Tuesday, September 28, 2010

Life,,,sometimes it is very hard..

Life
sometimes its burden me a lot
sometime it make me cry like raining cats and dogs
sometimes,I think ''what worth living''
sometimes I think life is just nothing...
Life
sometimes makes me sick
sometimes hurt my pride
sometimes feel very empty

Life
sometimes,I ask myself,why I make a promise to Allah to be faithfull to HIM
to do what HE says and leave what He ask
sometimes,I ask myself ''why the forbidden fruit taste sweets?''
sometimes,I ask myself ''why I faced so many problem lately''
why is my life full of misery?

Life
then I realise,I didn't worships HIM that well
Life,am I right?
and sometimes LIFE full of hardship
problem and saddness
and why?
because LIFE teach us to be strong better than fragile
this is what LIFE is...






Sunday, September 19, 2010

Izinkan Abang Nikah Satu Lagi... Boleh? | iluvislam.com + discover the beauty of islam

Izinkan Abang Nikah Satu Lagi... Boleh? | iluvislam.com + discover the beauty of islam

Thursday, September 16, 2010

Day 11-Apalah nasib badan~!!!

Assalamualaikum semua...

Selamat hari Raya dr Andi sekeluarga

Wah,,,gler lambat wish,Almaklumlah buzy,buzy membuta..hahaha..
Lama jgak x update blog tp hari ni teringin sgt nak update sebab aku sedih sgt...
semalam rumah aku kna masuk dek perompak,ntahlah dorang ni kan memang x takot Allah kot,nasiblah x de brg aku yg hilang tp brg papa byk yg hilang cth,,laptop,buku bank,camera digital dll..kesian papa,byk giler data maklumat dlm laptop papa plus pendrive yg ada data syarikat...

Sejak kebelakangan ni aku rasa aku byk sgt menangis,dpt result dhur nangis,tgk muvie nangis,dan yg x leyh bla...TGK PATIENT pown nangis,What A cry baby!!!Arghh

Okaylah enough all the personal matter...

1.Acute fatty liver of pregnancy.

Penyakit ni adalah penyakit yg sgt jarang ditemui,hanya 1/13000 patient.So,in Lahad Datu we only had this case once in a four year and lucky me,I faced one.
In patients with more severe disease, pre-eclampsia may occur, which involves elevation of blood pressure and accumulation of fluid (termed edema).This may progress to involvement of additional systems, including acute renal failure,hepatic encephalopathy, and pancreatitis. There have also been reports of diabetes insipidus complicating this condition.Doctor had told me that the is no other way to treat pre-eclamsia other than delivery even if the baby is not well developed enough..
So,patient ni terpaksa kena bedah di pagi raya eventhough her baby is only 27 weeks.Kesiankan

2.Disfunctional Uterine Bleeding

Dysfunctional Uterine Bleeding (DUB) is abnormal genital tract bleeding based in the uterus and found in the absence of demonstrable structural or organic pathology.
This patient is only 17 years old and she came to the hospital alone and her house is not near..Sedih aku tgk dia,Doctor siap gtau kat nurse lg,If she goes home she will die,her Hb contain is only 6..so,aku pown g ar tny,dik ko tinggal mn ni ya? adik:sn kak felda
What,jau kot tu it take almost two hour I guess and she came alone with a pale look in her face...
Biasanya women take this disease for granted because they often taught that they are having heavy flow menses.
If this occur to a patient above 40 years old,cancer is suspected

3.cancer cervix
This patient is only 66 years old,suppose she had cone biopsy tomorrow to confirm wether she have cancer because the cell sample that taken from her cervix shows abnormality and if the the abnormal cell invade the basal membrane of the epithelium cell of her cervix,it will be cancer for sure...
But the patient refused,she said to me ''saya serah sajalah sm tuhan''...but yet the doctor still does some examination called speculum examination



ni lah cara mcm mn nak gna speculum ni,,,jgn lupa pesan kat patient jgn keraskan badan,x pasal2 nanti benda ni patah plak mcm patient ni...

