Wednesday, October 31, 2012

Week 8 and counting...




1) When I passed up my CWU to my mentor for final review, later he asked me, 'Who checked your grammar?'

First, I asked my Dad to review my paper, checking all the verbs, vocabularies, grammar and stuffs. Then I double checked it with my former English teachers. I also showed it to a few of my close friends. Oh, maybe I did send few copies to my international friends online. 

I am well-aware that you don't like broken English, Doctor. So I went through all these troubles just for the sake of correcting my grammar, and to get your approval as well. You see how much effort I had put on these 24-pages of papers, Doctor?   

To think that I dare to answer as such to my mentor... are you crazy??!

And you couldn't tell if I was kidding or not, right? Lol

2) Of course I cannot speak English like the way I write. For me, writing is so much easier than talking. You can edit the words when you write, but not when you talk. Once the words got out from your mouth, you can't take them back.

Let's just say, I am more of a listener than a talker.

3) Today I clerked a 21-year-old Malay lady, presented with sudden loss of consciousness for 6 hours. 6 hours! I was like, seriously? Is that possible?

Her twin (yeah, they are twins!) mentioned that her sister went into deep sleep from 5.30am, had an episode of 2-minutes seizure with drooling of saliva at 7.00am during sleep, and she didn't regain consciousness until 12pm, few hours after they reached A&E, HTAA.

During the incident, her twin and other people tried waking her up by pinching and slapping her, but she didn't respond. Ambulance was then called.

She woke up with no recollection of what had happened to her. She was then admitted to the ward for further management. 

She have had similar episodes before, her first being at age 16 and her last being last year. This is a case of epilepsy, so I thought. 

But she insisted that it is not sawan that she experienced. Ni sebab ada benda dalam badan saya yang buat saya jadi macam ni, I quoted her.

Okayy. This is very awkward. How to deal with this? Think. Think.

Since she got upset when I mentioned about sawan, so I rearranged my sentences carefully when I tried to get further history. She has no family history of seizure, and this is her first admission to the hospital, despite having multiple episodes of similar attacks before.

I told her that we can do Brain CT to rule out underlying cerebral lesions. She mentioned that the doctor suggested that too, but her father didn't allow her to do that. He strongly believed that the cause of her 'sawan' is not something you can treat medically.

Wow. If her Dad said so. I dared not to provoke more.

I didn't have the chance to read her case file yet. I wonder how the doctors manage this kind of patient. Discharge at own risk?

4) On different subject, here's a quote from my friend, 'Belajar dengan Dr.Naim buat kita rasa macam banyak gile benda yang kita tak tau..'

I second that.

Next week is Week 9 - our last week in IM posting. After a week of revision, we will have our very first End of Posting Examination.

'I am worried about you guys', I quoted from a doctor.

Yes, Doctor. I am worried about us too.

5) I have heard that our Dr.K was in a good mood during Short Case session with my friends this morning. That's news! I wonder who/what had brighten up his day today :D

I just hope he'll be in the same bright (hopefully, brighter!) mood during the examination two weeks from now.

Tuesday, October 30, 2012

Recap Recap




1) Just finished editing my Case Write Up. But somehow I feel that it is just 3/4 completed, considering the fact that I didn't acquire much details in the HOPI and there are some physical examinations that I had left out. How can I forget to do Pull Test in Parkinson's Disease!! And tandem walking to check for ataxia! And I couldn't remember if I had auscultated her lung or not, because the patient was given Augmentin! If the patient didn't have pneumonia, then why was she given the antibiotic?

I was so excited about her Parkinson's that I forgot to ask about her Hyperthyroidism! Careless mistake! **sigh

After Dr.Naim checked my paper and pointed out things that I didn't ask my patient, I was like, 'Yeah.. I totally forgot to ask her about that!'

Ah. I wish I have my patient's contact number.

2) Rewind back to this morning's ward round, I clerked a makcik with CCF and a kakak with dengue fever. Nothing interesting in particular.

But, But! We saw a patient with Umbilical Hernia! You can see his protruded umbilicus - red, warm and tender. The patient was half conscious, by the way. If you palpate his abdomen, you could feel that it's very distended. Once I thought I could feel his bowel!

