星期二, 12月 28, 2004
banana split
Well... today we have to eat bananas, so that we can suture them back into one piece....strange....
星期五, 12月 03, 2004
Last day in Shatin Hospital Geriatrics + Bus Stop Posters
Also has some photos to show today:
This is a very interesting, funny yet practical nursing aid I found in one of the geriatric wards in SH. It is a table with each patient's need and ability plotted on it, so that nursing staff all has an idea on how to provide the best care. There are small icons says "need help in dressing", "able to walk", "cannot swallow", etc.
This photo shows the 2 female memebers of my group, Shannon and Yin kei, sorry for the blurred image, all I wanted to show is that Ying Kei actually brought a suitcase to SH...crazy.
This photo shows a bus stop poster right outside SH, actually these posters has been all around Hong Kong since the SARS epidemic early last year. They were meant to provide some morale support for the healthcare workers during that period. For the benefits of those who cannot read Chinese, the photo actually shows a hospital porter resting on a bench wearing a mask. The message says: "He could have chosen to leave, but he stayed with the rest of the team to fight for HK". We must keep in mind that the porter actually earns much less than a doctor, and they do not have as much morale obligation to fight an epidemic as doctors and nurses (at least that is what I think). They have chosen to stay on their own accord. They are indeed very brave.
This is another bus stop poster from the SARS time. This one shows our former Dean of Faculty of Medicine CUHK, Prof Sydney Chung. (He has moved to Pupua New Guinea since October this year to pioneer endoscopy in that country) The Prinice of Wales of Hospital, our principle teaching hospital was striked fast and hard. Some of the students and teaching staff has also fallen sick. Prof Chung was working very hard to fight the epidemic, but due limied knowlege of SARS and various political and economical reasons, he was under tremendous pressure, yet he never yield. During one of the press conference, he sheded tears when he informed the press about the community spreading of the disease. He is really a modern hero, a superb doctor and the best teacher I ever met (he taught by being a role model for all of us to follow). BTW, the chinese reads: We were deeply touched and grateful to all the frontline medical workders.
This is a very interesting, funny yet practical nursing aid I found in one of the geriatric wards in SH. It is a table with each patient's need and ability plotted on it, so that nursing staff all has an idea on how to provide the best care. There are small icons says "need help in dressing", "able to walk", "cannot swallow", etc.
This photo shows the 2 female memebers of my group, Shannon and Yin kei, sorry for the blurred image, all I wanted to show is that Ying Kei actually brought a suitcase to SH...crazy.
This photo shows a bus stop poster right outside SH, actually these posters has been all around Hong Kong since the SARS epidemic early last year. They were meant to provide some morale support for the healthcare workers during that period. For the benefits of those who cannot read Chinese, the photo actually shows a hospital porter resting on a bench wearing a mask. The message says: "He could have chosen to leave, but he stayed with the rest of the team to fight for HK". We must keep in mind that the porter actually earns much less than a doctor, and they do not have as much morale obligation to fight an epidemic as doctors and nurses (at least that is what I think). They have chosen to stay on their own accord. They are indeed very brave.
This is another bus stop poster from the SARS time. This one shows our former Dean of Faculty of Medicine CUHK, Prof Sydney Chung. (He has moved to Pupua New Guinea since October this year to pioneer endoscopy in that country) The Prinice of Wales of Hospital, our principle teaching hospital was striked fast and hard. Some of the students and teaching staff has also fallen sick. Prof Chung was working very hard to fight the epidemic, but due limied knowlege of SARS and various political and economical reasons, he was under tremendous pressure, yet he never yield. During one of the press conference, he sheded tears when he informed the press about the community spreading of the disease. He is really a modern hero, a superb doctor and the best teacher I ever met (he taught by being a role model for all of us to follow). BTW, the chinese reads: We were deeply touched and grateful to all the frontline medical workders.
星期三, 12月 01, 2004
Show and Tell
I have taken a lot of photos today.. so I just show them and tell the story behind..
This photo shows Shannon in an Old Age Home that we have visited today, it also shows a resident of that OAH.
This photo shows the interior of the same OAH from a different angle, Shannon and I were told to assest one of the resident's mobility and stability, becuase the doctor is hoping to upgrade her walking aid from a frame (with 4 legs, you hold it in front of you with 2 hands) to a stick (well... just a stick....I should have called it "down-grade") if she is able to walk properly. She did quite well, she might be able to use a stick and walk the stairs that were unsurmountable previously due to her walking frame (you cannot do stairs with frames.)That might help her to go out doors and do shopping on her own.
