Introduction

Hi! I am Daniel Lim Jhao Jian. Since the inception of this blog in June 2009, I have been sharing a lot of my experience, knowledge and ideas here. I hope you will find this blog useful. Thank you for visiting my blog.

Tuesday, 2 June 2020

Covid-19 impact on my juniors

I have to say that the NUMed MBBS 2016-2021 batch of students are really unfortunate and I feel sad for them. Many of them are supposed to be doing their SSC3 and Electives in UK now. However in March 2020, Newcastle University had to put a stop to all SSC and Elective placements in UK, due to the Covid-19 situation. Consequently, they could no longer go to UK.

Perhaps, we may think that the most important thing is for them to stay safe and that there will be no delays to their graduation next year. However, what's most important is rather subjective. We have to remember that it's a once-in-a-lifetime opportunity to do the SSC3 and Electives in UK. What makes it so unique is the experience of doing Medicine in a different country together with many of our university friends. This is something that can never be matched by any ordinary holiday trip to UK or anywhere else.

I know this all too well from my own experience. I did my SSC3 in UK during the 4th year, and that's definitely one of the most memorable time in my entire MBBS course. However, I chose not to do my Elective 1 in UK, despite my family and friends advising me otherwise. I would later regret that decision, but it was already too late by then. I can still remember how sad I was when I had to return to Malaysia myself after the SSC3 ended. As sad as I was, I had no one but myself to blame, and at least I could be in UK for 7 weeks.

But how about the students in the 2016-2021 batch? They surely didn't make any wrong decisions. By March 2020, they must have already booked their flight tickets and made great travel plans, eagerly looking forward to a whole new experience ahead. Then suddenly, everything got taken away from them, all because of a merciless virus. In the end, they don't even get to be in UK for a single day, much less 7 weeks. Their situation is certainly much sadder than my situation back then.

I personally know very few of the students in the 2016-2021 batch. Despite that, I still feel sad for them. I hope that Newcastle University can come up with a plan to let them have a replacement SSC or Elective in UK when the Covid-19 pandemic ends.

Friday, 22 May 2020

P4P - My favourite rotation

In the 1st semester of Year 5 and Year 6 of my MBBS course at NUMed, there are 5 rotations. One of the rotations is Preparation for Practice (P4P).

P4P is unique compared to the other rotations. Its sessions consist of presentations, advanced communications, prescribing exercises, debates, lectures and the bad day on call simulation. The emphasis is on various skills rather than clinical knowledge. It's also the only rotation where there's no in-course MOSLER assessment and all sessions are held at the NUMed campus.

I really enjoyed each and every session in P4P. What I particularly like about this rotation is the stress-free learning. The absence of in-course MOSLER meant that I could focus on getting the most out of every session without my MOSLER revision interfering with that. Since I didn't have to worry about the MOSLER, the learning process became even more interesting.

During the P4P rotation, students from three different groups were combined and we underwent the sessions together. Therefore, I had the opportunity to interact with everyone in the three groups, including those that I didn't know very well previously. I'm glad that many of my friends attended the P4P sessions despite the fact that attendance wasn't compulsory.

It may seem that P4P is less important than the other rotations, but this isn't true. In particular, this rotation provides the best opportunity to practise prescribing and advanced communication, which we don't get to do much in the other rotations. Most importantly, these will be assessed in the WriSkE and End of Stage MOSLER assessments.

While I failed the End of Stage MOSLER quite badly in Year 5, there was actually one station in it where I did exceptionally well, which was the non-physical advanced communication station. I scored 2/3 in one domain and 3/3 in the other four domains for that station. The skills I gained from P4P certainly played a big role in helping me achieve that.

In conclusion, my experience with the P4P rotation for both Year 5 and Year 6 had been really great. Both years, I attended every single session in this rotation without missing out even one, and I definitely don't regret that.

Friday, 17 April 2020

A scary dream (Apr 2020)

On 16 April 2020, I had a really scary dream.

In my dream, I was back in my hometown. I went to the TNB office to pay the electricity bills. When queuing up, there was a power cut. The fact that even the TNB office got affected by the power cut indicated that there's probably a serious issue. Then, I heard someone saying that there's a fire in a nearby mountain, which might be the cause of the power cut. I walked out to have a look.

What I saw was the mountain throwing hot ashes onto the sky. It wasn't actually a mountain fire, it was a volcanic eruption! There were many other people nearby and they too realised that. I said to someone "I thought there aren't any volcanoes in Malaysia," and they replied "Well, we didn't expect the 2004 tsunami to hit Malaysia either." Everyone started to panic.

I then saw a nearby aeroplane attempting an emergency landing, probably because it got damaged by the volcanic eruption. As more and more volcanic ashes got thrown up, it started falling down over the place where I was at. I wanted to escape from the place quickly, but I had parked my car opposite a busy road.

Thankfully, there weren't any cars on that road at that time. I ran across the road, entered my car and drove away from that area. I returned to my house, which I assumed to be safe since it's located quite a distance away from the volcano. However, I became quite drowsy, probably because I breathed in some of the volcanic gases. Soon, I lost my consciousness.

When I regained my consciousness, I started thinking, is the volcanic eruption just a dream? At that time, I heard a loud sound. I looked out of the window and I could see the volcano still erupting. I got so scared that I woke up from my dream for real.

I was so glad that everything was just a dream!

P/S:

In reality, Malaysia was under the Movement Control Order (MCO) due to the Covid-19 situation at that time. I couldn't go back to my hometown and I felt a bit homesick, which might be why I dreamt about being back in my hometown. I dreamt about the TNB office probably because I helped my family pay the electricity bills online to minimise their need to go out from home.

The Covid-19 situation in Malaysia made me feel quite stressed and worried, which was probably the reason I dreamt about the volcanic eruption and its disastrous effects. The volcanic eruption could also be a release of my anger about not being able to meet my friends in university due to the MCO.

Wednesday, 18 March 2020

Covid-19 ruining my university life

Due to the Covid-19 situation, NUMed has announced that all teaching from 17 March 2020 onwards will only be conducted online. Some students are very happy about that, but I definitely don't feel happy.

The fact that NUMed will be conducting all teaching online means that I don't get to be with my friends in NUMed. I definitely understand that this is necessary to help stop the spread of Covid-19. However, it seems that NUMed is planning to continue the online-only teaching until the end of this semester which is also the end of my MBBS course. If that's the case, it means that I will have very little chance to meet my friends in the 2015-2020 batch from now on.

As an emotional person, I feel really sad about that. I have not known these friends for very long as we weren't in the same batch previously. I only knew them about 6 months earlier when I started Year 6 of MBBS. Despite that, they mean a lot to me. Over the 6 months, I really enjoyed the moments I had with them. Thanks to them, I have a really great experience during Year 6, and it's better than my experience during Year 5.

Just the week before that, we were posted to Kluang. There, I had a very great time with my friends and it brought us even closer. In addition, I had the opportunity to make a few new friends from other groups. It's definitely my best week in this year so far. We are scheduled to go to Kluang again on the following week and for another 2 weeks in the following rotation, and I was looking forward to that so much. Then, NUMed's announcement came out of sudden, putting a stop to all of that.

The teaching for this semester is supposed to last until 8 May 2020. If not because of the Covid-19, I could have another 6 weeks with my friends. 6 weeks may not be a very long time, but it's still very valuable for me! To be honest, if I have that 6 weeks with my friends, I will still feel quite sad when 8 May comes. However, the difference is that at least I am prepared for that. The sudden, unexpected separation now is what makes it even more sad.

I hope, I really hope that the Covid-19 situation will be well controlled very soon and that normal teaching at NUMed will be reinstated.

Thursday, 20 February 2020

How I became a MCU fan?

The MCU (Marvel Cinematic Universe) is well loved by many people all over the world. But for me, I was never interested in the MCU for many years in the past. I started watching MCU movies only in 2014, and it wasn't until year 2018 where I became a MCU fan. Why was that the case?

In January 2001, I watched Terminator 2: Judgment Day on television. That was the first English movie I watched in my life, and I really loved it. Since then, I had been watching English movies on television quite often, and there were several of them that I really liked. The MCU didn't exist at that time.

