Bola sepak....Paediatric posting

Salam sejahtera..

Dah seminggu masuk paediatric..belum stress lagi..still enjoy even belum dapat peluang present case lagi..next week baru bersungguh la kot…

Hati mengatakan.. ‘serik’lah buat baik dgn orang ni..coz nobody cares for you here..u there or not, is the same.. even though like that, ur family still got you..dun give up, I won’t give up..hehehe..

Tgah tension gak ni sebenarnya..smpai xleh nk stadi..yer lah..setiap hari berdepan dgn org yg mkn ikan berkerang ni susah..kita bukan xberani nk suarakan hak kita tp entahlah..takut nnti kita pun termakan ‘ikan’ tu gak..payahlah..sendiri kata sendiri buat..xmaulah..

Setiap pagi bila bagun tdo..adalah hari yg xbest..silence..euthymic..dull..alienated..ntah lah..sedih gak sebenarnya..tak tahu nk react camner setiap hari..penuh dgn hipokrit..gelak ketawa, senyum dan citer2..semuanyer terasa palsu, nothing..naper wat gtu A’a??? Ntah lah..xleh nk jawab..maybe xpaham kawan..or kawan yg mkn ‘ikan kerang’??? depan kita lain, dpn org lain. Kita ada bila di sana ada kepentingan, kita ‘hilang’ bila dah dilucut peranan…manusia..manusia…

Benci bila berjumpa dgn manusia yg cakap itu init p xsedar diri yg dia pun buat itu ini, sama macam yg dia umpatkan..wei..xusah la nk mengata org lain, nk geram dgn org lain kalo diri sendiri pun camtue..xmalu ker??? Ingat diri tu betul sgt?? Nk kepentingan pun biasalah alas an munasabah skit..ni senang2 nk itu ini..ingat org ni spare part ke???ingat org ni xder hak dan kepentingan ke??tolonglah..penatlah kawan ngan korang..penat..

Nk org hormatkan kita, tlg lah hormat org dulu..nk org wat kat kita, tlg kita itu ini, tlglah kita sendiri yg wat dulu kat org.

...ini main arah jer, main bantai jer sepak kita gi sana kemari..rasa nk sumbat gol (kepentingan), mulalah bola tu(org) digelecek leklok smpai depan pintu gol..dah masuk gol(dapat dah benda yg dia nak)..dia sepak bola and xder nyer nk terima kasih kat bola tu sebab tolong masuk dalam pintu gol..sebaliknya dia lari suka2 dgn kawan2 dia yg lain..senangkan perumpamaan ni..senang nk paham..

Kali ni malas lah nk bagitau pengajaran cam biasa2…pk2 sendiri lah..

mencuri masa...heheh

Salam semua...
skrg ni tgh kelas multimedia tp still ramai yg xdatang lagi..so, boleh la surfing dulu..kena pandai carik peluang..dah la wireless kat hostel tgh problem..
student lain yg dh datang sibuk duk testing yg belajar last week..tp A'a..malas lah..huahuahua..jahat nyer..bila la nk rajin...
sebut perkataan rajin ni..teringat plak..td bru lepas briefing paediatrik..next week kitrg akan start posting paed..berdebar sgt..dr apa yg dgr td..kena rajin n berdisiplin jer..buku jgn xbaca..kena baca.senang tp susah nk bentuk dlm beberapa hari ni..lg2 kalo dah jadi tabiat kan..
so, nk pesan pada kekawan group..kalo la ada yg baca blog ni..tolong lah kwn2 semasa posting ni..jgn jd selfsh..jgn asyik nk kejar signature procedure jer..kalo ada apa2 yg best..ajak kwn2 share tgk...limit sgt masa 6 minggu ni untuk penuhkan buku log yg tebal tu..kita share, kita pun akan dpt saham sama..betul tak..
Pagi2 lak..jgn lupa tolong kejutkan kawan untuk ward round..xnk lah ada yg signature bawah garisan merah...
Hmmm...apa lagi yer...??? nk citer pasal posting neuroscience yg best tu tp xsempat kot..coz kalo bercerita sure melalut jer n dlm dunia sendiri..so, next time lah...esok exam neuroscience..GOOD LUCK A'a and semua member group...
k ah..dh mls nk taip dah..malas lagi..apa la yg rajin kan..hehhe..penat jari..sekian dulu kali ni..next time tulis lagi..pasal neuroscience plak...adioss....

Psychiatry posting...

Salam sejahtera semua…

Dah sebulan kot x menaip…yer ker??ntah la..Posting psikiatri ni best..memula memang lah terasa ketensenan..duk pk camner nk take history dari orang yg ada mental illness ni..susah gak..tp dah masuk 2nd week ni, seronok la...dah dapat tackle patient bg history kan..lagi lagi yg ada hallucinations..memang pelik2…
Kalo yg jenis manic plak..lagilah kita nk gelak..nk kawen ngan anak raja la..dia sendiri yg jadi raja la..pemilik syarikat telekomunikasi dunia la…macam-macam..and apa yang sedih ialah..kebanyakan diorang ni yg memang pandai..ada yg memang pekerja profesionall…
Ini menunjukkan yg kita tak akan terlepas daipada mendapat mental illness ni..kesian gak..yer lah..dah rugi tenaga manusia kat Malaysia ni.ramai sangat..

