seriously!

assalamuallaikum...

realiti bekerja adalah bbeza dari blajar...

we started to meet all those kind of people...and sometimes.....u feel it's difficult to work with certain type of people who cannot work as a team...seriously!

only now i understand ape yg pernah dr faizal mengadu pd saya dlu....on how difficult the working life is and even difficult to deal with certain people!seriously....

for me, the basic of team work is to give and take....and helping each other....perkara yang kecil dan boleh diselesaikan x perlu dbesar2kan....and finally,at the end of the day...saya,anda dan patient gembira~:)

kesabaran adakalanya sangat diuji dan dituntut dlm bekerja...semoga saya beroleh kesabaran yg tinggi to deal with these kind of people...ameen~

buzzling sound......over my head...

assalamuallaikum...

i'm busy today...need to do census, OT list and 'on call' tonight...but instead of typing my work, my head is buzzling around a death occurred today....

kematian yg betul2 beri keinsafan dan pengajaran pd saya..

i still remember a busy day about 3 weeks ago when i'm in high risk ward....i clerk 2 patient and both case makes a ring for me today...

1st case:
a 27y.o woman with twin pregnancy came in for BP stabilization which her BP that day was just 140/90..a cutting point for PIH (pregnancy induced hypertension)...i wonder myself...why my MO in clinic wanna refer this patient for ward admission with this kind of BP...dan pd hari tu katil full as byk admission...i clerk this patient and she is a really2 nice woman...i adore her humble face....until today...we have a good chat and i build a good rapport with her and her family...she was damn fine in the ward with good BP control

2nd case:
a 42y.o woman referred from hosptl taiping,,,having recurrent breast cancer with brain metastasize...she was so depress and dont wanna talk to anybody...she just sleep and dont wanna open her eyes when i 1st saw her  until i thought she was fainting or having hypoglycaemic attack...all history of the patient i got from the husband...who is a roti canai maker...and lost his job since his wife affected from the cancer..


and 1 fine day when i'm on call....my cancer patient's GCS drop and had symptoms of increase ICP...i prepare patient for emergency c-sec and booking ventilator for the baby...i tried my best not to cause another pain to the patients and family...alhamdulillah....for what i know when i meet the husband,she still alive eventhough she's in ICU now...

and today...when i reach hosptl in the morning...everybody were so kecoh about an emergency case...twin delivery which the 1st baby delivered at home and her second baby was delivered in A&E...she was having high BP which need hydralazine and MgS04 infusion and had massive bleeding until her Hb went down to 4...she develop sudden SOB and 9 pint of blood was transfused and she was sent to OT for hysterectomy to remove her uterus to stop the bleeding...i wasnt know....that it was my patient after i found out she's already died after 30 min of CPR......

what i regret is.....i did gave her hope when i saw her in ward....that she'll be alrite,when she was worried on her condition......i never expect anything bad gonna happen for her and the twins...who am i for saying 'dont worry.everything gonna b fine"...seperti da sure nothing gonna happen...and she believed me and gave me a relief smile...dengan izin Allah........the good outcome gonna happen....and dengan izin Allah....the bad thing can happen at sudden....i forgot and i remind myself today.....i wont give any hope to anybody for anything...cause i dont wanna hurt anyone anymore...:(

things happen tanpa disangka...sapa sangka pesakit yg ok,stabil finally temui ajalnya harini...and pesakit yg xstabil.....dengan peluang hidup yg kurang....masih bnafas hingga saat ni....Allah yg menentukan segalanya...Allah maha besar...allahuakbar...

i'm sorry for those who hurts because of me....because of my hope...because of my stupidity....because of my carelessness and because of my ignorance....:(
i'm sorry....:'(

in the middle.....of the crowd...

it's hard for us to be in the middle....

and now i'm stuck in the middle....

and at the end of the day....u'r the one who's not get anything...

cause u'r not given the chance to choose....for yourself...

i'm tired to satisfy others....at all the time....

and no one bother on how i feel...

