New Posting with New Spirit!

No entry for awhile coz ..

i'll be start my new posting which is Orthopedic in Hospital Taiping for bout 2 week..

c yaa after 2 wk!

Penyakit Hati

Dalam hati mereka (golongan yang munafik itu) terdapat penyakit (syak dan hasad dengki), maka Allah tambahkan lagi penyakit itu kepada mereka dan mereka pula akan beroleh azab seksa yang tidak terperi sakitnya, dengan sebab mereka berdusta (dan mendustakan kebenaran).

[Al-Baqarah: 9]

Ape tu ek penyakit Hati??

Chonic liver failure ker..cirrhosis kot..or hepatoma ek?? uh tu sume medical term.. apa ada dgn nama?? yg penting macam mana kita mencegah dari mendapatnya.. or macam kita mencari penawarnya~~

Sometime kita tak perasan..dalam hati setiap manusia tu ada penyakit hati.. tak percaya?? cube check balik diri kita.. astagfirullah~..kita hamba yg sgt lemah ni kekadang tak mampu utk mengawal perasaan, emosi dan nafsu sendiri..

So..marilah kita sama2 bersihkan hati kita dari penyakit hati ini..

• Banyakkan berdoa kepadaNya dan minta agar kita tergolong dlm org2 yg lembut hati dan di jahui dari sifat hasad dan dengki


• Tanamkan sifat redha kepada Allah..bersyukur laa dgn apa yg ada..tak semesti org lain ada itu dan ini..berjaya itu dan ini..kita masih di tahap bawah lagi..bersabar laa..insyaAllah..masa kita akan tiba jua nanti~


• Teruskan dan berusaha lah utk menjadi org yg lebih baik..muhasabah laa diri setiap hari..dan blaja utk memaafkan org setiap hari..


• Bertawakal dlm apa jua perkara sekali pun.. sesungguhnya Allah sentiasa bersama2 hambanya yg berusaha dan bertawakal kepadaNya..insyaAllah..akan ada yg terbaik utk kita nanti


• 
  
  Jika ada terlintas..or tercalit rasa dengki dlm hati kita..cepat2 la beristighfar..insyaAllah..semoga Allah melindungi kita..amin

Kalau takde ape akan jadi??

These 3 things are really important for me for my daily life.. so far laa~~
uh if any of these 3 hav problem..

surely i'll be x 'keruan' u know~~

• My car ( no pic available..huhu )

Kalau takde:

- patah laa sayapku~~..

- susah laa nk g kolej.. nak g makan..nak g jalan2..nak g tgk muvie~

- so memerap je kat umah.. sgt buhsan hidup ku nanti~~

# actly tgh seday ni..kete masuk workshop til tuesday..wawaawa.. cepat laa sehat wahai kete ku syg.. ~

• My PDA phone

Kalau takde:

-pagi2 xde bunyi alarm bangun subuh..

- xde laa recite ayat2 Alquran b4 setiap waktu solat..uh xde la azan juga yg mengingatkan utk solat laa d'awal waktu..huhu

- xdapat laa nak contact my parent..walaupun xde laa slalu sgt..teruk sy kan??..ape la punya anak ni~...but it's a must!

- uh sure 'lampi' jadinye xtaw pape perubahan timetable n class sume..

- wah tiada laa info d'hujung jari~~

- gayut??..uh i'm not dat type of person..no boyfren available rite now!..ahakz~ so xkisah pun..but d'most important thin' is for emergency call only!!..

• My laptop + strymx

Kalau takde :

- wah..if xde my best friend ni..sangap laa hari2 ku~~.. Makan..tido sume ngan laptop ni..haha~ die laa penyeri hidupku ini..ahakz~

- uh xdapat laa nak wat slides presentation.. cari template n pics yg best2..

- susah la nak study..coz all my notes +slides are inside (dlm laptop) here..

- Case write up pun berlambak laa xciap..

- xdapat laa nak download Grey's..House..private practice..lagu2 best..etc..

- jadi katak d'bawah tempurung coz xtaw perkembangan semasa..da laa newspaper pun malas nk bace..

- Tak dapat laa nak update my blog ni!!..ahakz

End of Paediatrics PostinG EXAM!!

