Saturday, April 04, 2009

There should be a cap on resources used when managing trauma

encountered this debate today, which i found wholly INADEQUATE.

proposition argued that there should be a cap since resources are limited and that there are other patients to consider.

opposition argued that we should only stop when the patient dies.

both sides are fundamentally agreeing that there should be a cap, the difference is when to stop.

BUT. who decides when to stop? how?

how far should we go before we agree that enough is enough?

how much should we do before it's deemed "tried our best"?

how do we decide when it's a waste of resources?

who should be the decision maker?

what do we base it all on?

Wednesday, April 01, 2009

:)

great time of fellowship with hsiao ling today..

i really miss those days where i'm being challenged to think, to explore, to search for answers..

as much as i enjoy learning as i teach, i do still need the mental stimulation..

thank you Lord, for putting all these people in my life, to guide me, to sound me out, to care about me..

Sunday, March 29, 2009

darn.

i've been choosy about food.

got LOA.

and i regurgitated all of my lunch. (which was great food that i like, by the way)

if you who reads this understands what this means, well, i need you.

The Will of God

The Will of God will never take you,
where the grace of God cannot keep you,
where the arms of God cannot support you,
where the riches of God cannot supply your needs,
where the power of God cannot endow you.

The Will of God will never take you,
where the spirit of God cannot work through you,
where the wisdom of God cannot teach you,
where the army of God cannot protect you,
where the hands of God cannot mold you,

The Will of God will never take you,
where the love of God cannot enfold you,
where the mercies of God cannot sustain you,
where the peace of God cannot calm your fears,
where the authority of God cannot overrule you.

The Will of God will never take you,
where the comfort of God cannot dry your tears,
where the Word of God cannot feed you,
where the miracles of God cannot be done for you,
where the omnipresence of God cannot find you.



Author Unknown

Thursday, March 26, 2009

baptism

i have been baptised as Audrey Esther Tsan today. :)

it's been a really long and windy road.. from knowing and believing, to straying and back again, it's been a looong 7 years 6 months and 4 days.

Lord, there's so much to thank You for.

i was born Audrey, but i chose to be baptised as Audrey Esther.

firstly because Audrey is such a huge part of my identity.

Esther because the name means star. i want to be a star in the dark night sky, bringing light and hope to all in the world.

Esther also because Queen Esther in the book of Esther encompasses a lot of the qualities i myself would love to have, such as wisdom, courage and compassion.

nearly 21 years ago, i was born Audrey Tsan.

today, i'm thankful for the chance to be born again as Audrey Esther Tsan.

thank you Lord, for all that you've done for me. for staying with me. for loving even me.

low self-esteem attack

i've got so many things on my hands, i've really no idea at all if i can make it.

i'm so afraid of not doing everything well or worse, screwing everything up.

i keep agreeing to do everything and i think i'm going to burn out again soon..

but, i really do enjoy what i've been tasked to do and stuff..

in a huge dilemma right now..





met up with HT just now. long meeting. more duties/responsibilities/tasks.

i really cannot justify to myself why i'm still doing all these. i can't understand why i'd let myself be sucked back into that horrible place again..

just what am i trying to prove, and who to, i cannot tell.





so many things weighing on me. and i still have to keep rested and sane enough for my job.





Lord, help me.

Thursday, March 19, 2009

stressed.

even before it all started.

how am i going to make it?!

Sunday, March 15, 2009

魔女回来了

Sunday, March 08, 2009

:)

lots of inspiration from yesterday's bmc message.

and my new bff.

things might not be so bad after all.





but i'm still worried.

