Friday, December 31, 2010

Jjwb 7 pie ayam

yam yam yam yam.
p/s: dont judge the book by its cover.

kaifiat:
1. utk pastry: 200g butter + 300g tepung + 2sudu air + garam. uli sampai jd dough. bhgkn 2 utk base & cover atas.
2.inti: bawang putih, ayam, mushroom, mushroom soup, carrot. masak sampai air kering + kentang lembut.
3. bakar base pastry dulu. agak da kuning. keluarkn, br letak inti & cover atas pastry. masukkn dlm oven bakar lg dlm 150C utk 15min.

amik kredit cm buat sorg2 plak an. hehe. terima kasih tok guru.

Wednesday, December 29, 2010

harlequin ichthyosis baby

harlequin baby. boleh bace kt sini. ptg smlm baby ni lahir kt hosp shatby by ceasarian section. err. gambar real boleh google sendri la. sbb tk berani jgk nk tgk lama2. ni kot yg org melayu kata anak ular?.nasib baik tk menjerit atau over react lebih2. boy or girl tk sure. genital organ tk well developed or mayb ambiguous. rasa sungguh bernasib baik bersyukur dilahirkn normal cukup sifat. hari ni alhamdulillah baby tu hidup lagi. tp dr kate, mayb die pun tk boleh survive lama. byk sgt defect. general congenital anomalies. yg obviously kt kulit. try pegang, keras. huhhhh. tknk2 tgk pun stay lama jgk kt dlm bilik baby hari ni.


  1. tgk 2 delivery twins td. 1 deliver normal vaginal delivery, both cephalic. and lg satu ceaserian section, both breech. 
  2. total, tgk 3 breech delivery today. all by caeserian section. jaw flexion, shoulder traction. 
  3. assist dr buat D&C (dilatation and curretage) case: abortion. gestational age 10w. tlng dr grasp upper lip of cervix dgn vollosellum. and rase gritty sensation of endometrium. krikkrikkrik. errrh ngilu!
  4. applikasi grip pd patient. 
ke ER. ramai pt perempuan mlm ni. and kt ICU penuh, 2 pts meninggal. alahai la. sorg sbb stab wound. and lg sorg sbb shock dt renal failure. rasa cm kesian tgk dr usaha sedaya upaya selamatkn pt, buat CPR & ambu bag pt non stop berapa lama tp bad prognosis, rase cm.. sia2 je. hurmm tp memang kerja doctor la kn. tiba2 terlintas mampu ke hadapi semua tu nanti. kerja non stop cmni.

terlintas terpikir mcm ni sbb sepnjang hari ni memang non stop dr pukul 8 pg td. kira spend almost the whole day kt hosp jgk la kn hari ni. pastu masuk OT td, berdiri je kn tgk surgery. case intestinal volvolus & extradural hematoma. both tak tarat nk tgk sampai hbs. sekejap je kt ER da lari blk. 

tk tahu nape hari ni penat sgt. mungkin sbb spend byk masa dlm OT berdiri je. tgh round obgyn skrg seriously memang penat. almost every day stay after class. n kdg2 dtg mlm2. minggu 1st and 2nd tahan lagi. memang rasa enjoy. seronok la kn buat bende yg kte suka. ni br masuk minggu ke-3. tak kn da pancit kot. terlintas lagi, mampu tk nk jd dr mcm ni. 

ok da selamat malam.

Saturday, December 25, 2010

happy birthday liyana

1st of all. happy 22nd birthday to NURLIYANA AIN. may ur wishes come true dear. sambut dgn lemonade cheese cake and makan2 kt coffee roastery. then sleepover at kfariez's. playing games~ monopoly, angry birds. talking, gossiping, updating. listening, motivating and whining to each other. hehe. tido lewat. bgn breakfast sama2, and sambung spent almost 24hours together. seronok! :))

we love you.<3 bob tkde dlm gmbr.

2. pejam celik da 2+ minggu kt OBGYN. heaven! tinggal seminggu lebih  je :( i'm sooo into obgyn. for record so far da tgk 13 normal vaginal delivery (1 twin) and 3 ceaserian section. aim ari tu 10 je. da terlebih. igt nk stop, tp tak boleh nk jgk masuk labor room setiap hari. nk tgk breech vaginal delivery, tp tkde rezeki tk jumpe case lagi.

smlm tk boleh nk berhenti senyum sbb doctor garang yg memang bukan mesra student tegur kt dlm labor ward. haha. bukan dr yg mengajar. dr magdi, senior resident kot. tegur je pun, seronok la tahu. pastu ade ikut dr azza, dr ala' atau dr walid kdng2. Dr neonates pun ajar, bg handle baby. dgn jumpe blk nurse kegemaran sem lps. aimi ajar neonatal care, examination, buat moro reflex, etc kt baby. hari tu ade resident suruh buat PV (per vaginal examination). tp cm blur, tk pernah buat lg utk obs case. cuak kot. alahai ruginya.. looking for another chance to do PV. seriously obgyn best gle!


3. this song made my day. thank you dear. 

Thursday, December 23, 2010

priority

kecewa. semua org nk tak nak kelas ptg td. dlm jadual memang hari2 blk pukul 4. ape masalah? masing2 sibuk dgn hal lain. ape yg dikejar? kerja persatuan sana sini, movie, rumah. ape komitmen lain yg lg penting, kte sebulan je kt obgyn. 

hari ni da major semua tknk clinical round. esok ptg pun tkde. rugi da 2 hari cm tu je. da kelas pagi pun masing2 datang lambat. pukul 815 br 2 org?. blk nk awl je. siap mintk tk nk ade kelas dgn doctor. takyah g kelas lansung la mcm tu. nk semua ikut kepala sendiri je sampai argue dgn doctor. come on la. siapa kita?

haih. salah sendiri jgk sbb tak bangun ckp, ikutkn sgt kata majoriti. 

seriously, i have learn to control my emotion. and stand for my right later on.

Friday, December 10, 2010

post peds


:)) blog kfariez

second day.

second day in second round OBGYN.

I
da dpt semangat blk. td stay lps kelas sampai pukul 630. tk byk case. tp dpt la tgk 1 ceaserian section and 1 normal delivery sampai hbs. seronok. :D

II
jd nomad dan menumpang kump lain dgn dr yg mengajar laju tidak menarik lansung. tp kalau masuk group 8 tkpe.haha.

III
female. coma since after ceasarian section yesterday. caused of coma, still unknown. mayb intracranial hg. dt? unkown. admitted to ICU.
investigation finding: accumulation of blood in the perineum.
a surgery is perform to evacuate the blood and find source of bleeding.
then mayb observation the pt. n btw, the dr use PDS to ligate the a. 

IV
primigravida. full term. epileptic since birth. last attack 5 months ago. took 2 epileptic drugs. err i dont remember the name. surgical hx of tonsillectomy. indication for ceaserian section because afraid attack of epilepsy during labor. CS was perform under general anaesthesia. safely deliver a baby girl. the dr use continuous unlock and horizontal mattress suture on uterus. continuous unlock suture on rectus muscle and rectus sheet. and subcuticular suture on skin. total duration of surgery: 25 minute. woah.

V
how to use pinard stethoscope?
put the pinard on maternal abdomen. put ur ear on the other end of pinard. remove ur hand. try listen to fetal heart sound and identify site of maximum intensity. 
do not touch the pinard while u trying to listen the fetal heard sound.
yeay. i did it!. listening to the real fetal heart sound by pinard for the 1st time!
n i still wonder why pinard is better than stethoscope?

