haha from my observation the registrar has not changed his clothes yes.
It's been 2 weeks already!!
my goodness!!
I wonder if he knows that other people (i.e. ME) noticed that he has not changed his clothes.
hahahhaha.
On another note, I just remembered about some embrassing things I have been doing lately especially in theatres last week.
1. My surgical cap fell off when I was scrubbed into surgery. Oh my goodness, so damn embrassing!! arghsss..I knew it was falling off, and I couldn't reach up to try and put it back on as my hands were supposed to be sterile and not allowed to touch anything else.
2. My first day of vascular surgery. I totally forgot the proper way of gowning up, and I went and put on the gloves before the theatre gown. Arghs, so embrassing again, luckily one of the student nurse noticed and told me about it. I have not scrubbed into theatres in ages and I sort of forgot what was the steps.
3. I forgot to put on my face mask and started scrubbing in, luckily the nurse reminded me. hahah Thank goodness for nurses actually :) they're so kind.
4. Haha this is probably the cream of the embrassing things which I have done. Ian was trying to catheterize (insert a tube up the patient's penis to allow urine to flow out) the patient before the surgery, and I was standing there and watching, and I asked him if the penis was normally so flaccid, and I think he was speechless for a moment and he was like, "What do you want me to say? I'm sorry?". hahhahahahaa, anyway he found it so amusing that he went and told the anaesthetist what I said. arghss....
Anyway Ian was having trouble putting the catheter in as the patient had benign prostatic hypertrophy, and he had to more or less force it in, and this ended up with the patient having blood in his urine. I saw the blood and I was like, "Oh noooo...." and Ian said, "Why oh no? it's just blood, it will clear up." Bleahs.....
I realise that my entries are possibly full of grammatical errors since I can't be bothered to recheck what I have wrote. Much apologies then. I do not have the time nor patience to go through all the stuff I've written.
Thursday, 29 November 2007
Playing Doctor
I went to see this guy yesterday complaining of acute chest pains radiating to his left arm and shortness of breath. Anyway his X-ray came back and he was diagnosed with pneumothorax (air in the pleural cavity). Apparently, when I went to see him nobody had told him yet of his diagnosis, and so I went and told him, and explained about the treatment. "They stick a needle into your chest to drain out the air." hhaha. On hindsight, I realized that this might have sounded quite horrifying. But it is definitely what they do, which is to insert a needle in to aspirate the air or to put a chest drain in. Anyway, most interesting bit is the guy has been diagnosed with Charcot Marie Tooth syndrome since he was 12 years old. I think this syndrome is possible quite uncommon, the first time I've come across it. Charcot Marie tooth is a inherited disorder, causing peripheral neuropathy, therefore causing peroneal muscle atrophy and foot drop.
I was on the wards today and I spoke to this patient who I met yesterday with bronchiectasis, asthma and pneumonia, and apparently the doctors wanted to discharge her even though she was not completely well yet and she refused to be discharged. So I spoke to her, and she told me that no doctors have come to see her since Monday and she has not been given any antibiotics, and she said that she preferred to see the respiratory doctors which she normally sees. So I went downstairs and told Dr Thomas about her, and he said that he would definitely come to see her later on. I went to see her again in the evening agan today, and she was well pleased as Dr Thomas had told her that he would be transferring her downstairs to the respiratory ward to get her antibiotic treatment for the next 10 days, and Dr Franklin the consultant on her ward also came to apologise for not coming in to see her, as he thought she had already been discharged. Yupsss, helping people totally makes my day :-)
I was on the wards today and I spoke to this patient who I met yesterday with bronchiectasis, asthma and pneumonia, and apparently the doctors wanted to discharge her even though she was not completely well yet and she refused to be discharged. So I spoke to her, and she told me that no doctors have come to see her since Monday and she has not been given any antibiotics, and she said that she preferred to see the respiratory doctors which she normally sees. So I went downstairs and told Dr Thomas about her, and he said that he would definitely come to see her later on. I went to see her again in the evening agan today, and she was well pleased as Dr Thomas had told her that he would be transferring her downstairs to the respiratory ward to get her antibiotic treatment for the next 10 days, and Dr Franklin the consultant on her ward also came to apologise for not coming in to see her, as he thought she had already been discharged. Yupsss, helping people totally makes my day :-)
Tuesday, 27 November 2007
My AV fistulae patient
I can't help it, but I need to definitely blog about her.
She's so funny, and entertaining.
The people here are hilarious, which reminds me of the other day at respiratory clinic, this old lady came in with a walking stick accompanied by another man, and I asked them what was their relationship to each other.
The lady replied," He's my son-in-law."
which prompted me to say, "It's so nice of you to bring your mother-in-law in to see the doctor."
Old lady replied, "yes he's really nice."
and son-in-law replied,"If I don't bring her to the clinic, she will hit me with her walking stick!"
Hahhahaha! seriously everybody is sooo funny!
