Autumn Cleaning

Six years of medical school notes. Time to recycle

Cardiology emergency - no students allowed!

Spent in the echocardiology lab. The teaching was good and we were learning quite a lot. Midway through examining a patient, however, the doctor was called urgently to the next room. A lady had become unresponsive following surgery to replace one of the valves in her heart, and it was looking likely that she may need be to resuscitated. "Run, please doctor!" the panicked secretary whispered after summoning him. My fellow med student and I followed in the hope that we could learn first-hand how such an emergency is managed by the healthcare team. Unfortunately, when we arrived the curtain surrounding the bed was shut it our faces. "We must respect the patient's dignity", one of the staff said.

I accept that she wanted to call the most experienced healthcare staff and that if we were inside we may have been getting in the way, but we are senior enough now to recognize this, which is why we wanted to observe from a distance. Besides, we also may have been able to predict and fetch any equipment that may be needed during treatment. Respecting the patient's privacy and dignity is of course essential, but I don't see how us watching would have been compromised this, or indeed the care delivered to them. And in my six years at medical school, aside from the more sensitive topic area of gynaecology, out of hundreds of patients I can count on one hand the number of patients that have refused my presence in the consultation or examination room.

In the hyper-aware state an emergency renders you, it would have been a tremendous learning opportunity for a situation we are bound to experience as junior doctors next year. What a pity we weren't allowed to be a small part of it this time around.

A lesson?

My thesis is drowning me. Slowly and insidiously, it's started to occupy all my waking and sleeping hours. And it really doesn't seem all that important any more. Will it change clinical practice? Unlikely. Why couldn't I have achieved more in the thirty six moths of slog? Do I have the maturity to overcome this mental stagnation?

And yet, with two months until returning to medicine, I'm also excited again, intoxicated by the promise of a new challenge. Questions of inadequacy will always be my companions, but maybe there are simpler paths to a a more enriching life.

International Night

International Night is a College tradition and one of the biggest nights on campus. Every year, the national societies come together to showcase the variety of cultures here in an evening of food, culture and dancing. This year was slightly different, though, with the food fair being cancelled to give more time to the live show, but this didn’t seem to be too well received. The show itself had a great range of songs, comedy sketches and dances, most of which were pretty spectacular, though some societies gave the same performance they have in previous years, unfortunately. Still, it was a fun night, as these pictures hopefully show.

Opening ceremony
















Malaysian Society
















Hellenic Society (I think)
















No idea
















Iranian Society
















Japanese Society...it's Doraemon!
















Arabic Society
















Blur

College fun, part III of III

A bit of juvenile humour. Here's the final part of how to have fun annoying your roommate. I haven't had a chance to try any of the activities in this instalment, but as soon as I move back out of my parents home I hope I'll be brave enough to give a couple of them a go. If you have, what did you do and what was the reaction?

The previous two entries can be found here and here. Please leave comments!

1. Borrow your roommate's clothes. Offer to wash them, then act like they were yours all along.
2. Refer to yourself in the royal third person.
3. Name your books. Call them like dogs when it's time to study.
4. Put peas in the toilet every time you go to the bathroom.
5. Ask your roommate to pose for a portrait. Leave.
6. Never allow your roommate's head to be below yours.
7. Repeat everything your roommate says, but without the consonants.
8. Administer last rites as s/he sleeps.
9. Whenever s/he has friends over, complain loudly about his/her hygiene. Be graphic.
10. Lie spread-eagled on your roommate's bed. Make him/her move you.
11. Call him/her Mummy.
12. Stand behind him/her while he brushes his teeth. When s/he takes the brush out of his/her mouth, force it back in.
13. Announce everything you do as a group activity. (i.e. "We're going to bed now.") If your roommate fails to do whatever you said, accuse him/her of not being a "team player".
14. Spell out the last word of each sentence you say to your roommate.
15. Announce on the answering machine that your roommate has moved out. Tell anyone who calls for him/her not to call here anymore.
16. When your roommate is out of the room, move his/her possessions over to your side of the room. When s/he returns, throw the things back over to your roommate's side, angrily telling him/her, "Stop invading my space."
17. Read your textbooks aloud. Ask your roommate for help on big words.
18. And at Christmas time...
19. Go to the mall with your roommate and sit on Father Christmas's lap. Refuse to get off.
20. Make conversation out of Christmas Carols. (i.e. "You know, I saw mommy kissing Santa Claus underneath the mistletoe last night.")
21. Sing: "All I want for Christmas is my roommate's two front teeth..."
22. Tear down all your roommate's Christmas decorations yelling "Bah Humbug!"
23. Wake up every morning screaming "Ghost of Christmas Future, please have mercy on my soul!"
24. Put on a fake white beard and insist that all your roommate's friends "give it a yank".
25. Ring jingle bells maniacally saying, "Every time a bell rings an angel gets his wings".
26. Watch your roommate when s/he is sleeping. When s/he wakes up sing, "He sees you when you're sleeping..."
27. Intensely study the complete list of ways to annoy your roommate. Form a discussion group with other friends. Give tests.

