Tuesday, June 7, 2016

Auscultating : Course Take in Semester 10

Finally had the mood to sit(or rather lie) down to complete this post!

Completing the first clinical year was somewhat an instant swoosh, but definitely one year which is very much enjoyable. The second semester took our journey towards a much more medicine based curriculum, which we focused a lot more on seeing cases, diagnosing, treating, controlling and preventing them.

1) Veterinary Epidemiology



The course took us a little more on knowing how to look at disease pattern affecting a population more than an individual; and how statistics would help us in knowing efficacy of various testing methods in the market in confirming a disease. An example would be how positive a HIV test kit can be? All tests man made are subjected to errors, and the tests some way or another would have a high false positive or high false negative. Would HIV test kits be a better tool in ruling in or ruling out the disease? If the test has a much higher false positive; would be it more beneficial than it being with a higher false negative? Having higher false positive would give a false sense of infection in a person, while for those who can't really take the blow might just commit suicide upon testing. Having higher false negative would on the other hand give a false sense of security, for those who are more promiscuous and active in sexual lifestyle might not pay too much attention in safety precaution. So yes, apart from animal disease we too study a lot on human diseases this way too.

2) Public Health


This course was orientated a lot by the OiE(Officio Internationale Epizootic) for which veterinary graduates should or need to know about the food safety delivered to the public. It is an inevitable fact that our work encompasses providing viable protein sources to the population, in this case animal protein source which comes under our jurisdiction. We need to know protocols from pre-harvest, harvest and post-harvest safety of the food we produce, including all animal products like meat, offal, milk, cheese, seafood, eggs, basically anything made from animals. Pre-harvest would include the disease status of the animals providing products like raw milk; harvest would be the procedures and equipments in collecting the milk, while post-harvest includes the protocols and procedures in transporting and storage of milk up till processing; for which pasteurized, sterilized and ultra high temperature treated milk are 3 of different kind of milk available by law. It was a heavy subject, but an interesting one too. On top of that, we were too exposed to a lot of one health concept, to combine the idea of medicine as a huge umbrella with human, veterinary, environment and plant medicine as one.

3) Swine medicine



A species specific course, we learn about most of the common diseases affecting the pigs in the market, from newborn piglets, weaned pigs, growing pigs, sows and boars; how these diseases affect the production and economy; how we need to diagnose them from the clinical signs and post mortem lesions or even lab tests, treating them and prevention using various commodities. You'll be surprised on the type of disease affecting these little piggies; as well as the disease which they are able to transmit to us as well such as Nipah virus.

4) Equine medicine

Another species specific course, we learn more about the common diseases affecting the horses from reproduction, respiratory, musculoskeletal and neurological diseases. Most problems horses have are respiratory or musculoskeletal related due to their working nature as race horses or show horses; while sadly most retired horses who aren't able to perform usually will be put down due to the cost they inflict on the farm. Nevertheless, it was great to know more about the diseases which affect these majestic giants.

5) Population medicine

As cool as the course sounded, basically this course encompassed on managing how a disease outbreak in a population would look like; as well as the common diseases would require aggressive control within the country. Various issues on how the immune belt in borders should be managed, quarantine protocols, control measures to prevent or suppress an emerging or re-emerging disease in the country.

6) Feline Canine Medicine

Taking about 50% of the bulk of notes in the semester, I paid extra attention to this subject because of its infamous reputation of high failure rate. To my surprise, I've managed to secure a safe A throughout the 2 tests; let's hope it stays that way in the finals. The course is also a species specific course, targeting the common diseases affecting companion animals like dogs and cats; ranging much to very human-like diseases which are lifestyle related such as hormonal diseases-diabetes mellitus; cardiovascular diseases- congestive heart failure due to dilated cardiomyopathy as well as various cancers from prostate to bone. I thoroughly enjoy this course because I could apply the most in the wards and surgery rotation course in my cases and patients; unlike other courses which barely touched any of the cases or patients in large animal wards or even during rotation. The course brings us on a trip down on relevant history, physical examination, clinical signs, appropriate diagnostic tools, treatment symptomatically, supportive, and long term management of the disease. I guess I am much more inclined to practice companion animal medicine than farm animal medicine?

