First Experience

Innalillahiwaiinailaihirajiuuunn..

DariNya kita datang dan kepadaNya kita kembali.

Lepas cover case dekat 1 Utara, I singgah 7 Selatan sebab nak jumpe pakwe.

Tak sempat jumpe pakwe pun, nampak 2 orang doktor n 4 orang nurse tengah resuscitate patient.

Wat CPR, defib patient.

Ape lagi, I pakai glove n tolong doktor wat CPR.

This is my first experience doing CPR to the real patient.

Buat CPR sampai assytole.

Innalillahiwaiinailaihirajiun.

50 y.o Malay uncle, End stage renal failure.

Tup2, katil setentang dengan pakcik tu pun nazak.

Cek2 jantung memang assystole dah.

Chinese uncle.

So malam ni, 2 patient serentak pergi.

Hmmm... tapi I rase cam dah biasa dengan kematian..

Takde lagi sad feeling whatsoeava.

Orang kata dah kalih.

Jalan balik bilik laju2.

Mandi bagai.

Tido sorang lagi sebab K.Azwa tak balik lagi.

Tapi dalam kubur pun kita sorang gak.

Oh... maut maut maut... teman yang paling selalu datang ziarah.

My little Bullek

Hohoho... She is growing so fast..
But still the little kid in our eyes...

This is what happened when I left my phone with her... Full of her gediks photos.. Ni pun I da tapis banyak da~ hahaha.. I think this is genetik from K.Ain kot... hik2... x caye, tengok album lam enset die... huahahahhaa

Die suke makan makanan mentah macam doh kuih or kek yang x masak lagi... Siap boleh marajuk kalau x simpankan  untuk die contohnya lam bulan puasa.. I da pernah try , x sedap pooonn....

This is pressie from her n my family for my 23rd bday... Die bagi name Bobby.. hahhaa... ape2 jela labu... Yang x leh blah, my sis cite, time beli bobby tu, die pun rengek2 nak jugak, tapi my mom x bagi n cakap die dah ade bantal busuk n die x suke bear pun.. Pernah bagi dulu pastu die buang rate2 lepas 2-3 hari.. Die cakap ape tau " buleh sipe... wi ko anok k.ain nga k.inin nati" hahahhaa... faham x?

oh klah.. :D

report

ah... malasnye nak wat report?
Report kali ni pasal ovarian ca = adult granulosa type with staging 1c.
Plan for BEP regime tomorrow..

Time clerk akak tu tadi die tanye..
"Dik, ape perasaan bile something yang kite nak ditarik jauh dari kita.."
Akak nak ape kak? Tanyeku blurrr..
Akak nak sihat macam orang lain, Allah beri sakit.
Akak nak suami akak, dia lari tinggalkan akak.
Akak nak anak akak temankan akak, dia pergi ikut husband dia duduk jauh dari akak..

Hmm... susah nak jawab ni.. kalau jawab, panjang huraian plak t.

Aku tahu die tahu jawapan die.
Mungkin die rasa sunyi?

Jawapan paling  mudah aku bagi.
"sabarlah akak"

Aku sambung je clerk tanpa hiraukan emotion die.
Huhu.. sianlak akak tu.

Oh licinnye muke innniiieeeyh

Assalamualaikum wbt.

Hi... Ok, hujung minggu yang masyuk... Tak sabarnye nak cuti Deepa....
Nak balik nak balik nak balik...

Huhu. Hari ni mak nak ajar care wat scrub sendiri.
Senang je. Hasilnye pun memuaskan.
Mak belajar ( errr... cam geli je mak mak ni...cam nyah je u.. awww)
My friend's friend from German yang amalkan scrub ni..
Kulit die cantik U...
So far lepas I pakai , I suke la hasil die..
Biarpun x flawless lagi, tapi approaching la... ceeehhh... harapan..hahha

So, bawah ni Ingredients die

1. Honey... Pure honey k... I beli yang paling murah je kat mydin.. Yang I beli tu lam Rm11 gitu je
2. Olive oil
3. Gula
4. Lemon

Gula tu act as exfoliator.. Olive oil n honey tu as moisturizer, lemon tu antibacterial... So U all mix je sesuka rase. Tapi xyah suke sangat la. Sendiri pandai bajet.. Lemon tu ade effect pencairan.. So x yah banyak sangat. . Perah slow2, takut cair lak adunan kite ni. Olive oil pun letak sikit je.. Kawan I wat satu bekas terus.. time die nak pakai die amik je... I wat sikit2 je, sbb tade bekas besar.

Tapi dah namenye scrub. Kena pakai 3 kali seminggu je kan..Haha.. Tapi I am so addicted, tiap malam pun g scrub muke.. Tapi start esok, nak minimizekan dah.

Btw, time nak beli gule ni baru perasan, OMG gule da naik harge... hahaha... baru tahu sebab jarang sebey harga kat pasaran... muahahhaha

K,la, saje nak promot sebab BEST! Tq awak sebab ajar... hikhik

...................................................

 eh eh... sape diorang kat atas ni... cam budak2 pelik ... x mo kawanlah

Mommy, save me!

This is a story of a story.

I am a fetus in my mommy womb.
I am so excited to see the famous world.
Everyone in my life before I was being put in mommy womb were talking about how great the world is.

OPS!
Everything were so nice until I know my mommy is  a HIV  carrier during booking (First antenatal checkup).
Can I be born without being infected with those scary virus?
I am so scared... Tatoooootttttt~

Audience : awak, awak, cane awak leh dapat HIV tu dari mak awak?
Fetus        : MTCT
Audience : Ape tuuuuuu?
Fetus       : Mother to child transmission le awak... Tu pun x tau ke... Kite ade 30% risk to be   
                  infected    tau... tatooottt nii....

I am so frustrated knowing that I have that 30% of being infected, until the superhero of the world life talk to my mother..

Superhero : We can reduce the 30% to 2% risk of your fetus to be infected
Mommy    : Oh! how doctor.. tell me.. My fetus is so scared inside. He is not kicking actively
                    recently. He must be soo heartbroken.
Superhero : We start the HAART/START antenatally and intrapartum to the mother and to the
                   neonate for the first 4-6 weeks of life, delivery by elective Caeserean section, and
                   avoidance of breastfeeding.
Mommy : Oh ..Tq dr.. Now I am so relieved.. My fetus say thanks to you.. Aucchhh... He is kicking
                 now..

The end

.....................................................................................................

Oh x senang tau C-sec HIV patient ni..
Kena double glove, pakai google, disposable item, mandikan bebi cepat2, clamp cord cepat2.. semua pun nak kena cepat.. But at the same time kena careful la... kang x pasal2 kena needle pricklah apelah.. Nauzubillahiminzalik...

Berubah

I keep complaining a lot of things has changed.
Only to realise, I am the one who changed.

It takes me so long to realise this.
I thought it is fine just to care about my heart, my feeling, my selfishness.
I thought it is fine just to live my life, ignoring others.
I thought it is fine just to receive, not to give.
I thought it is fine just to be me.

During the process, I feel lonely.
Real lonely. I laugh a lot during the day, just to end up with cry at the night.
I express my anger, but not my pain inside.

