Collapse of the Andre's Empire...

Hmm...
After 7 month of struggle
And 3 more month to go
At this point of time
I accept that....
This is near the end of
My empire...........

Today got my result
I failed le...
Thats it...
I have to retake again
Do all over again..
Cham Cham Cham

I never make stupid mistakes. Only very, very clever ones. ~John Peel

Haha this time i where got do clever one? which one clever? Funny

Other quote that i interesed in:
While one person hesitates because he feels inferior, the other is busy making mistakes and becoming superior. ~Henry C. Link

Yeah i know,failing mean i have to read more, maybe this is the way GOD wan me to be more competant...Haha


Andre....
This time...
Relax...
Control your BP
We will fight again..
Building an empire again
And i am sure you will
After a few falls...

I accept this fall
And on the way to
Having a bigger empire..
I already try the best i could
And will be even better..

I end with...
The greatest mistake you can make in life is to be continually fearing you will make one. ~Elbert Hubbard, The Note Book, 1927

Feeling sad....

What will more sad
Than knowing u know
But in the end all gone awry

Hmm..that is wat happened
During my OSCE on Tuesday
SoSoSo not satisfy with wat i did
Fail to come out with diagnosis
Fail to identify the issue
Fail to apply skill
Only 1 out of 4 station
That i think i can pass

Other 3?
I have no idea...
Heart so pain now...
Fill with regret...
Regret not bcos i dunno
Regret i am shaky
When in stress situation
Maybe my EQ not that good ba...

Actually tomolo...
Will get back my result le
For OSCE of course...
Dunno what is the outcome...
If i get :
4/4 - Miracle..
3/4 - Happy and Unexpected
2/4 - Satisfy but sad
1/4 - Can cry (Sure cry)
0/4 - I quite medicine le...No way i can be doc with 0/4

Actually before exam i target 3/4 de...previous rotation giv me 7 passes le..
I need min 3 for this so next rotation only need min 2/4...for overall 12/16
If this i get 2/4, Med rotation i need to Jia You le...

Now...i just can wait..
My hand now...
Even colder than the time i exam
Just hoping...
In the end, i still pass 3rd year
Stressfull year of all
I dun want repeat...
I try to study hard le...
It is up to the 'one'
To make the decision....

Exam Tomolo...Help

12hrs before my 3rd Primary Card Rotation OSCE..
Having a mixed feeling...
Feel like i already covered everything i should
But seems not confident....
Why now?...

2days earlier, i still talking with my friend
Being very very confident...
Cause i think i did my practice well
But today...everything like...
Ohno....Cham Cham..

Izzit a pre-exam anxiety
Anyone wanna prescribe me Beta-blocker...
Need it for my anxiety

Btw, Hope exam go well tomolo
Thousand wishes to dear god..
Just give me minimum 3 station passes..
Thank You thank you in advance......

To all my friend in Primary Care,
Wish u all do well..
Remember that
"We all wanna get 4/4"
Then show it to Emma and C.Clifford?

For those non-primary care,
Hope you do well on Thurs and Fri..

"If I have the belief that I can do it, I shall surely acquire the capacity to do it even if I may not have it at the beginning.“
~ Mahatma Gandhi ~

"If I have the belief that i can do it, I will read to understand, even though I barely do understand"-Andre
Mine

Good thing about FB

FB...What is that...In my current world, FB is Facebook...

Something that i consider as boring in the past, now act as a platform for connecting people that lost of contact for long long time ago..

Love it, partly because of the game that allow me to waste my valuble time...

But the most important is, it allow me to find all my old old old friend...
It is happy to see how primary school friend change and chat with them

All bcos of FB...Btw, Happy FBing...

Doc are human too...

Huh after 2.5 years of medicine (half-way of being doctor)...I learn this n that... What i know is medical education is pushing for a 'know everything' doctor.

For the basic,
Learning anatomy is a must
Also include Physiology
Pathology, Pharmacology, Microbiology
Histology, Endocrinology
And also Immunology, Neurology, Genetics.

More advance,
They want you to learn
Law, Geriatric, Pedeatric,
Any little more Gynae and Mental health

That is just knowledge,
Then clinically they wan you,
Learn surgery, medicine, psychiatry, primary care
this is applying the knowledge above.

