Rainbow Centre Screening

Screening at Rainbow Centre on the 13th 14th 16th Oct

Don't be discouraged

Hello guys,

So glad the holidays are here! Everyone, take this chance to have a good break!

Secondly, DO NOT be discouraged by the competency test. It is always good to know your mistakes are now than a day before graduation right? Take this time to work on it! Clear any doubts you have.

Lastly, thank you for your comments! Esp Hui min, Wee Sing and Guang Hao. hahaha(I know where my Mistakes are now and will work on them. Hopefully I will be better in the 2nd Semester)

Just like everyone, I do appreciate your honest opinions. Good or bad, so as to improve myself( so cheesy..ewwww....can't stand myself). So if you have more to say which you did not get a chance to pen it out in the feedback form, please do write it here. It is alright not to write your name.

Have a great holiday!

I will see you....when I see you!

WELL DONE TEAM SINGAPORE

A BIG SPLASH in the Pool!

WELL DONE SINGAPORE

Well done TEAM SINGAPORE!!

Time for more Quiz!

Question one.
This is from Miss Ling Yeo. When steaks see each other, they did not say "hi". Why is that?

Question 2
Char Siew Bao and Man Tou watched an emotional film. After the movie, Char Siew Bao cried but Man Tou did not. Why?

Answer for the 'The Dark Knight"

People, if the cornea is exposed(if you realise there is no blinking) how can there be no scarring!
And,if the orbital floor has collapesed, how can there is still such good ocular movements?! There should be restrictions especially at up gaze right? Plus, if the orbital floor has collapsed, how can both eyes be at the same level?

Muhahaha

Year book

Hey everyone,

if you guys are really interested in doin a year book(yes you wee sing! since you "polluted" me with the idea), then you may be a good idea to start now.

Few suggestions:

1. Ask repective classes if they are interested in the year book since it will involve all 3 years esp the 3rd years
2. Form a small group(max 5 ppl) to be in charge of the year book ( preferably consisting of some year 1 and year 2 and year 3)
3. Work out a proposal and show it to Dr Tang and introduce to him the idea
4. Find Sponsors

Good Luck! Let me know if you guys need any help.

The Dark Knight

Hey everyone,

to those who have watched The Dark Knight...

Spot the ocular mistake in the movie!

Hint: Pay attention to the character 2 face!!

Present: A meal at Mac!!! For Eddie, maybe 2.

To Amanda

I have just checked with Miss Lek and she mentioned that there is no cap to how many signatures a clinican can give in one session.

Hope this helps.

ATTENTION

Hi everyone,

LATEST UPDATE!!!!

THE QUOTA SYSTEM IS STILL IN PLACE!

PLEASE TRY YOUR BEST TO MEET YOUR QUOTAS.

THANKS!

Video

Hi all,

those who have watched the video, I hope you can comment on it.

Mainly on a few points:

Do you think the video was helpful? Why it was helpful.

Hope you can also comment on the following scenes you saw in the video.
Scene 1: Messy GE form.
Scene 2: Silt Lamp Examination.
Scene 3: Phoropter adjusment.
Scene4: MIA student.

Lastly,

HAPPY BIRTHDAY RUOHAN!

Scrap book

Hi all,

just a quick update.

One of you guys actually suggested on doing up a scrap book.

Just want to check if you guys are interested in it?

Quotas

Hi everyone,

I understand from some of you that the quota system is out for the module Clinical Practice.

However, I still urge each and everyone of you to do as many GEs, SCL and RGP fit as possible.

Reason:

Once you step out to work, you want to feel confident in handling patients, doing CL fits and adjusting frames.

The more you do, the more questions you will have. It will thus be a good opportunity to then ask and clear your doubts. When you are out practicing by yourself, your employers will expect you to know everything( though I know it it very unfair). Once you start work, you may be the only optom in the shop, thus you may not be able to clarify your doubts then.

It is difficult at times, but as much as possible, do bring in your family to do GEs and bring in your friends to do SCL or RGP fits.

You may not master it the first time round, but as do more of it, it wil get better.

You really don't wish to graduate having only done 6 RGPs. Right?

To Cheryl

The answer is F squared over 1000.

Quick look

Hi guys,

Have a look at the image above.

What are some of the differential diagnosis?

Language

Dear all,

the next time you are in clinic, please please watch your language.

It is understandable that people get frustrated by clinicians, patients or just frustrated in general. Please please, no swearing in clinic.

If you really really have to swear, just say out the initals of the swear word, quietly.

It does not reflect well on you if you swear, esp in front of or if the patient is still around. It also does not reflect well on SPOC.

Many thanks

Attire

Dear all,

please be reminded that you are to wear formal wear to the clinic.

Formal wear is enforced so as to portray a professional image and a respect to your patient and most of your your own profession.