*depression*

because i'm so stress....

had u ever felt like so tired and stress till u can't think straight and lost ur patience......?

keje ni mmg menguji...my almost 2 weeks experience working as a doctor is terrible...ntah knpa rs mcm xblh nak cope with working condition...my eyes cried most of the day...my heart scream every single hours....my only medicine there are just my patients and their babies...seriously!

i told my mom...sometimes i feel like burst out, but when i see my patient's face, the only thing that cross my mind is, i NEED TO HELP THEM as they really deserve to be treated wisely get the best treatment...

pagi2 need to wake up at 5.30 am and reach hospital by 6.30am and start my routine reviewing the patients...i'm so damn sleepy as always need to go back late most of the days...1.00 am adelah biasa...for taggers like me...hehe!but even mengantok n penat tahap gabaiii, jumpa je patient trs ilang mngantok...but bile jmpa bos, asek rs sakit perut je......:P

when u'r too tired and stress, the only thing u hope from org skeliling adelah utk memahami....dan mberi semangat....but sometimes it does turns around...it's just nobody's fault.....this is what we call takdir...janji ALLAH tu yg tbaik kn? :) just dont go near to a bomb that gonna explode like BOOM!!!:P hehe..

i'm pigeon type....u just need to talk to me nicely and i'll treat u so good that u'll never imagine...because i'm a pigeon type...:P


and now i need to sleep....thanked God my bed still love me like before even we hardly see each other these days...hihi

goodluck everybody...^_^

assalamuallaikum...

semalam abah masok ward...as he's having pyrexia of unknown origin...(demam lebih dr 2 mggu yang tidak diketahui penyebabnye)...bila buat test sume normal...1st time kot ahli kluarga masok hospital...hehe~alhamdulillah he's getting better...

agak cuak sbenonye~xsampai 2 mggu da nak masok keje...but sriusly mcm blank gile...mungkin sbb lama sgt cuti...makan,tido,makan,tido...it's time for u to burn out your fat lala!!ngahaha(gelak puas hati)...jaga kau lemak...:P

good bye fat!!!!!!

i really feel uneasy if any medical person knows me as a doctor...but maybe as we use the same language, we easily recognize each other...and yesterday, one of the best specialist here,datuk dr soju (i guess this is how her name shud be spelled) throws some medical question to my 'berkarat' brain...OMG, belum pape lg dah kene treat as HO...'ok rosila, i really welcome u to join us, see u soon'

hik3....cuak nak matiiiii....lala,kau dah nak keje laaa....be serious ok!^_^ wink2!!really need to prepare mentally and physically...tp white coat xbeli lg!!:P


to me and frens, GUDLUCK~^^

i need those 'drugs'...plez!:)

assalamuallaikum...

finally there's some fresh air from outside the world of house!:P hehe

can frens considered as family....too?? yes!definitely...for me!hehe...sy dari form 1 duduk asrama, so most of my time filled with dearest frens around...thanks to ALLAH who provide me with good people around to share my ups and downs...

today i had a nice meeting up with matriculation frens...wani n anis!!OH MY GOODNESS! masing2 dah berubah especially cikgu wani...sgt cikgu!hehe...it reminds me to the child look of us for the past 6 years...berhingus!:P (hyperbola sket...hee)

some of my frens dah nak kawin, bertunang...sgt gembira....!!!!maybe for some ppl yg still rileks n xpiki psl kawin ni  sbb x smpai seru lg @ belum smpai masa lg...i still rs nk berjalan2 tgk dunia....meeting up with nice ppl and make frens with everybody...^_^

when u travel alone,u'll realize so many things around during your journey...that's why, sometimes when i want to think more than usual, i like to be alone and look around me...the scenery, the people, all the things that brings the colours of life...^_^

mcm arini, sy pegi solat kt 1 surau ni....and the smell of the telekung........penah denga 'dejavu' x??which is any situation @ smell that makes u remember any event before...so,the smell of telekung tu mcm bau sabun sy penah pakai kt matrik dlu...hehe!mmg rasa mcm nak bauuuuuuuu sampai kalau bole nak kembali ke masa lalu...bole x mcm tu???:P

and kdg2 i'm hallucinating some person kt tepi jalan like my own fren......this symptom brings a disorder which i call rindu yg teramat sgt!!!I MISS U frens,which are all ubat plg berharga didunia....:)

