Wednesday, October 21, 2009

post psychiatric exam

alhamdulillah.....already finish half of the exam thing in psychiatric posting. tomorrow, have to complete another half.

luckily, today i got the patient that i already clerked him previously. so, it is quite easy for me. and for him too. however, he seem to be not recognize me at all. actually, i clerked him on sunday. well, maybe because of there's a lot of medical students here and there. and he is confused. nevermind.

so firstly, we (me and philip) approached one staff nurse, and asked her to give any suitable patients for us to clerk. there was 2 patients, both male, young and stable. and the staff nurse asked them to pick any of us. and one of them, who was standing beside philip, jump straight to me. asking me to pick him. ok ok ok, i pick u my dear. so the exam started.

me: askum.....bleh perkenalkan diri.
patient: wslm.....saya ali (bkn nama sbenar...hehe)bla bla bla.....asal bla bla bla....umor bla bla bla....keja bla bla bla......
me: ok ok stop dulu. saya izzatul, doktor pelatih thn 5. saya tgh exam skrg. boleh saya taye skit utk amik maklumat psl ali. tolong yerk.
patient: boleh dr. dr nak taye pape, taye la. saya jawab. saya akn tolong doktor. skrg saya sihat, saya rasa ceria. saya rasa saya da boleh balik. bla bla bla....... dr nak saya panggil dr ape?
me: pggl sya je. xyah dr2.
patient: sya umur brape?
me: 23
patient: ooooo abg umo 29. abg x kawen lagi. single. skrg keja kuat, sbb nak kumpul duit, nak kawen. ok la kalu beza 6 tahun. sya da kawen?
me:(*dan dan tu bahasakan diri abg) hehe ali, jom start ek *trying to stop the conversation about kawen.
patient: x kawen lagi ek?
me: da kawen. anak ade sorg. *desperately want to stop it.
patient: ala, pompuan xleh kawen ramai. abg sedih la.
me: ok2, ali jgn sedey2. kite ceria ok. td ali kate ali happy kan. skrg ali jgn taye saya pape.. tu keja saya utk taye ali k.so, biar saya taye ali. ok?
patient: frust la abg mcm neh. kejap la, abg nak g amik coklat. *then he went away.

luckily, he came back.

patient: ok la dr, saya da ok. taye la. nak bagi teka teki pun ok.
me: (hehe ilang da abg) ok, kite start ek.

then the real exam session started after a very long introduction.

well, dont ever think that he is crazy. he just mentally unstable. actually, he is in manic state of bipolar disorder. maybe due to overactivity in his brain. thats why, he kept talking until i need to stop him. he got this problem due to substance abuse. easy to say, drug abuse. pretty sad to hear his story. 8 siblings, he is the 7th. the eldest brother died because of aids. 2nd and 4th brother also got involved in drug abuse. and now he is addicted to amphetamine. and that leads to his current problem.

mental problem can occur to anyone. either u r a doctor, lawyer, PhD graduate, rich loaded person, or come from a very low economic class family, with drug abuse background and poor academic performance during schooltime. there is no cure, we just can control it with medication that have a lot of side effects with the recurrent percentage still there.

just remember that prevention is better than cure. so we, who still have a well functioning sound mind, need to prevent it. have a healthy life. de-stress yourself, made a lot of friends and seek treatment if u have a problem.

1 comment:

stariolispo said...

kalo i nak jd patient u jgk blh??? hehe...mnarikla...anyway al d best gurl...nice story:-)