5 days

I'm going back to India in 5 days...... *muka tabah* Over k nak sedih padahal dah nak masuk tahun tiga okay tetapkan niat sekarang nak balik India nak belajar rajin-rajin, kurangkan lagha (dah cukup lagha dua bulan cuti tsk tskk), kurangkan buli Toby EH RINDUNYA TOBY agaknya Toby dah lupa siapa I T_T

Sebenarnya sangat rindu dengan suasana usrah, usrah kitorang selalunya tiap-tiap petang jumaat Kak Farah saje je kan buat petang Jumaat dah tahu esoknya weekend mesti kitorang nak keluar shopping tengok wayang hewhew kalau kena turn masak memang balik kelas terus sibuk kat dapur. 

Bila duduk dalam suasana baik-baik classmates pun budak-budak baik pakai sopan-sopan kita jadi semangat nak buat benda baik. Cuba duduk rumah dua bulan ada tv boleh online 24 jam tak ada usrah semua makanya lalai la saya bila tinggal lagi lima hari nak balik sana baru teringat Kak Farah ada bagi homework T_T


A friend posted this on Facebook;

"....kalau ulama nampak anak2 muda yg menghabiskan masa ini, dia akan berkata 'kalaulah aku dapat beli masa mereka, akan aku beli utk aku terus beribadah'..." 

Haa buang masa lagi T_T Kalau bukak balik senarai apa nak buat masa cuti mesti 2-3 benda je boleh tick. Tak apa, kita simpan next cuti. Eh.

Attachment #2

Y U SO LAZY?! T_T

K. Let's be productive, keep calm and start blogging :3

Assalamualaikum. Attachment is over yay! Haha I had fun for the past two weeks but I have one more week left in Malaysia, I have to spend it wisely before the classes start and no time to be lazy like this anymore?! Tipu je, kalau tak ada exam salunya free je sempat keluar shopping hewhew. Eh. 

So on the second week I was assigned at ward 8EF under General Medical department. The atmosphere is different from what I've experienced in A&E department. 

The ward is not too big but there are at least 30 patients, so you can guess how uncomfortable I was standing for hours (during ward round) in lab coat -.-'' Tengahari la paling panas but it's breezy in the evening since the hospital is tepi pantai. 

There's no adrenaline rush in the ward, sebab mostly patients stay there like 3-4 days so basically I met same patients (with few new patients once in a while) for the whole week dah tahu yang ini itu sakit apa yang itu siapa yang jaga etc etc. In A&E department patients come and go paling lama stay situ 2-3 jam then transferred to any ward. Every time I heard the buzzing sound of the alarm indicating patients are coming I feel excited (jahatnya) terus buat-buat sibuk kononnya doktor. 

The HO, MO and the specialist especially are very warm in the ward (doctors in A&E department hardly look at me haha probably because they're too busy). Start ward round earlier than 8 am but I'm not sure the exact time sebab I selalunya lambat hehe. Usually there would be a specialist during the round, MO, HO and also pharmacist. According to them, pharmacists are very important in GM dept because a broad range of drugs are required. 

Tetiba rasa pharmacists cool gila. Eh. All they have to do is follow the doctors, kalau rajin tanya patients apa drugs diorang guna which reminds me, org Malaysia sangat la manja semua ubat ikut doktor bagi je cuba la tahu apa nama ubat senang sikit atau lagi senang angkut semua ubat setiap kali jumpa doktor lain. Kalau kat India patients selalunya tahu nama ubat sebab doktor akan prescribe and they have to go to pharmacy on their own and buy eventually they become responsible haa cuba salah bagitahu ubat satu hal pulak. Kat Malaysia patients just go and see doctor and ambil ubat kat kaunter. 

