I'm waiting for that day !!!

Assalamualaikum.. 

lama x update...rindu nk celoteh kat blog kosong ni :) 

Hye guys how are you doing, feeling good ?? i hope so and whatever had happened just say 'ALHAMDULILLAH', InsyAllah you will feel better (trust me)

Xde apa pun nak update just nak share benda ni je..kikiki

Hadiah ini, ayah aku bagi masa belajar kat Kampus Petaling Jaya dulu, kalau tak silap masa tu sikit lg nk dpt 4.00 flat sume gara2 subjek lab for chemistry, dpt A- je. I'm happy if i can make them happy. Lepas dapat hadiah tu, dh hampir nk buka pembalut hadiah, tapi aku janji dengan diri sendiri yang akan buka hadiah tu bila dh start kerja nanti.. Time HO la beb!!! 

(walaupun aku xbuka hadiah tu,tapi aku tahu itu hadiah apa).

Abah seorang yg cool.... & sweet walaupun beliau xtunjuk sgt kat anak2 :) 

Ya Allah permudahkanlah urusanku Ya Allah, buat masa sekarang dengan ilmu yang setitik ni, aku tahu aku masih belum cukup untuk jadi 'SAFE DOCTOR', 

Ya Allah kuatkan semangatku untuk terus pikul tanggungjawab ini... 

Masih berbaki lbih kurang 16 bulan sebelum bergelar doktor!!! ameenn 

InsyaAllah xde benda yang mustahil kalau kita usaha..kan3

P/s: Doa Ibu bapa adalah doa yg sgt mustajab!!!

Abang sayang mak ngan abah...( '.' )

(",) Bukit Panorama & Sg.Panching

Ya Allah rindunya nak tulis blog..

Jom kali ni aku story pasal "Tafakkur Alam Part 1" pulak...Nape Part 1 ??? sbb Part 2 InsyAllah nanti aku update pasal trip kami ke Taman Negara yg mana kami akan pergi hujung minggu ni.

Ini kali ke-2 aku conquer Bukit panorama yg mana terletak di Sg.Lembing dan Sg.Panching aku dh xingat entah kali ke berapa dah aku p...Ni pun last minute plan, mlm tu plan mlm tu jgk gerak...usha punya usha, 6 org je nk join..daripada 6, 3 orng belum pergi lagi, jd ni kali pertama tuk diorang la..

Syasya, Adib, Piji Bro, Che Nap, Capik n aku

Kami mula gerak kul 5.00 pg dan sampai sana lbih kurang kul 5.45 pg..Singgah solat subuh jap pastu baru start naek Bukit Panorama (masa naik tu gelap lg)..Masa tuk daki lbih kurang 30-45min bergantung kepada tahap kesihatan la.. xde pun yg berubah masih sama macam dulu...dan Alhamdulillah, untuk kali ni xde la letih dan getaq lutut mcm masa 1st time dulu. Sampai je puncak, ambik2 gambar menghargai kebesaran ciptaan Allah, posing2...snap2..then lbih kurang 40 min duk kat puncak kami pun turun tuk ke next destination --> Sg.Panching. Tp sebelum tu singgah dulu alas perut kat food court area Sg.Lembing (sedap dan murah je mknn dia)

Jom kita roll---> keindahan2 alam ciptaan Allah (rasa sejuk dan tenang klu dpt tgk real depan mata)

Ni masa dah half-way daki..kabus masih lagi tebal

Lagi gambar kabus dari trek pendakian

SubhanAllah cantiknya

Silap haribulan nampak Son Goku melompat atas awan ni (jgn terkezut pulak)

Sinaran mentari menyinari ~ ~ ~ la la la

Ada sape2 mau "Honeymoon" atas awan ni

Kalau dapat tgk tiap2 hari, mesti hidup ceria je setiap hari

Some kabus dah cuba larikk...

Wow, Gojes dan cantik !!!

Best klu dpt wat pre-wed pictures kat cni

Jom Sayang, I bawak U jalan2 cni

Snap dulu buat kenangan

Matahari masih malu2 kucing

Farewell for kabus, takut ngan matahari gamaknya

Hebatnya Allah S.W.T !!!

Buat apa nak p jauh2, kat Malaysia pun banyak tempat lawa

Bye-Bye Panorama

Meditasi dulu kat puncak

Capik with his pose

Jom kita ke Sg.Panching pulak ---> Nek kereta lbih kurang 20 min perjalanan akhirnya sampai kat Sg.Panching area Kg.Pandan... klu masa BMS dulu, best dtg cni sbb air terjun dia bersih, cantik dan dalam...tapi sekarang dah xmcm dulu.. sebab diorang tambak pasir, mungkin sbb byk kes kematian kut... Tapi masih mengekalkan kebersihannya. Aliran air masih lagi laju...sejuk dowh ( dpt bawa wifey mandi manda lg best)... Gambar kat air terjun byk, tp diorang sume mandi xpkai bju except aku la... so xbole nk upload, hanya tuk kami2 jek....Let's roll pics

Amboi jauh termenung capik, ingat org rumah ker

Jom mandi dengan saya !!!