If you follow ward round with Dr.Yousuf, you must be proactive and quickly examine the patient if he asked you to. Go touch the patient, don't just look. If not, he'll punch you. Trust me, it's a reaaally hard punch. Lol

3) I talked to a pakcik who has STEMI. He came to the cardiology clinic just to get a refill for his meds. But he was admitted to the ward anyway. He was really frustrated because he didn't want to stay in the hospital - he has to go to work in the morning!

He is a fisherman and he is in need of money to pay for his previous hospital bills. And if he has enough money, he wants to go for balloon angioplasty. If he has the money.

It is sad to hear his stories. It reminds me of how lucky I am. Alhamdulillah.

4) We saw Dr.Kuan and Prof.Fauzi this morning. It's not always you can find them in the ward, since they are very busy. It's nice to see them anyway! :D 

5) Short case with Dr.Che Rosle was fun. We had cranial nerves PE (on patient with dysarthria) and lower limbs PE (on patient with stroke secondary to brain abscess). He told us that in a young thrombotic patient, you should consider four causes; infection (meningitis, encephalitis), infarction (amphetamine, heroine), vasculitis (arthritis etc) or thrombophilia state. 

And we saw ring-enhancing lesion on Brain CT! It was maybe due to abscess (Strep/Toxoplasma) or TB granuloma among other causes.

6) Faizah and I helped Dr.Adlina with venepunctures. We examined a patient with suspected fibroadematosis.

Fibroadenomas are benign breast tumors commonly found in young women. Fibroadenoma means "a tumor composed of glandular (related to gland) and fibrous (containing fibers) tissues."

Breast fibroadenomas, abnormal growths of glandular and fibrous tissues, are most common between the ages of 15 and 30, and are found in 10% of all women (20% of African-American women). They are found rarely in postmenopausal women.

Described as feeling like marbles, these firm, round, movable, and "rubbery" lumps range from 1-5 cm in size. Giant fibroadenomas are larger, lemon-sized lumps. Usually single, from 10-15% of women have more than one.


She had a high fever, you could feel the warmth transferring to your hand while you examined her axilla. We couldn't be able to find the exact lump, though. 

On palpation, there was a firm small area on her left breast at upper lateral region. It has ill-defined border, non-mobile and it was tender upon touch! There were axillary lymph nodes enlargement as well. No nipple discharge noted. 

Doctor scheduled her for mammogram and maybe referred to surgical team later. I doubt it was fibroadenoma, but let's see the result tomorrow.

7) I am too tired to look up for differential diagnoses of breast-related diseases. I really need to sleep now.

G'night :)

Wednesday, October 24, 2012

Cornflakes Madu for Eid




The ingredients

Add butter, milk and honey into pan

Pour the mix into cornflakes. Spoon them into papercups

Put in pre-heated oven 150'C for 10 minutes

Tah-daa! Tempting, eh? :D

Tuesday, October 23, 2012

Emotional




1) This morning I went to see my patient in ICU on second Floor, Teratai 2B.

She was formerly admitted to Medical Ward 7B due to CAP. This was her second admission to the Ward after being recently discharged few weeks ago. She is the AIHA patient that I mentioned before, the one I was thinking to be my Case Write Up. 

I got the news of her being transferred to ICU from her sister yesterday night. 

The first thing I was thinking before I enter the ICU: Am I allowed to go inside without supervision?

Heck, the worst thing that could happen is that I'll be scolded in front of everyone. And if that happens, I'll just get out of there quickly.

So I got in, putting my best professional look on.

When I couldn't seem to find my patient, I asked the Staff Nurse around.

'Oh, patient tu kat Bed 6, Doctor. Kat hujung skali tu, belah kanan'.

I thanked her, smiling. Professional, professional, I reminded myself.

And during that time, a specialist was doing his round, with H.Os and M.Os following him from bed to bed. 

When I walked past them, I could hear one of them whispering, 'Eh siapa tu?'

You don't know me? Good good. Let's keep it that way, shall we? ;)

It was heartbreaking to see my patient in the room with ventilator support and the white 'float thing' put on her whole body. I have no idea what is that or why it's there.

I read her case file but I couldn't be able to understand half of what's written there, though. I've been thinking of asking the Staff Nurse nearby, but then it would be known to her that I am not a doctor. 

So I keep on reading. I got to know that she was unresponsive to treatment given, underwent hemodialysis twice and the implication written was urosepsis. She had DM as well, and I could see from the ABG results, they are not looking good.