Anyway, sekarang kan zaman komputer every data must be keyed in so kalau nak jadi doktor kena type laju-laju dan telinga kena peka MO cakap apa kena laju-laju type jangan berangan. Kat ward kan bosan sikit so I tend to look outside and berangan haha tetiba specialist tanya, I was like ... what okay bye tak berangan lagi dah -.-''

So, patients are mostly the elderly woman (eh jap memang ward perempuan pun), maybe 50 and above. Ada la 3-4 orang yang muda-muda usually pregnant women. Ada la 1-2 budak belasan tahun, agaknya ward pediatrik dah penuh kot. Btw ada satu dengue cubicle kat sini, hari-hari ada patient baru. Usually doctors watch out for signs of shock. Bila denggi paling penting kena "masuk air" or normal saline. Common diseases among these elderly women are uncontrolled DM or hypertension. Bila ada kencing manis/darah tinggi bila dah berumur sikit start affect kidney, or nerves on the foot and 60-80% (dengar specialist cakap) akan affect blood vessels in the eyes. 

I pity this one woman maybe she's 48-49 she doesn't look like 50 yet, she has uncontrolled DM, nephrotic syndrome, pleural effusion and there may be something wrong with the heart too (due to hypertension). Alahaiii how can one survive with all those problems :S Semoga Allah kuatkan hati makcik. There's nothing else I can do besides a smile (or two) and doa.

Other common disease is asthma! Everywhere I go I saw people gasping for air. Oh, satu lagi kerja pharmacist is show these patients how to use the inhalers properly. Kenapa diorang sampai masuk ward is sebab tak pandai pakai inhaler, so salbutamol tak sampai lungs, cane nak bernafas betul-betul? Terpaksa masuk ward pakai nebulizer or oxygen.

And one last common disease is IHD. Malaysians love fatty food - orang tua-tua kalau tak makan burger macam kita-kita (eh) diorang suka makanan bersantan segala gulai haa that would lead to "tersumbat lemak" bak kata makcik-makcik. One makcik refuses angiogram (according to makcik "masuk belon dalam salur darah") so she would be warded at least three days every month for medication. Another makcik has succesfully underwent angiogram she said "dok sakit eh, semut gigit sakit agi" haha comelnya.


Ada this one makcik (see ramai gila makcik kat hospital) she had ITP (idiopathic thrombocytic purpura) since forever. There's petechiae on the legs, bruises on the arms and ulcers in oral mucosa. MO selalu tanya "pening tak makcik?", sebab risau ada bleeding dalam otak. Baru tahu :3


I can go on forever explaining every disease I've seen in the ward -.-'' 

So what did I learn for the past two weeks? Satu, wear proper clothes terus bawak sembahyang so you don't have to carry telekung or what not, leceh kot. Dua, balik India nak belajar rajin-rajin la seronok tengok doktor bekerja I can't wait for three more years to end haha. Tiga, please take care of your health. Masa tua dah penat kerja selama ni mesti la nak berehat jaga cucu je sedih la kalau kena masuk ward 3-4 hari T_T 

Baiklah, assalamualaikum :)

p/s : Ada satu benda sensitif tak tahu boleh cakap ke tak. Insyaallah bila dah jadi doktor pangkat besar sikit mungkin boleh do something about it.

Attachment #1

Started my attachment on Monday. I'll be posted in two departments - Accident & Emergency (A&E) and Medical. I'm all alone T_T Maybe because I started a bit late and I wanted to enjoy my holiday first hewhew.


So far what I did is berdiri the whole day watching the procedures done by doctors and nurses. I ask very few questions HAHA because KALAU DIORANG TANYA I BALIK CANEEE haha so most of the time I stand at one place and listen to the diagnoses or what medication should be given. Paling seronok bila HO kena explain apa diagnosis and the reasons behind it to the MO muka diorang cuak gila masa tu I boleh menyibuk kat tepi MO (haha boleh?) buat muka serius dengar explanation.