Graduation Day

Sorry I haven’t updated for a while – my time planning’s gone all wrong these past couple of weeks.


Anyway, let me tell you a little about Graduation Day, which was yesterday. The ceremony was held in the Royal Albert Hall, just beside the College, a stunning venue with some of the best architecture I’ve ever seen. We were all cloaked and gowned, and each of us went up on stage in turn to bow to the Chairman and shake hands with the Principal of the Faculty of Medicine. With around 1000 students graduation from the faculties of Medicine, Life and Physical Sciences it was quite a long ceremony. Indeed, to paraphrase The Deputy Chair of Imperial’s Council, “The graduation ceremony is like an annual play. However, perhaps most people in the audience are only interested one of the actors, and many find the acts overly long…”. I think most of the participants really enjoyed it though. For my med school friends the ceremony only commemorated our intercalated BSc degrees, and so didn’t have the same sense of finality it did for most of the other students, but it was nice that the long nights and incessant reading we’ve put into achieving our degrees was recognised in front of our families and friends.

During the ceremony, winners of various prizes were celebrated with applause, and during the cheering I’m ashamed to say that the green monster came out in me. There was a prize for the best candidate in each of the BScs, but I didn’t win the neuroscience one. In all honesty, I certainly didn’t deserve the accolade and the winner was a far more hard-working and accomplished neuroscientist than me, but there was a slight pang of jealousy when his name was announced. If only I’d put everything into my work, I wouldn’t be left wondering ‘what if…’. Thankfully I have a chance of redemption with the PhD, an opportunity that I’m determined to make the most of.

Probably the best part of the day (aside from being able to dress like Harry Potter), was meeting friends again. During the first two years at med school most of our time was spent in group lectures with all 340-odd medics in the same lecture theatre. Most of the third year was spent in small groups in hospitals all over London and the home counties, however, and the fourth (BSc) year was similarly spread out. Having started on the PhD in July, I’ve sometimes felt even more isolated. But yesterday was a chance to meet everyone else again, and how great it was.

Transferable skills course

Imperial requires all it’s PhD students to take compulsory courses in transferable skils training, so on Tuesday over thirty of us newbies trundled to a conference centre near Bracknell for three days of activities exploring team-building, networking, effective communication, and project management. We were split into four groups and completed a series of timed tasks; some outdoor, others indoor, some active, others cerebral, some structured and others highly flexible. Through these we learnt to work effectively together, to respect each other and to complement each others’ skills. It was great fun but also really nice just to meet other new students. It’s been something I’ve wanted to do for quite a while, since Hammersmith can be a pretty isolating place to work in at times.

On the trip, I also made the effort to stay up taking each night. Usually I head straight to my room after a day of talks but this time I tried not to and I’m glad I did.
On the last day, we were asked to come up with a song, poem or dance to represent the lessons we’d learnt, the skills we’d acquired and the people we’d met during the course. One group came up with this classic verse. Sing it loudly to the chorus of ‘Hotel California’!

“Welcome to the research course in Bracknell
Such a lovely place (such a lovely place)
Smile on your face
Livin’ it up on the research course in Bracknell
You can learn with me (you can learn with me)
And the food is free (and the food is free)”

Like the St John course, I’m not sure how useful some of these skills will be during the PhD (the activities were team based, for example, but the majority of us present spend most of our time working by ourselves), but I did learn quite a bit about myself. One thing happened right towards the end that I don’t think I’ll ever forget.