7) Rotations

Everyone would be wondering how on earth I can be this busy. Well, when you need to attend to warded cases everyday at 7am and be at home only at 9 or 10pm; you barely have the time to even go for gym to look great to fit into clothes or get a date. The rotation pushed us through 12 different departments in 12 weeks, including ruminant 1 and 2, equine, theriogenology, avian and lab animal; then small animal clinics, small animal medicine, small animal surgery, pathology, radiology and last but not least ICU. I've definitely learned a lot from the rotation; it's the only gateway for us to have hands on and learn how to do stuffs under supervision. It's somewhat like a Housemanship for vet students, just that we do it while needing to study and take tests plus joining events like Vetsport or M.Silaturrahim. The last week of rotation was rather most memorable because of us having the whole ward for ourselves without any seniors guiding us while we get the privilege to do most of the treatment and procedures to the vets' disposal. The experience allowed us to do more and learn more for sure.

Now that I've completed the 2nd semester for DVM 4, I'm officially a final year student. Man, that was a long ride wasn't it? It didn't feel like just yesterday I've stepped in as a first year, but it sure didn't feel that long till it come to the day I say I have one more year till I pop into the market. MY family is probably counting the years, but hey why bother when I've only just spent RM17,000 in my 5 years education right?

For now, Finals call!

Saturday, June 4, 2016

Auscultating: Majlis Silaturahim 2016

If you don't know already or new to this blog, Majlis Silaturahim(MS) is  annual drama competition held by our faculty to initiate and instill skills apart from that of veterinary related to the students. In fact, it was initiated by one of the retired lecturer long time ago, for which the wining cup was named as Ali Rajion Cup after his name.

So our faculty literally drilled us all to excel not just in studies, skills, even in sports, managing of events heck and even drama skills.

This year, the theme was Bollywood. While originally we were all skeptical with the theme, but the organizers did a great job; from the trailers to the setting up of the background in the auditorium.


It was exceptionally hard for us the DVM 5 because we had to write up scripts, get outfits, create props, practicing and perfecting the whole performance while being in the final semester with our intensive rotation course. But we all do enjoy these out of the classroom get together sessions anyway so it was just another reason for us to spend more time before we, or actually they graduate.


While my preview snippet suggested me to be the milkman, but I was just a villager lurking around to dance and act as an extra; which I enjoyed thoroughly.

Here are few snippets of what other DVMs have had:



A little out of the norm from previous year, this time round we had our lecturers sportingly sang on the stage with very fun performance as well! It's definitely something different from the clinical department which all students would appreciate!





A common trend within the lower DVMs was the element of cross-dressing. While our DVM have too tried it in our lower DVMs, we have only used it during first year; while we progressively trying to incorporate everything else apart from cross-dressing in the subsequent years.


My academic batch definitely have put out a different kind of approach; putting Titani and Bollywood elements in their performance; with the title Titanus(any biological science background people would get the joke!)



Our DVM's performance came in as the last one in line to perform, with a high load of pressure because everyone had a high expectation from us; the consecutive winner for 2 years. With our reputation from cheerleading, we really couldn't imagine the type of expectation the audience have.


We have our stressful moments, but generally we just try to have fun on stage; trying to get into our characters and put more smiles on our dances.





The highlight of our performance is probably our snake genie who have managed to impressively grossed out everyone in the auditorium. His twists, twerks or whatever body language definitely have increased the odds of us winning.


Thankfully, we managed to nab the Ali Rajion cup one last time before we graduate; successfully being the first DVM is striking the champion for 3 consecutive years. I would say we really worked hard, because throwing performance and creating jokes for an audience are our forte; and MS is one of the few events we know we have the best chances to win. 


