Friday 29 January 2010

Adnan Sempit..



ni tajuk movie yg kami berempat gi tengok mlm td..
memula memang xnak tengok..x suka citer pasal mat rempit ni..tapi ok la..
kami gelak mcm nk pecah vocal cord..

citer ni best...pelakonnya pandai berlakon..
suara nyanyi pun best..xsumbang sgt..


tp yg xbest ada few adegan yg tak sepatutnya dilihat boleh mengotorkan hati dan minda..xbagus..
xsepatutnya da dlm filem melayu..yg mana zamn sekarang dah byk citermelayu ada adegan xsenonoh..


tak paham tul naper la mesti nk selitkan adegan camtu..
bila tengok tu..terbuka la mata hati dan kepala bahawa benda tu camtu
memang dah wujud dlm masyarakat dan hidup muda mudi sekarang..

agaknya itulah budaya manusia akhir zaman


xtahu mana betul mana salah dah..sedih tul..kalo x berlaku, mesti xder terpikir nk letak adegan tu dlm citer ni kan..

saper yg tengok tu akan tahu la part mana yg dimaksudkan..

lagi satu..penyalahgunaan perkataan "aqiqah"..
dlm citer ni, xsepatutnya adegan xsenonoh dilabelkan sebagai aqiqah...yes..kalo dlm Islam aqiqah bermaksud pengorbanan..tetapi bukanlah 'mengorbankan" diri ke jalan yg salah, yg haram, dan cara yg xsepatutnya..


ini..bila org bukan ISlam tengok..akan membawa ke arah salah faham tentang erti aqiqah tu sendiri..

pada saper yg nak tengok citer ni..jgn gelak xtentu pasal..jgn hepi semacam jer bila sampai part yg xsepatutnya anda gelak..


nk gelak boleh, tp kena ingat agama..
kita tengok, kita belajar, dan kita tapis ambik yg berguna jer untuk hidup ni..k.

TQ..

Tuesday 12 January 2010

My worst Oncall during Paeds Posting


On 10th January 2010..what a nice date for this year..

my 1st oncall at general paeds ward during weekend...previously, i only got my calls during weekedays..and weekend during my nursery rotation..


Quite nervous actually since that morning..Being nervous is not a good sign for me..

As i will always think of whether that day will got many admission and severe cases will come..


Yes..that's right..

just two hours oncall..around 9am, already got 2 new cases..

hahaha...

until 5pm, already got 6 cases..

until 10pm, total 10 cases..and final case at 3am..

fuuuhhh...the most unstable patient was a case of SEVERE Acute Exacerbation of Bronchial Asthma..


SEVERE AEBA secondary to URTI


This child, 4 years old, was diagnosed to have Bronchial Asthma in July 2009..came in with history of fever and cough for 2 days and noted to have rapid breathing 4 hours prior to admission..from my assessment, the asthma control is very poor..u know why??she used inappropriate aerochamber..device that help to delivered the inhaled medication.

that's why her father claimed almost every night she will get cough..


On examination, she appeared lethargic, tachypneic with respiratory rate of 50/min..with subcostal recession

the chest got very tight air entry..scary enough..

i give her 2x nebulized Salbutamol and Atrovent..with Face Mask oxygen 5l/min..and also Iv Hydrocort stat..

improved..but recur around midnight time..at that time, i did informed my MO as he told me not to aggressive...cam u imagine how can i sleep well that night..

fuuuuhhhh..actually now i know how to manage bronchial asthma patient..

in the morning, i reviewed the chect X-ray..got perihilar haziness of bilateral lung..i wish to take the picture of the X-ray later on..

just to share..



however, since evening, i already said to my mind and already imagine that no admission plz after 12..just one..and i just requested to staff nurse to inform my buddy (who already went to sleep at 12MN) while i'm setting up IV line for another special child.


apa yang penting, kerjasama...


I'm Not JONA k.. maybe the combination is not good...hahaha..that's whay my colleagues said..

no lah..at least i learn a lot during my oncall..and refresh back the management..as previously i was in Nursery..

Thanks a lot

Friday 8 January 2010

Everything goes wrong this week....

Again..what a sad day for us..for SCN staff..
baby kesayangan SCN dah dibawa pergi oleh kebajikan ke rumah kanak2 yg dirahsiakan alamatnya..
hope jgn ke Siam dah ler..
and according to SN kat SCN, diorg gi keje pun cam dah best..lagi2 sejak batch kami kat SCN dah start turun wad 2 and wad 1..
huhuhu..perkara yg sama telah berlaku masa kami kat surgical..
dan banyak jugak perkara yang berlaku yang meletakkan kami dalam dilema membuat keputusan..susah sangat..
nak citer, lain pikiran, lain assumption..apa kami boleh buat..sesama kami yg dlm dilema ni la meluahkan dan meredhakan apa yg jd..
stress sgt, tengok kartun..tulis blog, bercucuk tanam..
Yesterday lagi la..ada satu kebiasaan yg very small and actually nothing goes wrong pun kalo aA buat benda tu..cuma sebab dh believe the same thing since long time ago, so, rasa nk ubah skiiiitttt jer benda ni yg sebenarnya x mengubah aper2 pun...
then, notis gak la..since yesterday morning, ada jer yg xkena..
memula sekali boleh tahu..
dh lewat skit nk gi keje..time tu la kunci pintu bilik terjatuh..dh ambik, tutup pintu..tertinggal payung lak kat dlm bilik..bukak balik...
dh kuar rumah, ada tertinggal barang lagi kat dlm bilik...
mcm2...
bila duk discuss kes ngan kawan, apa yg cakap xsama ngan apa yg dipikir...
bak kata my frenz..Broca's area xbetul..
hari ni pun sama gak..
kena marah dengan benda yg jelas..indirectly i'm feeling sad..
mungkin inilah hidup HO..
explanation?? dangerous for us..
xper la..
nak wat camner kan..
hope masa berlalu dengan sangat cepat..tanpa kami sedari..
yg penting, NEVER GIVE UP..
and untuk cheer up, aA always remember the good old things masa kat tempat sebelumnya..
hmmmm....bunyi cam rahsia je kan post ni..
pada kawan2..tabahkan hati, kuatkan semangat..
and sori if ada wat silap...ada silap, mintak tegur..TQ