Breast Cancer Awareness Month

Welcome October!!!!

Oktober adalah bulan kesedaran kanser payudara dan 13 Oktober ialah Metastatic Breast Cancer Day di Malaysia yang dianjurkan oleh MAKNA. Kanser payudara sangat berisiko dalam kalangan wanita dan berlaku lebih kurang seorang daripada 30 wanita

Tujuan kempen:
1.Meningkat kesedaran risiko kanser payudara
2.Melakukan ujian saringan kanser payudara
3.Mendapatkan rawatan awal kanser payudara
4.Memberi pengetahuan tentang pilihan rawatan untuk kanser payudara\

Risiko risiko Kanser payudara
 1. Umur meningkat
 2. Pernah mengalami kanser sebelum ini
 3. Sejarah keluarga kaser payudara
 4. Penggunaan pil perancang
 5. Obese
 6. Tidak pernah mengandung atau beranak (nulliparous)
 7. Datang haid terlalu awal
 8. Menapause lambat
 9. Merokok atau minum alcohol
10. Pernah mendapat rawatan radioterapi di bahagian payudara

Kanser payudara ada empat peringkat,perinkat 3 dan 4 ialah Metastatic Breast Cancer dimana kanser telah  merebak ke organ organ lain, dan rawatannya juga berbeza.

 Cara pemeriksaan payudara sendirian

Gambar di New Zealand March 2016, tak ingat nama tempat ni, tapi seabagai kesedaran kanser payudara jugak,

Hipster cafe di Kota Kinabalu

I like hipster!!! Sebab kedai hispter biasanya unik dan cantik, boleh la amik amik gambar dan selfie.
Banyak je kedai hispter di KK, ada juga yang tak pernah pergi.

1. October Cafe

 

Cookies tu sangat sedap!! Setiap kali datang mesti makan cookies.

2. Print Cafe

 

Dia punya waffle sedap dan boleh main lego warna warni tu.

3. Woo!

                                        Saya suka dark chocolate tart dia, comel dan sedap!

4. Nook Cafe

                                            Kat sini saya suka crispy sweet potato!

Keempat empat kedai ni kat Gaya Street, lebih kurang berjiran je semua tu. Tak bestnya parking amatlah susah, kalau datang sini mesti kena tawaf dulu baru dapat parking.


5. Haus Cafe di 88 Marketplace, Austral

 

Kenal cafe ni melalui Instagram Hanis Zalikha, masa dia datang jalan jalan KK. 

Kek red valvet tu puas hati makan.

6. The B`Side`s di Plaza Lido

 

Tak ingat nama makanan ni, tapi soft crab pasta gitu. Sedap sampai nak nangis!!! I love seafood forever.

7. The 1985 Cafe di Plaza 888

 

Setiap kali datang cafe ni, mesti terfikir kenapa 1985? ermmm.... maybe owner dia lahir 1985. 

8. Kak Kiah Cake House

 

Kak Kiah dah banyak cawangan sekarang, dulu di Kingfisher je, sekarang ada di Putatan dan Papar. Yang bawah tu kek birthday beli di kafe Kak Kiah, kek comel dan birthday girl itu yang selalu bawak saya pergi makan di kedai kedai hipster.

9. Nunpat Cafe di Imago

 

Kafe ni ala ala Korea gitu. Saya suka Bingsu kacang merah, biasa kalau tengah stress akan datang sini dan makan bingsu sorang sorang. 

 

10. Tempurung di Gaya Street

 

Kedai ais krim kelapa, ala ala Sengkaya. Ais krim dia sedap, makan dalam tempurung, tapi tak da gambar ais krim sebab hari tu pergi lepas External Enquiry, kepala masih serabut dan tak ada semangat nak ambil gambar.  Kat atas tu gambar wall di kedai tu.

Kalau pasal coffee, I prefer Starbuck!!!!

Ok bye!!

Ohhh houseman!!!

Ehhhhh aku ada blog la....

Dah lama giler tak buka blog, tetiba hari ni teringat ada blog. Tapi, apa nak tulis?

Jom cerita pasal doktor pelatih!!

