Back home after 6 years

I remember how scary and exciting it was to be graduated high school, leaving home to a University town/community to embark in undergraduate studies for four years. A lot has changed, I went from being extremely conservative, shy, and timid to free-spirited, adventurous, forthcoming and confident (although a small part of me says I should be more modest when I say things like that!). I don’t think I could have made this kind of growth without having left home and the protective womb of my parents care and constant supervision (its an asian parent thing).

Spring Cleaning – One thing I’ve noticed, is that somehow I have this unintentional propensity to accumulate so much stuff, which makes for miserable moving missions every time I move (which is once or twice a year for the past 6 years). I think a goal of mine, when living at home is too cut down a lot of the stuff. I know clutter has never ever made me feel good. Somehow I am able to manage through the “organized mess”, however, some days more than others I find it stressful to come home to so much stuffSort out things I need to throw out, clothes I can donate.

No place like home 🙂

Case of the Strep

Last night I knew my cousin Lynne wasn`t feeling too well after finishing work. She came home, throat killing her. She passed out, and I went to school the next morning to do my OSCE – an evaluation.

I had been practising my clinical skills all week with my friends. History taking and a focused cardiac, resp, abdominal and MSK exam. After completing the two hour OSCE, I drove immediately home. Found Lynne passed out looking feverish, her arms splayed, not being able to open her eyes.

Having done an entire OSCE this morning, I grabbed my stethoscope, and a light. I sat her down asked a few questions. So my history:

“20 year old female presents with sore throat. Onset of soreness began approximately yesterday. She describes no cough, no rhinorrhea or other coryza symptoms. No ear pain. A slight headache. She has fever and chills, as well as generalized weakness.”

Listened to her chest, palpated her cervical lymph nodes, which a few were tender. Look inside her throat, and bingo.

“Strep throat, you have strep throat.”

Also known as bacterial pharyngitis, or streptococcal pharyngitis. Here’s what I saw at the back of her throat:

A normal vs. strep throat. Notice the white exudates at the back, a key feature of strep.

I immediately took her to the doctor, who gave her some antibiotics, a 10 day course of Penicillin V. I suspected the symptoms were too severe for “just the flu”. Of course I had seen dozens of strep throat during my family medicine rotation.

I took her to Tim Hortons where she had some soup and hot chocolate (no milk). Now some R & R.