3 weeks in Medicine posting in Hosp Duchess of Kent (HDOK, Sandakan), finally it ending. It's my last day officially there (permission was granted by Dr Tynt Mint for going to d ward of got "interesting case").
Funny tht i was complaining alot for d medical posting, yet i still felt tht i m gonna miss medicine.
As usual, medicine ward r crowded, not with medical students in HKL, but with student nurses. Pt number was so-so, may be due to d less bed available.The MO's and d specialist are nice.
Cases seens here, out of expectedly was d usual non-communicable disease-DM, HPT, IHD, stroke but TB also common lah. But i was expecting something like rheumatid heart disease, valvular heart disease, thyphoid fever (got one pt recently but expired, dead in other word, on d day i came to sandakan which was d 1st saturday),Malaria was also so-so, like 3-4 four case during d 3 weeks' time(but no classical relapsing fever, no spleen, no cerebral malaria).
Got cholera outbreak here but it was isolated in other ward.
Ppl wear mast in female ward b'cause you'll never know a pheumonia pt came out to be pTB, a CCF patient came out to be defaulted TB treatment. (have u saw TB endometrium??? i saw one here, due to language barrier, never able to elicit d history whether it was extrapulmonary TB or due to STDs :) )
Some pt were very very poor in education and pt education also. Got one Dusun aunty dunno what is "Jantung", therefore, "sakit" jantung means nothing to her.
Today we went to the monthly "Medical Motility Meeting", it's really fun seeing the Drs presenting the case to the medical team. Fun part was we able to think alike with the doctors, may be we got great minds, so think alike lah, hehe)
Medical posting - always un-organized but had always never let me down cause it's fun!
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