Alhamdulillah, hari ni dah 4 tahun 2 bulan saya jadi doktor, masih baru dan masih banyak yang perlu belajar. Dua tahun pertama saya berkerja sebagai doktor pelatih atau Houseman, di Hospital Universiti Sains Malaysia. Masa menjadi doktor pelatih,kami akan berkerja di enam jabatan dan akan bertukar setiap 4 bulan. Jabatan pertama yang saya lalui ialah Jabatan Perubatan, ilmu asas dalam perubatan, jabatan yang paling sibuk kerana pesakit sangat ramai, yang merawat penyakit seperti masalah kencing manis, jantung, buah pinggang dan banyak lagi.

Walaupun ramai yang takut untuk mulakan Housemanship di Jabatan Perubatan kerana bebanan kerja yang berat dan perlu pengetahuan yang banyak, tapi ada kebaikannya  seperti dapat belajar banyak benda benda asas dalam perubatan seperti rawatan penyakit darah tinggi & kencing manis, melakukan prosedur asas dengan banyak seperti pengambilan darah dan boleh praktik apa yang belajar di jabatan perubatan semasa merawat pesakit di jabatan lain. Kemudian, saya berpindah ke Jabatan Pembedahan, Jabatan Obstetrik & Ginekologi, Jabatan Ortopedik, Jabatan Pediatrik dan Jabatan Kecemasan & Trauma.  

Di hospital lain, mungkin doktor pelatih diberi pilihan untuk berkerja di Jabatan Psikiatrik, Anestesiologi atau klinik kesihatan. Antara keenam enam jabatan yang saya lalui, saya amat suka Jabatan Pembedahan dan Jabatan Kecemasan & Trauma, sebab dua jabatan ini banyak prosedur untuk dibuat dan sesuai dengan minat saya.  Di Jabatan Kecemasan & Trauma, sistem kerja berlainan dengan jabatan lain kerana sistem syif, setiap hari akan ada 3 shif, 8am-3pm, 3pm-10pm dan 10pm-8am. Kalau di jabatan lain,kami akan berkerja secara on-call, 8am hingga 5pm kesokannya. 

Setiap kali memasuki jabatan baru, akan melalui tagging selama 2 minngu, iaitu berkerja dari jam 8am hingga 10pm atau 12am setiap hari untuk 2 minggu. Penat kan? Ermmm... Waktu ini lah waktu yang paling tak digemari, tak ada hari cuti, kerja kerja kerja!! Tapi, waktu ini lah yang paling banyak kena belajar benda benda asas di jabatan tersebut, sebab selepas waktu tagging, kami akan on-call sendirian menjaga wad, kalau ada masalah di wad barulah rujuk kepada pegawai perubatan @ medical officer.

Alhamdulillah, saya dapat menghabiskan masa latihan sebagai doktor pelatih selama dua tahun tanpa extension. Errrmmmm... pahit manis jadi doktor pelatih banyak. Yang manisnya, akan belajar banyak benda baru dan boleh kaitkan dengan teori yang belajar di universiti dulu, rasa bahagia bila dapat discharge pesakit yang dah sihat, rasa sangat bahagia bila ada pesakit yang ucap terima kasih doktor kerana merawat saya dan boleh membuat kita insaf dan ingat pada Allah semasa merawat pesakit. Pahit tetap ada, penat kerja sampai rasa dah jadi kuli dan nak nangis(masa ni akan terfikir, kenapalah aku jadi doktor?), kena marah dengan pesakit atau keluarga pesakit, rasa bodoh giler kalau buat silap benda benda kecil dan tak dapat tolong pesakit betul betul. 

Ok last, pada saya masa housemanship kena manfaat betul betul sebab itu ilmu dan pengalaman yang kita akan manfaatkan balik masa menjadi medical officer, sebab tanggungjawab akan lagi besar, nanti saya cerita pengalaman sebagai medical officer pulak.

Bye!!!

Perak...

Salam guys!!!!!!!!

I digested my mind to think what I am doing for this olidey!!!!! Yeeeahhhh... I went to Perak, Shuhaili`s hometown!!!!  Pada masa orang lain dah pergi mengembara ke Oversea sempena cuti, hanya ini yang ku mampu. Itupun nasib baik dapat permission yang sememangnya susah nak dapat, sampai nangis2 sorang2 tau!! hehe..  Apa apapun Alhamdulillah dapat rezki ni. 