Pastu ade gak patient fibroid tumor,masalah monopause dll...
tyme round2 hospital,I saw a baby with cephalo haematoma,ade patient ni bisu tp dia x pernah berhenti tersenyum, walaupun bisu dia dah ada 5 org anak..pergh mantap kan,when I saw her,I said to myself,what do I need more..Thank you Allah for making me so perfect..



Aku dpt doa ni kat wad bersalin...sape2 nak bersalin bek amalkan.ngee~!!!

Sunday, September 5, 2010

Ingatkan bole cuti dgn AMAN~!

Assalamualaikum...

Setelah tiga hari aku penat lelah kerje dkt hospital akhirny dpt gak aku cuti...Alhamdulillah,,,,
So,,hari cuti aku rehat sepuas-puasnya,akan tetapi...wawawa:'(
Pagi-pagi buta lg,,,

Mama:Dolly bgn cepat ada kucing br beranak tu
Me:Jap,jap tgh lyn FB ni,,
Papa:Dolly turun cepat

Aku pun trunlah pegi tgk,oh,c putih yg beranak...

Ni ar putih,die ni kucing siam,,mate biru kot,,taste mira kan mate biru2 ni huahaha
tapi yg buat aku geram ni,,apesallah ko g branak berterabur...abes darah ko meleleh satu rumah,aku gak yg kne bersihkan.


ha,ni seekor,kat tepi tangki dua ekor

kat bawah meja mkn dua ekor,,,sume skali 5 ekor,hahaha

Ni ar,,anak2 c putih selepas aku kumpulkan sume

Ni uri aka placenta dorang,,,aku potong tp scapel tak de,,hmm kalo kucing besa spatutnya kucing tu akan mkn uri anak2 dia,,tp c putih ni haishh,,x psal aku plak jd bidan ko ye putih..mak aku kate ade jgak kucing mcm putih ni,sebab br 1st time kan..huhu

Putih ni tau ade doktor kot kat rumah so,,sesuke hati die je beranak merata-rata..da ar tu x nak plak dia g kutip anak die...tp x pe comel~!

Friday, September 3, 2010

3rd Day:What A nice day~!


Okay aku sibuk2 cite sal hospital smpai lupe nak gtau aku attachment kat Hospital mn,ni ar Hospital tmpat aku attachment


Untuk hari Isnin,Rabu dan khamis,aku kat klinik pakar tp untuk jumaat dan selasa Its an OT Day(Operation day)...

THIRD DAY~!
hari ni dtg awal sbab x nak kne marah lagi dek doktor,...
Jom round2 wad O&G!!!
Aku pun ikutlah round2 mcm doktor yg laen,Dr Wagih pun dok cite kat aku penyakit ni,penyakit tu,ade yg smpat aku take note,ade gak yg aku lpe...ni yg aku ingat
1.Pre-eclampsia
Pre-eclamsia ni penyakit di mn ABP meningkat(hypertension) dlm pregnancy yg di sebabkan oleh jumlah protein dlm urine.So this patient is usually ask to have Labor induction.
Labour induction is a method of artificially or prematurely stimulating childbirth in a woman dlm erti kata laen bersalin awal.
2.Epigastric pain
This pain is likely caused by reflux,when the baby start to grow bigger,it will push the mother's stomach upward and causes reflux and pain...
3.Placenta previa
Okay aku x dpt gambaran yg jelas tentang ni tp I remembered that the doctor said that patient with placenta previa cannot have normal delivery and casarean section must be done at the 36th week.

Okay finished round2 wad,jom kita masuk bilik pembedahan~!
This is for cesarean section.,,byk gile prosedur,x leh bwk masuk baju dr luar ar,pakai ni pakai tu tp bestlah...


