7.30am: the moment we arrived at the 54S(or is it N???), we didnt really know what to do. there wasnt anybody at the counter and we didnt know who's the ward clerk. then we just grabbed eva's file,copied some medications to be searched on the MIMS(really plan to do k izza's suggestions). awkward moments last for nearly abt 10minutes,then only i decided to approach the ward clerk(after jun saw her nametag).she didnt really know if they have any patient with gait disorders(jun needed 1 for her pt pbl). there was this 1 'look-kind nurse' who brought us to the registrar. the registrar also had no idea of any pt with gait disorder. hmm.. it seems like it's a tough search ahead. but interestingly, she suggested us to see Mrs O since she had a mystery of left sided involuntary movements. mrs O was having her breakfast when we were there so we promised to come by later. we then tried 44N,tried yesterday's pt. she's under gen med unit.
damn!the interview was far from satisfactory level. i dont know why it's hard to organise ur thouhgts when it comes to the real patient.it's probably because their presenting complaints are not as well-written as in the case studies. but yeah, imperfections give rooms for improvements.
abt 9-ish : went to see Mrs O, jun interviewed her. the followed the registrar's ward round. it was just a brief round. Dr P suggested us to have a listen to her heart n report to him the findings. hahaha, kinda of funny trying to look like we know things when we actually didnt in front of the pt. but then i'm soo happy to actually hear the murmur.. the 'whoosh, whoosh' sound was soo cool. but then it wasnt cool enough of me to not knowing the parts of the valve.. i've alwasy take for granted which sides are all the A P T M areas. but at least there's sth to learn there. N taught us how to descrive the murmur. start with the character, is it systolic or diastolic( by checking the pulse at the same time).. then is it all the same thoroughout(pan) or is it ejection or late systolic? where is it loudest? radiation? manouvres? she also said sth abt the grading, but it's for the cardiologists.
11am: soooo rugi to miss the consultant's ward round. we thought ob and cl is going to join the round, but they actually didnt. !
12pm: cbt.. hmm... hahahah, penat dh nk cite.
damn!the interview was far from satisfactory level. i dont know why it's hard to organise ur thouhgts when it comes to the real patient.it's probably because their presenting complaints are not as well-written as in the case studies. but yeah, imperfections give rooms for improvements.
abt 9-ish : went to see Mrs O, jun interviewed her. the followed the registrar's ward round. it was just a brief round. Dr P suggested us to have a listen to her heart n report to him the findings. hahaha, kinda of funny trying to look like we know things when we actually didnt in front of the pt. but then i'm soo happy to actually hear the murmur.. the 'whoosh, whoosh' sound was soo cool. but then it wasnt cool enough of me to not knowing the parts of the valve.. i've alwasy take for granted which sides are all the A P T M areas. but at least there's sth to learn there. N taught us how to descrive the murmur. start with the character, is it systolic or diastolic( by checking the pulse at the same time).. then is it all the same thoroughout(pan) or is it ejection or late systolic? where is it loudest? radiation? manouvres? she also said sth abt the grading, but it's for the cardiologists.
11am: soooo rugi to miss the consultant's ward round. we thought ob and cl is going to join the round, but they actually didnt. !
12pm: cbt.. hmm... hahahah, penat dh nk cite.
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