Esok Exam Kot..

Tengah study hematology td..penat lak mata..tp baru jer bgun tdo td..stay up ni.sekarang kul 3.3opg..esok..khamis..30hb..ramai member group ada exam long case and short case ngan supervisor..A'a??
xsure lagi..tak dapat jumpa supervisor..dia cuti..so..esok tak tahu dia cuti lagi ke tak..nk SMS..tak tahu sama ada dia OK ke tak kalo SMS..ada certain lecturer xsuka student mesej dia..lupa lak nak tnya dia hari tu..
kalo esok dia cuti lagi..means, maybe next week la kot, time posting O&G kena exam untuk Internal Medicine ni..
hope dia ada la esok..nk kena settle buku log lagi ni..lompang..haha..
dan jugak report..supervisor xcheck lagi..coz style dia..check depan student..haha..70% marks tu..banyaknya..
k ah..nanti sambung lepas exam pulak..(yakin jer esok exam..)..xleh lama2..kena smbung balik study ni..c u later..

Ni gambar masa elektif..tapi ni bukan kat Ipoh..kat Batu Pahat..weekend last masa elektif, my best friend bawak balik kampung dia.
dapat peluang tengok cara orang Johor kenduri kawen.. meriah..kat dewan..tu kali pertama menghadiri majlis kawen kat dewan. Sepupu2 kawen, tak berpeluang gi.. tunggu sepupu2 yang lain la plak..hahaha..
nampak tak bendera Johor kat belakang tu??..bukti duk kat Johor..

ilusi optik 3

Lines in The Street Illusion

April 14, 2006 by Vurdlak

Observe this! No, those lines weren't done in Photoshop. The red lines are actually painted on the buildings themselves! If you don't believe me, jump inside the post to see evidence I provided. It is massive version of famous "3D Painted Rooms" I posted earlier. This picture was taken in Place de l'Odeon, Paris. Looks like someone took a red marker and drew a couple of lines on the image below! It looks perfectly lined up only if you view it from one particular viewpoint.Here's how it was done:

Medical Posting : Case

It's been a long time for me not discussing about the cases i'd seen during my posting..

Actually, this evening i recall back and have a look at my previous posts.. i'm laughing at myself.. i can see the immature side of me and the mature side..hahaha..that's life.. gain experience to make me wiser (ayat G-mah ni )..

First case i saw during my posting this time..the one that i really knew the progress was about :
History

24 years old Malay male, non-smoker presented with gradual shortness of breath and symptoms of heart failure such as orthopnea (unable to lying flat), paroxysmal nocturnal dyspnoea (grasping for breath while sleeping) and ankle edema. Besides, he also become lethargy and reduced effort tolerance for 2 weeks duration. At the same time, he experienced left sided chest pain. He did seek for treatment from the General Practitioner (GP) and was given medication for gastritis (MMT..the white minty syrup). However the symptoms does not resolved.

Investigations

Later, as he knows that the symptoms became worsen, he came to our hospital..and ECG (electrocardiography, a type of investigation to look for electrical activity of the heart) was carried out..and a chest x-ray.. ECG shows that the features of a heart which unable to pump strong enough (low amplitude QRS complex)..and the chest x-ray shows bilateral pleural effusion. Heart border hardly seen. Echocardiography done and revealed the presence of massive pericardial effusion (fluid between the heart wall and the layer that covers the heart, pericardium). Emergency pericardiocentesis (a procedure to aspirate the fluid from the pericardial cavity.
CT scan of the neck, thorax and abdomen were ordered. From the report, there was a huge mass in the midline in the thorax cavity confined the upper, middle and lower part of the mediastinum (in the thorax)..
Two tissue biopsy were done at different time for histopathology examination. The result came back 1 week later..after an urgent tracing..

Diagnosis
Told to have : Malignant Germ Cell Tumor (embryonal carcinoma).
This type of carcinoma commonly occur in male rather in female with the ratio of 9:1.
This patient already gor bone metastasis to the lumbar vertebrae and later was referred to oncologist.

Breaking the news
Before the patient knows about the diagnosis, he did ask me regarding the result. He said that the doctors told him about 'Barah'..and he ask what he's going to do next if the result was true.
I'm as the medical student can't told the diagnosis to the patient. It is bioethics. Only the doctors who manage the patient can do this task.
During the morning round, the same day when the doctor break the news, i was there. I can see the patient's face changed once he knows the result. Can u imagine that??...

As i remember, this was the 3rd time i encountered with the situation. Breaking the news.
The first one involved the patient with Diabetes Mellitus with multifocal lung infections and pericardial effusion secondary to melliodosis. Second case was a 40 years old Chinese man diagnose to have Advanced Unilateral Lung Carcinoma.

