Hey guys, some questions for u all.

Myocardial infarction may cause pain radiating to chest, left arm, left jaw and abdomen. So,

1. why the pain commonly radiates to left side of arm but not right?
2. dermatomes of jaw and upper arm are C2 and C5/T1 respectively. Since pain fibers of heart enter T1-T5 spinal segment, why would C2 of jaw and C5 of arm be affected?

This post has been edited by Aeiou11: Oct 26 2009, 04:35 AM

1. So heart is only innervated by pain fibers from left dorsal part of spinal cord?

2. I dun understand what u meant. They share the same dermatome?? What are they? As i said jaw is C2 and arm is C5/T1. They don't share the same dermatomes. The sensory fibers enter C2 and C5/T1 spinal cord don't they? While heart pain fibers enter T1-T5 spinal segment. Is it because those dermatomes overlap?

If they reduce the compulsory service to only 2 years, it will be a great news to me.
Honestly, I plan to work in private sector. But don't get me wrong. I'm not doing that for profit or due to lower salary. My will to help people is just as strong as others. The main probelm in government hospitals is the over-heavy workload. I personally want a life in which there is a balance between career and private life. But for sure as a doctor, career>private life. But if possible, I prefer simpler life.

I wonder am I being selfish?

But I thought GP is a must for every doctor during their career? BTW, after the compulsory service, I paln to pursue Master's degree. But I'm not sure which is the best time to do it. Can I pursue it right after the compulsory service? Or I need a few more years of experience?

I doubt the working hours in private hospitals are just as long as that of gov hospitals. If the working hours and workload are more or less the same, then I will prefer gov hospital.

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Added on February 2, 2010, 5:35 pmYup. I'm a JPA scholar. I will serve in Malaysia, but I can't assure for now that there will be no possibility for me to work overseas later. But I will definitely pay back, because it will not be something I deserve then. The welfare of doctor in Malaysia make me afraid of my future, and medical research in Malaysia is not extensive enough. I also think myself as being selfish. But for me, helping people is the most important thing, regardless of country, race, religion etc. But I don't think I'm noble enough to sacrifice almost my entire life for humanity.

And regarding the scholarship, we scholars are bound to JPA for 10 years. If we wanna terminate the contracts, then we will have to pay back the exact amount, I think more or less 1 million for medical students or much more, in payment by installments.

This post has been edited by Aeiou11: Feb 2 2010, 05:35 PM