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Wednesday, June 29, 2011

Woman in Medicine

Woman in Medicine, so what's the problem??
courtesy of Nayzak

Being a member of medscape, I, sometimes find some time to read the blogs of medical students or doctors posted in Medscape because most of them are very beneficial. Today, one topic drives my attention, it was "Woman in Medicine, Betrayal or Trust". The post was written by Elizabeth Wiley, a medical student, she was commenting on a published piece from New York Times by a female anaesthesiologist. I find some part of her post quite true. This is part of her post:

A couple of weeks ago, Dr. Karen Sibert, an anesthesiologist, published a piece in the New York Times called "Don't Quit This Day Job." In this op-ed, she argues that "[m]edicine shouldn't be a part-time interest to be set aside if it becomes inconvenient; it deserves to be a life's work." The crux of her piece takes issue with the decision by many female physicians to work less than their male counterparts, whether in the form of extended leave or more permanent part-time work. To Dr. Sibert, such a decision is a betrayal of public trust and misuse of public investment in medical training.

Having just finished my anesthesia rotation as part of general surgery, I have to say that I find it a little shocking that this anesthesologist would make such an argument. Anesthesia is well-known for being a competitive "lifestyle" specialty among medical students and, compared to general surgery, for example, seems to live up to the label in practice as far as I can tell. This is not to say that anesthesologists aren't incredibly important; rather, their work schedules seem to be particularly amenable to "work-life balance" and family life. Dr. Sibert repeatedly references the primary care shortages facing our country, but it's a little difficult to take her seriously given the choice that she made. I wonder -- did she betray society too with her specialty choice? Shouldnt we all be obligated to choose the specialties with the greatest need? Where does the obligation begin and end? But I digress....
As a (relatively) young woman in medicine, I was horrifed to read Dr. Sibert's piece. Her argument is bluntly shortsighted. The culprit in the current physician shortage is not women who go to medical school and dare to start a family. Instead, I'd start with the centuries of oppression and gender discrimination that have created an "advanced, civilized society" in which women are still insidiously expected to assume responsibility for all things domestic. Of course, having made it this far in medical school, I have to admit that women do bear the biological burden of gestation and childbirth. But that's not the genesis of this problem. 


Her post reminded me of what my naqibah always told me. Women and men are different and they are meant for different purposes on earth. Quotting from the holy Quran in surah Al-Imran, verse 36, when Imran's wife had pledged to consecrated whatever that is in her womb for Allah's, but then she give birth to a baby girl, Maryam, she says;

3:36

But when she delivered her, she said, "My Lord, I have delivered a female." And Allah was most knowing of what she delivered, "And the male is not like the female. And I have named her Mary, and I seek refuge for her in You and [for] her descendants from Satan, the expelled [from the mercy of Allah ]."

True enough, men and woman are not the same, pshysically and mentally too. The wife serve a larger role in upbringing of a child compare to the father. Even how busy a wife would be, she can never run away from that fact. Being a female doctor, it would be a challenge. Therefore, a reminder to us all, to always keep this at heart. 

To add up to what Elizabeth mentioned, it is not the problem that there are more woman in medicine who dare to start a family,  but to me it is what had become to the world now that woman are assumed to take up the same role as men. There is nothing wrong with female doctors, we need female doctors to treat female patients and in some areas of medicine such as pediatrics and O&G where the female role is predominant. (so to all those men who thinks that female doctors made a bad wife, I wouldn't want you as a husband anyway, good female doctors who understand human and health make the best of mothers and wife, duhhh~~~!) The problem is that, we should be aware of the circumstances. Woman bears a responsibility towards family upbringing and the men would have a larger role as the breadwinner in the family (or pemenang roti as my mother calls it :DD). It is only acceptable that there are difference in the workload and expectations of woman in medicine. 

But to start something as big as changing the whole healthcare organization system require a great deal of public understanding. But just a point for all of us to ponder on, when the time comes for a chance to change, we should give it our full support, that's all I'm saying.


