final week of IM sem 9

well today, it's quite a big day for me..normally, on tuesday and thursday we will have BST with our prof Rasyid..SCARY..itu mmg sinonim dgn prof R ni..
actually,kiteorg bukan takut as in takut sbb dia grg x tentu hala so whatever..tp scary sbb cara dia mengajar tu,sgt menusuk jiwa..'mkn dlm beb'...cmtu la org ckp..

hari ni kiteorg 'kene' lg dgn dia.. kene brain wash..his style of teaching senang je..dia xkan paksa, or tunjuk student suh amik history taking or do physical examination on patient..tp he'will wait until the student respond to his question..

dia xkisah nak ulang soalan dia banyak kali..'sape nak examine patient ni,dipersilakan'..dia akan tggu smpai ada student volunteer..kiteorg yg ada dlm 12 org ni,mmg nak buat,tp TAKOT!!depan patient,prof R mmg baik la kan..sekali masuk bilik untuk discussion, 'U ARE NOT THINKING IN WHAT YOU ARE DOING!'oh my..abes suda..

kali ni,ptn present with ecchymosis..ada bleeding disorder..very rare in msia..this poor girl (25 years old,single plak tu) have a very huge ecchymoses on her face..plus she got menorrhagia..and a case like this, da mmg jarang jumpe kat Msia yg aman damai ni,mmg la kiteorg terkial2 nak jwb..prof,prof..prof tau x,suara sy ni mcm xleh nak keluar kalo klas ngan prof..sy kecut perut...sobz

well, this is our last bst with him..IM in sem 9 is over..tp prof bg peringatan td..u won't become a good doctor if u just do whatever ppl ask u to do routinely..u have to THINK!!and an excellent dr have reason ie evidence based medicine in whatever he/she do ..so,see u next sem..IM sem 10..am dead...

10 am to 12.30pm with him is like a very short period of time..luckily ive settled my patient pagi2 lagi..bukan pe..prof ni ske je nak pilih mana2 ptn,kalo terkena ptn kite,abes sudah..huhu..tp kalo da well prepared, redha je la kan..hihi

next class with dr shuhaila aka dr shu..putrajaya hospital plak at 2pm..dr ni lembut and baik sikit..and dia ske bg smngat and mmg ajar how to be a good housemen aka dr...so,seronok tu dtg balik walaupun rasa 'kering' lpas klas prof R td..abes klas dr shu,spatutnye ada next class kul 5pm dgn dr zul,dr paling sempoi from specialiat senawang hospital..tp kiteorg escape for the 1st time..hehe

sbb nye??

kiteorg nak marinate ayam!!mlm ni BBQ!!end of posting gathering,kiteoeg panggil all lecturers yg aja IM ni,mkn sama2,BBQ di umah proff Latiff..tp prof R x dpt dtg,so sad..wpon dia grg,kiteorg tahu kiteorg byk blaja in his class..


so,am hoping for the best...really i want to be a safe good doctor..i want to help ppl get rid of their problem and disease and go back to their family...oh Allah,pls lead and help me along this way...amin...

long day of being screwed

hopefully, yesterday will be a history that i won't forget..of course i wont forget this sampai bila2

generally, we had BST with Prof Rasyid, then i have to present case with Dr Shuhaila, in the evening we BST again with Dr Zul and at nigth we have class again with our beloved dedicated Dr Rafizi..

and early in the morning, i went to the hospital with a weak body, feverish and cough yg x baik2..and as usual, early morning, we had to update our patient.

the sad thing is, bila BST tu, we had to discuss with Prof Rasyid, and his stail of teaching really make me wanna fainting (not me only,tp sume mmg cuak pun dgn dr sorang ni).hukz..and we were discussing on a patient who had fever for 1 week. discuss punye discuss, he had leptospirosis. (be careful to those yg suke jungle trekking, mandi air terjun.if u had fever a week or a month after that, cpat2 jmp dr)..the discussion is not main thing about leptospira (yeah,din beramboi was died sbb leptospira),we have to expand the diagnosis..and we did discuss about malaria, and dengue fever..

and this Prof nye stail teaching seriuosly scary..yeah, it's good actually bcz he urge us to THINK!!