Thursday, March 05, 2009

给:家杰

从哪里跌倒,就必须从哪了站起来。

这次做出这种决定,我心里何尝不畏惧,不害怕。

昔日的并肩携手与互相扶持不再,有的只剩孤军作战。

这个任务将挑战我的极限。以往的一切只能当参考,却无真正用意。

过去一年的伤痛,我想一次弥补。

就当它是我的救赎,让我重生的机会。

我不想后悔没有好好把握这次机会。

但我恐惧,我即将失去的会令我更后悔。

我害怕众人对我的目光。

我害怕自己成事不足,败事有余。

在众多焦率,恐慌和不安中,最令我畏惧的是孤独与寂寞。

曾经我与孤独为伍,把寂寞当朋友。

可是,我找到了家。跟你们在一起努力奋斗的日子最令我怀念。

因为有过并肩作战,所以往后会害怕孤独和寂寞。

既然会害怕,该怎么再次把它们当朋友,再次与它们为伍?

这一次,成败与否,都是我一个人的。而若我再次失败的话,我真的不知道我会怎样。倘若让我发现我真的是一无是处,我该怎么办?





家杰,
当我的嘴角再也扬不起笑容时,当我的眼神再充满敌意时,你还愿意当我的朋友吗?
当我的孤僻病再犯时,你还愿意守着我吗?
当我的完美主义发作时,你还愿意容忍我吗?





当我再次变成孤岛时,你会像其他人一样离开我吗?

Wednesday, March 04, 2009

internal battle

received a call last night which is causing me to fight a huge battle with myself now..

all the memories of old came rushing back. now, just what is it with this season and all these memories?!

but the point is, i've been asked to, and has made, a decision which i've no idea whether it's appropriate.

i feel the obligations, the responsibility. i don't want to regret not going back, yet i've come to love the smile on my face and the twinkle in my eye.

i'm going back. to where my smile will soon vanish and my eyes will no longer be friendly.

i'm going back. to where i gave my best, my all. but where hurt me most.

i'm going back. to not regret. yet live with other regrets.





i can feel my loneliness in the days to come. i can feel my isolation and helplessness. i can feel my friends leaving me once more, and being an angry little person all over again. knowing that i am indeed happier without it. but i made the decision to go back once more.

don't ask me why. i've no idea either. but i do feel obliged. and responsible.





probably, what i want more than any other thing is for a chance to redeem myself and make things right again.

perhaps, the place which taught me to pursue perfectionism is the very place to teach me not to pursue perfectionism.

possibly, the only place where i can find my lost self-esteem, self-dignity and self-confidence is the very place where i lost it all.

maybe, it's merely my foolish pride.





tell me friends, once again, that you will stand by me and support me. tell me that you will not leave me nor forsake me. tell me that when my tears start falling again, you will be there to help me dry them. tell me that i won't be alone. tell me that i'm not fighting a battle by myself.

when i've lost my smile, tell me that you're still my friend. when i've lost the twinkle in my eye, tell me that you would still hang out with me.

when i become a porcupine once more, call me and ask about me. when i'm moody, know that i'm angry at myself and not reject me. when i'm all dejected, cheer me up.





when i'm all alone, please do not leave me.

Monday, March 02, 2009

joshie

heys! :)

you're probably never going to see this but i want to say this anyway.

thanks for appearing, thanks for being such a great friend..

i've more than a few good/great friends, and i've called more than a few people bros. but you're like the older brother i never had.

we're so alike in many ways, and we have so many coincidences in our lives. it's freaky! and uncanny. and i can't understand why we've never met until now.

you're so different from all the other people i've known and are in my life. i've never known anyone whose thoughts and opinions are so in line with mine. i haven't been able to discuss things on such an intellectual level with anyone else

thank you for being the one i can open up to. thank you for allowing me to share my burdens.

thank you for allowing me to share your stories.

thank you for daring to pursue your dreams, so that me pursuing my dreams doesn't seem so unreasonable after all.

thank you for all that you've said and done.

thank you for coming into my life.

thank you for caring.





thanks for everything brother.

Monday, February 23, 2009

that scary black pit again

WARNING: EMO POST AHEAD.

