Johannes Plenio
I have been jobless for 5 months now.
I have remained stagnant in my career path ever since I last graduated from medical school.
Sure, I have been occupied with other aspects of life, trying to be a better Christian, better wife, better daughter etc.
What I have done so far:
Just to jog my memory a bit since I did do some reading just now on Rheumatoid arthritis.
Some interesting points to remember:
It usually involves small joints, in a symmetrical way, and it is a inflammatory polyarthritis.
Morning stiffness is characteristic of this disease, along with other classical digit deformities, such as Swan-neck deformity, Boutonniere deformity, spindling of fingers, ulnar deviation of MCP joint, Z deformity, boxing glove appearance etc.
Do not forget to look for extraarticular signs like pericarditis, pericardial/pleural effusion, scleritis, episcleritis, keratoconjunctivitis sicca...just to name a few.
Commonly prescribed drugs include -
Mnemonic- MEDICALS R Gold
M-Methotrexate
E-Etanercept
D-D-Penicillamine
I-Infliximab
C-Chloroquine
A-Anakinra, Abatacept
L-Leflunomide
R-Rituximab
Gold-oral=auranofin
-parenteral=aurothioglucose, aurothiomalate
These 2 groups are given mainly for their antiinflammatory properties as they do not halt the progress of the disease.
I still remember a female patient I was fortunate to tend to, she was merely in her early 20s yet inflicted with RA. This observation trumped my misconception that this was a disease of the old age.
This skinny girl had digits which were entwined with each other, digits here being both fingers and toes.
It took me a while to take notice of her hands and feet. She always hid under her blanket, not sure because of the chilly weather, or if she felt embarassed due to her condition.
She was very cooperative, answering my questions although she was in pain most of the time.
Thanks to her, the findings have been etched in my mind.
I wish I could offer words of comfort properly, but I never did master the Marathi dialect.
Anyway, I will try to make the best of my free time (:
I have been jobless for 5 months now.
I have remained stagnant in my career path ever since I last graduated from medical school.
Sure, I have been occupied with other aspects of life, trying to be a better Christian, better wife, better daughter etc.
What I have done so far:
- Traveled to the USA, longest flight thus far.
- Experienced having my flight cancelled.
- Visited NYC, watched the longest showing Broadway show-Phantom of The Opera in FRONT MEZZANINE SEATS!
- Visited 2 church members I have not seen for a while.
- Experienced and witnessed snowstorms.
- Went to my first Disneyland in Florida!
- Chewed on leaves given by my airbnb host who so happened to be a herbalist to soothe my throat.
- Visited Washington DC, Philadelphia and Hershey.
- Had a great time in Hershey Park alone :p
- Read 13 books.
- Finished watching A Korean Odyssey.
- Planned and had our wedding dinner! The planning was torturous, my sincere advice to all brides-to-be out there, it is impossible to please everyone, so just focus on what you want and what circumstance permits.
- Got hooked to The Sims 4 and forced myself into deaddiction.
- Prepare lunch for myself almost everyday.
- Started keeping succulents.
- Picked up brush pen lettering as a hobby ( you can find my works on Instagram @pandapens)
- Attended a calligraphy workshop. Never know art could be that exhausting and required that much focus!
- Managed to attend the 3-day Annual Spiritual Nurture cum Evangelical Meeting which I have missed every year before that due to studies.
- Studied a bit, here and there.
- Drove friends and family around on many occasions to better my driving skill.
- Restarted this blog.
Right now, I cannot wait to work.
I know I will probably regret saying this once I start but that is how I feel right now, in this moment.
Had a long talk with my parents about getting a temporary job while waiting for my placement, but I am not willing to commit to anything since I do have some events to attend and I do not feel like giving up my freedom so soon >.<
Dilemma, dilemma.
Just to jog my memory a bit since I did do some reading just now on Rheumatoid arthritis.
Some interesting points to remember:
It usually involves small joints, in a symmetrical way, and it is a inflammatory polyarthritis.
Morning stiffness is characteristic of this disease, along with other classical digit deformities, such as Swan-neck deformity, Boutonniere deformity, spindling of fingers, ulnar deviation of MCP joint, Z deformity, boxing glove appearance etc.
Do not forget to look for extraarticular signs like pericarditis, pericardial/pleural effusion, scleritis, episcleritis, keratoconjunctivitis sicca...just to name a few.
Commonly prescribed drugs include -
- DMARDs ( Disease Modifying Antirheumatic Drugs)
Mnemonic- MEDICALS R Gold
M-Methotrexate
E-Etanercept
D-D-Penicillamine
I-Infliximab
C-Chloroquine
A-Anakinra, Abatacept
L-Leflunomide
R-Rituximab
Gold-oral=auranofin
-parenteral=aurothioglucose, aurothiomalate
- NSAIDS
- Steroids
These 2 groups are given mainly for their antiinflammatory properties as they do not halt the progress of the disease.
I still remember a female patient I was fortunate to tend to, she was merely in her early 20s yet inflicted with RA. This observation trumped my misconception that this was a disease of the old age.
This skinny girl had digits which were entwined with each other, digits here being both fingers and toes.
It took me a while to take notice of her hands and feet. She always hid under her blanket, not sure because of the chilly weather, or if she felt embarassed due to her condition.
She was very cooperative, answering my questions although she was in pain most of the time.
Thanks to her, the findings have been etched in my mind.
I wish I could offer words of comfort properly, but I never did master the Marathi dialect.
Anyway, I will try to make the best of my free time (:

