Assalamualaikum..
seblm2 nih p0st2 ak m0stly bkaitan nga p0sting ak skang (iaitu O n G)..sbb itulah crite id0p ak skang..ak p0n baru lg lam dunia bl0g nih..byk bnde lg ak xreti nk buat..kdg tuh men tekan2 je,try n err0r..s0,maybe bl0g nih agk b0ring la..tade lagu2,gmbar2,kaler2..s0,kal0 nk bkak ak nye bl0g nih,make sure la k0rang bukak lagu sndiri dlu.pastu smbil2 tuh bru bace bl0g ak nih..dpt laa feel sket..haha~nnt kal0 rjin,ak blaja lg la sal dunia bl0g2 nih *tu p0n kal0 sempat* ;)
btw,ak nk ckp jutaan trime kaseh la pade sape2 yg f0ll0w my bl0g..wlaup0n baru bape 0rg je..tp,really appreciate..tQ very much!~kal0 rajin k0men la,kite share citer masing2.Insya-Allah,ak akn cube cr crite yg len slain citer2 sal id0p ak nih~
hee..tenkiu!~salam ukhuwah ^^
Tuesday, June 29, 2010
Saturday, June 26, 2010
case write-up
Assalamualaikum..
tuk p0sting O n G nih kn wat 2 case write-up..1 0bs,1 gyne..1 sh0rt case,1 l0ng case.means kal0 da wat 0bs sh0rt case,gyne kn l0ng case la.camtu..d0ct0r ak da bg arhan tuk stat antar,tp xbg lak due date bile.ak bru nk usyar2 case.cam ssh lak nk cr case yg sesuai.nk2 patient yg msuk ward cpt nau discharge.al-mkl0m la,dtg nk branak je.da abes branak 0f c0urse la cpt je nk blk kan~huu O_o
n kit0rng kn anta part0gram gak.1 yg n0rmal,1 yg abn0rmal..tah bile ak nk wat.huu,ase cam xbest je id0p keje xciap nih.ari mnggu de kelas tamadun islam n khidmat masy lak.kdg tuh 0n call.time managemant mmg sgt pnting la.ak lak jnis yg bkn reti sgt urus mase.s0,agk bserabai ler~adeh
tu je nk ckp~haha ;)
tuk p0sting O n G nih kn wat 2 case write-up..1 0bs,1 gyne..1 sh0rt case,1 l0ng case.means kal0 da wat 0bs sh0rt case,gyne kn l0ng case la.camtu..d0ct0r ak da bg arhan tuk stat antar,tp xbg lak due date bile.ak bru nk usyar2 case.cam ssh lak nk cr case yg sesuai.nk2 patient yg msuk ward cpt nau discharge.al-mkl0m la,dtg nk branak je.da abes branak 0f c0urse la cpt je nk blk kan~huu O_o
n kit0rng kn anta part0gram gak.1 yg n0rmal,1 yg abn0rmal..tah bile ak nk wat.huu,ase cam xbest je id0p keje xciap nih.ari mnggu de kelas tamadun islam n khidmat masy lak.kdg tuh 0n call.time managemant mmg sgt pnting la.ak lak jnis yg bkn reti sgt urus mase.s0,agk bserabai ler~adeh
tu je nk ckp~haha ;)
Thursday, June 24, 2010
semangat baru..
Assalamualaikum..
makin lame rase cam makin suke lak p0sting O n G nih..bile hari2 kn mrh,da xrase pape.at least blaja la s0mething.tringat kate2 pr0f azlin.dia ckp kami2 nih btuah dpt blaja kat tanah air sndiri.kal0 cam dia blaja kat 0versea,life as a f0reigner student is m0re t0ugher n difficult.s0,there is n0 excuse y we can't perf0rm well here.huu~bsemangat gak r dgr dia crite.