Oh yes, back to this lady, she's about 70 over years old if I am not mistaken, she came in to get an AV fistulae done for haemodialysis, and I had clerked her in. On Sunday, I went to visit her to see how she was doing after the operation, and chatted with her for ages, cause she's just so fun and bubbly.
hahhaa she was kinda insulted in a joking way when I asked her if she sat at home doing knitting, which she insisted that she most certainly did not, and I cheekily told her that, I thought that ladies her age did those sort of stuff (knitting) :P
She even called her husband a cardboard box cut-out, as she said she has nothing much left to say to her husband as they have been married for 50 years! and her husband misses her so much that he insisted on coming back to see her again after lunch, which she did not want to, as he would just sit there and stare at her and have nothing to say. hahhaha.
and she asked me if I had a bf, and I was like "no."
and she said that I should go look for the nice young doctors in the hospital, and that if she was staying longer in the hospital she would more certainly find one for me.
and she mentioned about one of the doctors who was really tall.
and I asked her, "oh, the one with glasses and brown floppy hair?"
and she said, "Oh you noticed too!"
hahahhaa...
omg embrassing!!
After that, her daughter and grandson came to visit her, and she introduced me to them.
and I asked her grandson how old he was.
and grandma said, "He's much too young for you!"
ahhhhhh....
hahahahhahahaa.........
she's so funny =)
Talking to her really made my day :)
I'm glad that I went to visit her :)
Oh yes, one more thing which I noticed.
the registrar has not changed his clothes for like more than one week already..
hahahhahaha.
which reminds me of the other doctor in GH who we noticed that he did not change his clothes for a few days, and I was so thick-face and I went and ask him.
and he said that "I'm in scrubs most of the time, so my clothes are still clean."
hahahhahahhaah.
She's so funny, and entertaining.
The people here are hilarious, which reminds me of the other day at respiratory clinic, this old lady came in with a walking stick accompanied by another man, and I asked them what was their relationship to each other.
The lady replied," He's my son-in-law."
which prompted me to say, "It's so nice of you to bring your mother-in-law in to see the doctor."
Old lady replied, "yes he's really nice."
and son-in-law replied,"If I don't bring her to the clinic, she will hit me with her walking stick!"
Hahhahaha! seriously everybody is sooo funny!
Oh yes, back to this lady, she's about 70 over years old if I am not mistaken, she came in to get an AV fistulae done for haemodialysis, and I had clerked her in. On Sunday, I went to visit her to see how she was doing after the operation, and chatted with her for ages, cause she's just so fun and bubbly.
hahhaa she was kinda insulted in a joking way when I asked her if she sat at home doing knitting, which she insisted that she most certainly did not, and I cheekily told her that, I thought that ladies her age did those sort of stuff (knitting) :P
She even called her husband a cardboard box cut-out, as she said she has nothing much left to say to her husband as they have been married for 50 years! and her husband misses her so much that he insisted on coming back to see her again after lunch, which she did not want to, as he would just sit there and stare at her and have nothing to say. hahhaha.
and she asked me if I had a bf, and I was like "no."
and she said that I should go look for the nice young doctors in the hospital, and that if she was staying longer in the hospital she would more certainly find one for me.
and she mentioned about one of the doctors who was really tall.
and I asked her, "oh, the one with glasses and brown floppy hair?"
and she said, "Oh you noticed too!"
hahahhaa...
omg embrassing!!
After that, her daughter and grandson came to visit her, and she introduced me to them.
and I asked her grandson how old he was.
and grandma said, "He's much too young for you!"
ahhhhhh....
hahahahhahahaa.........
she's so funny =)
Talking to her really made my day :)
I'm glad that I went to visit her :)
Oh yes, one more thing which I noticed.
the registrar has not changed his clothes for like more than one week already..
hahahhahaha.
which reminds me of the other doctor in GH who we noticed that he did not change his clothes for a few days, and I was so thick-face and I went and ask him.
and he said that "I'm in scrubs most of the time, so my clothes are still clean."
hahahhahahhaah.
Vascular Surgey
I absolutely love love love <3>
I learned so much from Mr Wolfe and Dr Ian Mackay.
ahaha they seriously rock ler!
It was very tiring I admit.
Waking up really early everyday to attend ward rounds at 8am!
and theatres/clinics after that which go on the whole day.
Scrubbed into surgery and standing for hours at the operating table..
But it was absolutely fantastic!
And got teaching everyday :)
But was shot with tons of questions everyday at theatres.
A lot of which the answers are not exactly found in the books, but the ones which you have to derieve from logical deduction, which unfortunately I am not capable of. The best part was they did not give me the answer straight away, preferring to ask me more questions leading me to the answers myself instead :)
I think I might have pissed them off a little, as they had to dig answers out of me.
I'm so sorry!! I don't really mean to be like that.....
Just that I was afraid of having the wrong answer and rambling on about it...
Anyway their method of teaching is really good, make me realize that I didn't understand some important concepts. for example why they need to make an AV fistula for haemodialysis.
and also the importance of categorising information so that I would be able to remember more easily, and not just memorising information blind which you would tend to forget easily later on.
All in all it was a good week, and I really appreciated the fact that I was lucky enough to be able to watch uncommon surgeries for example the brachial anuerysm.
