Recent Posts

51

Medical News (Public) / Study provides insight into how low-dose ketamine alleviates symptoms of major depression

« Last post by Ketua Dobbs on November 20, 2024, 09:13:56 AM »

Study provides insight into how low-dose ketamine alleviates symptoms of major depression

University at Buffalo neuroscientists have identified the binding site of low-dose ketamine, providing critical insight into how the medication, often described as a wonder drug, alleviates symptoms of major depression in as little as a few hours with effects lasting for several days.
Source: Study provides insight into how low-dose ketamine alleviates symptoms of major depression

52

Doctor Blogs (Public) / hunch....

« Last post by lywuu on November 20, 2024, 01:49:03 AM »

hunch....

 

An obese patient
was referred down south for shortness of breath. Patient was found out to have
elevated cardiac enzyme and referred to us to rule out myocarditis.

The patient had
arrived hours later. He appeared to be severely obese and dyspneic even with
oxygen use.

Upon examination,
he was noted with mild wheezing and I had ordered a series of examination. A
quick bed-side sonography was done and it was non-conclusive of any disease. An
inhalation was ordered while waiting for the reconfirmation of cardiac enzyme.
Patient was stable on oxygen supplement despite of hypoxia state shown on the
monitor.

It was a routine
workup however I was uneasy with his state as he had been inpatient for 2 days
down south.

I had done a good
history taking and found out that he had been a carpenter for his life and on
and off attack of wheezing was noted with no major admission history.

The diagnosis of
myocarditis was however not my primary diagnosis. I decided to do a CT scan as
the mismatch of symptom of shortness was breath versus whatever test we had
done.

The CT scan was
ordered once his renal function test was out. He had multiple clot in his
pulmonary vessel.

I had explained
the test to the patient and his daughter and I was surprised that they were not
unfamiliar with the disease. A further digging had found out that the patient’s
son had pulmonary embolism at a very young age (14-15 years old). He was
referred up to National Taiwan University Hospital and a genetic was done and
found out that he had a specific gene that causing PE at a very young age. The
pediatrician had advised everyone in the family to undergone the genetic test
however no one bother.

A thorough history
my ass….I grumbled to myself. You don’t ask they don’t answer. We had always
asked family history about seniors in the family but not youngling.

The strange part
was nothing suggestive of PE despite of the CT findings. The cardiac echo did
not show right ventricle enlargement, the EKG12L was normal and the only hint
was the mismatch of clinical findings. A few of my colleague had asked me why
did I suspected the patient had PE and I told them that clinically I couldn’t get
a diagnosis which can explained the pt’s SOB.

Well, a clear
example that AI won’t be replacing this medical job in the near future….sometimes
is just a hunch that lead to a diagnosis….

Source: hunch....

53

Doctor Blogs (Public) / QM run....

« Last post by lywuu on November 20, 2024, 01:49:03 AM »

QM run....

 

The new roster had
made a lot of event possible. As Ving wished to go back for QM festival; an
arrangement was made and I had started the flight ticket sourcing again. I had
tried to strike CKS from my list of departure as soon as the sourcing started.
The trolling over the net was uneventful as there was no seat available at the
peri QM period. When I almost given up the no CKS thought; seats had started to
emerge on the double A site. However Ving’s senior had yet to make up their mind
on the date of QM ritual. It was a difficult choice for me as the cheap seats
which emerged would be selling like hot cake and it would not be long before I lost
the chance of grabbing them. Urging the seniors to make a decision would be
impolite moreover Ving is considered as outsider as she had married a guy which
is not from the family. So I had to make a intelligent guess regarding the
date. From my experience, the Seniors were folks that like to hang “laws” by
their mouth, meaning that they would like to people complied to their
idea/opinion by talking about tradition that set up by their ancestors.

So I had to think like
them to predict how the date would be set. For Chinese, the most important reference
book is the Yellow Calendar – the one book that calculates everything according
to tradition. It would record suitable task to performed task on any specific
day. If the date is BIG GOOD, then you could do whatever you like. If the date
is noted as BIG DANGER, then you could only do the necessary like seeing a
doctor and all the important task (like praying ) would be barred.

The choice was
actually simple as the QM fell on Thursday and there were only 2 date to decide
of, the pre QM Sunday and post QM Sunday.

