Bintang jatuh

ABG II

2012-02-25T20:09:00.001+02:00

lesson for today:

if u find a pt with very weak pulse, barely to be felt. and the resident ask u to get the abg sample. here some tips.

try first.
try it again.
find ur colleague that can may help u
get a help from nurse (but it depends on their mood)
try femoral a (if not in exposed place)

last resort, if u're in crowded place, the pt cannot be uncovered, no colleague to help u and the nurses are emotionally unstable on that day. just leave u on ur own, u may need to insert blindly to radial a.

here. give a try. insert the needle blindly 45 degree between distal head of radius and flexor carpi radialis tendon.

6. dont rush to ur resident and say 'im sorry dr, i didnt get it'. u will lose the trust, i told u.

everything i do, i do it for you.

2012-02-18T22:11:00.001+02:00

currently most played. ohh i fall in love with bryan adams's.

http://youtu.be/ZGoWtY_h4xo

my dear future husband, dedicate this song for me pls..

2 weeks holiday

2012-02-09T19:41:00.022+02:00

holiday is coming to the end. :( i want more holiday. tk mahu blk sekolah.

seronok cuti. heaven tk pikir ape2. and aktiviti penuh. cuti yg bermakna la juga kn. tkde sehari pun yg cuma stay kt rumah. rutin harian pergi ER or obgyn on alternate day, makan, tido, hangout with girlfriends and sisters, n i've done LASIK. 1st appointment post lasik, my visual acuity 1.2. yeay!. n skrg just continue topical antibiotic and eye drops for a week. then tunggu next appointment next week. tk study lansung pun. da namanya pun cuti. adela SG 2 kali. and the only book i read, ramlee awang murshid, fiksyen 302. tp tk hbs lg sbb takut nk bace sorg2 kt rumah, cuma bace ble keluar. haha.

pergi hosp mase cuti ni lg best sbb tkde time restriction. boleh dtg and balik bile2 masa tkde ape2 komitmen lain. and boleh stay berapa lama suka. da dpt attach dgn residents n nurses. for the 1st time kelmarin, i handle the case by my own. i did the investigation on toxo pt without supervision or attached to any dr. 12y female pt, she took high dose of theophylline. i did ABG and ECG on that pt. ABG dpt mixed blood O2 sat 84%, tk sure interpretation mcm mane and ECG normal je. bukan resident yg kenal sgt and dr tknk discuss case. so tk tahu ape further mx. mayb mcm discharge je. sbb pt pun stabil.

ulang rutian harian yg memenatkn setiap hari ade limit jgk. ade rase penat, rase tk larat. tp sbb semangat and minat, boleh la masih keep on moving. dont give up. jgn rase penat atau bosan. ble tgk byk2 case lg igt and bile tgk byk ecg da boleh identify the abnormal one. tp tk tahu detail interpretation sgt lg.
btw here the nice website for ecg & abg interpretation quiz.
buat more practical tp tak tahu theory pun tk boleh jgk. tp sy malas bace buku. mcm mane?

seronoknya cuti. tknk blk sekolah. nk pergi obgyn lg. nk buat pv byk2 kali lg. n misi tk tercapai, tk dpt nk assist delivery. dr da offer da. rugi.

oh result sem lps keluar last week. for subjects forensic and family med. alhmdulillah. i pass. not excellent or very good. only pass. tu pun da lega alhamdulillah. i never put high expectation on my result. lulus pun da bersyukur sgt2. ape tah lagi nk aim dpt A tu tkde la. n congrts red dragon.

tinggal esok, last day of holiday. then back to hectic life as med student 0800-1400, 6 days per week for the next 6weeks. final sem, final year. really? huhhh.

thme song for the day. fine! if u want throw me out of ur life. ok maybe im exaggerated a little bit.

the power of salam

2012-02-08T10:10:00.007+02:00

salam & smile.
a good deed. sunnah. meant a broken heart.

and destroy the barrier.

really. spread the love and i got stitch someone's face last night.

:)

LASIK

2012-02-04T08:08:00.003+02:00

laser assisted in situ keratomeliusis

sudden decision. i decide on tuesday. go for check up on wednesday, do the operation on thursday. and today, on saturday, tadaaa! shine and crystal clear. :P

frames in dr hazem's clinic. not so random pict, br perasan gmbr IOL.

last pict with glasses

kamen rider. LASIK done! it was only 10 minute procedure.

post operation. i can barely open my eyes. -.-

so, officially spect-less and contact lenses-less. =D

eruption of 3rd molar

2012-01-31T20:18:00.000+02:00

31.1.2012.

gigi sebatang demam berhari2.

tk boleh tinggi lg da. :\

why a doctor?

2012-01-30T10:31:00.003+02:00

tgk 2 patient meninggal dpn mata berturut2 dlm masa 2 hari agak menguji kekuatan. both cases sudden cardiac arrest. tp case semalam lg more affected because i involve with the pt.

case smlm. kt icu. male pt 41y. sudden cardiac arrest, dt hypoventilation and hyperkalemia. start cpr and dr ask me to ambu the pt. 3 org dr gilir2 buat cpr. cpr kn memang guna sepenuh tenaga nk tekan chest, massage the heart, memang penat. ecg machine just beside the pt and repeated ecg has done. all ecg reading only shows pulseless rhythm. nothing change though after loads of drugs. stat bicarb, Ca, insulin & glucose n errr lg tk igt. then after 30min still no cardiac activity on ecg. then resident decide, ok stop cpr. ecg flat. pt death but continue ambu for few more minutes for medicolegal issue.

and today almost the same case. male pt kt emergency int med. nampak muda lg. end stage renal disease. on hemodialysis. cardiac arrest dt hyperkalemia. tk pay attention sgt kt pt tu sbb mula2 masuk terus attach dgn dr masukkn nasogastric tube kt pt hematemasis & melena, my 1st NGT insertion, by my own and alhmdulillah pt very cooperate and it went very well. back to the renal pt, perasan mula2 masuk nmpk pt tu conscious. memang sudden. dr dx cardiac arrest, order abg, ecg, n masukkn ETT utk resuscitate. same scene mcm semalam. pt has metabolic acidosis. loads of drugs stat with continuously cpr & ambu. i just watching at the side and couldn't give more hand because already 6 doctor attend this case. at least pt smlm ade jgk pulseless rhythm. tp pt yg ni cuma 1st ecg je contraction. the rest 20min of cpr, repeat buat ecg memang da flat. then dr pun ok decide, ok last cycle of cpr then let go the pt.

tahu tak perasaan tu.. rase mcm penat je bersusah payah hbs byk tenaga. (continuous ambu pt for 30min while standing penat tau) end up bad prognosis. tk dpt nk selamatkn pt. pt meninggal jg. rase mcm.. kecewa. mcm segala usaha sia2. of course la tk kn, because we put an effort try to save the pt. tp.. hmm dpt bygkn tk perasaan tu? sedih pt meninggal on our hand. org cuma ambu je pun. dr lain yg buat continous cpr, yg buat keputusan, yg handle case, lg la. nyawa org tau.

pt dtg hosp because they seek for the doctor. they seek for our help. derg mengharap pd kte. kuasa semua kt tangan Allah. kte cume beri jalan bantu supaya sembuh. tp ape nk ckp kt sini, they trust us. thats why they come to us. so byk mana kte punya effort & kesungguhan utk berikn khidmat yg terbaik utk rawat pt. walaupun bad prognosis. at least kte da cuba yg terbaik. tp sedih ble bad prognosis. :( memang kena strong utk hadapi semua ni. huhh. kena train emosi lg supaya lebih kuat.

setiap usaha tu iA ada ganjarannya. pk positive, kalau pt tu sihat boleh beramal & buat ibadat kpd tuhan kte secara tk lansung menyumbang utk tu kn.

