Monday, April 27, 2015

Clinical elective at RMH (Day 6)

Day 6
Today, I decided to walk to hospital instead of taking the tram. It was just a 15-minute-walk after all (if you walk with a fast pace). And It is good to have some exercise. Along the way, there stood the beautiful colleges and the university buildings.

It seemed like the medical students would have a switch of department placement every week. There were new faces showed up in the respiratory ward. I was able to join a bedside teaching with 2 students, led by Dr. Hammerschlag, one of the physicians specialised in respiratory medicine and sleep medicine. The students were supervised by him while they were doing their interview. He would then give comments to the students. He never forgot to praise them for their strength and to encourage them.

Next, we went to respiratory lab where he wanted us to meet a patient who presented with obvious signs. It was a case of systemic scleroderma with CHEST syndrome. Patient with this syndrome may have lung manifestation such as interstitial fibrosis and pulmonary hypertension. What I had learnt from him was that we have to take a step back and observe the surrounding before we touch the patient. We will always get a clue on what is happening to the patient or even the diagnosis. That was good reminder for me.

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