Surgery Ended

Alhamdulillah, akhirnya berakhirgak posting surgery..2 bulan terasa sgt lama..Hu...

Surgery was a logbook posting. Kitaorg dpt 1 logbook yg sgt tebal & kena penuhkan semua dlm logbook tu..Procedure, minor OT, major OT, radiological investigations, dll lagi la..Macam-macam ada. Tapi alhamdulillah, dlm masa 3 minggu je, aku berjaya memenuhkan logbook aku except bahagian on-call, presentation and cases clerked.

Harap jer posting ni posting surgery, tp aku dpt pengalaman assiss mana2 surgery mcm posting2 lain..Hu..kuciwa. Tp yg best, bila Prof Chin sruh assiss dia buat OGDS & therapeutic oesophageal dilatation. Ha..aku handle & stabilize the scope while Prof control..He...Kat OT pun best gak, Prof sempat cerita pengalaman dia masa belajar & siap cite pasal hantu lagi..Ha...

Ntah la, mungkin nama aku senang ingat kot..X pun muka aku exotic. Ha...Byk lecturers dan MOs rupanya kenal aku..Kat kelas jer, "Yes, anakku Sazali."..Terselisih tepi jln, yeorg yg tegur dlu (p/s: klau aku yg nampak dlu, aku dah lari dah sbb aku ni jenis takut dgn lecturers.Ha...)

Yang tak best..Hu...Banyak kot. Posting ni aku jadi ketua. Yang susahnya, x mcm posting2 lain, department x sediakan langsung jadual. So, ketualah yang kena call sana sini utk arrange class. Seminggu jer aku habis around RM30 utk top-up. Hu..Yang lagi menyusahkan, skrg musim exam. Undergraduate exam, master part 1 and part 2 exam etc. So, most lecturers busy jd examiners. Hu...Hampir semua lecturer aku call utk tny free utk ambil ward round group aku & mostly x berjaya sbb yeorg sgt busy. Tp, alhamdulillah, dlm seminggu, aku berjaya arrange around 2 ward rounds. Hu...yang sedihnya, bila orang lain complain, x ckup class etc. Yeorg x tau mcm mana susah nak arrange class. Satu peristiwa yg aku bengkek adalah bila ada sorg minah ni, tlg call sorg lecturer (aka mentor dia) utk ward round, Dr ckp dia hanya boleh buat class kat OT smbil operating. past tu, minah ni reject x nak sbb ye nak bedside teaching. Then, ntah mcm mana, tersebar mengatakan aku x nak class dgn Dr ni. Minah tu siap nangis2 lagi dpn gang2 dia kata aku yang tak nak.. WT#? Aku bersyukur sgt kalau ada lec nak wat class walaupun kat OT, tapi aku lak yg dipersalahkan..Sabar je la...Past 2,bila dpt handle ward round dgn Dr, mengeluh lak, x nak ward round la, Dr ni garang la, x best la, malas nak bangun la, nak p shopping or kluar la, nak balik la etc..Tak faham aku...

Then, 1st month of the posting, ktorg dkt general surgery. So, in a group of 3-4, ktorg kena cari sorg lecturer sbgi mentor. Klau posting lain, dep yg tentukan. Tp dep surgery, memang x tau apa.Hu...Yang tak puas hatinya, aku call 2,3 org lecturers, ada yg busy & ada yg x de kat KL..Past 2 nak call sorg lecturer ni. Past 2 ada org lain dgr ckp lecturer 2 yeorg punya mentor. Tanya punya tny, yeorg ada 3 mentors. So, ktorg minta la satu..Punya la kedekut, x nak lepas satu pun..Padahal, ada 2,3 groups lagi yg jadi macam case group ktorg. Sabar je la...

Then, pasal divide patients. Itu ini x kena. Bila aku tampal list patients kat ward, kata tak tau & suruh post kat fb. Bila aku post kat fb, kata kena jaga privacy patients, takut tersebar merata2 etc. Itu ini soma x kena..Tension betul, byk comment & songeh betul la yeorg ni..

Past 2, pasal class aku dah siap post details soma kat fb..Then, tiap2 awal pagi, nset aku bunyi la. Ada yg msg, ada yg call tny "KENA PERGI CLASS KE TAK", "KELAS ADA KE TAK" etc. Hello, aku dah post awal2 kat fb ada kelas pada sekian, sekian..Tak kan la kelas x de lak..& perlu ke aku jwb kena pergi kelas ke x? Tak logic tol la...

Then, kena handle class dgn Prof A. Mula2 tu takut gak la..Prof A kot. Soma org takut. Hu..Tapi actually, Prof A ok jer dgn aku. Bila aku call, baik jer dia..X de pun marah2 carut2 soma..Hu...Kat class ok je..x kena tengking pun..Cuma aura cerita org 2 menakutkan...

Exam? Writing, pasal polytrauma. First scenario, accident, chest injury and tension pneumothorax. Tny punya tny, akhirnya ye sruh explain mcm mana nak insert chest tube. Hu...2nd case, pasal head injury. Pathophysio anatomy soma kuar. Tapi ok la kot...Long case? kalau masa EOP phase 3a dlu aku dpt infected pancreatic pseudocyst, skrg aku dpt young patient (36 year old) with history of colon cancer on remission since 9 years ago then come with liver mets 8 months ago, complicated with liver abscess and Budd-chiari syndrome. Hu...

Anyway, soma dah berakhir. Aku dah tak perlu layan karenah bdk2 2 lagi. Lega bila surgery berakhir tp cuak sbb FINAL dah nak dekat..1 posting je lagi tinggal...

Yang Mana Satu?

Mana satu harus ku pilih? Entah kenapa, semenjak masuk UM ni, aku jarang memikirkan masa depan. Bagi aku, biar masa menentukan segala...Tapi, 2 minggu lepas, ada taklimat SPA. Selang seminggu lak, ada post-graduate talk..Minggu lepas lak, baru kena hantar "?borang maklumat diri" (BMD) yang kena pilih 3 hospital utk buat housemenship. Hu....Penat buat solat istikarah, macam x de dapat petunjuk pun..Akhir skali, main isi jer then buat solat hajat banyak2 so that, Allah tentukan yang terbaik utk aku..Hu...

Sedar tak sedar, lebih kurang 3 bulan lagi jer aku final exam and Insyaallah lepas tu akan bergelar "Dr". Hu...Mcm mana la aku leh ambil medic ni kan? Kalau korg nak tau, kecik2 dlu cita2 aku nak jadi Power Ranger Merah..Merah tu feveret aku & nasib gak rumah sukan aku dari sekolah rendah smpi sekolah menengah, aku dpt rmh merah..Ha...Then, aku mula nak bercita2 nak jadi askar. Dah masuk darjah 5 kot, aku minat sgt dgn astronomi and nak jadi astronomist lak..Dah masuk sekolah menengah, aku rasa nak jadi cikgu sebab aku suka mengajar kawan2 aku..Tapi dlm masa yang sama aku nak ambil biotek and jd saintis..Ha...Tak terfikir pun nak jadi doktor..Masa kat matric, time isi borg UPU baru aku serius isi MBBS. Hu...Nak tahu sbb apa? Sbb aku nak jd medical lecturer. Ha...Aku suka tolong orang and kepuasan yg dapat bila tlg org 2 tak ternilai mcm Power Ranger merah dpt mengalahkan raksasa dan menolong mangsa2. So, aku fikir, klau jd doktor leh tlg byk org..Sbb 2 aku ambil medik. Then, aku suka mengajar & kwn2 aku byk ckp yg aku best klau ngajar yeorg. So, klau aku jd lecturer aku dpt ngajar org lain. He...Akhir skali, kan aku nak jd saintis, so lecturer kena byk buat research. Mana la nak tau, kot2 research aku satu hari nnt dpt anugerah nobel..Ha...