****

2 weeks hols. alhmdulillah. tp tk rase mcm cuti. lots of thing to do. hr ni da hari ke 4 cuti, tp not a single task done in my list. penat. tk larat. demam. selsema. homesick. :( stress tau ramai org blk msia. how i missed my family so much! alahai~ try utk tabah. da final year da pun. nanti tahun dpn da tkde kt alex lg da.

tak larat, sgt. siapa nk masakkn porridge utk sy? and i crave for sushi so badly.

ABG

2012-01-19T18:49:00.014+02:00

arterial blood gas. 2 common site: radial & femoral artery. femoral selalu kanak2 kot. n main fx: measure O2 saturation, lain2 measure bicarb, carbon dioxide n pH. dx metabolic/respiratory acidosis/alkalosis. lg.. hurm technique. on radial a, find 2 line at radial part, just below the line feel the most high force of pulse. artery is better felt than seen. then felt the exact spot, insert needle 45 degree, n rapid gush of blood will come. if no blood, try to move the needle in all direction without pulling it out. kalau femoral, site: ~~medial 1/3~~ midway between ASIS n symphsis pubis, 4cm below mid inguinal point. same technique, try to feel the highest force of pulse then insert the needle 90 degree. radial technique is more painful than femoral because may hit the periosteum. but either way, it is still painful procedure.

normal values:
PaO2: 80-100mmHg
PaCO2: 35-45mmHg
HCO3: 22-28mEq/L
pH: 7.35-7.45

semlm, for the 1st time, i did ABG by my own. alone. without assist. on fully conscious pt. and it was very successful. i got it in 1st try and less than 30seconds. tahu tk, perasaan tu, priceless. that was my very 1st time to do ABG here in egypt. n lg best, i send the sample to the lab and perform the test by myself. huhh dlm hati joget2 sepanjang hari. good start isn't.?

n td, hr ni. i got the chance to do it again. went to ICU. female pt, c/o of dizziness and palpitation. ecg revealed supraventricular tachycardia. semiconcious. and dr perform electrocardioversion to her. twice. then alhmdulillah pt da stabil the resident ask 1 of the dr? to do ABG. im not sure he is a Dr or med student. too old to be a student but he's not act like a dr. watch him do the procedure and he got only few drops of blood and didn't get more after few trials. then surprisingly, he ask me to do it.

da confident kn smlm berjaya dgn jayanya, so i try. i hit the right spot. but only drops of blood come out. try to maintain the -ve pressure but still didnt get much. then move the needle to all direction. i can feel i hit the periosteum few times. rase die, ngilu sgtttttt.! terus rase palpitation and i can see my hand is shaking while try to pull the syringe. ya Allah. seriously. terus menggeletar. at the end dpt la dlm 1ml arterial blood. tk byk. cukup2 je kot. lps la nk buat lab test.

huhh da blk rumah. rase menggeletar & palpitation lg. terasa lg cucuk periosteum. pt mesti sgt sakit, tp mujur pt semiconscious. alahai.

btw hr ni best. kebetulan jumpe ramai dr yg kenal. not in their rotation but they volunteer to work at er today. dpt belajar byk and did a lot of practical things. do and interpret ECG, ABG, measure BP, insert NGT and discuss a lot of cases. seronok. tp palpitation & ngilu lg rase periosteum. urgh.

i need more practice.

>> the guy who ask me to do ABG, he just finished med school and waiting to start housemanship. yup so he neither dr nor student. and i dont like his judgement.

kita yang menentukan.

2012-01-13T19:55:00.005+02:00

stop whining and complaining.
enjoy every single minute of life.
stay focus.
do not distract with simple things.
control ur emotion & expression.
always positive.
think positive.
act positive.

situasi:
kelas hari2 start lambat.
kte as student, ok me myself la kn memang la ade rase cm geram.
dtg awl2 buang masa kelas start 45min-1jam lewat.
then fikir tk nk dtg awl lg da. kalau lg nk emo menangis sbb tunggu dr. HA HA.
solution die kt sini senang je. pk 2 bende.
1. kte fikir-ve dr memang saje dtg lmbt nk buang masa kte.
2. dr da ade, dr tahu masa dgn kte tp dr sibuk sgt dgn emergency case, kurg dr lain yg boleh ajar utk start kelas on the time.
ni cth situasi, i think byk lg hal lain rasenya yg bg org la senang utk distract. so org rase apa2 pun cuba utk fikirkn positive. walaupun somehow nampak reason utk bende tu memang obviously negative; memang nmpk kte on the right side, kte diabaikn, teraniaya or ape2 la bende lain yg rasenya boleh effect emotional. tp kt sini, kte yg menentukn. kte nk terus argue, distract n put blames on others ataupun kte boleh je ignore or accept benda tu n think positive about it. kn..? :)

im glad i hv a very good friend who always remind me with all these things. thank you.!

****

round int med skrg. 2nd part int med i think more hands on pt, skill & management. clerk pt, full PE, venous sampling, measure BP, temp, glucose. ECG. and i did a lot of ECG, tp tk reti2 nk interpret lg. tgk a lot of cases, procedure n mcm2 lg. seronok. setiap hari belaja benda br.

da 3 minggu. 3 minggu yg sempurna. :P seriously almost collapse da. ade remaining 10 minggu lagi. lama tau. 1st week cm biasa ok lagi. 2nd week pack gle2, or mayb i pushed myself too hard and currently 3rd week ni da bkurg momentum. mcm perlukn momentum semangat yg tinggi suruh pergi kelas. bgn pg rase tk nk pergi kelas. tp kalau tk dtg rase rugi sbb hari2 terase berharga rase syg nk skip.

tkpela, ni practice hadapi masa kerja nanti same je lg penat. oh hari jumaat yg berharga. next week/esok start round br, hopefully dpt semngat blk. next week exam! oh.!

a quote i found in fb. i think it is very nice. kn..? haha.

'If you are working for a living, why do you kill yourself working?'

Kidney Protection Program of Alexandria

2012-01-07T08:23:00.018+02:00

The Kidney Protection Program of Alexandria is a clinico-epidemiological study conducted by the house officers and students of the Alexandria Faculty of Medicine. It is basically a screening program for chronic kidney disease (CKD), hypertension, diabetes mellitus and dyslipidemia. It has three principal objectives:

1. Promoting the basis of preventive medicine among young doctors.
2. Detection of the target non-communicable diseases (NCDs) at early stages.
3. Conducting a cross-sectional study using the gathered data.

a fruitful friday. :) kami; beberapa org doctor pelatih, pelajar perubatan dan nurse berkumpul dpn pintu kuliah perubatan n pkl 1145 bergerak menuju ke destinasi- mina basal, mitras. 6-7km drpd manshiah.

mcm kaw the other side of alex, kaw sgt kampung. lalu port alex. pkl 1215 berhenti skjp utk solat jumaat kt max?. 1st time solat jumaat kt mesir. huhu. masa masuk masjid nmpk most of the women wearing niqab & all black. terasa mcm kt saudi. boleh kira beberapa org je yg pakai selendang mcm typical arab mesir. kitorg cuma pkai jeans n blouse. mase nk solat ade org hulurkn suruh pakai telekung. dr kate, ni kampung yg low education & kaw salafi.

suq jum'ah? mcm garage sale jual brg2 terpakai. mcm2 ade2 sepanjang2 jalan.

finished solat jum'ah at 1pm, and we continue heading to the destination. i really hv no idea where are we and how long we'll be arrive to destination. after about 15min ble pkck tramco masuk satu lorong. nmpk ramai gle org. jln memang da kena block siap ade org utk kawal lalu lintas. n derg suruh u-turn tk boleh lalu. then pkck tu ckp, ni doctor. they allowed us to pass n da nmpk ramai gle org queue. *speechless*. tk sangka seramai ni. terasa mcm doctor2 masuk kaw kampung pedalaman.

org kampung da tunggu kedatangan kami. kami dpt layanan yg baik. upon arrival they serve us with tea. and before back we got a pack of lunch? & al-quran as a gift. and they keep asking us if we need anything else. another 1 houseofficer & medical student come join us there.

ppl know that we're coming. they already fasting 8hours for FBS. memang ramai! in this screening program we took blood & urine test, check for BP, BMI & family history of polycystic kidney and any other risk factors.

a lot of ppl coming to do screening test.

