10/18/2011 12:03:00 AM
10/04/2011 10:52:00 PM
12/02/2010 12:16:00 AM
12/02/2010 12:16:00 AM
It always seems so scientific and detatched when you're in the classroom, learning how this drug will bind to this oncogene (excessive-cell-division-causing gene, for the uninitiated), and how that will stop the cancer from progressing. Yeah, if its bioavailability is high enough when it reaches the damned thing.
I think we've always thought Ethics was the least useful part of the course (i mean, the sciencey bit is the bit that we're gonna save ppl with right? its not like we're unethical to begin with, and even if some of us were, lessons aren't gonna change that). But fr this particular segment of our course, I really think Ethics shone out the most for me.
After all those endless lectures about wad cancer does, and how to treat it, we finally had to imagine ourselves being the ones treating the patient. I cant share any real examples, but anyway there're far too many stories out there as is, so I won't have to even if I could.
Cancer can happen in anyone. A kid, a grandpa, a young mom with a kid going to to K2 next year.
Can you imagine telling a 40 yr old father that with his Stage 4 lung cancer, his likelihood of living beyond the year is 25% (not real statistics, sry) ? In other words, can you imagine telling him that he'll never see his 2 yr old son getting into pri sch, much less seeing him get married and start his own family some day?
What can you do for a kid who's gonna die from leukaemia, but keeps blaming himself for being sick all the time and making Mommy and Daddy cry?
What can you possibly expect a mother to do when she's taking care of 3 kids aged 4, 7 and 12, and just diagnosed with terminal ovarian cancer?
Chances are, she's gonna want to live. She KNOWS treatment cant kill off the cancers anymore, only slow them down. But she'll wanna live as long as she damned well can. Thats another problem.. You see, cancer drugs are expensive. And most of them target cell proliferation (this happens even in normal people. It's just excessive in cancers), so they're pretty toxic to norm cells too. Net effect, the family's gonna lose a lot of money, the drugs will only slow down the disease, and even then, there are adverse effects. Horrible, unimaginable pain -- and that's just the treatment.
Some of these drugs can buy you 10 years -- those are the beautiful moments. You're technically cured. Other times, in the aggressive ones, it could be a month, or a few weeks. That's astoundingly little fr the 6-figure price-tag for those drugs.
But when you're that mom, 1 more month is plenty. Afterall, you need to get the will in order. You need to meet your family and friends. You need to try all that food you've loved. You may wanna go with hubby to Paris, just like he promised for that 20th anniversary you're not gonna live to see. And most pressing to a mother: kids. You need to tell them what's important in life. To eat right. To sleep early. Don't talk to strangers. Brush your teeth. Listen to Daddy. Explain why you're going away for a long time and they can't come with you, but they'll understand when they get older.
Yes, any price, any pain, to get things in order as best as you can.Our tutor offered us 4 simple steps we can use to advise patients and help them say goodbye:
1. Say thank you -- to everyone who meant sth to you in your life
2. Say sorry -- to everyone who you've offended, intentionally or otherwise
3. Say "I forgive you" -- to your loved ones, in case they think you still blame them for that little something in the past that's now soso dwarved by Death
And lastly,
4. Say "I love you" and that it's forever and ever, even when they cant hear you say it anymore -- because they'll never get to hear it from you ever again.
So here's to the first time I cried while taking notes in a lecture theatre.
9/09/2010 11:55:00 PM
It is a running joke -- oft a cruel, and painfully realistic one -- that Med students' holiday duration are inversely proportional to how hard they work (it gets tougher as we go along).
It's almost like reaching the top of the tracks of a roller coaster circuit, knowing naught of how the tracks below will twist and turn, but only with the faintest clue that it's gonna be one hell of a ride.
I have reason to be a little worried -- seniors I've talked to have given me recounts of their Med Yr2 experience, and they essentially can be summarized as such:
Everything you've heard about Med School being tough and stressful, and how your head's gonna explode with all that info? It's true. It's just that M1's essentially the honeymoon period. So, welcome to starting to understand what it really is to be in Med Sch =)
But it isnt fear that I approach this year with. Afterall, it is that very same course I was fighting so hard to get into, just a little more than a year ago. And we're finally dealing with disease states and how to cure them (drug-wise, at least)! There'll be lots more clinically releveant stuff too! haha..
