Posted by: Jas | November 24, 2012

S(e)oul Searching – Part 2

# Day 3
More lectures/symposiums, including the interesting one on Women in ED.

It was also poster presentation day! :)

Headed to Namdaemun market in the late arvo/evening. This is an outdoor market, selling mainly food, socks, T-shirts, bags & souvenirs.

As night fell, it was time to take the cable car up to Mount Namsan to have a view of the city from the top. It wasn’t easy finding our way to the cable car station; there were no signs at all. Thankfully Daryl had sharp eyes! From Myeongdong station exit 4, walk along the main road towards Shinsegae department store and turn left at the traffic junction towards Namsan tunnel #3. You should see the entrance of the tunnel, and you’ll find the glass elevator that brings you up to the cable car station.

Dinner was at Myeongdong again, and this time we headed to Dongdaemun for night shopping. Actually I had already been browsing at the malls over the first 2 nights (like I’ve said, the hostel’s location is perfect!). But there were so many malls anyway so we just went to a one that I hadn’t been, haha.

# Day 4
OOTD: Waterfall Top in White from Agneselle, Tea Party Madness Skirt in Black from The Tinsel Rack.

Skipped the last day of the conference because there weren’t any lectures that caught my interest (it was a half day only anyway). Visited Gyeongbok Palace. The weather was perfect, and there was so much greenery surrounding the palace that made it another pretty place to visit.

Favourite picture of the trip :)

Met Daryl’s friends for lunch at Insadong and then explored the area. There were plenty of shops selling handmade goods & souvenirs, as well as many traditional teahouses & restaurants. No wonder it’s termed the cultural area of Seoul.

Scuba diver tea infuser, how cute!

After which everyone went their separate ways and I wandered over to Samcheongdong, an area with numerous small art galleries, shops and cafes. Where old meets new, restored traditional-style houses and modern buildings sit side by side. I thought I got lost, but that’s the beauty of traveling isn’t it? Found my bearings just as the sun was setting and hopped on the train back to the hostel.

Met Clara & her mum for our last dinner in Seoul, and another round of night shopping at Dongdaemun. Bought bottles of nail polishes at only $1 each!

# Day 5
Plans for my last day got ruined by rain :( Headed to the City Air Terminal at Coex to check in, which then left me luggage-free to roam around during the day. Also cleared immigration, which meant that I didn’t need to go to the airport that early as I could go straight to the boarding gate. Very handy! Wanted to go explore the Ewha Womens University & Hongik University areas (and potentially get a Korean haircut), but unfortunately it was pouring and I was forced to stay indoors.

Shopped around Coex mall but there was nothing that caught my interest. Searched for a place for lunch, and I just chose a random shop where there was a kind-looking auntie behind the counter. Had to have my favourite Korean dish again! :D

The rain did not stop so I decided to head to Gangnam underground shopping mall. Just so you know, it’s located beneath Express Bus Terminal subway station and not Gangnam station. I assumed that it was at Gangnam but luckily I googled the place before I left Coex, phew! The arcade consists of 2 parallel rows of side-by-side shops stretching about 1km or so, selling clothes, accessories, skin care products, and even household products and kitchenware! I don’t think I saw any men’s stuff though. Bought 2 tops & 4 pairs of earrings for $25 :) Also popped into the food hall at Shinsegae which has a massive variety of food stalls (like Takashimaya), but it was way too crowded so I didn’t get anything.

Since it was on the train line on the way to the airport and the rain had stopped, I got off the train at Hongik University and wandered around the area for about an hour. The place was gradually becoming crowded as the day drew to an end, with bars/pubs opening their doors to business. Came across an interesting flight of stairs.

Got caught in the rain walking back to the station but a kind soul offered to share his umbrella with me. Bless him. An uneventful train ride to the airport marked the end of my short trip. Arrived back in Singapore at around 1am, went home and had some durian, slept for a couple of hours, then had wanton mee & chwee kueh for breakfast before my final flight back to Melbourne. Till the next conference! :)

Posted by: Jas | November 17, 2012

S(e)oul Searching – Part 1

Revisiting Seoul 8 years later, and to be honest, I barely have any recollections of being there before. I’m glad we had time to explore the city on top of attending the conference :)

# Day 1
Arrived at 0730 in the morning & took the train into the city. It wasn’t too difficult to navigate as everything was well-signed. The subway app is pretty handy too. There is an express train & a regular one, but the time difference to get to central Seoul is only 10 minutes and the cost difference is almost $10. I had plenty of time to spare so 10 minutes didn’t bother me. They also have airport buses that bring you to various hotels, so if you have heavy luggages or prefer to travel in comfort, that’s an option too.

