Thursday, April 03, 2014

Missing HO Times?




A nice local short film - "Budak Baru" to depict life of a new houseman. Many of us will watch it smiling, full of reminiscence of our early days in this medical career. Aspiring but helpless, passionate but clueless, living at the "bottom of food chain" but there are always helpful peers and seniors around. Those days were undoubtedly crazy and painful, but that would, perhaps, be the best memory in your entire career.

Friday, December 06, 2013

"Angels we have heard on high" by The Piano Guys

Another fantastic work by The Piano Guys. Christmas mood is everywhere now. Enjoy! ;)

Monday, December 02, 2013

Hot Bath for CKD?

Came across this interesting paper by Ting Y et al.

Authors found that a 30-min hot water bath daily or 2-hour sauna bath three times a week is effective for fluid and solute clearance for patients with chronic kidney disease (CKD). The weight loss per session can be as high as 1.5-2kg (sweat rates in sauna and hot water bath were 56 and 40ml/min respectively), and calculated losses of urea and potassium in sweat fluid were 43 and 12 mmol/hr compared with 117 and 20 mmol/hr by hemodialysis.

Moreover, the "side benefits" of it include a decrease in systolic BP without affecting heart rate, and a significant decrease in plasma epinephrine and norepinephrine. Earlier studies also showed role of thermal vasodilation resulting in hemodynamic improvement in congestive cardiac failure.

Authors concluded that eccrine sweat fluid assumes a natural alternative route for nitrogenous metabolites excretion; and hot bath or sauna bath can be used as valuable adjunct to conventional renal replacement methods for CKD patients.

Saturday, November 23, 2013

David Blaine: Real or Magic



Blaine is back in a groundbreaking new special: Real or Magic. Watch it and be astonished - magic that you'll never believe. The first act itself, ice pick through palm act, is completely mind-boggling. There are many more - PK touch (the twins effect), reading Stephen Hawking's mind, card-to-anywhere, reviving the stunt of water & kerosene regurgitation etc - just to name a few that I'm totally impressed.

Do watch it, and put yourself into an entirely unreal world.

Thursday, November 21, 2013

Interesting ECG (8)


(Image from Nakamura K et al. Arch Intern Med 2012; 172(5):389)

Recently there was a patient with typical anginic chest pain with similar ECG changes. If this ECG is alarming to you (it should be!), can you name where is the most likely coronary lesion?

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