However by year 2004, I had lost interest in English movies. The reason was that English movies often depict settings that are very different from the environment I live in, and watching them somehow gave me the uncomfortable feeling that I'm being in another world.

Instead, I preferred watching Chinese drama series, as their settings are much more similar to the environment I live in. In 2006, I developed an interest in Taiwanese drama series. Taiwanese series are very long, each of them lasting for a few years. I watched and completed a total of three Taiwanese series over the years.

The first ever MCU movie, Iron Man 1 was released in 2008, and other MCU movies then followed. I heard about some of the movies, but I had no interest in watching them at all, simply because I didn't like English movies. I also wasn't interested in going to cinemas, as I had the impression that cinemas are unclean.

In February 2014, the third Taiwanese series I was watching came to an end. I decided not to start a new one, because I would be entering medical school in a few months time and I knew that I wouldn't have time to follow the series every day when I'm studying Medicine.

Not watching television made me feel bored at times, so I was looking for alternatives to Taiwanese series. In April 2014, I suddenly thought of Terminator 2: Judgment Day which I watched back in 2001. I wished to watch it again, so I bought its DVD. That was first time in many years where I watched an English movie.

After watching it, I could finally understand its plot, which I never really did in the past. It was a very good movie. I no longer felt uncomfortable about watching the very different setting of that movie compared to the environment I live in, probably because I was more mature at that time. That made me realised that English movies aren't that bad after all, and I became more open to watching them.

A month later in May 2014, my friends wanted to watch X-Men: Days of Future Past at the cinema to celebrate our completion of the A Level examination. I wasn't in favour of that idea because I still didn't like going to cinemas, but I really wanted to join the celebration so I had to agree. That was my first time going to a cinema.

As it turned out, my experience at the cinema was great and I really liked the movie. Coincidentally, the plot of X-Men: Days of Future Past had similarities with Terminator 2: Judgment Day. My friends later told me that X-Men: Days of Future Past is a Marvel movie and I became quite impressed with Marvel. However, this movie wasn't part of the MCU, which I didn't know at that time.

Since then, I had been watching English movies regularly, and I was particularly interested in Marvel movies. In August 2014, my friends invited me to watch Guardians of the Galaxy 1 at the cinema. I really liked the movie as it had very exciting plot and action. This was the first MCU movie I watched.

In June 2015, I watched Avengers: Age of Ultron. This movie featured many of the characters in the MCU. As I didn't know much about the MCU characters, I had difficulties understanding the plot of this movie, although I still enjoyed its action scenes.

I then watched Ant-Man 1 at the cinema in July 2015. This movie had some emotional elements which made it really great. Interestingly, the plot of this movie had similarities with Interstellar. The character of Ant-Man was introduced for the first time and I really liked him.

In August 2016, I watched Captain America: Civil War. This movie built on the events in previous MCU movies. As I hadn't watched many of the previous movies, I found it difficult to understand the plot of this movie. After that, I didn't watch another Marvel movie for quite some time.

In February 2018, I heard about the newly released Black Panther and its reviews seemed to be very good. I later found out that it's a Marvel movie, so I was interested in watching it. However, I couldn't watch it at that time because I was quite busy.

In April 2018, Avengers: Infinity War was released and a lot of people were talking about it. I definitely was interested to watch it, but I wanted to watch Black Panther first as I thought that Avengers: Infinity War would build on the events of Black Panther. However, some people were trying to spoil it, and I had to try hard to avoid the spoilers. 

At that time, I was doing my medical elective in Middlesbrough, UK. I wasn't sure how to get to the nearest cinema to watch the movies. On 5 May 2018, Black Panther became available for streaming so I watched it online. I did enjoy the movie, but I felt that its reviews are overrated because it didn't have many exciting action scenes.

Just a day later on 6 May 2018, my friend invited me to watch Avengers: Infinity War at Cineworld, Middlesbrough and I went with him. This movie had connections to the previous MCU movies, many of which I hadn't watched. However, I could still understand most of its plot and I really liked it. I was really shocked by its ending.

On 18 May 2018, my friend once again invited me to watch Deadpool 2, another Marvel movie. I wondered why Deadpool wasn't affected by the events in Avengers: Infinity War, and my friend told me that Deadpool isn't part of the MCU. It was at that time where I understood that not all Marvel movies are MCU movies.

On 6 August 2018, I watched Guardians of the Galaxy Volume 2. What's unusual about this movie was that it had a total of five post-credits scenes. Interestingly, the plot of this movie had similarities with Star Wars V: The Empire Strikes Back. As a matter of fact, I was watching several Star Wars movies in the weeks before that.

After that, I watched Ant-Man and the Wasp on 14 August 2018. In this movie, there were two emotional stories running in parallel, and I found myself supporting both the opposing groups of characters. I really loved of ending of this movie, but it was ruined by the post-credits scene which was linked to Avengers: Infinity War. At that time, I had truly become a MCU fan.

During the Chinese New Year in February 2019, I and my cousins were in Kulim. One day, they were watching Captain America: The Winter Soldier. I joined them in the middle of the movie and I continued watching till the end. It was a great movie, but I missed out on the first half.

On 8 March 2019, I watched Captain Marvel. Contrary to some of its reviews on the Internet, this was a very good movie. I really liked the character of Captain Marvel, who's very strong and beautiful. This movie was about feminism which I really support. As 8 March is the International Women's Day, it was the perfect day to watch this movie.

On 22 March 2019, I rewatched Captain America: The Winter Soldier from the beginning until the end. This was one of the movies I had to watch in preparation for the oncoming Avengers: Endgame. Another of those movies was Thor: The Dark World. Unfortunately, I couldn't watch it as my laptop broke down unexpectedly.

I had been looking forward to Avengers: Endgame for quite some time and I could finally watch it on 28 April 2019. While it was a great movie overall, I felt that it could have been better. It made many references to previous MCU movies. As I hadn't watched some of them, I couldn't enjoy this movie to the fullest. There was a very sad scene in this movie which actually made me cry.

On 18 July 2019, I watched Thor: The Dark World. Many movie reviewers considered it to be one of the worst movies in the MCU. However in my opinion, this was a very good movie and it was definitely underrated. I also liked the character of Darcy Lewis in this movie a lot, who was criticised by many.

At that time, Spider-Man: Far From Home had just been released. I was interested to watch it, but I was hesitant because I have arachnophobia. I later found out from the Internet that it didn't have any scenes of realistic-looking spiders. I watched this movie on 25 July 2019 and I really enjoyed it. The scenes of Spider-Man flirting were so relatable.

Then, I watched Thor: Ragnarok on 6 August 2019. In the past, I used to think that it isn't a good movie, due to its name. After watching it, I realised it's so much better than what I thought. This movie had a bittersweet ending. Unfortunately, the first post-credits scene which led into Avengers: Infinity War, ruined its ending.

On 20 August 2019, I watched Spider-Man: Homecoming. It too didn't have any scenes of scary or realistic-looking spiders so I could watch it. There were elements of humour in this movie, which made it very interesting. I didn't really like the character of Spider-Man in the past, but I had become a fan of him at that time.

On 22 September 2019, I watched Doctor Strange. The theme and setting of this movie was rather different compared to other MCU movies, which might be why its reviews weren't very good. However, I still liked the movie. What the character of Dr Strange did in the climax of this movie was really smart and hilarious.

I watched Iron Man 3 on 27 December 2019. I still hadn't watched Iron Man 1 and 2 at that time, and many on the Internet recommended watching those movies first. However, I chose to go ahead with watching Iron Man 3 anyway. I could still understand most of its plot and I felt that it's a great movie.

In February 2020, I rewatched Captain America: Civil War and Avengers: Age of Ultron, both of which I first watched a few years ago. This time, with better knowledge about the MCU and having watched many other MCU movies, I was able to fully understand the plot of both movies and I really enjoyed them.

Now, I am looking forward to the upcoming MCU movies.

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Saturday, 4 January 2020

Balls I have attended

Many colleges and universities have annual balls, the same goes for Taylor's College Subang Jaya (TCSJ) and Newcastle University Medicine Malaysia (NUMed). Until now, I have attended 6 balls. Here, I am sharing my experience of attending such events.