The next time you are schduled for clinic, please ensure

• Covered shoes
• Ironed Lab Coat
• Long hair tied up
• Instruments charged
• An open mind

SATURDAY CLINIC RESUMES

Hi everyone,

hope you guys had a nice break and hope your MST week went well.

Anyways, quick refresher for those who have clinics tomorrow.

YES, CLINC RESUMES TOMORROW. PLEASE CHECK YOUR TIMETABLE TO SEE IF YOU ARE SCHDULED IN FOR CLINIC

If you know your friend is an "Ah Blur" please check for him/her and remind her too.

1. Remember Saturday Clinic start at 9:ooam. Pls report by 8:30am
2. Remember your lab coats(Iron them pls), name tags, equipmets(charged)
3. Remember DR FALOPPE for hx
4. Remember that time given is 1hr 30 mins for each patient

Most of all, it is advisable to have a quick look back at your standard operationg procedures and GE forms as a refresher.

Good Luck

What are your thoughts?

Diploma in Optometry should also teach the students to to do sales talk.

Do You agree or disagree?

Hope you will post some comments

Jocelyn, Lilin, Sabrina and SiQi says hi to all!

Interesting article

Hi everyone,

so sorry to disappoint you, but I have no gossip for you today.

But I did come across an interesting article in the papers. Thought you guys will in be interested.

The article is on The Straits Times, Mind your Body, Wednesday/ June 25 2008 page 12 - 14.

Hopefully you can post some comments after reading the article.

Enjoy.

Lecturers in ACTION!

We went for OBS training during the the holidays. Have a look at us in action!

PTN gathering ---Lecturer's VS Students, Captain's ball

You can guess who won??!!!

Of the students lah!!!

Close match! Great fun!

PTN

Hey everyone,

thank you so much for your participation and for organising the PTN.

What are some of your comments for the event?

Please let us know so as to allow us to further improve in the future.

I hope you guys had fun.

I did!

For WeeSin

Hi WeeSin,

I owe you a spelling -- it is spelt penicilin.

And if you guys would like it, do come and run with me.

Good luck for your MST week.

WanFen

Answer

The answers are

Ah ha and Cao cao

Guidelines For General Examination

Hi guys, I think the general feedback(correct me if I am wrong) I get so far is that most of you are really very stress and tense in clinic for a few reasons:

Ret --- if not accurate -- minus marks.

Silt lamp -- if I miss something--minus marks

Ophthalmoscopy -- miss something or wrong estimation of C/D ratio -- minus marks

Overall --- minus here, minus there, alamak!!!! Sure to fail!

RELAX!

TIPS

Ret --

1. Correct working lens or working distance,
2. Correct fogging lens.
3. Always tell patient to relax! Explain to patient what you are doing
4. Continuous constriction and dilation of pupil size( esp young patients). May indicate fluctuatng accomodation
5. Inform patient to look at the distance target. If patient is looking at you it induces accomodation
6. When you think you have achieved end point. Move forward slightly, you should see a with movement

Silt Lamp--

1. Always have a system of check anterior health.
2. If patient does not have any symptoms or complaints,then no need to flip lids
3. Try not to over rely on the green stain. As this will help tain yourself to be more observant.

Eg. First check the lid and lashes, then continue to central cornea, then nasal and temporal bulbar conjuctiva, superior cornea, inferior cornea, so on so forth.

Ophthalmoscopy--

1. For an increase field of view, go very very close to your patient. It really helps
2. To have a better field of view for the superior retina you can ask patient to look up, for nsal retina ask paient to look towards the nose and so on so forth
3. C/D ratio, try to judge by the blood vessels instead of the colour.

All in all, just like everything, it comes with practice. It took me 3 - 4 years to get better and more confident in Ret and ophthalmoscopy. In fact everything.

Patience is a virtue! Don't expect yourself to be excellent in everything within 1 - 2 weeks. Afterall, Rome was not built in a day right?

Do let your clinicians know if you really don't feel comfortable in a particular technique.

Don't be afraid to ask or make mistakes. Because if you don't ask and make mistakes, how are you ever going to learn right?

Hope this helps.

To Amanda

Hi Amanda,

It is great to hear that you are learning new things in the clinic. Of course we try to make clinic enjoyable for everyone too. To ensure that you are learning and enjoying your clinic session is really our aim.

As mention, having a clinic module is really to help you practise the clinicial skills that you guys have picked up in 2nd year.

I am not here to defend anyone, and I am not sure how you define "personal attacks", but what I can say is, try to sieve out what you think is not constructive criticisms.

I do still urge you to speak up for yourself. If you really feel that you deserve a better grade or the technique you have done was taught to you in 2nd year, do speak up to defend yourself (of course do it in a polite way).