I'm really happy I did participate in the last MS with DVM 2016. It was a relief that my small animal ward rotation only have started a week after MS so I could have more time and energy for the practice. All in all, the event was a success and it's definitely a great memory in my DVM life!


PS: Here's something to look at if you wanna see how good our tech team is!

Tuesday, April 12, 2016

Auscultating : Vet Sport 2016

I was literally too busy to be bothered about posting for the past 2 months, but I'm just gld I cna make one entry today.

So Vet Sport in the final year! Not exactly the last one for me, but it was the last one with my favorite batch of vet students.


This year, I've finally make my way into sports other than Basketball; because everyone else was too busy with rotations in the hospital wards.

Participating in the Footsal and Bola Baling events was quite a rewarding experience. Everyone was happy for me to be the goal keeper for both games, simply because I have the longest limbs and highest surface area in the batch. Being said, I'm proud to keep our record at only losing to 2 batches; when we were looking at losing all.

Had a lot of fun sweating and playing with my ex-roommate as well, not to forget the enthusiasm and teamwork we had within our batchmates for the great games we had.


Fast forward to another weekend, Basketball totally thrashed my body. I had to play for 2 batches, DVM 2016 and 17 because both batches didn't have enough players. Well, I'm not exactly the best asset among both teams; I was needed to fill in the blanks as well as being the tanker to knock down opponents. Nevertheless, the games were good.


Think Basketball was the end of that weekend? Apparently not. The organizers have decided to put 2 of the most energy draining sports in one day; making only 3 hours for us to recuperate from the damage done in the morning. 

Tug-o-war have been DVM2016's favorite sport simply because we KNOW we can win. It's like OUR game, despite it being brute force with minimal strategy or skill requirement. Saying that, it was as expected that we won with a breeze. It took us probably an average of 2 minutes *I think* to take down all other DVMs. Some suggested that the juniors were giving way to seniors, but I'm sure our weight and strength weren't to be underestimated. Well, we got first place, at least for this sport.

On the finale of Vet Sport 2016, I took part also in the last Cheerleading performance in the faculty. We literally aimed for the 1st place for this event as well; because we know its OUR event. We had the best choreographer, best music, best dance moves and well, the best enthusiasm. One of the lecturer too said that he was glad he made it because our performance literally cheer people up. 
I am proud to be in this team because everyone put in effort despite being busy in rotation; our choreographer had to come in every night to guide us after 12 hours in the wards, just to keep us pushed and motivated. 

Well, Vet Sport has always been the platform to pull people closer, between batches as well as within batches. For this last vet sport, we definitely have seen more than stronger bonds than we ever had before; and I'm really glad I was there throughout the 1 month long event.



Next up, Majlis Silaturahim 2016!


Thursday, March 31, 2016

Auscultating: Vet Dinner 2016

Supposedly my last Vet Dinner but since I'm going to graduate a year later; it's the last one with my favorite batch.

As per usual, the theme comes in for Vet Dinner every year; while 2016 we collectively voted "Be Your Self".


Well me being me, guess what I've decided to pull off?


One of my lecturer who came back from Japan said she wanted to pull off her Yukata as well, but it was a little show off so she didn't. Guess who is the crazier attention seeker? *point at me*

The dinner over the 5 years were fun, and I missed out the one in 2015 simply because "Pastel" wasn't my cup of tea to dwell in for dressing up. 

Let's have a recap on the previous Vet Dinners should we?

2012:


Young and naive, boy I missed my body when I was at this age. The theme was Masquerade. But, I honestly couldn't feel the whole theme simply because the ballroom dancing didn't happen.

2013:

Finally it became my batch's turn to host the Vet Dinner 2013 with the theme of "Atlantis". It was supposed to be "Poseidon's Paradise" until some religious twarp said that we are worshiping another god. Well, the dinner turned out to be fine anyway, even had me performing on stage. 

