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Thursday, May 31, 2007

Maybe one day I'll be able to go on a holiday too! It's extremely odd. I've never thought myself as a travel-happy sort of person - the idea of going on trips would have been so inconceivable 5 years ago. Perhaps this new yearning stems from something deeper down, like wanting to get away or finding a surrogate mode of enjoyment or probing at prospective places to stay in next time. But first, I'll need the dough.

Brownie didn't get any supper last night - I think he overate. He had 2 platefuls of chicken and chow, followed by a chunk of vanilla ice cream in the evening.

Awake at 5.30 am on Vesak Day - it's such a shame!

Wenky
6:17 AM
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Wednesday, May 30, 2007

Would love to read more about the lives of my friends, but it seems that people are blogging much more sporadically now. Busy with living life, rather than lamenting it, I guess!

One of my Utricularia is coming into bloom soon, I'm eagerly awaiting to see what colour form it is.

****

Something odd happening yesterday. It's regarding someone who collapsed, and what came out of it. I shall write in more detail later, this needs more observation and higher levels of prudency.

Got extremely irritated by my project supervisor - we're presenting our research outline today, and just last night at 6pm he told us that we had to change almost the entire project. The best part is, the whole affair is so rushed and not thought through well enough. This, IMO, is a non-viable research. It has too many assumptions, too many unaddressed confounding factors, and too little value. But alas, being the surgeons as they are, they don't quite think it through well enough - or listen carefully enough to what we have to tell them. I am SO unmotivated to do this research well, simply because it's utter rubbish.

We're changing rotations this Friday, and I dunno how I'll deal with it. It's for the better, I know, but I just dislike change. =p

Wenky
6:05 AM
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Tuesday, May 29, 2007

Woke up feeling really tired this morning - I know I should wake a little later; no point taking an hour to do stuff beforehand. But those 50 minutes or so of real personal time are precious to me. I get to surf the net, read BBC, even talk to Brownie sometimes.

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Wenky
6:21 AM
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Monday, May 28, 2007

We both got rapidly mad at him today. Being irritated is now an everyday affair. To put it all simply, right now my work life is getting quite frustrating because of:
1) a colleague
2) an irritating person whom I had the utter misfortune of meeting last year
3) a research project that they are forcing us to do (yes, "research" - I could feed the crows with that thrash and they'd turn their beaks up at it),

on top of the usual:
1) night calls
2) bosses' expectations
3) dealing with irritating people
4) dealing with irritating relatives

****

Yx taught her very first class today! Well, not strictly - we've been teaching our own club members, but this is the first time she was teaching formally! The class was really spontaneous and fun, I hope some of them make it to the next level at least. I, however, was slinking in a corner controlling the music, which is EXACTLY what I like!

Being very patient with the class - I would have killed myself and ripped my intestines out to use as a lasso.


Personalised attention!


A little childish fun at the end of the class - the original announcement on the whiteboard went, "Adult Ballet Class - Butterfly Lovers".


****

Just spent half an hour reading through a British couple's travelogue. Ah, the envy! But seriously, I would be scared half to death doing what they did - travelling around without first booking accomodation, and not seemingly having any itinerary at all! Here's a list of places that I'd love to visit:

1. New Zealand
2. Fiji / Tonga
3. Madagascar
4. Galapagos Islands
5. Greece
6. The Phillippines
7. Utah

Would also love to re-visit Madison and Glasgow again someday. Made some of the most wonderful memories over in Madison, it's a shame I wasn't that great at photography at that time.

****

Brownie had an extra nice treat today! Nik gave us 4 spring chickens as a gift - which obviously we couldn't finish - so the little boy ate HALF A CHICKEN by himself during dinner alone. That's a hell lot, considering that he's so small. And for supper, he had a really nice platter of roasted chicken breasts, canned doggie chow, bones and 3 slices of butter. He's now all full, comfortable and warm, and snoozing loudly under the bed.

Wenky
11:35 PM
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I'm starting to get really irritated by certain people at work. I know everyone has gotten their own fair share of such problems - PMS'ing psychotic bosses, , raving social workers, irritating colleagues from PRC. Really nonplussed this morning after receiving an sms from someone.

