Sunday, 6 May 2012

Because Poppet is the best term of endearment ever.

Well, hello there. We meet again.  I've been expecting you, Mr Bond. Etc :)

It has been a strange two weeks, fluctuating between days where literally nothing has happened and I've come home from the hospital depressed, and days that are so weirdly intense I haven't stopped talking about them. For some background, I am now doing the surgery block, which I had been dreading due to hating the idea of surgery in general, and also the faff of having to change into and out of scrubs etc. So brace yourselves, because I am going to go onnn and onnn, lol .

  • Intensive care
 So the first week of the block was spent in ICU. It was a massive change for me, being on a ward where you can't just wonder round taking histories from patients and being all smiley, because near enough every patient is sedated/comatose/seriously ill. Over the week I became accustomed to their faces, who had deteriorated overnight, and who was improving.

Some patients had their sedation lifted- I found it strange to walk in and find a patient who I'd observed sedated for the past three days, awake and talking to nurses. It was a massive relief, but he had no knowledge of what he'd been through. Just two nights ago, his potassium levels had become dangerously high and his blood pH had dropped very low, and his bed area had been flooded with doctors and nurses, all trying to stabilise him. He had no idea that they were the reason he'd made it to today.

And then there was a patient who had been on ICU for a very long time, gradually deteriorating for some reason that the doctors couldn't explain- they had tried every course of treatment for every possible disease they could think of, but he just kept getting worse. People look so small in hospital beds- he was frail anyway, but it was so sad to see him almost lost in a vast array of tubes, monitors, needles, and venous and arterial lines. We did the ward round with the doctors, and each morning they were at a loss for him. Worse still, his family were unable to accept that in these modern times, a solution could not be found. Who could blame them? The doctors eventually sat them down and explained that they were considering stopping treatment. I passed the family later that day- they were all stood outside the ward, crying. I couldn't even meet their gazes, it was horrible. The patient died at the end of the week, quietly at some point in the night.

It's very hard to detach yourself from cases like these- you're encouraged to be somewhat distanced, because otherwise the amount of trauma you'd take on would likely stop you functioning as a doctor. At the moment though, I'd rather be fully involved, and feel every loss, and terminal diagnosis as sharply as though I know these people personally- because in future that feeling will almost certainly be blunted by a massive workload and sheer weariness of experience. Better to let yourself be affected and sympathetic now, than never understand what patients are going through. And as a student, what can you do for patients but offer a bit of comfort and empathy, anyway? The doctors would if they had the time, but they don't. It's the only way we can help at the moment, and in a way its one of the most important things to offer.
  • Surgery
 So we saw some surgeries for the first time this week. I have always been completely sure that I never want to be a surgeon, and it still stands. I have to admit though, that surgery is pretty amazing in that it literally is butchery. As one of the lecturers said to us, surgeons are causing a trauma to the body in the same way that car accidents cause trauma to the body. The only difference is that they cause it in a controlled environment. You truly appreciate the fragility of life when you see that people can be patched up/sewn/glued/have bits cut out/have bits added/have bits taken from places and sewn elsewhere, and then return to their lives. The first operations I saw were eye operations- just so intricate and complicated that I had no idea what was going on. They were correcting people's squints (where one eye points out in a different direction), and to do this you have to shorten certain muscles that control the eye, or reposition them. But you have to be very precise in your measurements, and how many millimetres you move/shorten the muscle by, because obviously if you're slightly out, they will have double vision. Never becoming an eye surgeon. And needless to say, it required a strong stomach not to be repulsed by scalpels in eyes etc.
I have to admit though, as a sidenote, that it felt pretty damn awesome to walk into the hospital restaurant in my blue surgical scrubs, and stand in the lunch queue. I can see why surgeons are totally high on themselves. It's the same kind of glamour reaction a pilot gets walking through an airport. :D
  • Maternity.
So the anaesthetist I'm attached to spends some mornings in the maternity operating theatres, and so I was there the other day, wondering like a lost sheep until another anaesthetist ran past and told mine that an emergency caesarian section was going to happen. So mine sent me running (yes, literally running. How embarrassing) after him. I helped him draw up a load of drugs that might be needed into syringes (by 'helped', I mean I opened boxes for him and threw away empty packages, lol). We then entered an operating theatre where, it appeared, all hell had broken loose. Fifty different doctors, surgeons, nurses running around, getting monitors and IV drips and surgical instruments ready. Another set of doors burst open and a very scared, very pregnant lady was wheeled in and helped up onto the operating table. She was still having contractions, but they had found that the baby was in distress for some reason (I wasn't sure why myself, as I didn't know her history) and so they needed to operate quickly or its life would be at risk. Within minutes this team of staff had her hooked up to IV lines, had numbed her from the waist down, had completed the safety checklist before proceeding surgery, had put up a set of drapes so she couldn't see what was happening, and had brought in her husband to hold her hand. And they were ready to start! It was pretty seamless, I was massively impressed with their efficiency. And they were all very reassuring with her as well.