I just thought it is better not to share the pain because no one will understand.
Some are happened to listen but not to understand.
Some are happened to read but misunderstand at the end.
Thus I keep my fb and blog free from my internal emotion status/writing.
I just express what was on the surface without going deeper.
I complaint about things that I couldnt care much but leaving the core problem unexposed.
I am creating a shield.

Little that I know, I am loosing more.
Things are not getting any better instead it change the world surrounds me as well.
It gives me a new life, a new problem and a new experience.
Somehow, I dont wish to lose what I have before.

Tonight,
Under the full moon, I spent my lonely night with Su.
My bestfriend during my 2nd year.
My old memories catch me, only to make me realise, how far things have changed.

Thus, to dear who I have hurt, I am deeply sorry.
We apologized to each other so many times but things never turn like before.
Now I know, the problem is me.

Rahim yang merayau rayau

Waktu zaman sekolah dulu, dengar perkataan histeria pun dah cukup menakutkan.
Tapi tak pernah la alami sendiri. Keadaan dan suasananya pun just boleh bayangkan je.

Rahim yang merayau rayau?
Hysteria actually berasal dari Greek word yang bermaksud Wandering uterus (rahim yang merayau rayau) sebab tanda histeria ni just ade di kalangan wanita time tu.

Dulu, ustaz kate orang yang hati lemah je leh dapat histeria ni. So, sape rase die x kuat jangan gi dekat pun. Tengok mata pun x boleh.. Nanti jangkit.  Actually dalam medical world, memang wujudlah term hysteria ni, under psyciatric illness. It is actually kecelaruan jelmaan disebabkan faktor psikologi. Orang yang sedang alami histeria ni, biasanya memang hilang kontrol terhadap diri sendiri dan gangguan ni berlaku tanpa sedar.

Antara punca, hati lemah dan emosi rapuh, pengalaman pahit di waktu silam, kurang attention from family,simpan persaan benci atau dendam, tekanan dari sekeliling dan terkongkong.

Biasanya ia bersifat sementara aje n x perlu medical intervention. Pesakit tu akan stop bile die rasa letih. So support and counselling wise sangatla memainkan peranan. Bagi muslim, kita harus tenangkan patient dengan suruh dia ingat Allah dan rasul.

Hmmm. Semalam I stay kat HKB, teman my auntie yang just delivered a very cute baby.. Tengah2 malam dalam pukul 3am gitu, dengar orang jerit. Suara tu lain.. pelik... pelik dari biasa.. I know sebab I wasnt sleep at all during that time. Nurse yang terjaga bangun n bukak lampu n tanye suara siapa tu. Hmm, pesakit lain pun terjaga. Semua cite hantu yang mendap dalam otak I ni start legar2.. Pastu, I dengar ade satu suara baby ni nangis tanpa henti. sayup sangat. It was like from another ward. Tapi ntahla... x leh nak detect.. Patient lain semua sambung tidur. I dont know la kalau dey all can really go to sleep. As for me, suara bebi tu da buat I remang suda. Sib baik lampu tu, nurse biarkan terbuka sampai pagi.

I baca ayat Qursi.. Moment like this buat I teringat kat my bestiest, Nisa. Dia berani. Dia yang ajar I jadi berani. Dia kata, kite jangan takut sangat dengan bende2 macam ni. Lau takut pun buat2 berani. Bende tu x tau kite takut kat dalam hati. Tapi takyah berani over la. Dia siap ajar I lagi, pergi koridor ke, cakap dengan angin, "jangan kacau aku weh!, aku nak tido ni, ngantuk! jangan kacau.. jagn kacau.. shuh..shuh..! Tapi tak payah la nak pujuk rayu contohnye macam" tolongla... tolong jangan kacau akU"... kena tegas sikit..

I pernah buat few times bile I rase takut. X deny la, time buat tu, takut macam kambing tunggu nak sembelih, tapi ntahla, after that, really relieved and siap ley sambung tido lagi.. Hmmm, psikologi kot... hahaha..

Eh.. kenape cam da melalut ni.. Hahahaaaa... Actually I am damn sleepy sebab x tido lagi ni, tapi sengalnye da terminum segelas nescafe n macam kambingla nak tido.. Nescafe owes works best 4 me... So I was in sedative mode.. Khayal n rase nak melalut panjang panjang.. Muahahahhaha....

Mess, not a mass kaaaayyy~

I keep, I treasure, I care.
Once I mess it, I just dont know how to fix it back.
My mind tells me, it is easy.
I listen, I do as what I was told.
But nah,  I am surrender.
I just cannot force my muscle and my heart to work coordinately with my mind.
Maybe, yeah, my heart doesnt want it as much as my rational wants me to.
My heart keep saying, dont dont dont dont.
My mind block it and reply, solve it solve it solve it and you gonna be happy!

Oh, I am just a girl who stuck in between.
And for now, I just let my heart win.

..................................................................................

Tadi pegi review result thyroid function test kat PKP
although I dah trace pun result tu sendiri kat ward.
So resultnye everything were normal ;TSH n T4 in normal range.
So maybe, what I have is intention tremor.
But still, it impaired my life eventhough in not so serious way, you know.
Thus dr had referred me to neuro. Oh another thing to work out.
I had history of MVA and got stitches done in my head.

Oh maybe what I have is some neurological damage.
OMG! I should settle my debt with people first.
Nad, i hutang McD, Ajeng, i utang singgit, MPKB , i utang parking; receipt in my dashboard kete.
Tapi asyik lupe je nak bayar bile nampak adik2 manis ni..
OMG OMG OMG.... macam nak sepak2 je muke ni bile fikir karut2 macam ni..
Btw sis, the debts things were true...

AHHH!!! malasnye nak gi kelas... mood cuti suda~
k daaaaa~

A moment

Assalamualaikum wbt.

Kami budak group 2.

Group yang jarang outing same2.

Group yang banyak tikam tikam lidah.

Gaduh depan belakang kiri kanan.

Tapi time gelak, semua gelak kuat kuat sampai tak tahu mana lelaki mana perempuan.

Setiap orang ade perangai masing2. Ade yang I x suke , ade yang I suke. Tapi everyone pun is like a peanut with hard shell, but crunchy inside. Orang kata tak kenal maka x cinta. Tapi nak kenal tu, its a long time process. Ah , x kisahlah. Janji  jujur. x kutuk belakang2. Tapi time kutuk depan2, sakit woooo... Perang dunia!

I have never share my food and my drinks with non muslim before. Tapi dengan Tamil I banyak kali buat dah. Dengan die, I rase die cam Malay je. Sebab die memang kawan ngan dak Malay pun. Wife no 4 Ajeng tuuuhhh...hahha

Tapi gambar ni x complete ...HAmpir half lagi xde... Hmmm... entah bile la leh semua outing same2.. Kami semua suke wat hal sendiri... Kawan pun bergroup group x macam group lain.. Tapi setahun dengan diorang banyak kot memories... Satu hari mesti rindu.. Masing masing ada perangai comel yang ntah hape2...

TRW... You RoCKZZZ!!!!

Assalamualaikum wbt.

Lame btol x keluar ngan geng nih...