Exam..examm..exammm..

tak habis2 bergelumang wif exam..pasrah jer~~

Exam mood today~~

uh sekejab jer maser berlalu..5 weeks already go thru' wif paeds posting

time to test our knowledges & clinical skill..adeh~~

[My Exam's Schdule]

Monday: written papper

Wed: Short case with Dr.Tharam & Dr.Susan

"All the best to me& all my groupmates...Semoga dipermudahkan segalanya.."

Jgn tension2 yaa.. Jom study!!

Eagle Eye

Al kisahnya...



Bg sesiapa yg sudah mononton this movie..surely mempunyai pendapat yg sama dgn sy..this film is so interesting!!..why i said liked that coz..jalan cerita die..watak2 nya..all the actions and mission..sgt meng'uja'kan..huhu..seriusly..bg sy yg sorg yg lurus bendul and agak lampi sket biler tgk movie2 cam ni..agak terkial2 memikirkan ape sebenarnya yg berlaku ni.. adeh~~



Tgk bukan sekadar tgk saje..but we need to think and try to correlate to our life..although this movie briefly is about there's a "somebody" try to control these 2 people's life..n plg perit nye jerry n perempuan ni kena ikot sume arahan "org tu"..if not ade laa balasan yg akan diorg dapat..uh rimas gilerkan??



So..if u want to know what happen with them..?? plz watch this movie ek.. pasti tidak mengecewakan~~..ahakz..

Learning Points from this movie:

• Terpikir tak kiter??..actly everyday sebenarnya setiap gerak geri kita..setiap perbuatan kita ..di lihat..dikawal oleh 'somebody'.. siapa ek?? pastinya tuhan yg maha Esa..Allah S.W.T
• So..kalau laa kite di control oleh Allah macam dlm movie ini..setiap minit detik and ketika..kita di suruh buat itu dan ini..di larang buat itu dan ini..if kita ingkar dgn arahan and at the same time kite terus je dlm blasan and hukuman..uh sanggup ke kite??

• Allah itu maha Berkuasa dan maha Mengetahui..setiap apa yg dberikan itu penuh dengan seribu satu hikmah..Allah berikan kita akal fikiran utk kita berfikir..kita sebagai hamba di atas muka bumi ini kena bijak mengatur setiap langkah dan perbuatan kita..
• Islam adalah agama yg mudah dan tidak pernah menyusahkan umatnya..cuma kita yg tidak pernah ambil peduli setiap ajaran dalam Islam..
• So..before u thin' to do something bad..plzzz.. bear in ur mind..Allah alwitz watching u!!
• Banyak kan melakukan amal kebajikan..jauhi kemungkaran..
• "Renung2 kan..dan selamat beramal"

" My eye~" huhu

What NORHIDAYAH means??

What Norhidayah Means

You are very intuitive and wise. You understand the world better than most people. You also have a very active imagination. You often get carried away with your thoughts. You are prone to a little paranoia and jealousy. You sometimes go overboard in interpreting signals. You are well rounded, with a complete perspective on life. You are solid and dependable. You are loyal, and people can count on you. At times, you can be a bit too serious. You tend to put too much pressure on yourself. You are wild, crazy, and a huge rebel. You're always up to something. You have a ton of energy, and most people can't handle you. You're very intense. You definitely are a handful, and you're likely to get in trouble. But your kind of trouble is a lot of fun. You are truly an original person. You have amazing ideas, and the power to carry them out. Success comes rather easily for you... especially in business and academia. Some people find you to be selfish and a bit overbearing. You're a strong person. You tend to be pretty tightly wound. It's easy to get you excited... which can be a good or bad thing. You have a lot of enthusiasm, but it fades rather quickly. You don't stick with any one thing for very long. You have the drive to accomplish a lot in a short amount of time. Your biggest problem is making sure you finish the projects you start. You are balanced, orderly, and organized. You like your ducks in a row. You are powerful and competent, especially in the workplace. People can see you as stubborn and headstrong. You definitely have a dominant personality. You are usually the best at everything ... you strive for perfection. You are confident, authoritative, and aggressive. You have the classic “Type A” personality. You are a free spirit, and you resent anyone who tries to fence you in. You are unpredictable, adventurous, and always a little surprising. You may miss out by not settling down, but you're too busy having fun to care.

