Inguinal hernia... hafal3..faham3.. enjoy..

Oh, a wow untuk Oni yang dapat case Inguinal hernia untuk exam long case. As for me, seriously I have really a blurry image about hernia in my mind. Tapi, saya akan hafal mulai hari ini. Saya pun buatla satu mneumonic untuk saya ingat.

Nak hafal yang mana ek?. Common is common. So I pun  choose untuk hafal INDIRECT INGUINAL HERNIA.

U C(congenital) Indirect ke Lateral Epigastric vessel masuk dalam Deep inguinal ring n keluar melalui superficial ring sebab failure of embryonic closure of processus vaginalis. Die dicover oleh internal spermatic fascia. Selalu masuk skrotum dan dapat dikontrol after reduction by pressure over internal ring. Tolak atas, tepi n belakang.

Haha.. macam susah nak ingat jugak kan..U all wat la apa macam mneumonic pun janji U all ingat.

Symptom

1. Bulging over d groin are area, more prominent by straining, coughing n standing up n dissappear on lying down
2. If da tolak2, taley masuk balik tu, means dat da kna wat surgery da tu.
3.Pain, redness

Complication
1. Intestinal obstruction
2. Strangulated, ischemic n gangrene of d herniated intestine.

Differential diagnosis
1. Femoral hernia
2. Epididymitis
3.Testicular torsion

p/s : So, men beware. 25 kali lebih common kat men sebab larger size inguinal canal yang accomodate spermatic cord n transmit testicular to d scrotum. Tapi women lak prone to get femoral hernia. Detail about hernia, U all bacelah k. Wah, sonok lak der long case ni. Semangat nak study.

Tribute to them

Kata orang kawan ibarat cermin. Cantik refleksinya, cantiklah dirinya dan sebaliknya. Nak berkawan ni bukan senang. Penuh dengan rajuknye, cemburunya, dan sikap pentingkan diri.

  Dari kiri: Farah, Aien, Bebi, Nana, Oni, Nad, Cikah, Mira... Ni baru sikit, tak tambah lagi Bi, Karimah, Azi, Dr Piece, Azreen Amira, Alang, K.sofi dan sewaktu dengannya.

Tapi apa aku nak buat kalau dah mereka semua ni dah ditakdirkan jadi kawan. Kalau dulu, jalan jalan laga bahu, dapat senyum pun da kira ok. Hari ni, tawa mereka, susah mereka, senang mereka semua dah jadi kita yang punya. Dari jauh lagi, hoi2 hai2.. Sorang tukar status ym, sume pun sibuk nak tukar. Sorang deactivate fb, sunyinye rase dunia fb. Kalau update blog, kalo dey all x bace, x uplah trefik. haha..Kata orang tua tua, cubit paha kanan, paha kiri pun terasa sakit. Aduh.. selalulah sakit paha camni!

Prinsip berkawan, sekali berkawan, selamanya tetap kawan. Susah kawan, susah lagi kawin..merepek. Hari ni, da pun masuk pun study month untuk pro2. X lama lagi, nanti da masuk tahun 4, dapat jumpe kawan macam dapat jumpe long lost contact. Masing2 da ikut posting masing2. Terpisah lagi.  X
 mau la cakap sal 4th year lagi.

Kalau kita tak appreciate kawan kita sekarang, bila lagi. Hari hari pun harus appreciate. Sebab dunia ni, kita share dengan mereka. Kalau cantik dunia mereka, cantiklah dunia kita. Konklusi untuk hari ni, mari kita strive untuk pro same2... Never give up. Kalo stress, call je kawan, pasti ada jalan. Kalo ase xde mud nak study pon, koll je kawan. Kalau stress bab cinta pun, call je kawan..da tu, nak call sape lagi kan. .. Tapi kan, xyahla stress sebab cinta lagi, KITA SEMUA x layak lagi. Akhir kata, time nila nak usaha sampai mati. Biar terhantuk terngadah sekali pun, time ni jela.. Usaha sampai mati. Doa bnyak2 kat Allah. Semoga kita berjaya grad same2 nanti. InsyaAllah.

It was just a simple melody (Picture talks)

complex

Reminder : This entry is just from my point of view.

D most complex thing about human is understanding women. It just hard to discover what they think, what they feel and what they want. Their actions are incongruent with their innerself. They can laugh when they sad. They can cry when they happy. They can give sweetest smile when they are in rage. They can be rejecting  although they want something so much. They can be avoiding when they are in great excitement seing person they have crash with.They are a mystery to be solved.

Their emotion always fluctuate. They can be happy with just a simple concern. Getting a wish from a person who they care is like winning a lottery ticket. Being ignored for a day is like putting them in prison. Breaking poromise with them is having their mind listing out all probabbilities. Listen to them is what they want. They never need any solution. They just need a shoulder to lie on.

