An apple a day, the lyrics
An apple a day keeps the doctor away
Apple in the morning - Doctor's warning
Roast apple at night - starves the doctor outright
Eat an apple going to bed - knock the doctor on the head
Three each day, seven days a week - ruddy apple, ruddy cheek
The simple history or meaning behind the words of this nursery rhyme lyrics is one to encourage the child or even baby of the family to eat healthily!
Well, all is kind of funny and cute. I am sure lots of my friends will be laughing their head off at this nursery rhymes. Are you going to teach your kids this?
Maybe is the coffee I have had just now. I am now feeling palpitations and totally restlessness or simply I am just excited over the approaching end of 2010 and the coming of 2011. I wonder what everyone will be doing? Watching TV? Getting ready for the New Year Eve count down? Or planning for a great feast? Me? I am not too sure yet. Will update later.
Too bad for me after the holiday will be the EOP. End of Posting exam and the sudden pop up of Mock exam too. Sigh....Can't really fully enjoy the Hols.
While I am reading through the books I came across lots of words wisdom by our forefathers that I would like to share.
" The heart....moves of itself and does not stop unless for ever." Leonardo da Vinci.
How beautiful this phrase is. This is the beauty of our human body. Works so well that none of the robots human ever built can compete with it( so far...the day we built one maybe is the day we discover who created us? Or how we really come by.)
This is kind of funny and serious at the same time:
The Urine.
"The ghosts of dead patients that haunt us do not ask why we did not empty the latest fad of clinical investigation; they ask why did you not test my urine? " Sir Robert Hutchison
This valuable fluid must not be discarded in any patient in whom a renal, diabetic, gastroinestinal or other major system disease is suspected.
I like the old fashioned way of writing: this valuable fluid. Make it sounds like liquid gold. Some of our lecturers will scold us by making funny jokes so will make us remember. Hopefully longer than the gold-fish. Somehow I felt we are so scattered minded recently.
" For one mistake made for not knowing, ten mistakes are made for not looking." How true this is. Sometimes we do come across too-busy doctors missing out things that we, the med students who are dedicated to search through every single patient's case file and dig into their lives and drag out their history of illness. Sometimes it is a bit too much when med students all can feel it is an enlarged spleen but doctor diagnosed as enlarged liver. -_-..... speechless.
I clerked one old lady recently and felt deeply for her. I have a hard time trying to imagine to be in her shoes or being her family member. How does it feel to be like that? How should we look at life if I am her? She is 72 years old only much much younger than my granny but she looks like 82.
Her chief complaint is: Chest pain for 2 days. The pain is pressing in nature, comes on intermittently at rest and last around 2 mins each time. It is associated with minimal SOB, general discomfort, lethargy, nausea and vomiting.
Aside from her complaint, she told me a curious information: She has been taking Tramadol HCI ( a form of pain killer, opioid analgesic) for 6 tablets 6 months everyday. She was enjoying the great side effect of drowsiness which gave her a good night sleep. This old lady was smiling happily while telling me how sweet were her nights. I am really speechless.... Maybe she is having the adverse effect of this drug but ...she is totally full of others drugs due to her conditions. We seriously need to check her up properly. The inevitable DM + HT is forever there and she is complicated with ESRF ( end stage renal failure). She got AV fistula to do her dialysis for 13 years already. Now her right forearm AVF failed and they set up a temporary Internal jugular catheter for her while her upper arm AVF got ready to be use. Not only that on further questioning I found out her surgical history is quite impressive. Removed kidney stone, removed benign breast lump, abdomen operated, bilateral below knee amputation. That just leave her lungs and head haven't cut open yet. Can u imagine a small fragile old lady lying in bed with multiple surgical scars on her body, cannula, tubes stuck into her arms and no legs.
A sad picture? Maybe. But I am glad she is very lively and cheerful. Not only her kids constantly come visit her, she still can order the 24 hour maid to massage her back all day long. I am glad she has all hers needs attended to. Or else I will be very sad and uneasy. There is only so much we can do for the patients. Frankly speaking she is the most 'operated 'patient I ever clerked so far. Who knows I may see even more impressive conditions in the future.
This is life.
People are born, people die every single day. Life is full of sadness and happiness. In a hospital you can see so many so many things about the human nature. I have seen a few deaths and some bodies being wheeled out. I do feel chills running down my spines at times. However now when I watched some Movies about haunted hospitals....it made me laugh. Somehow the hospital is so crowded and we were all so busy. We never got a spare time to think about ghosts. Not only that that place is like a market place. How to feel eerie and scared in the middle of the night. A & E is lie fish market, people come in and out, even got little kids running around.
There are so many sickness and death recently, especially near the New year. Friends' relatives got strokes and some die in sudden accidents. My own grandma had cancer and undergo chemos and all........I don't know. Life is not like the sweet and spicy and everything nice.
I think I need more time to observe, learn and digest to come up with some idea about life.
1 comment:
i like this post. :)
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