Monday, June 1, 2015

Lucky fool

I thought: That was it. I can never possibly get up anymore. I can never trust any single soul in the world anymore. But I was wrong...

There is actually someone
so strong yet gentle and caring,
so outstanding yet humble,
and most of all,
so God-loving.

I am a freaking lucky fool. Thank you, Lord.

Sunday, May 3, 2015

Exam craziness

"Hey, how are you?"
"Too good for Easter. I'm practically laughing like a mad woman everyday," I said.
"This is normal. What happened for the past 2 years, isn't normal."

Perhaps. What have exams done to us? When we are stressed, we complain; when we are not stressed, we complain. Oh dear... But I guess it's better to be in the latter group. :)

23 more days to finals! 33 days to freedom! :D

Saturday, May 2, 2015

What is Good?

And here comes a point in my life when I am confused about 'good' and 'bad'. No, I am not the slightest bit depressed; in fact, I am a bit too happy for Easter term because I have been blessed with so many good friends around and opportunities to grow. But recently, I had a conversation with a friend and we talked about how some people we call 'good' or generally perceived as 'good', were actually very mean to us. And we were like, 'how are those people good?' And there were just times when unjust things happen to good people (like the flood of political stupidity happening in my country now), when bad things happened to innocent people (the recent earthquake in Nepal) or things which I think were not fair happened to me (I have been holding grudge against generally well-perceived mean people). These moments really made me go, 'God, you are a good, loving God. I am sure you have your plans, but why all these unjust sufferings? If this is good, I don't know what is good anymore."

There are times when I thought something is good for me but when it turns out to be really bad; and there are times when I thought I've been through hell, but on hindsight, those hellish days are the ones which pruned me most. I don't even know how to judge what is good anymore? I mean, I know what loving is and how a loving act should be like, but what is 'good'? How do you define someone/something as 'good' or 'bad'?

Thank God for Psalms 73. 

We can never judge each other when we are on the same plane as them. Who are you to be more superior to judge over a fellow human being? What gives you the right to be the moral police and label someone as 'good' or 'bad'? There are times when you, yourself is so mean that you hate yourself too, remember? 

Indeed "When I tried to understand this, it toubled me deeply, till I entered the sanctuary of God, then I understood their final destiny". It is not to say, "you, non-believer go to hell, burn!" Really, no. But rather, it teaches me not to judge others, because since we are all of the same level, how can we ensure we can judge rightly/justly? The only One who can judge is God, who is on a higher level and can see clearly all that is happening.  Only He can judge justly. Things that may seem unjust, bad for us on plain sight, may not be completely bad. I never ever mean to say earthquake/other natural disaster that took away thousands of live is a good thing, I empathise with the lost of those precious souls. I don't know what God's plans is through all these devastating disasters that should not happen to good and innocent people, but it is not up to us to judge God. The fact that Jesus died to remove our sins from us, the fact that we are still here and the fact that we still know what 'love' is - those are enough for me to come to a conclusion for my faith in God.

So let's not judge others then have selective treatment, because no good will come out of that and we don't know the full picture. (Unless you're a judge, then you judge according to the law because you have the full knowledge of this human construct.) Rather, let's just keep our hearts pure and be loving towards everyone, because it will not be in vain when the day comes. 

(I need to work on the habit of constantly passing judgement onto people) 

Friday, April 24, 2015

New found motivation

To be honest, I was never that interested in 'medicine' medicine. Shocking, I know. Whenever I tell my colleagues or people around about it, they would be so shocked. "WHY?! It's such a noble job? You will save lives!" "But you're so good at it..." (not true.) The thing is you can be an expert in things you really don't give a damn about, especially in the academia. Just put in the hours, read, you'll get to the top. Maybe you weren't interested at first, but given the right guidance, you'll get to there. I don't hate, medicine. I was good in chemistry, biology and maths, and I am remotely interested in human biology, so when I was offered such rare, precious opportunity to do an interesting course in a prestigious, interesting place (+ an immensely quality lifestyle), I took it. Let's just say, I did it for the sake of, first, because my parents wanted me to; second, I had somewhat an ability to do so(?); thirdly, for the sake of proving social mobility is still possible in our society.

And satisfying those 3 points has got me quite 'happy' life for the past 2.5 years in Cambridge. No really, there were moments when I was truly happy to be here. 

But you know, people grow up and meet people, see the world. I saw there are actually so many others things which I am interested in the world. There are so many things that I want to do in the life! Life isn't that long you know. 2.5 years of this is fine. But I can't continue wasting time, doing what I am barely interested in any longer. I can't bear the thought of doing something I am not really passionate about for the rest of my life. I can't bear the thought of wasting my life just like that...So I started exploring what really resonates with me. It's a bit late, I know, to only do this when I am half way through a course and people have already invested so much money, time and energy in developing a hopeful-medic. But how can you expect every 17-years-old to know exactly what he/she wanted to do with his/her life when we don't even have sufficient life exposure, experience to know what we really like?! Gap year is a way to do it, so I had a gap year before but I still didn't know what to do by the end of it. 