I tried to stay out of the way, and watched as two surgeons made a large cut below her navel, then more carefully began cutting through layers of muscle and tissue, trying to locate and make an incision in the uterus. The baby is contained within an amniotic sac in the uterus, and just before its born this ruptures (waters breaking etc). But if the kids in distress (e.g. oxygen deprived), it effectively 'poos' a substance called meconium, which turns amniotic fluid green. When these surgeons cut into the sac, a load of very green fluid gushed everywhere, it was..eww. The surgeons then practically wrestled this poor baby out, suctioning all the muck from its mouth, so it could take a deep breath and start crying. After all that tension, it was the most beautiful sound, and everybody visibly relaxed. Mum and dad were congratulated by everyone, and the process began of carefully controlling any bleeding, then sewing the lady back up. Baby was taken to a corner and vigorously rubbed down and warmed, and tested for reflexes. I was pretty spellbound. Miracle of life and all that. Ahem :')

I left with the anaesthetist after a while, and we began preparing for the next caesarian, which was a planned one. It was amazing to watch- this time the atmosphere was much more relaxed, and controlled. The surgeons took more time since there was none of the urgency of before. And it was twins this time! Just brilliant. My clinical partner and I were practically in tears, both being guilty of over-emotionality at the best of times, lol. We didn't get to see them complete the sewing-back-up phase as we had to leave, but we were on a total high for the rest of the day. Just, how awesome! I am now considering being an obstetrician, despite having only experienced it for three hours, lol. One can dream etc.

So thats it for major things that have happened! I know, I know, she's shutting up etc.
And, finally, in other news... I had to include this picture of a neatly abandoned pair of shoes that were near the door of the train I was on. 

...And of the food I made at my uni house! It's a chicken/red pepper/mushroom/spring onion curry type thing. With salad-ness. It was rather nice if I do say so myself :D I'm just proud because I bought the ingredients and made it myself, as opposed to microwaveing/pot noodle-ing my dinner like I usually do, lol. 


And of course, all credit to Emad-ness for the awesomesauce-ness that is this rainbow slinky :D It is a massive source of cheerup. (Yes, my dressing table is messy, shhh)

I leave you with this, that I was relistening to yesterday (again, thank you to Emadness), and saw a comment that it would be featuring on the Voice, so woo for it being more widely used, despite the guy killing it when I watched the Voice clip ¬_¬ It just sounds so lovely!


(Also, lastly, I promise- ItsComplicated- I watched that slam poetry American guy and was blown away! Favouritest line EVER- "Death is breathless but poetry's deathless". WOW :D )

Oh, and rewatch Mrs Doubtfire, everyone!

In a while, crocodiles!
:)

Saturday, 31 March 2012

GASP.


Phase 2 has started! And I was kind of dreading it (not least because of the stethoscope-under-headscarf conundrum, which has by the way turned out fine), but it has so far been waaay better than I expected! It definitely beats 2 and a half years of lectures. SO, I am at a hospital in an undisclosed location, but which happens to be the middle of Nowhere, and I have been here several weeks now, and have got to do a hell of a lot of waiting/chasing consultants around/waiting... but also a few VERY COOL THINGS! And so I shall concentrate on these.

Cool Things What I Have Done/Seen in the Hospital

  • Taking blood from NOT ONE, BUT TWO REAL PATIENTS. We're supposed to be able to take blood with our eyes closed (well...not quite) by the end of this year, but since we only trained on plastic arms in October, I was very hesitant to actually try on a real patient. My partner chucked me in at the deep end this week by saying 'HUMAIRA WILL DO IT' when a doctor mentioned that bloods were needed for a patient. Ouch. The first was very gracious when I missed the vein first time (perhaps because I did not disclose that he was the first Live Patient I had to steal blood from), and let me try the other arm, which thank God, I got. The second patient, whose vein I got first time, was incredibly nice about it, and whilst I had an actual needle in his arm said 'Your parents must be very proud of you. They should be, you're doing a great job.' WHILST BEING IMPALED WITH A NEEDLE. I took this as a compliment of double value.  He also kept thanking me for taking his blood so well. Totally overinflated my ego. I am now convinced I am the KING OF TAKING BLOOD. (I joke, my inferiority complex remains as strong as ever).
  • I got to shock a patient! HOW AWESOME. Now is probably the time to reveal it wasn't all that impressive a deal, since all I did was shout 'clear' and press a button. And it wasn't one of those cardiac arrest saving-a-life scenarios- this was a planned procedure to try to get the patients heart back into rhythm. But still. It works better if all you know is that I got to shock a patient. Just go with the awesome images of me rushing in with those huge black paddles (which incidentally aren't used anymore...the stickers are so unimpressive!) and shouting 'DON'T YOU DIE ON ME TODAY' whilst repeatedly shocking some ridiculously-good-looking young patient with a dramatic backstory back to life.
  • Our consultant threw me in at the deep end in a clinic by giving me a patient file and saying 'There's a room, see this patient in there, take a history and do an examination and then report your findings to me.' I actually died at this point, since I've taken loads of histories from patients but never been the first person to see them, and I've never had to report my findings and a preliminary diagnosis back to a doctor @_@ A very big deal. But I felt like a total doctor, seeing My Own Patient in a clinic. Also, I thought I could hear a specific kind of heart murmur, but his previous notes said it was a different kind.. But when I reported back to my consultant, turned out I was right! AWESOME. I may or may not have dont a silent Victory Fist in the Air right there in the clinic, before realising that the patient was sat opposite me and unamused at my glorifying in his diagnosis, after which I quickly subdued my enthusiasm. 
  • We had a patient who had over TWO litres of fluid in his lung, and I got to help drain it! This was totally amazing, because it has an instantaneous beneficial effect on the patient, who can breathe better as you are draining. So totally got to stand there with a GINORMOUS syringe and just pull out massive amounts of yellowy fluid which was nasty and yet awesome. (I'm sure this enthusiasm will be killed by next year but I'm just revelling in it for the moment :D)
Other Things:
  • I saw bronchoscopies, where you put a camera down into peoples' lungs. Not particularly cool but very interesting, as they let you find out the source if someone is coughing up blood, or if someone has a suspected cancer- we did see one or two tumours, which was weird. To learn so much about them and the huge effect cancer has on people, and then to just see this small, unremarkable lump show up on camera in someone's airway. To think that's what all the fuss is about, all these massive charities and fun runs and Macmillan nurses and support services and family breakdown and chemotherapy. Just... a very strange sensation.  
  • I have seen waaaay too many lung cancer patients in these last few weeks. Some terminal, which was horrible, and some young and newly diagnosed, which in a way was worse. All of them had a smoking history. DO NOT SMOKE. Just not worth it. 
  • I see a lot of sad, lonely old people who come in from care homes and don't get visitors :( 
  • There are some doctors who are absolutely amazing with patients, and who will comfort them and make them feel better even if they can't do much for them, and they tend to be young, which is good to know because these are the consultants of the future. There are others who are... a little robotic, but they have minds like computers so I'm hoping they're the future of research.. lol.
Aaand things that aren't to do with the hospital:

  • I watched the Hunger Games! AWESOME. Very fast paced and tense and creative and pretty much true to the book. And I love Jennifer Lawrence in the lead role. I am willing to overlook the sliiight overtones of TeamEdward/TeamJacob going on, which might get played up in the next film which would disappoint me. But the whole satire/reality tv/social commentary thing still has me hooked :D  Also, Josh Hutcherson is all grown up since Bridge to Terabithia! And has a very square jaw... which is strange.
  • Apparently I am supposed to upload a picture of a pier...? But since Rosie and Emad seem to have the monopoly on the most awesome piers, I decided to have a different picture. Besides, at the moment, my life feels more a split between this: 
 And this!

Not just because I was torn between the prettiness, and am now explaining away the situation with a shoehorned-in commentary on calm days and hectic days and something about the Great Unknown up ahead.
  •  An awesome weekend was had with the Wolves crew, including catching up with Aunty Em and being given an AWESOME purple eyeliner/nail polish/eyeshadow, Hasan being unusually well mannered and stressed by mess, Baby Bear looking like a small Harry Potter with his baby glasses, and Umar being so chubby he has actual folds :D Cellulite is clearly the next step.
  •  Took this picture of my dad and brothers at the park a few weeks ago, and I totally love it, mainly becase my dad (on the right) is doing a distinct Winnie the Pooh hands-behind-back walk, and because both my brothers are now taller than him :) How lovely.




So I have probably rambled on enough now, and shall go and catch up on other people's blogs! Who know when I shall next blog, so I shall just leave you with an 'In a while, crocodiles'!

Monday, 13 February 2012

Of Beaches, Daylight Robbery and Feral Kittens.

....So I just got back from that place. Naturally, could not have been happier to see Merry England again, with her rolling fields, her vibrant greenery.
...Except that literally nothing could be seen out of the aeroplane, and so I thought we were descending through miles of cloud, when suddenly we hit the runway, and I realised that it was actually just fog that reduced visibility to zero. FUN.
As I said. Great to be back, lol.

So Tunisia! Spent a week there as a post exams gift from the parents (partially to make up for the fact that whilst I've been on this degree they've all been on holiday without me ¬_¬) and it was TOTALLY AWESOME. Granted, all the Tunisians were bewildered at how this was the coldest they had known it in 10 years (naturally, the climate followed me), but this was not too big an issue, as when the sun came out it was totally beautiful.
So I have photos! :D

This next one is a typical street in Kerouan, which is a small traditional village- a man (see: vulture) recognised that my dad and I were tourists, and so offered to be our 'guide' by saying 'YOU COME WITH ME'. Naturally, like lost sheep we followed him around streets like this one, whilst he showed us various interesting things. He also made sure that he took us to all his friends shops, and that we bought something ridiculously overpriced at each one. Since this was our first day, we were failures at haggling, and were effecively robbed of our money. Ahem. We decided to avoid markets after this.

One thing that is interesting is that the doors are really important! Arab houses have brown doors, Berber houses have blue ones, and mosques have green ones. All had very intricate designs on them. Tunisians are also very superstitious, and so their door knockers are shaped like a small hand, called 'the hand of Fatima', and it's supposed to ward off evil eye...! And the number of knockers on a door signifies how many families live there. Some doors also have a smaller door built in, so that kids can use it. Of course, the 'guide' could've just made all this up... but we trust him. My dad paid him at the end of the tour because if anything, he was creative.

