Moonlight Over Manhattan by Sarah Morgan | Book Review

December 21, 2019

I bought this book just because the synopsis sounds cozy to be read in December, where Christmas is just around the corner. I believe some of us feel the same too, the urge of watching movies involving snow, winter, Christmas when it comes to December, right?

Title: Moonlight Over Manhattan
Author: Sarah Morgan
Pages: 376
Publisher: HQ
Publication Date: October 2017


Harriet, the dog walker is known for her shyness and lack of confidence compared to her twin sister,  Fliss who always be the speaker for her - until she realizes everyone has their own life to live to, including Fliss. After Fliss moved out from their house to another town to get married, Harriet needs to survive on her own. Since then, Harriet comes with a idea of Challenge Harriet - doing things that she normally would never do.

On the other hand, there is Dr Ethan, who end up fated to meet Harriet, as a result of Challenge Harriet. Thought that will be the only meeting between both of them, the world actually wants them to meet again and again, for the sake of Madi, Ethan's sister's dog - in which at the end Harriet moves into Ethan's place to take care of Madi. Ethan is clueless about taking care of a dog and he can't spend lots of time with Madi.

Living together surely blossom things around them. Harriet slowly become comfortable with Ethan, pushing the boundaries, till the time Harriet exposes her love to Ethan, where Ethan ends up reply nothing to her.

What will happened to the chemistry between both of them?

"Do one thing every day that scares you." - Eleanor Roosevelt

I think this is my first book by Sarah Morgan and I just knew that there are few other books in this series. Seems like this book can be read as a standalone as I don't find any difficulties to read through it :)

1. "What makes you so wise?"
    "Age and experience."

I believe as we grow older, we tend to do stuffs more confidently, or maybe at least we feel calm. With time, it helps to develop our skills and knowledge on how to encounter specific problems. Same in life, we tend not to hold on grudges and anger for too long as we don't feel it is even necessary. Move forward and live the life.

2. "Skill is the ability to do something well. That usually involves two elements - training and practice. Being a doctor is all about training and practice. It's not magic. 

A thing I look forward to read was the journey of Dr Ethan, who is currently a ER (emergency room) trauma team leader in one of the most prestigious hospital in New York. Oh myy, I can totally relate whenever the author describe the situation of ER there, including how Dr Ethan need to face the reality of that department.

The advice helps to reflect there are so many things to be improved in my career life. :)

3. "You always see the best in people."

Harriet said that sometimes she is trying to see the best because she just don't want to believe that people can be so unkind. Sometimes, I feel it is easy but on the other times, I struggle to do the mentioned above. Working in the area, it needs me to meet all kind of people, the rich, the poor, the lovely, the shitty, the kind, the unkind, the most calm, the most annoy - it involves a lot of energy to entertain humans. Haha.


The book is surely one to go if you want to enjoy and relax :)

My rating: ★★★★★

SM, Perak, Malaysia

Write This Down by Claudia Mills | Book Review

A book I bought during recent Big Bad Wolf. After realising the Kuala Lumpur International Book Fair is coming soon, I think I should start reading my TBR list so that I don't have to feel guilty to maybe buy some more, perhaps? :)

Title: Write This Down
Author: Claudia Mills
Pages: 248
Publisher: Farrar, Straus and Giroux (BYR)
Publication Date: September 2016

The book is about a twelve-year-old Autumn, who was closed to her brother, Hunter when they were young. But Hunter who is going through a rebellious, trying-to-find-his-own-path phase, keep on doing stuffs that annoyed Autumn and frustrating their parents. 

Hunter is not into academics and sports, while Autumn is excellent in at least academics and kinda acceptable in ballet so Hunter felt left out when the parents seem not to understand his passion and keep on pushing him to do stuffs he dislike. 

Autumn has a crush on Cameron, a friend in her journalism class. Cameron is actually a brother of David, where David is Hunter's band mate. There was one day where Hunter and his band mates accidentally read Autumn's poems for Cameron and since then Hunter keep on making fun of her sister for the cheesy lines. Since then, Autumn is passionate on getting her writing to be published to prove Hunter that her talent is not that bad. 

There were ups and downs for Autumn to be a recognized writer. At first, the story line was bit boring for me as it shows how Autumn as a complicated girl, who always think of so many possible results of one specific event. Read the book and you will understand when I said Autumn thinks too much.

"She might even write something about him to show the world what a terrible brother he's turned out to be. But what if publication comes at the cost of revealing painful family secrets? Is being published worth hurting those you love?"

