DeSTRESSing Activity: Cameron Highland (>,<)V

After 2 postings in final year, i've found a group of posting mates that we can 'ngam & kamcheng' togather despite our differences. Circumstances had made us housemate for almost 2 weeks at Teluk Intan (during Internal Medicine) and immediately we fall in love with each other..haha. We even throw an Open House at Teluk Intan..

Ok, enough about the gushy-mushy feeling..So, we went to Cameron Highland for a 2 days and a night.I'm willing to sacrifice my Siemens 10 km run for this vacation. yeah..i need some de-Stressing activity. Cameron Highland's weather reminds me a LOT like BAndung and Jatinangor...oh how i miss dat place..hurmm. The food was superb..We go there and eat A LOT.. I hope i don't gain weight..hehe

A picture of us playing bubbles (thanks to Miss Nina Hoklai's influence) on a suspension bridge..oh ya da guys are addition to the Mag7. They are our Pak Supir+Sappam (driver+ guard in indo language)


Time tunnel museum is like a collectors display of things from before independence up till 90's. I just like the desk....


We also went to usual place at cameron like strawberry farm, bee farm,cactus valley and tea plantation. The strawberry + yougurt + honey just made my day more sweet & happy...nyum..nyum..


Fresh salad.........grrr



Boh tea plantation was superb. The road was tricky to. It was there since 1920's (some knowledge gain from the video at the museum). I just fell in love with the cafe which was built at the edge of the hill..Wish i have a villa there...haha. They fertilize the tea with aeorplane..so, u can imagine how bis is the place.



ok...so, now back to reality. After 4 hours journey.Thanks to our Pak Supir for his driving skill & effort. We went back home safely,alhamdulillah without injuries or accident. Will start surgical posting the next day...Hepato-billiary team here I come (>,<)

Best birthday gift ever!!!

For my 23rd birthday, my 1st brother bought me ticket for YUNA's concert at Dewan Filharmonik Petronas (DFP). I was soooo thrilled about it. We LOVE music and we spend our teenage life playing trios together during our free time (saxaphone,violin & piano).It turn out to be our siblings night out since both of my brothers decided to come along. SO, their job description that night was driver,photographer,chaperone & bodyguard...hehe

My brothers: Anas, Azhar(excluding Adam cause he got UPSR the next day) and me...



Why I like Yuna?? Simply because of I fall in love with her songs:
1. I can relate with the songs cause some of it related to events in my life.
2. Her music got soul in it..
3. Definitely ORIGINAL!!
4. It is different than other Malaysian artist.
5. The music just suits me..a mixture of everything I like..Just nice.The EP in US is much more better.She has improve a lot.

SO....about the concert. It was brilliant & awesome!! I sat about 10 meters from her.The whole 90 minutes gives me goosebumps.The band was wonderful too. Her music was presented 10 times nicer than the CD. And of course, i'll be biased and say her voice was PERFECT!!

I found out that the concert ticket was sold out and they make another concert the next day. But that additional concert ticket was sold out too...incredible response from her fans!

with some of Yuna's band members Effry(bass), Shafiq (2nd guitar) & Adam (keyboard)...they deserved some compliment too!!

my dream comes true....yeay!!



A 'syok sendiri' poem using some of Yuna song titles:


SHe's just a'GADIS SEMASA'
with 'GREEK GODDESS' aura
who says 'Raya oh Yeah'
and enjoys 'FIREWORK' 'AFTER MIDNIGHT'

She 'DECORATE' her lyrics with musics
they are 'RANDOM AWESOME'!!
'ROCKET' to fame,there she goes..
ain't she just a SUPER SOMETHING?

Raya & my holiday project in the kitchen (>,<)

Happy Eid to muslim bloggers!!

FInally,After 4weeks of hectic life as medical student at Medical department, i get to be a mad scientist in the lab...(meaning the chef in the kitchen) haha...it was fun to try out the recipes and experiment on your own cook food.