Ho ho..kalo lepas2 A’a ada citer pasal ketensenan dengan org sekeliling..kali ni dah xnak citer lagi..yg penting, kena jaga mulut daripada mengatakan sesuatu yg buruk kepada org lain..biarlah apa yg org lain nk buat kat kita. Yg penting kita jgn buat benda yg sama kat diorang..kalo diorang tahu and sedar, baguslah…kalo x, memang jadi tanggungjawab kawan untuk sedarkan balik kawan2 dia yg dah tersilap tu..tp xsemua org sanggup face to face..cam confrontation ni…contohnya A’a sendiri..memang xbersedia nk confrontation dengan org yg ada masalah dengan kita..sebab tu A’a prefer bg jer email ke, SMS ke..xper..jgn ajak jumpa face to face dah ler…xsanggup…ego tinggi sangat kot???huahuahua…xder lah..ego dah kurang dah compare ngan dulu..lagipun ego tu lah yg make me survive daripada stress ni…kan kan..

Esok Deepavali..ramai yg balik..me too.hehe…means dah habih psoting psikiatri and bakal menghadapi posting neuro and then paeds…waaaaarggghhhhhh….takutnyer..
Tp before that, kena pk pasal report dulu..dah clerk td Cuma xsusun jer lagi..so, cuti esok bukanlah cuti yg sebenarnya..org lain dah boleh baca novel, tapi A’a kena siapkan report dulu..padan muka…

Ho..td ada org tanya kenapa xpakai baju merah??xpernah nampak pun pakai baju merah…bukan xsuka warna merah tapi xberapa suka…camner tu???
Dulu pernah suka warna merah..tp sekrang kurang skit coz..i wanna be myself..xmahu hipokrit dengan diri sendiri..warna apa yg kita pakai, peduli apa dengan org lain..pakai untuk diri sendiri and bukan untuk org lain..betul tak??

Semalam, chat dengan cousin yg kat Jepun. Dia ajak gi sana..huhuh..nk g sangat2…memang dah lama dah..boleh la jumpa kawan lain yg kat sana..hahaha…itu citer lain..

K ah..setakat ni dulu kot..da penat jari ni..cam Pain disorder plak..sangat sakit…Sekian…
Adiosss….

Who can answer diz???

WHY DIZ HAPPEN TO ME?? WHY?? WHY??

Again and again..diz thing keep come to me..how can I resist it??..how can I regret the thing that previously I really want..Oh my God..Ya Allah..plz give me some peace in my heart…

I agreed and I really really regret is…once upon the time..i really want to gather all my frenzs..my best frenzs in one group..so that we can learn together and having time with discussions and clerking together.just like before the Pro II exam...i tried really hard to contact some colleagues to ask whether they want to change the group so that I can bring in my frenzs to be in the same group…and after all my efforts..(bukan nak membangkit), what happen is..i lost my frenzs..

I lost all the smiles, all the jokes, all the ‘Hi’ and the sweetness of having frenzs..like I had during my PRO II..so sad..and I really sad when come thinking of it..but, what can I do??..i gathered them as during my semester break, I received calls telling me that

“I dun wanna be alone in the group..plz..”

..”what must I do?? I’m afraid I cannot cope with the group members if u’re not there too”

..”luckily u’re in the same group A’a..at least I have frenz to talk and cope with..”

“plz help me to find someone who wanna exchange the group with me..plz a’a..sedey..kita dah tak sama grup lagi”…

“xpelah A’a..nk wat camner takder org nk tukar group..biarlah kita sorg kat sini..”..
(What do you feel when ur frenz said like that?? Wanna help or not?? Being selfish or what??)

And what happen now???..u even dun want to look at my face anymore..talk with the rhythm.oh my..i dunno what to say anymore..even can’t tolerate anymore with me???..why??

If I know earlier, If I know this will happen to me..i rather stayed in my initial group..than I lost my frenzs..huhuhu….

The moral at this stage is “JANGAN UBAH KETENTUAN ILAHI..Bila dah letak satu group tu, ada hikmahnya kenapa kita nk ditemukan dengan orang tertentu..
That’s right..and how can we react when someone ask us for help?? And we know that we able to help them??

The more we get closer, the more our heart and frenship being pulled away..the more hateness I feel..the more….

Sometimes it comes to my mind…did i do wrong to you??? Is it wrong to do what’s right?? Is it I have to sacrificed myself, my frenship so that my frenzs can make frenzs with others??..am I being too selfish…

Remember..what I do, is for the sake of my frenzs..i do this and do that so that u won’t be alone..but right now..i feel alone..I LOST MY FRENZ..frenzs that I missed all the sweet memories I got before the PRO II..during my PRO II examination…

To all my frenzs…again..i can be ur frenzs when you’re alone..when u dun have anybody to talk with but plz..smile to me, talk to me and act to me like you know me before even though you already got new frenzs...dun left me as I’m an alien to u..dun alienated me..PLZ..

THANKS for the sweet events u gave to me..THANKS A LOT..
Hope, during houseman years, I won’t meet u guys anymore..SO SORRY…

Seems like I’m give up to make good things to my frenzs..rite??? skit skit la..as diz happens to me since I’m in form 4 lagi…BUT FOR ME..NEVER GIVE UP..i won’t give up..this is the test that ALLAH give to me..to test the faithful of His servant..

