Is my baby normal ?

Did a 18-22weeks scan on a pregnant lady yesterday.
The moment I put the transducer on her tummy, (in less than 10 seconds),
"Is my baby normal ? "she asked.
(OMG, it was just lesss than 10 seconds, what do u expect me to say? NORMAL? ABNORMAL?)
However, I politely said, "I just started, I cant tell yet." then continue taking a general quick look at the baby, and start taking pictures.

In 18-22 weeks scan, we need to take lot's of pictures, it's a structural scan of the fetus to detect any major abnormalities that might end up needing special care during delivery.
Then, in less than 10 seconds again, she couldnt control herself and popped out the same question again.

(Wow, are u going to repeat this question again and again every 10second throughout this 45 minutes scan?) (I could hear her husband standing at my back taking deep breath in quite a few times, I guess he couldnt stand her also.. LOL)

Then, I answered, "I need to concentrate for the scan now, and will explain to u part by part what we looking at, and in this scan we can just see the stuctures normal or not, and not the function. And sometimes, some minor defect we might still miss, some abnormalities will develope only in later stage of pregnancy, bla bla bla..... " I know, for this kind of patient, they "long wind", u have to be more "long wind" than them. Make it clear, or they will come back and blame u later.

"So now we are looking at XXXX, looks normal ... bla bla bla"
Then she asked about the gender of the baby, looks like a girl. (never say 100% though =P)
She's so kancheong about the gender and telling me about there's a bet going on between their family and friends, some said boy some said girl.
(I think she's the kind of australian that like to bet on everything ie: world cup, AFL, melbourne cup, ... ,, and she said yes. LOL )

At the end of the scan, i found out that the fetus feet looks a bit funny in shape, and told her I'm not quite happy with the feet shape... will get radiologist or colleague to double check. I thought she would be a bit pushy and asking lot's of question, but no ... what she concern about is "can u double check the gender again?" .I showed her again and it's still a girl. Then she ask again, "can u do a 3D on the gender and have a good look? " (I was thinking, OhNO, now what i'm worrying is ur baby girl's feet, and u worry about the gender bacause of the bet!! ) (i refused doing a 3D on that, ofcoz gave some reasonable excuse politely also lah. hahaha...)

Then, radiologist came in and had a look at BB's feet.. bla bla bla... explain to them. And I still dun feel the mom worrying about it, but asked radiologist to triple check the BB's gender!
I nearly fainted... Doink ~~

What I suspect was Rocker Bottom feet, but the radiologist seems not so convinced, and said should be OK. Just follow-up again and we'll see.... hopefully the radiologist is right for the benefit of the BB girl.

Sometimes in our job , it's just frustrated, u found smtg wrong in patient, u are very happy u found it (because all these while u just read about it in textbook, and now u really found it by urself, ofcoz u're very excited ). But at the same time, I'll stand on patient's feet and think, oh no, I've got this and this disease/tumour. I feel bad for them at the sametime.
But that's why they are in my room for, so that we could help them in diagnosis, find out what's wrong and treat it for better life quality.

OK, I need to go back to my books... exam coming... in 20days ! Opps.....

Pingu

The BodyClock, How amazing !

Watched a documentary this evening at SBS.

The Secret Life of your Bodyclock.

(found this in youtube of the same documentary i watched)

Very interesting !

Know more about your body!

Know more about how fantastic the tiny cells in your body ticking like a clock!

All organs in your body: liver, kidney, heart, lung, all u can name it has their own unique clock.

Blew me away! Really coOL.....

The sypnosis:

From the moment we are born to the last breath we take, our lives are governed by a series of clocks.

Ticking away inside our bodies, every one of our major organs has its own individual timepiece. Beating out their daily, seasonal and annual rhythms over the course of our lives, these clocks dictate every aspect of our physiology and behaviour – from when our brains are most alert, to when our stomachs are ready to break down food and when our bodies want to sleep.

