love story..new chapter

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Showing posts with label part of my life. Show all posts
Showing posts with label part of my life. Show all posts

Monday, December 5, 2011

am i bulimic?

yang best pasal psychiatry posting ni ialah students diberi peluang untuk buat something yang posting lain takde..iaitu debate dan video presentation.h0h0h0~ selain dari banyak mase free n kadang aku rase aku bukan amik course medic sebab bayangkan last week kitorang ada 2 kelas je seminggu! okey actually korang leh je rjin2kan diri pegi ward lain clerk patient. belambak lagi ward lain korang leh pegi or buat. tapi yela sebab student tu ialah aku so memang tak berganjak la dari bilik ni ha..huhu

okey maybe this is among the best memory that i could get from this posting or maybe as student. buat video bukan senang. tapi aku buat memang cincai. ni pon aku buat part aku je dulu... belom gabung lagi dengan other group members.hihi. n kitorang pilih tajok bulimia nervosa. h000 teraase macam nak jadi bulimia pon ada sebab nak sangat kurus. okey merepek. eerrmmm kitorang siap gi taman lelayang kepong sebab nak shooting kat sane..cewahhh shooting kan..hahah yela kalo nak buat kat area kolej malu kowttt nanti orang nampak~


muke ngantok pepagi bangun nak pi lelayang kepong.huhu





umi gemok buat peace =))

Friday, November 25, 2011

"saya nak jadi semut"

As a student, learning something new might be a very2 exciting especially in medicine. cehhh nak sebut jugak kan medicine nih. It depends on each person. Everyone has different interpretation.

Today , i and some of my friends attend our clinic session with the clinical psychologist in selayang hospital. The different between psychologist and psychiatrist is that, psychologist is not a doctor who treat patient and give a diagnosis ,and admit patient to ward plus they cannot prescribe medications like psychiatrist do . they will conduct a therapy which to be simple a talking treatment in order to change patient's negative feelings and thought to a positive thing. they will let patient talk freely about their feelings. i remember my prof said that, we as a human must have someone to talk with..if not, u are in danger. yes thats true. what will happen if u have a problem and u not have someone that u trust and u can talk to , then the problem will not settle . u may become depressed and end up with many psychiatric problem like suicide.
we are not allowed to be in a clinic while the session running however we will discuss the case after that. the best thing about psychiatry is that, we learn about human behavior. we deal with human's mind. which something that u cannot see if something wrong is going on. not like physical diseases which u can see and treat accordingly.
our psychologist tell us about one of her patient which come with symptoms of depression. he had a very blunted affect. u can just see his tears run down on his cheeks but his face did not show any expression. he did not talk. he cannot talk. he just stare at the psychologist. then she asked him to write down on a paper about what is his feelings. he jot down " why do we need to be a human? because at the end of the day, we will die? " " the purpose of being a human is to die" " im worried about my family..all of them will die later. i dont want to loss them"   oh forgot to tell u that the patient is actually a chinese man, free thinker .

the psychologist said ,then what do u wanna be if u not being a human? he replied, " i wanna be an ant. but if not, i wanna be a tree. or a table." ohmaigod. hahahahaha.  can u imagine that..but a professional shouldn't laugh in front of patient due to any reasons. it was not appropriate if u laugh on what they've said... and the patient will not trust u anymore.

Monday, November 21, 2011

scary derr

hai der semua! hehe assalamualaikum. kat sini semua tengah layan bola...aku pulak xde tv ..nak tengok online lembab nak tutttt !! haishh maklumla tenet kolej ni mcam kura2. so baik aku update blog jap. haha rajin nye ko umi update blog kan...study malas!

ok. scary derrr...aku bukan nak cter pasal movie hantu ke hape. tapi ade sumthing yg wat aku scary. ceyhh poyosss. tadi aku pi clerk patient. patient sakai la derrr. sakit mental. psychiatry. so nak dijadikan cerite, arini turn group aku join klinik Dr salina. then doc suh kitorang 4 orang ni pi clerk patient kat ward 2c tuh..huuu sorang satu dpt . kene clerk in 45 minutes only including physical n mental status examination. aku ni xberape nak rajin jupe patient2 sakai nih so bile clerk pon macam taik jela kan.

aku dapat patient chinese .man. age around 30. he came with symptoms of depression. married with 1 son age 7 . stressor for this patient was divorced .