I WANT TO PRODUCE THINKING DOCTORS , NOT THE FOLLOWERS!!!(ayat dia ske ckp)

I think i should give u ANMUM so that semua sel2 otak berhubung 

(ni satu iklan yg dia ske sgt quote dlm klas.hehe)

but then, with my weak condition, i didn't really prepared myself..im sooo dead..hukz..i didn't blame myself of being weak physically, but weak in knowledge..i feel lose..

and he kept looking at me and asked question, siap jegil2 mata,waaaa!!!!

i was seriously drowning..but alhamdullilah, we learn a lot..semua org mmg takut nak masuk klas dia,tp bila dlm klas tu,u know u will get sumthing..i have to revise back,ni mst ok!

and next week,we ve holiday on Monday..BUT, we had BST wiith him again on Tuesday!!~scary balik~

one week holiday

alhamdulilah, starting from yesterday, officially im home with one-week break!!

after 4 postings non-stop, we had this one -week break before another 2 more postings waiting for us. next week will be internal medicine (IM) the scariest ever and the other one is emergency medicine+ psychiatry..

bila tulis IM je,da rasa kecut perut.


well2, before cuti ritu,ive list down things i should do during this one week holiday. obviously study tempat pertama sbb my pro exam will be on this january (OH MY!!!xsampai lg 2 bulan kot!!!)lg berbutterfly perut sey ni..

target:
academically
1. abeskan noted O&G
2.go through all PMS topics in all 4 previous postings (O&G, paediatric, surgery and orthopaedics)
3.wanna go back early at Putrajaya. Saturday got extra class with Dr Shuhaila as usual.so,boleh study IM Ahad nnt kat umah putra peacefully.hihi (kalo baba bg)..have to be prepared Isnin terus masuk posting IM with hard-core-well-known-drs.

non-academic
1. gi Mydin baru kat seremban and beli stationary (done)
2. wani nak balik jumaat ni,so mcm nak buat sumthing..(kek maybe?)
3.abes kan cte korea (ssh btol bila da stick dgn korean.sila jgn tgk movie korea ok kwn2,nnt addicted)
4.balik Melaka visit relatives (done)


ok,mst org ckp sy ni typical med student.well, ckp je la pape, sbb sy mmg kene study kuat.huaa....kalo sy x buat,sy xtau bila sy nak study,sbb sy rs ari2 sy main2 x study byk.sobz

last but not least, do pray for me ya..doakan sy btambah kuat smngat nak study cuti nih (hewhew), and brtmbah smngat and knowledgeable masuk IM isnin nnt..insyaAllah

dilemma

if u perasan, ive put a new column on the right side of my blog..blogs for dr..
why i put it on?
simple..coz i want to feel their experience of being a ho,mo and so on..
where i get it?
tq to prof google..

am in dilemma..byk mende come across my head..like bang2!!!
i try to think and imagine who am i in 5 years time..i can't imagine, yet my brain can't process the message..(sbb br kene bash kaw2 dgn dr time exam td?..hehe)

where am i that time?finish my mo?where i did my ho?sabah?after mo what do u want to do?am i married that time?sume nye masuk dlm pale mcm ibu ngah pancut paip siram pokok bunga..bertalu2..sakit..

so,instead of am thinking about my future, i realized that im still a medical student, thank you ALLAH!!!who can still make mistake along this medical journey, who can still have the time with my family, who still have the time to jalan2, and think about the next vacation and still have the time to enjoy my cooking and food..

and everything will change next year, with Allah's permission..insyaAllah..am will end my student's life..(sedih!!)

but before that, i have to face another 2 big,REAL BIG EXAMs aka PROFESSIONAL EXAM II (january 2012) and PROFESSIONAL EXAM III (jun 2012).. xsampai 3 bulan je lg..gulp2!!less than 3 month you!!!!

oh,no..so,ive to set my goal..short term goal might be: blaja btol2 for this current posting (o&g) and another 2 postings waiting for you  my dear mimi..fighting!!!u might not have plenty of time to revise back sume2 yg da blaja b4 ni..but then,be cool..jgn stress2 k..

oh God, please help me through this way..i need strength and support from u..may Allah bless me and my frends to be a good knowledgeable dr..ameen..

