Thursday, August 27, 2009

Overcoming barriers to success - where is your focus?

The fields were parched and brown from lack of rain, and the crops lay wilting from thirst. People were anxious and irritable as they searched the sky for any sign of relief. Days turned into arid weeks. No rain came.

The ministers of the local churches called for an hour of prayer on the town square the following Saturday. They requested that everyone bring an object of faith for inspiration.

At high noon on the appointed Saturday the townspeople turned out en masse, filling the square with anxious faces and hopeful hearts. The ministers were touched to see the variety of objects clutched in prayerful hands - holy books, crosses, rosaries.

When the hour ended, as if on magical command, a soft rain began to fall. Cheers swept the crowd as they held their treasured objects high in gratitude and praise. From the middle of the crowd, one faith symbol seemed to overshadow all the others: A small nine-year old child had brought an umbrella.

Laverne W. Hall
From: Chicken Soup for the Christian Soul


Hi, my name is Jing Jing, and I’m currently studying architecture in UTM. As many of you may already know, architecture is well-known in UTM as a 6-year course that never sleeps. Take a walk around the campus throughout the semester, and chances are there are times when you will find the faculty's studio lights still switched on even though it’s already 3am, as students worked on their projects. Today I want to share about how God helped me breakthrough in the area of focusing on Him in overcoming my challenges.

Recently, I encountered a challenge in the form of my 1st major project. As the deadline drew closer, I don’t even have a direction for my project, no idea of what to come up with. I started getting worried and feeling lost. Therefore I prayed and asked God to give me direction, wisdom, strength and peace. I wanted to finish up my project as much as possible so that I can join the student group’s Eureka Camp. Eventually, I found an interesting topic and God gave me the concentration I have never experienced before, as well as a burning passion for my project. I keep focusing on God’s presence rather than negative feelings, worry and tiredness, His power rather than my ability, His promise rather than circumstances. As a result, peace and joy filled my heart (John 14:27 Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid.).

On Friday before the camp, I intended to submit my finished project. Upon looking through my project, my lecturer asked me whether I am clear about the objectives of my project. I explained my proposal to him, and little did I expect that he would drop a bombshell by saying that my design and its objectives were already flawed right from the beginning, thus he rejected it. That meant I have to start re-doing it all over again from zero. Submission is on Monday and I’m supposed to be joining the camp later that evening! I know I can’t miss Eureka camp, because it is a camp that can change my life. The word ‘Eureka’ itself means ‘I have discovered something’, and I wouldn’t want to miss the experience of learning more about the wonderful plan He has for me (Jeremiah 29:11For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you a hope and a future.).

I prayed to God to guide me and give me strength so that I won’t be tired after the camp. By faith, I uphold my project into His hand and made the decision to go for the camp. By the time we returned home from camp, it was already Saturday evening, and next day we have Sunday service. After the camp, I continued with my work and God blessed me with people to help me too. His love sustained me through the entire process. It’s not easy but His presence comforts me.

After a gruelling weekend, I finally submitted my work on Monday. To my surprise, I was the only one who successfully submitted it on time, and this time my lecturer even praised me for my good work. All this is God’s work and blessing. His grace is always sufficient for me (2 Corinthians 12:9 – But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly of my weaknesses, so that Christ’s power may rest on me). He is faithful as long as I choose to focus on Him and let Him lead me.

Lim Jing Jing
U2A

Monday, August 17, 2009

Decision time

Currently listening: Ana Laura - Completely

I know the situation may not be favourable from all angles at the moment, but I wanna uphold and believe for Your favour for today's decision making.
The Widow's Oil - 2 Kings 4:1-7
1 The wife of a man from the company of the prophets cried out to Elisha, "Your servant my husband is dead, and you know that he revered the LORD. But now his creditor is coming to take my two boys as his slaves." 2 Elisha replied to her, "How can I help you? Tell me, what do you have in your house?" "Your servant has nothing there at all," she said, "except a little oil."
3 Elisha said, "Go around and ask all your neighbors for empty jars. Don't ask for just a few. 4 Then go inside and shut the door behind you and your sons. Pour oil into all the jars, and as each is filled, put it to one side."
5 She left him and afterward shut the door behind her and her sons. They brought the jars to her and she kept pouring. 6 When all the jars were full, she said to her son, "Bring me another one." But he replied, "There is not a jar left." Then the oil stopped flowing.
7 She went and told the man of God, and he said, "Go, sell the oil and pay your debts. You and your sons can live on what is left."