patient ni ok je memula. tapi pastu die start tanye umo aku berape..die pulak yg interbiu ak. then die tanye aku dah kawin ke belum sebb die nampak cincin kat jari aku ( cincin risik n tunang i derr) so aku yg naive nih jawab la belom kawin lagi. then die jadi wartawan plak tanye future husband aku tu orang mane. aku tinggal kat mane. dushh patient ni sehat ke x. xle imagine derrr patient sakai camnih. ahaha terok betol stigma aku kat orang2 yg ade sakit mental nih.

mase aku tengah dok belek2 nota n pikir ape lagi nak tanye, die tibe2 cakap " u pon jomey " hah? jomey? ape tu? die cakap u la..jomey..okey cine nih cakap comey ke???  so bile dah abes clerk, aku cakap ar "thank you" . die pulak cakap " takkan thank you je..." then die tunjuk jari die ke pipi die..isyarat suh cium pipi. okey gilerr. aku terus blah dari situ. 

then petang tadi, aku ngah dok depan kaunter. ngah tengok2 data patient. si pesakit nih dok lalu lalang depan tu. then die stop depan kaunter, cangkung depan meja kaunter n usha je aku wat keje. scary x derr??? then die blah. pastu ingat dah lega la. tapi die datang balik derrr...kali ni lagi lame die usha. uuuu ak memang tak pandang langsung die. die cakap "u pakai la cermin mata. ..." eh ? die ni macam tau2 je aku pakai spek kan. arghh maybe die nampak aku macam rabun sgt mase tgk comp kot. huhu. ok end of story. esok tak taula ape jadik. tapi yg pasti aku akan suh membe ak temankan.

papepon just pikir patient ni sakit. so sebab tu die bperangai macam tuh. lagipon from history pon , die nye habit memang ade banyak main dengan pompuan. okey medical student take care of urself especially in dealing with psy pt. ok adios.

Monday, May 16, 2011

pEmBEdAhAn OtAk



hi.hi.hi. assalamualaikum!!!
yuhuuu umi in the house! hurm..today is my first day in neurosurgery posting. ahah~ pembedahan otak. we're posted to sg buloh hospital for 2 weeks so I have to wake up early than usual la..lalala~ nasib ade kete sendirik so xpayah susah2 nak terkejar2 pepagi bute menumpang kete orang. tapi yg tak bestnyer...bile drive pepagi ni mata cepat sgt kuyu..huuu~

neurosurgery nih best tapi the problem is when students are not well prepared...segala bagai term2 yang mengkonpiuskan pemikiran muda nih pon keluar..lagi2 pepagi buta..otak belom warm up lagi...belom panas ...yela kat otak ade lemak je..ade muscle ke??? xde kan...ade lemak,campur air sikit and blood vessels..heheh bak kate Dr kitorg tadi ler...then 2pasal la otak sume jadik beku dek kerana dok dalam air-cond...doc tanye mulut sume nganga je termasuk la haku...kahkahkah...huhuuuu~

benda yang kitorg kene belajar hari ni..hehe bawak balik homework bai...study le bebanyak sampai otak ko cair hokey...

functions of each lobes in our brain 


calcarine sulcus
brainstem
basal ganglia
corticospinal tract
internal capsule
status epilepticus
seizure and pseudoseizure
nerve conduction study
aphasia,dysphasia,dysarticulation 




banyak tak??? ni sume basic je yang sepatotnye kitorg dah tahu since 3rd year lagi....hahaha..nak wat cane otak muda la katekan..wuwuwu k la ..daaa~


Monday, March 28, 2011

FaMiLy plAnNiNg !


wawawa family planning??? yeah...u know what is family planning? why do we need to plan?? opps before that, why is suddenly i write about this topic is because im the person who do the seminar on family planning. =) it such an interesting topic to talk about. and every women are required to at least have an idea on what types of contraceptives methods do they have and which one is the best for their conditions. then for further details or any doubt, you can ask any doctor especially the O&G specialist or doctor in primary care/health clinic. 
"Family planning allows individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births" -WHO

why do they need spacing?? each women are encourage to have at least 2 years spacing for each child to prevent anaemia and also for them to focus on the growing baby. 

generally speaking, contraceptives method can be divided into 

  1. natural : calendar method, cervical mucus method, basal body temperature, coitus interruptus
  2. barrier : condom, diaphragm, cervical cap, spermicides
  3. hormonal : COCP, POP, Injection, implant
  4. IUCD 
  5. sterilization ( permanent method ): vasectomy and female sterilization

if u ask me which one is the best??? according to pearl index (defined as the number of unintended pregnancies per hundred women per year) :

oral contraceptives has the lowest pearl index which means the effectiveness of it is very good. many people like using the pills compared to other methods.  