esok

tomorrow is monday!!!
tomorrow is my o&g exam!!!
i mean..case presentation @ osler @ exam

ok,next one is next week..another case presentation with another one dr..whoaah...

i ve to present the case,and he will ask me lot of question regarding the ptn..
fortunately, am not nervous...yet.

coz mcsha said, she's not nervous..she knows dr will beat her kaw2 punye esok..hoho..positive thinking sunggoh..

so,perhaps the not-nervous-feeling tu xmasuk lagi..transfer to me,and am cool =)

wish me luck,will u?

c-sec

such a veryyyy long night today...
me and ain on-call..supposed from 5pm to 12am..
hope for sumting fun to happen..
of course labour room was fun when u heard the nurses jerit2.'push!!push!!!and all of us were waiting for the baby to come out and grasping the air..=)

today, at about 5pm, a pregnant wife and her husband came in sbb da regular contraction.so,check punye check,os 4 cm..tggi lagi..so,hold dulu..target by 9 pm,os will bukak lagi besar..(sory gune medical term mls nak pk)..seronok dpt berkongsi dgn patient on how u can breath in & out to make u feel calm and comfortable.feel like ive delivered a baby (muahaha), padahal da byk kali tgk,so mcm da tau cara2 nak teran sume..

then,history taking,previous c-sec scar due to fetal distress. so hopfully kali ni nye baby,nak deliver normal xnak operate c-sec..while waiting, its almost maghrib,and the husband is still in the labour room teman his wife..i was wondering, as a husband waiting for his child, he should put all his hope & faith on Allah. the good way mungkin,he can recite the Quran, ajar istri dia zikir or selawat sama2..(that's the tipical muslim husband'll do in the labour room btw)..doctors are just like an instrument from Allah to ease the proses kelahiran..Allah will menentukan either the child is safe or not..hem, he keep asking us about his wife, and sy perasan even da nak abes waktu maghrib pun,he's still in there..am not sure where he prayed..ok,let me husnuzon to this guy..mungkin dia ada masalah ke pape ke ,btol x?em..

then,about 11pm, the baby progressing was still poor, so the MO on-call decided to do c-sec. baby pun da brady & there was light meconium stain keluar dr bwh..that's mean,baby da berak kat dlm, and we were afraid the thingy get into his/her mouth & jadi aspiration pneumonia --> death..

proceed!!!proceed!!!!terus tolak gi OT (operation theathe)
kami yg medical student ni pun terkedek2 lari masuk OT nak tgk c-sec..

11pm,operation start..
11.10,all nurses da siap brg,dr masuk terus je belah perut..
11.20pm,masih berusaha bukak perut..
kiteorg da cuak2..sume senyap..dlm hati zikir byk2 moga Allah mudahkan urusan akk ni..
11.30pm, alhamdulillah,baby keluar dr perut.but he/she was not crying!!!
then few minutes later,uwekkkkkk (baby nanges mcm kene dera..hehe)


and the baby terus anta keluar OT, pass to the pediatrician yg da siap tggu nak check keadaan baby..alhamdullilah,everything's going well..

in conclusion, i feel touched for what had happen tonyte..mother..emak..ummi..and so what ever nama panggilan pun diberi untuk manusia yg telah melahirkan kita, i feel so blessed to be delivered in this world..tq for ur effort and strength to hold me inside ur womb everyday non-stop for 9 month..and i know im such a big baby,berat plak tu..hihi..and i wanna thank you for being such a wonderful mother to me and my other siblings..ibu yg sanggup bergadai nyawa demi anak2 nye..yeah,as we all know if our mother dead due to delivery of baby,its considered mati shahid..

ok,feel sleepy..suddenly i was thinking..what am i going to do after this?hem..
nyte everyone..salam..

sedih

baru abes present case gyne..
sedih..
its too simple n yet too simple sgt nak discuss..
abes kene jerit =(

p/s:boleh x dr pasni jgn tinggi suara?blank otak sy nak jawab dgn suara tggi2 ni..

happy=)

last day for surgery
blink2(+_+)(bahagianye surgery ni da abes!!!)

