Marfan syndrome
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Originally posted by mentallyimpaired:
Go back to your psychiatric ward, whether you work there or you are a patient there... don't come and waste my time with your supposedly advance knowledge in medicine. You may be a fellow colleague of mine, and if you do, you'd probably have heard of what colleague professionalism means... and you wouldn't have post here... so... I guess you are not...
At 23 y.o. (DOB 1982), and without NS liabilities (presumably M'sian from his bio), Renorenal should be a medical officer, or a medical student, who is indeed very enthusiastic about his new found textual knowledge.
Just being Kay-poh: Are you doing some part 1 exams, or are you in your pre-clinical years? No medical student can remember that much anatomy or physiology by the time he does his Final MBBS. Ask your consultants about Marfan syndrome, Shprintzen-Goldberg syndrome or Stickler syndrome, specifically pathophysiology. With the exception of Medical Pathologists or Medical Geneticists, most would give you a blank stare and a tight slap on your butts (with compliments, of course).
Nevertheless, I applaud your obsession with medical jargon. Study hard! Cheers.
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Originally posted by mentallyimpaired:
If you query the right consultant, you wouldn't have a problem getting the answer... I suppose you confuse between a Rheumatologist for an Orthopedist consultant, and that's why you can come up with the above...
At 23 y.o. (DOB 1982), and without NS liabilities (presumably M'sian from his bio), Renorenal should be a medical officer, or a medical student, who is indeed very enthusiastic about his new found textual knowledge.
Just being Kay-poh: Are you doing some part 1 exams, or are you in your pre-clinical years? No medical student can remember that much anatomy or physiology by the time he does his Final MBBS. Ask your consultants about Marfan syndrome, Shprintzen-Goldberg syndrome or Stickler syndrome, specifically pathophysiology. With the exception of Medical Pathologists or Medical Geneticists, most would give you a blank stare and a tight slap on your butts (with compliments, of course).
Nevertheless, I applaud your obsession with medical jargon. Study hard! Cheers. -
I can't wait for his / her reply... reallyOriginally posted by ndmmxiaomayi:You remind me of my questions that I want to ask, but always forget. He is very knowledgable, at least in this field.
And I guess you are another doctor or medical student. Never hear all these words before (Shprintzen-Goldberg Syndrome, Stickler Syndrome). Any persons out there don't know this. -
Ignore them la.Tall poppy syndrome always comes to mind.Originally posted by renorenal:I can't wait for his / her reply... really 
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Never mind man... hahaha... at least some training I can get to boost up my sarcastic marks for later... one more hour to doomOriginally posted by LazerLordz:Ignore them la.Tall poppy syndrome always comes to mind. -
You should have watched " Who's Line Is It Anyway"..those fellows are damn witty.Originally posted by renorenal:Never mind man... hahaha... at least some training I can get to boost up my sarcastic marks for later... one more hour to doom -
Yeah... I watched it before... very spontaneous... I'm gonna go as Dr House tonight...Originally posted by LazerLordz:You should have watched " Who's Line Is It Anyway"..those fellows are damn witty. 
that guy is my idol man... 
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BP is normal, sorry didn't see this question earlier... it's just that the blood vessel which has lack its elasticity and muscular support, would not be able to withstand the insult caused by the normal pressure flow... hence it should be kept in check (the BP) with multiple follow ups... as for the treatment in question for the BP and guidelines, I can't really comment much on that.Originally posted by whereismyrib:Oh ya, people who got Marfan Syndrome will have high or low blood pressure? -
Some other problems of Marfan Syndrome (skeletal symptoms)
This picture shows the abnormal curvature of the spine caused by the disease...
While this picture:-
Shows how lax your joint can be without the strong support of the matrix
This shows:-
The general appearance of the patient, with increased width of the arm length and a tall stature... the lower picture shows how lax your thumb can bend... -
Pictorial representation of high arched palateOriginally posted by whereismyrib:You have mentioned several conditions to qualify for having Marfan Syndrome. If one posses not all but just a few, does it qualify to be having Marfan Syndrome?
Also what does arched palate mean?
