First day of the new posting

Fetched TB from the airport last night. He looked high-spirited and so immersed in love as usual. He flew back to hometown to meet his girlfriend.

Wish I had a boyfriend to go back to too during my holidays. It's rumoured that he'll be getting married next year. All of a sudden, I felt so depressed. And, not surprisingly, desperate.

Today's fun. Internal medicine is fun. It always reminds me that the irrevocable decision I made years ago to apply for med school was right. Well, perhaps, I don't quite fancy the exam part. As a matter of fact, I'm always at a loss whenever it comes to neurology. Yet, generally speaking, internal medicine is always one of my most favourite subjects. I do hope I can be come a physician in future.

I offered to present a case during the bedside-teaching by an internal lecturer today. The one who's supposed to refuse to. I don't know what's there to be afraid of. It's presenting the history and physical findings in an exam-oriented manner and in the fashion lecturers like. Sometimes, I resent being in the same group with mediocre people who piss me off with their cavalier and lackadaisical attitude. This is when I wish I were grouped together with those who're slightly more kiasu. They're always on the prowl and in a desperate search for patients with good signs. Kiasu-ism is not tantamount to self-centredness or selfishness. You actually learn things from them. There's positive competition. Sometimes, you develop a symbiotic relationship with them. Sometimes, you realize how far you're lagging behind in terms of knowledge as well as the need to buck up and strive harder.

The 64-year-old guy I clerked today had liver cirrhosis due to chronic hepatitis B infection besides other concomitant medical diseases such as diabetes mellitus.

I actually noticed in the case note that he was having Fournier gangrene.

Fournier gangrene is a necrotizing infection involving the soft tissues of the male genitalia. The predisposing factors include diabetes mellitus and cirrhosis.

I need to eat less doughnuts and croissants.

The prostate gland

“Can you feel my dick pounding your prostate?”

“Argghh..yeah…”

The conversation above was extracted from one of the numerous pornographic clips in my collection.

The prostate gland is a fibroadenomatous gland surrounding the bladder neck and urethra in a male. It contributes a secretion to the semen.

Basically, it’s generalized that all the excitement and pleasurable feelings the receptive party experiences in an anal intercourse stem from the rhythmic pounding of his partner’s dick against the former’s prostate gland. But, I don’t know how true this statement is.

For years, I’ve made an effort to find an answer to the myth but it’s unfruitful. Well, I do know that the prostate gland plays a role in an orgasm. The sympathetic nervous system stimulates rapid contractions of the ductus deferens, seminal and prostate glands which provide the semen and expulsive force to discharge the sperms. But does prostate gland really have a part to play in inducing sexual arousal in anorectal sex among gays?

Speaking about prostate gland, I come across many old men with a very common problem called benign prostatic hyperplasia (BPH) in the surgical ward. The gland becomes enlarged and compresses the urethra (尿道), resulting in difficulty in passing urine. And hence, I’ve got many chances to perform digital rectal examination or PR on them, during which I need to insert my index finger into their assholes to appreciate the enlargement of the gland.

Somehow, the fact that the condition only occurs in old age dashes my fantasy of fingering young hot muscular hunks in the ward. But, at least, I know how a prostate gland feels like now. =)