yay!! at last my presentation was over!! no more stress.. hehehe i think i did okay with the presentation. before my presentation i was so scared that i will lose my voice halfway through it or maybe i will start my non-stop coughing since i have this terrible dry cough. luckily the class wasn't a big one. there's only 8 of us there. so if i whisper i guess i will still be heard but of course i make use of my loud voice. they must be quite irritated with my annoying voice. hahaha.
then came the question and answer session. the 1st question from charles kennedy (pharmacologist and currently i m reading his published journal) : tell me something about SLE
*reading from the paper of answers i prepared*
me: SLE is a autoimmune disesase with multisystem disorder that is associated with antibodies, DNA & other nuclear component. autoimmune antibodies are directed against nuclear and cytoplasmic protien and other cellular component by reacting with both nuclear and cytoplasmuc agent. autoantibodies directed against nuclear antigen that participate in causing TISSUE DAMAGE that affect JOINTS...SKINS...KIDNEY...CNS *stress on this few words*
actually i dun think anyone understand the 1st two sentences and when i start stressing the last few words..some ppl face light up. i dun even understand what i m telling them except for the first 8 words and the last 8 words. hahhahaa
okay lets proceed to the next question.
charles kennedy: tell me about the drug u r assign to
me: erm..actually the drug i was given was calcium carbonate in renal patient and this is a patient with lupus nephritis..the drug is to treat osteoporosis due to long term administration of prednisolone.
*here is the part that got so confusing that i end up confusing myself too*
prednisolone prevent calcium absorption in the GI. and because the patient had kidney problem, she cannot activate vit D to its activated form. vit D is important in calcium absorption. therefore phosphate level will be high in the blood as there will be low level of calcium. the calcium and phosphate level in blood should be balance. this unbalance was sense by the body and it break down the bone to increase calcium level. therefore OSTEOPOROSIS. calcium carbonate was to bind to phosphate in GI so that phosphate is not absorbed in GI and increase the level of phosphate.
confuse?? i think when i stress the word osteoporosis, i m already loss and confuse. too many calcium and phosphate words...hahaha
kla. this post is to remind me wat i say in my presentation. damn confusing.
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