To Those Yang Terasa..Sorry Sangat-sangat.. I didn’t mean to hurt you but just my personal opinion that I think I need to let it out..or I will stress myself without u guys knowing that..Selfish??? depends la..

LEARNING MEDICAL IS ENJOYFUL… THE STRESSFUL IS THE VARIOUS PEOPLE WE MEET EACH DAY.. THAT’S BECOZ OF WE HUMAN ARE NOT PERFECT AND ALWIZ MAKES MISTAKES EITHER WE REALIZE IT OR NOT..

I don't want to get hurt

I Don't Want To Get Hurt (Roxette)

In everything I see you appear with me, how come?

How come?

And everything I do involves you too.

We are like one.

In my life there has been so many changes

and I don't want to be left out in the rain

I don't want to get hurt, I've done my time.

All I want from you is to tell the truth.

I don't want to get hurt no more this time.

I don't want to go blind

and find it's falling apart all the time

In the middle of a dream you are there for me, your face, your lips.

But there's no way you can tell cos I hide it really well, so well.

In my life there has been loving and lying

and I don't need another reason to cry

I don't want to get hurt...

I don't want to go blind

and find I'm falling apart one more time.

Medical Posting..more challenges coming towards u..

MEDICAL POSTING 1st week
Salam semua..
Agak lama gak x menulis kat blog ni..byk yg terbuku di hati ni..gara-gara ombak yg menghempas pantai..paham kan??..sekali ombak hempas, sekali pantai berubah..begituah kehidupan ni..manusia pun berubah..jgn kata ambik masa yg lama nak berubah..sekejap jer..tup tup..dah jadi org lain..xsama dah dgn yg kita kenal..sedih sedih..aku yg jadi mangsa nk kenal ngan korg..cam terhegeh2 plak tp bukan kita ni dia nampak pun..tp dah byk kali kena..apa boleh buat??...kita teruskan juga persahabatan kerna kita mampu berfikir apa yg terbaik adalah ‘jangan memutuskan hubungan silaturrahim'..biarlah org buat begitu pada kita..jgn kita balas dengan benda yg sama..yer la..kalo x, sama jer kita ngan dia..
Even camtu..aku tetap menulis blog ni kerana ini salah satu cara untuk aku mengurangkan complication yg terjadi.AKU STRESSSSSS becoz aku cuba memahami diorg tp aku yg sakit.so aku lebih prefer kelate ghoyak gak “lok gi la” and menjadi observer dalam kehidupan ini..yg mana aku akan jadikan peringatan untuk aku sendiri dan org yg membaca blog ni..jika setuju la..

Bila bertukar posting..bertukarlah group..and apa yg aku boleh nampak..(tak tau la mata korg nampak aper kan), manusia pun berubah gak..
Mula2 kita start dengan neutral dulu..

KENA MARAH..
Sekarang 1st week Medical..memang mendebarkan..dgr kata bz yg amat..Hari 1st nk clerk patient, dah kena marah..dia kata dah ramai yg clerk..setiap kali kena explain explain dan explain..penat katanya..yg marah tu bukan patient tp anak dia..mak dia xlarat cakap dah.. itulah cabaran kat org yg posting ni..time posting, setiap patient kita kena tahu apa masalah..and bila nk tahu, kita kena cover bed-bed yg ditugaskan untuk kita clerk..then barulah bertukar hx ngan kawan2 lain..kalo dah kena marah..camner nk dpt hx kan??..so, kenalah stadi folder..
Masa tu memang stress sgt la..tambah ngan malu lagi..mana tak nya..anak patient tu memula dalam posisi duduk..dia marah2 punya marah..sampai terbangun dia leter kat kita..fuyoooohhh…aku ingat lagi muka ‘makcik tu’..geram sgt2..geram jer time tu nk cakap “kalo xnk kena tnya, jgn masuk cni..cni ni teaching hospital”..tp aku ingat n kita semua kena ingat “we learn from patient, respect patient”..patient..tp kalo anak patient??..patut ke tak patut?? jangan..itu hak dia..
Malam tu, aku g lagi ke wad..intai punya intai, anak patient dah balik..jeng jeng jeng…apa lagi..terus g jumpa patient tu..elok plak dia layan n jawab soalan kita..walaupun cara dia jawab cam malas2 la..ha ha ha..NEVER GIVE UP..
Wat per nk stress2 masa 1st day?? Ada 6 minggu lagi..kalo dah stress awal2, xsyok la..boleh gla nanti..so, manage the stress properly…