Somehow, there is a say stated that, the women's heart are on their mouth and the men's mouth on their heart. This is true though. Women always talk much, critic more and have extra concern rather than men. Men prefer to observe, analyse, and keep in their heart. Most of the time men never care. Men are a creature which are cool, less sensitive and have simple minded and emotion. These are an advantage for them in a way.

 p/s : Understand your parents. Listen to them and treat them best.

child vs love

A lil child fall in love.
He didnt know why he feel so.
He didnt know what to do.
He didnt want to tell his mama nor his papa as he afraid, hes gonna be scold.
His friend said he was a looser.
Oh no!

The child was too fragile to fall in love.
He still suckling the bottle.
He still surviving the anal phase.
He still enjoy watching teletubbies.
He still a child who was in pampering.
He just a lil child.

The child hates to be a child.
He prayed he wasnt a child anymore when he wake up in the next morning.
He prayed he was much taller when he confront the girl in the evening.
He prayed he was much brave to ask the girl to Buskin n Robbin.
He prayed he will not be distrupted by Superheroes movies while dating.

The young child was still fragile at the end of the day.
While he was praying, the girl was leaving in astray.
At the time, the child was thankful to be a child.
Without shame, he can cry loud and be wild.

Because he was a child.

Rungut MCQ

Study kau rungut

Kerja kau rungut

Apa yang kau syukur?

Jatuh lentang kau,

Kau yang sakit,

Kau yang bangkit.

Apa yang kau pilih?

Susah sekarang,

Senang kemudian,

Pernah kau fikir?

True?

False?

atau tinggalkan kosong?

Kaulah yang tentukan.

Note: Esok paper mcq, my killer paper. Everytime exam pun I focus more on mcq, but it never pay me well. Hoho.. T tyme final, U bayarlah I balik ok.. Bagi bunga sekali tau.

At stake

I am at stake now. Time to decide whether to win or to lost. And I choose to be a winner. I must win. Win upon what? Haha.. Let me keep it to myself only. And sadly, it happened during my exam period. It was hard okay. I lost most of my concentration. I think, this is the most severe emotional instabillity I ever had all my life so far (with some exaggeration).

In any situation which we might have to make a decision, think wisely. Broad your mind and never let the emotion leading. And it was what Im trying to do now. Transform all the negativity toward the positivity and look at the problems as tiny as I can and look for solutions the best I can.

Hmm.. It cost me a huge effort. But I wont stop. I might even give the best I have, to see that I can survive at the stake. Yeah. It just a battle between me and myself. Winning against loosing. And I choose to be a winner. And Id like to repeat, you wont know how strong you are until to be strong is your last choice. :) And of course I need that strenght for the battle.

10 syukur ep 2

Ya Allah, malam ni hati x tenang. Cek2 bulan, x mengambang pun. Baru 10 Rabiulawal. Dari tadi x sampai 10 persen study. Jalan2 je banyak. Then terasa nak teruskan ngan terapi syukur ni.

Hari ni aku syukur sebab

1. Tyme study kat bawah tadi jumpa ngn Pok Ya. Die pesan kat aku, "study baik2, jgn musnahkan harapan orang tua kat umah..." n die jemput aku gi kenduri kat umah die t. Yesss!
2. Semalam aku activate balik fb sebab nak minta maaf b4 exam. Then aku notice da 2 bulan aku deact fb. Mampu je hidup. Siyes aku kate, fb lagi bnyak kesan buruk kat hati kita, but bagusla dr segi hub sosial tu esp ngn relatives n kawan2 yg jauh terpisah. Hmm... aku kalau boleh nak hapuskan fb totally dr hidup aku, but siyes susah nak mati.
3. Exam SEQ tadi, der gak ah few quest yg mmg cnfirm aku da jawab salah n sume jwpn lain td x sure, but Alhamdulillah sebab mampu siapkan walau ngn hentam pun kan. Semalam tidur bape jam je sbb smlmlah baru ak giat pulun pbl. sedih banyak lupe yg da hafal, tp x pe bile aku revise later InsyaAllah aku ley ingat ntok pro n reside lam long memory aku trus. Belajar bukan untuk exam. Al ilmu fissudur, la fissuturr..
4. Bile aku x tenang camni, terfikir lak nak wat terapi ni. Thanx Nad sebab ajar. Siyes berkesanlah. Ni pun satu kesyukuran tau.
5. Syukur sebab tenet slo nak mati, kalo x sure I da melayan tenet rather than studi, biapon mlm ni studi sikit je.
6. Syukur sebab ley beli nasi ayam td. Tadi da turun lambat, kol 5 lebih la. Biasenye tyme tu nasi da habis. Aku da la jenis x suke tukar2 makanan ni. sib bek je ade la sisa2 yg last. Tu pon bolehlah rather than makan burger kan.
7. Syukur sebab ramai jugak kawan2 aku yg ley jawab exam tadi. Tyme diskus sedih bile jawapan kite salah kan, but think rationally, baguslah kalo kawan kita ley jawab kan. X kan nak suh parents dey all sedey kalo result diorang x best ke... contohlah.
8. Alhamdulillah esok aku OSCE petang. Ley sambung study lagi esok. Ive wasted my evening n night ngn kejiwaan yg kesengetan. Never give up je. Success is anywhere. Matter of U cari or not je.
9. Syukur sebab nikmat Iman n Islam ynag aku ada hingga hari ni. Moga bertambah tiap masa n ketika.
10. Syukur sebab at the end of terapi syukur ni, aku da rase mengantuk. Boleh tidur dah. Tadi da banyak kali try tido, tapi x lelap. Siyap der hypnogogic agi. Dengar cam Mira tetiba marah aku"AININ!!!".. trus tersedar n x jadi tidur..hahah... tetibe jek..siyes.

