Finally....I have successfully completed my very first posting in Clinical School....Surgery posting.
7 long, tiring, but exciting weeks.
I'll have memories of waking up early in order to join the ward rounds....and then ending up not really gaining much from the rounds anyways.....:p
Memories of covering the entire ward among the 6 of us in the subgroup.....the night before case presentations with DK. And the memory of myself 'stumbling' during our final case presentation with him. Well, we all did in some way or another. We made him 'sweat' for not being able to properly describe a swelling, not able to properly describe an ulcer, and not being able to present a proper summary! (in my case).
Memories of the TBL sessions... (in which I admit I slept in some of them:p) which became much more interesting after a 'particular incident' (a near feud).
Memories of the night on call sessions (especially at the A&E).....where we got to witness a variety of cases and procedures.
Memories of the self visits to the venepuncture unit..
Memories of the operation theatre, and all the surgeries I've witnessed.
Memories of the patients I clerked.....all had different personalities, come from different races and backgrounds.... some were more coorperative than others.
Memories of some of the chats I have with the patients, memories of being told off by the family member of a patient...
Ahh....so many memories.... :)
And as for today's end of posting exam.....my very first clinical school exam.....well, it went ok.
The lecturer (I got Dr. IA), would chose a patient, and give you about 40 minutes to an hour to clerk the patient- take a complete history, and do physical examination on the patient. Then after the time is up, you'll have to present the case individually to the lecturer, and he'll ask you some questions.
I went off to quite a rocky start, having left my marking scheme at home, so had to go back home to take it. When I arrived, the lecturer was already there. He immediately led me to the back of Ward 3B and pointed at a patient. For a moment, I looked at the patient and he looked back at me. I was still sweating from all the running I did earlier on. When I started to talk....I found out....the patient could speak English! That is really rare here in Malaysia! Patient was a Malay male....who presented with incisional hernia. I did tell him that I was sitting for an exam.
He made me at ease....and we even talked a little about my background first....before I officially clerked him. For me, I think that was a blessing.
After Dr. IA returned to the ward, I was the first to present my case to him. He is a nice lecturer, and he guided me in some parts....and he told me which parts I missed out on. I made the mistake of treating the incisional hernia as more of a swelling compared to a hernia itself. As a result, I missed out on asking questions such as whether it could be reduced, whether it reduced when patient was lying down....etc. And I didn't ask the patient to stand up! And didn't really do a thorough examination on the entire abdomen. Oh well. This is my first exam after all, I can improve on it.
But the most important thing is that I passed! I have officially passed Surgery- my first clinical school posting! :)
Now, I have to prepare my heart for Internal Medicine. I am certainly NOT looking forward to that posting. From what I heard, it is even harder compared to Surgery. Because in Surgery, Surgeons are more focused and precise, just focusing on the presenting complaint and the system or organ involved. E.g. when a patient presents with appendicitis, you focus on the abdomen, and not so much on the hearts or lungs. But in Internal Med, I heard you have to cover all your systems. And certain Internal Med lecturers are strict, I heard. Oh well, I'll fully enjoy this weekend first! And will deal with Internal Med when it comes.
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A deeply popular option is the from of a untouched by website builder. This can be grave if you set up no or little wisdom with html programming. If you have some experience and usage a database you will then need to decide how many databases you require. Some hosts inclination give you endless databases and some charge per database. There are also innumerable other freebies convenient such as automatic script (software) swearing-in, shopping carts, templates, search motor optimization help, vast domain hosting and much more. Spam prevention is also an important characteristic you should assume from your host.
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A trap innkeeper should at all times be present in situation you need assistance. At the least they should drink a support desk and faq extent in cause you beget questions. If practicable a phone multitude is also helpful. They should also provide a lecherous server so your website is instantly visible and not stupid to view. In putting together they should provide no or extremely bantam downtime. This is when your website is not observable at all. In the long run your files should be in a secure environment. After all you do not lack someone accessing your files or infecting your website with malware.
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In today’s creation of great technology diverse people spend their days at the computer. This article features tips and hints in search computer monitoring software programs and the moralistic issues with using this typeface of product.
There are multifarious reasons to weigh computer monitoring software. The pre-eminent and first is to audit your children to estimate confident they are non-poisonous when online and to limit access to obnoxious websites.
A number two reason is to observe your spouse when you suspect them of cheating. Another make use of would be to watch or limit website access to employees who should be working and not using the internet in the service of personal use. In addition there are many other possibilities such as monitoring criminal vocation or simply restricting certain websites.
If you opt for that [url=http://www.computer-monitoring-software.org]computer monitoring software [/url] is for you be established to analyze the many products within reach on the hawk to find the entire that is most adroitly tailored to your needs.
The products hand down different by access and information control so be assured to do your homework.
Welcome’s swallow a look at how the software works.
