October 25, 2010

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!

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