Monday, June 27, 2011

Finally submitted my very own manuscript

Yeay!After all the hard work,I'm just relieved~~~ Our group had to do 4 manuscript. Matun is in-charge of the main manuscript, Prisca, Micheal and me had to create 3 whole new manuscript to submit to 3 different journals. So yup, that's one manuscript per-person! It took quite an enormous deal of time, money, stress, tears, laughter and joy too. So I don't care anymore whether they will accept it or not, what matter most is the experience! :D



Living proof of my submitted manuscript..hehe..

Sunday, June 26, 2011

Are you Ready for Ramadhan?


I'm asking myself whether i'm ready or not for this holy month of Ramadhan. I'm doing surgery during Ramadhan, which is good, since I heard surgery is not that heavy. I hope I have enough time to spend for Ramadhan. At the same time, i'm also worry, about the state of my spiritual strenght. True enough, 5th year was even more challenging than I thought.


However, my life is not about being a doctor. Of course I want to be the best kind of doctor I can be, but what would that mean if can’t be the best of a muslim that I can be at the same time. If I have to choose to excel in medic or to excel in being a muslim I choose the later. Before this I always thought we should not choose over both since being a muslim you have to be good at both, but the truth is, medic is hard. I never thought I said it. Yes it’s true, and I am admitting it now. So for those reading this, if you are not in medicine and are thinking about doing it, make sure you have a stomach to hold for all the nauseating hardship.

But for now, I am focusing on strengthening my spiritual strength. Without it, I cant be sure I can improve my knowledge in any aspect of my life. So get ready, Rejab, Syaaban and comes Ramadhan, I hope to improve myself to become a better person.

Monday, April 11, 2011

How to Begin and Finish your SST notes

Assalamualaikum... To all my friends, here is just some tips if you are not sure how you want to do your notes. This is how i do it. Its simple and fun! At the end of the day, you come out with a note you can feel satisfied with. 

Check it out:


Step 1: Research

Surf the internet for CPG or journals regarding your topic. Our first priority should be the latest Malaysian CPG followed by international CPG, journals, and trusted website. Books are also essential, but usually inadequate. Surfing the net not only ease your process, as you only need to copy, paste and alter some of the words, in addition, some of the information in the internet is presented in a more creative way making it a better choice.

Step 2: Outline

Refer to the previous post on outline of SST notes (http://doctorimanrozali.blogspot.com/2011/03/guideline-for-sst-5th-year.html). Make sure you have gain all the material to fulfill the outline before starting. Add other things that you found during you research to make your notes more interesting and superb!

Step 3: Fulfilling the outline on Microsoft Office Word

Open a new word document, copy paste the outline and start filling in the outline. If you copy paste from journals, make sure to alter the words so that it is short and concise.
  • If you are typing, don’t use too weird short form. If you do, please provide the clues.
  • Some of the information may be in table form and some other information can be in diagram form.
  • Try to do things in point form

click for larger view



Step 4: Converting the notes to boxes

This is a bit tricky.
Open a new Microsoft Powerpoint Presentation, copy your outline (one sub topic at a time) from word document and paste it into powerpoint. Automatically it will be in boxes. Do for all the outline so that all the outline is in small boxes that can be move around.
  • Give your boxes some outline so that you can alter it later
give outline. Use narrow outline is better
  • Do for all your outline. Use small font (for example : Times New Roman size 9)



Step 5: Planning the whole note

Take a piece of paper, and base on your outline, plan how you want the notes to look like:
Take into consideration the size of boxes of information so that you can estimate the space and how many information you can place in one paper.


 Step 6: Rearranging your notes

Now that you know how you want your notes to look like, just rearrange you boxes around. Add arrown and so on to assist your notes. It may be a little bit different than how you planned, just make sure all your outline are present in the notes.


