Thursday 30 October 2008

Jooney Thermometer

Weather in Preston-Blackburn-Manchester is getting colder nowadays. And i find myself to be a very good indicator for the temperature and it's quite accurate in estimating the surrounding temperature. The followings are my findings:

When i need to put my gloves on when walking on the street and my ears and face are numb because of the cold~~~It's 0-4'C

When i need to wear my skarf and use my thick coat and there's mist coming out from my mouth when i talk~~~It's 5-8'C

When i just need to wear a jumper/jacket~~~It's 9-12'C

And when it's 13-16'C, i can even wear short sleeves and walk on the street provided that there's no strong wind...
And stop dreaming la.... Winter is coming... NO more 12-16'C...

It's all <12'C now and it can go to <5'C at night...
Believe it or not, Jooney's thermometer has unknown specificity and sensitivity... But, it's very accurate!!!

Tuesday 28 October 2008

My Clinical Partner

Personal Details
  • Name: You know who
  • Age: 22 in 19days
  • DOB: 15.11.1986
  • Race: Malay
  • Religion: Islam
  • Occupation: Of course is the same like me, third year med student.

Chief compalint (on my cp, ie clinical partner)

  1. Whenever you ask him to make a decision, he would say:"Dun ask me, man! I dun mind."
  2. Whenever you accidentally do someting wrong, he would grab the chance to tease you and say:"I can do wrong. You cannot!!!"
  3. Whenever you accidentally say something wrong, he would immediately want you to admit it and say:"I'll do that also, but i dun admit. You must admit!!!"
  4. Whenever you are late for maybe just 5sec, he would blame you and say:"I can be late/I never be late (in fact, this is not true...) But you cant be late!!!"
  5. Stop saying the work "FXCK" in front of me, i feel very uncomfortable whenever he uses that word!!

History of presenting complaint (SOCRATES)

  • Site: of course is on me la
  • Onset: ever since we were cp
  • Character: i hope he was kidding when he was mean to me...
  • Radiation: no radiation notice yet, so far his target is only me, didnt c him do the same thing on my other friends yet
  • Associated symptoms: Nil..
  • Time pattern: Mostly day time coz i dun see him at night.
  • Exacerbating factor:Not very sure... Coz i am always nice to him...
  • Relieving factor: When i offer him coffee, he would treat me nicely, i guess. he even helped me with my pbl.. :=)
  • Severity: It varies with his mood. When he's happy, he can play songs for me, even Jay Chou's.

Past medical(academic) history

  • Absent in lecture
  • Absent in CSU session
  • Absent in PBL
  • Generally he missed 90% of academic hours in IMU
  • he scored A for haemato (according to him, that's the only A he got) which i only got A- (He beat me!!!) , the reason was because he attended the dengue lecture, not because he did revise or study. What a smart person!!!

Family History

  • Parents are not doctors but have high expectations on him.
  • They would buy him a car if he passes exam with distinction and i have asked him to save a place for me. Ha, this is the priority of being his cp!

Social history
  • He smokes but he says he'll quit when he reaches 10pack years which is the time when we graduate and qualified to be a doctor.
  • He dosent drink BUT he likes to ask me to drink vodka...
  • Diet a bit problematic coz he can only eat halal meat, as a result of that, he only eats tuna and prawn sandwhich everyday.
  • He eats chocolate for breakfast and his favourite drink is Oasis citrus.
Systemic review
Sleep, appetite, bowel, micturition, weight all normal and no change.
The only thing that has changed was his attitude towards studying. He's positive and active in learning which i think it's a good change. Not sure will people from IMU believe this when i tell them..

Diagnosis
Jooney Bullying Snydrome?

Plan/Treatment
  1. To treat him as nice as i can so that he wont bully me anymore. But i doubt this will work.
  2. Help him do some research on PBL as he helped me before
  3. Make him quit smoking asap so that he would thank me for being concern of his health and treat me nicely. But this is going to be a MISSION IMPOSSIBLE!!
  4. Discharge him after being one year of CP?

Conclusion

  • This is just a joke, Mr Azman.
  • Dun take it too seriously!!
  • Quote your favourite line:"Chill la..."