This year i learned how to make 'ketupat daun palas'. I was suprised that they sell daun palas at Malacca. My mum told me the leave is also used by Malacca people to make desert (kueh)..We made it,Since this food rarely found in Malacca (origin from Kelantan-terengganu).

It takes me quite some time to master this triangle shape casing.



Another food i miss but hard to get in KL is Kerabu Mangga !! The kerabu mangga i found in KL does not have fish in it.Time to make one at home..yippeee



This year is the 3rd eid celebration at my new house in Malacca. This year decided to host a small feast (open house) for our neighbours and extended family around KL, Malacca & Muar. We also celebrate my 1st nephew 1 year old birthday. It was fun. Since our lawn is quite spacious the childrens love to play football and fireworks there.

Birthday boy with his cousin in his Bumblebee (A gift from Mama Tok)

Other projects are some biscuits and my very own bread pudding. Love the oven so much. I wish i can have one at college..with a set of my own kitchen..

Last but not least, I still get 'duit raya'..haha..Even 2 of my cousin (same age as me) who just started working,also gave me their very own duit raya..Oh, i just love being a student. This will be the last year.The privilage will expired & i have to started giving next year (>,<) Insyallah..Misi Jubah Merah 2012!!

Travel to UK & Holland during Spring!!

Alhamdulillah, I was able to fulfill my dream to travel to UK. Decision was made 4 months earlier. I manage to get a cheap ticket to Manchester (RM3200 return). Off i go to Manchester, travelling from KLIA alone and get 12 hours transit at Doha (that's why the ticket is cheap...haha). Lucky the return flight only cause me 1 hour transit. Anyway, alhamdulillah, nothing bad happen while i'm travelling alone for the first time in >2hours flight journey.Total flight journey was 14 hours...total duration of trip=15days...

Special credit to my cousins Nabila Yusoff, Azmir Hisham Ahmad and Zaid Hakim Iskandar & his fiancee' Jannah Radzif. Thank you for the good care and babysitting me while i'm there. Sorry for any inconvenience (",)

University of manchester




The Old Trafford stadium

Piccadily Train Station

at York (about 1 hour from manchester) day trip


Alton's Tower Theme Park at Staffordshire (2 hours from manchester train+bus) day trip. COooooooL rides :)


3DAYS TRIP TO EDINBURGH (colder than manchester,brilliant architecture,love the buildings,very-Harry Potter-like)

backpacking to edinburgh

The view from Edinburgh castle..



sterling castle..


Firth Forth Bridge,end of our countryside trip at edinburgh ..


3NIGHTS 2 DAYS TRIP TO HOLLAND (Brezzy & cold!!,beautiful,cute buildings,canals-a little bit like venice,full with old bicycles,I LOVE TULIPS!)

Holland trip...amsterdam city

one of the buildings at Amsterdam city


Keukenhoff Lisse,the Tulip garden..Holland


Windmill!!


Clogs revolution...


Subahannallh, i can see a lot of amazing creation of Allah
Masyaallah,a very LOVELY experience,(",)

Good things keeps on coming...

Alhamdulillah.....

AsSalam (peace be upon you).

Sorry, for a long holiday from blogging.

Updates about me:
1. end my year 4 with psychiatry department. It was very intresting and colourful. i like my supervisor a lot.

2. I PASS my final exam...alhamdulillah...that means 2 months holiday.

3. My futsal team get to win GOLD...yeayeahh :) more about it in the next post...EXCITED ('',)

4. I'm going to UK and Amsterdam....with my cousins :) Finallly my dream comes true

5. My 2nd bro is getting married in June.my cousin is getting married in July...THREE of my Twinning UKM-UNPAD family members are getting married this year(1 of them already married)

6. I'm officially an aunt last year when my nephew was born in september. Now, more babies keeps on coming from my cousins...yeay!! can't get enough with those cute babies

TRIAD (ENT,OPthal,Anaesth) Posting!