I looked at my patient from outside the room. It was just yesterday morning in 7B that I asked her how she felt. I remembered her telling me she felt uncomfortable, she had a high fever. I pulled the blanket over her.



When I was driving home, I got a text message from her sister, 'Akak baru je meninggal'

She told me her sister was pronounced dead at about 9.30am.

I was speechless.


2) Compared to CCU (Cardiac Care Unit), you don't have to wear special shoes to go inside ICU. You just have to take off your white coat.

I wonder what is it like in HDW. I'd like to go in there someday.


3) On a different topic, normally we will choose a patient for our Short Case session and decide on what system we would like to examine, with one of us is assigned to examine the patient. However, with Dr.Kuan and Dr.Harris, it's totally different. 

Dr.Kuan picked an assigned student while Dr.Harris selected a random student to examine a random patient. 

And at both times, I was the one who performed the examination: Abdomen and Respiratory (from the back). Yeah yeah, you probably say, that's the easiest examinations, you can ace that!

'If you examine patient like that, you will sure to fail in exam'

'From the way you examine, it's obvious you never examine patient from the back before. Is it?'

'Your examination technique was bad!'

And twice I got the same last comment from our lecturers.

You see, I am just bad at doing PE, and I hate myself for that.



That's more the reason to keep practicing, right? 

Yeah I know. I did practise on patients. I examine them.

Maybe I didn't examine enough patients. Maybe I didn't practise properly, not following the flow of examination.

But in the end, I couldn't seem to get it right though.


Maybe I am not cut out to be a doctor?



Okay, positive thoughts. Positive thoughts.

I can do this. 


Maybe.


Argh. I hate it when I am being like this.


4) In the process of editing my Case Write Up on Parkinson's. Our Mentor's been a great help to me us, I am very thankful for that.


5) My 12-year-old sister just loves watching this Malay drama on TV3, Mimpi Cinderella. I'd say it's a huge waste of time, she should spend the night reading or do something educational. Better yet, just go to sleep!

It's not that I'm allergic to these kind of stuffs, but I try my best to stay away as far as possible.


You see, I am easily affected.

Instant Cookies



A reason to celebrate ;D

Mix + Butter + Egg = Cookies.

Friday, October 19, 2012

A Dose of Criticism PRN




I used to be very (very!) afraid of our lecturer Dr. K, who always scolds us every time we make mistakes. If we could not provide a clear explanation about a subject, or give him a wrong answer, he will deliver series of stern lectures with comments and critiques.

If I were asked to rank our lecturers, I would say that Dr.K is the most feared among all lecturers.

Dr.Marzuki, Dr.Wan Syahril, Dr.Che Rosle, Dr. Shahrin, Dr.Anis -> Dr.Juita, Dr.Harris -> Dr.Naim, Dr.Kuan, Dr.Nik Fatnoon -> Dr.K

However, after an impromptu Long Case Session with him in the Ward this morning, I had a sudden change of heart.

He was strict and sarcastic as usual, but he gave us advice in between sarcasms. 

Here are few things he mentioned:

+ Don't use 'this patient is a known diabetic..', just state that 'this patient has Diabetes Mellitus since...'. Refrain from using 'noted', 'denied' and 'claimed' repetitively in our sentence.

+ If we meet a patient with Diabetes Mellitus (DM), we should ask about:

1) When and how was he diagnosed with DM?
2) What were his symptoms before he was diagnosed with DM?
3) Did he take any medications? What are the meds? How about his compliance to the meds?
4) Did he have any complications of DM? 

If you meet a patient with underlying DM, HPT, asthma, chronic lung diseases, history of PTB - you must ask details regarding each disease.

+ Since DM and HPT are very very very common in hospital setting, and we meet patients with these diseases every day in the ward, so we should know how to diagnose/manage the patients, what are the complications etc. 

+ What are the stigmata of Chronic Liver Disease? 
Asterixis/Flapping tremor, Clubbing, Leukonychia,  Palmar erythema, Dupuytren's contracture, Bruising, Absent axillary hair, Jaundice, Parotid swelling, Spider naevi, Gynaecomastia, Caput medusae, Ascites, Hepato/splenomegaly, Female pubic hair distribution, Testicular atrophy and Ankle edema.

+ We should be proud of our brilliant Islamic scholar like Imam Syafi'e, he was truly an inspiration.

+ If you know that you are not genius (like Faqih and Nani ;)), you must work extra hard to be successful. Be hardworking.