Basically got reminded on how much am I willing to step out and believe when carrying out certain things, as reflected in the number of jars the widow collected - an indication of their faith. God's provision was as large as their faith and willingness to obey. Therefore, do not limit God's ability because He is able to do much more than we can ever imagine (Ephesians 3:20)
Mr Bridges: "Grant, I heard a story about 2 farmers who desperately needed rain, and both of them prayed for rain, but only one of them went out and prepared his fields to receive it.
Which one do you think trusted God to send the rain?"
Grant Taylor: "Well, the one who prepared his fields for it?"
Mr Bridges: "Which one are you? God will send the rain when He is ready. You need to prepare your field to receive it."
-from the movie 'Facing the Giants'-

Saturday, August 08, 2009

Forever Strong - The key is the man


Synopsis
Rick Penning (Sean Faris) lives life just like he plays rugby: fast, hard-hitting and intense. When life on the edge lands him in jail, prison ward Marcus Tate (Sean Astin) offers him a chance to get back in the game by playing for longtime rival, Highland Rugby. Reluctantly Rick joins the team where he must adopt the grueling training schedule and unique code of conduct that Highland’s legendary coach (Gary Cole) demands. Egos clash and bitter competitors struggle to find the meaning of “team.”

As on-field battles rage, hearts are challenged and loyalties are tried. Rick Penning has to decide between the life he lived and a life that stands before him. With a national championship on the line, he will learn that the greatest victories are born in the heart.
"It's not about rugby, it's about young men. It's not about building a championship team. It's about building championship boys, boys who will be forever strong."
-Coach Larry Gelwix, Highland Rugby-

Wednesday, July 29, 2009

Honestly speaking..

It may not be much to shout about, and doing medicine is not entirely about this.. but to me it is something meaningful, especially if you have been turning up to class blur and constantly being nagged by bedside tutors despite being in your 2nd last week of O&G.

It may seem like a useless, time-wasting activity, going to the community clinic just to wait for a patient to come in requiring a referral to the hospital. My assignment involves writing an a referral letter for that patient. Yeah, right.. as if its going to happen, even if they need a referral, the family medicine specialist should be able to handle it on site, no need to go to the hospital.

I have people coming up and asking me to fabricate a patient / clerk and make up some details here and there, rather than waste time in such petty matters, might as well use the time to study or do something else.. In fact, one scolded me the week before for asking consent from a patient for pap smears and wasting a golden opportunity to get my log book signed off when the patient turned me down (thanks to my 'stupidity', since chances like these don't come by easily).. Nevertheless, I'm thankful for the staff nurse who subsequently helped me out with that matter. The one-way taxi fare RM10 to go there myself is already burning a hole in my pocket, considering the fact that I'm not very well-to-do. 3 trips there already and still nothing. As mentioned earlier, might as well study right? (since I don't really know much)

Nevertheless, it was an opportunity to teach me that God is never late in fulfilling His promises, and the end does not justify the means. Therefore, do not compromise. A week before the assignment deadline while sitting in with the MO, the MA dropped by to inform that there is a case of fever (suspected dengue). What more could I ask for? Quickly clerked, briefly examined and compared any missed details with the MA and patient's consultation card, and there it was.. The night before the deadline, a word of pessimistic caution came from a friend that the referral letter was supposed to be addressed specifically to a specialist based on the marking scheme, which some tutors are particular about (mine was addressed to the MO of the emergency department). Nevertheless, it's already been typed out, what else could I do, apart from uphold it unto God's hands, for better or worse.

