Tuesday, July 27, 2010

اللهم بلغنا رمضان

hari ni nisfu sya'aban. tak sedar sekejap je da masa berlalu kn. da 15 sya'aban hari ni maknanya 15 hari lagi nk ramadhan. tak sabar, rindu. sungguh. salah satu kelebihan di sebalik byk keburukan mesir saje yg org asyik ckp; waktu ramadhan, derg sgt memuliakn ramadhan. sambutan kt ramadhan kt sini, masyaAllah. kat mane2 nmpk org bace al-quran. termasuk penjual sayur tepi jalan. org berlumba2 nk cr pahala. n ble terawih, doa qunut die sgt sayu, mendayu, bersungguh meminta pd tuhan. mengalir air mata walaupun tak paham maksud. kalau dpt peluang terawih kt gami' ibrahim lagi la. nmpk semua org dtg ambil kesempatan utk terawih kt sana. boleh tgk mcm2 org. ade perempuan yg dtg solat pkai jeans dgn shirt je. nmpk cm tak sopan an, tp nmpk derg sebolehnya nk ambil peluang yg ada. imam; syeikh hatim. 8 rakaat, i juzuk. bacaan die masyaAllah. ble baca ayat quran yg maksudnya azab Allah, pahala, dosa, syahdu bacaan. memang mengalir air mata. sepenuh2 jalan tram sampai azarita melimpah sepanjang bahr. n ble akhir2 ramadhan lagi penuh, lagi ramai org keluar solat terawih rebut peluang ada, cr malam lailatul qadr. masyaAllah.

da 2kali ramadhan kat sini and sekali kt saudi. n masa 3rd year 1st ramadhan kt malaysia sepanjang 4 tahun kt sini. nmpk kt malaysia ble masuk bulan ramadhan lebih buat persiapan nk raya. akhir2 ramadhan kt masjid lg takde org. yg meriahnya waktu ramadhan; bazaar ramadhan. kn? n agak la terlagho jgk dgn tv n yela kt malaysia an, lagi mcm2 la nk buat. terawih pun ikut mood, kalau rajin pergila. tahun ni harapnya dpt la jgk at least habiskn 30 juzuk kalau boleh. semoga kuat iman ramadhan kt malaysia kali ni.

sy rindu nk sambut ramadhan dgn org arab.

and tahun ni mak suruh blk. ceh, alasan. pk da alang2 balik, baik balik awal terus spend masa kt msia puas2 kn. kalau ramadhan tahun ni jatuh 11hb, dpt peluang sekali solat terawih kt gami' ibrahim pun jadila.

اللهم بارك لنا فى شعبان وبلغنا رمضان



25 sept 2008 / 28 ramadhan 1429. rindu nk dtg sini lg.



Saturday, July 24, 2010

talipes equino varus

oh nk exam lg seminggu. jd da mengadoptedkn usb etisalat. haha.
perlu terus hidup tanpa internet utk jangka masa 2 minggu seterusnya.
utk mendapat kejayaan, kte perlukn pengorbanan. huhu. iyo la tu.

n btw, kelmarin jumpe kawan lama. i think i have to meet him. a lot things happen.
i have to fix whatever the problem. i dunno what happen between me, him and ust fatahiyyah.
we had a talk. and i think i'm more sincere to meet him this time than the 1st time we met.
i hope i can help him. and i hope he can be much better n solve whatever the problem.

today is my last osce exam for this year. orthopedic. i did... fair. kot. 3 spots:
1. genu valgum
2. brachial plexus paralysis- erb's palsy,
3. TEV.

causes of genu valgum? and i only remembered 2. congenital and ricket. oh damn! and TRAUMA! yeah. i'm forgot that point.

TEV : talipes equino varus. 
equinos(plantar flexion) of ankle joint, varus(inversion) of subtalar joint, adduction of midtarsal joint,  highed arched foot and internal tibial torsion.

but i only gave 3 points. and the worse part was i only gave the answer only after i mumbling in front of the dr, take a long pause  and deep breath and repeat the answer for second time. oh! i dont know, for the 1st time in my oral/clinical exam, i'm dyspnic in front of doctor. and tachycardia. we all nervous for oral exam, but we didn't show it in front of our examiner, right? i already memorized the answer as we already saw the case outside the exam room. but in front of dr, suddenly out of mind. i dont know exactly what i'm talking about.
causes of TEV. the answer that dr only want hear is arthrogryposis mulitplex congenita. thank god i remember that. ok you can go. haaaaaaaa. lega.

