Friday, 13 June 2014

My baby - 9 months of hard work

9 months- The birth of my “baby”
It was not an easy path, but a path worth the walk.

Pre-Conception
Jul-Aug: All FYP students received a briefing as well as the available topics for FYP for that year. The document consists of a list of projects divided into 4 categories – PK, PC, PP and PT. The projects had accompanying title, description and supervisors in charged. I was overwhelmed by the vast amount of choices available, but decided to focus more on PK and PP projects since the topics seemed to be more interesting. I called up one of my seniors who, advised me greatly on which projects to choose. He is really very helpful. Spoke to several other seniors via sms, fb … for their advice as well.

Balloting was then carried out using a software after all students had submitted their 10 choices (ranked in order) to the FYP rep. Apparently, the software helps to ensure that majority of the students are able to receive their top few choices. I remembered that on the day of submission, something went wrong with the internet and my choices could not be uploaded. In my mind, I was thinking, “Is this a sign I should re-arrange the order of my choices? Will I fail to get any of my choices?” Having put in so much thoughts and effort to the order of my rankings of the projects, I decided to ignore the “sign” and proceeded on to submit my original rankings.

*Lots of uncertainty and anticipation.

Conception.
Indeed, I was one of the rare unlucky (or maybe lucky) few who weren’t allocated any of our 10 FYP choices. In fact, I was allocated to a project, which doesn’t seem to go in line with my interest at all. I was devastated. I started calling my friends up for advice. I panicked as I looked through the list of “leftover” projects as they were all subjected to first come first serve basis. Fortunately, there were a few wet lab-based projects and with due consideration, I sms-ed the FYP rep my rankings of the available projects left. I was allocated my second choice, dealing with PCC proteins. The supervisor seemed quite nice too.

A few days later, I had an appointment with the supervisor to learn more about the project as there is another deadline for switching of projects, should there be a need. He explained the project to me patiently and kindly re-assured me that there will be appropriate guidance by the phDs and that he will be there to help us at any point in time. Boosted by his positive energy, I decided to give this project a shot.

*Akin to an etopic pregnancy, an unstable beginning.

Gestation
With the thought of achieving as much as I could before thesis writing, I decided to do everything as fast as I could. There were a number of forms to be filled up and duly signed by myself and my supervisor. One risk assessment form, activation of lab entry etc etc. It is better to get all these forms filled up as early as possible so that labwork can begin early. Within one week or so, I was able to begin my labwork. 8am every morning, the time I would reach the lab. I was always one of the earliest to reach the lab for a start. Sometimes I had to wait for my mentor to arrive before I start work, which was quite frustrating. She taught me as much as she could within 1-2 weeks, starting with protein cloning, transformation, expression and eventually desalting. I had to scribble everything while she speaks, into my notebook. All the steps, concentration, reagents, location of reagents and equipment she uses. At the end of the day, I had to transfer everything I had scribbled down into my log book. I was glad to keep on track transferring the info into my log book as it really helps to facilitate my labwork and everything could be organised properly.

Soon, I was able to work on my own. She monitored my closely on my first attempt. Made some mistakes here and there as it was nerve wrecking having someone breathing down your neck.

Then I was free to go. It was very carefree and I enjoyed working in the lab for a start, especially when I realised I could express my proteins successfully and get the equipment working correctly. On and off, I had several in impromptu meet-ups with my supervisor to clarify my doubts and to update him my progress. I was then asked by my supervisor to plan various experiments that I could possibly conduct to test the stability of the proteins. He prompted a few tests that I could carry out and I had to find out more. Lots of reading up. LOTS and LOTS of it.

The beginning felt like a mountain was impeding my journey ahead. There were so many uncertainties and doubts ahead to overcome before I could finally see the light and clear path ahead. I often compare myself with my FYP friends. Some of them had their whole experiments planned out properly by their supervisor/ mentor and had a clear idea of what to do for their project. For me, the experiments weren’t even fixed. Furthermore, the machines and facilities needed to run the tests proposed were either non-functioning or non-existent in our labs. My supervisor had to contact several other profs to enquire the availability of such.

Then came a period where a mismatch of goals and expectations, between that of my supervisor and mentor, occurred.  It was truly a tough time.

