Louis' Blurty
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Below are the 20 most recent journal entries recorded in
Louis' Blurty:
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| Monday, April 30th, 2007 | | 2:43 am |
| | Saturday, April 28th, 2007 | | 10:43 pm |
going to start work in 3 days time
think i better enjoy my last remaining days of being free
once work starts, all hell would break lose
i'll lose my most impt thing -- sleep
better do some prophylactic sleeping
just went to see the doctor today and got a course of ofloxacin from him
4 days, more den the normal 3 days
hopefully the diarrhoea will clear up
presents from the streams of nepal all the way to my toilet bowl
i must have been shitting giardia for the past 7 days
man utd just won with a remarkable 4-2 come back from 2-0 down
amazing stuff, not to mention chelsea drew 2-2 with bolton | | Wednesday, April 25th, 2007 | | 9:43 pm |
been a long couple of days
and to think i'm actually sleep deprieved despite the fact dat i haven't officially started work
now down with a diarrhoea (as predicted by my travel mates as 10 days of shitting)
which means i should have another 5 more days left to endure
shit | | 4:53 am |
work will be starting very shortly, in less den a week
and it seems i'll rather be doing a medicine or general surgical posting, den doing O&G
partly also becuz i knew how those work
but now, i'm thrown into the deep end of the pool --- labour ward
i'm like going "HUH" at almost everything dat comes
even the stuff i order on the medicine charts are not commonly used in other disciplines
but we'll all learn to cope, and we'll learn fast
after being yelled at by the MOs and Reg, i guess u'll pick it up much faster
Man Utd just won Milan 3-2, relli exciting game, was a the edge of my seat
now in this dilemma whether to read up on ACLS, or just go and catch another hour of sleep
and it's relli odd having nurses and ppl calling you dr tan
think minky will do la
sounds a lot more frenly den dr tan
the dr. somehow creates a barrier which i do not like
was just told dat we must take our leave in one big block, like 7 days together!
meaning including weekends, we can zao for a good 11 days
meaning dat a longer holiday is now on the books, though i'm not too sure where to yet
it's funny dat we are planning out leave and holiday, even though we have not even started work! | | Sunday, April 22nd, 2007 | | 2:34 am |
Just flew back from nepal after 3 weeks of hiding in the mountains, as well as eating lotsa dal bhat
only to realise a few things
1. KKH OnG, and i tot i am done with dat
which means i got my 3rd or 4th choice postings, which utterly sucks
2. A gripping compulsion to scale mera peak sometime in the next year
3. lotsa short trips with jerry to around the region
4. how come dyan takes so long to come home
5. ppl who 'didn't make it' for the mbbs... hmm... sigh
6. i think i'm sick, and not just allergic rhinitis from the smog on kathmandu
7. kukuri knives are not allowed in singapore | | Monday, March 19th, 2007 | | 8:38 pm |
IHD nightmare
realised dat i didn't
1. give a problem list
2. offer differential diagnosis
sian la
tml is short case, and i'm still missing steps from my physical examination
very very sian
=( | | 12:42 pm |
another OSCE nightmare
Insulin station
1. grab the wrong syringe
2. nv suck to see if got blood
3. nv pinch
4. nv check patient's name | | 1:57 am |
another scenario in OSCE
d-- can patient stay in general ward?
m-- yes sir, i'll put her on o2
d-- but isn't her bp a bit low?
m-- erm... yes sir, and given her pulse rate, it's likely she is in shock. i'll like to transfer her to the icu
d-- wat do you think are the likely causes?
m-- *blurr* dat'll depend on the investigations
d-- wat inx do u have?
m-- abg sir. her pco2 is normal but her po2 is low sir
d-- wat do you think are the possible causes?
m-- infection sir
d-- wat treatment would u like to start her on?
m-- antibiotics sir
d-- how abt pulmonary embolism?
m-- yes sir, it's possible, i'll like to do a spiral ct
d-- but she's pregnant?
m-- d-dimer sir
d-- isn't it non specific?
m-- examine her calves sir
d-- would u like to anticoagulate her?
m-- yes sir....