Drinks with the director

Most new PhD students within the CSC begin at the start of the academic year, and hence have just started their students. Since I’ve only been in the group for two months, I’ve been attending all the induction sessions organised for the newbies. Yesterday was a chance to have drinks with the CSC director, so we all congregated to the café after lectures. After heartily welcoming us all, he talked about how good our training would be, and how valuable the scientific skills we would learn would be in any future employment. “Of course, you’re all very important to us too…” he ended, “because you’ll be generating data”.

I left soon after to see a preview screening of 'Kinky Boots'. It's a film about an unwilling shoe factory owner (Charlie) whose business is failing. Following a drunken night in London he ends up in a drag quuen bar, where meets Simon/Lola. The women's boots that Lola wears can't bear a man's weight distribution, and the heels are constantly breaking. This gives Charlie the idea of scrapping making unprofitable men's shoes, and instead to begin making 'kinky boots' for cross-dressers. He recruits Lola up to his working-class Northamptonshire factory, and what follows is a tale of risk, challenging stereotypes and coming to terms with your identity. It's well made and I found it pretty original, but a reviewer on the Internet Movie Database has said it had many parallels to British movies such as 'Brassed Off' and 'Calender Girls'. I haven't seen either of these and would be very interested to hear what you think.

Procrastination with a purpose!

I just found this great site called Academic Coach. It's full of honest and practical advice on how to make the most of your study time at university. From getting started on writing your dissertation/grant/thesis to maintaining a healthy work/life balance there are sections on achieving more than you have in the past.

I also like the PhinisheD site. It's a discussion and support group for people having trouble finishing their theses, and includes a contract generator. With this you can make a printable private contract with yourself to help you achieve your goals. I think I'll find this very helpful, as I also seem to get more done when I've pledged on paper that I will do it. I'll post my contract on the blog just as soon as I've thought of some pledges!

Keep running,
Moc

College fun, part II of III

Here are some more tips to have fun whilst annoying your roommate. Let me know what happens if you dare to try any of them!

30. Invite a homeless person to live in your room and sleep in your roommate's bed.
31. Get a friend to leave a phone message for you with your roommate, saying the test results came back positive. When your roommate tells you, cough, faint, and then refuse to discuss it.
32. Laugh a lot in the morning. Tell your roommate to be happy all the time.
33. Set your alarm clock for three o'clock. Push the doze button every 5 minutes when it beeps for the next five hours, each time telling your roommate that you'll wake up in five minutes.
34. Learn the words to all your roommate's favourite songs. Sing along.
35. Learn a lot of quotations. Whenever you talk to your roommate, say nothing but quotes for three weeks.
36. When your roommate is typing, type on your keyboard in synchronization.
37. Order five anchovy pizzas in your roommate's name. When the deliverer arrives, tell them that your roommate likes to play jokes on the pizza place and then your roommate lies about his/her ordering. Tell them where s/he is.
38. Every time your roommate walks in yell, "Hooray! You're back!" as loud as you can and dance around the room for five minutes. Afterwards, keep looking at your watch and saying, "Shouldn't you be going somewhere?"
39. Set up meetings with your roommate's faculty advisor. Inquire about his/her academic potential. Take lots of notes, and then give your roommate a full report. Insist that s/he do the same.
40. Every Thursday, pack up everything you own and tell your roommate you're going home. Come back in an hour and explain that no one was home. Unpack everything and go to sleep.
41. Bring in potential "new" roommates from around campus. Give them tours of the room and the building. Have them ask about your roommate in front of him/her, and reply, "Oh, him/her? S/he won't be here much longer."
42. Live in the hallway for a month. Afterwards, bring all of your stuff back into the room and tell your roommate, "Okay, your turn."
43. Bowl inside the room. Set up tournaments with other people in the building. Award someone a trophy. If your roommate wants to bowl too, explain that s/he needs bowling shoes.
44. Send flowers to your roommate, with a card that says, "I'm sorry. It won't happen again." When you see them, start ripping up the flowers. Repeat the process for a few weeks.
45. Call your roommate "Clyde" by accident. Start doing so every so often. Increase the frequency over the next few weeks, until you are calling him/her "Clyde" all the time. If your roommate protests, say, "I'm sorry. I won't do that anymore, Murray."
46. Challenge your roommate to a duel. If s/he refuses, claim that you have won by forfeit and therefore conquered his/her side of the room. Insist that s/he remove all of his/her possessions immediately.
47. Read the phone book out loud and excitedly. ("Frank Johnson! Oh, wow! 020 7494 5694! Holy cow!")
48. Put up flyers around the building, reporting that your roommate is missing. Offer a reward for his/her safe return.
49. Hold a raffle, offering your roommate as first prize. If s/he protests, tell him/her that it's all for charity.
50. Late at night, start conversations that begin with, "Remember the good old days, when we used to..." and make up stories involving you and your roommate.
51. Sit and stare at your roommate for hours. Bring others in to join you. Eat peanuts, throwing a few at your roommate. Then say, "Boy, these zoos just aren't what they used to be."
52. Make brown-bag lunches for your roommate every morning. Give them to him/her before s/he goes to class.
53. Every time the phone rings, turn on the stereo at full volume and begin to violently slam-dance with your roommate. If s/he asks about it, say, "Oh, that damn hypnotist...."
54. Insist that your roommate sing the National Anthem with you every morning.
55. Walk, talk, and dress like a cowboy at all times. If your roommate inquires, tell him/her, "Don't worry, little buckaroo. You'll be safe with me."
56. Buy a copy of Massacre at Midnight or Silence of the Lambs or any equally gruesomely titled book. Sit in a room with your roommate and read the book (or pretend to) with a highlighter mumbling, "That looks good..." as you highlight passages in the book.
57. Invite your roommate to sleep over.
58. When you leave the room, put on a screensaver that says, "I'm watching you."