Ni pun ade yang xde.. sebab tengok bola...

Ore kelate key... semangat tetap ade...

Masuk 5th year nih, kami a bit terpisah suda..

Yelah, group posting lain2 kan...

Asal plan nak wat gathering, sure2 ade halangan nye..

Siap ade yang merajuk nak kuar geng dah... hahhaha =D

Sibuk dok kipas2 kain... Girlz kalo shopping same je macam makcik2 beli lauk kat pasar.. ape yang dipilih pun x tahu... mintak je ikan segar sekilo, kan senang.

Cerita pasal gadis merajuk tu.

Dia x tahu, ramai yang kecik hati bile die cakap die nak kuar geng.

Die patut rasa happy bile kami kecik hati,

Itu tanda kami sayang die... ecewahhhh... gittewww~

Tapi see, ukhuwah kalau kita bina atas dsar ikhlas dan untuk capai redhaNya,

dicarik carik pun tetap akan tercaantum akhirnya.

I pegang pada satu prinsip ni,

ni kawan I post kat wall post die;

kadang ukhuwah x perlu dirisaukan.
kerana ia hanyalah akibat dari iman.
hakikatnya yg calar bukannya ukhuwah kita.
tapi iman-iman kita yang sedang sakit.

Hmmm... I ade wat mistake,

with a friend of mine.

I hurt her pride in front of my other friends.

Tapi during that time, ntahla... loss control sikit..

U hurt me, but still I know it is not the best way to act.

Hmmm... I just hope U x marah I lame2 sebab I pun x pandai nak marah lame2.

Tapi pengajaran untuk kite berdue, plis dont repeat the same mistake.

and dont take everything so easy.

Bunga api bile TRW muncul juara Piala Malaysia... I baru sibuk2, cari jersi Kelate... Yelah, b4 grad ni, naklah officialkan diri sebagai ore kelate...hehheheee

One thing U all kena tahu.

Sekali I sayang, susah untuk I benci.

Whatever yg happened pun

Gaduh ke, kena tumbuk ke.. Sakit hati ke..

Kebaikan U all xkan terhapus oleh dosa semalam..

gitteewwww~

P/s : I sayang my parents n sibs

0&G

The most hecting posting... I dont know y..
Balik tengah hari mesti kena take a nap dulu, kadang2 petang pun boleh tido lagi lps balik klas.
Malam tido jam biase, bangun pagi pun awal 30 minit je dari biase...
Makan pun bergande2... pagi kena breakfast, lunch wajib, petang pun wajib..
Kadang2 malam kena add on megi lagi. makanan rapu2...kunyah2...
Tapi kenapa still sangat PENAT!

Tapi Alhamdulillah, first oncall dah, long case pon dah, write up bakal menyusul..
Just tinggal seminar n HKB oncall untuk dis week.
Next week, I gonna have more free time, Yezza!

Ni first baby yg I sambut dalam 5th year ni.. Baby girl... cute kan... muke macam shin chan sikit...air liur meleleh tanak henti...

Baby ni dalam oksigen tank... asyik makan towel je die... lepas tarik, die isap lagi... sedap ke rase towel tu dik?

Giler punye cute bebi ni... mata sepet macam ayah die... macam anak orang eskimo dah...

Ok.. Ape2 pun o&G memang best sbb all those cuties bfs n gfs... kalo u all xde, mmg kambengz je posting ni...

Medical end of posting

Huh... What a day~
Finish my long case as well as my mcq.
stress day? yeah, alot have happened today.
Thanks to my beloved ketua... U berjaya cracked my head, break my lacrimal gland, kill me apart.
hahaha...
debush debush debush... sepak sepak masuk tong sampah.
Hari ni dah curse banyak.
so stoplah... lepas ni xnak cakap ngan die unless needed je.

exam pun dah habis. tengok prof ma sejuk je hati... hilang takut.
a very humble man.
Yeay, da ade exp lepak bilik die 3 kali.
syok2.

Oncall.
last oncall malam ni dengan Dr Wan Yus.
Kagum.. Cool, kelakar, awesome n lepak lepak je.
Hari ni chronic diarhea patient... 5 bulan dah diarhea.
cachexic lagi... ops! ade oral candidiasis.
Hahahaaa, dr kate ade 2 patient je yg kite jumpe dalam ward yg ade oral candidiasis...
Pertama, very severe n long standing DM, second is HIV.
Ok, chronic diarhoea= HIV... jangan lupe you~
ops cxr ade consolidation at both right and left apex... TB... oh wow..
order CD4 n CD8. huhu~
btw, wife die cantik~

ok. hari stress dah berakhir. gi seleb dengan makan nasi sup perut ngn k.azwa kat lorong.
ok, now super duper kenyang dan ngantuk.
n ketua pesan esok kena datang cpc.
orait bos!


its the day~ :)

Dia yang faham

Terima kasih sebab faham.

Terima kasih sebab sayang.

Terima kasih atas didikan.

Selalu faham. Selalu je tahu. 

Sejauh mana aku sorok. Secool mane aku act, die tetap tahu.

Dia nampak ke? Atau aku je yang tak pandai sorok.

Dulu, aku ingatkan die tak tahu.

Tapi die tahu, malahan dia lagi faham.

Semua orang pun camtu.

Tahu tapi pura pura tak tahu.

Sebab mereka faham apa yang aku mahu.

Dia tahu aku sendiri dalam hidup yang ramai.

Dia tahu kalau aku sedih dalam ketawa.

Dia tahu bila masa aku ketawa dan bila aku ingin ketawa.

Dia tahu rupanya.

Ah, itulah seorang ibu.

Ada mata yang nampak segalanya.

tetambing

Sumpah malu.
Tadi terjatuh time keluar satu bilik ni.
Socks licin. nasib baik, reflect I cepat sempat pegang tombol pintu so jatuh ala2 ayu je gitu.
Ade dua orang budak sekolah rendah ade dekat situ.
"Adik, cam akak x dengar korang gelak.. kambing tol la." Sib bek Ko budak je. cute2 plak tu.
Oh, ade satu lagi abang berbaju USM.
I nampak U macam cover senyum je. Oh, sib baik U x gelak kuat2 macam itu budak juga ada.
Da lame kot insiden camni x berlaku... haish!

Good vs Bad.
adik besar, jgn tanye kenape akak camni.
jangan teka pun. sebab ape yang kita assume is not the correct answer most of the time.
Kalo x faham tanye k.
eh2, tadi kate jangan tanye.

Tadi gi check attendance ngn kawan.
Ade 4 kali x datang kelas.
alamak cane ley lebih satu ni..
Department bg ponteng 3 kali je tanpa sebab.
U yg ckap I x risau tu tipu je. I risau k.
But the more we talk bout that, the more I worry.
So let just me handle my things.
Oh FYI, I have my own prinsip gak kaayyy...
I buat silap, I tanggung la.