Speaking about the brachial aneurysm....During surgery, Mr Wolfe was trying to clamp the brachial aneurysm further up and remove it later on, when suddenly the artery just snap and broke off, and blood was spewing out everywhere, and Ian had to compress the arm to try and slow down the bleeding, and the whole place was just flooded with blood, and at last Mr Wolfe managed to stich the artery up so it would stop bleeding.
Anyway during one of the surgeries, Ian was trying to teach me about stroke, and he mentioned that if the patient were to come to me in the early hours of the morning, there would be nobody around to perform a CT scan to differentiate between the diagnosis of whether it was an ischaemic stroke or haemorrhagic stroke, as the person in charge would be too tired to perform the CT scan, or can't be bothered to show up. Anyway, after he told me that, Mr Wolfe told him to be careful of what he said, and the anaesthetist was quite angry, and told him "not to talk nonsense to the medical student", and that the "radiologist will definitely come up to perform a CT scan". Then Ian was still quite adamant that this was what happened in various other hospitals but probably not in this hospital, and Mr Wolfe told him not to "dig himself into a deeper hole." Anyway, very scary experience being trapped in between the doctors arguing.
I managed to scrub into a carotid endarterectomy too, where they cut open the carotid artery and they dig out all the cholesterol bits from the artery, while maintaining the flow of blood by inserting in a tube to still allow the blood to flow to the other side bypassing the part of the artery where the cholesterol bits is being cut out. I went and clerked the patient the day before and took her blood. eeekk I had to take to take her blood twice cause her veins collapsed and I couldn't get any blood out. Anyway she's 70-80 plus years old, but she totally doesn't look her age, and she's still working. She was a really nice and friendly patient :) Anyway during the surgery, at first she was kept awake, as they wanted to assess whether she was having a stroke during the surgery, as having a stroke was one of the risks of carotid endarterectomy, but then she had to be put to sleep as she kept coughing (she blames it on her blood pressure tablets, but I checked and they've switched the tablets to the ones which won't make her cough). We went to see her after the operation and she was alright :) and she had quite a speedy recovery :)
Which comes to the part of how I kinda pissed the surgeon off.
By giving him stupid answers.
which ended up with him saying "Do you think we are stupid? okay maybe we are a little.."
ok not exactly stupid answers,
but more like correct answers which were vague.
hahhaha.
For example they asked me what happens after a stroke,
I answered "weakness"
and they were like "which part of the body."
and I said "the peripheral parts."
"for example?"
"err..."
"Which part of the body would you test for in a patient with stroke?"
"err...the hands and legs"
It must be so annoying for them to dig out answers from me...
I don't know what's gotten into me......
Cat got my tongue I think.......
The next bit contains some useful information about carotid endarterectomy. Skip it if you find it useless/boring. hahaa.
Anyway some interesting bits of information about the carotid endarterectomy. I got asked all these stuff during the surgery.
Well the artery which they dig out the bits of gunk from is the internal carotid artery which is a branch of the common carotid artery, and the internal carotid artery supplies the brain and it has no branches, unlike it's twin the external carotid artery which supplies most part of the face, thyroid etc. The indictations for the surgery include, a recent TIA or stroke, and if the artery is severely occluded by atherosclerosis >70% if I am not mistaken. The complications of the surgery include stroke, death, injury to nerves. On which the surgeon asked me, "Why would you perform a surgery to prevent the stroke, when the surgery itself might cause a stroke?"
Go figure!! oh yes, somemore anatomy stuff, the internal jugular vein is medial to the internal carotid artery, and below the internal jugular vein and the internal carotid artery is the vagus nerve. Also nearby there is the hypoglossal nerve. so need to be really careful when performing the surgery.
Also got scolded for giving one word answers.
haha not the first time actually.
okay need to elaborate on my answers next time.
and must remember to think logically and systematically.
This posts is getting far too long.
Shall go back to studying and continue writing another day.
On another note...finished all my free minutes already!
No more phone calls until Saturday as that would be the 1st of December.
No more phone calls anyway until exams are over.
Am spending too much time on the phone!! sheesh..
But at least I managed to find out some interesting bits of information.
Like the fact that my parents bought my brother a new camera...
I am so cluelesss about everything!!!
To all those people who think I know everything or have a "satellite"
All I can say is that's absolutely rubbish!!
am too far away from everyone!
oh yes, am totally getting addicted to coffee.
Cappucino, tiramisu, good conversation during the weekend :)
I learned so much from Mr Wolfe and Dr Ian Mackay.
ahaha they seriously rock ler!
It was very tiring I admit.
Waking up really early everyday to attend ward rounds at 8am!
and theatres/clinics after that which go on the whole day.
Scrubbed into surgery and standing for hours at the operating table..
But it was absolutely fantastic!
And got teaching everyday :)
But was shot with tons of questions everyday at theatres.
A lot of which the answers are not exactly found in the books, but the ones which you have to derieve from logical deduction, which unfortunately I am not capable of. The best part was they did not give me the answer straight away, preferring to ask me more questions leading me to the answers myself instead :)
I think I might have pissed them off a little, as they had to dig answers out of me.
I'm so sorry!! I don't really mean to be like that.....
