Friday, December 30, 2011

fragile

tk suka bile rasa serba tk kena. mcm ade sumthing wrong, tp tk tahu ape. rase iritasi pd yg tk sepatutnya. tk salah pun benda tu. tp rase cm pfftttt. blames the hormone.

cth mcm td, ade workshop endoscopy kt GI dept. menarik. sbb smlm br blajar theory n instrument utk ERCP. hari ni tgk application pada pt. lg nampak la kn ape yg kte da blaja kt theory. tk masuk OT, cuma tgk through live screen kt lect hall. n part yg tak bestnya ble dr yg terangkn dlm bahasa arab. sbb gabung dgn local student sekali. rase mcm. oh come on! helloo Dr, ade malaysian kt sini. benda yg menarik jd kurang menarik sbb paham separuh saje. kate Dr, 6th year da kn?. Zzzz. rase emo sampai rase nk nangis. bende simple pun. kalau la tiba2 ade org nmpk pastu tanya knp nangis? sbb dr terangkn dlm bahasa arab. mcm silly reason kn. pernah sekali tcampak air mata sbb arab potong que masa beratur kt bank.  Zzzz. tk patut. arab la ni. suka buat org nk emo lebih2. hurmm nk blame siapa lg?

nak ada hati yg luas & selapang langit birukena kuat. tk boleh nk emo lebih2. sentiasa berlapang dada. hadapi dgn senyuman. tk mudah berkecil hati. tabah. tk boleh nk mengada2, ikutkn emosi saje. 


ni da nk hbs belajar, hidup kt luar sana lg mencabar. lg berhadapan dgn mcm2 org. tk pasti la da ready kt tk. mcm dah. tp kdng2 rase sgt tk matang. mcm budak2 lg.

tk sabar nk minggu dpn. back to hectic life as medical student. ni minggu 1st sem br, pause skjp dr sebarang activity luar masa kelas. bertenang, settle down, kemaskn apa yg patut. minggu dpn start busy blk. final sem. tkde sem dpn lg da. 13weeks in internal med. yosh! sem br tahun br semangat br. resolution 2012 hari tu terpk da. la ni da tk igt. ape pun, mengharap utk yg lebih baik dr sebelumnya.


pie custard strawberry mcD sedap!

Saturday, December 24, 2011

NURLIYANA AIN




HAPPY 23RD BIRTHDAY DEAR. 
thank you for being my bestfriend, always being there with never ending support. and all those special memories we had all through our friendship. 

may this friendship last forever.
  YOU.


love, hani.

Friday, December 23, 2011

post exam

fuhhh. alhmdulillah hbs da sem 11. erm exam tk tahu nk ckp ape. both paper susah. n kelmarin serious rase nk break da bc forensic & toxic. 3 FINAL exam within 4 DAYS is beyond the limit. mengarutla. gap sehari between paper family med & forensic tu yg plng mengarut. exam ni plng stress kot. ye la sbb bace forensic awl2 study leave dulu, ni ble nk revise blk mcm tk pernah bc pun. tk boleh nk selak2 je. memang tk cukup masa nk hbskn bace semua. pastu gelabah pastu cuak lebih2 jd serabut. toxic pun da tercampur aduk semua. haihh. tgk kt wallnote pun tk laju mcm exam2 before. google doc pun tk hbs jwb. i think semua org pun alami bende yg sama. tk cukup masa. blame family med sbb tukr jadual.  pffftt.

da hbs da. let bygones be bygones. da usaha sehabis daya, doa & tawakal sepenuh hati je tinggal. Allah will take care the rest. ya Allah, permudahkn la urusan kami tahun akhir kt sini. semoga semua lulus. aminnn..

so here come the post exam syndrome. i list many things to do for post exam. tgk la jln ke tak. mcm biasa plan mcm2, tp bile da lps exam tk rase nk buat ape2 pun. try to rebound sleep smlm pun tk la tido lame sgt. even smlm blk rumah lps exam memang rase sakit kpl sgt tk lalu nk buat ape2.

happy friday everyone. sehari cuti yg bermakna. esok start sem baru pula. yeahh FINAL SEMESTER in medical school. excited ke? hmmmm..

Tuesday, December 13, 2011

wishlist #1

1 day, i want to be a volunteer medical team in masjidil haram.

triggering factor. tigt pergi sebulan umrah sebulan ramadhan 2008.
rutin harian yg sama setiap hari cuma pergi blk masjid. tkde ape2 komitmen.
cuma beribadat setiap masa. tk kisah hal dunia. alhmdulillah puasa, solat jemaah setiap waktu kt masjid, solat sunat rawatib, khatam quran beberapa kali n for the 1st time hbs dgn bace maksud sekali. menghadap kaabah setiap hari. masyaAllah.
terasa dkt dgn Tuhan. terasa nikmat yg tk tergambar rasanya. seronok sgt.

i really missed those moment.

i saw kt sane memang ade team medical standby kt certain part dlm masjid dbuka utk public kalau ade org nk consult n dptkn rawatan. kalau diizinkn Tuhan, ade rezeki ade peluang, i really want that. manfaatkn ape yg kte ade kt dunia utk mdptkn akhirat. since kte ade something yg boleh dmanfaatkn utk masyarakat, boleh gunakn utk mendektkn diri dgn Allah, dlm rumah Allah. besar ganjaran kn, dsamping mengharapkn rahmat n sakinah dr-Nya.

cuma kdg2 terpk layak tak utk jd tetamuNya lg? sbb tahun2 lps ade plan nk pergi lg, da memang nk pergi. tp ade kekangan tk dpt pergi. kte cuma merancang, Allah yg menentukn. Allah yg beri keizinan utk ape yg dkehendakiNya. mcm sedih jgk. memang tkde rezeki la kn nk pergi waktu tu.
semoga Allah murahkn rezeki, dpt jd tetamunya lagi iA satu hr nanti.

insyaAllah, biiznillah.

Monday, December 5, 2011

weekend

Jjwb 16: Apple pie
1. caramelized the apple. 1tablespoon of butter + 1/2cup of sugar + 3 apples: cut into small slices + 1teaspoon cinnamon powder

2. pastry: 2 cups floor + 3/4cup butter + 1teaspoon salt + 6-8tablespoons iced water. bake 200C  for 30min

JJwb 17: butter prawn
1. deep fry prawn with butter, leave aside. stir-fry onion + garlic + curry leaves + salt. mix together.

2. sprinkle with yolk-fried 

escaped!
life is too short not to indulge yourself

RED ALERT! final exam in 10days. =O
OSPE Family Medicine: 15/12 19/12
Written Family Medicine: 17/12 20/12
Written Forensic & Toxicology: 22/12
so here come the exam stress syndrome. do pray for me ppl.

