Wednesday, September 21, 2011

May you rest in peace :')


سْــــــــــــــمِ اللهِ الرَّحْمَنِ الرَّحِيْـــــمِ
Dengan nama Allah yg Maha pengasih lagi Maha Penyayang


كُلُّ نَفۡسٍ۬ ذَآٮِٕقَةُ ٱلۡمَوۡتِ‌ۗ ۞

Firman Allah: “Setiap yang bernyawa (berjiwa) pasti akan merasai mati.” (Surah Ali ‘Imran ayat 185).



hye,Adam..

terima kasih Adam...
Thanks coz jadi ahli bait ke-7 baitul hikmah
Thanks coz jd peneman time stress
Thanks coz selalu dgr luahan hati kak dolly
Thanks for being such a good pet
Thanks for being the best companion ever


hye Adam,
Sori sebab Ahli bait kita selalu buli ko
but they mean no harm
hope,you'll forgive us all
Love you Adam...and will Always do


hye Adam
sorry for not being there for you at the moments you need me most
promise me one thing Adam
will you meet me in heaven?
love you Adam..I'LL ALWAYS DO...

Adam...
May you rest in peace
cah,thanks sebab jg dya
I know you had done ur best..

p/s:Adam,I love you ;')

Sunday, September 11, 2011

life is NOT a reherseal:)

سْــــــــــــــمِ اللهِ الرَّحْمَنِ الرَّحِيْـــــمِ
Dengan nama Allah yg Maha pengasih lagi Maha Penyayang

Wah,cuti dua hari rasa macam sekejap je
rasa macam nk je amek MC esok...penat tak abes lagi
belum completely recharge
hihi...
I know someday this hardships will be paid-off

ermm..macam besa A&E buzy..like a bee..bzzz bzzz bzzz
tapi yang bestnya bila walaupown doktor2 buzy
ada MA yg baek sedia membantu
nurse pown..(tp ada sesetengah tu kerek jgak)..but nevermind..
I know my place..sebab maybe aku sendiri rasa kekadang my presence is a burden to them

ok...bring me the case note please~!!!

1.Inguinal hernia
whether it is direct hernia or indirect
ok,patient neyh umur 21 years...bolelah tahan hensem..hahaha

1st tu doctor suspect he is having reducible hernia one year ago
reducible hernia means bulging of the hernia can return to its normal position by manipulation
manipulation like pushed back hernia to its normal positon..
dan hernia tu bole hilang bila baring...
but
tiba2 hernia tu jd irreducible
so,patient tu need surgery...
kesian tgk patient tu..tertonggek-tonggek dye menahan saket
aku pown tanya byk soalan dgn doctor tu sebab pernah dgrkan nama penyakit tu
hahaha
skali doctor tu explainlah..
end of the explaination,doc tu pown cakap
pergilah examine patient tu...
aiyak~!!!...malu seyh..

then the next day patient tu pown buatlah surgery
skalinya..jeng jeng jeng
tu bukannya hernia..
it's undescended testis after all
so,dr.hassan(doc ni org mesir) pown watlah surgery
so,patient tu pny testis descent to the scrotum..
but
kesian patient tu..he is suspected to be mandul
hmm..pity him..

2.over dehydration
sriusly first time aku tgk baby yg over
dulu doctor ada cerita kalo baby over dehydrated
dehydration neyh
the baby will have sunken eye
memang sunken abes..macam hantu..takot tgk


tapi tak delah sampai macam neyh..hehehehe

sian kot baby tu
but,after giving some glucose
baby tu back to normal

3.hematemesis
patient neyh datang muntah darah
byk giler darah patient tu muntah
aku tengok pown nak termuntah
pastu doctor suruh MA masuk kan tube dr hidung..
ya Allah,,,gler ar kesian..
baru je masuk sket pakcik tu keluarkan tube tu
pastu dye muntah
pastu try lagi
smpai bole..kesian pak cik tu byk kali muntah
aku x tau apa jd dgn patient neyh sbab aku x tahan tgk
aku balek rumah..loya..erkk

tiap hari makin best...
aku diajar utk ambil history patient
tp aku tak reti sgt sebab istilah medic bukan sm dgn istilah yg kita biasa pakai kan
contoh
aku tulis; BORN AT HOME,NOT BEING IMMUNIZE
yg btol:HOME DELIVERY,NO IMMUNIZATION
See the differences...kan2

ok..aku dapat homework pharmacology by Dr.Beenish
Doc tu suruh aku hafal nama ubat,effects dan side effects..
hmmm..esok doc nak..and and and...
AKU MALAS MAU MENGHAFAL~!!!..PLEASELAH..

