atypical chest pain

haven't had a decent buffet in a LONG time. can't even remember when was my last. anhedonia. anyhow...

went for a great buffet at plaza park royal today. it was good. trust me. Haven't had such a big meal in a while. started having epigastric pain after the second round. But i still continued eating, i mean, it's a buffet HELLO! Then started to have chest pain, constant, tight sensation, central no radiation.

Now i remember why i haven't been eating that many buffets recently. it's painful. Pain score of 3/10. Almost.

CK, CKMB, Trop T and ECG x3!
Amylase
LFT
FBC
U/E/Cr

NBM
KIV gastric banding.

You Will Die at Age 70

You're pretty average when it comes to how you live... And how you'll die as well.

What Age Will You Die?

payday

sometimes you're 100%.
sometimes 0%.
No matter what.

Big juicy vein?

Blue plug?

No problem.


Welcome to the real world.

Lalala

No. of days of work: 7
No. of lunch: 3

The Keys to Your Heart

You are attracted to those who are unbridled, untrammeled, and free. In love, you feel the most alive when your lover is creative and never lets you feel bored. You'd like to your lover to think you are loyal and faithful... that you'll never change. You would be forced to break up with someone who was insecure and in constant need of reassurance. Your ideal relationship is lasting. You want a relationship that looks to the future... one you can grow with. Your risk of cheating is zero. You care about society and morality. You would never break a commitment. You think of marriage something you've always wanted... though you haven't really thought about it. In this moment, you think of love as something you thirst for. You'll do anything for love, but you won't fall for it easily.

What Are The Keys To Your Heart?

I cried

I cried! Actually cried!

I'm the type that will not shed a tear when I watch movie. Will laugh when everybody is sniffing away. Won't cry when I read a touching book. But I actually cried!

Can't believe it. Been hearing lots of talk about people crying but I always thought I wouldn't be one of those. Didn't think it was that bad until I felt unappreciated. Then everything just flowed. Had to sit down and cry. Think I scared everybody.

Better not cry again.

what's your worst holiday?

Sundaytimes has a frequent flyer section where they'll feature a person each week to talk about their best and worst experience. The guy they featured yesterday talked about his experience at this very famous brand at Champs-Elysees, Paris. He had the exact same experience as me! The brand is regarded as a status symbol around the world, with branches world-wide including Singapore, but yet, in the city the brand originated from, I got nothing but lousy service that cannot be compared to the man selling baguette by the roadside.

"We were waiting for someone to attend to us for 25 minutes when a guy walked in and got attended to immediately." Yup, HELLO! I'm here. Been here for very long!! But here is this guy with a nice suit and you run to him with your tongue sticking out and he didn't even buy anything! "I went to the supervisor and asked him politely what the deal was, and his excuse was that he didn't see us." Couldn't even find any supervisor that I could complain to. Had to ask the security person there. If I didn't make myself seen or heard, I'll probably be still standing there right this moment and waiting for the people with their nose in the air to accidentally bump into me before they realize that I'm in the shop. The most horrid part was they didn't even prepare the tax rebate form properly after I spent a bomb in that shop. Wasted my time at the airport. I'll never ever buy anything from this terrible brand again.

I really like Paris, everything was great except for this stupid incident. And it's the last thing i did in Paris somemore. And nope, this trip is not my worst holiday. My worst holiday was to a nearby island, nothing on that tiny island except the resort. The pool looked great in the photo but it turned out to be as big as the bathtub in the toilet. Wanted to post some photos but I think I lost the cd containing the photos. It's somewhere but my house is still messy from all the mbbs studying. No time and no mood to pack. The bag that I brought for my clinical exams is still where I left it on my last exam day. Tendon tapper and everthing still inside. What is wrong with me??!!

Going to start work soon. The night duty list came out today. Quite strange to see my name there. Feeling excited, yet nervous and terrified, depressed yet happy at the same time.