+ Go to the ward every day. Have a look and clerk a patient, then go back and read about his disease(s). That's how you learn. That's how you should learn.

+ Have an aim in life. What are your goals? Expectations? What do you want to achieve?

+ If we were to compare between medical students who study overseas and us, we are sure to be embarassed by how much we are lacking in terms of medical knowledge.  



I agree that his words are sometimes harsh and hurtful, but personally I think we deserve that. The criticisms are very much needed to make us realise the fact that we have a lot more to learn. We have to improvise in order to become a good Muslim doctor.

 

I felt like crying.

This time, it's not because I got scolded by him.



It is because I could feel his concern.



Being 'malignant' is his way of showing that he actually cares about us.







Thank you, Doctor.

Thursday, October 18, 2012

Of Week Six




1) Last Tuesday was a very fine day. We watched four procedures in the morning: 3 OGDS (Papillary Carcinoma, Hiatus Hernia, Hemorrhagic Gastritis) and 1 Colonoscopy (Multiple Diverticulum). 

2) In the evening, we watched three Bone Marrow Aspirate and Trephine Biopsy (2 Pancytopenia cases and 1 Hodgkin's Lymphoma). I came back home in smiles.

3) I am quite satisfied with my Clerking Note on Hypokalemic Periodic Paralysis. I scored 7/10! :D You have no idea how much time I spent on writing it! Lol

4) Long case sessions with Dr. Nik Fatnoon were a bit intense. However, PBL and Short Case were fun! I like the fact that she is easy-going and friendly with patients.

5) I just knew that Dr. Hazlan and Dr. Anuar are IIUM graduates. I wonder how does it feel to work under your lecturers' supervision in the same hospital. Must be tough ;)

6) Dr. Naim advised us to work extra hard since we are already in our sixth week. He mentioned about our lack of knowledge in basic-basic things that we are supposed to know by heart.

We notice that too, Doctor :(

7) Dr. Wan Syahril told us that we should spend time wisely during Ward Work in the hospital. The best knowledge comes from patients, not from textbook per se. Spend more time with patients and you'll learn more.

I couldn't agree more, Doctor.

8) I always hear my friends asking around, 'Eh, macam mana kau study eh? Pagi sampai petang kita duduk Ward clerk patient, balik bilik dah penat, so bila kita nak bukak buku?'

If you ask me, hmm...... well, don't ask. Lol.


9) Case Write-Up!!!!! It's either AIHA or Parkinson's!


10) Our Seminar on Heart Failure tomorrow! 


I better stop now.

The slides need editing.

I need a coffee refill.

Friday, October 12, 2012

Post-HosHas




1) Hospital Sultan Haji Ahmad Shah (HosHas) Temerloh is huge. You might get lost inside the building! When me and my friends went there last Sunday for our 4-day-postings, we were amazed by the sophisticated atmosphere. Compared to HTAA Kuantan, I could say that HosHas wins in the Architecture and Landscape categories, hands-down. However, in terms of number of Doctors/Specialists in the hospital, HTAA can't be beaten. Hehe. 

They also use computer system to record patients' data, but the system was down at the moment. So they had to go back to using files.

2) The very first thing you have to do when you reach the hospital is to report duty to Head of Department (HOD) of Internal Medicine, so that she'll be familiar with you running around being in her hospital. Just inform her that we are from UIA and let her brief you regarding the hospital regulations. We had met Dr.Eliyyin who is very friendly and soft-spoken. Dr. Azureen is another helpful (and cute!) specialist who frequently visits the Ward to do rounds.

For Medical, there are 3 Wards in HosHas. One in Level 4 (Kenanga 14 for female patients) and Two in Level 7 (Kenanga 11 and Kenanga 12 for male patients). You should introduce yourself to Sister (wearing blue uniform) in every wards and ask her to orientate you give you Orientation. Nak masuk tempat orang kena lah beradab sikit kan, tunjuk la yang budak2 UIA ni sopan sopan belaka ;)

3) Then you go and greet the House Officers. You may ask them if there's any case with positive findings. But beware of some 'malignant' HOs, they might give you cold treatment and even belittle you. The cool HOs that we've met are Dr.Syazwaniza aka Dr.Wani, Dr. Yoga (tall Indian guy in glasses) and Dr.Amalina. They even let you do procedures if you ask them!