This photo shows the large balcony that the OAH has, it is a private OAH and it cost around HK$5000/mth to stay there, quite cheap. We visit the OAH as part of our geriatic medicine teaching. You can see 4 empty chairs on the balcony that were arranged in a semi-circle, we were sitting in those chairs and had a tutorial in the sunny balcony. My first ever tutorial out-door, quite cool. althought an old man came and accused us of using his chair...
Here you can see the back of Shannon, she had a acute attack of severe tummy ache..while we were waiting for a lunch time hospital audit meeting (dont ask me why medical students should attend such meeting). The tummy ache is most probably due to the heavy breakfast she ate in the morning before the OAH visit. But.... she ate even more during the lunch (maybe because the meeting-lunch is free?)
Here you can see a patient who is tetraplegic. He can only move his neck and face. He is wheelchair-bound. But, he never gave up and uses all his time in the Shatin hospital to work on his computer. It looks to me he is writing a book. He also has a very good demeaner and very polite towards us. We were having a tutorial in the room that he was using, he quickily apologised for the noise he made and hurried to finished his work to let us enjoy a quiet room.
This is a clock face drawn by a patient with a previous stroke. She had a stroke in the part of brain that controls vision, of the right side.(for the medic geek out there, A Right Occipital Ischaemic Stroke) So, she is unable to see things on her left side (Left Homonymous Hemianopia), that is why the clock has all the letter on the right side (where she can see).
(this image has been updated) This is Hermen, who had got his right lower wisdom tooth taken out today. He had a large swelling of his right cheek and unable to speak very well. He couldnt even interview the old lady who drew the clock face...poor thing.
Lastly, a desperate house officer looking for a Assistent Interm just before her holiday. She actually stuck this advertisment next to the elevator of our hostel...
This photo shows Shannon in an Old Age Home that we have visited today, it also shows a resident of that OAH.
This photo shows the interior of the same OAH from a different angle, Shannon and I were told to assest one of the resident's mobility and stability, becuase the doctor is hoping to upgrade her walking aid from a frame (with 4 legs, you hold it in front of you with 2 hands) to a stick (well... just a stick....I should have called it "down-grade") if she is able to walk properly. She did quite well, she might be able to use a stick and walk the stairs that were unsurmountable previously due to her walking frame (you cannot do stairs with frames.)That might help her to go out doors and do shopping on her own.
This photo shows the large balcony that the OAH has, it is a private OAH and it cost around HK$5000/mth to stay there, quite cheap. We visit the OAH as part of our geriatic medicine teaching. You can see 4 empty chairs on the balcony that were arranged in a semi-circle, we were sitting in those chairs and had a tutorial in the sunny balcony. My first ever tutorial out-door, quite cool. althought an old man came and accused us of using his chair...
Here you can see the back of Shannon, she had a acute attack of severe tummy ache..while we were waiting for a lunch time hospital audit meeting (dont ask me why medical students should attend such meeting). The tummy ache is most probably due to the heavy breakfast she ate in the morning before the OAH visit. But.... she ate even more during the lunch (maybe because the meeting-lunch is free?)
Here you can see a patient who is tetraplegic. He can only move his neck and face. He is wheelchair-bound. But, he never gave up and uses all his time in the Shatin hospital to work on his computer. It looks to me he is writing a book. He also has a very good demeaner and very polite towards us. We were having a tutorial in the room that he was using, he quickily apologised for the noise he made and hurried to finished his work to let us enjoy a quiet room.
This is a clock face drawn by a patient with a previous stroke. She had a stroke in the part of brain that controls vision, of the right side.(for the medic geek out there, A Right Occipital Ischaemic Stroke) So, she is unable to see things on her left side (Left Homonymous Hemianopia), that is why the clock has all the letter on the right side (where she can see).
(this image has been updated) This is Hermen, who had got his right lower wisdom tooth taken out today. He had a large swelling of his right cheek and unable to speak very well. He couldnt even interview the old lady who drew the clock face...poor thing.
Lastly, a desperate house officer looking for a Assistent Interm just before her holiday. She actually stuck this advertisment next to the elevator of our hostel...
