Today in pediatric clinic I was observing senior M.O consultations as he attended to his patient. One of them is little girl with VSD. She will be admitted to IJN tomorrow and have her defect repair on Friday, according to her mom. The MO (I didn’t know his name, that is what you get entering a room randomly) asked me “What type of murmur do you expect in VSD patient?”
I was struck silly. Heart Murmur is one of those field I rarely good with. I rarely (close to never) listened to them. Leave alone remembering how many murmur is there?
I answered “Early systolic murmur?” with high degree of hesitancy and self-deprecating. That’s the only murmur I remember.
He turned to me “Are you sure? Try listen for yourself”
And I was like, omaigod. Listening to them will not make it any better when I know nothing much about them let alone remembering how they sound. I was at total lost, but I squatted down to listen anyway putting my less utilized stethoscope on.
There it is…’brush…brush…brush…brush"’ a constant murmur silencing the real Lubb Dubb sound.
Something comin’ over me. Out of nowhere…
It like a revelation, I answered “Pansystolic murmur?” I don’t freaking know where this is coming from.
“Yes! in VSD patient you will hear pansystolic murmur.”
Fuh! I let out a big relieving breath. I let my friend to have her turn to listen to it while I’m exhaling and inhaling slowly so the redness on my face subside. I am actually preparing myself for a wrong answer and be humiliated. Next time…oh well…next time we will forever remember how it sounds like.
PANSYSTOLIC MURMUR. I got my sound archive updated. Despite my vast mp3 song archives.
Again…my subconscious mind surprised me. Where in heaven do I learn about that? I did remember listening to 2 hour long MP3 of heart sound and murmur, but I am also vividly remembered I fell asleep at the first heart sound (S1) lubb dubb. I guess this is where my subcon took over.
I’m a new fan of my subcon. You rawk.
No comments:
Post a Comment