Archive for December, 2007

Video: Diagnosis Wenckebach (with lyrics)

J. first saw this video when on elective in Canada during April 2007. Those crazy students from the University of Alberta!

Wenckebach periodicity (Second degree heart block Mobitz Type I) is characterised by progressively lengthening PR intervals for several heartbeats until a beat is missed (i.e. a P wave has no following QRS complex), then the cycle repeats from the shortest PR interval. It’s almost always benign and does not require treatment. It’s normally noted in the rhythm lead of which the most commonly used is Lead II.

Atropine, given in the dosage of 0.6mg (to a maximum of 2.4mg) every 3-5 min is used to treat symptomatic bradycardia. A one-off dose of 2.4mg atropine is used in asystole.

Diagnosis Wenckebach

Here are the lyrics below.

Diagnosis Wenckebach by Med 2010

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The Role of the Student Rep

The job of student representative at a hospital for any posting is viewed [rightly so] as pure saigang. The selection of one is often arbitrary.

Example 1: For J.’s CGH general surgery rotation, the doctor-in-charge asked, “Who’s from ACS?” and the only unfortunate student from ACS became student rep.
Example 2: For J.’s first clinical posting, they asked “Who are the clinical group reps?”. When J. reluctantly put up his hand, the tutor pointed to him (one of 4) and said, “You’re the overall rep.”

Few are the ones who volunteer, and good on them (the crazy bastards). What exactly does the rep do?

The rep is the one everyone turns to to find out about lecture/large group tutorial timings. He has to ensure that venues are booked and tutorials confirmed (preferably, for his sanity, by making sure that others have done it instead of doing everything himeslf). At the same time, he must put the entire schedule together, minimising the clash of tutorials both with other large group tutorials as well as the individual clinical groups.

It’s not entirely a pleasant job, particular for ones with an eye on finishing Kumar & Clark by the entire of the posting… twice.

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The Worst Movie Ever: Epic Movie

Epic Movie is the sort of show where you go into a cinema at 7.30pm, watch it for 3 hours then look at your watch and it says 7.45pm.

It was one of two DVD movies rented to watch at a recent CG gathering at a friend’s place. By golly, by the end of the show (yes, they showed remarkable patience and optimism in thinking that the laughs would pick up), each of the CG members were left with -30 IQ points on average. Brain cells underwent apoptosis in protest of the sheer stupidity they were exposed to.

The imitation of a plot was pitiful, and sadly, unlike Scary Movie, the gags were largely unfunny. Projectile vomiting? Yawn. Samuel L Jackson repeating himself ad nausem? Irritating.

That’s already 23 times the number of words that should be lavished upon the movie. That’s it. Avoid like the pneumonic plague.

Photo: Class of 2008

This is the most recent class photo of the Class of 2008, YLL SoM.

Apparently, it’s so difficult to get everyone together for a class picture that despite announcing the time of phototaking a couple of weeks before and scheduling it immediately after a combined lecture in school, the turnout was less than 200 for a class of 230.

Class Picture

Thanks go out to the photographer ouyang and the unwitting construction worker who was roped in to hold up a flash.

Construction, construction, everywhere

Note: noise pollution drives J. into a homicidal rage! aiyeee aiyee aye!

At home on a lazy Saturday afternoon, trying to get some studying done, J. has to do it over the sounds of drilling, sanding, buzzing, clumping as some houses in the neighbourhood are being built/renovated. Perhaps they’ll stop on Sunday, the day of rest? No such luck, the wankers.

No matter, for if noise pollution disturbs studying, maybe J.’ll have more luck at his usual haunt outside the old medical library. Oops! There’s construction going on there too! Darn the luck. Speaking of which… why did they close down the library months ago when nothing’s been done? They could have left it open, given that the medics are going through yet another academic year with the building still present.

Alright, alright, J. decided he’ll just stay behind in the comfortable medical student lounge at Changi General Hospital and study. What’s that sound? -clomp- -drrrzzzzzzzt!- Oh, right… they’re building a new garden or whatnot. It’s bound to interrupt during tutorials at the most inopportune times… usually when the tutor’s saying, “This WILL DEFINITELY COME OUT FOR MBBS!”. Too bad.

Screw it, let’s go shopping. Strolling down Orchard Road for the first time in a year to catch a glimpse of the Christmas lights… wait, what’s that? Yes, Robinson’s is no longer there. Instead, there’s construction. As well as near Orchard MRT, and also… blagh.

When will the Circle Line be done? Is there any end to this?

P.S. J. does not have a pair of noise-canceling earphones. It’s Christmas. Hint. Hint.

Request for Medical Textbook Reviews

Recently, J. received an email from the class rep who’d been contacted by the NUS medical society:

the Medsoc has been trying to revamp the Medicus website to make it more informative for all
One of the things they are trying to do is to revamp the book review section and they’re asking if seniors can contribute to that by reviewing recommended texts

J. would like to help, really, he would. And here we are, 84 days from the final MBBS, with all the stressing out, breaking down and crying, etc. that it entails. So there’s the request for book reviews, and here’s the Objective guidelines for the book reviews (there are Subjective guidelines too): Continue reading

CGH General Surgery: Urology Tutorials

Besides gushing over the facilities for use (J. just played badminton the day before, his first since a nasty ankle sprain), J. would also like to effuse enthusiastically about a few outstanding tutors.

As the post title states, these two are tutors from the Department of Urology who have helped the medical students with practical approaches and understanding of urological conditions and investigations beyond that which is found in books. These two tutors have surnames starting with N.

This is not to say that the other tutors’ tutorials or ward round teachings have been anything short of great. It’s just that the urological tutors that J. have encountered have been outstanding.