See.. no matter at what age, the disease can come without we realized it until it already spread.
At certain range of age, there's certain risk for certain disease. Take good care of ur health.

One of my lecturer told us during teaching with him in KK Kuala Besut :
"Both of my parents got Diabetes Mellitus..i got 80% risk to get the same disease..That's why i do OGTT annualy and always go for medical chack up to look for my lipid profile.."

Just to share with u guys..not to scare any of you..just for reminder..for a better future..

Ilusi Optik 2

Jigoku Shoujo a.k.a. Hell Girl

Hmmm..tengok tajuk post kali ni bunyi cam benda jahat jer..mana ada..
Jigoku (Hell) Shoujo (Girl) adalah siri anime (drama kartun Jepun) yang paling diminati A'a selepas Dragonball GT (ini pun anime ker??..)

Anime ni dah masuk season 3 pada 6 Oktober hari tu tapi masih tak berpeluang nak tonton..
Minggu lepas baru dapat habiskan season 2,

Jigoku Shoujo Futakomori (Hell Girl - Nightmare)..

puas hati bila dapat tengok..

season 2 lebih seram dan lebih ganas dan extreme tapi lebih banyak scene yang sedih..

Siap A'a boleh nangis lagi bila tengok yang episod 26 (final)..

kantoi..hehe...

apa yang sedih sangat??..

bila dah follow dari season 1..or at least starting season 2,

kita boleh tahu kenapa Hell Girl, Enma Ai buat kerja2 ni...

ayat favaourite Enma Ai ni : Ippen Shindemiru??

nak tahu,kena la tengok sendiri..A'a siap download lagi..heheh..

baru jer sejam tadi siap burn dalam CD..

My sister, Atih pun suka tengok Anime ni..dah lama kami follow..

dapat peluang jer terus tengok..ada gak kat Animax

Dia ada cuba cari CD original kat KL..tak tahu la jumpa ke tak..

dapat yang Original baru best dan feeling tengok..even kartun..

so, sesaper yang berhajat nak tengok Anime ni..boleh la ke website ni :

http://ayashi214.multiply.com/

tapi kena register dulu..tak pe..tak kena bayar pun..

Versi Live Action pun ada..dah tak dapat tengok lagi coz kat USM ni, website tu dah kena block..haha...

padan muka A'a..sempat tengok sampai episod 9 jer kot..

yang ni ada kat http://www.mysoju.com/

k..nak sambung revision jap..esok pagi kena gi wad.. ONCALL..
Gambatte A'a..

Got the Book..

Salam Sejahtera..

petang tadi my parents datang..macam biasa..dia nak anak dia antar baju balik rumah untuk didobi..kalo tak antar..dia suh naik balik ke bilik..bawak baju tu turun..banyak kali dah A'a tak bagi Ayoh basuh baju tapi dia nak jugak..

so, banyak kali jugak la terserempak ngan MO and kawan2 kat depan blok asrama (BLOK B) ni..sambil bawak beg baju dobi yang besar..kadang2 sampai terlimpah-limpah..siap lengan baju or seluar terjurai keluar lagi dari beg..

ada sekali tu, siap selisih dengan MO anaest lagi..defense mehanism masa tu : senyum jer..

hahaha..cover malu..siap my sis, Atih boleh gelak lagi..kelakar agaknya nampak bawak beg besar sampai xmuat baju..haha..

that's my intro..

sebenarnya, tadi my parents ada bawak sekali nasik (RUTIN dah ni) dengan lauk yang My Mum masak la..

..terus selera dan semangat sangat nak makan..

petang tadi jugak My Parents bawak sebuah bungkusan..yer...di dalamnya ada sebuah buku..

Sebuah novel kisah besar..pernah baca sampai 1st 5 pages jer..and terus rasa nak memiliki buku tu (skemanya ayat)..memang best..with simple English and their explaination why certain things and story cannot be storied out..puas hati la..

Title : From My Sister's Lips

Author : Naima B. Robert

A'a ni bukannya jenis baca novel..beli yang Lord of the Rings dulu pun sampai sekarang tak habih2 lagi pun..itu beli 3 tahun lepas tu..haha..

hope buku ni A'a berjaya habihkan dan dapat citer balik pasal buku tu kat blog ni.. kena ada motivator sendiri baru rasa terdorong nak baca buku ni..hope to gain something valuable for my life from this book..

and

Thanks to my cousin for giving me this book as my birthday present..

Ilusi Optik

TOMAN

Salam and Selamat Sejahtera kepada yang membaca..ada ker??