5 stations. 1. hx taking. 2. weight & height. 3. BP. 4. blood. 5. urine. and i did some blood sampling & urine dip test.

sebahagian hasil hr ni.

we didn't put a name in samples. they are anonymous. only after key in the data, we know the identity. so all blood tube & urine sample are labelled by code.

after collecting all the personal data, blood & urine; the samples will bring back to the university lab. and after 4days, doctors will come here again to deliver the test result. ppl with disease will be follow up to get proper mx at hosp university.

wakil rakyat turun sekali. *kempen pilihan raya.* kami masuk tv :P

the ppl really in low-socioeconomic & not really high educational ppl. i did try my best to explain in my broken arabic what actually we're doing and answering their question. how i wish i can speak arabic fluently.

hala. also 6th year med student & madam ni'mah, the nurse.

around 430, no of ppl start to decrease. we start to pack. and taking pictures. :P

me- dr omnia- hala - dr basma- dr sara- madam ni'mah :)

oh my. dr sara just remind me of hazem. they're very look alike.! the face, the way of talking. i cant keep myself not to look at her most of the time. hahah.

545pm. siap kemas2 n bergerak blk ke kuliah.

around 630pm, arrived at kuliah. and hala's brother already waiting and they insist to sent us home. and dr kareem also offer to give a ride. they're very nice & kind & gentleman. when they hv conversation, they translate again words i might not understand what they're saying even the sidetalk. and during solat jum'ah this afternoon, there are a lot of ppl and they keep looking for us every time make sure we're with them. i really enjoy the day.

i only know about the program this morning. and during that time im cycling from mandarah to bibliotheca. finished cycling, rushing return home and heading to kuliah. what a day! huhhh totally exhausted n fun! giving health education to low-social class ppl. tell all about preventive measure and promote health life style to ppl. ni memang sungguh application of family med. :P

fragile

2011-12-29T20:27:00.009+02:00

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 biru. kena 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!

NURLIYANA AIN

2011-12-23T23:24:00.009+02:00

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.

I ♥ YOU.

love, hani.

post exam

2011-12-23T07:48:00.004+02:00

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..

weekend

2011-12-04T20:17:00.006+02:00

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.

i have trust issues.

2011-11-30T21:18:00.000+02:00

this is serious. :/

Egypt nowadays

2011-11-26T07:30:00.005+02:00

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.

if

2011-11-25T13:01:00.006+02:00

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.

jjwb 15

2011-11-21T20:37:00.002+02:00

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!.

get your own life

2011-11-11T02:18:00.003+02:00

reward pathway

2011-11-04T08:58:00.003+02:00

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

sumpah hipokrit

2011-10-20T14:10:00.021+02:00

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.

istikbal

2011-10-10T21:52:00.013+02:00

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.

elective course

2011-09-30T11:39:00.006+02:00

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 1^st 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 2^nd 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). 1^st MA tlng guide and assist. 2^nd, 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 2^nd day of 2^nd 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 5^th 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. 1^st 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 1^st 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 confident! Thank 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

MALAYSIA

2011-09-17T10:06:00.001+02:00

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!

officially end of 5th year

2011-08-24T00:37:00.001+02:00

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.

emotional incontinence

2011-08-12T23:54:00.003+02:00

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

EXAMS

2011-08-12T00:08:00.007+02:00

"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.

elective obgyn

2011-08-05T00:07:00.012+02:00

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.

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.
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.
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.
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".

ramadhan kareem

2011-08-02T18:58:00.005+02:00

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.

2011-07-24T21:30:00.007+02:00

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.

jjwb 14: benda bulat gemuk dan sedap

2011-07-24T15:51:00.002+02:00

JJwb 14: chocolate chip cookies

hoholiday! on sunday! hoho. 2nd attemp is much better. recipe

:/

2011-07-23T20:22:00.000+02:00

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.

picnic batch 06/12

2011-07-18T06:52:00.000+02:00

15 July 2011, Montazah.

*kredit to pemilik en.gemuk.

pls hv faith on us

2011-07-11T21:58:00.016+02:00

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..

hello july.

2011-07-02T19:11:00.006+02:00

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.

jjwb 13

2011-06-29T00:03:00.001+02:00

guess what?

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

Buat pengubat hati juga pelengkap rusuk kiri.

2011-06-25T00:05:00.003+02:00

Aku janji.

sumber.

the sweetest thing I've read today..

jjwb 12

2011-06-22T22:59:00.010+02:00

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.

kene tinggal.

2011-06-20T18:58:00.006+02:00

sampai hati hawa. knp nk tinggalkn org sorg2? knp nk ikut mak sekali? sedih gle.
da la dgn tkde perasaan tau smlm bgtau die g ikut mak sekali. pastu suruh org blk awl tgkkn rumah. eeeeeeeeee.! br igt nk temankn die. pastu rupanya die nk g ikut sekali.

dpt bygkn tk, sampai2 msia amik cab, blk sendri ke rumah. tk kisah la memang pernah blk sendri naik cab pun dr airport. then tp sampai2 rumah cuma ade adik n bibik je. tkde mak, tkde bapak, tkde hawa.

tk kisah la kalau mak ngan bpk nk g umrah sebulan puasa. tp tk yah tiba2 semua org pergi pastu tinggalkn org sorg2. ibao tk kisah je at least kalau hawa n kyong ade. tp ni hawa ikut sekali. kyong pun mesti ade komitmen lain. kyong mesti sibuk kerja n mesti kyong blk rumah sblh husband die jgk. pastu mcm la kyong ade cuti sampai seminggu nk teman ibao kt rumah je kn..

da la nk dekat raya. memang tkde prepation raya lansung la ni? tk kn la ibao yg nk masak ketupat rendang kuah kacang semua? tentu la tk reti. pastu baju raya pun mesti la tk sempat nk buat. kalau hawa ade, boleh teman shopping last minute. ni semua org tkde.

pastu duduk sorg2 kt rumah sampai 30 ramadhan br korg blk. tk kn la nk g terawih sorg2. buka puasa dgn bibik je?. tkde masakan mak. tk kn la ibao nk psg pelita sorg2. tkde bising2 semua org. duduk kt rumah tu sunyi sorg2. ok la ade adik n bibik, tp mesti la rase lain sgt tkde mak, bapak n hawa. camni la agknya perasaan kyong masa raya 2008 dulu, masa kitorg semua pergi. skrg tk kn ibao plk? sampai hati tinggalkn org sorg2..

memang da blk lmbt pun. tp still, 3-4 hari jgk kot duduk rumah ngan adik n bibik je. sorg2 kt rumah hari2 terakhir ramadhan.

sedih gle! :'(
da penat la menangis. boikot tk nk blk la cenggini.

blissful

2011-06-16T11:22:00.010+02:00

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.

alhamdulillah

2011-06-12T15:49:00.002+02:00

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. :))

13june around the corner. teehee.

