Call Me Paranoid
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The ward clerks carry tremendous informal power in any emergency department,
because they’re the ones who actually make the place run and bring a modicum
o...
Remember What they Said!
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Remember the old saying, “Don’t put anything in your ear except your
elbow”? You can’t do it! In other words, don’t stick stuff in there -
technically no...
Cesarean on TV Creates Quite a Stir
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Let’s help stir that pot! I didn’t watch when the Today Show showed the
cesarean, but I have read the many comments and agree that it doesn’t help
moms und...
Whyyy?
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When you’re driving down the field in opposing territory in the fourth
quarter with more than three minutes left, why would you ever throw a pass?
Keep to ...
Dr. D's Guide To Getting Worked-Up
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The last few weeks Doctor D answered questions about work-ups that don't
find answers and the proper work-up from a doctor's perspective. All that
theoreti...
You can't win 'em all
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Seems like I've been on a real run of chest pain patients lately. Which is
fine -- it's part of the gig. I did have a very interesting pair the other
nig...
The First Time
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Many of us in medicine are fortunate to treat and guide a patient through
"the first time" they have a medical emergency or newly diagnosed illness.
Of c...
Patient dies so EMTs can buckle up
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I stole my title from 9-ECHO-1. He has a thought provoking post up using a
different title, but he uses that line in the post. The post is Unacceptible
ri...
Homebirth
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Does this make sense?
Patient #1 comes in with spontaneous rupture of membranes. She's a multip,
contracting every 3 minutes, mildly uncomfortable. The nur...
Left Alone to Lick My Wounds
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A particularly caustic nurse once told me that in her 20+ years of practice,
she has learned the true role of the nurse is to take abuse while
maintaining ...
Revenge: ER Style
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I have ranted and rave about having EDS and the pain in the butt, or should I say the pain in the joints it is. Well my EDS help get a little sweet revenge o...
Do you have a pregnancy or birth question?
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Thanks for stopping by "The Birth Teacher" blogspot! I thought I'd offer
some questions and answer sessions for the rest of this month. If you have a
pregn...
Profiling... No, not Here Thanks!
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Let's just drop the idea of profiling potential terrorists. As efficient and
effective as it would be, we have a better idea...
First, people who read Mot...
Medical Dictionary
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I was talking with my ER friends about the interesting slang patients use
for various diseases/conditions/things, and thought I'd share them....
Appendicitis is a CLINICAL diagnosis
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This is a pet peeve of mine. The loss of clinical assessment skills. I have
seen over the past 20 years, an increasing reliance on tests of all sorts to
ev...
Lady Doctor
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I was going to the lady doctor. The doctor for ladies.
I grabbed a taxi and buried my nose in a Murakami novel while the driver,
turning onto the corniche...
Med Glossary, Part 5
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"I thought nothing of it."
As in, "I had this pain that shot up from my hip bone to my left ear, and I
thought nothing of it, but then I got this tingly se...
Your drugs or your baby?
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After a CFS investigation of one of our new moms, the choice was presented
to her to either give up her meth and her child-molesting boyfriend or lose
her ...
Dr Hysterical and Company
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In a code/critical situation it takes all kinds. Here are some of the people
you wish WEREN'T there....
1) Spaz - acts like they know what they are doing,...
since i have proven myself a useless one all these internal medicine course, this is the price i have to pay. after all.
Your job is to learn as much as possible. Think of yourself as a sponge. Soak it all in. Take responsibility for your learning. Seek out learning opportunities whenever possible. You will never get this opportunity again.
we seldom realize in the middle of our pains there are periods of relieved we seldom appreciate
we seldom realize in the middle of chaos there are periods for a-sip-of-coffee we seldom seize
we seldom realize in the middle of poverty there are periods of prosperity we seldom cherish
we seldom realize in the middle of loneliness there are periods of togetherness we seldom notice
we said we are in pain we said we are poor we said we are tired we said we are alone
does our pain a terminal stage malignancy? or our poverty the homeless ones? or our chaotic days the insomnic ones? or our lonesome the stuck-in-a mirrored-wall-room-alone ones?
we seldom realize there are thousands who care because we barely care of them
we seldom realize the thousands that cherish because we barely appreciate them
you see you might make someone a priority up to the point you can turn to blindness
you see you might make something your everything up to the point you really turn to nothing
you see it's never too late to love the thousands who love rather than one who doesn't
you see growing old is another turning point we seldom realize.
p/s: i mean every clarification i have barely written.