The first ball I ever attended was the TCSJ Prom Night on 13 June 2014. At that time, since I had never attended a ball before, I didn't know what it is like. I had the impression that it is just some sort of a farewell party and I actually thought that casual wear would be acceptable. Later, with my friends' advice, I bought a formal shirt for the event. However, I still didn't wear a blazer and a tie. As a result, I looked quite different compared to my friends and that was a bit awkward. The organisation of the TCSJ Prom Night 2014 wasn't good in my opinion. Somehow, I had the feeling that the organisers only cared about their close friends while every one else seemed to be neglected. The food and performances were also just mediocre. However, I still enjoyed a lot during the event, mainly because I had the opportunity to take many nice photos with my friends.

On the following year, during Stage 1 of my MBBS course at NUMed, there was a NUMed Ball on 18 April 2015. At that time, I still had the impression that the event was only meant for students who would be graduating soon. I felt that since I was just in Stage 1, there was no reason for me to attend it. I also assumed that my friends wouldn't be attending. However, it turned out that most of my friends actually attended the NUMed Ball 2015. Seeing my friends taking so many photos without me made me feel very sad. As a result, I really regretted not attending the ball. In fact, that was one of my greatest regrets in 2015.

Therefore, when it came to Stage 2 of MBBS, I told myself that I must attend the NUMed Ball 2016 no matter what. It was held on 15 April 2016 and this was the first time where I attended NUMed Ball. I definitely wore a blazer and a tie this time. Initially, some of my friends didn't seem interested to attend, but eventually most of them still attended it. Compared to the TCSJ Prom Night 2014, the NUMed Ball 2016 had a much better organisation. The NUMed Student Association made everyone feel involved in the event, and the food and performances were excellent. I again took a lot of nice photos with many of my friends. It was definitely a very enjoyable experience. 

When I was in Stage 3 of MBBS, I intended to attend the NUMed Ball again. It was held on 24 March 2017 which would have been a good date, as that was just one day after my birthday and at that time I had just passed my clinical examination. Unfortunately, I had to fly back to Kuala Lumpur for one night on 24 March to do something important. I was supposed to do it earlier but I didn't because I had to revise for the examination, and at that point it couldn't be delayed any further. As a result, I had no choice but to skip the NUMed Ball 2017. Unlike the previous years, not many of my friends attended this ball. However, I still felt disappointed for missing out on it.

Having missed the NUMed Ball twice, I was determined to attend it during Stage 4 of MBBS. Initially, I was a bit worried that the ball would be held in April 2018, because I would be in UK at that time for my SSC3 and thus I wouldn't get to attend the ball. When it was announced that the NUMed Ball would be on 9 March 2018, I was so happy about that. However, the problem was that most of my friends in Stage 4 were not at all interested in attending the ball. I tried persuading my friends to attend it, but I wasn't successful in that. This put me in a real dilemma. If I were to attend the ball without any friends, I might end up being in an awkward situation during the ball, but on the other hand, I really didn't want to miss out on the ball once again. 

After careful consideration, I decided attend the NUMed Ball 2018 anyway, as I knew I would regret a lot if I don't attend it. I registered for the ball as soon as the registration was open. However, up until the day of the ball, I was still a bit worried of the awkward situation I might be in. It turned out that I had a very enjoyable experience during the ball and the awkward situation didn't materialise. There were still a few of my friends who attended. Just like the NUMed Ball 2016, the organisation of the NUMed Ball 2018 was excellent. The menu was really great, with a wide variety of food, and I was truly immersed in the performances. Besides taking photos with my friends, I also got out of my comfort zone by taking photos with many students that I didn't know previously, including the girls who were shortlisted for the Prom Queen. I can say for sure that I made the right decision to attend this ball.

The following NUMed Ball was supposed to be held in March 2019. However in October 2018 during my Stage 5 of MBBS, the NUMed Student Association announced that they would be scrapping the NUMed Founders and Benefactors (F&B) Night, an event similar to the NUMed Ball that was held in November every year. Because of that, they decided to bring forward the NUMed Ball from March 2019 to November 2018. This ball became the second NUMed Ball 2018 and it was held on 30 November 2018. I definitely chose to attend it and quite many of my friends attended too. My experience during this ball was truly enjoyable. The food and performances were great. I managed to take two-person photos with every girl in my batch who attended this ball. I was no longer shy in approaching them to take photos, thanks to my experience with the previous ball. As it turned out, I was the only student in my batch who attended both the NUMed Balls in 2018.

In the previous years, a Graduation Ball would be held just for the NUMed Stage 5 students after the final examinations in June. However, this was a problem for 2019 as immediately after the examination it was the Hari Raya Aidilfitri, so many students would go back to their hometown and not return to Johor Bahru anymore. After some discussions, my batch eventually decided to have the ball earlier before the Easter break. The Graduation Ball was held on 5 April 2019 and of course I attended it. Vast majority of the students in my batch chose to attend it. This ball is the best one among all the balls I have attended. Once again, the food and performances were great. I had wanted to take two-person photos with all the girls in my batch, but this proved difficult as there were so many of them and time was limited. In the end, I was still able to take many nice photos. Personally, I was actually glad to have this ball in April, as it would have been very emotional if it was held after the final exams.

I was supposed to graduate in June 2019. However, it turned out that I failed the Stage 5 final examinations and had to repeat the entire Stage 5. During my repeat year of Stage 5, I had the opportunity to attend the NUMed Ball 2019. It was held on 13 December 2019, just one day before the start of the winter break. Most of my close friends chose not to attend the ball, but I still decided to attend it. A significant number of those in my batch attended it. A few of my friends who had graduated and were working as NUMed teaching fellows were also at the ball. The NUMed Ball 2019 had a very good organisation. There was a wide variety of food and they were really tasty. I also really enjoyed the performances. I took two-person photos with my friends as well as everyone else in my batch who attended. During the ball, I met a girl from UK and I took photos with her as well.

Interestingly, the NUMed Ball 2019 is my 1st ball in the repeat year of Stage 5, my 2nd ball in 2019, my 3rd ball since starting Stage 5, my 4th ball in a span of 2 years (2018 to 2019), my 5th ball in NUMed and my 6th ball in life. My next ball will be the Graduation Ball on 3 April 2020.

Wednesday, 11 December 2019

A scary dream (Nov 2019)

On 25 November 2019, I had a really strange and scary dream.

In my dream, I was doing my medical elective at a hospital in New York, USA. Two of my friends were also doing their elective at the same location. That day was an off day for me, so I walked around to explore the area near the hospital. Meanwhile, my friends were at the hospital as they weren't having an off day.

I passed by a place where someone was selling virtual reality (VR) headsets. He let everyone try watching the New York battle scene of The Avengers (2012) movie using the VR headsets. The people who tried it commented that it felt so real. I wasn't interested in that so I walked away.

Out of sudden, I saw many alien ships appearing and they were firing missiles everywhere. I wondered why I could see all these when I didn't put on the VR headset. Later, I realised that it was a real alien invasion on New York! I started running for safety, and the people surrounding me did the same.

At that time, a military vehicle appeared and stopped right beside me. Someone got down the vehicle, and he looked so much like Nick Fury. He said that he was sent by Newcastle University to ensure my safety and told me to follow him in his vehicle which could withstand the alien missiles.

After getting on the vehicle, I asked the guy about my two friends at the hospital, to which he replied that his colleague would be retrieving them. He then drove the vehicle at high speed towards the nearest airport. He said that I had to fly out of USA as soon as possible, after which I would be safe because aliens don't attack anywhere outside of the USA.

Then, I realised that I had lost the backpack with my passport in it, probably when I was running for safety earlier. However, the guy told me not to worry about it, and he gave me a special pass which would enable me to leave USA even without my passport.

Before arriving at the airport, I began feeling very drowsy for unknown reasons. I felt that it might a mistake for me to trust this guy. Did he just let me breathe in some drugs that would alter my consciousness? Was he out to kidnap me? Soon, I lost my consciousness.

I then woke up from my dream.

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Thursday, 28 November 2019

October 2019 incident

Stage 5 2018/2019 of my MBBS course hadn't been great. During the year, I had a huge crisis with my group which totally ruined my experience for the year. In the end, I failed the Stage 5 2018/2019 final exams and had to repeat the year. I was definitely hoping that Stage 5 2019/2020 would be a much better year. In particular, I wanted to make many friends in the new batch and have good memories with them.