 okeyla layan jela picture2 kat bawah ni..some of the contraceptives methods...huuuu malas nak tulis dah

THIS IS CERVICAL CAP...spermicides is put at the base of it before it is inserted


THIS IS MALE CONDOMS...with different colours and sizes



 THIS IS FEMALE CONDOMS..


 pic of oral contraceptives pills


what is this??? ni bukan permainan ye kawan2...ni ialah IUCD...intra uterine contraceptive devices






Friday, March 18, 2011

HoMe ViSiT

Ok nak sambung citer aritu mase pegi hospis malaysia, the main objective of that day was home visit. we were divided into small groups and had to followed the nurses. we went to patient's house by car. actually memang nurse2 palliative care ni sume ade keta sendiri coz tu memang rutin dorang untuk pegi rumah2 pesakit to review/assess them. nurse2 ni akan clerk patient, do physical examination and point out what was the issue for each patients. then next morning, dorang akan present case2 tu kat doctor. it's like how the houseman officer(HO) present to specialist during ward round.huhuhu~ hebat kowwttt dorang! aku rase medical student pon kalah. dorang cam dah level doctor seyh~ kagum sebentar aku mase dengar dorang present kat doctor . 

okey berbalik pada citer aku pegi rumah patient. so aku and my partner, yan ekot sorang akak nurse yang comel,cun and baik ni ( ceyhhh puji lebey kan..haha aku ikhlas okey) pegi area setiawangsa. but before that, nurse tu kene hantar ubat kejap kat patient lain. anti-depressant. patient tu is a chinese lady, breast cancer since few years ago i think..heee~ oppsss forgot la what was happened to her..but the thing is she is now depressed. her husband didn't care about her. she was so worried what will happened to her 8 year old son after she go. according to akak fara ( nurse yg aku puji2 tadi..hehe) palliative care team gave her a memory box. hah ape kebenda plak memory box tu... ok so memory box ni untuk patient tu letak ape2 surat or pictures for her son/family as their memories.  wuuuu...sedih tau...bayangkan kalau kita berada di tempat dorang.. patient tu nangis mase dapat box tuh...hurm...this is 1 of thousands true sad story that i ever heard or realized...this thing happened around us..apekah kite tidak lagi bersyukur dengan ape yang kite ade...banyak pengajaran yang aku ambil dari home visit ni ... mengenal erti kemanusiaan , hidup yang terlalu pendek di atas dunia ni..


next...the house that i told u before...situated in setiawangsa...it belongs to a married old couple.. the husband is 63 years old man..who is a heavy smoker..and currently was diagnosed to have lung cancer with metastases to brain... senang citer cancer tu dah merebak ke otak si suami...the husband now is very weak because of the progressing disease..he is unable to move or even speak...senang citer bed bound. he depends on his wife to do everything for him. unfortunately his wife also got her own disease. she had a history of thyroid problem and now on iodine therapy..has to admit to hospital for that..plus she had developed complication of closed humeral fracture which is non-union fracture. okey senang citer lengan si isteri patah dan patah tu tak baik2..tulang tu tak mau sambung plak kan. so kesimpulannya si isteri tak dapat nak jaga si suami dengan baik. so she asked hospis malaysia to help her admit her husband to palliative care ward in selayang hospital. 

huuuu...banyak nak citer tapi penatla...nanti la ek...



Wednesday, March 16, 2011

palliative care


heee ape yang korang tau pasal palliative care ni??? k la nak citer memang banyak sebenarnya. korang jangan ingat yang palliative care ni untuk jaga pesakit2 yang dah nak mati je k. even patient yang ade sakit kanser peringkat awal pon dan boleh dirawat masih di bawah jagaan ( gile skem! ayat aku ni! ...hahaha) palliative care. sebuah badan organisasi yakni HOSPIS MALAYSIA menawarkan khidmat palliative care. so untuk mereka2 yang tak tahu atau ingin tahu ape itu hospis malaysia, boleh la jenguk2 website dorang. at least korang leh sebar2 kan info atau tolong sedara mare yang memerlukan khidmat ni.

so nak di pendekkan citer, ape yang aku tau tentang palliative care ni ialah it helps patient to improve their quality of life, give what patients wants, identify the symptoms and manage them accordingly, communicate and educate the patient and family members.