Just that I was afraid of having the wrong answer and rambling on about it...
Anyway their method of teaching is really good, make me realize that I didn't understand some important concepts. for example why they need to make an AV fistula for haemodialysis.
and also the importance of categorising information so that I would be able to remember more easily, and not just memorising information blind which you would tend to forget easily later on.
All in all it was a good week, and I really appreciated the fact that I was lucky enough to be able to watch uncommon surgeries for example the brachial anuerysm.
Speaking about the brachial aneurysm....During surgery, Mr Wolfe was trying to clamp the brachial aneurysm further up and remove it later on, when suddenly the artery just snap and broke off, and blood was spewing out everywhere, and Ian had to compress the arm to try and slow down the bleeding, and the whole place was just flooded with blood, and at last Mr Wolfe managed to stich the artery up so it would stop bleeding.
Anyway during one of the surgeries, Ian was trying to teach me about stroke, and he mentioned that if the patient were to come to me in the early hours of the morning, there would be nobody around to perform a CT scan to differentiate between the diagnosis of whether it was an ischaemic stroke or haemorrhagic stroke, as the person in charge would be too tired to perform the CT scan, or can't be bothered to show up. Anyway, after he told me that, Mr Wolfe told him to be careful of what he said, and the anaesthetist was quite angry, and told him "not to talk nonsense to the medical student", and that the "radiologist will definitely come up to perform a CT scan". Then Ian was still quite adamant that this was what happened in various other hospitals but probably not in this hospital, and Mr Wolfe told him not to "dig himself into a deeper hole." Anyway, very scary experience being trapped in between the doctors arguing.
I managed to scrub into a carotid endarterectomy too, where they cut open the carotid artery and they dig out all the cholesterol bits from the artery, while maintaining the flow of blood by inserting in a tube to still allow the blood to flow to the other side bypassing the part of the artery where the cholesterol bits is being cut out. I went and clerked the patient the day before and took her blood. eeekk I had to take to take her blood twice cause her veins collapsed and I couldn't get any blood out. Anyway she's 70-80 plus years old, but she totally doesn't look her age, and she's still working. She was a really nice and friendly patient :) Anyway during the surgery, at first she was kept awake, as they wanted to assess whether she was having a stroke during the surgery, as having a stroke was one of the risks of carotid endarterectomy, but then she had to be put to sleep as she kept coughing (she blames it on her blood pressure tablets, but I checked and they've switched the tablets to the ones which won't make her cough). We went to see her after the operation and she was alright :) and she had quite a speedy recovery :)
Which comes to the part of how I kinda pissed the surgeon off.
By giving him stupid answers.
which ended up with him saying "Do you think we are stupid? okay maybe we are a little.."
ok not exactly stupid answers,
but more like correct answers which were vague.
hahhaha.
For example they asked me what happens after a stroke,
I answered "weakness"
and they were like "which part of the body."
and I said "the peripheral parts."
"for example?"
"err..."
"Which part of the body would you test for in a patient with stroke?"
"err...the hands and legs"
It must be so annoying for them to dig out answers from me...
I don't know what's gotten into me......
Cat got my tongue I think.......
The next bit contains some useful information about carotid endarterectomy. Skip it if you find it useless/boring. hahaa.
Anyway some interesting bits of information about the carotid endarterectomy. I got asked all these stuff during the surgery.
Well the artery which they dig out the bits of gunk from is the internal carotid artery which is a branch of the common carotid artery, and the internal carotid artery supplies the brain and it has no branches, unlike it's twin the external carotid artery which supplies most part of the face, thyroid etc. The indictations for the surgery include, a recent TIA or stroke, and if the artery is severely occluded by atherosclerosis >70% if I am not mistaken. The complications of the surgery include stroke, death, injury to nerves. On which the surgeon asked me, "Why would you perform a surgery to prevent the stroke, when the surgery itself might cause a stroke?"
Go figure!! oh yes, somemore anatomy stuff, the internal jugular vein is medial to the internal carotid artery, and below the internal jugular vein and the internal carotid artery is the vagus nerve. Also nearby there is the hypoglossal nerve. so need to be really careful when performing the surgery.
Also got scolded for giving one word answers.
haha not the first time actually.
okay need to elaborate on my answers next time.
and must remember to think logically and systematically.
This posts is getting far too long.
Shall go back to studying and continue writing another day.
On another note...finished all my free minutes already!
No more phone calls until Saturday as that would be the 1st of December.
No more phone calls anyway until exams are over.
Am spending too much time on the phone!! sheesh..
But at least I managed to find out some interesting bits of information.
Like the fact that my parents bought my brother a new camera...
I am so cluelesss about everything!!!
To all those people who think I know everything or have a "satellite"
All I can say is that's absolutely rubbish!!
am too far away from everyone!
oh yes, am totally getting addicted to coffee.
Cappucino, tiramisu, good conversation during the weekend :)
Strange
I find it so strange if people ask me what's going on in Aberdeen.
Hello!! I am not in Aberdeen okay!
I am not there half the time, and I definitely have no idea what is going on there.
Which is like weird right?
cause I am supposed to be studying at the University of Aberdeen, and I'm supposed to be in Aberdeen and know what is going on right??