2014:

It was my current batch's turn to host instead, with the theme of  Retro 80's dinner. Finally sometime for me to chill down and not do anything during events. The dinner was okay, honestly I went because I wanted to support a good friend who directed the dinner, as well as my need to be staged to get my certificate as Dogathon 2013 co-director.



Well in 2016, we pretty much did the same thing like previous years do; the speeches, the performances, overpriced food.

But the point was to celebrate with our own batch's perseverance in hitting the 5th year. Man it was a long ride from the first, and it wasn't easy to stay on board and not sink throughout the crazy curriculum

A little surprise this year, for I became too much of a showoff, I got myself the Best Dressed Male among the participants. It's an honor, provided I did not slip or drop any of my yukata pieces along the way to get the little plastic trophy.

All and all, it was a great night with extremely good company. The only pity was my current batch turn up population was, 0. A big fat ZERO.

Even my lecturer asked if my current batch boycotted my original batch together.

I don't know. Honestly. The only answer they had was, test is coming up.
one of my favorite pictures. Why? Because you have crazy lecturers like them makes vet life awesome.


But hey, I turned up.


Friday, March 11, 2016

Auscultating : Dogathon 2015

It happened in 2016 this time round due to a rabies outbreak last year, leading to a ban in dog activities by our dean in September.

However, the spirit still remains and the crowd we had this year was rowdier than ever!

Being my 5th year in Dogathon, I've finally jumped out the force labor bandwagon and get into skilled labor this year instead.

Medieval called this year with our furry friends, for the theme revolving all elements to make Dogathon 2015 a success; bravo to all decor, promotional leaflets, videos as well games!

Being the skilled labor, I volunteered in the Physical Examination booth for the event in the earliest slot. Plenty of people do not understand why I had to wake up at 5.30 am in that morning to help out; because I had to attend the shift for dog race participants come at 6 am!

I had to pair with a 5th year senior for her to guide me through the PE since she was the experienced one, but I basically work well with all DVM 5s so the whole day was a breeze~What we do as volunteers there basically is to check on the basic health of the dogs participating Dogathon to see if they are fit with criteria such as:

- not severely infested with tick
- puppies unvaccinated completely
- bitches on heat
- overly uncooperative dogs.

It was really fun being the PE labor because I get to see a lot of different owners and dogs, communicating with them as well as practicing history taking. While I need to be extremely careful to not make any suggestions to the owners as I am yet a licensed vet, I enjoyed the whole process despite the sweat and a dog bite from a 30kg German Shepard Dog.

This year, I even had the chance to help out in performing the PE for Malaysia's Fire Fighting Squad dogs, for they are the sweetest dogs around! They were Cockerspaniels and Labradors trained in UK to scent out flammables like kerosene when they work with their partners in missions. I didn't realize I was being filmed, despite that my senior managed to mask my face.

I only had till 10.30 am around the event bec
ause I had to attend cases in the Large Animal Ward under my ruminant rotation, but it was good enough for me to make a good stroll to meet people I know.

The event is a noble and fun one, hopefully it doesn't stop after this year's!


Friday, February 26, 2016

Auscultating : Holy Matrimony

Marriage have been a tradition to tie two person, traditionally a man and woman together as an official ritual that they will forever be as one until death do them apart.

However, how holy have past marriages in histories were?

1- Princes and princesses married because they had to foster ties between countries to prevent war. Holy perhaps.

2- People from influential families with businesses married they children to foster better trading relationships. Holy, for who?

3- A guy who couldn't hold his lust back married with the lady he trampled physically. Holy, really?

Today, we constantly say that we should be together and be married to the person we hold dear most. How far out possible would that be?

Watching the "Little Nyonya", we had 2 distinct examples in ladies fighting for their marriages.

a- Yue Niang, who have been a fighter to begin with; beat all odds and managed to only marry the man she knew she loved, Paul.

b- Yu Zhu, who have been nothing but a Malacca sweetheart from the dawn of the series; wished to fight like Yue Niang whom she looked up to, only to succumb to her familial responsibilities and married the man who trampled her before and after marriage.