On the bright side, a scientist from SERI at MD6 had agreed to allow us to use his facilities FOR FREE! Then there were problems of booking, and some sense of unhappiness when we booked the machines for our use ahead of the perm staff there.

There was a period of time, probably a few weeks or months, where my proteins failed to be expressed. All the time and effort down the drain, my emotions and feelings went downhill as well. The way to the lab felt like a chore, from love to hate. The lack of help, as previously promised, made matter worse. I was depressed. Loss of appetite, perpetual sadness, lack of concentration, motor dysfunction. I had doubts whether I could finish my project in time and with results.

Fortunately, I have a very encouraging supervisor who is willing to give advice at all times. The root of the problem to the failed protein expression was discovered. I began to be able to express my proteins again! The most memorable experience I had was the one on New Year’s day where for the first time, I managed to purify 2 different proteins of sufficient concentration!

Slowly but surely, I began to gain more confidence in the lab, boosted by the encouragements of my supervisors, friends of S4L3 and ant. I was beginning to feel more at ease and enjoy working in the lab more.

Yet again, another bad news came. My supervisor broke the news to us somewhere in dec that he is going to resign. I remembered trying to hold my tears SO HARD as he broke the news to us in the meeting room with Dr Ee and all his FYP students. I was handed over to Dr. Chew, a sliver lining amongst the black clouds. I had always dreamed of working with Dr. Chew. Her lab is just diagonally opposite mine, and I always see her around, joking and teaching her students. Well, at least I managed to get some consolation with this arrangement.

The whole period of labwork was a period of self-discovery, patience and perseverance.

Birth
The birth of my thesis, presentation 2 and poster was meticulously induced by Dr. Chew. I always admire her dedication to all her students, albeit the little time she has. I feel bad having to impose upon her when she already has so many students at hand.

Presentation 2 was particularly memorable as my examiners were Dr kang LF and Prof C Chai. I was scared to death having found out that Prof Chai is my e2. During P2, Dr KLF was very pleased with the info presented and even stayed back to question me more about the project! Surprisingly, I enjoyed the question and answer session with both of my examiners. I felt like a proud mother answering any doubts and selling my project to them ^^

Thankfully, my FYP turned out better than expected :)

Great thanks to:
Dr Kang TS: for constantly embracing my endless number of questions, office visits, his listening ear, his encouragements and tips for P1, WR and advice for lab work. :D

S4L3 group photo!

Dr Chew EH: for her numerous edits for all my drafts, all the fun and laughter in the lab and during consultation, her ghost and harry potter stories during labwork. And giving me such a fun 30 minutes chatting about the missing flight after my P2 rehearsal. And thank you Dr Chew for being such a cuuuuteeeeee prof! ^^


Dr Chew Team <3

Dr Lakshmi: for his critiques of my labwork, answering all my questions and generously allowing us to use his facilities. I deeply remember him coming to check on me on a Saturday before he leaves his office as I was the only person in the lab that day. J
Mahnaz: for teaching me and allowing me to work independently
PhDs and lab tech of S4L3: for all their help and reagents! :) special shoutout to Dr chew's, Dr Ee's and Prof Yu's lab!
Fellow comrades of S4L3: to all of you for your presence in the lab. When u all are around, it makes me feel more at home where everyone works together for a common goal! I really enjoyed all my time in the lab when you guys are around, when we joke around or make small talks in the lab!! :D
Jumanah: for your presence, hugs, bimbotic convos, cheering up sessions, doing things together, stealing nitrogen gas with me from the deserted place, making me laugh when u said you are getting breast cancer after getting poked by your needle and being there for me. It’s a pity I didn’t manage to record all the funny things u said! bleagh

Fun in the lab!