Salam,



Yesterday, I officially ended this three minor postings group all togather and called TRIAD posting. It was definitely tiring with so many things to catch up in such a little time. We also log book to fill in and case reports(case write up) to be made for each minor posting. Regardless all, it is indeed an intresting posting as I won't encounter it as houseman (HO) again.


We get 3 weeks for Ear, Nose & Throat (ENT) posting, 3 weeks for ophthalmology and 2 weeks for Anaesthesiology. So total duration like a major posting = 8 weeks !! oh ya, for this posting we need to have an otoscope and opthalmoscope that cost about RM600 altogather. The advantage is you can practice it at people anytime you want.


Anaesthesiology
This is the last minor posting of triad which I am most intrested on. Anaesthetist are also known as perioperative doctor. They manage patient whenever a surgery is involved and will see the patient before. during and after surgery (during recovery). The triad of anesthesiology on the effect aimed during surgery is: anesthesia (unconscious), muscle relaxant and analgesia (no pain).

In this posting, knowledge about drugs & medication is vital. We need to know the types of drug, mechanism of action, effects, indication...all the pharmacology parts. I used to dislike memorizing pharmacology. However, since the posting teaches us the relation and importance of these drugs, it makes pharmacology interesting!


Anesthetist need to be skilled in inserting needles to patient and life saving procedures. We need to do 5 intravenous cannulation at Accident & emergency(OT)within 2 weeks for this posting and see general and regional anaesthesia procedures at Operation Theater(OT). We also took Basic Life course(BLS), learn about defibrillator and type of mask use during the last week(2nd week).
Source of picture : http://mediconet.blogspot.com/2009_11_01_archive.html

Yup,maybe I want to be an anaesthetist...put people to sleep..and wake them up after the surgery..hehe :)

Ear,nose & throat (ENT)-Otolaryngology

From the name itself, you can guess which area it involves. It is the first minor posting frm TRIAD. SInce my supervisor is specialize in nose, i see a lot of cases related to nose. In this posting, we need to know how to use the otoscope to see the eardrum clearly. The most intresting thing I was able to see is the presence of Aspergillus Nigra inside the ear (looks like fungi at the bread). The doctor later clean it with the ear toilet (suction of the fungi out from the ear).

normal eardrum that can be viewed via otoscope



Source of picture :
http://www.eardoc.info/news/swimmers-ear-overview/

An ear infected with Aspergillus Niger. Diagnosis : otomycosis



Source of picture:
http://lessons4medicos.blogspot.com/2008/07/inflammation-of-ear-canal.html


Some common cases seen are allergic rhinitis. They have special clinic day called allergic clinic. Another intresting thing to see is the needle prick test. There will be about 20 antigens of common triggers of allergic like dust mite, prawn an nuts that will be tested. The staff will make a small pricked on the patient's forearm(palmar side) with a blunt pin without bleeding. It is painless. Although, it may cause anxiety to certain people...hehe

Ophtahlmology
Your eyes do not see what your mind does not know!! It is all about eyes and everything related to it. So, the basic science of eyes needed to be revised. I am amzed to know that we can suspect a systemic disease by looking at the eyes. The eyes will effected in most systemic disease know especially diabetes mellitus. We have to learn to use opthalmoscope to see the retina (an area further behind, inside your eyeball) with the help of pupil dilator. We need to draw 20 significant findings of retinal disorder in our log book that needed doctor's sign.

It needs a lot of practice to get the skill of using a direct opthalmoscope. It can be tiring to us as we need to strain our eyes to see the area of retina and find if there's anye significant finding.

However, regardless all, i like the picture of retina..its' beautiful (subahanallah!)



Source of picture:
http://faculty.washington.edu/alexbert/MEDEX/Fall/HEENT_PE_Obj.htm

Next posting will be PSYCHIATRY(my LAST posting for year 4) and then I'll be a FINAL YEAR student after the final exam... (",)

Dare to DREAM!!

Salam(peace be upon you),

WARNING:this entry is quite self centered cause i'm talking bout my achievements..hehe :)

October is the month of some of my dreams comes true. It all does not come easily. Practise makes perfect.I did encountered some failures in achieving them.Therefore, when I practise,spend some time & money in preparing myself for it. I was dare to DREAM.