In fact, I think -- though I cant be sure it's purely this -- I'm really excited about this year..! Bring on the challenges, the sleepless nights, the weekends so packed with mugging that I wont have time to visit chu or watch tv. Because if triumphing over all that will make me even stronger, to be the best doctor/son/husband/father I can be in the years to come, I'm willing to face it.
(Oh, and God please help me not die from this coming year's workload..... I'm only human for crying out loud)
8/06/2010 11:13:00 PM
Introducing "If" by Rudyard Kipling!
If you can keep your head when all about you
Are losing theirs and blaming it on you;
If you can trust yourself when all men doubt you,
But make allowance for their doubting too:
If you can wait and not be tired by waiting,
Or, being lied about, don't deal in lies,
Or being hated don't give way to hating,
And yet don't look too good, nor talk too wise;
If you can dream---and not make dreams your master;
If you can think---and not make thoughts your aim,
If you can meet with Triumph and Disaster
And treat those two impostors just the same:.
If you can bear to hear the truth you've spoken
Twisted by knaves to make a trap for fools,
Or watch the things you gave your life to, broken,
And stoop and build'em up with worn-out tools;
If you can make one heap of all your winnings
And risk it on one turn of pitch-and-toss,
And lose, and start again at your beginnings,
And never breathe a word about your loss:
If you can force your heart and nerve and sinew
To serve your turn long after they are gone,
And so hold on when there is nothing in you
Except the Will which says to them: "Hold on!"
If you can talk with crowds and keep your virtue,
Or walk with Kings---nor lose the common touch,
If neither foes nor loving friends can hurt you,
If all men count with you, but none too much:
If you can fill the unforgiving minute
With sixty seconds' worth of distance run,
Yours is the Earth and everything that's in it,
And---which is more---you'll be a Man, my son!
Shall leave you to interpret the stanzas (if you're really that bored! Haha.. that's to you army dudes out there!), but I guess you could google for some explanation if you're really burning for answers..
Anyway, chu's just gone overseas again! Sniffsniff.. So now I'm here on my fav lil island (Singapore), all by myself with nothing but my medicine books to call friend......... Oh wait. Tht just might be a gd thing! =P Finally! Peace at last! Haha...
But seriously, I think I'll be pretty lonely fr the next few days......
Anyway! Today I sent chu off to the airport. But cos I din want my parents to nag and worry abt how I was gonna be late for the BTT ltr, I told them that her flight was even earlier than it acty was (oops). So there I was, at 8am, standing at White Sands, thinking of how to get past the heavy rain to get to chu's place.
Best of all (funny how "best of all" tends to really mean "worst of all"), I was in slippers. And slippers are so named for a reason -- and no, I don't just mean that they're easy to slip on to your feet.
After a good 10 min of the "Walk-Step on especially slippery part of floor-Steady myself-Swear to wear footwear that was designed with the notion of "grip" in mind in the future-Repeat" repertoire, I (finally) find myself facing chu's door. Then came the trip to the airport, and (too soon), time to dash off to Ubi.
The trip to the driving centre wouldve been rather simple, had it not been for a series of unexpected events. Like how the rain didnt seem to stop, how my train just stayed put on the tracks for over 5 min waiting for another train to pass. Worst was tt I, being unsure of which stop to alight at, got off one stop ahead of the driving centre, and had to jog thru the rain (I had 10 min to get to the test venue) to get there -.- oh, I also met this girl on the way to the driving sch. She didnt bring an umbrella, so I shared mine with her. Nice of me right! I know.. Haha
Anyway, I passed! =D I was so worried I'll fail, and I'd haf to wait forever just to retake the stupid test. The parents're celebrating with me by cooking curry fishhead! haha...
chuchu, if you were here right now, I'd have been spending my time asking you to join us for dinner after your work, cos u'll prolly like this dish..
Be safe over there hon..
6/25/2010 07:04:00 PM