John: for his encouragement, mini chocolates to cheer me up when I am down, for “disturbing” me during labwork, providing advice and answering my questions, for our informal P2 rehearsals and your thought provoking questions It was fun having you around!
Zizhao: for building the snowman one fine early morning and for all his funny bones comments and bringing laughter to the lab
Icy the S4L3 snowman!
Li ting: for your pancake!! That was really sweet of you! And your sweet hello and good byes in the lab! You are so cuuuuttteee!
Jon: for our people talking sessions, help, opening the lab doors for us and writing jumanah’s Chinese name HAHA
Yihui: for chit chatting during our lab sessions especially when no mentors are around in our lab. We are like the owners of the lab hahaha
FangKang: for our CD discussions and advice along the way

Benson: for taking the time off to answer our queries and to meet joanne and I to give us valuable advice regarding e2! Really appreciate it J
Jason Low: for giving tips re Dr KLF
Sherman Yee: for constantly hearing me out and giving me support always. And for the fun rides exploring new roads to and back from lab in dec!
Vivien: for your encouraging letter and mickey mouse treats! So sweet ^^
Nicholas C: for hearing me out, jiayou-ing me and head starts for PP3 projs!
John Loy: for his interesting fb shares, our bitching sessions and support for each other
Brandon: for his support and shares re school work!
Cecilia: for our mini chit chats whenever we meet in the lab lift at MD6.
Szehan: for all his effort and hardwork as a FYP rep. xinkunile
Thai Xiong: my whatsapp buddy for your constant support
Benjamin T: Ben ben for your chit chat sessions over fb
Kaka: for cheering me on from HK <3
Yu Jing: for all your concern,chatting and venting via skype hehe
Amos: for the occasional catch up sessions!
Jeremy G: for constantly checking up on me, reviewing my P1 slides and providing ideas on how to improve my presentation. For driving all the way to my house to satisfy my ice cream cravings and for the inspiring book! and for always sharing verses, and answering my endless number of questions regarding Christianity and god. So touched! :')
Qixuan: for the super awesome phone call and analysis of all the projs and supervisors. paiseh still owe you a meal for sooo long already :(
Kweehaan, rachel chua, yong sheng: for answering my questions re FYP :)
CASHY: for the fun talks and fun outings with renci pts 
GTN: for everyone of you talking to me or sitting with me during lectures! J just by your mere presence makes my heart flutter <3
Ant: for always being there for me. Accompanying me and waiting for my labwork to be over, sometimes stretching till 8-9pm. For listening to all my protein problems and trying to give suggestions and pondering over my hiccups although you know nuts about proteins. Hahaha it was really funny how you try to crack your head to think of solutions whenever I complain to you.
Family: for their unwavering love

And to each and everyone of you who have spoken to me or helped me in any ways during the difficult times, a big thank you J

Advice to future parents of FYP

1. Choose your projects wisely

In retrospect, I think it is important to choose your projects based on your interest. You may want to strategize how you rank your choices for submission. One fatal mistake of mine was perhaps ranking all the popular projs as my top few choices. But then again, I guess luck plays a part too

2. The world doesn’t end if you don’t get your choice of project
There will be leftovers for you to choose from. You may also switch project with your friend if they are kind enough to do so! Even if these can’t change your fate, fret not! Your supervisors will be there to help and guide you! Or maybe there’s a reason why you are allocated with a particular project! For me, I get to learn many things and make a lot of new friends, meet great professors and even get to work with Dr. chew! J I was glad eventually to be given this project although I had complained a lot throughout the whole process.

3. Start early and take the initiative to do things!
Get all the paperwork and vaccinations done as soon as possible so that you can start your labwork early. Consult your prof re risk assessment. Get a big picture of your project, talk to your supervisors to clear all your doubts and plan early ahead of time. Dr kang lets us do things in our own pace. Unless we are really running out of time. So it is impt to take the initiative to get things started!

4. Get a log book
Some profs require you to get a log book for submission at the end of FYP. It will be good to have a mini notebook for you to jot down stuff on the go PLUS a log book. Do update your log book diligently. Update whatever you do, every single thing you do. Include the date, the time and things you do. It will help greatly if you can refer to the things you have done and the documentation can aid your decision making if you have to do any corrections in experimental procedures.

5. Saving your files in appropriate format
It will be good to save your document in this way:    e.g. 14 june 2014 1330 Protein CD data. This is similar to how dr chew saves her stuff. It allows you to keep track of when you did this and that as well.

6. References
Update your references as early as possible! Save them all in a library in endnote. It will be much easier when u have to insert them into your thesis. For mine, I relied mainly on endnote for my referencing! It’s very convenient and automated! Saves a lot of time. There will be a session during PP3 or research methodology where they will teach you how to use endnote. The pharmacy dept is very helpful in teaching us ways to do literature search and referencing. So don’t worry!