Ok. Hari ni memang I a bit stress  gak.
So, bile report I siap esok, yeay! Its d time to enjoy.
Ok, next week I exam ( =.= )

Commit suicide part 2

Pagi khamis lepas, wad macam biasa sibuk.
2 gerombolan team sedang buat ward round.
Tiba tiba terdengar suara perempuan jerit dari koridor.
Sempat la nampak kawan sy, Chin Hai  a.k.a hero of the day, lompat tingkap dari bahagian wad  ke koridor.
Wad terus jadi gamat.
Ada sorang girl age 22 tu kalo x silap try nak lompat koridor tu ke bawah.
dari tingkat 7 kowt~

Adik ni initially presented to ward with diarrhoea and fever, so she was treated as typhoid.
But then. noticed adik ni ade discoid rash.
And kat ward pun die developed hematuria ngan oral ulcer.
So she was investigated for SLE.
Unlucky la untuk adik ni, memang die tengah active phase of SLE.
And da developed lupus nephritis and lupus cerebritis.

Hmmm,...
back to cite die nak terjun bangunan tu.
Pastu adik ni kena ikat kat katil die and transferred to acute bed la.
Lepas dr inject haloperidol, ambik CBS seme,
Dr Zul psychiatrist datang n wat assesessment.
Actually bukan niat niat adik ni pun nak terjun bangunan tu.
Dia buat tanpa sedar.
Sebab lupus cerebritis la.
Maybe die develop psychosis watsoever.

Kitorang shocked!
Mak die lagilah.
Huhu.. what a day!

......................................................

Systemic Lupus Erythematosus

Multisystemic autoimmune disease whereby the immune system akan attack your own body tissue.
Nak diagnose ni, need at least 4 criteria out of eleven ( A RASH POIN MD)

1. Athritis (Non erosive)
2. Renal abnormalities ( proteinurea .0.5g/day atau > 3 cellular cast)
3. ANA antibodies
4. Serositis (ECG, rub effusion) - pleuritis /pericarditis
5. Hematological do
6. Photosensitivity
7. Oral ulcer
8. Immunological do
9. Neurological do (seizure, psychosis)
10. Malar rash
11. Discoid rash

cOmmIt sUIcIdE

Hari ni ambik darah K.azwa, tapi fail. haha, sian die, sib baik die ni rock2 je... siap suh ambil lagi sekali..
Cerita kenape fail ambik darah ni .. BERSEBAB..
I have hand tremor .. kalau buat tremor test tu memang positive findinglah.
Tapi bukan ambik darah je, any fine work ni memang x sah kalau x tremor esp tangan kiri ni.
Dok saje2 pun tremor..hahha.. parkinson ke? eh x la....

So tadi K.Azwa ambil darah saya n kami hantar ke lab untuk cek TSH, and T4 level...
Huhu, T I update the result later.
I hope my problem ni ade solutionnye.
X confidentlah nak ambik darah ngan tremor hand ni.
kan kan kan... hahaha

Haaa... kenapa tajuk entry ni commit suicide??
Nak tahu x, tadi ade patient kat ward ade intention nak terjun bangunan..
Suspen x?
hahhahaa... Ok, t I cite later..
Nak g kelas ni...
ehehhehe.. Tapi nak jugak kan conteng2 kat sini dulu.
Babai juta juta kali... haha~

HIV screening

Assalamualaikum wbt.

Hi...
Theres a case in the ward where in the folder stated that the patient was  HIV positive.
But he was currently presented with the problem of end stage renal failure requiring haemodialysis.
So he was treated for the current problem la.

The problem is, I cannot see anywhere in the ticket, nor in the medication chart, mentioning that the patient was on HAART.
The doctor also never discus about the HIV during the ward round.
I mean, yela kan since the CD4 level pon da getting low, 143...
Not to mention, his wife and his son pon seems educated and bukan like orang2 kampung.

I was so curious how did the patient get HIV, but I just dont know how can I ask the patient.
He doesnt seems like a drug addict, but yelah, we never know.
So I just forget the issue until after two weeks, one of my college raised the issue back,
and here we goes, doing some private investigation by tracking the old notes.
Pon the same thing, it doesnt stated clearly why, how , what treatment bla bla bla...
It was like an isolated case.

Until, our investigation reached the right source.. Wink! ^^
Oh, rupe rupenye the patient was never been declared as HIV.
I mean, he never undergo any proper follow up and so on.
and the family also DOESNT KNOW that the patient is a HIV positive.
He got the virus before the marriage due to homosexual lifestyle.
And try U imagine what is the risk for the family members of having the same virus inside their body?
I just wondering, when and how the breaking bad news process will be.
Its gonna be very heartbreaking for sure.
Lagilah kalau the wife and children was infected with the same virus jugak kan.

The point here, lucky us, nowadays the goverment have put the HIV screening test as compulsary test before marriage.
Marriaging someone with HIV is a different isssue with marriaging someone with not knowing to have HIV.
At least, there is some way to prevent the spread to the children by ceserean section and starting the HAART during the pregnancy.
Oh well, I just hope the pakcik and the family to be okay.

HIV is just a stigma.
A disease where everyone was trained to be afraid of.
Padahal same je macam sakit sakit lain.
Sampai masa semua akn mati juga.

Wallahua'lam... K bye... enjoy the medical posting ! *_^

S.T.R.E.S.S state

I cant sleep. I cant sleep. I cant sleep.
My brain is lack of glucose. I feel like dying.
Tell U, brain depends 100% on glucose unless U are in prolong starvation whereby the brain can use ketone bodies as the main fuel.
But I am not in starvation yet, I just run out of my glucose.
My tank is empty.
I cant sleep. I cant study. I cant finish my write up.
Because I have no energy.
Whos the culprit huh?

Somehow, I still have some in my store.
It is my liver which store glucose as glycogen.
Also my adipose tissue which store trigliseride which can be converted to glucose later after undergo lipolysis.

No worries huh?
After my body detect my hypoglysemic state a.k.a stress state,
theres glucagon, cortisol, growth hormone, adrenaline released more and more.
To start the lipolysis, gluconeogenesis, glycolysis, and protein breakdown process.

I am breathing more than usual,
My Blood pressure is spiking.
My metabolic rate is increasing.
Oh keje si cortisol rupenye..
Sape suh U stress2 lagi...

Oh no wonder la I am becoming thin and thinner...
hahhaha... perasannya....

K peeps, nite.

P/s: Certain things and certain times, things just go out of control. :D

take care of your kidney guys!

Dalam ward 7s @ wad lelaki, kebanyakan kes adalah masalah jantung dan kegagalan buah pinggang. For me, both diasease are scary, but the scariest one is bila buah pinggang anda sudah gagal berfingsi. Budak medik panggil end stage  renal failure (ESRF).

Semalam, dr consult satu pak cik untuk undergo the first time dialysis. Peritoneal dialysis lah before buat fistula and permanently haemodialysis. Pakcik tu degil, refuse and takleh terima kenyataan buah pinggang die dah rosak. Yelah kan, try U imagine bile ur kidney dah fail, thats mean U have to undergo three times haemodylisis per week for the whole of your life. Hilang satu nikmat hidup. Nak pergi melancong pun susah. Kena book mesin dialysis kat tempat kita nak pergi melancong dululah. Contoh nak wat haji ke... even nak gi umah anak kat Key El pon. Nanti sure2lah banyak kali kena admit kat ward sebab complication of dialysis and ESRF tu sendiri.