Tapi, bidang apa yg aku nak ambil nnt. Memang la mula2 aku minat surgery, anaes and emergency medicine. Tapi, memandangkan aku ni adrenaline terlebih, senang parkinson bila buat procedure. Hu...So, aku decide nak ambil internal medicine or paediatric. Internal medicine ntah kenapa aku cenderung ke arah nephrologist or haematologist..Klau paeds lak, rasa cam neurologist or nephrologist mcm best..He...Satu g yg aku rasa best adalah rehab...Ntah kenapa, semenjak dua menjak ni, rehab asyik kuar kat kapla otak aku bila teringat post-graduate talk..

Hu...Mati la..Cuak lak bila fikir pasal masa depan. Cam tak bersedia lagi nak menempuh soma tu..Aku nak kembali ke zaman kanak2, sekolah rendah & sekolah menengah balik...Hu....

Video Presentation

Video presentation..Hmm...During surgical posting, each of students were compulsory to  record a video presenting a case that they clerk. Usually, this class will be taken by one of most menakutkan lecturer in Surgical Dep (from rumours) and he will comment about the communication skills bla, bla, bla especially our English and Grammar..

And my turn was last Thursday. Luckily, the Prof was on leave and another Prof which is super nice took the class. Ha...Since I know this earlier (since I'm the group leader), so I'm not preparing much due to time constrain. My video was not perfect as others.. I only take 2 shoots and finished..The final products, jeng, jeng, jeng...

Take 1

Take 2 aka final product...

Actually, I asked help from 1 of my colleague to record the video in my room as what others do. Yet, he insisted to record the video outdoor or he won't help..Hu...Since dah x de masa, nak tak nak, malu or tak, terpaksa je la..Huwa....

Comment, Prof said, creative although background quite noisy since all the cacing2 also wanna present or becoming back up presenters..Ha...Overall, ok la..I got 7/10..Ngee....Fuhh, lega akhirnya..Hopefully, no more video presentation..Nervous and malu kowt....

My Clinico-Pathological Conference (CPC)

Alhamdulillah, ptg td,11/11/11 selesai sudah presentation CPC of my group...

Actually, all were started since 2 weeks ago. As usual, every group as divided by the Dean Office need to meet their respective supervisor 2 weeks earlier before the presentation. So, 2 weeks ago, in the mood of Depavali's holiday, I had contacted the department asking who is our supervisor and asking for the scenario. The department informed me that Prof April will take us. Hearing that, dlm hati "Oh shit!!!" Actually she is a very nice lecturer from my experienced with her at Banting although other rumours  not said so yet she has a very high expectation..Hu...Ok la then..Department said, she will gave us the triggers..

So, one of my group member contacted her and meet although I'm not joining them since I got class during that time. She asked us about the trigger and there seemed to be some misunderstanding (biasa la, Dep Surgery..he...) where Prof thought that Dep giving us the trigger. Since Prof very busy with master exam for the month, so she have no time to create the scenario. So, she decided to give us one of her patient with a very interesting story who still in the ward, clerk her and discuss based on the case..

Since, ward closed for the week for my juniors and seniors' remedial exam, we kind curi2 masuk ward although being scolded by sister..Hu..Apa nak buat...Basically, our case is a 43 year old single mother who first presented with anemia 3 years ago with multiple admission due to severely anemia. Some wrong management had been done until she finally detected had right iliac fossa. CT scan showed a very large mass at the duodenum and ascending colon. She severely malnourished, thus admitted early for pre-op optimization, then surgery done with some diagnostic and therapeutic dilemma occur...Ha....Malas nak cerita lebih..

So, we as a group yg x berapa pro ni, create la the scenario before bercuti Raya Haji and devide the tasks. So, i'm playing the role of a physician talking about the initial presentation and anemia. Then other group members playing role as radiologist, pathologist, dietician, surgeon, anaes, psychiatrist etc...Ha...

Finally, hari yang dinanti tiba...Tak sangka la pulak, auditorium fac medic penuh hari ni compared CPC hari2 lain..Lup, dup, lup dup...He...Then, all went as planned and smooth..he...Fuhhh..Lega akhirnya...Alhamdulillah..After the presentation, Prof ckp, klau nak buat case report and publish or poster presentation, dia boleh tolong...Ngee....

Notes 4 Freinds

Assalamualaikum & peace be upon you...

Ok, atas cadangan saudara Alif Jamri, so aku dlm process buat blog baru yg akan memuatkan nota2 yg aku buat & apa2 jer la yg berkaitan...Link ada kat sblh...So, skrg aku akan ada 2 blog..1 utk mengumpat, & lagi 1 utk keakademikan sikit...He...

Dan Berakhirnya Paediatrics...

Jumaat lepas, maka berakhirnya posting paediatric. Agak memenatkan & moody sepanjang posting ni..Daily ward works, tutorial nearly everyday, on-call every alternate 8 days, ward rounds were some of our routine. Added with some extra radiology classes, prescription workshop, lectures, CPCs, patho logbook, orientation with freshies etc.

Hu...agak memenatkan dan moody. Aku x de mood pun nak study and most of my free times, aku tidur, layan english drama, kluar tgk movie etc. Nasib la dlm posting ni ada konvo. Dpt balik jmp kawan2 lama, so mood aku naik ckit la..Tp x bertahan lama sbb peristiwa kena marah dgn Prof aka HOD 2...Hu...Korg leh baca post lama 2...

Tapi, ada bestnya time posting ni. My group dpt ward rounds dgn Dr Anna & Prof MT Koh. Org kata, Prof ni menakutkan & malignant. Aku punya la cuak dpt dgn ye..Tp, bila 1st class dgn dia, Prof sgt baik. Seriously. Respect r Prof. Tambah dpt Dr Anna aka Dr Halle Berry yg mengajar dgn penuh bersemangat. Seyes, klau hari2 ada class dgn yeorg, tentu aku jd paediatrician yg hebat nnt...Ha....

First 2 weeks, I was posted 2 ward P6 aka Paeds Oncology & Haematology ward. Best gak kat cni. Main benda aku bljr kat cni adalah pasal leukaemia and tumour lysis syndrome. Patients with cranial nerves findings pun byk esp those with brain ca. Bukan senang nak jmp cranial nerve findings kat paeds patients. He....  Tp, yg lebih penting, aku rasa, aku belajar macam mana nak handle dgn perasaan & bad news yang mana amat susah skali. Satu benda yang aku perasan kat cni, most bdk2 yg have poor prognostic factors are those yg comel, hepi2, yg baik2, yg peramah etc. Sedih bila tgk telatah yeorg tp prognosis yeorg x berapa cerah. Ada gak patient aku yg masuk Bersamamu. He...Tp, time rakaman 2 aku dah kat ward lain..Hu...

Minggu ke-3, posted 2 ward P2. General ward tp most of the cases r respi, cardio & genetic cases. Minggu 4- Neonatal ICU (NICU) or special care nursery (SCN). Kat cni byk bljr pasal prematurity & complications. Minggu ke-5 dan 6, P4 aka gastro ward. Time ni la kecoh pasal kisah hantu kat bangunan paeds baru ni..He..
Last 2 weeks lak, posted kat P1 aka paeds ICU. During ward posting, we were expected to clerk all the cases, follow the rounds etc. 1 benda yg tak best. Time follow round, aku mcm x bljr apa2 coz fhm2 je la kan, eyes did not see what mind doesn't see. Hu....