Saturday 25 October 2008

I'm ALIVE!!!

When all the bad things are gone.... good things would come.
I believe that would happen on me....

For once, when i knew i have to go to Blackburn, i really felt like going to pub and drink and make myself drunk. But now, after experiencing my clinical life there for a month, i enjoy it despite the fact that i have to travel everyday.

And then, here comes the story of my new phone. I ordered it on line and it said that i would get it the next day. But i waited for 2 weeks and rang the people and found out why. (at that time, i really felt like scolding people... but then i think my skills were deteriorate after not scolding people for very long time, coz no target in Preston that i could fire...) And they were telling me they didint have the stock and replace it with the othe colour... Ok, fine! whatever... just send it to me asap... And finally i got it the next day and i LOVE it so much... I just lost a earpiece that comes with the phone and i was sa sad... Didnt enjoy my friend's party at all and i went home alone sadly... But after all, i feel that good things would come after each episode of sadness. I shall wait and see.

Look, my little buddha with my new phone that i love so much...

And then, at the same time, i was struggling to find out why my computer couldnt go online.... I was surviving by using the library computer and also friend's computer to keep myself as a human in the millennium century. And finally i repaired it myself and my computer was reborned, meanwhile, and there's regeneration process going through my system. And... I'm alive!!! Finally i could get in touch with people bec from Malaysia or even friends in Scotland... The distance seem to be shorten with all the advance technology.

Take care, my friends and family.. I'm doing well here..
Bad things were gone and good luck is by my side. I have faith in myself!!!

Friday 10 October 2008

It's only you....

There is just one thing in this world that would make me home sick....

I do miss our malaysian food, eversince the raya celebration at my house. We had nasi lemak with ayam goreng... But this wont make me feel home sick....
I do miss my mum's cookings, but i am used to not eating her food eversince i left home to college... But this wont make me feel home sick...
I do miss the nice and warm weather, but i am doing fine with the waether here as long as it doesnt rain... But this wont make me feel home sick even though the weather is getting colder...

It's not a phone call back home....
It's not my dad's email...
It's not my mum's voice...
It's not hoi's computer skills

It's you.... Xiao Dee!!! It's your blog....
I chose the wrong time to read your blog today. I was in the hospital computer lab and your blog moved me to tears again. I wish i could hear your stories from you but not through your blog.

It reminds me of the things happen in the family...
I'm always the last one who knows.
Recently, i couldnt go on line, and i couldnt get first hand news from all of u...
It's time for me to fix my com problem...
It's just too shameful to sob in the library

I really miss u all so much...
And i have to go for lecture 30min later with red eyes...
Xiao Dee, it's all ur fault....

Monday 6 October 2008

Chain email

Finally now i can get hold of my IMU family. When i looked through the email, is sounds like a med student forum. It's all about our medical postings. And i like WL's story, for once i thought that's from YS(no offence, YS, i just thought that u r more filial to ur grandparents). But towards the end of the story, i realised is not YS, it's our Funny King- Mr WL.
Guys, i really miss our time in BJ n vista.
It's really nice to hear from those in aussie n nz, n of course those from msia.
n to those that r in UK, we must meet up one time, hopefully u guys can come over to preston to visit me la.
thanks to those who initiated this chain email. i really appreciate the chance to c what happen to u guys. take care. n keep in touch!!!

Thursday 2 October 2008

Be confident!!!

I had a few more examinations in CCU today. But then i got a lot of things wrong. I am still not able to pick up crackles, murmurs... I even mistaken a soft abd as guarding. But then i am happy to learn from mistakes. At least, i remember.
However, i was uncertain in presenting my findings. Partly because of language, partly because of knowledge. Sometimes i cant think of the accurate word to say... Sometimes i just knew the outcome without knowing the mechanism...
I used to be a very confident person but when it comes to physical examination. I was scared, scared of doing wrongly or performing weakly.
Just need to come out with my style.
Jooney's history taking and examination style.
When i am able to establish and practice my style, i know i am going to succeed.

Just thought of something out of the box:
Clinical life can be very tiring but...
It's so fun.... It makes u think 24/7... It makes u think that u r still alive...


I am alive to seek for more confident!!!