On 20 August 2019, the student group list for the 1st semester of Stage 5 2019/2020 was released. Unfortunately, I was placed in the same group with 3 other students who were also repeating Stage 5, which limited my opportunity to mix with students in the new batch. I wanted to be in a group where all of the students are from the new batch, but no group change was allowed.

However, students would be randomly reallocated to different groups for the Primary Care rotation in November 2019. The Primary Care grouping was not yet released at that time. I decided to make a request to be placed in the same group with those in the new batch for Primary Care, and the lead agreed to consider my request. I really looked forward to Primary Care, which surely would be the most enjoyable part of the semester.

Stage 5 2019/2020 of MBBS began on 27 August 2019. Back in Stage 5 2018/2019, I didn't perform well in some of the in-course MOSLER assessments. For Stage 5 2019/2020, I set myself an aim of passing every domain in all 6 in-course MOSLER's. I decided that before the Primary Care rotation, I would just focus on passing the first 3 in-course MOSLER's.

The in-course MOSLER for Women's Health was on 19 September 2019, while the in-course MOSLER for Child Health was on 9 October 2019. I managed to pass all domains in both in-course MOSLER's. Meanwhile, the Primary Care rotation was getting closer and closer, and I couldn't wait for it to arrive.

On 14 October 2019, it was the start of the Mental Health rotation. As a matter of fact, I failed one of the domains in the Mental Health in-course MOSLER during Stage 5 2018/2019 because of a silly mistake. I felt bad every time I thought about it. To redeem for that, I definitely wanted to pass all domains of the in-course MOSLER for Mental Health in Stage 5 2019/2020.

On 19 October 2019, out of my expectation, the lead informed me that my request regarding the grouping for Primary Care had been declined. I wouldn't get to be in the same group with those in the new batch, the opportunity vanished before it even arrived. I felt so sad and disappointed about that, and I had no mood to study anything. I was having symptoms of depression, which was ironic for it to happen during my Mental Health rotation.

But 2 days later, I suddenly came to the realisation about something. If I still don't study because of my sadness, I am going to fail the in-course MOSLER for Mental Health. In that case, I will never get to redeem for my failure in the Mental Health in-course MOSLER last year, and I won't be able to achieve my aim of passing all of the in-course MOSLER's this year.

No, I absolutely don't want that to happen! So, I told myself that no matter how sad I am, I mustn't let it affect my studies. I quickly resumed studying for the Mental Health in-course MOSLER. Thankfully, there aren't many topics in Mental Health so 2 days isn't too much of a disruption.

I also realised another thing. In my current group, there are also a few students from the new batch and they are very nice, so I can just get close to them. While that may not be as fun as being in a group where everyone is from the new batch, it would still be a great experience.

I started building a good relationship with those from the new batch in my group. Soon enough, they had become my close friends. Indeed, this made me enjoy Stage 5 2019/2020 much more than before. Besides, it also helped me overcome the sadness.

On 31 October 2019, it was the in-course MOSLER for Mental Health. This time, I made sure not to repeat the same mistake I made in the previous year. With that, I passed all domains of this in-course MOSLER successfully. What's even better was that I coincidentally got the same examiner as the previous year, thus enabling her to see my improvements.

On the next day 1 November 2019, the student group list for the 2nd semester was released unexpectedly, and it was the same as the 1st semester grouping. However, students were allowed to swap groups, as long as it was between those of the same gender and race. That gave me hope.

I asked one of my friend if he could swap groups with me, and he said that he would consider it. If he agrees, then the sadness earlier wouldn't matter anymore, as I would get to be in the same group with those in the new batch for the entire 2nd semester which is much longer than the Primary Care rotation. I thought, is this a reward from God for my efforts in passing the Mental Health in-course MOSLER despite my sadness?

On 4 November 2019, it was the start of the Primary Care rotation. On 5 November 2019, my friend agreed to swap groups with me for the 2nd semester. It was no longer just hope, it had become the reality, and I couldn't be more grateful! I would get to be in the same group with those in the new batch from January 2020 onwards, and I was definitely looking forward to that.

However, I wouldn't be wasting the moments in the meantime. Primary Care is mostly Internal Medicine, which was my area of weakness in the previous year. Now, it's time for me to start working on that.

On 20 November 2019, it was the Primary Care in-course MOSLER. I got an examiner who is quite strict, but I still passed all domains of this in-course MOSLER successfully. With that, I had fulfilled the requirements for an overall pass in the in-course MOSLER's for Stage 5 2019/2020. However, I wouldn't stop at that. I definitely want to pass all domains of the next 2 in-course MOSLER's as well.

I am so glad that I was able to overcome my sadness quickly enough. I learnt to see things in a different way, and eventually, I got rewarded in every way! The whole incident also made me a more mature person, which is helpful in establishing a good relationship with my friends in the new batch.

Monday, 2 September 2019

My 2019 summer break

In 2019, I have 12 weeks of summer break between 4 June 2019 and 27 August 2019, after the end of Stage 5 (2018/2019) of my MBBS course at NUMed. Many interesting events happened during the summer break. Here, I am going to write about those events.

My summer break is longer this year compared to the previous years. However, this is also my last long break in the entire MBBS course.


4 June 2019 (Tuesday):
- Completed the Stage 5 (2018/2019) End of Stage MOSLER
- Had dinner with my friend at Spiced Mala Hotpot, Bukit Indah
- Watched the replay of Apple WWDC 2019 Keynote

5 June 2019 (Wednesday):
- Had lunch with my friend at Ikar Fish Head Noodle Restaurant near EcoNest

6 June 2019 (Thursday) - 14 June 2019 (Friday):
- Spent some time at the NUMed IT cluster everyday

6 June 2019 (Thursday):
- Played PUBG with my friends

7 June 2019 (Friday):
- Watched X-Men: Dark Phoenix with my friend at TGV Cinema, AEON Bukit Indah
- Had lunch with my friend at Sizzling Stonegrill, AEON Bukit Indah

9 June 2019 (Sunday):
- Got kicked out from Dedarkroom clan in Clash of Clans
- Joined Prodetective clan in Clash of Clans

13 June 2019 (Thursday):
- Stage 5 (2018/2019) MBBS final results was released
- Passed the SBA and WriSkE with a score of 69.7% and 74.7% respectively
- Failed the End of Stage MOSLER, which meant failing Stage 5 as a whole and having to repeat Stage 5
- Met my friend at the NUMed IT cluster

15 June 2019 (Saturday):
- Moved out of EcoNest
- Went back to Subang Jaya
- Had dinner at Mr J Kitchen with my family

16 June 2019 (Sunday):
- Had dinner at Crazy Crabs with my family

17 June 2019 (Monday):
- Sent my Acer laptop for repair
- Had lunch at New York Steak Shack with my mother

21 June 2019 (Friday):
- Had dinner at Cor Blimey Café with my family

22 June 2019 (Saturday):
- Attended my mother's friend's birthday celebration

24 June 2019 (Monday):
- Had lunch at Thai Moment with my mother

25 June 2019 (Tuesday):
- Received my transcript for Stage 5 (2018/2019) MBBS
- Received written feedback for the End of Stage MOSLER

26 June 2019 (Wednesday):
- Had lunch at Village Park Restaurant with my mother
- Went back to Kulim

27 June 2019 (Thursday):
- Upgraded to Builder Hall 9 in Clash of Clans

7 July 2019 (Sunday):
- Went to AEON Mall, Bukit Mertajam with my family

10 July 2019 (Wednesday):
- Took the electric train service (ETS) back to Subang Jaya

11 July 2019 (Thursday):
- Had lunch at Carl's Junior with my mother
- Collected my Acer laptop

13 July 2019 (Saturday):
- Had lunch at Samy & Min Bak Kut Teh with my mother

17 July 2019 (Wednesday):
- Had dinner at Johor Mini Steamboat with my family

18 July 2019 (Thursday):
- Watched Thor: The Dark World

21 July 2019 (Sunday):
- Attended NUMed Congregation 2019
- Had lunch at George & Dragon Café with my father

24 July 2019 (Wednesday):
- Had dinner at Restoran Waneeda Tomyam with my family

25 July 2019 (Thursday):
- Had lunch at Nyonya Cendol Café, Main Place Mall with my mother
- Watched Spider-Man: Far From Home at TGV Cinema, Sunway Pyramid
- Had dinner at Texas Chicken, Sunway Pyramid