P/S:Bila aku jatuh cinta dgn orang yang salah,aku selalu bertanya kpd Allah
Ya,Allah kenapa Engkau biarkan aku jatuh cinta pada orang yg salah
hingga satu hari aku terjumpa jawapannya

''Mungkin Allah sengaja mahu kita berjumpa dengan orang yang salah
sebelum menemui insan yang betul supaya apabila kita akhirnya
menemui insan yang betul, kita akan tahu bagaimana untuk bersyukur
dengan nikmat pemberian dan hikmah di sebalik pemberian tersebut''

dan yakinilah ayat suci Allah
''Dan segala sesuatu Kami ciptakan berpasang-pasangan supaya kamu mengingat kebesaran Allah.” (QS. Adz Dzariyat:49)

jgnlah kamu mengejar cinta yang membuatkan kamu alpa drpd mengingati ALLAH...
(Panjang lak p/s kali neyh hehehe..it's a reminder for me and you~!)









Wednesday, September 7, 2011

It getting interesting day by day


سْــــــــــــــمِ اللهِ الرَّحْمَنِ الرَّحِيْـــــمِ
Dengan nama Allah yg Maha pengasih lagi Maha Penyayang

YEAH~!!!..Dapat kad raya dr PCT..LUV PCT...

eh..eh..post semalam lupa nak cakap
SELAMAT HARI RAYA
MAAF FIZIKAL DAN ROHANI SERTA MENTAL...
seronok kan raya..lebih2 lg yg duk diperantauan tu...
muahaha(evil laugh)

okay today cases...byk!!!!
nama pown emergency kan
tapi among them tak sampai sepuluh pown yg aku dpt explaination
biasalah doctor2 kan buzy

1.Atrial flutter
hah..neyh ada stadi time 1st yr
jgn nak tipu
but I kinda forgot
okay,patient tu having chest pain,sudden onset SOB
HE'S ALREADY 68 years old
kesian gila tgk..siap pakai Oxygen utk bernafas
ECG reading shows Atrial flutter


doctor yg assign patient tu pown suruh aku baca ECG mcm neyh
aku lupa macam mn nak baca..so aku pown bantai ar
BRADYCHARDIA..(sebab aku tgk ECG tu pny wave suma pendek2)
doctor tu pown cakap
''haish sembarang sejak ko neyh,,,Ini Atrial Flutter''

WHAT IS ATRIAL FLUTTER???
It is abnormal heart rhythm that occurs in atria
Af neyh often associated dgn tachycardia bukan BRADYCHARDIA
malu glerrr..tp tak pe next time dah tau dah

then pak cik neyh ada respiratory problem LEADS TO bad blood circulation LEADS TO accumulation of fluid
LEADS TO edema of all limbs

2.Cyanosis
Cyanosis is bluish or purple discoloration of the skin or mucous membranes due low oxygen
baby baru 17 day
datang memang dah biru abes nak dekat2 hitam dah kot
best2 tgk cara dorang handle
sekejap je dah normal

okay,byk benda yg dapat aku stadi hari ni tp aku dah ngantok
esok kena bgn awal..ada punch card seyh..x leyh lambat!!!!!!!!!!!!!!!!!

okay ni video cara utk palpate liver penting neyh tau~!!!


last but not least..neyh ada kisah lawak pasal patient
patient neyh eksiden so,ade wound dekat kepala dya..so,kna ar jahit
then
nak bius lah kan
pastu patient tu pown bagilah tangan dya

MA:Eh,Bkan di tgn di kepala sini
Patient:uina doc tembus itu nanti di tengkorak..(dgn muka yg serius)

hahaha...