****

Starting to feel a little lost, and dreading mid June. I'll probably be all alone then, and it'll take some getting used to. I know I grouse about a lot of things, about late nights, about nagging, but I know I'll miss all that. 1 month then - 1 month to get by.

****

Just look for the beautiful things in life. Think of the people who care, hold on to what you have, and don't ever let things get you down.

The sunbirds have once again returned to their nest ouside my window, and this time with babies again.

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Wenky
6:04 AM
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Sunday, May 27, 2007

Some updates on life - the real stuff!

We got down to Dimitrios' party on Sat night, after a hilarious episode at Yx's place where her mom tried in vain to blow out the candles on her cake (we swapped them for relighting trick candles). As usual, Greek food like his party a year ago, and this time his other half was around as well. Hmm .. quite the lucky guy. He lives with 2 other women, 1 of whom is actually kind of hot. And his other half is also one of those lucky girls with adipocytes in all the right places and none where they shouldn't be, but she was a tad boring. Shy, perhaps. Oddly enough, the Australian housemate was obsessed with local food, and brought in stuff like satay and otak - it was immensely odd to see them going gah-gah over the otak. Favourite food that night had to be the feta salad and also the toasted bread with cucumber-and-yoghurt dip - managed to get the recipes for these, so they'll be on Gastronomia soon!


The 2 housemates, the hot one's on the right - she's actually wearing this sort of green saron wrap around bikinis .. and to her right is the birthday boy himself, who survives on a nasty diet of cigarettes, beer and coffee. I'm not joking AT ALL. Apparently he takes nothing else for lunch other than cigs and coffee. Some parts of the conversations taking place actually got awfully hilarious - ever tried getting an Indian and a Swiss to have a chat together?

Actually tried to look for some lorazepam to force myself into a full 12-hour sleep period last night, but I think they either don't exist in the house, or they're with mom. Heck. Had bad sleep, in any case. I actually, actually woke up twice muttering orders to an imaginary nurse, regarding some of my real patients. OMG. Psychosis at its peak!

Did a spot of shopping tonight too! Mainly pet stuff, it's time to upgrade living conditions for the mice. Got them a new water bowl, some bedding and a huge packet of high-protein doggie food. Treated everyone to a dinner as well, this is customary, is it not?



Yeah, I know. It was a Chinese restaurant .. Dian Xiao Er again, to be exact.



Spent within my budget, and the food's good as well (although it did smack of some food conditioning). The rooftop gardenish area is actually quite nice - now, if only there were less of a crowd! Next time you're there, alone or otherwise, just pop up to the rooftop, sprawl on the grass and just stare at the stars.

You know what? It just felt fucking great to actually have a real weekend for once.

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Wenky
10:58 PM
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Saturday, May 26, 2007

Woke with a crick in the neck this morning - this is awful.

Just a little update about the tank. The primary pump has failed, and the tank was running on only 2 Seio internal circulation pumps for the last couple of days ... yours truly has cleanly forgotten that he actually has a standby pump on hand. One that's even plumbed up and connected to the system, thank you, and needs but a flick of the switch to get going. SO. Almost all my fish perished from hypoxia, and so did my precious sand dollar. All due to some fricking stupidity on my part. The water became cloudy, and I dumped a load of carbon in, plus got the circulation going. One of the most unprecedented disasters so far, in terms of livestock mortality. Will update on the status again soon, I may have to spend what's left of the weekend doing a massive water change.

Not really looking forward to today. Or the rest of my life, for that matter. Reminds me of Shit. Everything's bleak, albeit in a less intense way than during Shit. At least, once in a long while, something motivational comes my way. But those are rare.

Had another sad night.

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Wenky
6:22 AM
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Friday, May 25, 2007

Tried to get tix for Pirates, but it's sickeningly full - I'm not going to get those horrid first-row seats, ever. In any case, it's going to be a full weekend even without the movie. A couple of birthdays to attend.

Once again, fell asleep - in contact lenses! Horridly tired out, but the coffee's working well. Oooh, and we had such a feast last night - vanilla ice scream with Schweppes' peppermint cordial is such a bliss.

Wenky
6:28 AM
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Wednesday, May 23, 2007

Starting to get used to it, but the day before and the morning of each call day still pretty much hits me hard. Gloom sets in, morale slips several notches, and it feels like happiness is a thing of the distant past. Just can't help feeling lonely at times like these, and the little boy also becomes visibly upset.