then sal lab0ur r0om.da smakin tau sel0k-bel0k kat ctu.cemane nk prepare patient yg nk delivery,mane nk msukkan iv line,branula smua..midwife2 kat lab0ur r0om sume baek2.sume are willing t0 teach.best la!~Insya-Allah,bile da c0nfident en0ugh,bleh la c0nduct delivery ;)
then sal klinik.kal0 wad ak (0ren),kit0rng de klinik every thursday.s0,pg2 kn ik0t supervis0r msing2 g klinik.clerk patient,present case kat supervis0r n start examining patient.kal0 dlu,ak plg xsuke klinik.sbb time nih plg byk kn mrh nga d0c,time yg plg xtau nk watpe..blurrr O_o but,td d0c suh ak clerk patient,present n examining pregnant w0men.byk la yg d0c ajar.pasni bleh impr0ve m0re la tuk diapply kat ward ;)
s0k,de grand ward r0und.sume d0c2 specialist,registrar,HO n students akn inv0lve.kn present case msing2 ik0t bed2 yg kite jage..h0pe brani la tuk present s0k.mlm ni akn g wad la tuk c0ver bed tuk es0k..hee
wish me luck! ;)
makin lame rase cam makin suke lak p0sting O n G nih..bile hari2 kn mrh,da xrase pape.at least blaja la s0mething.tringat kate2 pr0f azlin.dia ckp kami2 nih btuah dpt blaja kat tanah air sndiri.kal0 cam dia blaja kat 0versea,life as a f0reigner student is m0re t0ugher n difficult.s0,there is n0 excuse y we can't perf0rm well here.huu~bsemangat gak r dgr dia crite.
then sal lab0ur r0om.da smakin tau sel0k-bel0k kat ctu.cemane nk prepare patient yg nk delivery,mane nk msukkan iv line,branula smua..midwife2 kat lab0ur r0om sume baek2.sume are willing t0 teach.best la!~Insya-Allah,bile da c0nfident en0ugh,bleh la c0nduct delivery ;)
then sal klinik.kal0 wad ak (0ren),kit0rng de klinik every thursday.s0,pg2 kn ik0t supervis0r msing2 g klinik.clerk patient,present case kat supervis0r n start examining patient.kal0 dlu,ak plg xsuke klinik.sbb time nih plg byk kn mrh nga d0c,time yg plg xtau nk watpe..blurrr O_o but,td d0c suh ak clerk patient,present n examining pregnant w0men.byk la yg d0c ajar.pasni bleh impr0ve m0re la tuk diapply kat ward ;)
s0k,de grand ward r0und.sume d0c2 specialist,registrar,HO n students akn inv0lve.kn present case msing2 ik0t bed2 yg kite jage..h0pe brani la tuk present s0k.mlm ni akn g wad la tuk c0ver bed tuk es0k..hee
wish me luck! ;)
Tuesday, June 22, 2010
missing
Assalamualaikum..
really miss my family s0 badly..
my life bec0mes m0re t0ugher than bef0re..
even weekend,we still have classes..
ward r0unds,beds t0 c0ver,clerking n examining patient,0ncall,OT,learn new things,sc0lded alm0st everydays..n s0 many things
umi,abah,really miss b0th 0f u s0 badly!
miss my nephew als0..kashif!~umierah rindu nk dukung ashif ;(
rindu abg,apih,kak nurul,hey n adik jgk!
bile tau kite nk kmpul satu femly same2 lg kan~huu
t0m0rr0w ader c0nsultant ward r0und (CWR).da c0ver bed msing2.tp ak cam x k0nfiden sgt nk wat physical exm kat patient.kdg palpate,xrase laa..tah la.tp ak smakin impr0ve k0t bab nk clerk patient.da bkurang rase tak0t pe sume.Alhamdulillah..
"ALLAH tidak membebani sese0rg itu melainkan sesuai dgn kesanggupannye"~surah Al-Baqarah.kal0 ak rase lemah,d0wn,xsmngat ke,ak slalu ingt ayt nih..InsyaAllah,ak akn bertahan!
mybe bln 8 blk,pas abes p0sting O n G nih slame 8 mnggu..
really miss my family s0 badly..
my life bec0mes m0re t0ugher than bef0re..
even weekend,we still have classes..
ward r0unds,beds t0 c0ver,clerking n examining patient,0ncall,OT,learn new things,sc0lded alm0st everydays..n s0 many things
umi,abah,really miss b0th 0f u s0 badly!
miss my nephew als0..kashif!~umierah rindu nk dukung ashif ;(
rindu abg,apih,kak nurul,hey n adik jgk!
bile tau kite nk kmpul satu femly same2 lg kan~huu
t0m0rr0w ader c0nsultant ward r0und (CWR).da c0ver bed msing2.tp ak cam x k0nfiden sgt nk wat physical exm kat patient.kdg palpate,xrase laa..tah la.tp ak smakin impr0ve k0t bab nk clerk patient.da bkurang rase tak0t pe sume.Alhamdulillah..