KITA SEMUA SAMA..YG MEMBEZAKAN..
Dah 7 minggu masuk tahun 4..8 minggu la masuk ngan cuti konvo seminggu..dah jd senior pada junior2 yg xkenal ngan senior..dah duk kat blok B..saper la yg nk kenal kan..even camtu pun, tolonglah jangan sombong dengan junior and kawan2 sebatch..
Kita semua sama jer..masuk dengan keputusan yg sama..sama2 dapat masuk tahun 4 tapi kenapa nk sombong and berlagak??..kenapa nk riak??..nk riak, riaklah tp dengan batu tepi jalan..kalo nk sangat..
We’re not perfect...everybody makes mistakes..no matter mistakes tu dalam bentuk salah jawab soalan ker, menyinggung kawan ker, terhempuk kepala kawan ker..it’s a mistakes and of course, kita tak mahu diri kita sentiasa melakukan kesilapan, hanyut dengan SS sendiri2..kita xsedar apa yg kita lakukan menyinggung dan mengecilkan hati kawan2 kita kerana kita fikir that’s right, no wrong..and akan berterusan camtu jika kita tak mahu menerima teguran org lain yg berani menyuarakan teguran tu..kenapa?? kerana sikap kita yg ego, kerana kita rasa kita yg pandai, kita betul, kita istimewa, kita org baik, kita segalanya lah..tapi kenapa dengan diri kita yg sebegitu, masih ada yg berani menegur kesalahan kita walaupun org itu tahu apa kesannya pada diri dia (sedih, kecik hati, terasa, geram, and moody and etcc)??kerana org yg mampu menegur kesalahan kita adalah org yg sayang pada kita..
Kita tentu tak suka hidup dengan keadaan org mengata kita di belakang..kita ingat org dah cukup suka berkawan dengan kita..tp pernahkan kita tanya kawan kita..
1) aku pernah wat salah ker??
2) aku ni suka memperkecilkan org ker ??
3) aku ni ego sangat ker??
4) ada ko dengar org cakap buruk pasal aku tak??
5) Sebagainya..
Dengan hati yg tulus untuk mengetahui and nak memperbaiki diri kita?? Pernah ker?? Mesti xpernah kan..naper ek?? Kepada yg pernah, tahniah. Anda ada usaha untuk memperbaiki hubungan anda dengan manusia sekaligus berusaha untuk mendapatkan keredhaan-Nya.
Kepada yg belum..anda mungkin takut untuk menerima hakikat..mungkin takut malu, ego..tp jgn biarkan semua tu menghalang anda..
Cubalah belajar menerima pandangan org lain..elakkan diri terburu-buru mengatakan NO, FULL STOP, MALAS DAH NK DENGAR, THAT’S IT, LANTAK KO LA...etc..setiap org berbeza pandangan..try to accept it..if cannot..jgn mengeluarkan perkataan yg menampakkan kita ni macam fakta sgt..be flexible..
Nk contoh??
(O ye ke??aku baca lain..kejap yer, kita check dalam buku..nanti dah dapat jwapan, kita gtau balik..)..Jangan
(Bukan la..aku baca ni..and memang camnie, aku xnk dengar dah jawapan lain..STOP)

kan berbeza tu...
Sama gak kalo dalam ibadat..org tegur kesalahan kita untuk memperbaiki mutu ibadat kita, tanggungjawab dia. Xkn lah kita nk mutu ibadat kita sama jer cam dari sekolah rendah...gtulah perumpamaannya

Kepada yg terasa, sorry byk2. aku tahu byk gak kdg2 pedas and laser byk..kalo terasa menang pedas..kalo x, xper..tp aku dah xsanggup nk tgur depan2..cara lembut pun bak kata org x dilayan..I dun ever know who will read my blog..what i write is from my own view, peringatan untuk diri aku, supaya aku xbuat apa yg org yg aku tgur buat....ada yg salah, tegurlah aku..emailkan kat aku..jgn biarkan aku hanyut sorg2 tanpa aku sedar apa yg aku pk, apa yg aku buat adalah salah..help me..PLZ...Email Me

ORL Posting..and Results for Ophthalmology Posting..

Salam semua and salam sejahtera...
We'd finished our ophthal posting...memang best and interesting even byk halangan yg ditempuhi dari segi masa, study dan ragam org sekeliling..
And finally the results already be announced..Alhamdulillah semua lulus..Keng Jun Ni sebagai pelajar terbaik posting..Tahniah Tahniah..and Tahniah untuk diri sendir..it's ur first posting A'a..and you already do it..hehe.
.
Dah habih opthal..continue lak dengan ORL..otorhinolaryngology..a.k.a. ear nose and throat plus head and neck surgery..posting ni best gak coz byk related ngan diri sendiri..cam allergic rhinitis yg very common kat Malaysia ni..ada hikmah kita sakit ni..at least ubat2 yg perlu diprescribed pun kita dah mahir..hehehe...

Cam ubat tonsillitis..(teringat masa 1st time kena dulu, sekarang dah adapt dah)..dalam seminar presentation, dia kata bg penicillin or erythromycin tp masa kena dulu dia bg bacampicillin (Penglob..betul kot eja)..might be derivatives of penicillin or kalo xhilang gak..dia bg augmentin (amoxicillin with Clavulanate or Clavulanic acid). or nama lain co-amoxiclav..sama la tu..so, even dia kata penicillin, kita still kena tahu ubat aper under penicillin..

Posting ORL ni penat dari segi mentally..yer lah..bila time clinic jer, dengan patient yg terhad, tp student yg ramai..susah la nk belajar.. masa first day clinic..memang pack sgt..bayangkan..4th year dah satu grup..29 org, tambah lak ngan 5th year..and tambah lagi dak dental..
memang lemas la kat dalam tu..nasib baik buku log xder minimum requirement..ok la skit..xder la stress..tp eventhough benda tu xder..sama cam post yg a'a gtau dulu2..still kurang toleransi antara member group..
berebut nk check patient..dapat tgk kes best2..xnk kongsi ngan kawan2..bila tanya, pusing bahu membelakangi kita lagi ader..cmnie ke kawan nk tlg kawan..SELFISH..
that's d only thing in my mind at that time..sedih sgt..ni bru posting ORL..
kepada member2 yg byk sharing..THANKS BANYAK2..