Been feeling feverish the last couple of days - likely from lack of sleep, but I sure hope it's not some bug I caught at work.

My blog posts have been rather short and very disjointed of late, I realise. Perhaps I shall write a good, long one at my leisure soon.

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Wenky
5:30 AM
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Tuesday, May 22, 2007

When you'd rather go home just for that 30 minutes before going out, rather than staying in the workplace to wait it out, it just becomes a sad affair. Hah. I really hate those morning 7.15am teachings - they're good, no doubt about it, but they end at 8.15 - which is when rounds start. That brings me to work at 6.30am to start on The List (15 mins on a fast day) and to see those 15 patients or so under my care before the Boss sees them.

Looking forward to that one day in July when I can get myself f*cking drunk in a faraway (not really) hotel and not worry about driving home. I might even tape down some of the things I say.

Shall buy bananas to attract fruit flies soon - I reckon the mantid babies should hatch anytime now.

****

Went for dance practice tonight, knowing full well that I'd regret this by the time tomorrow comes. Once again, by the end of 1 hour, I was half-dead. Really miss the old days, when dancing was such a relief. The endorphins. The fun. The funniness. It's still fun now, but very much less so when you're just so tired out.

Rather alarming - I lost 5kg since the start of May, but Yx thinks that it's loss of muscle mass. Sigh. At the point of self-digesting my own proteins.

Wenky
6:06 PM
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I'm so ashamed of myself. Promised myself that I'd not be fatigued, but I was. It's time I reviewed how I spend my time. Once again, it's frightful how little time I get to spend with family and friends.

Wenky
6:17 AM
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Thursday, May 17, 2007

Remember the sunbirds? The ones that flew away?

Well, mommy's back home. =) She's been sleeping in the nest every night - I'm not sure if she just wanna camp there, or if there's a second cluth of eggs. I'm going for the former. Whichever it is, I'm just glad that there's once again some company right outside the window.

The mantid eggs are due to hatch in a few days' time I think. Now the problem is getting food for the babies, which are really tiny. We obviously do not have access to wingless fruitflies here, so perhaps I'll leave some fruit out to putrify and trap the horrid things.

And, I watched Spiderman 3 tonight! Rare indulgence, I know. It's a very long show, but pretty good. Some parts are quite redundant (especially those with long music interludes) though. Nice show in any case.

Last of all, something a little bigger coming my way this Saturday.

****




















Medical r/v noted with thanks!
Suggested:
- bloods: FBC, RP#1, CRP, Ca panel, Mg, phosphate, ACS + ECG x3
- kiv septic work up if TW, CRP elevated
- kiv refer psy cm.

FBC:
TW 20.0 Hb 8.0 CRP 30
RP#1:
Na 140 K 4.5 Cr 200 Urea 18
Ca panel normal
Mg, PO4 normal
ACS screen:
CK 420 CKMB 634 Trop T 10.4
ECG: ST depression in all leads, IMP: Massive infarction
Blood C/S: Fungi of all sorts, including portabello and shitake.
Urine C/S: no growth
CXR: Multiple patchy consolidations.
CT head: Multiple subarachnoid haemorrhages seen in bilateral temporal lobes and frontal lobe, most likely due to uncontrolled hypertension. Massive midline shift and significant mass effect noted with interval cerebral oedema. Some blood seen in lateral ventricles, suggest a 4-vessel angiogram to rule out anterior communicating aneurysm.

Psy has kindly reviewed, and REFUSED to take over. (Psy consultant raved about this point repeatedly for 10 whole minutes with bulging eyes) IMP: Gone case. Suggest: IV K+ 200mmol stat. To S/T pt re: end of life issues.

Wenky
11:20 PM
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Wednesday, May 16, 2007

Still unresolved. Little energy left to spare for this.

Wenky
6:25 AM
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Tuesday, May 15, 2007

To say that today was bad would be a gross understatement.

And strangely enough, it wasn't about the work per se.

Work is quite bad enough as it is, without being complicated by people things. I gave up on a certain person; I really did. Spent my time with a senior instead, and was happy running round doing urgent cases etc. And all this time, I just left Him alone in the ward doing whatever he does. In slow motion. D. finally flared up at Him today during tea, which was really alarming.

