psychiatry

psych... is frustratingly boring...
even as i entered the posting i began feeling a sense of intense apathy...
hmm....

well... the subject does have it's interesting points...
just that they're not relevant or clinical...
take for example sleep disorders... which would be so majorly interesting if i could see real patients who had them...

Dyssomnias

1)Cataplexy
-brief episodes of muscle weakness or paralysis with no loss of sonsciousness (due to sleepiness)

2) Ekbom syndrome (Restless leg syndrome)
-uncomfortable sensations in legs at rest... relieved by movement
*i think i got this

3)Kleine-Levin syndrome
-periodic disorder of episodic hypersomnolence
-may sleep excessively for SEVERAL WEEKS and awaken only to EAT VORACIOUSLY

Parasomnias
1)Sleep terror disorder
-sudden awakening usually sitting up with intense anxiety

2)Somnambulism
-brief episodes of LEAVING bed and WALKING about without full counsciousness
-amneisa for the event
-can usually be guided back to bed (cool... imagine if you guide him back to other places)
-can sometimes be initiated by placing child in standing position... lolz...

3)Sleep bruxism
-tooth grinding THROUGHOUT the night
*i wonder if je has this... whenever i'm standing near him i can always hear him grinding his teeth

and lastly... just for the funky name...

4)jactatio capitis nocturna
-rhythmic head or body rocking just before or during sleep

haiz... psychiatry... is moving slooooooowly....
to an end...

birthdays

this month is a month of birthdays :)
amongst the many... there are a few that are close to me...
daniel celebrated his on thursday 25th...
err.. i was actually looking for something i wrote up abt him... tapi tak jumpa... rasanya sudah ter delete...
but... in spite of my apathy... dia seorang kawan yang baik...
sometimes feel like wan to keep him in a plastic bag so that he stop making lame embarassing jokes and touching my face... sometimes best when i got mood to play wif him and can do lame jokes...
but the best thing about him is...
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he's FAT... haha... no la... he's a good friend la...

the other guy is.... ANDREW the frog!!!
although he's not here... this guy also is a good friend... similarly hilarious but always nice to play and joke with...
always ready with some dumb stuff, he's actually very manly although he looks gentle and sensitive...
btw, by "not here" i mean he's in Otago, NZ... not meaning "not here" as in... u know... lol

others on the birthday roll whom are close too but i won't blog about for the sake of brevity are...
leena sim (a good friend since... kecik.... sangat kecik)
chiyuan wong (also overseas... now holidaying... so tak berapa tau lokasi yang tepatnya... dia abang kawan baik aku punye girlfren... complex rite)
timothy lai (some old married guy... lol.. shh...)
err... if i forget anyone sorry yah... you all lah... who ask to born all together...
never hear b4 contraception and spacing meh...

401

my 401st post..
hmm... but actually i have other things on my mind other than having so many posts...
i've been noticing my memory becoming poorer recently...
maybe it's because i'm doing psychiatry that i'm thinking i have a dissociative amnestic disorder...
but my memory.. more specifically recent memory is at times... dejectedly abhorrent...
i mean.. i can go downstairs to get something (not that there's anything downstairs to get)....
ok, i can go upstairs to get something for my room..
the actions involved would be... putting the thought into my mind that i want to get... say... a ruler...
so then i get up, walk up the stairs... and the when i reach my room... i'm either distracted by something that grabs my empty brain's attention... or just sit down and think what is it that i wanted to get...
more often than not i'm going back downstairs to continue whatever it was i was doing until i need that ruler again...
case in point would be my forgotten SHIRTS...
and i have been forgetting my clerking excercise book a couple of times this week and during Obs posting...
my distant memory and immediate memory is fine... just... recent 5 minute memory...
in fact,
i was testing a patient for 5 object memory at 1 and 5 minutes...
she could remember 4 items...
so could i... i couldn't remember the last one...
and i thought...
okay... who's the patient now...

btw... the past 2 nights have been a bit disturbing...
last night i dreamt that i was in the psych ward... and the patients were fine... but everyone was saying i was the one with psychotic delusions in spite of my earnest protests... hmm... scary...
is this folie a deux?

hari raya card

i recieved a hari raya card from yeangwee...
heh, i suppose he had a ball of a time getting people to sign it and give it to me...
i'm mildly amused at his preoccupation with me...
i actually found it mildly odd...
so, i don't know whether i should thank him or do what...
so i just thought i'd acknowledge the reciept of the card and everyone who put in the effort to humor yeangwee and me? to put their little 2cents worth into the card...

yeah... odd...

*magical* prediction number 8?

yeah... i'm back online and in seremban...
and so i thought... with nothing much to blog about...
i'd fall back on those magical prediction's that i so rarely pull out of the bottle...

today...
your family will call you unexpectedly. Act Surprised.

well... they didn't call... but i certainly did call them...
because i'd forgot to bring back the shirts i took to wash back to seremban and left them in KL...
thankfully, HL was going to BJ for debate... so i asked him to pick up the shirts since he's there...
so i called home to tell them... well... my sister was ok about it....
but apparently now my mum thinks i'm walking around shirtless under the lab coat... LOL...