Now what about us? Will we choose to marry the people whom we only see dear in our eyes?

Or would be be subjected to familial, peer or social obligations to marry someone else whom we had to marry, just because the reasons of which everyone else but ourselves pin on us?

Yue Niang defied everyone, got hurt and scalded herself throughout her struggle to liberty; and she had what she wanted despite all odd.

Yu Zhu, although the nicest darling of all time; in the end gave in to fate because she had to be the catalyst for the incompetence her brother and father pulled off in business.

Which route would you pick for your own? Be mindful that we can always speak what we want right now; when the situation is subjugated by everything else but ourselves, will you struggle?


Thursday, February 11, 2016

Auscultating : Back home

Taiwan was extremely fun, and plenty of adventures attained as well!

I didn't do any research for the whole trip this time round, because the 8 days of symposium plus 7 days of post-symposium traveling was all covered. All I needed was to pack and go.

There are quite a few number of Firsts this time round in Taiwan for me:

1- My first trip to Taiwan itself

2- My first International Veterinary Student Association (IVSA) Symposium


3- My first time meeting an European students dominated program

4- My first time bunking in with 7 other different boys
5- My first time falling sick in a foreign country(heck I was fine 2 months straight in Thailand and Japan)

6- My first time seeing a doctor in a foreign country
7- My first time drinking liquor from over 15 different countries and not getting drunk

8- My first time experiencing undying cold
9- My first time going around a whole country within 7 days in a bus

10- My first time experiencing earthquake
11- My first time extending my airplane ticket just to stay 2 more days
12- My first time sleeping at 3 am for 4 consecutive days

13- My first time trying so hard to squeeze sing-able Karaoke songs for Europeans in a Taiwan K-box
14- My first time being in a white shirt party.


Quite the crazy first times encountered in a foreign country isn't it?

But there are stuffs which are recurrent like,

Another Thai came in through the social media again. But I'm pretty sure this Thai is just trying luck in hitting random people, as people I know actually asked if I knew this person adding everyone else.

Despite numerous attempts, I'm glad this Thai stopped the game as of today.

CNY has been crazy, food and getting fat. I'm trying my best to control though.

On the other hand, I can't help to realize I've been getting a little close with a teacher figure. Maybe I'm over thinking and this figure is just being nice. But maybe it isn't.

Likewise, the date I had before slowly dwindled; probably because I'm showing a lack of interest. So and so when I talked about the date with some of my Taiwanese friends during a midnight sharing session it seemed to me like now its just not the right time for me to date, or think about long term.

So, the Thai, the figure, the date.

No no no, Japan and PhD come first.

I'll post official posts about Taiwan soon.

Monday, January 18, 2016

Auscultating : Date 1

So L and I had our date in NU Sentral today.

It was okay, very decent dinner and discussion over 2 hours.

We talked about our work, our family, our high school and tertiary.

Just like any adults would.

L had to head back to work after due to peak season around the work place, so it ended there.

L insisted for a 2nd date, which I was okay with it.

However, a little voice inside me somehow sounded different.

To be realistic, L is pretty okay as a candidate. Working at a very young age and seemingly able to get promoted to the next level quite quickly. L had vision, have great plans for future career pathway, as well as a decent familial background.

Despite all these traits, I don't seemed to feel the romance.

Maybe its me being overly rational, or very steady. Or maybe because I'm older.

Or maybe because I was expecting a more dominant personality, which I think L probably wouldn't be offering.

I don't know. L doesn't seemed to be the one.

Or, its me because I don't need this yet. I don't have the need to be bound while I'm trying to seek for myself in my studies as well as my future career outcomes.

People often say, get one while you are progressing so the one will be your catalyst to a higher level.