Meditasi kat panching pulak

Hensem/Macho/Comel mana satu nih?? haishh

Panorama view for the whole waterfall

Snap dulu buat kenangan

Antara gambar-gambar orang kuat yg menjayakan misi pen'conquer'an Panorama dan Panching :

Capik the Burmese !!!

Syasya the Mongoloid !!!

Adib the javanese !!!

Syasya, Piji Bro n Capik

Dan telah kami jadikan di bumi ini gunung-gunung yang kukuh supaya bumi itu tidak bergoncang bersama mereka, dan telah kami jadikan di bumi itu jalan-jalan yang luas agar mereka mendapat petunjuk (Surah Al-Anbiya' ; 31)

Pilih-pilih single tp some of them are not available..hahaha

Last pose sebelum balik....Smile guys!!!

SURGERY finale 'runaway' 2012

Long Case (Prof.Saufi)

Mdm.N.S/59yo/M/Lady/Housewife/Jerantut/kco treated Rt renal stones 4yrs ago/presented with abdominal pain for 3d and postprandial vomitting for 2d prior to admission

i) Abdominal pain -S=flank
                             O=sudden
                             C=dull ache
                             R=sometimes radiated to back
                             A=associated with mild fever
                             T=continuous
                             E=not aggravated by movement and relieved by vomiting
                             S=5/10

ii) Vomitting - postprandial = 2-3 min after eating or drinking
                   - contained mucus + food particles
                   - no sore throat, hemoptysis or coughing

Both symptoms preceded by urinary incontinence associated with, frequency, urgency, dysuria, dribbling and so on. The patient noticed to have mass at Lt side of flank.
 
O/E - Ballotable Lt kidney

Questions

1) Analyze symptoms and what do you think the system involved?
2) what is your working diagnosis? why?
3) In this patient where is the level of obstruction?
4) Causes of unilateral and bilateral urine retention??
5) If caused by colon, where?? what are the parts of colon?
6) Investigations?Why and components to look at??
7) Compare between abdominal x-ray and KUB?? and how do you prepare for both (NBM, clean bowel etc)
8) what do you look in ultrasound??
9) If the patient has renal stone, what is your choice of treatment?? (nephrostomy, ESWL, antibiotics, etc)

Short Case (Mr.Zailani)

Examine the abdomen (pt of invasive breast ca with mets to pubic bone and femur)

1) Your positive findings??(mass at pelvic region) describe it?
2) what do you think the mass is that? why?
3) other causes??
4) Relevant imaging?? what to look for?? (u/sound, AXR. CXR, etc.)

Lesson for today:
- learn more about investigations (blood, urine, imaging) in detailed.
- don't merely send it if we don't know what to look for

Ya Allah..berikanlah aku PASS..ameenn
tiba masa tuk fokus kat ramadhan and mak ayah pulak
(apa pun rezeki yg tertulis untuk aku, aku terima seadanya).. Good luck kawan2 yg nk exam esok !!!

ALLAH knows best !!!!

(",) I LOVE SURGERY !!!

Bismillahirrahamnairrahim...

Alhamdullillah and praise to Allah for giving me another ideas to write another chapter in my e-book so called WONDERFUL-LIFE-MAYBE and hopefully it will be a great masterpiece someday. I wish it would be benefit not only to others but at least going to be a lullaby story for my little caliphs in the future. I love my life a lots. Sometimes i felt like experimenting with what myself need to go through, seeing a great person's doing their great noble job would make me think where am i standing at,what have i been through and who really i am. For sure meeting this legendary creature will inspire you for what you are going to do as the time flies.

My best time in OT (HOSHAS)

Talking about the determination will never be lasted until your body is buried and returned for good. Life is not only to be inspired but it is more to be an inspiration to others. Once you have reached that level, then you will really know and think about what is one's life supposed to be. I am still in the process of learning and of course it will never stop me until I really appreciate how much the people surround me are meant to.

Currently, I'm in 4th posting which is the last posting for year 3 before moving to the next phase,year 4. Alhamdulillah, i have done with Internal Medicine, Obstetric&Gynaecology and Paeditarics (where we have to get PASS at least 3 postings to move to year 4). Now, time to boost myself for surgical posting which i guess, the best posting among all. I know it is not an easy posting but at least i can put some enjoyment for me to learn and prevail it. For this moment, i want to say that I do love SURGERY !!!


