Showing posts with label Studies. Show all posts
Showing posts with label Studies. Show all posts
#8
We make choices everyday, in every moment of our lives, or should I say we choice upon our lives everday. haha


The difficult part is not being able to predict how those choices might affect you in the future; but the most difficult part is not regretting the choices that you've made.

I think the word I despise the most nowadays is 'what if'. Unfortunately I seem to be using it more and more as the days proceed.



You can't have everything in life
~ The special one.
May 2012 be a year of:

1. Better time management - 8 hours sleep, less time wasted, not being late, keeping to time
2. Hardwork - Less complains, more sheer work, again less time wasted
3. Less kiasuness
4. Less online shopping - I now recognize it as a proper problem
5. Mapping the future

Grow up Jo, Grow up!



I will try again tomorrow.
~Mary Anne Radmacher
It is said to be the most common cause of heritable mental retardation second only to Downs.

It is caused by a distruption in the expression by either an nucleotide expansion or deletions of FMR1. A dominant X-Linked gene (FMR-1; familial mentral retardation 1) *trying to type the longest sentence ever expressed in a single breath*

Loss of the FMR1 expression results in Fragile X.

Clinically they will present with;
Pre-pubertal; Normal growth but a large head, Delayed developmental milestones, an association with autism, ADHD, tantrums.

Post-puberty; Long face, low IQ, Macroorchidism

other opthalmo, orthopaedic, dermato and cardiac anomalies.


Reason for nerding today?
I saw a 5 year old boy suspected for Fragile X in the clinic today. He came in due to a refusal to eat food other than kwey teow soup and drinks milk every 2 hourly. Outward appearance appeared normal, none of what has been described above; plus his mother mentioned that she was also slow to walk when she was younger. Eye contact was surprisingly- still held, but otherwise he would definitely have struck me as an autistic child.

I also met a child who was then diagnosed with spastic hemiplegia CP. Such an adorable 16 month old, who smiles incessantly and active as ever. Yet his mother cried when the doctor confirmed her worst fears -- that her baby wasn't normal. Cried even more when he advised her to apply for the OKU card actually.

Hmm. makes me wonder if there could be something between me and paeds. as much as its painful to go through the milestone examinations I'm starting to feel how Bern could be so attached to the little darlings. CP's are generally quite common but I think that encountering a Fragile X for the first time was quite.... mentionable. (there is no such english word)
Guess they aren't only found in textbooks under 'rare'.

Oh yeah talking about rare; there was a Henoch schonlein purpura case in the wards today.

YUP. you could see the 'WHAT?!' s on top of all our heads when the specialist came up with the diagnosis. Upon inspection I thought it was a freaking healing chicken pox (but i did reason out that if it was he would have probably been isolated) !!

Anyways paeds has been quite eventful thus far.


No quote today but I'll show u a picca

:)



As I typed up my psychiatry case write up, it hit me how much this uncle must have been suffering. When I interviewed him with K, he was circumstantial to the point of no return, and .. I am guilty to say that all I wanted was for him to tone down and stop talking. Let me do all the talking and you do all the answering. THAT’s how it goes, mister.so for once, shut up and let me ask!!!
It didn’t hit me that there was a reason why psy was called in for a suicide risk. It didn’t hit yet, how significant the words TRO Depression meant.

As I arranged his haphazard history into a more presentable paragraph the story started becoming clearer… and clearer…. And clearer.
Ever since his wife died, Mr L has gotten more and more withdrawn, although he says that his wife was always the more sociable half. He has started losing interest in things around him, and feels tired most of the time. He finds that his motivation to do things has decreased, and life has become such a lonesome and boring place. Sometimes, he tears up spontaneously without any triggers and he also finds his sleep disturbed; finding it hard to sleep at night, his sleep cycle disturbed throughout and then waking up very early in the morning, a good few hours earlier than when he usually would.

His mobility is impaired due to the ulcer his leg, and his deformed Charchots; most of the time he only stays in his house. He lives with his daughter but since she works long hours, he only sees her for breakfast and is usually asleep when she returns. In between, he is usually left alone at home. He has had multiple history of falls and perhaps that’s one of the reason why he has given up the hope of venturing outside into the open. He is a T2DM on Insulin and it’s difficult to inject it himself, that’s why if his daughter does not come back in time, he actually does not have his night jab.

When asked, the only thing Mr L looks forward to is waking up in the wee hours of the morning and preparing breakfast for his daughter before she leaves for work. That appears to be his only human contact for the rest of the day. The spirits of the dead ones keep him company tho, and he welcomes them immensely.

                Mr L chatted amicably and happily with us, telling us (albeit too much) of his life stories, of the things his parents would do for him before this, indirectly telling us how much he missed his wife. 


Here I was looking at a disabled man showing me feeble attempts at brightening up his life


And all I wanted was for him to stop talking.





“I had no shoes and complained, until I met a man who had no feet."

