Thursday, February 25, 2010

SSRS from a good friend of mine...

So, here follows a report from one of my friends (yes, I did get their express permission!) for their involvement in the SSRS program.

"The aim of the study is to determine the impact of continuous positive airway pressure (CPAP) on chronic cough in patients with obstructive sleep apnoea (OSA). This is a single-blind, randomized, controlled and parallel group study of the effect of nasal CPAP on cough in patients with proven OSA and cough. Patients are recruited prior to their commencement of CPAP treatment and are allocated to either treatment group (CPAP with treatment pressure) or control group (CPAP with sham pressure). Cough data is collected 4 times during the study: at baseline, 1 week review, 1 month review and 2 month review respectively. This is achieved by using the 24 hours Ambulatory Cough Monitor and patients’ self assessment through completing the Leicester cough questionnaire. At the conclusion of the study cough results will be compared between the two groups to determine the effect of nasal CPAP on cough parameters including frequency, sensitivity, threshold and Quality of life in patients with proven OSA and chronic cough.

My main involvement and responsibility in this project was patient recruitment in the Concord and Liverpool hospital sleep lab. This involves presentation of the project, communication, negotiation with patient and answering patient queries. Relationship building and maintenance with Concord and Liverpool sleep lab staff was important, as frequent liaison with sleep lab scientific officers was required to follow up patient reports. My other responsibilities include data entry and maintenance of patient information in excel spreadsheet, as well as delivery and pick up of the cough monitor at the patient’s preferred time and location.

This project gave me an opportunity to gain a basic understanding of the clinical research process, the complexity in its set up and the difficulties that the researcher may encounter. A better understanding of sleep apnoea in the clinical setting was also attained. Patient recruitment was a challenge however it helped to improve my communication, presentation and negotiation skills in the process. Managing different aspect of this project helped me to further develop my organization skills."

Friday, February 19, 2010

Life is rosy...

My first week as a second-year ended quite well; but before I get to the end, I probably should take it from the top. First of all, it's always nice to see everyone back; many of them I have not met during the holidays for whatever reason (I would like to blame my research project, but in reality it didn't prevent me from doing much... thanks, awesome holidays-are-meant-to-be-holidays supervisor!*) This week was meant to be a "get right into it" week, but most of the lectures were short, or introductory/welcome lectures; so it seemed a really relaxed week overall. However, the attitude towards study certainly seemed to have shifted in our grade; noticed a bit more of a studious attitude, not just in myself but of those around me - and this was the first week back as well! On the flip side of seeing everyone back was the not-so-joyous realisation of how our cohort had changed a little; some good friends of mine weren't around, and some I knew suddenly appeared in our cohort's lists for practical classes and tutorial groups. I think that as a grade, however, we pulled through first year quite well, which was quite heartening. Our first anatomy tutorial went quite well, and even included a little radiology session, which we haven't had before; getting a kidney via ultrasound hurts a tiny bit though.

Which brings me to our system of study for our first few weeks; the renal system. Not exactly what I would vote as 'most stimulating subject of study'; I think I will struggle to keep focused on my studies for renal. I remember meeting one of my friends from high school who I hadn't spoken to in a year, and asking him: "how do you study stuff you're not interested in?"; and he answered "well, I just force myself... I persuade myself that if I don't learn this properly, or read this much, then I won't get a nice job and get paid well, and life would be s**t." (He's doing Comm/Law... I'm not saying anything about Commerce or Law by inserting that piece of information in; I think it's a wonderful double degree that gets you places and does, by all means, lead to excellent job prospects if you have no passion for anything in particular that any university offers). Unfortunately for myself, I have not that faculty that allows me to delude myself; I have tried to settle for "my patients will die if I don't know this" which, funnily enough, doesn't get me anywhere, because then I think "well, I do have 4 more years of med school, and another couple of Olympics in ward experience to learn this, so just chillax right now."

That isn't the reason why life is rosy, however. Why life is rosy is because two very awesome things happened to me, today. One: I have an awesomely witty ICM tutor. and Two: I can cycle to hospital and not fall asleep during ICM/PCS (8km one way). Score.

* In relation to the SSRS, I may be getting a writeup of one my friend's experiences on this blog. So stay tuned for some objective recounts :) Also, I forgot to mention what PCS is - Procedural Skills; lessons on the more clinical side of medicine such as cannulation, injections and hooking up IV drips. That, actually, should be my third reason for why life is rosy.