星期日, 11月 28, 2004
Big buns for the blinded
Nothing really happened during the weekends....
1) But I found a map for the blinded people. Showing how they can get along in the Subway station. There is also voice telling them how to use the map as well... I wonder when will hospitals have such things.
2)I ate Dim Sum as lunch during the last sunday....look how big the bun can get. I am sure it is definitely more user (eater) friendly towards the blinded people than smaller, use-chopsticks-or-starve buns.
1) But I found a map for the blinded people. Showing how they can get along in the Subway station. There is also voice telling them how to use the map as well... I wonder when will hospitals have such things.
2)I ate Dim Sum as lunch during the last sunday....look how big the bun can get. I am sure it is definitely more user (eater) friendly towards the blinded people than smaller, use-chopsticks-or-starve buns.
星期四, 11月 25, 2004
Gun Wielding Dermatologist
Today attended a dermatology clinic again.. the dermatologist took out a LQUID NITROGEN GUN and zap this old lady.. trying to cure her skin problem (Actinic Keratosis...may become cancer). I cound see she is a lot of pain...
Good Jobs
When House-officers in my hospital want to go on holidays, they have to hire an assistant interns (aka, student Locum in the UK) Here are some of the advertisment they put on the student notice board, quite funny. BTW, the students are paid HK$95/day....cheap labour.
this photo has been updated
this photo has been updated
星期三, 11月 24, 2004
Insulin Clinic
Well, today I had a bedside tutorial by Prof J Chan, She gave us a very good scolding. She was very disappointed in our performance and she was deeply concerned. She is not a nasty teacher, she is just very strict and has a very high expectation of us...and she spent a lot of her time teaching and prepare teaching materials...
In the afternoon, we attended the DM insulin clinic, we were greeted by Miss Yeung, the Nurse in-charge. We were supposed to learn about different insulin regimes and how to educate patient on self-injection of insulin. We had our own does of insulin injected ourselves to experience the whole procedure from the pateint's perspective.
This lady shown in the pictures was so afraid of needles that she fainted multiple times (vasovagal attacks) during the session. At the end she was unable to complete the training in self-injections.
She fainted and my classmates tried to revive her (lying her down), I was trying to take another picture, but this happened so abruply that I shaked my camera....
In the afternoon, we attended the DM insulin clinic, we were greeted by Miss Yeung, the Nurse in-charge. We were supposed to learn about different insulin regimes and how to educate patient on self-injection of insulin. We had our own does of insulin injected ourselves to experience the whole procedure from the pateint's perspective.
This lady shown in the pictures was so afraid of needles that she fainted multiple times (vasovagal attacks) during the session. At the end she was unable to complete the training in self-injections.
She fainted and my classmates tried to revive her (lying her down), I was trying to take another picture, but this happened so abruply that I shaked my camera....
星期二, 11月 23, 2004
Tension in the Neurology clinic
Well, today we had neurology cinic in the afternoon (nothing much in the morning)
Prof Kay (a very senior professor) runs the clinic and I was assigned to his room. We saw 3 patients with multiple sclerosis, 1 with gait apraxia, 1 with cerebellar infart, and 1 with epilepsy.
Prof Kay is definitely very knowlegable and shown us the way of a good neurologist. But he was quite annoyed after we tried to adjust the air-con.
Shown in this picture is Shannon telling the old gentalment what Prof Kay is telling him to do...He could hear very well in his left ear. (hence shannon is relaying the info to his right ear). He is supposed to repeatedly touch his own nose and Prof Kay's Finger (btw, this is a test for the cerebellar function)
Prof Kay (a very senior professor) runs the clinic and I was assigned to his room. We saw 3 patients with multiple sclerosis, 1 with gait apraxia, 1 with cerebellar infart, and 1 with epilepsy.
Prof Kay is definitely very knowlegable and shown us the way of a good neurologist. But he was quite annoyed after we tried to adjust the air-con.
Shown in this picture is Shannon telling the old gentalment what Prof Kay is telling him to do...He could hear very well in his left ear. (hence shannon is relaying the info to his right ear). He is supposed to repeatedly touch his own nose and Prof Kay's Finger (btw, this is a test for the cerebellar function)
星期三, 11月 17, 2004
Carotid Ultrasound
Today is another in my internal medicine rotation. Nothing much happened in the morning, but then in the afternoon, we visited the electrodiagnostic unit, where we observe how Transcranial doppler ultrasound (ultrasound to see the blood vessels and blood flow in the head) and carotid arteries dulplex (ultrasound to see the blood flow in the neck)
We all got our head and neck onto a ultrasound probe and got our blood flow measured. Of course we are all very healthy
Shown here is Shannon after she found out her blood vessels is fine.
