Grey’s Anatomy
Last nite i’ve just watch grey’s anatomy with my sister..4 first episode..I decided to try to watch it coz many of my fellow med-student says its a good TV series, and i thuoght "Hei, i’m a 5th years med-student, perhaps watching it may serve me some good purpose"..so now i’m gennao give some of my early comments..both about the medecine technicly and the "film" aspect" of it..Well, perhaps 4 episode its to early to judge the whole content of the movie, but who said i was gonna.. 
so here it is..
The Film it self is quite good..not VERY good, just QUITE..i like the part where it can realy describe how live is as an intern..its a TORTUROUS!!!48 hours without sleep..eat junck food..enslaved by your senior who act like a boss..doing silly things like taking and organizing the lab result..always run to the scene everytime ur pager is beeping, and sometimes for a silly reason..Missed your own party when everyone is having fun at your house, and u cannot make it home coz you are stuck at the horpital for some CITO (emergency) operation..got alittle bit "kuper" coz in a week, the only ppl u see is those who work with u at the hospital..but u can’t say a thing about the slavery coz they (the resident doctors) actualy kinda decided your live and dead at the hospital..they taught u, work with you, recommended u for promotion..and they expect hard work!!
The only downside of this movie, sometimes i think, it need just aliiiitle thrill..coz at some points, it can be boring..and its not good for a series
Now we move on to the TECHNICAL aspect!!!at the first episode, they got a case..a girl, 15 years old, having a "grand mall"siezures..(i actualy forgot whats the grand mall stands for) with no history of trauma "yet" to be found..brought with a helycopter (I WISH WE HAD ONE AT RSCM!!!!) and directly send to the surgical division..wait a minute..WHAT ON EARTH IS SHE DOING IN SURGICAL DIVISION..normaly SHE IS SUPOSE TO BE AT PEDIATRICS DIVISION..the pediatricians will be the one who handeled the patients, thinking about the diagnosis, and decided what to do with her..if any surgical treatments are needed, then she will be consulted to the the surgeon, and will be transfer is the case is turn out to be a surgeons case..NEXT,,having a siezure they give him 10 mg intramuscular injection of diazepams..my question is, WHY INTRAMUSCULAR??it supose tobe INTRAVASCULAR, and if u can’t get into the iv line (intravenous line) u gave her rectal diazepam..NEXT..she is attended for siezures with no history of trauma or fever, and they decided to run CT scan..HELOO!!! she should be runing EEG test, the Working Diagnosis of this case should be Epileptic siezures..why the hell is CT scan is the first in their head..Okey, lets move on again shall we..the CT is proved to be just fine, so does the blood test, but she is still having siezures..after a carefull history taking, it is then known that she is a dancer (actualy somthing starts with "P", but i forgot what is it, so i just call her dancer) and had a history of a minor trauma while training (not right before the siezures), but no complains and she was doing just fine..so they thought with any chance, she is having as intracranial hemorage, and so decided to run a CT angiography..and yes!!they are right, congrats..she is have a minor subarachniod hemorage..and has to be operated..BUT!!!if she realy having a subarachnoid hemorage, then the first CT-SCAN alone should have got it!!but the first CT is clean..i dont get it whose fault is this, perhaps they got one lame radiologist reading the CT-scan and can’t identify a subarachniod hemorage with a CT-scan alone..
Okey, and the last thing is..for commoners, if u watch a scene where there is a patient with a flat electrocardiogram (ECG), and they start to cast some "LIGHTING BOLT SPELL" right to the patients chest..i’ll tell u, its BULLSHIT!!!..Defibrilator (the lighting bolt spell) is used only in two cases, VF(ventricular fibrilation) or VT(ventricular tachycardia) ECG, not on flat (asystole) ECG..if flat ECG is what u get, then u should resusitate the heart and lung and administer some shympatomimetic agents (i’m not going into details, there is a protocol for this situation alone)..U DON’T cast LIGHTING BOLT..its a waste of mana..err..wrong..a waste of force power..err wrong again, i played to may games lately
okey..thats for the comments..