1.hepy nak balik satgi
2.hepy nak kmas umah putra
3.hepy esok nak wat open house..marilah jemput dth umah beraya kat ampangan=)
4.hepy esok sume sedara berkumpul,wat tahlil and doa kesyukuran skali
5.hepy sbb isnin nanti masuk posting beranak..
hoyeh~

surgeon

well2...few days before we end our surgery posting..
i'll miss this posting (seriously??)
hem..
well,i will miss my lecturers, all the dedicated lecturers..
well,u know what?
we are from IPTS..and the lecturers are not purely from local ppl..our surgeon aka surgery lecturers aka machoman all from Egypt,Somalia and Iran..
our surgery department conducted by Mr Ali Almu.... Al...... bin Al.......the lecturers plak sume hok nama arab ada 3-4 huruf tu..tp panggil depa senang je,Mr Ali ,Mr Hazem, Mr Shaker..yup,Mr is for the surgeon only..kalo specialist len,panggil Dr je...notice that all surgeons MOSTly are men..nape yep?

sy ske sgt dgn depa ni,sbb diaorgnye semangat nak mengajar tu,sgt luar biasa..hem,mcm diaorng ni text book,and kite dgr je diaorg ckp,smpai tepu da pale nak masuk..sy xtau pe rahsia diaorg boleh jadik 'orang text book'..sama mcm the lecturers kat Egypt time sy wat attachment kat sana..diaorg punye smngat nak mngaja sgt tinggi smngat,padahal da tgh hari,student mcm da layu...huhu

ok fine,i wanna share one of my lecturer..Mr Hazem (38yo male single from Egypt) graduated from Cairo uni, sambung kat Royal College of Surgery Uk, and the best part is,dia gi Msia,khidmat with KKM, (bajet nak dtg Msia sbb tertarik dgn deep beautiful sea cm Langkawi,tp alih2 kene anta ke Swak.hehe) for 7 years..7YRS kat swak!!!!!u know!!!oh my...and,after 7 years, gi semenanjung,and masuk CUCMS and lecturing...klas dia? just bw kunci kete je,dgn ilmu penuh di dada..dia siap hafal every single sign&symptoms,kalo 6,6 la dia sebut,kalo 10,pup pup pup,sume dia keluarkan.. btol2 mcm buku teks..

kan best kalo dalam exam kite dpt jawab mcm tu.pp pup pup terus kua sume jwpan...bahagia je hati lecturer..ni suk terkuis sana sini,pk yg rare2 punye...huhu..cmne nak lpas aih..

mmg salute la..and sometimes he shows us some pictures esp dlm OT..time dia tgh bedah thyroid ke,hernia ke,perut ke,so what ever la,and he likes sharing his experience (still xpat menarik minat sy suka kan surgery sbb surgery covers lotz of thing and susah)..and it helps us to visualize the real things going on...he's one out of 15 surgeons yg berkhidmat di seluruh Swak..sikit kan??so,no doubt la he's a very skillful surgeon..untuk 7 thn dia duk Swak x g mana2,mang dia dpt experience yg melampau2 seronok..huhu..he's also one of the lecturer yg encourage us to do HO in swak or sabah..bcz he knows,we will learn better there with the minimal sources and the not-so-easy-patient...

u know,i wish that med student have that spirit to study and study and study..if he can finish that bery & love (surgeon's text book) in his time,why not us kan?

yeah,he's one of the dedicated lecturer we have..sy doakan dia terus berkhidmat dgn CUCMS, terus menerus menebarkan bakti di Malaysia ni..well,dia xtau ckp bahasa melayu..'so,what language can u speak sir?'i asked the other day..'oh,i just can speak in English, Arabic, and Iban'..hehee


p/s: next week is our new posting...O&G!!!!ho yeah!!!my feveroteh...mari bertemu dgn ibu2 mengandung and baby2 yg comel=)))))
tp scary sket sbb dr tu particular sket..huhu

sugery (pembedahan)

salam..

venue: putrajaya
masa:baru balik exam
mood:kurang baik

sebab?
sy rasa saya kene belajar lagi untuk posting bedah ni..bykkkk lg kene belaja..tadi sy just present kes cholesystisis (infection gall bladder), which i prepared the case yesterday night..padan muka diri sendiri sbb buat kerja smbil ber'fb'ing..(kwn upload pic fai's wedding,sape x excited nak komen kan..)wpon keje siap,tp bila kene soal mcm2 tadi,kantoi jgak..huks...kenapa la mr Alm tu suke sgt bg soalan susah????
well,b4 nak present tu, smpai hospital je,terus gi toilet..saket perot nye pasal..seb bek x tremor dpn mr ALm td..aish...