oh! haihhh la. i hate this morning.
dtg exam pg td dgn semangat and takla well-prepared sgt, as always. tp semangat tu yg penting. n bile bukak pintu lect hall, seriously rase down. see, i'm easily distracted. n tried not care too much. hurmm.. whateverla~

n last night before the exam, i cant sleep. buang masa sejam pandang ceiling. sampai pukul 2, then tak leyh jadi ni. so bgn, nk study pun bukannya masuk. chat ngan kawan lama. i think he the only male friend i have that know me very well. he saw the bad side of me yg memang kwn2 rapat je nmpk. and he can stand with it even sometimes we have fight? for years. he just like my brother to me and he know that. and i dont know why when i have a problem, i look for him though after we lost contact for years. i'm not telling the prob, but i only need a friend to be my side. a friend to talk. and he's there for me. kawan waktu susah. kawan tempat mengadu. ayat yg buat terharu semalam, 'selagi aku hidup, kalau nk ngadu ape2, kalau ade ape2 masalah, aku ade.' terharu :') walaupun takla selalu nak cr waktu susah saje kn. at least i know i always have my friend. weyh. thanks. :)


btw i just watched lie to me;episode 3. and i learn something.
dr lithman say when you caressing your own hand, that is self comforting gesture. mean, trying to reassure yourself when you dont really believe what you're saying. haha. i'm not really sure bout the meaning. but yeah. it is self comforting gesture for me. i always did that when i do my presentation in front of my collaeges and drs. and even during all my clinical/oral exam. is that true? haaah.

ckp psl hipokrit. define hipokrit please..
ape igt tegur org yg buat salah, tp diri sendri buat jgk. tu je ke hipokrit?
ckp dpn member baik, tp kat blkg kutuk jgk ckp macam2, tak hipokrit?
pakai baju sopan kt sini, tp kat luar terus tukar appearance, tak hipokrit?
nasihat org, tp kau pun buat jgk, tak hipokrit?
haihla. ok nasihat kpd sendiri, semoga bukan hanya tahu menuding jari pada org saje.

minggu dpn final exam. then MALAYSIA. oh. can't wait!
td shoping mcm2 n mostly utk adek. tak sbr nk jumpa adek. rindu. oh.
ok count for exam 1st. 7 hari lagi.
RED ALERT!
31/7 Obstetric & Gynecology
3/8 Pediatrics
7/8 Tropical Medicine
10/8 Orthopedic
11/8 MALAYSIA


lagu tema exam kali ni. haha. ok mari2 study. :)

Wednesday, July 21, 2010

kantoi

i went out today and i did something.
something that i never did before.
and i was plan about something last night.
mean, it not accidentally happen.
something i think i must do it today. if not, i will regret.
that something are a good and bad thing. it has both.
depend on people to judge.
it has a right purpose, but in a wrong way.
ala2 jd robin hood la hari ni.

and in the middle of something, suddenly somebody come at the same place.
somebody that i know
somebody ermm.. you know. male somebody.
i didn't expect to meet anybody that i know to see me doing something.
and how i wish somebody didn't see me.

oh! ok control.

hmmm....

HAHAHHAHAHAHHAHAHAHHAHA

we just burst out laughing to each other.

after that i just can't control myself smiling for the rest of the day.
even make one of egyptian guy notice or perasan whatever i'm smiling to him while i'm studying at library and he ask me why i smiling at him, ask me to be his friend and give me his phone number whatver.

haha. i just can't stop smiling. oh!

p/s: weyh diam la! :P 

Monday, July 19, 2010

مصر

td terbukak blog sahabat handai. rase speechless. hurm blog die byk cerita psl akidah, agama, nasihat, etc.
ok actually rase inferior. same2 blaja medic, same2 da almost 4 tahun kt sini tp tgk pengetahuan ilmu agama, bahasa arab die, rase diri ni sgt rugi. sungguh.

rase duduk kt sini mcm pergi kuliah, blk kuliah, kdng2 ke kelas bArab. kelas bA pun sebulan berapa kali je. rutin yg same tu je setiap hari. kelas agama errr sebulan sekali? tu pun kalau ade org ajak pergi. haih. mostly kalau org tanya ape kelebihan belaja kt mesir. jaw yg biasa org jawab. dapat belajar agama. hurm ye ke? nk compare ilmu agama yg ade skrg dgn waktu before dtg mesir dulu, lebih kurg saje.

mesir tempat yg ade byk ulama. sr dulu kate cr la permata2 yg byk ade disebalik debu2 mesir. rugi la kalau da hbs blaja medic 6 tahun kt sini dapat ilmu medic saje. rugi kn. kadang2 cr jgk peluang kalau dpt belajar ilmu2 sampingan tu. kelas agama bahasa melayu kt sini ade je. yg upi buat seminggu sekali. n ade lagi satu yg bagus persatuan persendirian buat. kdng2 kalau ade kwn ajk pergi yg tu, dpt belajar mcm2. seronok. tp sbb bukan ahli persatuan, jd cuma org ajk je la kadang2 pergi.

n kalau nk bg alasan lain, sbb perempuan? susah jln sendri. takde kawan yg satu kepala yg suka nk cr ilmu2 sampingan mcm ni. ade kawan yg ade tp derg ade persatuan sendiri. then kenapa tak join je persatuan tu? ermm tak tahu la. tak layak?

seriously kte cr peluang utk belajar ilmu2 agama kt sini. tp tak tahu. haih. kalau ade kawan2 yg ade peluang tu, ajk sy boleh? 

hendak seribu daya, tak nk seribu dalih kn. sy nk. sgt.