On call? Follow past over round smpi maghrib, then x sempat dinner, mandi, clerk new admission and follow night round smpi lebam. Tp usually, around 1130 mlm ktorg minta balik dah...He...

End of Posting? Hu....Theory paper?? Mampus. MCQ memang susah gile, subjective, hanya mampu tersenyum.. Tak menyesal aku x study...Klau aku study pun, aku bukannya leh jwb soklan2 yg ditanya..1st question pasal short stature. Boleh gak la aku hantam2 ckit. 2nd question pasal Infant Mortality Rate yg memang tembak2 la kan. soklan ke3 pasal chronic cough. tekaan aku asthma or TB tapi rupanya retained foreign body & last question pasal enuresis. Time review, Dr ckp the relevent of setting such question is to exposed us with community paediatrics which, we upon graduation and after housemenship will facing of. Not such elegent2 cases seen at ward esp a tertiary referral centre like UMMC. Hu....Matila..

Short case? aku kena dgn Prof Wan & Dr Aida. Dpt case chronic suppurative lung disease. Pergi2 je, aku x dgr sgt apa yg Dr Aida ckp, aku just dpt tgkp Dr ckp this patient dtg sbb SOB & pliz examine respiratory system. Yg Dr membebel pasal umur soma aku x dpt tangkap..Ha...My own comment? Hancus sbb aku x tau nak present findings aku cam ne & seriously patient 2 memang byk findings. My first impression, assal bdk ni eks. Mcm x de respiratory problem. Kira respiratory rate 32 jer. Borderline..Penat aku meneliti recession, x nmpk..Tgk bdn cam ok so aku ckp growth ye appropiate tp kena confirm, bila sruh buka baju, teng, teng, teng... Failure to thrive. Terus aku tarik balik...Inspect chest, ada left lateral thoracotomy scar. Ada chest wall deformity. Aku pun ckp la, "There is pectus emmmmm.."(sambil tgn ala2 menari makyung nak menunjukkan lekukan ke dlm). Then, Prof tny, "pectus what?" Aku pun jwb, pectus carinatum padahal excavatum. Chest expension symmetry but reduced. Percuss hyperesonance lung with lost of cardiac & liver dullness. Auscultation, expiratory rhonci & course creps all over the lung field severe at base. Vocal resonance & fremitus cam x membantu. Then, Prof tny "in respiratory distress x?" Aku jwb x sbb RR 32 borderline jer bg ye, x de nasal prong soma 2..Recession pun x nmp..Then Prof suruh ye dongak ckit. Skali lagi, jeng, jeng, jeng...Suprasternal recession..Ha...

Overall EOP? Theory, ntah cam ne, aku sorg jer past MCQ out of 31 students. Padahal aku byk hantam kowt. Subjective x hbis tanda lagi tp nampaknya cam suram jer.. Short case, Prof & Dr puji aku punya skill, mantap & dpt buat respi dpn blakang dgn cepat. Tp aku buat 2 major mistakes, missed suprasternal recession & salah sebut pectus excavatum. SANGAT, SANGAT BERDOSA BESAR bagi kesalahan tersebut. Huwa.....

Petangnya lak, ada exam CPC O&G. and of coz O Em Gii, aku memang x study. Case pre-eclamsia jd HELLP syndrome, beranak premature, eclamsia, then mak anak mati. Mak mati sbb intracranial bleed, anak lak sbb sepsis. Soklan lak byk tny pasal management & ha....No comment....Yg bestnya, bila ada soklan pasal complications associated with prematurity. Memang aku goreng dr NICU la...He....Nasib ada soklan 2...

Overall posting? Paeds memang busy & no wonder la, org kata klau jd paediatricians tak de life. Ada best & tak best bila kena marah & mood down. Aku malas study time posting & yang peliknya hbis posting lak aku jd rajin buat nota paeds. Ha....Anyway, 4 months b4 final exam..Matila aku....

Jangan Lupa Namaku

Tak tau kenapa, aku rasa lagu ni best sgt, lirik lagu ni menusuk kalbu gitu...Ha...

 

Walau aku tidak bersamamu

Jangan engkau lupakan diriku

Walau aku tidak di sisimu

Jangan engkau lupakan namaku

Kerana aku mengingatimu

Kerana aku menyintaimu

Andai aku bisa bertemu mu

dengan senyum ku tadah syukurku

Andai aku bisa menyentuhmu

air mata pasti deras gugur

Kerana aku merinduimu

kerana aku sentiasa menyintaimu ….ooooo

sepenuh hati

Walau kamu jauh di mataku’

Jangan aku hilang dalam kalbu

Saat kamu samar mengingati

Jangan aku terus kau lupakan

Kerana aku sentiasa mengingatimu

Kerana aku sentiasa menyayangimu ohh sepenuh hati

Walau kamu jauh di mataku’

Jangan aku hilang dalam kalbu

Saat kamu samar mengingati

Jangan aku terus kau lupakan

Kerana aku sentiasa mengingatimu

Kerana aku sentiasa menyayangimu ohh

kekasih hati..

Andai aku bisa memelukmu

Pasrah aku tabah diujimu

Andai aku bisa dicintai

Dengan rela menyerahkan hati

Kerana aku merinduimu

Kerana aku sentiasa  menyintaimu

May be It's such a very lame excuse????

Minggu ni minggu yang penuh cerita..minggu yang penuh derita dan duka melara jiwa...Isnin, orientation with new ward that we posted. nothing much happen on that day..Selasa, I got new patient. Henoch-schonlein purpura. I come to the ward quite early and wanted to clerk the patient. but the guardian quite reluctant because before I come, 2 groups of medical students had come to examine the child etc...Then, few of other medical students, come to clerk the mother and now, I come..So, it's ok for me then and i always can come other time to clerk. Then, I've ward round with Dr Anna and finished around 12.30 something. At the afternoon, I got series of lectures aka seminars regarding blood transfusion and it end around 4.30 pm. After that, I rushing for on-call and finished around 6.00 pm. Actually I stay at the ward hoping able to clerk the HSP patient. Yet, I saw in the ward, 1 of my colluage just finished clerking the patient said he want to present the case for tomorrow ward round (although actually they does not have round), so for sure the mother will be refused to be clerked again...

Next day, after weekly wednesday morning CME, I went to the ward yet the round not started yet. I went to the patient room yet he was not there. I come few times but still not there. Then, I followed weekly gastro meeting and leaved around 1015 am for my tutorial at 1015 and the tutorial finished around 1240. In the afternoon, I got prescribing workshop at 1.30 pm and it end around 5.45 pm.

On the Thursday morning, all went wrong..It started with POD class in the morning. Suddenly, Prof asking whose on call last night and asking all the new admissions. Next, he started picked few patients from each ward. Started with P6. Yet, the all the patients he wanted was not covered. Those covering P6 that they never heard the name of any of patients that Prof mentioned. Then, Prof started become bad mood. Actually, the patients mentioned was not admitted to the ward but they just come to Daycare and somehow Prof get the name thinking that they are in P6. Hmmm....

