Finally over & done with the last long case of the sem. Rather nervewrecking this time, in a posting totally alien, something that i do not like, an examiner who sarcastically smirks when you give an answer, getting a patient with an 'out of this world' chief complaint which ended her up in the gynae ward...
All in all, i finally could see the patient as a whole. An important lesson learnt this time round. The possiblities of the etiologies were pages long, & i had to rule it out one by one. Revisited system by system, of all, she decided to pick on the haemato system, which i suck at most! DUH! There was a time that i gave up answering all together and just told her 'I don't know!'. There were rumours of her being nasty, but, i liked her. Her practical approach, way of thinking, way of figuring things out. It's never the stuff that you pick up from books with matters to her, it't how you apply the knowledge that you already have. That, i have to agree with her!
@ 1205, 21012008, tired yet insomnic, BST at 1500, ARGGGHHHHH!!!!!
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