From mild to severe, note that the roof of the mouth, the area behind the teeth, notice that the area becomes less and less angled and hence more and more arched upwards... -
You know what ... ... it is ‘ORTHOPAEDIC SURGEON’. Tell any S’pore, M’sia, British or US citizen to visit any local hospital, and there’re no ORTHOPEDISTS. Ahem … it’s ORTHOPAEDIC SURGEON. I know “orthopedist” is found in Merriam Webster, but that’s not how we call fellows who deal with bones and ligaments. Just in case you might get confused, go to CGH, and there’s a budding new branch called “Sports Medicine”.Originally posted by renorenal:If you query the right consultant, you wouldn't have a problem getting the answer... I suppose you confuse between a Rheumatologist for an Orthopedist consultant, and that's why you can come up with the above...
Hey, med student, I have no time to write 10 replies for each one written by YOU. But I appreciate the attention you had given me.
Did I strike a raw nerve here? Your pride seems to be sore. If you want to progress far in the medical line -provided youÂ’re not a phony bomoh or pre-clinical student trying to get someoneÂ’s attention - practice some humility.
BTW, all your information can be accessed via online medical resources. Your medical jargon doesnÂ’t impress me.
Oh ya, what is your area of specialty? If you so desire, I can quiz you with some REAL LIFE, practical OSCE. You know what is OSCE, doctor? Of course you do, so tell me your specialty. -
If Patient A is 30 years old, sexually active, have co-existing gout, and second degree block, what anti-hypertensives would you recommend, my dear friend?Originally posted by renorenal:BP is normal, sorry didn't see this question earlier... it's just that the blood vessel which has lack its elasticity and muscular support, would not be able to withstand the insult caused by the normal pressure flow... hence it should be kept in check (the BP) with multiple follow ups... as for the treatment in question for the BP and guidelines, I can't really comment much on that.
IÂ’m sure you know the guidelines well, donÂ’t you? -
Practice some humility? Oh well, look who's talking... you are the one who came in and identify me as a med student without any evidence, and you have the nerve to tell me to practice some humility?Originally posted by mentallyimpaired:You know what ... ... it is ‘ORTHOPAEDIC SURGEON’. Tell any S’pore, M’sia, British or US citizen to visit any local hospital, and there’re no ORTHOPEDISTS. Ahem … it’s ORTHOPAEDIC SURGEON. I know “orthopedist” is found in Merriam Webster, but that’s not how we call fellows who deal with bones and ligaments. Just in case you might get confused, go to CGH, and there’s a budding new branch called “Sports Medicine”.
Hey, med student, I have no time to write 10 replies for each one written by YOU. But I appreciate the attention you had given me.
Did I strike a raw nerve here? Your pride seems to be sore. If you want to progress far in the medical line -provided youÂ’re not a phony bomoh or pre-clinical student trying to get someoneÂ’s attention - practice some humility.
BTW, all your information can be accessed via online medical resources. Your medical jargon doesnÂ’t impress me.
Oh ya, what is your area of specialty? If you so desire, I can quiz you with some REAL LIFE, practical OSCE. You know what is OSCE, doctor? Of course you do, so tell me your specialty.
You may be a colleague for all I know, and is this how you treat another fellow colleague? -
I'm sure you know what is medical ethics and colleague professionalism well don't you? This is not a forum to contest whether who can be a better physician or a surgeon...Originally posted by mentallyimpaired:If Patient A is 30 years old, sexually active, have co-existing gout, and second degree block, what anti-hypertensives would you recommend, my dear friend?
IÂ’m sure you know the guidelines well, donÂ’t you?
As a better man, I'd let you have the first say and let you win, after all, that's how humility works... -
Let me point out clear to you that I am a human as well, everyone has their own pride, but I don't have to subject my pride under your control because for all I know, I did mention out clearly that I am only a house officer working my life out dragging everyday and getting thumped upon by higher specialists. Besides, I don't even know you! Probably you didn't see this in other threads earlier, so you came out with such a conclusion.Originally posted by mentallyimpaired:Did I strike a raw nerve here? Your pride seems to be sore. If you want to progress far in the medical line -provided youÂ’re not a phony bomoh or pre-clinical student trying to get someoneÂ’s attention - practice some humility.
