what about graduate med skool? maybe coz she / he was interested in med stuff....but cant cope with the non-med stuff in STPM...hence the poor scores.... but say if she/ he does a science degree or physio degree 1st, excelled coz its medical and sit for a grad school entry exam...passed coz of the passion for med stuff = high scores...then be a med student then....a longer route but that would be an option would it?

i mean undergrad is not necessarily the only route...

i dont think its venous ulcer...tho it has a lipodermatosclerosis and atrophie blanche....its too deep for venous ulcer...

1st pic...i think its eating under the subcut tissues right into the fascia...so my bet is on necrotising fasciitis..

**add....its purulent discharge...so i thought that might be some infection....but then again...it all has to come down to the patient's history, swab M+C, onset and medical condition**

This post has been edited by bhypp: May 26 2009, 12:40 PM

hmm good read, but i seriously dont know why the author is so judgemental, people do change and if they change from a conservative person into a person who's fond of skimpy clothing and weekend flings...that's their choice...

cheating in exams n copying peers' work instead of coming up with one's own is very common in uni...so is wriggling thru the system with lies (for those ponteng-ed classes) n etc....but i think it would be the working world that would be the judge...i hav no problems if one's not a hardworking student but yet is a competent doctor...that author is just bitter...

i know i sounded harsh but i've seen my share of med students getting away like that...making up lies, ponteng classes, forging signatures n etc...i just thought that no matter how ppl will always find flaws in the system n exploit it....abit cynical i suppose...but not bitter coz i think at the end of the day....if one could be a good doctor...that's good enough....doesn't matter if one cheated or ponteng-ed in med skool...altho most ppl with attitude like this are gonna be bad doctors...but then again...who are we to generalize?

in the healthcare system...there are so many levels of checks in place...so say an intern was dumb enough to give B-blockers to an asthmatic to control his bp....the registrar should at least spot the mistake on the drug chart n correct it....if not the pharmacists who dispense the drug should hav spot it too....and the nurse who gave that to the pt would have picked it up....but yea i agree it is better to put a qualified doctor in the 1st place...rather than an incompetent 1....

i understand the author's predicament but bad unis produce excellent students n good unis produce crappy students too..why not she take it as a challenge to prove that the general perception wrong and be a good doctor herself....instead of whinging and writing an article to malaysiakini....where i think would not do much in terms of changing the status quo....rather used the time to read / revise / practice suturing / reading medical journals....

sorry i just dont really like whingers...the world is full of cheaters and cheaters do...not always get the things they wanted easily, which is a real injustice but i think one like the author should take pride him/herself in her non-cheating, hardworking ways and held his/her head up high knowing that he/she got integrity....unlike the rest......

i agree....this is not what the checks are really for....but with so many dodgy uni's around...and the govt / medical body is always 1 step behind...when they recognize a uni as a bad one....producing dodgy docs.....the docs would be already out there....in the hospitals, posing threats to patients....

but just to make things clear...im in no way condoning such acts and i hold on to the ideals just like u guys....

@haya....im in no way wanting to be a lawyer...im close enough to hell alrdy...no need to take up a profession that guarantee my spot there... and i dun get ur black book thingy...whats that suppose to mean?

true thats why i said...he/she should try to hard n prove the public worng....not all med students from russia are poor, incompetent n cheats...he/she felt a great sense of injustice, whinges, felt very bitter but i think he/she has lotsa growing up to do....the world is never fair...and instead of whinging on the press, he/she could maybe write a letter to the med. body (MMA issit? or issit MMC?) and ask them to review the whole thing...or to JPA to send someone over an do a thorough evaluation....

maybe he/she already done that....but im just saying...whinging is not the way to go....

This post has been edited by bhypp: May 29 2009, 10:11 AM

sorry but i was told by a neurologist that the term grand / petit mal is obsolete...

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Added on June 3, 2009, 12:37 pmbtw i only know about absence seizure....hav no idea what's coronary steal...heard of subclavian steal la.....and hav no idea what ondine's curse... and aseptic peritonitis....erm no idea....kinda get the picture....but cause?

so does that make me a bad med student? :depressed:

This post has been edited by bhypp: Jun 3 2009, 12:37 PM

erm well grand mal is more like a blanket term....like say he has large vessel vasculitis without goin into the specifics....but the current terminology like generalized tonic-clonic seizure, complex partial, n etc are more specific... well that what the neurologist in hosp told me..

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Added on June 3, 2009, 6:59 pmhmm well if they can afford to pay JPA back, why don't they just study with their own $$$ instead of taking up the spots...when it could be offered some other medical students who wanna go back to msia to serve instead?

i dunno but i think once one signs a contract one has to stick to it...well if one was unsure about pledging their future to the govt....they shouldnt have signed...

This post has been edited by bhypp: Jun 3 2009, 06:59 PM

yup but it was a lil un-systematic in the old grand mal classification type....grand mal could also be used to describe some other types generalized seizure too...(apart from absence)....that's why "generalized tonic-clonic" is used to differentiate it from other types of generalized seizure...

yea....but i heard JPA if u break u gotta pay one lump sum...say if u take loan....u can sorta finance into monthly payments...i dunno i just thought taht was a lil unethical to do so...treating JPa scholarship as an interest free loan....not saying that they dont have the right to do so...they are entitled to...but im just thinking maybe it would be better to give that spot to someone who will stick to the agreement....

thats just JPA...we havn't got to MARA yet....i heard its like 'pinjaman boleh ubah'...where u dont have to pay a cent if ur grades are good...and if not...you just have to pay back a certain % not the whole sum like JPA....and i think MARA students dont have bonds....talking about brain drain and resources management....i hav no objections if msia's public health system has enough man power but its currently short staffed and here we have a system that 'leaks' out the much needed man power....

lol...yes coz i think grand mal dated way back...in the 1800? (not too sure) but that time GTC is not around yet...so its imprecise to still use grand mal...

