potato.salad

assalamualaikum

seperti biasa bila puasa kat rumah

saya la yg jadi tukang decide ape nk masak tiap2 hari

*besides gulai abah yang wajib ada tu kan*

so today decide nk buat potato salad

xpenah buat pun before this

so cuba jaya jela

hehe..xdela susah pun actually :)

cuma perlu ini

ini

dan ini

maka terbentukla ini

okay

mungkin agak kurang sopan kalau memuji makanan sendiri

tp sedap sungguh

xexpect sedap mcm ni

woot woot

*oke..agak over di situ*

haih

itu jela sbnrnye

cheers

.ent.ophthal.anaes.

this post was actually inspired by this and this

but this one will be much much longer since triad means THREE in ONE

so bear with me :)

first and foremost, triad consists of 3 different postings *refer post title*

the duration was 3 weeks for the first 2 and 2 weeks for the latter

basically it covers problems of the eyes, the nose, the ears, the throat and last but not least how to put patient to sleep

all three postings has more or less the same requirements

so this post will elaborate on each requirement particular to that posting

the requirements are as follow :

- briefing

- log book

- case write up

- clinics

- operation theatre

- pbl

- mini clinical examination

- ppd component

so lets go one by one

1. otorhinolaryngology 

or ENT in short

i did this one in england

so i'm not really sure how this posting was carried out in UKMMC

i'll try nevertheless

and those who did triad with me, correct me if i'm wrong

briefing

i guess briefing is done in the department. so sorry since i didnt do my ent posting here :(

logbook

as usual, this need to be filled within 3 weeks in order to pass the continuous assessment

case write up

there is one case write up to be written and sent to respective supervisors by the end of the posting

*i didnt send mine, but we have case presentation there in england  in which the content was more or less the same* 

clinics

i dont know how ent clinics were carried out

but i supposed everyone need to attend their supervisors' clinic, clerk cases, present and all

*i went to clinic every single day when i was in england and we attend them individually*

operation theatre

since ent is a surgical specialty, attending operation theatre is a must i would say

you got to see operations as simple as grommet insertion up to as complex as mastoidectomy or parotidectomy

*i went to theatre every single day in england and i observed 6 tonsillectomy per day :)*

pbl

if i'm not mistaken, there were 2 pbls for ent.

i didnt have any pbl there in england, so i'm afraid i cant really elaborate on this

mini clinical examination

this one i did in clinic when i was in england

there isnt much, just simple nose examination, throat examination, otoscopy and stuffs

ppd component

i didnt do any assignment for ent when i was in england

so i guess it will be better to find my friend who did this

if i'm not mistaken, the topic was about laryngectomy

2. ophthalmology

briefing

the briefing was carried out in bilik nor marahakim in the department of ophthalmology

basically you will be told on what to do, what to complete and the visit :)

logbook 

this one as usual

i know all of you know what to do with it :)

anyway, in ophthal, there will be 20 funduscopy to be performed, presented and drawn in the logbook together with the ophthalmology colour coding

so make sure you have a box of colour pencils in ophthal :)

case write up

there is one case write up to written, presented, corrected and sent to the department within the 3 weeks

basically you will have session of presentation of your cases with your supervisors and correction will be done

the send in the correct version of the case write up by the end of the posting :)

clinics

ophthal clinics session were tremendously havoc

you'll be lucky to have your supervisor in the clinic since most of them will want their students to be with them

so normally, one specialist will have 3 days of clinic

*mine : tuesday, thursday & friday*

so we will normally attend clinics according to our supervisor's schedule

however, it is NOT wrong to attend clinic everyday if you want to :)

operation theatre 

the theatre was forbidden to medical students

haha :)

pbl

we have one pbl for ophthal consisting of 2 sessions

refer to the pbls we have had in preclinical years and it didnt really differ from that

just prepare prior to the session :)

mini clinical examination

basically, for mini cex, each student will have to perform a funduscopy examination either in the clinic or ward

then proceed with presentation and some q&a

for this purposes, read in detail about diabetic retinopathy, armd, hypertensive retinopathy and glaucoma

ppd component

in ophthal, we have a speacial visit to the school for the visually impaired

and reflective writing was to be written based on that experience

but it depends on your supervisor

some supervisors want you to write reflective writing on a blind patient you've clerk instead of the visit

3. anaesthesiology & intensive care

briefing 

the briefing was carried out in bilik siswazah lanjutan in the department of anaesthesiology which is located in the bridge connecting the cinical and academic building

logbook

in anaes, logbook is important since everything need to be signed in it including lectures and tutorials

besides, there are a few procedures that need to be performed such as iv cannulation and intubation

there are also a few procedures that required us to observed namely the epidural and spinal and what not

case write up

in my experience, anaes case write up was the simplest one

we have to write one case write up focusing solely on the anaesthetic component of the patient

the pre-operative assessment, premed, intra-operative monitoring, and post-op management which stopped after the patient was sent back to the ward

clinics

no anaesthesiology clinics :)

operation theatre

in anaes, theatre is most of the time the only place to be

it is not the surgery that is important, but the preparation of medications, the patient, putting the patient under and waking up the patient after the surgery are important