If you really feel that you have not been marked fairly, speak to the clinician(politely), or if you do not feel comfortable bringing it up then, do speak to your module co - ordinator.

I hope this helps.

To Amanda

Hi Amanda,

I used to have clinic phobia too. For a few reasons:

1. Afraid I might fail clinic
2. Afraid of doingthe wrong things and getting demerit points
3. Afraid of getting scolded my clinicians and patients
4. ETC

You might not believe me but, clinicians don't like to fail students. We also don't keep an eagle eye on each and everyone of you and every one of your move.

It is understandable that everyone wants to do well. However, try not to put too much emphasise on the marks column, rather try to think about suggestions that the clinicians give and try to work it in your next clinic session.

Hope this helps

Have a great week ahead.

Non Optometry related "Bo Liao" quiz.

Hi, since most of you guys prefer non optometry related quiz, I have 2.

Who is the fastest runner in the world?

Who sells "wang qing shui"?

Answer to be revealed this coming Friday.

Gift will be given to the first person who answers both questions correctly.

Bruckner Test

Target: Mainly on infants, kids. Very Gross test.

Use: To test for Strab, anisometropia, "white pupil"

The strabismic eye will have a bright reflex. (why?)

The eye with a higher rx will have a duller reflex.

THINK TANK

What are the differential diagnosis for white pupil?

HOW TO PERFORM THE TEST?

Testing distance: 1m

Room illumination: Dark

With an ophthalmoscope, view the red reflec concurrently.

To Xue TIng

Hey Look on the bright side. At least you are safe and no one was hurt. I volunteer to do a FREE Visual Field test for you.

Cheer up!

Reflection

What the Modern Woman Wants
By Amanda Chong Wei-Zhen

The old woman sat in the backseat of the magentaconvertible as it careened down the highway,
clutching tightly to the plastic bag on her lap, afraid it maybe kidnapped by the wind. She was
not used to suchspeed, with trembling hands she pulled the seatbelttighter but was careful not to touch the patentleather seats with her callused fingers, her daughterhad warned her not to dirty it, 'Fingerprints showvery clearly on white, Ma.'

Her daughter, Bee Choo, was driving and talking on hersleek silver mobile phone using big words the oldwoman could barely understand. 'Finance' 'Liquidation''Assets' 'Investments'... Her voice was crisp andimportant and had an unfamiliar lilt to it. Her BeeChoo sounded like one of those foreign girls ontelevision. She was speaking in an American accent.

The old lady clucked her tongue in disapproval.'I absolutely cannot have this. We have to sell!' Herdaughter exclaimed agitatedly as she stepped on the accelerator; herperfectly manicured fingernails gripping onto the steering wheel inirritation.'

I can't DEAL with this anymore!' she yelled as sheclicked the phone shut and hurled it angrily towardthe backseat.The mobile phone hit the old woman on the forehead andnestled soundlessly into her lap. She calmly picked itup and handed it to her daughter.

'Sorry, Ma,' she said, losing the American pretenceand switching to Mandarin. 'I have a big client inAmerica. There have been a lot of problems.'The old lady nodded knowingly. Her daughter was bigand important.Bee Choo stared at her mother from the rear viewwindow, wondering what she was thinking. Her mother'swrinkled countenance always carried the same crypticlook.The phone began to ring again, an artificiallycheerful digital tune, which broke the awkwardsilence.'Hello, Beatrice! Yes, this is Elaine.' Elaine. Theold woman cringed. I didn't name her Elaine. Sheremembered her daughter telling her, how an Englishname was very important for 'networking', Chinese onesbeing easily forgotten.

'Oh no, I can't see you for lunch today. I have to take the ancient relic to the temple for her weirddaily prayer ritual.'

Ancient Relic. The old woman understood perfectly itwas referring to her. Her daughter always assumed thather mother's silence meant she did not comprehend.

'Yes, I know! My car seats will be reeking of josssticks!'The old woman pursed her lips tightly, her handsgripping her plastic bag in defence.The car curved smoothly into the temple courtyard. Itlooked almost garish next to the dull sheen of the ageing temple's roof. The old woman got out of theback seat, and made her unhurried way to the mainhall.

Her daughter stepped out of the car in her businesssuit and stilettos and reapplied her lipstick as shemade her brisk way to her mother's side.

'Ma, I'll wait outside. I have an important phone callto make,' she said, not bothering to hide her disgustat the pungent fumes of incense.

The old lady hobbled into the temple hall and lit ajoss stick, she knelt down solemnly and whispered hernow familiar daily prayer to the Gods.

Thank you God of the Sky, you have given my daughterluck all these years. Everything I prayed for, you have given her. She has everything a young woman inthis world could possibly want. She has a big housewith a swimming pool, a maid to help her, as she is too clumsy to sew or cook.

