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Tuesday, November 10, 2009 @ 7:01 PM

Broken heart..........

.....syndrome

no this is not a post lamenting on broken heart, this is an educational post on :

Broken Heart Syndrome

also known as Takotsubo Cardiomyopathy / Stress Cardiomyopathy

Its is a condition commonly mistaken as Myocardial Infarction ( heart attacks) as it is presented with the typical symptoms of chest pain that radiates to the left arm, ST elevation on ECG, and mildly elevated troponin. ( ie all signs for MI)

Upon emergency cardiac catherisation ( where a cathether is inserted into the patient's groin ( femoral artery) into the coronary arteries ( blood vessels that supplies the heart), no significant narrowing of the coronary arteries is found ( heart attacks are usually caused by a blockage of coronary arteries)

Ventriculogram ( where dye is squirted into the heart chambers shows that the apex of the heart is not pumping, wherelse the basal part of the ventricle is hypercontracting to compensate. The pumping action causes ballooning of the basal left ventricular. This resembles takotsubo, which in japanese means 'fishing pot for trapping octopus'

The symptoms are usually precipitated by emotional stress ( eg death of close ones ) and once the stress is relieved, the symptoms will resolve without any signs of cardiac damage.

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Tuesday, September 08, 2009 @ 9:43 PM

just when u think u have mastered history taking...

taking history of a patient with heart pain:

'where is your pain?'

" at the supermarket doctor"

' ok...where do u feel the pain on your body?"
******************************************

trying to find what was the reason patient is admitted?

' what brought you to the hospital Mrs Smith?"

' the ambulance, doctor'
2 comments

Sunday, September 06, 2009 @ 5:15 PM

carrot cupcakes that smells divinely of cinnamon! i added alot to cover the ginger and nutmeg smell. this is my 3rd try, the next time i will decorate it with cream cheese frosting!peanut butter banana oatmeal cupcakes! but because the peanut butter i used was not creamy and salty enough, i could barely taste it=( the cake was really dense with banana though. i hide banana slices at the bottom and caramelised slices on top for the last 5 minutes of baking.
will be coating it with cadbury chocolate spread before i give it out to my coursemates tomorrow- my first day of hospital teaching!!
not the best cupcake ever but hope it'll sell>< i had 3 myself for breakfast and it was really filling!

3 comments

Saturday, August 22, 2009 @ 2:43 PM

coffee causes boob shrinkage?!

Women who drink a lot of coffee may see their breasts become more petite, according to the results of a new Swedish study.

http://www.thelocal.se/15016/20081016/

no wonder my cup size never increased ever since puberty
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Friday, August 14, 2009 @ 5:51 AM

oatmeal scones with buttermilk and lemon zest; Pumpkin Bao

third try of scones!! this time my mum gave her thumbs up!

doesnt bear the resemblence of a typical scone but it's because i didnt dare to mix it for too long coz....

after some research online i realise why my first batch of scones failed - overkneading / mixing causes gluten to develop in the dough. gluten is the protein in the flour that wraps water within it to prevent the flour from rising.

buttermilk sounds chim right? all I did was squeeze some lemon juice into the amount of milk needed, leave it to stand for 10 minutes. comercial buttermilk is made by adding bacteria into milk, or it is the residue left from making butter. it's suppose to make the scone fluffier but i am not sure to what extend is this true

but i found out it was the oat flakes that made the scones smelled so nice. was puzzled why they used the term 'rolled oats', turned out that the oats are processed using giant rollers to remove the bran layer.

and i practised my bao making skills with mum! we made pumpkin bao with custard fillings and peanut powder

we're suppose to take a small ball of dough and put it into a glass of water, when the ball of dough floats, the bao has risen enough to be steamed. somehow we waited for 2 hours and the ball never surfaced =( so we steamed it nevertheless
ass hole shaped bao. MY MOTHER MADE IT NOT ME
voila!!
we made more baos that evening again ( bao craze) but it turned out hard, not quite sure what went wrong. mum bought sakura powder from penang and was really excited to make bao with it, she was so dejected when we found out it is just fish stock dyed pink, so we had a batch of unrisen, fishy smelling bao.
itching to try baking oatmeal cookies ever since i tried May's cookies so i made my own while waiting for May's recipe
too thick too hard. doesnt help that i reduce the amount of butter =p
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Saturday, August 08, 2009 @ 11:46 AM

experimenting with scones

my first batch was a disaster. not quite, but it tasted nothing like the scones in Winter Warmers.

it's usually our housemaid who gets the biggest sharing of whatever i bake.

For my first batch of scones that did not raise properly ( should have let it raise longer since it was raining) so mum told the maid

' this is English scones!! its suppose to taste like that! ( with the flour still uncooked in the middle, a taste that resembles cappatti)

my second batch, i used the recipe Phey Yee recommended=) Strawberry Sunrise Scones substituting milk with yoghurt and orange zest.

(mum to maid : " this time its French scone!!')

bah. its always nice to have someone who has no idea what a scone should taste like.

i think it would have tasted nicer if we didnt subsititute half the white sugar with brown sugar. mum say its just nice for her since its not sweet. the strawberries werent sweet at all=( i think it become soggy after being baked together with the scones, maybe should try freezing the strawberries next time.

nevermind, mum likes it and i think it looks nice, going to try again!
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Wednesday, June 17, 2009 @ 11:59 AM

some post exam shopping.....

here's what i bought..

for my summer read ;D
bet you were expecting pictures of clothes, shoes, accessorises
amazon does such good deals on second hand books in good condition!! some were as cheap as 2.76 gbp ( book price 0.01 gbp, are u kidding me???? its the postage fee per book that add up to ~3gbp but that is still half price)
so far i've bought :
1.The Diving Bells and The Butterfly (lock-in syndrome )
2. Never Let Me Go
3. The Book Thief
4. The Reader
5. The Curious Incident of The Dog In The Night Times ( autism : Asperger syndrome)
6.We Need To Talk About Kevin
7. I Know This Much Is True (schizoprenia)
and it was fun researching, reading reviews from facebook's visual bookshelf application -its one of those rare application that I actually like from facebook.
and allow me to be geeky over my choice of books featuring medical conditions ;D
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My Name Is...

housefly
coffee lover
Mayday fan
Siang to Vietnam mates
Ing to the rest

and no, my dad aint the boss of ING insurance company

Dreams

Doc on skateboard
Barista

Coffee Time Reads

Duc To Linh(pig wife)

a table for two

anthropologist in the kitchen

dessert comes first

the baker who cooks

Lily's Wai Sek Hong

Yesterday Once More

Her-story

Credits.

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