Come to skill,
They teach you venepunture, suture, injection
Include catheterisation, Pap Smear, Bi-manual
Also physical examination (not only 1 but lots of them!!)
Aseptic technique, glowing and gowning, sterile procedure

Supplemental for all this,
Imaging, Lab result, Medical Procedure
All need Biochemistry and Common Sense

All together, need good Communication
but not to forget Patient Interaction
Teamwork, and Professinalism
What more..Come the ethic
Autonomy - Respect patient choices
Beneficience - Healing / Do good to patient
Non-Malaficence - Make no harm
Confidentiality - Keep patient issue secure
Veracity - Telling the truth

Not only that,
Medicine always have exception
Making thing complicated...

Even more helpless as medical student
Learning Community Health, Health Promotion
Health Care System, Health Care Policy
Drug/poison schedule

That include, practising by using
Statistics, Evidence Based Medicine, Reaserch
Which need Info retrieving skill
Include using Databased, Journal, Systemic review
And priceless books..

When doing consultation,
Patient health is not the problemhe/she come with
Is the overall health where he/she love in
Need Past Medical History, Family History
Also Social History, Sexual History,
That not enough,
Sometimes have to ask Occupation, Financial problem
Study problem, and other problem
What else, Health Prevention for the patient as well

Assessment wise,
We got time wasting Reflective Piece
Case History, Care Plan, Mini-Cex, OSLER & Essay
And big big exam such as OSCE and EXAM!!

That is what is learn for 2.5 years
And i can be very sure that most of the thing
Is learn just for the purpose of learning
How much is used when i am a doctor
I dunno, but i am sure it won't be more than 10%
It is tired being a medical student and doctor

They people out there,
Assume we must know all
But it is impossible...
My neuron are not made for all this stuff
Or my Hippopocampus can't remember all this
It is just ways too much....

Patient come, Patient go...
I just can do what is best for them
Other problem, let other people sort it out.
Not doctor...Other profession is specialising
By mean of focusing task to smaller groups in profession
This is same for Medicine
That y we have Peadiatrician, Cardiologist, Urologist...etc
But medical student is just medical student...
There is no Cardio-Medical student or Pead-Medical Student
This is why, medical student have to learn everything in this world
That is related to Human, Virus and Bacteria

I am too tired..
Just too much to know about
And being test
But knowing that in the end,
I would just make use <10% of what i learn

Haih...
Dun worry,
This is not a sign of giving up..
Just a complaint to Medical Educator
It is time to change...
Teach things that relavant...
Or just thing that interested by the student
Not just everything..
If not your are wasting resources
When you teaching
Health promotion to a cardiologist-to-be student.

I know human is integrated,
If health promotion do imporatant to cardiologist
At least, throw away Reflective Piece
Which we always create story for that.....

離 Tasmania 島

離島 (island away)

靠坐在陌生的床 牆角還擱著行囊
Sitting on the foreign bed, the luggage sitting in the corner
窗外的霓虹燈搶了 月亮的光
the neon lights outside the window shining brighter the the moon light
來自大海的方向 從地圖的另一端
coming from the sea, from the other side of the map(world)
背著夢想 也帶著揮不去的牽掛
carrying my dreams, and also bearing the longings that I can't leave behind

風 啊 風 把我帶到這地方
wind, oh wind, who brought me to this place
藍色的記憶還留在我海上的家
blue colored memories still left in my home on the sea.
輕輕躺在這城市的中央 寧靜的夜晚 眼角淚未乾
gently lying in the city's central, in the still of the night, my eyes still wet with tears
墜落在被月色撫摸的窗台上
falling onto the moonlit window ledge.

喔喔 風 啊 風 吹送著我的牽掛
oh oh, wind, oh wind, blowing away my longings
伴著海浪指引方向送到你臂彎
accompanying the directions of the sea waves into your arms
走啊走前往夢想的路上 每次感覺孤單 看著月兒彎
moving towards the dreams, whenever I'm feeling lonely, I look towards the crescent moon
彷彿笑著說 "你要勇敢 別害怕"
who seems like smiling and saying, "you must be brave, don't be afraid"
擔心月兒會孤單 星星守護在身旁
worried that the moon might be lonely, the stars watched over it by it's side
安靜地陪我夢了一段 家鄉
Silently, accompanying me, dreaming a dream of my hometown.
----------------------------------------------
島 = Tasmania

She singing what i feel for 2.5 years at Tasmania..
This Song is so so so nice....
I am dreaming about my hometown, just that i dun lonely till look at the moon