Thats the kidney to those yang da lupe kidney tu ape..  fungsi dia tapis darah, buang toxin, release erythropoeitin untuk hasilkan darah merah, vit D ,kontrol zat galian lam badan.

So, sy nak share care2 jaga buah pinggang. Perlu amalkan sekarang, so that x merana later.

1. Minum air banyak2. Lebih kurang 3 L, 8 gelas. Bantu buang toxin lam badan and elak batu karang/ renal stone.

2. Jaga pemakanan. Elakkan kencing manis dan darah tinggi. 2 ni penyumbang utama kerosakan buah pinggang kite. So, kurangkan gula especially air bikarbonat. Takyah ambik langsung pun xpe. Minum time raye je..hehhehe ... Air yg banyak pewarna, jajan2 tu semua tak yah makanlah. Kalo nak makan, makan sikit2 je, macam sy.

3. Jangan tahan2 buang air kecil. takut develop batu karang. To those yang ade symptom2 urinary tract infection, terus jumpe dr. Awal2 kite bg antibiotic je, kalo x rawat, sampai buah piggang rosak through ascending infection, haemodialysis lah jawabnye. Nauzubillahiminzalik.

4. Jangan suke2 ambik ubat tanpa refer to farmacist or clinician dulu. X kisahla ubat kurus ke, ubat tahan sakit, ubat nak cantik bagai. X kidney pun, liver U pulak rosak.

5. Jauhi dehydration. Kurangkan kafein sebab die ade diuretik effect yg menyebabkan U nak keennciii aje.

6. Yang merokok tu, stop jelah. Takyah degil2.

7. Hidop dengan sihat dan banyak kan bersenam.

Ok, cukoplah kooot... Okay sekarang mari ikut sy sebut " SAYA SAYANG BUAH PINGGANG SAYA" 

boRinG~~

me, presenting the seminar. hahha... fake fake fake. actually it was taken while waiting for dr helmi, radiologist yang well known garang.. hihi, tp baik je aritu.

busy meh? reading while walking, eating while running. Ive experienced them all. There was also time when we are free. So what do we do? clerking patient in the ward. Untuk orang rajinla. Me, serving my bed in the room.hikhik

While waiting for class to start, this is what we do. STUDY. Except for K.Azwa ngan Ajeng.hahahha.. K.Azwa of coz la dengan handphonnye. Ajeng? See... the one hok dok berbual tu... He is the kaki berbual.

Aiman aiman aiman. ^^

P/s : Chest pain. Thightness in nature. On and off. A/w shaking. Increase appetite. Diagnosis?

september 2o12

Assalamualaikum wbt.

hihu... a week dy being a super senior... best2.. tapi x best cam kat skewl dulu.. leh suh junior amik air, kemas bilik, gosokkan baju... hehheee..

super senior kat sini, sama je cam super junior. not much changes. Cume adela few perubahan dari segi environment.

1. kalo dok kat red square, x sorang pun kelibat yg i knal. semua muke2 junior gitu. so, sy da x duduk red sq da skang sebab x de senior da nak usha...hikhikhik.. 

2. dah x beratur menjerit melalak beli nota kat kdai che din... masuk che din, beli air je skang nih.. " che din, nak nota no 5 sepuluh copy"... hihi.. sistematik sungguh che din ni.

3. skang ni rase knowledgable la sikit follow round, kalo time 4th year dulu, siyesly zombi berjalan aje.  n hafal je management kat ticket, x faham pun..Untung2, jadi tukang tarik langsir... btw, now i understand nape 5th year suke dok blkang2, 4th year konker depan... cam i dulu, time 4th year gile semangat kot nak tengok ape dr wat kat patient, now i focus nak tengok management yg dr plan je... so 5th year ni cool sikit. dok blkang2, pas dr blah, baru bace ticket patient... tayah rebut2 ngn 4th year. cool kan? hehek. padahal pemalas!

4.da x rase sangat debar2 nak mati nak present clinical teaching kat dr. cume takut tu still ade la so that, we can prepare better... hihu.

5. rindu nak masuk mpg lah... nak tengok mikroskop gitu, pastu nak borak2 cam kat pasar malam ngn teman kuliah.. 

6. hahha, good bye merit.. skang ni memang duduk goyang kakilah... tade kad2 putih bagai...

Ihihi.. Klah, ngantok sudah. sejak duduk bilik baru ni, tenet superlah laju  slow cam kambing patah kaki. ahhahha, btw my supervisor pengarah kampuuuusss tuuuuuuuu... bangge siket... respek sama U lah prof. cool n sangat baik... regardless bab yg kna signature mo lam logboook tu... atttoooooiii!

esok, short case ngn dr amri kol 7.30. doa2 i bangun awal k... hahha... cam last wik, cheah yg present short case instead of me kat prof zulkarnain sbb i lambat 5 minit .. hihi... tq cheah... canelah nak bangun awal ni ek? 

ethics

ethics ethics ethics..
The simple rule pun U xtau..
Its very basic basic and basic.
But still mistake is done done and done.
repeated repeated and repeated.
Im getting frustrated frustrated and frustrated.

Hahha, tomorrow my mom n my shi gonna be in Kelantan.
Yeah, my mind should go wild.
So that I can go ease ease and ease.

Tapi still, among those thing, there is something I cannot tolerate.
the thing. thats it. thats only it.
please get rid get rid get rid of it.
hahahha..

sounds funny?
hahahah, im laughing also.

Opick - Bila waktu telah berakhir

Bagaimana kau merasa bangga
Akan dunia yg sementara
Bagaimanakah bila semua hilang dan pergi
Meninggalkan dirimu

Bagaimanakah bila saatnya
Waktu terhenti tak kau sadari
Masihkah ada jalan bagimu untuk kembali
Mengulangkan masa lalu

Dunia dipenuhi dengan hiasan
Semua dan segala yg ada akan
Kembali padaNya

Bila waktu tlah memenggil
Teman sejati hanyalah amal
Bila waktu telah terhenti
Teman sejati tingallah sepi

P/s : Nice song kan? Bila waktu telah terhenti, teman sejati tinggallah sepi. Huhuuu...

Hari 1 tahun 5

We are updating about our day. The day of becoming super senior.

The day that we doubt ourselves, do we will make it in time?

The day which full of surprise, joyful as well as tears.

The day of becoming final year student.

You see, I am not graduating yet, but just to step in the fifth year, I am extremely glad and thankful enough. 

The path is not easy. We registered in a number, and we graduate with a different number.

Our path is not just filled with effort, instead fate and spirit. Without the spirit, for every failure that I have gone through, it will pull me down. Every of us has taste the failure, but we taste them in different aspects. Different ways. Ways that each of us could never imagine unless we are in the same boat during the event. Ways that might separate the date of our convocation day. Somehow, at the end of the day, all of us will have our own medical doctor degree if we dont surrender to the word 'failure'.

Sometimes, failure failed us, and sometimes success failed us. We are not putting effort just to pass the exam, but we are putting effort in shaping our inner self. What kind of doctor we are one day. How strong we are to face all the blame from seniors and nurses. How strong we are to overcome the stress and fear.