I stayed at Dongdaemun Hostel, which is 20m from one of the exits of Dongdaemun History & Cultural Park station. It was extremely convenient as there are 3 lines that pass through this station, which take you to the main tourist places. Also, the malls around the area open till 4-5am, so you can shop till the wee hours and then walk back! The streets were brightly lit and bustling with activity so I felt relatively safe even though I was alone. There is free wifi at the hostel, and a well-stocked kitchenette where you can help yourself to breakfast. The only downside is that the room is really tiny – after taking into account the bed, small wardrobe, bar fridge, table, and toilet (where you had to stand next to the toilet bowl for a shower), what’s left of the floor is just enough to fit a sleeping bag. It didn’t bother me too much as it was just a place for me to shower and sleep. It was clean, and there was warm water, so that was good enough for me. Besides, it cost me <$40 a night, can’t complain.

OOTD: Blazer from Zara, Bliss Flutter Top in Raspberry Pink from Swivelle, Jeans from Giordano.

So anyway, I left my backpack there and headed out. First thing I did was to buy some spicy rice cake from a roadside stall and eat by the stream :D

Walked around the Dongdaemun markets but not many shops were open at 10-11am. Shops selling similar items were clustered together, so you’d walk down one lane and all you see are shoes, shoes, and more shoes. In fact, every shop sold pretty much the same things.

Met up with Daryl and we explored the Bukchon Hanok Village area.

Our next sightseeing destination was Changdeokgung Palace, which housed the beautiful Secret Garden. I reckon we were there at the right season as the leaves were just starting to turn red, giving us picturesque views. For $10, you can get the integrated tickets which will grant you entry into all 4 palaces & the shrine. Do note that some of them are closed on certain days, and English tours run at certain timings, so you might want to plan ahead.

Daryl had dinner plans with his friends, so I went to back to the hostel for a shower before heading out to dinner. The hostel owner gave me directions to a nearby street with plenty of food options, but when I saw ‘chicken & beer’, my mind was set!

# Day 2
OOTD: Blazer from Zara, Must Be Love Scoop Back Dress in Forest Green from The Tinsel Rack.

Spent most of the day at the conference. Got to say hi to Dr Judith Tintinalli (someone called her the ‘Goddess of ED’) & also Dr Scott Weingart behind emcrit.org.

Dinner & night shopping at Myeongdong. Spent $100 at Uniqlo but didn’t buy anything else. Window shopping was fun regardless :)

Yummy potato snack! :D

To be continued…

Posted by: Jas | October 31, 2012

Seoul Observations

The short trip to Seoul was a much-welcomed breather away from the craziness & frustrations of O&G. Heard from some great speakers at the conference, and also got massively inspired by the successful women leaders in the field. Did a reasonable amount of sightseeing, shopping and eating too :) And of course, the transit in Singapore allowed me to spend some precious time with the family.

Just some random thoughts about Seoul in general for now. Photos/travelogue to come.

  • People have no sense of spatial awareness. I’ve been bumped into so many times that I’ve lost count. And I mean people walking straight into me, which could have resulted in a head-on collision if I didn’t step aside in time. I never once had someone say sorry.
  • If you use an iPhone, you are most likely a foreigner. All the locals use Samsung.
  • To illustrate how much emphasis they place on skincare: at every major train station there is at least one The Face Shop / Nature Republic / Skin Food / Tony Moly / Missha / Innisfree store.
  • I didn’t think there’d be a big coffee culture, but there are plenty of cafes around, as well as coffee booths at most train stations. Average prices are $3-4, which are similar to that in Aussie. The cheapest latte I’ve had cost me $2 and it was decent. Starbucks is everywhere!
  • Their variety of knitwear is amazing! The only reason why I didn’t buy anything is because we are moving out of winter (and hence I’ll have to wait 6 months to wear them). Also the fact that I’ll be wearing scrubs most of the time for the rest of my life. Sad fact: I bought a basic long-sleeved top with the intention of wearing it under my scrub top.¬†*The secret fashionista in me is crying*
  • Sometimes there are salesmen on the train selling household products. One time we saw the police chasing one down the train carriage!
  • Before every train announcement there is a jingle, which has only 2 variations. They’re kinda stuck in my head now.
Posted by: Jas | September 30, 2012

O&G

The last time I had any O&G experience was in medical school, save for the few cases of early pregnancy bleeding I saw in ED. I found it alright then, but it wasn’t a field that I was extremely interested in. I still have vivid memories of the labour ward in Tanzania, but of course, what I did there wouldn’t really be applicable in a first world country, lol. Thus I was nervous about this rotation, especially since I had to start on nights.