PALLIATIVE CARE : an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impectable assessment and treatment of pain and other problems,physical,psychosocial and spiritual.   


p.s. // byk lagi nak citer wehhh..sambung next time la

Monday, February 28, 2011

welcome to PCM posting!

ahhhhhh! im so tiredddddd after having not so much classes today..hahaha...dont know why but maybe because of not enough sleep and energy then have to travel to sg buloh campus and then to Klinik Kesihatan sg buloh. fuh! driving early morning to avoid traffic jam but unfortunately we couldn't .

ok back to our main topic here which is welcome to PCM posting! yes i am now in PRIMARY CARE MEDICINE POSTING. a 2 months posting that required my commitment, sacrifice, extra energy and contribution more than expected! attached to KK TAMAN EHSAN & SG BULOH for the next 6 weeks starting tomorrow...plus consult patient( start from history taking , physical examination till management...hohoho educate patient okey siyes cuak! ) we should do at least for 4 sessions for each student if im not mistaken~ wish me luck k!

what is primary care medicine is all about? have u ever heard other terminology like family medicine or general practice??? they are all exactly the same as primary care medicine! it's just a matter of different countries or universities use different term .

my 1st impression about this posting is...BORED! hahaha that is because i heard some of my friends feedback about this posting. and i  think i dont have to mentioned it here. but after briefing and lecture on PCM, my impression has changed. i think PCM is very important in this medical field and also especially for the malaysians. 

doctors who make a specialty in this PCM we called as FAMILY MEDICINE SPECIALIST (FMS). they are only about 180 FMS in public sector..this is not including the private one..
UITM has develop our first family medicine center in sg buloh which is the first center in malaysia which will be officially open in 2012....

people tend to seek for treatment from either public or private clinic.it depends on their financial abilities. or maybe from the panel clinic. but they are not seeing only 1 doctor, but maybe more than 2 i think. me myself have seen more than 2 doctors in my life. by doing that, how can ur doctor knowing everything about u from head to toe and since child till adult ??? lucky to those who had their own family doctor who can take care of their health but many of us didn't have it rite? so many things to be talking and debated about this. but general speaking, other country especially European and Australia have much more better system than we had.  in PCM , they stress on 4C AND 4P...principle of PCM :
4P : primary contact, prevention, personalized, patient-centred.
4C: coordinated, comprehensive,continuous , community-based

****haaaaiisshhhh so tired la now plus having headache...i think i should continue next time...assalamualaikum 


Thursday, February 24, 2011

end of orthopaedic posting

wahhhh im a lil bit sad today....y?? owh it is because today is the end of ortho posting...wuwuwu the MOST COOLEST department i have ever join! hurm...but it's ok la...life must goes on...hahah poyo je kan...

orthopaedic : The branch of medicine that deals with the prevention or correction of injuries or disorders of the skeletal system and associated muscles, joints, and ligaments.

senang citer la semua yang tulang patah2 and any injuries or diseases yang melibatkan bone,limbs akan di ambil alih oleh jabatan ortopedik..hehe

selalu kes2 yang aku tengok kat ward orthopaedic ni.. yang paling common la ..

osteoarthritis and diabetic foot ulcer...dua penyakit ni sangatla common okey..huhu memandangkan pesakit2 diabetes kat malaysia ni semakin meningkat so pesakit diabetic foot ulcer juga turut meningkat..hurm kene letak slogan sayangilah kaki anda nih! huuuu~ kengkadang kesian tengok dorang ni sebenarnya...yela kaki kene potong sebab kaki tu dah mati and dah tak bole nak diselamatkan......so nanti nak jalan pon dh susah cos Allah dh cipta kaki kita ni sempurna untuk berjalan...cuba bayangkan bila ade bebrapa jari kaki dipotong..kaki dah xbalance..kalau tengok gambo2 kaki pesakit ni memang gerun la bagi sesape yang  tak biase tengok...bau pon bole tahan menusuk jantung..hahaha..

yang bab tulang2 patah ni pon lagila common..selalunye sebab accident..and yang jadi victim nya ialah motorcyclist..nape? hurm..tnyela mereka2 yang membawa moto ni nape golongan mereka je yang selalu terlibat dalam kemalangan n jadi mangsa tulang patah sane sini..ish2..yela tapi benda dah jadi nak buat macam mana kan..

tulang2 kalau nak cakap memang banyak kot...from head to toe...semuanya tulang kan..and tulang2 yang patah ni pulak ade name masing2..tapi aku memang enjoy belajar ortho ni...barulah aku paham ape itu besi yang ditanam kat dalam kaki..hahah kalau dulu mase zaman jahiliah memang xdapat nak imagine bila orang cakap doktor tanam besi kat kaki..then ade yang bersimen la atau kita panggil POP=plaster of Paris...nak buat POP pasni pon dah tau dah cane..hehe...thank you so much Allah for giving me a chance to learn this posting..


