Friday, July 24, 2009

Keep my Fingers Crossed for Yasmin

I'm really shocked to read the news regarding our beloved Yasmin, multi-award winning director who has suffered a cerebrovascular event and now being admitted to Intensive Care Unit. According to the news she underwent neurosurgical operation so I guess the stroke was a hemorrhagic one. She's still unconscious.

My heart really sank. I remember that I wrote a post regarding her last year - saying that I'm proud of her achievement and of what she has been doing.

And her inspiring blogs:
Yasmin the Storyteller Part 1 and Part 2

Life sometimes can be really vulnerable.
I'm keeping my fingers crossed, and pray that she'll get better.

Wednesday, July 15, 2009

Glasgow Coma Scale?

Medical officer (MO) doing round with 3 house officers (HOs).
They stopped at one bed, which a patient has his eyes opening to call, with localizing response to pain and incomprehensible speech.

MO asked HO X, "What is the patient's GCS?"

HO X: "His GCS is full."

MO: "Maybe yours is not. Do you know how to assess GCS?"

HO X: "Hmmm...actually not too sure..."

MO shook his head, and asked HO Y to assess.
HO Y did a very simplified one - asked the patient to move his hand but patient didn't.

HO Y: "Patient does not open eyes spontaneously, neither talk nor obeys command."

MO: "So the GCS is?"

HO Y: "GCS is 3."

MO started to feel bit dizzy. He looked at HO Z, "You are my last hope. Please do not disappoint me."

HO Z thought for a few seconds, then mumbled, "10..."

MO: "Oh thank god. Finally. Can you speak louder so that your friends can hear?"

HO Z seems to be proud, and presents loudly, "This patient's GCS is ten over seventeen!"

MO had a sudden collapse.

Related reads:
HO, MO and Specialist (1)
HO, MO and Specialist (2)

Monday, July 06, 2009

Best Excuse Not to Quit Smoking?

Excuse #1

An asthmatic patient is found to be a smoker.

Dr: "You'd better give up your smoking. It could worsen your asthma control."

Pt: "No I can't...I have problem if I do that."

Dr: "Problem which is?"

Pt: "I'd easily get angry if I don't smoke. Really one. You can ask my wife..."

Pt's wife: "Ya he's right...his temper gets horrible if cigarette is not there. I think I won't encourage him to stop smoking too..."

Excuse right. But let's see an even better one.

Excuse #2

Another asthmatic patient, smoker too.

Dr: "You'd better give up your smoking. It could worsen your asthma control."

Pt: "Ok I'll try..."

Dr: "I think you said the same thing when I last saw you too. In fact, if you're having difficulty in quiting it, we can refer you to the quit-smoking clinic."

Pt: "You mean the clinic that will give me something like nicotine patch and stuff like that?"

Dr: "That's right. Wanna give it a try?"

Pt: "I think you can save the effort. I'm sure I'm not a candidate for that."

Dr: "Why is it so?"

Pt: "Hmm...I'm actually allergic to nicotine."

(Dr fainted)

Best excuse of not going to the quit-smoking clinic right?!

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