27 July 2019 (Saturday):
- Went to Da Men Mall with my family

31 July 2019 (Wednesday):
- Watched 傀儡姬 · 彼岸花

1 August 2019 (Thursday):
- Had lunch at Ben's with my family
- Submitted UKFP Eligibility application on Oriel

2 August 2019 (Friday):
- Bought a new iPad Air 3 at Machines, Main Place Mall

5 August 2019 (Monday):
- Got a cover and screen protector for my iPad Air 3
- Bought a Bluetooth keyboard and mouse
- Had dinner at Restoran Waneeda Tomyam with my family

6 August 2019 (Tuesday):
- Watched Thor: Ragnarok

7 August 2019 (Wednesday):
- Went back to Kulim

14 August 2019 (Wednesday):
- Went to Kulim Landmark Central with my family
- Received the NUMed offer of accommodation for 2019/2020

16 August 2019 (Friday):
- Took the ETS back to Subang Jaya

17 August 2019 (Saturday):
- Upgraded my iPad Air 3 to iPadOS 13 Beta
- Had dinner at Souled Out with my family

18 August 2019 (Sunday):
- Had lunch at Mr J Kitchen with my family
- Had dinner at Fatty Crab Restaurant with my family

19 August 2019 (Monday):
- My UKFP Eligibility application was approved
- Had dinner at Du Viet with my family

20 August 2019 (Tuesday):
- The student group list for the next semester was released
- Watched Spider-Man: Homecoming

21 August 2019 (Wednesday):
- Had lunch at Ben's with my family

23 August 2019 (Friday):
- Bought a new blazer
- Bought chocolate cake at Original Cake, Sunway Pyramid
- Watched 傀儡姬 1

24 August 2019 (Saturday):
- Had lunch at Malaysia Boleh Foodcourt, Four Seasons Place with my family
- Went to Terminal Bersepadu Selatan, Kuala Lumpur
- Had dinner at myBurgerLab Sunway with my family

25 August 2019 (Sunday):
- Returned to Johor Bahru
- Moved into EcoNest

26 August 2019 (Monday):
- NUMed replaced the Learning Support Environment (LSE) with the Medical Learning Environment (MLE) for all students
- Had lunch with my friend at S11 Kopitiam, Bukit Indah

27 August 2019 (Tuesday):
- Began Stage 5 (2019/2020) of MBBS at NUMed


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Saturday, 17 August 2019

The story of my iPad Air

The first iPad was introduced by Apple in March 2010, and it became quite popular throughout the world. I was reading a monthly IT magazine at that time. The author of that magazine was a huge fan of Microsoft and he didn't like Apple. He wrote about the iPad, criticising it as being just an enlarged version of the iPod that doesn't have much uses. This was how I found out about the iPad. Influenced by the magazine's author, I had a negative impression towards the iPad.

In May 2012, my mother bought herself an iPad 3. I took a look at it and was unimpressed with its user interface. Therefore, I had no interest in using that device. In January 2013, I started studying A Level at Taylor's College. There, many of my classmates had an iPad, and even the lecturers were using iPads in their teaching. I realised that the iPad is actually more useful than what I previously thought, but I still didn't like it, as I felt that it cannot compare with a real computer.

At that time, I had just upgraded my Acer laptop to Windows 8. The user interface of Windows 8 is specifically designed to work well with touchscreens, but it's not well suited for computers without touchscreen. As my Acer laptop doesn't have a touchscreen, I wasn't quite satisfied with the Windows 8 experience. To make matters worse, I accidentally damaged the laptop's hard drive when installing Windows 8, and my laptop became quite slow since then.

I had a Sony Ericsson Live with Walkman phone at that time. It was a terrible phone, with very limited storage and very bad performance. As a result, I couldn't use it for most computing tasks, and I had to use my Acer laptop most of the time. Later, I began to feel that my laptop was too bulky as it couldn't be carried around easily. I then realised that I needed a new computer. I wanted a touchscreen computer that is very portable, and tablet computers would meet this criteria.

I found many tablet computers running Windows 8 on the Internet. Among them, I was particularly interested in the Surface RT, which was made by Microsoft. The Surface RT ran Windows RT, a variant of Windows 8 that could only run Microsoft Office and apps from the Windows Store but not any other programs. However, it was lighter and had better battery life compared to other tablets running the full Windows 8.

The iPad is also a tablet computer. Many people on the Internet recommended getting the iPad instead of the Surface RT, mainly because the iPad had a lot more apps available. However, I still preferred the Surface RT as it has Microsoft Office, supports USB peripheral devices and allows 2 apps to be used side-by-side, unlike the iPad. I also didn't have a very good relationship with my Taylor's College friends at that time. Since many of them were using iPads, I wanted to be different from them by getting a Surface RT.

Before buying the Surface RT, I had to make sure that apps from the Windows Store would be sufficient for me. However, I found out that Windows Store apps had some limitations and that the Windows Store only had a small number and variety of apps, which could be a problem for me if I got the Surface RT. Later, I also discovered that the iPad had models with 4G LTE while the Surface RT didn't. 4G LTE would be useful as I could have internet access on the device no matter where I go.

An incident happened on 31 July 2013. After that, I became much closer to my Taylor's College friends. Unlike in the past, I no longer had the desire to be different from them. At that time, I started considering getting an iPad. In September 2013, Apple released iOS 7 and many of my friends upgraded their iPad pretty soon. I was really impressed with the new user interface of iOS 7. Since then, I decided that I would be getting an iPad. Although it can't replace my Acer laptop, it can be used for many computing tasks, which I felt was good enough.

On 19 December 2013, I bought the iPad Air 1 at Machines in Sunway Pyramid. The iPad Air 1 was the newest iPad at that time and it had iOS 7 pre-installed. I chose the silver, 32GB, WiFi + 4G LTE model. I got a SIM card for my iPad, and it had 3GB of mobile data every month. At that time, I just realised that 4G LTE is actually very fast. In fact, it's even faster than the UniFi WiFi at my house. Previously, I had always felt that mobile internet is slow because my Sony Ericsson Live with Walkman phone only supported 3G but not 4G LTE.

I installed many apps on my iPad Air 1. Its performance was great and I was very satisfied with it. A few days later, I bought a screen protector and a cover for it. The cover was designed to provide protection to the iPad in case it's dropped. I showed my friends in Taylor's College my iPad Air 1 and they were quite impressed with it, as all their iPads were of older models. They would borrow my iPad sometimes and I was always very willing to lend it to them. I would bring along my iPad Air 1 almost anywhere I went, and I was a proud owner of it.

I used my iPad's 4G LTE most of the time, even when I was in places that had WiFi. My iPad Air 1 also had the mobile hotspot function where I could share its 4G LTE with anyone else. Back then, many of my friends didn't have mobile data on their phones and iPads. Whenever we were outdoors, they would often ask me to turn on my iPad's hotspot and I was always very happy to do so. Despite that, I almost never used up my monthly 3GB of data.

My iPad Air 1 had some small problems. It would reboot itself randomly at times, which was a common bug with iOS 7. I had the belief that my iPad Air 1 was a very tough device so it would not get damaged easily. Consequently, I didn't handle it with great care. There were several occasions where I dropped it. Sometimes, my iPad Air 1 would fail to detect the SIM card after it was dropped, which could be fixed by removing and reinserting the SIM card.

When I first got my iPad, there was a Microsoft Office app for iPhones. It could also be installed on iPads, but it wouldn't run full screen, so the user experience wasn't good. In addition, it required a paid Office 365 subscription to use. Therefore, I opted to use iWork instead, and I felt that it was a good replacement for Microsoft Office. In March 2014, Microsoft Office apps specifically designed for iPads were released. The apps had many of the advanced features from the Windows version, but were still not free to use. Therefore, I continued using iWork.

