SOCIAL MEDIA

Friday, December 27, 2019

Oxygen by Carol Cassella - Post Exam Read

Assalammualaikum.

My missions post-exam include KDramas binge-ing (Her Private Life, Hotel Del Luna which I finished, Chief Of Staff, etc), and finishing my unread novels.

I bought Oxygen in 2014 for RM5, perhaps during the BBW Fair in Mines that time (I write the date and the price of the books I bought) but I read it only halfway - can't seem to finish it.
I finished it this time and can't help but wonder why couldn't I finish it before.


Cassella is an Anaesthetist (or Anaesthesiologist, as they call it in the US) and hence her writing felt very close to me.
She accurately and brilliantly described her work routine, her worries and concerns in anaesthetising patients and her interactions with the OR staff.

The story started with it introducing the protagonist, Dr. Marie Heaton as a senior and renowned Anaesthetist in the hospital, and how the HOD is closer to becoming a businessman than an Anaesthetist. She then anaesthetised a little girl which ended up wrong, and the poor girl died on table.
It was a spine operation and the girl was lying prone; she portrayed the dismay the surgeon had when he had to stop his operation and turn the girl flat to be resuscitated, the adrenaline rush during the resuscitation as well as the agony she had to go through in breaking the bad news to the girl's mother - a single parent.

Then the real story unfolded.
The lawyers somehow got hold of the deceased patient's mother and started to instigate her to sue the hospital.
The hospital which initially backed Marie up then decided to split the defense and left Marie on her own to defend herself.
It talked about how close Marie is to her younger sister, Lori who is married and has kids on her own and is very satisfied with her life but also realistically struggles financially.

Her relationship with Joe, another anaesthetist colleague who is very smart, sturdy, reliable and charming - but perhaps not ready for a relationship was explored in great detail. In the end, it turned out that Joe actually keeps a dark secret unbeknownst to Marie. The secret that led to the death of the little girl with an undiagnosed cardiac disease.

I love how Cassella talks about the art of anaesthetising people, putting them to sleep, oblivious to their surroundings and waking up safe and perhaps cured.

I have also just finished another Mitch Albom's work - The First Phone Call From Heaven. This is one of his books that I find very hard to finish. It has so many characters that I got them jumbled up and confused. I will talk about this book later.

I still have a shelf full of unread books - one of the many reasons I stop myself from buying new books nowadays.

-Because life is a test-

-AkMaR-
http://nur-akmar.blogspot.com
Wednesday, December 18, 2019

Exam is Over

Assalammualaikum.

I had my exam 4 days ago; on 14th Dec 2019 at Monash Clinical School JB.
The exam started at 10am, and we were seated by 9.30am.
There were 30 of us, all from Johor / Melaka. Dr. Omar was the chief invigilator.
I am writing this in detail so that in a few year's time when I reread this post, I can relive the moment and perhaps, felt gleeful about it.


I studied really hard for the exam, took a 4-day leave prior to the exam.
I dreamt of physiological and pharmacological facts.
Words like pKa, potent, baroreceptors kept appearing in my dreams - for real.

I find the exam considerably okay - I could answer most of the questions. There were no "Wow, I've never heard of this" kind-of question.
But still, when people ask - I dare not sound as confident lest I do not pass this exam.
And I don't even admit to people that I studied hard, in case I do not pass.
And the markings system is really a disadvantage.
The negative markings mean I will get fewer marks than I expect to and it might not be sufficient to reach the passing mark.

There were 60 questions, to be answered within 90 minutes.
That means we can spend only 90 seconds per question.
Each question (stem) has 5 true or false statements.
That effectively means I have 300 true or false statements to answer.
As time passes, I noticed I took roughly 1-minute per question ie when I look up to see the clock, it was roughly 10.15am when I was at question no 15 and so on. That meant I finished answering the paper with 30 minutes left to check my answers.

I managed to check my answers only up to question no 52 if I remember correctly.
I only managed to check if I shaded the correct answer from then on - making sure I transferred the right answer onto my answer sheet.
And I erased many of my answers from the answer sheet the second time I read them. I chickened out.
I'd rather leave the answer blank than put a wrong answer and got my marks deducted.

One of the free-marks questions was "The intubating dose of Atracurium is 0.2mg/kg" - I was so glad reading this statement.
Atracurium is such a common drug in Anaesthesia that even our housemen are expected to know the correct dose at the back of their hands.

A flatlay Sharmine and I created during our study sesh in Amerin Hotel during the intensive course

OK, anyway the results will only be released in April next year.
Only then will I know whether I pass this entrance exam and if I am accepted into MMed Anes and if I am, which university will I be enrolled in.
Now is the time for me to be tawakkal.
Ingat, tawakkal itu di penghujung usaha manusia.
Tawakkal only comes after all the possible efforts.

For now, let's pray hard and also play hard. 😆😆

-Because life is a test-

-AkMaR-
http://nur-akmar.blogspot.com
Tuesday, December 3, 2019

MMed Anaes Entrance Exam

Assalammualaikum.
A short update today.

The exam is coming up in less than a week.
This is my entrance exam; ie the RM250 exam that will determine whether or not I get accepted into the MMed Anaes Masters Programme.


Last week we had an intensive course - one whole week in Hospital Permai.
The intensive course combined the entrance exam candidates as well as the first-year masters students - they will be having their exam in April next year.

I met many of my INTEC and IMU mates who are already in the Masters programme - sometimes I feel left behind but then, we should never compare other people's timeline with ours 💪

During the course, someone asked Dr Omar - what are the syllabus for the masters entrance exam, to which he replied - "There is no syllabus. Anything can come out - from primary to final year questions"
😫

And worse, the exam incorporates a negative marking system.
I have never had negative marking exams before.
Negative marking means your marks will be deducted for every wrong answer - that means if you don't know the answer, better leave the question blank!

As an example:

A highly ionised drug:
A. Is well absorbed from the intestine
B. Is excreted mainly in the kidney
C. pKa is close to physiological pH
D. Is reabsorbed into the renal tubule
E. is highly protein bound


The true answers are: A False | B True | C False | D False | False

So if I answered all correctly, I will get 5 marks.
But if I answered 3 corrects, but 2 wrongs - I get only 1 mark (3 minus 2).
And if I answered 2 corrects, but 3 wrongs - I get 0 mark (2 minus 3).
If I was certain of 3 answers, I should answer the 3 I know, and leave the other 2 unanswered, at least I get 3 marks.

Getit getit?

Anyway, that's it for today.



-Because life is a test-
-AkMaR-
http://nur-akmar.blogspot.com