"I am truly grateful that I have the opportunity to be in Cambridge. Not because it's one of the top university in the world, but because of the way we are taught."

I said similar thing while filling in the SAQ form during my university application without being consciously aware of what I was really talking about. I was just trying to please the interviewer. Halfway through my 6 years here, I became conscious of what that sentence really mean. I love the collegiate system. Because of how Caius forced us to dine in the hall almost every day during term time, we get to meet people from other courses. I also love how we can be involved in a society like CUMaS, where you meet all sorts of 'interesting' people from our country. People from different courses really do have different mindsets and opinions. And having the opportunity to talk to them on a daily basis opens up my mind to the world beyond medicine. I know you get to do that in other universities too, but over here, you essentially live, eat and breathe with experts from all sorts of fields. I see medics during lectures, I hang-out with engineers, economists and lawyers and my tutor is a linguist. I believe (or i like to believe) that these people have impacted the way I think in a very significant measure. 

Then I became interested in economics and sociology. The humanities used to be painted in very bad light in secondary school. Everyone was trying to get into the science stream in Malaysia's secondary school because that's where smart people go; because art stream classes are for less capable students.How far from the truth can that get!?I love how these disciplines touch on almost every aspect of life in so many different ways. The things they do are really meaningful and impactful on a larger scale, and not just on an individual basis in clinics. I started to doubt whether I am in the right course. I went "omg being a doctor is such an ineffective waysof solving problems. Omg I am in the wrong course, I hate my life, how do I get out?!" (Please don't get me wrong, I respect all doctors in every way. I just don't like the idea of doing the same thing for 40-50 years for the rest of my life.).I was reading the journal of a doctor who went to Sierra Leone under Doctors without Borders (MSF). After reading those horrifying accounts, I twitted back to MSF, "omg these doctors are so noble, sacrificing themselves and putting their own lives at risk to save those poor souls! But they are just putting bandages on a bigger, deeper problem! There's must be a better way to make lives of more people better, more effectively." I think designing and implementing good policies is the way to go. Don't get me wrong, we definitely NEED doctors to be at the front-line, otherwise those marginalised would not have any care NOW. I really salute the doctors in MSF and I look forward to be part of it one day. But I can't picture myself being that noble for long, and I really, want to do something more impactful in a larger scale with the short amount of time I have in my life on Earth. Then I realised I can't get out. I was in dismay. I started to explore again.

In our third year in Cambridge, we can choose to do any course we like. I, for some unknown reason, chose Pathology in Immunology and Microbiology and Parasitology. I had no idea what is coming up. I was taught about the molecular mechanisms of microbes, parasites and our immune systems. I was shown pictures of Ascaris lumbricoides (those icky spaghetti-like worms in the intestines) and hepatosplenomegaly while my family was enjoying Chinese New Year Eve's dinner in the far east. I was quite...frustrated.

Then we were taught epidemiology and public health. We were taught how to do simple math models and how to it has been used to affect health policies on a global scale; we were showed how our lecturer has helped WHO in planning vaccination programmes in Latin America, in Africa and in my very own home country, Malaysia. His math models have helped save billions in various cost- and time-effective ways. What the lecturer did really resonates with my interest. I went on to investigate the background of those working in WHO. I went on to check Margaret Chan's profile. Then I realised, they were all practising doctors for many years before they went on public health.

Today, I am able to see how a doctor/clinician scientist too, can impact billions of life, in very specialised, extremely demanded and significant ways, be it in research or policy-making. I see how we need to be trained this way: to know the science behind and to gain actual medical experience in the field, to really make a difference in the world. There is really a place for every personality in Medicine.


I often wonder why God opened these doors to put me here. 
 I can only pray that He reveals more and more of His will every day.

Thursday, April 9, 2015

Builder

You are a builder,
not an attacker;
All you have to develop and to protect yourself are you bare hands. 

You built yourself  a nice comfortable fort, 
with no weapons inside,
and filled it up with sunshine, pillows, balloons, cotton candies,
and happy thoughts.

*****************

When you made yourself vulnerable to a person, 
you opened up the windows, weaknesses in your wall, 
opened up the chances for him to slip in, 
to ravage through your stuffs,  
to stab you 
and to let you bleed.

'Why me?'
you asked;
You were at that person's mercy, because you consented to. 

Because in the first place, 
you trusted him;
You knew he could hurt you anytime,
but you believed he has no reason to
and he would not.

But he did it. 
In fact, he lifted you up from the ground 
only to drop you again. 

**************

It's ok, builder. 
Forgive and forget,
both the good and the bad.
You still have your bare hands;
They are covered with callouses and wrinkles,
but they are still your most faithful hands,
more durable than ever. 

Repair the gates, 
build up a stronger, bigger fort!  

Do not fill it up with weapons. 
Fill it with sunshine, pillows, balloons and cotton candies;
Oh, 
remember the beautiful ribbons and flowers you've always wanted? 
Get those too! 
Top it up with tunes of happiness;
And there, your beautiful home. 