7. Talk to your supervisors
If anything, talk to your supervisors! They are the one who know the project well, other than you or your mentor. If you can’t take it anymore, let them know, I’m sure they will be willing to solve the problems with you. (unless you get some nasty supervisors? Hahah)

8. Support
Support one another throughout this period. It isn’t going to be easy having to juggle schoolwork and FYP at the same time, especially lab based ones. Listen to your friends patiently if they have to complain and help one another! Year 4 sem 2 is going to be very hectic with all the PP3 assignments and assessments going on at the same time. Plan your time and work allocation properly!

9. Goals of FYP
Dr. Kang has reiterated several times that FYP is about testing how much you know about the project. The rationale behind the project is of utter importance. (especially in P1). Know why you have to do this project. What is the objective? And how do you achieve your goals? Why do u conduct this particular experiment and how does it help you answer your hypothesis?
It is okay even if you get negative results or did not get any results. You have to then think of why you get this particular outcome. How do you think you can overcome it. What alternatives do you think could be carried out to change the outcome?
Its all about the WHY WHY WHY and HOW HOW HOW. KNOW WHAT YOU ARE DOING.

These are my two cents worth! Have fun and enjoy the whole FYP process! 
(pls ignore the brevity of language and grammatical/spelling errors)

Hours of preparation
KTS lab!


Lab early mornings!

Tuesday, 23 July 2013

Wisdom teeth: Where two is too many

With the impaction of wisdom teeth, I guess many of us will be troubled over what to do with them. Should we extract them or should we not?

The problems that I encountered with my impacted wisdom teeth started months ago. Periodically, there will be pain around the gum where my left lower wisdom tooth had impacted. I used to just ignore them, thinking that the pain is just a stepping stone to the full impaction of my beautiful pretty wisdom tooth. Pain will go away, someday, somehow. And indeed, time after time, I managed to conquer the inflammation!

Yet, the recurrence of this problem irritates me. Recently, at the beginning of July, the pain occurred again. I would use my fingers to probe the gum, checking to see if there will be enough space for the tooth to grow out nicely and beautifully. I guess this is when i introduced some bacteria into the inflamed gum. Three to four days passed and yet the pain remains, intensifying over the next few days. I told myself that I shall extract it as soon as possible as I do not have any more patience to bear with the recurring inflammation. I complained to Juzy (my uni friend) about this and she decided to help me to book an appointment at Orchard Q&M (near to my internship location) the next day. Since it was a rather sudden decision, I did not have much time to research on the available dental clinics and going through the polyclinics route may take too long a time which I am able to tolerate. 9th of July 2013, 4:30pm appointment it shall be.

On that faithful afternoon, I rushed off to Q&M Orchard with juzy (so nice of her to accompany me!) right after work. The clinic, as expected, was posh and elegant. The lady at the front desk was dressed professionally and was very polite. I had to fill in some particulars (since it was my first visit) before I was asked to wait for the dentist whom Juzy had made an appointment with.

Counsultation
He was a Caucasian, tall and rather charming. (At least that's what Juzy think of him haha). He took a few peeks into my mouth and analysed my teeth before having a short chat with him. He took down some history from me (e.g. when the pain started, which side etc.) He jokingly mentioned with a sneer that "yea yea yea, that's what most people think (that the pain will somehow disappear and hence not seek treatment)" in response to my delayed consultation. He mentioned that the problems will usually recur unless the tooth is removed. After which, I was sent for an X-Ray.

X-Ray
I was asked to put on a lead apron (to protect the rest of my body from radiation exposure) which was rather heavy. My head is then positioned with chin, forehead and side rests. There are come clamp-like things to fix my head in position. I was then asked to bite a bite blocker. If I'm not mistaken, Panoramic Dental X-Ray was done in this case. Throughout the whole procedure which lasted for less than a minute, I had to keep still while the x-ray tube rotates around my head in a semi circle.