P/s: Alhamdulillah, i got a chance to assist the doctor in OT since the HO was not around...
       [ i have a shaky hands, i need to do something if i want to continue with surgery in the future :(( ]

PAED finale 'runaway' 2012

LONG CASE (Dr. ABG Nagi)

My patient adik AS/3 years old/Malay/girl presented to HTAA with complaint of 1 episode of seizure prior to admission.

• witnessed by her mother
• sudden in onset (during sleeping)
• generalized and lasted about 10 minutes
• occur once only within 24 hours
• associated with uprolling of eyes, stiffness of limbs and vomiting of milk
• no post-ictal complications 

preceded by fever, runny nose and diarrhea

• fever was 38 degree celcius noted at home
• diarrhea occured 3 times with no foul smelling
• in contact with sick people at home

P/E: noted only febrile (38) and tachycardia (148 bpm)

provisional diagnosis : Simple febrile seizure secondary to viral fever/AGE

Questioned ask by Dr.ABG Nagi :

1. Definition of high grade fever
2. Cut point for tachycardia and tachyponea in this age
3. Prognosis of simple febrile seizure
4. Why did you mention viral fever not bacterial?
5. Signs of meningeal irritation
6. Definition of Kernig's and Brudzinki's signs?
7. Classification of seizures (maybe yg ni Dr nak based on ILAE)
8. Definition of simple and complex febrile seizure
9. Comparison of management between simple and complex febrile seizure (yg ni aku ckp xthu)
10. Complication of complex febrile seizure
11. If patient presented with complex seizure what are the investigations you would like to send
12. Management of status epilepticus
13. Examples of anti-convulsant (diazepam, phenytoin, phenobarbitone...etc)
14. If patient with seizure was given all types of anti-convulsant but the seizures still occur, what you want to do (inducing coma)
15. etc..

SHORT CASE (Dr.Aye Aye)

Adik SNF/ 6years old/ facial puffiness

Please inspect this patient, DON'T TOUCH

Questioned asked by Dr.Aye Aye:

1. Is this moon face? Why? (prolonged used of steroid)
2. Examples of diseases that treated with steroids?
3. What are steroid toxicities?
4. What do you think the disease that the patient had? NS
5. Patient has already performed renal biopsy, what are the indications for renal biopsy?
6. What are the types of nephrotic syndrome? and what do you think about this patient?
7. What is the prognosis of focal segmental glomerulosclerosis (FSGS)?

p/s:

- Dgn yaqeennye duk present dalam bilik ber-aircond sempat pulak Dr. ABG Nagi tidur dgr presentation aku....hampehhhh

- Masa session CP ngan Dr.ABG Nagi aku present kes sama simple febrile seizure, alhamdulillah dpt jgk idea mcm mn nk buat ayat dan prepare soalan yang bakal Dr tanya...tp balik2 dia p pusing soalan laen...mak aihh

- Patient nephrotic tu aku dh clerk last week, so nsb bek la ad jgk idea nk present...

aku bermonolog sendirian sebelum keluar pergi exam:

[Allah dah tetapkan rezeki aku, walau apa pun terjadi jgn sedikit pun pertikaikan rezeki Allah]

Muka2 DR kesayangan (termasuk yg xde dalam gambar, Dr.Nargis, Dr.Taufiq & Dr.Fadzillah)
haha..gambar aku pun masuk!!!

InsyAllah mudah-mudahan apa yang aku usahakan hari ini menjadi bukti untuk hari yang akan datang.. Doa dan tawakal kepada Allah semoga ilmu yang diperolehi mendapat keredhaan-NYA.

Semoga mendapat PASS untuk paed posting..ameen

(',) Me, Myself and My Life

Assalamualaikum..

           Alhamdulillah masih diberi rezeki oleh Allah untuk bernafas walaupun terasa diri ini begitu jauh dari Sang Pencipta dan bukan semua rezeki itu mampu dilihat dengan mata yang terlalu kerdil ini kerana segala apa yang diberikan oleh Allah adalah tersirat biarpun ia sekadar ingatan yang tidak langsung.

           Akhir-akhir ini, diri ini amatlah sibuk dengan hanya 1 minggu lagi yang masih berbaki sebelum memberi laluan untuk peperiksaan akhir untuk posting ke-3. Walaupun dah hampir penghujungnya, masih terasa hanya secebis sahaja ilmu yang ada untuk dibawa, InsyAllah masih belum terlambat selagi ada usaha dan tawakal yang sentiasa istiqamah diabdikan untuk Si Dia.