sy sedih la!!!tp lega jgak, da lpas da exam surgery nih..markah pun boleh la thn,more than half,ok la kan?tp xpuas hati jgak..sob2..

i need to read more!!!understand more!!

teringat dulu b4 amik medic ni,i was like,boleh ke nak amik medic ni?berat tau...
but then,after thinking more than the thinkers,i decided to do medicine sbb medicine is very challenging..ha,sekarang,amekkkk...hoho

td one of my classmate MN pun present case jgak..breast cancer..mcm best je history dia sume!!so,warning to me,amik la kes yg best2 sket..cholecyctitis tu bkn x best, tp ptn x gi operation pe g,so,hang ni mcm dig ur own grave jgak la...sobz..MN dpt markah best kot!!!jelas sgt...tp,he deserve the marks la kan..otak pandai mcm specialist...aish

k,nak study..this week final surgery posting..da x jmp machoman lg pasni..well,machoman ada kat surgery je kot..lain2 specialty,ada gak hok dr pmpn..huhu..well,am not going to be a surgeon, for sure...hem..

nak transfer otak machoman kedalam otak sy ni boleh x?

post syawal

alhamdulillah..
today is sunday,and amazingly im here in putrajaya..baru smpai after isyak tadi..selalunye ill drive on monday morning, but then,i decided to go back early (xla awal sgt pun kan), just to get back my mood..
mood to study after a week of raya holiday..
mood to get tune with my study surrounding..
to get rid my bad mood...
to cool down myself..

well,just a reminder..im a student..a medical student..i love medicine..who love me have to love medicine..bcz why?bcz medicine needs me more..medicine need me to make a lot of sacrifices..medicine teach me to be strong,so do people around me..medicine teach me to be selfish in order to get the knowledge..i ve to prioritize medicine than going home and have dinner with the whole family..bcz im a medical student..

and yet am not working...if im a doctor, a working not anymore a student, the demand will increase..i ve to prioritize my patient, my work rather than myself, my family..bcz why?bcz i choose medicine..this is medicine life..

so,pls understand me..

i want to be a safe and good muslim doctor..do encourage and help me along the way to fulfill my ambition..
tq for ur dua..

~paeds youw~

i loveeeee mama fiza..<3
she's our lecturer@paediatrician@doctor@specialist@mama..
kami yg panggil mama (xde la panggil depan dia),to lower down our anxiety and kecuakan kami nih..
hihi

kalau org baca ni,sure org saket perut (sape yg knal dgn mama fiza la kan)..
yup,dia garang sebenarnye..sangat..and she always said, paediatrian are nasty, bcz we are dealing with kids and life..but for me,i like the way she behave, i like her style...

garang memang garang, but then, dia sgt baik,sgt bercita2 tinggi to produce those good doctors..yup,x dinafikan,kalau time ward round (which happen everyday!), she will ask anything she wants, she will question every ppl dlm group tu, and make sure my group (6 people) together with her joining the club, do ward round with housmens and MOs every day 10am up to 2.30pm...lenguh kaki cek ha...

not only ward round, but we have 2 hours BST (bed site teaching) twice per week, with her..meaning, we have to prepare our case, present history and do physical examination on patient in front of her..blom abes history lagi,da bape kali 'FAIL!' dah dia sebut..hehe..blom masuk physical exam, blom start da warning, patient bangun je, or patient nangis je,u FAILED!!!hehe...scary kan????patient sume budak2,aih...geram pun ada kalau budak tu mengada sokmo ngan mak dia aih...

by the way, she remember my name..mimi,simple name yet easy to sebut beb...so,byk la soalan2 yg kene la jawab!forced me to read the books, increase my knowledge every single day. remember the important steps in managing patient, and bla2...

this week is my last week in paeds posting..oh, i feel rindu plak dgn mama fiza...hukz..she taught me a lotzzz...really...dlm BST tu,she always remind us to study hard, be good doctors..housemen are increasing nowadays, but she want us to be great doctors in the future..housmens skrg byk peel nye..hoho..make her 'hotter' each day...