But my worries were unfounded – the midwives are extremely skilled and the consultants I’ve worked with so far have all been very understanding. Sometimes I find my role redundant because I don’t really do much. The midwives do all the normal, uncomplicated deliveries. The consultants get called in for instrumental deliveries or emergency Caesars. If there are any gynae cases in ED, they’ll have to discuss with the fellow/consultant and get a plan first before I go to admit them. I get asked to review antenatal patients whom the midwives are concerned about (eg ?pre-eclampsia, ?cholestasis of pregnancy), and I have to discuss with the consultants anyway, which the midwives can probably do themselves. Yeah sure, I put in IV cannulas and take bloods, but some of the midwives can do that. I prescribe medication, but some of the common ones used in O&G can be midwife-initiated. I do discharge summaries for the gynae OT cases even if I don’t actually go to OT (what a pain!), which is more paperwork than anything else.

Have had some interesting experiences and thoughts so far:

  • In my attempt to observe a few normal deliveries, I stayed with a woman pushing in labour. Throughout the whole time, I thought to myself, boy this is the longest hour ever. I don’t know how someone can say ‘keep pushing, you’re doing really well’ gazillion times a day. Evidently I don’t have the patience.
  • Episiotomies are nasty, I don’t think I can ever bring myself to do one.
  • I don’t think I will ever dare to attempt to suture a perineal tear even though I’ve seen a few now.
  • Had to admit a 21/40 with hyperemesis gravidarum, and realised that she had only been given 4mg of ondansetron in ED. Of course she is still nauseated, you’ve barely given her anything at all! Poor form, geez. Later I realised why they were in such a hurry to get rid of her – she was a bit of a mental case. On the ward, she had a few¬†pseudoseizures, and was wailing/crying in pain which resolved on my arrival before I’d even given her any analgesia.
  • 2L PPH with blood squirting everywhere. Have to admit that I got quite excited (definitely missing ED work!). Even though I wasn’t familiar with the dosages of the drugs used to control bleeding in PPH, I applied the basic principles of resuscitation – assessed ABC, inserted 16G cannula, started IV fluids. By the way, I’m now well-trained to put in 16G/18G cannulas :P
  • Had someone G2P1 at 27 weeks who came in with preterm labour. As we all know, multis tend to progress quickly so we had to transfer her asap as we didn’t have the capacity to deal with extremely premature babies. Saw her a week later back in clinic, no she didn’t deliver. Anyway, am familiar with the protocol now so won’t be so nervous the next time round, though hopefully we won’t have another one.
  • A patient who had a vaginal hysterectomy + anterior & posterior repair the day before continued to have PV bleeding after the pack was removed that morning. My consultant made the decision to take her back to OT for examination under anaesthesia, thus we had to activate staff for emergency OT. She rang the nursing coordinator and I thought everything was organised, but I found out later that I was meant to call the anaesthetist. I don’t know why it works this way, but you’d imagine a central person to organise it all would be more efficient? Why is the anaesthetist so special? Anyway, thankfully the patient wasn’t in a critical situation and we could afford the delay. Phew.
  • Was assisting with a forceps delivery when the patient’s mum had a vasovagal syncope and a code blue was called. We had to concentrate on the task on hand, deliver the baby, then go and attend to the unconscious lady. Thankfully help arrived relatively quickly, and my consultant was like: I’ll let you all take over here because I’ve still got a placenta to deliver.
  • Saw a gynae patient with a really bizarre history. She said she had a miscarriage 8 weeks ago, with ongoing PV bleeding and abdo pain. The clinic where she was seen in Gippsland has since closed down. How convenient?! Plus she’d have lost a lot of blood if she was bleeding for 8 weeks! Anyway, she had an U/S on 10/9 which showed a 8mm endometrial polyp, and then had another one on 20/9 which showed ?RPOC. Just didn’t make any sense at all. She had a repeat U/S the next day which showed likely RPOC, thus went on to have a suction D&C. Weird, maybe they messed up and the films on the 10/9 didn’t actually belong to her?
  • Finally after 3.5 weeks, my first emergency Caesar. Could feel the adrenaline running through my veins. The anaesthetist had multiple failed attempts at a spinal, then my consultant got impatient/worried and asked him to administer a GA instead. I’m actually amazed at how quickly we got the baby out.
  • Histopathology on a suction D&C for missed miscarriage showed partial mole – I thought these things were rare!