Her love life has been blessed; she is engaged to arich and handsome angmoh man. Her company is now thetop financial firm and even men listen to what shesays. She lives the perfect life. You have given hereverything except happiness. I ask that the gods be merciful to her even if she has lost her roots while reaping the harvest of success.

What you see is not true, she is a filial daughter tome. She gives me a room in her big house and provide swell for me. She is rude to me only because I affecther happiness. A young woman does not want to behindered by her old mother. It is my fault.

The old lady prayed so hard that tears welled up inher eyes. Finally, with her head bowed in reverence she planted the half-burnt joss stick into an urn of smouldering ashes.

She bowed once more.The old woman had been praying for her daughter forthirty-two years. When her stomach was round like a melon, she came to the temple and prayed that it was ason.

Then the time was ripe and the baby slipped out of herwomb, bawling and adorable with fat thighs and pinkcheeks, but unmistakably, a girl. Her husband had kicked and punched her for producing a useless baby who could not work or carry the family name.

Still, the woman returned to the temple with hernew-born girl tied to her waist in a sarong and prayedthat her daughter would grow up and have everythingshe ever wanted. Her husband left her and she prayedthat her daughter would never have to depend on a man.

She prayed every day that her daughter would be agreat woman, the woman that she, meek and uneducated,could never become. A woman with nengkan; the abilityto do anything she set her mind to. A woman who commanded respect in the hearts of men. When she opened her mouth to speak, precious pearls would fall out and men would listen.

She will not be like me, the woman prayed as shewatched her daughter grow up and drift away from her,speaking a language she scarcely understood. Shewatched her daughter transform from a quiet girl, toone who openly defied her, calling her laotu;old-fashioned. She wanted her mother to be 'modern', aword so new there was no Chinese word for it.

Now her daughter was too clever for her and the oldwoman wondered why she had prayed like that. The gods had been faithful to her persistent prayer, but thewealth and success that poured forth so richly hadburied the girl's roots and now she stood, faceless,with no identity, bound to the soil of her ancestorsby only a string of origami banknotes.

Her daughter had forgotten her mother's values. Her wants were so ephemeral; that of a modern woman.Power, Wealth, access to the best fashion boutiques,and yet her daughter had not found true happiness. Theold woman knew that you could find happiness with muchless. When her daughter left the earth everything shehad would count for nothing. People would look to her legacy and say that she was a great woman, but she would be forgotten once the wind blows over, like theashes of burnt paper convertibles and mansions.

The old woman wished she could go back and erase allher big hopes and prayers for her daughter; now shehad only one want: That her daughter be happy. She looked out of the temple gate. She saw her daughters peaking on the phone, her brow furrowed with anger and worry. Being at the top is not good, the womanthought, there is only one way to go from there -down.

The old woman carefully unfolded the plastic bag andspread out a packet of beehoon in front of the altar.Her daughter often mocked her for worshippingporcelain Gods. How could she pray to them sofaithfully and expect pieces of ceramic to fly to her aid? But her daughter had her own gods too, idols of wealth, success and power that she was enslaved to and worshippedevery day of her life.

Every day was a quest for the idols, and the idols she worshippedcounted for nothing in eternity. All the wants her daughter had would slowly suck the life out of her and leave her, an empty soulless shellat the altar.The old lady watched her joss tick. The dull heat hadleft a teetering grey stem that was on the danger of collapsing. Modern woman nowadays, the old lady sighed inresignation, as she bowed to the east one final timeto end her ritual. Modern woman nowadays want so muchthat they lose their souls and wonder why they cannotfind it.

Her joss stick disintegrated into a soft grey powder.She met her daughter outside the temple, the same lookof worry and frustration was etched on her daughter'sface. An empty expression, as if she was ploughingthrough the soil of her wants looking for the onething that would sow the seeds of happiness.

They climbed into the convertible in silence and herdaughter drove along the highway, this time not asfast as she had done before.

'Ma,' Bee Choo finally said. 'I don't know how to putthis. Mark and I have been talking about it and weplan to move out of the big house. The property market is good now, and we managed to get a buyer willing topay seven million for it. We decided we'd prefer a cosier penthouse apartment instead. We found a perfectone in Orchard Road. Once we move in to our apartmentwe plan to get rid of the maid, so we can have morespace to ourselves...'

The old woman nodded knowingly.Bee Choo swallowed hard.
'We'd get someone to come into do the housework and we can eat out - but once themaid is gone, there won't be anyone to look after you.You will be awfully lonely at home and, besides that,the apartment is rather small. There won't be space.We thought about it for a long time, and we decidedthe best thing for you is if you moved to a Home.There's one near Hougang - it's a Christian home, a verynice one.'