College fun, part I of III

With the new school year about to start up again, lots of you will be having new roommates. How about some fun? Carry out the following for guaranteed entertainment. I’ve tried two of them already.

For more sensible advice though, check out these tips from MSN Encarta.

1. Twitch a lot.
2. Talk while pretending to be asleep.
3. Move your roommate's personal effects around. Start subtly. Gradually work up to big things, and eventually glue everything s/he owns to the ceiling.
4. Recite entire movie scripts (e.g. "The Road Warrior," "Repo Man," "Casablanca") almost inaudibly.
5. Ask your roommate if your family can move in "just for a couple of weeks."
6. Smile. All the time.
7. Burn all your waste paper while eyeing your roommate suspiciously.
8. Leave a declaration of war on your roommate's desk. Include a list of grievances.
9. Hide your underwear and socks in your roommate's closet. Accuse him/her of stealing it.
10. Whenever your roommate walks in, wait one minute and then stand up. Announce that you are going to take a shower. Do so. Keep this up for three weeks.
11. Paint your half of the room black. Or paisley.
12. Whenever s/he is about to fall asleep, ask questions that start with "Did you ever wonder why...." Be creative.
13. Shelve all your books with the spines facing the wall. Complain loudly that you can never find the book that you want.
14. Listen to radio static.
15. Cry a lot.
16. Send secret admirer notes on your roommate's e-mail.
17. Whenever your roommate comes in from the shower, lower your eyes and giggle to yourself.
18. Whenever his/her parents call and ask for your roommate, breathe into the phone for 5 seconds then hang up.
19. Call safety & security whenever your roommate turns up his/her music.
20. Follow him/her around on weekends.
21. Whenever your roommate is walking through the room, bump into him/her.
22. Stare at your roommate for five minutes out of every hour. Don't say anything, just stare.
23. Skip to the bathroom.
24. Whenever you're on the phone and s/he walks in, hang up immediately without saying anything and crawl under your desk. Sit there for two minutes, then call whoever it was back.
25. Insist on writing the entire lyrics to American Pie on your ceiling above your bed. Sing them every night before you go to bed.
26. Burn incense.
27. Don't ever flush.
28. Buy potato crisps with all your money. Stack the bags in the middle of the room in a pyramid. Eat them whenever your roommate is in the room. For every one you eat, offer your roommate one, each time telling him, "No one can eat just one."
29. Give your roommate's clothes to the Salvation Army.

Lonely

I wish the library at Hammersmith Hospital hadn't reverted to the shorter summer opening hours. When I started here I made a resolution to get in to work earlier and stay later than the other two PhD students in the office because:

1. They have a head start on me, having begun their PhDs last October.
2. They're smarter than me.

I'm determined to rectify both points. It's quite lonely staying alone in the office past 7pm though. I miss the study groups we used to have in med school. Even though I would still be studying alone, if the library were open as least I'd still feel like I was part of a learning community in the evenings.

