+ A hAppy WeeKend +

~~Yes!! It's the weekend with an extended one day. Thanks to Eid ul Adha ~~

Friday
Reached Seremban at about 7 plus, had home made Bubur Lambur and Sup Daging . talked and talked and talked with parents and head ot bed

Saturday
Woke up at 815. Had breakfast. Got ready and left the house at 9am. Left for MidValley and was at the entrance of Metrojaya 5 mins to 10. Dad was not allowed to enter by the security guard because he wants it to be sharp 10 before he lets anyone in. Luckily he did not make a big fuss. Nana and i were looking for proper shoes to wear to the hospital. It was between HP, Clarks and Rotelli. back and forth back and forth. FInally didnt buy any shoes. Took pics near the christmas' decorations. Chose a handbag for Mom and bought it for her. Shopped with Nana. Had lunch in Burger King and as usual to the tit bits shop to munch.. and pack:)
Went to Klang. Had tea with Grandma and went back home by 730pm.
Uncle Dollah and family stopped by, had dinner in Curry Leaf and had coffee back at my place.

Sunday
Its Eid! woke up at 3am for tahajud prayers. Quickly climbed back into bed b4 Subuh. Mandi sunat raya. had ketupat and rendang and lemang plus coffee and went tohe mosque to pray. The imam misorganised his scripts that he was struggling to continue his sentences. He burped during the speech too YEs ON THE MIC!The usual makan makan and minum minum and tv watching . 12pm pack stuff. 3pm waiting to go.got an sms traffic is heavy might be delayed. 415pm christabel and poh tian arrived. Had tea and left . Reached BP at 730pm. On the way back, was alrd getting depressed.. why oh why...

~~Cant wait to go back to Seremban in 2 days!~~

~*Endoscopy*~

When i was in Seremban Hospital in my surgical posting most of my frens (including me) would skip the Scope room session. Until our dean who is the also a surgeon took us for classes and had asked us how mnay procedures involving scopes that we hav observed
Our answer was NONE SIR. He became very upset and insisted that we spent more time ther
During my end of posting exams in Seremban he asked me again if i had gone for any observations and i said we did not go

That is how the scope is inserted from above. The purpose is to view the esophagus, stomach and a part of the duodenum for swelling in the wall, ulcers, bleeding walls or vessels, and also interventions and diagnosis

Yesterday..for the first time in our lives we had managed to see how banding of vessels in the esophagus was done.. from zero cases over the 5 years to 2 cases within half an hour. Not onli dat i managed to assist one banding using the scope. , so so happy even though it was just holding the mouth piece and comforting and reassuring the patient

This is how a stomach with a protusion from the wall looks like through the endoscope. fascinating huh?

Depressing Batu Pahat

This is wher i have been for the past 3 months and this is wher im going to be for the nex 3 months.

Things havent been great. During the first month, i went back for 3 weekends couldnt stand the fact that im stranded in this town. And mind u i am not from the metropolitan city of kl, penang or jb.

Of course my fellow batchmates(60+ of us) decided then we shouldnt go home or head towards kl that often as we have so many portfolios to do.We have 4 main posting in this FINAL semester namely internal medicine, obgyn, surgery and peadiatrics.. In each posting we are required to do 2 - 3 portfolios.

What is a portfolio?
It is writing a case of a patient from the day admission throughout his hospital stay and until discharge. This include the interviews the examination the management plan. Then, we are expected to constructively criticise the inadequacy of the management and how we could make it better. At the same time, it has too also be supported with evidence base medicine-meaning going thru as many medical journals as possible. After that, we are required to come up with learning issues regarding to the patients and discuss it maturely.

On average each portfolio is 20-30 pages long, and during ourfinal exams with have oral exams regarding our portfolios

IN the mornings we are all at the wards, covering the beds assigned to us, trying to do as many procedures as possible, go thru ward rounds with the doctors here and assist or observe in the operating theatres. IN the afternoon, its either ward work again or classes in the campus. Then after 3 hours of break, we head back to the hospital for our night calls.

Symptoms of depression among us:

1. PT: had diarrhea on each and every day wher she is in Batu Pahat without fail. When she goes back to her hometown, her stools consistency reverted back to normal
2. FS, AK, JK, JY, CT: home sick.keep thinking of home. dont have the motivation ot study or do anything
3. AK, FS: Acne flare up.
4. AK: Heavy menstrual bleeding, assocaited with blood clots and dizziness
5. FS, CT, BM, AM: Worsening of the allergic rhinitis
6. Evrybdy: You tubing fever seen we r deprived of entertainment here
7. Evrybdy: During the obgyn posting, all 18 of us finally showed our true colours, We all broke down under the stress and the long 8 hours of nite call and coming to work again the next day.
8. 50% of us: the backstabbing, the kiasu attitude, the wiping lecturer's ass attitude developed just to get good remarks in the logbooks
   

++Our motivation to pass our exams now is to get out of this place fast. Cant live another 6 months here. We do not wan to be on anti depressants!++

Semester 10 is not fair

every 5 weeks we change postings and the lecturer is expected to write something in our logbook
and how many times does the lecturer sees us in a week and for how long. Most of the time we are on our own and doing our on calls on our own. How would day knw how we have performed in a clinical setting next to the patient. How genuine we are and not just acting in front of the lecturers when the lecturer is around next to the patient.How would they knw abt our people skills in the clinics because at that ime many student would wan to examine the patient. Wat about those who have empathy.not coming forward to examine and talk to the patient when evrybdy else hav because she thinks abt the patient. If she was in the patient's place she wouldnt wan to be harassed as such.