Have some fun rearranging and touch up your notes until you are satisfied with it. Your notes can be in portrait or landscape


Step 7: Submit your notes to the respective email address

I will accept notes submitted in powerpoint form.
  • for IM notes: sst.internalmedicine@gmail.com
  • for O&G notes : sst.obsngyn@gmail.com


 THAT'S ALL FOLKS! HAVE FUN~ ^^

Tuesday, March 15, 2011

Guideline for SST 5th year:

Guideline General untuk semua notes:

Just like in case write up format, please include these:
  1. Definition
  2. Epidemiology
  3. Aetiology
  4. Patophysiology (if applicable)
  5. Risk factors
  6. Symptoms
  7. Signs/physical findings
  8. Differential Diagnosis
  9. Investigations
  10. Managements
  11. Prognosis and Complications
  12. REFERENCES (PLEASE INCLUDE)


FOR REFERENCES:
  • References from the internet is PROHIBITED, unless it is evidenced based and accepted widely
  • Please use references from textbooks and CPGs  as first priority
  • For IM, please don’t use info from Oxford ONLY, include from other trusted source as well


Untuk IM sahaja
Bagi mereka yang dapat tajuk pharmaco, ada guideline tersendiri:
  1. MOA
  2. Side Effects
  3. Complication
  4. Contraindication
  5. Indication


Tajuk-tajuk pharmacology
  • Antihypertensive
  • Medications for asthma
  • Oral hypoglycemic agents and insulin
  • Medications for cardiac failure
  • Medication for acute coronary syndrome
  • Medication for tuberculosis
  • Statin + Fibrate+ Antibiotics + NSAIDs
Format utk notes:
  • Gunakan font Times New Roman
  • Size 9 minimum, 12 maximum (tapi kalau nak guna utk penegasan tajuk boleh lebih dari saiz 12)
  • Gunakan creativity anda utk menghasilkan mind maps
  • Gunakan table
  • Masukkan gambar jika perlu

Tuesday, February 22, 2011

SST is back on business!

Assalamualaikum and hello to all my fellow friends,

As I mentioned before, we from the SST organizer is planning to proceed with SST on Internal Medicine and Obstetric & Gynaecology. Like before, the purpose of this SST is to create a book of our own effort to help each other in our journey to become a successful medical students together thus becoming successful doctors together, insyaAllah. One of the main objective is to be able to create this book before SSM postings starts so that we can use it for our study groups as a study material (not as reference book) and of course to be used as quick revision for our study before exams.



THE SST COMMITTEE (and PICs)
Zatel Iman
012-6437075
zatel_atty@yahoo.com

Masita Dahaban
013-9654522
mas88_ida@yahoo.com.my

Nurul Hayati Mohamed Saat
013-6380897
hayatan149@gmail.com

Rahmah Abdul Rahman
013-2762598
sacel_little_angel@yahoo.com

Ahmad Tantawi
017-6387010
obidientgunner_88@yahoo.com

SST PICs
Farih Najihah
Aishah Abdul Latiff
Aifaa
Saiyidi Azizi
Izzatul Izzanis
Siti Nor Atikah (mak)
Rafidah
Adeeba Abdullah
Ainna

This time, there will be more improvements that we planned to do so that we all can benefit together. The improvements for this coming SST are:
  • all notes will no longer be hand written, must be in typed form to ease reading and looks nicer
  • the notes will be classified by system as well as by symptoms (easier to remember differential diagnosis) or will be classified in such a way it is more practical.
  • many tips will be included (especially for O&G)
  • will be more organized, complete and tidy (insyaAllah)

THE SST JOURNEY

there will be 4 phase, please take note

Phase 1: identification of successful students team members (today until 4th of march 2011)
  • please tell all your other friends of the former SST members or other people that might want to contribute.
  • You can choose to just contribute notes, but don’t want the book, but please inform us. May your good deeds brings goodness to you… :D
  • lasted from today to 4th of march, after this date, there will be no more intake of SST members. But if you insist, SST is a very loving committee: D

Phase 2: distribution of work (on 10th of march)
  • there might be a probability that one student may have to do 2 or more notes on topics from IM, O&G or both (especially if members are very little)
  • Please be alert on your topics, make sure you know what your topics are by this date