What's" Your Name's Hidden Meaning?

ShorT Case for TodaY~

Al kisahnya..

I hav learnt a lot of things from short case with Dr. Kyin Win yesterday... uh seriusly ..i realized that so many things i dunno yet and i need to improve my knowledges as well as my clinical skill.. aduh..my end of posting exam is juz around d'corner..but i thin' it's not a big issue coz it's not contribute so many marks in our continous assessment..but i more worried about my FINAL MBBS exam which is juz a few months from now..so important 4 me to pass..uh i need to increase my momentum i thin' so..i need to strungle more ..wah2.. semangat berkobar2 ni..but kemalasan kadang2 still melanda.. Ya Allah..berilah kekuatan dan semangat buat hamba mu yg lemah ini..semoga kejayaan sentiasa bersama2 org yg sentiasa berusaha..amin..caiyuk!!

So..lets go thru' what we hav learnt in our bedside teaching (short case) yesterday~~

1st case:

A Org Asli boy..presented with malnutiron..

Kak Fatimah did the general examination.. bla2.. so during discussion, we discussed bout what are the features that we need to work out from head to toe.. wah..so many you know..i also need to practice more.. uh really scared to get this case in exam bcoz so many things the examiner tend to discuss..sumetime simple things u thing u know but surely during exam surely u can't come out with d'answer.. plzz..sy mengingatkan diri sy sendiri and mengingatkan utk kawan2 sume..plzz read up more about malnutrition bcoz it's very common problem in ward.. as we know our org asli population contributed a lot in the prevalance of malnutirion in M'sia.. so be prepared ya!!

Learning Points :

• anyone know what is 'F75'??.. uh for 1st time we learnt bout it..penat la kitorg pikir pe benda laa tu..bile dr.kyin win tunjuk input and output chart for this patient to us.. then dr. gave clue that really bluurr~~..biasa laa we always hav diffuculty to understand wat the dr said..huhu..dr.Ky clue: " u know F1 in Sepang ?? so what is F75??" wah~~ apekah?? everybody blurr.. so many answers come out.. most of us said "Fluid 75"..doc senyum2..gelak2..eay tension..die bg kitorg tertunggu jawapan sume..bukan nk bgtau..saje je suroh kitorg bg jawapan yg xrelevant n bodo2..huhu..pas2 die ckp.. i translate it laa sumthing liked " tu laa u all never observed when stay in ward..never asked..bla2.." adeh~~ yer laa tu..our fault ^_^.. finally dr. gave d' answer..baru la taw "F75 is a Formula 75".. tu pun mule2 blurr gak..owh actly F75 sumethin like formula milk prepared by dietician that contained of nutriotion needed for that patient..ermm i'm also dunno more bout that..so lets' check it out..haha..tu laa sy ckp..byk lg yg xtaw..although posting paeds da nk abes ni..adeh~~

2nd case:

a 10 years old ( if not mistaken laa)..malay..boy.. presented with bilateral loin pain..Dr.Kyin Win asked Kak Wawa to do Abdominal Examination..blaa2..

Learning point:

• for the 1st time..i saw a long tranverse scar at the suprapubic area..so what do u think of?? apekah?? so doctor explained laa all the possible scars in the abdomen..bla2 kan.. dr said mayb he had corrected ape ntah..vesicotomy rasernyer kot..owh..seriusly..mmg xtaw~ adeh..cian buat diri ini..^_^

3rd case:

My turn!! dr asked me to do examination.."u know this case?" dr. asked me.." ermm dunno".."ok do general and abdominal examination!" wah2.. 1st impression from general da agak.. look liked Thalassemia..ok..bile start wat examination tu try laa cari sign2 Thalassemia sumer.. bese laa show off laa paper yg patut..entah camne sy wat examination pun xtaw ler..huhu..bla2..

So..da abes wat examination sume..present laa kat doctor..

" Nabila.16 years 6 month old, Malay, girl, with weight is bla2..height is bla2( xingat)..i thin' is not appropriate to the age but i would liked to plot in the growth chart blaa2.."