~Indian Proverb

Its funny how a few posts ago I was talking about how my new year starts in Sept. And now it starts in January. Lol, what a lalang.

Was welcomed back to Msia with sort of a numb feeling but definitely feeling very very refreshed. Everyone's busy with legal and forensics medicine. When I say busy I meant busy updating their facebook profiles. Lol. Literally. I find it so cute that everytime I go on facebook it's so easy to tell what course we're doing at the moment.

It's insane number of lectures we have to go through these few days. It's 1 hour on average worth of lectures per day. FIVE! CINQUE!!! But anyways, I actually think it's sadder for the lecturer than it is for us. At least we get to sit. Btw have I mentioned Prof D.C is awesome, the whole fan-girling kinda way awesome. He's one of the last of the generation who had to learn Latin for medicine, he studied law, trained as an endocrinologist, so I have no idea what is he doing in forensic/legal med. Oh did I mention he has a head full of dark wavy hair which he likes to run his hair through and that he can pronounce 'dadah' oh so perfectly and that his lectures are not boring at all? Considering it's law with THE million dollar question 'what is reasonable's... that's unbelievable it's not boring! So forgive me if I fawn at his feet. I guess profs like him represent the generation where doctors were truly the best of the best. Oldschool~ baby!

So yea there's this new year. I've got rhis exam next Monday. And the MMC has a 'Good medical practice' guideline that I need to regurgitate what is reasonable. Also, was looking through the requirements needed to work in the UK and oh my tuhan it is HARD. Sister asked a question today which I felt I answered B-E-A-utifully... albeit painfully. Sometimes I think God works in miraculous ways; He sent Arti who gave me the solution to my problems! WOOHOO!! And coincidentally the West wing episode I was watching talked about religion and I've quoted it below. Anyhoo now all that's left for me is just to win the lottery! :D

I need to learn how to reserve fuel. The rate I'm going right now I'll probably burn out even before CNY. But it's nice to feel so euphoric. :D

Was reading Burn's blog and realized how obvious it was.. The initial fireworks sure heat people up doesn't it? It's contagious! Healthily so :)


My resolution(s) this year are simple:
- Be selfless
- Be decisive
- Be filial
- Be happy

Welcome to 2011 peeps.

[I feel like I'm such a boring person LOL]
[ but in my defense it's so haphazard only because my thoughts are so choppy]
[ because I'm too hyper]
[or overdrived- depending if you wanna consider the coffee I took in the day]

You remind me of the man that lived by the river. He heard a radio report that the river was going to rush up and flood the town, and that the all the residents should evacuate their homes. But the man said, "I'm religious. I pray. God loves me. God will save me." 
The waters rose up. A guy in a rowboat came along and he shouted, "Hey, hey you, you in there. The town is flooding. Let me take you to safety." But the man shouted back, "I'm religious. I pray. God loves me. God will save me." 
A helicopter was hovering overhead and a guy with a megaphone shouted, "Hey you, you down there. The town is flooding. Let me drop this ladder and I'll take you to safety." But the man shouted back that he was religious, that he prayed, that God loved him and that God will take him to safety. Well... the man drowned. And standing at the gates of St. Peter he demanded an audience with God. "Lord," he said, "I'm a religious man, I pray, I thought you loved me. Why did this happen?" God said, "I sent you a radio report, a helicopter and a guy in a rowboat. 
"What the hell are you doing here?" ~
~ Father Thomas Cavanaugh (West Wing S1E14)
PMR
All the best Annegirl! Jie will be praying for you!


96311542116132579 1919191919 214!


I believe the greater the handicap, the greater the triumph.
~John H. Johnson
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There's a GI exam tmrw (offically 3 seconds into 'today', rather) and im dyinggggg.


Okay, cut the drama im not dyinggggg but im just... dying. the lack of four G's is significant okay!
Okay okay before people start shooting me for wasting their brain cells,

*disclaimer- the reason why i seem to be blogging about pretty wuliao things is cus... oh HAI, MA!*

Brief update to lemme moan about tmrw.

Class from 9-11am.
Collect poster from Maters 11-12ish am
GI exam followed by tutorials 2-4pm
Aerobics 6-7pm
Hip hop dance thing 7-8pm
Bus to Kell's place in SHANKILL (it takes 45 mins to get there man wth!!) for worship prac followed by dance practice 8-10pm (but it'll definitely exceed 10pm, knowing Kells)
so by right i think it should be 8-11pm.

Followed by:
Basketball 2-3pm
Msian Night hiphop thingi 3-indefinite pm.
the day after.



So I think I can dance? =D

Life seems but a quick succession of busy nothings.

