1st week into the Obstetrics and Gynaecology department, everything had been smooth sailing so far. Apart from my scarce knowledge in many aspects (afterall, i'm barely one week into it =D ) , the transitional period from my previous surgery dept was a success.
Into my 4th day, I had nothing to complain about, although i might condemn that time is so precious yet so mean. In fact, it had been more fruitful than the previous posting while looking forward to another tomorrow had been something i seldom did in surgery.
One interesting dialogue i engaged in with a specialist during a lecture :
Dr : What is precipitated labour ?
Me : Erm....erm...(nothing seems to be coming out although im certain plenty of information was swarming my mind ; I had to say something ! ) A labour process faster than the normal one.
Dr : That's a politician answer ( ?! )
Me : Huh ?
Dr : Its like saying , I'm stronger than the opposition party. Be more specific
Me : .... ( sitting on my chair =.= )
~~stay tuned for more stories XD
yikping
536pm
Thursday, August 11, 2011
Saturday, August 6, 2011
Wednesday, August 3, 2011
Short Case Surgery
So, we had our 1st examination of the clinical years today. And, believe me, I will always remember how it went about...
We gathered in the tutorial room at 830am and started the heated discussion. Basically we were to be tested on history taking, physical examination, instruments and chest X-ray (CXR). We totally ignored the CXR as we thought might just be tailored for internal medicine posting.
I waited nervously for my turn as we were called name by name to the wards where the examination was about to be carried out. My chance came around 10am. We expected CXR to be tested as we entered the ward since we took a glimpse of the settings. There were totally no discussions or seminars or whatever lectures on CXR throughout the posting. Obviously, i was just about to be screwed.
Mr A (examiner 1) placed a CXR on the screen... 'you 3rd year right....okayyyyyyyy. tell me what you see' . I stood there dumbfounded. Nothing seemed to be getting out from my mouth. Mouth agape, and staring blankly at the flim, I told myself, you might as well fail me. Lets proceed to the next station. Anyway, I struggled to find words....and here was how it went...
me : this is a CXR , the trachea is not deviated, it is centrally located. The costophrenic angle is diminished on the right side. There is a visible gastric bubble which is a normal finding....bla bla bla
{how Mr A interprets my answer : I do not know anything about the X-ray.I'm just guessing}
Mr A : you are telling me everything everywhere. Please get organised. Start from inside out or outside in. What view is this?
me : okok... this is a PA view of the X-ray. The trachea.....bla bla bla...there is no cardiomegaly since the apex does not cross the midaxillary line ...
{how Mr A interprets my answer : Please fail me , there is no point in wasting your time assessing me }
Mr A : what ?? who taught you this...
me : Errr....my own understanding... *傻笑*
Mr A : Are there any fracture ribs ? Is this normal ? Can you see the border of the heart? What is this (aortic knuckle) ? .....
me : (listening to every word painstakingly. I do not want to fail... T.T) No rib fractures. It is not normal to have a bubble in the thoracic cavity...bla bla bla
Gosh, I slogged through the remaining questions and answered as if I was held at knife point. Indeed, I was !!
2nd station was about instruments. I failed to convince him about the central venous catheter. Luckily, he picked up a urinary catheter and asked me about it. To my relief, he finally seemed more comfortable. I can only say i did well for the urinary catheter.
I was told to wait for the next section, in which i had to take a history. Mr B was my examiner. After some anxious moments, he brought me to the female ward. As we walked there, he told me this horrifying statement : 'Mr A garang ke? ' me : er....sikit. Immediately, the only thing that rushed through my mind was -- I'm doomed
History taking was not pleasant as well. My patient was nauseatic but i still had to take a direct history from her. Mr B was however, quite friendly which indeed eased much burden and anxiety off me ! I started off confidently but the presenting part was...er... pathetic perhaps.
- I did not record anything i asked
- I had < 10 seconds to organise my thoughts
He guided me at first by asking signs of appendicitis. My patient is 36/M/female, presented with L and RLQ pain for 1 week. Thanks to his guide , i guessed correctly the diagnosis of a ruptured appendix, much to my relief...phew...I think I did just enough to pass the history taking but the outcome might be better if I had time to organise my thoughts.
Anyway, the nightmare is over, at least for now before i proceed to O&G. Certainly something I'm not looking forward as a pleasant experience. Ok, time to rewind and chill before another storm hits me with full force =D
yikping
1241am
We gathered in the tutorial room at 830am and started the heated discussion. Basically we were to be tested on history taking, physical examination, instruments and chest X-ray (CXR). We totally ignored the CXR as we thought might just be tailored for internal medicine posting.
I waited nervously for my turn as we were called name by name to the wards where the examination was about to be carried out. My chance came around 10am. We expected CXR to be tested as we entered the ward since we took a glimpse of the settings. There were totally no discussions or seminars or whatever lectures on CXR throughout the posting. Obviously, i was just about to be screwed.
