Meta tags:

Headings (most frequently used words):

nick, miller, october, 14, 2009,

Text of the page (most frequently used words):
the (89), and (38), for (19), 2009 (18), not (16), this (15), you (15), her (14), was (13), 2008 (12), more (12), with (12), #october (11), 2007 (11), 2006 (11), new (11), were (11), they (10), hospitals (10), that (10), could (10), food (9), who (9), one (9), when (9), said (9), trainees (9), she (8), has (8), can (8), hospital (8), first (8), november (7), february (7), medical (7), are (7), labels (7), year (7), study (7), july (6), may (6), medicine (6), need (6), their (6), month (6), xxx (5), june (5), january (5), 2005 (5), melbourne (5), over (5), medics (5), training (5), doctors (5), them (5), errors (5), from (5), but (5), august (4), april (4), march (4), september (4), music (4), almost (4), note (4), know (4), would (4), our (4), have (4), now (4), too (4), also (4), everything (4), trainee (4), start (4), only (4), rate (4), been (4), much (4), well (4), days (4), december (3), other (3), learn (3), another (3), years (3), time (3), should (3), anything (3), tomorrow (3), knowing (3), then (3), live (3), die (3), had (3), which (3), patients (3), phenomenon (3), patient (3), say (3), result (3), did (3), likely (3), three (3), oxygen (3), daily (3), long (3), see (3), case (3), help (3), even (3), morning (3), went (3), left (3), sunday (3), thoughts (3), min (3), chan (3), already (3), past (2), australia (2), travel (2), health (2), channel (2), notes (2), hot (2), yes (2), thom (2), yin (2), friends (2), family (2), gave (2), twitter (2), update (2), properly (2), wishlist (2), stay (2), every (2), known (2), few (2), than (2), own (2), why (2), world (2), between (2), same (2), number (2), public (2), system (2), will (2), late (2), senior (2), teach (2), next (2), just (2), matter (2), better (2), junior (2), resources (2), doctor (2), really (2), change (2), around (2), lack (2), knew (2), familiar (2), consultant (2), call (2), operating (2), theatre (2), equipment (2), what (2), environment (2), surgical (2), last (2), research (2), quite (2), such (2), working (2), sleep (2), professor (2), bmj (2), after (2), however (2), until (2), events (2), having (2), anaesthetic (2), alfred (2), during (2), high (2), twice (2), found (2), times (2), given (2), worst (2), monday (2), weeks (2), since (2), came (2), basis (2), shall (2), two (2), saturday (2), drowning (2), apo (2), down (2), old (2), lady (2), people (2), love (2), feeling (2), lol (2), rose (2), within (2), soft (2), voices (2), random (2), think (2), truth (2), end (2), how (2), day (2), nice (2), cases (2), examiner (2), remembered (2), designer, brushes, image, software, fonts, basecodes, paulene, applause, zealand, city, life, capoiera, schools, sport, gendou, galbadia, hotel, wheeles, textbook, orthopaedics, psychiatry, trickcyclists, career, anz, society, geriatrics, ecg, wave, maven, dermnet, clinicians, bacteriology, australian, prescriber, austin, surgery, auscultation, assistant, evaluator, fitday, fast, facts, raspberrycupcakes, jamie, oliver, gourmet, traveller, exclusively, epicurious, david, lebowitz, cannelle, vanille, butter, sugar, flour, bbc, recipes, asian, bourdain, links, tummy, rumbles, mel, gastronome, jimbo, residency, good, reads, wen, hao, chia, kolin, jian, wey, clique, wee, jie, tze, ven, steve, sidd, sarah, leng, hui, labyrinth, ken, keato, kah, heng, johan, jane, ionie, evelyn, chuks, ching, mun, imu, colleagues, ying, college, mates, yee, yen, frances, darshi, choo, school, susan, judges, applauded, standing, ovation, audiences, follow, take, either, archery, kendo, learning, atm, play, violin, master, language, obtained, 8gb, ipod, nano, contradictory, 2nd, fit, healthy, sample, single, man, unfortunately, yuen, obsessed, medic, rather, spend, kitchen, pores, cookbooks, often, loves, furry, white, terriers, bits, currently, attempting, understand, pathogenesis, disease, wonders, molecular, oncology, great, detail, visualized, diva, status, revamping, mp3s, made, com, myflashfetish, player, rhythm, forever, michael, jackson, dealt, leave, loved, enter, mahatma, gandhi, graduates, entering, doubled, 