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Article Responses: July 2002




Articles
Responses

LETTERS
Cotton buds must have their uses
      Anushka Soni (July 2002) [full text...]

Ms S. B Vasanth, FRCSI (Oto)DLO
(24 July 2002)

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Gary Smith (09 July 2002)
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NEWS
Children in war zones at high risk of suffering emotional disorders
      Kay Seong Ngoo (July 2002) [full text...]

Ron Berant (22 July 2002)
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REVIEWS
Do you trust your hospital trust?
      Helen Bryden (July 2002) [full text...]

Nadir (21 July 2002)
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LIFE
The Sydney to London switch
      Rabia Khalique (June 2002) [full text...]

Imre Hunyor (20 July 2002)
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LETTERS
Cotton buds must have their uses
      Anushka Soni (July 2002) [full text...]
 

Ms S. B Vasanth, FRCSI (Oto)DLO (24 July 2002)
      Tyrone County Hospital, Omagh shirinvasanth@doctors.org.uk

TOP


1) It is easy to perforate the tympanic membrane with over enthusiastic self cleaning-remember that the EAC is only 2.5 cms long. Worse still there is remote chance of trauma to the ossicles

2) There is a higher incidence of otitis Externa with Cotton bud users wax in the ear canal is bacterocidal, being especially potent in killing dividing bacteria(Stone and Fulghum 1984). {Annals of Otology, Rhinology and Laryngology(93)183-86}

So what does one do when you have the maddening itch in the ear which wont go away.The answer is to apply firm rotatory pressure on the tragus,intermittently.This trick is also useful while descending in an aircraft and your hearing goes muffled, especially if you remember to alternate with pinching your nose and swallowing at the same time(Toynbee Maneuvre)

I have found cotton buds particularly useful in applying eyeshadow especially the glitterdust variety !!!

Gary Smith (09 July 2002)
      2nd Year Medical Student, University of Birmingham gxs068@bham.ac.uk

TOP


I am writing in response to Anushka Soni's recent letter on the function of the cotton bud. Although abandoned by the ENT specialty, it has now been adopted by both dermatology and general practice. The cotton bud provides a cost efficient and less threatening method of applying liquid nitrogen when performing cryotherapy. The alternative is the use of a cryotherapy gun which is both expensive (around £500) and can be frightening for children.

The application of liquid nitrogen by means of a cotton bud can be used to effectively treat a number of dermatological complaints including viral warts and molluscum contagiosum.

This important function of the cotton bud is currently unrecognised by manufacturers and is not stated on the packaging as yet. There are still questions to be raised as to the particular function of cotton buds for the lay public.

NEWS
Children in war zones at high risk of suffering emotional disorders
       Kay Seong Ngoo (July 2002) [full text...]
 

Ron Berant (22 July 2002)
      Ben-Gurion university, Beer-Sheba, Israel barnet@bgumail.bgu.ac.il

TOP


While there is no doubt about the mental damage caused to children due to fighting in their area I would like to note that we must not forget that there is also a considerable amount of mental damage to children living in areas where acts of terror (suicide bombings, gunshots etc.), are happening almost every day. PTSD is common in people -adults and children- after every attack.

I am not trying to diminish the damage caused to Palestinian children by the situation in the middle east , I am just trying to remind everyone that a lot of Israeli children suffer as well, and I'm sorry that the article (the one in The Lancet and the one in sBMJ) didn't address that point.

REVIEWS
Do you trust your hospital trust?
      Helen Bryden (July 2002) [full text...]
 

nadir (21 June 2002)
      final year med student, cape town, south africa shroom@ananzi.co.za

TOP


Thank you Helen, for being pro-active and doing something about your predicament. I was not aware that these levels of abuse were taking place in the UK, and it was very interesting to hear how things progressed. It just makes you want to dislike beaurocracy even more. Hopefully what you have helped achieve will have some long term implications for trusts acting more responsibly and less selfishly in the future.

LIFE
The Sydney to London switch
      Rabia Khalique (June 2002) [full text...]
 

Imre Hunyor (20 July 2002)
      University of Sydney ihunyor@gmp.usyd.edu.au

TOP


Rabia presented what may be a fair reflection of her experiences as a medical student at UNSW in Sydney, however I feel compelled to add a few comments to provide your readership with a more balanced view of student life here, as well as the curriculum stuctures in our medical schools.

It is definitely reassuring to hear that London medical students are "more individual, have varied interests outside of medicine, and seem much more grown up", in addition to not being of the 'bookworm' variety. I would say that many of my colleagues in a (post)graduate medical programme at the University of Sydney would have many characteristics in common with the Londoners.

Apart from the medical students themselves, entry into medicine in Sydney (and indeed at 4 other medical schools in Australia) is no longer reliant on a set of exams at the age of 17-18, when many students have no idea what kind of career they want to pursue, and the pressures of parents still weigh heavily in career decisions. Several medical schools require one to have completed at least a bachelors degree (in any endeavour) before being considered for entry - followed by a set of examinations similar to the GMAT in the U.S (called the GAMSAT in Oz).

In terms of curriculum structure, Sydney University employs the Problem Based Learning pioneered by MacMaster University (Canada) in the 1970s. An MBBS degree at Sydney takes 4 years to complete while students spend at least 1 day a week at hospitals from the very first week of the course, with the final two years of the course completed at clinical sites.

The financial challenges and living situations that medical students in Sydney are faced with have changed due to the markedly different cohort that is now coming through. Students are now older, and therefore are less likely to live at home, are more likely to have part time work, while there are many scholarships for students aspiring to work in rural and regional areas. I would also challenge the assertion that students in Sydney are more likely to come from a wealthy family as compared to their counterparts in London - there is probably a greater division between private & public high school systems in England compared to Australia, while universities are here are publicly funded with a small fee contribution from students (comparable to the UK). In addition to scholarships for those who are financially burdened, the government has a means tested 'Youth Allowance' scheme to help support those who cannot support themselves.

So it is clear that the portrait of medical students in Sydney (and indeed the rest of Oz) is not quite what Rabia made it out to be - there is no stereotypical medical student here, although we share a degree of commonality: we are a group of students who aspire to be the best doctors that we can be.

references:
www.fhs.mcmaster.ca/mhsi/
www.med.usyd.edu.au