OMG, OMG, OMG!!!
Aaaaaaaaaaaaaaaaaaaaaaaaaaaaarggghhhhhhhhh
I can't believe it's the exam week already. I don't really know if i've learned anything much. 2 weeks for endocrinology, 2 weeks for CNS, and 4 weeks for Cardiology, is it enough? Honestly, i dont think so. (or is it just me??) My group has to cover respiratory, ID, dermatology and rheumatology posting by ourselves. Is it enough? No! And this is the first time we are going to have short cases but they gave us 2 short cases for the exam. Is it alright? No!
How can this be alright? But, nevertheless i dont want to be stressed out by the exam. I'm just going to give my best shot as always ( and it's not the best result usually)
Today, 1 friend told me that when she came into my room she always found me holding a book in my hand implying i'm a hardworking girl and always study. And my response was, what? No, lah..sometimes i look at my laptop, sometimes i dont read the book in my hand at all and i said it was not a good way to study (am i in denial?)
Seriously, i think being hardworking and study most of the time in clinical years is NOT a good way to study. (and yet i'm doing it) The cases you might get in exam, they wont be taken from your books. It's how you apply the knowledge that matters (at least, that's the way i see it). So, a better option is to have some friends to study with you about cases in the hospital. I think it's better to learn that way because by doing so you'll know some of the important aspects of the hx that you'd missed out, the correct way to perform PE (if you do it wrongly), to interpret the findings if it tally with your hx, to think about the relevant investigations and the results that you'd expect and finally how to manage the patient.
But my problem right now is finding someone to study together (medical students tend to study alone) and to think about differetial dx and ix.
How can I overcome this?
Showing posts with label Medicine. Show all posts
Showing posts with label Medicine. Show all posts
Friday, August 31, 2012
Wednesday, July 18, 2012
2nd week into Endocrinology
Thank God, i'm already in the 2nd week in Endocrinology which is the final week for this sub-posting. I have to admit, learning Endocrinology is much more interesting than our previous Medical posting back in 3rd year. (Probably because I dont really care what I'm doing as long as I pass and because back then everything seems so broad, and it really is!) And to my surprise, I am now less timid to ask questions that bothered my mind boldly to the lecturers. BOLDLY.
Anyway, what I'm going to jot down today was one of the many experiences that I have in the ward.
Today we have a short case on a diabetic foot. The patient was having diabetes and have been taking meds since 2004. His feet were hyperpigmented on the dorsum, less hair, callus on the first head of metatarsus with left amputated big toe. Peripheral pulses were palpable and there was pedal edema up to his knee. Okay, since the lecturer chose this patient as he is a good case, I decided to write his case for my first write-up.
When we finally had the time to clerk him, he looked very cooperative. (Eventhough he got wired up with nasal prong, IVD, and urine drainage bag at the end of the bed) So, our clerking session began until in the middle of the session that he got irritated ( I think so as he began to raise his voice a little bit). It's embarrassing, I have to admit as the cubicle contained 3 other beds including his so when he spoke louder surely other patients would have heard him belittling me. I really asked frank questions, and i only need a frank answers. But because of different perception about something the session got pretty irritating for me! Yes, irritating! I am asking very nicely to this patient, yet he treated me like I am a kid. (I do have a young face though) Right then, I change my style of clerking him. I asked him in a sarcastic, non-chalant manner. Even my tone changed! As we finished clerking him, I quickly leave his bed to calm myself! Thank you, Mr Patient. You really made my day! I'm so not going to write about you.
Dr Z was right. The challenge of a doctor is to remain interested in other people problems. And in my case, I dont want to be interested about him anymore.
Anyway, what I'm going to jot down today was one of the many experiences that I have in the ward.
Today we have a short case on a diabetic foot. The patient was having diabetes and have been taking meds since 2004. His feet were hyperpigmented on the dorsum, less hair, callus on the first head of metatarsus with left amputated big toe. Peripheral pulses were palpable and there was pedal edema up to his knee. Okay, since the lecturer chose this patient as he is a good case, I decided to write his case for my first write-up.
When we finally had the time to clerk him, he looked very cooperative. (Eventhough he got wired up with nasal prong, IVD, and urine drainage bag at the end of the bed) So, our clerking session began until in the middle of the session that he got irritated ( I think so as he began to raise his voice a little bit). It's embarrassing, I have to admit as the cubicle contained 3 other beds including his so when he spoke louder surely other patients would have heard him belittling me. I really asked frank questions, and i only need a frank answers. But because of different perception about something the session got pretty irritating for me! Yes, irritating! I am asking very nicely to this patient, yet he treated me like I am a kid. (I do have a young face though) Right then, I change my style of clerking him. I asked him in a sarcastic, non-chalant manner. Even my tone changed! As we finished clerking him, I quickly leave his bed to calm myself! Thank you, Mr Patient. You really made my day! I'm so not going to write about you.
Dr Z was right. The challenge of a doctor is to remain interested in other people problems. And in my case, I dont want to be interested about him anymore.
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