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This post has been edited by MBBS siang: Sep 12 2009, 01:21 PM

My confusion is not how the mechanism work. That thing I know.ok la....like this!

This is about the blood glucose regulation mechanism.Below is my problems.

The correction to hyperglycemia is due to the intensity of stimulus.
When there is something wrong to the mechanism the stimulus will persist and of course the symptom like polydipsia will persist and these are due to the frequency of stimulus.

This is what I think,I am not sure whether the statement above is correct or not.So,please give me some idea about this.

Another thing that I confuse here is the symptom that persist is due to intensity or frequency?Example,the diabetes patient will keep on feeling thirsty is because the frequency of stimulus or intensity?

This post has been edited by MBBS siang: Sep 12 2009, 03:57 PM

SORRY! This is about the blood glucose regulation mechanism.I change the sentence already.Do you feel better now?I'm so sorry for create this problem here.
I will try to write the sentence properly next time. I know my stupid english is terrible,if any mistake I did please correct me.

I hope I can learn how to use proper english from daily life and here.

This post has been edited by MBBS siang: Sep 12 2009, 03:53 PM

Im studying in cucms. I just want to know the relationship between these 2 factors.Are you mean that I no need to know these?

They taught me about the mechanism but do not relate anything to intensity and frequency.Maybe,I think too much.

Here,the first semester we learn the basic medical sciences in separated subjects as introduction to make sure we have the strong basic of medical sciences.

Then second semester onward we will start to learn all these basic medical sciences by organ system and of course some clinical relevance stuff will be injected as well.

So,now we just at the quite basic state but lecturer trying to relating some fact that we learn with some clinical cases to make it more interesting and understandable.Now,I have finish my first course that is general anatomy and enter second course ,physiology.

I can understand what is actually happening in mechanism of blood glucose regulation and the problems occur when there is something wrong to the mechanism.Other than that,I also can relating some classical symptoms(polyuria,polydipsia,glucosuria) of diabetes mellitus to the things that I learn.

Maybe I think those what i learn can related to intensity and frequency of stimulus but cant actually.

This post has been edited by MBBS siang: Sep 12 2009, 06:01 PM

Now they are teaching the basic science like anat,physio,patho,pharmaco as introduction for one semester before we enter system......! What are you expected?

Actually,I will relating the blood glucose regulation mechanism to the "intensity" and "frequency" .

Its because I think that the beta cell detect the amount (intensity)of glucose in the blood is increase to the level that higher than the set-point then the correction will be carried out.

If there is something wrong to the mechanism ,so ,the correction could out occur properly and the stimulus(abnormal high level of glucose) will persist that keep on stimulate the beta cells to correct the conditions(frequency).

Im trying to use this 2 words to explain. I dont know correct or not,so I ask lo!

This post has been edited by MBBS siang: Sep 12 2009, 08:13 PM

Why I am trying to relate the blood glucose regulation mechanism to the "intensity" and "frequency" ?

It is because I think that the amount (intensity)of glucose in the blood is increased to the level that higher than the set-point is detected by beta cell, then the correction will be carried out.

If there is something wrong to the mechanism the correction could out occur properly and the stimulus(abnormal high level of glucose) will persist and keep on stimulating the beta cells to correct the conditions(frequency).

So, I try to use these 2 words to explain. I dont know if it is correct.That's why I ask.

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Added on September 12, 2009, 8:25 pmI know what you are trying to say.It is due to the glucose which contained in the filtrate of renal tubule that attracting the water from ECF of the surrounding of the renal tubule then cause polyuria.The body continue to lost the water this stimulate the thirst center to tell us to drink water(thirsty)polydipsia.

This post has been edited by MBBS siang: Sep 12 2009, 09:00 PM

We have not learn the action potential yet but I learn it in stpm before. The exam for last friday which about the homeotasis do come out with the word intensity but I forgot the sentence already.Therefore,I try to explain it with these 2 words.

This post has been edited by MBBS siang: Sep 12 2009, 08:50 PM

Hmm....I know already.

I don't relate the endocrine system with nervous system actually.No,we just roughly know the process because have not enter the system yet.

True. I have to learn.

Where are your worries come from? Thanks!