A few days ago, found out that despite being cross-marked by 2 relatively strict tutors, my referral letter turned out to be one of those which were awarded a perfect score. At the end of the day, what more could I ask for?

Saturday, July 25, 2009

Because someone picked me up


Will it make a difference?
In Australia, there is a beach where at certain times each year thousands of starfish are washed up on the sand. Usually at night, a high tide, a large wave will bring them in so far that the water won't carry them back out. Then, as the sun shines on the starfish, they slowly dry out and die.

One morning a tourist came out of his hotel for a jog at dawn. Down on the beach he noticed a little boy picking up stranded starfish and throwing them back into the sea. But there were thousands of them up and down the shore.

The man ran up to the boy and said, "I know what you are doing, and I think I know why you're doing it. But there are thousands of starfish here and miles of beach. Do you really think that what you are doing is going to make a difference?"

The boy said, "I don't know. But I think it will make a difference in this one!" And he picked up another starfish and threw it into the sea.

-Excerpt from: 'Whose Child is This?: A story of hope and help for a generation at peril' - by Bill Wilson-

Wednesday, July 01, 2009

A Sustainable Church - 1



延续生态的气息 大地的脉搏
造就一片生机勃勃的广袤大地
沧海桑田 历久不衰
周而复始 生生不息


带领人类挥别茹毛饮血的荒蛮
孕育出令人叹为观止的灿烂文明
惠及众生 造福后世

神的话语
划破空虚混沌 使无变有
立定大地根基 维系宇宙 哺育万有

神的话语
从天而降的清流 属神的甘霖
使教会得洁净 得装备 得能力
进而与黑暗势力展开一场
历时千年 空前绝后 惊天动地的大决战

恶者歇斯底里地发动连串攻势
威逼利诱 软硬兼施
要将教会逼入历史博物馆的坟墓
然而 从诞生 兴旺
到大逼迫后的如日中天
教会焚而不毁的永续生命力令人心生敬畏
一千年的堕落 腐败 黑暗
无法毁灭神欲使教会永续的应许
难怪拿破仑感叹地说:
“世上的王朝都消逝了,惟有教会仍然存留”

纵观历史 教会所到之处
影响有目共睹 铁证如山

从欧洲开始
骁勇善战 野蛮暴力 摧毁罗马帝国的北欧蛮族
遇上神的真道 即被驯化成为文明人
将古希腊文明发扬光大
缔造灿烂的欧洲文明
要认识上帝的渴慕激发了他们探索世界的熊心
现代科学开始抬头
新发明 新发现 接踵而来
带动农业革命 工业革命
人类进入机器时代 生活水平提升
工人福利更受重视 慈善机构应运而生

到美洲
美国人说:“我们信神”
短短两百年 她从一片蛮荒之地
兴起成为举世无双的超级强国
支配全球的政经文教领域

再看亚洲及非洲
福音的登陆带来了光明与盼望
开拓市镇 设立学校 医院
不人道的殉夫习俗 奴隶买卖 成为历史
千千万万被罪奴役 被传统压迫的灵魂
蒙拯救 得释放

时间的考验证明了教会的永续性
跨地域 越文化的影响 彰显出教会的震撼力
今天 神正在执笔撰写
永续教会传奇的完结篇
“荣耀的教会”
里头的主角不是
保罗 马丁路德 卫斯理约翰
威廉克里 马礼逊 李文斯顿
而是每一个活在这末后世代
全心全意回应他
按着他所赐的蓝图
建立起荣耀教会的子民们
神的子民们 神已发出呼召
让我们跟随这些云彩见证人的脚踪
一同完成这最后的篇章
从荣耀主的手中接过
永不朽坏的荣耀冠冕

Thursday, June 25, 2009

2 am

Around this time a year ago, at the walkway between the 2 elevators of the 21st floor, in the backdrop of a dark, cool night and with the sea, lights of Singapore and the clock tower in full view, 3 friends had a moment of sharing their aspirations, and what each desired and expected to see at the end of the 5 years. Reflecting upon that fateful day, has all been forgotten?