You can come at midnight if you like to do Venepunctures. In Kenanga 14, the HOs usually take blood from every patients at 12am onwards. So, take good chance of that to fill in your logbook!

4) The MOs however (some of them) are cold. One of my friends got scolded by a male MO when she asked him a question. He thought that my friend is a HO, he asked lots of questions in return. My friend was in tears after the incident.

5) Regarding procedures, me and my friend had observed Bone Marrow Aspiration done in a patient with suspected Chronic Myeloid Leukemia. It was a very rough procedure. The 21-year-old patient screamed in pain once or twice during the process.

6) Speaking of patients, I have met a makcik with Parkinson's Disease! You could observe her resting tremor, it was very obvious!!! **overly excited since it was my first time meeting a PD patient! :D :D :D

She also had rigidity and bradykinesia (when she writes). She had stooped posture, reduced arm swing and shuffling gait - typical features of PD!

When I wanted to check for Facial Nerve, I asked her, 'Makcik boleh senyum sampai nampak gigi tak?'

She smiled sheepishly and said 'Makcik takdek gigi..'

Yeah, she had no teeth at all. Hehe. My bad.

I was thinking of writing a Clerking Note about this makcik. It's a very interesting case.

Apart from the makcik, I have seen cases like Symptomatic Bradycardia (his HR is 44bpm!), Hypokalemic Periodic Paralysis, Acute Myeloid Leukaemia, Uterine Carcinoma and Chronic Demyelinating Peripheral Neuropathy with high stepping gait.

7) Long and Short Cases with Dr.Marzuki and Dr.Kuan were enjoyable since the eight of us could have face-to-face discussion with our lecturer. We could ask questions and express our thoughts freely. I like that very much.

I wish we have more clinical lecturers in UIA, so that Long Case and PBL sessions could be done in smaller groups, not 32 students altogether in a single session.  

8) In HosHas, I've met several patients who were waiting to be transferred to Kuantan for further management. I was surprised when a patient greeted me in HTAA yesterday. 'Dah balik dari Temerloh dah?', she asked. I was totally surprised. What a small world.

She is 4 months pregnant from Raub. She went to Hospital Raub only to be told that she will not live long and her baby might be in danger. So she was transferred to HosHas and later to HTAA. She told me about her heartbeat that can be felt over her heart.

On palpation, you can feel the thrill over her left sternal edge. It's truly amazing! On auscultation, pansystolic murmur was heard. I asked her questions about chest pain, orthopnea, PND but she did not report any history of any cardiovascular symptoms. She said that she was apparently healthy before the admission and this is the first time her being in a hospital. She said that she have had the murmur since birth. 

9) I had my Clerking Note checked by our Mentor. I wrote about a case of Uncontrolled DM with underlying Thyrotoxicosis, HPT and Hepatitis C.

I mentioned about my patient's description about her thyroid size, it was about the size of a chicken egg Grade C.



I couldn't tell if the 'What?' is for 'What?! You should mention the size in cm!' or 'What is Grade C chicken egg?'

So I Googled the eggs. Hehe.



 What is the standard size of a Grade C chicken egg? Hmm.

Friday, October 05, 2012

Skipped Days




1) Forgive me for the hiatus. I needed a break. But now I am back ;)

2) Sulking days are over. I promised myself to be a better person than I have been in the past. I know it's going to be hard, but I'll put my best foot forward.

My friend said I need to vent my feelings more often. Haha. It's not that I don't like to share my problems with my friends, but it's just easier to keep some of it to yourself.

3) Back to educational stuffs now :) Last week, I had selected a patient to follow-up as my Case Write-Up, a 18-year-old girl with Symptomatic Anemia due to Beta Thalassemia Major. She underwent splenectomy when she was 9 years old. She has thalassemic features like frontal bossing, prominent maxilla and malar eminence.

But I didn't do physical examination on her, because she looked very pale and tired a few days after the admission. By the time I remembered, she was already discharged from the hospital.

Aww Pickles.

4) My friend and I examined a 17-year-old girl suspected with Guillain-Barre Sydrome. It occurs when the immune system attacks the peripheral nervous system, leading to weakness or tingling in the legs. Symptoms sometimes affect the arms and upper body. Severe cases of Guillain-BarrĂ© can lead to paralysis and are life-threatening. 
Source: emedicinenet.com 

In our patient, she had sudden onset of joint pains two weeks ago, then she developed lower limbs weakness. It became worsen when the upper limbs became weak as well and she couldn't move half of her face (facial paralysis).

