29

"Awk dpt 29 for obg"

Mesej yg diterima membuatkan aku terkedu. Terkedu dgn jumlah markah terlalu sedikit. Jika nak dibandingkan dgn markah semasa posting di Udupi, bagai langit dgn bumi. Mungkin bg sesetengah menganggap ini hanya end posting examination semata-mata tapi aku rasa ia lebih dr tu. It's just not a mere exam. It's more than that. Tambahan lagi mendapat markah yg sedikit untuk subjek posting yang menjadi favourite. Aku akui soalan yg dikemukakan merupakan soalan common sense. Ditambah pula dgn demam dan sakit perut, aku berasa kurang konsentrasi dlm menjawab soalan. The thing is, I don't want to use my sickness for that period as an excuse not performing well. Even it is just a minor test. Hilang semangat sebentar. Aku rasa bersalah terhadap lecturers yg telah mengajar dgn bersungguh-sungguh. Rasa tak berbaloi markah yg aku dapat dgn apa yg telah aku pelajari dlm kelas. Tapi mungkin itu lah hikmahnya. Supaya aku sedar. Dan mungkin meningkatkan usaha. Di samping berdoa agar Dia mengurniakan kesihatan yg baik semasa exam. Apa gunanya belajar kuat-kuat kalau Dia tak izinkan kita sihat pada hari peperiksaan. Markah yg diperoleh mungkin sikit tapi aku yakin ada banyak hikmah yang bakal aku ketahui pada masa akan datang.

Medicine Posting

I do think Medicine is one of the best posting here. We were posted in Dr T.M.A. Pai Hospital, Udupi which is about 15-min journey (with bus) from Manipal. Some of my batchmate (I think all of them) thought it was the most tiring posting since we've been there from 9.30 am to 12.30 pm (morning posting) at from 2.30 pm to 4.30 pm (afternoon posting). Basically we need to clerk a case from 9.30 am to 11.00 am before presenting it to respective consultant later. Another one would be in the afternoon where clerking of case for half an hour. Two cases would be present by two pairs. Why I'm saying it's the best posting because we used most of the time learning to take a history from patients (communicating in local language is the lare barrier but somehow we managed to do it with broken English+broken Kannada+signal language) and perform some clinical examination. I feel most of my time is occupied with lots of thing. Other might think this posting is not as relaxing as Community Medicine or Surgery, where we could finish the class early and not much of workload. As for me, I think vice versa coz' if you want a relaxing and less tense posting, it's better for you taking other course other than medicine. You need to give your life to medicine (just express my own feeling). Anyway, Medicine (apart of O&G, my other favourite posting) is the time where we're in contact with patient. I've really learnt a lot from the patients admitted to the General Ward of Dr T.M.A. Pai Hospital. It's the time where I practised my percussion on the chest area, auscultation to listen to the heart sounds etc etc. I never forgot this one patient for entire life. Mrs Laxmi, who suffered from heart disease (in which I felt pity for her but at the same time excited with the findings that she had, namely pansystolic murmur, tapping apex, parasternal heave, features of central cyanosis and still long list to go). Tuberculosis is very rampant in India so we could see some of the beds with patients of having TB. Most of the patients were cooperative eventhough all 23 of us crowding one bed just to listen to crepitations and rhonchi. They've leading our very first step of attaining the competency as a doctor. Like the first teacher who taught us ABC, I am very thankful to all the patients there for being my guidance. They do, have taught me many things. I wish I can make my time to the most for Medicine posting once I've come back to Malacca for Phase II of MBBS later.

Thank you Dr Manjunath, Dr Lorraine, Dr Ram Bhat, Dr Seema and Dr Abdul Razak for your committment and patience towards us.

p/s: I still want to specialize in O&G

Surgery Posting

The Duration
3 weeks (5 November 2008 until 25 November 2008)

The Lecturers
Dr Vinayak Shenoy Kallya
Dr L. Lobo
Dr Suresh R.
Dr Saurabh Agrawal

The Topics (Clinical)
Examination of a lump or swelling
Examination of an ulcer
Examination of peripheral vascular diseases and gangrene
Examination of varicose veins
Examination of the thyroid gland
Examination of the breast
Examination of an acute abdomen
Examination of chronic abdominal conditions
Examination of a case of hernia
Examination of a swelling in the inguinoscrotal region or groin