2011-06-04T23:03:00.010+02:00

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..

~~err.. and mayb i can get some ice cream, cup cakes or ayam goreng. haha. XD~~

useful advise

2011-05-27T09:04:00.009+02:00

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.

ophthalmology

2011-05-19T01:23:00.010+02:00

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:

examine red reflex & retina. explain the steps. diabetic retinopathy. proliferative stage. neovasculariation
examine pupils. comment on pupil, light & near reflex. pathway.
examine IOP. bidigital method. explain the steps, why. other methods.which is better,why. normal IOP.
examine cornea. finding: pterygium. complication. rx. indication of surgery. type of surgery, method of surgery.
examine lens. comment finding. dx: lf immature cataract, rt pseudophakia. complication of cataract surgery. VA in pseudophakia. cause of decrease VA.
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

the news

2011-05-17T14:16:00.003+02:00

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.

untitled 4?

2011-05-12T19:37:00.005+02:00

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

Then in ignorance I await my own surprise.

2011-05-11T19:44:00.004+02:00

enam pagi

2011-05-08T22:25:00.005+02:00

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

spring break

2011-05-07T10:47:00.008+02:00

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.."

sepetang di rumah

2011-05-04T21:15:00.004+02:00

*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.

i ♥ friday

2011-05-02T00:58:00.003+02:00

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

i'm home

2011-04-25T02:51:00.004+02:00

da blk alex. :(

tk puas bercuti. esok da perlu sambung blk life as medical student.

penat & sakit badan. tp tk lalu nk tidur. lapar juga.

perlu blk ke dunia nyata & meneruskan hidup kembali. oh.

yup, over thinking will ruin everything.

alhamdulillah we did it, though hv some ambivalence thought in mind.

a very last minute plan and thank God everything's going well.
and the trip was awesome! i'll update later.

things to do for remaining 1 day holiday:

unpack & laundry
nota SG
revise lectures
homework bahasa arab
sleep ~~the whole day~~
regain spirit going back to school

p/s: chilis got 50% off for girls on limited time. =D

delight

2011-04-18T05:15:00.007+02:00

kawasan rumah pangsa

belek2 menu

cinta buah hati pengarang jantung

cik red riding hood

really enjoy live the life with 'em.

candid!

say cheese!

kiri

kanan

penjuru

pembuka selera. and ice mint & corail peach are the best!

tempat escape kegemaran

sbb ade fish & chips.

guess alfredo or carbonara?

azreen's. fursilli ala gambreti. our fav!

tk larat utk dessert dan sambung borak2 sampai jam seterusnya.

bye.

credit: pemiliki camera gemok, cik red riding hood.

sem 10

2011-04-15T23:07:00.010+02:00

rabu last paper. khamis start sem br. nice.

subject sem baru: ophthalmology, ENT, urology & dermatology.

1st round, hello ophthal. 1st day was not really bad. tp da 3bulan lebih sejak lecture terakhir jd class 2 jam pun da tk senang duduk asyik tgk jam ble nk hbs. and the good news, class everyday 8-2. yeay! so maybe boleh consider blk utk sambung kelas arab. tgk la bagaimana. sebuah buku ophthalmology 208pg nk sama harga dgn 2 buku hard cover bailey & love. mahal oi. and ENT nanti mereka kata buku harga lebih kurg jgk. hoho terasa beza byk dgn sem lps cuma beli buku utk neuropsyc je.

jumaat. cuti pertama pasca peperiksaan. i love post exam. i love friday. 1st time bgn lambat since blk dr msia. bermalasan sepanjang hari. bak kate ewa nikmat dunia plng best. n lg bahagia ble tkde org kt rumah. and with perfectly cook delicious nasi lemak. try buat sambal macam mak. tkla jd sebijik, tp bolehla. memang kene masak sgt lama. oh my perfect friday.

btw, ade jiran baru. my newly wed bestfriends. godek2 album gmbr jumpe gambar ni. gambar 1st time hang out sama2 few years ago. skrg mereka da kawen da. huhu. congrts guys! my bestfriend my neighbor.

matlamat jangka pendek post exam syndrome combo dgn luteal phase.

-classic nachos chilis

-cherry cola chilis

-chicken pie. trianon or homemade. tp oven da tkde :|

-tiramisu

-meatball

oh oh. craving mcm2. -.-

couldn't agree more

2011-04-12T15:40:00.004+02:00

1. memanglah cinta tu buta, sebab tu Tuhan bagi kamu mata dan hati.

2. usah sibuk marahkan orang yg membenci, kalau diri sendiri tegar melakukan perbuatan yg mengundang benci.

3. bercakap tanpa ilmu adalah jenayah. melakukannya dengan tujuan baik membuka pintu kesesatan.

4. lidah ke lain, hati ke lain. hari kiamat dibongkarkan jua segala isi hati. sesungguhnya setiap amalan itu berdasarkan niatnya.

y.mercury

post osce obgyn

2011-04-05T09:49:00.008+02:00

1st gathering alextweetfam.

what happens in twitter stays in twitter. :D

some of us. credit to nut.

alhamdulillah. osce obgyn end very well :) not so perfect, but satisfied!

next! written neuropsychiatry. i did not very well in osce neuro. and i still upset thinking about it. *sigh. my last hope on written exam. hopefully can cover a part of it.

let's strive for success! and for the sake of our future patient.

quote of the day.

2011-04-02T20:07:00.000+02:00

do not judge.

suspend the judgement.

consider what you dont know.

we dont hv right to judge ppl and should leave the judging part to Allah.

should hate only the wrong actions, not the doers themselves.

tweet-y bird

2011-03-31T17:10:00.010+02:00

alhamdulillah. lega da hbs satu paper. 6 more to go. longest study leave ever. dari 270111-300311. 3 bulan. hahh hamik! of course bukan sepenuhnya study. last week of study leave je kot yg betul2 bukak buku.

'when we are lonely we play with twitter'

oh i'm soo in love with twitter. kelakar la skrg ape2 semua dgn twitter. cth: pagi td sebelum exam. 1st paper neuropsyc. mcq je pun. cuak gle! sbb cuti lama sgt kot. semua org anxiety, cuak, tk senang duduk same2 tweet, sharing the moment together. lol. at least rasa mcm ade org same2 jgk dgn kte. huhh kuat gle pengaruh. hari tu service twitter down sehari waktu riot tu pun terasa hidup huru hara skjp.

seronok. pagi2 mcm dgr 1 happy family da membebel bising2. nk pergi mana, nk pakai baju ape, nk sarapan ape, etc. pagi yg normal timeline laju dgn org membebel. haha. bende remeh2 yg org tweet sepanjang hari. plng penting, sbb dgn org yg betul kot. da bahagia da dgn circle skrg. kalau ramai2 pun tk best jgk kn.

esp. alextweetfam. somehow, you guys made my day. :)

kat mane lagikn we can tell public what we're doing and share sumthing private with ppl. i mean kalau duduk sorg2 tk la rase mcm gila sgt. sbb ade twitter. esp mcm waktu exam skrg. terima kasih siapa yg invent benda ni.

next paper: mid term o&g. subject kegemaran.!

lub dub dub

2011-03-29T17:20:00.000+02:00

final exam lusa. homaigod! cuak. palpitation.

last 36hours of study leave.

too stress to study. thus, i eat.

i eat. i eat. and i eat a lot. by a lot, i really mean A LOT.

instead of studying, i cant help myself from non stop eating.

anxiety and panic attack.

do pray for me ppl.