 Here's a link for more information regarding Panoramic X- Ray: http://www.radiologyinfo.org/en/info.cfm?pg=panoramic-xray

Tada! This is the X-Ray of my teeth! So cool right!
Consultation (after the X-Ray)
Alright, so the left lower molar which was giving me problems is the one shown on the right of the X-Ray film. The left upper molar has also impacted but it has been rather obedient thus far! The dentist said that it would be better to extract the left lower molar since my jaw is not big enough to accomodate it. Otherwise, the pain/inflammation will recur. Judging from the upright position of my tooth, the extraction would be rather straight-forward and simple!

He also recommended me to extract my left upper molar since it is angled in a position which is detrimental to the one beside it. If infected, there would be a need to remove both the impacted tooth and the adjacent tooth. However, due to its awkward position and surgical intervention may be required.

I agreed to the removal of both the left lower and upper molars but the dentist decided that it would be better to book another appointment to do so after infection on the left lower molar had cleared.

Fees
I had to pay a total of $159 for this dental trip! How expensive!

I was prescribed with Amoxicillin ($6.60) for the infection. Panadeine ($22) for pain relief (which I did not consume after all). The consultation fee was $30. X Ray costs $80. There is an additional charge of $10 for sterilisation and disposables. (gasps). An appointment was then made on the 22nd of July for the extraction. My dad would be back by then so that I can claim the extraction fees via his Medisave!

Troubled
20 Jul 2013. The pain and inflammation had disappeared!All thanks to the antibiotics. In just one day away from the extraction, I started to have second thoughts about having it done at Q&M since it is sure going to be very expensive! I spent the whole night googling the possible clinics to have the wisdom teeth removed. I read forums, explored various websites of dental clinics to compare the prices and had come to the following conclusion:

1. Hospitals are not an option as i did not want to delay the removal of my wisdom teeth.
2. Q&M: services are good and the dentist seems rather confident but the high price is an issue.
3. Emailed Shenton Dental re their fees.
4. To ask Jamaica regarding the dental clinic she is working at! She had her wisdom teeth extracted there and the prices are much more reasonable!

I messaged Jamaica that very night to ask her more about the wisdom teeth extraction/surgery done by her clinic.

21 July 2013
Jamaica replied early in the morning, quoting me the prices and stuff to take note of. The prices are much more reasonable and there are no additional administrative charges (that Q&M would charge) if I were to claim from Medisave. She even agreed to book an appointment on my behalf with a senior dentist that she recommended! So nice of her! Since Sunday's appointments were fully booked. I decided to go for the 11am slot on Monday. Here are the rough estimates of the costs involved:

Q&M:
Extraction: ~$200-500 per tooth.
Surgery: ~$700-1000 per tooth
Administrative charges for Medisave claims: $21.40
Sterilisation and disposables: $10
Medications: $?

The downside of Q&M is that we have to pay the fees upfront while they process the Medisave claims. If approved, we will then be reimbursed with a cheque. The whole process may take up to three months. :/ I believe that the prices will be much higher as some paid around 800++ to 900++ per tooth (surgery) based on forum entries long before.

de Pacific Dental Group
Extraction: ~$80-120 per tooth
Surgery: ~$600-1000 per tooth
No administrative charges/sterilisation and disposables charges.
Medications: $?

Since the fees for de Pacific Dental is lower, this would be an obvious choice!!

22 July 2013: Off to de Pacific!
My dad drove me to de Pacific Dental since the branch that Jamaica is working at is all the way at Jurong West!! We reached the clinic at around 10:45am and had to settle some administrative matters. I was just a little bit nervous but other than that, I wasn't scared or absolutely terrified that I am going to have two teeth removed. There were quite a number of patients in the clinic at that time, maybe around 3. One of them was collecting his medications, the other had to do some X-Ray and the other was called in shortly after. Business seems rather good!

Consultation
At around 11:06, the dentist called me in! He is so nice and friendly! Such a far cry from what I expected: cold and lack of empathy behind his mask and blue gown. He apologized for having me to wait for so long before inviting me to take a sit! I showed him my X-Ray and had a short chit-chat session with him. He mentioned that as far as possible, he would not want to remove any tooth unnecessarily if they are not causing any problems (referring to my left upper molar). However, from the X-Ray film, it is shown that it has caused a slight resorption of the adjacent tooth, a situation he deemed as rare. He thus advised the removal of the left upper molar in view of further resorption that may occur. As for the left lower molar, since it has caused inflammation/pain for more than two occasions, it would be better to remove it since this problem is likely to recur again in future. (If it happened for one occasion only, he would advise for the monitoring of the situation.)

