They said, ENT = easy no tension. Partly true, but I'd say it's interesting but tough. Actually ENT stands for ear nose throat, or otorhinolaryngology (ORL). 5 days in ENT seems to be like 5 weeks, with so many happenings and fun.
Perhaps coz it was the first week, lectures come striking us like falling rain. Had 12 lectures in 4 days, that is 3 lectures per day. On top of that, had to join clinic sessions, operation theater procedures and being on-call. It is very exciting but tiring. We were exposed to this field of surgery for the 1st time in medical school but i'm starting to like it. I was lucky to witness a rare operation conducted by Prof Dato Lokman on stapedotomy yesterday and a cochlear implant by my Prof. Dato is one of the few (3 perhaps?) surgeons in Malaysia that offer this operation. But the unlucky part was we had to leave the OT when the implanted cochlear device was just about to be inserted into the cochlear. From the patients in the ENT ward, to the paeds ENT ward, there are just so many cases to learn about.
The best session of the week was perhaps the clinical examination we just had this evening. Thanks to the doctor for teaching us the examination of the ear, nose and throat. We even got a chance to see the nasal cavity and the throat through the fibre optic scope. Thanks to my friend Haziq who had to endure the pain =)
Psychiatric posting left me many sweet memories but also many morals of the day and ENT posting has given me a broader perspective of how doctors work. Can't wait for week 2 to start, yeay ! But my theory...plenty to work on this weekend >''<
yikping
919pm
Friday, July 20, 2012
Friday, July 13, 2012
Sunday, July 8, 2012
Mid Semester Break
Back to where i belong--Penang, after a gruelling 8 week start for my forth year. And yep, that's a quarter of it gone.
I was just done with my posting in the psychiatric department. For which was supposed to be the easiest and most relaxed posting through out the clinical years, I had to struggle with a brand new environment which lead to many episodes of break down. Recapping on what had happened for the past 8 weeks, I was just glad it's now over.
Perhaps I was still in holiday mood(1st posting of the 4th year, after the 3rd year break) , I hardly took things seriously until there was a dire need to reproduce something expected. I did not have as many teaching sessions with my supervisor as the other groups experienced, but that was not something I could lament on. Indeed, I lacked the own initiative to gain valuable learning experiences from the wards and the clinics, which would explain how I regretted when I left this posting. I do admit I need a push to get forward, and that was how it went when I was not pushed.
The more common cases in Psychiatry include Schizophrenia, Major Depression, Bipolar Mood Disorders, Anxiety disorders, and Substance Abuses. I used to think that patient who are diagnosed with a kind of psychiatric disorder are dangerous. Perhaps this was just my prejudiced opinion. After clerking some patients, especially schizophrenia patients who are stable, I can figure out what they were thinking during their relapsed state. Take an example of this patient, who was singling and labeling everyone out there as some royal person from the past. She was also smiling to anyone she saw, and to the extent of bowing to them. She later clarified that she had a delusion that everyone was from the royal family and the bowing was just a show of respect. I also noticed many patients with depression, who merely wanted someone to listen to them, and be with them. I had an experience of being with a patient for 2.5 hours just to listen to her complaining about her marriage and her life. Pitiful, yet helpless.
Overall, I think the best moment of the whole posting was on the day we had our exam. Observed long case examination. We were supposed to take a direct history of presenting illness and present the case to our observing supervisor. Then, we were to describe the mental state and discuss the appropriate investigations and managements. 5 of us were given a chance to clerk the patient and assessed on the spot. Although it lasted for around 4 hours, I really learnt a lot from the session (although it was an exam). The moment i exited the exam room ( interview room) was perhaps the best and the worst of the posting. The best that I had passed this posting and going to proceed to the holidays but the sad thing was going to part away with psychiatry for some time.
I will miss psychiatry, and the patients. Otorhinolaryngology or more known as ENT (ear nose throat) will be up next. For the time being, lets lay back with the 1 week semester break =D
yikping
300pm
I was just done with my posting in the psychiatric department. For which was supposed to be the easiest and most relaxed posting through out the clinical years, I had to struggle with a brand new environment which lead to many episodes of break down. Recapping on what had happened for the past 8 weeks, I was just glad it's now over.
Perhaps I was still in holiday mood(1st posting of the 4th year, after the 3rd year break) , I hardly took things seriously until there was a dire need to reproduce something expected. I did not have as many teaching sessions with my supervisor as the other groups experienced, but that was not something I could lament on. Indeed, I lacked the own initiative to gain valuable learning experiences from the wards and the clinics, which would explain how I regretted when I left this posting. I do admit I need a push to get forward, and that was how it went when I was not pushed.
The more common cases in Psychiatry include Schizophrenia, Major Depression, Bipolar Mood Disorders, Anxiety disorders, and Substance Abuses. I used to think that patient who are diagnosed with a kind of psychiatric disorder are dangerous. Perhaps this was just my prejudiced opinion. After clerking some patients, especially schizophrenia patients who are stable, I can figure out what they were thinking during their relapsed state. Take an example of this patient, who was singling and labeling everyone out there as some royal person from the past. She was also smiling to anyone she saw, and to the extent of bowing to them. She later clarified that she had a delusion that everyone was from the royal family and the bowing was just a show of respect. I also noticed many patients with depression, who merely wanted someone to listen to them, and be with them. I had an experience of being with a patient for 2.5 hours just to listen to her complaining about her marriage and her life. Pitiful, yet helpless.
Overall, I think the best moment of the whole posting was on the day we had our exam. Observed long case examination. We were supposed to take a direct history of presenting illness and present the case to our observing supervisor. Then, we were to describe the mental state and discuss the appropriate investigations and managements. 5 of us were given a chance to clerk the patient and assessed on the spot. Although it lasted for around 4 hours, I really learnt a lot from the session (although it was an exam). The moment i exited the exam room ( interview room) was perhaps the best and the worst of the posting. The best that I had passed this posting and going to proceed to the holidays but the sad thing was going to part away with psychiatry for some time.
I will miss psychiatry, and the patients. Otorhinolaryngology or more known as ENT (ear nose throat) will be up next. For the time being, lets lay back with the 1 week semester break =D
yikping
300pm
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