Sunday, 29 March 2009

Meet My Greatgrandma.

so today is Cheng Beng.

of the 21 years of my life, i've not gone for Cheng Beng ever, even though everyone else in my family does it every year without fail. and by the time they come back from the graveyard, i'd still be sound asleep. hehe. EVERY year. oh well. i couldn't care less, to be honest.

speaking of Cheng Beng, i remember a phone conversation i had with Chongkz 2 or 3 years ago during CNY.

Chongkz: "Hahlo? Where are you?"
Me: "I'm on the way to visit my greatgrandmother."
Chongkz: "Huh? During CNY?"
Me: "HUH?! Why not?!"
Chongkz: "But it's not Cheng Beng."
Me: "She's still alive la stupid."

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yes people, i don't know how many of you still have your greatgrandparents around but i do have one greatgrandmother (mother's mother's mother) alive and well. i actually managed to see 2 other greatgrandmothers and 1 greatgrandfather before they passed away. amazing eh?

now this greatgrandmother of mine - the one who's still alive - she's one feisty woman. visiting her is quite entertaining, actually. you see, her mouth is full of shit that i'm pretty sure nobody can possibly beat her in a who-has-the-nastiest-mouth competition. every alternate word in a sentence of hers is a foul word, be it in hokkien or cantonese. in fact, the only reason my cousins love going to visit her is that they get to pick up a new bad word or two to add to their fabulous vocab - and they don't even speak chinese.

i went to see her the other day and she wanted to give me money. i was very excited about the money (who wouldn't be?) but my dear mum got irritated for some odd reason and kept telling her not to give it to me! blurghhh what the hell. if an old woman wants to give you money YOU MUST NOT DECLINE! that's the rule of thumb.

obviously my greatgrandma got very offended because the next thing i knew, she was facing me and shouting, "DIU NIA MA! DIUUUUUUU NIAAA MAAAAAA!" while pointing at my mother.

wahlao. i couldnt stop laughing!

funnier still, we were actually in a temple where she was staying for a few days (some sort of a camp for old people - so cute, right?). so ya.. you can imagine a tiny shrivelling old woman shouting curse words in front of nuns and monks and everybody else. it was hilarious. bad words were flying out of her mouth like bullets from a machine gun. in the end, of course, my mum had to give in and i was RM10 richer.

oh and did i mention she has a well (A WELL!) in her kitchen? but she stays in a faraway kampung so i guess it's not that surprising? i don't know. the well's all dried up, though. her hobbies are drinking kopi-o under a big tree with her slightly-less (but still very) foul-mouthed neighbours while they curse at other neighbours and... oh. i think that's all she does.

heeh. what a funny old woman.

Thursday, 26 March 2009

Happy Birthday Edwina Goh!

hello!!

i think Isla Fisher is very cute and i can finally understand why she's with borat.

i also think Confessions of a Shopaholic was entertaining but not up to expectations, but i suppose that's the case with most book adaptations eh.

i hated the fact that rebecca bloomwood is american in the movie and not british like she should be. i mean it's the british humour and slangs that made the books funny. this movie just came out looking like they were trying too hard.

ooo hugh dancy! i was initially very eeyer when i heard he was going to act as luke brandon because to me he was just the sissy drunkard who died in Evening. but then i thought he suited the role well! :)

i loved the clothes and shoes and bags in the movie!

rebecca bloomwood really should've been british, damn it.

harry potter & the half-blood prince trailer ON THE BIG SCREEN, at last! gave me goosebumps although i've watched it on youtube for like a million times.

oh and i finally watched australia. it was good, except that nicole kidman really butchered the english accent. uncanny.

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a big birthday shoutout to my dear Edwina who turns 21 today! miss you much!

Sunday, 15 March 2009

Yala yala i very free la

eh this is damn funny.
can you guess who this guy is?

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hint: think harry potter.

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hint #2: think harry potter's ugliest (human) cast member.

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ok la i tell you.

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it's Neville Longbottom!!! the very awkward boy!

not so awkward anymore eh?

Friday, 13 March 2009

Palliative Care: Cases

For the last few days I've been volunteering at the local palliative care society, which is a NGO providing free services for very sick patients. What I actually did was follow nurses around patients' homes to help ease their suffering and try make their end days as comfortable as possible. It's depressing, but very noble and admirable.

Just want to note down some of the interesting cases I've seen during my time doing palliative care so far. I'd say all of them are terminally-ill, hence almost none actually have the chance of recovering (but again, I'm not God, so who am I to say?).

1) 33 y/o male with end-stage nasopharyngeal carcinoma. 33!!! Diagnosed 2 years ago. Taken care of by his aged mother. Separated from his wife who left him and their now 4 y/o daughter after his diagnosis. Depends on 3 siblings' incomes and the church. NPC with spinal cord involvement therefore he is paraplegic. Fungating masses visible on right side of his neck and head. Right side of face is distorted. He was at a stage of acceptance when I saw him. He could speak, and he seemed to be anticipating his death quite well. I was glad to see that he was at peace with his condition but listening to him talk about preparing his grave and tombstone with his mother almost made me shed tears (but thankfully I managed to hold them back; wouldn't have been nice crying in front of a patient). He was apparently in denial for some time but 2 days prior to our visit he said that he dreamt of God taking him around heaven, and that was when he knew it was time to go.

