vonWilliBen Chan

Artists > Jack Johnson > Broken

ironically, this blog will be my sub-diary........I take back how I said xanga is for highschool girl. peace.

www.xanga.com/ckybencky

will it be 400 years?

can't imagin how much happened these few weeks, ups and down....but afterall, it's all turned out okay. I really need to rethink what my personal goal is. I can't be stuck in this situation forever. May be I need to move to a new area. how bout Cali?....or Portland. I'm down! new life new people new houses new cars. I do have to admit that there are stuffs that I don't wanna leave in Seattle. they are valuable memories. you are always in my mind.

I should start looking for jobs outside seattle. first target: portland or cali. I want to go to beach! hot girls!

good news and bad news, you know when you are glad that something work out for some person and you felt happy for them. it's kinda cool. well, graduation is comming and everybody is having new plans for their life and new plans means the end of something. I'm excied yet sad. complicated feelings. new goals is waiting for me, I should look forward. forget about the old stuff, it'll be good memories. I really have to sit down and think about my future. what God wants me to do.

So tired, went running on Greenlake w. sy, so x, i'm hella tired after running one round.

Haha, i'm on blood bench again, it's so fun now. I felt confident doing most of the stuff and today Kristine let me enter some of the micro work up results. man it's fun! the micro keybord is a whole different language! i have to hit ";" to input a code and ";;" to free text, and the codes are so random......"I"= setup, "O"=Sensitivity to follow", A=white......i mean, what the hell!? now i'm really impressed w. gerld how crazy he is. but it's really fun! IDTF, SAS, TAXA, STF, SAUR, CDIF, RESM, RDBK, there are millions codes. so fun!

Jenny asked me if I've heard back from chemistry yet, well, i said next week lor..then she offered me an interview next monday. haha, not bad. have to really study for micro interview, they ask all those weird parasitology and mycology questions.....anyway, I really wanted this job, after training here. it's really the best working environment i've ever had, u get to work w. lots of MDs and PhD and residents and pharmacist and ID fellows. i just felt interlectually more challenging. and they have free PIZZA!!! yesterday the levofloxacin drug company came and had the teloconference and they bought those weird pizza, i think it's thia chicken toppings....it's HELLA GOOD!!! oh man. and they have all those freebies. haha, i really wouldn't mind!!!! i took hella.

N: it's really kind of you to say that and did that for me, very considerate, thanks! i love it!

You know when you didn't get anything done that day, u feel extra grumpy........yea, this is the day. SUCKS! i'm just so mad at myself, so stupid! awwww!!! super ding. tmw I have problem base learning and MDX conference! ding! everything has to crash together. I just hate this feelings i'm having now, it's weird. and it's part of YOUR fault.....um ding. super pisses me off.

anyway, setup is fun! coz Larry is cool, he showed me the stuff once and I'm basically going solo. he trusted me, it's awesome. so much better than Greg, the only comment I can make is "I'm glad that he didn't train me the first week of my rotation" oh man, if he did, I would've been hated micro for the rest of my life!. man the stuff u get from microbiology though......ears, eye, fingers, blood, poo, pee. eye opening. it's like going to safeway's meat market, $3.99/lbs. The genital and respiratory test was HARD....just coz i didn't study enough.

today is just not a good day.........even though the weather is hella nice, I should've been enjoying the best time of the year. oh, the interview actually went pretty well, so hope for the best. dont' know why, i kinda wanna work in micobiology now.

Rock on! just got a callfromWSSCLS, they gave me $250 for the spring seminar at spokane this weekend. so minus the hotel and gas, I'll have like $60 of food!!! haha, quite cool. and Nancy amazing let me leave early for class tomorrow. the only bad thing is, it's like a 5 hours drive to Spokane. but hey, i've never been to the eastside, hope I don't have a culture shock, or ran over by so cows or deer.....oh deer. oh, I'm going to miss church and fellowship this week.....felt so bad.

yesterday's MDX meeting is cool, I presented Bordetella holmseii. it is a Gram negative rod, oxidase negative and has a brown colony morphology. The incident so Bordetella holmseii is so low that there are only 28 cases documented at CDC. it only causes a very mild symtom althought it has a 98% relateness to Bordetella pertussis. It is also associated w. asplenic patients and w. those that has sickle cell anemia....interesting huh. however, it's still on debate whether it is a true pathogen. Molecular diagnosis include DNA analysis or fatty acid analysis. thats pretty accurate. biochemical method is found to be erroranlous. Treatment of Bordetella holmseii includ third generation cephalosporine and aminoglycosides. it's it easily treated and doesn't not has any associated motility cases documented at the CDC.

S: sorry lor, the mario super smash brother is just too fun and i guess we just went too wild. didn't meant to hurt your feelings. ghost recon is just too hard. may be we should stop playing that game. im, iygowl, twbteowr. ilyvmbwhtbpi2ma. too bad. oh well.
J: hmm, you. good luck w. your tests and UW thing. and......you-know-what-i'm-talking-about thing, introdue X to me, I'd be intrested to see how X he is...hahaha. anyway. let it snow, hahaha.