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Added on June 5, 2009, 12:48 ampurchasing power!...the value of the currency comes to picture...coz i think the figures are about the same...working i aus / sg / msia....but the things u can buy with that figure is different...but if msia wanted to retain the docs n prevent braindrain, msia hav to raise the income value so that the docs can hav the sorta like smiliar buying power....but then again...it would be disproportionate...as that would make docs uber rich....

hmm....there is a scheme where docs in aus can buy stuffs (cars, houses, even cafeteria food) using pretax money....that's why most of them have beach houses, hobby farms, big cars (and they change cars every 5 years...coz if tak pakai then rugi la)....surgeons lagi best....alot own 911s....once i saw DB9... spoilt brats....

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Added on June 5, 2009, 12:58 ambig supporter of taking of dispensing right...i think alot of msia docs are just doing it coz they wanted to buy generic stuffs and charge pt's the brand prices....and most of them giv meds in those plastic zipper bag thingy...instead of giving the pt a name of a drug that one can hang on to....one can remember....most (generalizing here) would not want to give away drug names.....coz sked the pt would go to the pharmacy n buy....

it might be a hassle for pts but at least that maintains good practice....and pharmacy can act as another safety net to double check....say some dodgy doc prescribe erm...beta blocker to an asthmatic pt to control bp? then at least the pharmacy can sorta pick that up....if the doc does dispense that.....sei lor....pak Abu sure in deep shit...

apart from the travelling expenses....i think it should come up to about the same....say a doc charges rm30 for consult + meds...tehn if docs no longer prescribing....then maybe can charge the 'actual' consult fee...say sth like rm25 then that rm5 instead of being charged by the doc...its ppaid to the pharma...i mean c'mon...if the doc is prescribing...he gets a cut too right...not like he charge consult fee but charge drugs at cost price? so it should work out to about the same...and 'that MOH excuse - tak cukup pharmacy around...then causes inconvenience" well i would rather be safe....than ending up like Pak Abu...going out to town to see the doc....and usually in the town there will be a pharmacy around....and most klinik kesihatan in small daerah's hav their own pharmacy alrdy...so i dont see why the docs are still dispensing

This post has been edited by bhypp: Jun 5 2009, 12:58 AM

erm i got a question for those who are full fledged doctors in msia....i think limeuu is one of them.....just wanna know if there's palliative care in msia....my contact with hosp in msia was very minimal so i dunno....but i got a tutor who bashed msia's healthcare system saying her dying aunt (metastatic colon cancer) has recurrent asacites and was placed in a surgical ward, and the docs are trying to 'cure' her, when she said it would be alot better if her aunt was put under palliative care and and that would reduce her suffering...coz she said there isnt much docs can do for her....be it surgical / onco / or palliative....but at least palliative can make her final leg of life more comfortable.....

well my tutor was originally msian....judging from her masked msian accent i guess she was trained in msia and migrated over...she's a GP atm....

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Added on June 5, 2009, 2:05 pmyea scrub nurse the boss but then again...i think there are some who hav some complex and gav med students like me very hard times in my surge rotation....i mean we do work in teams...so we all hav our own roles...theoretically speaking...no one's a boss of another....but by saying just an assistant...sorta shows there are some degree of 'whos the boss' so i think that's the kinda attitude that would go on to develop those complexes.... not good...we are all a team.... should be nice to each other...

yes.....accomodation in Aus is definitely more exp than msia....and its figure comparison....not converted value...3-4k in msia u can get by pretty ok....so is 3-4k post tax in Aus...definitely no luxury but its good...better than being brokeded med student... .....yes the pay is not as much as ppl thought...my frens doing econs was laughing at the pay that i will get in 1st year post grad....saying "study so hard n so long for wat...come out pay still like mine"

yes...med skool makes u doubt ppl, a naive all believing person would be a cynic...coz ppl will try to get u to sign MCs...give drugs for their addiction.....abuse you for not being competent....etc etc...thats why my idol is still Dr Cox from scrubs....he still has it....after so many years of being a doc....the episode where he lost that patient and became depressed for 1 wk or so....classic dr Cox...

This post has been edited by bhypp: Jun 5 2009, 02:05 PM

depends on ur uni tho....my uni uses moore's....most of the exam questions comes out from moores..... (flame-resistant suit on - just in case we-shudnt-study-just-for-exams critics come in)

if im not mistaken those ppl will enter the med sector as interns in 2012? sth like that? not too sure? starghazzer....any comments?

soon melb wont be producing undergrads.....their intern chruning capacity will be taken over by swinburne? deakin? im not too sure...either one...and monash's post grad mainly cater for the rural workforce...shudn't affect those metro jobs...

oh wait what i mean was melb uni's undergrad intern production....they still got their post-grad intern productin line goin...sorry my bad...im used to say deakin / swinburne interchagably...

im not sure about deakin's course tho...anyone from there? any comments? coz im abit doubtful over Oz's med school now...with Melb uni (the gold standard) being off the playing field....monash is now being let loose and they are pumping in more students per clinical site / hospital...some having a 50% increase....im not sure how thats gonna turn out but im pretty sure it will affect the teaching in some way...

*im refering to undergrad programs here*

This post has been edited by bhypp: Jun 9 2009, 11:36 AM