Pleural effusiveness

So after a mere 3.5 weeks of being back in Singapore and 2 weeks into my medical attachment here in the motherland, carol has learned about malignancy and seen most of its sinister toils on the human body. It has been a rather sobering experience, partially attributed to being exposed to the wishy-washy, equivocate way of medicine after 15 weeks of glorious, clean-cut, well-defined Surgery. Perhaps also attributed to the fact that the heat is penetrating my thinking and my thoughts and my efficiency in answering consultants.. ack.. if in denial, always blame the weather, i say.

On that note, i am totally missing the gloomy architecture of the Victorian British hospitals, as well as the refined assortment of consultants who work within! Of note is a certain anaesthesiologist at the Vic and a certain rheumatologist at the Royal. (nae, these not be carol-crushes or clandestine relations.. these are just inspirational physicians who have left a memory, so don't be spreading no rumours now...) but yeah.. it's something about being back in an Asian, semi-didactic teaching system enforcing learning by the whip rather than the carrot that takes the joy out of medicine for me... or maybe i'm just a bit biased against singlish. Come on, what on earth is an "AB-DOE-men"?

Anyhooo, on a plus point, auscultating my father's chest for heart sounds was rather reassuring! Ha! S1 + S2. No added sounds, no murmurs. no AR and MS murmurs detected. No basal creps. Regular, sinus rhythm.... mmm.