HAPPY HOLIDAYS

HAPPY HOLIDAYS EVERYONE!!
won't be bringing back my comp this time...
so it'll be 9 days of no computer and no internet...
have a HAPPY RAYA ^^

religious outing

hehe... tomoro i'm off...
so i agreed miss C to go with her for an outing...
well... let's just say that i went in with different expectations from what i got...
the "advertisement" was that this would be a "******* Fellowship" where people of other religions were invited. and also that food? would be provided, and that this would be at an ex-lecturer's house...
so the image in my head was that of some kind of catered food thingy with maybe some religious talk at some point... and then some time to get to meet juniors, ex-lecturers...

well... i won't go into the details, but... i guess i can say the "meeting" was slightly more "religious" than what i expected... hehe, which actually made for a more interesting evening...

but anyways... i observed a few things that struck me about how it feels like to go for another religion's meeting, that i think maybe others may feel if they go for my "religion's" meetings (christian)

1) when you go for "religious" events... don't expect things to be unreligious... in fact, whether christian or otherwise... we try to give invitee's as secular an idea as possible to "draw" people, but most of the time admittedly in christian meetings i've observed that we dish out more religion than was promised...
2) anyone involved in doing anything in the "meeting" is kinda assumed to be a "religious" expert...
3) invitee's try to keep as low a profile as possible... introductions are SCARY... because it IS a strange situation...
4) if you're not of that same religion... or maybe even if you are... or maybe it's just me... i start "comparing" religions...
5) there WILL be jargon or strange ceremonies done that will provoke awkwardness and "don't-know-what-to-do-now" feelings...

but anyway... it made for an interesting and thought provoking evening... not least because i observed that in ******* religion, they have been observing and learning from christian practices alot... church and christians were brought up quite a few times during the talk... in fact, most of the things that were done or discussed were very reminiscent of what we christian's do (but maybe that's just the whole religion thing where all religions run in this "standard format")

which brings me to the thing that struck me the most
6)what makes us different from the rest?

nice

today... is a good day (=
i'm now in PSYCH.... the crazy people posting... yay!! i finally get to meet people like me...
hahaha...
but this should be an interesting posting... and a very free one i think... even more when you consider that next week we're off for RAYA!!! ^^
but today is a good day...
came back after lunch... and slept... slept... slept...slept... it was SOOO GOOD weather to sleep, with cool breeze, hardly any sun, clouds and rain after that... ahhh.... enjoy...
some days are meant for sleeping in...

i'm obviously awake now by the way....

mehjeecal preedeecshehn

today...
you will have a sudden inexplicable, irrepressible urge to act cute.
Give in to it.

hahaha... err... i don't need to act cute cos' i AM... hahaha... right...
but umm... didn't experience any "abnormal urges"...
i think i did dance a little while at the piano in front today.. but that's what i normally do anyways... so i don't think it counts...
umm... i googled cute and came up with this site...
http://cuteoverload.com/
hmm... not really one for cute stuff... never really understood the attraction...
but then again, there are many mysteries in life...
like why shopping is fun...
and other various stuff (=

holes in our hearts

we all have an emptiness within us...
a longing that can't seem to be fulfilled...
man has always lived wanting more. he has always wanted to be more than what he is now. to be in front of where he is now.
it is the driving force that pushes him forward.

we all long for something more.
some seek to fulfill this by taking from others or by improving themselves.
but it remains the same. a vacuum. a blackhole that can not be filled with neither an effort to make or a struggle to take.
it is the very thing that defines our humanity.
and it is precisely our very human nature that prevents us from satisfying our deepest desire.

an ant, can hardly hope to become more than an ant by learning from other ants. from building with other ants. from training with other ants.
neither can it hope to become more by stealing from other ants, from killing other ants, from coveting what other ants have.
the only way an ant can be greater than what he is, is if something greater than it lifts it higher than what it is now.

should we be so proud as to think that we can satisfy our deepest desires by ourselves. If something is truly worth desiring or chasing after, should it not be that which we cannot hope to reach by ourselves but that which can only get recieved as a gift?

Ecclesiastes 6:2- God gives a man wealth, possessions and honor, so that he lacks nothing his heart desires, but God does not enable him to enjoy them, and a stranger enjoys them instead. This is meaningless, a grievous evil.

Psalm 145:16- You open your hand and satisfy the desires of every living thing.

reflections on O&G

clinical acumen is the bane of medical students...
it is the thing we aim for...
it is the thing they try to teach us...
it is the thing that we cannot use because we are inexperienced...
it is the thing specialists always use because they are experienced...
it is the excuse to do something when you don't have evidence to back you up...
it is... guessing when you don't know the answer...

heh... i thought of this as i was studying irritatedly last nite just b4 exams...
but on a whole obs has been a good posting...
heh... it's gone by really fast... i think i'll be dropping by once in a while during psych to do things i never got to do while i was in obs...
but it's been good...

during obs i suddenly realized that now we're no longer mere medical students... no longer just students learning about medicine... but now we're junior doctors... practicing for when we become housemen... and things that we do or don't do will come back to haunt us...
especially things like... haih... i should have enjoyed myself more... lol...
or more practical things like.. i should have practiced inserting branulas and drawing blood more...
but well... i guess i still got 2 years to "make full use of my time"...