VI
female. full term. P2 G0+1A. during admission, cervix dilatation is only 2 fingers(4cm), 50% effacement, cephalic presentation, membrane rupture. 20min later, dr did PV. cervical dilatation up to 3 fingers(6cm). the next 5min is 3.5 fingers(7cm). the next min is 4 fingers(8cm). and then the next minute is fully dilate. she is primigravida, and she go through the 1st stage of labour less than 30minute! (normal: 12-16 hour) woah! precipitate labour.
2nd stage of labour.
1.evacuate the bladder by urinaty cath
2.do episiotomy after give local anaesthesia
3.mechanism of labor. descend. increase flexion. int rotation. extension. restitution. ext rotation.
4.deliver the baby. support the perineal. baby boy. :))
5.cut the umbilical cord
3rd stage of labour
1.evacuate the bladder
2.massage the uterus while try to extract the umbilical cord.
3.pull out the placenta after appearance signs of placenta separation. (mode of separation: inverted umbrella)
4.after pulling out the placenta, rotate it repeated and slowly to pull out together the remnant. 
5.check if any remnant left inside the uterus.
6.check if any laceration or tear
7.suture the cervix laceration
7.suture back the episiotomy

VII
i finished read face & brow presentation during waiting in the labor room. kira da study la kn hari ni. :))

VIII
3 cases of severe pre eclampsia and 1 case of placenta previa marginalis admitted for observation.



da mengantuk. ke kelas tafaqquh td pun da tersengguk2. esok cuti. yeay! kene bace breech.
buku & nota2 peds tk kemas lg. haha.

Thursday, December 9, 2010

sugar craving


budak gemok. blame the luteal phase. n kene dtg lg for ice mint. terbaik!


round br, hello OBGYN! semangat kembali ke dept kegemaran. tp kemudian kecewa tk dpt group lame blk. hurmm tkpela. akan cuba mengadaptasi dgn suasana baru. huhhhhh. OBGYN kn seronok. kn. :))

and nini  bg cabaran 2 minggu dlm obgyn utk jd bukan hani. haha. memang suka mission pelik2 ni. hari 1st cm da failed je. aiyokk. susah la oi. tk pe boleh cuba lagi lain kali. and the offer still available kn? :P

Sunday, December 5, 2010

kan?

angin laut mediterranean memang laju menyebar berita. lagi2 angin kuat skrg waktu winter.




hujan. sejuk.


all the best osce peds tomorrow ppl.

the zombies ate your brainz

Friday, December 3, 2010

lessons for today

  • jgn benci org. bencila pd perbuatannya. semoga terpelihara hati dr terus ade perasaan mazmumah & bersangka buruk. 
  • stop talking about others. and mind your own business.
  • if you hv secret, just keep it by urself (or ur bestfriends. only. if you can't resist.) seriously. ppl talk. kat alex, angin laut mediterrean memang laju menyebarkn berita. 
  • hidup akan lebih bahagia kalau semua org tahu bertimbang rase. 
       epibridge.

      Thursday, December 2, 2010

      orang

      a: letak black pepper byk2 sampai nmpk bintik2
      h: ok. org buat pagi esok la.
      a: ooh
      a: org xde exmm kn?
      a: huhu
      h: haah tkde 

      hahahahahhaa. nmpk tk lawak kt mane? kalau tk nmpk, bace ulang2 sampai nmpk.

      org hani la. -_-

      another new recipe to go. :)

      btw, mission3# berjaya dgn jayanya. yeay! i did it *mari nyanyi lagu dora the explorer bersama. breakfast memang da skip hari2 bangun lambat gelabah2 nk ke kelas. kemudian beberapa hari lps kelas hbs lmbt atau pun stay kt ER bersama abd rahman  atau ke kelas bahasa arab. blk rumah ptg, memang makan dinner je. based with fruits & yoghurt. huhu. sihat. dan berat turun. yeay!  meal sepanjang 4 hari lps.:
      pudding cocktail with banana + yoghurt
      fruits salad + yoghurt
      kt rumah ni ntah nape semua org da tk makan sgt. tk tahu la sbb tukar guna beras filipina makin tk best atau sbb winter atau sbb semua org memang tk nk makan. makanan memang sgt byk! hari2 memang ade org masak, tp tkde siapa nk makan. pastu tambah dgn jiran bwh adik2 jr rajin masak selalu siap hantar makanan naik atas. masak nasi satu pot setengah, boleh makan 2 hari. tk tipu. nk makan byk tgk org lain tak makan pun, kte plak jd serba slh. haha. ok tu tipu. haih. tk best rase byk membazir buang makanan.

      td praktis menjahit. guna ayam. huhhh. tentula sgt berbeza. ayam tkde subcutaneous tissue. dan kulit ayam pun sgt nipis. i want to practice on human. hopefully dpt peluang lagi lain kali.
      kelas menjahit ayam. winner winner chicken dinner. tak baik membazir.
      esok last day trauma. maknanya habis masa sebulan berpoya2 dlm elective course. next week RED ALERT: sabtu & isnin: OSCE & mid term peds. kemudian OBGYN. kemudian neuro. kemudian FINAL exam.

      ok da. kene prepare utk re-present assignment dgn farewell party? trauma esok. dan habiskn tajuk heam malam ni.

      exam just around the corner. peperiksaan di bucu. el imtihan 3anil zawayah. (fav word of the week)

      assalammualaikum. slmt malam dunia.
      mintak maaf silah salap terguris hati terkasar bahasa, terjealous? huh. whtever.!

      Friday, November 26, 2010

      mission 3#


      i challenge myself to be fruitarian for a week 4 days.
      we'll try short duration 1st. tk boleh lame2, prevent scurvy, dpt PEM pula nanti. motif, utk detoxicification? mungkin.

      all the best. we'll see the result. bye.


      abdul rahman

      what is the 1st thing you have to do at ER?

      find someone you can attach to. seriously. not much you can learn if you come to ER by your own and just observing without superior to guide you.

      ke ER mlm td. bg org, dpt blaja lg byk dlm ER kot drpd OR. mula2 ke ER istikbal. err. dlm bhs melayu, tk pasti. tgk drs and nurses manage pts. cm biasa mula2 sampai, cuba utk kenalkn diri n cr dr yg boleh nk ajar. mcm tkde je, try nk attach kt dr, dr semua tk nk layan. mujur nurse mlm td baik dan mesra. makcik misi ajak ikut beliau. jd attach dgn beliau most of the time. she called me dukturah hanin :)

      dlm 10 ayat yg nurse ckp. paham 4-5 ayat je. kecewa. da la makcik misi semangat ajar procedure, explainkn psl pt semua segala. maksud sampai, tp tk paham semua la kn. lawak. makcik misi bg syringe suruh amik darah utk CBC. boleh, berani je nk amik. tp tunggu utk torniquet & alcohol sekali. so tk buat la lg. makcik misi tgk org cm pause kt pt tk buat ape2, terus die yg amik blood. rupa2nya memang tkde. memang apparatus utk amik darah cuma syringe and cotton shj. lol la.

      then makcik misi td blk, tukar shif tgk da nurse lain pulak yg tk begitu mesra mcm makcik misi td. semangat2 tgk case, dpt attach dgn sorg jr dr. he's nice. die ceritakn, explain semua. lg best. td waktu mula2 dtg die ade je, tp cm segan malu2 nk ikut die. ceit podah sudahla hani. then ble da lame2, borak2 dgn jr dr td..

      name die abdul rahman, dan rupa2nya die 5th year medical student, tgh round internal med skrg. seriously?! igtkn doctor sbb memang mcm doctor. die buat semua procedure; amik sheet, PE, amik ABG, deal dgn family members, prescribe ubat pada pts. seriously tak sangka tahun 5 jgk. kt sini da la practical kurg, student nk hand's on pts memang jarang2 boleh dapat. die terkecuali sbb special. die kata sbb die selalu dtg ER dr tahun 4. so da blaja byk kot and dr pun da kenal. n boleh nampak die tahu apa yg nk perlu buat utk manage pt. hebatla.

      lps tahu medical student sama batch jgk rupanya, lg seronok sbb rase kurg barrier. da kurg segan2 malu2 nk tanya, bagi opinion salah pun cm tk la malu sgt an. nk menyibuk tanya wktu tgh buat procedure pun tk kisah. hehe. seriously kagum. ye la, kalau egyptian student 5th year belum lg amik surgery. tp die da nmpk mcm HO.
      seronokla kn kt istikbal td cm ade kawan serba tahu utk guide semuanya.

      harapannya, dpt jumpe abdul rahman lagi kt istikbal lain2 hari. dan lebih berharap boleh jd sebagus tu. phewww. da tahun 5 da hani.

      urgh language barrier! damn it!