Friday, July 16, 2010

post tropical medicine

officially semalam hari last sebulan kt dept tropical med. yeay! lega da hbs. actually ble da hbs, seronok jgk belajar parasit2 microb cacing semua tu. schistosoma, malaria, trematodes, cestodes, nematodes dgn nama pelik2 segala. masa pre clinical tak nmpk sgt aplikasi belajar semua binatang2 tu. n skrg da tgk clincal cases and da blaja in detail rase seronok, n cuak. mampu ke nk igt semua tu nanti. n ble da keje jumpe pt yg sebenar, mampu tak nk aplikasi knowledge and dx pt dgn btol. rase cuakkk, rase berat tanggungjawab kn.

n we end our tropical med round with mid term exam. huhhhhhhhhhhhhhhhh. soalan die sgt ... er tak tahu la nk kata ape. 24Q for 24marks for 1 hour. ok je. tp hurm.. cm tu la.

  mungkin utk next time, derg patut pendekkn course kpd 2 minggu mungkin? masukkn lect 2jam sehari and gunakn masa clincal round sebaik2nya. 2 minggu pun memang cukup kot.

*******

post exam, jamuan dgn dr nermean! our ObGyn dr. plan dgn dr dari hbs ObGyn dulu. tp tangguh2 sampaila smlm br berkesempatan nk buat. n dr masukkn bykkk utk kitorg. oh susah2 saje.
unfortunately, dr tak dpt join skali. sbb kata dr beliau ade komitmen lain. jd dr cuma dropkn makanan kt dayah's.

the foods. firakh mayswi. macarona bashamel. mahsyi warak 3inab, bazinjan & kusah. harisah. ru'ak.

*******

berbulan da kot craving for .....tettt. cuba teka kt mane? hehe. n since ni ade la post exam, n slps kira2 waktu exam smkn dekat and akan sibuk waktu study leave nanti, jd kene pergi jgk! ni kire as a reward kpd diri sendiri sbb lama da tak keluar and booster dose utk study for final exam la. ngehehe. 
yummylicious muschroom, chicken and vege soup

all time fav steak & shrimp. with rice & mashed potato

montgery chicken. i like the chicken! sgt lembut and berperisa. tp bacon keras sgt.

hahaha. mkn hbs separuh saje. n mane la penah nak take away.

multipurpose periuk belanga. nice kn?

chocolate brownies with ice cream. tak sbr nk makan br igt nk amik gmbr. 

muka  bahagia. hehe. n fav drink, cherry cola! refill 3kali smlm. 

oh mkn byk gle pun tak makan byk mcm ni. oh.

n officially today start our study leave. +- 2 weeks with osce exam in the between. da cukup berpoya2. yosh! berusaha hani!

RED ALERT 18/07 osce tropical med & 22/07 osce orthopedic

Wednesday, July 7, 2010

:)

i don't want to complain or whine the miserable things happen today.
and i try not to be distracted with my overwhelmed emotional feeling. tp td da skip CR. haha. instead of that, i just want to enjoy every moment of my life. and smile :)

sad sad day please go away, and happy come here and stay.

somebody cheer me up today. i met few people that really my made day :)

on my way to tropical med dept, i bumped into dr azzah! she is specialist in neonatal care and i met her at neonates section in labor room during my ObGyn post. but she's not group's teacher. i always met her during my stay after class and when i'm learned with her, she introduced me as her friend to her colleagues. sweet kn? it have been a while since last time i met her. and she gave me warm hug and  hi-i-miss-you expression. whoaa. i so excited to see her again. :)

2 cute little boys just sit next table to me with their mother at mcD. the younger brother wear hearing aid? idk what they called but they're so cute, and nice, and.... you know, typical adorable cute little boys. they're about 3 and 4 years old. i just smiling while watching them playing around and their mother just smiling back at me. when they want to leave, their mother called them, come and say good bye to me. they come to me, waving their hands and say byeeee. comel gle! the elder brother is holding woody (character in toy story he got with happy meal's) in his hand, and he also put woody's hand in waving position to say good bye. seriously comel gle. haha.
though just simple action like that, they're really made my day :)

idk, but whenever i see people in sad, angry face. i tend to smile because i imagine that my face and people see me in that kinda expression. buruk tahu. haha. and i smile because i hope she/he can smile back and get rid of whatever thing that caused sad/angry expression..

i hope my facial expression always show happy, smiley face and made people around smile and made other's day just like mine when i saw people smile. :)


you are what you eat.





