Yes people... I'm still alive and kicking.The reason that I don't update much is that I'm using TMNET dial-up ..(an internet service provider in Malaysia). I know I know nobody uses dial up anymore. But what can I do. Nobody uses the internet at home. Thus,its not worth the money if I use broadband.Wow.. switching from a 6 Mbps (moscow) to a dial up (malaysia) sure needs a long time to adjust. I did try to post something but it was so slow that I just gave up. I couldn't even upload a picture. But today the wind seems to be blowing on my side and so "vuala" or "viola" or "voola" here's my post.
I sure do regret why I do not use my time wisely in fourth year. That's why I am suffering during my attachment now. Everytime when the specialist ask me a question, my BP will rise probably up to 160/100 , Pulse rate 110 and cold sweats all over. Why? Maybe because I stand for alot of medical students from Russia and if I screw up, so does all other medical students.But thank God, till now the specialist is satisfied with my answer.But I know myself where my knowledge falls between and it doesnt look good. So I'll just end here and continue to study about basic stuff like Lab analysis interpretations,ECG, Chest X ray, CT and Auscultation..
P/S : From today onwards till the end of my attachment i will be posting some of the questions that was bombarded to me ? The reason for this is to share with my fellow juniors and friends what I've learned during this period and not meant to boast about myself as "one individual" had claimed.
Q 1. I was asked to auscultate a patient's heart and what I heard was murmur from S1 till S2 with uniform intensity.
DOC :So what have you heard?
ME :Murmur from S1 to S2 especially on the 3rd to 4th intercostal spaces along the sternal border.
DOC : So?
ME : (Starting to put on my thinking cap ) ... Pansystolic murmur
DOC : What is the grade?
ME : (hmm I remember reading it yesterday) ... not sure doctor (..start to grin)
DOC : Do you hear thrills?
ME: Yes.
DOC: So?
ME: (haiyah!! die die la... just tembak only ) Grade 3
DOC: Ok ( looking satisfied) It's Grade 3 because the murmur is audible but not palpable
ME: (haha.. 4 years in Russia tembak-ing ... Dont play play.. but I guess he knows that I tembak..haha)
DOC : Does it radiate?
ME: Nope
DOC: So?
ME: Huh? (eyes wide open) You mean diagnosis?
DOC: (Nodding His head)
ME: (Luckily, he didnt say "aboo- then") Ventricular Septal Defect
DOC: Ok (and continue his rounds)
ME : (relieved... Thank God I read about that yesterday)
So..stay tune tomorrow .. same website and same blogger... for more...
I am still alive and kicking
8 comments:
Dr. House eh? Thanks for the interesting insight into doctor training - you must need a pretty good memory!
by the way - it's 'voila' :)
i was using the dial up service from 2004 till early 2008. most of the time not in malaysia so no point of subscribing for proper broadband service.
but then, the dial up service at my place of stay was considered very good. uploading of photos to the blog postings were not really that slow and achievable.
WHAT?!!Ventricular septal defect!??bravo!bravo!phew... that was REALLY HARD!
Julian: Thanks for commenting... As interesting as it may seem ... I have yet to encounter anyone who is as sarcastic as him.
Johnny ong : Good for you that the dial up service was good.But i did notice that the server was faster in the afternoon
superduperkim: Haha... Thank God that I read about it the night before. I guess God studies together with me that night.
tat was those days. changed it to streamyx since i'm based in kl office now. enjoying my internet nowadays at a much faster pace, albeit at 384kb. dont need the 1mb line as i dont download videos
hmmm ... maybe i should consider that too if its not too costly..coz at times I was frustrated with the service.. It took me a long time to even open a page.. thank God I'm not a youtube freak.otherwise i would be even more frustrated..
wow...good leh ...so hard man...:)im proud of you:)heheh all the best and GBU:)keep up the goodwork
thank you.. same goes to you too..
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