LOVE u,

lala..:)

sad=sedih=gloomy....:(

assalamuallaikum....

sy sedih hari ni...

diam lebih baik...

whenever i feel sad and lonely, i'll go to a big shopping store...bukan mcm klcc @ pavillion ye...kalau yg tu,buat lg tension je sbb mmg xle nak beli pape...xmampu...hehe!

it's like GIANT ke, TESCO ke...MYDIN ke...hehe!and i feel much2 better...just for a slow walk and mencuci mata pd barangan2 comel makes me feel sooooo goooooooooood!!

like now....i feel so much better...alhamdulillah...:)

okai!bubuy!!(^__^)

the wedding...:)

alhamdulillah....:)

assalamuallaikum...happy n sgt lega kenduri da habis, alhamdulillah semua slamat n baik2 aje...skrg,shida dah jadi milik abg azreen...so, nak x nak kene control jgkla kn...dah ade abg ipar ni,kdg2 tlupa jgk...slumber je masok bilik xketuk...hehe!

mcm majlis org lain jgk...few days before the event ade majlis khatam al quran...majlis kecik je,tp bmakna sbb tokwan yang jadi 'ketua' majlis...:)

baca2 blh nak tgelak pulak...hehe :P

and tanggal 28/5 which was on abah's birthday, shida nikah...sbb sibuk sgt for preparation aritu, lupa  btday abah...hehe~majlis kami kecik aje,tp alhamdulillah meriah dgn sedara mara n kwn2 abah...

so,here it goes...some small parts of the event...:) thank you ALLAH for making it smooth...alhamdulillah...

banner kawen shida...hehe

pilih2...mana bkenan~haha...;p

gudbye to a single life...now it turns two!:P

abah buat surprise nikahkan shida...di hari jadi abah...

raja kappor~haha...

ngan cousin tsayang...yana..

bila yang tua try posing candid!haha...

the 3 stooges...:P

on the wedding day...not much picture from our camera...

 

 

 

 

 

menghargai...

assalamuallaikum...

ok fine, now boboy tgh mrajok gile2 ngan sy sbb tpijak die dlm gelap...ati bunge jugak kucing aku ni...adoyaiii...hehe

xpela, sementara tggu kekasih ati tu sejuk, tulis blog jap!:P 

barang2 kawin shida mostly sume dah sampai...rasanya dah bole jd wedding planner sbb byk jgk involve in d wedding ceremony itself and d preparation~fuhh...penattt...sriusly!xpela, kita tgk hasilnya masa kenduri nnt ye...hee~

tgh2 kemas bilik pengantin td...dok sapu2 bilik, tersapu duit seposen...tringat masa kecik2 dlu...abah mmg marah kalau buang @ xkutip duit...even 1 sen pon mmg bising...

me: ala abah...1 sen je...bukan bole beli apa2pon

abah: ambik skrg!1 sen ke, brapa pon tetap rezeki n berharga... 

tiba2 tringat...betapa penting utk menghargai apa pon yg kita ada xkisah la besar @ kecik nilainya...bila kenduri ni mmg bertambah2 sedar yg duit ni 'mengalir mcm air'...LAJU!!!!nilai duit tu sendiri sgt kecik...sbb harga barang pon makin meningkat...gaji naik,harga barang pon naik...hehe~kesian abah n mak...

