of 1st OSCE story and coming OSCE exam

Salam Satu Malaysia.
Selamat Hari Malaysia.

weekend yang penuh dengan makan-makan.
tapi tak makin gundu pun.
sedih sikit kat situ.
I need to put some weight.

 hey, it's not that i'm not grateful that I'm skinny. but too skinny tak lawa okay?
*eleh macam la kalau tak skinny kau lawa Lisa oi? Boo besar-besar~

but as a medical student and I wanna practice a good lifestyle...
I want to balance out my BMI.
45kg with 158cm.
my BMI just fairly normal.
need to put more some weight. that's a mission!

tonight macam free sikit, sambil mesin kain (read: basuh kain lorh)
kejap lagi nak cuci lab coat yang berdaki tu.
HAHAHA! mentipu sangat tu berdaki..
takde lah. cuma nak feeling semangat sikit, minggu depan time final Respiratory Block,
I got OSCE.
ha ape tu OSCE?

Objective Structured Clinical Examination. itulah OSCE.
kalau among budak-budak medik mesti tahu.wajib tahu. berdosa kalau tak tahu.
dia macam exam praktikal la. kalau OSPE kena observe model, cadaver or slides microb/patho under microscope dalam lab/dissection hall..
tapi OSCE ni kena examine simulated patient and kena start dari history taking and report along the way you examine.

erm, katanya kali ni OSCE respiratory kena exam buat together with CVS examination and lymph nodes examination along the cervical area.
pehhhhh.
meraba orang lagi lah jawabnya hakuuuu~


nak ceritanya first time meraba dada orang during CVS examination (CVS stands for Cardiovascular Sisytem, which regard your heart mainly), untuk auscultation (checking chest area using stethoscope) and palpate (tekan-tekan dada untuk cari kedudukan jantung) meraba cari tulang rusuk patient, at first was a nightmare for me! hahaha nasib baik dada patient tu tak berbulu okay, kalau tak memang rasa macam bulu-bulu habis keluar tumbuh kat tangan aku nih haaa. <---- okay tak professional betul aku cakap macam ni.

but to tell you the truth, masa dia nak buka baju depan kitorang, which a group of 7-8 people at that time, when our clinical facilitator ask him to expose his chest, aku tunduk bawah.. arghhh aku pulak yang malu? HAHAHA!

session time tu with Dr. Wahid. He even ask each of us to palpate the patients chest, untuk tahu surface anatomy of the heart. okay sumpah malu, sumpah cuak nak pegang dada orang. dada adik lelaki sendiri tak pernah pegang, lagi pulak nak pegang dada lelaki lain. oh wahai encik suami, wahai encik seaman bakal suami, maafkan dinda yer, terpaksa pegang nak buat camne kan sebab nak kena belajar punnn. hahaha! nasib baik tak kantoi dengan patient tu tangan aku ni tak sejuk pun nak pegang dada dia, kalau tak confirm-confirm aku kantoi cuak nak pegang dada dia! HAHAHA

nak pegang patient pun bukan main simply pegang, ada manners. kena introduce diri sendiri dulu. kena minta izin. kena bagitahu dulu kat dia kita nak pegang dia kat bahagian mana, apa pergerakan kita nak minta dia buat so that dia rasa selesa. kalau patient perempuan, make sure kena ada chaperon or seorang perempuan kena temankan kalau yang nak memeriksa tu adalah doktor lelaki. itu basic okay.

me with Fudzail after the CST session, orang Kulim memang awesome. HAHAHA!

overall, the session went well. masa mula-mula je rasa awkward nak pegang, tapi lama-lama dah okay. patient pun dah selesa dengan kita. and I'm having trouble time tu pakai tudung susah nak masukkan stethoscope dalam tudung, terpaksa pinkan tudung ke depan instead of I pinned kat side by side bahu. teringat Prof Latiff cakap dalam kelas,

"budak-budak perempuan lepas ni bila clinical years nanti beli dan pakai tudung Ariani je, senang. tak payah nak cucuk-cucuk pin sana-sini bagai..."

HAHAHAHA! I burst into laugh. indeed, I got his point. memang mudah je kalau pakai tudung sarung nak masukkan stets dalam lubang telinga. doesn't necessary beli yang brand Ariani tu kan. tudung sarung yang biasa pun boleh. kalau tidak, mampus dah beratus-ratus habis la nak beli berhelai-helai.  -_____________-

for respiratory system and lymph nodes examination, takde nak kena raba-raba dada sangat. palpate mana yang patut, do some percussion. and ade la palpate bawah dagu+leher+tengkuk. geli okay. hahahah! tapi best.but of course sebelum buat kat orang, kita kena buat kat diri sendiri dulu.... :)

as a revision, I need to study this for my OSCE preparation.

this is official, I studied this for my CVS examination and I did exactly the same during the CST session .the doc inside the video is my lecturer and also currently is the CUCMS Dean of Faculty of Medicine, Prof 

Abdul Latiff Mohamad.

this is for respiratory examination. and I guess included the lymph nodes examination as well :)

all for now.

need to prepare for class tomorrow.

and oh ya, PBL tomorrow. need to be prepared as well.

wonder whose turn is going to be my group PBL facilitator?

Dear Tuesday, please be nice tomorrow okayh?

ciao~