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and so far i have started year 4 with 2 postings.

firstly, psychiatry posting, and the one which i’m on the brink of finishing, orthopedics.

For Psychiatry

where the bread and butter remains with schizophrenia and mood disorders (mania, depression and bipolar), it was certainly an eye opening experience where we not only clerk the patients and examine their mental status in the ward, there were opd sessions where we get to see quite a number of different presentations of illnesses, and the home visits for the patients. and that there is actually so much effort going on targeting the patients so that they actually get the chance to lead a somewhat normal life.

and here’s my take on psychiatric patients so far. that these are living, breathing individuals, that are struck by a disease (with etiology of biopsychosocial entities) of which they cannot help it or prevent it from happening. and what actions they are doing, they cannot control.

i repeat, they don’t want to be abnormal. they wanted to be integrated into society.

however they are suffering from this disease that causes all these symptoms which they don’t want, and hence end up being prejudiced, shunned, cursed and isolated.

yes they speak to themselves, yes they have abnormal motoric behavior, yes they can be suicidal and yes they may be violent.

but do you think that all this is their choice?

given a chance, i believe they will not choose to remain the way they are.

given a chance, i believe they want to be normal again.

they were normal, and they were struck by a disease, and they will need some interventions (biopsychosocial approach) so that they regain the normality in their lives, the way it was supposed to be without the presence of the disease.

on the other hand though, for some patients with no insight regarding their medical condition, they remain oblivious to what is happening, with no worries, no fears, no insecurities. it’d be great to have less burden on your life.

but then again, what is life, without its ups and downs?

For Orthopedics

I started the posting with some apprehension for a number of reasons.

my basic anatomy has never been good (still isn’t much good in fact) wherein first year i basically got lucky and passed the subject (it was mostly muskuloskeletal stuff then). and even though it wasn’t too bad in 2nd year when it was system based approach, i would consider it much easier and that i did ok, but that doesn’t apply to the current posting so…..

next, that it’s a tough subject, with no-nonsense lecturers that will demand that you put in your best effort. and the so called ‘horror stories’ that we’ve heard so far… >.< i don’t think i really want to elaborate on it but it does make you feel like you’ve got to be on your toes all the time.

now that it’s ending, i can truthfully say that, yes it’s tiring, yes it’s busy, yes there’s a lot of studying and yes it’s tough.

but it’s ALSO fun- liberty to just pop in and have a look at ray’s amputation/bka/other ops/debridement and dressing, just plain ol’ taking blood or setting up iv drips, the most canggih is getting the chance to observe the skeletal traction being done which you don’t really get to see much in the normal hours of the day that ur usually there.

there’s the constant adrenaline rush. to complete your case reports, clerking/examining/studying for the class on the next day, to complete homework, observing and performing procedures in the ward etc.

i think i lost 1kg from all that hanging around in the ward, most of the time standing/walking instead of sitting down. although i think i regained it this past 1 week when i rewarded myself with food hahaha. although sometimes it’s just so tiring you’ll just choose your bed over food. but nah i’ll get myself some bread at the very least cos i can’t go hungry. so maybe when i lose my apetite or something.

it was a cool posting. the lecturers weren’t what i expected. they were sarcastic and yet funny at the same time. and i could feel their dedication to make us better doctors of the future that i can’t help but try to live up to it. we’ll see in the future what happens LOL!

End of 2011 postings!

having a drink at STATION ONE with the crazy peeps. in fact just a few hours ago.

now, to think whether i should bring back some books to study this time. and whether it’ll fail, again.

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Lalalalala~~

free from exam~

free from stress~~

free from time pressed studying~~~

until year 3 starts for me (hopefully??)

in the meantime, these few days of holidays have taught me some random stuff:

1. i actually have a limit in sleeping. i used to be able to sleep 24 hours to catch up on sleep and only wake up to pee/eat before continuing my zzz marathon. nowadays… my pro-ness in sleeping have simply dwindled to 8 hrs max and i start to get sleepy once my awake hours touch 11 hours…

2. i get REALLY REALLY REALLY cranky if somebody wakes me up from my sleep, or when i don’t have enough of sleep… more serious case if it’s the former…

3. i appreciate dim sum. ESPECIALLY the types when it’s made fresh and NOT ready made and steamed again to your order. recommended places coming right up!!

4. i can get car sick. though not to the extent to the actually act of vomitting. i thought i only had this when i was young and only on the drive to kuching, mind you. even a 15 minute ride can make me nauseous now depending on the type of car, current CNS condition etc.

5. i’m still obsessed about the taylor’s lakeside campus. so nice. i wish we had such a nice campus. *sulks* i can see part of my tuition money invested into the infrastructure, yo!

6. i love the holidays. even though it can be boring sien till the max! it still beats constant studying everyday, every hour except when asleep…

on another note, sure hope it’s great news at 6pm~

the ca was a total disaster…
ospe on monday morning…
theory also monday… afternoon…

aish…. total disaster! can pass can dy lah…

now 4 days of renal & haematology system and this being the weekend… have only covered 10% of notes XP

ok so i’m lazy…
weekend was spent at gurney on friday, then durian eating at balik pulau and canto series catch up on saturday…

hmmmm
durian anybody??
i love the new ‘lim kuan yeen’ durian~~~