Friday 9/12/05

It's been a while since I last posted.I've been busy with OBG postings and exam.OBG is fun and I'm going to miss it once i start the next posting.

There are a few problems usually occuring during pregnancy such as hypertension and diabetes and this can cause problems to the baby inside the womb.And it also causes problems to the mother through out pregnancy itself and during labour.

So mothers do go for regular check up and be attentive when the doctors advice you.And be happy always =)

Saturday 26/11/05

It's Saturday again.But there are really not much difference between any other days.Seems the same to me.

I went to see a normal delivery 2 days ago.That was my first time seeing a baby delivered through the birth canal.It was amazing.When I reached the labour room the baby's head was already emerging from the uterine cervix.And then an incision had to be made to make the outlet bigger so that the baby can be pushed out faster.The mother was in so much pain and that remind me of my mother how much she have suffered to give birth to me.How much pain and agony there was for her cos she is a small woman with small frame and for small women there are more complications suffered by them.

After the baby was out he was quickly cleaned and handed over to the pediatrician to chek his status.Like his reflex,his breathing,his scrotum,palmar creases,etc.And soon was draped and handed over to the mother who sees him for the first time.That moment felt wonderful even to the eyes of the bystanders :)

And now I thank mo mother more than i ever can ever thank her for bringing me to life.

Oedema

It's FRIDAY!And boy am I glad.Last night I went for another singing practice and about 10 other friends were there to watch the practice.It went well.Cant wait till next weekend.

Today there's no morning posting since today is the Indian National Filariasis Day.And this means we are not seeing any patients today.Community medicine posting is fun but very tiring.But at least I have been doing quite a lot of practices doing the general examination and prescription writing.

Today I feel like mentioning something on edema.It means swelling.This swelling is not due to any bruise or bumps we seldom come across.But edema is usually associated with some very dangerous diseases like heart disease and kidney failure.Usually oedema occur in the legs where they are the more dependent parts of the body.The problem in oedema is that the heart is not able to pump the blood around the body as quickly as it should. This means there is a continual backlog of blood in the veins, and fluid seeps from the blood into the tissues,being concentrated by gravity in the lower legs.Some people may miss this and think that it is a normal thing or just you putting on weight and it is very important to look out for any signs of swellings on your body parts.

Oedema may be missed but it is very important that we all know a little about it.You might detetct some diseases at their early stages and this can prevent things from being too complicated at the end.

Monday 7/11/05

I went to another rural clinic today and here they also have a kindergarten in the same room.The room was small.About 15 to 20 children between 3 to 6 were there in the clinic/kindergarten and they were all so cute.There were these 3 little girls who were entertaining my friends and I when we were there.They asked us if they can dance and they were dancing and singing the whole time and they were just too cute!

Saturday 5/11/05

It's the 3rd day of Eid today.And I'm still very tired from cooking for the first 2 days of Eid.I had fun cooking.I love to cook.Yesterday I received 2 Eid cards from my family.1 was from mom and dad and another was from my 9 year old sister.She drew a picture of me and hers.And another picture of hers crying.She wrote next to it that she's crying because she misses me so much and I couldn't join her during Eid at home.I was deeply touched and I cried too.I miss my family too much now.

A day before Eid I went to visit the old folks home.It was a sad to see them.I get to chat with a few of them.None of them looked as if they are getting senile or anything.They were healthy and they were glad to have us as visitors.1 of the ladies was my classmate's grandmother and if anyone ever knew that I leave her there behind I surely will be so embarrased.

Most of the ladies and gents there lived alone before they came to this home.They are a little glad that they are in that home because they find it to be a much better place to be compared when they have to be all alone by themselves.We might think that it's inhumane to leave your old folks in this home but come to think of it.They might have a better life there.As they will have someone to talk to.Like being young again.Like us staying in hostels and mixing up with people our age.And I think most of them there think the same.

But there were a few who regretted it too much and they are just giving up hope to live.They are much too sad to be left out and sent there and never been visited by their own family members.It is most unfortunate and i hope never will I ever turn down my parents or any of my family members to any of these places.

Before we left we handed them gifts and 1 of the ladies gave me flowers that Indians use to stick into the hair bun and I tied it to my hair.It surely was a good experiance and I'm planning to go back there once again before i leave Manipal for good.

Monday31/10/05

I didn't get to go Goa for this holiday.Maybe I won't be going anywhere else here in India at all.And for sure I'm not going to take my parents tour this part of the earth anytime.The Goa plan got canceled because 2 hours before we were supposed to leave I got a call from mom.She told me not to go because there was a bridge that collapsed on top of a train and it went upside down or something like that.And the next day there were 3 bombings in Delhi and almost 100 died in the incidents.

And I'm just going to be stuck here not knowing what to do.I'm going to have to buy some story books so at least i can work back on my English.It's getting worse by day :P

Friday 28/10/05

It's Friday!!!Now I'm so happy because holiday starts tomorrow till next Tuesday.I'm planning to go to Goa.It's well known for the beaches and good food and heaven for those who boast a lot.

Today there was a patient who had a tumor in his bladder.He complained about passing urine in blood.That's a real major thing you should always be scared of when there is blood in urine with pain or without it.There are many causes for that,like tumor,infection,injuries.So be sure to go see a doctor the minute after you realise that you are passing blood in urine.