And there's the stuff at home too. Bad stuff. Phone calls while striding to the ICU, nurses ringing in on the other phone, fixing up the fucking reseearch project during a precious 15-minute slot and trying hard to get back early to make sure everything's ok at home.

Sipping cold milk in the glow of the incandescent desk lamp, and feeling glad that help was really great today, both at work and at home. Yet another day tomorrow, the start of another week, and tremendous uncertainty of what's to come.

C'est la vie.

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Wenky
5:59 AM
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Monday, May 14, 2007

Internet's down on Thurs, so this had to be drafted first.

Can't help feeling a little down - more down than usual, in fact - that I'm on call this weekend. Not that it's anything that special, but it would have been nice to be able to spend time with family, especially when I hardly get to see them anymore. I guess one thing is quite true - absence makes the heart grow fonder. I just suddenly realise how I wish to spend time with people in my life. What's more, Yx will be leaving for LA next month, and it's going to be hard. I think. Oh but nevermind - I promised not to grouse so much anyway.

Not getting enough sleep at all - maybe I'm waking up way too early. Thing is, there is just so much that needs to be done, I need to be in about an hour earlier. Boss comes in at 8, but there's a lousy series of lectures from 7.15 to 8 everyday, which means I need to prepare stuff beforehand, around 6.15-6.30. One day I'm just going to find myself waking up in the ICU with tubes sticking out of me.

Desperate for a little sanity, and looking forward to meeting friends this weekend.

Ootheca! Yes, ootheca. The dead leaf mantis laid eggs today! Now, I wonder (can't remember) if these things store sperm - i.e. they can lay several broods without needing another mate, somewhat like guppies. It's going to be a PITA raising the baby mantids though, they'll need a good supply of Drosophila and tiny things like that. The last time I had mantids producing ootheca was when my room was still in its old configuration. Memories of younger days flooding back!

----
Friday ...
Feeling a little ashamed of myself. Been bitching about a colleague, with slightly cold treatment - unintentional, of course - all the while telling ourselves that he is a nice person actually. Just that he tends to get on people's nerves. But he did something for me today that I'm very grateful for. Very grateful.

Just wondering why everyday is just chock full of stress, especially from 7-10am. And I'm running out of clothes to wear. And I hate the fact that some of my best schoolfriends are just a staircase away all day, and yet we have no time for one another.

Just done reading "Tuesdays with Morrie", given as a gift by a friend - rather thoughtful, and most apt for now, eh? It's definitely contributing to this general feeling of loss. Loss of what life should be about, loss of time with people who matter, loss of an old life that I once knew. And I started remembering teachers who mattered to me. A must-read for all teachers, disillusioned souls, and people who see the face and grip of death everyday.

Without realising it myself but for smses that remind me, I'm 1 year older.

----
Saturday ...
Slept continuously for the last 10 hours, omg.

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Wenky
6:21 AM
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Tuesday, May 08, 2007

Went for dance practice tonight, it was really good to meet up with the bunch again! Was a complete idiot though. Seriously, days and days of slep deprivation really eats into both physical and mental reserves. I was panting by the end of 30 minutes, fatigued by the end of an hour, and totally zonked out after 1.5 hours.

They gave me a really nice surprise though, for a moment I was singing along before I realised what was happening. People insist on giving me books. Do I look that bookish? Hah ... got 1 that's always been on my must-read list but I never did get down to it, and another that's the kind you drool over but never do buy it except on a peculiar whim.

Not too good a day at work today, but tonight really brightened things up. Bottom line is, no matter how deep in muck you are, there's always someone waiting to brighten up your day, or even just to listen to you. To my friends who are facing work right now, and bitchy bosses, bear that in mind, and things should get better!














p.s. Dear Medical colleagues,

Thank you for seeing this 24/C/M
Past history of Mobitz I second degree heart block
Now p/w recurrent episodes of fatigue, fatigue and fatigue.
Will appreciate your kind input and further F/U -- KIV start barbiturate coma x 3/52
Thank you!

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Wenky
11:23 PM
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Monday, May 07, 2007

Wow, I actually am improving! Even had leisure time today to meet Yx after lunch, haha!

Did a call again tonight. Some exciting stuff.