BTW, there are many interesting places in Perak and sometimes we did not realize it.  For this short olidey with Shuhaili and Adil, we are able to go to Kellie`s Castle, Gua Tempurung, Teluk Batik, Menara Condong Teluk Intan. For sure, Shuhaili was our tour guide, Tq my fren!!!!

Then, we ate Nasi Ganja(but can I call it Cannabis Rice???) in Ipoh with another our secret coursemate. Okeey... nasi ganja ni bukanya dia letak ganja yang orang duk smoke tu, just nama je ganja, takda kaitan langsung dengan ganja atau cannabis langsung, so tak usah nak risau atau takut2 ek kalau nak makan. 

Istana Kellie..

Gua Tem[urung yang tal sempat di explore...SOB!!

                         

 Batik Bay...

 Nampak macam 8 tingkat, tapi  sebenarnya 3 tingkat...

After going back home from Teluk Batik, we have a surprise for Adil for her 24th birthday! Nasib baik dia tak perasan kitaorang beli kek ni, so kiranya menjadi jugak la surprise ni, Yeeaahhhh....  Happy birthday Adil!!! Sannah Helwah Adilla!!!! Selamat Hari Tua Dila!!!!

Hmmm... nak jalan2 lagiiii....

Yeeaahhhh......saya dah dapat kerja....

Salam guys!!!

12th April, I passed the exam!!! syukur.... the most meaningful day after 5 years!!!

Now - Saya dah dapat kerja tapi tak tahu bila kerja lagi!!!!! Nasib baik Kementerian Kesihatan Malaysia sanggup ambil budak macam saya kerja ek.... Syukur alhamdulillah...  So, lepas ni jadi orang government dah... haha...Up to KKM nak bagi kerja apa ikut keupayaan kudrat saya, may be cleaner hospital, tukang masak hospital ataupun HA. Tapi kalau dapat jadi driver ambulans pun best gak, boleh drive ambulans laju-laju. Teringat kenangan menaiki ambulans dengan Pipah hari tu, syokk habisss!!!! BTW, I think to those who is in stress should take the opportunity to be in ambulans, confirm korang  dapat lupa masalah sekejap.    

In another view  I am already adult!!! oohhh God.. rasa tak puas lagi merasai dunia kanak-kanak...  kenapa cepat sangat masa berlalu???!!!!!

Ini surat tunjuk saya under MMC!!!! Alhamdulillah...

The question now is, are U prepare to do this job Zhafarina???? 

Hmmmm.. I cannot answer it becoz I dont have the answer, but the time will appear soon!!!!!

Mood: Saya nak naik basikal, nak pergi jalan jalan, nak shopping, nak mengembara.. please give me time in between working , kalau tak saya nangis!!!

Nak kahwin sebab dah pergi kursus kahwin..

Salam guys!!!!

I want to marrrryyyyy!!!!!!!!
Hahaha.... But rukun kahwin 1 lg xcukup, pengatin lelaki.. Mana nak cari ni???? where are U????  Yg lain2 macam pengantin perempuan, wali, saksi dah ada.. Akad tggu hri akad nikah nti la ekk.. Kursus kahwin pun dh pgi... So Sape nak jadi pengantin lelaki ni????? Haaaiiihhhhhh...


Okeey.. Last week ada pergi kursus kahwin kat Mahligai Firdaus di Setiawangsa, so Saya turun la KL sambil cari alasan nak berjalan2 gak. Kalau tak memang tak boleh keluar rumah langsung lah agaknya. Then terus stay kat KL untuk beberapa hari lagi sebab nak pergi nazirah's wedding.
Nazirah dah jadi isteri orang beb.. Mm tak sangka la.. Haha.. congrate n Gud luck Nazirah.

nazirah.. u are so beautiful!!! 