Can't wait to go Goa :P

Friday 20/10/05

I received the news about our lost of Datin Endon.It is deeply mourned.May God have mercy on her soul.

There was nothing much done today.I'm still trying to find out what song will be good to sing on the performance night.I'm feeling kinda bored today too.There was no new case today but we had a theory class(repetitive...how boring) on abdominal swelling.

I doubt we will be assigned to any new cases this afternoon too anyway.I'm just so happy that hari raya is just around the corner and I just hope my baju kurung will turn out fine :P

Inguinal Hernia

Today we had a new patient!Yay!.And that was just relieving.Today we were assigned to examine a male patient who came with swellings in his inguinal area.He was diagnosed to have inguinal hernia.

Hernia is abnormal protrusion of the abdominal content through a weak point in the body.The commonest hernia is inguinal hernia.Inguinal hernia are sometimes painless and can also be painful.The swelling in the inguinal region usually gradually increase in size.

Hernia is always associated with people who had to carry heavy things,chronic constipation,obstructive uropathy(obstruction of urinary tract),chronic cough and obesity.

There are some ways we can prevent hernia like doing sit ups and repetitive light exercises.This strengthen your muscles and tendons and the ligaments.And also the patient is adviced to stop smoking if he is a smoker because smoking cause the chronic cough and also causes collagen deficiency and this laxes the ligaments and precipitate hernia.

Some males may not know that they are actually having hernia when they see that the scrotum is enlarged.They may think that it's due to increased manliness instead it is not.

Treatment for hernia is only by surgery.And if you think you or your family member has one now,it's time to go for a check up :)

I'm getting tired now.Maybe cos i'm just feeling lazy.Oh and I have to keep reminding myself that I have my exam 7 days from now!And today I'm going to acompany my friend to go see a doctor cos her cervical lymph node is enlarged!I hope she is fine.After learning all the diseases in the world we get very scared even to see another doctor :(

Colon Cancer

Hey there.Today is another boring day for me.A sad and slow one too.There was nothing so interesting in the hospital for us too anyway.But at least we did get assigned to a patient who was diagnosed to have colon cancer.

He is a 65years.He came with a diffused swelling on his left side of the abdomen and the site was extremely painful.

Colon cancer usually occur in old age and is associated with infrequent defecation.Usually seen in people taking mixed diet because the meat we take tend to slow down the peristaltic movement of bowel(colon).

So to avoid this,you can add up more fresh vegetables and fuits and adequate water in your diet and try to make sure you visit the toilet everyday to bowel out.

The growing cancer can obstruct the lumen of the colon and this will cause severe pain and you will have an over distended abdomen.(ouch!)

And almost all cancers are related to your bad habit which is smoking.Remember,it's never to late to stop now :)

We didn't get to see the patient yet and hopefuly will be able to see him tomorrow.And we will get to learn how to palpate the swelling and learn many new things tomorrow :) I can't wait.

Saturday...Finally

Wow,what a tiring week it was.I'm sure glad that its now Saturday.Sunday will just slip away too fast and the moment you know it,its already Monday..sigh...and there goes the cycle of our days :)

I just downloaded some of minus ones my friend sent to me for my singing competition.I love singing.Cos I love to entertain people with my singing.I hope one day I can be well known with my singing and I will do some charity work with my talent.

But anyway,today we didnt do much during surgery posting.We went to the urology department and was introduced to some of the patients over there.There was a 35 year old male who had urinary retention.He had a spinal cord infection a few years back and it has affected his nervous system that controls his bladder action.Oh yeah,he had transverse myelitis.Poor guy,so you guys must make sure you wont get into any accidents like this.Must love your back.Cos thats where your spine and spinal cord is.Another patient had a hydronephrotic kidney.Here the kidney is enlarged and is filled with fluid because the urinary tract is blocked.So he had his kidney removed.He will survive with only one kidney but the poor surviving kidney will have to work really hard to compensate the loss.

And then we went to the ESML room where we saw a machine that is used to break off kidney stones without doing surgeries.But this procedure can only be done if the kidney stones are small.And later we were introduced to an ultrascan machine where we can see the organs in the body.And a friend of mine showed us her polycystic kidney that she has had since small.She has an autosomal dominant polycystic kidney disease (ADPKD) which her dad has got too.It was difficult to appreciate the kidney with the ultrascanner.But i did see the small balloon like structures at the poles of her kidneys.It was really something,to actually get to see all that right in front of you.But my friend is alright.She said she just have to keep calm and not be under stress or it may get worse.And the sad part is that theres no cure for it.

But i believe there is a cure for everything.And surely one day we will discover many things in medicine which may help save many more lives.But we all must try to prevent getting into any troubles.Remember,prevention is better than cure. :)

my first page

:) hello all..its a good day today...its drizzling out there and its cold in this cyber cafe im in now...hehe...so im deciding to write down some of the stuff i have in mind...now im in my 3rd year of M.B.B.S....3rd year is fun..cos now is the time when we start entering clinics and do postings...before this was only the theoretical part...but now..its the real patient to doctor part...all these years ive been told about this and that diseases...to do this and that to patient...but never yet have experianced the real thing...so im just so happy that i am now in 3rd year and have started a few surgery postings for the past few days...this is my new first step to being a good doctor..a good friend and a good daughter :)