is turning from blue to brown and damp

Friday, January 20, 2006

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!!

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