According to the
Yellow Calendar, the pre QM Sunday is BIG GOOD and the post QM Sunday is BIG
DANGER. The choice was so simple, no one would choice a big danger day for such
a major ritual….So without hesitation, I bought the ticket. It was darn cheap
less that RM1k per piece to and fro with first row extra leg room seat with the
AA.

It was a short
trip for us and I have to bring my parents up north to visit my aunts and
uncle; two rituals and a to and fro trip up north within 5 days.

Everything seems
smooth until 1 week before the journey.

My bro in law had
told me that those Seniors had decided to set the date on post QM; and
immediately the 3 letters word started with “W” flashed through my thought…

It disrupted our
plan and Ving had addressed her dismay and I was the smart ass who got it up to
my face…

Since the ticket
could not be refunded and no seat was available for the available date, we had
to settle with it.

The journey had
started a usual post call flight. I came back from a night shift; grabbed my
pre-packed baggage and headed to Smallport airport.

The flight landed
uneventfully and we had had our dinner at the Oriental Kopi. The costly fried
noodle and curry was good, the coffee with qinchao was another plus. Satisfied
meal which was costly.

We reached my bro
in law house after 10 and I had gotten a good sleep after the long journey.

We headed down
south with the double F from Subang the next day. It was a pleasant stay and we
had a family dinner at a Japanese restaurant selling don buri at Aeon mall
nearby.

The flight touched
down on time and I had joined my parents late that night.

It was an early
push off the next day and I had to cover a trip from Kulai to KL by noon and
stopped by Seremban on the way down south and ended up in Malacca for a night
stay. A drive with no assist for more than 500km? Would be a great challenge
for me since I had Fefe for the past 2 years.

It was an early push
off and we managed to cover the whole journey without hiccup. We landed at
Malacca later in the evening and I had mistakenly booked a service apartment
which was crap. It was near the Portuguese settlement (bad choice because I
wanted a stay nearby so that we could reach the restaurant easily after we
arrived). The food at the restaurant was excellent with fresh squid and crab
served. The price was reasonable and definite and must for a next visit.

We had also had
satey chelup at the Mcquek before we retreated to the apartment. The apartment
is well furnished but yet poorly managed. The check out was worst as we had to
wait till 9 am before the management is opened.

The trip back to
Kulai was uneventful.

The next day we
had gone to Kota Tinggi for the Kiang Kee BKT.

Hokkien style BKT
around the southern area. The score should be a 90% but yet 10% deduction for
the distance; 80% is good enough but I would think twice before I taste it
again…The road was windy and roller coaster like…the up and down slope added
the difficulty to drive.

Anyway, I missed
the museum as we had a tight scheduled to follow. We visited my grand father for the QM ritual that afternoon.

We slept in the
Tune hotel later that night as we had flown the last flight out from Senai with double A.

We were lucky as
the Tune hotel served early meal during the fasting month. An enjoyable
breakfast and I picked up some snack at the salty fried pancake store along the
way to check in.

I had a variety of
good food, a long drive that proven my capability and my first QM visit after
the urn run. Smack for choosing the wrong date was still acceptable.

However the story
continued as below…

-      
The
whole group visited their ancestor

-      
The ritual
was performed and at the end of the ritual a cast of divination block was done…

-      
There was
a continual double down for more than 10 times[rare odds really]….until some of
the seniors decided to kneel down and asked for permission….and finally approval
was given just before the rain pour down heavily..

 

My conclusion---

Stupid move of
picking a bad date letting the whole group to bad luck, and the ancestors were
angry with it…

The great one had
been always looking after me and did not put me in that kneel down embarrassing
situation…. Praise the great one…

Source: QM run....

54

Doctor Blogs (Public) / the change ....

« Last post by lywuu on November 20, 2024, 01:49:03 AM »

the change ....

 

Making
referral and receiving referral were 2 different things.

Making
referral was a sign of showing weakness and receiving referral were a
declaration that we are capable.

Well,
some of those at the tertiary center would be too authoritative and would treat
referral doctor as junior or incompetent one.

I
had met rude surgeon who had asked detailed questions that made the referral look
like a resident reporting to the tutor. I hated that and I sworn that not to present
such stupid/arrogant attitude toward my comrade while receiving any referral.

But
yet sometimes, you would get some referral which was…..