200calories. hahaha. lps ni kalau nk mkn semua kene timbang dulu.

Tuesday, July 6, 2010

the mom song



it so TRUE. just like mom. :)

kredit to lynn.

Sunday, July 4, 2010

chronic pt

Q: what is the most important part to diagnose the pt?


a) history taking
b) lab investigation
c) physical examination
d) radiology - xray, US, CT, MRI.


the answer: oh sheet!


kate dr by history taking, you reach 70% of pt's dx. jd paling penting ialah tahu utk amik sheet dgn btol. mula dari general data. then continue to chief complain c/o, analysis of complain/present hx, negative data, family hx, drug hx, medical course, surgical hx and past hx. err da tu je kot. n every point hv another sub-points to ask in details to reach the dx.


tahu tak plng susah nk amik sheet ialah chronic pt. by chronic mean, pt da lame da ade sakit tu n die tahu in detail die sakit ape. and she/he may admitted to the hosp for long duration. 
ble tanya c/o. bitisytiki min eyh? and pt jawab, 3andi musykilah ma3a kibd wa hep C wa ghurddah wa tuhal wa 3andi maiyah fi ba6ni. 
(awk sakit ape? -aku ade liver cirrhosis, hep C, goitre, spleen and ascites)


-_-


instead of kena dptkn pt's c/o terus dpt dx. kte kene plak enumerate dx kpd c/o. 
sepatutnya pt kena jwb: aku sakit kt abdomen bahagian sblh kanan, ade bengkak kt kelenjar thyroid, sakit badan ble makan makanan berlemak, ect. then kte yg kte analysis c/o to reach the proper dx; which organ affected, course of the disease, etc.


susah ble dpt pt yg da educated enough to dx him/herslf. kalau dpt chronic pt, pt pun dah tahu point2 utk sheet. da boleh bg dx terus. better kalau dpt pt with acute disease that recently admitted yg tak tahu ape2 n tell us everything we ask instead of give us directly to the dx. or tak kisah la chronic disease pun yg pasti kene recently admitted. rase mcm, if pt da tahu die punye dx then why bother to take hx kn?


terigt pt kt chest dept dulu. pt memang recently admitted to the hosp. and a friend of mind took a sheet from him. pt cm risau and curious. and he ask my friend, dr sy sakit ape? my friend took a good hx from him and may reach probable dx. and he explained to him just like a real dr with pt. that he got.. and they will do... and give him Rx... etc. hoah. da mcm real dr da. i wish i can be as good as him. 


kene lebih bersabar nk deal dgn pt. 
kene blaja amik hx dgn lebih baik lg. 
let we guide the pt and don't let the pt guides us.


p/s:
hx: history
dx: diagnosis
Rx: treatment
c/o: chief complain
pt: patient

Saturday, July 3, 2010

go netherland!

lately ntah nape asyik tertengok bola. bukan intention nk tgk. tp tertgk. haha. n coincidently i'm rooting for netherland or argentina? td tgk netherland v/s brazil. oh kaka!

like other friends said, tropical med is not really bad. so far da 2 minggu, ok la.
routine yg same setiap hari. lecture. microb or parasit. ILA or TBL. ulang2 case malaria, dengue fever, schistosomiasis, filaria. clinical round setiap hari amik sheet tak penah complete or if complete pun tak penah present. buat physical examination mainly local kt abdomen. inspect and palpate. hurm. though byk ulang bende yg same setiap hr, tp okla. takla cm stress sgt bosan gle2 sampai mls nk dtg kelas. cume sbb skrg makin panas, ward kecik sumbat 70 org, tu kena bersabar sket. huhh.
huhh. da patut mula cuak. tropical med tinggal 2 minggu. pastu exam end block. then osce tropical med & orthopedic. then final. oh!

hari ni pergi belajar berenang! haha. cm kelakar kn. club kt rushdy. best. ade instructor, ikut je. berendam. terapung. tenggelam. seronok. n penat gle! boleh dtg lagi lain kali. breakfast pg td sahabat handai buat roti canai. tgh hari tgk movie. ptg jln lepak tepi pantai. oh i love friday.

da hbs da cuti hari ni. mcm penuh, tp tak tahu buat ape. bilik tak rupa bilik pun br kemas ptg td. hurm i think i need new home fragrance. pewangi bilik da hbs. nk exotic bodyshop. tp belum mampu lg nk beli. tangguh2 tak beli2. rindu bilik bau wangi.


da ngantuk. tido awl mlm ni. semoga bangun awl pg esok.

nite ppl :)