1. FON patient. 'nuff said. I regret that I had to leave it to a colleague to settle though.

2. Butterflies rule. Period. This is the umpteenth time a patient has looked up in surprise after I'm done taking urgent bloods, exclaimed that it's the most painless blood-taking ever, and asked what I used. Admin staff - take a freaking big hint please. You guys are downright faggotty if you're going to compromise on patient comfort just for a few cents more in cost.

3. Worst nightmare come true - in my case, it was kind of enjoyable. I was set to leave at 11pm. At 11pm SHARP - I was ready to pick up my bag, mind - colleague runs in for help re: collapse.

So, I overstayed. No OT pay, and no post-call tomorrow either. Felt kinda good about myself after that, the both of us handled it pretty well until more help came. Maybe a career in the ER is the one for me after all.

Bottom line: calls are great if:

1. You get great colleagues.
2. You get great seniors colleagues.
3. You get great nurses.
4. You drown yourself in taurine, vitamin B and caffeine.

Tonight, all 4 created alchemy.

* * * *

On a more sobre note, quite a lot of thoughts have been flitting through my head these days. Most of them never get the chance to be developed fully, being interrupted every so often by horrid pages or this-and-thats.

The learning curve is steep. Very steep. In a mere few days, we have earned the team's approval instead of seeing black faces in the morning, and getting private talks from seniors. To top things off, the specialty I'm in now was almost never covered in school over the last 5 years at all. We were complete virgins at the start.

The growth curve was scary too. We've all grown, I think. I know I did. It's not just because we're addressed differently now - it's the attached responsibility, and knowing that everyone else (except for the seniors, who know that we're complete idiots) has this strange illusion that the moment we get through an exam, we are complete know-alls. And the nurses too. They know full well that we're mere fledglings, that they probably know more practical stuff than we do, but they still ask us for our opinion. That scares me. It seriously does.

Tying all these up, you're just expected to be what you never thought you could be. Someone lying on that bed needs help. The nurses helpfully tell you that they have a certain discomfort/problem. You sort of know what to do, but you could never be dead-sure. And these are way too trivial to be brought up to seniors, as you know you'd get told off. They need to be done, now. The decision needs to be made, now. You pen it down, and if something strange happens to that someone you're supposed to be helping, you're responsible.

* * * *

Received a most surprising birthday gift from my neighbour today, wow! Just way thrilled. OK, maybe because I usually don't get celebrations - other than a cake - and certainly no gifts. Definitely not a big deal all, but when I do get anything, they are always surprising and pleasant. Rounded tonight off nicely.

Definitely need to force myself to sleep (adrenaline from the collapse case still coursing through me - pupils must be pinpoint now). Dance practice tomorrow, yay!!!

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Wenky
11:56 PM
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Seriously, something is wrong with the Triops. They hatch, then die - I'm suspecting a lack of microscopic food, so I'm now trying a third time, this time wth a bunch of plants in there to see if this helps. Did a bit of animal husbandry last night, and something's wrong with the chiller again. $#^%# ... bad time.

Managed to do a little shopping yesterday, although it's not much ... just a street directory. Monty, this is really beginning to feel like Shit 5 years back. Frantic weekends, much of which is spent trying to rest. Thinking about how to spend my 7 days of leave ... a short getaway? Concussion at home? Finishing up unfinished business?

Had to wake really early today, realised that I need to get there by 6.45 to get some work done. Alas, ending at 11 tonight, hope I don't keel over and die.

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Wenky
6:07 AM
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Sunday, May 06, 2007

Managed to finish my work by 12noon today! Going to try to get faster. Quite a lot of stuff to blog about, but maybe later.

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Wenky
12:53 PM
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Friday, May 04, 2007

Just learnt today that Monty and I are doing almost the same countdown. Nasty things did pop up along the way (and still did, after), but we managed to have a really nice dinner at Munchie Monkey's after that! It's actually very gross to survive on 2 cups of coffee from morning till 6pm. Time to start eating breakfast, or at least have a cup of Milo.

How's everyone else been doing?

In terms of real life, the first small batch of Triops (about 8-10 eggs) hatched, but somehow the babies died! =( Its very frustrating. Is it the lack of food or something? The only thing I did different this time was to give them normal daylight, instead of 24 hours of life. Just threw in more eggs, this time I'll illuminate them 24/7 as suggested.