SEKIAN...

Tuesday, December 21, 2010

BLS

haaaa...korang tau dak BLS tu ape??? pada mereka2 yg mmg already in medical field mesti la tau kan..tapi utk lay man pon korang leh belajar benda nih...it is basic life support...ala senang citer kalau ade orang tercekik ke or jantung die tibe2 stop, korang la org first yg pegi tolong orang tu sementara tunggu ambulance sampai...heee
..tadi kitorg ade test la pasal BLS ni...start dari pagi mule2 belajar teori n demo dulu..then petang baru ade test..

kitorg belajar untuk 2 situasi...as i mentioned above la..choking ( adult n infant ) n CPR ( adult n infant )...the purpose of this BLS is to provide oxygenation to all tissues in the body...esp vital organ which is brain n heart...ok for example orang yg tercekik, biasanya boleh menyebabkan saluran pernafasan tersumbat dan ini menyebabkan mereka rasa sesak nafas...bile sesak nafas , oxygen xpergi ke vital organ dan akhirnye patient akan collapse n akhirnye boleh mati kalau xde sesiape tolong..lain la kalau patient tercekik dalam hospital kan..hehe

hurm...kitorg gune the latest one punye guideline ...2010 punye...ade gak tadi belajar management of cardiac arrest...ktorg dapat peluang gune defibrillation machine...weee~ seronok beb! n adore sgt semua lecturer emergency medicine esp dr mafeitzeral n dr julina ! dr mafetzeral siap buat simulation lagi tadik..perghhh bes2! then mase exam pon dpt exam dgn die tadi! each student has to sit for 2 station...1 adult n 1 infant...it depends either u got choking or cpr...for me, i got adult cpr n infant choking...hheheee...siap pasang AED tadi...heee ade gak gelabah2 besela kan..tapi alhamdulillah aku lulus gak akhirnyer..heeee thnx doc!



Wednesday, December 15, 2010

exams !!





salam..helo semua...okey sekarang ni mmg pale jadi semakin serabut memandangkan exam pon dah sangat2 dekat...and banyak lagi nak stdy..plus kitorang kalo exam memang la xpernah ade study week..huhu...sekarang ni kelas still berjalan macam bese even 1 day before exam pon still ade kelas kot! so kenela pandai2 manage  masa masing2...kalau xpndai manage..gamaknya memang hancuss la result nanti...banyak ni nak stdy..tapi kadang soalan exam keluar seciput je...and yg seciput tu la yg kadang terlepas pandang and xbaca..hakahakhakhak...okey so korang semua tolong doakan umi yer!

okey lupelak nak habaq kat korang ape exam yg umi amek..hehe

so untuk semester 1 ni..umi dah habis posting medicine, short posting ( psychiatry,forensic medicine,ophthalmology,ENT), population health and preventive medicine and last but not least emergency medicine..huh..byk x? tengok macam ade 4 posting je kan tapi banyak benar kot nak baca..haaishhh sabo2..kalo la otak ni bole scan je semua buku2 kan bagus..haha..rebus jela buku2 then minum...heee~ start exam 28-31 hb...wish me luck kawan2!




Friday, December 10, 2010

more and more procedures ~





ohhh no... it has been a week now.. procedure lak baru ade bape kerat..haiishhh procedure ape? oh actually in emergency medicine posting, kena buat minimum 50 procedure...for example give nebulizers for asthmatic patients, do an ECG, urinary catheter, venous cannulation, suturing, wound irrigation and so on. so setakat ni baru buat neb and ECG and wound irrigation. actually bila dah buat semua benda ni , rasa seronok plak! heee~ mmg rase betol2 dah jadik doctor. yela bila kita praktis, baru la ade feel kan. tapi kene rajin ckitla nak merayap dalam emergency tu cari procedure..heee~ esok mau pegi on call and hunt for more procedures! yeahhhh~

kat atas ni contoh ECG...bila dah buat ECG, kenela tau mcm mana nak interpret kan..


ni pulak oxygen mask with nebulizer..