Karena cinta

Karena cinta aku jadi sepi,
karena cinta aku jadi riang,
karena cinta aku jadi pilu
karena cinta kini ku sendiri,
karena cinta pelangi ku hilang
karena cinta matahari pergi...........

Penat oh..Just sitted my SEQ Selanjar 3. Tengah layan lagu cintan cintun. Mahu tidur tapi sleep wake cycle da disturbed. x mampu untuk lelap. Mahu study pun mud sudah goyah, akhirnya dengar kembali lagu2 jiwang yang agak lama I da tinggalkan. Bile I stress I suke dengar muzik rancak. Bile I penat n bosan I suke dengar lagu jiwe2 indon, Bile mud I bese2 I suke dengar muzik yg relaks2, pop2, countrian... N most of d tyme, I x dengar lagu pun, I nyanyi sendiri jek.. :p.. Cikgu I pernah kate, yakin pada diri. Kalo sore x sedp pun tape. Alunkan je nyanyian2 tu, biar orang ingat anda mania... xpe... serius xpe..jangan risaulah. I pernah buat, tade pun orang heret I gi tingkat 5 HUSM..

2moro, gonna sit 4 OSCE pape. Paper yg paling debar. Sejak azali lagi. Takot untuk dengar loceng every 5 minutes 2. Kalu tyme 1st  tyme 1st year punye Big sib trial, lari2 I nak gi next stesyen. Duduk pun amik sipi2 kusi je sebab nak save mase untuk gerak ke next stesyen. Pikir2 balik, lawak jugak dulu.  kaka2! gelak ramai2...

Oklah, now sudah azan asar n I even x strt study gi all my FLM material. Doa2 I success selalu okay..  daa~

Bile exam

Routine sy tyme2 nak dekat exam

- Jumpe kawan kat mane2, tanye "da abes ke study? sampai mane?". Nak wat cam batch mark la. Kalo kita lagi banyak oklah, kalo kita lagi sikit,  burn nite diesel le jawabnye.
- Lagi bnyak pakai losyen, minyak2, ubat2 n so on...  X tau nape. Tyme ni tangan lagi giat bekerja sambil mate mereung nota2 sambil cube mngabsorbnye.
- Jalan2 bilik kawan n diskus soal stress, hafal x ingat, bnyk agi x bace, spot qs, bebel2 so on so forth. Pastu masing2 motivatekan each other. Semangat balik. yeah!
- Call mak ayah n minta maaf. N cakap awal2, x abes study ni. Yelah kna prepairkan mind mak ayah dulu on ape pun keputusan yg kita bakal time kan. So dey all x la terkejutz sgt t kalo result x best. huhu... btw kan, lpas 3 tahun ni, ni jwpn mak sy " 3 tahun doh mok dengar study x rajin2 abih. InsyaAllah tahun 5 t abis la plok" Hahaha... Upenye kan, 3 tahun ni same je ayat yg dituturkan. Adeh.
- Kerut kat muke tambah. Conteng2 kat tangan pun bertambah. Punyelah nak hafal kan, penuh tangan diconteng. At lis kan, kita akan hafal jugak bende tu b4 notes tu hilang tyme kna air. Nampak x betapa strugglenye di situ..
- katil penuh ngn notes. lantailah tempat tidur yg masyuk. Senang bangun nk stay up t.
- Stok makanan yang penuh tibe2 kosong. Wonder nape jadi lahap cam tu sx.
- Nak jalan jauh2 malas da. Even nak gi cafe pun pk 2,3 kali. Tapi sbab lapar, pegi la jugak. Duit da abes ni. Malas btol nak jalan gi atm. Habis duit tabung dikorek. ayooyo...
- Sibuk la baru nak menghilte notes yg b4 ni x pernah bukak. Prinsip last2 minit gini, janji pernah tertengok jela..hoho
- Masa untuk bersendiri, bukan untuk bersosial. Bersendiri di blog rather than bersosial di fb.

p/s : Jom kita tukar2 doa. Kita doakan sume kawan2 n diri kita berjaya n 2gether kita naik tahun4 n grad by the year 2013. Doa untuk orang lain tanpa dia ketahui lebih makbul dengarnye. Huhu.. InsyaAllah. ameen