ALL THE BEST RED DRAGONS.

[neuropsychiatry-obstetric & gynecology-pediatrics]

may ALLAH make everything easy for us. ameen.

pesanan teman

2011-03-25T00:46:00.001+02:00

Biar yang layu itu mata.

Tika mentari berlabuh pergi. Tika hari bersilih ganti.

Jangan layu jiwa.

Jiwa pejuang.

Tika cobaan datang menerjang.

Tika hari tampak kelam.

.
.
.

Perjalanan ini masih panjang.

sumber.

2011-03-16T23:04:00.015+02:00

have you ever feel left out when someone used to be somebody in your life leave you for someone else.?especially when your bestgirlfriend got a boyfriend. not married. only boy-girl relationship with care too much with other, texting all the time, and replaced you as her bestfriend. you feel the different because she being secretive with you, her leisure time that you used to hang out together now she rather spend it with her boyfriend, text/ym-ing 24/7, and you got so many excuses if you ask anything from her. yes, i'm sad. and i'm jealous. i dont understand why being so secretive? is it to protect me from hurt knowing the truth? or i'm not the important person in your life to tell anything. listen to the truth is less hurting than find out what you hide. i dont know, maybe they just the same, they actually still my bestfriend. aren't they? only my feeling feel left out. oh am i paranoid? i feel like they're not my bestfriend anymore. i'm no longer in the top ranking important person in their life. after 1, i got another 1 bestfriend like this. and i just run away by ignorance because scared from the fact that i'm actually losing them. who actually changed, me or them?

:'(

i'm distracted and stress thinking about people i don't even know are they deserve to be an issue in my life.

p/s: atau pun mungkin patut terima hakikat semua org da semakin tua skrg.
pp/s: tp sy masih tk dpt terima awk. awk hipokrit!

post revolusion

2011-03-15T15:43:00.010+02:00

sampai2 cairo pukul 430pg walid da dtg tunggu. tk tahu dr pukul berapa walid da dtg, n uruskn bas utk ke semua muhafazah lg. tentu sgt penat. pukul 6 gerak blk alex dgn walid & 29 yg lain. esok walid nk pergi cairo lagi pergi umrah plak. buat susah je walid dtg jemput kami. terima kasih walid.

pasca revolusi. 1st impression: tk byk berubah, n sgt sejuk! bukan sejuk spring. sejuk winter yg kene pkai baju2 tebal dlm rumah & saratoga lagi. hypothermic shock~ msia da la sgt panas. kesan2 revolusion byk kt tepi2 jalan. dinding2 tu byk di cat dgn bendera mesir & tulisan peristiwa 25 januari. ana masri, uhibbu baladi. kereta kebal ade lg. trafic makin sesak sbb kereta park kt bahu jln. mungkin da tkde polis nk lock kereta. wonder, before ni derg park kt mane?

egyptians sgt semangat nmpk kitorg. terasa mcm tourists. n terasa mcm masa 1st year dulu. tk ramai melayu. seronok. blk rumah kemaskn ape yg patut. baju sebakul tinggal tk basuh before blk hari tu. sejuk2 mcm ni, alahai lemahnya nk basuh baju. dgn bag tk unpack lg. masa2 ni terigt kt bibik.

pukul 3 ptg da tido. terjaga da 1pg slash pukul 7pg kt malaysia teringat mak ayah adik2 kucing2. :/ hug, kiss & cuddle budak2 manja (adik & kucing) kt rumah. bersihkn sangkar bg makan kucing, dgr bibik membebel main kejar2 dgn adik suruh mandi pergi sekolah, breakfast same2.
oh my~ da start homesick. basuh baju & siapkn kemas2 bilik and call rumah. oh. oh. bergenang air mata.

2nd day pergi hosp shatby dgn sahabat handai. seronok ade teman blk awl jgk. rinduuu! tgk delivery. cr semangat nk study. sampai2 terserempak dr hisham tgh odw nk blk. tegur borak sekejap, glad to see some familiar faces. kt nvd ade dr magdi. tgk 1 nvd dgn 1 ectopic pregnancy. da. nvd td blur try igt blk normal mechanism of delivery, tgk CTG pun tk igt mcm mana nk bace. operation ectopic pregnancy td penat igt blk anatomy. fuhhhh. lama sgt cuti ni. sakit kepala.singgah mcD take away utk dinner.

circadian rhythm tk betol lagi. smlm amik caffeine tp amik anti histamine jgk, so caffeine tkde effect. lps isyak da tido. pastu pg td pukul 8pg da tertido blk. bgn2 sakit kepala overslept. asyik makan je. sbb sejuk. n pms. mkn sgt byk.

jadual exam da keluar. our final exam will start on 31/3. lambatnya. da la blk awl. but, no regret. n next sem hbs few days before eid fitr. means almost a month puasa ramadhan kt sini. thank you Allah for the opportunity. tp fikirkn study leave & exam masa summer & puasa 15jam, besar dugaan. iA will be great experience before leaving egypt. setahun setengah lg, lajunya masa berlalu.

hello alex!

2011-03-12T06:24:00.000+02:00

Alhamdulillah. Hard work pay off. Tk hard work sgt, baru call 3 kali je. try mintk awlkn before ni, akak tu tk layan. Td sbb nmpk ade nama double kt flight 13hb, bgtau mara n try mintk sekali lg. Alhamdulillah ade rezeki..

Kesimpulannya, mlm esok blk alex. yeay! Tk la ready sgt. Tp seriously nk blk awl. sbb tk prepare lg utk exam akan dtg. 40 hari++ kt msia boleh kira berapa kali je bukak buku. Kt alex boleh study dgn lebih tekun. Melarikn diri pun iye jgk. Rase tknk jumpe certain ppl yg blk sama flight 19hb nanti. Ble mara call comfrm kn semula blk esok gembira sgt! Waaaaaaaaaaaa! menjerit lagi.

Skrg kn rase nk pikir psl diri sendri je. I know I’m fragile. I know I’m vulnerable. Jd drpd melukakn hati sendiri, dr risaukn perkara2 yg tk sepatutnya, dr rase sakit hati dgn perkara yg sia2. Baik jauhkn diri saje kn.? Ikut ckp hawa. jauhkn diri/elakkan buat perkara yg die tk suka yg boleh ubah mood/emosi. Sbb tu la die duduk tk sama dgn bdak melayu lain. Yela, drpd duduk sebumbung tp still kutuk/tk puas hati with each other. Baik duduk jauh2 jumpa kadang2 n semua org gembira. Kn? Betul jgk tau bende ni. Sbb dulu pernah ade problem dgn housemate. Rase ape die buat semua serba tk kena. Semua slh. Skrg da keluar, ble jumpe kadang2 ok je. boleh say hi, bertanya khabar, etc. kn lebih baik begini.

Ni kira melarikn diri ke drpd menghadapi kenyataan? Tk kn. Cuma ambil tindakan utk melindungi diri, hati & perasaan saje. Lol. Kira resolution br la ni. I will stay away from everything that I think will break me into pieces. Cthnya spt berborak panjang lebar dgn hal yg tk sepatutnya dgn awk ataupun tgk/ckp dgn engkau. Ye la, kalau tgk pun da rase menyampah pastu hati tk tenang pk mcm2 baik jauhkn diri. Mcm ade certain ppl yg dianugerahkn sifat annoying semula jd, dgr die ckp sikit pun comfrm kte sakit hati. Jd baik berdiam/menjauhkn diri kn, drpd keep arguing. Tp org mane nk sedar diri die annoying kn. (oh hopefully I’m not 1 of them) peranan kawan ke nk nasihat? Sedar diri sendiri la kot kn.