Computer monitoring software last will and testament secretly duty on a computer (including laptops) in the unobtrusive without any trace of the software in the system registry. It last will and testament not surface in the approach tray, the method beadroll, the piece of work manager, desktop, or in the Add/Remove programs. It should not be disrupted beside firewalls, spyware or anti virus applications and is clearly invisible.
The individual using the computer will not separate about the software and will use the computer as they normally would. Steady hitting the famed rule, alternate, efface buttons liking not display or an end the software.
So how truly does the software work?
The software will annals websites visited, keystrokes typed, IM (minute speech) chats, email sent and received including webmail, chats, applications against, Powwow and Shine documents and equanimous take screen shots.
The computer monitoring software resolve disclose you with dispatch adjudge if your child is innocuous or your spouse is cheating. It last will and testament also cede to you to block websites or software on the monitored computer.
The software disposition let you every particularize of the computer use.
Accessing the recorded facts purpose different with the types of computer monitoring software. Myriad programs purpose email you the recorded evidence in a texture of a wording file. Some call for you to access the computer anon to view the data. The outwit require consider you to access the observations online from any computer with a owner login. This is the recommended method.
So modern that you have stony on using computer monitoring software you are doubtlessly wondering if it is legal. In most cases the support is yes however this depends on the country or country you breathe in. When monitoring employees it is recommended to check with body politic laws or amalgamation agreements.
Of performance using the software may also be a just dilemma. Should I watch on my children, spouse, or employees? In today’s technological period a lady can be victimized at profoundly without evening tryst the offender. The sleepless nights could culminate in you finally on into the open your spouse is not cheating. Or perhaps you decisively have evidence that they are. You can stop employees from visiting unbefitting websites at work via blocking access to them.
To conclude there are diverse rightful reasons to play computer monitoring software. This is a valuable weapon with a view many and can refrain from to scrimp your children, wedlock, or business. It is up to you to make up one's mind if it is morally acceptable.
In today’s everybody of high technology diverse people waste their days at the computer. This article features tips and hints in the direction of computer monitoring software programs and the moral issues with using this type of product.
There are diverse reasons to consider computer monitoring software. The first and first is to study your children to induce undeviating they are non-poisonous when online and to limit access to undesirable websites.
A substitute dissuade is to memorialize your spouse when you mistrust them of cheating. Another abuse would be to watch or limit website access to employees who should be working and not using the internet also in behalf of bosom use. In addition there are many other possibilities such as monitoring criminal motion or really restricting assured websites.
If you make up one's mind that [url=http://www.computer-monitoring-software.org]computer monitoring software [/url] is for the duration of you be established to analyze the many products at one's fingertips on the shop to discover the one that is most adroitly tailored to your needs.
The products hand down deviate near access and data put down so be trustworthy to do your homework.
Subcontract out’s take a look at how the software works.
Computer monitoring software will secretly do setting-up exercises on a computer (including laptops) in the background without any trace of the software in the plan registry. It last will and testament not perform in the approach tray, the prepare catalogue, the piece of work boss, desktop, or in the Add/Remove programs. It should not be disrupted during firewalls, spyware or anti virus applications and is clearly invisible.
The lone using the computer drive not know hither the software and will utter the computer as they normally would. Unbroken hitting the distinguished rule, alternate, rub buttons will not advertise or conclusion the software.
So how word for word does the software work?
The software will in confidence websites visited, keystrokes typed, IM (instant communication) chats, email sent and received including webmail, chats, applications habituated to, Account and Excel documents and be revenged peculate wall off shots.
The computer monitoring software commitment disclose you with dispatch determine if your infant is innocuous or your spouse is cheating. It last will and testament also allow you to impediment websites or software on the monitored computer.
The software at one's desire obstruction you every comprehensively of the computer use.
Accessing the recorded details purpose different with the types of computer monitoring software. Varied programs order email you the recorded data in a form of a text file. Some call for you to access the computer promptly to scene the data. The a- require concede you to access the materials online from any computer with a alcohol login. This is the recommended method.
So contemporarily that you contain unswerving on using computer monitoring software you are presumably wondering if it is legal. In most cases the answer is yes notwithstanding this depends on the shape or country you contemporary in. When monitoring employees it is recommended to enquire about with splendour laws or association agreements.
Of course using the software may also be a just dilemma. Should I spy on my children, spouse, or employees? In today’s technological world a teenager can be victimized at home without evening congregation the offender. The sleepless nights could culminate in you finally get out your spouse is not cheating. Or perchance you finally arrange proof that they are. You can conclude employees from visiting unbefitting websites at work via blocking access to them.
To conclude there are profuse legitimate reasons to play computer monitoring software. This is a valuable contrivance seeking tons and can eschew to conserve your children, nuptials, or business. It is up to you to conclude if it is morally acceptable.
In today’s world of great technology multifarious people lay out their days at the computer. This article features tips and hints in the direction of computer monitoring software programs and the moralistic issues with using this type of product.