Next, my ward.P4. Suddenly Prof mentioned the name of the HSP patient which allocated to me. I informed Prof that I didn't manage to clerk the patients because mother keep refusing and not in their room every times I come..Prof really become irritated with my excuse. Then, he mentioned another patient. All of us actually doesn't know who the patient is. So, Prof become REALLY, REALLY MAD, asked us to send full case summary of the patient by tomorrow 8.00 am at and just left the seminar room and class cancel. And I believed that some of my classmates pointing the fault to us who not covering the ward. Actually, the patient admitted at arund 1200 noon while we still have tutorial and having whole evening prescribing workshop on the previous day. I admit, it was our fault for not coming at night to cover the ward but sincerely, I'm not that kind of hardworking student who staying in the ward 24/7..I'm just like other student who also need some rest at night after a very packed day and preparing for the next classes. And sincerely, we also wanted to cover the patient after the class. Yet, nothing can be said anymore...

When, Prof leaving the room, seriously I heart seemed numb with a mixture of feelings. Sad, guilty, stress, mad, depressed. sad and guilt for not doing our job. Stress for being "blamed" by others, mad since Prof seemed doesn't know what the reason was behind it, depressed for staring the day with such situation etc...

Aku hampir2 menitiskan air mata bila benda tu berlaku. Aku hanya mampu berdiam seolah2 tiada perasaan. Kaki rasa berat, tak larat nak buat itu ini. Rasa nak jmp psychiatrist minta antidepressant jer. Then, ktorg ke ward utk cover patient tapi sister lak marah sebab tak follow round. So, follow round, cover patient 2 utk buat case summary etc. Habis around pkul 1.15. So, aku terus je ambil wuduk and solat. Seriously, time solat aku menitiskan air mata esp time sujud 2, and after solat aku seolah2 dapat ketenangan balik. Seriously, dah lama aku x dpt ketenangan mcm ni past solat. Dulu, masa kecik2 bila past ambil wuduk and solat, hati ni mesti rasa lain, lebih tenang dan sebagainya. Bila dah besar, benda 2 makin pudar...Mungkin hati ni makin jahat, jahil, tak kusyuk solat etc. Tapi, syukur Alhamdulillah, Allah bagi aku ketenangan lepas solat tu, bagi aku kekuatan. Yup, Innallahu ma'ana..

Budak Sombong

Hek'eleh!!! Blagak gile dia tu..Aku senyum kat ye bukan nak senyum balik..Bila tegur, x layan..Asyik buat muka jer..Ko hengat ko bagus sangat??Pandai sangat?? Sampai dengan orang lain pun, x nak layan..Lantak r ko..

Hmm..so, apa pendapat korang..Tentu korg bencikan dgn org yg berperangai cam ni?? AND...Budak sombong tu adalah aku...Ha...Yup, aku memang SOMBONG, BLAGAK, TAKBUR, RIAK, semua macam la, bagi jer soma tu kat aku..Bila orang tegur, tak layan, buat muka etc..Tu la aku..Kan?? Tapi sebab apa aku jadi sombong eks?? Hmm..jawapannya sebenarnya dah aku bagitau awal2 dekat sebahagian orang yang memandang diri aku sebagai seorang yang sombong..Cuba recall balik, apa yang aku pernah luahkan kat korang...Hmmm.....& kat orang lain, yup aku memang sombong pun...Ha..& aku memang tak sempurna..Banyak kelemahan..

Ha..kiddin...

 

 

Tapi, bak kata orang tak kenal maka tak cinta....So, slamat berkenalanlah dgn orang yang sombong cam aku..Ha....

Selamat Hari Raya...

 

Sgt nostalgik r suara zhe avi ni...Best!!!!

Paling penting pada hari raya, Kita takkan bergaduh, Kau simpan ego mu, Ku simpan ego ku
Jika hari-hari hari raya, Pasti kita akan lebih bahagia, Tak perlu marah-marah pada dunia, Jika hari-hari hari raya

Sorry, I'm racist...

It's something difficult to write. Ditelan mati emak, diluah mati bapa...Do you still remember about the fasting ad from 8tv this year about being appropriate. I wonder, why so many people offended with such ad...Yet, it still happen..

During this ramadhan, just few weeks ago, one of my non-muslim colleague wanted to follow us to bazar ramadhan.Yet, she wearing a sleeveless shirt with short. A very, very short.  WTF?? (I mean Wednesday, Thursday, Friday????ha...) She a final year medical student. MEDICAL STUDENT ok...Can they being considerate & appropriate. Hello, you are going to bazar RAMADHAN. Fasting...Not PUB..Wonder, how that she can past CIVIC during her SPM????

Next, a group of my colleague buying kuih at a stall..While they chosing the kuih muih, they also eat it directly..Very gelojoh one...& in front the mak cik who is puasa..& a lot of other people around them also puasa..Yet, they ate very gelojoh like they themselves puasa-ing..Hu....

Last, while a stay at a room, waiting for patients come for blood taking, a man had approached me. Yup, typical direct seller. Ha...He promoting about buka puasa buffet at his restaurant. The worse is, after being asked so many questions, I learnt that the food that they are serving contains alcohol. Although they were not serving any pork at their restaurant, but food with alcohol, FOR BUKA PUASA???? WTF???? Hmmm....

Is it difficult to being appropriate? We not asking you to become like us. It just respect and considerate to the others. For example, if you are not a smoker and very "allergic" to cig smoke and then somebody smoke in front of you face, how would you fell? You not asking the smoker to become non-smoker like you right? You just hoping him/her to be appropriate and considerate and thus not smoking near you.

The irony is, these type of people always wanting the other people respecting their right. Their right to wear anything they want, their right to eat, their right to smoke etc..Yet, if they themselves didn't respect the others, how other people want to respect them..What kind of future Dr they will be? It will be not so surprised if you may heard a man Dr or medical student asking a female patient to open her cloth without any chaperon at the room and vice versa...etc, etc, etc..Ya, it had happened and might be happen again, and again...

I'm sorry for become a racist. I'm sorry if you fell offended while reading this...But the moral is just simple....

 

of Banting posting & Ramadhan Part 1

Since the last 25th July, I've been placed in Hospital Banting for my District Posting..Best ke posting Banting ni? Dah la aku x de transport. Memang susah r nak carik makan soma. Dah la x de canteen sana..Huwa...nangis..Past 2 ditambah dgn crita2 yg mengatakan tempat 2 keras..Ha...

24/7

Anyway, kami bertolak dari UM pada malam Ahad 24/7 dan selamat smpi ke Hospital Banting around 1030 malam. Dalam perjalanan, aku ada dpt berita yg kurang best  yg kunci bilik kitaorg dah ada org tlg ambilkan & ktorg dpt sebilik 2 org..Although aku prefer ada room8, tp x de group8 lelaki group aku yg aku rasa aku leh jadikan room8 pun..Hu...2 yg muncung sepanjang perjalanan. Sampai je sana, tgk2 dapat bilik single..Hoye...Bilik 2 luas. Agak bersih gak la..so, x yah la aku bersusah payah menyental bilik 2...Yang peliknya, dinding ye..Dinding ye berlubang2..so, leh tgk klau org lalu lalang kat koridor.so, kena tutup ckit r dgn towel or baju etc...

Malam 2, after iron baju soma (pinjam iron kak ili) lepak2 la kat bilik sorg2..Tapi bosan la plak coz x de wireless. Hu...so, aku decide utk tido awal malam 2..Past gosok gigi, cuci muka soma, aku pun memulakan routine aku sebelum tido...Baca 1 page al-Quran ..(Cewah, bdk baik aku rupanya..He...). Start je aku mula baca, something pelik berlaku. Ha..Bulu roma naik..Nak tau kenapa? Sebab aku nampak satu "lembaga" hitam mcm bayang2 larik kluar dari bilik aku menembusi dinding2 yg berlubang 2...Seram sejuk pun ada. Tapi aku teruskan gak baca quran & 4 me, slagi benda tu x kacau aku, aku ok jer...He...Then, terus masuk tido..Tido x lena, pkul 330 terjaga, then pkul 4, pkul 5, pkul 6...