 On the way to Kerouan our driver pointed this out- Butchers will hang the head of the first animal slaughtered that day outside the shop. WHAT THE HELL. At one shop we saw a camels head hung outside! Highly disconcerting.

This is Saeed the camel (I kid you not), who walked round this well in Kerouan, which drove a wheel to pull up water. He was quite adorable.  Kerouan is, I believe, the origin of the word caravan, because it's where bedouins etc used to camp and rest with their camels and caravans.

This was the beach when the sun came out in the evening and it lit up the sand like gold glitter. I was just taken aback by how beautiful it was, seriously. Oh my god. 


...This was me trying to be arty and take a perspective shot. Ahem. This failure that you see below is part of my dress, towering over my dad in the distance. Nice one, Humaira. 

Just WOW. 

We had a horse and carriage ride! There were two horses and the left one kept attacking th eright one, which was funny/disconcerting. The driver, pictured below, looked like Asian Bradley Cooper (Good thing I am not a fan), and smoked like a chimney, taking time to turn around and inform us about Tunisia, whilst breathing smoke in our faces. Nice. He informed us that his priorities in life, in order, were house, car, money, then wife. What a guy. 

Tunisia is overrun with cats. One adorable example is the one below, who, when I took out the camera, assumed it was food and came right up to me to try and eat it, hence the close up. Another one found me whilst I was eating at an outdoor cafe with my dad, and sensing I was a soft touch, sat and watched me eat food forlornly, with great big cow eyes,  mewing and waiting for me to throw it some chicken. When I refrained, it spent half an hour trying to jump into my lap/onto the table/mewing loudly/watching me with guilt-inducing judgement. Adorable! But I couldnt get a photo because it thought the camera was food also, and tried to jump on me.
Other things that happened

  • The Hotel that we stayed at was very nice, but had a tendency to play the same songs again and again and again @_@ I lost count of the number of times I heard Enrique Iglesias's Hero, and Mariah Carey's Hero one, and some other 80s hits that only my dad could identify, which made him very happy. It was all I could do to stop him going to the karaoke ¬_¬ At one point, when we were having dinner, the cheesy keyboard player started singing the Police's 'Every step you take' song in a heavy Tunisian accent. He must've been puzzled to see the unassuming small man with glasses at one of the tables suddenly brandish his knife and fork fiercely, whilst shouting 'YOU'RE MURDERING IT!'.  
  •  It rained.
  • People assumed my dad and I were Arabs, and so Tunisians full on addressed us in Arabic, only relaising that we had no idea what they were saying after about five minutes of us looking gormless. 
  • French was the other main spoken language. I spent a lot of time conjugating verbs in my head as revision.
  • I READ FIVE WHOLE BOOKS :D Seriously, it felt amazing. The Hunger Games trilogy is totally awesome and addictive and should be read. And Extremely Loud and Incredibly Close is THE BEST BOOK EVER. Since Kavalier and Clay and Mister Pip and a few others. But seriously, SO GOOD. I would avoid the film like the plague because I can't understand how it's going to do the book justice.
  • We visited the ruins of a massive Roman public bath at Carthage, which was awesome. My dad and I were the only people under 55 on that coach...just not good. Also, the tour guide was the grumpiest person ever, and held no prisoners.
Tour guide (speaking to us via mic on coach): Es ist ein sehr klein-
Woman (interrupting): Are you going to be talking in English? because most of us are English on here and we can't understand you.
Tour guide: YOU DON'T TELL ME WHAT TO DO, LADY. I AM TOUR GUIDE FOR MANY YEARS IT NO MY FAULT PEOPLE SPEAKING DIFFERENT LANGUAGES. NO. NO, YOU DONT WORRY, I WILL SPEAK ENGLISH AS WELL. DONT YOU TELLING ME HOW TO BE TOUR GUIDE.

Best tour guide ever. When she started on him again later, he turned away like a sulky child and shouted 'IF YOU WANT SAY SOMETHING TO ME YOU SAY TO MY FACE'
He then had a complet mood swing and offered her part of a doughnut he was eating. Just hilarious!

  • I was also full on proposed to by a random Tunisian man, on the one occasion I was alone in the lobby. This would, I suppose, have been flattering if he did not have th eeyes of a killer, and if, once I told him I was recently married, he had not promptly asked if I knew any other single Pakistani girls ¬_¬ Thanks a whole bunch, Romeo. 
...And not much else happened! Or rather, a lot did but I can't remember it now, so we'll leave it there :)

Hope you are all good and well and awesome etc!

*waaaves*


Friday, 27 January 2012

Trust me, I'm half a doctor.

OH MY GOD HELLO EVERYONE

So I know I've been absent for...*checks* 3 months, and before that was absent for about 3 months, but Medicine has a way of making you feel guilty for doing anything that is not Medicine. On numerous occasions these past months, various enjoyable activities have been clouded by revision guilt. Food became just another opportunity to revise the digestive system. Pre-sleep relaxation was suddenly an opportunity to listen to my heart/bowel sounds. Any kind of bright light was grabbed and shone in someone's (willing or non willing) eye in order to observe their pupil response. My family just became Simulated Patients to Practice Examinations on, or Lay People to Practice Explaining Stuff To. My dad, a pharmacist, became a Person Who Can Test Me On Drugs and Side Effects. Even the Emadness fell victim to this, enduring a full teaching session on the basal ganglia, which basically allows us to initiate or inhibit our actions. I will test you on this ¬_¬

You'll forgive me then, if I say that everytime I opened up the Blogger Dashboard, my eyes were literally and painfully dragged away to the bookmark at the top of my screen that said 'Spinal Cord levels', and an evilly smug voice in my head didn't say anything, but I could hear it smirking. Pfft.