RING RING
sigh | | Sunday, March 18th, 2007 | | 8:50 pm |
still on my long case...
realised i said R wave "getting smaller and smaller"
whe it's supposed to be R wave progression -- ie getting bigger and bigger
another reason for prof kweh to come murder me...
sigh
today's OSCEs were ok, except a couple of stations
1. i grab the wrong syringe to give insulin
2. i absolutely hate obgyn, screwed up dat case totally in term so management
3. PE, i didn't know dat --> had to wait for the person to tell me
4. fluid and drug orders for the kid was abysmal... panicked, so wrote in wrong columns, wrote wrong things too
practising some short cases with zonghan now, hope it'll be useful
surgery is going to burn me come thursday | | 10:29 am |
and constant dreaming of my case
i realise i didn't ask for symptoms of heart failure
swelling, orthopnea, PND, reduced effort tolerance
kill me stat | | Saturday, March 17th, 2007 | | 11:20 pm |
Today's medicine long case was a burnt day
CASE 1: IHD
case of elderly guy
presented with SOB
past hx of stroke, DM, HTN and hypercholesterol
should be a straight forward case
but a combination of nerves and tiredness, i actually forgot to ask for a hx of smoking
the profs even ask me for a list of risk factors, and i can even classify them, and still forgot bt smoking
they had to tell me just before i leave, and i asked the patient -- 100 pack yrs
GOD
didn't go into management, would be glad if they pass me on this case
grilled me on ecg and chest x-ray reading
CASE 2: Asthma
young 12 yr old boy
come in for URTI symptoms
past hx of asthma
straight forward case again
went into hx of asthma, and once again, forgetting some details
think the pressure makes u function at like 30% efficiency
discussion was ok, should be a pass
though i didn't go into "broad" categories
on retrospect, it's amazing the nerves u have during exams
the mind goes blank
ur normal systemic approach vanishes
questions u normally wun miss in the ward, just goes haywire
just hope my worries are unfounded, and dat all will be OK | | Thursday, March 15th, 2007 | | 1:32 am |
finished the last set of 180 mcqs today
took me 3 hours, whole of it to finish it up
dun recall ever using so much time to do mcqs, and doing so many
by number 120 i wanted to jump out of my seat
it was tough, after hearing from guowei the "obvious" answers
raped totally, gutted and hung
feeling the exam fatigue, and lack of motivation to study
but i guess i have to pull myself together
the clinicals are up next, and so it's only 11 days to go
5 years of pain, for this 11 days
i can handle it, bit by bit
nepal trip tickets are booked, so dats one thing settled
nothing else much to plan
no need visa or anything
just pack and go
maybe i need to get some equipment before i leave | | Tuesday, March 13th, 2007 | | 1:09 am |
essay today was tough man
didn't quite answer the questions the way most ppl approached the questions
so i guess i'm probably wrong, as usual
got home feeling ok, but after a while, felt totally exhausted
hibernated from 8-12, making up for the sleep i missed last night
seems like i'll have to stay up again tonight to make up for the hibernation
i relli missed having good sleep, sleep with no worries, sleep with no restriction, sleep with no nightmares | | Monday, March 12th, 2007 | | 12:27 am |
yoo hoo!
