Monthly Archives: September 2008

Case #51: Spots on legs


This 62 year old Chinese lady presents with itchy spots on her legs, thighs and upper limbs of 4 days duration. She has no known medical illness. She also complains of painful right index finger for 2 months as well as history of URTI 1 month prior to onset of these lesions. She gives history of fever on the first day when the lesions appeared. There are no abdominal pain or bleeding tendencies. Her platelet count is 95, Hb 10.2 microcytic hypochromic; renal profile pending.

Here are 2 photos of the lesions on her thigh and leg.

Photobucket

Photobucket

Questions:

1. Describe the lesions.
2. What are the differential diagnoses.

Mon, 290908 @ 0700

Sacrilege


I almost choked on my coffee yesterday when I saw this ad:

Photobucket

Now they are calling camera peddlars “Evangelist’!

Good grief.

The meaning of the word, from an online dictionary, are these:

–noun
1. a Protestant minister or layperson who serves as an itinerant or special preacher, esp. a revivalist.
2. a preacher of the gospel.
3. (initial capital letter) any of the writers (Matthew, Mark, Luke, and John) of the four Gospels.
4. (in the primitive church) a person who first brought the gospel to a city or region.
5. (initial capital letter) Mormon Church. a patriarch.
6. a person marked by evangelical enthusiasm for or support of any cause.

Next, they will probably call the Canon CEO the POPE!

Sun, 280908 @ 0700

Senget*


*Senget: a Malay word which means ‘not straight’.

Quite a number of students have expressed concern over the sad state of Jimbo’s name plate stuck on his door.

Photobucket

Here’s one student’s concern expressed in a sms:

Student: Dr. ur name sign outside your room senget la. :P Ha ha

Jimbo: I know.Waiting for it to fall off. Then I quit. :)

Student: Ha ha… ur not serious right? LOL! hopefully not within a year…If not my research project not done…ha ha.. i go fix 4 u then!

Jimbo: No need to fix. I like it the way it is. :)

Actually lots of students have offered to ‘fix it’ but so far none has ventured to do so. It’s quite alright actually. Jimbo kinda like it the way it is.

It’s unconventional.

Unconventional is good.

Sat, 270908 @ 0700

Puppy Love


The other day Jimbo discovered a secret when going through Ryan’s kindergarten notebook:

Photobucket

*Fainted*

Fifi is the one and only Malay girl in Ryan’s kindergarten and the latter has been smittened by her from day one of kindergarten. It’s forever like “Fifi did this and Fifi did that” when he comes back from kinder.

When asked why he drew the above in his notebook, he just smiled sheepishly and said, “I just want to draw – la”. Kinda reminds me of this Petronas ad.

Kids are so precocious these days. At 5, Jimbo was catching fish in the drain and didn’t know that females actually existed.

Which reminds him of his own puppy love phase.

Jimbo was in standard 3 and there was this girl in his class. Her name was ‘Lai Hiang’ (and we all called her ‘Layang-layang’ which means a ‘kite’). She had eyes the size of saucers that glimmer even in broad day light. Her pouty lips would have given Angelina Jolie a good run for her money.

And everyone, including Jimbo, was smittened by her. It was love at first sight.

And when Jimbo was chosen to pair up with her in a dance at the annual school concert, it was like winning the Olympics gold medal. They had to dance to a song and in one part, they had to turn to one another and gesture as the singer belts out “When you say, say, say, say that you loooooooove me, Ohhhhh, my, my, my, what a beautiful day!”

And Jimbo meant every word in the song as he gestured lovingly, staring into those saucer eyes!

Yeah, it was a beautiful day. My, my, my beautiful day. :)

Fri, 260908 @ 0700

Rojak


While the powers on high in this country will once again debate whether teaching Science and Maths in English should continue or not after the UPSR exam results are released, we will just have to live with signs like this one:

Photobucket

I expect to see more and more of these awful mixture of languages in the years to come. Some day, we will have a new language and it will be called Bahasa Inglayu.

Thurs, 250809 @ 0700

Tasteless and Offensive


Apparently some people found Jimbo’s blog hard to digest.

Jimbo received an email yesterday from some of his readers who tried to access his blog from the hospital’s library terminal, only to encounter this:

Photobucket

They emailed Jimbo out of concern for his safety, after all, other more notable bloggers were caught recently for the flimsiest reasons and incarcerated.

Jimbo, of course, is aware for a long time now that his blog (and perhaps other’s as well) is inaccessible from a hospital-based internet/wifi but he didn’t know that it has been classified as being ‘tasteless and offensive’.

Okay, perhaps this one was a tad tasteless and offensive but on the whole, he thinks his blog is pretty benign by any standards.

Oh well, it’s THEIR LOSS.

:)

Wed, 240908 @ 0803; on call today. Bleh!!! And totally disgusted at the internet in his work place.