I have a lot of fear. especially in doing the procedures. I afraid of needles, I afraid of VIP patients. I afraid of attention. I afraid of doing mistakes. During my 4th year O&G posting, I observed the nurse doing veinpuncture   for a week before I can do it on my own. I had to do it btw, to fill in my log book. And yet, I still have the fear.

Whatever it is, fear wont bring us ahead right? I have to overcome it by hook or by crook. I wish that I can make use my fifth year to overcome all my fears and prepare myself for housemenship soon. 

So sweet

Assalamualaikum wbt.

Its my second night in USM after long time spending my nights with families and I am missing them already. Hahha... Know what, while I was viewing my pics in my phone I found this pic

 

Cute meh? It must be done by my lil sherah..hahhaa... She was angry with me because I balik USM too early and just told her the night before I depart. She was so angry with me and not even talked to me that night. Hehhe and now I found this pic. But dont care much, she surely forget me once she had her friends with her. That was typical her  and she dont even bother to call me pun... Mari beli otak otak  ~ heheee. Why Farid Kamil? It is because I always trick her to show my bf, then Ill show Farid Kamil's pic and she was frustrated sbb kna tipu...hahhaa

Today we visit Karimah and her Nur Eryna Maisarah ,aged 9 days. That cute babies secomel uminya. Congrats pioneer of the batch.

And Im missing this cute and naughty boy also

P/s 1: thanks sis for ur entry.. Im gonna miss all of U. No more penjual otak otak because she is in her study mode...hehheheh..

P/s 2 : Congrats friends who passed the exam. Lets striving together. Its final year baby. FINAL YEAR. Hope everything going to be fine.

Monday Blues

1.  Yesterday and today were a very sUpEr HeCtIC dAy . For the first time in my life, we are having  open house. Busy sangat sampai x snap gambar pun. What a waste. Adela gambar dengan ami, nazmi, faraheen , hakim n gewenye tapi still  in the camera and is not  transferred yet. Btw, thanks guys for coming....not to forget, dayah n family... N YET tomorrow Ill be heading to Kelantan already, preparing to start my new academic semester on this 9th Sept. But I havent pack even a single thing. I am super duper tired right now.

2. As the title stated..MONDAY BLUES, my emotion is unstable. Ingatkan sbb da 'duedate'...  check kalender... gues what? 16 Syawal, bulan mengambang kan.. hahha... Again, comes the teori karut...... forget it yawww!!! Another posibble cause, sbb I penat.. My body is aching everywhere.. worsen by two rounds joging kat Taman Bandar two days ago after a very long time not having any sport/joging/exercise/Nitebasket.... I want padumeter.. whatever sis, try to get it for me yaw...

............................................

p/s: thanks friends who cheer me up today... Gonna miss my family so much. Gonna mish mish mish my lil sister so damn ...

What made you people?

Some English proverb says " You are what you eat". And this makes a squirrel  a nut. And what are you? A bowl of snacks?

 Everything that you eat will be digested and absorbed by the intestine before brought to the liver through enterohepatic circulation for conjugation, detoxification and few other processes. Then it goes to the heart to be pumped to every cells in your body through the train. What is the train baby? Its your blood. Blood! Which explained why the medical staff have to poke your vein with the needles to take your blood sample for various reason.

Point here, eat what you want and be what you want. If you end up grow to be a bad person, dont blame the genetics, instead blame you yourself, man. Blame your satiety center, blame your senses, blame you, yourself, who made you eat what you eat. It goes the same to obese people. Dont blame the genetics. Poor them. Genetics have been the black sheep for decades.Nevertherless genetics contributes percentages of reason being fat, but you are the captain of your body.

After all, it is not about being obese, it is about being healthy dude.

Good Bye HTAA...

Alhamdulillah.... A has came to the Z.

Start has came to  the End.

Everything were done.

Our elective program in HTAA has ended today which was supposed to finish this thursday.

After put our cowardice aside, we were determined to meet Dr Rozihan, the Head of Department of O&G and here the result.. YEAY! FREEDOM!

This junk is now becoming  a piece of memory.

They were nice comrades

We made some friends. Ira n Aisyah were from Russia Uni. They were fun and cool.

Ni je yang kami nak... ASESSEMENT FORM ni... hahhaha... Tiket pelepasan.

And this is how we celebrate our freedom. We booked the whole room and watch "The Bourne Legacy". Clap clap clap... ( Bunyi berlagak padahal sebab xde orang lain .. hahha... until few other peoples come and invade the privilage) 

Huhu... Till we meet again HTAA... I am thinking to do my housemenship here... The nurses are the best ever.. Love U... mmuah...mmmuah...

Maha Suci Allah

photo cilok from here

Maha suci Allah yang menjadikan sesuatu dari tiada kepada ada. Menghidupkan dan mematikan. Mengangkat dan memuliakan ciptaanNya.

Assalamualaikum wbt.

Mencari yang sempurna, anda akan sesat dalam pencarian.

Membuang yang tidak sempurna, tidak menjamin akan mendapat ganti yang lebih baik darinya.

Menghargai yang kurang, bukankah itu lebih mulia?

Kata orang, rumput di laman orang sentiasa lebih hijau dan subur.

Sama dengan makanan di rumah orang sentiasa lebih sedap dan tidak berkecukupan.

 Bukankah ini satu realiti yang cukup sinonim dalam hidup hari hari?

Khilaf.

Sering ada dan jikalau tiada, bukanlah manusia namanya.

Wujud khilaf, wujud jugalah maaf.

Hati rendah menunduk memohon maaf atas segala khilaf.

Terkadang tika berjalan, sering salah langkah.

Tika tertawa, sering terlupa pada yang berduka.

Syukur.

Ucapan yang mudah dan tiada sukar.

Tapi manakan sama syukur sang kaya dan sang miskin.

Nahu yang sama namun berbeza harakatnya.

Namun, siapalah kita untuk menghakimi syukur mana yang lebih tulus.

Ikhlas.

Kata pujangga, ikhlas itu ibarat semut hitam merayap di batu hitam dalam gua yang gelap.

Tidak terlihatkan dan tidak pula ternilaikan.

Hanya padaNya disandarkan.

Agar ikhlas itu sentiasa mampir bersama amal.

Mati.

Setiap yang bernyawa pasti akan kembali.

c.r.a.v.e

Semua gambar google je.

rasa nak makan banyak banyak.

semua pun nak makan.

memang craving nak mati except sayur sayur tu..

CRAVING.

k, jom get ready gi terawikh.

babai~

c.u.t.e

budak comot

Ini kisah baru aku kongsikan.

kisah seorang budak comot yang aku jumpa di tangga hospital.

Memang comot. Sungguh!

Badannya kotor. Penampilannya selekeh.

Berbaju putih lusuh dan berseluar merah paras lutut.

Duduk bersendirian di tangga hospital.

Wajahnya kelat. Bahkan segaris senyuman pun tiada.

Aku berdiri ditangga atas untuk aku perhatikan tingkah lakunya yang pelik barang seketika dua.

Tiba tiba budak comot itu menconteng dinding dengan krayon yang digenggam di tangan kanannya sejak tadi.