Thursday, December 1, 2011

i have trust issues.

this is serious. :/

Saturday, November 26, 2011

Egypt nowadays



skrg nk dekat pilihan raya egypt. egypt tk stabil sgt. ade la org demo beberapa kali seminggu. but i think everything is under control, isn't? kat alex tkde la sampai riot yg chaos gle2 berpuluh2 org mati, etc. tempat plng bahaya? pun kt smouha & sidi gaber dpn military, tempat utama utk demo, plng ramai org.

kadang2 berita exaggerated sgt. cm geram. bende yg tkde, di ada2kn. atau pun dgr khabar angin, terus buat assumption sendiri. sampai rase mls nk ambil tahu. bukan nk jd ignorant. tp tgk sekeliling. jiran2 arab ok, kehidupan harian mcm biasa. kedai kopi bawah rumah tetap ramai org mcm biasa. perempuan arab ade yg jln sorg2 lalu lalang dpn rumah. bdak2 sekolah pergi blk sekolah mcm biasa.

just live as normal as possible. be updated, but for sure from the right source. eg. almasryalyoum and we are all khaled said. stay safe and take safety precaution.
tk perlu nk update/sebarkn berita dgn berita2 yg tk yakin sumbernya. end up merisaukn diri sendiri. n boleh risaukn org lain dgn nonsense rumors. just tgk sekeliling observe keadaan semasa.

berita dr pejabat mara, ustaz ishak kate kalau ade ops pyramid 2, memang tk kn hantar blk lg ke sini. tak perlu nk expect the worse skrg, da siap plan holiday utk evacuation etc. pfftt. tk lagi merisaukn ke kalau kena blk msia, kena pk lg nk sambung study mcm mane. skrg cuma doa byk2 keadaan akan baik.

focus blk niat dtg sini. hbskn belajar then blk malaysia terus for good.

28/11 pilihan raya alex. hopefully keadaan terkawal n semua berjalan dgn baik.
doakn yg terbaik utk egypt.

Friday, November 25, 2011

if

last weekday. weee! esok jumaat. esok cuti. lusa cuti, awl muharram. cuti 2 hari. nikmat dunia. alhamdulillah. tp da namanya family med, cm terlebih buat cuti sendri je. nk dpt momentum ke kelas setiap hari tu payah. family med~
mcm hari ni, td 1st field visit ke smouha. excited, mcm menarik kn. tp awl2 lagi da buat rosak mood. dr pkl 8 da ready tunggu bas. tp pkl 9+ br gerak. Zzzz. nk blk ke kuliah pun same, byk buang masa saje menunggu. arab betol!.

da masuk winter. sejuk. tp winter mcm main hide & seek. pg td panas. n ptg tiba2 hujan lebat.

n nk ceritanya masa melintas jalan ptg td. hujan da tk lebat sgt, renyai2. tunggu lampu isyarat hijau utk pejalan kaki & khidmat polis utk kawal lalu lintas. kelakar la, kt sini zebra crossing yg da siap ade lampu isyarat pun still kena ade polis jaga. arab~

kereta dpn sekali memang da slow nk berhenti. kitorg memang bdiri betul2 dekt dgn kereta 1st yg dpn sekali tu. da ready nk melintas. dtg kereta ke 3, dengar momentum sgt kuat, langgar 2 kereta yg kt dpn. tgh hujan kn, memang jalan licin. n nmpk mcm die bawak laju tk sempat nk break. kereta yg 1st dpn skali pun turut sama kena. masa tu rase, ya Allah.! luruh jantung.

ble pemandu yg ke 3 tu keluar dr kereta nmpk muka die. haih~
masa ni kn, automatic terimbas masa accident bln lps. same condition. tp tk la sampai 3 kereta, langgar kereta dpn je. waktu ni, rase menyesal sgt. kalau la sempat break. kalau la tk accident. kalau la lebih berhati2. kalau la~ sbb kereta memang kena teruk, ye la da repair sampai kena 2k+. memang rase menyesal. lps accident tu sgt bharap kalau la boleh nk putar blk masa supaya benda ni tk berlaku.

lagi cuba bayangkn kalau accident tu, ade org yg meninggal. selalu tbayang benda ni tau. memang akan rase menyesal semua hidup. tk boleh nk buat ape la kn kalau bende da jd. kena redha, pasrah dgn qada; & qadar. benda da jd~
tp kalau kejadian boleh dielak, yg kte boleh kawal, kte yg tentukn. kalau kte berhati2, iA tk la terjadi, kn?

peringatan & pengajaran blk utk hari ni. semoga sentiasa dlm lindungan Allah.

Tuesday, November 22, 2011

jjwb 15

fuhh fuhh *lap project* sungguh. lame gle da try masakan br. masak pun jarang2. org bujang, tk boleh nk kate ape la. untung la ade jiran rajin masak.

 before

after

tadaaa! jjwb 15: kuih/kerepek? gunting
bhn2. tepung, butter, cili kering, udang kering, bawang, daun kari. kate ati tkde sukatan. agak2 je ikut rase. semua digoreng separately, blend/ramas? sampai hancur n campurkn dlm adunan tepung & butter. mudahkn? n seriously sedap! tp mane nk dpt daun kari lg??

sepetang bersama ati & dayah. kami sepakat tk nk buat SG utk family medicine. kena hafal je kn fakta bulat2. n kalau buat nota sebijik2 karangan dlm buku. jd kami gantikn masa study group dgn projek masak2. tgk, bermanfaat juga kn.

family med seronok. sungguh!.

Friday, November 11, 2011

Friday, November 4, 2011

reward pathway









good food with lovely people. couldn't ask for more..

Thursday, October 20, 2011

sumpah hipokrit

cakap lebat memang hebat. tapi serious tak boleh pakai.

not you, the other half of you.

so that's it. the end of the story.

there comes a point in life when you get tired of chasing and trying to fix anything you could and the fact actually you really dont need to do that. because whatever you do, they just dont need you anymore.

how i wish you could stand on your word. and again, im wrong.

oh its hurt!.
i shouldn't trust u. sumpah menyesal sampai mati.

Tuesday, October 11, 2011

istikbal

finally.. final year in med school.! tk perasan laju masa berlalu. cuak, excited, mixed feeling.

and this sem we start with forensic and toxicology. nice and very interesting subject. and hope the exam will be nice too.

today the 3rd day of class, my friend and i stayed after class at ER.
seriously im longing to do T&S since after elective course at hosp banting. and today we got the chance to do it. though only did 1 stitch on the scalp, awesome! and we did ECG with not so perfect almost broken ecg machine; too many times lead error, need to change 6 chest lead with only 1 pump, and used the machine manually. it took more than half an hour to complete 1 ECG. seriously. and we took a lot of blood pressure, manually by steth & sphygmanometer.

i think today we're lucky, because rarely we got the chance to hands on pt. all the houseofficer and specialist icu dr are really nice. they help us a lot. and some of them are my friend's colleague, so got some advantage here.
i love when we got instruction to do something by superior. i.e can you do ecg? pls take the pt's bp, pls ambu the pt.. it means we gain the trust, isn't?
and congrats to my dear friend for her very first stitch and ecg today. you nailed it.! 

oh i missed so much to do practical hands on patient thing.

safely arrived home at 9pm. you know the feeling when u're very tired and cant do anything except lying on the bed, staring at the wall and smiling.. because ur day filled with something meaningful. very exhausted. and fun.! thank you partner in crime and our egyptian colleague. :) we need more practice. looking forward for the next trip.

after elective course at hosp banting i thought ER in egypt will be no longer my fav place.
 but maybe not.

Friday, September 30, 2011

elective course

Day 2: Stay till 7pm. Tu pun cm ambivalence nk blk. Rase nk stay lebih lama. Tp sbb pk da pkl 7. Mesti la kena blk pkl 8-9. Cuak jgk nk blk drive mlm2 sorg2 kalau lewat sgt. Then nk tunggu beberapa jam je lagi cm tk larat je. Da ngantuk. tp rase nk stay sbb malam lg best, lg2 hr ni dgn dr mikraz. Wktu abg hafeez cerita psl dr mikraz pg td, I wonder dr ni lelaki ke perempuan, Chinese Indian or malay? Guess what?.. ble jumpe die tgh hari td, die sgt cool~

Smlm 1st day, blk awl. Pkl 3 da lari da. Sbb tk kenal sgt staff ptg. mula2 masuk pagi smlm seronok la. Ade dr nanthaa, abg faizal, abg hafeez, abg shukri, & fadzrul. Semua kenal. Semua excited kn jumpe lg, semangat borak mcm2. kul 2 start tukar shift ptg da tk knal sesiapa. Semua MA br, dr oncall pun br. Segan lg, terus lari.