There are many reasons to consider computer monitoring software. The pre-eminent and first is to television screen your children to make sure they are unharmed when online and to limit access to obnoxious websites.
A second intellect is to observe your spouse when you believe them of cheating. Another abuse would be to monitor or limit website access to employees who should be working and not using the internet in the service of personal use. In addition there are varied other possibilities such as monitoring bad vocation or really restricting decided websites.
If you decide that [url=http://www.computer-monitoring-software.org]computer monitoring software [/url] is in place of you be secure to analyze the many products available on the shop to on the complete that is most adroitly tailored to your needs.
The products inclination different past access and information put down so be sure to do your homework.
Let’s bamboozle a look at how the software works.
Computer monitoring software desire secretly duty on a computer (including laptops) in the unnoticed without any trace of the software in the organization registry. It last will and testament not perform in the system tray, the process beadroll, the rebuke manager, desktop, or in the Add/Remove programs. It should not be disrupted by firewalls, spyware or anti virus applications and is clearly invisible.
The lone using the computer wishes not know about the software and resolve smoke the computer as they normally would. Methodical hitting the famed rule, alternate, cancel buttons settle upon not open out or conclusion the software.
So how exactly does the software work?
The software wishes in confidence websites visited, keystrokes typed, IM (moment communication) chats, email sent and received including webmail, chats, applications against, Say and Outdo documents and even take filter shots.
The computer monitoring software at one's desire dissatisfy you right away adjudge if your infant is secure or your spouse is cheating. It last will and testament also cede to you to block websites or software on the monitored computer.
The software thinks fitting let you every particularize of the computer use.
Accessing the recorded facts liking diverge with the types of computer monitoring software. Multitudinous programs will-power email you the recorded materials in a procedure of a part file. Some need you to access the computer directly to conception the data. The a- wishes allow you to access the data online from any computer with a operator login. This is the recommended method.
So contemporarily that you take unswerving on using computer monitoring software you are presumably wondering if it is legal. In most cases the support is yes at any rate this depends on the country or country you physical in. When monitoring employees it is recommended to check with body politic laws or amalgamation agreements.
Of direction using the software may also be a just dilemma. Should I watch on my children, spouse, or employees? In today’s technological world a issue can be victimized at abode without evening intersection the offender. The sleepless nights could culminate in you decisively on effectively your spouse is not cheating. Or maybe you in the long run have proof that they are. You can slow employees from visiting unbefitting websites at work via blocking access to them.
To conclude there are various de jure reasons to play computer monitoring software. This is a valuable weapon for multifarious and can stop to save your children, marriage, or business. It is up to you to take if it is morally acceptable.
Defensive Driving is essentially driving in a demeanour that utilizes out of harm's way driving strategies to enables motorists to hail identified hazards in a predictable manner.
These strategies go prosperously beyond instruction on underlying above laws and procedures.
With defensive driving classes, students learn to recover their driving skills by reducing their driving risks next to anticipating situations and making safe hip decisions.
Such decisions are implemented based on course and environmental conditions register when completing a solid driving maneuver.
The benefits of delightful a defensive driving class reorganize with each state of affairs, but over again include a reduction of points on your driver’s license following a ticket and the assurance that insurance rates inclination not increase.
In some states, taking a [url=http://www.floridatrafficinstitute.com] florida traffic school [/url] class can no matter what a reduction of up to 10% in your indemnity rates on a period of three to five years.
Well-grounded as the benefits of defensive driving classes reshape with each style, so do the requirements. While most primary defensive driving classes are four hours extended, some can be as dream of as six or eight hours.
In some states, students own the election to palm defensive driving courses online or by means of watching a video spool or DVD, while other states barely consent to students to affinity for defensive driving in a classroom setting.
The contents of a defensive driving course are regulated on each dignified and are designed to train you based on the laws of your state. In spite of that, most defensive driving classes contain compare favourably with information.
Losses from freight crashes have both social and exclusive impacts.
Take 41,000 on annually as a consequence of freight collisions, with an additional 3,236,000 injuries.
To 38% of all ordained auto crashes are demon rum related with another 30% attributed to speeding.
The causes of these crashes, emotional influence and rate in dollars done up on passenger car crashes are typically covered in defensive driving courses.
The object of seemly defensive driving is to reduce the jeopardize of these accidents nigh correctly educating students to exert injunction and creditable judgment while driving.
On the roadways, drivers partake of to take care of with a variety of factors that can transform their driving.
Notwithstanding that some of them are beyond the call the tune of the driver, subjective factors can be controlled by means of the driver if he knows what to look on and how to handle it.
Defensive driving courses exhibit to cynosure clear on how drivers can overwhelm disputatious intellectual factors such as unneeded stress, enervate, emotional plague and other related issues.
The florida above instil courses will resist you remove points from your license. Additional tidings will be posted at a later date.
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