Tulisnya " mulut"

Budak comot itu memang menakutkan.

Lantas aku tinggalkan tangga hospital itu.

"Bangun... bangun sahur!'

Oh mimpi rupanya.

P/s : Lately I have very weird dreams. Kenapa eh?

Hidup orang

Tajuk yang banyak kali dibincang bincangkan.
Kenapa eh, hidup dia best je. Seronok kan kalau jadi dia.
Aku nak jadi Chong Wei...hahhaha
Macam ade sorang budak tu cakap,
kita asyik nampak hidup orang lain best.
Ada ke orang yang nampak hidup kita ni best n nak jadi diri kita?
hahha... entahla labu.
Kadang kadang bila hidup kurang syukur,
yang lebih pun jadi kurang.
yang cantik pun jadi buruk.
macam magik plak.

Hari ni second week attachment kat HTAA.
kami join team gynae plak.
Ada sorang mak cik yang tumornya dah mets ke paru paru.
Paru paru pun da collapse.
Memang dah under palliative care je.
Okay, bukan nak cerita pasal makcik tu,
tapi nak cerita pasal husband dia.
Dari mata kasar yang melihat, nampak sungguh kasih sayang pak cik tu.
Mak cik tu complaint palpitation, beria pak cik tu mintakkan ubat nak slowkan heart rate.
sabar pak cik, bila doktor kata, ubat tu akan worsen fungsi jantung je, kecewa pakcik tu.

Hahaha..
Memang ramai suami yang sayang isteri.
Sayang hingga ke hujung usia
Ramai sangat.
I want one.

Im 23 y.o
macam muda je rase, tapi tak dah.
lebih kurang 1/3 dari usia rasulullah wafat.
Bila dah dalam dunia perubatan ni.
yang nampak, penyakit je.
Terbayang pun, saat diri sendiri nanti yang jadi pesakit.
Jadi sementara, diri masih sihat, appreciate it.
Hidup sekali je kan?
Syurgakah? Nerakakah?

K, terasa panjang berjela dah membebel ni. bye .

Bila katanya jangan

Ingin dibuat, jeritnya jangan!
Hati rawan, dibiarnya saja asal tetap dengan jangan.
Katanya pergilah mana kau nak pergi asal yang satu itu tetap jangan.

Hati memberontak, kenapa harus ada jangan?
Satu perkataan yang menyekat aliran kehidupan semata.
Perkataan yang membuatkan apa yang harus dibuat tidak terbuat.
Perkataan yang bisa membejat rasa kobar.

Jeritnya sendiri, hidup itu pasti ada mahunya.
Mahunya satu, dua, beribu, bahkan tidak terbilangkan.
Tetapi dengan jangan, yang dua bisa jadi satu, yang beribu tinggalnya ratusan saja.
Ah! rasa yang harus terbiarkan.
Alangkah sayang.

Hati meningkah, minda berfikir.
Tetapi aku tetap tidak punya jawapannya.
Mungkin harus aku biarkan dulu.
Dan harus aku lihat mana jangan akan bawa aku pergi.
Ah! kosong!

P/S : Yesterday was okay. We had ward round till the afternoon. Ah, really refresh my rusty O&G knowledge.

12 Ramadhan 1433

Salam Ramadhan and good morning.

I am currently preparing myself for my 2nd day attachment in HTAA. Yesterday went so boring and productless. Today  I am gonna make it better. I took my breakfast already (hehehhe) , so I am well energized to start my day.

Hmmm, lately I feel something goes wrong somewhere but I just does not want to think much about it. I just enjoying my stay at home, making some cookies, enjoying the terawikh and appreciating peoples around me.

Life just once. Love whoever I want.Cry whenever I need. Hate less. Do whatever I feels it right. And those quotes really help me to live better. I live my today's life while thinking about the consequences the day after. Whatever it is, I go through all the chances/ problem first. Life is just so good to be wasted with unnecessary things.

I do have a problem and when it comes, I might be the solver and I might as well  be the one who make it worst. I am still the human being right? There are so many times, I could not set my self to be positive anymore but at the same time I dont want to think about it either. Hahhaa, thus here I am. Blurt out everything I want to and ease my mind.

Ok dude, I think I have to head up to HTAA dy. Sorry for any mistakes that I have done. bye2~

catatanku - Melly Goeslaw ft Baim-

triple sweet~

Untuk dia?

Ini cerita tentang seorang gadis yang aku kenal.
Susuk tubuhnya biasa biasa saja namun isinya, hati yang maha kental.
Setiap kali dia jatuh, utuh kakinya berdiri kembali.
Ditembak rasa takut, kebal jiwanya menangkis.
Berjurai air mata mengalir, tapi bantalnya saja menjadi tadahannya.
Dia memang gadis kuat.
Setidak tidaknya di mata aku, dia insan begitu.

Hari itu, dia meminta sesuatu dari aku.
Pintanya, peganglah tangannya dan berlari bersamanya.
Tiiiitt.... Waktu terhenti.

Kini, "waktu" aku serahkan padanya.
Dialah yang harus memanipulasi waktu.
Mencipta kejayaan dan menggerakkan kembali waktu yang terhenti.
Aku akan kaku menanti.
Kerana langkahku akan sumbang tanpanya.
Nyanyianku akan hilang merdu tanpa dia.
Hidupku akan pudar warna tanpa gadis itu.

Hey gadis,
Kerja keras. Extra keras.
Kadangkala it is not the quantity that counts on, it is the quality.
Put your heart in whatever U do.
Dont afraid of the failure. Dont afraid of the hopes. Afraid of nothing. U r something.
Prove me, nothing will hinder U.
When theres a will, theres always a way.
Show me all U have.. Show me.. Show them.. Show the lecturers...

P/s : I wanna have big apple date again..

Lelaki X

hari itu hari yang biasa dengan rutin yang biasa.
Melangkah longlai  dengan jiwa yang separa.
Tapi hari yang biasa itu bukan lagi hari yang biasa biasa
kerana hari itu mungkin pemula bagi segala.

FIRST CONTACT :
"Salam dik, farmasi dekat mana?"
That was how the conservation was started.
Everything seems just so normal and very routine.

Pandangan aku kaku.
Tertacak tepat pada raut itu.
Wajah yang telah lama aku hakis dari kotak memori aku.
Tapi masih punya kesan dalam kotak hati aku.
Aku kaget. Lupakah dia pada aku?

Jangan lupa namaku. Lagu yang rancak beralun kotak pemain suara dunia aku momen itu.

cchhhhaaaaannnggg!!!

Guess what... I found this

So, whats that?
That thing is called love?
OMG, I have never imagine that I will found it so fast kan.
Ngehehhehehe..

Saat mata bersatu, lidah kelu. OMG!
Apakah ini namanya cinta?
Memberi aku sejuta rasa.

Oh whos that lucky laki ?
whostahtwhosthatwhosthat...

And I found him in the ward.
heheh..

Ok, im heading to the ward now... taking my short case exam..
untung untung kerlipan bintang gemerlap lagi.
muahahhaha...