Bleahs!
am feeling disconnected....
Whatever!!
am very stressed about mock exams anyway!!
warghhhh
told Jeff about all the things I had to study, and he said that I should go jump from a bridge/building or some crap like that.
On another note, met Mr Wolfe on Monday, and he asked me if I was a world class vascular surgeon, and I was like "yup!" and Dr Evans said, "So that makes the two of you!" hehehe *smiles* :-)
Hello!! I am not in Aberdeen okay!
I am not there half the time, and I definitely have no idea what is going on there.
Which is like weird right?
cause I am supposed to be studying at the University of Aberdeen, and I'm supposed to be in Aberdeen and know what is going on right??
Bleahs!
am feeling disconnected....
Whatever!!
am very stressed about mock exams anyway!!
warghhhh
told Jeff about all the things I had to study, and he said that I should go jump from a bridge/building or some crap like that.
On another note, met Mr Wolfe on Monday, and he asked me if I was a world class vascular surgeon, and I was like "yup!" and Dr Evans said, "So that makes the two of you!" hehehe *smiles* :-)
Sunday, 18 November 2007
Tales of Childhood
During the monsoon season, it always rains heavily in KL, I guess the rain was as much of a welcome relief as a bane as there was temporary relief from the suffocating heat washing away all the dirt and grime of the city but downside of it would be during rush hour when it was time for everyone to get back home for dinner cars would be honking in every direction, and the city coming to a stand-still due to the uncontrollable traffic jams. Whenever it rained the river situated behind our school with its sinister-looking, dark murky milo-coloured water would rise rapidly, attempting to spill over its edges engulfing everything in its wake. The river water would surge forward in such great haste with bits of floating wood, plastics, sometimes even a shirt. I always thought the river resembled more of a giant drain compared to a river as the government had over the years reinforced the sides with concrete. The class teacher would occasionally enthral us with tales of how every 100 years, bells will start toiling as a warning sign and the school would be flooded, and how they had to clean up the classrooms and put the books out in the sun to dry the next day. Luckily for me, there were no major floods during the 6 years I was there.
Once after school, the same bunch of us who always stayed back after school while waiting for our parents to finish work and brave the traffic jams to fetch us, well basically we got bored, we decided to play a game of cops and robbers in the classroom corridors. After a hectic game, we stood at the balcony huffing and panting, watching the gushing river of water when somebody had the sudden bright idea of throwing things into the river. So said person went to the lost and found cupboard, and collected various things which included, pencil boxes, water tumblers etc, and after that we just stood there at the balcony, flinging things into the river. We were attempting to outdo one another by hurling the things as far as our arms could manage. The sounds of giggling and laughter permeating the air, the feeling of exhilaration and the adrenaline rush doing something which was clearly wrong. Mind you, even the class monitor was involved in the above stated affair. Now you know, why the river is so polluted, I guess we were one of the guilty parties contributing to it.
In the end, we never did get caught, but sometimes I find it incomprehensible how something so simple could bring so much joy as a child, and the ability to experience such pleasure diminishes with age, as you get caught up with the rat race in an attempt to chase after materialistic possessions. Ah… what I would give to experience the simple pure joys of childhood once again, with no worries or troubles clouding my thoughts, allowing me once again to breathe freely.
Once after school, the same bunch of us who always stayed back after school while waiting for our parents to finish work and brave the traffic jams to fetch us, well basically we got bored, we decided to play a game of cops and robbers in the classroom corridors. After a hectic game, we stood at the balcony huffing and panting, watching the gushing river of water when somebody had the sudden bright idea of throwing things into the river. So said person went to the lost and found cupboard, and collected various things which included, pencil boxes, water tumblers etc, and after that we just stood there at the balcony, flinging things into the river. We were attempting to outdo one another by hurling the things as far as our arms could manage. The sounds of giggling and laughter permeating the air, the feeling of exhilaration and the adrenaline rush doing something which was clearly wrong. Mind you, even the class monitor was involved in the above stated affair. Now you know, why the river is so polluted, I guess we were one of the guilty parties contributing to it.
In the end, we never did get caught, but sometimes I find it incomprehensible how something so simple could bring so much joy as a child, and the ability to experience such pleasure diminishes with age, as you get caught up with the rat race in an attempt to chase after materialistic possessions. Ah… what I would give to experience the simple pure joys of childhood once again, with no worries or troubles clouding my thoughts, allowing me once again to breathe freely.
Friday, 16 November 2007
Conversations..
Conversation 1
I walked into the doctor's room and spotted a Oxford handbook of clinical medicine 3rd edition on the shelf. I picked it up and while flipping through the book said "This book is ancient!"
The registrar in the room then replied, "ooh you must have one of the latest edition then"
"No no, my book is quite old too, only the 5th edition"
Registrar then said, "Don't worry even though the book is old, but the knowledge in our head is new". Which sent the 3 of us laughing our heads off.
Conversation 2
I was describing to Anuj how I met andrew, and I mentioned that andrew stole my breast surgery from me.