So 2nd day, da gain lebih byk confident. staffs tkde tanya2 da reti buat ke tk. bg arahan je terus. Rase lg best la sbnrnya, sbb rase cm da gain trust. Tp cm gelabah jgk sbb on my own. Amik sendri drug kt mana, sediakn set terus apply kt pt, etc.  Though they already know my name, but they still called me adik. Kenkadang la derg panggil hani. Haha. Seronok. Mngade~

Pg2 td  abg hafeez ajk breakfast, die belanje!. tgh hari makan kt unit farmasi buat mkn2 raya. Dr mikraz ngan kak azizah ajak. Segan jgk sbnrnya sbb student je. Pastu kt farmasi derg tanye org siapa, err.. cm awkward tk tahu nk jawab ape. then dr mikraz jwb; adik sy. oh :’). Attached belajar dgn dr mikraz best.!

byk ambulance call and ke klang, HTAR. Ade 3 kes polis td, salah satunya polis klia bwk suspect bukan warganegara utk buat blood test & DNA sbb kena tangkap bwk dadah kt airport. tak sangka sampai ke hosp banting. Leceh procedure die, ramai polis yg jaga. And specimen dihantar ke lab kt PJ, bkn process kt banting. Paling menarik, proses nk seal specimen. Sbb bahan bukti kn. Tahu tk cop mohor kalau tgk cerita lama2. Derg buat cmtu la. Cairkn logam? Tk sure sumthing keras kaler merah, tuang atas bekas specimen. Then copkn cap lambang kerajaan.

Oh exhausted.! Looking forward for tomorrow.

Day 3: Pagi dr ajak tgk post mortem. Body jumpe kt ladang kelapa sawit, suspected murder, decomposed for 4days. To go or not to go? Nk tgk. Nk cuba rasa pengalaman. Tp takut tk larat je la kn. Last year tgk fresh body pun tak tahan. Pk lama kot! End up.. tentula tk pergi. Nanti la, tk ready lg. pastu pkl 10 ikut kak yati g scan ke klang. Mintk permission dgn dr nanthaa, dr kata on ur own risk. Tkde jaminan keselamatan if sumthing happened. Dr buat cuak je. Ikut naik ambulance ke HTAR. Laju! 15 min je da sampai. Cool! lps CT, hantar pt ke yellow zone utk dr oncall assess. Result revealed pt ade brain hg. So tinggalkn pt terus kt HTAR. Pt terus masuk red zone. Huhh nasib baik sepanjang perjalanan pt tk collapse ke ape. Pkl 130 br sampai banting blk.

Hr ni tk chaos sgt tp continuous pt masuk. Ok la. Mlm, I did my very own suture!. Straight 2 cases utk T&S (toilet & suture). 1st MA tlng guide and assist. 2nd, all by my own. On the knee and another one on the toe. Start prep the pt. amik set T&S, needle, sediakn lignocaine, bersihkn wound, bg anaesthesia, gunakn surgical glove and stitch the wound. then dressing the wound after put topical antibiotic, gel chlomphenical. Suruh pt dtg blk after a week utk bukak suture. Total: 12 stitches. Yeay da gain confident!  Da boleh la nk handle kalau mild case wound laceration masuk. 

Day 5: da reti set IV line and amik darah sorg2. Tp confident je lebih. Lps set line, amik darah je lepas, nk masuk saline, sumbat. Aigoo. Needle tk masuk betul sgt. Pastu gelabah panggil nurse kena insert line baru. Tp kanak2 n org tua tk lps lagi. Kalau baby vein die memang susah tk nmpk. Org tua plak vein die lari, susah nk masuk needle straight. Seronok sgt memang gain a lot of skills, and confident.

ER msia sgt berbeza dgn Egypt. Kt Egypt memang lagi byk red case. Tp mx die cm.. hurmm org pun tk paham. Rase mcm da tk nk masuk ER kt Egypt lg da. Another 1 thing kn, org tk tahu nape ble pt obgyn masuk, rase mcm blur sgt tk paham case lansung. Mcm tk pernah belajar, sedangkn I’m soo into obgyn. Wktu ni rase mcm nk bace semua buku blk.

Da tahu juga nk set cbd and ecg. So far da 2kali masukkn cbd. Ecg belum lg buat sorg2. Tp da byk assist. Ecg for limb: red, yellow, green, black. Kt chest: red yellow green brown black purple. Tekan button on. Tekan button stabilkn? graft. Graft da cantik tekan button start. Habis analyze, tunggu 10sec then tekan lg sekali button start utk lead limb pula. Senang je, kena make sure pt tk gerak and lead betul2 attach kt pt.

Br tanya dr psl procedure utk SPC, supra pubic catheter. Pastu bernasib baik tiba2 masuk pt BPH nk change SPC. Change je la. Tp dpt tgk procedure die mcm mane..

Smlm I did T&S on scalp. Kt parietal region. All by my own. Hoho. Seronok.! 3 stitches je. Tahu tk sbnrnya memang gelabah ble jahit pt sorg2. Pastu ade family members kt sblh tgk je. Dpt pula pt india yg memang exaggerated. huhh memang kena buat2 cool lebih sikit.

seronok sorg je med student kt a&e. rase dpt belajar sgt byk. most of the staffs da tahu da nama. Just ask, and they will let me do everything. Staff sgt best. They’re willing to teach and org pun dgn sgt gembira belajar dgn derg. Tk kisah la kena tlng buat ape pun, kte kn yg nk belajar. Mayb sbb sorg, senang nk attachd dgn semua org, mcm dpt special rx pun iye jgk. Hbs da seminggu. Laju masa berlalu. Ade student UM masuk hari ni, cm tk best sgt sbb mcm kena berebut nk buat procedure dgn derg. Haha. pastu ramai2 nk kerumun pt. jd cm, ntah kurg best kot.

Day 7: da masuk 2nd day of 2nd week. Jona. And I learned from the best, seronok ble abg shidi masuk. Td kena tengking dgn family members. Tgh chaos, 2 pt mva sekali masuk. Tlanggar IV drip pt A, tiba2 abg pt B marah, “ hey rawat la betul2. Tu adik sy!.” Pfftt. Tkde effect langgar IV drip tu. Tk tcabut pun. Tk nmpk ke 3-4 org staff tgh work on that pt. pt teruk jgk, multitrauma. staffs lg hangin marah la, die lawan blk, ade gaduh mulut, terus suruh keluar. Nasib baik all the staffs back me up. Td memang tkesima skjp.

amik darah HIV pt. clumsy hani. Comot jgk. Alahai~ cuak! da pkai glove, lps tu memang sterile tgn byk2 kali. Kate staff, ni nasib baik pt bg tahu. Ade pt yg tk ckp ape2, lg la.. medical profession memang exposed to many fatal things; radiation, infection. perasan tk perasan je. cth, seminggu berapa ramai pt TB. And red cases yg  kena buat portable x-ray; xray pt on bed, setiap hari mesti ade. Berapa byk exposure da.

bloody yellow case masuk, org tk tahu kena pkai apron. Staff tegur. Derg tk pe, sbb derg da pkai baju overdress biru yg ER punya. Org br nk amik, staff da amikkn and pakaikn sekali kt org. like seriously?. segannya. -__- and I did T&S on that pt. kt medial side of arm and scalp. Yeay.