 Keep your eyes open. 

Open the gates,
share your beautiful new home with your allies. 
Do not let the prospect of an enemy slipping in scare you.
For your Father is still with you;
For your allies will not hurt you, 
and if the hurtful ones try to get in,
the Almighty and your allies are with you. 

For you are a builder, 
a builder of a happy home.



'Don't turn back. 
Promise me, from now onward, 
you will be more accomplished than you will ever be.'

Constructive criticisms

Have been crazily busy since the last post and I was sooooo glad that after 2 sleepless nights, I was done with my 35-pages long research project report. #tooconfusingtoblogabout

Last term, I was rubbish at writing essays because my supervisor said I have horrible grammar, which is equally important in a scientific essay, although no one cares. 'I won't let you graduate if you don't fix your language soon,' she said. So she sent me to one-on-one academic writing skills supervisions. 

In Lent term, I found out I was rubbish at writing report, mainly because I can't construct logical, interesting arguments through my written work. Even the principle investigator in my lab said I was totally rubbish at that. I was at the brink of tearing up when he criticized just how lousy it was and he could not believe I got the result I got for the past 2 years. So he sent a very encouraging and motivating post-doc to point out all the possible ways to make it a perfect report, then sent me off to do all the corrections. 'I want you to have the perfect score,' he said. And I completed it. 

Another instance was when I was trying to complete a report on 'Preparing for patients' course we have here in cambs medicine. I was so worried about the quality of my report (to some degree of paranoia) I sent it off several peers to review it and bug them to give me feedback as soon as possible (Ok, we always do that here, reading each others' report just before submitting but typically, people just send to 1 friend for proofreading). When one of my very brilliant friends gave me the feedback, 'I am a bit worried about your report. When are you free? We need to talk about it,' I freaked out. So we set a time and discussed, in a very light-heartening manner, on how to improve it. And it was a 'masterpiece' (according to him, anyway). 

2 terms have passed for my third year in Cambridge. It was a very different year from the past 2 partly because of the non-medically related materials in my course.  Also because learning this year's course well requires a very different learning attitude. I have never received so many direct criticisms in such a short period of time in my life. I used to take them very badly, like seriously badly. But this year, I have learned to take them as priceless learning opportunities. I do not know what changed, but when I looked into the eyes of people who criticized me here, I knew they were not just making fun of my flaws but sincerely wanted to make me a better doctor, scientist, writer, person. I am, therefore, truly grateful for these people who were brave enough to tell me what's wrong in a constructive way and set out to help me improve. 

There are bound to be many more, harsher criticisms when clinical school starts next year! More learning opportunities! 

Saturday, February 21, 2015

Pregnancy, giving birth and happy endings

So on our 3rd year as a medical student, we are suppose to do regular visits to a pregnant lady's house till she gives birth, as part of our course. I shall not do a report here on my experience cause I will have to do a graded report soon, and if I write anything remotely similarly, I will be accused of plagiarizing myself. I did not expect much from this at first. I thought I have been numbed towards the concept of pregnancy because my sister-in-law and sister have been pregnant before, and even though I have not been beside them while they were pregnant, I sort of know what was going on. We also learned about the process of pregnancy last year. So I thought, there can't be anything new in this!

I've visited her once when she was 30 weeks into her pregnancy and my partner visited her another time while she was still pregnant. Tomorrow will be our last visit to her place because she has finally given birth to a healthy baby boy! I had not much feeling about this visit initially till I read an article on facebook this morning. You can read it here.

When we talk about pregnant ladies, it's more common to talk about what colour the nursery should be, what colour the baby jumpsuits should be, what diapers to use or what milk powder will result in kids with the highest IQ etc. There are always so much joy and anticipation for the coming of this new being, even when you are just remotely related to this baby. The fact is, pregnancy and giving birth successfully have become such a common thing since labour was medicalised. Many people have taken for granted that it is actually a very dangerous process. A mother has to risk her life going through this painful process (thousand times more painful than any regular period pain), to bring another human into this world (while the dad watches). When the baby is born, he lets out a cry as a sign of life, everyone's happy and they live happily ever after. However, not every pregnancy is smooth and not every pregnancy will end in a happy delivery, even when most of them were filled with so much hope and anticipation. And when that happy ending doesn't happen, the disappointment is heartbreaking to experience and definitely heart-wrenching to learn even learn about as a bystander. Then people try to sweep it under the carpet, vow to never talk about it anymore and let time heal.

That story has definitely changed my view of 'pregnancy is always a happy thing', but that doesn't make pregnancy a bad thing. It makes me more grateful and sincerely happy for those mothers who have safely deliver their bundle of joy; it makes me really want to go up and give them a huge hug and pat them on the back for the job well done. While I was preparing gifts for the lady and her newborn that I will be visiting tomorrow, I couldn't help but be sincerely happy for her and grateful that this baby has come home safely.

Can't wait for tomorrow! :)

On the side note, Happy Chinese New Year!