first day of the last week...

8th june 2009- today is the first day in the last department
for my elective posting. we chose hepatobiliary/
gastrointestinal department as it was considered to be one of
the recommended departments in this hospital.. we were bit
late when reporting as they had started the morning meeting..
we were then briefed of the department and separated into 2
teams. there are 3 other clerks beside us. the clerk who
teamed up with us is actually kind enough to guide us and
discussed with us on the cases assigned to us. we didnt do
much today except to clerk the patients, did some physical
examination and then check the case notes. i guess the clerks
and even interns here refer the case notes before they see
the patients, which is something not very recommended. the
specialist also knew of our 70% diagnosis from history and
physical examination..hehe..of course ler, where got every
patient send for CTscan?? the specialists will stare at u eh..
neway, learnt a few things today.. the HAIC, TACE, RFA,
ablation therapy etc etc. they really have those technologies
or maybe its just us who is lack of technologies...the not so
nice moment when the specialist broke the 'bad news' to the
relatives of a patient who is diagnosed with hepatocellular
carcinoma with metastasize.its really disheartening to see
them 'shook' their heads as if they knew the prognosis wont
be that good no matter how well the treatment goes..my
prayers to the family..any how, everyday is a learning
process..so..just see how i cope for the last week...gambateh