In September 2014, Apple released iOS 8. I didn't want to upgrade my iPad initially, as I really liked iOS 7. Around that time, I bought a new HTC One E8 phone. Although I really liked iOS on my iPad, I felt that the user interface of iOS is not well suited for phones, so I preferred Android phones. The HTC One E8 is a very good phone, but I still liked using my iPad Air 1 more. My HTC One E8 also supported 4G LTE, but only had 100MB of mobile data every month. I didn't bother upgrading it, as I could just use my iPad's hotspot to share its 3GB of monthly data over to my phone.

Shortly after that, I started studying MBBS at NUMed. Unlike Taylor's College, not many students at NUMed had an iPad. My friends in NUMed were also not very interested when I showed them my iPad Air 1. I upgraded my iPad to iOS 8 in October 2014. In November 2014, Microsoft made all Microsoft Office apps free to use on iPads. Since then, I stopped using iWork and switched to using Microsoft Office. This made my iPad Air 1 even more useful. I used my iPad a lot to do my studies.

In December 2014, it was the first birthday of my iPad Air 1. This also marked the end of its warranty. The first year of my iPad had been really great, and I was hoping for that to continue in the years to come. At that time, my iPad's cover had been worn out quite badly due to heavy use. Therefore, I bought a new cover for it. It made my iPad look like a new one, but unlike the old cover, it provided less protection against falls. I lied to my friends that my iPad was a new iPad Air 2, and some of them actually believed it.

On 13 January 2015, I was having an examination in the afternoon. Before the exam, I had lunch with my housemates at a restaurant. During lunch, I accidentally dropped my iPad Air 1 onto the floor. Immediately, the iPad couldn't detect it's SIM card. As I didn't bring the SIM eject tool with me, I had to wait until after the exam before I could remove and reinsert the SIM card. However, even after doing so, my iPad still couldn't detect it. I kept trying to reinsert the SIM card and restart my iPad, and I even performed a factory reset, but nothing worked.

At that point, I realised that I must have damaged my iPad's SIM card reader by dropping it. To make matters worse, the warranty of my iPad had just expired less than 1 month ago. It didn't help that I performed poorly in my exam on that day. That was definitely a very unlucky day for me. I brought my iPad Air 1 to an Apple store, and they told me that they wouldn't repair it, instead they offered to replace it with a new one for a price of RM1300. I refused to accept the offer as I felt that it was very unreasonable.

Not being able to detect the SIM card meant that my iPad Air 1 could no longer access 4G LTE, so it had to rely on WiFi all the time. Although the NUMed accommodation had WiFi, it was slow and unstable at times. Whenever I brought my iPad Air 1 outdoors, I wouldn't have internet access. This was definitely a huge inconvenience for me. It was quite embarrassing when my housemates knew about it, because earlier I boasted to them that my iPad could survive even a fall from a height of 17 floors.

In February 2015, I went back to Kulim for Chinese New Year. There, my iPad Air 1 was essentially useless as there was no WiFi. I then decided that I had to get my iPad repaired no matter what. I searched on the Internet for 3rd party repair shops, and I found a shop called iFix in SS15, Subang Jaya. This shop specialises in the repair of Apple products, and the customer reviews were good. They also claimed that they only use genuine Apple parts in their repair.

I brought my iPad Air 1 to iFix in March 2015. They said that my iPad wasn't damaged by the fall, instead the damage was due to contact with water. It would cost RM280 to repair it, and I agreed since it was quite reasonable. The repair was completed a few days later, and it seemed to be successful. My iPad Air 1 could once again read its SIM card and access 4G LTE. Of course, I was very glad about it.

However, a few weeks later, I noticed a problem with my iPad Air 1. Although it could access 4G LTE, the Internet connection would actually work only when the network was very strong with more than 3 bars. If the network strength was less than 3 bars, the Internet connection wouldn't work at all. This wasn't the case before the iPad's SIM card reader was damaged. Back then, if the network was weak, the Internet connection would still work, although it might be slow and unstable.

The problem was that in many places, there isn't a very strong network, so I couldn't access the Internet. Once again, it was an inconvenience for me. I tried searching on the Internet for an explanation and solution, but I couldn't find any. To this date, I don't know exactly what caused that problem. However, one thing for sure is that the problem was related to my iPad's SIM card reader which was repaired by iFix. There must be something they didn't do properly when performing the repair. I felt that it was pointless to repair my iPad again.

At that time, there were rumours on the Internet that Apple would be introducing split-screen multitasking for the iPad, which would allow 2 apps to be used at the same time. The Surface RT and other Windows tablets had this feature a long time ago. I found the feature very useful, and I really wished to have it on my iPad Air 1. In June 2015, Apple finally announced that iOS 9 would have the split-screen multitasking feature known as Split View, but much to my disappointment, it would only be available on the iPad Air 2.

Apple also announced another multitasking feature known as Slide Over, which would be available on the iPad Air 1. When using an app, Slide Over allows another app to be dragged in and used, but unlike Split View, it doesn't allow both apps to be used simultaneously. I was very upset with Apple for not giving my iPad Air 1 the Split View feature. Slide Over was a welcome addition, but I felt that it was insufficient. I started feeling a bit regret for getting the iPad Air 1, thinking that I should have waited for the iPad Air 2 instead.

Later in that month, I went to stay in Kulim for 3 weeks. As it turned out, the 4G LTE network in Kulim wasn't strong enough, so I couldn't access the Internet on my iPad Air 1. I tried disabling 4G to get a stronger 3G network, but it made no difference at all. I could access the Internet using my HTC One E8 phone, but it only had 100MB of data which I quickly used up. After exceeding the data limit, I could only access the Internet at a speed of 64kbps which is really slow.

A solution would be to exchange the SIM cards of my iPad Air 1 and my HTC One E8 so that I could have 3GB of data on my phone. Unfortunately, I forgot to bring my phone's SIM eject tool to Kulim, and my iPad's tool wouldn't work with my phone as the hole on my phone's SIM tray was smaller. I tried using other sharp objects to eject the SIM tray, but they couldn't fit in the hole. Later, I finally found a pin that could fit in the hole, but for some reason it couldn't eject the SIM tray, no matter how I tried.

Eventually, I gave up out of fear that I might damage my HTC One E8. So, my phone was stuck with only 100MB of data, while my iPad Air 1 had 3GB of data that couldn't be utilised at all. Throughout the 3 weeks in Kulim, I was forced to live with a very slow 64kbps Internet connection. Luckily, the game Clash of Clans could work with 64kbps so I could still play it. The next time I went to Kulim in August 2015, I made sure to bring along my phone's SIM eject tool so that I could perform the SIM card exchange.

In September 2015, I upgraded my iPad Air 1 to iOS 9. At that time, I found out that the real reason the iPad Air 1 couldn't get the Split View feature was that it only had 1GB of RAM which was insufficient for running 2 apps at the same time. Meanwhile, Microsoft had just released Windows 10, but Windows RT tablets including the Surface RT couldn't be upgraded to Windows 10 at all. I chose to be grateful of the fact that my iPad Air 1 could at least run new apps designed for iOS 9, unlike those Windows RT tablets that couldn't run any Windows 10 apps.

One day in October 2015, it was raining very heavily and I walked through the rain carrying my iPad Air 1, which caused some rainwater to enter the iPad's connector port. After that, I noticed that my iPad's home button was no longer working. This wasn't much of a problem for me, as I hardly ever used the home button, preferring to use Assistive Touch as a substitute for it. My Taylor's College friends had previously advised me to avoid pressing the home button as it gets damaged easily.

In December 2015, I finally figured out the solution to the 4G LTE problem on my iPad Air 1. I terminated my iPad's 3GB monthly data and upgraded my phone's data plan to 2GB monthly. I also signed up Multi SIM for my mobile account and used the 2nd SIM card on my iPad. With that, both my phone and my iPad could have 2GB of shared data per month. In places where the 4G LTE network is very strong, I would use my iPad's 4G LTE connection directly; in places where the network is weaker, I would use my phone's hotspot to share its 4G LTE connection over to my iPad.

With 4G LTE problem solved, I could once again make full use out of my iPad Air 1. Although 2GB of data per month wasn't a lot, it was still sufficient for me as long as I kept an eye on the data usage and avoided wasting data unnecessarily. In April 2016, my mobile operator offered me a special promotion. As a result, my monthly data was upgraded from 2GB to 10GB. With that, I could browse the Internet comfortably without worrying about exceeding the data limit.

