Evidence based medicine ( try not yawn)

This whole week we have been through practical/statistical way to appraise any given research paper. Say, your patient came asking about the risk of drinking coffee and developing high blood pressure or wearing white clothes and getting hit by a lightening or even using aspirin to reduce heart attack risks. It turn out you don't accept any research paper. Even if it was a review comparing many published papers and drawing conclusion from them (meta analysis). You first appraise that paper, to check its quality and validity and obviously applicability to your particular patient. There are many formulas and such. My point: Evidence based medicine is intended to tailor each patient clinical encounter.

If you still awake, I felt a shamed that after all these year in college I still have no published research. I don't know if that even matters to me. But I feel sad and old. And like a spoiled babe, I need a research right now. But I am not good in working with ..um doctors!

End of year exam is nearby, maybe I want an excuse to not study, Hey, and so is my elective. Hooray!

Oh and I can use some friends, with chocolate and aerobic exercise. Yah, didn't make sense to me either. I need to sleep. But first aerobics, appraise a study with a colleague for tomorrow's presentation and then ... study some more! College life rocks!

 

 

 

 

Perfectionism

This is something that is affecting my life.  At lease this is what I think at the moment.  I either study like a nerd, whole day, rushing things that is non study related. Even simply conversation with friends.  Or I'll fluently waste my time & rarely do something related to school. I hope the sum neutralize for the best.

Anyway,

slit lamp exam

Today I woke up early, practiced my presentation, which is unusual because I rarely feel the need to/ have the well or time. I attended clinic early as well. It was intravitreal injections day. It is a procedure in which a medication that suppress the growth of new blood vessel is being injected to the eye. It is commonly done for diabetic patients with advance diabetic retinopathies, where new blood vessels fill the retina & bleed easily.  Badly influencing the vision and even causing blindness. I practices lid eversion. I didn't know it is that difficult, or was it my fear of plucking  the poor man eyelashes ?

 I also, found out  the cause of my occasional eye pain is having dry eye! A doctor examined my eyes using slit lamp and fluorescein stain. My colleagues had fun learning on me & taking pictures.  We saw few patients. Then come my presentation time.  Hurray!! "Precise and thorough" with a big smile was my consultant's feedback. I was relieved.  It helped me gain my  appetite back and my separation anxiety seems to vanished.   

I spent the rest of the day reading in the blogosphere and relaxing. The girls are planning to visit our deceased friend family. I would love to see her sister who is also my friend, but the introvert mood kicked in . I was planning to start reading  for tomorrows seminar, four hours ago. But I guess I have to accept the reality and try to use the rest of the night wisely. Hopefully not watching a movie or lying purposely in bed.

Ooops my elective is in 5 months and I hadn't decide where yet! UK and Canada are freezing in January. I am considering "work the world", but I am afraid I am not that adventurous.