During the LOLtastic Oncology meeting, Dr Vivek was talking about some weird ruling/protocol of UM Medical Centre (UMMC or PPUM in Malay) and UM Specialist Centre (UMSC, basically the private wing of UMMC), in which a doctor CANNOT PHOTOSTAT patients' notes from UMMC/UMSC and send it to the other division. For example, I want to photocopy my patient's notes from UMSC to myself in UMMC... it's not allowed. And vice versa - I won't be able to send photocopied notes from UMMC to UMSC.

Anyway, the doctors were all, "What kind of ridiculous ruling is that?" and me, sitting behind making ridiculous faces with the same thoughts. Then, Dr Chong (I saw her name on the list today. She's Dr Chong! Not Prof. Ha.) suggested that Dr Vivek write a referral letter. Then Dr Vivek mentioned that he just wanted to transfer HIS OWN PATIENT from UMSC to UMMC. Then Dr Chong was like, "Aiyah, no choice lorh! If you want, you can write 'I'm Dr Vivek from UMSC, and I'd like to refer this patient to... myself in UMMC' " Hahahaha.

Oh, and remember the inaugural lecture I was talking about? The one that was interesting yet boring? I TOTALLY saw Prof H sleeping when I was looking around the LT. Heeeee... Adults...

Um, and yeah, since I'm back early today, and nothing much happened, I'll just talk about Day 3 here.

I got to put on the gown and masks and shoe covers and all and follow The Prof on her BMT ward rounds. Fweee. One poor boy (Fine, the one with ALL) is currently having GVHD (Graft vs Host Disease). And then there's a patient who's CLEARLY getting better - anyway, he's always glued to his PSP. Seriously. On Monday when I first went there, when The Prof checked him (Size and 'feel' of spleen and liver), he held his PSP so close to his face, playing. Roll to the side, STILL playing. I don't think even a fire in his room would seperate his PSP from his face. He might get a PSP tan. Hm. The Prof was like, "The other room has Monster Kid" (Kid to be replaced by kid's name. Which I remember, and he's discharged and all, but like I said in my first post, not too sure about confidentiality and stuff) "I'd say that you're Addict Kid" The Prof's MO giggled. Oh, did I mention that, with mask on, I swear that The Prof's MO looks like Cik Suhana (My Form 5 Bio teacher).

Then, since a new patient got admitted last night, The Prof asked her MO to 'present' the case, so to speak. So I learnt quite a few pointers there. The Prof wanted her MO to 'sell the case', as in, completely convince The Prof that they're not wasting any time/resources taking in this patient and stuff.

Then she went to see the new patient, and brief the patient's mum about the course of treatment and the risks and stuff - Informed consent.

Then we went to the clinic for more Clinic Duty, which is amusing like House Clinic Duties, except that this is specifically for Paediatric Oncology patients. Monday's for post-transplant patients, Wednesdays for post-chemo/radiation, no transplant. So it was pretty quiet. Except for a hyperactive kid here and there ("I'd say he has ADHD" "Aiyah, I see all these kinds of patients all the time. It's normal"), and the nurse who looks like Nurse Lydia from ER, and is just as funny. (:

And then, done for the day, since The Prof has some sort of Examination Board meeting after that. Oh, well!

Some Medicines used in the BMT ward:
- Morphine
- Ketamine
- Vancomyacin
- Interferon
- Amphoterecin A & B
- Something that costs RM2210 a vial (I kid you not. It's freaking expensive)

Tomorrow:
- BONE MARROW HARVEST!!1!!

Other random things:
- Yih Shan was over at the Dental Faculty when I was listening to The Prof go through the process of informed consent. Hahaha.
- The Prof checked her clinic patients' eyes to look at their optic disc, to see if there's papilledema (She said it so quickly I almost missed it, and I actually spelt it right! I checked) - which is, swelling of the optic disc caused by intercranial pressure.