Ade case masuk. Adik clerk case. Nk tgk sket bdak mesir clerk case. Ok, boleh!. Confident je terus clerk pt. pt MVA je pun. then present case, derg kate tulis la terus dlm report pt. huh?. seriously tk confident lg nk handle pt. ie clerk, full examination, mx and tulis semua dlm report siap2. selalu buat mx yg Dr order je la. cth mcm ni MVA yg mild case bg IM ATT 0.5ml, pain killer IM tramal 1ml. suspect frx, order xray, then buat T&S kalau perlu. kalau nk handle clerk case dr awal tu memang tkdela.. derg byk kali da kot courage suruh clerk pt kt triage green case yg common, sampai bertolak2 kadang. knp tk berani lg hani?..

ptg smlm ikut ambulance call dgn abg faezal. seronok, suka naik ambulance sbb laju. lampu merah pun boleh jalan and kenderaan semua ke tepi bg laluan. dekt je kt teluk datuk. n call dr rumah. means bukn MVA la. elder pt, unconcious GCS dlm 7. bed ridden. medical hx advanced stage of tumor, on chemo and hv done surgical removal. tp tk sure cancer ape, mayb jaw or tongue. tgk buku hx die pun cuma tulis dr onco unit, advanced stage cancer, tk ckp in detail. just terus bwk blk pt ke hosp. dr tan tk hbs lg clerk pt, ecg da flat. haihh. so claimed as BID (bring in death).

Day 9: result final 5th year keluar. Kt hospital lg. Pkl 6ptg dpt text psl result, tp tk perasan. G keluar beli makanan dgn kak see. Sibuk2 lps buka puasa br perasan msg. cuak sgt2! Palpitation. Try bukak internet kt hosp, application block. Tunggu la reply derg text kn result sambil2 triage dgn abg faezal. Rase jantung nk meletup.  Alhmdulillah lulus. Lega. Syukur sgt2. Alhamdulillah. Sungguh smlm rase sgt bahagia. Dpt buat T&S kt hand, buat ABG. and officially final year in med school. :’)

masa nk buat ABG td. Latep tanya nk buat tk? Nk. Tp org tk pernah lagi amik ABG. latep sediakn syringe n terus bg kt org. Kena buat muka confident je dpn pt tau. Rase kelakar wktu ni sbb latep ckp berbisik kt org mbelakangkn pt. terus pergi dgn confidentnya kt pt. and he let me do all alone. Oh my. Cool hani, cool.
The technique, rase radial pulse yg plng kuat and insert needle 90 degree. Its deeper than vein, agak2 je. 1st attempt masukkn tk terus dpt, jgn pull out the syringe, kena godek2 dlm tu, gerakkn needle to all direction. then latep dtg tlng guide. Kalau hit the right spot, akan ada rapid back flow of red cherry blood. Beza dgn vein dark red blood and back flow vein tk laju sgt mcm artery. I got it.! And pull off the syringe to get few mil of arterial blood. Oh my! I did it on 1st attempt! Bangga sgt seronok.

minggu ni serious byk post mortem. bak kate hj yunus, murah daging minggu ni. lol. da ade 3 case, n smlm je pg ptg case masuk. PTB n lg satu lung infection jgk. still.. tk ready lg nk tgk. rase rugi bile dgr staff cerita, tk pernah tgk keadaan lung yg putih sampai mcm tu. kalau tgk dlm jar tk la real mcm yg fresh punya, combo dgn bau sekali kn. and ade case MVA motor kena langgar dgn kereta. da jatuh, lori pulak langgar. dgr pun scary. body memang da hancur, dr lum kate tk jumpe tulang yg tk patah. huhh.


Day 10: last day. Hari plng busy. Sungguh. Pg dgn dr lee. Ptg dr samirah. Non stop jona. Dr pagi- tgh hari non stop. Then lps asar jona blk sampai mlm. Tk menang tangan. Chaos. Katil penuh. Dgn prisoners, pt kena intubate, pt PSY. Byk plak tu pt kena intubate sehari ni; ade baby and org tua. Ble ade pt kena intubate tu yg plng busy. 4-5 staffs kena work on that pt. staffs pun bukn ramai sgt, satu shif ade 6-7 org je campur MA, nurse and PPK. Memang busy. Kena intubate, masukkn byk line, cbd, ecg, riegel’s tube, did all blood test, close monitor of the pt. Dua2 specialist int med pun turun ER. 4 doctor sekali work on that pt. tk follow case sgt, sbb CVS.

Tp puas hati.! Sehari  ni dpt buat semua. Sterile cbd insertion on male pt, ecg, suture on dorsal of hand, amik blood,  IM ATT tramal, voltaren, IV hydrocort, supp, check DXT.. Semua on my own. Tp masuk branula td byk kali failed. ble case masuk confident je terus pergi kt pt nk set line, tp tk dpt. Ceit. Pastu kena mintk tlng MA/nurse. abg shidi kate yg penting kena btenang. Nmpk sgt clumsy. Plng best kalau nk belajar dgn abg shidi. Tanya A, abg shidi akan jawab A,B,C,D. MA ade senior n muda br2 lg. senior cm mls nk layan student sgt and tk berani nk tegur jgk. tp da knal actually derg ok je. Abg israr, abg faezal, abg din.. td abg hafeez suruh buat continuous suture kt palm. Tp tk nk sbb tk reti nk matikn last notch. tk pernah try lagi buat simple continuous kt real pt, biasa buat simple interrupted je. Ble da siap menyesalkn tk nk buat. Rugi2.


A&E was awesome.! Sungguh lg byk belajar dgn MA and nurse. Just be humble and confidentThank you all the staffs.Abg shidi, abg faezal, abg din, abg israr, abg hafeez, abg shukri, pakelah, syafiq, abg azli, abg zul, abg khairol, latep, cik hisam, cik zuki, hj yunus, kak zira, kak see, kak suhayati, kak suhaida, kak shanty, abg sardi, asrin, kak nirmala, kak azizah, kak linda, abg amir, abg roslee, amir aysraf. Dr nanthaa, dr tan, dr mikraz, dr lee, dr Chandra, dr Alvin, dr samirah, dr thirucelvi, dr lum, dr siva.  You guys are awesome!

Berakhir la most hectic 2 weeks of my summer hols. Drive 50km and spend 12hours at hosp almost every day. Exhausted and fun. Gain a lot of clinical skills and confident. And totally worth it.! Priceless.  I start missing them already.

last night. pakelah-kak su-kak see- latep- abg shukri kt blkg - kak azira.

kaksu- kak see- abg hafeez.
*credit all pics to pakelah

Saturday, September 17, 2011

MALAYSIA

summer hols~ 5 weeks holiday in malaysia. home sweet home.

