To which my lectures are loved and Meds School is deemed a head-banging stress-rising course.

Romance is overrated. I am going to go on “denial” mode and state that. And…Yes, I love my teachers so much that I am writing down their jokes as my own personal collection. Yeah, you heard me.

Today class 26/11/12: 4 CLASS: Peptic ulcer ds. Pancreas and Spleen, Oropharyngeal ds, and Development and anat of tongue. Not in that order. 

But since I DO just learn this today, expect some mistakes.

PUD class.

One of our hematologist lectures came up to our class, smiled and said knowingly “What am I doing here?” I thought incredulously :” To teach us peptic ulcer disease obviously.” “I AM a haematologist.” She added. Oh yeah, I thought. “Simple. Because ulcer Bleed,” she answered. Right… logic.

Apparently you can have an EXTREMELY rare disease: malignant duodenal ulcer. Yeah. If you have ulcer… that might be due to cancer. Oh cancer…

She was showing us figures on how Helicobacter pylori affect duodenal ulcer and gastric ulcer differently. (100% and 75%) and she stopped and looked at us and said “If you read book, IF..” she emphasized, to which we all laugh nervously.“ then the figures might different.” She finished off. Yeah, meds students… its hard to find time to actually read books, most of time we rely on the lecture notes.

We might DIE without them notes. Really.

Apparently, every lectures have their own dislike. I truly respect this lecture for she asks for her students’ feedback almost always and ACTUALLY act upon it. You see, I rather dislike ineffective teaching.  So, I love her. She likes using the transparent to teach her students. And STILL do. But, last block, she found out that her students don’t like the transparent.

She was brilliant you know. One of the few lecturers that actually know what she was doing. She said that powerpoint is too SLOW. Me= nah teacher, you are just THAT awesome.

Oh and... Type A =like me…are more prone to gastric ulcer and Type O blood with duodenal ulcer. BUT I believe she said that this have NO value in clinical.

ULCER = due to high offense like in duodenal ulcer, low defense in gastric ulcer (gel, HCO3, acid secrete directly to lumen, labile cell and PG) to which she illustrated with BOMB to replace arrow and WOODEN gates for the fortress.

I would now officially call her my Prof (yeah she is a professor) Balance. She likes using that terminology. Destroying the balance of life = you get disease. I think she use that term in homeostasis and thrombosis lecture as well, oh and most haematology class. (What with bone marrow compensation and blood destruction)

Since I am an HP fan, when I saw the etiology/cause of Gastric ulcer is Helicobacter pylori/ HP… I call it = Harry.

Harry is a –ve person (Gram negative) curved/bent (bacillus) and microaerophilic and LIKE alkaline/ SOAP. Huh, did I just said Harry is a depressed, gay (astaghfirullah) and clean guy? Oh and that he needs lower oxygen than us mere mortal. Dear me.

But, Harry grows okay in dirty place/ unsanitary condition . Hah, clean Harry can only survive in dump. 3 Steps on how Harry could infest the stomachy= flagella, adhesive and enzyme.

Now, I am imaging Potter with a tail, wearing a glue-covered attire and holding a gun/ containing the enzyme. Seriously.

But boy does Potter have a cool gun. Urease = to produce soapy environment. Protease = to break the wall/protein. Phospoholipase = to break the other wall. And chemosttractant = attract other neutrophil/ wild dogs to continue to produce more toxic, by producing CHLOROX. Yup you heard me right. Apparently, Harry is that desperate for a clean environment that chlorox is produced.

MYTH: There is NO CONCRITE EVIDENCE THAT stress and spicy food cause ulcer.

Oh and IDA, PERFORATION, penetration, narrowing/ obstruction are the complication.

Song for today

 Chorus: Dikau bisa berdarah mencengkam tubuh. Kekasih lena di pangkuanmu. Engkau tetap setia. Hingga ber gelip air mata.  Khalifah pertama by Mirwana.

 

Imagine

Abu Bakar gazed lovingly at the Prophet resting on his lap. His heart clenched at the suffering that Prophet had endured. Rarely would his beloved able to get such rest. 

He stiffened. 

He watched as a snake came out from a small hole, probably smelling the presence of food, namely him. He watched the snake, pleadingly.  His arm tightened protectively around dear Beloved.

‘Not him. He’s resting.’ Abu Bakr shook his head to the snake, begging silently. Fear that he might wake Beloved.

 ‘Please’

The sinister snake simply shot out and bites Abu Bakr. 

Tensing at the sudden pain, Abu Bakr looked at his still sleeping beloved, clenched his finger at the pain as his nerve was destroyed slowly. Insisted on not moving, the pain continued to infest his body. A treacherous tear slipped down his cheek as he tried to withstand the pain. 

The tear fell onto the beloved face, waking him up, shocked flickered across his face as he saw the bloodied Abu Bakr.

Pancreas and Se-peline

“I hated the pancreas.” That was the statement of my ex-surgeon, anatomist teacher. Seriously, he hated it. Mind the past tense.

He continued “…now you may ask me why-“ He was cut off when some of us asked “Why?”. He chuckled.

“Well, (since he was once a surgeon) pancreas is VERY hard to reach, we have to go through layers by layers and then lesser sac, so much work. Then, acute pancreatitis is pain NO.1 in the human body, even more painful than Labour itself, as he said stated by woman who had pancreatitis who had child of her own. This is due to autodigestion. First to, ureter colic. And also, p. cancer can kill you within month.” 

Splenectomy= careful x pierced the Pain(creas), and awaken the hidden/sleeping monster.

The relationship…huhmmh. oh, he liked pancrease now. cause he's no longer a surgeon.