Somewhat unsurprisingly, all this thinking does have negative mental effects. Just a few weeks ago, I sacrificed a revision break in order to conduct a full cardiovascular examination on an imaginary patient in my room, right down to addressing the pillow as if it was the patient. Out loud. I was really friendly, too. To a pillow. Sometimes I'm glad I don't study at home, so my family are spared from The Madness.

I'm not saying it's always awful to revise- I'm geeky enough to be interested. You're talking to the kid who read first-aid books in her spare time, I joke you not. On numerous occasions, I have been caught attempting to explain complex medical ideas to the younger (see ages 8+) cousins. My excuse, as I am dragged away, is that they will be able to impress their classmates, dammit. The younger brothers have learnt to tune me out at the dinner table when I launch into explanations of korotkoff sounds (blood pressure), or to just full on drown me out (see the time that I started talking about oesophageal varices, which cause you to vomit massive amounts of blood everywhere. In hindsight, probably not the best timing). Just last week, whilst out shopping solo, I decided that I would go all House and observe people for gait abnormalities. Third person I saw had foot drop, which is where they can't lift their foot to point up whilst walking, so it 'drops', which shows damage to the superficial fibular nerve, which can be caused by a car bumper hitting your lower leg side-on :D WOO. I'm probably wrong now. You can't crush the enthusiasm but sometimes I am woefully misguided.

There are physical effects too- I have put on a shameful amount of Revision Weight- due mainly to the fact that my schedule since October (and also the summer before, when I was revising for that bloody resit) has consisted of:
  • Wake up.
  • Breakfast + watch something which does not require thinking
  • Revise
  • Eat + watch something which does not require thinking
  • Revise with housemates
  • Eat + watch something which does not require thinking/brief, traumatised conversation with housemates.
  • Sleep
  • Repeat
It's not the best formula for physical fitness. Hence, I have turned into a pile of flab and acquired a tire. No amount of sitting up straight whilst examining my profile in the mirror can eliminate it, and I feel it's just disturbing. Further physical effects include turning ghostly pale due to a lack of sunlight (plus, no doubt the long term effects of a complete lack of vitamin D); sunken eyes that just exude 'help me'; and a constant fight, fright or flight response- dilated pupils, racing heart rate, and sweating. Yep. I did not look good.

I realise now that I have not been entirely clear thus far. This is because exams have driven me out of my mind. Basically, I spent the time since the last post revising for my Phase 1 exam, which is the exam that marks the halfway point of this course, and after which there are no more lectures- the next two and a half years are all spent doing 7-week hospital placements. How awesome, right? WRONG. Because the whole idea was just dangled in front of us, so close and yet so far away, because between us and Phase 2 stood this massive exam that people trembled at the mention of, and that when you spoke of it to 4th and 5th years, they got this distant, post-traumatic-stress-disorder look in their eyes, and just clammed up. Of course I'm not exagerrating, shush.

Phase 1 exam is basically a four hour exam paper split over two days, which examines you on anything and everything from the last two and a half years. In order to pass Phase 1, you also have to pass the OSCE- a practical exam consisting of 10 stations, each requiring you to, for example, perform a physical examination, or take a history from/explain a medical condition to a fake patient. It is, to say the least, daunting stuff.

My exam was two weeks ago. I still shudder at the thought of it. I had revised non stop since the summer, and was a Total And Absolute Zombie by the end of it, but somehow, by some massive twist of fate, the papers were completely awful. I came out and had a full on meltdown, convinced I had failed, and have spent the last two weeks being a quiet and destructive shadow of myself, waiting for the inevitable result which would tell me that I had to come back to the Hellhole for further revision.

Except that I found out yesterday I passed!!! SO WOOOOOO! Officially half a doctor! No more lectures! Next stop hospital placements!! :D This is more awesome than you can understand, because I cannot understand how I passed that paper, and have since yesterday checked my Uni email four times, just in case they sent an 'AMENDED PHASE 1 RESULTS' message.

So yeah. God knows how I'll find the hospitals, my next blog entry might be an outpouring of self pity and reminiscence of how easy I had it before, but to be honest, I'm just glad I've got this far. And I'm glad of the change- 2 and a half years of daily lectures has given me enough deep vein thrombosis risk for a lifetime, so thanks very much, Medschool.

In other news!

...Except nothing else has happened, because as you may have deduced, revision has consumed my life.

*tries in vain to think of something significant to talk about*

...Look! I took this cool picture of the small cousin today, when it started snowing!