1st week ORL..byk seminar and memang ngantuk2 time org lain present..ha ha ha..bila la nk buang perangai buruk ni...dah try mcm2..ngantuk ni susah nk buang..akibatnya..mlm2 kenalah study balik aper yg tertinggal..bukan tak cukup tdo..dah pe'el..alasan..

Generally OK la..time clinic dekat2 kul 12.30, biasanya dah takder student dah..xramai la..sistem perlu diperbaharui..dividekan group sendiri and etc la supaya xcrowded.arrange la nk gi kat mana.OT ke klinik audio ker..
Kitorg ada dividekan diri sendiri..ambik turn la.. dalam dah divide2 tu..boleh lagi terdengar telinga ni menagatakan "kalau diorang lambat habih, kita halau diorang.." Patut ke tak patut???
Last2..setengah jam before my group habih turn, diorg dah dtg dah..saper yg nk kena halau ni?? tp sebgai professional..(future)..and nk sharing ngan kwn2..(kalo kita halau, sama jer kita ngan dia..baik jgn ikut), biarkan..

Pada yg terasa, jgn terasa lama2..xpuas hati..gtau depan2..slow talk..i can accept it..tp tolong jgn cakap2 belakang..last2, kawan ngan kita gak, mintak tolong ngan kita gak time susah2..itu bukan kawan..itu menspare partkan kawan2....malu kat diri sendiri la..plz yer.teguran ikhlas....
boleh emailkan..kalo rasa xnk face to face..it's OK for me..

Actually, that's the main objective I write this blog..nk share smething wat panduan, nk lepaskan geram n teguran secara tulisan..nk secara verbal..karang merajuk plak..at least, i
dunno who will read my blogs..and i dunno that they already know..THAT's BETTER for me and them

Community Eye Service di Kg Kutan

Pagi2 dah kena siap untuk ke Kg. Kutan..our first eye service for the community..syoknyaa..
Ingatkan xkena bawak white coat..nasib baik my frenz datang bilik n kata kena bawak..kalo tak..maunya tertukar gaya MO ke student..he he he..
Dah sampai sana..dah siap setting kat Surau Puteh tu, kami dijemput makan pagi oleh penduduk kat situ..sedap..nasik lemak ngan air teh panas..huhuhu..
Lepas tu..kami pun start la wat keje..suppose sorg student handle one patient dari registration sampai la consultation dgn MO tp aku sorg patient pun xberjaya wat gitu..
Ada satu masa tu, my frenz yg jaga bahagian funduscopy iring one pakcik and i told her that the pakcik cannot go home yet as he got eye problems and need to be consult by one of the MO..so, aku take over la pakcik tu..bawak gi jumpa Dr. Tan..
Masa tu, Dr. Tan baru jer sampai and nampak dia cam terpinga-pinga..memang susun atur kat dalam tu serabut and pening..as i'm d only one yg xbz masa tu, aku gi la approached Dr. Tan..1st time cakap ngan dia..he he he..i told him that there's one pakcik need his consultation..then i lead them to a desk..complete with all the equipment for eye examination..and i lend my own funduscope at that time..
Yg bestnya..Dr. Tan ajar la pasal pterygium..a fibrovascular growth kat conjunctiva..memang best penerangan dia coz dia tak kesah saper yg dia ajar tak kira itu mentee dia or not.
Finally, pakcik tu kena refer ke HUSM untuk wat Pterygium Excision as it's going to extend and disturb the visual axis..dapat la peluang isi borang referral tu..
Dr. Tan jugak ajar sorg my frenz yg bukan mentee dia lepas tu..Dr Tan memang ada gaya sorg lecturer and doc yg hebat...Chaiyok2..
Then time untuk kutip signature funduscopy and short case..as my MO didn't join the eye service, i have to approached any of the MO..ha ha ha..at that time barulah tahu apa yg diorg cakap pasal mentee Dr. Azreen.. kelakar sgt..ayat yg paling best "Siannye Azreen, naperlah mentee dia camnie.." bunyik cam our Mentor quite dissapointed la coz kitorg lambat nk appreciate finding time kat klinik..hu hu hu..masa tu, MO-MO tak tahu yg aku ni salah sorg mentee Dr. Azreen..hik hik hik..so, appraoch kali pertama xberjaya..
however, nk buktikan jgk mentee Dr. Azreen ni boelh buat jgk..try kali kedua..alone..without my frenz..MO ni kelakar..dia kata "alahai teruknya lukisan funduscopy kamu." tapi aku jawab balik "yg penting kita paham lukisan tu and saya nampak finding tu.."..hehehe..MO tu angguk setuju..wahhhh...sonoknya..
and kali ketiga untuk approach MO lain untuk funduscopy yg last ialah Dr. Che Maheran..
masa dia nk turunkan signature dia, dia tnya " Awak ni mentee saper yer??.." then aku reply " Sayalah mentee Dr. Azreen yg sorg lagi tu..."..kami gelak sama2..he he he..
Even time klinik kami xleh nk appreciate finding tp kami berjaya tgk findings time gi menceroboh ke wad medical and ortho semata2 nk tgk Diabetic Retinopathy..siap kena lecture ngan MO medical lagi..yeay...kami boleh...
Thanks MO, thanks Dr. Azreen..Thanks a lot my frenzs..i learned so much thing from u all..
never forget that..that's why i put all the things happen during the posting in this blog..n in my own diary..

