::::

Even it's spicy, you say it's not
Even it's hot, you say it's cold
Even it's black, you say it's white

If you love someone, you say you don't
If you're hurt, you say you're o.k
If you're sick, you say you're not

That's what you do

Sometimes

We went for clerking as usual today at the evening.
Clerk for tmrw class with Dr Mra.

As we're clerking suddenly someone asked me
'Why ur face shows that ur bored or doesn't interested with this case?'

The thing is, I always make a face like that whenever I felt tired.
It's 6 pm in the evening. I've been in the hospital throughout the day.
Running.. Standing.. Took history.. Do physical examination.
It's really exhausting.
It's not like I'm complaining. But it's fun.
Don't expect me to smile throughout the day.

Even though sometimes u find I'm put on a stressed face,
Sometimes I was stress out.
Afraid of something.
And sometimes I'm thinking.

To people out there,
We as a doctor, are human beings not a robot.


p/s: we went back at 8 pm. Gile macam HO. Nasib xkene punch card ;P

Future

When something begins, you generally have no idea how it's going to end.
We spend our whole lives worrying about the future,
planning for the future, trying to predict the future.


The future is the home of our deepest fears and wildest hopes.
But one thing is certain when it finally reveals itself
The future far away beyond of what we imagine

Pain

Pain, you just have to ride it out.
hope it goes away on its own.
hope the wound that caused it heals.

There are no solutions.
no easy answers.
you just breath deep and wait for it to subside.

Most of the time pain can be managed
but sometimes the pain gets you where you least expect it.
Hits way below the belt and doesn't let up.

Pain, you just have to fight through.
because the truth is you can't outrun it and life always makes more

According to Elisabeth Kubler-Ross,
when we're dying or have suffered a catastrophic loss,
we all move through five distinct stages of grief.

We go into denial because the loss is so unthinkable we can't imagine it's true.

We become angry with everyone,
angry with survivors,
angry with ourselves.

Then we bargain.
We beg.
We plead.
We offer everything we have, we offer our souls in exchange for just one more day.

When the bargaining has failed and the anger is too hard to maintain,
we fall into depression, despair,
until finally we have to accept that we've done everything we can.
We let go.
We let go
and move into acceptance.

Time

A patient's history is as important as their symptoms.
It's what helps us decide
if heart burn's a heart attack.
if a headache's a tumor.
Sometimes patients will try to re-write their own histories.
They'll claim they don't smoke, or forget to mention certain drugs.
which in surgery can be the kiss of death.
We can ignore it all we want, but our history eventually always comes back to haunt us

Owh. Seriously.
It was confirmed that it is CLUBBING.

Which one of this would it be yeah?

1. Achalasia
2. Alveolitis, extrinsic allergic
3. Asbestos conditions
4. Bindewald-Ulmer-Muller syndrome
5. Bronchiectasis
6. Bronchiolitis obliterans
7. Bronchogenic carcinoma
8. Brugsch's syndrome
9. Cardiac malformation
10. Cardiovascular Disease
11. Celiac Disease
12. Char syndrome
13. Chemical poisoning
14. Chronic Bronchitis
15. Chronic myelogenous leukemia
16. Ciliary dyskinesia-bronchiectasis
17. Cirrhosis of liver
18. Cirrhosis of the liver
19. Congenital arteriovenous shunt
20. Congenital cardiovascular malformations
21. Congenital heart defects
22. Conotruncal heart malformations
23. Cranio osteoarthropathy
24. Crohn's disease
25. Cystic Fibrosis
26. Dextrocardia-bronchiectasis-sinusitis
27. Double outlet right ventricle
28. Duodenal atresia tetralogy of Fallot
29. Ebstein's anomaly
30. Eisenmenger Syndrome
31. Emphysema
32. Empyema
33. Endocarditis
34. Esophagus Cancer
35. Fallot syndrome
36. Familial emphysema
37. Familial pulmonary arterial hypertension
38. Fischer Syndrome
39. Graves Disease
40. Hamman-Rich syndrome
41. Heart cancer
42. Heart conditions
43. Herbal Agent adverse reaction - Ginkgo biloba
44. Hodgkin's Disease
45. Idiopathic pulmonary hypertension
46. Infective endocarditis
47. Ivemark Syndrome
48. Jansen type metaphyseal chondrodysplasia
49. Lung abscess
50. Lung conditions
51. Lymphoid interstitial pneumonia
52. Marie-Bamberg syndrome
53. Mental mixed retardation deafnes clubbed digits
54. Mesothelioma
55. Mosse syndrome
56. Pachydermoperiostosis
57. Peutz-Jeghers Syndrome
58. Polyarteritis nodosa
59. Pregnancy
60. Primary biliary cirrhosis
61. Pulmonary alveolar proteinosis, congenital
62. Pulmonary arterio-veinous aneurysm
63. Pulmonary arteriovenous fistula
64. Pulmonary arteriovenous malformation
65. Pulmonary fibrosis /granuloma
66. Pulmonary hypertension
67. Pulmonary hypoxic hypertension
68. Pulmonary surfactant protein B, deficiency of
69. Pulmonary thromboembolic hypertension
70. Respiratory conditions
71. Secondary pulmonary hypertension
72. Shell nail syndrome
73. Single ventricular heart
74. Stomach cancer
75. Taussig Bing syndrome
76. Tuberculosis
77. Ulcerative proctosigmoiditis
78. Ventricular septal defect
79. Whipple's Disease