Someone commented on my facebook post that I seem to be enjoying myself. I think what I’m enjoying is the emergency bits :P I have to admit that after the first week I was dreading the next 9 weeks ahead, but I suppose I’m slowly getting used to the job. Have learnt quite a fair bit so far so that’s good :) Also have gotten to know some of the midwives better; I’m sure we all know how important amicable doctor-midwife relationships are in this field, haha. Well, not too long more to go!

Posted by: Jas | September 3, 2012

Hello Spring!

My favourite season of the year :)

Time always passes by so fast when you’re enjoying yourself. The last 10 weeks have made me certain that this is what I enjoy doing, and this is what I would like to do for the rest of my career. How nice is it when going to work is not a drag? :) Yes I do have bad days from time to time, but the good days make it worth the while. And the random days off mean I don’t work for more than 4 days in a row, which gives me time to recharge and refresh with sleep-ins, exercise, good food & catch-ups with the mates, reading, and just doing nothing.

I will certainly miss ED work and the lifestyle due to the flexibility of the roster, but I will be back after 22 weeks because I have been successful in my job application! :)) Thank you for seeing the potential in me despite my inexperience, I will give it my very best. To be honest I think I was very lucky, being in the right place at the right time. Just found out that a colleague was also interested in applying but when she emailed the consultant in charge of recruitment, he told her it would be better to apply next year (to get more experience first).

Anyway, the highlights of my last 2 weeks:

  • 2 successful paeds IV cannulas! I had previously observed 2 consultants put in IV cannulas for the paeds patients whom I saw, they were 2-3yo so I didn’t even dare to try. Then I saw 2 older children (9-10yo), so I decided to let myself have a go. Slowly but surely, I will learn to cannulate a younger child some day.
  • Was complimented (indirectly) by the night med reg :)
  • Did my 2nd knee aspirate all by myself! Next time I will teach one, heh.
  • Had yet another opportunity to do a lumbar puncture but I failed again :( Boohoo.

Have a few days off as I only start O&G nights on Friday. Quite nervous because I haven’t done O&G in 3 years, but I’m sure the midwives are excellent. I suppose I don’t really mind if I don’t get to do stuff since I don’t want to do O&G anyway. But will still try to observe/learn as much as I can (without stepping on their toes of course!), who knows I might have to deliver a baby in ED one day.

Posted by: Jas | August 19, 2012

More ED anecdotes.

Finally got rostered on for a proper full Fast Track shift. It was ortho/plastics/gynae galore, and made me realise how crap I am in those areas. Umm-ing and ah-ing whilst describing wounds and fractures certainly didn’t make me sound good over the phone to the specialty registrars :( Well, practice makes perfect, so I’m looking forward to more opportunities to hone my knowledge/skills.

*********

Spent ages with this delirious man with a CRP of 250 but no clear source of infection. We gave him 5mg IV midazolam prior to doing an LP, had 4 people hold him down, but he still kept moving thus we had to abandon the procedure. That makes my LP success rate 1/4, le sigh. Was told to put in an IDC and we had to struggle to keep him in bed for that. After which, he kept saying that he felt like peeing, despite us trying to explain the purpose of the IDC to him. He was walking around the entire department, dragging the urine bag behind him, and had several attempts to pull it out. He even went to the corner of the cubicle to try to pee. On hindsight though, it was kinda funny.

*********

Had a ‘friendly debate’ with a 5th year student regarding doing blood tests on a young lady in her 20s with an infected sebaceous cyst. I said the Mx is straightforward – it would have to be drained, and the blood test results won’t change Mx. She said we should check the inflammatory markers, and when they are repeated we can see if it’s trending down. I argued that there are clinical indicators of improvement, eg patient is no longer febrile, the area is no longer erythematous or tender etc. Eventually she came back to the consultant and said ‘I told you so’ because the surg reg asked for bloods to be done. Surgeons/surg regs/surg regs to-be, please comment.