      Thursday, November 25, 2010

      later

      • busy
      • da hbs cuti
      • slmt kembali ke sekolah
      • a lot of things happen. malas la nk igt. tk nk cerita. tk semua memory manis.
      • nana, liza, kfariez. i love you guys. susah senang kte bersama. whatever happen, we have each other, right? and i'm glad we go through this together.
      • 2nd elective course, trauma. lagi best kalau tkde org ponteng.
      • exam. exam. exam. exam.
      • bye.

      Wednesday, November 17, 2010

      raya?

      a day before raya, melarikn diri tk duduk kt rumh. pg tu bdak rumah plan da nk masak macam2. diam, nk tgk je jd tk. ye la masing2 kononnya busy. pastu kalau plan beria end up org yg buat sorg. pg tu keluar ptg br blk before maghrib. hurmm blk rumah tgk kt rumah tkde ape pun. kt rumah pun tkde org.

      plan sendri terus buat chocolate chip cookies, nasi impit & rendang ayam. cookies sedap! tp rendang termasin. org da siap semua, lps isyak br derg blk. then dlm pukul 8 br mereka2 start masak buat kuah kacang, air soya & kek coklat. ntah la. rase cm, buat hal sendiri2 je. org pun cm mls nk amik tahu. ye la kadang ble plan2 nk buat same2, org yg semangat sorg2. yg lain ntah ke mane, nk start buat pun ntah ble. jd cm ok sendri la sukati nk buat ape. bukan tk nk memahami. tp da penat selalu sgt mcm ni. 

      pg raya, ke gami's ibrahim dgn aimi. period. tp saje nk g masjid dgr khutbah tgk sembhyg raya, br rase raya. janji nk pergi 640. tp 620 baru bgn. aiyokkk. gelabah2 mandi bersiap etc. lmbt sket la 645+  br keluar rumah. ade hikmah jgk lambat rupanya.. tk boleh nk berhenti senyum sepanjang hari. hihi. sampai gami' ibrahim org da hbs solat. dgr khutbah shj. org sgt ramai! n derg cm berpesta? dgn byk belon2 segala. tgk org gembira, semua menyebarkn senyuman, mendoa satu sama lain. rase seronok pg raya. jumpe kfariez dgn tkay sekali. blk rumah jln kaki dgn mereka. 

      odw blk singgah beraya rumah kfariez. kfariez buat rendang, triffle & puding jagung. then terus ke rumah jr. shaah 10, imarah rakoda. da janji raya dgn derg. derg masak sgt byk! rendang, lontong, kuah kacang, agar2 & kek coklat. plng best kek coklat moist zati siap deco dgn chocolate sauce & strawberry. memang nmpk cantik, and sedap! and amik gmbr family potrait segala.

      kebetulan ade sekali kawan yana dtg dr jordan. cousin dzarip rupanya. what a small world kn? yana nk bwk jalan. sbb tk pernh lg ke colleseum, so yana ajk join jln sekali. ptg nanti bwk derg ke ma'murah & montazah plk sbb yana pun tk pernah pergi lg. lps ke colleseum, derg g library, org ke open house rumah aimi. blk rumah tukar baju then g mandarah. cycling dlm ma'murah & montazah. then makan hadramaut & asir. terbaik. da 2 tahun kot craving nasi mandi tk berkesempatan lg. akhirnya!

      blk da maghrib ke rumah hanun. makan2 lagi. g green plaza main boling. hbs dlm pukul 815 baru, minum2 kt kedai kopi, derg ajk ke carefour. shoping jalan2 dlm pukul 10 da blk. yana tk bg blk rumah. tido rumah derg.

      hbs da sehari hari raya. smlm terjatuh kaki bengkak & bangun2 pagi td sakit badan. penat tp sgt seronok.

      *****
      galeri gmbr raya.



       



      Tuesday, November 16, 2010

      JJwb 6

      hahhaha. mcm mane la derg bersihkn kepala lembu sampai jd begitu sekali. nampk paru2? masa beli nmpk dgn jelas trachea, eosophagus, bronchus, bronchiol segala. craving punya psl. 

      kaifiat: rebus paru. goreng paru. goreng kentang. buat sambal. gaul bersama. siap.

       JJwb 6. sambal goreng paru + nasi lemak

      Monday, November 15, 2010

      eid mubarak

      sedikit perkongsian. td ke kelas fiqh korban kt asrama. penceramah ustaz othman hamzah, AJK majlis fatwa negeri selangor. 


      hukum korban: sunat muakkad. sunat yg dituntut.


      korban jatuh pd 10 zulhijjah. dan hari nashriq ialah 11, 12 & 13 zulhijjah. jd masa utk korban ialah selepas solat sunah hari raya 10 zulhijjah sehingga sebelum terbenam matahari 13 zulhijjah. tk kisah bila2 masa dlm masa 4 hari ni boleh buat korban, tetapi lebih afdhal utk dipercepatkn. kalau buat sblm solat sunat hari raya, jd bukan korban. tu cuma jd sembelih utk mkn2. 


      binatang yg plng baik utk buat korban 1. unta. 2. lembu. 3. kambing. & umur binatang2 boleh dibuat korban; unta 5-6 tahun. lembu 2-3 tahun. kambing 1-2 tahun. biri-biri 6 bulan. ciri2 binatang utk korban: sihat sebaiknya yg gemuk. tidak cacat, pekak, buta, tempang, sakit terputus atau terkoyak sebahagian telinga atau tanduknya. tp binatang yg ditindik telinga tanpa terputus boleh.


      boleh tk nk buat korban utk org yg dah meninggal dunia? tak wajib buat korban utk org yg da meninggal. maknenya tkde pengkhususan korban ni utk org yg da meninggal. kecuali wasiat. tp kalau nk niatkn pahala boleh.


      hari raya kt msia lewat sehari drpd saudi. sbb raya aidil adha kene sambut slps hari arafah. kalau sambut pd hari yg sama, kt saudi masih lg hari arafah. jd sbb perbezaan masa msia dgn saudi sebab tu la lewat sehari supaya kt msia pun da slps hari arafah br boleh sambut.


      dan org yg nk buat korban makruh utk potong/menanggalkn kuku, rambut atau kulit dlm masa 1-10 zulhijjah.


      esok hari arafah, 9 zulhijjah. disunatkn puasa & mperbanyakkan zikir & selawat.


      كل عام وانتم بالف خير

      Sunday, November 14, 2010

      holiday! :))

      cuti da bermula. a week. 6-12 november. yayy! yayy!

      dan da berlalu 2 hari dgn menyertai seminar ibadah pesakit; perbidanan & sakit puan. sgt bermanfaat. i learn a lot of new things. baru tahu hukum2 berkaitan haid, keputihan, keguguran, bayi tabung uji, etc. kaitan dgn ibadah semua mcm mane. and betapa keperluan/ tuntutan sbg dr muslimah utk jadi pakar sakit puan kt msia skrg. td semangat berkobar2 esp lps talk dr fatimah. terasa sampai menusuk ke hati. seriously right now i'm so into obgyn. tu subject kegemaran skrg. tp tu la tgk kekangan masa and betapa sibuknya dr an. rase cm, mampu ke? huh. alasan. kalau hendak seribu daya bukan? tp tu la, mcm belum pasti lg.

      btw i just realize how difficult our language barrier. we learn in english but we have to deal in arabic but our main language is malay. dlm seminar td, amik masa skjp nk paham beberapa perkataan. permanian beradas, air ketuban, rahim, etc. i mean cm, ok paham je maksud die ape. tp nk kaitkn dgn subject obgyn yg da belajar cm lambat sket an. o ok tu IVF, amniotic fluid, uterus, vaginal discharge, abortion, bleeding, OCP, etc. rase cm alahai~ susah jgk nk translate bahasa melayu lay man nanti kan.

      cuti tinggal 5 hari. tolak sehari hari selasa, raya. tinggal 4 hari. tahun ni mengambil keputusan utk memecah tradisi tidak balik beraya ke kampung. raya kt bandar je la tahun ni. ngeh. tiap2 tahun turun cairo raja haji ptg raya 1st then blk alex pg raya 3rd. tahun ni rase.. penat. nk duduk rehat2 saje kt rumah. tk mahu bazirkn cuti berjalan jauh2. rase nk siapkn diri mentally & physically rehat cukup2 utk next elective course, trauma. then OSCE peds. pastu masuk obgyn pulak. rase memang makin sibuk kot. peds yg kononnya tk seberapa sibuk pun da pancit rase penat gle. haha ok i'm complaining. stop whining hani.

      plan cuti:
      1. kemas bilik kemas2 cantik2
      2. study peds
      3. revise pharmacology. kalau rajin buat table antibiotics
      4. joging setiap hari
      5. berehat/lepak/study di tempat kegemaran sepanjang hari
      6. project JJwb


      happy hols ppl. semoga dpt manfaatkn cuti sebaiknya.