sy bsyukur abah ajar kami adik bradik utk hargai duit walau 1 sen...so that kita lebih mhargai setiap apa yg kita belanjakan...even....ok fine!kdg2 mbazir jugak shopping sane sini...hehe...:P

i hope 1 day, anak2 sy pon dpt ajaran yg sama....supaya mghargai apa yg kita ada...xkirala duit, harta, atau sesama manusia...insyaALLAH...:)


"kalau xcukup 1 sen, 9999999.99 tetap x dipanggil 1000000...sejuta!" :) kan!kan!

finally, dr. lala...:)

assalamuallaikum...

alhamdulillah,alhamdulillah,alhamdulillah....dgn izin ALLAH sy da jadi dokter...hehehe

sujud syukur....masjid besi 29/4/2011

i'm now DR.

hehe....:P

mmg masa nak umum result tu antara detik plg mendebarkan n plg indah dlm idup ni kot spnjg 24 taun idop ni...dgn cuak nye, tketar2 nye...alhamdulillah ALLAH permudahkan lepas 5 taun  menimba ilmu...hehe~

i should thanked my parents sbb keep on praying 4 me...tringat dlu2 dari zaman skola, kalau sy nak exam je abah akan amik cuti sbb d whole exam hours tu abah akan keep on baca yassin...especially during my miserable pre clinical years...abah n mak sama2 cuak mcm diorg nak amik exam jugak...hehe~even skrg abah da bz, but still spend d morning b4 went to office utk solat hajat n baca yassin for me...tharuuuu....:'( when umum je result, tros nak bgtau mak n abah n rs nak peluk diorg...!!!*arini da nak jumpa mak n abah...yeayyy!!!*

to all the lecturers, mmg sgt thutang budi dgn tunjuk ajar...saba je layan krenah student2 yang keep doing d same mistake again n again...hehe! to the patient whose kindly share their story to make us learn bout d disorder and kindly allow their body to be checked by medical students like us...i always wonder, if i'm d patient i wont simply allow anyone to touch my body...so, for those who willing to do it so, THANK YOU SO MUCH!!!!

to dr. faizal ( not prof faizal @ mr paisal ye..hehe), tenkiuuu sbb sgt byk bantu...hehe~

i'll b missing my frens and the memories a lot!!!

4 budak nakal...hehe

the clinical exam and question...:)

assalamuallaikum....

alhamdulillah, both theory and clinical exam for pro III da pon abes...mmg lama kot x menjunguk blog ni...sbb sibuk gile2...cewah!hehe...

alhmadulillah clinical exam td dpermudahkan Allah...stakat yg termampu, sy da cuba buat yg tbaik...apepon tetap cuuuuakkk menunggu esok...samada ada rezeki nak dpt title doc @ kene menunggu bbrapa bulan lg kalau xdiiizinkan ALLAH...

my face during clinical exam td...senyum dlm gloomy...hehe

so, this is my case and the question that had been asked...kalau2 my junior @ my frens yg belum lg clinical exam tu blh la tgk2...:)

long case:
examiner: prof miah, dr Rusydan and 1 external lecturer from UKM---x igt nama

case:
uncle C,60 years old known to have DM,HTN and hypercholestrolemia for 10 years comes with sudden RHC pain for 2 days associated with fever, rigors, lethargy and loss of weight and on d day of admission, he had severe pan and symptoms of shock where he had generalized abdominal pain and SOB that relieve by oxygen therapy...on u/s scan, there's few stones noted in the bile duct. so, i did rule out for the complications of acute cholecystitis bla3 and also rule out the liver pathology such as liver abcess, hepatitis bla3...
on examination, pt is not jaundice, not pale and not in respiratory distress. abdomen is soft and non tender, no murphy sign, no hepatomegaly bla3....(basically sume normal)

so, my working diagnosis acute cholecystitis, liver abcess, hepatitis, acute pancreatitis and might be perforated peptic ulcer disease...

question:
1. causes of peritonitis
2. sign of liver abcess and perforated peptic ulcer
3. what basically u want to see in the gall bladder in u/s scan
4. regarding ERCP procedure (byk question tp yg igt just 2)