2) 77 y/o female with cervical carcinoma, in which a complete hysterectomy was done. Taken care of by her husband who seemed very frail himself as he had an accident several years ago (very severe muscle wasting seeing that his legs were as thin as sticks). Patient's condition was complicated by obstructive uropathy. Nephrostomy done on both sides. BP 90/50 hence severe vertigo. I helped the nurse change her bedsheet which was not an easy task since she couldn't sit up, and while doing that we realised that her right nephrostomy tube was already detached from her body. Even the hole had already closed! Arranged for an ambulance to take her to the hospital. Palliative care specialist predicted she would only have 2 more weeks. :( She did seem like she has accepted her fate, though.

3) 57 y/o male with hepatocellular carcinoma. Diagnosed Dec '08. Has obstructive jaundice (very obvious just by glancing at his sclerae), moderate ascites and oesphageal varices. First presented with severe loss of weight and melaena. Also has body itches. Requires blood transfusion. Hep B +ve. He and his family are in denial of his condition, saying things like, "Don't ask us anything! Don't tell us anything and we won't ask you too!" Not financially stable but refuses to seek treatment from the government hospital. But also complains of having spent a lot of money at the private hospital. Hmm.

4) 83 y/o female with right breast carcinoma. Now this patient was very cute. Cute in a sense that she was so foul-mouthed it was really funny. Diagnosed with breast cancer 5 years ago after she had an argument with her neighbour. Apparently she didn't want to leave her neighbour alone so the neighbour had to spray water at her. She fell down and felt pain on the right side of her chest. Was brought to the hospital and the doctor found a mass on her right breast. When I saw her, the mass was enlarged (and I mean REALLY enlarged seeing that her right breast was easily 10x the size of her left), nodular, red but painless. Has lung and liver mets. Already senile as she talked crap while I was there. Currently stays at an old folks' home in which she frequently picked fights with the other residents, so the management had no choice but to lock her in a room (very sad). She said she enjoys collecting newspapers and making hats/boxes/plates/bowls out of them (her room was really messy and covered with - what else - newspapers). Curses at every single person but was somehow very nice to the nurse and me.

5) 63 y/o female with recently-diagnosed NPC (WHO Type II, Stage IV). Just completed her 2nd cycle of chemo last week. First presented with blurred vision, tinnitus, epistaxis, cervical LN enlargement and hoarseness of voice due to laryngeal involvement. During my visit, she was very weak and was experiencing hair loss, dizziness (probably due to the chemo) and bad cough with a lot of phlegm (postnasal drip). However the nurse and her relatives commented that her voice was much clearer and not as hoarse as before. Perhaps the chemo is slowly working for her?

6) 60 y/o male with renal cell carcinoma and spinal cord compression. Is paralysed arms down. Has bladder enlargement. The nurse went there to dress his pressure sore (which was VERY VERY DISGUSTING) and replace his urethral catheter. I observed how male catheterization was done on a real patient (I only saw it being done on a model back in IMU)- turned out to be very quick and easy because he was paralysed so there was no resistance. Had the largest, nastiest, smelliest pressure sore that I've seen to date (to be fair I haven't seen many pressure sores but even the nurse said this was bad!). Apparently the best way to tend to a pressure sore is to use this thing called URGOSORB. What it does is that when it is stuck to a wound, it becomes a gel that can easily remove all the exudate and sloughy material from the wound, promoting healing. A piece of URGOSORB apparently costs about RM15 and needs to be replaced every alternate day. Imagine how expensive this treatment comes up to! The good news is that pressure sores can be healed in 1-2 weeks after using this.

7) 39 y/o female diagnosed with glioblastoma multiforme 2 years ago. First presented with constant migraines and vomiting. Went for a checkup and found out diagnosis. Decided on surgery as treatment, but came out of surgery in a coma and hasn't woken up since. In fact, she's already in a persistent vegetative state, requiring her to be on a feeding tube. When I saw her she was in a decorticate posture (arms flexed and bent inward on the chest, fists clenched, legs extended and feet turned inward). I felt saddest for this case because I actually saw her graduation and wedding photos in which she looked so beautiful and happy, with long flowing black hair and a nice big smile. Now she is almost bald and looked like she was going through a great deal of suffering. She has 4 children, the eldest is 12 and the last 2 are 4 y/o twins (a boy and a girl). I saw the twins when I went to visit. They were innocently running around and seemed so oblivious towards what was happening to their mother. It was really sad. They are taken care of by their father and maternal grandmother. Their father, the patient's husband, is an engineer and loves his wife to death that he isn't giving up hope at all. He takes care of her so well, sleeps with her every night, gets everything ready for the nurses when they come visit (e.g. stethoscope, BP set, thermometer - although the nurses have their own, obviously, but it's nice to see that he makes the effort), makes his own charts of his wife's daily vitals, urine I/O, etc. Just very touching. When I was there, her mother kept on asking me if her daughter is going to be okay. Asked questions like, "It's been 2 years. Why can't she wake up? Why can't she sit up? When will she be able to walk?". I was tongue-tied. How was I to answer? Even the nurse and the doctor couldn't answer. Heck even the best neurologist in the world will not be able to answer. All they could constantly say to her is that it was up to God. Do I personally think she will come out of it fine? No. I don't. In fact I think that the earlier she goes off, the better it will be for her and her family. And to me that is the worst part, having to think that someone is better off dead.