Malam ni..10hb Oktober 2008..hari ke-10 raya..kat Blok B (hostel di USM) ni, meriah sangat..

Ramai yang buat bilik terbuka..jamu biskut raya..

..siap ada yang buat BBQ lagi..

..tapi bilik dak medic semua terkatup rapat..study kot..

...A'a??..

..duk bilik single ni biasa la..bilik terbuka gak..

nk bagi angin masuk sambil tengok anime kegemaran..

..Hell Girl a.k.a. Jigoku Shoujo...

ni namanya Enma Ai

..tengok online..

bukak pintu bilik..wireless pun laju skit..hehe..

..ada unsur misused di sini nampaknya..

tengah tunggu loading anime ni..so..sempat la blogging jap..

..satu perkara yang Lalan (my cousin) anti sangat2..

..xper..lagi dia anti, lagi kita blogging...haha..

becoz there's someone somewhere outside there yang baca..

SEBENARNYA

apa motif n objektif nk tulis blog mlm ni yer??

cam xder jer.banyak sangat sampai xtahu nk yang mana dulu..

hmm...nk citer pasal..

yer...dapat dah idea..

skit lagi idea nk sampai...

...jangan lari....

My Favourite Ikan Toman

=P

dia ni xder kaitan ngan A'a pun..nak tunjuk rupa ikan toman jer

Baru-baru..my brother, Abe Najmi dapat kerja.

Alhamdulillah..akhirnya..even tempat dia keje tu jauh di pedalaman..

..kat Tasik Banding..

..tapi ada benda best kat sana yang kami sama-sama suka...
Ikan Air Tawar.. sedap tuh..
..lepas seminggu dia gi keje..dia balik..

..dan bawak balik sekali seekor ikan toman seberat 2.3kg..

BESAR..masih hidup..
A'a tak tengok la dia hidup..tapi Atih tengok..jeles tul..

..dah la ikan favourite..

..why??..

nampak macho dengan cerita-cerita keganasan ikan ni..
masa Abe memula smapai kat rumah tu..dia SMS A'a..

kata dia bawak balik ikan toman hidup-hidup..d

ia ajak A'a balik tapi A'a kena gi wad time tu..so takleh la balik...

then dia kata dia akan siang ikan tu..dan nak antar kat A'a yang dah masak...

alaaaa...nak la tengok yang hidup lagi..

ada suggest kat Abe suh letak dalam tangki ikan hitam Ayoh..

taaaaaaaaaaaaaaapiiiiiiiiiiiiiiiiiiiiiiii

Ayoh tak bagi..dia takut habih ikan Ayoh dalam tangki tu kena makan..

so, terpaksalah 'bunuh' gak..
Petangnya..Abe pun antarlah ikan toman yang dah siap masak tu..

fuuuhhh..besar tul..dia antar skit je

dalam 3 ketul..share makan berbuka ngan kawan2..tu pun xhbh..

maka yang xhabih tu jd lauk sahur A'a..

seminggu before raya pun, Abe Najmi bawak balik lagi sekor..habih usaha dia nak pastikan ikan tu hidup..

sempat mati dulu masa sampai kat Tanah Merah..

..xper..dapat tengok yang full lagi..

sepanjang seminggu tu..sahur dan berbuka..lauk ikan toman jer..

celup tepung dan goreng..dah cukup sedap..

bila entah..part ekor tu dapat kat A'a..

besar tapak tangan untuk sirip ekor sahaja..

bila makan part situ..baru tahu struktur ekor ikan tu..

pangkal ekor dia sama cam pangkal bulu pelepah burung..

jap yer...

nak cari gambar seumpamanya...

masa makan tu..xambik gambar...
nampak tak batang bulu pelepah tu?? camtu la rupanya

alahai..bila carik gambar bulu burung..teringat la kat citer Forrest Gump..kan awal2 tu ada dia tunjuk yg feather tu terbang...dah dah..

balik pada citer asal...cik TOMAN..

my uncle, my aunt and my cousin tak makan ikan toman..

sebab dia kata kepala ikan toman macam kepala ular..SNAKE HEAD..

in English pun..memang nama dia SNAKEHEAD..

ada jenis Red Snakehead, ada yang Giant Snakehead..

yang paling lawa sekali..Toman Bunga..

..Flower Snakehead ker??..haha..

memang pun..itu kepala..kita makan badan dia..

rasa dia??...macam ikan tenggiri..

kira tenggiri sungai la...

link untuk ke citer pasal 'Attack of the Snakehead'

http://www.vet.com.my/viewtopic.php?t=567

so..tajuk utama malam ni sebenarnya..

IKAN TOMAN

selesai..lain kali citer benda lain plak..

k..