Clinical exam number 1

I'm on a super high right now. I feel like jumping on a trampoline. Think I drank too much coffee and I'm kind of addicted to coke now. Anyway more about my first clinical exam.

was super nervous right before my exam. My heart was pounding since I woke up but when I saw the examiner, I suddenly became really calm. Don't know who my examiners were but one of them looked really familiar. He started chatting with me as I walked towards my first case. Kind of reminded me of my driving exam, the examiner was talking to me the entire time until I thought he forgot to test me. Anyway, since I passed my driving test, I should be able to pass this clinical right? He asked me what long case I was getting. Paeds long. so do you like paeds long or short? I'm happy with what I got. So you are one of those who want to do paediatrics? No sir. I'm not intending of doing paeds. Then why do you prefer paeds? I wanted to say because there are fewer types of long cases for paeds and it's easier to spot what will come out and I get a break between my med short and surgery exam. But I didn't because it would sound like I'm a slacker. So I said, I like paeds because I enjoy being around children as they are cute.

yup. Children are really cute but THAT'S NOT WHY YOU WANT TO DO PAEDS LONG!!! I sounded like a BIMBO!!!!!! And this all happened before I even saw my first patient. Anyway my first case was a woman was a massive hepatomegaly and a curious mass in the left iliac fossa. I happily said that I think it's a colorectal cancer and metastases to the liver. After lots of digging, I finally said polycystic kidney disease with polycystic liver. And then the examiner said, can the diagnosis be polycystic liver disease when there is such a huge hepatomegaly? So, the clever little me said, yes because massive cystic hepatomegaly can occur especially in women and it is not common in man. (the patient was a woman btw) And the examiner eyes nearly popped out, are you sure?? Yes, sir, I'm sure. I read it in the book.

Ok then I went onto the next case. And IN THE MIDDLE of my examination of the cranial nerves, the same examiner asked me, where did you read the polycystic liver information from? Baliga, sir. 250 cases in clinical medicine. And he actually copied down the book name!!!! I almost fainted on the spot. Then after my exam, I couldn't find a single person who heard of this fact. But I really read it and I can prove it!!

Page 323 of Baliga.
Unlike renal cyst formation, liver cysts seem to be influenced by female hormones. Whilst men and women have the same frequecy of liver cysts, massive liver cysts are almost exclusively found in women. Mr Baliga, you better be correct because only you seem to know about this fact.

My examiners were really nice. Can't complain much, but they should be looking at me examine the cranial nerves and not thinking about what I said in the previous case!! Second case was ok, screwed up my third case though. it was a massive pleural effusion but I said it was consolidation. Whatever.

my pre-auricular sinus is infected. Because I'm super neurotic and I keep squeezing the sebum with my dirty fingers whenever I study so it got infected. I don't know what are the complications, but judging by it's location, I might get otitis media and become deaf. Or get meningitis/ brain abscess and become stupid (not that I'm smart now), or just get disseminated sepsis and die. Whatever.

my Funky cg12

the theory papers have finally ended. It has been a long 5 years. was just looking through my old photos of med school and feeling a little nostalgic. anything to get away from studying...some of my favourite photos



This was our christmas-theme 2004 Christmas party at wendy's house. It was one of our funnest party! We had loads of fun dressing up and everybody really put in a lot of effort.



then somebody had this great idea of us going around to sing Christmas carols. So we all went downstairs in our outrageous costumes and sang to people on their way home. I think many of them thought we were crazy, but it was extremely fun. This photo, although a little blur, shows pinakin the shepherd trying to conduct the group which included 2 other shepherds, a fairy, a gingerbread man, a reindeer, 2 santarinas and I think the last one is a Christmas tree.



This is a rare photo of my entire cg. There'll always be somebody missing in our photos. We all dressed up red-carpet-ready for my glitz and glamour party at the hard rock cafe for my 23rd birthday. It's nice to see everybody all dressed up. Actually, we all look so good everyday! =)


This is wendy's ethnic birthday party. I was the Cheena-girl and wendy was the ethnic girl. I can't remember what the others wore but I think we were the two best-dressed AGAIN.