2 days' rest after working 10 days. not very restful since i've been running everywhere.. had alot of fun and sharing with the bmc people. but i repeat, if i'm not volunteering, DO NOT ASK YOU IDIOT.

despite all the fun and laughter, the darkness is never far below the surface. it's waiting to catch me and devour me. i fill my hours with activities to try and escape from it's clutches. but i can sense it's presence all the time.

i feel so down and lethargic.

went to work today, completely not in the mood, acting all strange and funny.

reached home to collapse in bed.

i'm so tired.

filling my week with even more activities. knowing that it would only make me more exhausted.

when will this end?

i remember a similar time last year.

it was so scary. i was all alone, and i didn't dare tell anyone. i maintained a facade. but it was so hard. it took alot of effort for me to start putting that time behind me..

but somehow, with all the sharing going on these weeks, old wounds have been re-opened. and i realise, they've never healed in the first place. the hurt is ever strong. and it's still bleeding. i'm ready to go back into my shell, to protect myself, at the slightest hint of hurt. i no longer trust.

with all my wounds bleeding again, i'm really not in the mood to do anything.

i start missing people whom i thought i've stopped missing.

i start wanting to do things which i've stopped doing.

i miss the comradeship of old. i miss the closeness we used to share.

and i realise that what i thought i no longer cared about is still so important to me.

my thoughts, worries and insecurities keep swirling in my head. i can't concentrate on anything when concentration is what i need most.

and work hasn't been smooth, making things so much worse.





i'm falling back into that deep dark pit of despair and i've no idea how to get myself out.





i need a break. but i can't take leave.

there's things i want to do. but can't.

there's dreams i want to achieve. but it seems too far away, and unattainable.

i want to be alone. yet i'm too afraid to be alone.

i want someone to sing me to sleep again. but i fear the intimacy.

Thursday, February 19, 2009

*hurt*

so, i was ranting to some people just now.

people always think that i'm fierce, or scolding someone, or am mad at someone when i'm not.. but that's another story..

so as i was saying yesterday, i've been feeling really low and stuff..

and more things happened today..

and people tell me that it's because i'm a perfectionist, that i should just let things go, that i shouldn't let what others' say get to me.

but i don't think so. i've no idea how to explain this properly. but bottom line, i'm not angry or pissed off or upset.

i'm hurt.

hurt that having known me for a while, people still don't know me. that they can still think that badly of me. that in spite of all my efforts and all, people still don't trust me.

a while back, a slightly older senior who actually isn't all that great at her work told me that she "don't trust (me)" to do the simplest things that baby staff does. that hurt - alot.

i've been so emotional lately, i don't know what's wrong with me.

i tear at the slightest thing, get pissed off at the most innocent remark/comment and get irritated/frustrated super easily.

i'm so not myself. and i don't like it.

and i really DO NOT like probing people. like hello, if i'm not volunteering anything, DON'T ASK!!

every time i open my heart, i get hurt. so badly.

i haven't been sleeping well for a couple of weeks now and it's really not helping my emotional state. i'm such a wreck these days.. i lie awake at night.physically exhausted but my mind refuses to find rest. when i do finally fall asleep, i need to get up again in 2-3 hours to start the day anew. doing long hours at ENT this week isn't helping either.

tuesday and friday renews my sense of worthlessness and uselessness. the other days fill me with apprehension and fear.

i know my stuff. yet i don't know anything at all.

to think i was once so happy to be ENT-trained.





it's just around this time last year. maybe another month or so. the hurt, the trauma, the heartache. i've no idea how i made it through the time when my world came falling down. i still feel the pain as if it was just yesterday. tears still fall when i think about it. more than indignant, angry etc, the keyword here is again, hurt.

i'm too scared to trust anymore.

i'm too wounded to open my heart anymore.





people tell me to pray. to let go. to move on and get over it.

i try. but i can't do this on my own.

yet i can't trust anyone to not break my heart again.





i want someone by my side.
yet,
i just want to be alone.

