研修医日記/医療法人社団 札幌皮膚病理診断科
Sapporo Dermatopathology Institute
Gayle Opada / Diagnosis and Interpretation
This month, Sensei started giving me a set of biopsy slides to interpret and diagnose on my own then compare my diagnosis with his. I get most of the diagnoses correct but there are cases that I really do not know and are new to me. This month it is my first time to come across granular cell tumor with its pustulo-ovoid bodies of Milian, to find out what an infarcted fibroepithelial polyp looks like, to see a tophus, to know if the lesions are scratched, to differentiate between trichoepithelioma, trichoblastoma and trichofolliculoma, to see what spiradenoma and cylindroma look like, to know the history of how a pilomatricoma is formed and so much more. So, I have to learn and read more slides and books. I was used to talking to my dad about my thoughts and adventures but here in Japan I have to talk myself out. I sometimes assure myself of the reason I am here. It is because I don’t know and I want to learn more knowledge. It seems like there a lot to know and to explore. 

I was an archer in the past and archery is still a part of me even with the way I handle situations in my life. “Aiming” to the target is like aiming to achieve my goal of becoming a good dermatopathologist. “Focussing” on the bullseye is like studying and working hard to hit the correct diagnosis. Then “shooting” an arrow is like trying to test myself and how much knowledge I have gained in my studies. I think I am in this level right now with “diagnosis and interpretation”. Hitting the bullseye is like having the same diagnosis as sensei’s. If I hit the bullseye then it’s good. I’ll be happy. If I miss the bullseye then I have to evaluate myself and ask myself where did I go wrong then learn from it and move on. 

So, back to archery, I was amazed to know that there is a thing called “Hamaya” in Shinto shrine. It is an arrow that should be placed inside the car to protect the driver and the passengers from car accident. I wanted to buy one and bring it home to the Philippines but it’s expensive for me so I settled down with “Ema” because it is cheaper and looks like a “target face” in archery.

In archery, in life, in dermatopathology -- Aim, focus, shoot, follow through.
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