I kawan dengan kakak-kakak nurse pelatih, they are so sweet no wonder they wanted to become nurses at the first place. HO are so busy so I mingle with the nurses instead. Setakat ni tak berani lagi draw blood or anything I'm trying to learn the process by observing first. Scary :S


AT A&E department, there are 3 zones - red, yellow and green. Red for critical, yellow for semi-critical and green for biasa-biasa patients. Usually I stand back and forth in yellow or green zones because the patients are still awake and I can observe their symptoms and the diagnoses. Most patients in green zone are babies and children. Babies came with jaundice (VERY small babies) and children came with cuts and scratches from fall and a girl came in today with blisters and reddening of the whole right leg due to allergy.


Oh ada dua orang MO from Besut (kot) buat attchment kat sini, one of them sangat baik tak ingat nama apa tapi seems like she's the only one who notices my existence HAHA dia tetiba tanya soalan a lecturer would ask nasib baik I boleh jawab mesti muka cuak gila masa tu sebab tak expect kena tanya. I selalu rasa macam I'm invisible no one can see me tetiba ade HO terlanggar kaki. K -.-''


Hmm ade few interesting cases (yang mampu recall).


1) Seven year old boy with abnormal jerking movement, dia start jadi macam tu masa tadika tapi stop lepas tu jadi balik masa umur tujuh tahun. Setiap kali dia jadi macam tu hidung dia akan berdarah and the only way to stop it is by sleeping. Bangun tidur dia okay balik , tapi hari ni dia jadi macam tu dari awal pagi tak berhenti. Kesian gila sebab macam menggigil tapi sekejal-sekejap. HO bagi benzodiazepine. Diagnosis tak sempat dengar habis sebab ada kes lain masa tu -.-'' Sempat dengar MO cakap bukan chorea sebab kalau chorea lagi 'repetitive'.


2) Makcik 35+ tahun last period macam cair (dia cakap?!) bila scan ada ovarian cyst besar gila tapi HO cakap kalau tak rasa sakit atau discharge yang pelik-pelik boleh biar je cyst tu kat situ.


3) Kakak 20-an dah appendicectomy tapi ada pain kat right side of abdomen (terus ada MO tanya apa indications -.-'') bila scan ade edema kat mana tak sure sebab tak faham apa-apa bila tengok scan tapi dengar HO cakap. Diagnosis - adhesion colic following appendicectomy. Mula-mula syak renal colic tapi bila scan tak ada apa-apa pelik so exclude. Cuak sebab I kan dah 'buang' kalau jadi macam tu cane?! Baru teringat dua tahun lepas rupanya dah operate, over kan.


4) Budak kecik umur macam 4-5 tahun datang jumpa HO sebab 'ada kacang dalam hidung'?! Kelakar gila tapi kesian sebab HO korek dalam kot hidung sebab nak keluarkan, korek-korek ada dua bijik rupanya?! There's blood everywhere lepas tu baru teringat kat bahagian atas hidung kan very rich in blood supply so senang bleeding. Budak tu menjerit kuat gila sambil mencarut?! I terus keluar daripada cubicle sebab tak boleh tahan gelak haha eh tapi tak senonoh mencarut macam tu she must pick those kinda words from her brothers -.-''


5) Ada abang 20-an dia ade hallucinations and 'verbally abusive' (dengar HO cakap) dia amek monthly injection of apa tak sure tapi last month dia missed so dia dengar ada orang bisik-bisik kat telinga dengar orang cakap-cakap and nurse bagi injection kat gluteal lepas tu dia jerit marah-marah kakak nurse scary masa tu dah terfikir nak lari takut kena pukul -.-'' Lepas tu ada kakak daripada psychiatry department (kot) datang tanya soalan, dia sangat steady walaupun abang tu tengking.


6) Semalam ada mak cik tua dah 70-an dia datang sebab ada bloody discharge from nipple and 'fungating growth' (sekali tengok macam ada dua tiga nipples). Mak cik tu kan dia letak pad dekat breast mesti sebab bleeding tak berhenti :S HO dengan steady cakap "Mak cik kemungkinan ada cancer nanti kita buat biopsy untuk confirm". Mak cik kan tua, orang kampung, bila dengar CANCER mesti la cuak kan. Mata dia dah bergenang masa tu kesiannya tapi tak boleh nak buat apa..