1st 2 weeks da habis raya. hbskn masa dgn family. ziarah sanak saudara, seronok ble dpt jumpe family semua. 1st week blk hr tu tk rase sgt, serious bosan. nk pulak br 2nd day sampai malaysia accident. haaa! sape suruh drive jauh2 mula2 sampai. kereta teruk. trauma skjp. skjp je. 2nd day raya baru full house semua org ade kt rumah. ble semua family berkumpul, perasaan tu, priceless~ n last week jumpe shbt handai, g wedding joe & dhana. seronok. congrts guys. korg sgt cantik. :)

n skrg spend 2 minggu elective kt emergency department hosp banting. 12-23 sept. it is awesome! laju je masa berlalu hbs da seminggu. staffs sgt cool. almost everyday 8am-8pm kt hosp. penat but totally worth it.

enjoy the hols guys!

Wednesday, August 24, 2011

officially end of 5th year

officially, we end our 5th year! yeay! alhamdulillah. no more eye bag.
and the question of urosurgery exam today is soo typical surgery, should hv already learn from the mistakes of general surgery last year, right.

perasaan bercampur baur lps exam. rase sangat penat, tk sabar nk blk msia at the same rase tk nk blk jg and teruja hbs da tahun 5! like, wow! nk masuk final year da. huhh. rasenya ble hbs exam tahun 6 nanti mesti rase sedih kn, all the memories together in med school. lagu casey-seribu impian tiba2 jadi background music.

exam kali ni boleh masuk categori plng mencabar sbb summer + puasa + tgk semua org U lain and junior2 da blk msia dan da dpt result pun + circadium rhytm plng tk betul. last night i only slept 2hours n still couldn't get any sleep till now. terlalu penat kot. tgh tunggu masa je nk rebound sleep tgk boleh tk pecah rekod 24hours/day masa ophthal dulu. 

and spend the rest of the day with beloved one. blissful. 




lusa blk msia. mls lg nk packing. esok la. slmt mlm dunia.

Saturday, August 13, 2011

emotional incontinence

how i wish to be there with them right now. 



lg tension ble call byk kali tk dpt. tsk tsk.

examZzzz. Emosi tk stabil. T.T

Friday, August 12, 2011

EXAMS



"never regard your study as a duty. but as enviable opportunity to learn the liberating beauty of the realm of knowledge for your own personal use and to the profit of the community to which your later work belong"  -anonymous-
(i know you read this, if you still remember your quote mr.)


let's strive for the sake of our future patients.


bahang semakin terasa. da mula tk senang duduk. cuakkkkkk. 3days to go.
do pray for us. semoga dpermudahkn segala urusan semua org.
all the best Alexmed 06/12. may Allah makes everything easy for us.
ameen.

Friday, August 5, 2011

elective obgyn

hbs da 10? hari elective obgyn kt shtby. tentula sgt seronok.! all time fav subject. tp masih pk2 lagi nk ke amik obgyn? bebanan kerja sgt berat. hari tu tegur dr azab, 3 hari da tk blk rumah stay kt hosp. memang miserable la tgk. tk tahu la mampu tk kalau betul2 nk jd obgyn-ist.

btw nk share few interesting cases.
  1. 25y G1P0. quadriplet. GA: 21week. come for ANC. examination: fully dilated cervix. thus = abortion. mx: termination of pregnancy. dr deliver all 4 viable fetus by vaginal delivery. tp tk boleh nk buat ape la kn sbb tkde equipment kt nicu utk support fetal maturity. kene let go je semua. tk dpt full hx sbb emergency dr outpt. tk rase pt undergoes induction utk multiple px tu sbb umur muda lg. sedihkn.
  2. GA: 21w. vagina examination: 3fingers dilatation, 50% effacement, semiform. fore water rupture. u/s: single viable fetus. memang nmpk ade heart beat. ini pun same consider as abortion jgk. n more dangerous sbb fore water rupture can cause infection lead to chorioamnitis. mx: admit to hosp and induction of labor by ecobolic with umbrella of antibiotic. sbb br 21w so tk perlu risau rupture uretus sbb fundus level bwh umbilicus lg. so boleh je if pt tk perlu admit. if >24weeks, kene caution ade possibility for rupture uterus pt memang kena admit.
  3. GA: 32w. cx dilatation 2fingers. mx? dexametasone for 48hours with tocolytic. mula2 tk paham knp kena bg tocolytic? bg je la ecobolic terus deliver cpt sbb kalau 28w pun boleh hidup ape tah lg 32w. dr kate, no. we need the time that 48hours for action of dexametasone for fetal lung maturity. 
  4. knp PET kena buat CS? tk pernah terpk ape indication, mechanism for CS. mcm strong fact, asal PET=CS. dr kate main mx for PET ialah TOP. so mane2 boleh either NVD or CS. cuma CS lebih jimat masa than NVD. seriously tk pernah tahu. igtkn sbb PET CI utk NVD. 

byk spend kt labor room bwh & outpt. lots of u/s. and dr ajar amik sheet simple and senang je. tkde byk2 & complicated mcm blajar kt theory. belajar theory memang paham. tp ble dpt case tk reti nk manage. ble discuss case br lebih paham theory.

ohh i'm soo into obgyn. harapannya wktu elective ni dpt assist delivery. hmmpp. tk dpt la. tp dpt belajar in detail pun seronok jgk. the only practical thing i did was fed the infant! haha tkde kaitan pun dgn obgyn. buat pv pun tk dpt. tk pe la, lain kali. doctor da welcome kn dtg la ble2 lg, for sure will come back again 1 day.

berakhirnya elective maka officially start study leave. 10days to go. doakn rajin study & kurg tido. besar dugaan study leave time summer + puasa. 

bye2 shatby.


p/s: they off to haramain today :( sob2.
pp/s: the accusation, it was really hurt. oh why it always suddenly come across my mind??
ppp/s: "the less you care. the happier you will be".

Wednesday, August 3, 2011

ramadhan kareem

ramadhan kareem everyone. kullu sanah wantum bikhair :)

alhmdulillah tahun ni dpt peluang ramadhan kt sini. kali terakhir masa 2nd year. rinduu! terawih open air 8 rakaat 1 juzuk kt qa'id ibrahim, atmosphere ramadhan kt sini, kunafa' & atoyif, n semua la.
tersentuh dgr cerita sahabat hndai, ptg 30 syaaban tu nmpk ade accident kt bahr. n org tu meninggal. pakcik tramco mengucap je byk2. siapa sangka ajal die da sampai. tk sempat nk sambut ramadhan tinggal berapa jam je lg. kita golongan yg beruntung & bertuah dpt jumpa lg ramadhan kali ni.

semoga dpt manfaat, rahmat & keampunan dr-Nya.

qa'id ibrahim. tersentuh hati dgn bacaan sheikh hatim. 

odw blk terawih. haha comel. lost penguin in the middle of nowhere. 

Monday, July 25, 2011

seriously annoying. and awkward.

kte igt tkde org kisah da psl kte.

pfftt. ade awk kisah psl org?!

you already hv someone you rely to. and i'm nobody to you.

jgn nk suruh org kisah kalau awk pun tk pernah ambil kisah.
TALK TO THE HAND.

ya Allah skrg rase marah sgt sampai berdebar2. *istighfar
sigh. makin jauh. makin tawar hati.

Sunday, July 24, 2011

jjwb 14: benda bulat gemuk dan sedap

JJwb 14: chocolate chip cookies
hoholiday! on sunday! hoho.  2nd attemp is much better. recipe




:/

hari ni hari kecewa.

hari ni exam midterm urosurgery
hari ni dapat result mid term ENT. 

study leave cuma 2 hari utk midterm kali ni. seriously stress. smlm sampai rase nk nangis da. mlm td tido pun mcm termimpi2 psl uro. tp cuti 2 hari ni tk dpt manfaat sepenuhnya. tk tahu la leka dgn ape. hati tk tenang sgt nk study. haih. n padan muka.! exam td tk dpt jawab. mcm ulang pengalaman general surgery tahun lps. kecewa sgt2 lps exam. jawab ntah ape2. osce memang kaw gle2 punya susah. xray yg tk pernah tgk, tk pernah belajar, tk tahu nk dx ape. n confuse da tercmpur aduk la semua Ix. mengharap pd mcq. rase mcm boleh jawab. tp mcm je la. lps exam dr terus check jawapan, da comfrm byk salah da. 

osce ENT. tk igt da soalan ape. yg igt misdx laryngeal polyp dgn post intubation granuloma. n misdx choanal atresia? kot. dpt markah rendh. antara plng rendh dlm lecture. 22/30. teruk jgk kn. sbb tgk org lain ramai dpt full/almost full marks. tp mcm semua akan ckp bukan markah jd ukuran. yg penting usaha. tk igt la time ni usaha byk mane.rase kecewa sbb markah plng rendah antara subject lain dlm sem ni. (kalau tolak belum tahu lagi result urosurgery) 

hani kena usaha lebih lg utk final nanti.

esok cuti. ble nk masuk elective dpt la plak cuti. end round before2 ni tkde pun. pffttt..

da jgn nk merungut. bersyukur atas segalanya. 

selamat mlm dunia.

Monday, July 18, 2011

picnic batch 06/12

15 July 2011, Montazah.

*kredit to pemilik en.gemuk.

Tuesday, July 12, 2011

pls hv faith on us

kami cuma berdiri di tepi. berpandangan sesama kami. pandang dr. mengharap.
kurg doctor. abg pun pembantu perubatan ambil. kagum. sekali cucuk, beberapa saat saje.

cuma sorg dr pelatih dlm ICU. tu pun br dtg kene ambu bag pesakit lain yg baru masuk.
sungguh mood dr resident tk begitu baik. dgn panas bahang, semua org rase iritasi kn.

"dr, kami tahu. kami hantarkn boleh?"

dr cuma pandang ragu2. terpaksa..

lalu lewat pintu blkg ER nmpk dr jengah dari muka pintu.

mungkin dr risau kami sesat. atau tk tahu buat ujian abg.
(ujian abg kt sini dr kene buat sendiri)

keputusan:
pH: 7.6
PCO2: 32
HCO3: 34
PO2: 96

cuba dx...

cumanya nk ckp pengalaman hari ni buat terigt suatu masa dahulu pernah ikut sorg dr pelatih yg br ikut tk sampai beberapa minit, dr suruh hantar buat ujian abg di makmal. terkaku. pertama kali, mane pernah buat sendri.. maknanya dr percayakn kami la kn.?

hari ni bertuah kebetulan tgh dlm round urology, jumpa pt bladder tumor with unilat hydronephrosis dtg ER utk tukar percutaneous catheter. catheter tu dlm kidney, masuk dlm renal pelvis. btol ade stoma..

Sunday, July 3, 2011

hello july.

new resolution. resolution of July. i challenge myself utk tidak mkn kt luar sebulan july. reward.. boleh blk msia! haha jgn la, tiba2 kalau memang tk boleh control sgt keluar jgk, tk boleh blk msia nanti.

sbb ade org tegur perasan nampk boros, sbb selalu keluar. ni kononnya mcm br tersedar. ceit podah. hishh. kene jimat. org tk la shopaholic sgt. tp byk spend kt makanan, kot. and memang tk pernah buat belanja kira2 budget bulanan etc. pengurusan kewangan failed. hopefully misi bulan ni berjaya. we'll see. hehe. selain boleh berjimat boleh kawal makan jgk kn. tp tk jgk, tk tahu la sbb skrg tgh nk exam tk rase sgt nk makan kt luar n tiba2 jd rajin masak kn. nanti ble tiba zaman kegemilangan malas masak haa mcm mane? kedai kopi termasuk jgkla kn makan kt luar.

da bulan 7. bulan dpn blk msia. less than a year nk grad, kalau tolak pre-intership. nice article to share for future dr. kalau ade masa free baca la. dr pagalavan. and dr harlina.

subject elective br keluar. da comfrm ada 3 subjects in my mind. hopefully dpt 1st choice. mcm nk senaraikn dgn harapan sy tahu awk bc tk ambil subject yg sama spy tk sekelas dgn org yg tk sepatutnya yg boleh timbul perasaan negative bukan2 since elective ni gabung ramai semua 191 org. hurmm.. tk pela.

RED ALERT. osce ENT 5/7. midterm ENT 6/7. 

do pray for me. 

Wednesday, June 29, 2011

jjwb 13

guess what?







my cooking skills wasn't that bad. :P and this is pre exam symptoms, oh kamon hani.. :/

Saturday, June 25, 2011

Buat pengubat hati juga pelengkap rusuk kiri.



Aku janji.






sumber.


the sweetest thing I've read today..


Thursday, June 23, 2011

jjwb 12



btw terigt lawak waktu belajar bM kt sekolah dulu. penggunaan cop dalam bahasa melayu salah. instead of chicken chop, yg betul ialah chicken cap. n cap stick, bukan chop stick. hahaha.

da lama tk masak. tgk project jjwb pun da lama tergendala, resepi pun da lari dr project asal. blame the missing oven. skrg oven da kembali, tp tk rajin la plak kn. last time masak minggu lps ke ntah 2 minggu lps. skill mls masak semakin hebat. da almost lupa masak mcm mane, sampai masak air pun boleh hangus. ok tu tipu. tp seriously zaman muda2 rajin masak dulu, memasak tu therapeutic. skrg, hmm...

ni sbb tertgk gmbr sahabat handai upload kt fb. tempting gle kot. try buat. pernah buat tgk mak buat kt rumah, guna drumstick n buang tulang. then goreng dgn tepung, telur & breadcrumb. for gravy, mak guna chicken stock ade serbuk instant da siap, masak sampai pekat. org guna mashroom soup + blackpepper je. n tkde la coleslow or steamed vege etc, nk goreng kentang tu pun mula2 ambivalence. pemalas punya budak.

hari tu plan dgn sahabat handai nk buat ni tp tk terbuat2 lagi. nanti2 la. skrg tkde mood sgt nk mkn. summer mungkin. n nk homemade chocolate chip cookies mcm starbuck. pun ntah ble rajin nk dtg.

Monday, June 20, 2011

thank you love.


dayah omar: 24pieces blueberry muffin
hidayah: hardees
SG: steak & lemon cheese cake
liyana, izzat, mas: chilis & charles n keith & kad
aimi: chilis & kad
bob, liza, kfariez: balba' & cheese cake
sisters: 16pieces cuppies &cheese cake
muizz: pudding triffle
migha: ice cream & cupcake & kad
nadia fouzi: cookies

thank you!. i love all of you, very much. ;)

Thursday, June 16, 2011

blissful

thnk you.! sgt terharu.

lps ni da kene start puasa. i eat a lot! huhh. err niat mungkin 2nd after preparation utk sambut ramadhan.
n ramadhan just around the corner. (ramadhan 3anil zawayah, fav word!)
excited. rindu. semoga kuat iman berterusan amal ibadah.

thnk you for everything. unexpected surprises, cakes, triffle, wishes and birthday present. thank you kalian! tak tergmbr dgn tulisan kot. and i dont think most you read my blog.
i love you guys. yes, you!. :)

tiket tk beli lg. parent pergi umrah bulan puasa, blk a day before raya. tinggal hawa sorg kt rumah dgn adik n bibik. dilema lg nk blk awl ke lmbt. blk awl, boleh temankn hawa. hawa pun mesti bosan sorg2. blk lmbt, ramadhan kt sini best. nanti2 la pk lg. any suggestion? kalau ade org tk beli tiket lg..
hawa blk msia terus next week. mesti sedih nk tinggalkn Malang. n congrts hawa.! da jd doktor la kn.. i'm proud of you sis.