The Books
Clinical
- A manual on Clinical Surgery (7th edition) by S. Das
Theory
- Short Textbook of Surgery (25th edition) by Bailey and Love
- Manipal Manual on Surgery (2nd edition) by K. Rajgopal Shenoy
(p/s: There are other reference books. Anatomy books also included)

The surgeries that I've observed in operation theatre
- A case of lipoma : conducted by Dr Anup
- A case of fistula in ano : conducted by Dr Shenoy
- A case of umbilical hernia : conducted by Dr Saurabh, Dr Anup and Dr Suresh

The End Posting Examination
Consist of only VIVA
Attendance no. 1-10 : Dr Lobo
Attendance no. 11-20 : Dr Suresh (I was assigned to Dr. Suresh)
Attendance no. 21-23 : Dr. Shenoy
(p/s: Dr Suresh allowed me to choose any topic that I wanted, so I chose 'Breast'. The only person in my group that chose the topic)

Flying Boat

What an interesting scenario in the operation theatre (OT) just now! It seems Dr Suresh was pretty bored with the operation so he made us a FLYING BOAT! At first, I thought he just pulling our leg but when he started folding a piece of paper (it was originally a pair of gloves paper bag), I knew that he's serious to make one. He even asked us not to tell his superior what he has done during that time (but anyway, there were other surgeons inside the OT). Somehow it diverted our attention on focusing to the operation. We wanted to observe the operation till the end but he kept showed us how to make it. We told that we never made one before and he was so surprise. Pretty childish. But anyway we kept him company till he finished folding the 'flying boat'. One of my colleague clapped as a support, therefore he offered to give the paper boat to her. Wow, it is indeed an 'amazing' experience.

' To Kill a Mosqito using an Atomic Bomb '

To kill a mosquito using an atomic bomb. Sounds exaggerated but in some ways the metaphor used by Dr Haridas has its own meaning. Well actually, he said it after discussing a case of a patient having relapsing of bipolar affective disorder throughout two years despite has been prescribed with some meds (don't remember whether it lithium, risperidone or sodium valproate). He questioning the reason of tapering the dose of the drugs after the patient become stable for some time and then a few months later, she showed the symptoms again. Basically what he trying to say is, doctors nowadays need to play safe. Giving the strongest and best medicine possible so that the symptoms will never appear and patients satisfied with their health . Even if the meds bring about actions which are not needed. Yeah, maybe for some doctors, there is no such doctor-patient relationship but more towards businessman-client relationship. The client is the patient. The businessman is the doctor. The patient come to the doctor for treatment of illnesses. The doctor treat the patient. The patient pay the doctor for his/her consultation. The view is like that. We are not realizing it but it happens that way. The metaphor of mosquito referring to a disease. Killing the mosquito using an atomic bomb where the bomb actually refers to the best meds/procedures/methods to cure a disease. Don't give the chance for a disease to complicate or else it will trouble the patients in future. The safest step; prescribed the most powerful drug. The disease will definitely disappear. It sounds simple but it not always work like that. There are so many factors that need to be consider. Meds not always the answer of all diseases. I'm just entering the clinics phase and I don't know much about medicine yet. It's difficult for me to analyse what he had said. Maybe he tried to joke. Or maybe he just gave us the reality of world of medicine. My journey is way too long. I kept thinking what he really meant by saying that phrase. Only time can make me understand. Some day.

VIVA

It all happened within a blink of eyes.

This is my story about VIVA. I was one of the students who got 23 marks for cumulative marks of internal examination. My name appears in the list of students who need to attend the distinction VIVA today. I still could not believe when I checked the list name yesterday, I was one of those students. The great thing about your name appearing in the list is you knew that you're already pass for the examination and your mark probably more than 75%. The difficult part is you'll need to go through the VIVA before it confirmed that you deserved to get distinction or not. This is the tough part. To my surprise, lots of other people whom I thinked should be in the list, didn't appear. Guess, I was the lucky one.

So, because of the VIVA I came to library to study and did some discussion. The first time ever in second year I came to library to study. I could see surprised face looking at me. Never mind about that. I didn't put any hope to get VIVA for distinction. But since my name has appeared, I decided to give a try. This is my first experience ever to attend VIVA. I need to go through back all the notes once again. It is impossible to do it in one night but you'll need to put some effort if you want it, right? Although I didn't have any intuition what would happen the following the next day, I prayed to Him for my best. Whether I will get distinction or not, it depends with His will.

