Psychomed

Wonder if i was sleeping throughout my first psychomed posting in year 4 to miss such stuff.. Anyway, this time round, managed to "catch" some spot diagnosis of psychiatric patients.

Drooping eyelids, downcast gaze, unenergetic movements, resting head on folded arms placed on the table, slow speech.. Depression. Never seen such an obvious case before.. Not much history needed to prove it anyway. Poor lady, husband took $$ from her before and now she's worrying all the time in hospital that her money will be gone..

Frantic shifting of gaze, eyes pleading for help, restlessness on her wheelchair and frantically asking for passers-by to let her lie down. "Please.." she pleaded "I just need to lie down.. I cannot sit up.. Please.." ....Anxiety Disorder. Haiz, would be quite a torture if i was like her.. feeling trapped all the time if i was sitting up, thinking something bad will happen if i don't lie down.. Just like having cockroaches all over one's body if one has phobia for them, and cannot do anything about them but to wait for someone to remove them...

Just receive photos from an NS friend. Long time no contact liao.. years already, but he still send me his photos from US. I wonder what makes humans think of another human.. Why is there a need for triggers to think of some people while for others, the thoughts are more intrusive than voluntary. Hmm.. because it is an obsession? Then again what causes the obsession if it really is one?

... The power of the subconscious mind... Are we really in control of ourselves?

And then there was light.. and a baby!

Must have been living too long in nocturnity.. Always have the habit of looking out of my room's window everytime i wake up and take my first sip of water. But only noticed that there was a baby growing just outside my room today...



Must be this rainy weather that made it sprout so quickly.. Wonder how much more it will grow. Quite nice to have a green to look at just out of the window.. Just hope it's not the wierd plant like Falconz had talked about where the plant grows into buildings instead of outwards towards the sun.. (Might end up having nightly leaf facials..)

Psychomed begins tomorrow..

Conflicting

Everybody's talking to us year 5s about MBBS now.. HOs, MOs, reg.. consultants. And there's always conflicting views. HOs will say how horrifying it is, how wierd cases appear etc.. Then consultants will forever be saying things like it will take effort to fail in MBBS..
(Yea right.. great effort to fail, not pass.. Next thing they will tell us is don't need to study for it one..)

Just took the most enjoyable trekking route yesterday..



Lush greeneries and gentle sunlight greeted us in the beginning of the trail.. This led on to a serene walk along, sorry, i mean... in the giant longkang which is surrounded by even more tranquil forests accompanying the soothing sound of slow trickling water.. (longkang water... but it felt refreshing nevertheless.. er.. on the legs, not the face)

Best trek ever! Hai.. but my sandals broke while waddling in the knee-deep waters :(

Tired Week

Orthopaedics posting..

Suffered from amnesia.. lack of sleep... lack of knowledge... lack of energy..

Surprising can survive a 3 hour "guided tour" by Prof Low on friday afternoon.

1 more week of ortho to go.. can finish Apley?

Right or Wrong?

There seem to be so many big trials going on these days.. the huang na case, the hong mei case and this NKF one.. Didn't realise that NKF was having a trial till today when it was published big big in the Straits Times.

Hmm, the CEO drawing 25000 per month with bonuses of 10 months' pay.. and they are always claiming they need money to save patients.. what are the TV stars practising so hard, risking their limbs (and sometimes lives) for? And like what Mr Davinder Singh said... What is the man who draws $1000 a month but donates $50 because he wanted to help the poor patients donating to? So that this T.T. guy can earn 1.8 million in 3 years? when it can actually provide dialysis for a patient for 900 months?

I have to admit i'm a bit 兴灾乐祸.. happy that this man is in a fix now that he is in this trial.. (maybe i didn't like his face.. or maybe i didn't really like the way NKF was doing things sometimes) I get their donation card every year, and sometimes donate to the shows.. though everytime i feel a bit reluctant cos they don't seem to be heading in the right direction of helping patients but going towards making their centers look luxurious.. But everytime i will 心软 when i think of patients who need to think how to save for the next meal (unlike me who think of saving for dive trips or the sorts..)

But i wonder what's next.. will they change CEO? what happens to the money he gets? Is there a law to get the dough from him and channel them back to the patients?

Then again there's the question that all donations are voluntary.. When a donation is made means that the person trusts that the organisation will use the money to help the patients. So does it mean that as long as patients are given help and they can live on then the company can use the money for their own? And what will the ideal salary of the CEO be so that the donors will be happy? $3000 a month? Can it please everybody?