I
received a call sometimes back in which an elderly male was referred for chest
pain and elevated cardiac enzyme. Routinely, we would ask the relevant unit to upload
the EKG12L to our LINE chat. The EKG uploaded later had however shown prominent
STT elevation over the inferior leads and the patient should be diagnosed as
STEMI undisputedly. I quickly called them up and asked them to prep the patient
and PCI would be performed as soon as the patient arrived. Never bite on your
colleagues no matter how incompetent they were, however you do feel odd when receiving some referral….the southern tip of this island
is a very secluded area; manpower drain was the norm and even surgeon who is
not well train in medicine had to take the stand in ED.

We
were facing similar situation since few months ago.

The
management had decided to split the roster arrangement into 2 parts. The ED roster
would be done by the HOD and the ward roster would be done by the admin head.

The
previous roster was actually manipulated solely by K. He would try anything to
filled up every hole on both the roster. However, there were always rules to
follow. No continual shift of more than 12 hours, no overlap shift covering
both ED and ward. Our shift was a mess as we need compromised our shift to enable
K to covered most of the shift upstairs. No kidding, K was doing 15 shifts in
ED and 12-13 shifts upstairs. Severe violation of working restriction however we
are not considered as labor and nothing to shout about.

The
reshuffling of roster making was a great news to us. Our shift was prioritized
and our roster looked nicer. We were getting streak of off days and night shifts
instead of getting intermittent off shift which burnt off half of our vacation.

The
impact was striking as the ward roster had left many blank spot and boss and
some surgeons who did not do calls had to fill in. K was unable to continue his
fill out all the spot plan and sought to find other locum elsewhere.

The
management had however tried to barred him to do extra locum which frustrated
K. K had complaint to me on a few occasions. I had sensed that his intention to
leave and finally talk to the management. I told him that the south would gladly
take over capable big gun like K and we would lose him in very soon should the
barring measurement continue. The plead was heard and K was happily ever after.

The
first and second month was chaotic for the ward roster. Last minutes call and overlapping
had started to emerged as it was the only solution to the situation. By the
third month, the management had totally given up and over lapping and continual
shift (aka alternative unit nonstop shift for indefinite hours) started to
exist. 

The
gate to Hxll had finally opened; now, more than 30 shifts are applicable to a single person as arrangement of back to back calls which continued stay for 72 hours in the hospital had started to exist.

Over relaying on a single person to make up the ward
roster would be a disaster when the person quit, as for me…none of my business…

The
roster was pretty sweet for most of us and I had lots of streak vacation to plan
for activity….

Source: the change ....

55

Doctor Blogs (Public) / 2024 1st fight final leg part 2.

« Last post by lywuu on November 20, 2024, 01:49:03 AM »

2024 1st fight final leg part 2.

 

The
flight arrived at CKS in the afternoon and we had picked up our car at the
carpark. We headed north and the traffic was smooth as most of residents were
travelling south back to their hometown for CNY eve. We managed to check into
the hotel without hazard and after a brief rest we had roved around the street
of T city heading to YiLan Ramen for our CNY eve dinner. The plan was smacked
when we saw the door shut with a notice in front of the gate. Nothing to curse
as it was CNY, a family day. We had to walk back with the thought of getting
something from the convenience shop. Along the road, we came across Yoshioya (donburi
shop) which was still operating. The shop was filled with foreigner, Asian and
Caucasian…. Stomach was fed and we walked back toward the hotel.

The
next morning, we had a late start as the event would be starting around noon. We
woke up had grabbed some food along a coffee shop. It was CNY D1 and we had to
take whatever was there. We travelled to the venue with MRT and met other church
member before we entered the main hall. The event ended late in the evening and
I had prebooked a table at a steak house nearby the hotel.

The
Tex-Mex joint offered great food and we retreated to the hotel later.

The
second day event started early with the holy communion. It ended later at noon
and we arrived back to the hotel by 1pm. We had meal at the Kurai sushi shop next
door before we headed down south.

It
was a long journey; we encountered heavy traffic as it was D2 of CNY aka wife
go back home day.

We
reached home after 8 hours of driving; double the time than usual.

It
was grace for me…. everything was properly arranged; I couldn’t bare to think
the deep sxxx that I would be in should anything go wrong.

I
praised the great one again…  

Source: 2024 1st fight final leg part 2.

56

Doctor Blogs (Public) / CNY...inter trip

« Last post by lywuu on November 20, 2024, 01:49:03 AM »

CNY...inter trip

 

I
had told Ving that there would be no harm if we gathered with our parents
during the CNY prior to departure of my 1^st flight. The meaning was
different and we could enjoy festival time which was different in nature.