8) 80 y/o female with intestinal lymphoma. First time visit by a nurse from the palliative care center, so I managed to observe how she clerked the patient (just like our usual history taking, but of course with this there were doctor's notes in the patient's records, blood test results, imaging results etc, so it's much easier than having to take a history from scratch). 2 years ago this patient presented with bouts of vomiting and constipation and she claimed to have undergone an abdominal surgery to correct this (what surgery was this exactly, she couldn't tell). Dec '08 she had the same problem again, and this time she said they did an intestinal bypass and found a huge tumour sitting on her intestines. They then diagnosed it as a lymphoma. She has since had severe weight loss (definitely more than 10kg in over 2 years), anaemia, ankle oedema (is currently treated with diuretics), hyponatraemia, hypokalaemia and hypoalbuminaemia (side effects of the diuretics/malabsorption). H/O hypertension but BP at time of visit was 100/60. Can't sit/stand up. Appetite is still very poor. One of her brothers died of NPC (suddenly I'm very aware that NPC is pretty common over here), other siblings, parents (who have passed away, obviously), children, grandchildren are/were healthy. Doesn't want to undergo chemo, which I suppose is a good decision for someone her age.

So. That's about all. Will write about my half-day at the infamous Hospital Bahagia Tanjung Rambutan (psychiatric hospital) next time. Haha. It was interesting... and very scary.

Wednesday, 4 March 2009

Very Belated Potter Mania

i know it has taken me 10 years to finally admit that i am a Harry Potter-obsessed freak - NOT the Harry Potter character itself, of course, because, let's face it, he's as annoying as he can get (i totally agree with his being on the 100 Worst Britons list, although i must say it's retarded considering he's fictional). what i simply love is the whole series and the magical world within.

why the sudden declaration, you ask. after all, it's been 2 years since the final book came into stores and since the 5th movie was released so there is obviously no Harry Potter mania out in the open at the moment.

truth is, out of boredom, i recently decided to dig out all my 7 Potter books and read them again, AND watched all 5 movies once again, all in the span of 1 week.

funny enough, the final book actually made a larger impact on my emotions than when i first read it. i was pissed at Rowling for killing most of my favourite characters off. i remember complaining like mad to my fellow Harry Potter fan Lee Zhi Min (i'm sorry, Zhi, i don't know if you're now embarrassed to admit this but you are a Potter fan through and through whether you like it or not), but i laid it to rest after 1 or 2 days. this time around it is different. i feel REALLY REALLY REALLY insanely ANGRY! and mind you it's been a week! i just don't know how to describe it. it's like i forged some sort of a connection (like Harry Potter & Voldemort. huhu.) with the characters that when they died, parts of me died too! (it's ridiculous, i know, to a point that i think i am crazy. tell me people, don't you think i'm crazy?)

i love Lupin & Tonks. they are my favourites. their roles aren't as big as some of the main ones, i admit, but they are characters whose stories could be built vastly upon. unfortunately Rowling didn't see it that way. instead she preferred writing about Harry Potter and his irritating whinings and crazy temper. and the worst part was, she didn't even do Lupin & Tonks justice by describing how they died. just one stupid line where Harry saw their bodies lying next to each other.

and why the heck did she have to kill Fred Weasley.

and Dobby. DOBBY!

AND HEDWIG.

she's crazy, that woman. ya i know i'm crazy too but she's worse.

oh you know who else is crazy. David Yates (director of Harry Potter movies #5, #6 and #7 [which is split into 2, did you know? bet you didn't. because you're not crazy like me to keep up with the latest Potter news]) and his writers. ya they're all crazy because apparently Lupin & Tonks only appear very minimally in the Half-Blood Prince, and the actress who plays Tonks isn't even sure if she'll be in the Deathly Hallows! see? crazy. how is that possible, not having their story in the movies.

now, if you'll excuse me, i am going to continue finding solace in reading fan fiction stories in which neither Lupin nor Tonks (and sometimes Sirius - haiyo i love Sirius too) dies. so far i've printed over 500 pages of fan fiction, Times New Roman size 9 (which is the minimum font size comfortably visible by my perfect 20/20 eyesight).

goodbye all.

p.s.: don't worry, i'm volunteering at the palliative care center next week, so it's unlikely that i completely lose my mind with potter.

p.p.s.: Mich, Ben, Merv, hope you guys arrived safely in Dundee!

p.p.p.s.: i cannot resist this - but i was the first to get my hands on the Goblet of Fire & Order of the Phoenix in ipoh. neh neh neh neh neh.