Another thing is.. I have to learn to say NO. aigoo. Ni memang da selalu menipu diri sendiri sbb nk jg hati org lain. Tp org lain, tkde pun nk jg hati kita. I mean tk semua la, some. It’s very hard for me to say NO to some ppl but surprisingly it’s very easy to get it from them. Am I friend for benefit? rase kecewa tu sgt penat. so another resolution?. later on, I have to stand on my own feet. Da cukupla dgn ape yg ade skrg. Ada family & kawan2 yg ambil berat, yg kisah dan yg syg da memadai. Kn.

Yeay I’m going back to alex soon. ;))

tp sedih jgk nk tinggalkn msia. hope everythings fine.

unexpected

2011-02-22T05:43:00.011+02:00

kt egypt selalu tgk case yg memang byk blood loss, need blood transfusion, etc. nmpk permintaan blood sgt tinggi. teringin nk buat blood donation kt sane. tp tk berani. takut infection sbb kurg yakin dgn hygiene, sterilization kt sane. da blk sini, tgh bosan tk tahu nk buat ape tergerak nk ke hosp. hehe. dan maka bermula la kisah. utk kali pertamanya, derma darah.=D

ajk noure utk melaksanakn misi. jemput noure kt rumah, n terus ke hosp. pergi jabatan pathology terus jumpe mkck misi. Hb level. Kene >12g/dl utk melayakkn diri sbg penderma. Mine: 13.6. ok pass. Kemudian mkck misi ambil maklumat peribadi: nama, umur, no ic, alamat, etc. utk pekerjaan, unexpected: mkck misi tanye, medical student ye? huh? seriously, kitorg tk ckp ape2 medical term pun. n memang cuba tunjuk mcm lay man sebolehnya. ade gaya ke? atau pun remeja yg voluntary derma darah cuma med student je? eyh2 jap, kte skrg kategori remaja lg atau da masuk dewasa? tanye mkck misi, makck misi kate; acik tahula. acik da keje lame. err, tk menjawab. kenapa most jawapan medical profession/senior/veteran memang mcm ni? terigt dr nanthaa dulu. masa beliau judge local student blagak?. exactly the same answer. mungkin betul pengalaman mengajar erti hidup dan menilai org. hurmm.

kene jwb questionnaire. Byk. Complete medical hx. most important/fav questions wajib jawab precisely dlm questionaire:sexual hx. you hv HIV? you hv multiple sex partner? you hv ever work as a prostitute? you hv sex with prostitute? memang plng penting. anda mungkin menjangkitkn syphilis, hep B and worst, HIV kpd penerima tanpa anda sedari. Soalan questionnaire semua pass. kemudian borak2 panjang lebar pengalaman2 patients yg bermcm2 mkck misi jumpe sampaila kisah rusuhan kt mesir.

buat CMT and ngade2 request FBC. hehe. blood group sy B positive. Then amik body wt. min body weight: 45kg. of course la lps. Tp noure kene berusaha lebih gigih. da ade improvement noure, sket lg!

mula procedure amik darah. makck misi bg lidocaine. sakit! tp tgk jarum utk drain blood, lg sgt sakit. sgt besar! tp tipu. Cuak, palpitation, excited. Mkck misi kate, my BP is slightly higher than normal. Sbb bdebar kot. mkck misi pasang cuff kt lengan & kene pegang bola. Tangan rase kebas & berat. 1st attempt mkck misi, kurg berjaya. mkck misi kata urat lari. jd mkck misi cucuk lidocaine lg kt tempat lain utk 2nd attempt. Ok, dapat. total cuma ade 4 puncture je kt lf cubital fossa.

total blood loss: 350ml within <30min. ouch! selesai alhmdulillah tk ade kesan sampingan. da pk mcm2, kebarangkalian ade hypotension atau hypovolemic shock. Haha. medical student syndrome. makck misi kate kesan sampingan selalu cume headache je. tu pun jarang2. tunggu result FBC kemudian selesai. FBC pun semua N. dpt certificate. :D sy da berbakti utk masyarakat. lol. wonder, boleh tk nk trace siapa dapat blood kte. haha. ngade. Pesan last mkck misi, minum air byk2.

kemudian menuju ke department kegemaran. A&E! kebetulan lalu dpn bilik dressing unexpected terjumpe staff, ala tk igt name. senior MA. n beliau igt kami lg. tp masing2 tk tahu name. mcm borak dgn stranger. tp bukan stranger sbb selalu jumpe. cuma tk tahu nama. panjang lebar & dpt byk nasihat. nasihat utk future dr hani & noure. huhhh. cmne kami jd dr nanti. kebetulan ade pt. mintk kebenaran nk tgk pt sekali. pt ade lf 2nd mid intertarsal ant dislocation.(sendi tgh jari kaki kiri yg kedua gerak ke depan) bhs mane yg lebih mudah nk paham? :p. mx: zimmer. jd kami ade belajar sesuatu hr ni. :)

bertolak2 ngan noure nk masuk A&E. haha. mula2 masuk nampk abg faizal. and ade kak zai, dr nanthaa, abg shukri, fadzrul, and lastly abg hafeez!, MA kegemaran :D unexpected: head dept A&E skrg dr nanthaa. hoho. dr rozita promoted jd pengarah hosp. kak zai tanye, ade nampak ape2 beza ke? lol. waahaa. say congrats to him n borak2 dgn staff. unexpected: derg semua cm tkejut nmpk kitorg n semua tegur say hi, tanya khabar, etc. abg hafeez kate kurus. fadzrul kate hitam. Haha. semua igt kami lg. seronok! :)) confirm kene buat attachment lg summer ni. Oh I missed ER.

lunch ngan noure kt secret recipe. dan pulang. hoho. hari ni buat sesuatu bermanfaat. bahagia. :))

glossary:

FBC: full blood count

CMT: cross match test

A&E: accident & emergency

MA: medical assistant

ER: emergency room

BP: blood pressure

N: normal

Hb: hemoglobin

Hx: history

Mx: management

Medicine love X. eg. Mx plan for Rx: Ix & Dx outside px.

at last!

2011-02-16T06:10:00.004+02:00

mubarak resigned! alhamdulillah. power of people's voice. mengalir air mata tgk al jazeera kelmarin. i think 5 years is enought to make me feel a part of them. i'm proud and definitely very happy for it. mabrouk 3alaikum ya masriyyin. :))

dan skrg, tk de kata putus. terumbang ambing.
nk tunggu U, tunggu MARA, tunggu KPT.
U da bg tarikh: 12/3. selesai satu hal.
tp tk boleh jgk nk blk lagi. tunggu KPT tgk keadaan kt sana selamat tk.
mungkin jgk berubah sbb kerajaan nk negotiate dgn U.
da suruh survey tiket tp jgn beli lg.
MARA mungkin nk support. mungkin.
tk boleh nk buat keputusan apa2 pun skrg. haih.

sooner or later, the time will come. exam maybe? around the corner.

sy patut mula belajar dgn serious, rajin dan tekun.oh.