• what u want to exclude before do ERCP
• other than allergy, what can the dye cause to the patient

5. what investigation specifically will u order to suspect perforated peptic ulcer
6. what type of antibiotic u will choose in patient with acute cholecystitis
7. what organism can be found in the gall bladder
8. 3rd generation cephalosporin cover what organism
9. the most common cause for liver abcess in malaysia
10. what type of antibiotic u will choose for ameobic infection
11. symptoms of hyperglycaemia and hypoglycaemia
12. what is HbA1C?
13. if patient FBS is 4.7, is it normal? and if HbA1c is 13% what do u think?
14. how to consult on foot care of diabetic patient
15. just treat me as Uncle C, so plez consult me regarding my DM and HTN upon discharge

ok...tq...:)


short case
examiner: prof norashikin, dr rohani and prof wan ariffin(UM)

1st: gynae case
all i can say is a vague ovarian mass. discussion:

• differential diagnosis
•  management of endometriosis
• confirmative test for endometriosis
• how would u like to consult a single nulliparous lady with endometriosis

 2nd case: medical case
i'd seen this patient before...hehehe!most probably a right sided pleural effusion

• investigation that u would like to order
• if pleural effusion, what do u want to see on chest x-ray...
• kringggg....time up!

3rd case: paediatric case
6 months old down syndrome baby

• what do u notice bout this patient on inspection (basically sign of down syndrome)
• what is hypertelorism
• what are the complications of down syndrome

ok, plez auscultate the heart-----> it's VSD

• is VSD common in down syndrome
• confirmative test for VSD
• management of VSD
• criteria of surgery in VSD
• complications of VSD
• if patient come with VSD and cyanosis, what runs tru your mind---essenmengger!!*mcm slh eja..hehe*
• pathophysio of VSD

fuhhh...habis...

during my paeds examination, ramai btl doc2 stand by the side of the bed nak denga jawapan...and disebabkan restless dgn soalan yang byk and brain fatigue......byk jgk mengeluarkan jawapan sengal...that's all i can say....sorry doc.....hehe

moga2 esok dpermudahkan sume...moga semua dpt lulus PRO III ni...ameennnn....:)

engagement...

assalamuallaikum...

nak cite je...
jumaat lepas, maka berlansung la majlis ptunangan shida + abg azren...hehe

hantaran pihak prempuan...jadi banyak sbb ramai pulak yg menyumbangkan hantaran...trima kasih...:)

majlis alhamdulillah meriah n bjalan lancar...utk ptama kalinya family sbelah mak n abah bkumpul n bkerjasama utk majlis ni...maklumla,majlis ptama dua2 belah pihak...cucu tua ler katekan..hehe!

budak2 nak buat ape lg...org sibuk wat keje,diorang tgk tv jela...hehe

i'm glad that i can be a part of the event...i can contribute something for my sister...smpai sakit 1 badan punye penat...but ia berbaloi2...:)

i love her with all my heart...thinking she'll be far away from me...makes my heart cry...but thinking of her heart will filled with happiness, my heart smile...:)

da 'tua' ni biasala...setiap sedara mara yg dtg, "ha,lala pulak bila??"...kawan2 abah n mak pulak bbisik2 masa sy jalan..."yang doctor tu blom lagi,xtaula da ade ke belom...bla3"....nasebla still blaja...ade gak alasan...haih!hehe...kesian bila da tua ni kn...hehe!:P

hah!ni la die tunang sy...adik sndiri...hehe!:P any other person that can makes u feel happy other than ur own family members?

some of rombongan pihak lelaki...:)

geng shida zaman kecik...abg k~sibuk amik gamba shida...she's beautiful kn!:)

i love him!

mak,acu,lala,paklong,alang,bang k,mak tok,tok wan...:)

m.i.e.o.w...

assalamuallaikum...