Wednesday, May 20, 2009

Midnight sightings

The thing with being in a tertiary hospital which is supposedly the largest maternity unit in the country in terms of deliveries (perhaps also Asia), is that you get to see things which come out of the blue.

1. Saw one case of holoprosencephaly, where the specialist on call had to perform a cephalocentesis because the baby had hydrocephalus on scanning. Baby was delivered but didn't survive.

2. Patient presented with fever, chills and rigors.. Query dengue fever, patient deteriorated and got admitted to ICU. Urinary pregnancy test positive, so a transvaginal ultrasound done found a stillbirth fetus lying at the os, which was later removed.

3. Since the midwife students went home at 9pm, by hook or by crook I needed to get a normal delivery done, so by the time finished rounds, already midnight. Helped to conduct one, but towards the end the baby became bradycardic, requiring MO's help.. got a signature anyway, left at almost 2am.. need sleep, tomorrow going into OT to witness hysteroscopy. Oh wait, MY EBCP ASSIGNMENT!!!!!

Monday, May 18, 2009

More labour room blues

From my experience and observation so far, Chinese patients have the lowest level of pain tolerance during labour. Don't ask me why, I duno. Today got stuck again in another scenario where I reassured a patient in preterm labour and gave her some N2O for pain relief, patient just grabbed me by the arm refusing to let me go (for 1 hour), asking me to stay with her. I think this happened to the extent that doctors and staff nurses who entered the room was wondering whether I am the patient's relative. She requested for me to deliver her baby, but it was not to materialise, coz a senior staff nurse (one who appears to stride with authority in the labour room, that even housemen and other nurses look up to her) ticked me off, "What are you doing to my patient?!". Instead, she asked me to quickly open the delivery pack as she delivered the baby.

For a moment, I was quite upset lar.. wasted one afternoon. But then, it turned out that the patient was so grateful to me, that out of nowhere she requested for my phone number. I was like, "Its my pleasure and job to help you, just a simple thank you will do lar..why you want my number? No need lar.." She repeatedly kept pestering me in Mandarin, "I am really relieved and thankful to you for staying by my side through it all. Other doctors don't really bother about me, they just drop by for a while and left. But I really really insist you write your number down for me leh, I must show my appreciation and gratitude for what you did.."

Problem was I gave in to her, so I duno whether any medico-legal or ethical issue involved or not lor.. any advice?

Sunday, May 17, 2009

December 2008 - It was revealed to me that there is something which I need to learn to overcome sooner or later..

May 2009 - That something has been rearing its ugly head for the past few weeks.. Need to learn to take steps to lay down and breakthrough in this area. My shepherd shared that he could only do so much to encourage and help, what eventually happens depends on what I decide to do with it.

Thursday, May 14, 2009

Another night on-call

Tuesday. 12 May 2009. My 3rd day on-call.

Morning
1. Let's start off with what the morning has to offer. Sat in with a specialist during gynaecology clinic. Was looking for a patient to clerk, when one Chinese lady approached me, as if she somehow knew that I was looking for patients to clerk, and those I chose probably can have their waiting time shortened. So I clerked her, she presented with primary subfertility for 4 years post-marriage, and she was in a hurry to 'go to work', and didnt want to end up coming back for another appointment 2 months later. When I presented her to my specialist, got abit of a earful, coz there were other patients with conditions deserving more attention than people like her who refuse to wait.

Then when the specialist eventually looked at her investigation results, it was found that she was not ovulating due to low progesterone levels. One of the MOs who came in was asked this question and got grilled badly coz he could not figure out the problem staring at him through the investigation results, coz he did not attend to the clinic often enough. I think he hated me from then on, when he scolded me for accidentally taking his patient's card.