*Continues to think...*

Erm...Okay. Fail. Lets resort to a list of things I need to do, now that I have holidays for the next few weeks:
  • LOSE WEIGHT WOMAN, FOR THE LOVE OF GOD
  • Read MANY, MANY BOOKS. Including awesome graphic novels. Did I not mention my new graphic novel obsession?! Oh my god, read Maus. It's a man's account to his son of being a Jew during the Holocaust. It won the Pullitzer prize, and having read it, I fully agree that it is amazing.
  • Continue efforts to be a girl, including expanding the amount of colour in my wardrobe
  • Get clothes for the hospital placements, which I did not dare buy before in case of failure. Yay!
  • WATCH MANY FILMS. (Oh my god, people, watch Drive, the Emad was right)
  • WRITE SOMETHING WORTH READING
  • DRAW/PAINT THINGS- yes, there may be a theme of regaining creativity here, since the right side of my brain appears to have shrunk and died.
  • Regain a semi-normal face, that does not give the impression that I have Just Escaped from some kind of high security prison camp, or that I am currently addicted to illicit substances.

I will keep you posted on how I get on with all this!

And now I shall go and start catching up with all your blogs!

Over and out, crocodiles :)

Monday, 31 October 2011

...So yeah, it's me again...!

I'M BACK EVERYONE. REMAIN CALM. It's okay, really. There was no need to panic. Put down your weapons etc.

Well, God knows when I last posted, but the last few months were a horrendously stressful/occasionally nice combination of...well.. many things. No doubt I have forgotten most of it, but here it is:

  • Resit exams
July was the most stressful month of my life so far. You go through the horror of UCAS, interviews, moving away from home, first year, second year, Infection and Immunity module etc..., only to find that you fail by one question, and your future on the course will be determined by a four hour exam over two days in August (which just happen to be the first days of Ramadhan too, so no hearty brainfood breakfast for you, matey). Having people to revise with helped, and there was always the silver lining of we-will-have-a-better-knowledge-of-stuff-for-Phase-One-Exam, but nevertheless it's as though someone physically beat my confidence to a pulp for a month. Happy ending and all that, since I did pass, but the lack of summer holiday (due to getting thrown straight into Ramadhan) before term started again, and the fact that it was the first big exam I failed, mean I still feel like an imposter on this course. But you know, we shall see when it comes to Phase 1 exam... ¬_¬
  • Ramadhan
I spent all of Ramadhan/August working on my dissertation. Which was 10,000 words, all about constipation and irritable bowel syndrome. Seriously. I know so much about bowel movements now it's untrue. The things I've seen @_@ etc. Still amused by one of the things I read about a certain laxative- 'Excessive doses can cause explosive and uncontrollable diarrhoea'. LOL. It's the small things :)
Did manage the finish the dissertation on time :D Not looking forward to the Viva exam on it though.. you basically get grilled on your dissertation, so they can verify that you wrote it @_@ I can't even remember what I wore/ate/did yesterday, how am I supposed to remember 10000 words on bowel movements?!
  • Further becoming female
So yes, my efforts to be a girl continue, with the purchase of this AWESOME maxi dress (I know!!). Not for every day use, naturally, just for Eid. Also! The fact that I now have nails, having been clean (...of nailbiting) since June, means that I have been able to experiment with various nail polishes! :D Current favourite: sparkly deep purple :O And I saw an awesome tip about blowing Barry M dazzle dust over your nails straight after putting on polish. So pretty @_@ Ahem. I'm sorry, world. I sold my soul to girl-ness. But dammit, I can't resist sparkly things! It's the magpie instinct!
  • The giving up of all fizzy drinks. NO, SERIOUSLY.
I KNOW. Having spent the second decade of my life drinking Pepsi as a staple drink, I decided on the day before I came back to uni, that I wasn't going to have Pepsi anymore. Or anything fizzy. Because I still wanted teeth by the time I turned 30. My family, who were witness to my grand announcement, responded with a hearty, all-round laugh. So supportive ¬_¬ But the reverse psychology worked, because I've successfully given up just to spite them! I'm not going to lie, there have been challenging times. Old habits die hard after a decade of turning to drink to solve all my problems. Further exagerration etc. I was classically conditioned to calm down as soon as I had pepsi. I have now had to replace this with having a staple snack of Kit Kat Chunky with tea. Not sure if it's actually worse for my health...but it's the principle of giving up that counts. Ahem.
  • Term starting
Yes, we came back to uni near the start of September. Sickening. The past seven weeks have consisted of neurology and pharmacology modules, along with a neverending bombardment of reminders about how we will fail the Phase 1 exam, and how hard the OSCE (practical exam) will be, and how we should already know the full medical course inside out or we are basically doomed, and how we should have started revising two years ago, and if we didn't, then we might as well leave now. Etc. So no pressure on us at all. Whatsoever. And just for the record, WHAT THE HELL IS GOING ON IN NEUROLOGY. WHAT. THE HELL. I'm still too weirded out by the fact that my brain is learning about itself. I fear it will become self-aware and try to break out of my head :|
  • Cannulation/Venepuncture
Two of the coolest things we've done in a semester of nothing cool whatsoever. Cannulation = where you put a needle with a tube into a vein, and it stays there so you can give medication and fluids through it. And Venepuncture is just taking blood from a suitable vein. These were so much fun, though I would have preferred to practice on real people. But the cool fake arm things with the fake veins with the fake blood running through them were still very much fun. The blood went everywhere! :D And I now can't resist finding suitable veins on my hands/arms. Excellent stuff.
  • Illness
I'm pretty sure that my recurrent illnesses have been due to the beating my immune system has taken from the stress since June. In ay case, the most recent illness has given me the infamous man-voice again (WHY does nobody else's voice go this weird when they have a cold?!), and also sinusitis, and sniffliness. Yes. Because sniffliness is a medical word. OH, speaking of cool medical words, apparently 'blob' is a medical term for something to do with the eye that I can't remember but was very impressed by in the lecture! :D
  • Bathroom saga
Yes. Our bathroom was under construction for a week. This was the worst week in history. It was supposed to take two days, but inevitably two turned into seven, when several tiling disasters happened. The horrendousness included being unable to shower for several days, and having to use public toilets during the day due to ours being unusable, but these things paled in comparison to the fact that our bathroom door was REMOVED ...yes, REMOVED, and so if we wanted to use it we had to close the nearest door, throw a blanket over it so it was no longer see through, and have a sign saying 'DO NOT ENTER'. This loss of dignity means that nothing can ever be embarrassing again.
  • London
Yes! This weekend, as a pre-birthday surprise, my parents took me and the brothers down to the Science Museum in London for a day! :D AWESOME stuff. The day included a lot of food (naturally), an IMAX showing of Born to be Wild (which was adorable- baby elephants and orangutans!!!), a 4D show where you experienced rocket take off and landing and driving in a moon buggy and got jolted around and sprayed with water when you returned to Earth and landed in the sea. (not amusing). Various space exhibits meant that we geeked out massively, and I spent far too long in the Art/Science/History of Medicine exhibitions! Despite them having creepy dummies that look like real people and freak me out. So many scary medical instruments too...think amputation handsaws @_@ All in all, a totally awesome surprise :D