However, the road is not easy and I never thought that god will answers my prayer so soon in giving everything in a month...alhmdulillah(praise Allah).

My dreams that are fulflilled:


1. PAss my Paediatric & Orthopaedic posting (core posting that people can easily get flunk). so far never fail any posting yet even though i'm busy with college activities & student societies..God forbid any of this from happening..Amin :)

2. Get 2nd for Futsal in inter-collage sports game at UKM (SUKEM 2010)-we are competing other non medical colleage in our Universiti Kebangsaan Malaysia so far our team never win any game.our greatest achievement was a tie..hehe.On that day we only loss to the winning team.My 'udang terbakar' (burned face) was worth it after all-still have it after 2 weeks. We played 5 games straight that day.

As the Captain, I can never do this alone.Thanks to the dedicated people in the team-Temoh, Farah, Fatin,Farhana,Christina,Afifah & Hanim for the constant practise this year...even during puasa :) also Nana and friends as our additional help! It all started last year but the team expanded middle of this year. Thanks to my futsal ball that become the pacemaker of our team..Just before SUKEM, my futsal shoes came along,and it is PINK!-the only thing I bought for raya :)



3. Get to sing and perform duet piano-guitar at my college during Hari Siswi :) last performance was last year..Me & Farah performed togather last year during our college dinner but we did not sing. This time we sing and we only practise togather the night before and the performance turn out to be just nice as everyone like it :)


4. Able to finish 10km run at get the finishing medal at UPM Wave Run 2010-This is my second attempt on 10km run. My first one was at Putrajaya.unable to get the finishing medal & was quite sad about it(maybe will try again next year). This time I am quite prepared. Thanks to Nadiah my runner buddy for the training togather, Mr KC Lee a.k.a coach for the guide and 'Nike+ band'..not feeling guilty to buy it coz I get it less 50%..hehe

(an insult to Mizuno because regardless the runner tee, I'm wearning Nike+band & Nike shoe with Addidas pants)SORRY!!

I was DARE to DREAM! and NOW i BELIEVE anything is POSSIBLE..insyallah(with Allah's will). Just need to believe and work on it.. everthing starts with the WILL to DO IT!

p/s it is normal to get down sometimes. I do feel it to. Just need to find the way to get your spirit up. What happen this month do lift up my spirit...however you never know what the future holds. May my spirit always lift up high (",)

Passion for sports :)

Salam,

It's already a year since I lft Bandung. Overthere,i have a routine of spending my evenings or weekend morning doing aerobic, light jog or swimming. Among of those three, I usually go for aerobic the most since the gym is just 15 minutes walk from where I stayed. I even entered the competition twice and attended the gym instructor's parties a few times for birthdays and her engagement. Through sports, I make friends with the local peoples(ibu-ibu), including students from other faculties.

When I came back to Malaysia, I have to find something to substitute my evening aerobics. The hospital is a very strategic place since the swimming pool and stadium is just in front of it. However, no ladies' day for the pool which keeping me from going...huhu. Another alternative is jogging by Taman tasik Permaisuri which something I can do alone when no one can accompany me.

I am not new in jogging. I did jogging since high school.However, I never consider it as something I enjoy the most(especially when u do it alone) until I enter the competition which I upgrade myself as a long distance runner. It feels good when you are able to finish the race. It is definitely a bonus when you are better than others. The next aim is 12.3km run..

It started about a year ago which i only manage to jog half round of the tasik and then gradually upgrading myself until I was able to finish 3 rounds straight without stopping. Later, I entered a 7km run organized by my fellow friends which open for public . I did training twice for it and manage to get 4th place in 43 minutes duration without injuries and to my suprise no tremendous exhaustion. I puasa sunat the next day and did my normal run on the other day. Therefore, i am eager for another run. I guess, I am now infected with running. :) Thus, i bought the Nike shoes specifically for long distance running at a bargain price.