2. 2nd week in O&G, tired, but coping lar I suppose with the workload, tutors seem to be hinting that my knowledge, history taking and case presentation seems to indicate as if it's my 1st day in O&G. And I need to somehow squeeze time to study and finish my assignments and logbook!!

Evening
3. Not many cases. Most of those in the labour ward were experiencing poor progress of labour since morning, and eventually scheduled for C-section. So couldn't really perform normal deliveries. I did sat in with one of the patients who was supposed to undergo trial of scar, but eventually it was decided that she will undergo C-section. Nevertheless, all the medical and midwifery students missed a normal delivery while we were away momentarily following the specialist on rounds. It happened so quick that it was not on the whiteboard list of admissions.

4. There was a teenage preterm pregnancy. Police report cant really be made coz the perpetrator was 17 years old.

5. Sat in the room trying to study while accompanying that patient of mine. She wanted somebody by her side so that she could grab hold of somebody's hand or scrubs, for reassurance and support whenever she feels pain. Had a chat about family, whether I am Malaysian Chinese (to her, I somehow looked Indian Muslim) etc. Prayed that I will somehow manage to do normal delivery for her, but most importantly; the mother and baby's safety lar.. seems like it was not my day when she got confirmed for LSCS surgery at midnight, to be performed at 4am. So I initially thought of going home for the night, since I was super tired from classes since 7.30 am, and I have to wake up early again the next day. As I went to say goodnight and all the best to my patient for her surgery, suddenly I realised there was a new case in the next room.. So rushed in and asked for permission to conduct, and there! I got my normal delivery!! Finally can go home to rest after assisting her episiotomy..

Next day as I walked through the obstetrics ward for ward rounds, I heard somebody snapping her fingers shouting out "Doktor! Doktor!" Turning to my right, there was my patient from last night, smiling and waving to me, asking me to come over to see her baby.. Cute little baby boy, asleep from a long night.. Successful operation, mother and baby safe :-)

Sunday, May 10, 2009

A love song on Mother's Day

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Sentuh Hatiku
by Maria Shandi

Betapa kumencintai
Segala yang t'lah terjadi
Tak pernah sendiri jalani hidup ini
Selalu menyertai

Betapa kumenyadari
Di dalam hidupku ini
Kau slalu memberi rancangan yang terbaik
Oleh karena kasih

Chorus
Bapa, sentuh hatiku
Ubah hidupku menjadi yang baru
Bagai emas yang murni
Kau membentuk bejana hatiku

Bapa, ajarku mengerti
Sebuah kasih yang selalu memberi
Bagai air mengalir
Yang tiada pernah berhenti

Saturday, May 09, 2009

2nd night on-call

Friday, 8 May 2009
6.30 pm - Started my on-call by standing by a Chinese during her delivery. She was remarried with a 2nd husband. 4th pregnancy (history of 3 miscarriages). I think she was so scared and in pain that her grip nearly broke off my ring and little fingers. Had to reassure her and give inhaled anaesthesia / sedative.. When she finally delivered, aside from suturing the episiotomy, the MO and nurses left the room.. she hung on to my hand tightly, begging me not to leave, coz she was afraid, and lonely coz nobody came to visit her. So accompanied her a further 15 minutes or so lar, reassuring her that everything is fine, had a bit of chat about me being a student, not being able to speak Chinese convincingly (that's why during delivery the staff nurse of mixed Malay-Chinese descent commented that my choice of Mandarin words sounded funny) etc. Then her husband came looking for her when she has been transferred to the Pusat Bersalin, had to show the husband where it is..

10.00 pm - For a moment I thought could get my 1st OT signed off with a Caesarian section.. after a long exhaustive wait for 45 minutes.. the baby came out via normal vaginal delivery on the OT table.. *swt* even the MO to perform the surgery was shaking his head.

