Tuesday 27 October 2009

Bersyukurlah...!!!

hari ni, selasa... dah masuk hari ke-2 dalam minggu terakhir aku belajar paediatrics... 2 days more to attestation day... haih... macam mana persediaan ku...??? dalam proses la ni... hahaha... tetibe teringat pasal our (my class) patient of the day;

Kruglov Nikita Aleksandreevich, 14 years old boy. from his anemnesis, he suffers from many diseases. and one of them, as far as i know, doctors still cannot determine what is in his lung. some spots my lecturer said. its maybe tuberculosis or mucormycosis she said... this my first day to know about mucormycosis... when my lecturer told us about the spot in the lung, i only thought of tuberculosis... huhu... sikit betul ilmu... haih... really kene bace lagi... more over, he has diabetes mellitus type 1... die juga ade development anomalies of his bronchus, that's why doctors here can't scope his lung and afraid that pathological focal will bursed which may cause deterioration of patients condition... when my lecturer describe him, sangat kurus dan keadaan kebersihan badan die seperti tiada orang yang take care of him (maaf, i just write down what my lecturer said...)... tapi die ade ibu dan ayah... die datang ke hospital for the first time pon with him father... bile my lecturer sebut pasal sangat kurus, teringat pasal seorang budak ni...

'his age around 19 or 20 years of age according to malaysian people (memang budak-budak sini badan besar-besar...huhu...)... mase tu tengah pusing-pusing ward, and i stopped at one of my friend to look at his patient history... then rase susah pulak nak bace tulisan russian ni, then my eyes gazing around the ward... lepas tu, ternampak la sekumpulan budak yang tengah beratur depan seorang nurse perempuan yang berambut putih untuk amik glucose level mase tu... yang datang dengan mak ade, dengan nenek ade... tapi ade seorang budak ni, berdiri sorang-sorang je... berambut panjang sehingga ke bahu, bercermin mata dan sangat kurus... dan masa tu terfikir... tak tahu la pulak, diabetes mellitus ni boleh buat patient sampai kurus macam ni sekali... and that's him...'

berbalik kepade cerita dalam kelas... huhuhu... dan aku pun bertanye kepada cikgu, budak ni, yang pakai spek mata tu ke?... yeah, that's him my lecturer said... awak penah tengok die...??? ye, saye tengok die mase round ward untuk tengok patient history aritu... sangat kesian...

kami tengok nikita punya blood analysis, on the first day he was admitted to the hospital, die punye pH darah 6,83 (metabolic acidosis) in normal people, pH darah is 7,35-7,45... kemudian cikgu cakap, condition patient ni sangat teruk, dengan pH darah macam tu... people hardly survive, такой pH для труп, как люди пережить такие pH (dengan pH macam tu untuk mayat, macam mana manusia boleh survive dengan pH sebegitu)... cikgu cakap dengan perlahan... first-first sekali, aku tergelak, aku ingat lecturer tu bergurau... tapi bile tengok muke die, sangat serius, rasa sangat bersalah... baru terfikir, betape tinggi nye semangat nikita untuk hidup... dan die bernafas gune mesin semase mula-mula masuk ke hospital... sekarang die dah boleh berjalan around the ward... really happy for him... hope that, soon, brilliant doctors here can figure out how to treat this patient...

PELAJARAN HARI NI...

--> bersyukurlah dengan umur kita yang masih panjang, dan gunakanlah ia sebaiknya... insyaAllah...

-->my datuk's trade mark since raihan tak keluarkan lagi lagu ni... hehehee...
'SILA KAMU HISAB'
---------> SI = sihat sebelum sakit
---------> LA = lambat sebelum cepat
---------> KA = kaya sebelum miskin
---------> MU = muda sebelum tua
---------> HI = hidup sebelum mati
---------> SAB = sabar sebelum marah


BERSYUKURLAH...!!!

Saturday 24 October 2009

BirThDaY...!!!

19th October aritu was my birthday... rase makin besa neh, makin best la plak birthday... hahaha... banyak orang wish n ade hadiah gak... huhu... 1st person to wish me birthday was my long time close friend... Nabil... (die main tipu, gune malaysian time... hahaha... any way thanx a lot...) thanx to Fawwaz too... hehehe... still remember me ya... of course... dah tak jumpe lame giler pun... still ingat same kamooo... thanx to facebook sbb makes me to be remembered on that day... i received so many messages from my hp and posts on my facebook's wall... thanx a lot friends... happy sangat rase... and special thanx to my family members, my younger sis - ayu, my cousins dan sumer-sumer lah... huhu...