Then, lepas pergi Nazirah's wedding kat Sungai Buaya, terus melencong ke Tapah, kampung Shuhaili. Stay kat sana 3 hari dengan Adil sekali. So, kat Perak Shuhaili bawa kitaorang jejalan mengelilingi Perak.  Tq my frenz Shuhaili.

shu.. bff!!!

mood: nak jalan2 lagi.. nk pegi sinagpore!!!

Tetiba suka Aaron Aziz?????

Salam guys!!!!!!

Dalam orang2 duk sibuk komen pasal PRU 13, sy tetiba suka Aaron Aziz!!!!!!!!!!!
AA jadi calon PRU ke??? confirm tak!!! Tapi KENAPAKAH???????

Before this selalu gak tengok cerita yang AA berlakon like Stanza Cinta & Nora Elena, tapi INIKALILAH lepas tengok ADAM & HAWA 3 hari 3 malam online untuk 80 episod, saya macam tersuka dengan watak yang dia bawa sebagai Adam Mukhriz...  romantik, penyayang, caring, loyal.... hmmmm... cerita je kot, buat pe nak suka sangat kan...???? BUT then, saya terlebih rajin lah pergi google pasal AA ni...

Waahhhaaaaa.... terjumpalah gambar AA dengan family.. Comei sangat, nampak macam happy family!!!!! AA ada 3 oranga nak, comei2 semuanya, isteri dia pun cantik... hahaha.. suka suka... Pergilah explore kat KEEK pulak, yeaahh... AA ada KEEK!!!! Semua KEEK yg dia ada saya tengok.. ada KEEk wif his family.. Memang dia seorang lovely father and husband!!!! lagi suka.. suka tengok cara dia treat dia punya children... Hohoooo...

Then explore AA`s wife punyer KEEK... She is a lovely mother!!!! I like... !!! Haahaaa... Follow terus diorang punyer KEEK!!!!
hmmmm... Then, I like their children, English diorang memang power walaupun kecik2 lagi orangnya.. kalah English sy!!!!! oooohhhhh My English!!!!!

Haahaaa.... OOOKkkk... skang tengah google citer2 AA.. dah tengok Dol & Minah!!! hehehe.... nak tgk citer AA yang lain LAINKALILAH pulak...

Conclusionnya, I like AA because he is a family man!!! Nanti nak suami macam AA la, lovely father and husband!!!!!!! AMIN!!!!

Happy family...!!!

Oh exam!!

Salam everyone...

I dont know how to describe my feeling. All I have!!
Happy .. Sad... damn.. Useless!!!
I just finnish my O&G exam today! Yes I pass it, Alhamdulillah...but I didnot do the best that I should do!! Bloody damn!!
I know I can do better.. But dont know why!! I got thought block!! Think think n think.. But does not come out, but when Dr Anizah give the answer.. Haaahhh.. i know it actually, but I unable to tell it that time.. oh GOD!!! I'm really sad!!

Please please please... Dont be like this in PRO exam!!!
I need more confident level!!
13 days to go!!

I'm today

Salam...

I'm in obstetric n gynecology posting now..
Nice to meet mother n feel for baby position in the uterus...
Got only two examination!! Examine gravid uterus n abdominal exam...
But the still got many theory to be red..

Hmmm... Most of mothers in ward now are around my age.. Huhu

Ooohhhhh... My feeling today is not good..
I know I'm the sensitive person...
But I'm weird with people attitude..
Yupp... It is true that I am only the medical student, dont have the right to manage patient, dont have the right to make decision, dont have the right to do this and that in ward...
But why they cannot treat us as a people who will take the responsibility as a doctor later, work with with them later?? The way they look at me like I am non-invitable person there.
Or they think I'm still childish who dont know anything..


BUT, this statement is not for all nurses, got many other nurses who are very kind, help and teach us!! nice to meet them!!!

Okaaayyy... Saje nak emo ptg2... Bye!!

rest for my iPad

Salam...

Today my iPad had broken down, I couldn't open it. Just Apple logo was came out. 

I felt like I had lost my iPad at this time, oooohhhhh Noooo!!!!!

What to do???

I tried to open it for many times while Dr Lim Poh Hin was delivering his lecture about epilepsy, I couldn't focus anymore at that time. I just wait for class to finish at that time. Sorry Dr, I didn't really want to do it actually!! 

