Nuffnanger :-)

Thursday, August 6, 2009

4th Day of Elective



2day is slightly different,we were sent to the department which we are going to learn in Sem 4--Reproductive, so things are not that familiar. We were divided into different docs under O & G department. Faye and Matt are under Dr. Azizah, Gaik Si & Natasha are under Dr. Elizabeth and I am under Dr. Suriah. Gaik Si and Natasha got scolded by Dr. Elizabeth for coming late, supposed to come at 7.30am, but we thought 9am, btw, we only came at(9.30am because I overslept and only woke up at 9am,lol). Dr. Suriah is a kind doc, she taught me quite a lot of stuff, seeing 3 cases with her.I joined Matt and Faye with Dr. Azizah after 11.30am, and I have learnt some more from Dr. Azizah. After that, we went out to have lunch at KFC. We went back hospital at about 2pm and see Dr. Lim,we supposed to follow Dr. Suriah but she went back because she was not feeling well, so we were assigned to Dr. Khor (ENT Department). He was my dad's doc. He showed us an overview of nose, ear, throat pictures of pathology, and some of them are really gross, but yet quite exciting. We followed him to walk the ward after that to see 2 patients. One is with down syndrome suffering from chronic middle ear infection, pansinusitis, had surgery edy, but have cholesteatoma affected both sides ear drum, need to do surgery again in the future too, damn pitiful. Down's syndrome patiet is more likely to suffer from middle ear infection because of their configuration of eustachiann tibe (more horizontal), second case is sinus operation, what is important in ENT is Media turbinate (especially the middle 1, cannot be observed directly by looking into the nose). We have learnt quite a lot from the gynaecologists. Hmm...What is CA125? It's a tumour marker for Ovary cancer,What is the term used to decribe decrese in motility but normal count of sperm? Asthenospermia... how to count expected delivery date? What is para? What is gravida? 2day we got to see a surgery too, BCF (Brachio-cephalic Fistula), damn cool can see the surgeon cut open the skin and expose the vessels, then tie them up and sew them together, the operation took up to almost 2 hours. The patient was conscious. The vessels were sew using non-absorbable wire because vessels, joint, etc heals slowly, absorbable wire will cause rupture of vessels. Hmm...a cool day for me too!!!! Anticipating to see a C-section delivery tomorrow if possible!!!

Lesson of the day:

Dr. Suriah (Gynaecologist) said:

You don't have to score 4 A's to be a good doctor, but rather to have interest in it!!! If you like the subject very much, you will still excel well in this field. Although the top student scored well, but if they din't like it, they will not be a good doctor too or will give up in the end. There is a real story that a top student gave up medicine when he was in housemanship and wanted to work in a bank. He was overqualified for that and got rejected.He was finally back to medicine field after advised by friends. The act of giving up on medicine would have been avoided if we just simply like Medicine!!! So,dear medical students, if you really like medicine and have a passion in it,no matter not so well or average you scored in exam,don't worry,you will sure excel well in this field in the future!!!!


P/s: Ivory gave birth to 9 puppies, but 1 died...sad.

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