Archive for February, 2007

Clinical Pathology in Pre-Clinical Years

Slightly over two years ago, we were learning systemic pathology in year 2. That’s the second of two pre-clinical years, a year before we had our various hospital postings.

At the time, studying for pathology was a drag. Most of the time, it consisted of us committing facts to memory and regurgitating them for examinations.

Now, in the midst of preparations for the year 4 final examinations on Pathology, I’ve come to see it in the light of two years of clinical experience.

For instance, the first pot (a preserved specimen in a glass box) had a uterus with a diffuse, tan mass with dark haemorrhagic areas that was invading the myometrium. The stem read: “65-year-old. Hysterectomy.” Whereas previously my mind would start thinking of various possible conditions – leiomyomas (fibroids), adenomyosis, endometriosis – without understanding the clinical background.

Now, when I heard two friends suggest leiomyoma and adenomyosis respectively, my instinctive response was:

“Eh. 65-year-old woman, so old already, post-menopausal. Simi fibroids? Simi adenomyosis?”
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O&G: Final Thoughts

The OSCEs, a series of 10-minute stations simulating clinical situations, are counted as part of the clinical examination for the final M.B.B.S.

The topics tested (excluding the written papers) were:

1. stress urinary incontinence (SUI)
2. germ-line ovarian tumour
3. preterm premature rupture of membranes (PPROM)
4. intra-uterine growth retardation (IUGR) with fetal distress
5. anaemia in pregnancy
6. cervical smear (Pap smear)
7. Infertility (Polycystic Ovarian Syndrome)
8. Menopause and Hormone Replacement Therapy (HRT)
9. Incomplete abortion (miscarriage)
10. Vaginal Birth After Caesarean (VBAC)

And with the final bell at the last station, the O&G posting is over.

J. hopes. (no reposting, no reposting, no resposting… please!)
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Webcomic: Looking for Group

Despite having insufficient time to cram all the O&G information in a manner sufficiently organised enough to facilitate regurgitation, J. still found the time to take a quick look at this webcomic that was recommended by an ex-classmate. It’s called:

Looking for Group – http://www.lfgcomic.com

People who read fantasy stories or enjoy Dungeons & Dragons (including games based on these) will probably enjoy the comic more. This is due to their… what J. terms, “knowing what the -beep beep- is going on.”

It’s about a group of adventuring misfits:
1. Idealistic, honorable elven ranger (hmmm, probably Lawful Good)
2. Twisted warlock with the attention span of a rabbit (definitely Chaotic Evil)
3. Green-skinned (orcish?) cleric (perhaps Neutral Evil)
4. Minotaur barbarian wielding a huge hamer (Neutral Evil?)

Very well drawn. Great one-liners.

O&G: Night Before The End-of-Posting Tests

What’s up ahead:

Wednesday – O&G OSSE (Objective Structured Slide Examination)
Thursday – Neonatology Theory Test (MCQs) and Clinical Assessment
Friday – O&G Written Paper (MCQs and Essays)
Saturday – O&G OSCEs(Oral Structured Clinical Examination)

J. is going about his usual routine, the same routine he does before every performance, every competition, every race, every examination paper.
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Chinese New Year 2007

新年快乐,万事如意, 年年有余,心想事成。

Chinese New Year is the most important annual holiday in the minds of most Chinese, and J. is no exception. (Happy Chinese New Year!)

(Thanksgiving? Blah. Christmas? So-so. Labour Day? Whaa…?)

The most important tradition is the reunion dinner. The way J.’s family does it, the nuclear family has its dinner on Chinese New Year’s Eve, while the extended family dinner is held in 3rd Uncle’s house in Melaka, Malaysia.

The steamboat is the method of choice, because it allows the churning out of copious amounts of tasty, filling, hot food that is pre-prepared. Extra food is simply placed in Tupperware and returned to the fridge for later consumption.

It’s a big event, because the J. family (based in Malaysia) might be considered fairly global, with folks in the United States, Germany and Singapore, of course.

This year, J. is staying in Singapore.

Curse you, O&G examination!

Vista, Mac or Linux?

My computer is dead. Rest in peace, loyal computer. You will be missed.

So now I’ve started looking forward to the upgrade of his computer. It is more likely, however, that a complete overhaul of the 2 year plus system will be performed.

And if he’s going to overhaul the system, why not try something different? Why not try… a Mac?

You know what they say… Once you go Mac, you can’t go back.
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Salsa – It’s A Small World [Country] After All

In 1969, Stanley Milgram (the man who performed the Milgram experiment) performed the small world experiment and suggested that on average, people in the United States were connected to each other by an average of 6 intermediaries.

Singapore is a little bit smaller than the United States (4.5 million as compared to 300 million).

It’s a small world! It should come as no surprise, the people he’s met in the salsa scene.
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