After finish class, I went to Alamanda with Nadiah to Apple store. Fortunately, my iPad was still alive and , the man said that it occurred may be due to jailbreak. He suggested me to un-jailbreak it but I will lost most of my applications if did that. hmmmm... Lastly, I decided to think first and came back if I got the same problem. 

When I`m going back home, I realized that I couldn't use  the home button. Hmmm.. felt sad again!!! My iPad was not normal already!!!

I search about home button problem and at last I found the way to treat it from a blog. I tried to used that procedure to treat my iPad, and Alhamdulillah it made happy. I can use it already but it still not as usual. 

In Shaa Allah, I will give my iPad a rest tonite and tomorrow for recovery time. Hope it will be like before again!!!

Today  I realized that I became dependence to iPad already, I could not live without it, and it was part of my life!!! 

Last words: I am not studying gynaecology tonite becoz of googling about broken iPad and tomorrow I should have class with Dr Shahril In Kajang Hospital. hmmm... so, how to answer Dr`s questions?????

Mencari cinta

Salam...

Jauhi kami dari kealpaan, kelalaian dan kesibukan untuk mensyukuri nikmat-Mu Ya Allah..

Alhamdulillah..

Salam..

Alhamdulillah.. I passed the pead exam!!!
My curiosity to know he result cause me to text Dr Johan.. Huhu, fortunately I passed it, but I though my short case was bad actually. Huhu...

Got Another 1 O&G exam before Pro exam III.

Hope can do well!!

Ahmad Adam Syukri

Salam...

Al Fatihah to Ahmad Adam Syukri who had passed away about 2 hours ago at Institute Pediatric, HKL. I started to know about Ahmad Adam since I saw him in MHI. He was about 7 months old at that time and having Hypoxic Ischaemic Encephalopathy(HIE). First time I saw him, he was very thin with muscle wasting and depend on ventilation and suction machine.  Then I tried to followed his condition through his facebook fanpage. Recently, he looked more stable and having muscle bulk already.

I think this is Adam after few days of life.

He was on endotracheal tube and nasogastric tube already.

Differ with above picture right??

There was muscle wasting and the eyes looked cloudy.

Nasal prong to deliver oxygen.

Tembam suda Adam masa ni, comel and cute!!!!

Had undergone eye surgery at this time and looked like he was respond to surrounding already, and want to smile actually!!! 

Allah loves him more, he had passed away this afternoon. Takziah to his family.

Another special about Adam was he had a good support from his parents. I am proud with his parents!!!

 I believed that family support is a part of therapy in treating medical illness anyway. So, give support if you have any family member, relative or friends who are ill. I am sure they will appreciate you and help in recovery.

Hypoxic Ischaemic Encephalopathy
- Is a clinical manifestation of brain injury less than 48 hours after hypoxia event
- it occurs as reduce of oxygen and glucose delivery to the brain that cause cell death by
   inflammation reaction and apoptosis
- the causes can be due to antenatal, perinatal and postnatal condition

- Causes :
1. Fetal - Twin to twin transfusion
             - cord prolapse
             - preterm
2.  Maternal - placenta abruptio
                    - placenta previa
                    - pre-eclampsia
                    - uterine rupture

- Many HIE case are referred to newborn infant but can apply to many other brain injury as well like drug overdose, blood loss, smoke inhalation and choking.  
- the prevalence is about 1-6% per 100 live term births
      25% die or have multiple disabilities, 4% have mild to moderate cerebral palsy and 10% have 
      developmental delay

- Classification of HIE:

• Stage 1: hyperalert (eyes wide open, ↓ blinking, excessive response to stimulation), impaired feeding 2° to weak suck but normal tone
• Stage 2: lethargic, mild hypotonia, reduced spontaneous movement, seizures
• Stage 3: no spontaneous movements, withdrawal or decerebrate posturing only to pain, variable abnormal tone (hypotonia/​hypertonia), suppression of primitive (Moro, tonic neck, sucking) and brainstem (corneal, gag) reflexes. Prolonged seizures refractory to treatment.