           Penghujung minggu lepas berkesempatan menghadirkan diri untuk 1 program BAKTISISWA anjuran batch kami, 13th Legacy dengan kolaborasi Felda Chini Pahang. Alhamdulillah, tidak menghampakan sebab dapat belajar banyak benda yang bukan sahaja tersurat malah pengajaran yang tersirat yang saya rasa cukuplah untuk membuat saya duduk termenung memikirkan apa suratan disebalik penciptaan diri yang serba kekurangan ini. It changes my life a lots..~~

Beberapa gambar yang sempat di-snapkan:

Tahniah kepada pemenang cabaran tembikai hantaran dan xlupa kepada Miss Daily Dose dan temannya yang cukup kreatif menyiapkan gubahan. (walupun mata meliar tengok gubahan sebelah..haha)

Menunggu untuk menaiki van aka mini-lori menuju ke Tasek Chini.

 Siapa itu?? hehe..inilah 'artis' batch kami Mr. Syahmi Fikri mengambil peluang bergambar di Pusat Jualan Tenun Felda Chini

Menyelongkar keindahan dan misteri tersimpan di Tasek Chini.

           Sepanjang meng-k.i.a.s.u-kan diri di Wad Melur 2, HOSHAS selama 8 minggu, wad kanak-kanak ini banyak menginsafkan diri mensyukuri keupayaan diri yang boleh dikatakan sempurna untuk dibandingkan dengan adik-adik yang lebih tabah dari apa yang dapat dilihat dari mata kasar. Hati tersentuh melihat ibu-ibu begitu gigih menjaga anak-anak yang terpilih ini. Pada minggu terakhir ini, membawa hati yang sedih pulang dari Chini ke Temerloh sambil memikirkan masa depan dan kelemahan diri yang perlukan sokongan. Tapi dengan kehadiran adik-adik yang begitu ceria walaupun sakit dan juga group-mate yang supportive sekurang-kurangnya mampu mengukirkan senyuman dan tuntaskan perkataan syukur kepada Allah.

           Masa jalan kaki di depan kiosk hospital, hati tersentuh melihat satu naskhah buku yang saya rasa tajuknya begitu masyuk dengan situasi yang saya alami, tanpa berfikir sejenak..terus buku itu dimiliki untuk men-semangatkan diri yang mana semangatnya kian pudar. Apa yang dapat dicoretkan, diri ini cuba berubah untuk jadi insan yang lebih baik, mudah-mudahan Allah permudahkan jalan..ameen

"Visi untuk hati yang terluka"

p/s: Biarlah apa orang nak cakap sekalipun, they will never feel it unless they are in our shoes.
      Kepada Adik Taufiq (pt CP kat HOSHAS), mudah-mudahan Allah bagi kekuatan kepada kamu ye adikku dan tabahkanlah ibunya melayari hari-hari yang mendatang..ameen

          Groupmate yang D'bomb... haha, berseri2 semua!!

O&G finale 'runaway' 2012

LONG CASE

- Mdm.Z./ 27 years old/ G1P0/ 37 POA/ EDD = 8-3-12
- k/c/o Bronchial asthma for 20 years on MDI last attack was October last year
- p/w signs and symptoms of labour.
- o/e cervical os was open 3cm and the leakage during admission was not liquor.

Questions asked by Dr. Kamarul Bahyah ( korang cari sendiri la ye !!)

1. Type of asthma treatment that the patient used, what are medications used for asthma that you know?
2. Do you think the leakage is liquor?? i said no.. Your differential diagnosis ?? LL, urinary incontinence, ... etc
3. How to confirm it is liquor?? (aku bagi tau semua test untuk confirm liquor, pastu doktor perli aku balik, semua sekali ke awak nk buat?? then doctor asked me, in our center (HTAA) what is the test used? )
4. If patient came with PPROM (don't use short form masa present ye!!), what do you worry about??
5. How do you monitor patient with leaking liquor in the ward?? --> Pad chart
6. What are components that you monitored in pad chart?? colour, quantity, ... etc
7. Induction of labour ?
8. Methods of IOL?
9. What are complications of oxytocin? UHS, uterine rupture
10. If patient with PPROM, what are vital signs that you will monitor? (dr suruh guna medical term, dr xnk guna eg: temperature --> increased, high or elevated.. cakap je febrile/tachy/...etc)
11. If liquor is continuously leaking, what do you worry about?? what is your plan??
12. Continuous leaking + blood pressure drop, what do you think?? hypotensive shock
13. For this patient, when do you want to deliver her?? within 24 hr
14. etc...

" Okay Afizul, you go back and read regarding PgE, Oxytocin ...etc, because you'll be seeing this again in year 5... unless Nauzubillahuminzalik, if you repeat this again "... then Dr said, ok dah bleh tarik nafas dah.. 

Hahaha..nak berair mata cheq na.. Satu ward dengar suara Dr !!