The old woman did not raise an eyebrow. 'I've been there, the matron is willing to take you in. It's beautiful with gardens and lots of old people to keepyou company! I hardly have time for you, you'd be happier there.

''You'd be happier there, really.' Her daughter repeated as if to affirm herself. This time the old woman had no plastic bag of foodofferings to cling tightly to; she bit her lip andfastened her seat belt, as if it would protect herfrom a daughter who did not want her anymore. She sunkdeep into the leather seat, letting her shoulders sag,and her fingers trace the white seat.'Ma?' her daughter asked, searching the rear viewwindow for her mother. 'Is everything okay?'What had to be done, had to be done. 'Yes,' she said firmly, louder than she intended, 'if it will make youhappy,' she added more quietly.

'It's for you, Ma! You'll be happier there. You can move there tomorrow, I already got the maid to packyour things.' Elaine said triumphantly, mentallyticking yet another item off her agenda.

'I knew everything would be fine.'

Elaine smiled widely; she felt liberated. Perhaps getting rid of her mother would make her happier. Shehad thought about it. It seemed the only hindrance in her pursuit of happiness. She was happy now. She hadeverything a modern woman ever wanted; Money, Status, Career, Love,Power and now, Freedom, without hermother and her old-fashioned ways to weigh her down...

Yes, she was free. Her phone buzzed urgently, shepicked it up and read the message, still beaming fromear to ear. 'Stocks 10% increase!'

Yes, things were definitely beginning to look up forher...And while searching for the meaning of life in theluminance of her hand phone screen, the old woman inthe backseat became invisible, and she did not see the tears.

REMINDER

HI GUYS,

it has been a great 2 weeks for some and perhaps not so great 2 weeks for others.

OVERALL I feel that it has been a constructive 2 weeks in clinic.

Just a few gentle reminders:

1. History taking. Remember Dr Faloppe and the amount of time spent doing History
2. Recording. Please write the date, initial when you cross out something, becareful how you record orthophoria
3. Timing. You are given 1 hr 30mins but please leave clinicians at least 20 mins to check your findings
4. Ignore pesky clinicians lurking around the corners.

Most of all, try to enjoy clinic! It is not as stressful as you think it is!

The long awaited answer!!!

Hi XUE TING! THIS IS FOR YOU!! HAHA!

REFRESH: IF PX RX IS -400DS WHAT SHOULD THE GOGGLES RX BE?

1ST ANS: IF PATIENT WANTS CLEAR VISION ABOVE THE WATER...RX SHOULD STILL BE -4.00DS.

REASON: VERTEX DISTANCE SHOULD NOT DIFFER TOO MUCH UNLESS PATIENT HAS LIKE REALLY PROTRUDING GOGGLES

2ND ANS: IF PATIENT WANTS CLEAR VISION UNDER WATER (I WONDER WHY?? *EVIL SMILE*). THEN THE RX SHOULD BE AN ESTIMATED -2.75DS. YOU WILL THEN HAVE TO EXPLAIN TO PATIENT THAT VISION WILL BE SLIGHTY BLURRED WHEN HE IS ABOVE THE WATER.
-4.00x0.67=ESTIMATE -2.75DS (THINK OF THE RI OF WATER COMPARED TO AIR)

Interesting Website

Hey guys,this is a really cool and interesting website. You should def try it out!

You get to be optometrist with the pesky clinicians(US!) lurking behind your back!


http://www.academy.org.uk/tutorials/

Bruckner Test

Hey guys,

it has been way too long. Anyways, on Xue Ting's request, I will reveal the google answer soon. But I prefer to see more answers first!!

Anyways,

When do we use Bruckner Test? How do we do it? What are some of the differential diagnosis for the results?

A day clinic

I always enjoy my days in clinic as I get the opportunity to improve on my clinical skills as well as build up on my rapoort building skills wilth patients and friends.

However, yesterday was a particular day which really thrilled me. For a few reasons. I had a good laugh( as usual) with you guys, and most of all the things you guys do always seem to really amuse me and I must say SURPRISE me too!

But just a few things to highlight:

1. Please write presciption on an official prescription booklet
2. Please keep table top clean and tidy

Answers for management

Risk factors--- Age, family history, cigar, UV, etc

Symptoms --- " My cigar looks wavy", " The door frame looks wavy", "I can't make out my friend's face" , " My grandchild's face looks blurry", etc

Signs--- Drusens, Pigment changes, Scarring, Neovas, possible RPE detachment, Haemorrhage.

Examination--- Amseler chart, ophthalmocopy, fundus camera

Management--- Give px Amsler chart, routine check, refer to ophthalmologist

VOLUNTEERS (2nd years students) FOR WORLD GLAUCOMA DAY

BIG THANKS TO THE 2nd YEAR STUDENTS WHO CAME TO HELP!