- Essential criteria for diagnosis HIE
   1. Metabolic acidosis
   2. Early onset encephalopathy
   3. Multisystem organ dysfucntion

- Complications of HIE
   1. Acute renal failure
   2. Myocardial dysfunction and hypotension
   3. Coagulation impairment
   4. Necrotising enterocolitis
   5. Hypoglycemia

- Basically, the treatment is to prevent secondary central nervous system insult like seizure control, correct hypoglycemia, hypotension, hyponatremia, hypocalcemia, hypomagnesemia, control brain edema, prevent fluid overload, appropriate oxygenation and treat affected organs.
- Therapeutic cooling or treat hypothermia is important to reduce mortality and major neurodevelopmental disbility

Okaayyyyy... all that I wrote here was based on I saw him from MHI and red from his FB fanpage and other blogs. So, if got any mistake, I felt sorry for it.

I hope I will remembered Ahmad Adam Syukri when I was asked about HIE  or facing with HIE patient when I worked later!!!!!!

Al Fatihah again for `bakal ahli syurga Ahmad Adam Syukri`.

Tq...

References :
1. Hypoxic Ischaemic Encephalopathy slide by The University of Chicago Medical Centre. Reviewed on 7th February 2013.
2. Helen AB and Ram N. Peadiatric & Child Health. 2nd edition. Wiley-Blackwell 2010.

Rash

Salam...

I'm here again today. Hmmm... Actually I dont know what to do rite now, I'm alone in Masjid Sultan Ahmad Shah UIAM, waiting for my brother.

Okay... What is rash???

Rash is changes of the skin in term of colour, texture and appearance.
There are many types of rashes like :
1. Macule - non-palpable, size less than 5mm
2. Patch - Non-palbable, size more than 5 mm
3. Papule - palpable, size less than 5 mm
4. Plaque - palpable, seize more than 5 mm
5. Purpura - red-purplish lesion, non blanching, size about 5mm to 10mm
6. Petichiae - is a purpura but less than 3 mm
7. Echymosis - also a purpura bu size more than 10mm
8. Erythematous - Redness, usually not palpable, blanching

Different between purpura and erythematous is purpura is caused by bleeding, usually occured in vasculitis, while erythematous Is hyperemia of capillary.

9. Vesicle - fluid-contain, well circumscribed, elevated lesion, size Less than 5mm
10. Bullous - large vesicle, more than 5mm, contain serpus or seropurulent fluid
11. Pustule - small size, elevated, contain purulent fluid
12. Telangiectasia - Enlargement of superficial blood vessel

When someone had rash, we must thing 2 major causes of rash, wether it was a skin disease or systemic disease that manifested as skin lesion. Usually, patient with systemic disease will have associated symptom of fever.

When I was in peadiatric posting in year 4, Dr Kamarul had told us the easier way to remember of  rash associated with fever by the menumonic of 'very sick people must take early retirement' .
Day 1 - Very - varicella
Day 2 - sick - scarlet fever
Day 3 - people - pox (chicken pox)
Day 4 - must - measle
Day 5 - take - thypus
Day 6 - early - enterovirus (thypoid fever)
Day 7 - retirement (rubella) ( plus dengue)
So, onset of fever is important here to make diagnosis of rash.

Other diagnoses of rash that usually found among peadiatric patient Are Kawasaki disease, Henoch-scholein purpura and idiopatic thrombocytopeanic purpura.

Most common skin disease are eczema and psoriasis. The manifestation are variable, depends on the types of eczema an psoariasis.

Okay.. I need to stop here, I need to take my bus to go back to my hometown!!! Yeaaahh..... Balik kampung!! Bye n salam!

Peads made me writing today..

Salam...

I'm here again after months disappear. Huhu... Means that I cant be a blogger actually.. Just writing when I want... Hmmmm...

Peadiatric posting made me to be here and writing today.. n my 3rd last entry was also about pead, But it was a year ago.. Too long rite?

NVM, what I want to share here is my journey in peadiatric posting.. Woohooo... For me, pead posting is the most tough posting in year 5. At first, I'm very excited to be in pead posting, but day from day, I became more stressful and felt like I'm never in peads posting anymore before. SOB SOB.. My major weakness is in physical examination, I'm depressed when I failed the 1st short case class. Then, I got the borderline for 2nd short case and again failed for 3rd short case.. very sad.. What to do?? Crying?? Down feeling??? Isolated myself?? N the worse was I'm still thinking why I'm in medicine though in 5th year already?