Phase 3: data collection (after 10th of march to 18th April)
  • All notes will have to be emailed to the following mail
  • for IM notes: sst.internalmedicine@gmail.com
  • for O&G notes : sst.obsngyn@gmail.com
  • or can be given in soft copy form to any of the PIC above
  • any problems for submitting (mailer demon said the email did not arrived) please contact me or Rahmah
  • we have given more than a month of free and holiday-ish period to do this, so please give all out to make this note. Try to submit as soon as possible…please ease our burden…but don’t do cincai2…you will be asked to do it again.
  • try your best to be creative, use diagrams, mind maps and tables...avoid using paragraphs

Phase 4: publishing
  • it will take some time for us to publish these books, please be patient we try to make it as soon as SSM starts, insyaAllah by the first or second week.
  • For the first publishing only members will receive the books, for non-members, they will have to deal with kak ros themselves.
  • For those who only wish to contribute, but does not want to buy, please inform early to me or Tantawi, or any other PIC

Guideline for SST 5th year:

Just like in case write up format, please include these:
  1. Definition
  2. Epidemiology
  3. Aetiology
  4. Patophysiology (if applicable)
  5. Risk factors
  6. Symptoms
  7. Signs/physical findings
  8. Differential Diagnosis
  9. Investigations
  10. Managements
  11. REFERENCES (PLEASE INCLUDE)

FOR REFERENCES:
  • References from the internet is PROHIBITED, unless it is evidenced based and accepted widely
  • Please use references from textbooks and CPGs  as first priority
  • For IM, please don’t use info from Oxford ONLY, include from other trusted source as well

OPEN FOR SUGGESTIONS :D
Any questions, please ask to me directly (zatel iman), or any of the committees you are more comfortable with~ thank you for your attention

P/S: IF YOU ARE INTERESTED PLEASE CONTACT ANY OF THE ABOVE COMMITTEE MEMBERS OR PERSON IN CHARGE (PIC) AND GIVE YOUR NAME, EMAIL AND HP NUMBERS...THANK YOU

“Coming together is a beginning. Keeping together is progress. Working together is success.”
Henry Ford

Truly, those who believe (in the Oneness of Allah Islamic Monotheism, and in His Messenger Muhammad SAW) and do righteous good deeds, for them will be an endless reward that will never stop (i.e. Paradise) (Fussilat:8)

Friday, February 4, 2011

OSCE ENT

EAR

cholesteotoma

Cholesteotoma gak kut...x igt la plak...huhu

Cholesteotoma

acute CSOM

OM with effusion

Grommet

Tonsilitis

Otitis externa

foreign body in ear (an ant)

complications of OM

\\
BAHA

BAHA conventional


hearing aid

Subject VI:1 (proband) at 9 years of age, showing a sloping hearing loss at the high frequencies of stimulation, a pattern mainly consistent with a sensorineural origin. (B) Subject VI:2 (affected male, brother of the proband) at 6 years of age before 

tympanogram

play audiometry

Epley menouver 

NOSE

A and B, Normal appearance of right and left sphenoethmoidal recesses. C and D, Normal appearance of right and left middle turbinate and middle meatus areas. Right middle meatus is not well seen. E, A large surgically created opening into right maxillary sinus. F, Extensive polyposis in the left anterior ethmoidal area. This area can be visualized because of prior surgery in this area. G, View inside right maxillary sinus (as in E) showing polypoid mucosal changes with a "cobblestone" appearance. H, A collection of tenacious green "allergic mucin" firmly attached to the mucosa within the left maxillary sinus of a patient with allergic fungal sinusitis. Culture of the mucus grew Aspergillus flavus.




rhinosinusitis


polyp (ethmoidal)


NPC


Foreign body in nose


Epistaxis!!

THROAT & NECK

tonsilitis


\
neck lump


Ludwig's Angina (okay, so its not very common la...)


Cavernoud sinus thrombosis...susah sgt eh?


ne CT cavernous sinus thrombosis


FNP


RRP


haha...saje nak buat lawak...anyway, botox is one of the treatment for spasmodic dysphonia that causes hoarseness... ada treatment utk lain gak yg penting, tp tak ingt utk pe...(~_~")




Electrolarynx/astificial larynx


TEP


Laryngomalacia


\
nak tunjuk subglottic stenosis