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 CALLING ALL MEDICAL STUDENTS! V2, medical student chat+info center

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CyberSetan
post Feb 21 2011, 05:21 AM

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QUOTE(NatBass @ Feb 21 2011, 04:41 AM)
Anyways - Seniors , im sure you'd heard of mantoux test right. 10mm is the normal reading for a person with tb negative? So anything more then 10mm is positive? how do one confirm that he/she has tb? besides chest x-ray? im sure mantoux test can go false-positive due to BGC injection and the air you breathe?
*
Mantoux test >10mm is positive - confirm with sputum examination if the patient has pulmonary TB, gastric lavage can also be done - particularly in children since they tend to swallow sputum (use Ziehl-Neelson's/AFB staining).

Histological/cytological examination of other forms of TB can also be done - eg: skin sample from cutaneous TB, aspirate from TB lymphadenitis, samples from Pot's disease etc etc etc ... there are many forms of TB~

In other words - confirm with lab test. (CSF from TB meningitis may not show any TB bacilli - send CSF sample to biochem department for analysis).


Note: false positive can occur in ppl immunized with BCG.


Added on February 21, 2011, 5:25 amHere is how cutaneous TB looks like (taken in 2009):

user posted image

This post has been edited by CyberSetan: Feb 21 2011, 05:25 AM
CyberSetan
post Feb 22 2011, 05:03 PM

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QUOTE(StarGhazzer @ Feb 22 2011, 05:10 AM)
ESR is non-specific, and should never be used as a sole investigation to diagnose any disease.

If you have been exposed to someone who has active TB, you should be worked up for possible infection as well. Mantoux's going to be pretty useless for you since we've all got BCG as a kid.

TB meds can last for long periods, with possible side effects eg liver dysfunction. But almost every drug in the world has side effects - you just need someone to monitor you while on treatment.
*
As a matter of fact - i remembered back when I was training in a Govt.Hospital pathology lab (Likas Hosp.) in Sabah that ESR should not be ordered as part of TB investigation.

That circular was even pasted on the laboratory wall.


Added on February 22, 2011, 5:07 pmThat Quantiferon-TB gold assay - isn't available in Likas Hospital (although big as it is). The basic AFB staining is still practiced there~

I'm not sure if it is available in Queen Elizabeth Hospital either (Main Ref.Hosp. for Sabah)...



This post has been edited by CyberSetan: Feb 22 2011, 05:07 PM
CyberSetan
post Jun 3 2011, 03:04 AM

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QUOTE(NatBass @ Jun 3 2011, 02:23 AM)
Okay i was told that mmc has approved us (foreign studying) students to do our practicals back home?  How does the procedure go about?
*
As in what? Housemanship? everyone does that.

But if you are referring to practicals prior to graduating... then yes.

Here is an example:

http://jknsabah.moh.gov.my/v3/modules/cont...index.php?id=19
CyberSetan
post Jun 30 2011, 07:37 PM

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For medical students on Pathology - I find this very useful in the past...

CHAPTER BY CHAPTER on Youtube~!



http://www.youtube.com/watch?v=m097UUkqU2Q

go study~
CyberSetan
post Jul 21 2011, 12:20 AM

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QUOTE(raul88 @ Jul 20 2011, 11:48 PM)
noob question

cortical bone and cancellous bone which one heal faster?
*
cancellous bone.
CyberSetan
post Aug 31 2011, 04:11 AM

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QUOTE(onelove89 @ Aug 31 2011, 12:49 AM)
Just a general question, as a doctor, do we need to know different terms in different languages? For example, even till now I have NO idea what spleen is in Chinese, or in Malay.
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Spleen in Malay is 'Limpa'...~ eg; Limpa lembu masak kicap brows.gif

Anyway... from my past experience, initially when I came to India, I had difficulty communicating in English with the locals here (Bangalore).

Not that I can't speak English nor they can't understand English - its the way the language is spoken here that makes conversation rather tricky~ They are not used to my English (Manglish) and I'm having difficulty making sense of their English (see example below):






In the end... after a few years being here... I end up speaking English their 'style'~ biggrin.gif

This post has been edited by CyberSetan: Aug 31 2011, 04:11 AM
CyberSetan
post Oct 23 2011, 10:49 AM

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QUOTE(debbieanne1988 @ Oct 23 2011, 10:38 AM)
Hi there to all,

Would like to know if everybody from this post is from or have medical background? Pharmacist or anything? Because e are currently looking for a pharmicist whose interested to earn a reasonable income. With a basic salary and bonus. Basically become their own boss and run their own store.
Its a really good oppoturnity to start now. Rather than looking for a job with other farmasies than cant pay well. Here is your chance to earn more right away. Were looking for Graduates mostly. Those who have experience in medical background. Kindly email me right away if your interested to know more. My email address is deb_1988@live.com or destiny1988@ymail.com.