"I walked into the operating theatre, and I saw somebody else scrubbing into the surgery I was supposed to scrub into"
Andrew then replied, "Well, I took the work of holding the retractors for the surgery off your shoulders, besides I'm being paid to scrub in".
"But I have to pay to scrub in!" I retorted.
Conversation 3
I know I tend to ask strange questions sometimes.
Like how while I was in Kuala Kubu Bharu and I asked the doctor if women would end up having loose vaginas if they had sex more often.I know there's some sort of myth somewhere stating that.
I think her replied was probably no.
Or the other time when I asked my senior was graduating and he was gonna wear a kilt, and I asked him whether he was gonna wear underwear underneath his kilt, cause I read somewhere that scottish men didn't wear underwear when they're wearing kilts, and I think I even spotted pictures on the net of men caught on camera not wearing underwear when the wind came and blew their kilts up into the air. hahaha~! Anyway, I think he was too embrassed to reply me in the end.
I walked into the doctor's room and spotted a Oxford handbook of clinical medicine 3rd edition on the shelf. I picked it up and while flipping through the book said "This book is ancient!"
The registrar in the room then replied, "ooh you must have one of the latest edition then"
"No no, my book is quite old too, only the 5th edition"
Registrar then said, "Don't worry even though the book is old, but the knowledge in our head is new". Which sent the 3 of us laughing our heads off.
Conversation 2
I was describing to Anuj how I met andrew, and I mentioned that andrew stole my breast surgery from me.
"I walked into the operating theatre, and I saw somebody else scrubbing into the surgery I was supposed to scrub into"
Andrew then replied, "Well, I took the work of holding the retractors for the surgery off your shoulders, besides I'm being paid to scrub in".
"But I have to pay to scrub in!" I retorted.
Conversation 3
I know I tend to ask strange questions sometimes.
Like how while I was in Kuala Kubu Bharu and I asked the doctor if women would end up having loose vaginas if they had sex more often.I know there's some sort of myth somewhere stating that.
I think her replied was probably no.
Or the other time when I asked my senior was graduating and he was gonna wear a kilt, and I asked him whether he was gonna wear underwear underneath his kilt, cause I read somewhere that scottish men didn't wear underwear when they're wearing kilts, and I think I even spotted pictures on the net of men caught on camera not wearing underwear when the wind came and blew their kilts up into the air. hahaha~! Anyway, I think he was too embrassed to reply me in the end.
Dr Malik
Wah! The stroke teaching here is absolutely BRILLIANT!
Dr Malik is an absolutely passionate lecturer =)
He made the arterial system of the brain so simple!
I never did managed to grasp the anatomy of the brain much during CNS, but after his tutorial I finally understood everything.
He even explained so clearly about the visual fields and how the different hemanopias present.
It's like as if a light bulb *lit up* in my head.
He made the classification of stroke so simple.
I don't know why people always like to make things so complicated, when in fact it can be quite straight forward.
Thanks Dr Malik!!! hehe you rock!! I really appreciate somebody who pours their heart into teaching =)
He travelled all the way from Caithness, Wick to give us the tutorial! Imagine that1 that's like more than 100 miles away!! such dedication! Hats off to you!
Which comes to my conclusion that teaching in Inverness is soo much better than Aberdeen!
Dr Malik is an absolutely passionate lecturer =)
He made the arterial system of the brain so simple!
I never did managed to grasp the anatomy of the brain much during CNS, but after his tutorial I finally understood everything.
He even explained so clearly about the visual fields and how the different hemanopias present.
It's like as if a light bulb *lit up* in my head.
He made the classification of stroke so simple.
I don't know why people always like to make things so complicated, when in fact it can be quite straight forward.
Thanks Dr Malik!!! hehe you rock!! I really appreciate somebody who pours their heart into teaching =)
He travelled all the way from Caithness, Wick to give us the tutorial! Imagine that1 that's like more than 100 miles away!! such dedication! Hats off to you!
Which comes to my conclusion that teaching in Inverness is soo much better than Aberdeen!
Sunday, 11 November 2007
Last weekend
Been exactly one week since I came back to Inverness again.
gah.
Don't even remind me of the bus ride I took to get here.
4 hours ride okay!
The bus stopped at every single tiny town in between Aberdeen and Inverness.
Anyway was half asleep through most of the journey.
Finally arrived at the bus station, had to lug all my luggage to catch another bus to the hospital.
This is one of the main reasons why I don't fancy travelling very much.
So tiring, seriously!
Reached the hospital, went to the porters to get my key.
This time staying in Fraser Noble instead of Juniper Court.
Personally I preferred Juniper Court, cause there's a television there for one, and I think my ex-room in Juniper Court was much bigger.
Then had to unpack, chatted with tony on the phone, and told him I was in his ex-flat.
Then went and collected my stuff from various places which included my ex-flat in Juniper Court, where I met Victoria cooking in the kitchen, and also went up to Fiona's flat to get somemore of my things.
hahah my things are like littered all around I think.
Thankfully, nobody took anything.
Not that I have anything valuable inside or whatever, just mostly books handed down by the seniors who were previously working in Inverness.