WORLD GLAUCOMA DAY

PACKING UP AND YUMMY FOOD!

WORLD GLAUCOMA DAY

BIG THANK YOU TO EVERYONE WHO CAME AND HELPED OUT.

ALL OF US HAD GREAT FUN!

THANK YOU DR TANG FOR THE YUMMY PIZZA!

QUIZ TIME!

Hello Folks!

You guys prefer a number quiz?

Here goes...

Px with a -4.00DS OU spectacle rx.

What willbe the rx of the patient if they want to make a pair of swimming goggles?

What are the things you need to consider?

The prize awaits you. hahaha

HINT: You require a formula for the calculation.

THUMBS UP!!!

GREAT JOB YOU GUYS! IF YOU RECOGNISE YOURSELF IN THE PICTURE, PLEASE COME AND TAKE A CHOCOLATE FROM ME!

KEEP UP THE EXCELLENT WORK!

You can run but you can't hide

MUHAHAHAHA,

A great first day as a paparazzi!

Guys, please do something about the above.

We don't wish to let you see the ugly side of us.

TRUST ME. IT IS NOT GOING TO BE A PRETTY SIGHT.

IMPORTANT NOTICE

For those who has been serving their ITP at private practices for the past 4 weeks, all of you are due to report back at Singapore Poly at 830am sharp on the 10th March.

You are required to bring along:

• Your coat

• covered shoes

• formal wear

• neat hair

• All your equipment ( Ret, ophthalmoscope, PD rule, cross cyl, pen torch, pencil case, budgie stick, etc)

Please ensure all equipments are charged or with new batteries.

PAPARAZZI AT WORK!!!!

Hi guys,

Just to let you know, THE CAMERA IS IN THE HOUSE.

SO MAKE SURE YOU

• STRIKE A CHARMING POSE

• HAVE A MULTI MILLION SMILE

• MAKE SURE YOU HAVE NOTHING BETWEEN YOUR TEETH( "so unglam" Miss Lek says)

• DOING NOTHING NAUGHTY

ANSWER FOR THE CAT QUIZ

GREETINGS SMARTY PANTS!

I am estactic to announce that NO ONE has answered the CAT QUIZ correctly.

THe answer is 10990. The closest contender was X ting! hahaha TOO BAD.

TO add on to the stakes of the professionalism prize, I have decided to up the reward to a treat at JUMBO and McDonalds.

So TYPE AWAY! Do comment on what you think is professionalism in CLINIC. Great Prize if I may say so myself!

Professionalism in the Clinic

Hi guys,

What is professionalism to you?

How do you potray that in the clinic?

I hope to see some comments this time.

The impression I have is that you guys participate actively when a reward is given.

This time the best reward will be given a treat to jumbo.

I will also be snapping pictures of you guys in clinic and posting it on the blog. Don't blame me if I snap you doing something unsightly (eg: Sitting with legs wide open... WA FREE SHOW LEH), doing something improper (eg: SLEEPING IN CLINIC, or using your mobile) and don't blame me if I snap you doing something unglam or uncool!

YOU HAVE BEEN WARNED!

TOO BAD YOU HAVE A PAPARAZZI FOR A LECTURER!

ANSWER FOR FUNDUS PHOTO

Hi guys,

As stated before, I would post the answer today.

Well as you smarty pants have guessed, this is a fundus of a ARMD patient.

I hope you guys will check out kanski or Google it to find out what are the symptoms and signs of ARMD and management.

I will post the answers again later today.

QUIZ TIME

There is a bus with 7 girls .

Each girl has 7 bags .

In each bag, there are 7 big cats

Each big cat has 7 little cats.Each cat has 4 legs .

Question: How many legs are present in the bus?

Prize: Treat from me at McDonalds. (DATELINE: BY 5th MARCH 2008 11:59pm)

Last task for your ITP from me! (Shimin, Huimin,QingHui)

Hi guys,

great job on your ITP so far.

Anyways, here is your last task from me before you have your ITP outside SP.

I hope you guys enjoyed yourself so far.

Here is the last task.

Write an essay( no more than 250 words) on your reflections of your ITP experience in Clinic.

You can touch abit on

• how you feel about the orientation week, was it useful?
• about the rules, too strict?
• about working with your partner,
• whether you feel that this ITP has helped you at all.
• Whether a not you have achieved or learnt something from this ITP experience
• One thing you really love about clinic ITP and 1 thing you hate you clinic ITP

This will be confidential. Please be as truthful as possible.

Cheerios

Great Job Team Ophthalmoscope

Hi Team Ophthalmoscope,

thanks for the consent form. I will go through it with you guys on the 10th of March. I have to say, great job done! Anyways, I hope you are doing fine with the research so far. Please Please let me know if you are running into any trouble.