Sekadar gambar hiasan...

 25/7

Pkul 6.15 am past golek2 malas aku bangun utk solat subuh...Then golek2 lagi smpi around 7.00 pg & mandi. Hari ni x de benda sgt. Briefing, briefing, briefing & briefing dari pagi smpi ptg...Nasib briefing dgn pengarah hospital yg nak buat time ptg ye awalkan..wah, rasa bangga lak coz pengarah ckp ktorg la cohort pertama ye bagi briefing & cohort2 sblm ni cuma wakil ye je yg bagi briefing...He...

Aftr that balik & tido...Ptg 2, ktorg decide & round2 jelajah Banting. Ktorg p the Store banting shopping makan-makanan. Then, p makan kat restoran juvita...Balik solat, mandi & solat soma, lepak bilik jap..tp bilik amat bosan, so aku turun bawah layan tv sorg2.Kat blik tv aku lepak kejap dgn pak guard..Pak guard 2 smpt la cerita pengalaman ye kerja kat PPUM sebelum di hantar ke banting & sempat gak la mention tempat2 yg "keras" sekitar PPUM & fac perubatan. Ha...

Around 1200 mlm, naik bilik utk tido. Since awal lagi, aku decide utk solat sunat jap..(Baiknya bdk ni..) & Peristiwa mlm smlm berlaku lagi..Ha..."Lembaga" hitam 2 larik kluar bilik aku..Aku terus jer solat & baca quran soma & terus masuk tido. Tido mlm 2 pun x lena gak & asyik terjaga..

26/7

Pagi ni ada class PCM dgn Dr Haireen. Aku kena present case. Punya lama aku carik patient kat clinic, soma new cases, case paeds, infants soma lak tu..Hu...Akhirnya aku dpt bdk umur 10 tahun..Case kena gigit cencurut..1st time aku dgr cencurut..Binatang yg mcm tikus 2..Hu...

Ptg 2 lak, ktorg p econsave utk beli barang utk BBQ sok petang...Then, makan kat restoran Anggerik putih..Anyway, sate situ sedap...nasi goreng pun ok gak....

Balik, mandi, solat, tgk tv smbil bagi support kat bdk pompuan settlekan benda2 utk BBQ sok cam perap ayam soma & past 2 masuk tido. Alhamdulillah, x de apa2 berlaku mlm 2...

27/7

Class pagi ni cancel. So, ktorg decide p OPD. Nurse suruh ambil darah, tapi byk sgt bdk elektif dr Rusia & x nak bg ktorg. So, ktorg lepak bilik dressing & wat dressing penuhkan logbook..Tapi dlm lepak2 kat dressing room 2, nurse kat situ sempat gak la bercerita pasal peristiwa2 "supernatural" yang berlaku sekitar hospital banting 2 & asrama nursing yg bersebelahan dgn asrama kitaorg...he...

Ptg, aftr asar, ktorg bertolak ke pantai. Cadangan asal nak ke Morib, tapi Morib dah x de pantai skrg, so ktorg p pantai kelanang. tp, pantai ye kotor..x leh mandi pun...

Aku yg menghidupkan api arang..Tp, time mula2 nak BBQ 1, ada ckit isu la yg membuatkan aku x puas hati..Mungkin yeorg x pernah buat BBQ kowt...Anyway, mlm 2 ktorg enjoy mkn2 ramai2...

28/7

Pagi ni class ENT. Siap Dr Chong nyanyi lagu anakku Sazali lagi..Ha...Mlm, ingatkan ktorg nak mkn kat 1 restoran. Pusing punya pusing cam gasing x jumpa..Then ktorg give up & mkn kat Pak Li Kopitiam dpn hospital jer...

Balik hostel, mandi, solat & layan bola Malaysia lawan Singapore kejap... Then masuk tido. Tp susah gile nak tido mlm ni..Aku dpt bayangan yg katil sebelah aku yg kosong ada sekujur badan berbalut kain kapan...Ha...Memang cuak time 2...Rasa nak jerit & tumpang bilik chinese sebelah jer...Hu...Terus tutup mata rapat2 & tertido..Pkul 3 pagi aku terjaga. Tengok luar cerah, mcm pkul 7, tapi jam baru pkul 3..Yang penting aku still x berani nak tgk katil sblh 2...Intai punya intai, katil 2 ternyata x de apa2....Fuhh...lega, sambung balik tido smpai subuh...

Sekadar gambar hiasan

29/7

Pagi ada ward round paeds. Kena puji dgn Dr time ward round..He..Kembang ckit...Tp yang merisaukan aku, cam ne aku nak p solat jumaat nnt??? Masjid jauh & aku x de transport. Nasib kak ili nak hantar..Then, dpt balik UM...Yahoo....Balik kg, o, o,o balik kg....

WEEK 2

31/7
Esok puasa, so malam ni dah start tarawih. So ktorg decide nak tarawih dlu kat UM b4 berangkat ke Banting. Sampai kat Banting around 1145 pm. Then kuar jap p restoran mamak utk carik sahur esok. Aku beli nasi goreng ayam. Balik, mandi & terus tido. Bosan...Tak de peristiwa apa2 berlaku..Mungkin bulan puasa..He...

1/8
Pagi pkul 5 aku bangun selepas beberapa kali terjaga.Around pkul 7.30 aku turun utk punch card. Balik dr punch tetiba jer ntah dari mana sekor gagak sial dari atas terbang ke aku..Aku sempat elak..Psycho tol la gagak 2...

Then, aku & d gang bertolak ke klinik kesihatan teluk datuk. Hari ni ktorg ditempatkan ke MCH clinic. Pagi antenatal, ptg lak child health. Clerk patient, examine & nasihat...2 kerja ktorg...

Ptg?? Around 530 pm ktorg p bazar ramadhan. Tp, time buka soma x puas hati. Soma benda yg ktorg beli soma failed. Air kelapa jer ok..Yang lain??? Sedey..huwa....

Then, ktorg p tarawih kat surau sebelah restoran juvita. Time p sana soma org pandang. Mungkin sebab dlm 1 van 2 cuma aku lelaki melayu terakhir dikelilingi gadis2 bertelekung or sbb ktorg org luar. Time solat, aku plak rasa muda sgt sbb most yg dtg org tua..Huwa...

Habis tarawih, malam ni turn aku on-call kat A&E. Lepak sana smpi pkul 1200 mlm..X de buat apa sgt pun..Then lepak tgk tv smpi pkul 1 & then tido..

2/8
Sahur pkul 5.00 pagi. Sahur nasi putih & ikan keli yang aku beli kat bazar smlm..So, so jer...

Pg 2 aku ada school visit. Pergi chinese school kat teluk panglima garang. Klau standard one nya kena check telur & somaorg ktorg kena check jantung & lung serta benda2 lain...Slain 2 bg vaccination. Yang standard 6 lak check jantung & lung jer serta system2 lain...Bdk2 pompuan soma tachy bila aku examine. Mungkin x pernah jmp Dr sehensem aku kowt..Ha....

Sesi petang lak, pergi home visit. Klau group lain slalunya pergi post-natal home visit, group aku special...Visit case patient undernourished with down syndrome. Best gak la..Family patient baik sgt...