P/s : Y huh.. girls nowadays very gedik gedik oo.. channnngggg! ^.<)b

mimpi

story of frightening nightmare.

Oh rase nak sumpah sumpah sape  yang share gambar yang menakutkan kat facebook.
gambar yang takut sampai nak skrol ke bawah kali ke 2 pun x berani.
ok tadi boleh kontrol lagi.
lepas penat study I pun tido.

Sekarang terjaga sebab mimpi ngeri yang boleh bikin hati wa henti berdegup.
Sampai bangun nak jalan pergi bukak lampu bilik pun takut.
Tapi sekarang da bukak balik la.
Bukak facebook sebab kat situ ramai kawan yang x tido lagi, tertengok lagi gambar tu.
rasa nak sumpah sumpah lagi.
relaks. chill. cool. wa sumpah2 kat sini sajalah.
nasib baik lampu bilik da bukak.

aaayyyooo macha... wa ingat mau bikin gurau2 pun fikir fikirlah.
wa mahu exam ni... need enough sleep.
x pernah rasa marah yang macam ni punya marah sebab facebook.
tapi YA Allah, kali ni punya debaran pun x hilang lagi.
wa x nak sumpah banyk2.
tak baik dosa.
wa harap, lu pun mimpi buruk malam ni.
paling kurang pun mimpi sama macam apa yang wa mimpi. tau.
pastu lu pikirlah balik, yang gurauan ini mcam boleh bikin budak budak macam wa takut gi toilet tau.
wa harap lu pun takot nak gi toilet.
wa
kambeng betol la.

p/s : jangan tiru aksi doakan ketak baikan untuk orang. tak baik. hati yang memaafkan itu lebih murni

diari mcq medikal posting

Assalamualaikum wbt

Otak penat tengok soalan mcq medikal yang bapak susah. memang stok budak yang kurang membaca takle jawab punye.

Ok. Jom cerita pasal perancangan cuti nanti. Biar otak gembira sikit.

Toppies dah rancak plan percutian mewah kami tu. Haha. Let them be. Bunyi bunyi macam ada khemah, ada pantai, ada bulan, ada hotel. Macam seronok. cant wait. We have the driver, we have the chef, we have the planner. So thats  make the toppies a tour group. Tapi juta kali lagi best kalo ade tukang sponsor.. muahahha

Ok tadi my sister call. Ajak pegi USM Penang 5 hari starting from this becoming ahad. Teman die ngan projek serunding nangka die. wow!

Telefon bertukar gagang......

It is my mother..

Haha... Cliche topic... CARI MENANTU UNTUK DIE?
Katanya ade 145 booth bakal dibuka (kalo x silap)
So, my sis n I dikerah untuk mencari.
Syaratnye, pilih yang berjenis sikit.
Hmm.. ingat senang ke? x senang kan.
Kalo beri hati ibarat bagi gulai kat jiran sebelah, kan senang. sepuluh kali sehari pun boleh bagi.
Tapi untunglah kalau jenis yang pulang pinggan.
Tapi kalau jenis yang tak pulang pinggan balik, macam mana nak bagi lagi.

Oh mother,
sabar k.
Pencarian anakmu pasti akan berhasil.

Exam tak habis lagi.
Takut! TAk nak fail. Tak nak remedial. Tapi nak buat elektif pun malas musim2 pose.
Macam nak lepak lepak kat rumah sambil makan aiskrim batang depan tv je.
hmm. forget it.
Malas dan medic x mungkin jalan seiring.
kalau seiring jugak, melongkanglah engkau.

Occay, coretan tamat di sini?
aah. pergi dulu. bye2..

sleepy

Sleepy is cute meh?

Trust me not? Look above pictures.

All are cute pictures... kawaaaiiiii.

Tomorrow I have medical pharmacology paper.

It is not as easy as I have expected before.. Huwaa, susah.

As usual, I am burning the night oil during the night of exam day.

Ntahla. Study mood will posessed me only on the exam night each time.

Hmmm. X kisahla, janji I will fight until the last breath.

(ayat poyo b4 tarik selimut)

ok love, night.

Forgive me for all my mistakes. 

peace yooouuu ^.<)b

^___________________^

:)
Having legacy talk with my dear long separated buddy,
Hahahahha... every words end up with laugh..
eh eh ...hahha

Acne Vulgaris @ jerawat

Oh, acne is just a nightmare. Its a killer. It can kill your confidence.

Entering my 20th age, the pimples are starting to habituate.

They marked their territories on my face with no sign of leaving. How cruel they are, arent they?

They come and go as they like, leaving bad scars.

Talking about acne vulgaris,

They have something to do with genetic, obesity, and aggravated by stress, facial massage/therapy, smoking, and high glysemic load diet as well as milk product.

Thus friend, avoid saloon facial therapy k... MILK? OMG, me as well just know about it.

And those who believe their acne are due to allergy rhinitis (resdung), throw that believe away.

You treat the allergic rhinitis, it wont solve the acne problem. If it does solve, lucky U. No correlation at all between them both.

Ok, these are the treatment offered.

1. Benzyl Peroxide - It act as antibacterial and reduce comedones by keratolytic action. Applied topically daily. Hmmm, kalau I sebut oxy 10, it will directly come to your mind right? yeah, your oxy 10 is benzyl peroxide.

2.Retinoid acid

3. Antibiotics - ( tetracycline, erythromycin and clindamycin) . This antibiotic course will take U about 6 months with 100 mg daily (1 tablet). Oh, I have once bought the doxycylin from pharmacy but after do some research on the side effect, I prefer not to continue them. But mind U, if U take the antibiotics, U must finish the course as instructed by pharmacologist/ clinician otherwise U might developed resistance. Means that, the next time U take this antibiotics, U wont gain any benefit from them anymore.

4.Cyproterone acetate - Hmm, ever heard about Diane 35? It is a very famous oral contraceptive pills for treating acne purpose. Huhu.. yeah, this cyproterone acetate is an oral contraceptive pills. Thus only female can take this unless U guys want to have feminization? Oh a big NO NO NO..hhahaaha... Its good to be taken if U have irregular menstrual cycle. It treat them both. 

5. Isotretinoin - This is the most effective drug, designed to treat the severe acne. By the way, if U go to GPs , I am sure most of them will prescribed U with this Isotretinoin. The dosage is 0.5mg/kg/day up to 6 month. Oh, this drugs sure cost U a lot of money.

Huhu... But of course every drugs have their own side effect. Ask your doctor or U can do your own reading.. Tell U, the cost of treating acne problem in Kuala Lumpur is nearly RM500 monthly and it usually need 6 month. Hmm, treatment with dermatologist in kelantan, Prof Mokhtar is about RM300 monthly but if U are his students (macam saya) , he will cut down the consultation fees make it Rm 190 just for the drugs..hahha.. Tapi I x jumpe pun die... xde duit... sobsobsob... OMG, dermatologist sure gain a lot of money due to this kind of beauty obsession... What a world. Im in it... hahhahaha..

P/s : This acne problem will resolved by their own as U get older. Tap water is the best cleanser. Hahha... My friend bagi tips, honey campur dengan milk powder n buat mask pakai malam b4 tido.. Hmmm, gonna try this.