Do i look like i care

Just a very quick post to make this blog "lively". Exam is near, need to do tons of preparation. Study is making a big part cause there is so many things to read. OSCE just started recently and i am more worried on this aspect especially history taking. Practise more!!!!

Anyway like the title of the post, its just a comment on what students here like to talk about. They just luv to talk about stuff which if they were to say it to us (Malaysian or generally asian), i think most of us will just give them a "Do i look like i care about that" kinda face.

Guess that is why its hard to share a common topic with them

Bone fracture and........ brain fracture!!!!!!

I just finished my Orthopaedic (Or-tall-pee-dick) rotation. 6 weeks of it in total. Overall it is a good experience. For this rotation i was based at Royal Adelaide Hospital (RAH), the largest hospital in South Australia and possibly the best in South Australia.

RAH in the morning at 7.15am

When i first started my orthopaedic rotation, i was happy as i would have more chance to talk to patients and the best part of this rotation was you get to help the interns. You help the interns with blood taking, checking on how the patient is progressing and do IV cannulas. Cool right. Its like you are the doc checking on your patient's progress. Sometimes i took a full history and write it in the case notes, but usually it was already written hahahahahaha (Just got too much time, so decided to do something to kill time).

Then there was those Clinics that you have to attend. Either you sit and follow the registrar around or you act like you are the doctor and see the patient and present it back to them. I did the latter most of the time, and i enjoyed it. Instead of following the registrar around which i would most certainly yawned 20 times in 30 minutes and closed my eyes for a rest every 15 minutes. I would rather choose to see the patient, present it to them and learn from them.

Finishing with the clinics and ward work, the next section is tutorial and "micro' teaching. The consultants were very keen on teaching and i really love them. Mr Pohl and Mr Chehade are two of the consultants that love to teach. I would miss them. Tutorial was mainly theoretical stuff which you could just flip open the books and read them yourself. But paying attention on the tut even though you could read it at home is good too, cause you will learn how to manage those conditions base on their opinions (but i usually just want it to be over quickly so that i can go home).

Next is the theatre. I didn't get to scrub in this time. Oh well i don't really enjoy scrubbing in as a student anyway. Its just annoying to change your clothes & wear the protective wears (mask, and the head thingy). Then if you want to scrub in you have to wash your hands and arms with soap 3 times, gown and glove and stand there holding those equipments and pray you don't fall asleep.

Ward work is more fun. Take bloods, see patient to take history (you can practise for exam at the same time), put in an IV cannula. Heck me and one of my friends from another group always fight for it hahahahahaha.

Oh and there was the ward rounds and consultant rounds. Ward rounds are fast (like extremely fast). The first day i did it, i didn't even step into the room and they were all walking out to another room. Basically they finish ward round in 30 mins for 27 patients (average time spend is 1 min for each patient), then they have coffee which they will buy for you if you want (i usually decline la duh. being humble ok).

Consultant round was pretty much easy. Just hold up the x-ray film for the consultants. If they want to have a better look, pass it to them. Take it back when they were done and keep it away. No case presentation, no questions asked.

Oh well ortho is over, now i have to pray that i pass this rotation. PRAY HARD-HARD.

Cheers to those who are still following this boring blog!!!

Of Radiology and Anaesthetic

My 6 weeks of MSA (elective la) is coming to an end soon. This week will be last week of MSA and my last week in QEH, the hospital i've been going since my 1st semester.

My first elective was medical imaging aka Radiology. I was attached to the radiology registrar for 3 weeks and i think it is ok. At times it could be boring. Oh and i fell asleep in front of the consultant AGAIN (yes again this is not the first time) when he was discussing some CT scan findings with the registrar i was attached too. Hahahahahahahaha. Thinking back, i don't know why i did the sleeping in front of them. Wonder what will happened if i do the same in front of some lecturer giving us MMS session back in IMU (will i be kicked out of the session???). Here are some pictures i took when i was doing radiology.

