Virtual Clinic v4
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Thanks. I gained new knowledge again.Originally posted by renorenal:Mentally exhausted you mean? Yes... Mental exhaustion can manifest itself with physical bodily complains as well as I have mentioned earlier...
This however is again very subjective as it depends and varies from individuals to individuals... some ppl may find your workload light, while some may take it much more seriously than you do...
We are who we are from our personality which borns within us as we are brought to this world, and that is what makes us unique in responding to cues, people, environment and changes...
Just wondering, everyday ask a few questions like these to gain knowledge can? Is it illegal like file sharing? -
Patient education is not illegal file sharing...Originally posted by ndmmxiaomayi:Thanks. I gained new knowledge again.
Just wondering, everyday ask a few questions like these to gain knowledge can? Is it illegal like file sharing? -
So good.Originally posted by renorenal:Patient education is not illegal file sharing... Then I ask a few everyday. 
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So what is the return?Originally posted by ndmmxiaomayi:So good. Then I ask a few everyday. 
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Don't know. Maybe help you answer some questions simply (without explanation) based on my new found knowledge, books that I have read and knowledge that I gained in school.Originally posted by renorenal:So what is the return?
But hor, wrong don't know how. -
Originally posted by ndmmxiaomayi:Don't know. Maybe help you answer some questions based on my new found knowledge, books that I have read and knowledge that I gained in school.
But hor, wrong don't know how.
You can tell me when the sky is falling 
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*signs out for the day*
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So early?Originally posted by alfagal:*signs out for the day* -
What is the difference between Transcient Ischemic Attack and Acerebrovascular Accident? Which is more severe?
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star dee ar..Originally posted by renorenal:So early?
psychologist also got exams one lehz..
bye doc n xiaomaiyi -
Originally posted by ndmmxiaomayi:What is the difference between Transcient Ischemic Attack and Acerebrovascular Accident? Which is more severe?
I thought I just explained it in the other thread?
TIA is less severe, because it is self-limiting, but patients who gets this are at a higher risk of succumbing to a full-blown stroke in the near future, so to speak... -
Oh alrite... all the best!Originally posted by alfagal:star dee ar..
psychologist also got exams one lehz..
bye doc n xiaomaiyi -
Good luck!!! Pass with rainbow colours except red.Originally posted by alfagal:star dee ar..
psychologist also got exams one lehz..
bye doc n xiaomaiyi -
Never. Just say that Transient Ischemic Attack last less than 24 hours, and Cerebrovascular Attack last more than that.Originally posted by renorenal:
I thought I just explained it in the other thread?
TIA is less severe, because it is self-limiting, but patients who gets this are at a higher risk of succumbing to a full-blown stroke in the near future, so to speak... -
That's the difference lor... I did also said that one is self-limiting mar...Originally posted by ndmmxiaomayi:Never. Just say that Transient Ischemic Attack last less than 24 hours, and Cerebrovascular Attack last more than that.
In fact, that is how they are classified in the first place... -
Oh...Originally posted by renorenal:That's the difference lor... I did also said that one is self-limiting mar...
In fact, that is how they are classified in the first place... -
Originally posted by ndmmxiaomayi:Oh... But anywayz... the first episode, by just differentiating them into duration may not suffice, because we may never know whether the current focal neurological deficits may be due to a TIA or a full-blown stroke.
Hence, it is important to reduce all the risk factors the patient have (assess through lab investigations I posted earlier).
Treat the high BP, treat the imbalance in glucose levels, check for the source of the clot and expedite treatment as fast as possible.
CT scanning will be in an urgent list, and the patient will be sent for one and the results are almost immediate, less than 30 minutes. -
Today it looks like the forumers would examine you renorenal.
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Hahahah... why you say that?Originally posted by thinkdifferent:Today it looks like the forumers would examine you renorenal. -
It looks like they know the answers on the questions asking you, haha.Originally posted by renorenal:Hahahah... why you say that? -
Hahaha... well... what you read from the books is totally a different thing when you start practising... won't you agree?Originally posted by thinkdifferent:It looks like they know the answers on the questions asking you, haha.
In clinical experience, books cannot be relied as the first hand reference as they are not practical, we more often rely on journals and latest research, nowadays, evidence based medicine is what we talk about...
Facts need to be supported with ample evidence prior to making a decision and conclusion. Assumptions are not allowed on clinical grounds unless the need arise... -
When will the need arise?Originally posted by renorenal:Hahaha... well... what you read from the books is totally a different thing when you start practising... won't you agree?
In clinical experience, books cannot be relied as the first hand reference as they are not practical, we more often rely on journals and latest research, nowadays, evidence based medicine is what we talk about...
Facts need to be supported with ample evidence prior to making a decision and conclusion. Assumptions are not allowed on clinical grounds unless the need arise... -
That's it. Then on the other hand, it's different when you experience it as a patient. The things you have read and examined on others occur on yourself.Originally posted by renorenal:Hahaha... well... what you read from the books is totally a different thing when you start practising... won't you agree?
In clinical experience, books cannot be relied as the first hand reference as they are not practical, we more often rely on journals and latest research, nowadays, evidence based medicine is what we talk about...
Facts need to be supported with ample evidence prior to making a decision and conclusion. Assumptions are not allowed on clinical grounds unless the need arise... -
So which of the health risks will cause TIA or are all risks equal, meaning the patients will have an equal chance of developing TIA or cerebrovascular attack?Originally posted by renorenal: But anywayz... the first episode, by just differentiating them into duration may not suffice, because we may never know whether the current focal neurological deficits may be due to a TIA or a full-blown stroke.
Hence, it is important to reduce all the risk factors the patient have (assess through lab investigations I posted earlier).
Treat the high BP, treat the imbalance in glucose levels, check for the source of the clot and expedite treatment as fast as possible.
CT scanning will be in an urgent list, and the patient will be sent for one and the results are almost immediate, less than 30 minutes. -
Prescribing antibiotics while waiting for the bacteria culture to be ready... In the meantime, we treat blindly because we do not know what bacteria it is, so we have to kill the bugs with our highest generation of antibiotics, but keeping in mind to reserve the best antibiotics incase resistance arise...Originally posted by ndmmxiaomayi:When will the need arise?