She was discharged from the hospital because her parents would like to seek for traditional Islamic treatment.

5) I grew tired of explaining to people that I am actually a Third Year Medical student, I am not a House Officer or a Doctor just yet.

So, when I was walking along the hospital corridor and a Nurse greeted me, 'Nak balik dah Doktor?', I answered with a confident smile, 'Haah, nak balik dah..' without even bothering to explain the misconception.

I think I need to stop wearing my black-rimmed glasses. They make me look older. LOL

6) Newsflash : I am falling hard for someone, but I don't think he notices me. Heck, I bet he doesn't even know my name.

Ah. Silly me.

7) Case Write Up - I have found a new case. It's Symptomatic Anemia secondary to Autoimmune Hemolysis AIHA (Paroxysmal Nocturnal Hemoglobinuria). This 37-year-old kakak was admitted yesterday, I happened to be in the Ward at that time. I was the first person to interview and examine her. She had hepatosplenomegaly, but I couldn't specify their size because the areas were tender. However, I could feel her spleen - it was big! She appeared pale and lethargic. Fortunately, her 22-year-old sister, Ila was there to help me answering the questions.

Later, a H.O came to clerk her. Then a M.O joined in. I listened to them repeating the same questions I had asked her before. When the M.O palpated her abdomen multiple times, she cringed in pain. Her liver was palpable 2 finger-breadths under the costal margin and her spleen was 5-finger-breadths big! Wow.

8) I followed up a case of Typhoid Fever (Salmonella typhi infection). His name is Fais, a bright and cheerful 12-year-old kid. He came from a poor family and I got to know that he didn't attend school, so he doesn't know how to read. Sad, isn't it?

I've met with two sporting pakcik abang officers from Kementerian Kesihatan Malaysia (KKM) who came by to interview Fais to investigate the source of infection. They told me about a few similar cases happened few weeks ago. They are trying hard to solve the cases to prevent future outbreaks in Pahang.

Fais had to stay in the Ward for a couple of days more for stool clearance. He looked frustrated because he had been here for about 2 weeks time. He wanted to go home badly.

9) I had been to the First Class Ward at Level 8 several times before to follow-up a case of Decompensated Congestive Cardiac Failure. The Ward is fully air-conditioned, it's very nice.

I met the patient when she was warded in Mawar 7C weeks ago due to sudden onset of shortness of breath. On auscultation of the heart, she had prosthetic clicks due to her previous valve replacements in IJN before. She was diagnosed to have Community Acquired Pneumonia (CAP).

When she was stabilised and transferred to the First Class Ward, of course it was very awkward to start the conversation at first. I mean, I called her makcik before, now I got to know that she carries the title of Yang Mulia (YM) Tengku!

I met her this evening to observe her progression and say goodbye since I wouldn't be seeing her when she'll be discharged next Monday.

She's going back to Pekan. Ah, now I have got no reason to enter the First Class Ward again.

10) I had sent my fourth Clerking Notes to our Mentor. Hopefully I'll get a higher mark this time. I scored 5.5/10 for my last two Notes and I felt bad for myself. Now I need to select good cases (with significant positive findings, if possible) and fully understand the Investigations + Principles of Management of the patients.

It's nice to have your notes checked by Dr.Naim. He is very particular about our English grammar. With his red ink pen circling certain words and big crosses over some wrong interpretations of the results, you couldn't help the feeling of being like a high school kid all over again :)  

11) My friends and I are going to Hospital Sultan Haji Ahmad Shah (HosHas), Temerloh this Sunday morning and we'll be back in HTAA next Friday. I've heard good things about HosHas, how I can't wait to experience the 'new' hospital.

So long, everybody. Have a very pleasant weekend! :D

Wednesday, October 03, 2012

Bad Day




Dr.Wan Syahril once told us that, when you become a House Officer, there will be a moment of regret at some point of your life. 

You'll start thinking, 'If I were an engineer/lawyer/whatever instead of a doctor....' and the thought goes on.

It's funny that I am starting to feel that way too. 

If I were a student at Multimedia University, pursuing a Degree in Multimedia, my life would be happier. Definitely less complicated than now.

Dealing with computers is so much easier than people. 

Because they can't possibly hurt your feelings.