Kindly please let me know.
Thank You.
*
This is a medical student thread - you should look for the pharmacy thread~
Its somewhere in this subtopic~
CyberSetan
post Nov 29 2011, 12:20 AM

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QUOTE(tjinn @ Nov 29 2011, 12:04 AM)
planned to do post graduation before coming back. currently in india, have to work for a year here, so would elligible for mrcp.
*
Too bad Indian MD/MS and DNB postgraduate programs aren't recognized in Malaysia.... otherwise... I'd consider doing postgrad in India~ How about it Tjinn?

http://en.wikipedia.org/wiki/Doctor_of_Medicine#India
http://en.wikipedia.org/wiki/Diplomate_of_National_Board

Lots of patients here to 'practice' on~ brows.gif

CyberSetan
post Nov 29 2011, 12:58 AM

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QUOTE(tjinn @ Nov 29 2011, 12:44 AM)
haha. its true, would be great experience. But i'm not really keen on extending my stay here.
i've got nothin against india (it isn't recognized by our gov anywayz), just that if i had a chance to go and experience life elsewhere, i might as well go for it.
tbh, DNB is a really tough seat to get and competition is pretty intense.
*
There is one Malaysian graduated from Bangalore Medical College (BMC) living near my place in Bangalore, he is doing MRCGP in India right now.

He didn't even go back to Malaysia for his housemanship - directly he is working in one of the private hospital in Bangalore while doing his MRCGP.

http://www.rcgp.org.uk/

http://www.rcgp.org.uk/international/mrcgp...south_asia.aspx

We've got some DNB Post-grad students in our hospital - they told us that DNB has got better exposure/training than MD/MS...

I'm wondering weather MD in basic medical sciences/Para-clinical sciences (eg; Biochem, Anatomy, Pharmaco, Microb) can be used in Malaysia - say... for teaching purposes in Universities...?

hmm...

This post has been edited by CyberSetan: Nov 29 2011, 01:02 AM
CyberSetan
post Nov 29 2011, 02:06 AM

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QUOTE(tjinn @ Nov 29 2011, 01:12 AM)
ahh ic, thanks for the info on that, will make a note of it.
as for DNB , yea they are preferred over MD even here in Belgaum, but the exam yields a very high failure rate it seems, even the regular all-india post graduate programme isn't a walk in the park.
Would be kind of a waste to go through all that just for teaching in a uni >.< lol.
*
MRCGP: the syllabus - http://www.ubd.edu.bn/academic/faculty/im/...ABUS%202009.pdf
CyberSetan
post Dec 18 2011, 11:24 AM

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News from today:

QUOTE
Housemen need the hours

I AM a house officer in my first posting in the Orthopaedics Department of Hospital Sg Buloh. I strongly disagree with the ruling to cut down on the working hours of house officers to 60 a week and to be given two days off a week.

The housemanship programme is a training programme. Freshly recruited house officers are mostly, let’s face it, incompetent.

Two months into the programme and I still find there are a lot of things I need to learn, including even the basics.

» Click to show Spoiler - click again to hide... «
http://thestar.com.my/news/story.asp?file=...QW96Us.facebook

I hope I have learned more 'basics' than him... but he is right... housemanship period shouldn't have been cut down.

Here is his registration details from MMC:

http://mmc.gov.my/v1/searchmmc/main_search...detail&id=46181

This post has been edited by CyberSetan: Dec 18 2011, 11:26 AM
CyberSetan
post Dec 22 2011, 09:53 PM

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QUOTE(Huskies @ Dec 22 2011, 09:35 PM)
Gray's is probably better suited for first year use, as Moore's is too jam-packed with details. There's really no need to purchase a textbook for anatomy - you'll probably find it quite useless after the pre-clinical years (There should be enough copies of Moore's or Gray's in the library for people smart enough not to buy them smile.gif An anatomy atlas is infinitely more useful than a textbook, especially for labs with wet specimen. But then again, if one of your coursemates can get their hands on a digital copy of say, Netter's, you could just print out the relevant parts needed for a particular lab, instead of lugging the whole atlas around. Guyton has lots of nice-to-know details, but like onelove89 mentioned, the notes from your lecturer should suffice for physio and path (The textbooks are more for referencing)

Ultimately, the best/most useful book is one that you actually read and use extensively  smile.gif
*
Those anatomy books came back to haunt me for SURGERY and ORTHOPEDICS (clinical years)~
Can't remember every little detail... have to revise again~ laugh.gif

Chaurasia's Human Anatomy (3 volumes) is the standard textbook for Indian medical colleges, it covers the instructions for cadaver dissection as well (in Anatomy lab)~

user posted image
CyberSetan
post Jan 7 2012, 06:47 PM

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QUOTE(cckkpr @ Jan 7 2012, 06:20 PM)
Star Education Fair.Made some enquiries at Quest Medical University and noted that medical course starting next month and some students already signed up and fees abt RM295k. Asked for a brochure and syllabus. SECRET! To be released only next month. A new high for medical education!
*
ohmy.gif

Time to add more to the list~
CyberSetan
post Jan 8 2012, 09:35 AM

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The Irony...
The truth...

