at the clinic today i clerked a middleaged chinese lady and diagnosed her to have major depressive disorder (mdd) with anxiety symptoms. i had to spend a long time reassuring her about her condition and convince her to take her medication. she's a teacher so she's educated and has read a lot so it was tough convincing her as she was afraid of the side effects of the medication. she had [sychomotor retardation and couldn't concentrate on what i was telling her.
many people suffer from MDD. i wanna help these people but i have to teguhkan my perasaan dulu or i'll be affected easily.
rase macam terdevelop counter transferance je.
in 2 days i've met 2 female teachers who developed MDD. both were rather of the perfectionist type and worried a lot. i can't make any generalisation but both had an underlying susceptibility to become depressed.
"Ya Allah, please keep my mind healthy and prevent me from getting depression. and please give me the ability and competency to help others in need."
Tuesday, March 31, 2009
Wednesday, March 25, 2009
high and low
one of jo's bestfriend
it's amazing what a refreshing nap and a phone call can do to enlighten my spirits.
yesterday i joined Dr Nora's clinic sessions and met many interesting patients. we saw other cases apart from schizophrenia alhamdulillah.
today my group was scheduled to follow the community psychiatric nurse go for home visits. i was expecting an exciting day but had a rather drab one. maybe if i had been less enthusthiastic i would have felt better?
Monday, March 23, 2009
What do you do when...
What do you do when your end posting exams are 2 weeks away and there’s still so much that you don’t know?
What do you do when your ultimate exam that is designed to assess whatever you have learnt for the last 5 years and also evaluate your safety to be given the license to practice is in 5 weeks time and you don’t know what the heck it is that you actually know?
What do you do when you feel that you have been having shortness of breath on exertion (NYHA class 2), restricted airway, fullness of the throat and occasional localized, sudden onset, stabbing left-sided chest pain lasting only several seconds and an ECG and flexible nasolaryngoscopy proved absence of any pathology you diagnose yourself as hypochondriasis with globus hystericus? Oh and on otoscopy your tympanic membrane looked perfectly healthy and the ENT guy says your fit for the exams? Oh and your friends help you by teasing you about the problem?
What do you do when your frustrated with your fiancé who is acting all gloomy, refuses to speak or sms you, you don’t have a clue what is happening yet there are some things that you need to ask him?
What do you do when your posting mate has adjustment disorder because she absolutely hates psychi and cant wait to run back to the OT and her mood is contagious that your mildly infected as well?
What do you do when one of your anak usrah is conveniently uncontactable around peri-usrah (read: before and after) time but somehow can answer your sms at some other time.
What do you do when you think you like psychi but find yourself relating too much with the symptoms that you start to become depressed?
What do you do when you only study because you love spending time with your best friends in the best study group ever?
What do you do when you try to lift your spirits but find it so hard to do?
What do you do when you feel like you wanna break down and cry like you did last time in orthopaedics but it’s all stuck inside?
What do you do when you know you haven’t completed your 6 case summaries and haven’t read through your scribbled notes which you had planned to do last week and your desk is a pile of mess, but don’t feel like doing any study-related activity at present?
I dunno what you would do.
But this is what I did.
I ironed 4 baju kurungs, 4 pants, 1 white coat and 1 tudung while watching 3 episodes of House Season 4 and wrote this entry.
My diagnosis is mixed affective disoreder precipitated by recent life stressors and perpetuated by the upcoming exams and type A personality.
What do you do when your ultimate exam that is designed to assess whatever you have learnt for the last 5 years and also evaluate your safety to be given the license to practice is in 5 weeks time and you don’t know what the heck it is that you actually know?
What do you do when you feel that you have been having shortness of breath on exertion (NYHA class 2), restricted airway, fullness of the throat and occasional localized, sudden onset, stabbing left-sided chest pain lasting only several seconds and an ECG and flexible nasolaryngoscopy proved absence of any pathology you diagnose yourself as hypochondriasis with globus hystericus? Oh and on otoscopy your tympanic membrane looked perfectly healthy and the ENT guy says your fit for the exams? Oh and your friends help you by teasing you about the problem?
What do you do when your frustrated with your fiancé who is acting all gloomy, refuses to speak or sms you, you don’t have a clue what is happening yet there are some things that you need to ask him?
What do you do when your posting mate has adjustment disorder because she absolutely hates psychi and cant wait to run back to the OT and her mood is contagious that your mildly infected as well?
What do you do when one of your anak usrah is conveniently uncontactable around peri-usrah (read: before and after) time but somehow can answer your sms at some other time.
What do you do when you think you like psychi but find yourself relating too much with the symptoms that you start to become depressed?
What do you do when you only study because you love spending time with your best friends in the best study group ever?
What do you do when you try to lift your spirits but find it so hard to do?
What do you do when you feel like you wanna break down and cry like you did last time in orthopaedics but it’s all stuck inside?
What do you do when you know you haven’t completed your 6 case summaries and haven’t read through your scribbled notes which you had planned to do last week and your desk is a pile of mess, but don’t feel like doing any study-related activity at present?
I dunno what you would do.
But this is what I did.
I ironed 4 baju kurungs, 4 pants, 1 white coat and 1 tudung while watching 3 episodes of House Season 4 and wrote this entry.
My diagnosis is mixed affective disoreder precipitated by recent life stressors and perpetuated by the upcoming exams and type A personality.