Hari ni ktorg berbuka kat McD. Buka posa special..Tp aku ambil GCB gak..Ha...Tarawih malam ni kat masjid tmpt aku solat jum last week. Best gak la...Then, pergi labour room ganti on-call weekend yg aku ponteng. tp, sayang x de 1 case pun..Lepak smpi 1130 then balik tgk tv. Pkul 1230 naik blik tido...

3/8
Bangun pkul 430 & sahur. Sahur apple pie McD je..Hu...

Pagi 2 ada environmental visit. Since ada 1 denggi case reported yesterday, so ktorg p ke tempat kejadian utk cari jentik2..1 warden asrama kena denggi, so kena la p 1 sekolah menengah kat teluk panglima garang. Balik dari sana, kena blajar lak pasal jentik2 cam ne nak bezakan jentik2 aedes agypti, aedes albopictus & culex..Hu...blajar balik parasit.. Ptg, p clinic then lepak kat MCH penuhkan logbook...

Then, ktorg p econsave nak beli barang coz sahur sok pagi yeorg nak masak tom yam. Kongsi ramai2..Berbuka kat angah sate..Aku makan nasi lemak kepak ayam ye...Ok gak la..Tp sate anggerik putih lagi sedap..Ha...

Mlm ni tarawih kat surau ibu pejabat polis sbelah spital jer..Again, rasa asing sgt..Org asyik pandang2 jer..Hu...Balik layan tv then tido.

4/8
Bangun pkul 415..Bagi sokongan moral utk yeorg yg masak. Actually, aku lepak layan tv je..Ha...Sahur tom yam & telur dadar. Biasa, biasa je...

Pagi ni, aku kena bagi health talk kat pesakit2..Pasal kencing manis & darah tinggi. Wah, tak sangka ada yg memberi perhatian..Siap mencatat lagi apa yg ktorg ckp kat buku 555 ye...Bagus mak cik..Saya doakan kesihatan mak cik2 & pak cik2 soma...Then, clerk patient, tulis notes & prescribe ubat kat OPD patients..OK gak la..

Buka?? Ktorg p bazar ramadhan kat Kanchong Darat lak coz bazar ramadhan yg ktorg p dlu failed. Makanan ye boleh tahan la rasanya..Better than yg dlu...Tarawih lak kat masjid menuju ke restoran juvita..

5/8
Bangun around 415 gak..since nasi sahur & cendawan semalam byk lebih, yeorg decide wat nasi goreng tom yam. Sedap seyh...

Pagi 2, aku punch around 730. Bila balik 2 tetiba gagak pyscho datang menyerang lagi tp aku sempat elak..Tetiba dtg sekor lagi & kena ckit r rambut aku..Sial & kurang ajar punya gagak...Assal ko jeles sgt dgn aku???

Sekadar hiasan..

  Pagi ni, ktorg pergi ke perkampungan org asli..Best sgt..tp patient tak ramai mcm selalu according to nurse incharge la...Ramai ibu2 & anak2 yg datang. Aku perhatikan, parents yeorg still ada iras muka "keasliannya" tapi anak2 yeorg muka dah modern. Yg lawaknya ada satu bdk umur 7 bulan ni. Comel sgt...Bila timbang senyum, buka baju senyum & asyik senyum jer..Tp weight ye jatuh ckit. So nurse tanya la, bagi makan apa? Mak ye jwb susu..Nurse tny lagi susu apa? Susu badan?? Then, smbil tersenyum mak ye jwb, susu Anmum..Aku dengar punya la susah tahan gelak...Nurse tu jwb, Ibu...susu Anmum lagi mahal dari susu kanak2..tp ok la, assalkan susu walaupun khasiat ye x sama...Ha....

Clinic habis awal..Around 1030 dah hbis..So, ktorg decide balik UM..Ingat nak kejar class CPC la petang 2 kononnya (walaupun memang malas nak pergi..)Berenti kat masjid negeri shah alam utk solat jumaat..Smpi UM dah terlambat..Class dah start..So x dpt la p class...Hu....(dlm hati hoye...). Juadah berbuka kat bazar ramadhan kerinchi & solat tarawih kat kolej....

WEEK 3
Minggu ni x de apa2 sgt yg menarik. Tiap malam ktorg solat tarawih kat surau IPD sblh hospital...1st day of the week buka posa kat restoran Bingo Cili Padi. Air dragon fruit ye memang sedap..He..Next day ktorg soma buka posa kat pizza. Esoknya ktorg beli kat bazar tp kuih muih ktorg masak. He..since yeorg teringin nak makan puding caramel, & aku still ingat2 lupa cam ne kakak aku wat dlu, so aku tlg masak2 ckit puding caramel..Then, ktorg wat gak cekodok pisang. X sangka, sedap & jadi puding caramel aku..Ha..Hari last buka posa kat sana ktorg masak spageti & puding epal. Spageti jadi tp puding epal ye so, so je...Ha...Then, it's friday, friday...leh balik UM....

Bday celebration...

Pizza hutzz...

Spegeti ayam special utk aku...sebab aku x makan daging..ngee...

Puding caramel aku...x sangka jadi 1st time masak..ngee...

sedap gak cekodok panas2 ni...

WEEK 4
Ni last week aku kat Banting...x de apa2 yg best sangat pun...Cuma on 17 Ogos bersamaan 17 Ramadhan or cuti nuzul Quran, ktorg decide utk panjat Bukit Jugra dlm bulan2 posa..Best..x tinggi sangat pun bukit 2...Balik Jugra, p kedai kerepek, borong kerepek..Punya la ramai org memborong kerepek..Mungkit sbb dekat2 raya kot..smpi jam jalan kat situ..Hu...And finally, berakhirlah posting Banting....

Buka kepci lak...

Berehat sebentar melihat sunrise...(Ada ke???)

Jugra...

Menuju ke Kilang kerepek....

Akan ku jumpa...

Ku mengatur langkahku
Berjalan tanpa bayang-bayangMu
Langit dan bumi setia, menemaniku
Matahari menyinar tak pernah berpihak padaku
Ku kepanasan tanpa perlindunganMu.

Hari berganti hari aku masih teguh menanti
Hadir diriMu dalam hidupku ini
Rasa kecewa ada bila kaki penat berlari
Namun yakinku kau kan kutemui

Ku takkan pernah cuba berhenti
langkahku mencari cinta
Yang ku tahu hanya tuk diriku
kan ku terus cari sampai hujung dunia

Kerna ku tahu akanku jumpa diriMu
Dan ku kan terus menempuh mimpi-mimpiku selalu

Kulihat semua gembira
Bila mengenali erti cinta
Senyuman ku beri hanya duka
Bila ingin teman tuk berbicara

Cinta jangan sembunyi
Mataku kabur mencari
Hadirlah dalam hidupku ini
Cinta jangan engkau pergi bila langkahku cuba
Untuk mengejar diriMu

Ku meneruskan langkahku
Dan mengejar bayang-bayangMu
Sinarkanku cahaya dari mataMu

Inginku temu cinta
Mengisi ruang hatiku
Takkan pernahku berhenti mencari

Obstetric (& Gynaecology)

Alhamdulillah, berakhir sudah posting O&G..(xcept writing paper belum g..)
Selepas 1 tahun yang lalu aku dipostkan ke ward Gynaecology, 1 bulan lepas, aku dipostkan ke ward obstetric lak..Hu...
Actually, aku tak berapa suka sgt pun posting O&G ni. Mungkin sebab aku ni lelaki, so, posting ni agak sukar & mencabar ckit bagi aku berbanding posting2 lain.
Fuhh...Klau posting2 dlu cam Pyschiatric & Ortho agak free, Obs posting penat & memenatkan..