3rd Week in Ophthalmology Posting...

Salam semua..jumpa lagi..
3rd week kitorang posting ophthalmology..memang best and interesting..Specialist and MOs pun baik2..start diz week, dah ada 5th year yg posting ophthal gak..

Hari Ahad: cam biasa..klinik..time ni time nk kutip funduscopy examination..and short case presentation untuk dimuatkan kat dalam log book kami..
Time klinik, MO tanya bila nk exam..so,aku jawab la Selasa ni..terkejut dia..bimbangkan kami..dia terus carik and book patient yg ada finding best cam glaukoma, ARMD and DR..siap dia kata "hari ni awk mesti dah boleh appreciate finding dah"..ditakdirkan hari tu kami xleh merayap gi kiub org lain tgk kwn2 check patient..ha ha ha..padan muka..at least kami belajar gak..and 1st time aku dapat tgk rupa drusen tu..sonok sgt..
Tapi..
Ingat A'a ni boleh duk senyap ker?? Masa MO tu gi kiub lain, aku ikut merayap gak tp bukan ikut MO tu, tapi gi kiub lain..Sampai satu masa, my frenz sorg ni ajak tgk finding patient Retinitis Pigmentosa..bukan senang nk jmpa tu..baru jer nk tgk..dah dgr dah budak2 ni panggil kata MO tu carik aku..alamak..kantoi aku melarikan diri..
Diorg cakap aku kena demo wat Reverse RAPD ..xingat la plak..sudahlah last 2 weeks dia dah ajar tapi coz dah tahu itu postgrad nyer matter, tu yg xingat tu..kuangkuangkuang..
Jadi, menurut kata bos, aku pun pergilah ke segerombolan pelajar tu sambil melihat cahaya2 harapan daripada muka diorg yg aku akan demo reverse RAPD tu..sekali, aku cakap "Xingat la doktor.xreti"..and sekali lagi aku diselamatkan daripada membuat perkara yg aku tak tahu..yakni, MO time tu tgh bercakap ngan kawan aku sorg ni..so, peluang lagi sekali untuk melarikan diri..ke mana??? mencari seseorg untuk menuntut ilmu reverse RAPD nih..hikhikhik..Dr. Tengku Norina lah tujuannya..walaupun takut gak ngan dia sikit2..
Finally, berjaya gak belajar ngan dia..Moralnya- pandai2lah carik peluang nk hidup..hehehe.
Tapi apa yg best time klinik ialah..nampak kesungguhan setiap MO untuk memberi tunjuk ajar pada each student undergrad yg diorg pegang..
Petang lak..Seminar 4..teruk group kena marah coz xikut piawaian yg specialist nak untuk presentation..tp betul kata dia..dah masuk 3rd phase medical school ni, yg penting the way we approach patient..bukan cam baca dalam buku tp the real thing yg ada depan mata kita..kalo meghafal jer ayat buku tapi kuar pun cam dalam buku..dalam kes pelik skit, sure takleh nk apply..so, kenalah belajar aplikasi teori dalam praktikal..
GOOD LUCK pada Syud, Azirah, Ara, K.Shik and Peck Lian..Viva korg Isnin 23/7

Posting in Ophthalmology Year 4

3:55 AM 7/13/2007

Tonight..early friday morning..i got a chance back to write in my blog after a long time i didn't do so..why toninght??? yeay..i already finished my first weeek of ophthalmology posting in year 4..got 2 weeks more to go..what a short time to fulfill the minimum requirement or otherwise we will failed our most interesting posting..huhu..mintak jauh la..AMIN

For additional information..we have to performed at least 20 funduscopy examination and got MO/Lecturer's signature to approved it..besides, for those who are posting in ophthalmology, make sure u know basic things about funduscopy finding..help ur frenz, help ur frenzs..any interesting findings u found, tell ur frenzs, ask ur frenz to come along..to ward or clinics..without ur own funduscope, it's really difficult to survive..we have to search for it all over the clinic..and sometimes we have to borrow it from the MDL..luckily i already borrowed it from MDL..the lab..for 3 weeks..hehe..hoewever..i still shared it with my frenzs....get ur own funduscope..however, i have to think many times before i can lend mine to others..of course have to think again n again..it's very expensive and it's important to not wasting ur scholarship to buyleast important goods..So..SAVING SAVING SAVING...

in ophthalmology posting, we are divided into 3 team..A, B, C..each team have different activities..eventhoughwe're in the same group, that's not mean we have a chance to meet our frenzs from other team..only during tutorial..u know what i feel?? i feel very far from my frenzs..huhuhu..hope we can improve it by the 2nd weeks of postings..

Each students will be attached to a MO..Medical officer who is doing Msc in Ophthalmology..i have to share the same MO with my frenz..the MO will teach us certain procedures and alwiz ask us about common disease of the eyes..During clinic time, we have to clerk patients, observed and performed procedures..all of that must have a signature.So, depends on the MO..some got very sporting MO and some got quite moody MO..huhu..Alhamdullillah my MO have a willing to teach us with a full commitment..that's why i cannot waste my chance to learn from him n my frenzs..
thanks a lot guys..