My challenge begins when the external examiner started to ask me question about autopsy. I misunderstood the question the question at the beginning but thanks to Dr Vrinda who guide to give the answer that he wanted to hear eventhough it was incomplete and I answered it without full confidence. He asking the next question which I couldn't remember and I told him I couldn't answer the question because I didn't know what it is. A minus for me. The next examiner asked me about the causes of death due to cut throat injury which I thinked I managed to answer it but once again without any confidence. I stumbled for few seconds to give the list for the causes. Hmm..it seems I didn't answer well enough. Dr Arun, my lecturer threw questions which I could answer. My saver for the VIVA. Well, I have done the best. I didn't deserve to get distinction, I guess. There is still a lot of things that I need to sharpen before I want to get good marks. But anyway, it was a new experience to me. It is never hurt if you want to try.

Thanks to all friends who wished me luck and even called me how I am doing. It gave me strength to do it. Ok, let go this for a moment and concentrate to more important mission tomorrow. My practical exam will be on Friday, Saturday and Sunday. The last portion of examination before I go back.

Good luck Damia!

Farewell 2nd Year

Just few weeks more and I will end my sweet-yet-hectic second year. Well, compared to other colleges, this is quite late since most of my friends who studying at other places have finishing theirs and having a nice, warmed holiday. Such a waste. By the time I've finishing mine, everyone has started third year. 25 days more. I just can't wait to be in home. Yet, 5 more days left to the ultimate finale of second year student, the greatest university examination. I just can't believe time can fly that fast. It just the same speed but because I've gone through those classes, practicals, internal exams, etc. I did not notice that it's almost at the end of the year. Good luck for me. Just a little bit patience and Insha-Allah everything will go fine

Everything is Possible

Just now I went to ICHS building to check my Block 4 exam result. It's a bit late since the result has come out few days back but no one told me about it. I only come to know after my classmate send me an SMS telling me to check the internal marks. I wonder why no one told me. Has everyone become too busy for exam preparation? Never mind. At least there is still someone who remember me. Ok, that's not the point that I would like to tell. The thing is my result which surprised me. For the first time, I got distinction marks for three out four subjects. And one of them is Pharmacology. Of course, getting 75% makes me happy. Despite having acute abdominal pain during the exam and need to leave the examination hall early because I couldn't bear with the pain, I managed to do well. I recalled on that day after finishing the second paper, I rushed to home so that I could lying down on bed. It's just unbearable. The pain distracts me a lot especially during second paper. That time, I prayed so that at least I can passed the paper. I don't care whether I'll get high mark or not. I don't even put any hope. But Alhamdulillah, with His will, He gives me such result. Allah is Merciful. He knows me. He granted me with this gift when I feel hopeless. If come to think again, it is quite impossible. But nothing is impossible when He says yes. He has answered my prayer. But somehow I feel scared. I still having university exam in another two weeks. I don't know what is my fate. I just hope it goes smoothly. May He destined me to pass in this final exam. Insha-Allah, with my effort and His blessing. I put myself as His servant. I let Him destine my fate.

Post Practical Exam

Alhamdulillah, first and foremost I would dedicate my gratitude to Him for ease the examination for me. Although I think I did not do it well, I hope I have done the best that I could. Hmmm.. still lots of thing I need to learn. All my clinical performances I did with clumsiness. It's whether I forget to sterilize the area or I forget to wash my hands and wear gloves. Oh, not to forget I connect the catheter wrongly to the urine bag till the lecturer said 'What are you doing?' loudly to me. Everyone looked at me and asking me what happened during that time. And my suturing performance is really bad. I don't have enough time to finish it. Hmmm...I'm not worried about my marks but I really worried if I cannot do it correctly in real situation. I felt really nervous when performed it. I need to practise more if I want to master the skill. And I also need to stay calm and focus. I'm confident that I can do it better in future. It's just the beginning. Nobody is perfect. And learnt from your mistakes is the best way to improve yourself. You never know in future. You maybe clumsy, easily distracted and shaky when you do it for the first time but as time passed by you managed to overcome it. Being a doctor is not you get good marks in theory examination only but also your other skills. I'm not hoping I get good marks but I hope that I can learn more than that. I knew my weakness and I'll try to fix it so that it would not happen twice.

