Interesting ECG (4)

A 50 year-old man with diabetes/ hypertension/ ischemic heart disease presented with acute onset of limbs weakness, right side more severe than left (power 3/5 and 4/5 respectively). He has otherwise no complaint of dyspnea or chest pain. History revealed that he was admitted about a month ago for an ACS (acute coronary syndrome) event. His ECG was noted to as below:Base on the clinical scenario

jonathan mann @ rockcookiebottom

Jonathan was on Rachel Maddow this past Friday night and he was terrific. I just visited his site again today and love his Palestine/Israel song. He's been writing a song and day, every day, and he's proving that being creative takes discipline, practice, patience, joy, humility and humanity.
In my book Magic Medicine: Rx for Creativity, I write about how we need to get out of our own way, and just trust the process. Jonathan is an amazing example of why it's so important to our creative spirits to what we love and not worry about where it's taking us.
He's pure inspiration.

Always Ask Further!

Last time we talked about that some assumptions are bad. And it's true that we assume things rather often, and sometimes when we ask further, we might get some surprising answers!;)#1When suspecting peptic ulcer in an elderly,Doc: "Pakcik, do you have gastric pain quite often?"Pt: "Ya..."Doc: "Have you passed blackish stool before?"Pt: "Blackish? No never..."If ask further, "So what's the colour

Magic Medicine Formula (4)

Dear friends, time for some medical formulas again;) This time the topic is about poisoning. A fairly common problem to encounter in ER, as well as popular in exam questions, and more importantly, you usually can't obtain any history from the patients! So the "clues" are crucial in helping to reach the diagnosis. Below are some tips that I found useful:Check if the patient's having:- Respiratory

I'm Back

Hi everyone the blog's back;)It's still a blog of medicine & magic - with something less if you could notice - less on personal life. I recently learned a lesson that something would just go wrong somewhere if the blog goes too personal. Hmm.Anyway, just back from exam. Gosh those are some really tough questions...prognosis is rather uncertain now ha. Well, shall start praying now and really hope