Today is a wonderful day... Like usual, I like to learn something new and I learn another today. I had a patient with acute cholecystitis, liver abcess and COPD. I checked this patient while I was supervised by my friend (one of great doctor). After that we discussed it. I like he statement, "Internal medicine look whole systems". He also said, "If you give treatment and it doesn't work, you should reassess. Probably your treatment inadequate or you make wrong diagnose. So give treatment then reassess. Treatment then reassess again." He taught me to rely on taking history and physical examination to diagnose diseases. CT-scan, MRI, X-Ray or Ultrasound etc just help to establish your diagnose based on history and physical examination. You can't treat CT-Scan or X-Ray but treat diseases.
In the middle of discussion, he taught me how to synthesize all history become a differential diagnoses then rule out it one by one. When I make differential diagnoses, I should know the reasons why I put it in. From this one patient, I learn a lot about how great human is. Every systems connect each other. It can affect others.
When I think about this, I praise, "How Great Thou Art." because He creates a wonderful creature which is a human. I can't understand it at all. Complex but also simple. Every parts of human body tells about How Great Thou Art...
For you created my inmost being; you knit me together in my mother's womb. I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well. My frame was not hidden from you when I was made in the secret place, when I was woven together in the depths of the earth. Your eyes say my unformed body; all the days ordained for me were written in your book before one of them came to be. How precious to me are your thoughts, God! How vast is the sum of them! Were I to count them, they would outnumber the grains of sand - when I awake, I am still with you. Psalm 139:13-18
In the middle of discussion, he taught me how to synthesize all history become a differential diagnoses then rule out it one by one. When I make differential diagnoses, I should know the reasons why I put it in. From this one patient, I learn a lot about how great human is. Every systems connect each other. It can affect others.
When I think about this, I praise, "How Great Thou Art." because He creates a wonderful creature which is a human. I can't understand it at all. Complex but also simple. Every parts of human body tells about How Great Thou Art...
For you created my inmost being; you knit me together in my mother's womb. I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well. My frame was not hidden from you when I was made in the secret place, when I was woven together in the depths of the earth. Your eyes say my unformed body; all the days ordained for me were written in your book before one of them came to be. How precious to me are your thoughts, God! How vast is the sum of them! Were I to count them, they would outnumber the grains of sand - when I awake, I am still with you. Psalm 139:13-18
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