At night, saw andrew and another guy cooking in the kitchen, and went and knock on their window, haha both of them jumped coz they had the fright of their life, seeing me knocking on their window, with my long hair, I probably appear ghost-like or something. hahhaha. They opened the door and let me in, as they were in the midst of eating dinner, or was it supper? since it was nearly 11pm. haha crazy people, eating so late. I was introduced to Anuj, who's working as a occupational therapist in the hospital. Anyway had crazy fun chatting with both of them. They totally crack me up. Their dirty jokes are hilarious. I like the fact that I could laugh at the dirty jokes, without being called a pervert. Which I am not of course. anuj is like so open. hahah, asked him what he "did" with the girl he is seeing, and he just told everything. hahaa, and he even educated us about his techniques of seduction, and music he plays when he is doing "it". hahaha. Anyway by the time I went back to my flat it was nearly 1am, and guess what? I forgot the password for the flat, and nearly got locked out! so had to knock on Andrea's window and ring the doorbell to be let in. arghs. so embarassing. Hope she is not to pissed off with me......
gah.
Don't even remind me of the bus ride I took to get here.
4 hours ride okay!
The bus stopped at every single tiny town in between Aberdeen and Inverness.
Anyway was half asleep through most of the journey.
Finally arrived at the bus station, had to lug all my luggage to catch another bus to the hospital.
This is one of the main reasons why I don't fancy travelling very much.
So tiring, seriously!
Reached the hospital, went to the porters to get my key.
This time staying in Fraser Noble instead of Juniper Court.
Personally I preferred Juniper Court, cause there's a television there for one, and I think my ex-room in Juniper Court was much bigger.
Then had to unpack, chatted with tony on the phone, and told him I was in his ex-flat.
Then went and collected my stuff from various places which included my ex-flat in Juniper Court, where I met Victoria cooking in the kitchen, and also went up to Fiona's flat to get somemore of my things.
hahah my things are like littered all around I think.
Thankfully, nobody took anything.
Not that I have anything valuable inside or whatever, just mostly books handed down by the seniors who were previously working in Inverness.
At night, saw andrew and another guy cooking in the kitchen, and went and knock on their window, haha both of them jumped coz they had the fright of their life, seeing me knocking on their window, with my long hair, I probably appear ghost-like or something. hahhaha. They opened the door and let me in, as they were in the midst of eating dinner, or was it supper? since it was nearly 11pm. haha crazy people, eating so late. I was introduced to Anuj, who's working as a occupational therapist in the hospital. Anyway had crazy fun chatting with both of them. They totally crack me up. Their dirty jokes are hilarious. I like the fact that I could laugh at the dirty jokes, without being called a pervert. Which I am not of course. anuj is like so open. hahah, asked him what he "did" with the girl he is seeing, and he just told everything. hahaa, and he even educated us about his techniques of seduction, and music he plays when he is doing "it". hahaha. Anyway by the time I went back to my flat it was nearly 1am, and guess what? I forgot the password for the flat, and nearly got locked out! so had to knock on Andrea's window and ring the doorbell to be let in. arghs. so embarassing. Hope she is not to pissed off with me......
Saturday, 10 November 2007
Friday night
hahah had a good time yesterday.
I went over to Juniper Court to watch television.
Then at night, went over to the fluke with the rest of the 4th years.
Had 1 pint of tennet's ale to drink.
bluerghh..
I don't really enjoy drinking beer.
Anyway, managed to meet a lot of new friends.
My classmates are really nice.
I didn't really feel left out or awkward.
Went and watch them playing pool.
When I got back, went over to hang out at andrew's place.
I went and knocked on Anuj's door and he was with his chick watching a movie.
hahahha so embarassing.
Anyway was supposed to study, but me and andrew ended up playing games on PSP and reading newspapers.
bleahs, Tetris is so addictive seriously.
Anyway finally stopped playing with the PSP, then washed plates, and andrew taught me some peripheral vascular disease stuff.
Then went home at nearly 2am to sleep.
I went over to Juniper Court to watch television.
Then at night, went over to the fluke with the rest of the 4th years.
Had 1 pint of tennet's ale to drink.
bluerghh..
I don't really enjoy drinking beer.
Anyway, managed to meet a lot of new friends.
My classmates are really nice.
I didn't really feel left out or awkward.
Went and watch them playing pool.
When I got back, went over to hang out at andrew's place.
I went and knocked on Anuj's door and he was with his chick watching a movie.
hahahha so embarassing.
Anyway was supposed to study, but me and andrew ended up playing games on PSP and reading newspapers.
bleahs, Tetris is so addictive seriously.
Anyway finally stopped playing with the PSP, then washed plates, and andrew taught me some peripheral vascular disease stuff.
Then went home at nearly 2am to sleep.
Abdominal Aortic Anuerysm
Well what the above title really means is a section of your abdominal aorta becomes enlarged more than 10 times the normal size and thinned out. That's the definition Andrew gave me anyway.
I was chatting with Andrew yesterday night, and he told me about this patient who had AAA and refused to have surgery done.
Anyway it ended up with her anuerysm bursting, and she was wheeled into theatre where her anuerysm was repaired. They discovered a huge amount of blood pooled in her anterior peritoneal cavity.
