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So far I guess I always record down my exams. I think it would be cool to look back and laugh at myself and remember back how I had mumble during exams. So here is the first one for this finals.

Grandpa once said : “You are going to graduate from a university. You spent 7 years studying. So you must look smart, civilized, converse in the correct language, cultured, and know everything, even thou it means a little bit of this and that.”

Yes, indeed I look smart with tie today :)

What he said is nothing but the truth. Sekolah lima tingkat, hospital 9 tingkat.

A junior of mine recently said that she knows the thing but she is just lack of words to explain it. I think this is not the proper way. In order to know something, we read the words, imagine how things happen, and of course at the end of the day, it is a must for us to know how to express ourselves scientifically, and say those words that make communication possible. we can’t say that we are lack of words to explain!

This is the exact thing that happened today to me. My examiner was the notorious Prof. Mihin (youngest prof in Volgograd). Known for being super outstanding.

Prof : “Tell me how to differentiate direct and indirect hernia clinically, there are 6 points all together.”
Me : “????”

I had read a few surgery books (don’t dare to say a lot but for sure more than 2), most of them stated that it is almost impossible to differentiate direct and indirect hernia when you see the patient. Most of the time the correct diagnosis will be post op. Even Dr. Ravi who I attached to during my India elective posting (people MRCS holder leh) also said that. But this prof is now asking for SIX characteristics?

I know arguing is no use. So I use common sense and some basic knowledge.

Me : “Err.. When we use the finger to search for the external ring and ask the patient to cough, the direct hernia will be pushing my finger from the front and the indirect will be pushing from the side.”
Prof : “(nod) You have the correct idea but you say it the wrong way.”
Me : “(wonder, how can this be said in another way?) Errr…. ”
Prof : “If should be ‘pushing medially from the lateral side’.”
Me : (-_-’, what’s the difference laa abang..)

I managed to named some 4 characteristics (by location, shape, coughing and going into the scrotum or not) which later after that he got a bid bored and jump to the next question.

Seriously 4 is like using all my brain juice d. I don’t know the other 2. Haha. Safe.

Other than that it was kinda uneventful until I answered my theoretical question. It was the first aid for tetanus.

Prof : “What is tetanus? A virus, a bacteria or something?”
Me : “Is a bacteria.”
Prof : (Look at me with a lot of question marks).
Me : (Huh? I answered wrongly)

I swear that time a mind game was going on.

Prof : “Are you sure?”
Me : (Cracking my brain and suddenly I remembered)
Me : ” Is a bacteria, rod shape, with spore at the ends.”
Prof : “Oh yea.. is a bacteria.”

See I fully utilized my infectious disease knowledge in a surgery exam. Don’t play play! But phew.. luckily I remembered. However, I got problem remembering the victims will have photophobia. But anyway, he kinda directed me to that because I don’t really understand what he wants from me. I always guess the words that they want me to say.

Later on he asked me about the patient that I clerk.

Prof : “What makes you think it is an indirect hernia.”
Me : “Because before this I read some journal and direct inguinal hernia is actually very rare for women.”
Prof : (……………..)

Thanks for grandpa for asking that SAME question during class and I went to do some research on it.

Other than that I guess things are pretty okay. He asked me about the Forrest classification. And I got a patient to clerk who had strangulated hernia. Put quite a lot of diagnosis.

So, 1 down. 4 to go! Happy day. Hehe.