Some people shine in class because of their knowledge. some ppl just happen to be lucky to get easy questions. Some people are so kiasu that they wan to present their cases in every teachign session with lecturers. Just to give the impression that they are well read and good in their knowledge.

How are these lecturers gi vent he authority and right to jot down comments in our logbooks when they do not knw if they limited time he has with us potray the true person each student is or not.
Those who suck up get excellent-because they critic evrything evrybdy else does.and report to the lecturer about evrything ,even things which are not right and alrd corrected. wat the hell?
Those who are good-some do deserve it and some just dont
Those who get satisfactory- those who hav potential but because of this excellent ppl, they are just labelled as satisfactory.

Im so pissed off.this lecturers think they knw a lot abt us. Nobody can rate a potential clinician. Their work should onli be rated by the patients. A clinician's overall assessment should be longstanding in 20-30 years down the road.NOT NOW.

Dear lecturers..do u knw u have made many ppl here depressed..lost the interest in continuing studies and make us feel worthless, like we dont even need to attend our exams to knw that we have failed? The portfolios are killing us too.Why do u burden us so much?

Im Pissed OFf!

My nasib is so so not nice.i Have a running CCTV evrywher i go. Guess where today? AT the hospital parking lot. What happened? Read further...

I came at 8 am. Parked my car like how ppl in One Utama park theirs eventhough there is no parking space. At 430pm i get a call from my mom,

mom: Wher did u park ur car? Ppl are getting angry, uncle *** called and he said ur car is parked n the middle of the road

Sofie: No its not. Its the normal place wher everybdy else parks the car

mom: Then why he said ppl are getting angry?He called the house. he called papa

SOfie: i dunno he is over reacting evrycar can come in and out. and they can take the corner too. Its normal to park there. NOthing wrong and definitely i made sure i didnt block traffic

mom: Ok go and move ur car now

Sofie: its ok im leaving for home now


when i reached home. THANK GOD he didnt get thru to my DAD. COme on Small things and they r making it big. They think they have the right to do this jus bcuz they know they house number and my dad's mobile number and the carnumber plate
Im so pissed off. He made a small thing big. I got scared i thought when i reached the parking space i would havwe gotten cursed and bashed up. Turned out nobody was waiting for me. Parking spaces were half empty. COme on! why make my life miserable! Just mind ur own business. If u dont have one FIND ONE of ur own. DONT MIND MINE!

i had another person telling my dad i was cutting into the lane while waiting for the traffic light.
this happened to be a doctor

Dr +++: Plz tell ur daughter nex time try not to cut into other people's lane while trying t make a turn at the traffic light. Its dangerous and she might irritate another person and cang et into an accident

dad: Oh dat was me. It wasnt her

Dr +++: no no she was wearing a scarf.. im very sure of that

dad: No that was me. i observed u wer always busydoing sumthing else when u wer driving. This time u were searching sumthing from ur glove compartment. so i thought y not. She was sitting next to me in the car

another occasion..and this time its the same doctor again and its regarding the same junction wher we turn off into the road that leadsto the hospital. ther was an alternative way ( making a uturn..go towards the back of the dialysis centre..then join into the same road that leads to the hospital). He saw me doing that and just had to inform my dad

Dr +++: plz tell ur daughter that it takes the same time to wait for the lights to turn green rather than to take the long way.


3rd occasion..this is a visitor coming to the house

Uncle +++: i saw ur proton car coming down the hill from the hospital. She was going pretty fast

( i was onli going at 60km/h..I KNOW ITS A HOSPITAL AREA!)

OH MY GAWD!! and recently my mom told me that i cant go watch a movie with ronald all by ourselves. people wioll talk and get the wrong message and all these stupid things will reach my dad in a wrong way...OH GROW UP SEREMBAN PPL!!! and so i couldnt go out for a movie on a frday evening bcz evrybdy is back in their hometown and nobody to chaperon me and ronald..PATHETIC!!

Medical Specialty Aptitude Test

http://www.med-ed.virginia.edu/specialties/Home.cfm

This is a test containing 150 questions to determine which speciality is the best for u according to rankings..these were my results..

Rank	Specialty	Score
1	physical med & rehabilitation	43
2	gastroenterology	42
3	general internal med	42
4	family practice	41
5	dermatology	41
6	rheumatology	41
7	pediatrics	41
8	radiology	41
9	psychiatry	39
10	occupational med	39
11	nuclear med	39
12	infectious disease	39
13	hematology	39
14	cardiology	39
15	neurosurgery	38
16	anesthesiology	38
17	endocrinology	38
18	nephrology	38
19	colon & rectal surgery	37
20	emergency med	37
21	orthopaedic surgery	37
22	plastic surgery	37
23	thoracic surgery	37
24	general surgery	36
25	preventive med	36
26	ophthalmology	36
27	med oncology	36
28	radiation oncology	36
29	pulmonology	35
30	allergy & immunology	35
31	aerospace med	35
32	obstetrics/gynecology	34
33	pathology	34
34	otolaryngology	34
35	neurology	33
36	urology	32

Surprisingly what i plan to do came under top 10..hmmm.//interesting..will think about it..and now imconsidering rehab too:D