We are students,if there is any misconception about what we learn is acceptable.As long as the students willing to find out the answer is consider good.

You should have confident to the future doctors here,most of them are very helpful and open minded. We have exposed to so many cases regarding the irresponsible of HO.So,that is very good reminder to us before we become HO.

This post has been edited by MBBS siang: Sep 13 2009, 09:27 AM

This is very true.I totally agree with this.The bolded part is highly concerned.The patients shouldn't be the victims in order for a young doctor to compensate their investment or gain more than that. The most important thing to be concerned must be the ethics.The doctor wanna be should understand what they are going to learn is not just the medical knowledge but the passion to care.

All the ethics are come from the "passion to care".My mum always remind me,when I graduate as a doctor don't put the money as the priority and please care your patients properly because she is going to be our future patients.

So,every doctor wannabe please bear in mind.When we start to do something irresponsible to the patient please think of it for a while.Will you still do the same things if the patient is our parents or siblings.(touch wood)

Of course, I will always remind me and keep me away from "syaitan"! Don't let the "investment" as a motivation to make us to be the hantu later on.

This post has been edited by MBBS siang: Sep 13 2009, 11:06 AM

Nobody will bang you. You deserve to get what you want as you are good enough. The most important thing here is don't run away from your main route and ethnic,it should be ok .

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Added on September 13, 2009, 10:11 pmNot only our country but all over the world.

This post has been edited by MBBS siang: Sep 13 2009, 10:11 PM

In my uni there are 25 3rd year andalas students enter year 1. only year 5 or year 4 enter 3rd year. I heard one of my classmates from andalas say their clinical only 1 and a half year. The medical sciences taught there is not so well organized like local medical uni. They prefer the system here.

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Added on November 8, 2009, 10:31 pmNot really equivalent. Some of the superficial medical sciences we learn here they don't really know. no offense. All of these are being told by ex-andalas students.

This post has been edited by MBBS siang: Nov 8 2009, 10:38 PM

Yea. is hallucination and delusion as well.

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Added on January 4, 2010, 10:39 pmCome on guy. MOH absolutely have the right to comment about this but they just don't dare to do that. Political power always try to intervene the education and health care system in malaysia. How to become a developed country? Policy lack of consistency, not transparent and sometime corrupted.

This post has been edited by MBBS siang: Jan 4 2010, 10:41 PM

Format of the exam is not the main concerned. My friend from new castle(UK) also never answer the essay questions but they know what they learned.

The main problem in Indo is the course contents in basic medical sciences rather than the exam format. In my college, we also don't have the essay but our final exam contain short answer questions.

In my opinion, sometime essay questions may bring some negative effect to the medical students. Medical students tend to study for exam or try to memorize what they learned for exam just because worry about the essay questions. Of course, not all students will be like that but I believe most of the medical students will do that if there are essay questions.

Yea. I mean students will tend to only aim their target for exam rather than the knowledge itself and some of them may just blindly memorize the fact in order to answer the essay questions but do not really understand.

Sorry, for did not saw the "SAQ/LAQ" mentioned by csrulez.

This post has been edited by MBBS siang: Jan 17 2010, 08:17 PM

HK uni will even harder to enter than IPTA with the same result. It is highly competitive.

You are seriously lack of common sense. It was mentioned in the post. A University in china.

Absolutely, the senior medical staffs have nothing much can do to change the situation as everything are beyond their control but improve the mentorship is the only way to achieve the win-win situation. No points of complaining but keep the situation the same. They should try to guide those sub-par junior medical staff properly in order for them to be more competent and on par with other HO . Senior medical staffs play insignificant role in recognition of medical school and registration of medical graduates. Therefore,keep on criticizing and complaining will never improve the circumstances now.

This post has been edited by MBBS siang: Feb 27 2010, 11:05 PM

Apparently,they mean private practice may encourage doctors to remain in the country. I think they mean reduce the years that required compulsory service and of course housemanship will be remain the same.

Btw, the logic behind is partially true. I don't think most of the medical doctors will leave because of this. Even if you shorten the compulsory service,they will still leave and give them an earlier chance to leave.

This post has been edited by MBBS siang: Apr 23 2010, 06:50 AM