3rd day..-22nd Nov.

It's the 3rd day, we are brought to the pathology department today. we visited the histopathology and cytology lab irst. The histology lab is where the fixation of the specimen is done by using a solution of 10% formalin, followed by the proces of waxing, thinning up to 4 um and finally staining with Xerin and other stains which i don't know how to name them. The observation of the nucleus of specimen under microscope will tell everything about the result. Abnormal cell will have different/unusual nuclear-membrane proportion and the nuclear envelope'll be unclear. The cell specimen can also be cut into only 1.5 um using () The whole process can be done in only 10 mins but only for emergency case as it involves very high cost.. While at the histopathology lab2, specimens are further processed, and here the diagnosis are done. The staining process involved more complex colour stain. AT the cytology lab the cel is studied under microscope. There's also TV screen for microscopic view. Learn quite a lot at the labs here.
After that, the most exciting part came, we have the chane to witness a post-mortem. A male Bangladeshi at the age of 30 sth died suddenly at home on the day before, he is suspected alleged poisonous. The whole process is very suspending. The whole body is cut half, ribs are cut open in the middle then all the fresh organs are taken out, even the brain! I've seen all the real organs for the first time ever, and i will never forget about that scence...The organs are examined thoroughly, all parts are cut into pieces to check on. We are all so stunned to have viewed the whole thing. The face expression of the diseased is still clear in my mind till now and i just hope I won't have any nightmare about this.. Haha...

2nd day- 21st Nov

Feeling reluctantly, we start our second day in hospital. Today we spent the whole day at the Rehabilitation department. We have a chance to glance over the wound washing of diabetic patient by staff nurse. We are then brought to ward 8U where we saw patient who sufferred from stroke, some got half-paralysed or paralysed down the waist and some lost their muscle strength. We studied how the facilities in the ward is designed to suit their special needs.
We also visited neurotherapy clinic and a small gym where patients undergo exercises with weighing bags to strengthen their muscle. For patient who can't stand on their feet, they need to exercise on a device which'll incline a little by little to help them support on their feet. The hospital also do rehabilitaton for stroke patient, they need to exercise their hands and turn their body to prevent their muscle from losing strength, although the patient'll be in great pain to do that. I feel pity to one pak cik who sufferred so much because of stroke. Hai... We also visited the occupation therapy clinic where hyperactive children or children with slow development( mentally disabled) is treated. The orthopedic clinic is also an important and only workshop in the hospital where false legs are moulded. At noon, we attend a lecture on rehabilitation and we learnt how disabled persons of various cases make their way towards independent life. An economic graduate who had lost all his arms and legs still face his life optimistically and survived and is mobile in his wheelchair which he controlled by using only his chin. It's an inspiring lecture for us.
In the afternoon, we visited the orthopedic clinic again but a different one and lastly we witnessed a minor surgery in the operation room. Witnessed the whole process and the doctors are really very professional. Finally, a sag is taken out from the patient's right wrist, and it's said to be a ganglion... Quite scary to see the doctor pull open the flesh wide, huh... but it's not a bloody surgery though, but i can still feel the tense in the room..Haha..

First day..-20th Nov

I've lost touch with this blogsite for quite a time. That's because i have been busy all week. First with my hospital attachment, then i ended last week with illness. I suppose i've got some eye-infection from the hospital and i even had vomitted a few times to be serious enough to get an injection on my butt, ha ha. But thank God i'm okay now.

The UM Medical Centre is a good training ground for apprentice doctors and specialists with various departments. There's the UM Specialist Centre which caters for ONG, Otorhinolaryngology(ENT) and Ophthalmology(Eye). And there are even kiosks and Delifrance in the hospital, which i never thought of.
The staff in charged for our attachment "tour" first brought us to the surgery department where we have the chance to visit most of the area of operation department. The operation region is isolated from the outside atmosphere by having its own internal air circulation system. Doors are set to close automatically all the time, and all windows are closed. The air is recleansed cotinuously to minimise infection. There's the pre-operation region where patients who are about to undergo operation is given thorough body check-up on blood pressure, heart pulse, breathing condition and so on. We also learnt that there are 3 operation theatres among 16 o.t. which are reserved for emergency case. As for the patients who has undergone operation will be placed in a region of 'post-operation' where they'll be attended by personal medical staff for detailed care until their 'critical moments' is over. Besides that, we have the chance to visit one of the o.t. but an empty one, that o.t. is meant for emergency use, we are not allowed to enter the other o.t. which are on operation as we've missed the time. Sigh...
In the afternoon, we visited the out patient department. There's a special clinic which's meant for T.B. patient. The T.B. patient is adviced to receive regular consultation but have to collect their medication from the consultant itself as the T.B. can be infected through air contaction and thus they are best to avoid from going to public places for other patients' safety. Besides that, we also went to the outpatient and inpatient worklab of pharmacy department. We learnt how the medicine are dispensed accordingly and how the system works.
Feeling tired at the end of the day with some disappointment as we didn't learn much as we had expected and may be because some of the staff just treat us lightly..