Find out why there are more heart attacks between 8am and 10am, why most olympic records are broken in the late afternoon and why drinking between 6pm and 8pm is better than drinking at any other time of the day. Happy hour really is the time when our livers become more efficient at detoxifying alcohol. So if you want more sleep, want to exercise more effectively or want to improve your diet, pay close attention to this programme and find out that living to your full potential is not just about what you are doing, but when you are doing it.


So, after knowing this secret, u can choose to listen to your bodyclock, or suffer the consequences. Up to you.

Good night !

Pingu sharing

i can see u (2)

Just a case to keep for my own record. Not very often we can see this...

40y old lady,

-right upper abdominal pain since few days ago.

-radiating to the chest.

-suspect heart attack, ECG done -Normal.

-come in for abdominal ultrasound.

- ? gallstones

Started with pancreas. Common Bile Duct at pancreatic head appears dilated !

Continue scanning, liver seems normal.

Gallbladder no stone. Gallbladder wall thickened!

Look carefully for any stone at GB neck. No stone.

CBD dilated : 1.5cm-1.1cm-0.7cm! (must be something wrong)

Follow distally: YEAH!! i found u !

Diagnosis: A stone seen in dilated CBD. Choledocholithiasis

[Hey u little 5mm stone (Trying to hide under bowel gas shadow somemore?) causing so much pain ha ? naughty! Lucky I found u ...]

Happy: 1st time seeing stone in CBD, a good experience! YEAH! I can see u ! well done !

Proud Pingu =)

Good Morning, Sunday！

昨晚与朋友看球赛， Germany-Argentina 4-0 收场， Germany 强啊！

今早睡觉睡到自然醒,幸福!
10点：再赖一下床。。玩Rubiks方块魔砖，解不到，放弃。
上网找下Masterchef 的pancake recipe...开始做pancake早餐。
站在厨房里边煎Pancake，边吃（因为要趁热吃），当然要配杯香浓咖啡。美味！


煎完整碗Pancake料，也吃剩两片可以坐下吃。可见，吃的速度还快过煎。
一个早上就这样过去了。。。
吃的饱饱，满心欢喜。


最近迷上网上小游戏，机智的，易懂易玩，要动脑筋！
就是这个啦：BLOKUS


其目的是要把你所有的方片放进棋盘里，有本领放完的，为赢家，
同时也要占领方块/地盘，让对手没棋可放。嘻嘻。。。
动动脑筋！蛮好玩的！闲着没事做的话，可以去玩玩！


好了，该做些正经事了。 ^__^
Have a nice weekend !


(某天在海边吃早餐时拍的。。。)



Pingu

3D扫描

多可爱沉睡的宝宝。。。。

全部来做BB超音波扫描的，我们都会试着做些3D扫描看是否可拍得宝宝珍贵的第一张照片，以让父母收藏在宝宝的第一本像簿里。 通常我们都会提议在28-32星期时拍，因为宝宝会更“有肉”，看起来胖胖蛮可爱的！当然也不是每一次都成功拍到美美的照片， 因为如果宝宝不合作，不看镜头，玩躲兵兵，也没办法的。

当然每次如果拍到可爱的照片，在扫描房里的每一个人包括扫描师都会很高兴，是非常难得的喜悦，Amazing ！！ 我想这是我一天工作里最快乐的一刻。自己也会很有满足感的会心一笑。然后再把照片show给其他同事看，分享喜悦，没有人会不喜欢看这些照片的。。结果，我们就像幼稚园“贴堂”般，把佳作贴在工作板上。越贴越多。。百看不厌。。。

分享一下：

有嘴嘟嘟的，有No Deal手势的，有微笑的，有两手遮脸的，有吸拇指的，有打额头说Duh ?!的，

我超喜欢吸拇指和小宝宝可以看到全身加脐带那两张。。 =）

以上照片都是一班很有成就感的“腹里宝宝”摄影师们的佳作。（翻印必究的哦，哈哈！）

Pingu the special photographer!