ENT skrg sgt buang masa. dgn kelas cuma 2 jam sehari, jd terleka. kononla tk nk sambung kelas arab sbb nk study ophthal. ceit podah sudah la hani. kene letak aim la at least bukak study sket buku ophtal, ecg and sarawak handbook. hari tu ckp, kalau tk study tk boleh pergi er. then sbb memang eager nk ke er, nk tk nk kena la jgk study. ohh kenapa perlu challenge bg reward mcm ni? cuba la study dgn ikhlas rela hati. someone please give me some uplifting word. sgt sedentary life. huhhh.

word of the day: out of nature. :P

i dont know i'm happy, glad or disappointed when i got the msg. i already try to be natural. but now seriously, it become more awkward and i really dont know how to talk to you anymore. 

Sunday, June 12, 2011

alhamdulillah

result sem 9 br keluar td.

no failure in our bacth. 100% lulus.
n recently br dpt markah exam midterm n osce ophthal last round. pun ok jgk.

alhamdulillah. *sujud syukur*

bersangka baik dgn Yang Maha Memakbulkn doa.

3 sem lg. and 6 year is really coming to the end.. rase sayu pulak kn.

thank you Allah for the blessing
thank you to beloved parent for endless support n doa.
thank you to my colleagues, batch 06/12. we survived 5 years together!

congrats guys. :) we really did it.
seronok tgk semua org happy hari ni.
and i just cant stop smiling for the rest of the day. :))

Sunday, June 5, 2011

13june around the corner. teehee.

ade org suruh buat wishlist kt falling star. so here it is :P



.

.

.

.

.

.

alahai seriously org tk tahu nk ape.

mungkin boleh hadiahkn org doa setiap hari. doakn name org specific!

"ya Allah kurniakn hani hidayah hasan kejayaan dlm setiap peperiksaan & di dunia & akhirat, dimurahkn rezeki dgn rezeki yg berkat, diampunkn dosa2, dipermudahkn segala urusan, dikurniakn jodoh pasangan yg baik dan diberi keberkatan dlm hidup." ameen.

and doa yg same kembali kepada org yg bckn doa ni. :)

kalian tk yah susah2. ah budgetla hani.! serious ni.
cukup memadai org tahu ade org yg kisah, ade org yg syg, dan ade org sentiasa di sisi.
just let me know you're there..

Friday, May 27, 2011

useful advise

i wish i met this dr long time ago.

da lama tk ke ER. last 3week kot kali terakhir pergi, sbb exam ophtal. n smlm pun diikutkn mcm tk larat jgk nk pergi. round derm straight 6jam dgn clinical round 5 jam. huhhh. nk lagi masuk summer skrg. panas. penat. n derm boring.!

mula2 sampai nmpk ER mcm chaos. tp tk pasti dr atau pt yg ramai. nmpk pelik, kitorg pun mcm tk tahu nk observe ape. terkaku sekejap kt situ. n nmpk sorg je dr yg muka familiar. yg lain semua da tukar dr baru. try to attach dgn dr, tgk2, belajar apa yg patut. sejam kemudian, ade resident br dtg. tkejut, for the 1st time dr yg dtg tegur dulu. dr tu nmpk mcm resident, bukan HO. the best smelling guy i ever smell. seriously.

sbb dr pernah dgn group bdak melayu kt peds dulu. dr ade sebut few names bdak2 group A. o no wonder, mayb ade good impression kot bdak2 melayu pd dr. semangat dr ajar. i attach to him most of the time yesterday and got a lot of precious advices.

"hanin, i dont think you learn anything. if you want to gain benefit during ur stay, stay with 1 pt till the pt discharge. and ask anything about the case from resident."

mcm nk argue. no! i learn something.. tp tk la ckp ape2 pun. memang org jump2 pt. sbb nk stay kt 1 pt je, ade certain procedure amik masa sgt lama. cth amik sheet or tunggu lab result. tk suka dgr c/o pt mayb sbb language barrier and tk reti lg nk guide terus pd dx. selalu dgr complain pt melarat2 n dr pun tkde la nk cut, dgr je kn. tk la paham sgt pun. and case2 yg perlukn consult. and dgn medicolegal procedure nk isi borang, etc. tk rase lg tjawab nk kene stay dgn pt. lame nk kene tunggu.
selalu stay kt ER blaja tgk procedure, tanya soalan berkaitan disease, tu je la kot.

but then i follow his advice and attach to 1 pt. like seriously, i understand more of the case. tp memang tunggu lama. no pain, no gain.

eg. full case: male, 50y. c/o chest pain & dyspnea. post MI, candidate for CABG (coronary artery bypass surgery).
initial mx: sublingual nitrite, O2,  take BP and do ECG.
for cardiac pt, take BP on bilateral limb. because if pt has aortic dissection, difference in 50mmHg.
ECG: site for electrode. on limb. rt UL red lf UL yellow lf LL green rt LL black. on chest 1. 4th rt para sternum. 2. 4th lt para sternum. 3. midway (2.and 4.) 4. apex. 5. 5th ant axillary line  6. 5th mid axillary line.
interpret ECG. tp ni tk paham sgt. dr; boss ER explain in arabic. unstable MI, kot.
mx accordingly. then pt pun da ok. discharge.

smlm byk case best2 jgk. plng byk toxic >10 cases kot septg smlm. melena, hepatic encephalopthy, heat stroke, hematemesis, ischemia, DVT, malingering, trauma from fight/assault, recurrent hernia. n try nk bg IM kt gluteus, tanya dr, dr tk bg. suruh nurse buat. tkpe next time cuba lg. belajar byk jgk dgn dr2 lain. dr2 smlm semua nice.
da pukul 6-7 lagi chaos. ramai gle pt admit. tp tk larat nk stay lg berdiri lama.

ok next time, stick to the 1 pt from admit till discharge. dont give up to learn hanin. 

Thursday, May 19, 2011

ophthalmology

da hbs da sebulan dalam round ophthalmology. sedih :(
awal2 dulu br nk bising kn, knp sbln?? u kt msia round ophthal 2 minggu je. skrg da hbs round, rase sebulan tk cukup.

nk skrg tiba2 jatuh cinta dgn ophthal, sbb kagum dgn dr.

dr2 ophtal sgt berdedikasi. punctual. smart. dan elegant. memang kagum la!.
mungkin sbb bukan critical pt, jd dr ade lebih masa utk grooming, kot. lecture setiap hari pukul 8, pukul 750 selalunya prof da dtg. n round pukul 9 sharp demonstrator/ senior resident da tunggu kitorg. dr islam; dr muka norman hakim. hihi. 930 prof da dtg ajar dlm round. n dr islam tunggu kitorg dlm kelas hbs sekali dgn prof sampai pukul 12. n masa assignment, 7-8 org prof yg dtg tgk. mcm dr lebih ramai dr students.

