WHAT SHOULD I DO NOW..?

KESIBUKAN yg melanda ... hari2 yg bolih di katakan sgt pack with bedside ,teaching ..clinic .tutorial... ahhh x dpt nak ga,barkan kepenatan yg melanda ..dari hari ke hari terasa nk update my blog ..dari hari ke hari terasa want to say and share sumthin.. but so sad masa tidak mengizinkan hari2 bila balk rumahjerr.. keletihan tahap max menguasai! dri ..uh .. ingatkan posting surgery ni boley laa relax2 . but sebaliknya berlaku //aduhhh cam sume jer time otho posting duli .. serius fatigue giler everyday !! wahh ni baru time student .. bygkan da HO NANTI .. HACTIC KEJER .. ON CALL .WAT SO EVE LAA KAN .. x mampu sya mengahdapi sume nya ?
insyalaah .. jika kena pada cara nya ,,, jika ikhlas kerananya..semuanya pasti di pertemukan .amin..

Masa berlalu terasa begitu pantas skali .. tutaap tap da masuk 3week posting surgery ,,
cam x caya ..tuuuutt nanti dah end of posting surgery , CAM X CAYA .. TUP TAP NANTI DAH END OF POSTING EXAM .. THAN MASUK FINAL POSTING MEDICINE LAK .. THAN PAPE LG NI UHHHH BUT STILL CAM RELAX2 LG ...ermm entah la ..
i need some body to push me up plzzz..
terasa cam diri kurang bersemangat ..terasa cam terkapai2 di awangan skng?

APA YANG PERLU SAYA PERLU BUAT SEKARANG ..

THURSDAY

1 MORE TUTORIAL I NEED TO PRESENT ON THAT DAY,,, serisly that day mmg da fatigue giler.. b4 presentation tu da sakit kepala sgt2..coz rasenya x cukup tidur ciapkan slides presentation mlm tuhh mmg x sabar lg g nk abeskan presentation ..coz boley merdeka..daaa ..after tuto sempt lg g wardteman kak shidah clerk case forbedside esoknya .. balik tutt mmg terus ,,,pengsan ..qada ,^ tidor laaa .. tau brape lama //? 11 hrs .. yeh!1 puas hati .. hehee cik bang call pun x ambil pot .. huhhh lega n fresh hhehehe

X -RAY

CAN YOU GUESS WHATS IS FINDING IN THIS X-RAY ANSWER; AIR UNDER DIAPHARAM (right side)
mr sham ingatkan this x ray sampai mati huuuu..huuu... sure doc..!!!



WEDNESDAY

ni pun hari yg agak menarik ,coz kita orng kena follow plastic surgeon..actly this 2nd class

1st time 1st week , bile ckp plastic surgeon jer,,(no need to mention the name) sume cam cuak jerr,,..coz that doctor memang agak scary movie..

sket ,,huhuhu .. muka cam serius giler but so far ok jer dia... not so bad...byk gak dia ajar ...but a lot i learn from him....
plstic posting quite intersting ... huhuh ..yg paling menariknya datday .. ingatkan x yah clerk kes for bedside.. last2..suruh clerk one patient time kat clinic...so coz time tu my turn4 clerking so pasrah jer laaa ..alaaa...HO ... style laakan ..clerk n examination alla2less than 30 min i thin so ..uhh glabah giler.. coz mmg xprepare history sume terus patient ..da la blurrr.. x tau case apa..paham2la..tu jerlaa case plastic kan pelik2 ..mmg terbukti case yg sy clerk tu pelik..n seruisly x pernah dgr ..doctor sendiri said that only 1-2 case a year..so juz imagine .. how bad my presentation ??? huhu..dgn history yg x sempat manage , physical examination ,physical examination yg hempeh..diagnosis x yah cakap la ..kan ..sure laa x tau,,, so nk tau case apa ? ..have you heard about AMENOBLASTOMA ??? DAT GOOD IF U KNOW so sad for me coz i realy dunno ..uhh akan ingat smapai mati ,,kes ni ..briefly bout this case,, a young gentlement aged20 presented with painless lump.over the right jaw,, progressly increase in size bout 1 year till the lump become so big enuf to cover half of this face,associated with gum bleeding... pus discharge with foul smelling sume laaa.. pas2 bila doctor tunjuk x ray pae ntah name dia x ingat .. huhu .ada embedded teeth kat right middle with bone cyct, if x silap .. huhu serius mmg bila kena describle x ray tu mmg blurrrr x tau nak describe pe... sebaik laa doctor expalin sume .. br laa taw apa ke benda nya tuhh!!! good for us know new thing .. the good thin is operation laa coz mmg reconstructive yg pasticsurgeon wat tu cantik .. muka patient tu cam lk normal person ,actly patient underwent removal of right mandleble .. n.. replace with bone flap from illiac creast ,, u know how long the operation ?? 14 hrs if im not mistak lama giler kan .?? but the result soo amazing .. itu laa hebat nya plastic surgeaon !! huhuhu..