The
plan was however altered as Ving had found out that there was this Global Chinese Conference organized by the church this year during CNY. Ving asked me if we could
go back and attended this gathering during the CNY.

Yun
was still stuck with her study and it would be a trio journey for us again.
Ving would take the early start with Xian pushing from K city to KLIA 4 days
before I head north for a flight to the Lion country. Xian and Ving would
later take a flight down south with the Firefly and we would fly back together
to CKS at CNY eve. We would then participate the global conference in T-city
and headed back south on D2 of CNY.

4
flights for me to book and I need to worry about another trip up north from
Kulai to KLIA2 via land(apparently fully booked of flight) on CNY eve -1 days.
The 3D2N lodging in T city around the CNY was another challenge as it was very
close to the venue and the option leftover was limited.  

All
the booking was done within a five days window after multiple loops of checking
and rechecking.

Makan
tak kenyang , tidur tak nyenyak was best description of my life after my return
from the 1^st flight.

There
was this case I met 5 days before the journey. A middle-aged handicapped man
was run over by a car and sent into the ED by EMT. I was complaining to the
Great one about unfairness treatment to the patient. He was a patient with CP
and walking difficulty. Apart from that, he was also deaf and had to read lips
for communication. I was expecting internal bleeding secondary for pelvic
fracture while doing the FAST echography. However everything was negative, he
had only sustained some pulmonary contusion on the CT. I had asked the young
police chap who came for investigation about the mechanism of injury. The video
clip extracted from the nearby CCTV was stunning. The patient was crushed under
the wheel of an SUV while heading to the train station after his work.

I
did further inquiry after the patient’s father came. They did not have any
specific religious belief though. I knew only the Great one could show such
grace and I was curious why he had done so…..

I
shared the case few days later with Yun and during the conversation, I finally
realized that the miracle was actually directed toward me; The Great one just
wanted to tell me, he is always along my side. A strange way to present
himself, but It was the response from him that pacified me.

I
felt peace afterward and stopped to worry about the journey. 4 days after Ving
and Xian arrived at KLIA2. I started my drive up north. It was a warm morning
and I managed to secure everything in the house and double check all the
windows and doors before I hit the road. I stopped by at clear water R&R
and bought some biscuit/snack. The temperature had dropped below 20C and I had
put on my jacket while I wandered around the R&R. It was a brief stop, I
continued my journey and reached DaYuan by noon. I had stopped by a food joint
hoping to get some bread so that I could eat during the flight but all I could
only settled with Taiwanese bread which I did not favor of.

I
parked my car at a private parking lot nearby the airport as I had failed to
book a lot at the airport parking area. It was winter holiday then and peak
season for travelling.

I
had arrived early and the counter of Scootair was still closed. I was lucky
enough to find a corner around waiting area and taken a good nap before the
counter checkin begun. The security check and document check was smooth and I
was still able to find a seat at the dining area for a quick lunch. The red wine
beef stew with rice was up to the standard but yet my anxiety prevailed.

Scoot was considered as low cost carrier and the menu offer nothing special and it was very expensive so I decided to skip the meal at 30000ft (reason that I bought the bread). The flight was a smooth one
and I landed at T3 on time. 

My sis in law and mother was waiting for me and it
took us about 1.5 hrs to arrive back home.

As
I promised myself during my last trip for a nice BKT; I had brought my parents down south to
JB to have a trial at the Hockien style BKT at Skudai. Sub-par to my standard
but yet still acceptable, no fish prawn also ok la .

Ving
and Xian arrived the same night and we spent 2 uneventful days around Kulai. The
Trip to Kota Tinggi was postponed due to flood and rain. It was a place that I
had fantasied for a long time. I wandered if I would I have a chance to visit the
place in the future…

During
the stay, we had visited a Malay night market nearby and I found that Malay
food providers had greatly improved since my day in KK. Apart from the traditional food/cake, I had
seen many new type of food added to their sale. I was lucky to lay my hand on the
famous coconut shake and lots of goodies...

One
thing that haven’t change; Chinese were still unable to mixed with Malays
around the southern part of the peninsular; we were the finger countable
Chinese that patronized the market

It
was a short stay for us and we had a pre CNY eve family dinner at a Teocheow
restaurant before we left; special food but yet not my cup of tea. It was the
first time I had eaten such dishes and I thank my bro for setting it.

My
sis in law had booked a minivan for us that evening and we left Kulai at 4pm.

