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Wednesday, September 22, 2004

I'm dying. AV block, frothy urine (proteinuria?!?) and stress diarrhoea with occasional malaena. What's next? Oh, and that's only the physical medical problems. There's also delirium, dementia, severe retrograde amnesia (only for books and tutorial contents) and psychosis. And there's also the problem of being a social recluse, a hermit, a crazed student with severe PMS and sometimes haemetemesis. Yes, I vomit blood. Especially after tutorials.

Enough of feeling sorry already. Let's see what can be done today. Dr. Hsu still hasn't contacted me regarding tutorial today; should I sms him? On the other hand, I really could do with a little extra time to clerk a prospective unstable angina + congestive cardiac failure patient for my next writeup. It shall not be as disastrous as this one. I looked at it, and it just screams "Stupid!!!". Just look at the history of presenting complaint ... "patient lies in bed and suddenly could not move his limbs". There's nothing more to it than this, but it just doesn't look substantial and meaty enough! And there's the problem of the discussion. Oh well. It's not a problem. I'm pretty sure if I sit down and FORCE myself to do it, it'll flow. Gah .. there's haematology afternoon teaching till 5pm today. Still pretty upset about the writeup and home visit. And R's not responding to calls and sms at all.

It's time to read some Sir William Osler to get inspiration. I especially love the use of the word "relish" in this phrase, it's such a powerful word: "Get early this relish, this clear, keen joyance in work, with which languor disappears and all shadows of annoyance flee away."

"To study the phenomena of disease without books is to sail an uncharted sea, and to study books without seeing patients is to not go to sea at all."

*As corrected by Derrick, that Prof. Low didn't make up the 2nd part after all!* =D

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