From the book, there are few things I learned.
Oh, I love Autumn's name, anyway, as much as I love the name Summer. :)

1. "Personal essays have a theme. They take the writer's personal experience and find some universal truth in it."

Well, seem this book has a lot to do with writing, these specific sentences remind me of blogging. There were few times, my friends asked me why I love blogging and why exactly I love reading stories of others?

That's the answer, I guess. Reading stories help me to learn new stuffs and at least learn about myself too. 

2. When parents get extra irritated, they tend to call their kids by full name.

Little did I know it happened in the Western world too. Haha.

When my mother called me by my full name, I know there is something that needs explanation. :D

3. How to write a book review?

In this book, there is a part of Autumn's journalism class that shares about how a review should be. Well, this is a subjective question to me, but the things Ms. Archer, Autumn's teacher described are quite nice to ponder on what good contents should have.

But, still, I am writing reviews my style and I see no problem as I am writing for self reflections and memories. :) Hehe

4. "The pen is mightier than the sword." 

Oh myy, this is very true. In this current world we are living, words are obviously something that can soothe someone yet can also kill people. I still remember few patients coming to ED with alleged assault by family member, mentioned that they usually being attacked mentally with those harsh words before the physical assault came into picture. 

Enough with four above, I guess. :)



Do Autumn gets to know Cameron at the end? What happen to them?
Do Autumn managed to get her writing published?
What will happen to the relationship between Autumn and her brother, Hunter?
What about their family?

I must say, the ending is cute actually :)

My rating: ★★★★☆

SM, Perak, Malaysia

Vampire at Night

December 19, 2019

I saw this post in my draft, just the picture below.

I bet this post was drafted when I was in medical posting (at least a year ago).

Usually only in medical posting, we have huge number of bloods to be taken before 6am for a night shift houseman. Honestly, the process of blood taking is not that long (it can be as short as 1minute) ONLY IF:
- the patient is cooperative, 
- the patient does not have any chronic kidney disease / on chemotherapy,
- the patient is not obese,
- the patient is not dehydrated,
- the patient is not a kid or elderly,
- the person doing the blood taking has good experiences.

Add caption

The are two ways to take blood - from venous and from artery (in Malay, we call artery as nadi - the pulsating one). 

For difficult blood taking, somehow taking blood from artery will be the best way instead. Just, I believe it is painful compared to via venous, but only arterial blood can give the best result to see the good is our oxygenation in our blood system. 

Few problems you can encounter during blood taking (venipuncture) / branula insertion:

1. Delicate / running veins
  • Usually these can be seen in elderly
  • Our veins are elastic - the moment a needle is inserted into the vein, our vein will hold the needle in place (like... hugging the needle) - there will be no way for blood to escape - like a seal. 
  • But for elderly, their veins are less elastic --> hence, blood will slowly go out in from the hole in between needle and vein, leading to hematoma. 

2. Neonates
  • I believe many of us have seen the current issue about blood taking in baby.
  • It is difficult to be honest - you need steady hands and at least one assistant. Usually taking blood from neonates without assistance is doable, if you cover the other limbs nicely and know how to retract the skin well to properly expose the veins beneath.
  • But, to insert branula to a baby can never be done alone. Trust me, I have tried once, the branula was successfully inserted (just the way for blood taking is done), but the secure the branula will be another issue. Assistant is obviously needed to secure the branula on the baby's hands.

Gebu gebas

3. Advanced kidney problem
  • Especially patients on regular dialysis. 
  • In these patients, the blood vessels will slowly constrict (smaller diameter) --> hence the difficulties.
  • They also will have one side of upper limb with fistula / prepared for future fistula, so we lost chance to take blood from one limb. 
  • Don't ever poke patient on the same side of limb with fistula - we are going to risk the pathway for him to do dialysis later by introducing injury / infection. 

There are lots of more actually, you can further read about difficult blood taking here. I believe I have encounter almost all difficulties as shared in the link.

Not to mention, other situations to be taken into account - like, patients pergi mandi/solat/toilet, nak kejut patient dulu untuk bangun tidur, nanti ha terkejut tiba-tiba kena cucuk.

blood taking trolley

I must say, blood taking / branula insertion is surely painful. But, reminds ourselves that blood is like our identity, it reflects the condition of our body - is the water enough? is the kidney / liver okay? is the blood sending good amount of oxygen? is there any infection - is it bacterial / viral?