      Wednesday, November 10, 2010

      mission 2#

      nk melancrkn project yg kedua. setelah project pertama berjaya dgn jayanya. mcm tkde keje sgt la kn. haha. tkpe aktiviti2 sampingan.

      ok name project br JULIE JULIA WANNA BE, JJwb. haha. skrg tgh obsess memasak. mentang2 la br beli oven baru ye. faktor lain sebab nk masuk winter kot. tk la rase nk makan sgt pun kadang. tp rase nk masak. sbb masak best!. sementara stok2 bahan2 dr msia masih byk, boleh masak ape yg ade kn.

      jd misi project ni skrg ialah mencuba semua resepi dlm buku resepi ni.haha. semangat tahu beli buku resepi siap masa keluar dgn dayah norbi & noure kt alamanda cuti lps.
      dlm ni ade 88 resepi koleksi masakan tradisional melayu. kebanyakannya belum pernah try lagi la. n sampingan tambah dgn resepi2 baru bukan dlm buku. so completekn terus: 100 resepi baru utk dicuba.

      last week da cuba JJwb 1. gulai pedas daun kesum and smlm try JJwb 2. ayam bakar bersantan. bkr the whole chicken dlm oven. tp aimi kate boleh pkai susu. jd tukar.. ayam bakar bersusu. jd! sedap. tp tk de gmbr la plak. rugi2. sampingan makan dgn salad, whipped potato & fries.


      n hari ni buat JJwb 3.ayam goreng mutiara.

      1st attemp try br2 ni. obsess dgn oven br kn~
      JJwb 4. hawaian pizza. with crab stick, mushroom and pineapple.

      asalnya alfredo. pastu masak sampai kuah pekat then letak mozarell cheese on top and bkr, tukar jd JJwb 5. negresco.

      limit masa. tk yah la. sampai bile2 pun tkpe. hbskn kene cuba 100 resepi baru kesemuanya. ayuh! :D

      Tuesday, November 9, 2010

      farmakologi

      8 hari sudah belajar klinikal farmokologi. tepu. penat. ye, hampir tersungkur. ahli kelas cuma 7 org, jd lebih kerap pusingan pembentangan setiap hari. sepanjang course 9hari, sorg kene present 5-6 kali. hohh. tp memang dpt sgt byk manfaat. no pain, no gain. right? sgt berguna la utk kerja nanti. kawan2 sila amik jg elective course pharma ye.

      and for the 1st time i know how to use my medical emergency sarawak handbook. da beli dr tahun lps, tersimpan je kt rak tk reti nk pakai. tk nmpk sgt pun ape kegunaan. beli sbb nmpk dr kt msia guna & byk depend jgk kt buku ni. srkg da tau, memang sgt berguna la.

      setiap hari lecture pukul 8. bizzob. plng lewat pun kdng 815 la. then pkl 9, dua org present case, individually. pukul 10, tgk clinical case, amik hx, examine patient. 11-1 group discussion. ade 2 kump, bincang case lain2. then pukul 1, present. pukul 2 hbs.

      nk prepare utk present case tu yg plng berat. memang sakit kepala nk buat table comparison semua group & sub group of drugs. buat column efficacy, safety, suitability, cost for each. bukak semua buku yg ade. kumar & clark, BNF, buku teks department, lippincort, semua la.

      lega da pharma da nk hbs esok hr last. yeay!

      most hectic 2 weeks in my 5th year so far. huhhhhh! and i saw pt died yesteday :(

      i need to escape. alhmdulillah next week cuti. cant wait! i need a break.

      Friday, November 5, 2010

      hipokrit

      ape ideology yg kau canangkn
      ape dakwah yg kau sebarkn
      kata yg keluar pasti hebat sahaja
      sibukla merata mengejar segala
      ingin mengamankn dunia katanya

      tapi kau sama sahaja dua kali lima
      kemungkaran yg kau tegah
      maksiat same kau buat
      kerja kau kata
      ahh semua dusta!
      pandai berlagak mengkaburi mata dunia

      memang pandai berpura2
      dan yg hipokrit itula tajuk utama
      bukan pemimpin begini bertakhta di jiwa hamba

      Monday, October 25, 2010

      remember to stop and smell the roses.

      ble ckp da tahun 5, bukan rase bangga ke seronok. rase lagi cuak ade la. mcm mane nk jd doktor nanti? takut. kira2 tambah tolak tinggal lebih kurg 2 tahun kt sini. rase memang lansung tk bersedia la. mase berlalu laju sgt. rase kelam kabut an dan cm tamak nk buat semua bende.

      skrg sibukkn diri dgn mcm2. sbb rase bila sibuk nanti da penat. then tkde masa nk rase sedih. lebih2 lagi bile emosi tk stabil terganggu dgn perkara2 remeh yg tk penting pun. plus kalau boleh nk ambil semua sebyk mana peluang yg ade mase tinggal tk berapa je lagi nk duduk sini. memang btol2 mensibukkn diri la! ni br je sampai rumah pukul 12 td..

      tp skrg tiba2 rase sgt penat. sungguh.  rase mcm da sampai tahap ok, kene berhenti.

      kelas br masuk minggu ke 4.

      oh adekah tgh mengeluh? tentula tak. seronok la dgn kehidupan skrg. terase hidup bermakna. tp skrg rase serba tk kena.  :( terasa sgt serabut tahu.

      ok skrg tarik nafas dlm2. berhenti sekejap. huuuhhhhhhhhhh.

       maybe i should know my own limit..?

      Thursday, October 21, 2010

      suture

      simple suture. 34 stitches. and every single of stitch has 6 knots. calculate how many knots on that pt?

      20y male. 7cm cut deep clean wound lat to the right eye extend to the tip of the nose. dr says every deep wound in the face and hand must bring to the OR to be suture by plastic surgeon. the pt only on local anesthesia. the dr did subcutaneous suture 1st by absorb-able thread vicryl and then simple suture on the skin by prolene 5.0. the larger no, the smaller diameter of the thread. the largest is zero. and in the face they usually used prolene 5.0 or 6.0. in simple suture, the 1st 2 knots, must vertical to the wound and the next 2 knots horizontal and the last 2 knots again vertical. do lateralization of the knots by bring it lateral to the wound to avoid tension that can cause delay or poor healing. then the stitches will be remove after 1 week. the duration is shorter than other part of the body to prevent scar for cosmetic purpose.

      the dr let me try. i did 1 of it. 1 of 34. only 6 knots, but it is awesome for the 1st time. i stitched someone's face tonight!

      simple suture, subcuticular suture, subcutaneous suture, vertical mattress suture, horizontal mattress suture, etc...


      dr x: if you want to learn suture, attach to plastic surgeon. already did. yeay!