Talked about Samonella sp. on plate rounds. Quite interesting: 36 year old women presented w. High fever (105F) and headache, got mild diarrhea on her period. 6 years ago she was dx w. Malaria after comming back from India. So the Infectious disease doc Judd ordered a whole bunch of micro culture just to r/o that. Interestingly, the blood culture turn out have gram negative rods growing. cultures were sent to the automatic ID system and it turned out to be a Samonella sp. more biochemical tests has to be done inorder to specie them. Tests include looking at the surface antigens Vi ( capsular), O(somatic) and K(fragella). LOTMIC panel which is whole bunch biochemical tests, can also be done. Samonella is H2S pos, urea neg, non lactose fermenter, swarmer, negative for Lysine decarboxylation. so the species turned out to be Group D Samonella enterolytica typhi....interesting huh! <-----Nerd here. antibiotic suseptibility testing has to be done also. the resistance patter looks pretty good and it's sensitive to ciprofloxacin in vitro, however, it is resistance to one other drugs which is also a fluorooquilone. this bascially mean the patient is screwed....haha, just kidding. it's just pretty cool to be w. whole bunch of residents and fellows and MD, I just learn so much better. and i can always ask questions and get immediate answers and what they think on a topic, it's so much better than looking at the book, awesome. Worked w. Greg today, it's pretty cool, he remines me of my supervisor Bryce. surprisingly he used to work in UW chem. so had a little chat about the chem, which is fascinating to me too.

don't have much to say. Training w. Sheila today. don't know why, stool bench doesn't look that interesting to me, may be because there aren't stuff like Samonella or Shigella shitting out from peoples' poo. most of them have enterococcos in them, and it's very easy to ID coz u just need to do a pyrase and may be urea. there might be times for immunocomprimised people to have VRE (vancomycin resistance enterococcos). This sucks coz it's just like MRSA. they are resistance to treatment and have to be isolated from other patients. I'm working on my unknows today, it's hella weird. I got a GNR from a mandibula Abscess and got a Sphingobactrium mutivorum from a sputum culture....i mean, what the hell, no wonder my LOTMIC results doesn't match. man, Nancy gave me hella hard bugs.....

Jenny, the supervisor at micro asked me if I have gotten a job yet....I said "no, are you going to hire me?"...haha, too mean. anyway, surprisinly she asked me to apply. I was like, Hmm, what could this mean: 1. that she really wants me to work there. 2. she is just saying it coz I'm the only student rotating there. 3. coz brittney is doing her CDC fellowship, I might just be their last resort.....haha, i'm just thinking too much. I told her my international student issues and she said it's actually workable and I could apply for sponsorship.....more hmm. so i finally sent in my resume now. let see what God brings me. it's going to be interesting. some how don't have too much hope in it coz I heard in the interview they ask you all those hard questions especially parasitology......my weakest subject. well, but it would be a really great job. not only I like micro so much, but it's also a midnight position.....i mean, midnight micro, what's going to happen!?? haha. no STAT, no anything, I could basically sit back and relax and enjoy the sun. JK.

had dinner w. Ricks and Rene, basically got the whole thing planned out. the logistics are pretty good I think. but haven't worked on the details yet. so, hope it's going to be fine in the end. and everybody learn some stuff this friday.

Bartonella quintana is a Gram negative Rod slight curved oxidase negative orgamism. It is aerobic and highly fastidious and might take 20-40days to grow in the BACTEC bottle. It also grows best at 35-37C. Epidemology of Bartonella quintana: it is transmitted by human louse Pediculus humanus and causes Trench fever. it affected over 1 million soliders during WWI. Currently, it is reemerging amount the homeless and alcoholic indivicuals. It is also related to bacillary angiomatosis (which I know nothing about) in HIV patients. Symptom of Bartonella quintana infection inclues fever, headact, leg pain, and a classical 5-day relasping fever (quintan fever) hence the name quintana. Treatment for Bartonella quintana inclues third generation cephalosporin or aminoglycosides.

pianist today, super sucks
this week's schedule is hella crazy. wanna die. how come......it's only the third week

• Monday: micro exam III
• Tuesday: micro conference presentation: Bartonella quantana; Problem base learning present Immunology case results; Econ quiz II
  
• Wednesday: Bible pre-study
• Thursday: study for micro exam IV
• Friday: micro exam IV; Bible study

it's my third time to tulip trip......this time brought Sy there. really nothing special to me anymore. you know, when you saw it three times, it's kinda like, "wow, it's amazing that the people can make the garden looks exactly the same as last year". it's funny, even Sy was complaining about us standing in the field doing nothing wasting times. hahaha, yep, thats HK people. Then we went to hotpot, so many people! oh dear, it's crazy, there were like 40 of us, taking over half of the restaurant. the food is so so, not much different form Old Seichun, but w/o the dumpling. i give it about a six. so x have to work afterward, but it's fine.



Sy "feeding" the tulip