.

    Parkinsonism. When it came, it was not an earth shattering quake,

    But little tremors of fingering, As Im chasing away invisible flies,

    As if Im quick-signalling you to float Like a butterfly and sting like a bee.

    Alzheimer. Bible, pen, newspaper, wallet, ring,

    I remember them only because Ive forgotten where I placed them. Todays events are written in invisible ink

    And tomorrow is not remembered as a day to come But as another blank page in my diary.

    These words are not just symptoms,

    Certainly not just emotions recollected in tranquillity But moments of terrifying clarity challenging pain,

    Giving suffering a music beyond that played by juke-box.

    And I look, I the doctor dancing at the edge of vertigo-verse!

    - Dr. Ng Kian Seng - (MMA News November, 2000)

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    HOW LONG AM I GOING TO LIVE? A prophet was made to foretell his Sultans future. He said, Sir, you will live to see all your sons dead. The Sultan enraged, handed him over to the tormentor. Then, the potentate sent for another prophet to inquire the future from him and the hope of better things. Excellency, announced this one, I see you blessed with long life, so that you will outlive all your family. The Sultan was delighted, and rewarded him gold. Both prophets knew the same truth but the second one knew the Sultan. Do you know your patients close enough to make them happy?

    WORDS MUST BE COUNTED AMONG THE MOST POWERFUL DRUGS MAN EVER INVENTED

    - Leo Rosten -

    Dont forget to prescribe therapeutic speech!

    THERE IS NO WORSE LIE THAN A TRUTH MISUNDERSTOOD BY THOSE WHO HEAR IT

    - William James -

    Explain things to patient thoroughly and patiently!

    THERE ARE TRUTHS WHICH ARE NOT FOR ALL MEN NOR FOR ALL OCCASIONS

    - Voltaire -

    Are you going to tell patients all the 101 possible side effects of a particular drug or treatment procedure?

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    WORDS HAVE THE POWER TO

    HEAL & ALSO TO KILL

    Never use the word CANCER unnecessarily

    in front of patients!

    To most patients, CANCER = DEATH

    Dont cause unnecessary worry to patient! Breaking of news should be done skilfully and with utmost care.

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    A PHYSICIAN IS OBLIGATED TO CONSIDER MORE THAN A

    DISEASED ORGAN, MORE EVEN THAN THE WHOLE MAN, HE MUST VIEW THE

    MAN IN HIS WORLD - Sir Harvey Cushing -

    It is more important to know what kind of a patient has a disease than what kind

    of a disease patient has!

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    A TERRIBLE NOICE Once, there was a baby boy who was born deaf due to a rare congenital disorder. So, since birth, the boy never had a chance to hear anything. The world was just silence to him. The parents were very worried and travelled to many places to find a doctor who could cure their little boys deafness. After a great deal of effort, they managed to find a very good surgeon who claimed that he could cure the little boys deafness. Without delaying, the little boy underwent an extensive surgery and his hearing was restored. Very excitedly, the parents hugged their little boy and said, Oh boy! Can you hear us? Yes, Mummy, Daddy, I can hear, said the little boy who somehow looked miserable. The parents were very surprised and asked their sweetheart, My dear, you can now hear everything clearly but why do you still look so unhappy? The little boy answered back, Daddy, Mummy! When you asked doctor to cure me, why didnt you ask my permission first? The sound of life that I hear now is so terrible. Everything was so quiet and peaceful before this. Now, how can I live with such horrible NOICE?

    TREAT PATIENT, NOT THE DISEASE

    - Sir William Osler -

    We very often become too preoccupied with our medical facts and knowledge to the point that we fail to realize that different patients with similar disease can have different needs.

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    MIND-BODY MEDICINE

    Listen to patients heart!

    Share their FEARS & WORRIES Share their DESIRES & DREAMS

    A GOOD DOCTOR IS THE ONE WHO HEALS THE BODY AS WELL AS THE MIND

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    PLASTIC SURGERY Dr. Maxwell Maltz, the developer of self-image psychology is also a plastic surgeon. In his book, Psycho-Cybernetics, he tells of thousands of cases in which he did remarkable plastic surgery, only to discover that patient still felt he or she was unattractive or outright ugly. A negative self-concept was not changed by even the most drastic change in appearance, unless the patient worked at changing his feelings about himself before and after the surgery.