What about you? How has the start of the new year been for you?

The Grand Skive

Yesterday morning I went to South Ken to see my second supervisor. He's a computer scientist, and is escpecially interested in visual information processing and image registration. I'll be working with him to register magnetic resonance brain images to a reference space using a technique called deformation based morphometry. I'll describe it a bit more comprehensively in a future blog. It was a great meeting and I know have a much better idea of what I'll be working on over the next few months.

In the evening, though, was something a bit more fun: our department's annual skive. It was advertised with the following fun email. Just don't tell my supervisor!



From: DL
Sent: 12 August 2005 17:27
Subject: The grand skive 2005

Footnotes are annotated with a superscript letter. References are annotated with a square bracketed number. Footnotes and references can be found at the bottom of the text

Technical definition: Sitting still, drinking and occasional chat will henceforth be known as "the event". "the event" may alternatively be defined as "having fun" or "the grand skive"


Hello all

A little later than in previous years I am organizing the annual ISD grand skive [a]. This is an afternoon out for the Physics and Engineering members of the Imaging Sciences Despartment (ISD) [b]. The location is the Dove beer garden, by the river in Hammersmith. The evening will end in Sagar restaurant, Hammersmith. The time: We will leave the hospital at 3pm Thursday 25th August.

Faculty:
Organizer: DL
Staff representative: MC
Student representative: HM

For those of you who have not been around for previous years the events ideology and guidelines are below:

Ideology:
The event is an acknowledgement of the fact that often inaction is as productive as action [1].
The event is a celebration of summer and laziness but it is never cancelled for bad weather [2].
The event is a "torch to be passed from generation to generation"[3]

Guidelines:
Ideally several drinks should be consumed before 5pm, the "being paid to drink" [c] concept is a vital part of the event.
Preferably one or more important work deadlines should be missed because of this event. [d]
Conversational subject matter should not relate to your own work [e].
Sleeping is not encouraged at the event but will be tolerated.
The first person to the bar will be bought a complementary drink by the organizer.
Freestyle entertainment is encouraged, nudity is not [f].
Friends, partners etc are all welcome [g].

Finally, these are only guidelines, there are no rules at the event...

The faculty look forward to seeing you.


References:
[1]“We achieve certain things by being energetic, but it may be questioned whether, on balance, the things that we achieve are of any value..” Bertrand Russell
[2] http://www.bbc.co.uk/weather/
[3] Tony Benn

Footnotes:
[a] skive: skive verb skived, skiving colloq To evade work or a duty, especially through laziness.
Example: I'm going to skive class today
Example: We're skiving off class today
Form: skive off (also)
noun
1. The act or an instance of skiving.
Example: I chose biology instead of physics ‘cos it's such a skive
Derivative: skiving
noun
Derivative: skivy
adj
Etymology: 19c: from Norse skifa.
[b] Carefully chosen affiliates are also invited.
[c] Being paid loosely refers to the exchange of money for services, no judgment on value or quality is made here. The assumption that work officially ends at 5pm is implied and is reasonable for the purposes of this event.
[d] A prize will be awarded for the most irresponsible skive.
[e] Discussion of general science is accepted up to and including the 3rd drink.
[f] The faculty accept that there is a fine line between these for some, please ask a faculty member before initiating entertainment if you are in doubt about its content.
[g] Overt displays of affection are not encouraged out of sensitivity to those currently without love.

Congratulations

Had a meeting with my supervisor and clinical mentor today. I've finished my PhD proposal now (one month ahead of schedule), but when I was discussing it with Prof E I fell to pieces a little bit. I'm in awe of the guy. He's just so insightful and clear minded. Anyway, he seems happy with my proposal and soon I'll be able to acquire my own data! :o)

Halfway though the meeting we were interrupted by a call from his son, who'd just received his A-Level results. Having worked 'like a dog', he achieved four 'A' grades. Well done son!

Conference delegate?

I've now been in the group for over a week, and made friends with quite a few of the team. And one of them gave me some juicy information yesterday. The main international body for the work I'm doing is the International Society for Magnetic Resonance in Medicine, their next conference meeting is in May 2006 in Washington state, USA. If I can get enough data for a paper by November 2005, I may have a chance of going. I'm working pretty hard anyway, but from now on I'm going all out.

