Catatan

Tunjukkan catatan dari Oktober, 2008
Imej
I have a busy and productive weekend. Let's see what I've done on Saturday...It's a free day for me. So I've decided to go somewhere around Sydney. Something affordable for me. I've never wondering around or going for a trip alone back there in Malaysia. This experience only I can do it here. Relatively safe and nobody looking at you and think that you're wired. Everybody is thinking about themselve rather than think about you. It's a free world after all...and you can do whatever you want to do. I went to Circular Quay again today...looking for any opportunity to follow any trip or cruise and I've decided to go for "Whale watching cruise". Something interesting, but of course I don't quite like sailing that much. It will make me nauseated and I'm prone to get seasick. But at the end I go for it and give a try. While waiting for my trip, I just walk around and infact now I realized that I don't have to take a bus to go to Sydney Ope
Start my day with observing Dr Joshua Rheumato clinic today. I've to be an observer, no license to practice since I'll only will be here for only few weeks. One thing about working here is I feel comfortable and feel accepted. I think I'm more comfortable interact with the superior here rather than in Malaysia. It's easier to discuss things and they are more acceptable to critic or opinion. In fact it is something like sharing experience on how we practice in Malaysia compared to Australia experience. Discuss case of recurrent optic neuritis with no other feature of MS and later on developed peripheral neuropathy. Later diagnosed as Lupus in view of positive ANA marker. There are such condition I've seen but usually with other systemic involvement rather than solely optic neuritis. Such an interesting observation. That lady improve with steroid and methotrexate. He also discussed about a patient diagnosed as Sjogren's and presented with cerebellar lesion which w
Quite cold here in Sydney for the past few days. It has been forecasted to be on and off shower for another couple of days. May be difficult for me, I can't tolerate cold that much especially with not much fat to protect me from cold. Anyway, it's always an experience I need to go through. Since most of the Ultrasound practice need to be done in St George, means that I have to do a lot of travelling from Randwick to Kogarah. It is easy earlier since Dr Joshua kindly gave me a ride and show me the way there. But, of course I can't depend on him for every single trip. So, I have to learn to get a public transport to come here. On the first day it cost me AUD 37 for one way trip from Randwick to Kogarah. I can't afford that if I'm going to have frequent trips here...I'm going to be broke. I have decided to get a train and bus to travel. I need to catch a correct bus to central station and from there get a train to Kogarah. Have to study the bus and train system her
Imej
Had a chance to go around Sydney yesterday. Snapped some pictures at opera house and sydney bridge. Important landmark to make sure people know I'm really in Sydney. It's beutiful and I admirer the work of the architect who built it, a brilliant art. Today, I have attended a private class on basic ultrasound usage especially concern rheumatology field. Unusual thing to do on Sunday in Sydney. However, I find it quite useful tips. Interesting but has to go back to basic physic. Dr Joshua was great in explaining, make things simpler than I thought (at least the physic part). I think there's a good future if I pursue and learn more on this field. Will consider this as my future specialty field in rheumatology. It's been great to do something that not many experts in this field yet in Malaysia. I hope I'll get the grasp of getting an experience in this.... I had a walk to Coogee beach in the afternoon. It is just within walking distance from my place. Full of people on
Quite a fruitful day today. Starting my day in POWH without any hassle. Plan has been organised for me for the next week program...seems to be in order. 3 cases has been brought up during rheumatology meeting. Quite interesting cases have been presented. First case was dermatomyositis complicated with peritonitis, second case was a patient with scurvy (quite rare to have found a scurvy patient, only found it in text book) and the last case psoriatic patient (?related to the introduction of lithium). Impressive presentation.

Rheumatology attachment in Sydney

Just reached Sydney 3 days ago. Still has nothing much to do. Able to secure place and start my attachment program in Prince Wales Hospital this coming Friday. Thought would raise some problem, luckily everything goes well. Life a little bit difficult here,...not quite difficult actually. The only thing this is the first time I'm traveling alone and have no one to talk except for when I'm going to hospital. Food seems to be not a big problem around here. Find a good Muslim Thai restaurant around the corner where I stay. Luckily I 'm small eater, so it does not cause a real problem to me.