Still too slow!

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Wenky
11:39 PM
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Still alive!! But barely. Didn't get a single second of sleep, from 6am Mon morning all te way to 3.30pm on Tues. It's a frightful experience, but you really learn LOADS. My thanks to all the colleagues who stayed back to 8pm or so - that helped a hell lot!! - and to friends for their moral support.

Some scary things:

1. Desaturation
2. Hypocount 1.2

Some stupid things:

1. Extremely. extremely difficult plug that got in, then flew out again. Morale dipped right through the basement floor.
2. Chest pain. Turns out he was here for rib # anyway - DUH.
3. Running all around looking for a shower toilet, when my call room had an attached one.

Some nice things:

1. People helping out all around past THEIR working hours
2. Other on-call helping out and turning up in my call room with a surprise breakfast.
3. Extremely nice senior on-calls offering tutorials and guidance
4. Yx coming over to send me home! =)

Some sad things:

1. The "I wanna quit" thought finally came at 1am.

Going off to the wards early today, was completely lost during rounds yesterday. Oooooops.

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Wenky
6:10 AM
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Wednesday, May 02, 2007

Just some thoughts yesterday about what to say, what not to say, and what happens next. I guess it's best to just stfu about most stuff.

Put Triops eggs into water yesterday! Hope to have more of them this time round. EW, HypoC, start soon when things have settled down, it'll be fun to see how large ours get!

Still can't find a piece of paper that I need, guess I'll need to call some people up. Stupid admin work.

Need to buy a bag to put all my cosmetics in during calls .. haha. As if I'll have time to enjoy myself!

Starting today with quite a heavy heart and my head buzzing with thoughts and some uncertainty. Pick yourself up and try again - brush it all off and say, life's like that. Monty, I'm lapsing into the phase of pseudo-optimism.

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Wenky
6:28 AM
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Tuesday, May 01, 2007

Yx and I had quite the unique experience today - we had a lesson from So You Think You Can Dance 2 winner, Benji Schwimmer. He was here as one of the guests on The Dance Floor finals, which we missed. =\

In any case, we arrived at Shawn & Glady's studio this evening clad in our usual Lindy attire (i.e. street wear with sneakers/2-tone Bleyers) and we arrived to a studio full of ...

latin dancers wearing skimpy skirts and high heels. Huh? Did they know exactly what swing dancing entails? Sure enough, Benji made them go barefooted instead. Was fun seeing latin dancers trying hard (in vain) to abandon the Cuban hip movement and Jive's bouncing up and down, and instead do Swing dancing's "bounce into the ground" movements. Hmmm. Hopefully this session would interest some of them into taking up swing dancing. It'd improve their lead and follow techniques, at any rate.

The lesson actually wasn't much, just some of the basic 6-count West Coast Swing, although Benji did it in a way I can never imitate. He is just so ... musical. And pretty funny too, although he probably needs to work a little on teaching skills perhaps? One of the strange things he said, as he got near the mirror, stared at himself and said abruptly, "Hey guys, do you know if there's any sort of seafood that makes your lips turn purple after you eat it?". Apparently his did, after taking seafood before the lesson. Erm .. odd.

Well, more pics on the way - the real pics are actually with him, and he promised that he'll upload them on his blog. We'll see!

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Wenky
10:26 PM
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Belated update, my old CG and gang went out for pre-doom comfort food at Cafe Iguana on Sun night - Monty, shall we fix up a drinks session there next? Margaritas are cheap and yummy, price is almost like in the US during Happy Hour!

Took this shot at a nice location, upon the promptings of Yx ... why is it that the other gender usually has a more aesthetic eye? It's really not bad, considering that it was taken with a camera phone. Now we know where all those postcards were shot from.



Of course, we couldn't pass up the chance of getting HypoC dead drunk that night, not with his birthday just round the corner. His first 3 tequila shots! Oh, but they were yummy. And just $10 for 3 shots. Hmm .. he looks like he wants to tip me for extra services in that photo. Ignore that book - material of that nature is strictly disallowed on nights out!!

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Wenky
9:09 AM
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Wenkyland

Notable Notes

Partners In Crime

Raking Up The Past

Split Personalities

Usual Haunts