inaudibly muttered by
Cik Duktur Paan MD |
Labels:
sengal
i have a complicated diabetic patient today. well, that didn't really touch my nerves. so THEY took the history of course (did i mention i was like dragging my feet all of these while to my clinical rounds?), which also didn't touch my nerves at all. few minutes later, another daughter of my patient came. arguing with the other daughter, like very loud one. saying the mother should not be there. that there was no doctor, that we were just students, that we are not egyptian, that it is useless to talk to us, the different tongues. then the doctor came when she was about to move her mother out. again, whe was arguing with the doctor, in which she lost and has to let her mother stays with us. few minutes before our lesson ended, the son of this patient came. arguing with the doctor again. this time the doctor lost.
being in the student's chair, i might say, these children are annoying. but, i barely say they are annoying, except from the part that the son really yelled at the doctor.
umi: hari-hari doktor tu datang kejut nenek. dia tolak kuat-kuat, panggil, "makcik kamariah! makcik kamariah! buka mata!" me: dia nak kejut kot, takut koma ke ape. umi: yelahh. tak payah laah kuat-kuat sangat macam tu. panas hati jugak anak-anak ni tengok.
i miss you now. i do!
inaudibly muttered by
Cik Duktur Paan MD |
Labels:
family,
skul stuff
i feel like writing the long nags of mine. who knows they can turn to be journals.hehe.
the worst thing about being a hard stone is when it comes to things where you mutter a NO at the first time, and knowing you have, no matter how, to take them. when i really feel like crying hard in front of all these internal medicine things, i would appreciate less pressure from anybody else (if just you know what i mean).
OSCE went worst. even worse than surgery's. among 3 of the topics i have to study, of course, the least expected and the least wanted has to come to me. both cases. i was a disaster i might say.
you know it reminds me on the old days. being one of the SBP's perfect-scorer, standing proudly in the middle of XY's names, knowing that i am all stable physically and mathematically, nobody would expect me to refuse filling any engineering applications. moreover from the biggest sponsor of it. and nobody would ever expect me to not even want to fulfill them. i hate making choices. i hate to say no when it comes in front of my eyes. it shakes my ego, and of course my stand. so i refused ANY engineering applications, and i was gambling my future, when i delicately still stepping into medicine.
i was just like coming from the other side of the world when i first stepped into medicine. i honestly, never stayed up, unless somebody asked me to teach them maths, or i purposely think i should at least win an A2 for my history. never for anything else. if you were one of my schoolmate, then i shouldn't be elaborate more. and yes medicine was at first killing me. i was like, what? all these terms? all these words? which of course you don't memorize physics, because you don't answer those hydraulics and log questions based on what is written in the textbooks, but on what you certainly understand. same goes with add maths. it means like, if you keep focusing well in class, you don't have to even open up any books at home. believe me, i never did finish my add maths home works. most of the time are because there were never punishments for not finishing them. haha. so really medicine asked me to keep still on my desk. like read these freaking books, unless you wish to return early in the summer. oh my, how am i gonna do this?
so theoretically, 3 years have passed, thankfully. and with loads of hard works and tears too i might say. i went to surgery which was my first posting, which i at first thought would be a disaster, but it turns out to be not but a bliss even. and here, now while typing this, i feel like i am in a morgue. i have to go through dull days, counting everyday to pass quickly and just so that you can at least get rid of it. you know, being a person of if-i-don't-like-you-i-won't-be-liking-you-forever is a silent murderer of mine. i can sit in front of bailey and love, and not moving anywhere for few pages, but i can't help myself focus on these kumar and clark's for even an hour without having any other distractions, whether is made or i am making them for myself, which is frustrating enough.
OSCE costs me 40 marks, which i believe i am not losing all of them. i have to keep being an optimist i know. hopefully i will. somebody told me, indirectly, agama memberikan asas yang kukuh untuk seseorang itu kekal optimis. i wish i have a strong base, enough to support my failing axial.
inaudibly muttered by
Cik Duktur Paan MD |
Labels:
sengal,
skul stuff
Ketika Khalifah Umar Abdul Aziz baru dilantik sebagai khalifah, beliau berkata kepada anaknya," Sesungguhnya aku mahu berehat sehingga Asar." Lalu anak beliau berkata," Siapakah yang menjamin bahawa khalifah akan terus bernyawa sehingga Asar?" Umar lantas bangun dan menyiapkan hal-hal pentadbiran dan berkata,"Maha Suci Allah yang menciptakan dari sulbiku (read:tulang sulbi) mereka yang membantu aku dalam urusan agamaku."
inaudibly muttered by
Cik Duktur Paan MD |
Labels:
sengal