bosan pulak bile da abes exam...xtau nak watpe~(padahal bole je nk baca buku kn...PEMALAS!hehe)

ok2...sambung baca esok la eh~hehe...:P

tengah kebosanan ni...tringat kat boboy n gegurl~kan best kalau leh main ngan diorang!!hehe...

introducing...gegurl n boboy~buah hati baru semua kat rumah:)

adik baru habis spm...so adik saya telah membuat keputusan utk membela kucing!!so,here they are...our sweetest notty kittens in the house...gegurl n boboy...

betulla,org cakap, baby ni, die buat ape pon nampak manis n comel~mak yg mmg xsuke kucing pon da mcm dapat anak sndiri je...pagi2 bangun,dengala mak 'cot cet,cot cet'--menyembang ngan gegurl n boboy..hihi

gegurl ni dahla gemok!slumber je suke tdo atas boboy...hehe

mcm baby kn!dah la gemok...pantang je org nak main dengan die,excited!

boboy baik sgt---even kucing jantan...sllu mengalah ngan gegurl

tp kasih syg same rata je...dokong dua2!mcm biasa,gegurl xle dok diam...nakal!

mmg pantang org nak amik gamba...posing mcm model!hehe...tomey kn boboy n gegurl..:)

 

 

mak xpernah hantar mms...xreti katanya...tp for the 1st time...siap anta mmg...."lala!comel x gegurl n boboy pakai rantai loceng??" hehehe~comel je mak ni pon...skrg boboy n gegurl da ade loceng...hehe!kling3...:D

rindu kucing...rindu mak...rindu abah...rindu nani...rindu shida....RINDU!!!!nak balik...tp xsettle forensic lg...sedih~sob3...

okay!mieow3....:)

happiness...:)

assalamuallaikum...

tgh buat book review psl stroke...'a stroke of hope, a new beginning'...tiba2 trasa nak update blog pule...:)

ok!

happy birthday to me...happy birthday to me..♪♫♪♫ 

thanks for all birthday wishes...xkisah la dr fb ke, sms ke, call ke, video call ke, dari hati ke...hehe!toche3...~:D

alhamdulillah...masih bernafas lagi kn!syukur pada ALLAH...:)

.

dapatla makan kek secret recipe masa bithday...hehe

seperti dijanjikan mak...tadaaaa!!!!!xde adiah taun ni sbb lala da besa....kui3~just makan2 family je...tp mmg xrasa pape....mybe betul ckp mak...sbb lala dah besa~hehe...birthday ni sbenarnye just utk memperingati "oh!!no umo aku dah bertambah la!" :D tp nanti da kawen,even da tua bangka pon nak demand adiah dr husband boleh??kakakaka....:P

bukan nak banyak pon...satu cukup la...:PP

taun lepas, celeb btday dgn shida dgn meriah nye...taun ni pon dgn shida...tp dengan kalut n tensionnye...hehehe~mmg sibuk....mggu lepas jela masa yg dpt balik before the real event...majlis ptunangan shida n abg azren!:) so,sy selaku driver terhormat, berpusing2 sluruh ipoh cari butik pengantin , cari barang hantaran, hiasan2...ssh jugak kn nak tunang!tunang je kot????berfeluh2 jugela...tp bile tgk baju pengantin......hati bbunga riang!!!teros xpenat!hehe

tantek kn??kan??:)

memang happy sangat2....maklumla,ni majlis pertama kat umah saya...mak abah sibuk buat psiapan...buat langsir baru, tuka karpet baru, nak beli katil baru....sume baru lah!maklumla,bsiap utk majlis kahwin skali...:) mak almost everyday will call me to tell the progression!suke sgt....:) moga bjalan lancar semuanya...

marilah same2 mendoakan yg tbaik utk kembar xsama tahun saya,shida and abg ipar to be, abg azren...:D
of course, rs sedih sbb da xle lepak sama2 mcm dlu once she's married, but xpela...I'M TOO HAPPY FOR HER!!!!!:D