7) Kakak 40-an ada unsteady gait. HO terus syak 'cerebellar stroke' sebab dia pernah kena 'young stroke' (dengar HO cakap) dan ada dizziness and diplopia. Tapi other cerebellar signs (ingat balik apa yang belajar masa practical Physio) are negative kecuali unstady gait. Pernah MRI tapi tak ada apa-apa, dah buat fundoscopy jugak tapi okay walaupun patient cakap mata sakit. Lama gila patient kat situ sebab HO tak bole figure out kenapa. Last sekali diagnosis something to do with telinga sebab dulu dia punya eardrum koyak and bernanah segala tapi dia tak buat follow up. HO suruh patient pergi ENT jumpa pakar dan check mata sekali lagi dan pakai specs sebab mungkin sebab tu jadi pening. Patient macam tak puas hati sebab EH ITU JE? Tapi sebab dah MRI and nothing's there so its nothing to with the brain after all.


K. Penat type. Baru dua hari dah macam-macam kes kan? Patut la HO nampak steady je walaupun datang kes pelik-pelik hari-hari dah diorang handle benda-benda macam tu. Walaupun sedih sikit tak mampu buat apa-apa haha tapi akan cuba belajar as much as I can and BE BOLD. Semoga hari esok lebih baik daripada hari ni, insyaallah :3


Assalamualaikum.


p/s : alamak nak update sal wedding tapi lupa?! -.-''

Free

One month left for holiday. I don't want it to end of course but deep in my heart I can't wait to be back in India again, faham tak perasaan tinggal anak selama dua bulan? *tukar DP gambar Toby*. But I won't say it out loud mesti Umi marah kalau tahu I nak balik cepat sebab Toby hewhew.

I've never been to Langkawi before, itu la masalahnya kalau benda dalam negara tak terfikir pun nak pergi sibuk fikir nak jelajah dunia (over). Jelajah dunia pun belum, India is so big you know, and by the time I leave India I don't think I want to come back haha so I have three more years to jelajah the whole India. I want to go to Goa, beach and lobster are some things I look forward to hewhew. 

Eh sambung cerita Langkawi. So I've been bugging Umi and Abah jom la pergi Langkawi but their raya holiday is too short tetiba dah kerja balik and there goes my dream tsk. Starting next week I'll be busy with attachment so maybe next holiday T_T

Last Saturday I went to a programme with I-medik I met a friend last jumpa like 3-4 years ago. It wasn't planned tetiba keluar kereta EH PEI LA haha and no awkwardness attack so far :3 Back in school we are the naughty ones sekarang pakai tudung labuh semua dah nak jadi dokter alahai how time flies :') 

Eh macam random gila post ni.

A friend is getting married this weekend! Agaknya dia cuak sebab sesekali keluar status cuak hewhew dengan I sekali cuak. Told Umi about her getting married Umi cakap "Umi dengan Abah tak setuju anak-anak kahwin awal, Angah kan baru 20 tahun?" EH KITA PULAK haha. I'm just 20, rasanya tak cukup matang untuk handle HUGE thing like marriage. 

Kat Facebook selalu terbaca status "bakal imam" la, share pasal "pesanan untuk pemilik rusuk kiri" la, rasanya tak perlu benda-benda macam tu.. Fine semua orang nak suami baik-baik isteri baik-baik tapi keep it private, doa diam-diam, mintak dengan Allah and at the same time cuba betulkan apa yang tak betul dengan diri sendiri dulu insyaallah Allah bagi yang terbaik.

Eh random gila tetiba cakap pasal kahwin pulak dah.

Going to hunt some blouses this evening! Bagi alasan kat Umi, "tak ada baju nak pergi tengok orang kahwin". Over haha.

Bye assalamualaikum.

p/s : Sebenanrnya nak update cerita raya dengan kawan-kawan tapi sampai sekarang tak ada orang upload gambar, k.