"ALLAH tidak membebani sese0rg itu melainkan sesuai dgn kesanggupannye"~surah Al-Baqarah.kal0 ak rase lemah,d0wn,xsmngat ke,ak slalu ingt ayt nih..InsyaAllah,ak akn bertahan!
mybe bln 8 blk,pas abes p0sting O n G nih slame 8 mnggu..
Saturday, June 19, 2010
c0ver bed
assalamualaikum..
rini ingt de kuliah khidmat masy k0l 8..skali lec xdtg~ak da bwk whitec0at ciap2 sbb kn c0ver bed tuk specialist ward r0und (SWR) ptg s0k.pastu straight g ward.ak kn c0ver bed 20 n 25 kat ward ak (0ren) n merah (sblh ward 0ren).time ak g tuh katil 25 k0s0ng,tp name patient ader je kat b0ard dpn.s0,g la tgk katil 20.ader patient n da slmat mlahirkan.ak da penah clerk patient nih,s0 da tau la sket2 sal dia.time tuh dia ngah cbuk nga baby dia.ak p0n juz tgk file n amik skit2 inf0rmati0n.time tu ader la husband s0rng patient (myanmar k0t) pnggil ak.suh ak bkak branula isteri dia.ak lak xpndai nk buat bnde tuh,g laa pnggil nurse.mule2 nurse tny gak ak pndai x buat,ak ckp la x tp nk tgk la care bukak branula tuh cemane.g la tgk cemane nk bkak.sng je p0n!~muahaha
then,nurse td nih s0r0ng tr0li plak tuk mik bl0od pressure patient.dia tny ak pndai x gune alat BP tuh.ak da penah blaja sblm nih cemane nk gune,s0 reti la.dia p0n suh ak mik BP sume pt kat ward 0ren tuh n catat kat ketas.h0h0h0,ak p0n dgn bsenang hatinye t0lak la tr0li tuh dr katil ke katil mik BP n pulse.ader gak patient yg tid0.nurse suh kej0tkan jer.da bis buat tuh,ak smb0ng tgk file patient katil 20 td...then,ader s0rng d0c nih suh ak wat smthg.actually,ak xjelas sgt dia suh watpe.xphm sgt sbb d0c tu ckp laju k0t.n then,aimi k0l.ckp de lec plak..ak p0n juz pesan kat kwn suh inf0rm d0c td yg ak xpat nk wat pe yg dia suh sbb ader lec tetibe.
s0,bgegas laa g lec.d0c da de time tuh.xrmai p0n lg,ak first k0t smpai.k0l yg len ckp de lec (tp xsume p0n dtg).dsebabkan xsume ader,d0c tu p0n juz bg intr0ducti0n sket2 je then bkenalan nga kit0rng sume.best gak r d0c tuh.abes je ak tr0s g ward blk.patient katil 20 tu da tutup lgsir time tuh.lgp0n skang da wktu lunch.ak p0n g la ward merah lak.sume cam ader femly n duk cbuk mkn.mls r nk kac0.ak tgk file patient jer.bace ape yg pt0t..then,kuar la nk blk.sblm tu,smpat tnjukkan jln kat husband s0rang patient nih ke kafe.best la buat baek kat 0rg nih.rase bahagie semacam jer~muahaha ^^
then,ak beli nasi kat kafe n tr0s blk.ingt kal0 tade pape,mlm nih nk g ward lg.tu p0n kal0 ader kwn yg nk pegi.xbrani k0t nk g sengs0rang.hee~
rini ingt de kuliah khidmat masy k0l 8..skali lec xdtg~ak da bwk whitec0at ciap2 sbb kn c0ver bed tuk specialist ward r0und (SWR) ptg s0k.pastu straight g ward.ak kn c0ver bed 20 n 25 kat ward ak (0ren) n merah (sblh ward 0ren).time ak g tuh katil 25 k0s0ng,tp name patient ader je kat b0ard dpn.s0,g la tgk katil 20.ader patient n da slmat mlahirkan.ak da penah clerk patient nih,s0 da tau la sket2 sal dia.time tuh dia ngah cbuk nga baby dia.ak p0n juz tgk file n amik skit2 inf0rmati0n.time tu ader la husband s0rng patient (myanmar k0t) pnggil ak.suh ak bkak branula isteri dia.ak lak xpndai nk buat bnde tuh,g laa pnggil nurse.mule2 nurse tny gak ak pndai x buat,ak ckp la x tp nk tgk la care bukak branula tuh cemane.g la tgk cemane nk bkak.sng je p0n!~muahaha
then,nurse td nih s0r0ng tr0li plak tuk mik bl0od pressure patient.dia tny ak pndai x gune alat BP tuh.ak da penah blaja sblm nih cemane nk gune,s0 reti la.dia p0n suh ak mik BP sume pt kat ward 0ren tuh n catat kat ketas.h0h0h0,ak p0n dgn bsenang hatinye t0lak la tr0li tuh dr katil ke katil mik BP n pulse.ader gak patient yg tid0.nurse suh kej0tkan jer.da bis buat tuh,ak smb0ng tgk file patient katil 20 td...then,ader s0rng d0c nih suh ak wat smthg.actually,ak xjelas sgt dia suh watpe.xphm sgt sbb d0c tu ckp laju k0t.n then,aimi k0l.ckp de lec plak..ak p0n juz pesan kat kwn suh inf0rm d0c td yg ak xpat nk wat pe yg dia suh sbb ader lec tetibe.