Its now sundays, there is a Kyokushinkai karate tournament held at binus, and i’m planin to watch it with my fellow martialist.. a full contact bare hands fighting, that is something, hehehe ;D
Ooo..and atlast..THiS COMPUTER IS WELL FIXED!!!U don’t know what kind of misery i have, with this computer keep erroring all the time..but now its all good, so i’ll reborrow the KOTOR Starwars CDs from bertus and reinstall it, and play..long live the sithlo….err no REPUBLIC!!!!!HAHAHAHAHA
and BTW, i just got a SWEEEEEEEEEEETTT surprise from my recently recieve e-mail..Its a strawberry..and "only one"…and it makes me ^_______________________________^
March 25th, 2007 at 7:41 am
to be honest, there are too many words i don’t understand.. which makes me feel stupid x( i dunno man ive never watched grey’s anatomy b4, but the americans here love it bcz its funny, n seems like these doctors have the same sleeping time disorders as u do :S btw that lightning bolt thing.. is it that pair of flat metal surfaces u place on a patient for them to wake up?? i’ve seen this kind of scene on tv a couple of times b4.. i dunno wat they are for tho.. btw that kotor thingy.. i remember how my bro (the gamer one) used to babble about how great this game is and how much he wants it so badly, it’s the Knights Of whawtever whatever isn’t it?? i can’t remember. i am a star wars fan tho but not a gamer :S so i dunno anything abt it.. ah and that mana thing u mentioned, if i’m not sure what it is but i used to play magic the gathering tho (influenced by my LARGEEEE COLLECTION of magic the gathering cards of my bros) n these manas (like forces of fire, water, nature, bla bla) added up together so that u can summon ur GF (ff) or any magic spell… HAHHAHA I QUITE MISSED PLAYING THOSE GAMES. but anyway, keep the strawberry safe cuz if not it will turn sour
March 25th, 2007 at 9:01 am
The Knights Of The Old Republic..This game ROOOCKKSSSS!!!hahahaha..Yup, mana is used at many magic related game..and RPGers surely familiar with it
and btw..i’ll keep it as safe as i can..i’ll try my best..i mean it 
March 26th, 2007 at 3:58 am
That pair of flat metal surface is called a defibrilator..it is used to stabilized ur heart rythm in crisis condition..the crisis condition refered to a pathologic state called venticular tachycardia or fibrilation..giving a wild sea wave live apearence at ECG..but movies tend to use it at flat ECG sign..which is totaly wrong ..
March 26th, 2007 at 6:54 am
Hi aron, just wanting to make one comment with regards to CT scan for the seizure case. Anyway, i think CT scan is warranted because it is her first presentation and EEG would not make any difference in terms of management. U already know that she is having seizure, what more information can the EEG gives? but if the CT scan does show something, there might be added things that can be done to curb the seizure.
Take care!
And sometimes changes in CT is not seen in the first instance, the lesson I have learned here is that don’t assume that there is no structural lesion just because the first CT shows none.
Anyway that’s just my two cents worth of opinion.
March 26th, 2007 at 9:42 am
Haloo how are u??..thanks for the two cents..perhaps i do jump into a conclusion to fast…ntar tengah tahun masuk neuro harus blajar bener2 brarti tentang CT scan (padahal setau gue di neuro FKUI kita cuman dikasih tau segelintir tentang CT =( )hehehe..cuman menurut gue tetep aja lucu bahwa ada riwayat kejang tanpa demam, tidak sadar, tidak ada riwayat trauma yang berarti,malah diperiksa CT scan tapi tidak diperiksakan EEG..itu kan fungsinya buat nentuin jenis epilepsinya..n mempengaruhi terapinya..si dr grey juga memutuskan untuk ngelakuin CT-angio berdasarkan tebakan hokii yang chancesnya menurut die 1 : 1000 very very educated guess then