BTW, all your information can be accessed via online medical resources. Your medical jargon doesnÂ’t impress me.
Secondly, since when did I want any attention? Do you know the history of this forum being set up? Unless you are a clone, then you do, but I doubt you are, so check the history before claiming as such.
Thirdly, why the heck do I need to impress you? Man, you're talking irrelevance here... -
Qualms aside, I've heard this question somewhere before... are you a Malaysian as well?Originally posted by mentallyimpaired:If Patient A is 30 years old, sexually active, have co-existing gout, and second degree block, what anti-hypertensives would you recommend, my dear friend?
IÂ’m sure you know the guidelines well, donÂ’t you? I will PM you the answer and I'd appreciate you doing the same thing as well... -
Die, I can bend my thumb the same way......Originally posted by renorenal:Some other problems of Marfan Syndrome (skeletal symptoms)
The general appearance of the patient, with increased width of the arm length and a tall stature... the lower picture shows how lax your thumb can bend...
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Originally posted by ndmmxiaomayi:Die, I can bend my thumb the same way...... I'm sure there are variants...
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Variants? What is meant by that?Originally posted by renorenal: I'm sure there are variants... -
put it in another way: exceptions. you can bend it like tat too, but it doesnt mean tat u have MS...psst, i can do tat tooOriginally posted by ndmmxiaomayi:Variants? What is meant by that?
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Oh.....Originally posted by alfagal:put it in another way: exceptions. you can bend it like tat too, but it doesnt mean tat u have MS...psst, i can do tat too
Heng..... -
There's a hint of criticism in his words.Originally posted by mentallyimpaired:You know what ... ... it is ‘ORTHOPAEDIC SURGEON’. Tell any S’pore, M’sia, British or US citizen to visit any local hospital, and there’re no ORTHOPEDISTS. Ahem … it’s ORTHOPAEDIC SURGEON. I know “orthopedist” is found in Merriam Webster, but that’s not how we call fellows who deal with bones and ligaments. Just in case you might get confused, go to CGH, and there’s a budding new branch called “Sports Medicine”.
Hey, med student, I have no time to write 10 replies for each one written by YOU. But I appreciate the attention you had given me.
Did I strike a raw nerve here? Your pride seems to be sore. If you want to progress far in the medical line -provided youÂ’re not a phony bomoh or pre-clinical student trying to get someoneÂ’s attention - practice some humility.
BTW, all your information can be accessed via online medical resources. Your medical jargon doesnÂ’t impress me.
Oh ya, what is your area of specialty? If you so desire, I can quiz you with some REAL LIFE, practical OSCE. You know what is OSCE, doctor? Of course you do, so tell me your specialty.
While he may be right that all information may be accessed through the Internet, it is hard for someone out there with no medical knowledge to understand that. And information could or could not be trusted.
I think you need to brush up your English too. Jargon is used only people in a group and only they understand it, for example in this thread, doctors. If you as a doctor (I supposed) is not impressed by his jargon, how could others be impressed?
Dr Renorenal, and other doctors, are professionals in their fields. Even if they are fake doctors (I don't think so), how could they explain to us in simpler terms what all these medical things are?
Dr Renorenal, in a lot of his threads have already said that he is a house officer. You need to spend some time reading through. -
Thanks ndmmxiaomayi, I really appreciated itOriginally posted by ndmmxiaomayi:There's a hint of criticism in his words.
While he may be right that all information may be accessed through the Internet, it is hard for someone out there with no medical knowledge to understand that. And information could or could not be trusted.
I think you need to brush up your English too. Jargon is used only people in a group and only they understand it, for example in this thread, doctors. If you as a doctor (I supposed) is not impressed by his jargon, how could others be impressed?
Dr Renorenal, and other doctors, are professionals in their fields. Even if they are fake doctors (I don't think so), how could they explain to us in simpler terms what all these medical things are?
Dr Renorenal, in a lot of his threads have already said that he is a house officer. You need to spend some time reading through.
Alright, I will be closing this thread then. I feel that by leaving this thread open, it would only lead to a heated argument. If MI, you are reading this, continue to PM please. Thanks.