During OT..we went to OT room 9 and 12..we observed some operations and certain procedures..all surgery involved microscope..microsurgery So..we have to listen properly on what our MO and the specialist discussing during the operations..we also learn the theories of the operations such as ECCE, ICCE, phacoemulsification and etc..

phaco means lens

4:31 PM 7/13/2007

After diz we gonna discuss about funduscopy as tonight we will visit the ward.. What a stress day for me.. New Books..more money needed, no clinicsno OT..i really missed that day..less time for us to cover the log book..

i think i have write everything i think u should know about our first posting..Ophthalmology..
Here are the list of my team. Group B withe the name of their MOs..of course this will be our memory in the future..

Sani and Hisham : Dr. Tg. Norina
Saril and Me : Dr. Azreen Redzal Anuar
Cik Pu : Dr. Che Maheran
Syud : Dr. Tan Soo Ken
Ara : Dr. Bashkaran
Azirah : Dr. Omar
Kak Syidah : Dr. Hamiza
Kak Syik : Dr. Amelah

Ya Allah..takut sangat dah nie..

Salam semua..sekarang kul 2.46pm..jap lagi kul 3.30pm..result PRO II akan diumumkan..kat Dewan Kuliah 2..sekarang ni..hanya Allah saja yg tahu betapa berdebarnya saat ni..lebih takut dr masa nk ambik exam..A'a dari pg td tak berdebar sehinggalah sekarang barulah ada..tgh nangis ni..Takut sgt...hanya mampu berserah and doa byk2 jer..
tadi ada rumour mengatakan 2 dak dental and 10 dak medic yang tak lepas..ramai sgt untuk tahun ni..naper gini???sedihnya and takutnya...
k ah..nk gi sejukkan badan..lepas ni sympathetic lagi kuat ni..eh silap..bukan sympathetic rasanya...
nk atropine lah..hehehee...
Ya Allah..tolonglah hambamu ini..semoga result yg aku dapat nanti mendekatkan diriku padamu dan bukan menjauhkan lagi..AMIN..

Professional II Exam dah habih..

Salam semua..lama saya tak tulis blog nih..hari ni baru ada masa..ye lah..baru habih exam petang tadi and still rasa penat gler..itu baru ujian dunia yang xseberapa..tapi kita rasa cam dah tertanggung lagi bebannya..belum lagi beban yg kita kena tangggung hasil dari apa yang kita duk buat tiap-tiap hari..Na'uzubillah..Renungkanlah..

Ok lah..sambil tu, jom nak citer skit apa yang jadi masa minggu exam ni..lega sangat rasanya tapi still takleh nk hepi2 coz result tak kuar lagi..ni satu hal lagi..huhuhu

13hb Mei 2007..9.00pg dan 2.15ptg..
Exam MEQ
- Tgk tarikh pun mesti teringat sejarah Malaysia..xkn tak tau kot..hehehe..bermulalah paper and hari first EXAM PRO II..xsangka sangat masa cepat berlalu..pagi before nk gi exam tu, xyah cakap la cholinergic nyer system menguasai diri..asyik nak gi toilet jer..jantung plak berdebar2..kecut sangat..paper pagi agak susah la compare ngan MEQ 2 belah petang nyer..apa yg kita spot tak masuk..tapi nasib baik byk gak la yg masuk tu kita sempat ulangkaji cuma ingat tak ingat jer a..yg penting, paper pagi tu tak mentensenkan sangat kepala..penting tu so that kita tak terganggu untuk next paper..
-Petang cam biasa r..symptoms yang sama datang balik..gula2 sentiasa ada dalam poket..masa menjawab memang cukup2 jer..sure tak sempat tdo nyer..apatah lagi nak gi toilet..paper petang byk yg senang tapi tunggu kita baca ke tak..yg xberapa suka ialah..benda yang masuk ialah benda yg kita langsung tak sangka..benda2 kecik jer dalam lecture notes tu..fuyoo..
Pengajaran: Jangan pandang sebelah mata jer nota2 kecik yang lecturer tulis tu..sebelah mata xper lagi, jangan xpandang langsung..

Kes yang keluar MEQ
1. Hypertension
2. Amenorrhea, Dysmenorrhoea, Post-partum Hemorrhage
3. Acute Myeloid Leukemia
4. Hepatitis A
5. Metastasis dari Lung ke Brain
6. Pneumocystis Jiroveci in HIV
7. Acute Pyelonephritis
8. Osteomyelitis secondary to Fracture, MVA

14 Mei 2007..2.45ptg..
OSCE (On Spot Clinical Examination)
- Ditakdirkan plak turn untuk OSCE kali ni sesi petang..so, sempat la stadi waktu pagi tu time orang lain tengah duk jawab soklan kat lab tu..even lambat, tapi still berdebar..memang predispose nak dapat heart failure ar camnie..asyik tachycardia jer..
- OSCE agak susah la..balance la..A'a dapat stesen 8..start dengan stesen yg senang..then stesen mikrob..masa duk jawab kat stesen 9 tu, ada la sorang doktor tu duk tgk jawapan kita..dengan menggunakan kuasa lengan baju, jawapan berjaya ditutup dari penglihatan dia..haha..sori ek doktor encem..lepas daripada tu..start la stesen2 yang semakin lama semakin susah..memang stress ar masa tu..sampai la kat stesen aktif..release skit la..siap2 gelak2 lagi..ada sorg student kata terdengar bunyi gelak masa tu..yer ker??..hahha..malu plak..ilek..cool sentiasa..lepas tu, start la balik stesen2 yang memang tak tahu nak tulis aper..siap ada yg jawapan mengarut lagi..memang tak sempat nk tulis and tak tahu nak tulis aper pun..5 minit jer kan..
Pengajaran: kalo stres, hepikan diri kita..jangan layan stress tu..nanti effect kat soalan seterusnya..rugi..