We all got our head and neck onto a ultrasound probe and got our blood flow measured. Of course we are all very healthy
Shown here is Shannon after she found out her blood vessels is fine.
星期二, 11月 16, 2004
Neurology Clinic - 1001 things to learn
Today we went to neurology clinic in the afternoon, Dr Leung is the one who runs the clinic. I cannot say much about the clinic session, just that Dr Leung is very nice, a very good teacher and I have learnt a lot from him and his patients. Today is a rare incident that I found myself learning so much.....
Dr Leung and his patient
Dr Leung and his patient
星期一, 11月 15, 2004
Hong Kong Foot from Hong Kong
Today is the first day of my internal medicine rotation. Nothing much really happened, but this 60 years old gentalmen with fulminat Hong Kong feet (and hand, aka tinea pedis), is quite striking.
星期二, 11月 09, 2004
Mr Super Simulator
Today, we have a lesson on a simulator robot, we all got a chance to manage this "fake" patient.
This fake patient is called Mr Simulator (written on his arm band). What is so amazing is that, he can do a lot of things (or rather, a lot of things can be done on him).
He is able to sense the Oxygen and CO2 that he breath, the drugs that we give. He has all the pulses and blood pressure in his body, just like a real man. He has real heart sound and breath sounds. A real mouth and throat for intubation. He is also sensitive to the electrical shock that we give him (and be able to response with a ECG change). He also has real pupils that reacts to light and what is more incredible is that, he can collect air in his chest (to simulate a pneumothorax). And this Mr Simulator costs 1500k Hong Kong dollars.......gosh..
And then we go on the have a very interesting X-ray tutorial. I was suprised to find that I made use of what I learnt in South Arica in this tutorial.
This fake patient is called Mr Simulator (written on his arm band). What is so amazing is that, he can do a lot of things (or rather, a lot of things can be done on him).
He is able to sense the Oxygen and CO2 that he breath, the drugs that we give. He has all the pulses and blood pressure in his body, just like a real man. He has real heart sound and breath sounds. A real mouth and throat for intubation. He is also sensitive to the electrical shock that we give him (and be able to response with a ECG change). He also has real pupils that reacts to light and what is more incredible is that, he can collect air in his chest (to simulate a pneumothorax). And this Mr Simulator costs 1500k Hong Kong dollars.......gosh..
And then we go on the have a very interesting X-ray tutorial. I was suprised to find that I made use of what I learnt in South Arica in this tutorial.
星期二, 11月 02, 2004
Human Blood pump
What I did today:
1)Tried to intubate a patient, but failed.
2)Manually pumped 6 packs of red blood cell into the same patient. He lost 4.5 litres of blood during his operation. Poor fellow.
What I think:
1)They should help me apply some cricoid pressure on that patient
2)They should make sure mechanical blood pumps are availeble.
Here is the blood with the pump drip set, you can see the surgeons, there is some blood clots in the filter..meaning the patient has been receiving blood
I am pumping blood...that is my hand
I am pumping a lot of blood....
1)Tried to intubate a patient, but failed.
2)Manually pumped 6 packs of red blood cell into the same patient. He lost 4.5 litres of blood during his operation. Poor fellow.
What I think:
1)They should help me apply some cricoid pressure on that patient
2)They should make sure mechanical blood pumps are availeble.
Here is the blood with the pump drip set, you can see the surgeons, there is some blood clots in the filter..meaning the patient has been receiving blood
I am pumping blood...that is my hand
I am pumping a lot of blood....
星期一, 11月 01, 2004
Intubation Fun
Today is the day when the 16 of us learnt how to intubate a patient. We practice the "skill" on a dummy. Well, we had a little fun playing with the patient, anyway, the real challenge is to intubate a real patient in the operation theatre tomorrow.
The second picture looks "weird" right? I am sure you guys know what it looks like, but it is actually something that doctors put into a patient's mouth so to help him breath.
The second picture looks "weird" right? I am sure you guys know what it looks like, but it is actually something that doctors put into a patient's mouth so to help him breath.