*********

Received a handover of a patient with atypical chest pain, and asked to chase the CXR. I thought it looked normal, so I sent her home. Got a call from radiology afterwards to say that they compared it to an old CXR done 3 years ago, and found that she had a missing 5th anterior rib, which was likely secondary to a destructive lesion. It wasn’t anything life-threatening, but it had taught me an important lesson to read a CXR systematically. Obviously I missed it because I was only looking for consolidation/effusions/pneumothorax. Like my consultant said, I now need to ‘interrogate every XR’.

*********

Did a 2nd (and last) Fast Track shift and had to summon all my muscles to reduce/manipulate a distal radius/ulna fracture under Biers block. The last time I observed a Biers block was 2 years ago, and there were actually 3 on that day! In fact, my consultant was so busy with the other 2 that I basically saw all the other fast track patients. Yes I counted, he saw 3 and I saw 10 (of course he reviewed a few of my patients too, and he stopped working at around 2-3ish when the arvo staff came whilst I worked till 6), haha.

*********

Consultant: Some HMOs are here because they are forced to and not because they want to, but I know you don’t belong to that category.

*********

Consultant: You’ve been so organised all evening (running SSU), I think you should have been the consultant-in-charge.

*********

Had a run of demanding/unreasonable/verbally abusive parents over one of the weekends.

– Parent A thought her 9yo had a seizure (description didn’t really sound like one) and demanded an EEG. I said we can’t get those done in an emergency setting, and she was like: what do you mean, this is a hospital, it should have everything! Sorry to disappoint you madam.

– Parent B’s 3yo had 3 febrile convulsions over the past 3 months. He felt that it warranted further Inx and asked for a CTB to be done. Do you really want to expose your child to that much radiation?

– Parent C was just essentially rude and no matter how much I tried to explain that I was giving her 3.5yo with gastro a Ondansetron wafer that would dissolve in his mouth, she insisted I was being an idiot trying to make a 3.5yo swallow a tablet. Also she was so fixated over his abdo pain and was upset that I was not treating that, though I was trying to explain that we needed to treat the nausea/vomiting before giving him more analgesia, because there wasn’t any point giving him more panadol if he was just going to throw it up again. At one point I had to leave the room because she was cursing and swearing.

Le sigh. Do I still want to do paeds?

*********

The senior reg I worked with on the last set of nights told me he ‘trusts’ me, so with the cases that I was definitely confident with, I did what I had to do without consulting him. Eg PR bleeding with maroon-coloured blood on glove: referred to surg. Generalised weakness/lethargy with Na 125 (baseline 136): referred to med. Hypoxia on room air on a background of NSCLC: referred to med. I suppose those cases were pretty straightforward and they obviously needed admission, but I’d like to think that I’ve also become a bit more confident/decisive in formulating management plans for patients :)

We had a quiet night one night, so I jumped at the opportunity to be a busybody when a Cat 1 arrived (OD with GCS 7-8). I never got to do that during the day as it’s always the consultant/senior reg who gets involved. Got to help with IV/bloods, and observe intubation. Was already quite happy with being able to watch, but then the senior reg set up equipment for an arterial line and said to me, you’re going to do it. I was unsuccessful at my attempt, but I was still glad he let me try (he got it on the 3rd go). Like he said, sometimes it’s hard to practice in an emergency situation because time is of the essence, but hopefully will be able to do more in an ICU setting. Till the next try!

*********

Good news! I’ll probably leave that for the next post :)

Posted by: Jas | August 4, 2012

The City of Sails

We had to leave the country for visa purposes (btw, we’re now officially permanent residents, yay!) and I only had 4 days off, thus the nearest/most practical destination was New Zealand. Due to the limited time, we weren’t able to explore much other than the city and its surrounds, but the great company and beautiful sights made this getaway an awesome one. Besides, it came just at the time of our 6th year anniversary :)

So it didn’t start off too well, with our flight delayed for about an hour due to the aircraft coming in late. Then we had to divert to Christchurch after 2 failed (and extremely turbulent) attempts to land in Auckland. We were meant to have the arvo free to explore the city, but we only finally arrived 5 hours later than expected, thus decided to have dinner in the hotel and have an early night.

In case you were interested, we stayed at SkyCity, which cost us AUD$340 for 3 nights. The room was clean and comfortable, the staff friendly and helpful, and its location made getting around quite convenient (we walked everywhere!). Only complaint was the limitation of wifi to 30 minutes per device per day. In a city where many cafes offer free wifi, I wonder why a four-star hotel would be so stingy.