The
driver sprinted the Granvia like it was it’s last cruise. We managed to arrive at
KLIA2 Tune hotel by 8pm even with the jam and 2 stop at R&R during the
journey. One of the most expensive ride I had paid(incl the surcharge for CNY)
but yet it was the only option that I had as no flight was available on that
day.

After
check-in to Tune hotel; we had wandered to KLIA2 seeking for dinner.  We had stopped by the food court and I had
ordered mee mamak goreng from the food stall manned by Indonesian. I can assured you that it was the best mee goreng mamak that I had for the last few years.

The
Tune hotel breakfast was a satisfying one and we managed to have a last tap of
Malaysia yummy before we headed for the check-in. The first part of the daring
trip ended when we boarded the flight….the next thrilling part awaits us at the
other side of the world.

Source: CNY...inter trip

57

Medical News (Public) / AI Detects Woman's Cancer After Doctors Tell Her She's Healthy, Likely Saves Her Life: 'This May Have Been My Last Mammogram'

« Last post by Ketua Dobbs on November 20, 2024, 01:48:54 AM »

AI Detects Woman's Cancer After Doctors Tell Her She's Healthy, Likely Saves Her Life: 'This May Have Been My Last Mammogram'

A UK woman is grateful to be alive after AI technology detected cancerous cells her doctors missed.
Source: AI Detects Woman's Cancer After Doctors Tell Her She's Healthy, Likely Saves Her Life: 'This May Have Been My Last Mammogram'

58

Medical News (Public) / Peptide hydrogel boosts antibiotic effectiveness against resistant bacteria

« Last post by Ketua Dobbs on November 20, 2024, 01:48:52 AM »

Peptide hydrogel boosts antibiotic effectiveness against resistant bacteria

Research from Chalmers University of Technology, Sweden, shows that resistant bacteria can regain susceptibility to antibiotics when the treatment is combined with a material equipped with antibacterial peptides.
Source: Peptide hydrogel boosts antibiotic effectiveness against resistant bacteria

59

Doctor Blogs (Public) / 2024 1st fight final leg part 1..

« Last post by lywuu on November 19, 2024, 07:42:02 PM »

2024 1st fight final leg part 1..

 

The
stay in the Boleh land was a slow one for me. My primary duty was to serve as
Ving’s driver. Ving had several errands to run; accompanied her parent and visiting
her aunts and uncles.

I
had used up the some of the time upgrading my bro in law’s wifi. The internet
service provider and supplied him with an entry level router and the connection
sucks! I had toured around the shopping mall nearby and bought a DECO MESH
combo.

I
had upgraded my house with similar system few months ago and the connection was
excellent and easy to install. The ASUS router was actually my favorite as it
provides great tunning capability for NAS and CCTV setting. However the ASUS’s
MESH was something that one need to live with it….

The
DECO had proven to be a more convenient system and cheaper to implement. I had acquired
a WIFI6 2 pcs MESH system and started the installation. It was more than 20
hours later with many trials and errors before I get the green light permanently
light up. There was no instruction with the setting of parameter regarding the
TM and DECO combo.

The
result was exceptionally satisfying as the connection was markedly improved
after the installation.

During
this period I had visited the book tunnel bookstore near Setia Alam. A great
bookstore located in a visitor lacking shopping mall. I hoped that it would
still be there during my next visit.

Xian
and I had discussed a lot regarding his plan in the future and he had evolved and
it would not be a problem for him to attend any graduate school. Every stage of
his learning process was a struggle to us; we had hesitated to send him to a
normal kindergarten initially. After that, we had discussed the option of delaying
his entry to grade 1. After the first few years as an initiate we enjoyed a few
smoothly going year until the stage college selection. With grace from the
great one, he had gotten what his wished for. Finally the solo ride in the
college begun and he is now staying alone in a hostel and being a valuable asset
to his team in the college…. Every step was crossing the limit and boundary
that beyond our imagination.

I
had patroned a few food joints and most of them were not compatible with my
tongue; 2 of them were chain BKT.

I
sworn I would try my best to lay my hand on a decent taste BKT on my next
visit.

It
was raining season and I had met a few flash flood during my drive. Heart
pumping session for me but it was norm for the locals according to my in law….

It
was a satisfied journey for Ving though, we completed most of the errands and the
seniors of the family were happy about the arrangement.

The
cashless life was another gained during this trip. I had installed the TNG e-wallet
app and started my scanning and paying life after seeing my bro in law using it
to buy goreng pisang at the local afternoon bazaar. Well, it was a great
experience and I did not increase my load of syiling after this trip.

