First Day of Elective

Hmm...first day of elective,I have realised that how much I didn't know about medicine. I have discovered that my all Sem 1 & Sem 2 medical knowledge had gone edy, even the Sem 3 medical knowledge already broken into pieces, can only recall few parts of them...sad, kena shot with questions badly, but I know it's good!!!It's a way to train us,to make us feel stress,to motivate us,to tell us that the pathway to become a doctor is not easy.It really needs a lot of effort and hard works.It needs constant self revision, better with passion and enthusiasm. I am happy, today is my first time to enter into OT (Operating Theater), get to stand at one side to observe doctor excise a lump at patient's left cheek.He cut open the lump,pus filled the cavity and he drained the pus out, using forceps to take out some granulation tissues to be sampled and investigated. Quite cool..The patient is a small kid who fall down and the toothpick pierced through the left cheek. It gets infected and grows bigger after 2 months.We visited the relaxation centre (Got massaging service wor), oncology department (Doc is away..lol).We also got to see ultrasound on a woman's abdomen---we can see gallstone which casts shadowing on the ultrasound. Besides, we got to see the doctor performed live Digital Rectal Examination, GIT Examination to check for tenderness, BS station (The mum almost cry out dy when the doc said his son has alpha-thalassemia, she said: " We know that there's something wrong with him, but we can't do anything to it???" , really very sad. But, thalassemia only causes problems if marry to someone who is thalassemia too la, so dont worry too much ya..the kid also complaints about having pain (location not consistent upon GIT examination) on the abdomen,which according to doc , this is quite common among young kid because some has school phobia or stress but this kid has none of them, haha! So, the reason is unknown. But hope that he will get well soon.. We also got to visit cardiologist--Dr. Peter Wong, a very funny doc. Wish I will be like him after becoming a doc. He asked us to read pulse---important!! Rate, Volume, Character, Rhythm and 1 more, he himself also forgot. He also asked us to read ECG, stress test graph (3 stages), teached us how to read Chest X-ray (Heart failure case and pulmonary edema case). Moreover, we got to see perianal absecess, ERCP (Endocopic Retrograde Cholangiopancreaticography)---it will cook the eggs(don't ever play play wor), cabuncle on diabetic patient (Cut open to drain out the pus). We were shot with a lot of questions, such as what is CNS? How to detect virus? How to diagnose thalassemia? what is cabuncle? Treadmill test, what type of protocol used? When to stop the treadmill test? How to interpret the result? What is normal and abnormal graphs? About Helicobacter Pylori. Fews about anatomy...etc. Hmm...2moro there is AVF(Arterial-venous Fistula) to see, I guess...wohoo..


To all the medical students,

Dr. Lim (General Surgeon) & Dr. Tang (Cardiologist) said:

In medicine, the terminology is very important!!!
The term itself is very precise, they hold the same principle, concept.
The meaning of the jargon is all worked out, we just need to know clearly what our term means.
And, you just need to know a little bit about everything.
Only when you specialize in the future, then only you need to know a lot about the particular field you have chosen,
So, this is
MEDICINE....


Looking forward for 2moro!!!!