Charlie's angels at von's retro birthday party. I was quite embarrassed by my outfit cos it was really quite retro. Bought the dress when i was in secondary school and it was perfect for the party!



Wayne (i think) photoshopped this photo. Hilarious!

This is a special note to pinakin. THANK YOU FOR STARTING MY CAR FOR ME THE OTHER DAY. WITHOUT YOUR HELP, I WOULD HAVE JUST SAT AT THE CARPARK AND CRIED. THANK YOU VERY MUCH! and thanks to nathan and kok pin for offering to push-start my car.

The highlight of my med school was the trip to India. Didn't think it was going to be fun initially, but i really enjoyed myself. This is the whole group at some park.





Goa. Who can forget goa? I always wanted to try parasailing and I finally got the chance. It was superbly fun but it ended way too soon.


There are so many photos that i like, i can't decide which to put up. But this has to be my favourite photo of all. It captured the essence of India to the core! Although I will NEVER EVER travel in the general cabin again, it's quite an experience. But once is definitely enough.

Med school is coming to an end...in 10 days time. I can't believe it. Been striving to get into med school all my life. Ok maybe not my whole life, but since i was in secondary 2 when i chose to do triple science. Seriously. My goal when i was a mere 14 year old was to get into med school. Hopefully i will pass. I'm sure the rest of my cg will pass because they're all so smart and hardworking. They won't just pass, they'll definitely do very well. Wonder what working life will bring for all of us, which posting we'll do, which specialty we end up eventually. But one thing I know, we'll remain in contact always. Hehe. Sounds corny but it's true. Heck! We're almost like family!

my brain is LEAKY!

I've finally concluded. I HAVE A LEAKY BRAIN! it just doesn't allow me to store anymore information. For every word i read, a whole paragraph of words will leak out! I'm having muscle ache from all the heavy books that i bring in and out, up and down from the shelves. I have infiltrated my entire house. There is not a place without a book or a fly-away note.

I'm afraid yet i'm doing everything except study! Got time to book air tickets, surf the net, watch the oscars (Dolly Parton's waist is sooooooooo tiny!! It's about the size of my one thigh!), and even blog! And i think my alarm clock is running out of battery. Hope it'll ring tomorrow. And my tire has a nail in it!! Somebody drove over a nail right before my exam!! If my tire punctures tomorrow, i'm going to murder somebody!


The lucky thing is, my registration number for the exam is 88. It means lucky right? yup, lots of luck to me! and everybody else taking the exam tm!

my johari window

saw this on pinvinbin's blog. Kind of interesting. Help me choose some adjectives that describes me. Just click on the link below!

ling's Johari window

My heart is red

You're a passionate lover - you always have a huge fire in your heart.

Too bad it's hard for you to be passionate about just one person!



Your flirting style: Outgoing and sexy



Your lucky first date: Drinks and dancing



Your dream lover: Is both stable and intense



What you bring to relationships: Honesty

What Color Heart Do You Have?

medicine end of posting test

it was a strange test. Strange but good. i thought i was prepared, i had a fundoscope (even though i don't know how to use it), orange stick, Snellen's chart, even a clipboard for my paper. But guess what! I wasn't so prepared after all. I forgot to bring my stethoscope! I left it in my bag at another ward and just when the doctor was about to introduce me to the patient, my heart almost stopped cos i realised my stethoscope wasn't with me! Super sian. Had to run down to get it and run up again. By that time, i was sweating like hell.

My first case was this gentleman on telemetry (some heart monitoring thing). He kept talking about how his stools has blood and everything and i was trying to time his pulse, look at jvp, palpate, auscultate blah blah blah. After examining, the doctor asked me, " what is your diagnosis?" i was stunned man. I thought she'd say something like present your findings, or tell me the important signs. People always tell you to be prepared for any kind of questions, but when it actually happens, it's not so easy to react. I told her my diagnosis was mitral regurgitation (which was correct cos i went back to check the file) and aortic stenosis (my auditory hallucination). Hehe. I think she got a shock when she heard that one.