Actually, i did one case presentation with Dr.Kamarul Bahyah in her room during 2nd week of the posting.  and during the presentation she bombarded me with a lot of questions.. Sampai satu tahap tu, i shed my tears.. pastu Dr cakap, xpe biar depressed sekarang, this is how you learn.. Banyak sangat Dr bg semangat masa tu, sampai je bilik terus nangis (mahalnya harga sebuah air mata, ingat senang ke aku nk nangis) .... InsyAllah, mudah2an I'll be a good and safe Dr..ameenn..

SHORT CASE ( Prof. Hamizah)

- EDD = 8/2/2012, so 

- Please examine this patient 

Pastu aku buat la satu2 sampai habis...Yaqeen giler aku wat (sebab dh banyak practice palpation kat pregnant mother..haha)

Pastu Prof cakap, Afizul, how do you improve your technique of measuring fundus height clinically, can you show me once again?? --> Alhamdulillah, banyak teknik yang Prof refine (but i'm worried because, our SC exam for 3rd yr is assessed from the technique not the findings)

1. POA = 41w (hari xm 15/2/12) --> Postdate
2. If patient came with postdate, what are the signs that you want to look for?? signs and symptoms of labour
3. What do you want to do?? Bishop Score assessment
4. Components of Bishop Score and Total score??
5. Then, Prof gave me the table of Bishop score and she asked me to calculate. I got 5/13 and i said it is not favourable.
6. What is your plan?? Induction of labour
7. Methods of IOL?

Okay, tq..you may go now..

p/s : kalau bleh masa session dgn Mentor, jgn suruh dia evaluate ap yg kite buat tp suruh dia observe btul2, btul ke teknik yg kite buat tu.. kdg2 kite dh rasa yaqeen..laen Dr laen diorang punya teknik and evaluation kan?? so, prepare more is better than less..

InsyAllah, mudah2an..apa yg aku belajar hari ini jd satu semangat untuk aku usaha pada hari2 akan datang.. ameen.. Ya Allah, aku dh usaha sebaik mungkin, segala apa yg akn berlaku, aku redha dgn rezeki-Mu Ya Allah..

(",) Dihambat kontroversi yang tak sudah...

Bismillahirrahmanirrahim...

       Alhamdulillah..buat kali pertamanya berpeluang membuat naskhah ramadhan untuk blog kali ini walaupun ia bakal menginjakkan ke pengakhirannya tatkala menghitung hari untuk menutup tirai.. Apa khabar iman kita kali ini?? Semoga apa yang diusahakn dari awal Ramadhan mendapat tempat disisiNYA..InsyAllah

        Rasa syukur kepada Allah s.w.t sebab tahun ini berkesempatan menghabiskan sepurnama Ramadhan disisi keluarga tercinta...satu nikmat yang teman rasa begitu bermakna setelah nikmat ini diragut tatkala teman menempatkan diri di asrama pada tahun 2005 dan semestinya semenjak itu, berbuka dan bersahur kebanyakannya dihabiskan bersama kawan-kawan teman yang setia dalam satu titipan perjuangan yang sama..

         Dikala sedih dek Ramadhan bakal meninggalkan kita, teman berasa sedikit gusar bercampur teruja kerana pengakhiran Ramadhan pada tahun ini merupakan titik tolak bakal berakhirnya nikmat cuti yang teman rasa begitu sukar untuk diperoleh pada masa akan datang dan ia juga merupakan penanda aras dimana bermulanya agenda sebenar latihan dan didikan diri yang perlu teman dan kawan-kawan teman ambik dalam mempersiapkan diri menghadapi liku-liku kehidupan yang sememangnya insan yang bakal bergelar doktor patut belajar. Gusar sebab segala pembelajaran teman dan kawan-kawan teman akan datang melibatkan 100% nyawa insan yang terduga oleh Allah dan teruja sebab dapat melangkah ke satu lagi anak tangga untuk mengait bintang yang selama ini teman cari.

          Menyedari saat itu bakal bermula tidak lama lagi, mulut teman tidak pernah berhenti memohon kepada Allah s.w.t disamping mengambil kesempatan mood Ramadhan yg penuh barakah ini.....agar:

• Dipermudahkan segala urusan teman dan kawan-kawan teman serta tunjukkanlah kami jalan
• Dibukakan pintu hati untuk mudah menerima ilmu disamping diberi ketenangan diri
• Diberi keupayaan untuk teman menolong kawan-kawan teman dan diberikan keupayaan kepada kawan-kawan teman untuk menolong teman serta dijauhkan sengketa antara kami
• Berkatikanlah ilmu yang kami perolehi 
• Jadikanlah teman dan kawan-kawan teman seorang yang rendah diri dengan segala ilmu yang kami perolehi
• Permudahkanlah lidah teman dan kawan-kawan teman tatkala berkomunikasi dengan pesakit

Ameenn..Ameenn..Ya Rabbal Alaminn...

