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June 23, 2025- Shadowing in the Pediatric Clinic
reading corner for the kids at the pediatric clinic!
one of the posters in Dr. Nur's office
Today, I shadowed Dr. Nur in the Pediatric Clinic. We saw a total of 3 patients together in the morning. Two were toddlers, and the third was an infant. Dr. Nur explained to me that she was hoping to specialize in developmental medicine, so the most common cases she sees in the clinic pertains to neurological developmental issues. For each patient, Dr. Nur had a separate window open with the WHO standards for weight/height for comparison. All patients spoke in either Malay or Mandarin, so I followed along by either reading the EHR documentation or asking questions at the end of the visit.
Additional Shadowing Notes
The first toddler that came in (we'll call him Al), for instance, had reading/writing difficulties. Dr. Nur tried to perform a writing test by telling Al to spell out his name, and she was incredibly patient despite his lack of cooperation. He didn't aggressively refuse in any way---rather, he seemed shy/possibly embarrassed and didn't want to write his name. After a few attempts, she was able to convince him to do so. Dr. Nur expressed her concern about him having ADHD to his dad and advised him to follow up with a few more tests.
The second toddler that came in (we'll call him Eddie) was a stark contrast to the first. Unlike Al, who was shy and quiet, Eddie was a ball of enthusiasm and energy. He was constantly sprinting around the room and eager to dig into the toy box. Eddie would also whine whenever he was unsatisfied with a toy or told to write his name. However, he didn't show any signs of aggression, and his parents confirmed he was well-behaved at home. Dr. Nur suspected he had autism spectrum disorder and explained to his parents what that was.
Finally, the last patient I saw was an infant. She had jaundice and previously high bilirubin levels. Luckily, her levels improved since the last visit, so Dr. Nur performed a simple physical examination to ensure all else was well.
June 24, 2025- Shadowing in the Falls/Trauma Clinic
Today, I shadowed Dr. Khor in the Falls Clinic. This is where patients with frequent falls are sent for check-ups and prescriptions. I observed a tilt table test, where the patient was instructed to lie flat on a table and was then wired into a monitor that tracked changes in their blood pressure/heart rate.
a positive result is when the blood pressure drops (BP)/heart rate (HR) drastically changes, causing the patient to faint during the test
a negative result is when no changes/very minimal changes occur to the patient's BP and HR, and the patient does not faint
Unfortunately, the monitor's connection was unstable, so the nurses could not get a reliable reading of the BP/HR. Overall, however, the patient seemed okay.
Additional Shadowing Notes
Dr. Khor told one of her patients that she needed bone medicine, especially since she had osteoporosis and had a history of falls, but the patient expressed discontent over this piece of advice. She argued that she had gone many years without any bone medication, and relying on this kind of medicine would force her to constantly pay out-of-pocket. Dr. Khor therefore proposed two paths
June 25, 2025- Breast Cancer/Telemedicine Study Data Collection Day 4
Unfortunately, I couldn’t come into the clinic today because of a fever, so I spent the day cleaning up data/working on bivariate analysis.
June 28, 2025- Online Lecture of Silent Mentor Procedures
Today, we had a one-hour lecture series that briefed us on the procedures we’d be doing on our silent mentors. I learned the steps for procedures such as central line incision, administering a catheter, and rapid sequence intubation (RSI). Some notes I quickly jotted down:
it’s important to make sure there are no contraindications prior to making the incision
Follow the aseptic and appropriate hygiene procedure prior to any of the workshops
RSI minimizes complication while assuring successful intubation
June 29, 2025- Transferring Equipment + Mini Workshop
Today, we had a mini workshop on how to handle different surgical instruments. I learned the proper way to hold and open a pair of suture scissors, load a scalpel, and remove/replace blades. We then transferred equipment and cadavers in preparation for the workshops in the upcoming week.
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