Actually I was aiming for a futsal shoes for a long time. However, after a few considerations, I choose running shoes. Finally, we girls get one day (Thursday) for us to use the court at our 'kolej kediaman'. Thanks to our Jawatankuasa Kolej (JAKSA).However, I wonder will it last? This is because, not many girls are ehtusiastic enough to come down and play. Sooner or later, the guys will claim back the day..huhu.

Sports unites people no matter who they are and brings us closer :)

Wasalam (",)

6 June??

Salam,

Why the date is significant to me??

Its my date of birth! I am officially 22 years old today. Alhamdulillah..Hmm,,Getting older I should be more wiser right?

HAPPY BIRTHDAY!

Thank you for the wishes and prayers that everyone send me via SMS & FB. I was suprised to received 99 new notification after restraining myself from using it from saturday morning till tonight since I'm busy with my cousin's wedding preparation.

Today is the 5th cousin's wedding that I shared the wedding cake with my the newly weds..haha..Thats the truth of 6th June. You can see a lot of people getting married on date. The school holidays usually fall on that day. YDP Agong's birthday also sometimes choosen to be on that date (this year on 5th of June). Some mother even choose to do cesearian section on this date (its a true story I learned from my friend).

Maybe the number is nice to certain people 06..06..?? this date does not signifies any celebration, yet people like to choose it for a wedding date. maybe because it will ususally fall on school holiday.My birthdate falls on 1988.thereore my birthdate is 06.06.88..nice number eh??

As for me..happy getting older..huhu.It's ok..I will be 'Young at heart' as always :).Hopefully I will 'amanah' in what Allah give me to live this life as servant and to serve others.May success be mine and happy life awaits me in future. AMin..
Wasalam

p/s : my only little brother will 'sunat'(circumcision) tomorrow (on 7/6). Therefor, my bodyguard number will increase to 3 now :) ..people says that boys will shoot up and gets taller after cirumcision.Is there any proof?He is excited to get taller than me..(yeah,I agree i'm quite small) 'kecik-kecik cili padi' (",)

Getting bussier in Year 4..

Salam,

My year 4 starts with a lot of activities & commitments as a committee in Student society here (Welfare Exco). I did try to reduced my extra curicular activities by restraining myself from taking responsiblities. The reason is, I don't want to damage myself or breaking people's trust with bad quality of performance.Learning to say NO to certain things you desire but unable to cope is IMPORTANT! However, i can't stop myself from joining activites as participants..hehe

Today, I met my SSM supervisor a cardiothoracic surgeon with my other group members. We discuss on our research topic with literature review we have gathered beforehand. The topic is the relationship of left main stem coronary artery with carotid stenosis.Its gonna be BIG and I like it!

We will have to go to Institut Jantung Negara (IJN) to collect data for 6 months with the manpower of 5 people.I don't mind the extra work because our research will have the significance in managing peolpe with heart disease due to left main stem artery stenosis in Malaysia setting.

We will have SSM scientific presentation of our research next year.It is also a competition as the best presentation will present their research in a conference between 3 countries (Malaysia.Indonesia & Brunei). To gain some experience, I will join the 2nd SSM scientific presentation by our final year(year 5) next week.I did join the 1st Malaysian International Medical Conference(MIMSC) last yr and 2nd MIMS at UM last week and gets an overview of what research & research presentation really is.

With 2nd MIMSC ended, I already end my term as Society of Malaysian Medical Accociation-MedicalStudents (SMMAMS) committee member. However, i did not finish my responsibility for SMMAMS yet. There is CME for Malaysian Medical students, a program under me as Director at UKMMC on July 10th.there will be 30 participant from ten medical schools.Hopefully it will become a success like the 2nd MIMSC last week.

Society of Malaysian Medical Accociation-Medical Students (SMMAMS) committee members,2009/2010 session ( what a great team!)

from left: Melvin(UM),Kar Yee(UM),Justin(IMU),Thanesh(PMC),Aishah(UKM),Syazwani(USIM) & Benjamin (UM).