      Tuesday, October 19, 2010

      peds

      sekejap masa berlalu. peds tinggal 10 hari.

      da beli scrub baru. kaler biru biru. bukan biru. biru yg nak takde. tp tkpe tk kisahla. biru biru pun cantik jgk.

      seronok! tak sbr nk pakai. td da buat temu janji dgn dr kacak. jumpe pukul 9 mlm esok. hihi.


      tajuk elective course da keluar. pilihan:
      1. trauma
      2. neonatal care
      3. pharmacolgy
      4. GI endoscopy
      dapat mane2 pun tak kisah. tp kalau dpt trauma atau neonatal care mcm best. pharma pun ok. GI endoscopy, last choice sbb dlm surgery, pun ok jgk. tajuk2 int med, terasa nk amik DM or heam or hepatobiliary. menarik, tp tgk topic2 yg ade skill > theory lebih mengujakn.



      apsal ntah rase seronok sgt hari ni. rase bahagia tiba2.


      ok la. da, selamat malam dunia. minta maaf silap salah.

      bye. assalammualaikum.

      Friday, October 15, 2010

      blue day

      kebetulan ramai pkai baju same kaler smlm. knawar kate, da tahun 5 semua sehati sejiwa.

      eyh eyh background pun nmpk biru la.

      Thursday, October 14, 2010

      seakan sy tidak mengenali awak.

      sy rase awak kenal sy. dan sebolehnya sy memang nk kenal awk. tp kalau awk tak bg, mcm mane sy nk kenal awk?

      bile awk tanyakn soalan pd sy. awk akan terus tanyakn smpai dpt jawapan awk.
      sbb sy susah nk berahsia dgn awk.
      awk tahu sy selalu akan cerita jgk mcm2 dgn awk.
      awk pun tahu sy transparent (bukanla mak ayah tranformer) dgn awk.

      tp awk, soalan yg sy tanyakn selalu tk berjawab
      atau awk lari dgn mcm2 alasan la yg awk bagi.
      rase penat dan kecewa juga ble tahu pasal awk pun dr org lain,
      atau secara tak sengaja sy tertahu. sedangkn awk boleh je bg tahu terus pada sy.
      tipula kalau tak terlintas rasa sedih pada sy dgn mcm2 yg awk rahsiakn.

      ye sy harap sy dpt tahu sendiri drpd awk. bukan dr org lain, bukan secara tak sengaja atau bukan la org yg terakhir sekali dapat tahu.

      sy rase da byk kali jd begini.

      sy rase sy cuba terima seadanya itu adalah awk yg memang tak suka berceritakn apa2 psl awk. sy suka cerita dan awk pun selalu tanya mcm2 dr sy. tp awk taknk bgtau ape2 dr awk.
      ini bukan mengambil berat. awk tak rase ke mcm mementing diri?

      sy tak tahu kenapa sy rase begini. sy tak tahu kenape sy luahkn ni.

      mungkin sbb hari ni sy sedih lg sbb awak.


      haih. sy rase awk kawan baik sy. tp sy makin tak kenal awk.

      *emo.


      Wednesday, October 13, 2010

      shiny and bright


      tonight, i'm bright, shiny and stinky! find a new way of distraction. and i'm love it. kalau hari2 begini memang boleh kurus. 


      sbb terasa hidup lebih bmakna ble sibukkn diri sampai tk sedar masa berlalu. seronok ble rase sgt penat sampai tk larat nk buat ape2 kecuali senyum sepanjang hari sbb hari digunakn sebaiknya.


      it was not bad for the 1st time. and we will do the same thing every week till the end of this year or at least this sem hopefully, insyaAllah.



      thank you my partner in crime. i'm happy tonight.


      lesson for today: BE CONFIDENT!


      Saturday, October 9, 2010

      tahun 5 sudah..

      pejam celik2 tak sedar, eyh da tahun 5. agk la rase tua. huhu. n da start kelas seminggu. tp br dtg 3 hari saje. takpe sekali sekala ponteng bukan selalu.

      n baru seminggu, sgt byk drama. haih mcm2 la korg. rase cm geram, iritasi, menyampah, sedih pun ade. ok hak sendiri pandai2 nk bwk diri. tp come on la. dgn kawan sendri pun nk berahsia ke? dgn kawan sendri pun nk tipu ke? ofkos la terasa. ckp terus terang kan senang. bende obvious kot. haih. nk sgt jg kepentingan sendiri, persatuan ke whatever hurmm sukatila! suka hati luncai la luncai nk hanyut dgn labu2nya.

      terus hilang rase nilai kawan. come on la.. kte semua da besar kot. rase tak suke geram tgk semua da berpecah2. bukan semangat kesatuan begini yg kita mahukn.



      emotionally unstable. and td keluar bwk diri. huhh! i hate this feeling. tak nk ke kelas esok. :(

      Tuesday, September 28, 2010

      congratulations

      my dear friend,

      congratulations!
      i'm happy for you. for both of you.
      i almost cry when i heard the news. huhu.
      now i cant stop smiling for the rest of the day. :)
      congratulations again. wish both you happily ever after, iA.

      love,
      hani

      Saturday, September 4, 2010

      attachment day 10

      040910
      semalam sepatutnya da hari last. hari ni dr sabtu. sbb takde buat ape pun kt rumah keluar lg ke hosp hari ni. plus i miss A&E already. Dlm pukul 9, sampai hosp. dr oncall hari ni dr Priscilla. Yeay! Suka kn. Hari2 last ni la baru semua org nk tanya nama. So today, mostly people called me by my name. byk blaja dgn nurses hari ni. Pg dgn kak shanty, ptg dgn kak see, malam dgn kak su. 1 MALAYSIA. Hehe. Ble nk amik darah, kak shanty byk offer nk buat tak? ok la, org try. Abg muslim tgk je an org buat, budak ni da reti tak nk buat an? Haha. Pagi sabtu semua case dengue fever repeat FBC. memang derg kene dtg hari sabtu. Tu je la case sepagi ni.

      tgh hari ade ambulance call. Abg faezal pergi. guess case ape?  pt osteogenesis imperfecta. Wow! For the 1st time I saw the case. Tgk deformity long bone of lower limb. the fibula is very thin, like wire?. Xray then tgk takde ape2 frx, okla.

      byk blaja dgn kak see (chinese nurse) kak see ajar how to put CBD on female. kate see bg instruction je. beliau kate kene buat sendri, beliau tk boleh tlng. I did it! and dr Priscilla ajar how to off it. Da reti la kalau lps MA/dr clerk case, I took the sheet, and buat mx yg perlu. Abg hafez tlng guide. Eg, take blood for FBC, give IM volteran, label the specimen's form. I gain a lot of confident and do a lot of things by my own today. Seronok la! :D

      Ok da cukupla 10 hari kt hosp banting.

      I’ve learn a lot and I did a lot of things for the 1st time here. I did VE, set and off CBD on female, suture, set ECG, dressing, give IM, set IV line, take blood, off branula.

      It was awesome!

      Tyvm to all the drs, MAs, nurses and staffs.
      The drs: dr rozita, dr nanthaa, dr lum, dr siti aisyah, dr syamsul, dr Priscilla, dr tan, dr musniza, dr chong, dr santhia.
      The MAs: abg hafez, fadzrul, abg shukri, abg shidi, abg asrol, abg khairol, abg faiz, abg muslim, abg syafiq, abg firdaus, abg faezal, abg israr.
      The nurses: kak see, kak shanty, kak su, kak quzaimah.
      Staffs and PPK: hj yunus, en zuki, hafiz, abg sardy, kak zana, asrin, kak jijah, kak linda, kak azira and semua la! Tyvm!

      Friday, September 3, 2010

      attachment day 9

      030910
      Last day of my elective course. Ward round, 1st time ikut dr santhia. Male Indian dr at male’s ward. Mula2 dr suruh listen to pt’s lung. I auscultate the pt then dr santhia tegur Mane kenalkn diri? Mane mintk permission kt pt? dlm exam buat, kt reality tak reti nk aplikasikn ye. And he is the 1st dr asking my name. da hari last br ade org nk tanya nama an. Hani examine CNS of this pt. ha hamik kau, ni br yg btol kene examine CNS. Buat lebih kurg check 12th cranial n, reflex, muscle tone, muscle power. Dlm 15min? I’m done. Eyh da ke? I buat CNS examination more than an hour tau. pastu cm errr? buat muka blur an. then dr santhia ajar.