Wednesday, December 8, 2010

2nd day in emergency

ooooohhh baru 2nd day in emergency but 1st day in slyg la..hehehe
pe yg berlaku arini?
dari pagi dok melangok dlm asthma bay..then tlgla bagi2 nebulizer kat patient2 sane..dh pndai gak la nak prepare neb semua tuh..weee~ hahaaaa
then pegi merayap2 n tawaf ntah bape kali dlm emergency tu...dok cari kje cos xtau nak buat ape..haha biasala first few days mmg blur..tmbah2 aku ni mmg blur orgnyer..hahha hampeh! jadik doc xle blur2 la! wuuuu~
adela clerk2 patient kat yellow zone tadik..sorg dizziness n palpitation...sorg lagik sob...hurm..diagnosis? okey sape yg jual diagnosis bgla tau kat comment bwh nanti k..hahaha
then kbtulan 'abg ipar' aku pon dok posting kat emergency gak so tadi adela tserempak dengan die..die sgt2 pndai kot n sgt2 la teringin nk blja dgn die ni...weeee~ perasan benar umi ni die tu abg ipar umi..hahaha.... dok merayap2 tadi then mulut ni pon menyebut " manela abg ipar aku nih...? " alih2 hah kat blkg aku die muncul! pusing2 blkg die ngah jln masuk ke observation zone...ceh malu je aku kalo die dgr tadik..haha..rasenyer die xdgr kot..nasibla kalo dgr..heee~ okeyla xde mende nk cter..owh tadi last skali katorg tgk toilet and suturing...so this time xdela plak muntah2 semua tuh..haha so aku ni xde pon phobia2 kat menda alah tu..okeyla tadi observe je suturing..baru nak bljar kan..xpe sok aku nk buat plak la..heee chayok2 umi!

Monday, December 6, 2010

emergency medicine...



ok so today dah masuk posting emergency medicine...pagi just ade briefing kat kampus sg buloh then ade lecture...lecture about abdomen and pelvic trauma...weeee besh2...umi duk depan sekali and ngantok giler..haha tapi mata tahan jela..mati lak nanti tido depan prof kan..hehe

okey emergency medicine...we were divided into 2 groups..each consists of 13-14 students...so umi in 1st group..would be posted to emergency selayg hospital for a week then swab with another group plak..haaaa...gitu la...

procedure??? in emergency medicine...we have to fill in our log book...as usual minimum 50 procedure were required to be done...like venous cannulation,urinary catheterization,ECG,log rolling..and other things..huuu penat nak ckp...

today is my 1st day in ED..but becos i have an appointment with dr muiz, my ophthalmologist ...weee bek giler seyh doc nih! chumel plak tu..hakhakhak...okey umi gatal! oppsss jgn mare ye bang..hahaha actually doc tu sgt baik 2psl la i like him!

so i have to stay in sg buloh emergency becos i have no transpot to go to slyg in the evening...

in sg buloh...i came late and not attend the briefing session but it wasn't my fault ok.it's becos of the doc who came late for my apointment..huuu sory doc have to say this

i think i like being in the emergency becos of the situation and i learn a lot of things..i can do wateva i want..bkn sesuke hati la but it was more on practical thing...i saw the suturing procedure..do the ECG..act we were supposed to do the suturing but becos this was our 1st day in ED so better to observe before we do it on our own..



in procedure room...the MA (medical assisstant) was doing the suturing on a child...the wound was an incised wound...about 2-3 cm in length..rite on the eyebrow...can u imagine how difficult it is to suture on that place..i dunno whether u agree with me or not but i think it was difficult..but the wound is not so long so it makes the suturing more easier..hahaha...




after the suturing had finished, suddenly i dunno y i had nauseated...i find a chair and sit down..try to calm down and control my nauseated and hopefully not vomit in that place! but then i couldn't stand anymore and just walk away from that room and went to the surau ..but on my way to surau, my vision had reduced and i saw black2 spot and turns to black! plus tinnitus! OMG....! but i continue walking and quickly enter the toilet...n i vomit but nothing came out...! n alhamdulillah after that there was no more nauseated or blackouts~

n i started thinking..am i having panic attack or something? im not phobia to needle,wound or even blood. this was the 1st time i had experienced this. okeyla penatnyerrrr ngantok..baru balik dengar ceramah tadi...balik petang teros g lect hall ade eminent persons lecture series on a lifetime in medical education..then continue plak dengan ceramah maal hijrah..perghhh penat seyhhhhh...kje nanti lagi penat kot..but as HIS servant, do wateva u do dgn ikhlas...may this awal muharam purify our heart and renew our commitment...salam maal hijrah everyone!