星期六, 10月 30, 2004
Microwave oven, TV and washing machine
These 3 things are the electrical appliances that women can use with competence (sorry for being very sexist)
We were taught on the advance cardiac life support today and none of the girls can use the defirilator properly......
We were taught on the advance cardiac life support today and none of the girls can use the defirilator properly......
星期四, 10月 07, 2004
The Roasted Chickens - Baby Hippy
Today, prof Jack Cheng has brought along 4 baby hippies to his tutorial. The tutorial is on congenital dysplasia of the hip. The baby hippies are latex models with medal skeletons within. They are used to teach us how to do the Barlow and Ortolani test of diagnosing CDH. However, the baby hippies looks like roasted chickens and we are all like messaging seasonings into the chicks.
At the end the baby hippies have taugh me quite a lot about performing the 2 tests, but what I remember most is how the girls in class look when they performed the tests
At the end the baby hippies have taugh me quite a lot about performing the 2 tests, but what I remember most is how the girls in class look when they performed the tests
星期五, 9月 24, 2004
Body painting
It is very common for Clinical tutors to draw on the medical students to illustrate important bony landmarks during an orthopaedic tutorial.
Mr Luk got his knee marked out nicely today
Mr Luk got his knee marked out nicely today
星期一, 9月 06, 2004
First dead patient
Today as I was working in the infecious dzs ward, an elderly man died right in front of my eyes. He has an Do Not Resucitate Order; hence, we didnt do anything to revive him.
The rest of the ward went on to document his flat ECG, his pulseless pulse (ironic right), his fixed and dilated pupils. All to make sure he is really (legally) dead.
It is all so cold.
The rest of the ward went on to document his flat ECG, his pulseless pulse (ironic right), his fixed and dilated pupils. All to make sure he is really (legally) dead.
It is all so cold.
星期三, 9月 01, 2004
How to die
Today, we went to a hospice for lessons. The atmosphere there is very different. We were greeted by Dr Ann B Thorsen. She is the wife of Prof Sydney Chung, our Ex-dean of faculty. She is very kind and she has taught us a lot in terms of palliative care as well as the joy of being a doctor.
Dr Thorsen has shown us a few patients, they are all at the end of their lives, she knows all about them, their life histories, their hobbies, the ups and downs in their lives. I have never seen a doctor who gave so much effort to understand her patients.
I was really impressed by the hospice ward that she runs. The patients are not suffering, they are comfortably enjoying the last momments of their life, with their families, doing the things that they wanted to do and not suffering a single bit of pain or other discomfort.
Dr Thorsen has shown us a few patients, they are all at the end of their lives, she knows all about them, their life histories, their hobbies, the ups and downs in their lives. I have never seen a doctor who gave so much effort to understand her patients.
I was really impressed by the hospice ward that she runs. The patients are not suffering, they are comfortably enjoying the last momments of their life, with their families, doing the things that they wanted to do and not suffering a single bit of pain or other discomfort.
星期六, 7月 31, 2004
星期四, 7月 29, 2004
It is not that sad after all
What I have done today:
The man had an colonoscopy, and turned out he doesnt have any cancer. That is great news. I am getting used to be an assistant intern, drawing blood and put in IV cannula with ease.
What I think:
1)Life is unpredictable
2)My meager medical knowlege sucks
The man had an colonoscopy, and turned out he doesnt have any cancer. That is great news. I am getting used to be an assistant intern, drawing blood and put in IV cannula with ease.
What I think:
1)Life is unpredictable
2)My meager medical knowlege sucks
星期三, 7月 28, 2004
3rd day as an assistant intern
What I have done today:
Attended ward-round with the ward physcian. Clerked a newly admitted elderly gentle man. He has a recent bowel habit change, severe weight loss. The pattern strongly suggest Colonic Cancer for people in his age group. What is more saddening is that his wife has just passed away 1 month ago...
What I thought:
The world very bleak.
Attended ward-round with the ward physcian. Clerked a newly admitted elderly gentle man. He has a recent bowel habit change, severe weight loss. The pattern strongly suggest Colonic Cancer for people in his age group. What is more saddening is that his wife has just passed away 1 month ago...
What I thought:
The world very bleak.
星期二, 7月 27, 2004
Well, first time here!
First day here, nothing much say today, just walked the whole day as an assistant intern. Quite boring. Mostly paperworks.
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