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.

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

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....

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)

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.

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

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.

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.

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....

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.