Tuesday, November 16, 2010

sponsor !




alhamdulillah...ade insan bermurah hati nak sponsor lunch karnival JOM SIHAT kitorg...hehe sape lagi kalo bukan RESTORAN ALI MAJU ~ aku mintak tlg membe aku ni...die anak kpd owner restoran tu..thnk u so much shamima ! kalo bkn sbb awk, kite xdpt free 100 nasi briyani tu..wawawa~ beshnyerrrr! selain nasi briyani, aku order extra 50 nasi tomato ...yela baik berlebih dari terkurang...kan...hehe...k la len kali update lagi..tata~ salam


Monday, November 15, 2010

jOm SiHaT !

salaaaammmmm...attention everyone!!!
u are invited to our carnival "JOM SIHAT!"
venue,date n time has been mentioned as above
lets be healthy...anda sihat,keluarga bahagia...keh3..
korang datang tau..




Thursday, November 11, 2010

InI bUkAn BaNcIaN pEndUdUk



ouh..posting phpm yang memenatkan...posting ni xbnyak sesi belajo dalam kelas..so ktorg belajo katne? kat luar kelas la..hahaha..opsss merepek jap..huhu skang ni kena buat survey/soal selidik tentang tahap kesedaran di kalangan penduduk sec19 shah alam berkenaan penuaan yang sihat..haaa skema kan ayat aku nih..huhuhu...habis skema ar bile aku bersoal jawab dgn pakcik makcik abg kakak adik kat shah alam tuh..huuu ( actually xdela skema sgt pon..) everyday ktorg akan bergegas ke tempat kejadian..dan memulakan sesi survey. pegi naik bus then dah sampai sane, ktorg jalan kaki la pegi umah ke umah. ekot group masing2. utk group aku, ktorg kena cover 6 batang jalan. total dalam ~ 80 buah rumah la. banyak x??? tiap2 hari jalan bole kurus ni...wawawa i like! berhujan berpanas bersama.cewahhhh...memang menguji kesabaran kitorg ha..ade mcm2 ragam manusia...ade yang ingat kami ni nak buat banci penduduk..ade yang ingat nak jual barang2..fuhhh penat2..penat nak explain kat dorg..heheh..tapi so far bestla..bukan semua org dpt peluang nak buat survey ni..nth2 skali seumur hidup je kan..hehe





Sunday, November 7, 2010

Nukilan buat anak-anak bergelar pelajar perubatan


this entry was specially dedicated to medical students n their parents...i found it @ Fb.. hope this can help u ols realize n appreciate urself as medical students n future doc...

Nukilan buat anak-anak bergelar pelajar perubatan (dan ibu bapa mereka juga!) By Dr Harlina on MONDAY, SEPTEMBER 20, 2010

Khusus buat:

  • Anak-anak yang bergelar pelajar perubatan ( di mana jua anda berada)
  • Ibu dan ayah kepada anak-anak di atas

Sedikit pesanan ini dinukilkan oleh seorang yang pernah menjadi pelajar perubatan ( 1986-1991), sudah bergelar doktor selama lebih 19 tahun, menjadi pakar O&G dan pendidik kepada ribuan pelajar perubatan selama 13 tahun. Namun belum berpeluang menjadi ibu kepada seorang pelajar perubatan lagi setakat ini.Anak-anakku,

"Kalian sebenarnya bertuah dipilih Allah SWT mempelajari satu bidang yang amat besar faedah dan manfaatnya buat manusia dan dunia. Apapun yang mendorong kalian membuat keputusan menjadikan bidang ini pilihan, kalian sudah sampai di sini! Betapa ramai rakan kalian yang mengidamkan kerusi yang kalian duduki sekarang ini.

Harapnya, dorongan itu bukanlah semata-mata mahu mencuba nasib, memenuhi hajat dan hasrat kedua ibu bapa dan keluarga yang mahu seorang bergelar `Doktor’ dalam salasilah keturunan, ataupun ingin sentiasa bersama dgn rakan karib lain yang kebetulan juga mendapat tawaran yang sama!

Melihat betapa berlumba-lumba kalian merebut tempat di sekolah perubatan, rasanya seperti ada kempen ` Satu Keluarga Seorang Doktor’ lagaknya.