[ then dr..gelak2 ..uh sy da konfius~~ " are u sure? what's the model weight/height?" xsure ape soklan die..waktu tu da blurr ape dr ni maksud kan?..ape yg sy salah ni?..adeh~~ blurr giler.. actly sy nk maksudkan kan thala pts besenye presented with short stature sume..dat y laa sy wat statement cam2..huhu..sumethin' goes wrong here?? ape ek?? huhu]..then i continued presentation..

"bla2..then sampai abdominal xm : on inspection..bla2..bile sy ckp there's marks around umbilicus that maybe due Desferal infusion.."

[ dr. da senyum2 lg..adeh ape lg ni?? sy da konfius lg..why i come out with this statement ni coz bese nye thala patient kan on Desferal infusion at home..so bese nye kena laa check ade x marks kat round umbilicus..uh apesal dr ni cam senyum2..ni..sumethin' also goes wrong here??]..continue lg..bla2..then kena wat urine dipstx kat bedside lg..wah2..1st time wat kat bedside ni..slalu xm je br sentuh benda Allah ni~~ pas2 ape lg glaba ah gak..sebaek laa kawan2ku membantu...nk interpret finding lak pas2 da kelam kabut.adeh~..

{ urine dipstx result: 1+ Urobilogen --> so what do u think?? the rest of result was normal..}

then sampai la nk bg summary:

"Nabilah, 16 years old, malay, girl, presented with pallor, jaundice and on examination found to have splenomegaly..i thin' the diagnosis is Thalassemia complicated with...terus xtaw nk nk cakap ape..haha..senyum2 je kat doctor~~ pas2 dr bia je sy pk lg ape problem wif this pts..but i still xphm ape yg clue dr ckp nie..

{ Dr asked: why there's 5 urine containers at bedside..die soh interpret urine color tue..actly..from 5 tu..3 contained of darked colour urine..sumthin liked hemolysis laa..} penat laa sy pkir ape laa doctor nk sy ckp problem patient ni..konfius~~ pk punyer pk..camne laaa if thalassemia ni can cause hemolysis ni...ape yg silap kat cni?? sy dgn konfident nye correct my diagnosis ckp Beta thalassemia major..then dr gelak2 lg..adeh~~ ape la yg silap lg ni?? dr ckp ape yg the only thalassemia thaat can cause Hemolysis..uh seriusly xtaw?? huhu..kantoi d'situ~~

Kak wawa tried to tell sumthin..but xdpt tangkap ..dr plak skema xbg budak2 lain jwb..still tunggu my answer..adeh~~..finally..bingje tuils kat paper..then curi2 pandang laa.." alpha thalasemia/ HbH"..ape lg..terus laa ckp~~ hah..br laa doctor puas ati..uh~~~~~ akhirnya...

Learning Point:

• 1st time jumper HbH case..so i really dunno about the manisfetation wif haemolysis liked that..so i'll remember forever bout that..haha..memalukan.. suke suki jer ckp desferal marks wat so ever..padahal HbH mane de regular blood transfusion..so diorg NOT on desferal pun~~~ adeh..malu giler..patut laa kena gelak.. so dun bluffing~~..huhu
• plzz..when u do short case xm..1st impression when u see the patient is not ur final diagnosis..so jgn terikat wif that..better u thin all the possible differential..
• plzz..better learn how to do urine dipstix at bedside..
• learn more about thalassemia plzz..must know from A-Z..thalassemia not only Beta thal..but u must thin of other types..such as Alpha-thala liked HbH..HbE also.. coz a lots of them in M'sia..so must thin' widely.. dun be liked me~~huhu
• practice more short case!! yeh..make it smooth n try to present confidently ya~~ ^-^

case 4: Nephritis

case 5: Cerebral Palsy

case 6 : Down's Synd with congenital heart problem..

MORAL of THE STORY~

Sumetime we know the theory but unable to apply it..so ape yg kite bace tu if kiter x tgk sendiri dgn mata kepala sendiri..or xkena pada btg hidung sendiri..surely xingat..so..short case is a good practice for us actly..honestly i hav learnt lots from that..books only the guidlines.the best way to learn is from patients itself... so rajin2 la tgk case kat ward..name pun student kan~~ da keje nanti lain cerita laa.. mmg sampai da xlarat nk tgk patient..

The more you see..the more you learn ..rite??