Alhamdulillah... Though I felt down n had bad mood most of time, it had motivated me to do better n studying harder. Try to appreciate Signs that I saw n being thinking person. Hmmm.. I'm not genius, I need to learn repeatedly to remembered n understanding it. Keep repeat n repeat.

Another episode of worry is exam. Exam was in 5th week n we only had 4 week to revise pead. I had both long and short case on the 1st day. Huhu... Happy or not?? I'm happy becoz can finish it early, but anxiety made me not happy. Anxiety to be in exam.. I'm worried I could not do the best in exam.

N yesterday, I already finished the exam. Hmmm... I'm very very worried wif my short cases. I put wrong estimated age for DA. Ya Allah!! I tried to be calm but that thing always crossed my mind.  The result will come out after CNY, before starting O&G posting. But I'm still hope I can pass it. I need a calm feeling for entering O&G. Amin.

By the way, I still enjoying to be wif children. They are very cute!! Hope U will get well soon all my boboys and gegurls!!

Live

Salam! Hai! Hello!

Lama giler tak menulis kat sini...  selalu rasa nak menulis tapi malas nak tulis!!! haha... means that I cant be a blogger!!!

Okey, tp hari ni rasa nak tulis gak... Pendek je...

Hidup.. 

Hmmm... tapi hope orang yang baca apa yang saya tulis ini semuanya masih hidup ek!!!!

Bersyukur dapat hidup dan rasa kenikmatan alam yang Allah kurniakan..

Dan bersyukur boleh merasai kebahagiaan hidup di dunia Allah ini...

Selama ini, banyak kali hati aku memberontak, memberontak benda yang tak perlu..

Dan bersyukur kerna Allah menyayangi aku dan tidak mengikuti pemberontakkan aku dan sentiasa mengurniakan yang terbaik untuk aku...

Dan aku sedar doa ibubapa amat munajab, walau melawan bagai nak rak pun, doa ibubapa akan termakbul, Insyallah.. Doa ibubapa yang ingin melihat kebahagiaan anak2...

Aku sering melawan, dan kini aku tahu semua yang ibubapa kehendakkan pada ku adalah yang terbaik.. aku yang kadang2 tersalah menilai...

Ya, memang benar aku sering rasa aku terkonkong, tapi itu yang terbaik untuk aku sebenarnya... walau hati selalu menangis, tapi akhirnya aku dapat kebahagian itu.

Tq Allah.. kerna membuka hati aku untuk menilai erti kehidupan sebenarnya... Bukan semua yang kita impikan akan menjadi milik kita, tapi, kebaikan dan kebahagian akan dicapai juga bila kita sabar disamping doa dan keredhaan ibubapa!!!!

Jauhi Fitnah...

Ketika Tangan dan Kaki Berkata

Akan datang hari
Mulut dikunci
Kata tak ada lagi

Akan tiba masa
Tak ada suara
Dari mulut kita

Berkata tangan kita
Tentang apa yang dilakukannya
Berkata kaki kita
Kemana saja dia melangkahnya

Tidak tahu kita
Bila harinya
Tanggung jawab, tiba

Rabbana
Tangan kami
Kaki kami
Mulut kami
Mata hati kami
Luruskanlah
Kukuhkanlah
Di jalan cahaya
Sempurna

Mohon karunia
Kepada kami
HambaMu
Yang hina

Pead pada aku..

Salam...

Alhamdulillah... akhirnya saya lulus gak Pead!!!! suka bebonar hati... hehekkkk....

Tapi aku punyer long case n short case rendah je, nasib baik dapat cover kat MEQ dan MCQ sikit...

Thanx pada doktor2 dan kawan2 yang banyak mengajar saya...

Peadiatric...

posting kanak2...