well, ill make full use of my time this week,insyaAllah...

p/s: i got a message just b4 i present my case last few days..make my heart beats more faster..palpitation..is it a coincidence since it's relate with my dream the night b4?huhu~

1st posting: paeds

salam..
as written up there..
my 1st posting for this sem 9 is pediatric posting aka kanak2 aka kanak2 yg sakit yep...

bila kata paeds ni,terus teringat muka prof Amal,our pediatrician who's the only lecturer yg panggil saya kakngah (oh,ada cerita kejam disebalik itu) , dan terus terbayang2 muka Dr Hafizah,a pediatrician yg grg gler kat hosp Serdang..hukz

1st day kat spital,ok,not bad..my group consists of few boys (as expected) and i didnt really mix with them..i mean,most of them are married man..haha..padahal 2 org jer..but still,i didnt like 'tettt.'...and the girls, alhamdulillah, satu group dgn housemate (ain & mcsha), ada iffah and sumayyah and midah..huhu..best2~

and the worst thing happen to me this week is, saya dapat DR HAFIZAH as my so-called SUPERVISOR!!!!whoaaa!!!!ketaq lutut cek ha....gerun seh...sohih,mang x tipu, sy sangat2 takut dengan ini dr..

ok,as her mentee, we have to be with her doing rounds every day with the housemen..man,houseman satu ward ada 11 orang!!!ramai nye dr skg!!!hoho...penuh satu bilik tu nak muat 11 housemen, 2 mo, 1 specialist (dr hafizah tu la), and 6 med students..hihi..sekali round, mahu 3-4 jam..pergh...tercabut gak skru lutut kan..xpe,xpe,practise tuk masa depan..kalo Dr Hafizah leh tahan ward round 3-4 hours per day, kiteorg lagi boleh!!chaiyook!!!!

hari jumaat ritu,BST dgn dia..hoho..one of my mate present case, but he didnt really prepared the patient..so,history agak kelam kabut..abes la kan kene..dia garang,tp act dia baik jugak..i slowly like her..heh~sebab dia sgt2 sayang kat kami ni,especially our senior yg da grad..she's very proud to say she taught them to be good drs..and she want us to be good too...sweet kan???

and time dia tgah2 cakap tu,sy pun tercakap,i wont do my houseman here in hosp Serdang,and she was like, ' ha mimi,jaga2 la you,nanti u dapat hosp yg u xnak..'..hoho..cool la dr ni..boleh dengar ckp sy yg selow plak tuh..and dia sambung,'sy bukannye apa,bla2..'hukz..terharu..syg plak ngan dr nih...

k la,kene blaja paeds in one month time..insyaAllah..sy boleh!!


eh,by the way, she loves the students MORE than the ho..hehehe..ske2...bley x nak jadik student je???

few days b4 exam

mood : happy

place : putrajaya

thought : relax

anxiety : less

ok,just finish our group discussion, at RC Putrajaya..our strategy as usual b4 exam,divide all subjects to all classmates. and discuss whoever yg da siap part masing2..slalunye,we will do short and precise notes and distribute among us..yg slalu dtg discussion pun,hard core : gurls..guys cm biskut chipsmore..but,amazingly,some of them pandai buat notes and senang paham explanation diaorg..tq Allah for the bless..there are 5 big subject : opthal,radiology,ENT,anest and psychiatry..alhamdulillah, i do feel relieve now..most opthal and ENt da cover..tinggal anest and psychiatry.me myself masih lg lemah bab drugs..pharmacoo..hua!!!ok,nnt nak wat latihan...radiology nanti tunjuk slide and kene alert those sign kat x-ray or ct scan yg ada..nak kat 100 slides jgak,insyaallah,boleh buat ramai2..plan wat mlm,next week after balik dr terendak..

hem,mggu depan gi terendak tuk 2 hari..buat program kesedaran mental dikalangan army..selasa and rabu...actually,best je nak gi prog tu,tp on rabu,i feel,erk...ok,abaikan..personal problem.

well,today i think nak stay je umah putra ni..esok ahad,sume nak wat krj sndiri dulu..isnin ada klas kat HKL and ptg dr nak wat revision klas,ktorgg mintak..hoho..padat..so,am thinking,nak balik x this week?