Post Exam

Finishing the theory part for Block 3 examination.
Waiting the practical part taking place.
And I haven't finish my journals yet.
Bad habit!
Wait till eleventh hour to do all that, and all that I get is tiredness.
Pray for me.
Just can't wait to end this.
Must start cooking again!
(Exam period is the season where I abandoned the kitchen, don't care about anything except books.)

MSP accomplished!!

The end of the MSP!!!

What a huge relief!

I'm counting for the presentation day to come and after several hurdles which coming in our way, 6th May has been choosen for the Poster Presentation Day of Mentored Student Project.

proudly me

The event started at 8 a.m. and rolled up its curtain at 5 p.m.

Location: Counselling Hall of manipal.edu building

manipal.edu Building

My group consists of three people that include me, Debbie and Hamizah.

same theme with poster

Our topic for this project is about yoga. Why we choose yoga? To be frank, first and foremost we do not agree with the topic proposed by our mentor. Since it is our project, we do think that we have the right to select it our own. Secondly, we want to play safe. Yoga provides more accesible information compared other topics (I guess so). Thirdly, we hardly have free time to do intensive study on difficult topics (hmm..yoga still a difficult task to carry out) since our course is really packed. So, we choose our study on yoga.

Our topic: A Study on the Background of Yoga and the Level of Awareness Among Medical Student

Sigh...what a long header!

Everything went well and lecturers seem like the overall event.

Comment from lecturers:

Good job!

Nice work!

Well done!

What a professional presentation!

I do think those comments are too bland (I really wanted real critics). But anyway, I'm really grateful that our work appreciated by lecturers. It may be just a simple research but from this we learnt a lot about how to do research.

It seems everyone work hard for the project.

Some posters which attract me : Evans syndrome, Medical Negligence, Echocardiography, CathLab (don't have their pictures, unfortunately)

Oh...the most favourite topic chosen by Batch 19 students is breast cancer. 4 groups chose it as their study field (I wonder why??). Luckily, every group discuss in different aspects.

Besides lecturers, our fellow senior and juniors also dropped by.

It's tiring but it was a really great experience. Looking forward to do my own research in future!

p/s: I think I should give some view about my study on yoga. Maybe next time.

This Week...

Schedule for this week:

Tuesday - Mentored Student Project Poster Presentation

Wednesday - Extra class from 8 am to 9 am for Microbiology

Thursday - Problem Based Learning for Pathology

Friday - Self Directed Learning for Pharmacology

Saturday - First gathering of all usrah's group here

Sunday - Iqra' (learn on how to recite Al-Quran accordingly)

**a hectic life for a week**

During Pathology Class

Dean said:

You can have big heart poetically but you should not have big heart anatomically

Big heart (poetically) = kind, generous, etc...

Big heart (anatomically) = left ventricular hypertrophy (it's not a good sign to your health)

A Year Left

Time flies so fast...only a year left before leaving Manipal. And this, the dates on the arranged schedule which has been announced by Dean yesterday.

Vacation from 25 August 2008 to 5 October 2008
Comments:
- Longest holiday ever (1 month and a half)
- Can celebrate Eid-ul Fitr in Malaysia with family ^_^
- Last holiday...after that, leaving Manipal already

Semester 5 begins on 6 October 2008
Comments:
- Come back from holiday as the senior most batch
- 6 months left before continuing in MMMC Melaka Campus
- It's clinical posting semester
- Time for 'take revenge' (those trophies are ours,the GREAT batch 19!!!)

Semester 5 ends on 28 February 2009
Comments:
- Finishing the clinical posting exam
- Busy to pack stuffs
- Say farewell to lecturers
- Buys lots of sarees!!!!

Vacation from 1 March 2009 to 22 March 2009
Comments:
- Probably travelling other parts of India for the last time (hope so)
- Back to homeland
- Spend time with family
- Preparing for the new semester
- Put braces (?????)
- Do something (hehe..himitsu)

Semester 6 starts on 23 March 2009
Comments:
- Become the most junior again
- Missing Manipal !!!