    HEALTH IS A COMPLETE MENTAL, PHYSICAL AND SOCIAL WELLBEING, AND NOT THE MERE ABSENCE OF DISEASE

    - World Health Organization -

    A HEALTHY MIND COMES FROM A HEALTH BODY &

    A HEALTHY BODY COMES FROM A HEALTHY MIND - Dr. Noordin Darus, Art of Total Wellness -

    WHEN THE BODY IS SICK DO NOT ALLOW THE MIND TO BE SICK

    - Buddha -

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    OLD OR YOUNG?

    You tend to see what you expect to see!

    Have an open mind. Always have a

    DIFFERENTIAL DIAGNOSIS!

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    EVIDENCE BASED MEDICINE

    Have you looked into the medical literature to agree or disagree with a certain medical claim? Or do you just agree and disagree according to your sceptical belief?

    Mummy Therapy?

    HAVE AN OPEN MIND DO NOT ACCEPT OR REJECT WITHOUT

    THOROUGH INVESTIGATION! - Buddha -

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    DONT UNDERESTIMATE

    THE POWER OF PRAYER IN HEALING

    You say a prayer in your religion, And Ill say a prayer as I know it, Together we will say this prayer,

    And it will be something beautiful to God. - Mother Teresa -

    For those who are interested to find out about the clinical evidence of prayer in healing, please read Dr. Chris K.H Teos (PhD) book,

    FAITH & PRAYER IN THE HEALING OF CANCER.

  • Chapter 5

    PATIENT AS A TEACHER

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    HEALTH IS THE GREATEST WEALTH

    H

    BE GRATEFUL THAT YOU ARE NOW STRONG & HEALTHY,

    A DOCTOR INSTEAD OF A PATIENT

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    HAVE THE DISCIPLINE TO DO SOMETHING THAT YOU DONT

    LIKE EVERYDAY

    A lot of things in life are initially IMPORTANT but NOT URGENT

    until it is too late! e.g. EXERCISE

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    HEALTH IS THE GREATEST WEALTH

    How much is health?

    Good Health

    When you are healthy and fit, the world outside is yours to roam, When your mind is well trained and strong,

    the world comes kissing at your feet Then life unfolds its cherry pink cheeks,

    Gold glowing in throbbing rich veins For a while the worlds temporal light shines

    Its time when fellas ride high But health is fragile, so take care

    Brittle like thin crystals, The happy world too may break,

    Many strong men barely make forty, Many sickly ladies drag on but with frail bodies,

    So will it be a spring too short Or a winter too long?

    What matters finally will be how life is lived

    - Sujiva -

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    HEALTH IS WEALTH

    A man spends most of his life In pursuit of his dreams.. To amass fortune and fame

    And make himself a householder name. He would climb the highest mountain,

    Traverse the ocean wide And push himself to the limit

    For country and personal pride He would endure countless punishments

    In training for title fights But the ultimate wealth will evade him

    If, in dreaming, his vision he loses sight. When all the glory days are gone

    And great fortunes have been won What good wealth and fame

    If youre wheelchair-bounded or maimed? After all is said and done

    The only enduring wealth is HEALTH So, it would be best to count our blessings

    And take time out to smell Life Roses For success is fleeting and just a feeling

    And should not encompass all of Lifes meaning

    - Dr. Lung Jien Kien - (MMA News January, 2001)

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    BELLS PALSY

    (Facial muscles paralysis commonly due to viral infection)

    BE GRATEFUL THAT YOU CAN STILL

    A lot of people cant!

    IT TAKES 72 MUSCLES TO FROWN AND ONLY 14 MUSCLES TO SMILE

    MOST SMILES ARE STARTED BY OTHERS SO, SMILE FIRST

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    SMILE

    A smile is quite a funny thing It lightens up your face

    And when its gone you will never find Its secret hiding place

    But far more wonderful it is

    To see what smile can do You smile at me, I smile at you

    And so one smile makes two

    Smile, smile, it isnt hard to do Smile for a while, let one smile catch two Smile, smile, the magics shining through

    Smile from your heart And the world smiles with you

    Smile in the morning, smile in the night

    And, when you see another smile Itll make you feel so right

    Smiling makes you feel so right Smiling makes it pleasant Smiling shows you care

    So smile and smile and dont forget That smiles go everywhere

    - A Malaysian Smiley Song -

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    LAUGHTER IS THE BEST MEDICINE

    Life is not that serious Lets take humour more seriously!