      And we went to see another pt, go examine this pt. what do you mean dr? Examine. take history, do PE, and what is your dx. Seriously dr?? you da 4th year kn. You should have already known this thing. I open the pt’s chart. Hey mane boleh! Haha. Try la sedaya upaya yg boleh. Noure and I bertungkus lumus examine the pt tau. haha. We got our dx, chronic liver disease. Present case pd dr, and dr tambah mane2 yg kurg. Whoa best la round ward 2 hari ni.

      Tgh hari td almost da nk broke down, rase mcm da reach ur own limit. Ye la after almost every day stay at hospital 8am-10pm kn. I felt very tired~ Noure yg smlm 1st time stay kt hosp sampai malam pun rase nk demam hari ni. Pukul 3 td noure da blk but I insist myself to stay until night.

      Since this is my last day, I have to apply all the knowledge that I’ve learned. Da tgk byk kn, kalau tak buat rugi la. The MAs pun marah nape tak berani buat lg dik? So today I take the blood, I set the IV line, I give IV saline, I did dressing; all by my own. But with MA’s supervision la. Yeay!

      Pukul 9 ok da pulang.

      Thursday, September 2, 2010

      attachment day 8

      020910
      Pg cm biasa start round ward. Kt ward lelaki ikut dr tan. dpt soalan bertubi2 hah amik kau tak dpt jwb. Complications of dengue fever, name of drugs, Kawasaki disease. Then ke ward perempuan, ikut dr chong. Dtg2 je dr chong kate examine CVS of this pt. Err.. all the 12th cranial n ke dr? no that’s CNS. I want CVS. Hahaha. aiyokk! CNS and CVS pun da lupe ke? Pastu cm pause jap an tak tahu nk start mcm mane. Then dr chong ajar in detail satu2 dr peripheral examination head to toe ke central examination. Hoh. Da belajar je semua, tp lupa da kn. Mcm mane nk jd dr ni?

      Kul 10 cm biasa ke A&E. dgn dr nanthaa. Yeay! Suka kn. Hari ni terasa cm competitive? Sbb new group of UM medical students start masuk A&E. Derg same nk belajar jgk just like us but in larger group about 5-6 persons. So cm ramai2 kerumun pt dgn derg sekali. n btw, the dr and MA tak suke diorg. dr kate, korg jgn jg berlagak mcm tu. ble da grad nanti korg semua same level je. hoahh. seriously?? tak sangka dr ckp cmtu. hurm ok lesson, be humble.

      Mlm memang penuh sgt! Sampai tak cukup katil. Dgn pt yg ramai. Pastu medical students pun ramai. Nmpk huru hara dlm A&E. memang tak sempat duduk la. Tlng2 ape yg patut, da pukul 1030 blk. 1st time noure stay sampai malam. Jd td ade teman berbuka. Makan mcD. GCB sedap.. and lps hantar noure blk dlm pkl 11 sampai da rumah. 

      Wednesday, September 1, 2010

      attachment day 7

      010910

      arrived home at 11pm. New record! I stayed almost 15hours at hosp today.

      Start at 8am in the morning, went to medicine ward. Mula2 sampai terus round tgk pt. then 1 chinese male masuk. He brings steth and book. I thought he is medical student. Then he asks me who am I. o, that's a dr because medical student wouldn’t ask that. Then I just follow him for a while. He is dr chong. other dr at female ward is dr musniza. Drs at medicine are very busy. and nice. they apologize sbb tak sempat nk ajar kitorg.Sorryla tak sempat nk ajar, korg hang around buat la ape2 yg patut. Nice gle an? N sempatla belajar sikit dgn dr chong. sejam round kt female ward da tak tahu nk buat ape.

      Then ke male ward. Dr tan, dr vickey and dr? Idk whats his name, another Indian male dr. pt tak ramai. Katil dlm separuh ward je ke kot ade pt. kate sister sejak da takde MO perempuan kt male ward, pt makin kurg. Haha. And if you see dr vickey, seriously you’ll though he is a student. He looks very young, though he is 29. noure and I just spend an hour at male’s ward before we decided to go back to A&E.

      Dlm pukul 10 da ade kt A&E. pg tak ramai pts. Sampai takde keje sgt, I did PPK’s work. Stapler  the specimen’s form. Memang takde keje kn.  MA da marah, jgn buat la dik nanti dr igt kitorg buli. Tp nurse yg suruh sbb org mintk, takpe.

      Dlm tgh hari bermula la ‘jona’. Non-stop critical  pts masuk. Polytrauma, MVA, n sume la yg kene suture, xray, etc. Non-stop dr pukul 12-3. Memang huru hara dlm A&E. and I got a chances to assist in the most severe case. MVA, male pt, frx of skull, long bone of hand, long bone of leg, ribs. Drs also perform emergency chest tube for pneumothorax, dr vickey authorized the procedure. Whoa. Abg shukri asks me to wear an apron as I’m standing near the pt and there are a lot of blood. Grab glove and apron, and help anything that I could. Each MA handles 1 part of the body, like abg muslim cleans the head. Abg shukri leg, abg faezal chest, abg firdaus hand, dr nathaan and dr vickey stabilize the pt and all of the staffs of A&E dept are working on that pt. Pt was really in the bad condition. I help abg muslim suturing the lesion by lifting the pt’s head sbb pt tak boleh move n the lesion was in the occipital. Though only about in 15?min lenguh tahu. Sakit gle tangan. The most hectic day in 2 weeks at hosp banting so far.

      Pg byk ikut abg shukri, blaja drug sket. Route of administration, dosage. For children if PCM X15 and if hydrocort X4. and ptg-malam dgn abg shidi. Seronokla belajar dgn beliau. Dr nanthaa pun ckp if you want to learn, follow him. He’s the best. Yeah. I learn a lot with him. Abg shidi memang ajar cerita semua in detail. Seronokla. Masukkn reigel’s tube, POP, CMR, and yg biasa2 cm amik sheet, take blood, etc.

      Mlm pun ‘jona’ tak kurg hebatnya. Byk jgk case trauma. Tgk abg shidi buat CMR kt metatarsal dislocation and I can feel how he relocates the bone.  I did something really awesome tonight. Guess what? I did my 1st gluteus IM, ok itu biasa saje. and I did my 1ST SUTURE on pt by my own. Td da pukul 930pm, igt nk blk pastu ade case MVA br masuk. 23y malay male. fadzrul br nk start T&S;toilet suture. budgetnya nk tgk je, then he offers me to do it. da selalu tgk hurm ok la nk try. Pakai sterile glove and I start my own suturing. Very awkward. Really. The needle must directed to you; inward and downward, and grip the forcep like grip a pen to hold the skin. I did simple stitches. Lock the stitch 3 times by reverse on each stitches. Fadzrul pun ckp apsal nmpk kekok sgt ni, 1st time buat ke? Abg shidi dtg tgk, igtkn derg boleh observe je tak boleh buat procedure, sbb tu tak bg derg buat ape2. Abg shidi ajarkn and suruh bukak blk the sutures I’ve done sbb salah technique, and he teaches me the correct one. fadzrul take over utk stitch yg mula2, then dr nanthaa dtg, let her do the suture. Da ade dr nanthaa, abg shidi, fadzrul, pastu riuh2 lg ramai2 MA masuk tgk. Abg khairol kate, lepak la. Tenang.buat satu2. Nampk sgtla gelabah kn. Haha. At the end, I did it! it was really awesome! It’s about 6 stitches at the dorsal of lf foot. Ok I’ll remember that pt. my 1st suture pt~. 1030pm ok da blk~

      Senyum dlm hidung sampai tido :)

      Monday, August 30, 2010

      attachment day 6

      300810
      1st day kt ward medicine. Mula2 dtg nk introducekn diri kt both ward. Pergi ke ward lelaki, tp dr and sister takde lg. ke ward perempuan, ade dr tan and dr  musniza. Cm awkward la plak tak tahu nk buat ape. Ikut dr pun, dr cm busy. Ish mcm la 1st time masuk medicine. ikut dr round sekejap, bace sheet semua pt pastu dlm pukul 10 lari ke A&E. 1st day suke la lari2 kn.

