Tuesday, April 28, 2009

finally final

the final, ultimate most dreaded day has come and will be over in a few hours.

my exams started at 3pm. and ended at 5pm.

long case i got a medical case. the patient, a 60 year old gentleman had DM, HPT, IHD post CABG and asthma. and it all started with a history of urinary tract stones and acute urinary retention. nganga jap td nak cari chief complaint. mule2 i thot it was surgical until i was halfway thru the history. my examiners were dato'sapari (medical- he was the chief examiner since it's his field), external examiner paeds, prof kyaw (surgery) and dr murad (ong). i present je pape. i dont think i impressed anyone. but i think i was passable because i could answer simple questions. prof kyaw asked me about the stones. dr murad couldnt asked me anything since the patient's reproductive tract was external.

then for the short cases, mr jun asked me to examine an indirect inguinal hernia, the ong external examiner asked me to examine an ovarian mass while the paeds ext examiner asked me to confirm whether the little girl had heart failure or not. baik giler derang.

best thing is, no one has to be re-examined on thursday. alhamdulillah. coolness.

we're one step away.

gembirenye. dapatlah daku kawen dgn bahagianye tanpa memikirkan masalah pelajaran.

i can leave kuantan. ish, terase sedih plak. er, on 2nd thots, more happy then sedih. i wanna move on.

Sunday, April 26, 2009

flight of ideas yang tak berape flight sangat

it's day one post PMP and OSCE exams. macam biasa, some were answerable and some weren't. PMP keluar IM- acute hepatitis with meningitis and SOB, PAEDS- acute rheumatic fever, SURG- diverticular disease, O&G- PPROM with chorioamnitis and down syndrome baby. OSCE paling hebat lah i menghentam idea2 bernas haha. Tru-cut biopsy needle i went and said needle for lumbar puncture haha.

the night before yesterday i didn't really feel nervous but it manifested through initial insomnia and early morning awakening.

everyone was busy sending exam wishes and apologies via SMS. a friend said rase macam raya plak dpt byk sgt SMS hehe. gembira jugak dapat those messages.

one day down. 2 more to go.

monday is MCQ day and my clinicals will be on tuesday. i'm the 5th and last group for the first day, huhu. mesti examiners sume dah penat yg amat. mesti hebat2 my examiners nanti. i must perform hebat jugak.

i got my set of cards already. cant wait to distribute them post-exams hehe. must get people's addresses after this.

Saturday, April 18, 2009

another 5 days

another 5 days for the final showdown.

the 5 years of hard work at medschool comes down to how well we perform during the 2 hours of clinical exams on the 28th to 30th april.

our continuous assessment throughout the clinical years help a lot for the theory exams on 24th and 27th. we just need a few more marks to pass iA.

pray for us!

Tuesday, April 07, 2009

post psychi

i just had my psychiatric long case this morning. i got a clinic case alhamdulillah. many of my friends got ward cases. those would either be schizo or bipolar.

my case was a 26 year old malay lady with major depressive disorder postpartum onset. i presented the case to my fave lecturer, dr nora. i actually forgot to do the MSE but tried to talk my way thru. i think i git the main features.

memang whatever we say or answer will be used against us so make sure you are certain of everything that you mention. if you dont know the subject very well, then make sure that you can talk well. we actually determine what questions the examiner asks us.

yesterday's PMPs were also on depression.

after the exams this morning, i went to the psychi kopitiam where they train the stable patients to work as waiters and count money. it improves their confidence to find work later. when i went there, i wanted to eat nasi lemak but i couldnt even finish my meal and ate slowly, looking around at my surrounding, my mind not really thinking of anything in particular. the staff there saw my behaviour and diagnosed me as being anxious and depressed, haha. they told me not to worry.

i have one day to recuperate then its serous study ahead until 24th of april!

hmm habes dah psychi or sakai. everything's sentimental now. can't wait to finish my PRO exams.