Wednesday, March 18, 2009
Friday, March 13, 2009
postcard from manchester
one of the things that can lift the spirit, relieve sore backs and feet and make me forget all my worries and problems after coming back from an oncall is a lovely POSTCARD from a friend.
many thanx to fae from manchester. all the best with her studies :)
can't wait for postcards from klang ;)
many thanx to fae from manchester. all the best with her studies :)
can't wait for postcards from klang ;)
Tuesday, March 10, 2009
WHAT THOSE WORDS ON YEARLY PERFORMANCE REVIEWS REALLY MEAN
1. OUTGOING PERSONALITY – Always going out of the office
2. GREAT PRESENTATION SKILLS– Able to bullshit
3. GOOD COMMUNICATION SKILLS – Spends a lot of time on phone
4. WORK IS FIRST PRIORITY – Too ugly to get a date
5. ACTIVE SOCIALLY – Drinks a lot
6. INDEPENDENT WORKER – Nobody knows what he/she does
7. QUICK THINKING – Offers plausible excuses
8. CAREFUL THINKER – Won’t make a decision
9. USES LOGIC ON DIFFICULT JOBS – Gets someone else to do it
10. EXPRESSES THEMSELVES WELL – Speaks English
11. METICULOUS ATTENTION TO DETAIL – A nit picker
12. HAS LEADERSHIP QUALITIES – Is tall or has a louder voice
13. EXCEPTIONALLY GOOD JUDGEMENT – Lucky
14. KEEN SENSE OF HUMOUR – Knows a lot of dirty jokes
15. CAREER MINDED – Back Stabber
16. LOYAL – Can’t get a job anywhere else
17. PLANS FOR PROMOTION/ADVANCEMENT – Buys drinks for all the boys
18. OF GREAT VALUE TO THE ORGANISATION – Gets to work on time
19. RELAXED ATTITUDE – Sleeps at desk
p.s: i was going thru documents on ayah's notebook and this one caught my fancy haha
2. GREAT PRESENTATION SKILLS– Able to bullshit
3. GOOD COMMUNICATION SKILLS – Spends a lot of time on phone
4. WORK IS FIRST PRIORITY – Too ugly to get a date
5. ACTIVE SOCIALLY – Drinks a lot
6. INDEPENDENT WORKER – Nobody knows what he/she does
7. QUICK THINKING – Offers plausible excuses
8. CAREFUL THINKER – Won’t make a decision
9. USES LOGIC ON DIFFICULT JOBS – Gets someone else to do it
10. EXPRESSES THEMSELVES WELL – Speaks English
11. METICULOUS ATTENTION TO DETAIL – A nit picker
12. HAS LEADERSHIP QUALITIES – Is tall or has a louder voice
13. EXCEPTIONALLY GOOD JUDGEMENT – Lucky
14. KEEN SENSE OF HUMOUR – Knows a lot of dirty jokes
15. CAREER MINDED – Back Stabber
16. LOYAL – Can’t get a job anywhere else
17. PLANS FOR PROMOTION/ADVANCEMENT – Buys drinks for all the boys
18. OF GREAT VALUE TO THE ORGANISATION – Gets to work on time
19. RELAXED ATTITUDE – Sleeps at desk
p.s: i was going thru documents on ayah's notebook and this one caught my fancy haha
saje je
being home without my sisters terasa agak kesepian. huhu takkan nak balik lagi next week. i still have loads to revise with my studygroup. but..but...
banyak gak kene pikir skrg nih.
balik naik bus nih involves a lot of waiting.
banyak gak kene pikir skrg nih.
balik naik bus nih involves a lot of waiting.
Saturday, March 07, 2009
ramblings on psychi and etc
most of the patients who get admitted to the psychiatric ward have either schizophrenia, bipolar mood disorder, major depressive disorder or substance-induced psychosis. other cases like anxiety disorders are seen in the clinic. i've just clerked a few patients je. cane nak jadi psychiatrist nih.
some of my friends are getting very severe reactions to this psychiatric posting and are immunocompromised. at least 4 of them are down with the flu. may they get better iA.
clerking manic patients is very interesting.
there's this one patient with very bizarre delusions about being zat Allah. i'll write about him later. gotto catch some winks first. have been terribly sleepy in class, the only way to prevent it is by offering to write on the whiteboard during dr hajee's class.
..........................................
The statistics on sanity are that one out of every four Americans is suffering from some form of mental illness. Think of your three best friends. If they're okay, then it's you.
[info][add][mail]
Rita Mae Brown
i think in my case, i'm the only sane one haha.
p.s: joe had some baby cockroaches infestation. i've treated him with some insecticide. hopefully all the bugs have been killed. mebe due to food crumbs in the car. no more snacks for joe.
some of my friends are getting very severe reactions to this psychiatric posting and are immunocompromised. at least 4 of them are down with the flu. may they get better iA.
clerking manic patients is very interesting.
there's this one patient with very bizarre delusions about being zat Allah. i'll write about him later. gotto catch some winks first. have been terribly sleepy in class, the only way to prevent it is by offering to write on the whiteboard during dr hajee's class.
..........................................
The statistics on sanity are that one out of every four Americans is suffering from some form of mental illness. Think of your three best friends. If they're okay, then it's you.
[info][add][mail]
Rita Mae Brown
i think in my case, i'm the only sane one haha.
p.s: joe had some baby cockroaches infestation. i've treated him with some insecticide. hopefully all the bugs have been killed. mebe due to food crumbs in the car. no more snacks for joe.
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