The X-ray room with the X-ray machine

And the CT scan finding(s) show.....

After 3 weeks of radiology with no patient contact, i was literally dying to have patient contact. So i was actually looking forward to my next elective, ANAESTHETIC cause i think there would be at least some patient contact and i am going back to the THEATRE. Gosh its like doing my surgical rotation which i really enjoyed.

Anaesthetic rotation was not too bad either. At least i get to do something. I intubated a patient (it was mostly done by the registrar), gave 100ml of panadol to the patient and mix granisetron and dexamethasone and gave it to the patient as anti-emetic. I love the registrar for allowing me to do all this. The registrar also bombarded me with so many questions not on drugs and pharmacology but on physiology and ECG (die die die). Oh and guess what, one of the IMU (super) senior is a registrar in anesthetic. She is more to intensive care medicine registrar but as part of her training as an intensivist she has to do her anaesthetic rotation. According to her, anaesthetist are weirdo and even the anaesthetist know that they are weird LOL. Ok here are some pictures i took when i was standing there doing nothing.

The monitoring/ breathing machine!!!

Paracetamol (BIG PANADOL)

Drugs, try guessing the name of the white drug

More drugs

Tomorrow is my last day in QEH and anaesthetic. Guess i will go for one more surgery before i go off. Gosh i am gonna miss that hospital. Made so many new friends there. Next rotation is Orthopaedics in Royal Adelaide Hospital (RAH).

Mua Birthday

This is MY month. Yes people i always love July cause i'm born in July, so i officially declare it as my month hahahahahahaha. Anyway did you know July was name after Julius Caesar, the great Roman leader. So interesting right hahahahahaha.

So today is my birthday and guess what, i am a year older, a year wiser and if i'm vain i'm just a step closer to having wrinkles all over my face. Ok i'll go check on the mirror for any wrinkles now................ done no wrinkles. phew.

Wonder what i can do on my birthday? Sangee just called me and wish me happy birthday (thanks a lot Sangee really nice and sweet of you). Got loads of wishes in Facebook (the power of social network) and i would like to thank them all as well. Wishes are pouring in from very old friends, old friends, moderately old friends and new friends (the four category of friends that i came out with spontenously. Wonder if i can publish it somewhere?).

So Sangee told me not to study on my birthday. In fact she told me not to do anything. Hehehehehe Sangee i would love to do that. If i were at home in Malaysia, i would just sit on the couch and watch TV the whole day. My parents would then bring me out for dinner and i could decide what i want to eat. Chinese, Japanese, Korean, Taiwanese, Thai food, Western you name it (but i can't go for indian cause my mum don't like the smell they put in the food. Said she feels nauseated smelling it). I would usually pick chinese cause it is everywhere and it's way cheaper than the others and it taste superb too.

After dinner i would come home and watch more TV shows. If you wonder where is the cake..... well my family don't go with cake hahahaha. Dad complains that the cake are too sweet these days. Mum, no complain but she doesn't know how to pick one. The only cake they knew are Black Forest (their favourite), Fruit cake (my favourite), and Cheese cake (no ones favourite). Cakes like chocolate banana and all doesn't ring a bell, but when you buy it and let them eat it they will say "Wow this is good, i really love it. Where did you get this?"

The second part of my celebration is with my friends. Sky, Qian bao, Ling Ling bao, yu gin, Kay Por, Ren Ping, Dororo, the loud and noisy MICHELLE LEE (yea you deserve some attention hahahaha) etc (there are just too many of you for me to name) will all organise a surprise or a birthday celebration for me with a cake. Usually it ends messy with your face smashed on the cake or part of the cake (wonder if they have change their style hmmmm).

Hahahahahaha this is how i celebrate my birthday back in Malaysia. It's so nostalgic!!!!

Well this will be my first birthday in a foreign land. Hope it doesn't get messy.

P.S. really miss you guys (seremban people, Aberdeen people, or wherever you are), when i come back next time we must meet up NO EXCUSES!!!!!