Friday, April 03, 2009

baby hanan



salam people, meet the cute baby "hanan binti ahmad nizam".

yep, safura and nizam's 3-day old neonate.

picture taken while azza and i curi2 masuk into the special care neonate (SCN) which is actually offlimits to med students hehe. we were not caught alhamdulillah.

mommy and baby are at home now alhamdulillah. baby hanan had to undergo phototherapy as she had physiological jaundice at day 2 of life.

p.s. i'm at the library. just studied two psychi topics. didn't plan on studying at the library but was forced to because the hostel lights are currently out due to some repairs done by TNB.

Thursday, April 02, 2009

psych exams

next monday and tuesday will be my last end posting exams.

i hope i can do well in psychiatry inshaAllah.

please pray for me and my batch.

jazakumullahukhairan kathira.

ventilating

you don't have to read this entry.

i just want to ventilate so that i can regain my concentration and restore my peace of mind.

just now, we had a class on medical law by Dr Akram, IIUM's legal advisor. it was a very interesting lecture on the importance of doctors knowing the legal aspect of their practice so that they can treat patients effectively (and cover their backs too while their at it). the psychiatric nurse-cum-lawyer was very energetic and explained eloquently on the matter that everyone was wide awake through most of the lecture.

what i am furious about is what happened in between the lecture, during the 10 minute break.

the batch leader, who most kindly checked all of our forms which were to be submitted to the MMC and MMH, had found several forms which were incomplete. so he went in front an exclaimed his frustration with my batchmates who had been inconsiderate by submitting the deficient forms so he had to return them.

in order to return the lacking forms, he he went on to mention the names of the my friends who had been so thoughtless as to have done that. everyone had their fingers crossed and worried whether his or her name would be called and whether they were among the thoughtless people who had not completed the tedious form requirements.

when the first name was called, i saw from her body language (the way she walked to the front and resposnded) that she was defensive. who wouldn't be? the first thought that came to my mind was, what did she do wrong? i felt empathic and knew that if that had happened to me, i would feel the same way too. but at the same time, i also thought, may be he was so tired and stressed out with everyone's incompetence that he saw no other way to return the forms to the owners which would be less degrading or humiliating.

the next person called was one of my best friends. again, i was empathic but it was still not the same. after several other names, my name was called. huh? what did i do wrong? what was not complete? i asked my friend to check. i had submitted the form 2 days ago. the batch leader who is also in my posting could have returned it to me personally. i met him this morning. i started to fume with anger. the forms were left on the table in front and i couldnt get it until the end of the lecture.

the next 15 minutes of lecture, i couldnt concetrate because i was going through the possibilities of what i did wrong and all the less humiliating methods that he could have used to return the forms. surprisingly, all the names were girls. i guess the guys' forms which were not completed could be returned directly to them sparing their names from being called.

i know, you think i'm over reacting to this extremely small matter. so what if my name was called? so what if i had not completed the forms? why make such a big deal.

everyone wants to look good in front of others. mistakes or errors should not be publicly announced. it is okay to say something in general but when specific names are mentioned, then it makes someone look bad in front of others. although it was unintentional, it was demeaning nonetheless.

there are many hadiths stating how the prophet would go to great lengths to save the face and honour of his sahabah. when one sahabah farted, he got up to renew his wudhu' too.

i tried to concentrate on the lecture but i had to use so much extra energy to distract my thoughts from my anger that i became tired after a while. i nearly felt like crying. it doesn't help when you have a haze in your left eye, which is a temporary complication of the PRK causing light to be scattered. i had a left-sided headache from too much concentration.

i tried to convince myself that it was nothing. when the lecture ended and i looked through my form, several people asked me with concern, what was not complete? i made the mistake of actually giving one copy of the photostated forms instead of two.

it's just not the same thing when you're the name that is called.

ironically, the previous lecture did include defamation and how everyone has the right to a good name and honour. any act or word that may destroy or reduce this good name in any form, resulting in sane, responsible people or the society thinking bad of that person, can be sued under defamation. (i'm not a lawyer, forgive my deficiency in knowledge of legal terms).

moral of the story, be sensitive. if you protect people's honour as best as you can, inshaAllah, Allah will protect yours too.