The first week

Well folks, it's the end of my first week as a grad student. And a fellow student just introduced me to this website, from which I got the comic below. There are quite a few other students in the group and they tell me this is a brilliant observation. Enjoy.

Poster presentation fun

Hello

Today was interesting. After the bureaucratic chores of yesterday, today I got to sit in for a neonatal discussion meeting in the morning. That's when cases of newborn babies that appear to have some clinical abnormalities are discussed by a team of obstetricians, paediatricians, radiologists, nurses and researchers. Together they try and come up with the best possible medical management strategy for the little ones. First the doctor primarily responsible for looking after the baby describes the situation and the response of the parents. The rest of the team then asks questions, and if the baby has had some scans then these are talked through by one of the radiologists. After another round of questioning, the group then decides what would be the best step forward. It was a fascinating hour. I got to revise diseases like Sturge-Weber syndrome and Dandy-Walker syndrome, but also learnt about how some parents try and cope with these.

In the afternoon, I went back to South Ken, for a Graduate School of Life Sciences and Medicine poster presentation evening. I only new two other people, and since all the other grad students began at the start of the last academic year, I was the only one without any work of my own. Felt like I right chump. It was definitely worth going though. One very interesting poster was about the capacity of cells within Wharton's jelly to express neuronal cell markers. Wharton's jelly is a connective tissue matrix that surrounds and protects blood vessels within the umbilical cord. Stromal cells from Wharton's jelly appear similar to mesenchymal stem cells. However, the presenter's data suggested that the cells may be multipotential, and could be induced to develop into neuronal and neuroglial cells. The guy argued that if we collected Wharton's jelly during pregnancy, we could have a ready source of neuronal precursor cells, which could be used in certain neurodegenerative diseases such as Parkinson's disease. Since umbilical tissue is discarded after pregnancy this would eliminate have the ethical and moral dilemma surrounding the use of embryonic tissue as a source of neuronal stem cells. There would also be no problems with tissue rejection, since these would essentially be autologous cells. It's an exciting piece of research and I'm waiting to see what happens.

Project done

Phew! My BSc Neuroscience project is finally typed, printed, bound and handed in. Let me know if you'd like to see it. I put in quite a few all-nighters to complete it, and it would be nice if more that just the examiners read it.

Now I'm off to have a bit of fun. Then I'll take a couple of days to relax at home. It's not officially the end of the year though. I could well be called for a viva voce (oral) exam if I'm at a grade boundary or at the examiners discretion. So I will be working. I promise!

Medic humour

An economics student, a med student and a law student were asked to learn the telephone book of their town.

The economics student asked 'What will be my profit of this?'
The law student questioned 'Why should I do this?'
The med student just gulped before asking quietly 'How much time have I?'

Exam update

Today for me is a good day. After all the heartache of Tuesday, I finally think all your combined prayers and all those long nights in the library paid off. The exam today was on 'Neurodegenerative Disorders' and I gave it my best shot. First there were some short answer questions all about regeneration within the CNS, and then an essay on astrocytomas. On the advice of friends from a USMLE prep forum, a while back I bought HY Neuroanatomy and all the main information was there. Thanks so much!

Yesterday's exams were tougher. For some reason I still don't understand myself, myopic me had completely ignored revising head movements, the vestibuloocular and optokinetic reflexes and they came up! I was desperately racking my brains and moving my head from side to side trying to see which semicircular canals would be stimulated when. The afternoon was nicer though, with stuff on schizophrenic hallucinations, alcohol's effects on the brain and Huntington's ethical implications.

I got back from our post-exam get together a couple of hours ago, and feel really refreshed. It was great seeing friends from med school again after being by my shelf(!) these past few weeks. We're all still really tired though. All the revision-time beards had been grown as we moved and most of us could barely keep awake. In the desperation of the time though, I'd started taking Proplus, a caffeine pill. I never normally even drink coffee, so I now can't get to sleep at all. It will allow me to put some more work hours in tonight, though. It's USMLE all the way until ... Monday. That's when we start our nine weeks in the lab, but I should have a lot more free time. The plan is to start with my second listening of Goljan on the way to college, get a couple of hours of Kaplan done in the morning, and trying as many questions done in the evening as I can. Hopefully I too will book that exam date soon. And I'll start updating my progress daily! Gotta be more accountable. Your plans?

Stay well,
Moc