Rutin dlm posting ni adalah berdasarkan rotation 5 hari..Ha..
1st day slalunya ada tutorial, ward round, class etc. Ini ok lagi..

Next day, on-call..
Hu...Kena stay kat labour room 24 hours, dari jam 8.00 pagi smpi 8.00 pagi esok hari.
Since aku memang jenis susah tido melainkan atas katil sendirik, slalu gak la kena marah dgn nurses & MOs suruh tido..
Cam ne nak tido? Suruh tido atas katil patient yang kosong, bila start je naik katil, terbayang air ketuban, darah patients2 yang bersalin..Potong stim terus drpd nak tido..
Apa yang kitorg buat time on-call???
Patients datang clerk, set line, ambil darah, monitor & conduct deliveries.
5 deliveries kowt kena conduct...
Dah la time aku on-calls byk yg emergency caeser. He...tp bagus gak, ada change aku scrub & assist caeser time posting ni...

Esok pagi lak, past solat subuh, pergi post-natal wards, ambil darah.
Habis around 7.15 pagi.
Then pergi sarap, basuh muka, gosok gigi pergi class lak pkul 8.00 pagi..
Hu..x sempat mandi, after seminar curik masa ckit balik bilik mandi, then terus pergi ward, cover new admission utk ward round..
Then, klau x bernasib baik, ptg lak ada lectures smpi pkul 5... 

Post call???

Slalunya aku manic ckit..(tp aku memang org yg jenis manic pun...Ha...).
Klau bdk lain terhangguk2 time class & ward round, slalunya mata aku akan segar bugar.
.Even, malam pun aku x ngantuk..
Memang mania...

Yang problemnya, Day 2 post-call..
Hari ni la aku slalunya akan mengantuk gile...
Klau ada masa jer, memang akan tido punya la...
Dah la tido tu hobi aku...Memang bertambah syok la...
Alarm ke, jam loceng ke, siren bunyi ke, aku x peduli..Tido itu wajib..Ha....

Next day, study day kot..
Tapi bukan study sendirik2..
Study kena siapkan slide utk presentation seminars or siapkan case summaries...
Hadoi...Kill, kill, die, die....

Then, rotation akan bermula kemabali, class, on-call, manic, mengantuk, case summaries...Hu...

Walaupun posting ni penat, tp ntah kenapa, aku rasa mcm aku slalu dpt layanan istimewa drpd org lain..(Ish, manic lagi ni...).
Groupmates aku slalu ckp, aku ni pet student most lecturers O&G..ye ke???
Klau MOs lak, kebanyakan MOs esp yg pompuan slalu cam PMS ckit...tp klau dgn aku baik je..Dgn org lain????
Dgn HOs?? HOs semua baik2..Best lepak dgn yeorg..
Dgn nurse?? Siap bergosip lagi..Tp soma mostly bersifat keibuan...Baik2 & caring2 sgt....

Walaupun posting ni, aku rasa mcm....

Tapi yang pasti aku rasa sgt puas, especially bila dpt....

Puas hati aku bila tgk baby2 yg sihat lahir, dgn yeorg meraung gile time baru lahir etc...
Dan yang paling aku puas, time last delivery yang aku conducted.
Time 2, agak tgh malam & semua org busy...
Patient tu baru msuk & x sempat clerk hbis tetiba nak meneran sudah.
Aku yang FULLY conduct delivery 2..
FULLY k...bukan stakat pegang2 jer..
Dari cuci perineum, maintain sterility, suruh push, guard perineum, tarik kepala, kuarkan badan, potong tali pusat, angkat baby tunjuk kat mak ye, smpi placenta keluar..
Aku yang conduct dgn nurse kat tepi...
Memang rasa puas sangat...
Akhirnya, walaupun kita rasa letih, tp keletihan berbaloi dgn tangisan bdk2...He....

Of Silly Shifting...

Last Monday, I got a letter from the Office. My hostel office. They put it beneath my door. The letter asked me to shift into a new room and I only ll got the key by Wednesday and must be finished shifting by Friday. What the???

Seriously??? That night, I' tried to ask the others about that. Why we should shift? 4 what purpose?? I'll be busy this whole week & 4 sure not much time to shift. Monday burn already, Tuesday need to cover ward, Wed got the key, thurs i've something to do & fri i'll b on-call?? And the thing that make me more mad was, the college want us to fill the ground and 1st floor which my room currently at 1st floor. Why just not asking those who scattered at 2nd & 3rd floor to shift and filled the empty room instead of every of us shifting to the same block?? Then, the reason was from what other said upon asking the Master, " Saya pengetua kolej ni dan saya berhak buat apa-apa sahaja peraturan!!!" Lagi la aku berapi???

On the Wed, my new room actually just alternate 5 room of my current room & most my so called new neighbors is nearly the same of old neighbors. Even worst, few of my friends got their new room just opposite their old room, just cross the 1 m corridor. Asking, can we just stay at current rooms bcoz asking 2 shift just opposite or 5 next room is silly idea you know..They said, yes it really silly but that what arahan pengetua. We cannot do anything.

Sgt bodoh. So, although my mouth membebel quite a lot, but apa nak buat. Kena pindah gak la..So, at the evening, I tried to finish shifting and alhamdullillah I finished shifting all my stuff that night. Next day, during check out the old room, the staff checking my room also complained, "Kenapa la kena pindah, padahal bilik baru selang 2, 3 bilik jer????" See, they themselves know it is a silly decision. But, they've no power...Master 2 gak yang berkuasa tanpa dgr cadangan & comment org lain.

Bengang, bengang, bengang...Master 2 x sakit ke telinga dia org kata ye mcm2...Then, after we completed shifting, another badge of students whose their rooms at 2nd & 3rd floor ll shifted 2 our old rooms...BODOH GILE!!!!KO INGAT KITAORANG FREE SANGAT KE NAK PINDAH RANDAH NOMAT SEMUA NI??? Pliz la, buat sesuatu yang realistik ckit....

Rindu Klang. Banyak kenangan PAHIT dan manis kat cni...Sebelum pindah balik ke UM

My old room at UM. then kena pindah to another room...

I'll gonna miss this scene.....

By the way, aku dah siap pindah. Tapi hati masing bengang sebab blik lama aku dah ckup best...LANTAK LA KO & SEMOGA KO BERBAHAGIA DGN KEPUTUSAN2 KO 2.....

OMHS

Oh My Hot Stuff??? No...Organization & Management of Healthcare Services posting...Hu...Binatang apakah OMHS itu????

Selama 3 minggu kami didedahkan dengan our Healtcare system..Hu...Nak kata bosan, MEMANG la bosan gak la kan..tapi in my personal view, benda ni agak relevant la dgn kerjaya aku masa depan nanti..One of te topic yang aku suka adalah Health economic..Since CME pasal Cost of Cancer Treatment lebih kurang 1 bln lepas dah aku seakan2 suka dgn topic ni..He...Cong8 r UM coz memperkenalkan concept ni kat undergraduate cam ktorg ni...Hu...

Then, 1 minggu ktorg dicampakkan ke Klang..Buat kerja lapangan..Dari pkul 7 pagi aku melangkah keluar dari blik, pkul 7 ptg lak baru dpt menjejakkan kaki balik ke bilik..Penat..Hu...

