DnD 2006 coming up!

DSC_6440, originally uploaded by ouyang_youheng.

Just finished the End of Surgery posting test.
The test itself was horrible. totally wasn't prepared for the examiner's personal style - and as a result shot myself in the foot quite a bit. (should have followed him like a remora)

Things like a directed history or a directed physical examination were totally beyond me. wasn't sure of what to present or what not to... worse still was the physical examination.

given the relevant history, the prof asked me to examine the patient for the relevant physical signs. so, i disrobed the patient, stood to the edge of the bed and begun to describe his general demeanor. after about a minute, my examiner asked me in pointed tones, "why (are you) so hung up over the abdomen?" he also asked why i didn't check for a hernia, something i would have done moments later. all in all a very negative first impression.

then came the basic signs quizz: he started asking me about signs for anemia and dehydration. Because he kept jumping from place to place, i missed out things which would have otherwise been examined - whats worse, i never got the chance to as he immediately screwed me for my lack of completeness. terrible second impressions.

lastly, to go for the gold, he started quizzing me about a systolic bruit ascultated over the abdomen. in my already frustrated and panicked state, i said it was a systolic murmur... of which he gave me a puzzled look and said: "murmurs are found in the heart, does this look like the heart? what is it called?"

after an eternalty of about 10 seconds came my all too overdue answer: " sir, i have asuculated a systolic bruit over the umbilical region of mr x". a horrible third impression no less.

hai. and i studied so darn hard for the test too. thankfully the prof said i passed. so all is not lost.

the end of posting celebration was good though. my sincere thanks go out to wayne! happy birthday dude... best wishes! got royally owned at dota at all 3 games i played. talk about feeding!
3 - 8, 3 3 -7, 4 - 8. (all lost in the end.) *sigh* no killing spree fix there.

In other happier news, DnD 2006 is coming up! something to truly look forward to; despite the lack of seating which is really proving to be trying for our batch, i think its going to be a blast.

also, mr j and miss j have finally gotten attached. best wishes! haha may it last even longer than the chase.

heres to another 2 months in CGH general med. life goes on.