it involves multiple procedures depending on the type of anaesthesia given to the patient

it would be better to read and get used to the drugs available and their uses

besides the theatre, we also need to attend the icu

basically for the rounds :)

pbl

there's no pbl for anaes :)

mini clinical examination

basic life support

there's no mini cex for anaes

however, there's one special component of this posting that need to be passed in order to pass the posting

it is the basic life support course

it consists of the cpr and heimlich manouver and infant cpr

there will be theory test and practical test

certs will be given once passed :)

ppd component

for ppd component, one reflective writing was to be written based on the visit to the icu :)

that basically concludes triad

the things mentioned above were just guidelines which may change in time or based on your supervisors

all in all, triad was fun :)

p/s : there will be seminars and lectures for each postings which will be compulsary for all

malu betul !!

assalamualaikum

sebelum terus merepek panjang kat post ni

ingin aku tekankan betapa

"malay language is my mother tongue"

gila malu hari ni

monday

20 jun 2011

today is our last monday kt sni

so according to schedule, ade seminar for long case presentation from every student

my turn was at the very last

actually yg tiga org da lepas dlu 

tiba2 pulak ada interview utk junior doctors pkul 3

so terpaksa mewujudkan hiatus selama 1 jam setengah

and by 430, i was the only one yg belum present

case tonsillitis je pun

bkn laryngeal carcinoma ke ape

so xdela sbb yg sgt besar utk nervous

tp ntah

maybe sbb 1st time present dpn mat saleh kan

mrAndreasHilger

Consultant Head & Neck Surgeon

dahla dgn accent british

tambah pulak bunyi2 german kt accent die tu

adoyai

so at 430, kitorg enter conference room

mrHilger : so, there's only you left to present

*korg bygknla accent british+german dia oke*

saya : yup

mrHilger : okay..but i think we dont need the projector..is it alright?

saya : yup..guna laptop je pun da cukup i think

*ini sgt memalukan oke*

budak2 ni gelak je time tu

tp mrHilger sgt baik

die angguk2 je, buat2 faham my statement

malu gila weh!!

xde perkataan yg bole menggambarkan perasaan malu ketika itu

oh tidak

tiada cheers kali ni

p/s : to mrAndreasHilger, i seriously didnt mean any disrespect..i was just too nervous perhaps :)

mixed feeling

assalamualaikum

tinggal 1 mggu je lg

actually da kurang drpd 1 mggu

da start ade mixed feelings

seriously rindu rumah

nk balik

mkn mcm2

jmpe sume org

blablabla

tp xnk tgglkn tmpt ni

blum puas explore lg

especially oxford street

macam mane ye?

why cant we be at 2 places in one time

and why must london and kuala lumpur be 13 hours apart

why cant they be just next to each other??

huh

soalan yang xde jawapan

anyway

it does not do to dwell on dreams and forget to live

so lets go back to reality

esok ade presentation dgn mrHilger

wish me luck

then i have some more shopping to do

and late saturday night

i'll be boarding my flight back to kuala lumpur

=D

cheers

new.experience

assalamualaikum

pejam.celik.pejam.celik

da 2 mggu da menetap kt england

seriously

xpernah sangka akan merasa peluang ni

dlu mmg gila2 pnye teringin nk dtg sni

konon negara matsaleh ni cantik,sejuk,blablabla

tp mcm lutfi ckp smlm time tngu bas nk g sainsbury

"the grass will always look greener on the other side"

hujan emas di negeri org

hujan batu di negei sndiri

lebih baik negeri sndiri

hahaha

ini ternyata menunjukkan saya rindu malaysia

mne tak nye

duk sni hari2 mkn ubi kentang

hari2 makan roti bakar

hari2 makan sayur

sungguh rse sgt sihat sekarang ni

kalau ade penimbang berat

mau turun beberapa kilo =)

tapi pengalaman ni mmg xkn dpt kt mne2

balajr kt sni sgt berbeza drpd belajar kt ppukm

situation 1 :

(clinic hours)

knocked the door of the consultant's clinic room

me : excuse me mr ........ can i join your clinic this afternoon?

consultant : of course..come in..take a seat..please make yourself comfortable.

(ini mmg x pernah terjadi to me kt ukm)

grabbed a patient's file

consultant : alright..this patient came in with purulent discharge of the right ear blablabla

after one or two patients, the nurse in the room will offer herself to make coffee for the consultant

and FOR ME!!!

*of course i decline everytime =D*

situation 2 :

(getting out of the elevator and stare down the corridor not knowing which way to go)

someone : excuse me dear..are you lost?

*this someone could be anyone..from janitors to nurses to even the consultants*

it was a very pleasant environment here in the ipswich hospital

semua org akan senyum back to you when we smiled at them

and everyone will bid you good morning eventhough you are just a medical student

i feel motivated everytime i bgn pg utk pg kelas

but still

i miss ppukm

i miss ppukm a lot =(

okay

enough of that

i think it should be enough for this time

blum sempat utk amik a lot of pictures here in ipswich

but this one is taken in london

and i by far my favourite =D

cheers