the most thing which touched my nerve was when my elder sis, kak ejea posted a birthday card on my facebook, wif some notes there from my mum, dad, grandmother, grandfather, my lil sisters... huhu... best sangat rase... actually, die nak post, tpi my address yan aku antar, she never received... weng nyer celcom (hahaha... yoyo je, skali megafon yang weng...) then bile sumer orang tulis-tulis ucapan atas kad tu, die pun scan and post it on the facebook... walaupun die sibuk dengan kerje, still, she has the time for me... balik kadang2 pukul 3 pagi from her office... buat bangunan ape laaa company die buat neh... macam buat projek mega cam burj dubai je...(interesting fact to share by the way... ade banyak lagi bangunan yang tinggi2 yang have been proposed... makin banyak la bertambah petanda kiamat...) by the way, thank you kak ejea...











at night, imran datang bilik and gimme buku cerita, bertajuk Lasykar Pelangi by andrea hirata as подарок aka hadiah hari jadi... (so far tak bukak lagi, sorry imran... lepas cycle paediatrics ni confirm aku bace...insyaAllah)... terima kasih imran...


















malam tu jugak, kak idah call suh pegi bilik die, die nak bagi sumthing kate nye... then bile pegi tu, kak shaz kuar ngan lamb stick kot...(lupe nak tanye plak pe tu... huhu... euphoria nyer pasal dapat makanan... hahaha...) dengan dessert ape ntah... ade prune dlm tu, rse cam oat pun ade... yang penting beesssttt... hahahaa... thanx kak shaz...



on the next day, 20th October... at class... ruby bawak chocolate cake for me... (yeke, i guess... sbb die wish happy birthday jugak time tu... hehehe...) sumer dengan ganas nye melahap cake yang sedap itu... hehehe... time kasih banyak2 ruby...

Monday 19 October 2009

Individualistic...

this story was popped out from my frozen head as we (my classmates and i) were coming back from buying some groceries at Ashan City, Belyaevo.

hurm, i think this appellation aka individualistic really suit those with this mental attitude... sometime, we don't take is seriously especially those who is by the time they pass through, as a pedestrian... otherwise, the point of view would be totally different for a kerb crawler (hahaha... kinda not appropriate...sowie... btw, in this situation, this so-called kerb crawler searching for a parking lot for their luxurious car konon2 nye...huhu...kereta buruk pun boleee...)


can you guess what i'm mumbling about...huhu...

it is all about this 'STUPID DUMB DUMB' driver (don't use it at home)... huhuu...
hurm, make me wondering, where did i heard about this aphorism before...haaa...frm my loooong close friend, huhu... lyke it...(the aphorism k...)

but i dun like this type of people...

















tapi keadaan ni tak membuatkan aku terfikir macamana diorang bleh dapat lesen... hahaha... of course kalo depan JPJ tu... skema habis... yang kepale2 penjahat dekat sekolah pun, bleh jadi baek giler gare2 nak dapat lesen ni... kalo tak dapat lesen, nak merempit pun tak sedap... hahaha... yoyo je... blambak je yang takde lesen tu merempit... tapi yang merempit tu, suke ati korang laaaa... asal tak langgar kete aku sudah... hahaha...

haaaa... pasal merempit ni plak... teringat plak cerita mase aku practical dulu... dan ini membuatkan aku terfikir...'patut la mat rempit taknak pegi hospital kalo calar sikit2'...

mase aku buat practical dlu, duduk kinda tempat emergency jugak la... kalo budak2 yang jatuh motor tu, ke situ la pergi nyer kalo ade luka2 atau berdarah2... kalo yang teruk2 tu, i mean yang sampai tak sedar diri tu, doctor2 treat betul2 la... tapi yang sedar dan tengah mengaduh ni, siap korang kene lanyak dengan doktor2 ni... mau nye... yang datang2 tu, muke stock2 ganas dan rempit2 je... kene lanyak macam mane erk... macam ni... kalo luka2 tu, diorang dah tak gune bius dah, maen cuci ngan antiseptik je... pedih wooo... haaa... rasekan... sape suh cari penyakit... kalo merempit ni tak menyusahkan orang, kami pun tak kesah... ni duk langgar kereta orang lah, duk seret kereta orang lah, duk langgar anak orang lah (btw, adik aku pun penah kene langgar dengan mat rempit mase die nak pegi mengaji quran lepas maghrib, sampai patah kaki... berbulan kene pakai POP (plaster of paris) or orthopedic cast...) dah la langgar lari... siap la korang, aku pun rase nak ganyang2 korang macam tu jugak lah...huhu...

mak ayah dekat rumah pun, bukan main risau tentang keselamatan anak mereka... i knew it... i experienced it once... but not me... someone that i know... huhuu...