Nah Toby gedik.

Baca dengan rasa malu bye

So I tell Umi I can make cream puff (sebenarnya baru google resepi tapi nampak senang so confident boleh buat), Umi is doubtful at first but I'm good at convincing people, you know. I promised to make some puffs so she can bring those puffs for jamuan raya at school. But today I woke up late and I wasted time waiting for the recipe to load suddenly it's 9 am and I haven't start anything.


One thing about me is I love baking but I'm slow and sloppy and stressed in the kitchen. Now the kitchen is messy and my cream puff is not turning into something I imagine it would be.


Suddenly Umi comes home with two friends, wanting to taste my cream puff.


*you can imagine what happen next*


Turns out Umi told everyone in school I'm making cream puff.


Okay.


Bye.


*buang cream puff keras dan tak sedap dalam tong sampah*

Besarrr

"Tadi ada budak-budak lelaki lepak kat depan tu jangan pergi sana k macam pelik je diorang"

"Tak ada orang nak kacau perempuan pakai tudung besar, jangan risau"

*sengih*

Senyum

Ramadhan's over, semoga dapat sesuatu sepanjang sebulan ni. Tak nak la dapat lapar dan dahaga je T_T Dan yang paling penting the outcome - mampu ke istiqamah bila Ramadhan habis? *gulp*


Anyway, I spent almost two weeks puasa with Umi Abah, last year I only got two days haha. Well, now that the system in college has changed our holidays mostly follow the holidays in Malaysia. Tapi not sure fot next year sebab next three years are the clinical years and all depends on the hospital, I don't really mind tho. nak jugak rasa raya di perantauan hewhew (kalau Umi tahu mesti marah).


Our raya is usually dull haha seriously, malam raya tak rasa raya langsung kadang-kadang lepak depan tv tengok orang nyanyi sikit-sikit lepas tu masing-masing buat hal sendiri. Eh this time I change the tradition a bit, I paksa everyone make karipap for raya. I just learned how to make the inti, doh and even kelim the karipap in the second week of Ramadhan. Masa tu our usrah ada buat jualan karipap, we have to do like 250 karipaps in one day haha I was in charge for the inti and I'm so confident now to make my own karipap.


It was fun! Okay la I have to admit penat gila kan buat, Umi cakap next year baik beli je. But the process of making it is so much fun, I miss all of us being together. We are so busy with our own stuffs, kadang-kadang lupa nak hargai apa yang ada depan mata :')


We never have a theme for baju raya, we can wear anything that we like but this time I make sure the three of us wear matching Indian cotton (tho my sister is miles away) seronok! :D The whole point of raya (for me) is about celebrating the day with family hewhew, make sure esok tak boleh gaduh-gaduh. EH.


Hmm tapi rasa seronok nak raya tahun ni lain sikit daripada tahun-tahun sebelum ni. Mungkin dah besar dah matang sikit kot? Haha, happy raya peeps! Be happy, but not too happy, think of those people who can't be as happy as we are. Assalamualaikum :)

Nah! Karipap raya from me :D

Rumah

Tehehehehehe I'm home! Okay sebenarnya dah 2-3 hari kat rumah baru teringat nak update. Kitorang cuti dua bulan dan sesiapa rajin boleh buat attachment kat mana-mana hospital for two weeks. Tapi tak ramai yang nak buat sayang kot nak habiskan cuti (mungkin cuti panjang terakhir) tapi macam best? Ini la masalahnya kalau tunggu "siapa rajin", kalau universiti lain wajib kot buat. Hmm.


Rupa-rupanya bila balik rumah nafsu makan sangat dahsyat (random), kalau kat India masak sendiri-sendiri makan depan tv setengah jam siap terus nak pergi surau. Bila kat rumah makan tak habis-habis hewhew bila pergi masjid pun mengantuk ish, this is not good. Lepas ni kena berazam kurangkan nafsu makan lebihkan nafsu ibadat tinggal lagi sepuluh hari kottt T_T


Rasanya I jet lag sebab tu asyik tidur. Eh over kan walhal India balik Malaysia 4 jam je hewhew. Okay sambung tidur bye assalamualaikum.