Mr A (examiner 1) placed a CXR on the screen... 'you 3rd year right....okayyyyyyyy. tell me what you see' . I stood there dumbfounded. Nothing seemed to be getting out from my mouth. Mouth agape, and staring blankly at the flim, I told myself, you might as well fail me. Lets proceed to the next station. Anyway, I struggled to find words....and here was how it went...
me : this is a CXR , the trachea is not deviated, it is centrally located. The costophrenic angle is diminished on the right side. There is a visible gastric bubble which is a normal finding....bla bla bla
{how Mr A interprets my answer : I do not know anything about the X-ray.I'm just guessing}
Mr A : you are telling me everything everywhere. Please get organised. Start from inside out or outside in. What view is this?
me : okok... this is a PA view of the X-ray. The trachea.....bla bla bla...there is no cardiomegaly since the apex does not cross the midaxillary line ...
{how Mr A interprets my answer : Please fail me , there is no point in wasting your time assessing me }
Mr A : what ?? who taught you this...
me : Errr....my own understanding... *傻笑*
Mr A : Are there any fracture ribs ? Is this normal ? Can you see the border of the heart? What is this (aortic knuckle) ? .....
me : (listening to every word painstakingly. I do not want to fail... T.T) No rib fractures. It is not normal to have a bubble in the thoracic cavity...bla bla bla
Gosh, I slogged through the remaining questions and answered as if I was held at knife point. Indeed, I was !!
2nd station was about instruments. I failed to convince him about the central venous catheter. Luckily, he picked up a urinary catheter and asked me about it. To my relief, he finally seemed more comfortable. I can only say i did well for the urinary catheter.
I was told to wait for the next section, in which i had to take a history. Mr B was my examiner. After some anxious moments, he brought me to the female ward. As we walked there, he told me this horrifying statement : 'Mr A garang ke? ' me : er....sikit. Immediately, the only thing that rushed through my mind was -- I'm doomed
History taking was not pleasant as well. My patient was nauseatic but i still had to take a direct history from her. Mr B was however, quite friendly which indeed eased much burden and anxiety off me ! I started off confidently but the presenting part was...er... pathetic perhaps.
- I did not record anything i asked
- I had < 10 seconds to organise my thoughts
He guided me at first by asking signs of appendicitis. My patient is 36/M/female, presented with L and RLQ pain for 1 week. Thanks to his guide , i guessed correctly the diagnosis of a ruptured appendix, much to my relief...phew...I think I did just enough to pass the history taking but the outcome might be better if I had time to organise my thoughts.
Anyway, the nightmare is over, at least for now before i proceed to O&G. Certainly something I'm not looking forward as a pleasant experience. Ok, time to rewind and chill before another storm hits me with full force =D
yikping
1241am
Sunday, July 31, 2011
Thursday, July 28, 2011
Fake but real dreams
The deafening silence demonstrated its superiority in this dark gloomy night.
The flashback started.
It was swift.
I was sucked into whirlpool of thoughts.
Abruptly awoken from my dreams,
there i stood lying on my bed.
It had to come,
one fine day.
Heavy eyelids enveloped my eyeball,
as i fell back again into my dreams...
yikping
1129pm
The flashback started.
It was swift.
I was sucked into whirlpool of thoughts.
Abruptly awoken from my dreams,
there i stood lying on my bed.
It had to come,
one fine day.
Heavy eyelids enveloped my eyeball,
as i fell back again into my dreams...
yikping
1129pm
无法退后也无法向前走
房间空荡荡的。
唯，
孙燕姿的‘遇见’，
伴着孤寂的灵魂，
度过无风的下午。
闭塞的温度，
让我无法一口气吸到肺腑深处。
每一口气，
都是很执着的，
为生存而拼斗。
记忆犹新之际，
残忍的思绪，
就像突如其来的海啸，
像顿时的雷劈，
毫不留情地，
毁了不堪一击的童梦。
裹足不前的黑影，
是根刺。
愣，
接着晃，
站在原地的脚步无法移动。
时间过了，
遗留的，
是共同的回忆...
奕斌
1252pm
唯，
孙燕姿的‘遇见’，
伴着孤寂的灵魂，
度过无风的下午。
闭塞的温度，
让我无法一口气吸到肺腑深处。
每一口气，
都是很执着的，
为生存而拼斗。
记忆犹新之际，
残忍的思绪，
就像突如其来的海啸，
像顿时的雷劈，
毫不留情地，
毁了不堪一击的童梦。
裹足不前的黑影，
是根刺。
愣，
接着晃，
站在原地的脚步无法移动。
时间过了，
遗留的，
是共同的回忆...
奕斌
1252pm
Monday, July 11, 2011
笼外的天空
何时，
才得以豁出去，
瞻仰蔚蓝的天空？
紧凑的生活节奏，
难免，
让我不知觉地，
窒息...
最近，
好忙好忙。
我要蓝天，
我要大树，
我要大自然。
蓦然回首，
才惊觉，
天色已昏暗...
p/s: 照片摄于taman tasik permaisuri
奕斌
853pm
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