Just a thought

I am just too lazy to blog these days; and given the confidential nature of my work, I have to be careful what I write here.

Today a patient asks me to be his HIV physicians during my rotation at my current hospital. Have to say, I kinda feel honoured being asked to do so, especially me being so early on in my specialty. I am still a baby HIV physician trainee. Oh well, I will start to have my own immunocompromised patient list by end of this month. So many new things to learn; the new anti-retrovirals drugs combo just keep growing and with a new horizon of treatment for Hepatitis C, I think I will struggle just to keep up!

And doing the infectious disease on-call is still pretty exciting for me. I start to get the hang of the usual malaria/TB stuffs/meningitis and encephalitis stuffs, fever of unknown origin but there are still rare ones like chikungunya (I was like chicken what?? not a very exciting disease actually) ~ I still go "Wow!". Wouldn't say I missed acute medicine on-call, but I do feel slightly less confident in managing general stuffs. I am still quite amazed to get call as far out as Bristol, Birmingham since I thought they will ring London School of Hygiene and Tropical Medicine.

Probably its just me who find all this stuffs very exciting. Its just soo different from my previous work.

Opinions

Big society; NHS reform and GP consortium; failure of multicultural society; raising university fees; library closure...what's next? All these spells R.U.I.N.S to me. Bodoh.

I hope Egypt will find its footing soon. May Allah bless and provide his guidance.

I have been reading some vile comments from UMNO supporters who say only to save UMNO people in Egypt in this random website which should remains nameless. I personally think such comment can only come from the scum of the earth who (unfortunately) lack education and happen to be UMNO supporter. I don't trust any politicians, you see, nor support any political parties.

You are human, treat and respect other human please, regardless religion, sexuality, ethnicity or background. Allah Maha Besar, and who are we to judge other fellow human beings?

Moving on

Wrap up MRCP journey, finally. Then the 3 diplomas I need to do as part of my exit exam, bring it on.....

I am moving on to a greener grass of doing non-acute non-resident 24 hour on-calls. Bloody yeay!! Lets hope it will match my expectations. And I will be learning a hole lot of new stuffs, exciting!! Probably fancy doing lab tests :)

I used to enjoy doing this acute on-calls, but I start to find some house officers incredibly annoying - no sense of trying to learn or working out what's wrong with the patients; doing tests for the sake of tests, patients suffered post-op complications as simple as urinary retention after surgical discharge cos nobody bothered to examine someone's tummy...I will go mad if I was the patient. Don't even start on people leaving can-do-in-the-morning-clinical procedures for night team. Gosh, set my temper flying already!

On behalf

of my owners who are currently terlampau malas nak update blog, we all would like to wish selamat hari raya and maaf zahir batin. Anything accidental, ampun maaf yer..

Lots of love and kisses,
Kitty and her beloved guardians

Knowsley Safari Park

Recent trip to this park - picture include lion crossing right in front of our car, a group of cute meerkat and the sealion show.

Egypt and vasculitis??

It has been a rather odd week medically speaking.

I had a few young men who all ended up with diagnosis of vasculitis, and all of them have visited Egypt few weeks either during or prior evolvement of the disease. One of them is very sick indeed, having vasculitis affecting his kidney, his GI tract (bleeding PR), skin (developing pressure sore - which is odd in an active and prior to this perfectly healthy 20 sth man), probably infarcted his tonsillar artery..and it is just awful. The renal team is hitting him hard with cyclophosphamide (which cause azoospermia) and probably have to think of other immunosuppressive drugs if this doesn't control his disease.

The other one is looking more like limited Wegener's...and we are pulsing him with methylprednisolone...again coming back from Egypt.

And in clinic, I had someone who developed reactive arthritis post-diarrhoea in Egypt, and the clinical picture is looking more and more like ankylosing spondylitis.

Odd, indeed.

Kitty