My cycle of posting in Year 4 is quite similar to Year 3 because the 2 heavy & considered tough postings are in my 1st semester. In year 3 I started my semester I with Surgery and O&G while this year I have Ortho & Paediatric in my 1st semster.LAst yr I also manage a big event in my 1 st semester (World health day as vice-director).

This year,the same cycle goes. I will manage Continuing Medical Education (CME) for Medical Students-national level, as the director.Hopefully with the experience of fortunate survival last year, I can improve myself to be better this year regardless the extra responsibility I willing to take.Insyallah!

Excited faces before entering a posterior instrumentation and fusion on congenital scoliosis arthrogryphosis patient under Spine Team



Year 4 is indeed a busier year compare to year 3. We have extra postings & assignments to be cover despite our four major postings:

1. 4 major postings:Orthopaedic, Paediatric,Triad-Ophtal,ENT,Anaes and Psychiatry.
2. Special Study Modul(SSM): need to do research in a group of 5 ppl.
3. Forensic: need to observed 10 autopsy and assist 2 autopsies

* extra things for us Twinning UKM-UNPAD students is our Pengurusan Masa(TIme management) class (university subject) on saturday. THis class is a compulsory,that we have to take in order to graduate.

Orthopaedic & Traumatology is indeed an intresting field of surgery.Its mainly about muscle & bones of your body.It consist of 8 teams: Athroplasty, Spine, Rehab, Trauma, Oncology-ortho, Paediatric-ortho,Hands & Sports.During waiting for my SPM result to come out (2005), I did an attachment at Gleneagles Hospital.I met a Rehab-Ortho specialist that introduced me to bed sores. Little did i know about bed sores until I enter medical school. However, the exposure that I got from the doctor somehow making me intrested and motivated to be in Medical field. I did consider taking intrest in Rehab.But, I will decide after completing my undergrad.

The good thing in Ortho rotation is we get to experience various teams each week during our 8weeks posting at UKMMC,cheras. There are 4 wards as our 'libraries' and one ward for ortho-paeds, with 26 bed per ward as our 'books'.We learn through understanding the patient's problems.Ortho also means a lot of revision of ANATOMY!! Now i know the importance of unnderstanding anatomy in details.

an x-ray film of Galeazzi fracture...a case for my traumatology case write up(case studies that we have to write from history taking until management including personal thoughts on it)

extra info: According to E-medicine article published in February 11th, 2010: ‘Galeazzi Fracture is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint (DRUJ); the injury disrupts the forearm axis joint’
In laymans' term: its a fracture of bone at your forearm, specifically at lower third of your forearm that also affect your wrist.

with the complex medical term above, I rest my case!

Thanks for reading my CURHAT (Curahan Hati). I don't mind getting busy if its for the benefit of others.

Life is to SHORT to be EASILY taken. Thus,making everyday BENEFICIAL becomes MEANINGFUL!

Wasalam (",)

MEr..De...Ka??not really..

picture taken during exam week...distracted for a while ;P


"start a day with thinking of serving instead of being served!"

Salam,

Finally,I am able to continue wiritng after restraining myself from writing my blog due to final exam..Alhamdulillah.Waiting for the result to come out next week.

From Facebook & yahoo messanger.I can see a lot of comments from my batchmates,especially posting-mates expressing their feelings toward the questions. Mostly, they are an expression of hatred, frustration and anxious. The positive thinking ones saying how relief they are from the obtacles they face.

Life is what you see and interprate the things happen to you. How you respond will determine how you will see things in live. Either positive or negative. Positive thoughts attracts the positive things to your life. You don't belive it eh?? You can read 'The Secret' by RHonda Byrne and learn to believe & think positive. You will also find out about the power of law of attraction when you started to belief.