~ Jane Austen



ps- can i shoot jane austen?
*I ended up lugging the keyboard to the last Livingstone meeting anyway.*

***

Shall I tell you about my day today ? Class ended at 11am, went to the Fresher's tent till about 11.30, qued at student desk till about 12.15, took bus 10 to Fitzwilliam st to JPA office, took 10 to Mater to find dr L, then went to town to get groceries. Ended up breaking my trolley bag's TROLLEY (like watheheck bye bye bag) handle and bought crazy heavy groceries. Yes, I brought my handluggage bag -the one i used for 12 day travels- for grocery shopping. Cus I had had the very noble intention to let Dle get a day's rest and the very noble me decided to get groceries to cater for a 100 people expected bbq. So exactly how heavy is heavy? Uterus prolapsing type heavy. Needing to push a trolley from Marks and spencer down Henry st all the way to the 46a bus stop opposite the spire kind of heavy. Needing to call JH to meet me at the bus stop opposite our house with another trolley from Supervalue cus I couldnt move at all with the 3 bags kinda heavy. Tried to make it back before 1700 but only reached home around 1730.Peeps came over to bake for the BBQ tmr at 1800ish---- all the way to 2300.

Now where do i insert 'study' here again?


***
For all the tuts that I've crashed, I feel a biiiiiiit guilty lah since it's so obvious that the whole 'we're gonna have a short MCQ prior to the commencement of each tutorial session and it'll be worth 5% of your total marks' aimed to stop people from joining unassigned tutorials ... or just skipping the tuts entirely. And I quote a lecturer ' im not saying u guys are like our guinea pigs or something....'.

Uhuh.



Oh before I forget; mechanisms of cerebral edema :
1. Vasogenic (BBB, intercellular)
2. Cytotoxic (intracellular)

I keep mixing it up with hydrocephalus. Wattth -___-"


Dang , im tired. Dunno why it feels alot like deja vu~

On a happier note;
Happy Birthday Pwei, Mhui, Wkt! =) (3 cheers for the OLDDDD Peoples!)


**BBQ at half 6 tmrw (16th sept) at the Chaplaincy. Join us for the annual Living Stones term breaking activity =) **



ps- And its almost like I have a personal timer on my blog telling me when to update. If ur wondering at the absurdity of my post, it's cause I feel like I have nothing else to talk about, considering my brain is half asleep and my fingers are merely moving on reflex.

Gnight.

Forgive, O Lord, my little jokes on Thee,
And I'll forgive Thy great big one on me.
~Robert Frost, "Cluster of Faith," 1962
Okay fine so Termus was a term i invented myself but whatever~

*
I wanna say thanks to the funny fella who told me Jesus Lover of My Soul has very few chords...

not.

I'm supposed to lead a short worship this Weds for Living Stones but between Eunice ("well in times of desperation I can play but I only know D major hahahah") and myself ("okay lah im a bit better cus I know D and a few more") our choices are really quite limited cus JC hurt his wrist . So after sososoososososoososososo many years of not touching a guitar, I am currently strumming the instrument like a retard. Yup, unless you've got some other name for the sound I'm producing, it is a very sad sight indeed. Dang!! Seriously CANNOT la wei! Obviously back then my fingers hadn't peeled or harden enough for me to play even so-so today. It's times like this that I really admire guitar players worse come to worst I'm gonna bring the miniature keyboard to the meeting =(


In times of desperation


**
Dublin's weather is finally turning back into the one we all know (but dont love). I can see the not so gradual growth of my food portions and helpings already. =/

***

After 3 months of holiday; class finally resumed today, and we were put through 3 hours of lecture back to back. One can only imagine the situation huh? I think research helped me a bit, the pen didn't feel so awkward in my hands and neither did the shinkanzen lectures. When you're in a conference sponging up almost everything a speaker is talking about because you're worried if that little bit may be the one that helps you answer your examiner's question, you also tend to be scribbling like crazy.

hmm, i believe i should shorten my sentences.


Right. So, talking about new terms;- since coming to Dublin, my internal clock has sort of been resetted (sp), not just regarding the whole GMT+0 thing but also in terms of new years and new terms. My new years now begin in September =)


So since it's the New Year, here are my resolutions:

1. Study smart (okay thts so cliche, the truth is that i need to study. very hard. period. more than anything else lol)
2. Family and friends to be cherished. always.
3. Livingstones and Cornerstones is still a priority.
4. Stick to the exercise regime!
5. Reinstate my posture (I have a theory: the reason why i've not noticed my slouch is because i've been dressing myself in baggy tees and more baggy tees. or not looking into the mirror. or not taking enough pictures... you know, for all those non-vain reasons of course~)
6. Can't think of number 6 right now for the life of me...
7. ♥ - ^o^ elaborations unnecessary.

In retrospect, there are some of last year's resolutions that i've managed to keep and i'm proud of that! For example, now I'm only late about once per 10 times instead of all ten times. Or that my camera has a significant amount of pictures with my face rather than only scenaries and everyone else. =D



That's the really fancy list when in fact I can actually summarize it up into a sentence;

Lve. Be happy. Be strong. No regrets.


Happy New Year everyone!

Ever tried. Ever failed. No matter. Try Again. Fail again. Fail better.
~Samuel Beckett