But I feel like, I probably do not need this right now. All I need is to study hard, get to my dream job and dream place, and let relationship start after I'm all settled.

At least that's how I interpreted the date.

So as so, I've decided to give 2 more swipes in the social app, and plan to deactivate and uninstall it at 12am today; which I actually did.

The last chat was pretty much lame because the person wanted a fling, an experienced one so to speak; which I couldn't offer because I'm still a virgin. The precise words were:

"Virgin isn't an added value. I need experienced life partner."

Which I didn't find it offensive, but the person being really sex driven.

Of course all human are sexually driven, boys like me even more. But really, there are other apps for sex or flings out there.

Thanks to that, I've uninstalled the application and I'm now again a free man.

Well, I still have a date with L again; but that's after CNY anyways.

I promised to keep in touch, but I really have no idea should I be bothered to go on to more than just dates.


Friday, January 15, 2016

Auscultating : What is it for you?

Stepping into clinical years seemed to have push all vet students beyond their limits.

Catching up with grades, picking up skills while not forgetting them, and the hardest one among the bunch; deciding our direction.

Veterinary medicine, unlike human medicine offers several different sub branches depending on their species including:
1- Feline and canine medicine


2- Exotic medicine
3- Wildlife and conservation medicine

4- Marine medicine
5- Aquatic medicine
6- Avian medicine
7- Equine medicine
8- Ruminant medicine


9- Population medicine

with each medicine branch of species, there are sub-branches which we usually see in human medicine:
1- Internal medicine
2- Anesthesiology and emergency medicine


3- Radiology
4- Cardiology
5- Hepatobiliary

6- Urogenital
7- Neonatal/Pediatric
8- Dermatology


9- Pulmonary
10- Sports and orthopaedics

And the list goes on.

So the question now is, what is it for you? In this case what is it for me?

Looking through profiles these days, I sometimes do wonder if it would be easier if I'd just taken human medicine and have a diploma in aesthetic medicine aka plastic surgery and make a good living in the city as a typical city boy.

But I feel like I wouldn't be done there. I will have decent living and great pay, but life is pretty meaningless, at least from my end. While I've done the 16personalities.com test and found out I am a ESFJ-T, I know I wouldn't be satisfied with just the usual decent living.

Add that to my recent exposure to multiple episodes of delivering information, I somewhat feel like the veterinary profession really have had been a true calling for me.

I've never been so excited to get into a case scenario, trying to build all stages of process for the patient's time line including:

History- Signs- Physical Examination - Ancillary Tests - Diagnostic Tools - Treatment - Follow Up.

Every stage requires skill and decent knowledge to direct the practitioner to the correct path in getting the disease proven with evidence and proceed to treatment. Unlike humans, our patients can't tell us what they are suffering from and we need to pay an extra care in digging more history as well as picking up signs or thorough physical examination.

And explaining the causes, the predisposition, the processes and effect to both clients and my colleagues seemed to be an enthralling experience for me too. I've yet to confirm whether if I'd actually enjoy teaching or just simply because I'd enjoy the process of knowing something someone else doesn't; but I know throughout the process when someone else nods and tells me

" It became so much easier when you said it Robinn!"

It becomes a higher drive for me to learn more and re-iterate them to people so they can pick things up easier.

On the other hand. working in medicine with direct hands on skills such as anesthesia usage, venipuncture, diagnostic tools handling like ultrasound or radiographs too fascinates me a lot. I would definitely wish to dwell in so much more clinical work so I get to be skilled over just theories in my head.

To date, I've decided to aim for the Japanese government scholarship again, and hopefully I do get a positive response by April 2017, then I will begin my journey to my next phase of PhD in October 2017, hopefully after my graduation.

On the other hand, I'll be heading for my first date through the app Alex insisted for me to use, let's call this person L. L is pretty enthusiastic from all the voice messages sent, hopefully it would be a good one.

Goodness, there goes my principle of not going into the dating game.