          Teringat teman SMS seorang guru kimia teman tatkala meninggalkan dunia ASASI di Petaling Jaya, "Hidup biar ikut resmi padi, makin berisi makin tunduk" Mdm.Wan Mazlita...... InsyAllah segala tunjuk ajar puan kami dokong sampai ke tanah balik kami jadi... Sudah banyak teman berdrama rasanya tatkala pena 'cursor' tidak berdakwat ini kian letih mengisi ruang kosong yang teman rasa tak terkira banyaknya dengan jari..Mudah-mudahan Allah kurniakan kepada teman serta kawan-kawan teman kesabaran yang tinggi menghadapi ujian kami pilih ini...

(",) Who should be blamed??

Assalamualaikum !!! pag ibig mo ang lahat..

       Have a nice day... and my tagline for today is "to feel good is to look good". Absolutely, be optimistic is another option which may give you a different dimension of confidence trick disregard to what the people feel towards you...you seem to create your own world by ignoring any negative perception on you.. and of course you rock your own life...but mind that, optimistic solely is not enough because sometimes put a little hypocrisy may help you better to prevail any difficulties... In short, jgn terlebih sudah.. ermm.....

        Actually, i have another true story whereby i kept from last week before jotting it down here...and before that, Prof Ariff (our best anaesthetist) never misses this in his lecture.. Try to learn, unlearn and relearn. So, xdela nk buka aib org..just learn from it.

        Last Saturday, there was a mother around 60's (org kg aku jgk) came to my house and told something to my mum. And for your information, my mum is another good reason because we have a small shop which supplies keperluan2 dapur, lebih kurang retailer la....She opened her mouth describing about her current family conditions...and honestly, i didn't expect a mother to dishonour her own children (mungkin dah habis ikhtiar kut)

         Okay, senang citer....Briefly, her husband is suffering from heart problem and is advised for not to do any heavy work...Diorng pun bukan dari keluarga yang senang...sekadar bergantung harap dengan anak2 yang dah bekerja je la.....one of her daughter dah terlanjur  ngn her BF and it is a forced-marriage since she was detected of being pregnant.. then she told about her son who involved with drug abuse..xclap  aku methamphetamine (pil kuda)..Dah la bdk tu tak bekerja,dan pil tu bknnye murah...It's truly a sad sad story (kalaulah korang boleh tengok sendiri dpn mata seorang ibu tua dengan penuh ekspresinya bercerita)...yela kan ibu mana tak sedih anak yang ditatang dan dijaga akhirnya menjadi tak seperti yg diharapkan..Mudah2an hari2 yg mendatang ditempuhi dgn penuh tabah dan cekal..ameen..

okaylah guys...belajar dari kesilapan sendiri dan berdoa supaya Allah permudahkan lagi urusan kita..ameenn

P/s: ermm...dah macam rojak dah bahasa aku..k aku cuba ubah untuk post akan datang (seruan kerajaan banggalah dgn Bahasa ibunda)

(",) All about "Pocket reference for ECG made easy"

Assalamualaikum...(kaifa Halukum??)

        As i promise to you before in the previous entry ECG made easy, actually this is just my own review about the book and either you like it or not it's up to you. I'd like rate this book..ermm 3 and half stars . The book is really good because it is handy, easy-to-carry and it highlights the important point to understand the basic knowledge of ECG. The book comprises of 9 chapters :

• Chap 1 : Anatomy and physiology (revision from our previous BMS)
• Chap 2 : Basic Electrophysiology (very important chapter)
• Chap 3 : Sinus mechanisms
• Chap 4 : Atrial rhythms
• Chap 5 : Junctional rhythms
• Chap 6 : Ventricular rhythms
• Chap 7 : Atrioventricular blocks
• Chap 8 : Pacemaker rhythms
• Chap 9 : Introduction to the 12-Lead ECG

Actually, i'm not finishing it yet (ye la kan...this is not a novel, mag. or what)..which i think, don't need to rush finishing it because it is a story of 3 years next (i mean clinical years) just afraid of "cepat habis, cepat plak lupa"..but so far, it is a good production...the book is written based on the various reference textbooks. It provides us of how the waveforms are drawn and why each waveforms are shaped like that. Besides, it tells us how to analyze the ECG strip and the methods to assess or measure the rate of the rhythm. The most important is, it compares the normal and the abnormal ECG strip in each rhythms with a brief description.

Alright, i think this review is more than enough to talk about the book, so i hope it will be beneficial and give you a simple description about it. If you want to get more information just "GOOGLE" it and honestly, there are many other books which are better to give a detailed explanation about ECG.. 

P/s: I'm just a mediocre student and it is my pleasure to give something from my little knowledge and of course I'm so glad to share about it .

