GP attachment

Despite my unwell health condition yesterday, i still put myself together and went for my gp attachement which is only 10 minutes away from town(ohh thanks God its near)..the moment i arrived at the bus stop i was wondering where am i supposed to go first..my bladder was just about to burst so i decided to go to the nearest dunnes store..then i walked around to find the surgery but unfortunately i was lost..lukicly i came across a lady and asked her the whereabout of the surgery and she was so kind to show me the place..

when i arrived my groupmate emmet n lisa(which came to my surprise coz i thougt it supposed to be Fendi's Ann Marie)were not there yet coz they were stucked in the traffic..so while waiting, i did briefly introduce myself to Mr D, one of the patients that would help out with our session that day..he was really nice to me and i talked a lot about myself n of course my dearest malaysia..

to make long story short we started the cardiovascular session by listening to our own normal heart sound..the normal heart sounds Lup Dup..then Mr D(not a real name ..confidentionality is very important, rite..professionalism guys)came in and Dr Breda(my attending GP) asked me to do CVS examination on Mr D..i wasnt really nervous but i was not so sure about myself..i didn't put my words in a struturally complete sentence which make Dr Breda personally made a proper sentence for me to repeat after her..Unfortunately i was dumb enough to follow her that made her repeat the same sentence twice..yes you read it correct...twice..oh My Lord..i was a total shit at that time i thought...and i was so embarrased..then we got to hear to Mr D's heart sound with murmurs..it was interesting because it sounded so different from what u always heard..lup-ssshuuuuhh-dup sound which is definitely abnormal.

Then we proceeded with history taking session and it was exciting to learn that Mr D was a CVS patient without the classic symptoms of CVS disease..he was only having shortness of breath that he was rushed to the hospital and had his coronary artery bypassed 10 years ago..isn't it quite shocking??..he is not a smoker, seldom drink alcohol, he is living a healthy life, excercise regularly but still he got heart disease..now,here comes the important of complete history taking...from his family history you would know that his father died because of heart disease and his brother died at the age of 15 due to suddent death..the cause for the death was unknown but most probably due to cardiac arrest..he had his spine fractured at the age of 12 and was only diagnosed at the aged of 16(oh my god..He's so lucky to live that long with that kind of injury)..to think back it was how things were at that time..the health system wasn't really well developed..so from the history u would know that the genetic runs in his vein that he got the disease..it is unfortunate but it is the God's way in testing us...

overall it was a good session but i was't really happy with my performance.Dr Breda did comment on my lack of confident and she asked me to project my voice and just be confident..i dont know why the heck my confident fell of the building the moment i have to perfrom the examination..it was the same mistake i did in my last OSCE which caused me failure..i always thought that i am confident,strong, and able to present myself well in any circumstances but now i've come to realize that i'm not what i used to be anymore..does medicine changed me or i've never had such confident before and it was just an act of pretending to be one..i don't know...ok enough of that..to know more about the second patient of my GP attachment u gonna have to wait for tommorow..hehehe