by the way, sini nak bagi nasihat jugaklah... kalo nak pegi hospital tu, kalo taknak bagi kene ganyang, buatlah seperti berikut sebelum berangkat untuk mendapatkan rawatan di hospital terdekat dengan rumah anda:
-pakai pakaian yang sopan (baju melayu atau kemaja)
-kopiah
-kain pelekat

*ini disarankan supaya apabila anda tiba di perkarangan hospital, persepsi pegawai perubatan terhadap anda lebih baik dan diharapkan, mereka akan berasa lebih kesian terhadap anda (kalo anda memang muke rempit yang popular dikawasan anda, teknik ini sudah pasti tidak berkesan...PADAN LA MUKE LU...cari taktik lain sendiri...huhu...lain la kalau muka anda calar teruk sehingga tidak dicam oleh mereka...NASIB BAEK LA KO...huhuuu...) tapi seriously, pape pun, sentiasa la tunjukkan sikap yang terbaik kepada sape2 lah...

PELAJARAN HARI INI:

--> parking kereta, kene masuk petak betul2... ingatlah, bukan anda sorang yang mempunyai kereta, dan kereta anda bukanlah yang paling mahal...

-->kepada mak dan ayah yang tidak berapa percaya dengan anak mereka, jangan beli motor untuk anak mereka, beli basikal sahaja (lantak ko lah, nak merempit sangat? ko kayuh la basikal kuat2... kalo nak lagi laju, kayuh lagi kuat... ape macam... ade feel merempit...???)

-->kasihanilah dan sayangilah ibu dan ayah anda yang selalu risau akan keselamatan anda

-->jangan merempit

-->kepade mat rempit yang tak dapat cek nak nolong ni, yang tak makan nasihat ni, nasihat terakhir yang mampu cek bagi, keluarlah rumah dengan pakaian yang sopan (supaya kalo in case teraccident ke, terjatuh ke semase merempit tu, tak payah balik umah tukar baju (tu pun kalo teringat nasihat aku nih), supaya tak kene ganyang mase dekat hospital tu...) tapi seriously mat rempit, u'd never learned... taktau nak buat macam mana...

Thursday 15 October 2009

i'm back...

selepas beberape lame tak menulis, harini terpanggil nak tulis... tapi tajuk nye tak tahu amende... huhuhu... nothing special happened lately... so, kehidupan cam biase je...

selepas bace blog my sis... rase rindu dekat umah... hua2... miss my lil girls there... banyak ragam... cuti 2 bulan setengah tak cukup nak maen2 dengan diorang...

sekarang ni kami blaja pasal penyakit budak... comey sangat diorang ni... my patient is diabetes mellitus patient... but i'd not interview her much, just follow-up her based on patient history... her mother not a cooperative one... tanye2 soalan, taknak jawap... tak best betol...

teringat cerita yang my senior told me, he'd had a patient like this before... bile tanye soalan, taknak jawab... then he told about it to the lecturer... his lecturer went to that patient and scolded him... antara ayat nye ---> 'kalo awak taknak bagi kerjesame dengan budak2 ni... keluar daripada hospital ni, ni hospital kerajaan, bukan private hospital...'
hahaha... sekali ingat, best jugak kalo patient kene marah macam ni... baru die sedar siket... especially orang2 disini... huhuhu... sangat la sombong diorang ini... tapi sabo jela...
patient2 di malaysia, jangan riso... gue akan baek sama luuuu... gue sayang kamo sumer... huhuhu...
tapi nak marah pun... kene tengok condition patient jugak la... last year, aku dapat patient yang in severe condition (breathlessness, breath in force position)... i went to him, tapi bile tengok keadaan die, tak sampai hati nak amik anamnesis... so i let him rest... keesokan hari nye, pegi tengok die lagi... betape gembira nye hati... hari ni die dah sehat (tak la sehat sangat... tapi ok la compared to yesterday tu...huhu...)

sambung balik cerita pasal penyakit budak yang gue blaja... most of da patient dalam ward tu, DM patient... kecik ade, besa pun ade... some of girls i tot their age around 15 or 16 (based on comparison to malaysian people)... rupe2 nye... baru 9 taun... cepat betul diorang membesar...
yang comel nye, budak around 2, 3 tahun nak kne amik daily glucose level. then diorang kne cucuk jari using lancing device... mase nak cucuk tu, mak die tanye, nak cucuk jari mane? bleh plak mase tu die maen pilih2 jari die, nak kene cucuk... comey sangat... lepas kene cucuk tu, 'tak sakit pun'... then sambung maen balik... berlari2 around da ward... happy sungguh keje as pediatrician ni... huhuu... i dunno wut i'm goin to do after finish my general medicine ni... for da time being, all out for da coming exam... harap2 nya luck is by my side... huhuhu...