Last week, presentation, presentation & presentation..Nampaknya, aku kurang bernasip baik sebab kena present..Hu...Habis present, kerja aku still x hbis g...since aku jadi editor, banyak g report yang aku kena edit & compilekan...Hu...Hopefully dapat siap awal..

Next posting, Obstetric (& Gynaecology)...Alamak, kena conduct delivery..cam ne ni?? Ambil darah pun parkinson, leh ke kena conduct delivery at least 5 babie?? Hu....

Up Above the World So High...

Merenung dan termenung...Semenjak dua menjak ni aku seperti pungguk rindukan bulan...asyik mendongak ke awan..Rindukan sesuatu mungkin...Rindukan masa lapang, rindukan masa aku kecil. Mendongak dan merenung langit..Aktiviti aku pada masa lapang..Kalau waktu siangnya, baring kat tempat lapang atau padang lepas practice sukan or balik sekolah agama, tengok awan di langit biru..Bebola kapas pelbagai bentuk...

Malam lak, mendongak langit melihat bulan dan bintang...Mengukir imiginasi lampau. Patut la aku amat sukakan astronomi dulu. Masa sekolah rendah, hampir semua buku astronomi aku baca..Cuma tak menang kuiz sains angkasa je..Ha...Tapi itu semua telah berlalu..Aku rindukan masa lalu...



Jadi, tak mustahil lah kenapa semenjak dua menjak ni aku selalu berjalan mendongak ke atas..Melihat dan merenung langit...Balik surau time solat maghrib dan isyak, petang2 aft tapau makan...Best sangat..Cam orang angau dah...

Elektive

Alhamdulillah, finally all settled already...I just passed up my report to the department. After a long pause due to kemalasan, after my last posting, I tried very hard to finished up the discussion, send to my supervisor & finally, tada...SIAP..Hoye...alhamdulillah...ngee...

My finalized report..He...ada change utk publish x?? ha....

I had gain a lot of new experience during the elective. Suka, duka, penat, benci, berlakon, soma ada...Finally, time to forgot all what had happen (Hopefully)....

Ku Mohon

I don't know why I keep humming this song recently..May be the lyric quite close to me..Hmm..Talking about lyric, that was one thing that keeping me wonder..I actually a person who not really understand what the meaning besides a song tak kira la lagu melayu and of coz lagu english...Ha..May be, I'm just a kakak tua just keep saying things without understanding it...I wonder, how I can pass my KOMSAS during my secondary school..Ha...Ok lah...have a look to the lyric of this song Ku Mohon by Shila Majid...

Setiap hari kumohon
Agar Kau sentiasa
Memberiku ketenangan dalam hati... kekuatan
Menempuh segala dugaan yang mencabar ini
Pasti punya ertinya
Engkau beriku harapan
Menjawab segala persoalan
Hadapi semua dengan tenang

Dengan merasa kesyukuran
Ku doa Kau selalu
Mengawasai gerak-geriku
Berkatilah ku penuh rahmat dari Mu

( korus )
Oh Tuhan terangkan hati dalam sanubariku
Oh Tuhan ku berserah segalanya kepadamu
Agar jiwaku tenang dengan bimbingan Mu selalu

Ada kalanya ku merasa hidup ini seperti kaca
Jikalau tidak bersabar
Hancur berderailah akhirnya
Tabahkanlah hatiku
Melalui semua itu... Ooh...
Kuatkanlah
Cekalkanlah diriku

( ulang korus )

Curahkanlah nikmat Mu pada hidupku

Orthopaedic Surgery

Assalamualaikum & holla 2 all bloggers..He...

About 11 years ago, I had fractured my left radius and ulnar while playing. Upon arriving at the hospital, there were about 5 other people who also had fractured their upper limbs. The thing that keep playing in my mind during that time, why the others were immediately being discharged home after being splinted with plaster with paris (POP). While me, had been warded for about 1 week. Tak puas hati betul time tu..On the evening, closed reduction of had been done under regional block. Tak sakit pun..After dah habis POP semua, then Dr ckp dah settle, so aku pun bangun nak balik ke katil. Dr tny, boleh ke?? Tak rasa nak pitam or jatuh...Then aku jwb..ok jer.10 langkah jer lepas tu, tetiba aku jatuh dan tak sedar sampai esok pagi..Ha..kesan bius..Next day, after x-ray, Dr ckp nak operate lak...Hu...Lagi 1 hal...Tapi dua benda yang aku ingat sesangat sepanjang kat ward..1st skali bila mak aku smpi, aku nmpk mak aku nangis..Hu...sedih jer aku tgk..2nd, aku lak yang nangis..Nangis sebab sakit post-op...Hu...memang sakit...Dr kompleks dewan bedah, smpi ke ward aku meraung..Kat ward kena bagi morphine terus KO 1 hari..He...Tapi, sebab patah ni, aku punya hidup berubah..Kalau tak patah, may be i'll not end up doing MBBS here..mungkin aku dah jadi atlet...Dpt tawaran sekolah sukan dlu tu..tp sebab trauma, terus stop sukan...Hu....

Bukti masuk hospital...He...

How I was manage..Rupa2nya, aku allergic kat ubat ye smpi blister tangan aku post op..

11 tahun berlalu, akhirnya minggu lepas baru berakhirnya posting ortho. I though, I'll love this posting. Ye la kan...BUT....Initially I though I'll love and enjoy spine and sport...TAPI...Ntah kenapa, I lost...Hilang arah tuju time posting ni..Nak dijadikan alasan..
1. I suck in Anatomy especially upper limbs and lower limbs..(2 yg 1st year x dpt dean list kowt...Ha...)
2. Takut r dgn lec esp Prof .....Seyesly, aku tak pernah takut dgn mana2 lec b4 ni termasuklah lec paeds yang telah diketahui umum mcm mana..Tp, hu...Allah saje lah yang tahu macam mana perasaan kena viva dgn Prof ni..He..
3. Banyak sangat physical examination baru. Semua joints kat badan ada special test..Dah r tak de room8 nak practice...Hu....
4. Aku kecik kowt...x cukup tenaga nak reduce tulang2 yg patah ni..Ha..Lagipun, akukan seorang penuh bersopan santun dan bersusila...

Itu semua alasan...Ada beberapa perkara je yang aku enjoy time posting ni..
1. Akhirnya, aku dapat jawapan kenapa aku kena warded smpi 1 minggu & kenapa aku kena operate & orang lain x...
2. aku suka follow trauma round. Byk bljr pasal management. Aku rasa trauma subspeciality yang mcm menarik..He...
3. Dpt assists operation kat OT...best...he..aku suke masuk OT...

Ortho...Tp, aku tak cam ni pun time posting ortho..Ha...

Baru siap scrub selepas beberapa incident yang memalukan..Debridement of open fracture of femur...Banyak darah, membuatkan aku lapar (mode vampire)

Relax sebentar...

Kerja aku assist jer...Bagi alat, irrigarte wound, suction, lap-lap, & tarik kaki 2 utk reduce & allign balik..Hu..Penat o..Berat aku 46 kg jer nak tarik kaki orang yg berat ye 2 kali drpd berat aku...Ortho, not my field kowt....

Tara....Siap dah...Masukkan pin utk skeletal traction...

Habis dah....Hoye....

Tapi, alhamdulillah dah berakhir pun posting ortho ni...Diharap, ilmu2 dan pengalaman yang aku perolehi sepanjang 2 bulan aku posting ortho ni takkan sia2 untk menjadikan aku seorg Dr yg selamat...