My second case was quite hard to find. We had to go to many wards to look for patients because they were either discharged or too tired because many students have examined them. I ended up with a patient with rheumatoid arthritis. I was quite happy because we had a good tutorial on RA just a few days ago. But as i was examining, the room became extrememly hot and stuffy. I knew i looked very funny because i was trying so hard to look and sound intelligent but i was sweating like a horse. Not very glamourous at all.

Then just as i was preparing myself for the long case, she told me ok. that's all for today. What?! I mean, YEAH! i don't have to clerk anybody and sweat somemore. I think i did ok. The cases weren't that hard. However forgetting my stethoscope was a big boo boo. My examiner is a cardiologist some more. I knew i would get a cardio case. Didn't touch any of my other equipment at all.

now i'm waiting for kok pin to finish his test. He got the same examiner as me but i think he has to do long and short cases cos he started with long case. If final mbbs is going to be like this, i think it's not that bad. Cross my fingers, toes, eyes and everything that can be crossed!!

2006

According to my birthday characteristic, i'm a turtle.

If you are a Turtle: You are near to perfect and nice at heart.The examples of your kindness are always circulated in groups of people.You, too, love peace. You wouldn't like to retaliate even to a person who is in the wrong. You are loved due to this. You do not wish to talk behind one's back. People love the way you always treat them. You can give, give and give love, and the best part is that you do not expect it back in return.You are generous enough.Seeing things in a practical light is what remains the best trait of you guys.

You are near perfect and nice at heart. Hehe. I wish!

You love peace. Yes, world peace. Peace between family, friends, intra and inter cg.

You wouldn't like to retaliate even to a person who is in the wrong. Haha. THIS is definately not true. I will always speak my mind even though i always regret it. I'm definately not loved due to this. In fact, i think i've made a couple of enemies because of my frankness.

You do not wish to talk behind one's back. Hmm...this is a tough one. I definately do not wish to talk behind one's back but sometimes i can't help myself. One of my new year's resolution is to stop bitching.

People love the way you always treat them. This one i don't know. Must ask the people around me.

You can give, give and give love, and the best part is that you do not expect it back in return. Hehe, i guess this is true. I have lots of love to give. If you expect returns, then it's not love already.

You are generous enough. I like to think i'm generous.

Seeing things in a practical light is what remains the best trait of you guys. Yup. I'm practical.

it's only the 8th day of the new year but many things have happened. I have a feeling this is going to be a really bad year for me. This is the advice for doggies like me. "Be prepared to face challenges ahead. Keep a low profile, think twice before you act, and avoid loans."

Grumpy New Year

I don't like new years. I usually associate it with bad and unhappy things like school reopening, unfinished homework, blah blah blah. This year is especially bad. I was definately not in a cheery mood during the countdown. There's really nothing to look forward to. More postings. Exams. The big MBBS. Big sigh.

Tried my best to think of exciting things. Gilmore girls is going to resume next sunday. FINALLY. Don't know why channel 5 keeps postponing the episodes, as though it's not important at all. Desperate housewives coming in febuary, so that's another thing to look forward to. I miss the old comfort shows like friends and buffy. I guess everybody has to move on.

I'm also looking forward to earning my own buck. But not at all excited about the lack of sleep that comes with the job.

And i'm excited about the end of med school. Just 3 more weeks of med, 1 more month of surgery and that's it!! I'm tired of going to the wards and looking for cases. I'm just tired of everything.

oh. And just after we ushered in the new year, i was told that this is a bad year for the 'dog' people. Yup, that's me and the rest of the people born in 1982. My aunt said that the newspaper reported that people don't want to hire workers that are born in the year of the dog. Celebration.....