Okay ni pakaian utk masuk bilik bedah,so sume org wajib pakai

Pastu g basuh tangan,fist time masuk seyh aku mcm org jakun tegar jer..wakaka kebetulan time tu aku sorang jer tinggal dlm bilik ni,aku pown ape lg syok sendri ar men air dgn sabun,tetbe terbyg aku jadi mcm ASADA RYUTARO dlm drama team medical dragon tu...wakaka,jadinya aku msuk blik operation room lambat,doktor dah siap buka rectus abdominis...

Pastu aku pun tgk dgn konsentrasi yg tinggi,seram gak ar coz patient ni mcm berisi sket so doktor tu pun susah nak bedah perut,skejap pakai electric scapel,skejap pakai gunting,x boleh jgak skali doktor tu fed up trus die koyak jer mcm buka pembungkus keropok,ngeri aku tgk.Pastu doktor bedah lg sampailah air ketuban pun pecah,byk gler air kluar...kepala baby pown ditarik kluar mcm dlm gmbar ni,baby girl pown nangis nguek,nguek....After that,doktor tu pun tarik placenta kluar,1st tim tgk placenta real yg fresh.Tyme kecik2 ade gak tgk bapak g basuh uri adik2 br lahir gne air asam jawa tp x fresh...

Pastu jahit balek,jahit pown ade bermcm-mcm method,sempat gak dgr doktor yg bedah and Dr.Wagih gaduh2 sal method ni..hikhikhik,lawak jer,,..
Sambung lg tubal ligation a.k.a berikat means the women does not want to have baby anymore...
Ade 3 method and for this operation they used Abdominal method:
1.Abdominal method: A 3 to 4 inch incision is made just above the pubic hair. The Fallopian tubes are cut, tied, and a section of each tube removed. The ends may be sealed or sewn into surrounding tissue.
2.Laparoscopy method
3.Vaginal method
Abdominal method


percaya atau x aku tgk ni dibuat depan mata aku sendiri,perggh tp sbenarnya fallopian tube kite ni kecik jer aku pown terkejut tgk saiz tube tu surely memang kecik.

Pastu potong but according to the doctor 2/1000 of patient that undergoes ligation may still get pregnant,,,why?Ngee x tny plak tgh syok tgk org wat operation huahaha~!

p/s:kalo nak wat attachment ajak ar kengkwn skali,x gak boring mcm tunggul kayu

2nd Day:-Sad mode Activated~!



Napa sdeyh?
Kene marah dgn sang Doctor ar sebab dtg lambat....wawawa:'(
Napa sdeyh lagi?
15 patients kot arini,and I'm totally exhausted...
Okay utk hari kedua ni klinik pakar di buka utk perbidanan,so I only meet pregnant patients

Hari ni just scan baby dlm perut jer,cek foetal heart,tgk twins foetal,identify placenta previa at the os,pastu tgk small operation for cervix's tumor,tgk baby baru lahir di mandikan,comel jer,huhu...
Fakta yg menarik aku nak kongsi dgn korang,fakta ni juge membuatkan aku sdeyh sebenarnya...
This patient's problem is actually suprises me,she is only 20 years old,one year older than me and 4 cm shorter than me,she is already 9 month pregnant...
Then doctor said to me,,,

Doctor:This patient is short,so she can't have normal delivery
Me:But why doctor
Doctor:Her heigh is not enough and she is very small therefore have a small hip bone,so the baby can't get through.
Me:But doctor,how's about the Dwarfism,they are much more shorter
Doctor:Yes,they are but they have a big hip bone
Me:so,this patient must have Caesarean?
Doctor:yes indeed...

aku btul rasa nak nangis sebab aku pown pendek,eh,bukan pendek atau renek tp kurang tinggi....hmmm:'(
Okay this is for today,Esok aku kne observe two operation for caesarean and tubal ligation,jgnlah bg aku pengsan,sudah:)