Subsequently, she passed away in the intensive care unit.
Haihss, so sad to hear this story....
Anyway, Andrew reminded me that in case next time I see an elderly person with back ache and collapse to think of the differential diagnosis of abdominal aortic anuerysm.
Why back ache?
Cause the aorta is retroperitoneal, just in front of the spine, and enlargement of the aorta will compress against the spine, causing the back ache.
Whereas the collapse is caused by loss of blood due to rupture of the aorta from the anuerysm.
I was chatting with Andrew yesterday night, and he told me about this patient who had AAA and refused to have surgery done.
Anyway it ended up with her anuerysm bursting, and she was wheeled into theatre where her anuerysm was repaired. They discovered a huge amount of blood pooled in her anterior peritoneal cavity.
Subsequently, she passed away in the intensive care unit.
Haihss, so sad to hear this story....
Anyway, Andrew reminded me that in case next time I see an elderly person with back ache and collapse to think of the differential diagnosis of abdominal aortic anuerysm.
Why back ache?
Cause the aorta is retroperitoneal, just in front of the spine, and enlargement of the aorta will compress against the spine, causing the back ache.
Whereas the collapse is caused by loss of blood due to rupture of the aorta from the anuerysm.
The Incident
bleahs.
I would have really loved Inverness more if this thing didn't happened.
Don't worry.
I am fine and safe.
Thankfully.
Taught me a good lesson, not to simply anyhow go out with people, also not to be too naive in future.
I would have really loved Inverness more if this thing didn't happened.
Don't worry.
I am fine and safe.
Thankfully.
Taught me a good lesson, not to simply anyhow go out with people, also not to be too naive in future.
Friday, 9 November 2007
Vee Han's Birthday
This was taken in CK's room. I set the camera to take 10 pics continously with a 5 sec interval, and we were supposed to changed positions with every shot. Shiao Wei loves this photo, cause all of us seem to be exuding genuine happiness and laughter at the silly thing we were doing.The bad side of being in Inverness
The downside of being in Inverness is possible the lack of friends in Aberdeen.
But I guess it's just a lesson of learning to be strong, and being able to cope by yourself, cause in the future, I'm probably going to be alone wherever I am.
But, friends in Aberdeen are definitely great.
I love chatting with them on the phone, felt like I never left them.
Thank God for free minutes :)
Anyway, discovered a Jamie Oliver cookbook in the kitchen the other day, and wasted my time flipping through it.
Shall now attempt to brush up on my culinary skills, and cook some cuisine instead!
hahahah!
But I guess it's just a lesson of learning to be strong, and being able to cope by yourself, cause in the future, I'm probably going to be alone wherever I am.
But, friends in Aberdeen are definitely great.
I love chatting with them on the phone, felt like I never left them.
Thank God for free minutes :)
Anyway, discovered a Jamie Oliver cookbook in the kitchen the other day, and wasted my time flipping through it.
Shall now attempt to brush up on my culinary skills, and cook some cuisine instead!
hahahah!
Back in Inverness again
I say that Inverness is a brilliant place for doing blocks.
With the exception of paediatrics I think.
Been having cardiology week.
It has been a great week, although I think I do need to catch up on my studies.
My ECG skills have been improving.
I used to look at the ECG, and go totally blank, but now it seems to be making a lot more sense.
and I'm getting good at listening to murmurs.
I used to think physical examination was so difficult.
I think the more you do it, the better you will get at it.
Anyway having a good time at clinics, and in the hospital.
Lots of smiley, friendly faces :)
Been learning a lot of new stuffs too.
The consultants here aren't as busy as in Aberdeen, so teaching here is great,
and I like the way they ask me question, and stimulate me to think. Like it's not stuff I can just read off the book and regurgitate. You need to have good clinical knowledge and work things out.
Oh yeah getting zha in clinics.
Consultant hands me the sheet of medication, and asks me, "please comment on the medication"
or "what's the management for this patient"
and I would stand and think for a few seconds before the answer pops into my head.
hahahhaa.
okay, hope I can accomplish much in terms of studying this weekend.
With the exception of paediatrics I think.
Been having cardiology week.
It has been a great week, although I think I do need to catch up on my studies.
My ECG skills have been improving.
I used to look at the ECG, and go totally blank, but now it seems to be making a lot more sense.
and I'm getting good at listening to murmurs.
I used to think physical examination was so difficult.
I think the more you do it, the better you will get at it.
Anyway having a good time at clinics, and in the hospital.
Lots of smiley, friendly faces :)
Been learning a lot of new stuffs too.
The consultants here aren't as busy as in Aberdeen, so teaching here is great,
and I like the way they ask me question, and stimulate me to think. Like it's not stuff I can just read off the book and regurgitate. You need to have good clinical knowledge and work things out.
Oh yeah getting zha in clinics.
Consultant hands me the sheet of medication, and asks me, "please comment on the medication"
or "what's the management for this patient"
and I would stand and think for a few seconds before the answer pops into my head.
hahahhaa.
okay, hope I can accomplish much in terms of studying this weekend.
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