Dulu aku pernah berangan2 nak jadi peadiatrician, kalau orang tanya aku, nanti nak specialise dalam apa? Aku terus jawab peadiatric kot... Tapi bila aku masuk peadiatric posting ni dah rasa lain pulak, betul ke aku nak jadi peadiatrician ni???~ nape banyak sangat ni? CNS, CVS, RS, AS +++ DA? boleh ke aku cope dengan peadiatric ni???~ haaaahhhh... tiba2 aku punyer target kat peadiatric dah mula kurang. Tapi bila dah lama belajar dan mula faham sikit2 aku rasa best lak poeadiatric ni.

Menarik tentang peadiatric ni ialah boleh main2 dengan budak2, pastu rapport pun agak baik kalau nak banding dengan pesakit2 lain. Aku suka sangat kat sorang budak ni, dia masuk hospital hari tu sebab ada jangkitan kuman kat paru-paru. Budak ni comel sangat. Tapiiii... dia tak nak layan aku sangat, Sabooor je la...

~ nama budak comel ni Mohammad Fathul Jarullah ~

~Jarullah tu bermakna Jiran Allah~

~Hanny Mellisa Aryana~

Budak yang paling cool... buat la apa2 kat dia tak nangis langsung, senyum je..Comei!!!!

~Ashafian~

Bijak berkata2, cakap macam orang besar sudah.

~Marissa~

Favourite child Jay Jay.

Sorang lagi kanak2 yang berjaya mencuit hati saya ialah Muiz, kelakar betul budak ni. Selalu je sebut `ayam ayam ayam` dan suka sangat dengan Angry Bird, tapi tak sempat nak ambil gambar dengan dia .

Other wonderful experience in Paediatric posting was I had an opportunity to see 2 conjoint twins, Muhaimin and Muhaiman and Qaisara with her twin(I forgot the name). They are very unique, before this I only saw conjoint twin in TV.

hmmm.... lastly nak ucap TQ kat group E especially Shushu, Jayjay N Yog sebab berjaya buat study group malam2, learn a lot from our discussion. TQ for those who always taught me like Pipah N Tya, and also to all lecturers especially my Mentor, Dr Johan.

Lepas ni ajar saya Ortho N Psychiatric lak ek!!! hehe

Tata people!!!!

Aku dapat kes AGE

Salam...

Exam Paediatric dah abis.. Aku orang ke dua akhir yang exam hari ni. Lama menunggu sampai aku pun dah naik bosan tengok kawan-kawan yang dah merdeka. Aku dapat Acute Gastroenteritis (AGE) untuk long case. Haaahhhh... tak tahu nak gembira ke apa dapat kes ni. Memang kes ni senang tapi kes ni `killer` bagi aku, sebab kalau salah sikit pun akan beri impak yang besar. Haaahhh... lagi2 lah bila aku salah periksa `skin turgor`. Bila je aku tengok patient yang aku kena periksa tu attach kat IV drip, aku dah agak ni mesti AGE punyer, dan aku dah dalam zon bahaya sekarang!!!! Takut giler,esok dah keluar keputusan!!!!!

Ookaaayyyyy... Next time aku kena belajar betul2 kes yang aku rasa aku takut. Kalau exam Pro 2 hari tu aku tiba2 je jadi takut dengan Lymphoma yang menyebabkan aku ada rasa kena baca penyakit ni. Nasib baik baca, kalau tak tahu nak bagi `differential diagnosis` apa. Masa exam O&G pulak, aku takut `pregnancy induce hypertension (PIH)` sebab aku rasa PIH ni susah sikit, sku selalu je skip baca PIH, akhirnya aku dapat PIH untuk long case dan short case. Kalau Paediatric ni pula, aku takut kat AGE dan Epilepsy. AGE aku takut sebab penyakit ni tertalu biasa dan semua benda kena tahu pasa penyakit ni, kalau salah sikit memang maut la. So, sekarang tak tahu ler macam mana nasib aku ni!!! Takut!!!!

Ya Allah... tolong aku Ya Allah!!!!

Salam adiliadha...

1st time tak raya kat Kelantan...

1st time tak raya dengan keluarga...

semuanya untuk exam..

Hope pengorbanan tak balik raya ni aku dapat jawab exam dengan baik N lulus..Insyallah!!!!

Selamat Hari Raya semua...

Maaf Zahir Batin!!!