Saturday, 9 May 2009
12.45 am - Vietnamese lady married to a Malaysian Chinese husband. Husband was asked to come in to translate the doctor's instructions for the wife when straining / pushing. Instead the husband got so excited, that from the way he encouraged his wife to push, it would seem like I'm watching the scene of a die-hard Japanese football fan's reaction in front of the TV when his team is about to score a goal.

1.20 am - I conducted 2 deliveries.. both ended up as instrumental ones with vacuum coz if we wait any longer, the outcome for the baby is not so good (Argh, I needed to do my normal deliveries!!), but oh well, got one vaginal exam signed off as well.

Thursday, May 07, 2009

1st on board

Yes, I delivered my 1st baby today!!! Co-shared with a midwifery student (thankful the staff nurse allowed me to coz usually when midwifery students are there during the day, they get preference over us).. He weighs 3.55 kgs with an Apgar score of 9. Delivery time: 10.30 am in the Labour room. 4 more to go..

p/s: And in my enthusiasm to cross over to help the staff nurse perform an episiotomy upon invitation, I accidentally hit my head on the overhead lamp (twice), in full view of the patient.. *swt* Ouch.. but nevertheless, she wished me all the best :-)

Wednesday, May 06, 2009

Musings in times of busy-ness

A few repeat incidents occured today..

1. In the gynaecology ward, I was flipping through the case notes of the patient I'm following up on, and the nurse asked me how come the file was so thick.. to my surprise, I realised I was reading the wrong case notes. So I reacted sheepishly as I returned the case notes to the patient in the next bed. The middle aged lady in the bed beside my patient's bed told her, "The doctor looking after you very 'cute' leh.. (hen ke ai) eh are you Malaysian Chinese ar? You got the Japanese look leh etc etc" I was like *swt*

2. I asked the specialist to sign my ward round attendance. She commented, "Ur name is Gary ar? Eh, macam itu Spongebob punya siput kan? Nama pun sama."

That aside,
3. I remembered a Vietnamese friend of mine in YA CG last year.. long time didnt talk to her already.. last Sunday I had the opportunity to catch up with her for a while, since it has been quite some time.. I remembered when I first met her then, was very encouraged to see that although she was a foreigner among Chinese, with language difficulties and despite her boss making it difficult for her to attend CG and camps, she still has the heart to try her best to come. I thank God for her testimony which she shared about her life being changed from being a very pessimistic person away from home, to one who found hope in the midst of a family away from her biological family. She is actively serving in Sunday school and recently she shared that she had been retrenched, and might be sent back to Vietnam soon by her employers. But it is encouraging to see her still hanging in there optimistically, and in return she did comment that I changed a lot since my days in YA. I guess in due time, we all need to grow :-)

Tuesday, May 05, 2009

10th Southern region and international church camp

A Sustainable Church

Jesus is building His church to be His end-time instrument that will establish His kingdom on Earth. Though difficulties or attacks may occur, the church will survive until God's plan is fulfilled. God wants to use His people to carry out His vision. God's will is for all churches to be sustainable for the Master's use. He will do His best to sustain each local church, but each should do its part as well.

We do not want to build a church that lasts only for a short time, but one that will last until Jesus returns. How can we be sure that our church is sustainable? Come and join brothers and sisters from Southern region, East Malaysia, Indonesia, India and Taiwan, as we find out more!

Date: 4-7 June 2009
Venue: Peacehaven, Genting

Monday, April 27, 2009

Today I got reminded...

..to guard my heart after each small victory (eg not to become like Elijah ran in fear despite after a 'fire fall down from heaven' victory over the prophets of Baal, or Joshua whose army got defeated in Ai after conquering Jericho, because of 1 person's mistake), so that the fire and momentum doesn't get stolen away.

..to ask myself how I can improve and better understand the urgency and importance of this Vision.

..that the key is indeed the man, and whether certain things come to past depends on what the person sees, and eventually his actions.

..that faith is being sure of what we hope for and certain of what we do not see.

Thank you for a wonderful sharing over a cup of tea.