Being A Leader

A lame topic to discuss is it? Yeah, it is quite boring to discuss but I'm not referring to a leader in general but more specifically with what I've gone through for a week...becoming a leader for PBL presentation. It is never an easy job. Although it looks simple, it is still for me, a difficult task to carry out. You need to conduct the brainstorming, leading the others in gathering the issues and put forward some hypotheses, divide the topics among your friends so that everyone has their own part to talk about and lead in discussion as well as presentation plus summarised everything. I hate summary because I know at that time people become less attentive. As long as they have presented it, they don't bother much about other thing. Sometimes, it happened to me too, when someone becoming a leader and I become the presenter. Well, you know it well when you becoming a leader. For this PBL, we faced the most difficult one. Yet, I really satisfied with effort showed by my colleague eventhough only little information given by text book and we need to spend some time looking for extra information either from the internet or from other books.

A few days before, a few of them asked me whether I would divide the topic and when am I going to do it. For couple of days, different person came to me and kept asking the same questions. Till one day I reached my limit and burst it to one of the discussion group members eventhough he haven't start the conversation yet. Actually, I never liked the idea dividing the topics and assigned everyone the topics before the presentation day. I know some would only prepare for their part and ignore the other parts. It's not the way of learning. This is supposed to be a practice to guide us to diagnose the clinical condition. It's not about theory only. It is the skill for us to master. This is the time when you think and feel like a real doctor. But anyway, I still divide those topics just for the sake of them. Depends too much on divided topics is not healthy.

Becoming a leader does not mean you have the power to do anything. Even for the small discussion like this, I would refer to them whether they feel comfortable with the topics I have been put in the list. This is a real job as the leader. I love to be a leader for this PBL discussion. I have learnt a lot. I also astonished with myself for the ability to summarise in very few minutes. How fast can it be? In a way, I can sharpened my vocabulary and presentation. Thanks to my colleagues who chose me to become a leader. Sorry for being a bit strict but I believe I do it in a correct way.

Holiday Anyone???

Good news for everyone!!!!!

Dean was extremely proud with the marching performed by some of the classmates. He expressed his delightfulness towards the marchers for marching neatly and wearing colourful outfits (actually everyone was wearing baju melayu including the girls). It must be really different and perhaps, the sense of Malaysian culture can be felt at that moment. I did not manage to watch it but I know it has attracted others eventhough they did not win 'The Best March'. But, Dean said if 'The Most Colourful Outfit' category ever exist, that reward would go to them. Hahaha..thanks Dean for such a wonderful compliment. He said that the march was much better than previous batch. As a reward, he granted us with one day off in which we can choose the date whenever we want. He added with announcing the prize giving ceremony which will be held this Saturday and inviting each one of us. "After the ceremony, you will have tea, snacks and ice-cream. This time, I ask them (Valley View Hotel) to prepare a lot of ice-cream. Wow..it was so kind of you Dean. We should express a million of gratitude to you. Previously (about a week ago), he announced that the college allowed us to extend our holiday after the second year University Exam so that we are able to celebrate Hari Raya Aidilfitri in Malaysia. I overjoyed. Before the announcement I really hope that we can extend the holiday. It's like he is reading my mind. I have the chance to celebrate the Eid with my family. Thank you so much Dean. We love you!!!

a short dialogue during Forensic Medicine class

A dialogue between me and a non-Muslim friend during Forensic Medicine class
(p/s: slight changes of words)


Me : Yikes...it gross. It's just too cruel for human being

Friend : I wonder whether they (referring to classmates) would have lunch today

Me: Luckily I am fasting today. How can you still have appetite after seeing those kinds of injury

Friend : ?? Why you fasting today?

Me : Err...because today is Monday


(silence filled the air)

How am I supposed to proceed about that?Hmmm...

Berekspresi Tentang Diri

Berekspresi tentang diri sendiri saat ini sambil mendengar kompilasi Now 1 daripada iluvislam.com

Tripathi perlu dibaca...saat masih terkeliru dengan antipsychotics, antianxiety, antimanic masih lagi terkedek-kedek menulis blog

Entahlah..menulis blog adalah salah satu cara meluahkan perasaan, biar tiada yang membaca. Pada yang membaca, alhamdulillah ada jua yang sudi singgah di blog ini

Hari ini seolah-olah tiada semangat..mengetuai perbincangan untuk PBL pun sekadar ala kadar je...kekurangan sesuatu kah?