Short and random weird post.

Hann Yee how did you find out i have a blog? How? How? HOW? Shit man

See my name on her blog. ooooh i saw Sow-my-aaaah name

Now i cannot make funny comments about her since she knows i have a blog. Damn it!!!!! (this blog is suppose to make funny comments about people............ ok i haven't make one yet but i will do so in the future) I wonder who told her...... or maybe she found it incidentally like those pituitary tumour which is most probably found incidentally while doing a scan.

Ok i think i better go back to my studies. These days i am so free cause i am in radiology. I haven't seen or touch a single patient so far by my own (except when i clerk patients with my prof). One of the Singaporean here told me why i got radiology. He said i am too stress up and the posting is to allow me to relax (the Singaporean i mention is not from IMU ok).

Fine back to my studies.

P.S. I shall make some funny comments next time....... maybe hann yee doesn't read this blog hehehehehe.

P.s. I am feeling better these days but i am still scared, like really scared and having random emo-ness......

New Template-EMO

I seem to have neglect my blog long enough. I haven't got any topic to write on lately. When i login today i found out that there are new templates for selection and so i chose this new template cause i think it's nice. Not too "much" or too "little" if you know what i mean.

I went back to Malaysia for 2 weeks and four days before i came back to Adelaide. It was supposed to be a fun and happy trip initially cause i am going back to my HOME and i could eat all my favourite food. Then something happened and the whole holiday was not that enjoyable any more. It literally changed from what could have been a great trip to a trip which was full of stress and emo-ness.

I was craving for Malaysian food when i was in Adelaide and I told myself i would have 5 meals a day when i am back in Malaysia. But all these came to not. I was in such a bad mood when i came back that i just had 3 meals a day instead of the 5 which i vow to do. The holidays wasn't any special either. I was locked up in my room reading and studying and talking to my friend in Adelaide all the time. (except for a few hours of watching HK drama which i miss so much)

Now that i am back in Adelaide, i think the stress level is higher than when i first came. There are so many changes i have to make (yea i knew i have to change when i first came but....... well the story is long and i don't even know why i did not change in the end, haih). Everything does not feel the same compared to when i first came. When i went out with my friends from IMU, they were literally talking about their holidays and how they enjoyed it while i was sitting there like some stranger from another world. Cause to tell the truth, i think my holiday was not that great apart from being with my family.

Ok this is an Emo post i realise, but hey people have their ups and downs and i'm now in the down side of things. Oh well i better get back to work with the big word "CHANGE" at the back of my mind (work hard, and work smart).

P.S. I find that being around with my friends is not like what it used to be, i don't know why. I felt stupid when i am with them, like real stupid!!!!!!

Quick Update

Well just a quick update on my attachment in Adelaide. Internal Med is hectic. Tuts here and there and not to mention i wasted 5 weeks not learning anything (its a long story no point talking about it)

Love Respi rounds and my registrar. Even though he is busy preparing for his physician exam, he still took some time off and go through respi examination with us.... oh and he asked us to perform it in front of the consultant tomorrow (now this part is not that fun). Asked him about the management of asthma and STEMI and NSTEMI....... but when it comes to the heart i believe the cardiologist consultant is much better in it.

OSCE on Friday as our end of rotation exam. Heard everyone will pass but i think it is better to be prepared for it. Oh and tomorrow have to meet up with another doc from who knows which hospital for history taking practise and clinical reasoning and it is just for two of us........ i think my fees is well spent.

Since no one is reading this blog i shall curse a bit. What the "tooot" is that stupid she man cooking. Shim always cook so looooooong. I am hungry and he is taking Her/is time cooking. Damn. I have to freaking read my LFT and look through the ECGs for OSCE and the blood films for leukaemias and he is still cooking. (I shall now ask for forgiveness for cursing people. God, please forgive me)

I am so dead for ECG!!!!!

Ok i shall go now. WOOOOHOOOOO i am so excited hahahahahahaha