2013, improvements, begin, encourage, experienced, supervise, generation, increasing, allocated, support, systems, greater, staff, flexibility, ama, victoria, president, harry, hemley, there, enough, devoted, lot, things, allocate, mentors, walk, check, supervisors, assess, performance, reluctant, admit, knowledge, wished, mentor, ropes, turned, independent, advice, protocols, might, sign, forms, organise, clued, get, potential, where, prolong, operation, available, forced, improvise, probably, thrown, xavier, worked, several, eight, revealed, basic, slower, uptake, responsibilities, week, service, avoiding, overnight, duties, staggered, timetable, complex, needs, fully, supervised, longer, ignore, elephants, room, handovers, clinical, care, association, excessive, hours, deprivation, increased, caregiving, units, cannot, absorb, effects, personnel, beginning, academic, wrote, damage, community, faith, julie, johnson, university, south, wales, paul, barach, utrecht, centre, accomanying, editorial, breakdown, communication, poor, interprofessional, interactions, technical, skills, mechanism, explaining, error, paper, regardless, level, unfamiliar, example, rules, location, charts, laboratory, results, roles, healthcare, providers, effect, strongest, switch, happens, early, disappear, entirely, surprisingly, increase, international, team, researchers, behind, examined, undesirable, procedure, carried, out, fifth, northern, hemisphere, trend, spike, safety, problems, topic, debate, acknowledged, anecdotally, supported, improve, orientation, provide, supervision, months, uncontrolled, low, blood, pressure, common, vomit, accidental, upper, airway, obstruction, authors, published, today, british, journal, central, peripheral, nerve, injury, five, rest, inadequate, because, influx, causes, rise, per, cent, nick, miller, article, taken, age, thought, decide, share, continue, grind, hopefully, done, truly, point, brush, off, whatever, takes, classical, perhaps, all, familiarity, breeds, animosity, incessant, gossip, shocked, spiteful, commentaries, elaborate, subject, conversation, suffice, malicious, sensitive, publish, here, ask, try, listening, sigh, certain, person, weary, hope, weekend, treat, back, ward, akin, near, pleural, fluids, saw, icu, bipap, received, frusemide, morphine, nitrate, patch, sats, improving, remarkably, leafing, through, ccf, reminded, into, round, ago, needless, horrible, watching, someone, gasping, front, bandaged, hand, stretched, towards, eyes, wide, opened, pleading, gutsy, woman, seriously, little, thumbs, arrived, far, claiming, wants, cease, therapy, immediately, mobilising, gutter, frame, leaves, dead, heaped, beloved, bed, thy, thou, art, gone, itself, slumber, sense, quicken, odours, sweet, violets, sicken, vibrates, memory, percy, bysshe, shelley, heck, noisy, sister, provided, goes, exam, graduation, wise, till, gonna, miss, minus, singing, flattered, afternoon, current, residence, never, quiet, loooong, like, under, circumstances, worry, about, getting, real, sad, company, wish, entry, positive, 1am, typed, obvious, some, bid, goodnight, before, exams, wondering, prepare, potentially, told, finish, sick, revising, second, short, thankfully, straight, forward, examiners, pleasant, surprise, themselves, absolute, shocker, got, hit, pretty, hard, nuts, honest, sem8, felt, awful, minute, station, let, four, stations, bad, guess, worse, least, still, benign, positional, vertigo, bpv, asthmatic, use, his, mdi, quick, succession, midst, finals, yearn, pronto, space, sanctuary,

Text of the page (random words):
she her her space her thoughts her sanctuary sunday november 15 2009 so it came and went in quick succession we are in the midst of our finals and with one more to go one can t help but yearn for this to be over pronto as for the cases themselves the first day was an absolute shocker i got hit pretty hard in the nuts to be honest from the start it did not help too that i knew the examiner and the examiner remembered me from my sem8 9 days i felt awful at the end of my 9 minute station i think i ve let my consultant down the other four stations were just as bad too but i guess it could have been much worse at least i still remembered benign positional vertigo bpv and how to teach an asthmatic to use his mdi properly the second day was a nice change the short cases we had were thankfully more straight forward and the examiners were really nice a pleasant surprise another three more days to go before long case exams and already i m left wondering how to prepare for this one well i could study everything since anything could potentially be a long case study truth to be told however i can t finish everything within three days and i m quite sick of revising already i wish i could end this entry on a more positive note but given it s past 1am as i typed this it s obvious i need some sleep first so i bid you goodnight for now labels medicine hospitals medics sunday november 08 2009 min chan has already left for kl this afternoon and my current residence has never been this quiet in a loooong time much as i like to think i could study even more under such circumstances and not worry about her on a daily basis p the truth is i m getting real sad that she s not around for company note you feeling flattered now min chan p oh well i ll see my one heck of a noisy sister in a month