Hmm.. so what's right and what's wrong?

Legend of the Zzz monster

The symbiosis began with the birth of mankind...

With the need to feed on zzz energy, Zzz monsters had to possess abilities to get man into sleep. (Hands to aid the shutting of eyes and ears and glands with neurotransmitters to form dreams) Sleep: A state of trance where man can temporarily forget the real world, a state of euphoria where sweet dreams are made, though with the occasional accidental state of horror where nightmares are formed.

The symbiosis had been successful in the early days. Where man hunted in the day for food and settling down in the nights to allow the Zzz monsters to offer their services and in return obtain the much needed zzz energy. Zzz monsters of the early days were small, weak creatures who faced no resistance when they were doing their tasks of shutting the eyes and ears of the targetted human, since all the humans were co-operative. Life had been simple yet happy.

As time progresses, man developed agriculture and farming, rendering him the ability to find food without hunting. With the basic neccessity of food being met, man began on his quest for knowledge. Lost in the quest, man forgot about the once happy co-operation he had with the Zzz monsters. Time set aside for sleep decreased tremendously and hungry Zzz monsters were abound.

As time dragged on, Zzz monsters became hungrier and hungrier....
As the saying goes "Desperate times call for desperate measures." Gone are the once docile, weak Zzz monsters. In their place, evolved a new breed of giant Zzz monsters with much stronger arms and numerous gigantic glands full of neurotransmitters, all ready to get.. or rather force man into the long lost slumber.

For revenge, they choose to strike when man least want them to.. After lunch meetings/tutorials/lectures.. while studying on public transports or even on the appropriate study tables.

With their strong arms, not even the strongest levatore palprebrae muscle could resist the shutting of the eyelids. Visions get blurred and transfixed though man will still believe his eyes are opened. Ears are also shut, together with the injection of neurotransmitters capable of eliciting illusionary sounds and vision, distorting and making lecturers'/tutors' voices echo deep into the temporal lobes of the brain.. Stronger and stronger the echoes become but blurrer and blurrer the voice turn, till pindrop silence is achieved and zzz energy is emitted.

Modern Zzz monsters also get the kick out of witnessing the trouble their victims get into upon their awakening.. Angry teachers, mocking classmates or the "sense of impending doom" realisation that nothing had been achieved after the hours of "studying"

The solution to this battle is simple, to create the same symbiosis as before. Therefore man should set aside the neccessary amount of sleep to avoid the unwanted attacks. However, this seem hard to achieve nowadays, hence, anti-Zzz monster weapons like coffee, pinches, slaps... emerged, but like antibiotics, these methods have their life-span, becoming useless over time as newer, stronger Zzz monsters emerge out of the selective process.

This will end up in a vicious cycle.. but can the symbiosis be re-borned successfully in today's era?

A message from your kind sponsor:
"Have You Fed Your Zzz Monster Last Night?" The SPCZ.

Lessons

Lesson 1: It is safer to take planes than to stay at hospitals.

Just saw a patient infected with nosocomial pneumonia, again... think it's his second since admission. So he has to stay at this dangerous place longer so that he can recover (and then get infected again?...)

Lesson 2: Make sure you have a granddaughter if you're gonna make all your grandsons scholars.

Poor old patient, 90 plus years, has many children, scholarly grandsons, granddaughters and great grandchildren. Yet she's living alone cos the scholarly grandsons thought she can take care of herself.. even when she's 90. This left a grand SON-IN-LAW who runs the show by visting her, buying her food etc. Unfortunately, things still happened cos there's still long periods of time she's alone. So what happened? she fell and dislocated her shoulder. She's also getting depressed.

Lesson 3: The hospital: Easy to enter, hard to exit (sometimes)

Many examples, old folks require admission, get admitted then get stuck cos relatives either cannot decide where to put them up after discharge or feel that they know better than doctors that the patient is still sick...

What kind of son will i be?

想说

"心里的话想说, 心里的痛你懂"

不说... 是因为不存在, 还是因为要假装它不存在.

但如果已想说, 该是表示它已存在. 那就是想要假装它不存在了.

为何要装?

怕失去什么吗?

..... 或许会..... 而且会是许多.

衡量.... 衡量.... 衡量....

该有此步吗?