next week,of course xleh balik weekend..18 april da exam..3 hari berturut2..hem..

td kol ibu,ibu ckp,balik je lor..rehat kat umah..aish..kalo kol ibu,mst ibu suh rehat..org ngah cuak,kobar2 kene blaja,byk mende nak hapal lg..tp itu lah ibu..ibu rs sy ni da cukup padat tepu dlm pale kot..huaaaaa

ptn psy II

S: salam pak cik...sihat?
P: wsalam...alhamdulillah,da makan sume da..
S: nama pak cik pe ye?
P: muhammad .................
S: umur brape ye?
P: owh,umur..infiniti
S: erk (sambil pk nak tanye pe lg).ok,pak cik umur infiniti ni,dinasor lahir dulu ke pak cik lahir dulu?
P: eh,hehe..pak cik ni,Allah bg umur panjang..alhamdulillah..
S: ok la,kalo cmtu,nabi adam lahir dulu ke pak cik lahir dulu?
P: astaghfirullah...Allah itu major mind..pak ni minor mind je
S: ok pak cik,pak cik da kawen?bape anak?
P: da kawen da..ada 153,300 anak..
S: erk..(pening sudah)..rmi tu pak cik
P: alhamdulillah..Allah nak bg...
S: brape ramai istri pak cik?
P: pak cik ada 10 istri...anak ni (he's pointing to me),xleh jadi istri pak cik,da cukup quota..pak cik ikut ahli sunnah wajamaah..xleh kawen lebih 10


and after a few second,i went to another ptn n let my colleague cont.


P:patient
S:student (intan,nalini,mimi,nazif,farid)


pak cik is having hallucination,dellusion : criteria for schipzohrenia

psy ptn = psychiatry patient

yesterday, one of my colleague present a ptn case history..

Mrs NMN, 40 years old malay lady,known case of schizophrenia for 6 yeras,married with 100 children, presented with abnormal behaviour at home while she was......................
to cut it short, she claimed that her 100 children was taking care by robocop in the US, and presiden US skrg bernama presiden Pluto..she was married with one husband, but then,the robocop take her ovum and masukkan dlm tabung uji,and produced lotsss of children kat US..(power kan ptn tu?)

when suddenly she saw a big car transform into octopus prime and jadik gagah perkasa..

i asked my friend,what's octopus prime?she laughed at me okay....


so now,im watching transformer 2, and smlm da tgk transformer 1..not bad..

1st day psy HKL

salam...
and hello to everyone..hope all of u be in a great condition k!
well,am here, so and so la...gratefully the environment help me, i mean with the funny2 ptn,kerje yg melambak and cuak nak exam make me busy all the day..yuhuuu....

1st day in psy ward in hkl..der,still the old name,'bahagian kaji saraf'..hehe..classickan nama dia?blom tgk bangunan psy sendiri,mmg old skool la..gaya ward lama2 dulu..mmg feeling abes.cuak ttp ada,bangunan lama kott...the entrance pintu kaca  b4 masuk ward da kene roboh,dek psy ptn rempuh ramai2 sebelum ni.haha..agak ganas ye ptn kat sini..well,briefly here they have 3 wards for man and 1 ward for woman..

my frend said,most of the ptn are young man,good looking ptn..oh my..sila berhati2..tengtengteng

well,today my group encounter a drug-induce-psychosis ptn..53 y.o,peramah sungguh pak cik ni..but he has no insight.amik heroin since school,and kua masuk penjara and pusat serenti mcm biasa je..siap dia ckp,nape la kerajaan kite ni bodoh sgt bg methadone tx to drug addict,buat abes duit krjaan je.and lg best,dia bg sejarah kemasukan dadah kat msia..haha..bg tarikh tepat tu yg x disangka r..ades..pk cik,pak cik.layan je la kan...

am tekankan lg skali,pls,kpd kawan2 skalian,jgn merokok ye...hukz..sayangi diri sndiri,and org tersayang..
p/s: psnn ikhlas dr diri sendiri..

