Wednesday, June 22, 2011

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 ... ???/

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