(",) ECG made easy....

Assalamualaikum!! 

              It is nearly 1 month staying at home, saying no to any thick-books (you get what i mean right??), saying no to colourful pen & lastly saying no to beautiful notes (ehem2..). So now, try to arrange the time and gain the momentum back before it starts leaving me behind since the clinical years will be start within 2 and half months' time...and InsyAllah it's gonna be fine...

Alhamdulillah, last week i got the chance to spend my holiday's time with my aunties. Indeed, an 8 hours' journey was nothing compared to the opportunity to see them especially the new member of our family, adik Imman Izzati...I'm praying to Allah to give her the good health and growing up to be a pious and virtuous daughter someday. The next day I took a good time pusing2 KL without any exact destination. Then after 1 hour walking aimlessly,  i decided to take Monorail which heading to Titiwangsa and akhirnya berkesempatan singgah di Kedai Buku Kamal...Sempat la beli 2 3 buku...So, 1 of them is Pocket reference for ECG made easy by Barbara Aehlert. 

Why ECG?? It is basically an advice from my bff who now studying medicine in UITM and my seniors (Ye la kan klu kite xthu, kite belajar jgn jadi bodoh sombong). Actually, this book is not my first choice to look for a basic thing about ECG but since the meant-book that i want to buy was sold out...so, i thought xpela..at least you got an idea about ECG.  Just finishing this one 1st before buying the other one (or just borrow it from the library).. InsyAllah if i get a good time, i'll try to write a review and a sneak peak about the chapters within. 

Determination + Efforts + Tawakkal = Great Job

This is what i meant

P/s: thanks mum for a new toaster oven (bolehla sape2 nk share any new recipes.. )

Clinical textbook Yr 3

Assalamualaikum...sawadee krab !!!


Me : 


salam kak fiza nk tnye...boleh tak akak msg..buku apa yg akak guna dulu masa medical student?? yg akak rasa a must series la..
IM, OnG, Paed, Surgery...



Kak Fiza :


Ya Allah, Fizul.
Mintak maaf ye, baru perasan message yang tak berbalas nih. Huhu~

Moga tak terlambat.

IM:                                                                                                       
Oxford Handbook
Davidson/Kumar & Clark
Short Case Handbook by UM Press
Neurological Handbook by UM Press (a must book)

O&G:
10 teachers
Labour Room Protocol
Kedah Labour Room Protocol is quite comprehensive
Kulentran's (some of the topics)

Paeds:
Buku bunga Matahari
Paeds protocol (super important)
Nelson, etc

Surgery:
Garden for the basic input
Burkitt is my favourite, I never use Bailey and Love
Schwart is the thicker book Mr Faidzal ask me to buy during my HOship since I want to become a surgeon
Browse for the clinical aspects, and lots of useful pictures
Mini book from OSCE (beli kat Cheng, warna pink)
Atlas


Ni sekadar penambahan kepada naurah punya....kalau korang nk wat rujukan la...

GOOD LUCK !!!

(",) Best Award goes to...

Assalamualaikum...salamat ko!!!

I should post this entry 2 weeks ago , but since the words are rather quicker than an action to put through...but anyway... Alhamdulillah, the result of our 1st professional exam already announced...Kepada yang dah lulus, tahni-ah dan kpd yang diduga oleh Allah...insyAllah (masih berbaki sebulan kalau xclap) masih ada ruang untuk memperbaiki result yg sebelum...Doa kami dr warga 13th Legacy sentiasa bersama kamu...

Allright, nak komen pasal MAHABBAH 13th legacy ermm...baca kat cni je la Mahabbah and it was done very well (malas plk nk tulis), and i think it was too late to rate that programme...so far.

Cuti,,oo,,cuti...pendek pun susah, pjg pun susah.... It is just 2 weeks...but start to miss my friends (xkesah la korang kat mana). Biasala kan, belajar skali, makan skali dan "gila-gila" pun skali..mustahil la x rindu.. 

If the 1st few days of holiday, i tried to click the "like" button of all FB-post..you know why??.. i wished and really hoped that my friends won't forget me for the whole 3 months holiday...but now just kept silence in a while (xthu la sebab apa)...dah xkesah kut...., perhaps I AM NOT MEMORABLE... sob*sob*

(i don't mind if they do not remember me....asalkan i won't forget them)

Anyway...best award goes to...me myself la.. Apakah lagi dugaan hari2 mendatang???/

jom layan..comel sangat kecik ni..harap2 la dpt ank mcm ni !!!!ameenn (kawen pun blum lg beb)

(",) Debaran kian mencemaskan

Yeahh...finally i get to see and update this simple blog :))

Mana taknya...kept myself occupied with 2 consecutive exams previously, endblock exam of Y2B4 and 1st profesional exam. If in the previous entry i mentiond about the beginning of a Y2B4 and i still remember how tense was i in order to adapt and struggle for the whole neuroanatomy block. However,the resut was already annouced last week and the pretty fact is,everyone managed to pass and eligible to sit for the 1st profesional exam . I am really happy because it is the 1st time in the history of 13th LEGACY where nobody got f**l for the end block result. Alhamdulillah, all my blocks exams turned into the complete weapon to battle in the 1st profesional exam.