Private healthcare is excellent... but Govt-funded healthcare in India - is pathetic...

I hope our country will not become like this in the future....
CyberSetan
post Jan 13 2012, 09:58 PM

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QUOTE(limeuu @ Jan 8 2012, 01:21 PM)
one of msia's success story has been it's public healthcare system.....regardless of how people criticise it.....the truth is, if you have been to indonesia and india, you will realised how fortunate msians has been and is....

this may change, if the government has it's way, with the national health financing system, and disbandment of the public clinic and hospital system....the gov spends about 3% of gnp on healthcare (another 3% is private), and want to cut this down!......

ironically, we send many of our youths to train in places with poorly functioning and often corrupt, healthcare systems....notably india, indonesia, egypt and russia......they will inevitably carry some of the work culture back....
*
We were sent to India to study medicine~ smile.gif

...and we are thankful that there so many rare cases never to be seen in Malaysia (at least not anymore) for us to study~
...and the hands-on experience dealing with such cases not many of us could have got back home~
...even if sometimes we contracted it ourselves from studying here - eg; dengue, malaria, etc laugh.gif

Thankfully the vast majority of our students are studying in private Indian medical colleges - with better facilities, lecturers and staff members~

The Govt. healthcare system in India - is indeed terrible (still better in the urban than in rural)~
Perhaps I'll show some pictures of the nearby Indian govt. hospital~

but then again... the ironic thing is... the worse their Govt.healthcare system becomes, the more of their population seek private healthcare, the better exposure our students get~

Lets review some:
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In the shadow of this reality:




...even one of our IPTA is taking advantage of this~ brows.gif

smile.gif

This post has been edited by CyberSetan: Jan 14 2012, 12:36 AM
CyberSetan
post Jan 21 2012, 07:52 PM

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A brief 'CME' for us all~ laugh.gif
CyberSetan
post Jan 22 2012, 12:51 PM

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QUOTE(DoubleU @ Jan 22 2012, 12:53 AM)
But seriously CyberSetan if your patients asks for your permission to start alternative treatment if they feel that the drugs don't work... would you allow them/recommend them/encourage them? To try to maximise on the placebo effect?

Lets assume these alternative treatments do not contain active substances that will affect the current medication... so homeopathy, drinking green tea... erm... like a boatload of vitamins... sugar pills...
*
We don't want them (homeopaths and other quacks) to do things like this:



and to avoid this:



This post has been edited by CyberSetan: Jan 22 2012, 01:02 PM
CyberSetan
post Feb 24 2012, 01:31 PM

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Food of thought...

Bailey and Love @ Malaysia
RM835 - Softcover
RM1213 - Hardcover

http://www.kinokuniya.com/my/index.php/fbs...m=9780340939321

Bailey and Love @ India
Rs2947 (RM200) - Hardcover

http://www.flipkart.com/bailey-love-s-shor...20-3ffaf8bd1c77

I haven't even mentioned the price for the latest Harrisons Principle of internal medicine 2 volumes yet~

... ... .... I actually can make profit out of this VAST price difference~!! brows.gif brows.gif brows.gif

(then again - the .pdf version is available on the net for anyone to download)

This post has been edited by CyberSetan: Feb 24 2012, 01:33 PM
CyberSetan
post Feb 25 2012, 06:08 PM

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NUMED is actively recruiting lecturers for the medical program~
Any doctors in here interested?

http://mystarjob.com/job/default.aspx?pid=11627&psid=1
http://mystarjob.com/job/default.aspx?pid=11629&psid=1
http://mystarjob.com/job/default.aspx?pid=11624&psid=1

tug of war for medical/Allied health science lecturers must be intense amongst IPTA/IPTS in Malaysia now - even SEGI is actively seeking the same~

http://mystarjob.com/job/default.aspx?pid=11905&psid=1
http://mystarjob.com/job/default.aspx?pid=11904&psid=1


laugh.gif laugh.gif
CyberSetan
post Feb 25 2012, 06:58 PM

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QUOTE(cckkpr @ Feb 25 2012, 06:46 PM)
The good lecturers at the not do good unis will benefit the most. The better unis will tie you down on a several years contract. A transfer market in play. Hopefully the higher pay will attract better academician and practitioners to share their knowledge.
*
THen I'm wondering who are the teachers in Perdana-1MiLLioN-Ringgit-Medical Uni...~
laugh.gif

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