      Hari ni hari isnin, kt A&E pun tak byk case. Tgk abg khairol psng POP,  ade 3 cases. Suke la tgk, kemas gle. Salah bace xray. child, nmpk kt xray cm frx head of radius and ulna and interphalanx. Then pt da blk, discuss blk, abg khairol kata frx cume kt radius. Yg tgk tu epiphyseal plate rupenya. And kalau frx of phalanx, the mx they used zimmer?. Igtkn k-wire. Bukan. Zimmer tu besi yg boleh lentur ade sponge n psngkn lekat kt jari. Nmpk cm mahal, tp murah je kot. Ntah.  sbb MA amik zimmer utk tunjukkn je, pastu da buang.

      Hari tu da kene dgn abg shidi. Nk psg CBD. Berdiri je la kn kt situ. Pastu abg shidi kate, nk tgk jgk ke? Da malu da, terus keluar. Ler apa salahnya. Org nk belajar. Tgk pun takde perasaan, org siap da pernah buat la. Pernah dgn dr yap and abg muslim, derg lepak je. Pastu ni td ade MVA. MA nk bg IM ATT. Waktu tu org ade kt sblh pt. Abg firdaus cm keluar masuk, lengah2. Buat2 tak nk paham kn. IM je pun.. Pastu keluar la jgk. Derg segan dgn org kot. Apela..

      And hari ni dr Priscilla oncall lg. suka. hehe. I did ECG by my own. Yeay!  Tp ade nurse la kt sblh. And buat needle prick amik RBG kt pt. Dlm pukul 2, polis dtg bwk 1 body, case sudden death, jumpe kt bilik hotel. Nmpk muka cyanosis. Nurse kate kalau cmtu selalunya HF. N dr Priscilla buat post mortem terus ptg ni. Dr kate, tak buat exploration the whole body, bukak chest je.

      Pukul 3 da pulang. Hari ni sgt mengantukkn. 

      Saturday, August 28, 2010

      attachment day 5




      270810

      Today is public holiday. Nuzul quran. tp rajin nk ke hosp jgk. budgetnya, holiday lg byk kes2 yg best2.  Sbb public holiday, outpt clinic tutup, pt dr outpt clinic semua ke A&E.  Jd byk kes2 biasa je, demam, cold, asthma, diarrhea, etc. triage & dr shamsul plng busy, kt dlm lepak2 je.

      MO oncall hari dr priscila. Dr pg sampai malam. She’s graduate from manipal. She is very nice and friendly. And 1 met another 1 MA for the 1st time today. Abg shukri. I also learn a lot with him. He teaches me few times utk amik blood, tangan ketar2 la lagi. Adoi. Dr priscila herself teaches me. I did quite a lot of things for the 1st time today ~ off the branula, administer drug to the pt, ascultate abdomen to comfirm gastronasal tube da masuk kt stomach; dgr bunyi blub. Abg shukri kate ade 3 cara utk comfirmkn, tp waktu dgr tu tak focus. Apela. Then fill up the form, panggil pt masuk, panggil waris pt. bende2 simple je, tp 1st experiences jgk, kalau tak pernah buat, tak tahu.

      Pg byk case neonatal jaundice. Serious ramai baby hari ni. Susah tahu utk amik baby’s blood. Baby menangis tak duduk diam tu satu, then their veins are very small. Utk baby memang kene amik blood kt dorsum of hand n kalau tak dpt, amik kt foot, med malleolus. Flow of blood pun selalunya nmpk sgt slow. Memang perlukn kesabaran yg tinggi. Sian adik kecik2 umur br berapa hari da kena cucuk. then test for VSB, venous serum bilirubin.


      Abg shidi ajar how to interpret lab result. Da belajar je kn, tp nk aplikasikn tak reti. Kalau demam denggi, blood test low plt, high hct. Criteria prolonged fever >4d, abdominal pain, malaise. Kalau high WBC, suspect viral fever. And adela test2 yg kene repeat lg utk comfirm dx. Utk neonatal jaundice, ade chart utk kire umur, body wt and  incirect serum bilirubin. And blaja tgk from lab result, mcm mane nk dx appendix, UTI, etc..

      N btw, they didn’t know my name. I didn’t tell and they never ask. Kenalkn diri hari tu as medical student je. Dr priscila called me girl. Seriously comel. And the other drs, the MA and nurses just called me adik. Adik sini jap, adik buat tu, adik tlng ni, adik dgr ni, etc.. Kelakarnya, cm spontaneous reflex plak tu ble dipanggil adik. Perasan. Cm suka plak an. Haha.

      Mlm lps maghrib sampai pkl 9 kosong, takde pt lansung. dr tan da suruh blk byk kali. Haha. After 9, br byk case. 930 da blk. 


                                      



      Ok da hbs seminggu kt A&E. seronok! Next week masuk ward medicine plak. 

      p/s: all pics credit to noure.
      pp/s: hoi org alex! ape khabar berita? bg msg tak reply. takde dgr ape berita, busy sgtkah menjaga alex?

      attachment day 4


      260810


      Separuh hari spend masa kt bilik forensik. Tgk post mortem GSW. 2 body, robbery, case police. My 1st experience! Nk muntah, seriously. sbb dr nathaa yg oncall malam td, jd beliau kena ikut sekali pakar buat post mortem. Tanya dr nathaa psl post mortem, dr kata tgkla nanti sekejap korg pun lari. Br nk provekn pd dr nathaa, he’s wrong. Kononnya nk stay sampai hbs la. Hurmm.. tak dpt. Dr pukul 830 da tunggu kt bilik forensic dgn PPK, tunggu xray, tunggu pakar dr klang & polis dtg, dlm pkl 11 br start. Igt start derg terus nk bukak body, tp tak. Amik DNA, amik gmbr, periksa body externally, pakaian; jenama, size, kesan lubang size GSW pd baju, semua direkodkn. Settlekn yg itu je pun almost an hour. Then buat exploration the whole body. urghhh! Tak dpt tahan lama, dlm pukul 1 da lari. Haha. Tak tgk hbs 1 body pun.  Cool la nmpk real fresh brain, liver, organ2 semua tu. Pukul 630 ptg td, pkck PPK kata br siap semuanya. Gile la! Phobia nk minum cincau. Dr ayuti punya angkara. Dr keluarkn blood dr peritoneum, masukkn dlm cwn penyukat. Cincau. Siapa mahu?
      pakai scrub utk tgk post mortem
      And hari ni stay sampai pukul 930pm. Dr oncall dr siti aisyah & dr shamsul buat locam?. dlm pukul 6, MVA  6 org naik satu motor. 2 ok tak ape2 lari, 2 stabil, 2 tak. Teruk jgk kene buat CT brain. Haih budak2 zaman skrg.

      Ade sorg MA baru 1st time nmpk beliau hari ni. Abg shidi. He teaches me a lot, n nmpk beliau pun cm superior than the other MA. Memang ajar yg btol2 ajar ceritakn semua in detail, best la. Case TMJ disclocate, mx: manual reduction. And abg shidi buat CMR utk radius frx. Dgr bunyinya, ergh ngilu!

      attachment day 3

      250810
      Bgn kul 6. 1st time tak terjaga mak kejut bgn sahur. Sampai hosp pukul 8. Pg dgn dr nathaa. Ptg dr rozita.

      I did VE today. Cool! awesome! Yeay syg dr nathaa. :P Pregnant female c/o: vaginal bleeding. Pakai sterile glove then gunakn sponge holder and transparent speculum. VE finding: open cx and POC; product of conception. Dx: miscarriage.  

      hari ni byk blaja orthopedic. Tgk cases, read the xray and discuss the mx. Colles frx, stress frx, tgk MA buat POP. And they allowed me to do dressing, case: MVA simple injury saje, boleh la.

      Inferior? MI. I never heard before. Seriously? Which medical school hah you?  Hahaha.

      CVA cerebral vascular accident/stroke. 2 types: ischemic stroke and hemorrhagic stroke. How to differentiate between those 2? Clinically, diff s&s. headache present or not, onset of neurological deficit, cp of menigism, err lg tak igt. Ok perlu ulang kaji. Later.

