The End of Fifth Year

(from previous entry)

4th station
You are a TI in one of the GP practice.A mother concerns about her son who has poorly controlled eczema.

GP station.Fuh,tough.But I should be able to do this.Eczema.Pretty random!Come on,Huda.You have been to eczema clinic with awesome Debbie,the eczema nurse.Argh, kenapalah saat2 begini tak berfungsi minda ni?Tarik nafas.Fuh!

5th station
Alamak! Dr.Stace is here~He is my guru!Salute him!Dr.Rajapakse is here too,accompanying Dr.Stace.Gabra2!Relax Huda!

This gentleman comes in as he complains of being fat.Attached is the lab results for him.Take a focused history and you will be asked few questions after 8 minutes.

I have to admit, I could have done this better.Way better.Sigh~

6th station
"Ok Huda.You are meant to take history from this gentleman who complains of pain around his abdomen started 2days ago.But, he is gone to the loo.Shall we wait for him?We will give you extra time,okay?"

What?Extra time?That isn't possible!The timer is outside,Sandra, she will never know that I start late.When it's 10 minute, I have to get out from this room and move to the next one.How can I get extra time?Impossible, Dr.Larsen!Argh~~~
Alhamdulillah,as I grumbling about, the patient came in.Really, wasnt his fault at all.Nature calls.

OK,you have to take a focused history and perform the abdomen examination.You have 8 minutes.

Huh,as I thought!No extra time.Takpalah.

7th station
Oh,My God! Dr. Elder and Dr. Whiltshire.Peads!Fuh!Nasib baik bukan Dr.Stanley.

This mother comes in as her daughter,Hayley aged 18 months does not gain any weight since 6 months ago. Address her concern and you will be asked to give the summary of your findings and provide a diagnosis.

Very vague.My history taking was crap!Padahal,baru saja lepas peadiatrik modul.Bagaimanakah???

8th station
Dr. Wong and Dr.Raymond were there in the room.OK,must be general med station.Eh,wait, I know this patient.I had him during my General Med OSCE.Bad history I would say~Heh!

Examine this patient's cranial nerves 2,3,4 and 6.Report the findings as you proceed.You will be asked few questions at the end.

Good Lord!I just practiced this with Ana and Mel.Alhamdulillah.Just remember not to confuse Right and Left.

"I would test his visual equity using the Snellen Chart but Im not going to do this now." "Oh,wait.There's a Snellen Chart here.Probably I need to test your vision then."
What the heck!You should check the box first,Huda. Alamak, macam mana nak guna hand Snellen Chart ni?Adoi.Tulah,dulu asyik mention jek,tak nak buat betul2.

9th station
Yeay!Finally!Oh Allah! Tak sabar ni.

Erk! Dr.Maharaj~~~Orang kata dia adalah garang.Intimidating!

This lady presents with 10 years history of incontinence.You have 8 minutes to take history and you will be asked about the management.

Lovely lady,I would say.Alhamdulillah.

"OK, Huda.Tell the patient how would you manage her?"

"....and also we could offer you some medication,Im not quite sure how we give it to you but it will help you overreactive bladder."

"What medication you you give her?"

"Oxybutanin."

"What?How do you know about this?Where you read this from?"

"..err...err...err..."

"This is pretty new.You could get distinction,huh!"

In my mind: "Dia ni perli aku ke apa?Keep the straight face,Huda.Persetankan dia."

"OK, for long term management,what would you do?"

"We could offer you operation..." tetiba kena potong.

"What?Operation?Who are you to perform the surgery?You are a TI.Not a surgeon.Come on, How would you manage her in long term?Come on,come on."

"..err..admit her to the hospital...?"

"No, no,no!"

"..err...err...refer or discuss with my consultant???..."

"No,no,no!Come on, You have ruled out this from your history just now!U know this"

"..err..."

"Time's up!You may leave now!" I can see the frustation in his face.

"Wait, I would refer her to the urology department." and he didnt bother to listen~~~Afterall, my time is up!


----> The end of OSCE.I looked around, searching for a shoulder to cry on.I saw Dylan.Perfect!Would borrow his shoulder.Oh,No!Bukan muhrim.Owh,How I wish Ana or Mel were here to hug me.To comfort me!

"Huda, are you alrite?"

"Noela, thank God you are here.Can you hug me.please?Really need it."

"Sure,Hon"

..and I cried!

(Syukur pada Illahi)