Tuesday, February 17, 2009

*gaah*

been feeling really low. and worthless. and unhappy.

the feeling's really pulling me down and dragging me under..

i want some peace.

i want someone to stay with me.

yet,

i want to be alone.





i want a drink. a REALLY strong one.

Friday, February 13, 2009

don't get it..

some stuff happened at work. and i really don't get the uproar. *hmfx*

on a happier note, jean and i went for a valentines' dinner date!! :)

haha.. i'm so glad to have her.. to think we used to really not like each other back in school.. but now, we're like best friends la.. haha.. His ways are indeed mysterious..

feel kind of down these days.. not quite sure why too.. haizz..

work was crappy, yes. i just completed night shift and after a week, i still can't adjust back..

and i've been running non-stop ortho since my night!! i might as well go be ortho girl already.. indeed, those ortho guys see me so much that they think i'm some new ortho recruit.. *sigh*

i'm at ENT next week.. long hours.. with mother goose. God. or people who read this, pray for me.

it'll be 10 whole days before my next off day.. 10 busy Busy BUSY days.. really tired..

but enough about work. BMC has been going GREAT!! :)

made lots of new friends.. 2 of them even live in the next block.. been having lots of fun and learning.. we're going to start our own cell! :) i love them lots :))

tired. going sleep stat.

Tuesday, January 27, 2009

happy new year :)

it's the new year already..

CNY day 1 is as usual, WAR! *roar*

pissed the hell outta me. *ROAR*

o well, don't want to talk about it..

this year.. i don't know.. i've got plans which i really want to achieve. so Lord, i'm praying..

baptism and membership classes has already started.. my groups' quite nice.. hope we'll eventually form our own cell..

then my plans.. or rather, my resolutions.. hmmz.

Start my part-time degree next year february.

then from now till then, work hard, save more money.

as usual, whoever knows a way to earn more money, let me know so i can complete my dreams :)

seriously thinking about investing. so gor, let me know ya?

and i really want to meet up with my friends more often! alex, my, jj, zhimin, yeowch n cher etc!! call me! i'm not that busy one can?

and as for sj.. i don't know la.. take it a step at a time.

did i mention? i've already gotten my driving license!! like, the physical photocard driving license.. :)

o ya, of utmost importance. i want get a BOYFRIEND!! like, a proper-we're-dating kinda boyfriend. not the he's-a-boy-and-we're-friends kinda boy-friend!!

happy new year everyone :)

Friday, December 26, 2008

yay!!

i finally, Finally, FINALLY passed that stupid driving test!!

:)

it took a really long time cos i kept dragging my lessons and all.. but it was a 1st time pass!!

so i'm waiting for my photo-card license to finally arrive in the mail..

somebody lend me a car? i can drive both manual and auto cars..

Thursday, December 18, 2008

:(

God!!

how on earth am i going to raise so much money?!

there isn't even any scholarships which i can apply for.

even the highest limit bank loans can't cover my school fees.

i'm sure i can work part-time to cover my living expenses. i'm sure we have the ability to cover start-up costs. but what about the most important thing - school fees?!

it's around A$60,000 p.a.

Han!! how??

God! please.





please please please please please





dear all who sees this, please either tell me how i can raise the money or help me raise the money. please please please please please.

Sunday, December 14, 2008

trauma

handled my 1st trauma case today. it was, well, traumatic.

20 mins. 20 people. and he's gone. we couldn't save him.

another motorcyclist, another rainy day. this young chap collided into a lorry.

we tried our best. we gave him all the drugs. shocked him alot. CPRed. heart massage. everything. but he just couldn't be brought back.

at the moment we decided to give up, a silence and and gloom so thick you could choke on descended on the room. gone were the jokes and laughter just moments before.

and before you get the wrong idea, we were NOT playing, we were joking and laughing to help relieve stress and tension. we were doing our jobs perfectly well.

then we cleaned him up as best as we could then sent him to ICU to certify and where his family could see and touch him for the last time.





when i saw his name, i was so glad it was not a name i recognised.

dear friends, please do not ride.