…:::finetuned:::…

aaaahhhh..2 more days at the rheumatology department to go and after that, i am free to roam to other departments..

dun get me wrong..in a way, i am actually glad that i wrote my name second on that list and got assigned to 9th floor..the doctor is great and super cool, i am learning loads..

but this volchanka thingy..huhu..i’d been reading about this for a week now!!! volchanka is SLE in russian, and man, i have to tell ya, he doesnt not make this easy for us..even in harrisons, nothing much is written beyond treatment with glucocorticoids and NSAIDs and cytostatics but the doctor - waliao..he goes system by system and squeezes the whey outta my brains!!

now i know FOR SURE that medicine has MORE BENEATH THE SURFACE THAN YOUR AVERAGE ICEBERG DOES!!!

but i am satisfied
and i got interested in a new patient today..think he’s the one who got newly admitted on monday..he now occupies the place of the podagra patient who got discharged oredy, i presume..so now this guy has gout with nodules that are super duper huge, liver cirrhosis with mild jaundice, a huge ascitic abdomen, pitting oedema, he has renal and liver insufficiency and a history of 2 MIs and an aneurysm - he’s every medstudents nightmare..basically all his systems are affected in one way or another..so 2moro when there are more test results coming in, i wanna menyebok with his case history..it shud be pweetty intewesting..

other than that, all other patients seem ok..the psoriasis guy has improved tremendously, his rash now just looks like raw pinkish skin..he’s very tan though and it does look nice on him, i wonder how he got it..must be some solarium..then the osteoarthritis granpa is oso looking good..and there was yet another new addition..same ol’ RA..

oh and you know wat, today was the first time i met a really really anorexic/bullemic girl..she was about my height and her arm was like the size of my wrist!!!! gosh, i could see her hip bone poking thru that black dress..and she was so so pretty, i wonder how she could let herself be that way..one could see the tendons running along her hands and she was so so so malnourished, she couldnt have possibly be more than 30kg..after seeing all those well-filled russian women, seeing her was like an eye-opener..

and i did the most embarassing thing today..i went to the produkti today to get bsicuits for breakfast tomoro and there was this girl, she couldnt have been more than 15..and i helped her buy alcohol..i dunno what the crap i was thinking!!!! it all just happened so fast and i just ordered it for her and…..

basically it was like buying booze for my brother!!!

i should never have done that, not in a 1000 years!!! if everyone had been like me, i wouldnt be surprised that most russians are alcoholic..

i wish i had said no..but in my broken russian, i would have probably further embarassed myself..but i would have felt better..if there ever was a next time, i would refuse..and probably add in some sisterly advice in broken russian..

haiz….

so now i’m gonna eat the remainder of that rice with dalcha, courtesy of pearly and jonas..sweeetttt..its quite good..and after that, back to my volchanka and spondylosing arthritis and some other topics he gave us..he’s gona stir fry us til the last day, haha..