Wednesday, February 22, 2006

Not My Cause

even with a rather wasted session Dr Yap still amazes me with new techniques and words of wisdom. i wonder if we really do make our patient's problems into our own, i usually try not to but this patient had a filling done which may not need to be there because it's indicated for RCT later. and even when i wanted to hold payment Dr Yap advised charging ayway. but i believe i have to be accountable, the patient is claiming from her company. on the one hand, another endo case is still manageable, but on the other hand if her tooth miraculously recovers i'll be happy too.

just over 2 weeks to exams and i can't find the motivation to study. the books are dry, and i need some nice coloured pens. this sucks.

Joanne has been in the hospital for about 3 weeks, absolutely record-breaking. amidst all her fears of TPN, as well as conversations with the patient today about pain, really emphasise how much of a patient's behaviour is influenced by fears of pain. which leads us to ask, can we confidently indicate RCTs, crown lengthening, double jaw surgery confidently if we're too scared to do it ourselves, and can't rationalise it out within ourselves to have it done. hope her GI gets back on track, cos she's basically been starving for 3 weeks. although not quite as damaging as a post-op catablic state, 8kg and counting of weight loss is quite powerful.

Para Machuchar Meu Coracao - Antonio Carlos Jobim

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