Just an AGE? Not Really!

Weekend tagging is not easy. Have to do rounds of 2 wards, but on-call is even worse, covering the rounds of 4 wards. But luckily this tagging is coming to an end...31st is gonna be my last-day tagging!I remember there's this case during weekend round, my houseman presented to me, "This patient just came in this morning, complaining of vomiting and diarrhea for 1 day. Currently treated as acute

Thanks Everyone!

Ya, I'm one year older;)For the wishes that I received (via smses, messages in friendster/ facebook or even in my chatbox etc), THANK YOU EVERYONE!!! I'm truly glad of it!So birthday wishes? Quite a few actually hehe..well mainly wish myself luck on the coming big thing, or big things probably ha. Hopefully a smooth year ahead!Anyhow, I'm still gonna tag on-call today! Please give me a

Chronic Symptoms...Don't Overlook!

Sorry for the lack of updates. Tagging period is really tiring!Just to share some thoughts...from the cases that I came across recently:#1A lady who had an appendicectomy done, having recurrent admissions for abdominal pain, treated as adhesion colic but symptoms never really improves despite adhesiolysis done twice and analgesic treatment over 2 years. Somehow she got to be admitted to medical

Lesson 1: Be Fierce!

There's a theory that fierce MO will get less referrals.Now I know that it's quite true.Case "Bully" 1HO from other unit called me after office hour, "Hi Dr, I have a case to refer to you..."Me: "Huh? Why are you calling me? I'm not on call..."HO: "Can I present the case to you?"Me: "Why? Today MO on-call is Dr X and you should call him..."HO: "Ya but...he's very fierce. I'm scared of him la...

New Ways to Celebrate Your Creativity

Take your name. Make an acronym of it. Win Harper's is What's Important Now, and his website will inspire you. Take a look. And while you're at it, visit Elizabeth Harper's website, too. Win and Elizabeth are a dynamic duo of Magic Medicine personified. They are creative healers who walk their paths, inviting us not so much to follow, but to forge our own. Their guidance is a true gift.
May 2009 be filled with the Magic Medicine of life.

Tagging Tagging Tagging

Yes, I'm back to a tagger again. My 6th day in Medical, going to tag every other day, 8am to 8pm, until end of this month. MO tag is no joke. Seriously. Hehe. Just some random updates:1. My first referral's already causing me big headache. A 70 year-old man with acute abdomen suspected to have perforated viscus, noted ST elevations over inferolateral leads on ECG. Wanna manage as AMI? Wait, can't

Why Hypoglycemia?

A 70 yr-old man was admitted for hypoglycemic attack. So I was asking his wife the history.Me: "Is he on insulin or oral medication?"Pt's wife: "He's on insulin. I'm the one who give him injection coz he can't see."Me: "Then what happened actually?"Pt's wife: "I also dunno la...yesterday he didn't take his dinner coz he said no appetite, then at night after I gave the insulin injection, this

Back to Medicine!

Today's my first day, in Medicine again. Walking in the wards, talking to the staff nurses, writing on the bed head tickets...I can't help but keep thinking back my past days as a Houseman in medical. Gosh it was...around 2 yrs back! I started in Medical as my first posting - I think the workload can almost make a HO collapsed ha.So I sort of read back the posts that I wrote during that time:Day