Ash-Sharh 94:1-8
In the name of Allah, the Beneficent, the Merciful

Have We not caused thy bosom to dilate(melapangkan dadamu), (1) And eased thee of the burden (2) Which weighed down thy back; (3) And exalted thy fame? (4) But lo! with hardship goeth ease, (5) Lo! with hardship goeth ease; (6) So when thou art relieved, still toil (7) And strive to please thy Lord. (8)

GOd have send us reminders & words of comfort in the al-Quran. Look at verse 4 & 5. The verse repeats showing the strong reminder Allah wants us to be reminded.

"every negative things happen there always positive things behind it!"

Applying to our post exam emo..why not we think of the positive side of it.We should recall mistakes we done,find the answer for questions we don't know,recorrected our wrong and memorize the right answer.Therefore, if we are asked the same question, we already know the answer or easily recall the correct answer.

verse 6 means even after what happen, occupied your time with something that brings benefit.For me any good things can be choosen since the key to pleased God is amal ma'ruf nahi mungkar (do the good things, leave the bad things behind)

If you are not a muslim, i think you'll also agree about my point above..beacause humans are created of the instict of wanting good things in life and being good is apart of it.For example is the concept of 'Karma' in eastern religion (Hindu,Jain, Sikh & buddhist philosophies).Bottom line is,every religion teach us to do good deeds.

So, time occupying activites during my break wil be:
1.spring cleaning my room (mcm tongkang peacah due to exam week)-step by step :p
2.managing students society resposibilities as Exco Kebajikan 2- a lot of things to settle.
3.do elective posting at kelas khas at a primary school at Malacca-have to do background reading about special kids
4.duty as a Allah's servant,daughter to my parents & sister to my brothers.
5.have fun in vacation with family & friends.
6.Read a lot of non medical books.
7.Sports activities to get high & also secondary prevention of gaining weight..hehe

P/s:I always like the surah Ash-Sharh 94:1-8.I get the idea to put it in my blog
after reading '5 Tahun 5 bulan' written by Hlovate (finish reading in one day-just after exam yesterday..hehe).More books are asking to be read (",)

What is written down is a reminder to you and to myself who is still learning to be a better person.

Wasalam (",)

A series of poking...

Salam,

I volunteered to be one of the 'victim'(research subject) for my 4th year seniors SSM(research) under Surgical Department. I have to give them my precious blood twice (at least). One taken without any compression on your arm(in normal blood taking a light pressure have to be appiled to make the blood vessel vissible), another one with a compression of 10 mmHg less than your systolic BP within 3minutes.

When i surrender my arm to the staff nurse( because the doctor room are full with students), they says my vein is quite fine & not really visible...and that means...there is a possiblity of a few series of attempts to get my precious blood.

The prediction becomes a reality..

1st poke by staff nurse...usng 23G needle(blue) small size,butterfly type..(they have smaller size, for peadiatric patient),unfortunately, not successful.

the butterfly needle (it looks like butterfly, easier to use,less pain, more hygenic & cost more too)-my favourite type of needle (",)


I was reffered to a doctor next door...2nd poke by green(medium size) needle..not successful, he insert it to another site & make it deeper...it is much more painfull than the blue needle

Still...NO success

the classic needle & syringe..


He move to my other arm, put on the cuff and did the 3rd poke...with the green needle..finally, the red blood appears....I'm the happiest person in the room of course (",)..

Reminder, blood taking with the pressure on(due to the research objective) was the most painful of all- A VERY SHARP PAIN

Last, for the control blood, he have to poke me again(the 4th poke) to get my blood without any pressure on. This time the doctor have to choose the vein from on my hand. I never let anyone practise taking blood on my hand before (logically because it is more painful than the arm). I persuade the doctor to use the smaller needle instead..the blue needle.

Finally, it was a success. However, the blood comes out only drop by drop..It tooks us sometime to get about 1 ml of my blood from that..It was the least painful of all
(isn't it a good way to end the misery..hehe)

At the end, I was rewarded with a bottle of mineral water & a delicious packed nasi lemak ayam.

Regardless all, if i was needed again, i won't hesistate to help. Hopefully, their research found some good & benificial findings. Therefore, all the pain is worth it.