Malaysia

2011-02-07T05:58:00.001+02:00

seriously, i missed egypt. my room, my house, the ppl, the weather (msia panas!) n my life there~ rutin harian yg sama setiap hari, ke kelas, stay kt ER, hang out with bestfriends, etc.

tp alhamdulillah da sampai dgn selamat kt msia, yg aman harmoni. dan lega kwn2 mostly da di evacuate ke jeddah n ramai jgk yg da sampai msia. insya Allah semua selamat la kn.
br selesai majlis akad nikah kyong kelmarin. tula, nk sgt blk dpt jgk blk wktu kyong nikah. smlm br siap kemas rumah semuanya. buku tk bukak lg. err perlu ke skrg? pihak university pun tk bg kate putus lg. u lain da tahu cuti 3bln, 6 bln. and ade yg setahun. alex?? tk de lagi khabar. semangat exam mcm da tkde. tp kene prepare for the worse, tetibe comfrm plak kn exam early march. buat huru hara je nanti..

blk unplanned mcm ni rase lain, rase missing sumthing. rase tk tahu nk buat ape. ke? huhhh.duduk kt rumah skrg mcm sedentary life je. perlu tak nk cr kerja?

blekah akan berakhir. en hosni mubarak, tlng cept lepaskn jawatan. da berakar umbi 30 tahun memerintah tk cukup lg. tp mungkin jgk kate mubarak kalau die letak jawatan 'egypt will sink into chaos'. mungkin jd perang saudara antara parti2 dan rakyat jelata utk pilih pemerintah br pula. tp skrg da reda sket ble berita gembira gamal mubarak letak jawatan. harap2 semua akan cepat selesai.

stay strong egyptian! my pray alwys with you guys

quick update

2011-02-02T08:00:00.001+02:00

current status: @klia. br sampai msia few minutes ago. sementara tunggu parents datang jemput.

huhhhhh. lega da sampai malaysia. tp da rindu kt alex. T_T. apa da jd dgn rumah, kawan2 yg masih tinggal kt sane, exam yg belum selesai. emergency br smlm beli tiket org malaysia belikn. service internet kt egypt da down berapa hari. tak dpt nk update ape2 through internet.

keadaan.. mcm makin teruk je. smlm before blk, ade 3rd wave rusuhan besar2an katanya kt cairo, alex & mansurah. polis semua da larikn diri kene serang dgn kemarahan rakyat. balai polis kene pecah, banduan lari berkeliaran. perompak merata2. memang tk selamat. hosni mubarak tknk turun2 lagi kn. dgn bunyi org rusuhan, bunyi tembakan, etc. sentiasa berdebar2. curfew makin ketat. wktu boleh ade kt luar cume 8am-2pm. tentera yg amik alih keselamatan skrg dgn bykla kereta kebal & heli segala.

ok da bye. blk ni tk tahu sampai ble. beli 1way tiket. jadual exam 12hb feb. mungkin tunda ke tarikh yg masih belum comfirm lg. tlng doakn semua selamat. doakn dpt blk alex blk. doakn dpt amik exam dgn tenang.

temporary number: ~~60136400127~~ 012 617 2271

simply ask

2011-01-27T18:06:00.002+02:00

don't make assumption. everything you didn't know, just asking to clarify.

a-lex-xand-dria

2011-01-27T17:49:00.007+02:00

example of staccato speech esp cerebellar lesion like cerebellar ataxia pt. pt tk boleh sebut dgn lancar, pt akan sebut suku kata satu persatu. by pronouncing alexandria as a-lex-xan-dria. pejam celik2. da hbs da sebulan kt neuropsychiatriy. yeay! it was not really bad. seronok jgk belajar neuro & psychiatric disease. total day TERtak datang errr. 2hari je. ngeh. patho ke physio err ntah. ble da blaja byk rase mcm diagnose diri sendiri, ade sakit mental jgk ke? cth mcm extreme sensitive is 1 type of atypical depression. atau pun ade panic disorder ke? sbb tibe2 terjaga tgh mlm dgn palpitation. tk kot. insyaAllah normal saje. jumpe pt yg mcm2 sakit neuro & sakit mental terasa mcm, alhmdulillah sihat, tkde ape2 sakit semua.

RED ALERT! dan berakhirnya round neuro maka bermula la STUDY LEAVE 2 minggu sblm OSCE, midterm & FINAL EXAM obgyn, peds & neuropsychiatry. huhhhh. cuak2. hajat tk nk keluar rumah 2 minggu ni. acehh. konon la kn. tkpe niat je. try cuba jaya utk bertapa study semua.

kt alex mcm2 hal skrg. mcm kate sahabat handai, dulu kes ribut. lps tu pengeboman kt church. kes student malaysia meninggal sbb carbon monoxide poisoning and skrg kes demonstrasi/rusuhan besar2an suruh president berundur. semangat tgk org2 mesir sgt bersemangat. tumpang berbangga walaupun tk join same. ape nk masuk penjara? rutin harian ke kelas setiap mcm biasa mcm tkde ape2 pun berlaku. tk amik tahu sgt kot. budak medic la sgt. kononnya la.

lately 2-3 hari ni rase stress semcm. tk tipu. sgt penat. mungkin sbb da rase nk exam. atau sbb kt rumah. sorry but i cant get rid of it & cant stop think about it. urgh, hipokrit! yes, you! and i'm talking to myself. ignoring & pretending like nothing happen though actually there are somthing happens. mcm kate sahabat handai, 'u always run away from the problem'. but ignorance is bliss, right? dlm lecture anger management, dr kate boleh relief by ke exercise/go to gym. then, i'm pushing myself to do exercise almost everyday. now, i'm physically & mentally exhausted. haih. ok i need distraction. try to forgive, forget & focus hani.

sorry for those hurt because of me. it just slipped and i dont know what actually in my mind. mayb memang intention nk ckp ble rase marah atau rase annoyed from ppl. tp da blk rumah muhasabah blk.. br pk, kene buat cmtu? knp ckp cmtu? what is the point of being sarcasm? just hurting ppl. pastu cm menyesal, i shouldn't do that. haih.

selamat study semua org. bye. adios amigos.

Jjwb 10 cinnamon roll.

2011-01-27T16:48:00.000+02:00

fuhhh. lap habuk dulu. lame gle tk update. project ni pun da buat lame sgt, br nk post an.

1st attemp, boleh la.. jd, sedap! kredit to kfariez

Jjwb 8 | 9

2011-01-10T00:14:00.003+02:00

cepat teka2!

nampak tk clue apa dia?

lagi tak jelas? cuba tgk betul2.

tada.! Jjwb 8 meatball. jd bakso la lebih kurg. oh excited 1st time buat meatball. ngeee.

250g daging cincang + 2 sudu tepung jagung + garam + pepper. gaul bersama. bentukkn bulat2. rebus.

Jjwb 9 tiramisu. sebut mcm dr stark dlm grey's anatomy S3E09.

kaifiat

1. 1st layer sponge cake. boleh vanilla atau chocolate. actually i'm prefer vanilla.

2. 2nd layer lady's finger or biskut butter celup dgn nescafe pekat tanpa gula.

3. 3rd layer adunan pekat 250g whipped cream pukul sampai kembang + 250g cream cheese

4. ulang layer

5. on top, taburkn serbuk chocolate.

