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.!