*********

The next day we took a day trip to Waiheke Island. Since it didn’t cost that much more, I decided to book the Explorer Tour to save myself from having to research on what to do, hehe.

On the ferry :)

Beautiful sights on the tour.

Wine tasting and $10 authentic Thai lunches.

After lunch we walked around the town of Oneroa, then walked back to the jetty via the bush. Made the bf realise how unfit he was, haha ;p

City skyline on the return leg.

Had dinner at The Occidental Belgian Beer Cafe, which was recommended by a friend. Massive 1kg serve of mussels that were oh-so-fresh! Only NZ$23, super cheap and yummy. Heaps of Belgian beers to choose from as well.

As hotel guests, we were given $10 credit to spend at the casino. Unfortunately they only allowed us to change for chips, which meant we couldn’t spend them on the jackpot machines. Ended up playing 2 rounds of roulette, which we promptly lost, haha. Technically we had a slightly less than 1/3 chance of winning as we bet on the 1st-3rd 12s, but turns out it wasn’t that easy! Little wonder people lose heaps gambling.

*********

Headed down to the Auckland Fish Market on the 3rd day for brunch, thinking it’d be similar to Sydney’s. I’m not sure if we went at the wrong time but it was really quiet. Left without eating anything, but we did go back in the evening for dinner as recommended by the concierge.

Auckland waterfront.

Took the ferry over to Devonport. On the way we flipped through the tourist guide and decided on lunch at Five Loaves. So glad we did, because I found the best French toast ever! :D

Of course, after all that goodness we had to walk it off. Headed up Mount Victoria, and luckily for us, the fog cleared up and we were treated to gorgeous views. Bumped into people on the segway tour, which we decided was too expensive. I would still love to try it someday though!

Went back to the city for some window shopping, and then dinner at the fish market as I mentioned before. Salt and pepper snapper which was quite tasty.

*********

Our flight was in the late arvo, hence we slept in and then wandered around the city until it was time to leave. Found a Mexican place that served cheap $10 lunches, and the portions were huge!

Like I said, it was a short trip, but it was relaxing and enjoyable :) There are so many more places in New Zealand that I would love to visit, especially the South island. I will be back!

Posted by: Jas | July 28, 2012

Wise words.

‘It’s not a question of better or worse. The point is, not to resist the flow. You go up when you’re supposed to go up and down when you’re supposed to go down. When you’re supposed to go up, find the highest tower and climb to the top. When you’re supposed to go down, find the deepest well and go down to the bottom. When there’s no flow, stay still. If you resist the flow, everything dries up. If everything dries up, the world is darkness.’

– The Wind-Up Bird Chronicles, Haruki Murakami

Found this quite apt for my career situation. Despite having thought that I’ve always wanted to do Paeds, I gradually got more and more attracted to EM. 5 weeks into the rotation and I know this is the flow that I can’t resist. I like the fact that I can’t predict what’s going to happen on each shift; every day it’s a different story. I thoroughly enjoy what I’m doing, even though I rant from time to time about non-emergency patients turning up in the department. Have submitted my job application 2 weeks ago, keeping my fingers crossed.

Some random experiences/thoughts:

– My first knee aspirate! I have never done or even seen one done before, but under B’s close supervision I did it successfully :)

– Was given one go at a lumbar puncture and I failed. This brings my success rate to 1 out of 3, haha. S took 2-3 attempts, so I guess I didn’t feel so bad :X Would certainly love to have more opportunities for practice!

– One night I had to speak to the radiology reg to get approval for a CT and T ‘kindly’ paged him for me, ending his LANpage with ‘xx’. I swear he sounded weird over the phone when he called me back. Embarrassed to the max.

– Fastest disposition for me so far: spent 2 minutes with a patient, confirmed perianal abscess, told the boss I’m referring to surg, spoke to surg reg, he + surgeon came almost immediately, patient went straight to OT. If only it happens like this all the time.

– Bane of my life: undifferentiated chronic abdo pain.

– Caught up with one of my previous surg regs. Brought back memories from last year :)

*********

On a side (and unrelated) note, caught The Dark Knight Rises. Loved it so much that I really want to watch it again. I’m not really into action movies, but I’ve seen quite a few superhero movies over the years and Batman remains my favourite. Maybe it’s cos I’ve got a secret crush on Christian Bale, hehe ;) Iron Man comes a close 2nd, he’s quite a character.

« Newer Posts - Older Posts »

Categories