provided everything goes well in the next 2 4 weeks exam and graduation wise till then i m gonna miss min chan minus her random singing lol labels family random thoughts saturday october 31 2009 music when soft voices die percy bysshe shelley music when soft voices die vibrates in the memory odours when sweet violets sicken live within the sense they quicken rose leaves when the rose is dead are heaped for the beloved s bed and so thy thoughts when thou art gone love itself shall slumber on labels events people monday october 26 2009 and my little old lady s feeling much better this morning xd she gave us the thumbs up when we arrived and even went so far claiming that she wants to cease oxygen therapy immediately and start mobilising with her gutter frame lol i love this gutsy woman seriously _ labels medicine hospitals medics people sunday october 25 2009 was leafing through my ccf notes this morning when i was reminded of an 80 year old lady who went into apo during our round two days ago needless to say it was horrible watching someone gasping in front of you with her bandaged left hand stretched towards me eyes wide opened pleading it is akin to near drowning apo only that one s drowning in one s own pleural fluids the last i saw her she was down at icu on bipap having received iv frusemide morphine and a nitrate patch with oxygen sats improving remarkably i hope she did well over the weekend it would be a treat to see her back on our ward tomorrow morning labels medicine hospitals medics saturday october 24 2009 sigh the more i know a certain person or two the more weary i am of them why so you ask for one try listening to their incessant gossip on a daily basis and one can t help but be shocked by their spiteful commentaries i shall not elaborate on the subject s of their conversation suffice to say they were much too malicious sensitive even to publish here a classical case of familiarity breeds animosity perhaps after all it has been 2 1 2 years since i came to know them yes it takes that long for me to see them for what they truly are at this point i could only brush off whatever they decide to share with me and continue with my daily grind only 3 more weeks to go and hopefully i m done with them then labels friends medicine hospitals medics monday october 19 2009 food for thought article taken from the age february worst month to go to hospital study nick miller october 14 2009 february is the worst month to go to hospital a new study at melbourne s alfred hospital has found because the influx of new trainee doctors causes the number of medical errors to rise by 40 per cent the authors of the study published today in the british medical journal bmj found the rate of central and peripheral nerve injury was more than five times as high in the first month as in the rest of the year and it was three times as likely that a patient would be given inadequate oxygen patients were twice as likely to vomit in the operating theatre as a result of their anaesthetic and an accidental upper airway obstruction was also twice as likely uncontrolled high or low blood pressure was also more common in the first month they said hospitals need to improve orientation for new trainees and provide more supervision during the first few months of the surgical year known as the july phenomenon in the northern hemisphere the trend for a spike in patient safety problems at the start of the training year has been a topic of hot debate acknowledged anecdotally but not supported until now by research the international team of researchers behind this study examined the rate of undesirable events in patients having an anaesthetic procedure carried out by first to fifth year trainees at the alfred surprisingly the increase in the rate of errors was almost the same no matter which year the trainee was in the effect was strongest in the first month after the switch over which happens in late january to early february however it did not disappear entirely until june lack of technical skills is not the only mechanism explaining the error rate the paper said new trainees regardless of their level of training are unfamiliar with their new working environment for example hospital rules location of medical charts and laboratory results roles of other healthcare providers as a result breakdown in communication and poor interprofessional interactions may result this phenomenon can damage the community s faith in hospitals and doctors say professor julie johnson from the university of new south wales and professor paul barach from the utrecht medical centre in an accomanying editorial in the bmj the patient caregiving units cannot absorb the effects of new personnel at the beginning of a new academic year they wrote we can no longer ignore the elephants