Happy 21st Birthday my dear Blancheee! *gRINz.*
Its been an absolute pleasure working together and having you as a very very very (note repetition!) good friend in times of need, times of happiness and times of well... times, period.
all the best in the future! stay just the way you are!
*pictured: forfeit - the chicky dance! in front of an amused public!
Saturday, September 23, 2006
Its my party and i'll do what'd i'll wanna do!
Sunday, September 17, 2006
*cough! cough!* the lovey dovey couple!
DSC_8817, originally uploaded by oychristlarrybdae.
Alamak. Larry is so lovey dovey with his GF! inciting jealousy and envy in the rest of his male and single collegues! We have *No Choice* but to suan you now right? haha talk to the guys more lah... (even if we're not as chio) hehehe.
but congrats.
Christopher, Larry and Me!
All together on our 21st birthday celebration. :)
the photographer finally has birthday photos. heh.
Friday, September 15, 2006
Thursday, September 14, 2006
COFM Home visit.
pictured: Our patient explaining to colin her diet restrictions for her gout.
I have to admit im now a fervent supporter for COFM! The COFM visit really helped me to see just how much our care matters to the practical lives our patients.
As it turns out, Mdm X (our patient) had gouty arthritis and was on NSAIDs to suppress the pain. Following the classical story of over-ingestion due to excessive pain in her knees, she subsequently developed NSAID induced gastritis. She then presented to CGH complaining of dyspepsia as well as epigastric pain. Over in CGH, the diagnosis of gastritis was quickly made via a OGD and the patient was discharged, with the replacement of her indomethacin with panadol, a less potent NSAID.
This management raised various issues. Firstly, it ignored that fact that the patient was in great pain; panadol was emphatically quoted as "worthless" at relieving the pain by the patient. Without appropriate pain management, the patient would then be no better off - simply trading her knee pains for her gastric ones. Secondly, by just treating the symptomatic pain by pain relief, the management neglected to include softer options like muscular physio therapy to strengthen the quadriceps. Without real treatment to the knee pains, the issue of future NSAID overuse remains in question.
Lastly, Mdm X was also found to be slightly constipated during her visit to the hospital, as she was having poor intake due to the gastric pains, coupled to her new and unfamiliar surroundings, one can't help but to wonder if she was having a psychogenic constipation. As it were, she was discharged with a further prescription of lactulose for her constipation. Now, unsurprisingly so, shes developed abdominal pains and a "bloated gut." after her daily lactulose consumption. An entirely nosocomially induced illness.
Suddenly COFM and all its emphasis on "total patient care"seems so acutely presented. Its definitely a worthwhile and important component of our course becausing nothing in Kumar and Clark really prepares you for the gross reality of the situation when faced with the issues of patient disability and social handicap whilst on the "job."
i hate the way its being taught in NUS with its over-reliance on lectures and formal notes. It was refreshing to actually meet a patient on her own terms in her own residence too. We got to see first hand how her life was directly affected by our intervention.
as a subnote, it was pretty to cool to have a tutorial conducted by the patient and our prof, in cantonese(!), on a HDB living room floor whilst squatting/sitting like primary school kids. hehe.
medicine - new expriences everyday.
Wednesday, September 06, 2006
CG Lunch Buffet!
A Semi Full CG outing to Eastpoint for lunch! We decided to try this new buffet place which looked pretty cheap...
the meal started innoculously enough as we were seated promptly and orders were taken. The food was served quickly enough and we were all about to tuck in-
*surprise surprise!* the meal was spoilt by a LIVING snail being found crawling in Liyings food. *urk* It immediately caused the girls to all lose their appetites so liying and siying returned their food. due to the snail scare, we decided to inspect the place a little more closely and lo and behold, hygiene wasn't exactly the *best* (duh) but then again, it was a cheap place, with prices almost comparable to market food.
on the flipside, it didn't hinder me or howen from tucking into a huge buffet of "about to be" stale meat.... :), proving once again that guys are thoroughly and utterly disgusting. hehe.
i guess, cheapos can't be choosers.
you could practically see the microbes edging to rushing in to cause GE...
as an epilogue:
3 days later, neither of the guys have come down with GE. thus, the sterilizing powers of HCl remain tried and proven! hah.
food (taste) was ok.
Sunday, September 03, 2006
toodles brenda!
and there goes your last day in singapore for another year! take care of that throat!
:)
Austin Powers and Retro Guy!
and to recount a small exchange on the subject:
nat: " ouyang, is it every guys fantasy to wear a shiny suit... and have an afro haircut?
me: "um... no?"
nat: "oh!"
maybe, on hindsight. yeah. haha the afro hair does grow on you, a la, jx. hahah
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