So..another short case class today with dr.Tharam..uh so hopefully..a lots of thin' i can learn before sit for my end posting exam.. wish me all d'best~~

c yaa..salamm

DiaRi SyaWaL~ Part 1

Al Kisahnya..

Raya dulu..Raya kini..Raya akan dtg??

atau dgn kata lain..ape beza nye raya time zaman kanak2 kita dulu..ngan zaman kite da 'besar' ni zaman muda remaja~~ ahakz..and macam mane agak nye raya kita zaman akan dtg--> bile da berkerja,berkeluarga onwards..

apa beza nya ek??...uh sungguh byk beza nya utk diri sy..

sy rase anda sume sama sperti sy juga~~

nak taw ape beza nya?? Jom~~

Ikuti kisah hari raya sy...

[Baju Raya]

Raya dulu :

Kalu time kecik2..wah mmg excited giler laa kan time 1st day..mane tak nyer.da puasa full sebulan..abah sure bg duit raya nye..hehe..then time kecik2 dulu mmg excited nk bergaya ngan baju raya baru sume..mane tak nyer..baju sume da ciap awal giler.baju xyah cakap la berapa pasang..artis pun kalah~~ahakz..kekadang tuh sampai 5-6 pasang..isk2 bese laa mak pandai jahit baju sendiri..so beli kain..mmg mak beli banyak giler utk sy..ank bongsu la kan..sorg je perempuan tu yg last..agak bahagia laa kan~~hehe..then baju sume ciap da iron n gantung dlm almari..kalu bole try hari2 tu..mmg hari try..apekah?..kasut raya sume siap susun kat rak cantik2..bile 1st day raya ape lg mmg tunggu masa je nk melaram..tu dulu2 laa..

Raya sekarang :

Quantity baju da berkurang.kalu dulu 5-6 pasang..taun ni 2 pasang jer..huhu..mak pun dah xde mase nk jahit baju..so gi tempah kedai je laa..sebulan sebelum raya da ciap pun..but tahun ni baju hampeh sket..tu yg xsuke tempah2 baju ni..de je yg slack..eay tension betul..nk wat camne pakai je laa..asalkan tutup aurat sudah..tul tak?huhu

Raya akan dtg :

Ermm..maybe xsempat da nak bergaya2 ni.. myb gak da xde baju raya kot..either xsempat nk tempah..xsempat nk shopping raye..coz dat time sure da bz keje siang malam.on call sumer..sure cam da tak excited nk bercantik2 time raya..kalu da berkeluarga mesti utamakan baju anak2 puak dulu..owh so sweet~~ bile laa tu??..haha

[1st day raya]

Raya dulu:

uh zaman kanak2 dulu sgt meriah..setiap hari raya sume adik beradik ade.. kalu time pagi raya wah bilik air sume full.kena tunngu turn nk mandi..then b4 gi semayang raya..kitorg adik beradik akan berkumpul and ade 'salam bersalaman time!!' .. so time ni pun kena ikot turn laa.. so bcoz i'm d' bongsu one..so lame laa sket kena tunggu turn nak sampai turn salam ngan mak abah..huhu..then baru salam sume abang2 and kakakku~~ sob2..then sume g semayang raya..

Raya sekarang:

Ni laa sedih jadi ank bongsu..abg2 n kak sume da kawin.. so sure la diorg akan balik umah mertua lak selang seli every year..so bile time diorg beraya kat umah mertua..sometime tuh boleh laa diorg sume skali blk umah mertua..adeh~..tinggal laa sy sorg2 ngn abah mak..uh hambar giler.. for diz year same thing happen..but Tahun ni sebaik my sis belah mertua die dekat je..so pg raya ade laa skali..alang pulak time pg raya tu..lambt sampai..sebuk urus2 anak2 die laa tuh..so pg raya tahun ini hanya ada abah,mak, akak n family..and most important person who is always available..is ME!!! dimana abaang2 ku yg lain??..Along-->beraya di M'ca and Bkt beruntung rase nye..Abg Chik--> beraya d'Sabak Bernam..Uteh-->beraya d'Johor.. yg pasti sesi 'salam bersalaman' still berjalan..Selamat Hari Raya!