3 WEEKS

Adalah wat yg pling letih ...penat sekali ..... 4 HARI berturut turut full with tasks to setel ... 2 tutorial kena present .....monday ;; kena present managemant head injury ....

TUESDAY; bedside with mr sham ,ni yg best dia trained us like HO ...clerk sume patient kt ward....then present brief history,then discuss management briefly, agak penat la coz...kl 8 jer dah kena g ward,nk clerk ...sorang kena cover 5 beds . pas2 tu bila time bedside bayangkan la .. g one by one patient ....uhhh giler nak abiskan more than 30 beds.ward... x ke kejang kaki berdiri ..so dr kol 8-10.clerk ..11 -1 lbh bedside, ermm mmg fatigue sgt after dat ,,, x pela ..bla punya pasal ..the best thins for dat is ..for the 1st time i see this x-ray ,,so can u guess whts finding outin diz x ray..

WEEK 3

SURGERY ........

Berlalu sudah 3wk surgery posting yg sgt memenatkn... but sgt menyeronokan !!!!...
so tinggal 2 wk lg b4 end posting,eaxam..wah cepatnya masa berlalu....rasa 3wk ni sgt cepat ..uh ..
i realy like surgery posting so much ..hehh heheh dlu pernah simpan angan2 nk jdi surgeon .but rasanya cam x kesempatan coz i realized dat . i have tremor bila start pegang operation stuf huhuhuh..
...espeacialy time nk buat suturing ..sgt obvious tremornya.. ..... wawawakaawaa ..seday... mayne x cukup practice kot.. hopefully later can overcome diz prob..hahha ...amin...\


so after 3wk ..byk perkara2 baru yg saya belajar..antaranya diz time baru terasa terexpose to so many intersting cases in the ward.. byk clinical skill yg improve kan .. dlu time phase3a cam terkia2 jer..bla nk wad examination..than the most important thin is v learn how to manage the patient ..huhuh terasa wah byk nya improvement.. but still got some more to improve .. lacking here and thare. ermmm hopefully sempt cover b4 final exam ,,, amin.,.

ANATARA PERKARA2 MENARIK DURING DIZ SURGERY POSTING ...

1ST WEEK ..
Da kena present bedside isk2 ;so clerk la sorang patient ni .. initialy presented with history of left upper limb swelling bout 1 month...asalnya die kena needle stick injury time menjahit jer.. as2 makin teruk pas2 dia g urut kat bomah .. im not saying dat traditional med is not good ..so bile da teruk sgt ..sampai x bolih angkat tangan n sakit yg kuat bru dia g spital ..
tahn admitted ..after invertigated found out theres subciavian vien thrombosis.. treated wif anticoagulant sume laa...kn ...after discharge pun makcik ckp tanagan dia still bengkak gak .. 1wek je ok .. pastu bengkak tu makin teruk .ten finaly developed shortness of breath .. masuk blk spital ..4 2nd time..2nd day dia admitted.laa sya clerk makcik ni.. time 1st jmpe tu dia cam x comfortable .. mengadu notice ade lump kat left breast dia .. then ada beberape lymph node enlarge gak .. below axilla ..so agak susah mula2 nk ambk history from makci apprieacite the finding .but not for this makcik coz next 2 day FNC result showered that the lump is a cancer .. n
more specific is an infillitering ductal breast .. ca.. kesian kan?semoga makcik tu tabah mengahadapi dugaan dunia.. moral of teh story ,, ~plzz to all my frend (girl only huhuu ) do breast self examination monthly best time 1-2 week after 1st day of period .. as simple as 5 steps (if dunno juz ask me ..huhuhu cam terer laa kan or can rite ..so uch from internet also can ,,) preventstion is better than cure rite .. so mengingatkan utk dri sendiri . juga and buat nada semua ( for lelaki2 sekalian sila ingatkan org2 tersayang )

2ND WEEK

PRESENT TUTORIAL PUN BOUT BREAST CA ..then time short case pun dpt case breast lump.. my groupmate sampai ckp cam da jdi speacialist breast .. uhhh hakkkk tidak... terasa takut pula utk diri sendiri ...memikirkan incidence (newly diagnosed breast CA cases) increase in number especialy in ,M=SIA .u know why?
late age of 1st pregnancy .. risk if age more meaning wat?? dapat anak lambat bila umur dah lanjut .. biasenya or more risk if age 35 .. u know why ?adakah perempuan2 skng susah nk bertemu jodoh or wat ?
may be .. may be perempuan2 skng pentingkan kerjaya sampai waktu kawin tu tidak penting kn ..bagi mereka ..so terjadi kawin lewat ..so dpt anak punlewat ..so nasihat utk diri sya and all women out .thare ..thin about it .. plzzz if dah ada jodoh tu kawen jer la cepat2// jgn tunggu lama2..
n cepat2 wat anak heheh ..n bg sesape belom de jodoh lagi .. jgn wat bodo .. tryyy le cri pasanagan yg sesuai ..agar kita x tergolong antara org2 yg high risk for BREAST CANCER...OK ... ???/

NEW POSTING WITH NEW SPIRIT...