writing

have you ever felt like sharing...jz dat u dunno how to share it...i dunno if anyone understand what i feel...luck of course!...and really glad~~~

it's like this~

i jz finished the clinical exam of internal meds
it was fun (more than i expected)...i was dead terrified before that...so silly to feel so...
it's because~...
have u ever felt like u were destined with someone before u even know him thoroughly?...i mean on the first glance? (approximating eyebrows)

that's what i felt about the patient i had to examine today...
i've met him before on several occasions...i met a lot of other patients actually...
but it was different with him

in one of our clinical classes~
the dr asked us to examine him, i stood at bay...feeling like i've done this before, i'd jz wanna observe this time...my friends did the case and presented it...and they mentioned he had a palpable pulmonary pulse..."owh!...i've never felt dat before~" i said to myself...but i jz didn't get the chance to feel his pulse in that morning session as we need to rush to our lectures...so i kept in mind to see him after lecture. it felt like, this is "a-must-feel-pulse" kind of feeling~

sekadar gambar hiasan

so after lecture, i went to his ward but... he was with his family...:(... it'd be impolite to feel his pulmonary pulse at that time...thus, i saved it for the next day

nex day, i did remembered to go and see him (the curiosity didn't fade)...i grabbed a friend to accompany me and begged him to let me feel his pulmonary pulse (he really didn't gave me in easily)...and finally i managed to feel that wide volume pulse :D... and examine the rest of his heart ("literally")

and remarkably he end up as my clinical examination patient.
(helped me a lot though that little guy! - he corrected my apical comments before dr Ali came to question me)...glad~~~
*this is what we call professional patients

it's jz ironic...we've had a patient with crepitations once...which obviously i've never heard before and i was so damn curious how crepitations sounds like...i failed to put my stethoscope on him but the curiosity ended bluntly (with no attempts to find that patient and ask permission to listen to his crepitating lungs)...

comparing a crepitation to pulmonary pulsation...erm...
pulmonary pulsation felt like any other pulsation in the body that can be felt except that it's not normal to have it, but crepitations??? that's one rare thing (for me as a first yr in internal meds)...and mind, am still curious how exactly it sound like!...it's weird how i put that much effort to only feel a pulse~

but it was destined i guess...a very great luck!

revising myself

this talk is so beautiful...
i felt so into it, i jz can't but share it...
*thnx panna for sharing this!

anatomy~

i love anatomy...
a subject i can read n study n memorize with passion...(but dis really doesn't mean i knew it off by heart)

so, today i wanna share a piece of story, a history of how anatomy began...about the man who started our way of learning anatomy...Andreas Vesalius (click for his web)

_____________________________________
modern medicine began around the sixteenth century in the innovative minds of such people such as the anatomist Andreas Vesalius and the physiologist William Harvey. Andreas Vesalius (1514 - 1564) taught anatomy in Italy. in his time, cadaver dissection had resumed for the purpose of autopsies and gradually found its way into the training of medical student around Europe.

dissection was an unpleasant business, however, and most professors considered it beneath their dignity. in these days before refrigeration and embalming, the odor from the decaying cadaver was unbearable. dissection were conducted outdoors in a nonstop 4day race against decay. bleary medical student had to fight the urge to vomit, lest they incur the wrath of an overbearing professor. professors typically sat in an elevated chair, the cathedra, reading dryly from Galen or Aristotle while a lower-ranking barber-surgeon removed putrefying organs from the cadaver and held them up for the student to see. barbering and surgery were considered to be "kindred arts of the knife"; today's barber poles date from this era, their red and white stripes symbolizing blood and bandages.

Vesalius broke with tradition by coming down from the cathedra and doing the dissection himself. he was quick to point out that much anatomy in Galen's books was wrong, and he was the first to publish accurate illustrations for teaching anatomy.

when others began to plagiarize his illustrations, Vesalius published the first atlas of anatomy, De Humani Corporis Fabrica (On the Structure of the Human Body), in 1543. this book began a rich tradition of medical illustration that has been handed down to us through such milestones as Gray's Anatomy (1856) and the vividly illustrated atlases and textbooks of today.

copied from 
Saladin Anatomy & Physiology
The Unity of Form and Function (Third Edition)

a wonderful history isn't it?
how ancient people used to study anatomy... without any refrigeration and stuff...my first yr experience of the anatomy lab wasn't pleasant, but at least it wasn't a 4day race against decay...hehe
now i miss waiting in that lab for hours beside cadavers...
well, dat's for today...

from history we learn~

talking in arabic

while waiting for 10 o'clock (hoping the 'suq' will open)
plus, something reminded me of this incident - english lectures crisis...hehe

it was our 4th day or in the second week of attachment in HKL..i dun recall it precisely~
we visited the psychiatry department and requested to visit the wards...
the head department allowed us to enter...

so we went to the 'gurls' ward...it was lunch time, patients were lining up for their food...we approached them, suddenly a patient came to us

"owh, you guys nk interview i ea?...kejap ea...i nk makan dulu...hurm, u pakai braces, i pon pakai braces...u boleyla interview i!"...she pointed to me...

erk...haha...this really caught me...very friendly patient.

we continued inside and the matron showed us around
"skarang time makan, so patient tak de dlm ward...kat situ file patient kalau nk bace...." she continued explaining us around

at the same time, there was a women in patient's outfit standing beside her...looking at us drowsily (i guess, ptosis eyelid)

"...by the way, korang ni dari mane?" the matron asked
"Cairo University" we answered together...
suddenly..

"enti minal kaherah?" the women asked
"aa!" i replied astounded..."enti bitakallim arabi?" i asked her back
"na'am...ana darastu allughatul al arabiah fil jamiah" she replied...

phew~

"a aa...dy nie pandai cakap arab..." said the matron..."aa, boleyla korg borak ngan dy!"

"lau antunna uridina an atakallam ma'aya, saufa najlis awwalan!"... said the patient

seriously we were really taken aback by her...

"mashi!" i said...

and we continued chatting, talking about each other...but more to how she end up in the psychiatry ward...fully in arabic fushah!...(never imagine i'd meet someone like this)...frankly speaking, she talks more fluent than i do...and she corrects her verb every now and then...

*some people really strive to learn arabic...realizing how precious is that language...

#this incident happened to me and shae~one more sweet memory there

mysterious...let's explore!

i am sleepy so early nowadays...
but dis help freshen me up a lil bit

curiosity...hehe



dis is the ocean...can human body still hide more secrets than we expect?

*clinical classes prove to be exciting and satisfying...'if i get the chance to do everything...'

be curious!