Sunshine As good as it sounds, but I am just not in the sunshine
mood. Just not in the mood to blog, but I am forcing my fingers on the keyboard, refusing to let go, until my Bleach manga download is finished. Meanwhile, my downloads on House MD season 2 episode 6, Lost season 3 episode 5 and Smallville season 6 episode 5 as well as Bleach and Naruto anime download. Perhaps that will be how I compensate for all the hardwork on weekdays. Tomorrow is the exam for Persatuan Pelajar, and yet here I am, crapping in front of the screen.
Went to Putrajaya to attend a career talk. All UKM
medic students were to go there (Got some kaki ponteng, though) Wow, there IS still a CAREER TALK for us? Yeap, by the Ministry of Health, trying to 'brainwash' us so that we will stay and work for the goverment. All the promise of better pay, better insurance, and our choice of specialisation. As if we will know what are we doing by then. We will definitely need to pass and graduate 1st, then only think much of it. It's still a long way to go. -.-" Anyway, free lucnh was provided. Oops, did I mentioned free lunch? Barely. We were given lunch because we listened to the talk. Remember, there is no free lunch in the world.
First week of genetics. Felt quite relaxed, as if I had covered
everything. The problem is to remember everything so that I won't flunk in the exam. Still need some brushing up. There's where the problem lies. Kiasu people will always be kiasu people. Still trying to get rid for the most of it. Thought I had get rid 99%, but seems like the 1% is starting to grow into 30%. What a jerk. Trying to suppress it because I know it will impede my performance anyway. God knows why, but I don't think anyone would like to bother about it.
Going on to another interesting news. I just went to HUKM
for the first time as a medical student. The last session of our clinical skill session, to interview actual patients. My group was to go to Surgery Ward 7 (Otorinolaringologi -ENT) in level 5. The place where my grandmum went for her surgery few years back, after which had influenced my choice to enter UKM. Auji, my partner wasn't here because the 2nd bus were too late. So, I had 'my' patient all by myself. An old Chinese Guy. He spoke Mandarin and greeted me. Me, being honest, introduce myself as 1st year student (Luckily he didn't got shocked). He was a nice and friendly guy, being quite healthy with no obvious symptoms of aging from his movement. Here is my finding:
History of presenting illness:Mr Tam Chun, a 77 year-old retired Chinese male restaurant owner was admitted to the ENT department in HUKM on the 1st of November 2006, presenting with a swollen right neck for a week, 4 days after he had an extraction of the bottom right wisdom tooth. He complained of a mild headache, particularly at the occipital area, fearing that the suspected tooth infection might interfere with his brain function. He had no dysphagia nor dyspnoea. Previously, he had undergone a blood test from the area of his right sowollen neck on the 28th October 2006 as an outpatient. CT scan and Ultrasound scanning revealed no confirmatory diagnosis, with the only finding of 3 "tumor-like" growth on his right swollen neck. He is due for a fine needle aspiration cytological test on the 3rd of November for the abcess on the right sowllen neck, mainly for biopsy reason to check for malignancy.
Past Medical/Surgical History: No history of any chronic medical illness. Had a surgery for Intra-Medullary Nail insertion into his right femoral bone in 2000 in Hospital UM due to a fracture got from falling from a bicycle. He is not on any medication.
Past family history: There is no cause of multifactorial inheritance. Parents died of old age. His wive is 75 years old, who had underwent 2 surgery before in HUKM, colonectomy and a right knee-joint replacement. He has 3 sons who are working and healthy, along with theor wives. He has 5 grandchildren. He is currently living with all his 3 sons in Paramount Garden. He has no allergy.
Social history: Retired. Goes for jogging everyday, and helps in minding his grandchildren. Smokes an average of 10 cigarettes a day and was a social drinker before he quitted drinking.
Yes, I took all tese, but to no avail. I wouldn't know what is his
illness, and I won't be able to give out any differential diagnosis. It's just to train our interaction skill. Even if I'm to diagnose him, I would only guess that he had a tooth infection, probably due to bacterial infection which causes his lymph nodes to enlarge, causing the swell on the right neck. Headache? Maybe just due to the infection. Treatment? Just give antibiotics. And don't ask me what antibiotics. I wouldn't know either. I'm just 3 months into the course. It's kinda fun relating back to the incident, but my future is just so bleak. I'm too overwhelmed by so many things coming into my head at one go. God bless.