Looking from the positive angle, I learn to experience the feeling of pain by different size of needle on different sites of my arm.EMPHATY!! It is important to at least know how it feel because poking people is doctors job everyday a ward. I myself did this procedure to patients during my practical at wards. SOmetimes i did more than one attempt to a patient. And so now I know the feeling. Thus, I won't attempt more than twice as long as i'm a medical student. Unless, i really have to do it more than that...

Lesson of the day which i can think of...
1. Don't stop volunteering as long as you are sincere with it...
2. Be emphaty but not symphaty
3. NO pain NO gain!!
4. Patience is the key to success.
5. Don't give up and try again...

In conclusion,the results is 4 pokes on my hand & arm.
(what an exaggeration?? Patients have to deal with their blood taken everyday..but i'm making it a big deal after a series of blood taking in a day..hehe..)

Wasalam..(",)

Internal Medicene....Wait & See

Salam,


CUT & SEE : Surgery
DELIVER & SEE : O&G
WAIT & SEE : Internal Medicene

SImple & short words to describe 3 postings I faced quoted from Prof. Zainul, HUKM O&G specialist during Zero repeaters campaign talk..

You can read that the actions that's appear in each discipline is SEE!!

Seeing is believing..How could a doctor treat appopritely wihtout meeting the patient? (except for Dr House!!)

There are 6 wards of internal medicene in HUKM with 2 CCU. That means A LOT of opportunities to learn..My advice is get a comfortable shoes cause your feet are precious for this posting for a lot of walking and standing.



A lot of procedure can be appreciated in the ward, so you have to be opportunistic organism. Put away your inferiority and shyness..Ask Medical officers, housemen and nurses questions and permission to observe or do the procedures. Final year seniors can be helpful also.

Having Internal Medicene as my last posting of the year gives me some advantage. In this posting a lot of things to be covered. Some knowledge gathered during previous posting does help in facing this posting.

Hopefully i will survive (",)

Wasalam

Medicine & society..

Salam,

This is not really a honeymoon posting!! quoted from one of my friend. hurmmm, I have to agree with that.We are now reach the TENSE stage as a lot of assignments to be done and report due date with presentations will be after holiday(Now is the 6th week.7th and 8th week will be the presentation and evaluation week)

UKM student complex at Tanjung Karang


One of our group discuccion regarding specific Survey on the villagers..



However, for me,I experienced some interesting and colorful experience with this posting. First of all, it explains my curiosity of how health care system been manage in a district and kampong area till the state and national level. Our group is special because there are two Japanese (Tomomi and Mariko) students staying with us since 1st week until 5th week . We had fun with them and learn from each other about Japanese language, knowledge on Japan health care and even cooking..

vaccination at school with unit sekolah



The place we are posted to is Tanjung Karang. It is quite boring cause we are trapped in the complex and only go out for food or activities. However, i'm too occupied with activities and assignment to bother with it.

I like the fact that i have the time to jog and experienced the nature more..I love the evening scene during my jogging time at the student's complex. There are lots of herds of birds flying home to their nest. Another sceneric view is the muddy beach 30 minutes walk from our complex or (5 minutes drive). It will be nice if you can see the sunset by the beach.

the beach near our complex


tea break by the beach after survey at kampong



There are some interesting places that i haven't yet get to explore. So far, i've experienced Ikan bakar at Jeram. The restaurant is by the muddy beach and have nice panoramic view.The price is quite cheap too. I've been to kayaking at Sg Sireh (the BEST activity so far)and took pictures at paddy field of sekincan. Not to forget a few episodes of Kerepek shopping at Sekincan.

muddy beach at Jeram


in front of the ikan bakar restraunt at Jeram


Paddy field at sekinchan


our Japanese friends Mariko and Tomomi


kayaking at Sungai Sireh


Basically..these are the honeymoon things i did during this posting.There are a few more places to explore indeed before leaving Tanjung karang...will tell more later.

Wasalam (",)