      Pukul 3pm, ok sudah mari pulang. I’m tired~ br 3rd day da pancit da ni. Ape cer?

      attachment day 2

      240810
      2nd day~ I fall in love with A&E!


      noure is absent because she not feel very well. So I’m alone, and I stay 13hours! at hosp. From 8am till 9pm. 2nd day is better. get close to the drs, nurses and MAs. dr nathaan, dr shamsul, dr tan! nurses n MA are friendly. bolehla kalau tunggu takde case, duduk borak2 dgn mereka. They are willing to teach and I learn a lot with them.

      MA n drs rajin tanya soalan hari ni. Tentula tak dpt jwb. Takpe that’s the way I can learn something. And dr yg paling byk tanya is… dr tan!
      What is amiodarone? What is ivermectine? What is anaphylactic shock? Something about dialysis, i’m not sure what the question is. PUO. In MVA what is the important thing to give to pt? ATT! Aiyokk. Cuti baru berapa lama da lupa.

      Blaja buat ECG. 1 female pt admitted dt chest pain. they need to do ECG but no nurse available on that time. The MA can’t do it because all of them are male. They need female to do ECG for female pt. They ask me to do it. errr. *blur. Tunggu nurse. Then I learn with nurse how to put ECG on pt few times today. Lps ni kalau suruh pasang ECG da boleh la. Tp nk handle machine tak reti sgt. Remember MA ajar: Stop. Look. Go. 1. Red yellow green black. 2. Red yellow green brown purple black. Colour2 ni de ke blaja kt med school dulu?  cm tak je.

      At asthma bay, the MA asks me to auscultate the pt, and they teaches me how to dx, mx, diff kind of drugs and the dosage. So today bluey did some work, he not just stays kept inside the pocket. Hehe. bluey is my steth.

      And I saw a lot of interesting cases today. Bee stung. Multitrauma. Comminuted frx of long bone, subtrochanteric frx. SVT; pt’s PR 190 and they almost defibrillate the pt but after carotid massage the PR suddenly drop. Post natal pre eclampia, the makcik’s BP reach 210. Gle kn? And br tahu PE include 40days after delivery. And lain2 cases biasa la demam, asthma. I met abg hasnul. He sends his MIL at A&E dt high fever this morning.

      Uhh, really tired. Td buka puasa dgn vitagen saje sbb igt nk mkn mak masak kt rumah blk nanti. N ble da penat sgt, memang tak lalu nk mkn sbnrnya, waktu maghrib td keluar jgk dr hosp cr makanan, tp tak rase nk makan ape2. Blk sampai rumah pukul 930 td mcm da penat nk terus tido tp skrg da pukul 12 tak boleh nk tido lg. n td br vomit~  esok boleh bgn tak nk g hosp pukul 8?

      attachment day 1

      230810

      Da cukup bercuti dgn bermalasan sepanjang hari. And I start my 2weeks elective course at hosp banting today with noure. I choose department accident & emergency/A&E and medicine. So today in the 1st week, we start at A&E first as dr siva; specialist in medicine is not around this week.

      My first day, I think Chinese people are cool. noure and I run away from A&E to outpt clinic because no case available at A&E in the morning. And actually what we did was unauthorized and illegal? because we don’t have permission to outpt clinic dept. luckily pembantu perubatan/MA at outpt clinic allowed us. Around 10am medical student from UM come and the MA let them to do anything without supervision. Whoahh! Seriously I felt inferior with them.  their skills are far better. They almost like real dr and they know like almost everything. One Chinese male student takes in charge at the blood taking room and noure and I just watching he did the procedures. He is friendly and he teaches us how to take the blood, do it on pt. we are not really confident actually but he insist. and we did it! whoahh cool la! Thanks to him for being our tutor today. Then I went to dressing room. I ask permission from the nurse in charge. She offers me to do the procedures. But I said tak pernah buat. So then I just watched her.




      After 12, we went back to A&E dept. dr oncall is Chinese dr, dr Lam. Guess who is he? He did physical examination on me last week. Yes I was admitted to the hosp as a pt last week. It was nothing, but actually being a pt is diff from being the dr. when we as a dr examine the pt, we touch here and there, we expose the pt, and we didn’t feel anything. But when being a pt, I felt embarrassed! br la tahu begini rupanya rasa jd pt. I didn’t expect to see him again and I wish not to but surprisingly he is dr oncall at A&E today! oh! *blush. Dr Lam is nice and quiet and cool. He doesn’t talk much during work and his voice quite low. Few times I ask pardon? when he answering our questions. I like the way he works; calm and professional.
      Moral: less talk make you look super cool.

      As the MA says, A&E only busy after 12pm and will busier at night. Most of the cases are trauma, MVA motor vehicle accident. But at Egypt we learn as RTA road traffic accident. And much other diff term between here and Egypt like CBC here is FBC, PV here is VE. And here they used disposable speculum. It’s transparent! Kate noure, nk amik bwk blk balik boleh tak? Sbb cantik. The MA asks me, nk tgk case tak? I thought he asks to SEE the case. Then I said yes, sure. Then he handed me the empty sheet paper with only pt’s name on it. Blur. Nk buat ape? Go clerk and check the pt. huh?? Sy tak pernah buat utk A&E. Kalau guide boleh tak? ‘kalau guide nanti pt tak confident plak, kene sorg2 la’. Errmm tak pelah sy tgk je observe dulu. And seriously he insists me few times to clerk the pt. Confident la, trauma senang je. korg da blaja lg byk. Kalau accident, tanya mana sakit, bg pain killer then g buat xray. Student UM pun selalu da derg buat.

      Ermm seriously I felt very inferior here. We’re very lack of skills, practical and confident. The nurses, the MA, the drs and even the UM medical students are really nice here. They encourage us to learn and I think there are expectations from them that we know everything like just other 4th year local medical student. But we’re not. How to put central line, insert IV, take blood, give IM, do dressing, do ECG. I never did any of that before. haih.

      Hope tomorrow I have courage to practice clinical instead of answering sy tak pernah buat or sy tak tahu or showing the blur expression. There must be 1st time for everything, right?

      Wednesday, August 18, 2010

      I'M HOME

      cuti2.makan.tido.bersenang lenang sepanjang hari.menikmati keindahan msia.

      bye.

      019 2028 735.

      post final exam sem 8

      ye, sepatutnya sy kene mengemas utk pulang ke malaysia esok. tp sepanjang mlm tmplkn bendalah ni. ngeh. sunshine da kempis. jd sy abadikn die di muka pintu.
      1. sbb hadiah dr cinta2 hati sy
      2. sbb smiley! :)



      hahaha

      Monday, August 9, 2010

      pre orthopedic

      070810


      0745: br bgn. omg I’m late!
      0830: odw masuk cc. oh! Senyum. Makin palpitation :P
      0900: EXAM TROPICAL MED
      1100: yeay done!
      1130: rabah, ask for lounge and recomfirm time&date. Arab buat keje super duper slow. Beli labcoat
      1215: manshiah. Terserempak dgn nani. Teman nani shopping. tak jumpe brg yg dikehendaki. :( pulang
      1400: happy meal! @ mcD
      1430: shopping @ ibrahimiyah
      1530: blk rumah pengsan kepenatan
      1700: delight. study.
      2030: pulang sampai rumah
      2100: tak boleh nk focus. Tgk cerita
      2300: nite
      0000: pandang ceiling lagi
      0200: zzzzzzzzz

      080810
      0800: morning. Basuh baju. Kemas buku. Masak. Mandi.
      1100: cubaan bukak buku, gagal.
      1315: cr semangat study @ costa coffee
      1900: pulang. Saturated. Gembira.
      2015: dinner @ chilis! :) senyum sampai telinga. I miss you!
      2245: pulang sampai rumah
      2300: nite!
      0230: zzzzzzzzzz

      090810
      0700: morning sunshine!
      0800: mandi, breakfast
      0900: mari2 kita study dgn gembira ria senang hati :)

      1 more to go. yosh! orhtopedic: 100810