i agree with shihui. it doesn't mean that just because we smile and we finish our work faster than the rest means that we are super happy/slack. it just means that we decide to be more efficient and it doesn't mean that i am not in pain/sick just because i smile and i continue to be nice to patients. things don't get done faster if you scowl or are mean about it. might as well be nice about it and maybe people will help you out along the way! super glad that i have super nice fellow HOs who are willing to take my call when i hobble.

joke of the day
me clerking a patient with ankle pain in chinese

uncle, how painful is your ankle in chinese? (while peforming simmonds and palpating for swelling/tenderness)

not as painful as yours. i think that mine is ok. i can still walk.

you realise that the government/public owns you when you can't take MC without feeling bad and you go back to work even though you can't really walk/hobble. it gets even better when the doctor tells you that you shouldn't really weight bear for a week and then you explain to him that you are a HO and you have to a call to do and there's no coverage if you are away, and he says maybe you can take 3 days MC because the ligament appears to be torn? and then you tell him that you have a call on Wednesday and you only cover ward 74 and A&E and then he pauses and says hmm. Just tie the bandage really tight and take 75mg of voltaren and you should be able to survive your call. and then you hobble away to get the meds in hand and take only 1 day MC and curse yourself for falling down a bunch of stairs when you really can't get any MC.

Patients with congestive heart failure, significant lung disease such as chronic obstructive pulmonary disease, patients expected to have nocturnal arterial oxyhemoglobin desaturation due to conditions other than OSA (e.g., obesity hypoventilation syndrome), patients who do not snore (either naturally or as a result of palate surgery), and patients who have central sleep apnea syndromes are not currently candidates for APAP titration or treatment. (Standard)

A 2005 study found that OSAHS was associated with an increased risk of sudden death between the hours of midnight and 6 am, as compared with the general population (sudden death more common between 6 am and noon).

I really like both of my MOs personally, but somehow, I felt left in the lurch yesterday even though I was reassured multiple times that I did fine. They do teach and let me go post call which I am very grateful for. I am upset that no one came for a while, but I can understand why they didn't come because there was nothing that they could have done. I am pissed off that I didn't do some stuff earlier as well. Sigh. I really do like them and I feel bad that I feel upset that they didn't come? I don't really know how to explain it. It makes it worse when they say not to worry and they will fix the mess. I don't like all these conflicting feelings. I hate this blame game.

MEDICINE MCQ SUCKED
argh. medicine mcq sucked. like i kinda knew the answer, but wasn't sure? and now that i am online, the answer is THERE! like staring me in my freaking face. and it was the other answer that i WOULD have picked. it's like argh. both of them are right?! and how am i supposed to know all those ID stuff when you NEVER even taught us?? fuck. i keep googling all the answers and argh. i was going to pick SBP, parietal lobe, antibodies, reduced glucouse tolerance etc. those are the EASY ones that everyone probably knows.

why. this is super demoralising right before SURG. oh which the NUH people have the highest chance of failing by very virtue of the fact that the highest fail rates are from NUH. argh.

think that i shall cry myself to sleep.

Cynthia Rowley Presents A Musical Chairs

I want to be dressed in Cynthia Rowley and playing musical chairs instead of mugging DA.

i think that mbbs is making a very cranky person. sigh. i am already terrible when people ask me to explain stuff to them, but when a few people ask me the same question a few times and i have already repeated myself to them, i kinda snap and give them a wth look. i guess that i need to improve on that. i find it very difficult to make conversation nowadays aside from the superficial stuff and i think that alot of us are just feeling quite down from the exams and constant barrade of things that we have to study. i shouldn't even be typing this now. i should be studying abdo. i lost my tendon tapper a few weeks ago and while i can rationalise how someone might have just taken cos it was there, it just feels wrong to me because it was my tendon tapper and it had been with me for 3 years through all my tests and ward work. it meant something. i just can't understand how someone can just take it and pretend that it's theirs. it also means that i can't help wishing bad things on them. which i really shouldn't. i guess stealing a tendon tapper shouldn't constitute someone failing mbbs. on another note, i haven't exactly been very supportive of people's love lives. i wish that i had more interest. but when you are on the same scale as the girl, it seems very difficult to believe that she would reject you. so dude, you are safe. i wish that i could have put it more eloquently without a bitch face. i lost my phone yesterday. i think that it was because i didn't do more to lend her the money. i should have insisted that she take all my coins so that she could pay for a bus ride home, but i didn't do it cos it seemed weird. oh wells. as you guys all know, i don't think that the person is going to return it because he sounded shifty and took the phone for so long without any attempt at returning it and refused to give me his name or number. oh wells. bad karma, i guess for being such a bitch. hopefully, this means that mbbs will go smoothly despite me brooding over my phone. i just don't understand how people can steal from someone they know. i am just hoping he returns it and nothing happens.