In September 2016, I upgraded my iPad Air 1 to iOS 10. After the upgrade, my iPad became a bit slower compared to previously. However, iOS 10 introduced several new features which I really liked. At that time, the cover and screen protector of my iPad had been in poor condition. Therefore, I decided to get a new cover and screen protector for it in October 2016. In November 2016, my mobile operator upgraded my monthly data to 20GB without additional charges.

In June 2017, Apple announced iOS 11. iOS 11 would introduce several new features for iPads, such as the Files app, the dock, improved multitasking and support for drag-and-drop. Those features seemed very useful, and I couldn't wait to try them out. During my summer break in August 2017, I upgraded my iPad Air 1 to the beta version of iOS 11. This was a risky move, as the non-functional home button on my iPad meant that I couldn't put it into DFU mode to perform a restore in case something went wrong. I also didn't backup before upgrading.

It turned out that iOS 11 wasn't as good as it seemed. The Files app had many limitations, such as the inability to create new folders or save files in the "On My iPad" folder. The lack of the Split View feature on my iPad Air 1 meant that I couldn't really make use of the improved multitasking and drag-and-drop. iOS 11 also dropped support for 32-bit apps, causing me to lose access to a few apps. Worse still, the iOS 11 beta had some bugs and was quite laggy on my iPad Air 1, but I believed that it would be fixed by the time the final version launches.

On 4 September 2017, just as I was supposed to begin my 4th year of MBBS, NUMed unexpectedly announced that every student had to resit for the 3rd year exam because of a security breach. I always do my studies on my iPad Air 1. As the final version of iOS 11 still hadn't launched at that time, I had to revise for that exam using my iPad that's running a beta version of iOS. Luckily, there weren't any issues that could affect my revision.

After upgrading my iPad Air 1 to the final version of iOS 11, it was still quite laggy. The lag was particularly noticable when launching an app. It was clear that with only 1GB of RAM, the iPad Air 1 couldn't run iOS 11 smoothly. My iPad had shown it's signs of age, and I began thinking of getting a new iPad. In December 2017, my mobile operator once again upgraded my monthly data to 40GB without additional charges. Later in that month, I bought a new Google Pixel 2 phone. It's definitely a high-end phone with very good performance.

I used my Pixel 2 phone a lot, as it's very much faster than my iPad. Meanwhile, I became quite annoyed with the lag of my iPad Air 1, so I used it less and less. I thought that iOS 11 would be the last iOS version for the iPad Air 1. However in June 2018, Apple announced that all devices running iOS 11 could be upgraded to iOS 12, and promised that iOS 12 would bring performance improvements, especially for older devices.

In August 2018, I upgraded my iPad Air 1 to the beta version of iOS 12. After the upgrade, the performance of my iPad improved slightly, and the apps could launch faster. I didn't notice any bugs with the iOS 12 beta. However, iOS 12 didn't introduce many new features. I upgraded my iPad to the final version of iOS 12 in September 2018. At that time, I just started my 5th year of MBBS. I downloaded several new ebooks to my iPad Air 1 which were required for my studies in 5th year. As a result, the amount of free storage space on my iPad became quite limited.

Despite the performance improvements of iOS 12, my iPad Air 1 was still quite laggy. I didn't want to use it much, apart from the purpose of studying. The newest iPad at that time was the iPad 6 released in March 2018. I didn't quite like it as it doesn't have a fully laminated display and anti-reflective coating, which the iPad Air 2 had. In October 2018, Apple announced the iPad Pro 3. Although I was quite impressed with the iPad Pro 3, I felt that it's too expensive. Besides, it has Face ID instead of Touch ID, but I prefer Touch ID over Face ID.

In December 2018, many of my friends in NUMed travelled to Newcastle University UK to take the Situational Judgement Test (SJT). I had wanted to do the same, but flying to UK and back would cost more than RM4000. I realised that RM4000 would be sufficient to buy a new iPad, so I decided to save the money by not taking the SJT. My plan was to wait for Apple to release the iPad 7 in 2019, hoping that it would have fully laminated display and anti-reflective coating.

In March 2019, it turned out that Apple released the iPad Air 3 and iPad Mini 5 instead of the iPad 7. Unlike iPad Air 1 and 2, the iPad Air 3 has a larger 10.5" screen and is essentially a cheaper version of the 10.5" iPad Pro 2. It has fully laminated display and anti-reflective coating, and it has Touch ID instead of Face ID. I was really impressed with the iPad Air 3 and I thought of getting it to replace my iPad Air 1.

The only issue is that the 10.5" screen means that the Microsoft Office apps won't be free to use on the iPad Air 3. Since March 2015, Microsoft has a policy where devices with a screen size of 10.1" or smaller can use Microsoft Office for free, while larger devices require a paid Office 365 subscription to use it. Although I have an Office 365 subscription provided by NUMed, it would soon end when I graduate.

A few days later, my Acer laptop broke down unexpectedly. It would forcefully switch itself off after it's in use for a few minutes, making it unusable. Through online search, I found out that the issue might be due to a dirty or non-functioning CPU fan. I got the CPU fan cleaned by a shop in Johor Bahru, but the issue persisted. As my Acer laptop was already more than 8 years old, I felt that it might be time to get a new laptop. However, it would cost too much money to get both a new laptop and a new iPad.

I thought of getting the Surface Pro 6, a laptop-tablet hybrid device running Windows 10, to replace both my Acer laptop and my iPad Air 1. I actually liked the iPad Air 3 more than the Surface Pro 6, but the fact was that only the Surface Pro 6 could fully replace my Acer laptop. I felt sad that buying the Surface Pro 6 would mean I would never be buying the iPad Air 3. However, my parents didn't want to buy me the Surface Pro 6 as they felt it's too expensive, and instead recommended a cheaper Windows laptop for me. I was unimpressed with that laptop and I didn't want it.

I then decided to have my Acer laptop repaired at a shop in Subang Jaya during my Easter break. The repair costed RM300 and it seemed to be successful. However, after I returned to Johor Bahru, the issue of my Acer laptop forcefully switching itself off returned. At that time, I was busy revising for my exams for 5th year of MBBS. As I do my revisions using my iPad Air 1, I could live without my Acer laptop for the time being. The repair shop had given me a 2 month warranty, so I planned to bring my Acer laptop back there the next time I go back to Subang Jaya.

In May 2019, my iPad Air 1 became very unstable where apps would crash randomly. I then realised that the free storage space on my iPad was close to zero. I offloaded several apps and turned on the "Optimise iPad Storage" feature for the Photos app. This regained a few GB of storage, making my iPad faster and more stable. However, there was another problem. My iPad's battery life was getting worse and worse, and sometimes its battery level would continue to fall even when it was being charged. Luckily, it didn't have any impact on my revision for the exams.

In June 2019, Apple announced that the next version of iOS would be rebranded as iPadOS for iPads. iPadOS 13 would introduce several new features such as desktop Safari browser, download manager, improved Files app, support for USB drives and support for mouse. With these features, iPads would become much more powerful and could almost completely replace a laptop. As expected, my iPad Air 1 wouldn't get the upgrade to iPadOS 13. Even if the upgrade is possible, it's likely that the performance won't be good.

The iPad Air 3 running iPadOS 13 would be able to meet vast majority of my computing needs. Therefore, I decided to get the iPad Air 3 and I no longer wanted the Surface Pro 6. Meanwhile, my Acer laptop would act as a backup computer for rare tasks that the iPad Air 3 can't perform. I sent my Acer laptop back to the repair shop in Subang Jaya and they agreed to repair it once more without any additional charges. The repair was completed in July 2019, and my laptop's problem was truly fixed this time.

On 2 August 2019, I finally bought the iPad Air 3 at Machines in Main Place Mall. I chose the gold, 64GB, WiFi + 4G LTE model. iPadOS 13 was not yet released at that time and the iPad was pre-installed with iOS 12. With much better performance, properly functioning 4G LTE, Split View feature, TouchID, better screen, greater storage and compatibility with iPadOS 13, the iPad Air 3 is definitely a much better device than the iPad Air 1. I really like my iPad Air 3 and I will definitely take good care of it. However, I will also continue to use my iPad Air 1 for as long as it continues to function.