To me, I have already made up my mind to remove both the upper and lower molars. However, in view of the risks involved, he even wanted to speak to my dad to inform him of the procedure and risks involved! Nice! He went out of the room and called for my dad. However, my dad had left the clinic, possibly to buy some food to eat. Alright, I told the dentist that it is fine to speak to me individually and so he analysed the X-ray and procedures with me. He mentioned something about the bone and sinuses near the upper molar. There is a 2-5% chance that the bone may be drilled open and additional surgeries may be required to close it up. For the lower molar, due to the proximity of two nerves to the lower molar, there is a 1% chance that the nerve may be affected by the extraction, affecting the sensation of the tongue or something. I guess i was just too mesmerised by his professionalism and friendliness that I couldn't pay much attention to the details. hahaha. He added on mentioning that the lower molar is growing in such an upright position that it is so "wasted" to remove it even though it would make the procedure rather straight forward.  Sigh, if only my jaw is a little bit larger to accommodate this pretty tooth! Then he went on to discuss the medications that I would require and everything under the sun that I needed to know before the procedure. On seeing that I am so familiar with the drugs, he was rather surprised until I told him that I am studying in the Pharmacy school

The procedure
Then we started chatting about school, anatomy classes, physiology, his dental classes etc. It was so fun chatting with him as he would generously share his experiences with me. Meanwhile, he applied some blue minty paste on my gums which i suppose is a mild anaesthesia to numb the area before the injection of LA. Then came the injections! I couldn't remember exactly how many injections were needed. Maybe 2 at the top and 2 below.They felt nothing more than an ant's bite. He warned me that my lips, tongue and the gum will start to feel numb in a while. Indeed, I felt I was speaking so weirdly in just a few seconds! It felt like there was something stuck in my mouth or rather, like my mouth is half paralysed. As we continued chatting while waiting for the LA to take effect, I could feel the gradual loss of control of my saliva and my left facial muscles, I must have looked rather weird.

Shortly after, the dentist asked if I am ready! YES! I just can't wait! The dental assistant place a black cloth over my face, exposing only my mouth. I guess to spare me from looking at the scary instruments and stuff. The dentist pressed against my gum and asked if I could feel any pain. After which, I could feel some tugging here and there as he tried to pull my teeth out. A drill had to be used at some point in time for my lower molar. He pre-empted me of the drilling noise I was about to hear before he started the drills. I could hear the dental assistant saying that my tooth doesn't want to be pulled out. hahah! In just a blink of an eye, the tooth was out! (as declared by the dentist) I didn't even feel a thing! Then he proceeded on to the upper molar. It required much more effort compared to the lower molar. In a way, it is more difficult to have a good view of the upper molar and the weird angle it is positioned further adds to the complexity of the procedure.He had to pull it with much effort for quite a few times before the tooth finally gave way.

Overall, the surgery was painless! :D I kind of enjoyed the whole procedure as it felt like I was having some free massage of my gums hahaha!

After the surgeries, he had to stitch my gums. The stitch was hurting my mouth a bit due to the abrasion to the side of my mouth. Imagine a paper cut..Ouch! His actions were really quick! Before I knew it, the surgeries were over!! He showed me my teeth and asked his assistants to wash it up for me to bring them back home as souvenirs. I am sooo elated that both my teeth came out as one piece!

Half my wisdom's worth!

Exemplary service by the dentist!! He is so passionate about his work! :D Thumbs up! And thank you Jamaica for the excellent recommendation of this dentist!

Fees
Everything could be covered by Medisave and so we didn't have to pay a single cent. Both my teeth require surgery and so the fees were higher. The breakdown of the fees is as follows:
Wisdom tooth surgery: $600 x2
Metronidazole: $10
Naproxen Sodium: $5
Mouthwash: $6
Consulation: $15

I was also given an information leaflet of what to take note of post-surgery.

I am very satisfied with the service I received from the dentist! YAY!

I shall elaborate on the recovery process (post surgery) in my subsequent posts! :)