6. simpan dlm fridge beberapa jam.

sgt mudah, kn?. ade jgk recipe yg lebih complicated gunakn sour cream, yougart, gelatin, telur, gula. kene double boiled, etc. hasil lebih kurg je org rase. org rasela..

and actually i dont hv fixed recipe. selalu buat ikut suka atau sesedap rase.cmpk saje ape yg ade. tu yg jd tu. cheh poyo.

pi em es

2011-01-09T23:38:00.012+02:00

urghh hari ni sgt tk betol. blame the hormones. sepanjang hari rase gloomy serba tk kene. senget. dan mkn sgt banyak. berapa calories chocolate tk terkira. tk kira mkn lunch dgn dinner lagi sgt bykk.

tp mlm da dpt semangat blk. kembali lurus. lol.

gmbr blur dan identity dirahsiakn for medicolegal issue.

most chaos and most nicest drs in ER so far. all of them are soo nice. :) we learn a lot! rase mcm nk stay the whole night, tp tak larat. within 3 hours i think there was more than 30cases and most cases are ~~MVA~~ RTA. did also some practical skill. *lenguh tangan*.

ke kelas dgn semangat esok. yosh!

neuropsychiatric

2011-01-07T10:21:00.006+02:00

salam jumaat everyone. allahummasolli wasalim 'ala muhammad.

sgt lega hari ni jumaat.cuti. bgn pagi td, leganya tk perlu ke sekolah hari ni. duduk kt rumah bermalasan sepanjang hari menikmati cuti. oh i love friday. lagi2 tgh round neuropsychiatry. setiap hari menghitung hari ble la nk hari jumaat. atau pun terlintas setiap pagi, kalau tk nk ke kelas hari ni boleh? at last! habis da seminggu. *lega lagi* belajar blk neuro, pathway, fx dlm brain & psyiatric, sakit2 mental, etc.

round br kt hosp nariman. semangat menggoogle earth. oh btw, rumah 4th year tu tag tahun lps wktu br pindah. tgk jauhnya dgn rumah. clinical round pagi kt hosp nariman, kemudian lecture ptg kt kuliah. menyusahkn kn? rutin setiap hari, rumah-nariman-kuliah-rumah. byk kali naik taxi. ade je yg jalan kaki, mereka sgt tabah. ok i'm complaining. nape tk buat kelas sepanjang hari kt nariman terus? hurm tkde effect pun complain kt sini. cuma meluahkn perasaan. another 3 more weeks to go. hati masih tertinggal kt shaby. ah sudahla hani. move on!

ke ER mlm td. sambutan christhmas mlm ni. mereka kate jgn keluar, bahaya sbb kes pengeboman church minggu lps. tp fikir, bahaya atau selamat ade kt mane2. kalau bende nk jd, tgh2 kt kelas atau dlm rumah pun mungkin ade kebarangkalian boleh berlaku. budak degil tp baik hati tkpe.. blk almost midnight sampai rumah dgn selamat, tp rase mcm missing something. mungkin sbb kecewa. semua prognosis tk begitu baik.

ICU pt die.
OT most cases orthopedic & cosmetic surgery; muscle & nerve exploration operation lama sgt & yg lain tgh prep pt. stay dlm setengah jam je cm mls nk tunggu. jd tak tgk ape2 operation dlm OT td.
normal labour case IUFD (intra uterine fetal death).
CS preterm labor twin 30w, ICSI 10y 1ry infertility. sorg normal tp lg sorg ade TEV(talipes equino varus). tk pasti la mungkin diagnose lain sbb kaki baby tu twist kt tibia.
ade baby mcm hydrop featalis. tp dr kate maybe mucopolysaccharidosis. die ade certain characteristic features tk tahu nk describe. the whole body is eodema including face and eyes. tergamam.
jln st mark tutup sbb sambutan christhmas dgn ramai polis buat kawalan. kalau naik taxi kena jln kaki dr port said nk ke mcD. err effect jgk ke? haha. tk pun sbnrnya sbb memang jln kaki dr hosp shatby.

mcm mane doctor control emotion derg kalau sepanjang hari prognosis pt tak begitu baik? walaupun mlm ni cuma sbg pemerhati bukan lah org yg betul2 menghadapi situasi tu, yg kene deal & control the situation but yes, i'm little bit affected.

oh why did i take it soo seriously?

gallery obgyn

2011-01-02T23:01:00.006+02:00

G3 P2. prev 2 cs. in labor, cx dilatation 6cm. emergency cs to prevent rupture of uterus.

see the weather. huhhhhhhhhhhhhhh.

focus pd shoulder dystocia. definition: arrest delivery of shoulder & trunk after head already delivered outside the vulva.
Q: pelvic causes of obstructed labor? soalan TBL tk dpt jwb. T_T

diagnostic laparoscopic of infertility. see the screen, yes the globular structure is uterus.

empty operation theater

close up in operation theater, near the window. cool view is't?

bye bye obgyn.

officially da hbs da sebulan course obgyn. da tkde 3rd part da. it was awesome! clinical round in 2nd part lg byk attached dgn assistant prof and resident. compare to 1st part, lg byk blajar dgn professor. same saje, boleh belajar dgn sesiapa. semangat nk belajar tu yg penting. kn? :)

21 NVD, 12 CS, 1 hysterectomy, 2ectopic, 1 D&C, 1 PV. wahh satisfied! :))

i'm gonna miss all nice professors, assistant prof, residents, anesthesiologist, neonatologist and nurses in hosp shatby. yes, for sure i will come back again 1day.

hello neuropsychiatry. iA another new interesting subject to learn. :) *try to be positive though not mentally prepared for new round tomorrow.*

hello 2011

2011-01-01T23:28:00.003+02:00

tahun lps punye new year. tipu la kan kalau tk rase missing something. esp tak buat ape2 yg productive lansung pun pd hari tahun br. laju saje masa berlalu. and within a year, byk yg berubah. tentula tk sama mcm dulu lg. yes, i missed all those day.

resolution(s) tahun lps pun tak tertunai. tkpela. tk nk la buat resolution br. just hoping for another year better iA.

quote dr sahabat handai: "smtimes being heartless seems to be the best option..."

Jjwb 7 pie ayam

2010-12-31T01:05:00.002+02:00

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.

harlequin ichthyosis baby

2010-12-28T22:20:00.001+02:00

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.

tgk 2 delivery twins td. 1 deliver normal vaginal delivery, both cephalic. and lg satu ceaserian section, both breech.
total, tgk 3 breech delivery today. all by caeserian section. jaw flexion, shoulder traction.
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!
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.

happy birthday liyana

2010-12-24T18:14:00.004+02:00

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.

priority

2010-12-22T23:06:00.002+02:00

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.

:'(

2010-12-15T22:35:00.001+02:00

da kali kedua tercampak lg air mata dlm minggu ni. seriously, tk best.

perkara remeh temeh pun nk nangis. duh overreact sgt ke? urghhh. tk suke. tk stabil.

tk tau nk ape skrg. tk tau nk buat ape.

haihhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh la.

aku tak tahu nape aku call kau tiap kali mcm ni. tp thanks. *lega da sikit.

nite.

post peds

2010-12-10T10:59:00.000+02:00

:)) blog kfariez

second day.

2010-12-09T21:08:00.005+02:00

second day in second round OBGYN.

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

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.

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.

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?

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.

sugar craving

2010-12-09T06:37:00.009+02:00

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

kan?

2010-12-05T17:43:00.001+02:00

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

2010-12-04T19:29:00.004+02:00

lessons for today

2010-12-02T18:59:00.005+02:00

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.

orang

2010-12-01T22:27:00.003+02:00

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.!

mission 3#

2010-11-25T22:12:00.006+02:00

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

2010-11-25T18:12:00.013+02:00

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!

later

2010-11-24T23:15:00.006+02:00

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.

raya?

2010-11-17T13:11:00.001+02:00

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.

JJwb 6

2010-11-16T00:58:00.007+02:00

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

eid mubarak

2010-11-14T23:28:00.001+02:00

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

holiday! :))

2010-11-13T22:40:00.002+02:00

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.

mission 2#

2010-11-09T19:11:00.011+02:00

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

farmakologi

2010-11-08T22:44:00.005+02:00

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.

hipokrit

2010-11-05T00:18:00.003+02:00

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

remember to stop and smell the roses.

2010-10-25T00:26:00.000+02:00

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..?

suture

2010-10-21T10:27:00.009+02:00

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!

peds

2010-10-18T18:09:00.006+02:00

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.