Thoughts for the day

1) You're in deep shit if you have a pneumonia caused by staphylococcus aureus. A knowledge on how heroin is taken could possibly lead you to the diagnosis!

2) A drug addict taught me that heroin can be used in 4 ways

I) Injecting it

II)Smoking it

III)Snorting it through the nose

IV)Inhaling it-Chase the dragon

Smoking and chasing is safer as compared to the rest as it reduces the risk of OD.

3) Commonest cynotic congenital heart disease is still Eisenmenger's syndrome

4)You need 2 medical students, 2 house officers, one ward sister and another staff nurse to insert a branulla in an emotionally unstable patient.

5) The chicken and egg story in a 28 y.o hypertensive patient. Hypertension causes the CKD or the CKD causes the hypertension? A thorough search for secondary causes of hypertension warranted?

6) You need extreme patience to be an infectious disease physician. Day in day out, you deal with resistant bugs, patients who defaulted their treatment and among others.

7) Met a few patients with haematological disorders. APLS, thalassemia and AIHA. Heamatology is quite a fascinating field I think.

8) Observed a bone marrow aspiration and trephine biopsy. The doctor that obtained the consent must be very persuasive!

9) A pericardial rub sounds like a systolic murmur

10) Saw Dr Liu today in the ward. He asked: Why are you still here. You like this place so much? What's wrong with you? I winked at him. He tapped on my shoulder and said: Better come back and serve.