Jangan kalian terkejut nanti – dengan realiti pengorbanan yang mesti kalian lalui. Perubatan adalah satu lapangan yang perlukan komitmen pembelajaran sepanjang hayat. Kalian sendiri yang perlu mencetus keghairahan mahu menuntut ilmu, bukannya hanya berharap dan bergantung sepenuhnya kepada tenaga pendidik yang menunjuk ajar. Kalian akan mulai mendengar perkataan ` self-directed learning- SDL’, student-centred education, life-long learning, community-based learning, inter-professional learning dll.

Pengajar kalian bukan hanya professor dan pensyarah perubatan, malahan yang bergelar pesakit itulah yang paling banyak mengajar dan memberi tunjuk ajar. Para jururawat adalah mentor yang paling berpengalaman dan perlu diberi penghormatan.

Yang paling utama, akhlak kalian – menjadi pembeza utama antara pengamal perubatan yang mulia dan doktor yang angkuh. Bertuahlah bagi kalian yang sememangnya sudah berbekal dgn didikan sempurna, penuh budi bahasa, tata tertib dan sopan santun yang tinggi semenjak dari rumah lagi. Malanglah kalian yang serba kekurangan dalam aspek ini, sekalipun kalian begitu cerdas mengumpul deretan `A+’ dalam transkrip keputusan peperiksaan saban semester.

Untuk para ibu dan ayah kepada anak-anak yang bergelar pelajar perubatan,

Mohon dipastikan kalian sudah menyediakan anak-anak kalian dengan baik dan sempurna – terutamanya dalam aspek rohaniah dan akhlaqiah mereka. Mereka akan menjadi doktor perubatan – bukan calang-calang profesyen! Pastikan mereka menjadi pengamal perubatan yang tawadhuk dan sentiasa berhubung erat dengn Rabb.. Selitkan doa yang tidak pernah kunjung padam setiap masa dan ketika, moga Allah SWT memberi bimbinganNya buat anak-anak ini.

Sekiranya kalianlah menjadi SEBAB utama anak-anak berada di sekolah perubatan hari ini, sedangkan itu bukan keinginan dan minat mereka sendiri, bersedialah untuk meminta maaf kepada mereka – terutamanya jika mereka akan berhadapan dgn kesukaran dan keperitan memenuhi hajat dan cita-cita kalian itu. Sokong dan dokonglah mereka sehingga ke akhir nanti – kerana cubaan dan dugaan yang perlu anak-anak ini hadapi bukanlah setakat semasa dalam latihan sahaja, malahan yang lebih mencabar adalah ketika terpikul di bahu mereka tanggungjawab dan amanah yang berat apabila bergelar doktor nanti!

InsyaAllah, kalian akan sentiasa dilindungi Allah SWT dari segala bencana selagi mana penggantungan hanyalah kepada Allah semata-mata."

Dr.Har



Tuesday, October 5, 2010

ophthalmology posting !


salam...hi semua!!!! okey skg nih umi dah masuk posting baru! posting ape? ala bacalah kat title post nih sendiri..hehe. kali ni belajo la pasal mata lak. wah besh nih! this posting is a very high sub specialty. prestigious n precious >> bak kate prof..hehee..and there was only 200 ophthalmologist in Malaysia

ok so masing2 kenalah ade satu alat nak check mata ni yg diberi nama ophthalmoscope

so far posting ni menarik la cos kite kadang2 as a medical student selalu terlupa nak check mata ( selain yang korang selalu check conjunctiva pale ke x & sclera jaundice ke x..)... padahal mata kita ni banyak bagi information tentang sakit orang tu.. kebanykan disease yang ade xkiralah yang bese korang dengar diabetes, hypertension, asthma, sumenyer ade effect kat mate..so nak x nak kenalah check gak mate tu and then barulah complete examination kita tuh..^_^

tapi bab nak check mata tu yang payah ckit...kadang2 xjupe optic disc la..selalu jupe blood vessels je..so our prof pon suggest practice the fundoscope on patient everyday ... tiap2 hari kena check 10 mata = 5 orang patient..so sape2 yang sudi nak jadi patient saya, angkat tangan cepat! heheeee...

posting ni 2 weeks je atau lebih tepat lagi 9 hari..hehe cos tolak weekends..then this 2 weeks knowledge , we would bring it throughout our live as a doctor later..that's y la this posting is important..at least when we become a doctor later, we would be able to detect any abnormal eye and refer to ophthalmologist for further investigations and management ...

k la banyak nak citer ag sebenarnye tapi malas..hahaha nxt time la ek ,,babai semua!!!

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