in the room such as the july phenomenon handovers of clinical care and the association between excessive working hours sleep deprivation and increased medical errors they said hospitals should have a slower uptake of responsibilities in the first week of service avoiding overnight duties trainees could start in a staggered timetable and when patients had complex needs the trainees should be fully supervised dr xavier yu a surgical trainee who has worked at several melbourne hospitals over the last eight years said the errors revealed by the research were quite basic they were probably thrown by the new environment he said not knowing where equipment is will prolong an operation or if you are not familiar with what equipment is available at a new hospital you could be forced to improvise you re not familiar with hospital protocols so you might not know who has to sign the forms which consultant to call who to call to organise an operating theatre if you are not clued up you can get potential errors he said as a trainee he had wished for a mentor a senior doctor who knew the ropes at that hospital and who could be turned to for independent advice trainees have supervisors who also assess the trainees performance so trainees were reluctant to admit a lack of knowledge to them hospitals need to allocate resources for mentors who could walk around and check with trainees that everything is ok dr yu said that would really change a lot of things ama victoria s president dr harry hemley said there were not enough resources devoted to junior doctor training it s not just a matter of increasing the time allocated to training we also need better support systems for junior doctors and greater staff flexibility he said we need to encourage experienced senior doctors stay in the public system so that they can teach and supervise the next generation of doctors the number of medical graduates entering our public hospital system will have doubled by 2013 training improvements need to begin now tomorrow is too late labels medicine hospitals medics live as if you were to die tomorrow learn as if you were to live forever mahatma gandhi when you enter this world knowing you are loved and you leave this world knowing the same then anything in between can be dealt with michael jackson rhythm i made this music player at myflashfetish com status revamping mp3s at the mo _ the diva yuen a food obsessed medic who d rather spend her time in the kitchen and pores over cookbooks more often than she should loves furry white terriers to bits would do almost anything to own one currently in melbourne attempting to understand the pathogenesis of every disease and wonders why she has to learn molecular oncology in great detail visualized wishlist travel note not for another few years unfortunately sample almost every single food known to man stay fit and healthy note contradictory to the 2nd wishlist i know p an 8gb ipod nano update obtained master another language learn to play the violin properly update learning atm _ take up either archery or kendo twitter follow me on twitter her audiences they applauded her and gave her a standing ovation the judges family susan school friends choo darshi frances se yin yee yen college mates may ying po yin imu colleagues ching mun chuks evelyn ionie jane johan kah heng keato ken labyrinth leng hui sarah sidd thom i thom ii tze ven steve wee jie melbourne clique jian wey kolin li chia mk wen hao good reads ah yes residency jimbo melbourne gastronome mel hot or not tummy rumbles other links food almost bourdain asian food channel bbc food recipes butter sugar flour cannelle vanille david lebowitz epicurious exclusively food gourmet traveller jamie oliver raspberrycupcakes health fast food facts fitday food evaluator medicine auscultation assistant austin surgery notes australian prescriber bacteriology clinicians health channel dermnet ecg wave maven anz society geriatrics my medical career psychiatry trickcyclists wheeles textbook of orthopaedics music galbadia hotel gendou sport capoiera schools travel australia australia city life new zealand past august 2005 september 2005 october 2005 november 2005 december 2005 january 2006 february 2006 march 2006 april 2006 may 2006 june 2006 july 2006 september 2006 october 2006 november 2006 december 2006 january 2007 february 2007 march 2007 april 2007 may 2007 june 2007 july 2007 august 2007 september 2007 october 2007 november 2007 january 2008 february 2008 march 2008 april 2008 may 2008 june 2008 july 2008 august 2008 september 2008 october 2008 november 2008 december 2008 january 2009 february 2009 march 2009 april 2009 may 2009 june 2009 july 2009 august 2009 october 2009 november 2009 applause designer paulene brushes xxx image xxx software xxx fonts xxx basecodes xxx