Eh! Lupa bagitahu. Habis je exam hari tu I was called for a viva, I was the only one and I was judged by 6 lecturers. Creepy I tell you. Ada empat head of lecturers (HOD), the exam coordinator and a random guy from MSU Shah Alam. I didn't see that coming haha sebab ingat macam I have to go to different stations for different departments makanya tersangatlah cuak.


I can't remember the details of the questions but I remember Dr Ramesh asking me "Are you nervous, do you need any drug?", I said I am but I don't need any but I prefer diazepam (a sedative) haha boleh?


Briefly, Dr Rajesh (Forensic) asked about time since death, all those related to rigor mortis, algor mortis, livor mortis yada yadaaa (FM is the least favourite subject and I barely read so I was really cuak back then). Dr Rajgopal (Microbiology) was the nicest because he asked easy questions like "give me the examples of streptococci" tehehehe makanya boleh la jawab dengan muka bangga (eh), AIDS and opportunistic organisms, something about DM and paling benci "what's the principle of western blot" k mana I ingat. HOD Patho who has a very long name so I forgot asked about every little details what's written in Robbins. Serius. The first question was "what is inflammation?" *nangis*. But I managed to answer most of the question (minus the err and umph), nasib baik. Dr Ramesh (Pharmaco) asked simple questions too, but I can barely answer any questions about drugs for cancer serius tak tahuu tak pernah ambil tahu pun sebab nama drugs semua pelik-pelik ingatkan tak penting hewhew.


The lecturers were very nice because they really wanna help me tho I stutter a lot. They knew how cuak I was so they make it very relax and at one point I was enjoying the whole thing. Bless these people dear Turner of the hearts, they help me a lot, please help them too.


Well that's it. Alhamdulillah sebab mampu survive the tortuous half an hour or so haha :') Let's hope I can live up their expectation for the clinical years ahead. And let's hope I won't be a snob because I got an A minus.


Snob. Reminds me of snails.


Okay kali ni betul-betul bye assalamualaikum. Selamat mencari malam yang lebih baik daripada seribu bulan! :)

Sujud

Sujud itu menundukkan dahi, tetapi
Memuliakan muslim yang bertakbir kepada Allah dan bertasbih kepadaNya
Si jahil menyangkanya belenggu ke atas hamba
tetapi sujudlah yang memusnahkan segala belenggu
Di dalam kemuliaan sujud, semua akan tunduk kepada muslim yang sujud
Seluruh alam takut kepada kata-kata dan perbuatannya
Wajah dan seluruh anggotanya diletakkan di bumi
Tetapi dia telah menggoncangkan gunung-ganang
Meruntuhkan syirik, was-was di dalam diri si jahil
tetapi membangunkan segala generasi dalam ketenangan
kerana hati ada perjalanan yang menundukkan bumi
lantaran kehebatan dan kebesaranNya
Sujud kepada Allah dan mengesakanNya, lalu mantap dan kuat
Terhapuslah setiap penzalim yang sombong
Barangsiapa menghayati sujud ini,
dia menikmati kepimpinan dan ketuanan
di muka bumi, dengan keagungannya, rahmat dan keindahannya.


- Al-Muntalaq


p/s : Ada benda yang lebih besar daripada jadi hamba dunia :)

20

"Agar kamu tidak bersedih hati terhadap apa yang luput dari kamu, dan tidak pula terlalu gembira terhadap apa yang diberikan-Nya kepadamu. Dan Allah tidak menyukai setiap orang yang sombong dan membanggakan diri" (57:23)

Got back my paper today, turned out my MCQ result is okay *grin*. Alhamdulillah. Ada lagi satu exam, berusaha!

p/s : Terawih tonight! Kena pergi awal untuk saf depan :)