finally found a xian1 nu3 xia4 fan2
her name is GiGi!!! and she lives in sabah
too lazy to upload her picture her, but if u are curious, u can check out my msn
well, only a few more hours to go before the big one in PGP hall
and i'm as usual unprepared for it
in fact, i'm rarely as unprepared for a big exam as this, totally have not read ortho for 2 weeks, and not read surg for 2 months
spent the past 2 days recapping my obgyn
the clinicals ahead are daunting, considering i've not examined an ortho system for like 2 yrs
ok, plan ahead now
0030 -- systemic surg --> thryoid, breast, urology, stomach, PVD/venous insufficiency, hernia, gallbladder
0200 -- principles of surg --> fluids, post op cx, nutrition, wound healing
0300 -- systemic ortho
0500 -- principles of ortho
0600 -- travel
0800 -- systemic obgyn
0900 -- essay time
good good! | | Sunday, March 11th, 2007 | | 4:04 am |
still struggling with the obs part
it's relli damn a lot, but maybe it's just the fear of seeing a question dat i've nv read before and have nothing to write dat's driving me to read so much into obgyn
i'm probably better off i was back in yr4 when i was doing this posting
the stuff are suddenly startin to make sense, a tat too late though
ortho and gen surg will have to be rushed, luckily i've read gensurg in great detail 2 months back, and ortho abt 2 weeks back
so hopefully can just quickly skim thru the impt topics again quickly like in a few hours
will try to catch single hour naps in between the mugging | | Saturday, March 10th, 2007 | | 9:11 pm |
the med MCQs are damn gay
got fragged by them big time
a good many of the questions, i can only give wild guess answers
which goes back to my idea of "what's the pt?"
give gay questions, to test our luck and see who can guess better
now preparing for surg papers coming up in the week
and it's going real slow
totally re-affirm my hatred for obgyn
still doing it, and nowhere near completion
but still have to read, since i haven't read it for 2 yrs now
still got ortho and surg to revise, which is making things real bad
haihz...
die CCB | | Wednesday, March 7th, 2007 | | 3:27 pm |
slacking is the life
you watch soccer till 6 am, and den fall asleep
wake up at 1pm, grab a cup of tea and start reading the papers
log onto battlenet, and play a game of dota
and after dat, start watching an episode of house md
until ppl remind you dat "hey, it's time to panic"
sigh
330pm liao, got to start work again
but i better grab some lunch first
18 more days to go
i think i'm relli tired of pursuing stuff for myself
it's endless, and meaningless
but somehow i'm forced to do it
quite an irony isn't it | | Tuesday, March 6th, 2007 | | 11:28 pm |
they are right
it's not about doing well
it's about surviving the long long duration of the exams
and coming out alive after
25% of the exams are over, another 75% to go and it'll be over
painful stuff, not for the faint-hearted
realised dat got a couple of friends who just left for overseas destination for their exhange program
mingfeng headed to munich, though i've not hear anything from him so far
and huiyi landed up in shanghai, and according to her, it's a cold place
looks like i'll spend the next day revising my obgyn
back to women and the area between their legs
woot | | Monday, March 5th, 2007 | | 4:58 pm |
just spent the last day prior to my essay paper sleeping
feeling a bit funny today, couldn't quite get to sleep
was just thinking that maybe if i sleep long enuff, the exams would be over!
ha, wishful thinking
and to think i'm sleeping thes precious hours away
i've not even read most of my med, and all of my paeds
argh, now i'll have to do some catching up tonight
been not having good sleep recently
think maybe it's the stress
not healthy at all | | Friday, March 2nd, 2007 | | 9:57 am |
day 2 and paper 2 of the exams coming right up in an hour
just spent the whole of yesterday sleeping
perhaps it's all part of the exam-fatigue syndrome
didn't quite prepare for the mcq/osce today
but i guess i also wun know wat to preapre for
yesterday's MEQ was bad, totally pwned by the MEQ
ok, maybe not dat bad
i predict a score of 60/100, which is a pass
as much as i'm worried for myself, i'm also worried for a couple of other ppl, whom i know probably did worse
and it relli saddens me to know that there is little i can do to help
can't even save my sorry ass
or maybe there is something i can help with...
hmm....
feeling relli tired as well as lacking
stupid mistakes i wun forgive myself with, for the lack of these knowledge would mke me kill a patient
time to go
wish myself good luck |
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