What is this?

Hello everone! Hope you guys had a great weekend.

Anyways, can anyone identify what is happening to the retina?

I hope to see some comments!

Well def see post the answer on Wednesday.

So Stay tuned!

FYP for TEAM OPHTHALMOSCOPE

Hi guys,

I hope you are coping well with ITP. Along with the task I have given you previously, can you guys also try to search for as many articles as you can regarding the topic we will be working on for the coming months.

Reason: Once you start reading the articles you will have a better understanding on the equipment you will be using as well as the objective of the project.

Please let me know if you are having any difficulties in collecting the information, journals, etc. Please post some comments so that I know you guys are reading the post.

I would like to meet you guys on the 10th March to check on the progress of "information" collection and to see if we are heading on the right track.

Vertical Cup to disc ratio: Agreement between direct ophthalmoscope, panoptic ophthalmoscope and fundus photo

Just in case you forgot what your FYP project is all about

Vertical and horizontal Cup to disc ratio: Agreement between direct ophthalmoscope, panoptic ophthalmoscope and fundus photo

Aim

Compare accuracy of estimation of vertical and horizontal cup to disc ratio obtained with direct ophthalmoscope, pan optic ophthalmoscope and fundus photo

Clinical Importance

Improvement in judgements of vertical and horizontal cup to disc ratio which is important in the management of patients with glaucoma or who are glaucoma suspects

Thanks guys

Task For Shi Min, Qing Hui and Hui Min

Hi guys,

thanks for the swift completion of your task every week.

Anyways, have a look at the pictures above.

The patient above came in for a general eye examination with no complains.

Name: Jacky Tan Age 6o years old

V/A in both eyes were 6/6

PERRLA results were normal

Silt Lamp: As shown above in both eyes

Ophthalmoscopy: Nothing significant found

List the differential dignosis for each picture and name your most possible diagnosis.

What are your management plans.

Vogt Limble Girdle

White Limbal Girdle of Vogt
Very common, bilateral, age-related condition.
Corneal degeneration.
Clinical features:
Symptoms: asymptomatic and requires no therapy.
Signs:
Crescenteric, white opacities of the peripheral cornea in the interpalpebral zone along the nasal and temporal limbus
May be separated from the limbus by a clear zone or without a clear zone in between

Taken from: http://dro.hs.columbia.edu/vogtlimbal.htm

Review on clinic on the 23 Feb 08 for Fenni and Michelle

1st Patient

Very friendly and chatty man

A patient everyone will like since he has no complains.

Great team work guys!

Near add

• Be careful when prescribing near adds. Look at his age and start the estimation from there.
• Age between 50 - 60 years old estimation of add is between + 2.50 DS- +3.00DS

Silt lamp

• Lens yellowing also term nuclear sclerosis
• Vogt Limbal girdle is just a age related changes. Not sight threatening
• Missed out Arcus

Great job on Ophthalmoscopy and patient rapport.

Can improve on timing

Patient 2

Very sweet old lady

How we start each examination is dependent on patient complaints and also the previous history of patient. Hence it is important to read patient's previous history.

Great job on writing referral letter.

Subjective refraction

• In cases whereby patient is not very sensitive, do not be afraid to use big steps such as +/-1.00DS. It will make your life much easier

Silt Lamp

• It is very IMPORTANT to label what you draw and where you see the defect. Be it on the iris or lens or cornea. Do not ASSUME the next examiner will understand your work of art.

Ophthalmoscopy

• Missed out on pigment changes at the macular region

Management

• Please remember to address all complaints

Task

Please comment on how you will grade yourself on each patient and why.

I will add another short post on vogt limbal girdle and athritis so as to keep you updated on such terms. Please keep a look out for the post as it will benefit you in 3rd year

Please also state one area in which you are not too comfortable with. So as to allow us to better help you.

Review on clinic on the 23 Feb 08 for Amanda and ShiMin

1st patient

Great refraction and history taken.

Near Add

• Important to ask patient what her occupation is and if she requires near add for it. For this particular patient she complained of having problems with reading the newspaper and sewing but no problems at work. Remember to prompt patient or else they will NEVER tell you

Silt lamp

• Missed out on arcus and mild staining
• Could also make an addtional comment regarding her loose lids
• Crystalline lens: Nuclear Sclerosis in both eye instead of cloudiness of lens

Ophthalmoscope

• Missed out on drusen and pigmentary changes at the macula region
• Good estimation of C/D ratio

Management

• Did you teach patient how to do lid scrubbing and warm compresses?
• Can improve on hand writing.
• Important to give summary of the test done and link the results back to her daily routine.
• EG: Patient has poor unaided distant V/A. Important to remind her to wear her glasses when she goes out or advise on a new pair of glasses. If you do not do that and she falls YOU WILL BE HELD RESPONSIBLE.

