In A State Of Delirium: A sarcasm and a blunt...

Will create a moment filled with laughter... and that is what happen to me today when I was presenting in front of Dr. J... Today will be the most earliest day I ever stepped into the ward (and hence why I used most and earliest)... I had never been in the wards this early before in my life as a medical student... Practically I was there by 7.15 a.m. when it was required for all students to be in the wards at 7.45 a.m... Why? Actually I was assign for case presentation today, and Dr. J was taking so I didn't want to like screw up... plus on top of that was to see whether the patient I clerk yesterday was still around... and as I suspected when I arrived that instant... she left home as she had been discharged yesterday... sigh... BUMMER! So I had to start from scratch... when I arrived, Dr. K was taking the HO and MO for walk rounds... and I totally felt as tough I am an intruder into the wards... so I pandai-pandai found myself a patient in the room hoping that I will not bump into them and to have a lil privacy... so I took one who woke up that early (mind you I hate disturbing patients especially when they're asleep... rude right to simply wake ppl up just for you to clerk?) And there I was half way clerking and suddenly the door open... First stepped in Dr. K followed by a drone of "you know what-ler"...To keep the story short, Dr. J suppose to take the group by 9 and when I finished clerking, it was already 8.40 a.m... Started to panic, asked Abi to accompany me during PE (Physical Examination) as I need a chaperon (THANKS BI!)... When I finished my PE, it was sharp 9 and Dr. J was still no where to be seen... was thinking is she gonna be late? T~T Aiyah, if I had known earlier should have taken my own sweet time to come and then clerk... Well, she took us at around 10.30 a.m... I still have those 'butterfly in tummy' syndrome everytime I have to present in front of a consultant... Well, made a few blunders that made the whole group laugh... Examples? First when I was presenting I reported that patient had pica for
porridge... So one smart alec from the group said, "I thought pica was an abnormality of excessive wanting to eat mud and clay... and guess what? Dr. J also agreed... T~T In other words, I'm saying that patients who get pregnant likes to eat mud and clay... And another blunder is having mistaken POSTURAL HYPOTENSION for PORTAL HYPOTENSION... During my PE presentation... Dr.J asked what was located in between the neck and the abdomen... thanks to my members who were whispering breast at the back of me so I told her breast... Then she gave me the kind of look as tough I was a pervert... T~T Followed by the question,'what else was there besides breast?' I was totally shocked at that stage so I couldn't think straight... it was the heart and lungs (which I had to report during my routine case presentation...) It was fun-ler to see a consultant filled with sarcasm and a student who's a lil blunt... really can make the whole group laugh...

Anyway, I will always remember pica cause it had caused me so much trouble...

Pica is an appetite for non-nutritive substances (e.g., coal, soil, chalk, paper etc.) or an abnormal appetite for some things that may be considered foods, such as food ingredients (e.g., flour, raw potato, starch). In order for these actions to be considered pica, they must persist for more than one month, at an age where eating such objects is considered developmentally inappropriate. The condition's name comes from the Latin word for the magpie, a bird which is reputed to eat almost anything. Pica is seen in all ages, particularly in pregnant women and small children, especially among children who are developmentally disabled, where it is the most common eating disorder.

It is often cigarette butts that are consumed[citation needed], presumably for the nicotine content[citation needed]. Most developmental centers have a no-smoking policy[citation needed] due to this fact[citation needed], and developmentally disabled persons out in the community are often at risk of sickness and/or choking on the litter they find[citation needed].

It is much more common in developing countries and rural areas than elsewhere[citation needed]. In extreme forms, pica is regarded as a medical disorder.

Pica in children, while common, can be dangerous. Children eating painted plaster containing lead may suffer brain damage from lead poisoning. There is a similar risk from eating dirt near roads that existed prior to the phaseout of tetra-ethyl lead in gasoline or prior to the cessation of the use of contaminated oil (either used, or containing toxic PCBs) to settle dust. In addition to poisoning, there is also a much greater risk of gastro-intestinal obstruction or tearing in the stomach. This is also true in animals. Another risk of dirt eating is the possible ingestion of animal feces and the accompanying parasites.

Taken from wikipedia...