So many things can be checked from the blood. Blood is precious. But don't worry much if you think doctors are taking lots of blood, we at least have around 4500 - 5500ml of blood in our body and usually the maximum amount taken daily is maybe 10ml - it is like 0.2% only hehe :)

SM, Perak

Latest Me.

December 18, 2019

Oh my, my last entry was in August, that was at least 4 months ago. There were obviously multiple life events happened in between those gaps, and I am looking forward for all the future uncertainties. :) 

1. I am a wife :)
Alhamdulillah, on 16th of August, I became a wife to my husband, Haziq. The marriage life is going okay so far, alhamdulillah, still trying to understand each other's differences and preferences. I realized it is definitely true when people said you will never know someone until you get married to him/her. You wake up in the morning with him by your side and finish the day with him too - on good (non-night-shift) days. So, basically you can observe each other's liking at every minute of life if both of you are on off days. 

To have a doctor as my husband is a blessing in disguise. Alhamdulillah.

Previously, I have no idea how to live my life talking about medicine at home, in the car, etc - practically everywhere and almost every time, like breathing medicine. But, right now, I am very glad to have someone who can genuinely listen to what I am sharing about - all the struggles of working, all the happiness achieving success at work, all the sadness of unable to revive patients, the lethargy, the hunger yada-yada. 

Thank you for being there, my understanding husband. :) May Allah bless us with mutual understanding and love, always.

Source -

2. I move to a new house :)
It is an apartment, people said it is bit pricey for monthly rent but we both agreed this is the best bet we can get with the price - a lovely 3 bedrooms apartment, on a good level, with nice view plus fully furnished IKEA furniture and we basically the first one to rent the unit - so you can imagine how brand new and fresh items we are dealing with. :)

I am sure all of us agree that a comfy, lovely home is what we are looking for after a hectic working day :) Hehe.

View from the apartment.

A room is specially allocated for our activity like studying, ironing etc.
Another room is the guest room - especially if the family members are coming for overnight trip :)
While we use the master bedroom.

Since the kitchen is kinda fully equipped as well, we have a target to cook at least 2-3 times a week. Sounds so lazy but that is the best plan we can try to do. Our schedules are quite tight, working at the hospital for at least 10-14 hours a day and coming home with lethargy - we can't afford for frequent home cooked meals.

Trust me, the moment we returned home at 10pm-11pm after working the whole day since 7/10am, we feel too tired even to stand properly. However, we are trying our best to at least complete these three things - 1) make sure our solah is done, 2) eat dinner/supper and 3) take bath. 

3. I am in my final posting :)
Reading my old post about starting my housemanship, I feel grateful to see how far I have become. 3 months more towards the end of housemanship and there will be another battle of being a doctor.

Anyway, my final posting is emergency medicine (ED - emergency department). :D

I chose this department anyway, instead of anesthesiology, just because I would love to learn how to be a good front liner and to practice and develop more confidence to deal with emergencies.

During moulage in ED. 

ED can also be called as ETD (emergency & trauma), A&E (accident and emergency) or ER (emergency room) - this place witnessed hundreds of patients coming everyday (at least for minor specialist hospital) and of course it can reach up to thousands for state hospital. 

So far, I am enjoying and appreciating all moments in ED because this is basically the place I can practice to give a plan as a MO. There are too many things to learn in ED - doctor skills, knowledge, empathy, how to improve patience, how to break bad news etc.

And this is the place I feel 'stupid' when encounter patients from departments that I've left quite long time ago. Since I just finished my Paeds posting, the knowledge is quite fresh in my brain and the skill of blood taking / branula insertion is still okay. Alhamdulillah. But when it comes to other departments stuffs, it takes me a while to come down to few differential diagnosis.

Still, I can't really tolerate patient who come to ED at 3am, with complaint of headache since 1 previous hour. We gave tablet Paracetamol (equivalent to Panadol) and the symptom resolved. The reason for this headache was the patient sleep late at night. T__T. Boleh tak rasa nak nangis? Kecemasan ialah untuk kes-kes cemas. T_T. Even if you have persistent headache and it is affecting your life very much (like taking frequent MC), you can go to outpatient department (OPD) or any klinik kesihatan for further management. Usually they will try to investigate the reason, make future plans and most importantly, you can continue follow up with them.


All in all, I guess 2019 is amazing so far alhamdulillah. It has all the adrenaline rush, happiness, tears and smile. Adorable 2019.

* Moulage (French: casting/moulding) is the art of applying mock injuries for the purpose of training emergency response teams and other medical and military personnel.

SM, Perak

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