Stesen Aktif:
Vaginal Examination
Urinary Catheterization
Orthopedik-True Length, Apparent Length, Bryant's triangle, Galleazi test


17 Mei 2007..10.15pg..
Clinical Exam - Wad 1 Selatan

- Ni lagi satu exam yang memang kecut coz tak pernah2 rasa lagi nih..ni pun nasib baik dapat hari last..sempat la nk wat persediaan..kawan2 yg dah lepas2 kata examiner semua baik2..ada la certain yg kureng skit tapi aperpun..itulah rezeki kita...
- Pagi exam tu, sorang kawan ni sempat la wat review clerking one kes..memnag tak sampai 5 minit la..bila dah sampai kat wad tu, memang jantung nk melompat..siap tangan ni basah2 lagi..takut nyer pasal..bukan takut dapat kes susah tapi takut dapat examiner yg cerewet..kalo external examiner lagi la susah..sistem pengajaran kan lain2..tapi before ni ada kawan yg yg external examiner siap impress lagi ngan dia..
- Masa cabut undi dapat kes no-2..medical based..bila time masuk wad diiringi oleh Dr. Shahar..bila tgk rupa patient time tu..still xleh nk agak dia sakit aper..sekali bila tanya dia, barulah tahu dia ada sakit yg sama macam kawan sorg tu review kat aku pagi td..Ya Allah, inilah rezeki aku..tuah aku..tgk lah betapa Allah nak tolong kita dengan pelbagai cara..Alhamdulillah..
bila dah clerking tu, tertanya gak saper la examiner nanti..sampai masa tu, reveal lah..ha ha ha..
di balik curtain wad..dia ialah Dr. Che Aminuddin and Dr. KNS Sirajuddeen..wa wa wa..Thank You Allah..Thank You Allah..walaupun masa tu takut tapi tetap kena coolkan diri..masa PE..sempat wat lawak..mana tak nya..
PE CNS..check muscle tone OK tapi time nk wat reflex, automatic patient tu jadi rigid..hypertonia.so, gagal mengelicit deep tendon jerks kat patient tu..sedih tapi examiner baik, dia cuma suh tunjuk jer cara buat..kejap jer..byk PE yang dia mintak skip..so, diskusi la lama skit..macam2 soklan ditanya..pathophysio la..dapat plak ngan Dr. Biochem..lagi parah..tapi cam biasa r..Dr. tetap membantu student dia..yg mengarut2 pun ada...ha ha ha..lawak plak..
soklan common yg ditanya ialah "naper nama awak xder NIK"..hahhaha..
Then, kena kuarantin kat Wad 7 selama sejam lebih..ok lah..Alhamdullillah..segalanya telah dipermudahkan...
Pengajaran: mintak doa banyak2 ngan ALLAH..jangan putus asa dengan pertolongan Allah..mungkin pertolongan datang dalam masa singkat atau didelaykan..siapa tahu??yg penting, NEVER GIVE UP..and nak doa makbul, jaga lah amalan kita..sebelum dan selepas kita ditolong..AMIN..

Kes yang dapat:
Generalized Tonic Clonic Seizures

k ah..nk stop dulu..lapar la plak..nanti sambung balik..hehehe

my Molly fish..the black and montel and....

today is quite a sad day for me..my Molly fish already

died post-partum..however the baby also gone too..dunno

what's the problem actually..huhuhu..even i already got

18 of her babies..

but she is very spoecial as she started to be tamer than before..previously, she will hide from people..

but since 2 weeks ago, she easily swims near the surface even at that time i was looking at her from above..huhuhu..

this is one hour after i bought her

9 days left towards our Professional II Exam

This is d most stressful week for me..and some of my frenz..i think.hehehe..
Professional II Exam is one out of three most important exam in our life as a medical student..in USM. Why?? if we failed to pass.we have to repeat another year..not a semester and what makes it is more difficult adn of course more stressful right now, no remedial exam..huhu..

Sometimes, not the exam itself act as the stressors but peoples and students around us.. Occasionally during this time, i saw and experienced many will be very selfish..i know they want to share with us what they'd already read n revised but the mistakes is..plz consider whether the time is right or not to discuss..the student might think that the time is suitable for her but at some circumstances, it's not for others.. it's all related to psychology effect.. To avoid this, we have to be more sensitive..

...how i'm going to face tomorrow and so on...until my exam??? As usual, Never Give Up..and like my favourite singer (Josh Groban) sing "Don't Give Up, It's just the weight of the world"...

Hope so.. the big obstacles i have to overcome right now are psychologically, mentally, health and of course the notes..huhuhu.. And as a Muslim.. never forget your ibadah, take good care of others feeling and do no harm from what ever aspect..

i think i better stop typing first right now..i have to reserved my time for more important thing.. TIME IS VERY PRECIOUS... Like Gollum of LOTR "My precious"..hahah..adioss