The
trip ended 6 days later; it was an afternoon flight where we enjoyed an
afternoon tea break at the Ya Kun with my in law. Frankly said, KLIA1 is improving
but KLIA2 was still top notch for travelers.

The
flight with China airlines was smooth and we reached CKS late in the evening followed
by a safe trip back to K city with some hiccup.

We
reached home by 11 and I headed to work next day after a short nap.

Our
next trip was scheduled 2 weeks later and it would be a complicated one for all
of us….. It had haunted me for the next 10 days until I realized about what was
waiting for me….

Source: 2024 1st fight final leg part 1..

60

Doctor Blogs (Public) / The 1st fight of 2024 - the start

« Last post by lywuu on November 19, 2024, 07:42:02 PM »

The 1st fight of 2024 - the start

 

The
return of Dragoncat to the Great one’s embrace had alter our plan during
January.

I
had decided to join Ving and Xian for the trip returning to Bolehland during
mid of January. My joining would lift the burden of travelling for them.

We
had to settled with the flight departing up north as the double A flight
departing from K city was fully booked.

I
had booked an afternoon flight so that we could travel up north with the HSR
early in the morning.

The
journey preceded with a night shift in the ward; K had agreed to cover for me
in the ward for 2hours so that I could leave by 6am.

I
reached home and picked up Ving and Xian by 7and headed toward HSR station. We
managed to park the car at the train station which situated next to the HSR
station. The parking fee is 3 times cheaper than the HSR station parking. It
was a simple journey as I had trailed down this route few months ago with Yun
to Bangkok for an IDPA shooting event.

We
reached TPE airport by 10+ and I was shocked when I saw the big screen at the
departure hall. The MH367 would be delayed to 9pm. I scanned over my phone and
found that an email was sent to my mailbox at 4am informing the delay and I had
ignored it. While 3 of us was discussing where should we spend the 7 hours, the
counter had however opened as scheduled allowing us to check in our luggage.
The counter staff had also announced that they would arrange a hotel for us to
rest while waiting for the departure. It was not the best news of the day
though. We had checked in our baggage and headed for our lunch. I had to called
up the car rental company informing my delay and rental company had however to
me that they would be closing by 10pm and I could only pick up my car the next
day. I instantly cancelled the booking but however I received another mail from
HAWK stating that my booking for a BRV was approved and asking if I wish to
proceed with the booking. I called up HAWK and told them my situation and they
told me that they had tracked my flight and would wait for me with a surcharge.
Definitely the best news of the day under such hazard situation. After our
lunch, we had gathered back to the MH counter and were directed to a coach. We
were ferried to the Hotel Orchard Park nearby the airport. A voucher of 500 for
each person was provided for dinner. The hotel was 4 stars grade with great bed
and facility. We take a good nap and awaking up by 5pm. The flight was however delayed
again till 9:40pm when we arrived at the airport by 7pm. It was supposed to be relaxing
path but the airport was packed. We were urged to hurry to the security check point
and it took us 2 hours to complete the task. It was 9pm when we reached the gate
just before last call of the flight was announced.

We
had used the vouchers to buy cakes/gifts instead of buying any lunch/dinner.

The
flight took off at 10:30pm with our empty stomach.

I
swept through what I gathered from the net and found that the MH366 was delayed
due to unknown reason. The original flight from Jeddah to KL had reached KL 3pm
and its next flight under the flight MH366 was scheduled the next day at 9:20am.
It did not take off though.

The
red eye flight was uneventful and we reached KL by 5+am. The airport was emptied
and the connecting train to the satellite building was still out of service(it
had been more than 1 year and it would take 3 years for a replacement)

I
picked up the BRV and headed to my in law’ house. The early morning drive was smooth
and the feeling of driving to work from Klang to Tg Malim early in the morning
had stormed me again. It sucks really driving a underpower car with poor maneuverability
(yeh, I am spoiled by Fefe after all those years).

It
was the first time I had met such delayed of flight; however MAS had provided
an excellent service to arrange hotel for us to rest. If we had been flying with
AA, we would be on our own during the delay.

HAWK
rent a car was another great service provider; they were the only rental
company who provide BRV. BRV is a great car even though with its poor control
and noisy engine setting; it’s spacious luggage and 7 seaters capability was definitely
a plus for traveler.

It
was not an easy start but it was smooth thereafter…

Source: The 1st fight of 2024 - the start