p/s:ONE OF THE BASIC DIFFERENT BETWEEN ALLAH & HUMANS ARE;
ALLAH GIVES,GIVES AND FORGIVES
BUT HUMAN GETS,GETS AND FORGETS...
ALWAYS BE THANKFULL IN LIFE

THE DAY SOMEONE BORN IS THE DAY SOMEONE DIE..
ALWAYS BE PREPARE

كُلُّ نَفۡسٍ۬ ذَآٮِٕقَةُ ٱلۡمَوۡتِ‌ۗ ۞

Firman Allah: “Setiap yang bernyawa (berjiwa) pasti akan merasai mati.” (Surah Ali ‘Imran ayat 185).

Tuesday, September 6, 2011

I'M NOT OKAY~!!! okay..>.<''

سْــــــــــــــمِ اللهِ الرَّحْمَنِ الرَّحِيْـــــمِ
Dengan nama Allah yg Maha pengasih lagi Maha Penyayang

Surah Al-Baqarah Ayat 216 :

“Boleh jadi kamu membenci sesuatu, padahal ia amat baik bagimu, dan boleh jadi (pula) kamu menyukai sesuatu, padahal ia amat buruk bagimu; Allah mengetahui, sedang kamu tidak mengetahui.”

Ya,Allah aku perlu utk KUAT..

Attachment...Accident&Emergency department...

baru masuk hari kedua,,I feel like..when is this going to end..1stly and frankly speaking,aku tak nak pown wat attachment tahun ni..i just wanna rest...I had stUdy really hard for 3 month straight..so,yess I DESERVE a nice good REST in MALAYSIA

then suddenly my mom said

''DOLLY WAT ATTACHMENT YA TAHUN NI..KASI BIASA DIRI..JGN JADI MCM HO S'KANG NEYH..NDAK TAHAN BANTING..LARI TIME KERJA SEBAB STRESS''

But mom..I was just going to have my vacation..okaylah.mn bole lawan ckp mama..syurga di telapak kaki ibu..pastu aku mohon for 3 department..I was told that I got pediatric department..I was very relieved

suddenly surat sampai..

hah??????????? A&E Department..I'm sosososososo FREAKIN OUT...

1st day:

pagi2 lagi dah kna marah dengan pengarah Jabatan Kesihatan Negeri..mood???totally ruin..smpi je hospital..Accident,4 death one very critical..with blood all over the place..dizzy...zzzzz...

2nd day:

ni lukisan doctor not me..

At first,it was fun..the doctor explain to me how to diagnose patient...
asking anatomy (yg I TOTALLY FORGOT)
baca urine report..specific gravity,leucocyte and so on
she ask me to memorise all the anatomical position..hahaha
nurse suruh aku suntik baby comel hihi
best!!!
and suddenly...call for ambulance
4 car collide each other
skali lagi patient dtg berdarah-darah
meraung-raung patients tu
memang ERKKK
so,doc ask me to wait in her room...
she said she will call me when she enter the sugery room...I was like yeah~!!!
tgk surgery lg...wlupun byk darah..walaupun tyme tu memang dah pening gler tgk darah yg byk plus blom sarapan lagi...zzzzzzzzzzz


so,I wait and wait...and wait.........and WAIT..
almost an hour
then I just went there and found out that the surgery is over..
okay,fine..aku nak balek rumah

A&E neyh dpartment yg sibuk..nak blajar susa sket..it's more towards observation
tak denye doctor nak explain2 dekat korang time nak selamatkan nyawa org..
so,frankly speaking...A&E sgt2 tidak BEST!!!!

petang pny session aku escape..
so,esok aku kena bersedia utk di marah..nice just nice..:(

asking help from kak ain..dunno much about A&E..any info gtau okay..
I'm trying to collect as much as info about A&E..
SO,X DELAH BLUR2 KAN

P/S:EVERY PROBLEM HAS (N+1) SOLUTION
WHERE N IS THE NUMBER OF SOLUTION THAT YOU HAVE TRIED
AND 1 IS THAT YOU HAVE NOT TRIED
THAT IS LIFE~!!!
Wish me luck...BEST of luck..