Young Boy



This is a 5-year-old Boy.



with Juvenile Rheumatoid Arthritis.



and can you predict his future?


Signed in Blood - Dodo Montague.

Cave In

It's like I love this pain
a little too much
Love my heart all busted up
Something about her
We just don't work
But I can't walk away

It's like I love this pain.




Desert Well. Taken in Hurgada, Egypt 2006.
Always love this photo. Like I love you.





Signed in Blood - Dodo Montague.

Mayday Out!

I see this.. I think bout Doug.
Happy Birthday Dude!



and I see this..



and this...



and this.. st.basilica reward for those who bump in here.



and i see this.. I think bout Shyang..
Happy Graduation. Have a Breakaway dude!



and thiss...for the Greenie.Pea.com




There You Go..

Signed in Blood - Dodo Montague.

What`s Your Complain?




I can`t get over the thought about something
happen in the ward few weeks ago.
The setting was my groupmate and I was
clerking a patient, a seventies old woman
with an epigastric pain.

Groupmate: What`s your complain?

Patient: I have epigastric pain
and I passed dark stool....etc etc etc..

Groupmate: What was your blood pressure
while you admitted?
Patient: .....???

Groupmate again: Do you have leukocyctosis?
Patient again: ....???!~?@#@#???

Groupmate ask again: Do you have anemia??
Patient again .....??!?~!?~!???

I simply classify these as a low class question
particularly to the patient.
If this old lady can answer your question,
she might not need your help anymore.
and of course, Yes!
You may say European are much more educated than
those in Malaysia, simply because they know
what are they suffering, they write down their BP everyday
and they know what medication prescribed to them.


We ask for symptoms, But we look for signs.
It`s different.
Because it is professional.

愛過



張智霖&胡杏兒

Oral Hairy Leucoplakia







aetiology : EBV
nonpainful white plaque along the lateral tongue borders. The appearance may change daily. The natural history of hairy leukoplakia is variable. Lesions may frequently appear and disappear spontaneously. Hairy leukoplakia is often asymptomatic, and many patients are unaware of its presence.


 

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