well,my frend's lagi best. clerk a 35 y.o woman baru diceraikan rasanya,dpt schizophrenia.she said,the president of US now is presiden Pluto..and her husband ada kat US skg sedang menjaga anak2 mereka dlm tabung uji kaji..pergh,dahsat sungguh saraf2 mak cik ni..siap ckp,anak kat umah dia sedang dijaga oleh Robocop!!

agak lucu bila kite korek history from ptn.mcm2 cerita yg kita x pernah terpk..hehe..nak wat cane,Allah beri ujian kpd mereka mcm tu..tang kita,Allah bg bentuk lain kan?

and the best part is,i met my old fren from matrix,yg duk bilik depan dulu,aina nama dia..4th yr medical from upm..hehe..dia pun ngah posting psy kat hkl..sempat la peluk2 sakan tukar cte pape sume kan..best sgt kotttt dpt jmp kwn lama...naseb x lompat2 je,kalo x,ktorg da kene diagnos mende lain..hehe


k la till here..am staying at my frend's house at bukit antarabangsa..cantek nye umah dia!!!!!oh my...really admire to own a big beautiful house like this =p

psy

psychiatry posting..

b4 i enter this posting, i was thinking of the scary part, the palpitation part, and all stuff make my anxious increases..dealing with patient with mental problem is not an easy task,i guess..

so,today,finishing my week2  of psy, and tomorrow is the beginning of week 3, was what i think b4 been change?
heh~

i force myself to like this posting..seriously..nmpak mcm mudah,dealing with patient,bla,bla,bla..
but do u know that,the history taking part is seriously-deviated-180 degree- different with other history taking ?
ergh!!!...yeah,u r rite,there's no physical examination needed, but u have a mental state examination which is 'ha-ha-ha'?

one patient took about half to one an hour to finish clerking..lama sungguh la..ni belum masuk bab diaorg cerita bab2 yg terpesong sana sini..well,week 2 aritu kat HAT, ive encounter about 3-4 ptn..depression, adjustment disorder, psyco,and schizo in the ward and clinic..all of them gimme a lot of stories..haha again..

this is one ptn, Ms M,45 yo,housewife,came to get depo injection,get depo injection for nearly 7 years..defaulted ptn..nak kene babap ptn ni..so,b4 injection,i interview her..bla,bla,bla,later on,i feel like im a sort of kaunselor-rumahtangga..

she told me about her husband yg x 'sygkan' dia,about her children whom she treat like a baby eventhough they are 17 yo,15 yo, and 11 yo, about her first love who still keep on mssging her, encourage her to pray and she love it,about everything...huhu...what i do?layan je la cite mak cik ni..and tokok tambah pape yg patut..psycho ptn mmg cmni roman nye..


2nd ptn,in the ward, 30 yo,single male,soldier,gimme different stories plak..kisah nenek kebayan yg bawa dia kua dr kem askar kat JB terus ke puteri gunung ledang waterfall..okay,abaikan kisah nenek kebayan.but if u think logically,how he reached the waterfall, yg jauh 3 jam pjlnn, terlepas dr kem askar yg surely dikawal ketat stp masa?dua kali plak tu terlepas..maybe nenek kbyan tu bw kpl ufo pstu terbang kan dia..hehe..and he said,sy takut nak jmp nenek tu lagi,takut dia bawa saya gi sabah sarawak plak!!adoi..i dunno whether i wanna laugh,or do my poker face..
but towards the end,we know he had adjustment disorder,mang dia ske bersendirian,asocialize and stuff..

3rd ptn,in the clinic, abg rock,30 yo,single male,soldier jgak..aduh2..ni agak payah..hekz..badan tough bukan kemain,drug addict after secondary school,but stop after 4 years, and b4 join the army..so,in the army training, he had withdrawal symptoms,diagnosis:substance misuse..apart from his 'gila2' story, he said he was lucky coz da baik dari kanser peparu tanpa makan ubat!!siap btau dr,sy x nak mkn ubat,sy ada cara sendiri nak baikkan diri..tgk case note,no history of admission in the medical ward, no history of lung problem...rockz la brader kite ni..


well,ni cerita from HAT hspital,terendak...tomorrow will see another ptn lagi,hope to hear another story lagi..hehe..week 5, will go to HKL plak..lg menarikz rasanya,insyaAllah..k la,till here!!