    Laughter is the cheapest tonic and vacation. It stirs the blood, exercises the chest, stimulates the nerve, chases grief,

    fear and wrath, wins friends, cures the blues and gives all a cleansing rehabilitation.

    Medical research has shown that laughter triggers the release

    of two neuropeptides called endorphin and encephalin that are bodys natural pain killer,

    and the release of catecholamines that are believed to speed up the healing process.

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    ALLERGY TO BULLET

    Chee Kong was the kind of guy you love to hate. He was always in a good mood and always had something positive to say. When he was asked how he was doing, he would reply, If I were any better, I would be twins! He was a unique manager because he had several waiters who had followed him around from

    restaurant to restaurant. The reason the waiters followed Chee Kong was because of his attitude. He was a natural motivator. If an employee was having a bad day, Chee Kong would be there telling the employee how to look on the positive side of the situation.

    Seeing this style really made me curious. So, one day I went up to Chee Kong and asked him, I dont get it? Chee Kong replied, Each morning I wake up and say to myself, Chee Kong, you have two choices today. You can choose to be in a good mood or you can choose to be in a bad mood. I choose to be in a good mood. Each time something bad happens, I can choose to be a victim or I can choose to learn from it. I choose to learn from it. Every time someone comes to me complaining, I can choose to accept their compliment or I can point out the positive side of life. I choose the positive side of life. Yeah, right, its not easy, I protested. Yes, it is, Chee Kong said. Life is all about choices. When you cut away all the junk, every situation is a choice. You choose how you react to situations. You choose how people will affect your mood; you choose to be in a good mood or bad mood. The bottom line: Its your choice how you live life. I reflected on what Chee Kong said. Soon thereafter, I left the restaurant industry to start my own business. We loss touch, but I often thought about him when I made a choice about life instead of reacting to it. Several years later, I heard that Chee Kong did something you are never supposed to do in a restaurant business. He left the back door open one morning and was held up at gunpoint by three armed robbers. While trying to open the safe, his hand, shaking from nervousness, slipped off the combination. The robbers panicked and shot him. Chee Kong was rushed to the emergency ward at the general hospital nearby. After 18 hours of surgery and weeks of intensive care, Chee Kong walked out from the hospital with fragments of the bullets still in his body.

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    I saw Chee Kong about 6 months after the accident. When I asked him how he was, he replied, If I were any better, Id be twins. Want to see my scars? I declined to see the wounds, but did ask him what had gone through his mind as the robbery took place. The first thing that went through my mind was that I should have locked the back door, Chee Kong replied. Then, as I lay on the floor, I remembered that I had two choices. I could choose to live, or I could choose to die. I chose to live. Werent you scared? Did you lose consciousness? I asked. Chee Kong continued, The paramedics were great. They kept telling me I was going to be fine. But, when they wheeled me into the emergency room and I saw the expressions on the face of the doctors and nurses, I got really scared. In their eyes, I read, Hes a dead man. I knew I needed to take action. What did you do? I asked. Well, there was a big, burly nurse shouting questions at me, said Chee Kong. She asked if I was allergic to anything. Yes, I replied. The doctors and nurses stopped working as they waited for my reply. I took a deep breath and yelled, Bullets! Over their laughter, I told them. I am choosing to live. Operate on me as if I am alive, not dead. Chee Kong lived thanks to the skill of his doctors, but also because of his amazing attitude. I learned from him that every day we have the choice to live fully. Attitude, after all, is everything. Of course, there are certain things in life that we have no choice e.g. choosing our parents, getting old, sick and dying. But, most of the time, we have a CHOICE to do what we want in life. Everything is possible in life. Its just a matter of having the RIGHT ATTITUDE, using the RIGHT SKILLS and the extra advantage of the RIGHT STRATEGIES.

    DESTINY IS IN YOUR HAND, NOT ON YOUR HAND

    Dont let palmist decide your future!

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    From the post-mortem room,

    THE MOST SCARY GHOST IS THE BOTTLE GHOST

    ALCOHOL

    Arent you afraid of me?

    Spending time in the post mortem room can be quite scary. Dont worry! Ghosts are not harmful if you do not harm them.

    Furthermore, no ghost is scarier than a person intoxicated with alcohol.

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    I DIDNT DRINK, MOM! - Unknown Author - I went to party, Mom, Remembered what you said, You told me not to drink, Mom, So,