So yeah, I'm supposed to be getting ready, and should probably go. I'm sure I've not mentioned something properly major, but it's all good for the moment, because otherwise I will be late for this GP thing I'm doing for my student selected module. Long story. SO in a while crocodiles, it was nice seeing you all again :D

*waaaaaaaaaaaaaaves*

Monday, 18 July 2011

"I need some air"

Once again, totally irrelevant title, but it made me laugh when my five-year-old cousin Hasan, (who has a tendency to be slightly effeminate), said this in reaction to eating a particularly spicy pakora. Bless him.
So hello! I dropped off the face of the Earth firslty because I had nothig to blog about during exam season, then because I was too busy sleeping/being a slob to blog after that. but I am here now. With my non-chronological List of Events That Have Happened.
  • When I was younger, the family and I would go for walks along the canal that runs fairly near where I live. It's a hell of a long walk, but very pretty for greenery and the occasional barge that goes by, with the people on board waving as they pass, like it's still a century ago. We made a spur-of-the-moment decision to revisit it in June, and so, woefully underprepared with a lack of sunscreen/hayfever-tablets for the brother/water/cool clothes, we set out to be all nostalgic. Fifteen minutes into the walk, the brother descended into explosive sneezes, the sun came out and melted us all to death, and my dad got thirsty. It was too late to turn back though, so we soldiered on. My dad's quick-fix solution to the brother's hayfever went as follows:
Dad: Humaira, do you have any lip balm?
Me: ....Yes..? Gawd, I know they're bad, but there's no need to-
Dad: Give it to him.
Me: But his lips aren't chap-
Dad: It's for his nose.
Me: *laughs uneasily in a misheard-way*
Dad: Haroon, rub the lip balm around your nostrils. It'll trap the pollen and you won't sneeze.
Me: *Begins to run*
Dad: SEIZE HER!

Maybe the last part didn't happen.
After much disgust, struggling and refusal on my part, I was coerced into finding a lip balm I was sure I never wanted to use again (I may possess several due to a slight obsession). There was a horrible moment of lip-balm smearing and emasculation for Haroon, and then it was over. And despite the Bear-Grylls-ness of this, he did stop sneezing and my dad did the whole smug see-I'm-a-pharmacist-I-know-these-things look.
We did actually manage the walk, despite the humidity and the sun and the younger brother moaning that this was too much and my clothes sticking to me, and an awful ten minutes when we had to pass the sewers and there were literally swarms of flies @_@ But yes. About 4 hours later we were back home and decided to offset all the calories burned by ordering two Dominos Pizzas. Because why not :D
The first picture is just the pretty-ness of the canal. Yay! And the second was when we passed along a field of rapeseed..I think that's what it is, the bright yellow one anyway. Huge field of all these yellow flowers, and I spied two red poppies in the middle of it all. I felt for them, so took a photo.

  • I MADE COOKIES TOO! Same recipe, refer to the Emad's blog for the link, I can't be bothered to find it and may as well plug his blog while I'm here, it's adequate in a sort of readable way :P (I JOKE! It's great.) But yes, the cookies were awesome and that recipe is seriously the best ever: they come out all chewy! And don't listen to what anyone tells you, using chunks of galaxy chocolate instead of chocolate chips tastes ten times better. :D I know. I tried both ways, to make an informed decision. Or just to get fat. Note the pretentious arty-ness of how I took my photo. Because I'm oh-so-experimental and creative.