n ramai kot dr yg guna ipad. semua hi-tech. n tgk machine harga berjuta2 kt outpt clinic. slit lamp, keratometry, n ade portable machine sekali utk examine peds, harga 3x kali ganda kot. ophthalmoscope, A/B u/s machine, ret cam, n ade machine anaesthesia skali. wow. dept ophthal plng cantik, mcm private hosp.

fav dr, dr amgad. short slide with very long and brief explanation, yet simple and easy to understand.
dr nehal, special in pediatrics cataract. dr buat sy jatuh cinta dgn peds. look how she present herself, the way she treats pts, luluh jantung. seriously. i adore her.
n kagum dgn dr hisham. he was a consultant of eye globe & lacrimal system in liverpool. but he back to egypt and being a lecturer. n dr hisham selalu buat humanitarian service kt africa. terigt kt surgery dept ade dr pernah ckp, an excellent dr will serve in their own country. ni la org ckp hujan emas di negara org, hujan batu di negara sendiri.
our caring beloved coordinator program, dr faten. senior resident in our group, dr islam. n ramai lg dr tp tk tahu nama. they impressed me.


so far da masuk dept surgery, internal medicine, obstetric & gynecology, pediatrics, tropical medicine, orthopedic, neurosurgery and ophthalmology.

ophthalmology boleh masuk dlm list. but 2nd after obgyn. hehe. andaikn la, kalau ade rezeki tetiba tmasuk ophthal, mayb boleh consider egypt utk further study. sbb tgk knowledge & technology ophthal kt sini, nmpk advanced and far away better.

smlm exam osce (30marks). n hari ni exam mcq (24marks, 48Q). alhamdulillah. ok kot. osce 6 spots smlm:
  1. examine red reflex & retina. explain the steps. diabetic retinopathy. proliferative stage. neovasculariation
  2. examine pupils. comment on pupil, light & near reflex. pathway.
  3. examine IOP. bidigital method. explain the steps, why. other methods.which is better,why. normal IOP.
  4. examine cornea. finding: pterygium. complication. rx. indication of surgery. type of surgery, method of surgery.
  5. examine lens. comment finding. dx:  lf immature cataract, rt pseudophakia. complication of cataract surgery. VA in pseudophakia. cause of decrease VA.
  6. examine rt lens. comment finding. dx: rt mature cataract. other signs. how to examine macular fx.

esok da start dermatology. suka la kn start round at the end of the week. tinggal sehari je pun, bg la cuti. -.-

n post exam, i love girl's day out soo much. very relaxing , fun, exciting. :D

Tuesday, May 17, 2011

the news

i don't know how to react with the news.
is't good or bad?
should i be happy or sad?

i don't know. seriously.

i am not sure what's my feeling right now.
but i know for sure, i dont want us to be end like this.

-______________-

i have learn to let go my ego. my emotion. and you.

Friday, May 13, 2011

untitled 4?

  1. what are the points of sarcasm? just hurting ppl
  2. ckp siang pandang2, ckp mlm dgr2. can't you see me there?
  3. emotionally unstable. i need a hug. and shoulder to cry.
  4. twitter is no longer therapeutic
  5. do everything for the sake of Allah
  6. the only thing made you feel sad is only when you are not studying well
  7. everybody has secrets
  8. i got enough excuses. my bad, i wont ask anymore
  9. ppl changed. everything changed
  10. ignorance is bliss
  11. be mature
  12. not all emotions should be expressed
  13. trust is complicated issue
  14. it is not easy to let go, forgive and forget
  15. my circle are getting smaller. i'm being less sociable
  16. some things are better kept untold
  17. stop whining and complaining
  18. do not be pessimist. stop judging. stop comparing.
  19. have faith
  20. live the life. and enjoy it.
  21. life is too short to live without ice cream. hold the grudge. and wake up with regret.
  22. cry out loud is a relief
  23. i want chilis. pls.

Thursday, May 12, 2011

Monday, May 9, 2011

enam pagi

mentari pagi 
kicauan unggas dan deruan ombak
pertama kali menjejak bumi seawal pagi
kenderaan di jalan kebiasaannya sesak boleh dibilang
 tergelak sendiri tiba di seberang lewat terowong bawah tanah
.
.
.
pengunjung sudah ramai. tk putus tiba 
tk sangka mesir da mula hidup waktu begini 

permulaan hari yg mengujakn 
teruja.


kalau diberi peluang lagi, sy mahu!


 oh pagi yg manis

tk berhenti senyum sepanjang hari

:) 

Saturday, May 7, 2011

spring break


hurghada. here we come! :D 
complete itinerary as requested by joe & abid :P

220411 
1830: (210411) bertolak dr alex. superjet le95
0600: arrival
0630: check in BIBA HOTEL, sherton st. le45 per person/night. breakfast. rest.
1000: beli tiket blk, cr tour utk quadbike
1310: quadbike & safari le130
  • 4hours quadbike riding
  • visiting badwi's village: ish, camel riding, tenun carpet, museum exotic
  • dinner
1930: going back to town. cr tour utk aktiviti esok.
2030: take away mcD & going back to hotel.



230411
0700: breakfast
0840: Diving & snorkeling le150
  • 2 pit stop. 20-30min each
  • lunch
1530: going back to hotel
1830: seafood for dinner le65 & shopping for souvenir
2100: back to hotel & Zzzz


240411
0830: sight seeing at private beach~ marlin inn, marina, nadi riyadiin, grand hotel.
0945: GRAND HOTEL. paddle boat & canoo-ing le30 
1130: going back to hotel
1300: check out
1430: going back to alex. superjet le95
2330: sampai alex



5 stars for short holiday. we had fun! totally worth it!

"they say places are different when you go with different companion.."

Thursday, May 5, 2011

sepetang di rumah

*clap2.

tiap kali start sem baru mesti complain bende yg sama. -.-

bukan mengeluh. tknk mengeluh. memang nk sibukkan diri supaya rase hidup lebih bermakna. tp maybe skrg da overlimit sampai rase.. i need a break. mungkin sbb sepetang kt rumah hari ni baru terasa, wa coolnya duduk rumah ptg2. plus masak & makan macam2 hari ni. therapeutic.

baru tiba2 rase mcm serabut. time management tk betul lagi. gelabah nk buat byk bende. kelas arab, study group, ke ER, berlalala. lewat ptg blk da penat. kalau tk terus tido bukan nya study pun. yg pasti priority da berubah. study bukan lagi yg utama. oh.

skrg lebih kpd sikap mcm mls nk ambil tahu. mls nk involve dgn ape2 yg tk berkaitan. rase nk ignore semua bende. rase nk duduk je dlm circle yg ade. prefer kpd circle yg lebih kecil; sahabat handai yg rapat dan adik2 yg kenal je. lebih baik begitu kn.

tk nk da related dgn ramai2 org. biarla kalau org boleh judge sombong pun. da tknk terlalu beramah mesra dgn semua org. sbb ade org bukannya kisah pun kn. sbb rase bila ambil tahu mcm2, lebih terjurus utk rase iritasi dgn perkara yg tk sepatutnya. yg tkde kaitan pun kn dgn kite. org da la oversensitive selalu nk emo lebih2. susah nk jg hati dan perasaan sendiri.


"life is too short to wake up with regrets, love the poeple who treat u right, forget those who don't."



i do really need time for myself alone. with ophthalmology books. 

Monday, May 2, 2011

i ♥ friday

0900-1500 




*****
1600-2200 JJwb 11: sushi




*****
 picnic with sisters and sushi time with besties
really had fun today
 girls talk are the best
love you guys. ;)

xoxo