Raya akan dtg:

Masih tak pasti lg macam mane.. terpk jugak..kalu nanti jika ditakdirkan da keje and then dpt lak posting HO kat Sabah..uh dpt ke cuti nk blk raya??..entah2 time pg raya kena keje..bese laa HO mesti kena buli keje punye..lain laa da jd specialist ke ape..leh ah relax2~~..wah so mesti seday..org sume makan ketupat lemang rendang kat umah..kiter sebuk amik darah n jage patient kat ward..if time tuh tgh posting o&G..entah2 tgh tunggu sambut delivery kat labour room..u juz imagine how hactic is it nanti time da keje?..bersabar laa utk dii ku ini~~then..kalu da berkeluarga..kalu ade jodoh laa kan..haha biler laa tuh?? mesti kena beraya umh mertua gak cam abg2 ku jua..so xdpt d'bayangkan camne.hehe..kesian mak ngan abah..mesti tinggal diorg berdua jer..=(

[Beraya]

Raya dulu:

Time kecik2 dulu mmg sgt aktif pergi bjalan beraya..dulu byk geng nk g beraya..ngan cousin2..gi pusing satu kampung..beraya sakan laa kirenye..biasa laa time kecik2 dulu motif utama--> kumpul duit raya laa..haha..teruk kan..biasa laa budak2..itula keseronokan yg ada..

Raya sekarang:

Bile da besar ni..da jadi pemalu sket..bese laa da ank dara dok umah jer time raya..byk tolong mak kat umah..coz mak anak sulong..ramai laa pakcik makcik sedara mara dtg umh 1st day raya..so..ni laa masa utk berkhidmat..mesti mak xmenang tangan kalu xde sy..wlaupun sy tau mak bole wat sume benda..coz mak ligat orgnye..haha..anak die ni lambat sket..bukan lambat sket..lemah lembut..control..haha..apekah?..tak pergi braya mane pun tahun ni..

juz cam tiap2 tahun raya..rumah opah (yg cume selang 2 rumah dr umah sy adelah umah wajib pergi pas solat raya..)..xde abg2 ku mood utk jalan beraya xde..xkan nk g sorg2..mak n abah prefer stay kat umah jer coz surely ramai sedara akan dtg so diorg xdpt nk keluar..so sy pun dok le memerap kat umh..jd anak dara juge~~ huhu.. sebaik ade gak kawan2 sekolah rendah dtg umah beraya..then terus kitorg keluar beraya..wah terhibur seketika..kalu tak..

Raya akan dtg:

ermm..mungkin adat ziarah menziarahi tidak akan di lupekan..it's a must kan!! so mesti diteruskan sampai bile2.

[Duit Raya]

Raya Dulu:

Time kecik2 dulu xyah cakap laa kan..duit raya mmg dpt byk giler..kecik2 da bukak account bank sume..mak ckp simpan sume duit raya nanti nk g umrah..simpan utk blaja sume..baek!!

Raya sekarang:

uh da besar2 ni budjet da xdpt duit raya..but ade gak insan yg bermurah hati nak bg..huhu..dpt laa gak walupun xbyk mane..jd laa utk simpanan masa depan..ahakz

Raya akan datang:

Skrg pun da ade org mintak duit raya kat sy..so tahun depan..insyaAllah..if da keje..will be my turn to give the 'duit raya'..wah byk ni kena budjet..ank buah da ada 18 org skrg ni..cousin sume lagi..wah2..xpe..my pleasure..itu satu kepuasan wat sy pula~~

Ni ade sedikit sebyk gambar yg dpt di ambil time raya ari tu..

Ni family akak sekeluarga.. Theme: purple..wah sgt meriah.. pic ni before g semayang raya..

Ni lak family Abg Chik..Theme : Green pula..huhu..pic ni time diorg nk blk kl dah after day 4 raya..tgk si kecik tu mengamuk2 time nk amik gambar

Ni time singgah raya rumah Nana..yg kat tgh tu..sebelah kiri tu Su!! dua2 pun nk kawen da taun depan..bestnyer korg~~

Ni pulak kat beraya kat umah Azam ( budak yg pakai baju melayu biru tuh)..ni la kawan2 sekolah rendah yg tinggal ..yg da 2 taun dtg rumah ajak jln2 1st raya..tahun depan..xtaw la ade kesempatan lg ke tak??

to be continue...