  • I have been making a conscious effort to be a girl, recently. I have decided that 20 years of life is long enough to be going through a self-conscious awkwardness crisis. Despite being hopelessly outshadowed by girly cousins and the like, I shall make my own small steps towards attempting to do things that girls do. Step One was to acquire a girly bag, as I have never carried anything other than boyish satchels. So I got a huge, pretty white and pink shoulder bag with a lot of shiny sequins/beads on it because I am a magpie. And I can't find a picture but will edit with one if I do. This decision worked well, despite me walking lopsided for a month due to not being used to the weight of a shoulder bag as opposed to a cross-body one. Step Two was not biting my nails, as I felt this was not ladylike. Nah, it's because it was starting to hurt to touch things. But I did put nail polish on for the first time in my life! It was an awesome peacock blue-green metallic colour, and admittedly I got it everywhere due to never having worn the stuff before, but it was a start. I have now ordered a sparkly purple one because it looked awesome :D And Step 3 will be to sort my dress sense out, but that ones going to take a while. Note that high heels will never be a part of this effeminisation. Yes. New word.
  • My family is all over the world at the moment. Had to stay behind to do a resit/curl up in a ball of self pity as everyone else went off to do things. It shall be a lesson to me: use brain more effectively next time, stupid person.
  • Spiders appear very frequently in my room due to there being a massive hole in the wall where the fireplace was, that can't be covered by my clothes drawer. I keep having heart attacks. Just...*shudder*
  • I have a LOT of palpitations. I mean, I know I drink pepsi a lot and caffeine accounts for this, but I keep having them when I haven't had pepsi- sometimes I haven't had caffeine all day and still end up with them. It's like my heart misses every 3rd beat and it scares the hypochondriac in me. Already thought out all the worst case scenarios. I fear that another spider would just cause my heart to throw in the towel and storm out.
  • The Sandman graphic novels are pretty damn ace so far, but what with exams I haven't been able to get the next one so all I can say is the first 3 are very good. I've never read a graphic novel before, but they were clearly a good place to start. Awesome stuff.
  • My obvious bewitching-ness made me the target of attention for not one, but two creepy Asians, when I was getting the train home from Uni. It happened twice, and I would have been flattered by their perversely invasive questions ('Where are you from in pakistan', 'Where are you going?' 'Will you come to Manchester with me?' and further Urdu things) had they not been forty something and dentally challenged. I mean, really?! A sad state of affairs.
  • Went to see the Wolves crew yesterday, just for the day. This was, as ever, much fun: comfort white Magnum with my aunty Em was indeed comforting, and the comedy relief of hearing Baby Bear (who is now 18 months-ish) saying nothing but 'Ball?' the whole time was great. And Hasan's over-excitedness manifested itself in him abandoning his food to come and tap dance in front of me. Brilliance.
  • I think I may have run out of things to say. No, really. I know..!
So yes, I won't make any blog-soon promises because clearly it's counter productive.
In a while, crocodile!
(Or, as my housemate likes to say as I'm leaving, 'Stay safe, and say no to drugs!' ...You'd think she had no faith in me.)
:)

Tuesday, 7 June 2011

What is this...'sunshine' you speak of?!

I AM BACK!
Gawd knows when I last posted, but I swear I've been revising since Easter. Gah. The effects of at least 8 weeks of revision include:
  • A 'walking-dead' complexion
  • Panda eyes (which coincidentally is also the slang for periorbital ecchymosis, and- *slaps self out of revision coma*)
  • A lack of fingernails, and an inability to touch anything.
  • The tendency to twitch involuntarily
  • Revising during sleep. Seriously. I had a full dream the night before the exam where I went through a flow chart to do with the body's response to high blood pressure. I woke up in a cold sweat.
  • Forgetting what it feels like to wear anything other than pyjamas.
  • The development of a revision belly.
  • A permanent indentation in my bed, or 'study space' as I like to call it. Observe:
My poor bed :(

So yeah. Life has consisted of waking up, revising, eating during study breaks, revising, and then sleeping. It's got to the point where I've classically conditioned myself (think Pavlov's dogs, which is part of Health Psychology modu- *slaps self out of revision coma*) into associating eating with relaxation. We'll make me obese yet!

The exams were Monday and Tuesday. They crashed and burned, to understate. But..yeah, I can live with resitting if I at least take a few weeks off from revision now. Because if I see another cranial nerve mnemonic, I will snap and do some serious damage, using only my Clinical Anatomy textbook as a weapon/anvil.

So relaxation it is! I ordered myself one of the Neil Gaiman Sandman graphic novels as a post-exam reward, and am going to read that, with a can of pepsi and a Galaxy Roasted and caramelised hazelnut bar, on the train home :D Yay!

Oh, and family wedding this weekend. Yay for jazzing up...? I'm scared of turning up and causing the guests to flee, having confirmed for them that Dawn of the Dead has finally come true. But what the hell. At least I can be a happy temporarily-exam-free zombie :)

And good luck for your exam, Emadness! Even though you won't see this til after yours, probably. But join the post exam zombie celebrations, yay!

*Waaaaaaves to all!*