Wednesday, 24 July 2019

Thoughts on my failure in Stage 5 of MBBS

The final exams for Stage 5 of my MBBS course at NUMed consist of WriSkE, SBA and End of Stage MOSLER. To pass Stage 5, students need to pass all three assessments. On 13 June 2019, the final results for Stage 5 was released. I passed the WriSkE and SBA, but unfortunately, I failed the End of Stage MOSLER, which meant that I had failed Stage 5 of MBBS.

The MOSLER is a clinical assessment where we have to see real patients. The MOSLER has 6 domains of assessment which are Information Gathering, Technical & Procedural Skills, Communication Skills, Clinical & Diagnostic Reasoning, Management, and Professional Behaviour. There are in-course MOSLER's throughout Stage 3 and Stage 5 as well as an End of Stage MOSLER at the end of Stage 5.

Here, I would like to share my thoughts on my failure in Stage 5 of MBBS.

To be honest, before I entered Stage 5, I wasn't confident of being able to pass it in my first attempt. My greatest worry was failing the MOSLER's. Back in Stage 3, I faced great difficulties with the in-course MOSLER's, failing the Clinical & Diagnostic Reasoning domain twice, and disastrously failing all domains of the Women's Health MOSLER.

Although I then passed Stage 4 without significant difficulties, that was because there are no MOSLER's in Stage 4. I knew my underlying weakness with the MOSLER's was still there, and that it would be a problem for me during Stage 5. With the addition of the Management domain, the MOSLER's in Stage 5 would be even more difficult than in Stage 3.

However, after I got into Stage 5, I realised that it is actually not as difficult as what I had expected. Stage 5 is basically a revision of the Stage 3 curriculum, plus some new things. I still remembered what I learnt in Stage 3 fairly well, and I felt that I actually understand everything much better when learning them a second time.

Therefore, I soon became quite confident of passing Stage 5. As it turned out, I didn't face much difficulties with the in-course MOSLER's in Stage 5. I managed to pass all domains of the Women's Health MOSLER this time, and the lecturer was impressed with my improvement. Although I still didn't get a perfect result in all in-course MOSLER's, I never failed any domain more than once.

After completing the final exams, I was very sure that I had passed Stage 5, and I wasn't quite worried about the release of the results. Therefore, it definitely came as a shock to me when I found out that I failed the End of Stage MOSLER. After all the confidence I had throughout Stage 5, it turns out that the worries I had before entering Stage 5 actually materialised.

I initially planned to appeal my MOSLER results. However, after reading the feedback written by the examiners, I realised there is no grounds for an appeal, as the feedback clearly corresponds to the marks I got for each station. Besides, there has never been a case in NUMed where an appeal of exam results is successful. Therefore, I gave up on the appeal.

The issue about failing Stage 5 is that we must repeat the entire year and take all assessments again, as NUMed doesn't allow us to just resit the failed assessments in August like for Stage 1, 2 and 4. Most students don't like the idea of having to spend another year studying for the MBBS degree and they prefer to be given the opportunity to resit in August.

But for me, while I think repeating the year isn't ideal, I actually prefer it over resitting the MOSLER in August. This is because repeating the year gives a substantially higher chance of passing compared to resitting in August. It is definitely important to maximise the chance of passing as failing a second time will result in dropping out of MBBS.

If we resit in August, we have only about 2 months to revise everything and also improve on our weakness, which is definitely very challenging and risky. Meanwhile by repeating Stage 5, we have an entire year's time, and we are taught everything again. It isn't uncommon for students to fail again after resitting in August, while most students improve a lot after repeating the year.

As I have mentioned in my previous post, the main cause of my failure is my method of studying. Other possible causes are overconfidence and lack of clinical skills practice. I had some relationship issues in the months leading up to the final exams, which also contributed to my failure in the MOSLER.

I never looked forward to graduation. I have been together with my friends in NUMed for so long. As an emotional person, having to separate with them after graduating definitely makes me feel very sad. Now that I failed Stage 5, I am not graduating this year, but it doesn't make much of a difference, as I still have to separate with most of my friends.

This is the first time where I failed a year in the MBBS course. I definitely consider Stage 5 to be the most difficult year. Despite that, the course content of Stage 5 have been very interesting. For the repeat year of Stage 5, I hope I will have a much better experience. I won't hate NUMed for failing me, and I will never regret my decision to study MBBS at NUMed.

Monday, 1 July 2019

My weakness in the MOSLER assessment

At the end of Stage 5 of my MBBS course at NUMed, there are SBA and MOSLER assessments. The SBA is a multiple-choice written examination, while the MOSLER is a clinical assessment with 8 stations where we have to see a patient in each station.

The MOSLER has 6 domains of assessment which are Information Gathering, Technical & Procedural Skills, Communication Skills, Clinical & Diagnostic Reasoning, Management, and Professional Behaviour. For the MOSLER which I took in June 2019, I failed the Management domain and I only scored the bare minimum required to pass the Clinical & Diagnostic Reasoning domain.

What went wrong actually? After reading the feedback written by the examiners in the MOSLER, I think I have figured out that the main problem lies with my method of studying. Basically, I place a lot of emphasis on the BREADTH of knowledge, but not on the DEPTH of knowledge.

Focusing on the breadth means that I always try to study as many diseases as possible in the books. I usually give every disease equal consideration, regardless of how common each disease is. With a few exceptions, I will not leave out any disease in my revision.

However, I do not study each disease deeply. Usually, after revising the signs and symptoms as well as the basic investigation and management plans of a disease, I consider myself done with that disease and I will not explore it further. My thought is that any further knowledge is not important for undergraduates.

My favourite specialty is primary care (general practice). Being the first point of contact for patients, general practitioners need to know a very broad range of diseases, but they do not need to know each disease as deeply as compared to other specialists. My interest in this speciality has a certain influence on my method of studying.

Having the breadth of knowledge is important for the SBA examination as the questions test on many different types of diseases, including very rare ones. My method of studying that emphasises on the breadth of knowledge enables me to perform quite well in the SBA.

But for the MOSLER, the depth of knowledge is important. This is because the examiners usually do not just ask general questions like "How would you manage this patient?". Rather, they would focus on a particular area and ask detailed questions about that. Without the depth of knowledge, it will not be possible to answer many of those questions.

One of my stations in the MOSLER was hypothyroidism. The examiner asked me about the investigations for Hashimoto's thyroiditis, a cause of hypothyroidism. I gave thyroid function test as the answer, but the correct answer should also include autoantibodies test which I did not know because I did not study Hashimoto's thyroiditis detailed enough.

Next, the examiner asked me how I would adjust the dose of thyroxine that the patient was on. I could not answer that question at all, as the only thing I studied about the management of hypothyroidism is giving thyroxine. In the end, I got a score of 0 for both the Clinical & Diagnostic Reasoning and Management domains of that station.

There was a MOSLER station where a patient with COPD came for a follow-up. I knew the bronchodilators and steroids used to treat COPD, but the patient already was on all those drugs. The examiner instead asked me about the prophylaxis against acute exacerbations of COPD. I did not study that at all, so I was unable to answer that question.

In one MOSLER station, the patient had just recently underwent a coronary artery bypass graft (CABG) surgery for MI. The examiner asked me which vessel is used for CABG. As I did not study the details of CABG, I only knew that the vessel is located in the legs but not the name of the vessel which is long saphenous vein.

In the acute care simulation station of the MOSLER, the patient had pneumothorax. After performing ABCDE, the examiner asked about the further management and I answered chest drain which was correct. However, when the examiner asked how should the chest drain be inserted, I could not answer it at all. Again, this is because I never bothered to study chest drain in detail.

Many students who failed Stage 5 of MBBS actually passed the MOSLER but failed the SBA instead. I believe their situation is the opposite of mine, where they have the depth of knowledge but lack the breadth of knowledge. From my observation, many students tend to focus on the more common diseases and study them deeply, while neglecting the less common diseases.

So, in order to pass all Stage 5 assessments, we need to have both the breadth of knowledge and depth of knowledge. In the future, I need to change my method of studying so that in addition to revising a wide range of diseases, I also go deeply when revising each disease.

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