Baki nota SDL masih perlu disiapkan selain IL. Banyak perkara perlu diselesaikan minggu ini namun masih mempunyai masa untuk tercangak di depan komputer riba.


Siapkan nota, baca Tripathi, baca Katzung, study.......

It's All About Teeth

An interesting topic I have covered today in Forensic Medicine today.It's under the topic of estimation of age with subtopic of dentition.It's like I've studied to become a dentist that moment (no,I'm not planning to become a dentist).Anyway,I feel the topic is really interesting.With the mnemonics given to remember the order of eruption of the permanent tooth:

First molar(Mother)
Central incisor(Is)
Lateral incisor(In)
First premolar or bicuspid(Bed)
Second premolar or bicuspid(Baby)
Canine(Cries)
Second molar(Milk)
Third molar(Milk)

A very enjoyable class!!!

The lecturer also mentioned about the 'wisdom' tooth or the third molar tooth which is the final tooth arise.He hoped that he would have plenty of time to check each one of us whether our very last tooth has appeared or not.Do I have the 'wisdom' tooth already?Hmm..let me check first. Ok,it seems most of the quadrant except the left upper quadrant has the third molar already (not wise enough).Well,it seems my dentition has not complete yet.Need to wait another three years to become fully 'WISE'!

Charting of dentition
-The standard guideline given by Federation Dentaire Internationale(FDI)
-Accepted across the globe
-Easier to represent the tooth in dentition

Let's do some analysis:

Charting of dentition vs numbers which related to myself(which end with number2):

22(my age in 2008) - permanent lateral incisor at left upper quadrant
32(tevez's number:my favourite Man Utd player) - permanent lateral incisor at left lower quadrant
52(tevez's birth date,so NOT related to me!) - permanent lateral incisor at right upper quadrant
62(my roll number) - temporary lateral incisor at left upper quadrant
72(my birth date) - temporary lateral incisor at left lower quadrant

(could not find for 42 and 82)

So much you can tell about teeth ^_^

POST-EXAM SYNDROME

What a relief when the last paper of Microbiology has finished.I've waited impatiently to end the very first war of First Block Exam in second year.Very tiring week.As usual,I studied at eleventh hour again.Hmmm..it's very difficult to change this attitude.I knew it's not a good habit yet I've still do it.Lack of force to study at the beginning?Maybe.Sometimes I don't understand with myself.I want good result (read:result with flying colours means get all distinctions in all subjects) but I do not consistently study from the start of the block.Waiting till a week more left to start everything and at the end I felt lethargy and restless.Bad habit.Come on Damia,you need to 'istiqamah'.It's a need for a Muslim to do that.Wake up,wake up.



Anyway,it has finished already.I felt confident with my Pharmacology paper eventhough the questions are a lot.Pathology?Some of the questions I have misunderstood them.Don't know wheteher I answered accordingly or not.My beloved subject,Microbiology,a really tough paper. I'm not the only one who think like that.Even the toppers in my class feel the same.I guess it's not bad at all.How about Forensic Medicine?Well,I guess it's ok.Direct questions asked on the paper but to remember all the definitions correctly without missed even one word make it a bit tough.



What to do know?Movies or anime?Hmm..how about surfing the internet.

iluvislam.com is an interesting choice.



paksi.net?What is this?Let me open it.Quite new for me.Ohh..there's a forum about post-exam syndrome.Discussion about how students spend their time after examination.Let's see the view. How I ashamed with myself.I'm supposed to use this free time to do things which benefit me not just simply unnecessarily use the time to sleep all the day or watching a full series of anime or enjoying the movies continuously.It's not the way!I've even seen male colleagues spent their post-exam day watching Korean drama!!!!!!What!!



Oh yes,I still can do all that but it has the limit.I should use this time to recite Al-Quran,learn how to recite the Surah appropriately.Or I can read the articles in iluvislam.com which I could not manage to do it during the exam week (it's like promoting iluvislam...hehe,but i do love iluvislam like a real friend).I love to read but unfortunately I don't have any other books apart of subjects text books (which I don't feel to read them right now..hehe).So,iluvislam become my primary source for getting reading materials.Insha-Allah this 'syndrome' would never happen again.



Looking forward for Second Block : )