Everything is pointed to the exam, exam, exam and of course it is prmarily the bread and butter of a medical student. Revision class started and the efforts were put thoroughly so that everything could be managed within 2 week's time of revision previod. Tipu la kalau org ckp tak nervous, different people come with different perspective, style and different ways of learning...sleep pattern pun dah ntah hape2 and caffeine is another bestfriend besides the pile of lecture notes and books. The momentum of that exam wass extremely dread and only Him comforted us..

Alhamdulillah, the 1st profesional exam was done smoothly (bole jawab ke tak laen kire la).. and the enjoyment of finishing the exam was a big issue actually because sometimes the face will falsely expressed what your heart felt . Although my mum and dad are not around, their voices are more than enough to support me and for sure it is relieved.. Anyway, today will be the fate for that battle either having a good 3 months holiday with the parents or another 1 month preparation for the second chance of winning that battle. I really hope that everyone gets their strength to know the truth of today's decision..okay...no more sedih2 yup.cheers up ckit, InsyAllah it will be good.....

P/s: Allah tidak akan menghampakan hambaNya melainkan ia hanyalah ujian untuk kita terus mendekati Dia.. InsyAllah..ameennn

-Go 13th Legacy Go-

(",) I worth it so much ...part 1 (2011)

Alhamdulillah... The end of Y2B4 is around the corner, but Are we ready enough for the final exam?? 

and are we pretty sure that the 1st Professional exam is within our finger clicks??

xpe2..we do still have less than a couple of weeks to prepare for the runway finale (bajet model ANTM)

which i think would be so enough, if all of us are burning the midnight oil struggling for that... unless your goal is beyond the "distinction"... tp tak mustahil kan...

Actually, i would like to dedicate this entry to all my PBL members since we have been together for 2 years and today is another day to be remembered.. Bestkan group kite?? All of us were working hard and every problems have been settled in the most honour way... Jom kite recap these moments (jgn terasa kpd sape2 yg terlibat):

1) PBL with Dr. Saad

hahhaha...It was so funny... i was warned for not playing with the "cap" of my highlighter.. ermm.. tp nasib bek la...xde org perasan.. and the most memorable thing.. masa ain hm n ain syafiqah maen cuit2... dr Saad saw that then....... hahaha tkut nak crita lebih2 (kang ad yg nangis plak...)

Moral : Doctors from the middle east usually are very particular about ADAB lagi2 kita kat IIUM (Uni laen pun sama) ..so we should observe our attitude and well-behaved in the particular time and places..

masa ni la kan nk kna marah...life is tough but we are tougher,actually it was a good mental preparation before step into the challenging clinical years..

2) PBL with Dr. Imad Mustafa

entah mcm mana la die study dulu (1 of the knowledge-lover)....he knows everything (nk klentong pun tkut).. Even it is just a simple principle of x-ray pun die thu (which is far from his subject)... 

ingat Dr.Imad...ingat amirul and lakonan2 terancang... 

Perhaps Amirul was so sensitive kut (if cannot answer don't mind la kan).. just go back and study.. Ingat lg pesan dr Imad, its ok if u don't know, just go back and read... it won't be ok if u don't know but never find for it......

yg lakonan tu plk, members from the other group yg ajar.. tp alhamdulillah ia mnjadi..

Moral : YOU SHOULD KNOW EVERYTHING (dr.Imad)

hehe..sje je....ni gambar lama...masa mkn ngan kawan kat santai..

(",) It is not the end

Assalamualaikum....

It's more than a month i haven't written anything here...miss this page so much.... and even i don't know where to start...perhaps clueless, since leaving the journey blunted without any direction... allright.....!!!

Actually.. i don't go anywhere...just mengabdikan diri dgn buku2 medik (bkannye hbis pun baca).. & YEZZ my friends and I admit that..this block is VERY, VERY, & VERY tough campared to the previous... how could you imagine, learning something inside your box...where the box that you can not see its real of nature.. 

But..i will never give it up... 

More than 1/2 way i have struggled and survived...so why do i need letting them to the rest..kan???....

Well... there is 2 more weeks before fighting for the final exam Y2B4.... and another 5 more weeks before the 1st profesional exam....

Please pray for our success.... and May Allah s.w.t gives us the strength to securely passing the exam with shining and glooming days next after....InsyAllah..