2nd Patient

Great timing on the 2nd patient

Late 50s man

Similar points as before.To relate what you have done to patient's daily routine.

EG: Patient's distance V/A does not meet driving requirements

Flashes of light important to tell patient's the symptoms of retinal detachment just in case.

Other than that, great job overall.

TASK

Please comment on how much you will grade yourself for each patient and why.

Please note down the areas on where you think you are not so comfortable with eg: refraction or taking a fundus camera etc to enable us to better help you and prepare you for your coming 3rd year.

Message to Michelle,Fenni,Amanda,ShiMin,Sze Yee, Yun Chong, Jacob, AC, Ruo Han

Hi guys,

You guys did great today.You deserve a big pat on the back of your back. Keep up the good work and don't be dishearted. You are on the right path!

I really have to comment on your GREAT LEARNING ATTITUDE! Really proud of you guys!

FYP for Joycelyn, Lilin, Sabrina

Hi guys,

I hope you ITP is going well.

Anyways, I hope you guys have read the email I sent few days ago.

For a start, I would require you guys to do some background reading:

1. Advantages and Disadvantages of Pan Optic Ophthalmoscope
2. Advantages and Disadvantages of Direct Ophthalmoscope
3. Advantages and Disadvantages of Fundus Camera

You can get the information from textbooks, internet and journals. Please remember to note down where you get the information from as that will form part of your references at the end of your write up. Very much preferred that you get as much information as possible from journals. Do let me know if you have any difficulties.

PS: The above is just a guideline, if you find anything interesting regarding the equipements above do include as well. Objective for the background reading is to aid you in writing your introduction and have some prior knowledge before you start your project.

I will also require you guys to do up a draft of consent form for your patients. (Hint: Read the document I sent you, that will roughly give you a guide on what to include in your consent form)

Please complete draft of consent form by 29th Feb 2008.

Please complete reading by the 10th March 2008.

Task For Shi Min, Qing Hui and Hui Min

Hi guys, this will be your task for this week. I assume that you guys have no problems with the 1st task that I have given you?

Task 2

Name May Tan Age 23 years old Wears Monthly Contact lenses Rx -1.00Ds both eyes

Hours of Lens wear: 14/24, 7/7 Uses Opti Free lenses but does not rub lenses

Age of current lenses 1 month and 3 days

Complains: Itchy eyes, Eye looks abit red. Can't wear lenses as long as before. Vision not as clear

V/A: 6/7.5 both eyes

Silt lamp

As above

What are your differential diagnosis?

What are your management plans?


Do let me know if you have any queries. You have my number.

Enjoy the task.

When was the last time you visited your Optometrist?

Something for you guys to sit back and relax after a long day of clinic.

You deserve it!

Too Short a Lunch Break?

Hello Everyone,

I hope the 2nd day of clinic has been a better day for you guys.

Just need some feedback from you guys on a few things

1. Is the Lunch break too short?
2. What is one thing about clinic you find most challenging?

Guys please do post comments so as to allow us to make necessary ( if possible) changes for a more enjoyable clinic in the future.

IMPORTANT

Hey guys,

as I was saying, please do feel free to pen down your thoughts and experiences. However, please be responsible of the comments you post.

A few guidelines

1. No Vulgarities
2. No sharing of patient details
3. No cursing or swearing of patients or clinicians or fellow classmates

Rule of thumb:

Ensure that whatever you post is not going to hurt anyone directly or indirectly and that it is not against the law.

Thanks

YourFriendlyLecturer

Coloured eyes?

Please do not do this to your patients.... I don't think your patients will appreciate it.

Poly 50

Greetings!

Although Poly 50 is still some time away, please train for poly50. Continue the tradition! Thats a picture of my classmates and I during our Poly days! I'm proud to say that during my 3 years in Poly, we have participated every year in the poly 50.

We have spied that Ruth and company does secret trainings every week. Hmm....

Hi guys, this is my artist impression of our friendly and cool west coast dudes!

Some quickies on directions

Take a train to Clementi MRT station

Take either bus number 189 or 175 from the bus stop opposite Mcdonalds.

After 2 stops, alight the bus

We are located in West Coast community centre #02-01

Still unsure if directions? Please call hotline number 67769058

Welcome

Hello everyone! This is crazy clinic's first entry. This blog is for everyone to share your clinic experiences with everyone. Be it good or bad. Of course if you have any interesting, bad good experience, feel free to share it. There is no right or wrong here!

If you have any interesting information that you think will benefit everyone, do post it as well.

Questions are more than welcome. Anyone is free to answer to the questions!

I will also try to post pictures of you guys in clinic. So watch out for the snapping camera. Make sure you are looking your best. You never know when I will be around to snap you! hahaha