s0,bgegas laa g lec.d0c da de time tuh.xrmai p0n lg,ak first k0t smpai.k0l yg len ckp de lec (tp xsume p0n dtg).dsebabkan xsume ader,d0c tu p0n juz bg intr0ducti0n sket2 je then bkenalan nga kit0rng sume.best gak r d0c tuh.abes je ak tr0s g ward blk.patient katil 20 tu da tutup lgsir time tuh.lgp0n skang da wktu lunch.ak p0n g la ward merah lak.sume cam ader femly n duk cbuk mkn.mls r nk kac0.ak tgk file patient jer.bace ape yg pt0t..then,kuar la nk blk.sblm tu,smpat tnjukkan jln kat husband s0rang patient nih ke kafe.best la buat baek kat 0rg nih.rase bahagie semacam jer~muahaha ^^
then,ak beli nasi kat kafe n tr0s blk.ingt kal0 tade pape,mlm nih nk g ward lg.tu p0n kal0 ader kwn yg nk pegi.xbrani k0t nk g sengs0rang.hee~
0ncall
assalamualaikum..
nk citer sal 0ncall semlm..kn 0bserve deliveries kat lab0ur r0om.
ak 0ncall k0l 7pm-7am..smngat laa g nih,umah ak p0n agk ja0h nga hukm,s0 g la awl sket.
smpai2 je da tlepas 1 delivery..s0,skang hnye de 1 je patient.kit0rng lak ader 7 0rg sume..
patient nih de pr0blem sket..dia da lam aktive phase nk branak tp bukaan cervix dia still 4cm (full dilatati0n:10cm)..sblm nih da induce lab0r 3x tp xjadi pape.s0,d0ct0r suh tggu 8jam..kal0 tade perubahan gak kn wat cesarean secti0n..s0,kit0rng dgn hmpe & mngant0knye tggu la.mse tu ader s0rng seni0r laki tgh 0ncall gak.baek.dia la yg byk ajr2 kit0rng time nih.lam k0l 1 a.m abg tu blk..tnggl la kit0rng2 je.ader yg da t'tid0 tggu..
tepat jam 3 a.m..sume d0ct0r da cbuk2.patient tu da kn wat 0perati0n (ceaser).pakar bius ngah tid0 time tuh.tpkse la dikejutkan..sume jd kelam-kab0t tmasuk laa kit0rng.sbb kal0 nk wat 0perati0n bkn kat lab0ur r0om,tp kn g kat OT (0perating theatre).kit0rng p0n mtk la kbenaran tuk msuk OT.sib bek sume leh msuk.tukar bju OT pe sume,pastu leh plak sesat.xjmpe bilik pmbedahan patient tuh katne.sengal je..cari punye cari jmpe gak la.g la msuk 0bserve.best tgk!~nk kuarkan baby tu skejap je.tp nk jahit blk uterus tu cam de pr0blem sket.s0,tpkse call d0c len tuk wat pr0cedure tuh..0perati0n mik mase lam sejam lbh gak r..sume da slamat.
kit0rng p0n blk la smule ke lab0ur r0om td.n mase ni rmai pulak yg nk branak.n kit0rng bpeluang la blaja cemane nurse prepare patient yg nk branak.sbb sume ni kit0rng kn buat tau wktu nk c0nduct deliveries nnt (bile da yakin la).blaja msuk branula,ctg,byk laa..then,kit0rng sempat 0bserve vaginal delivery.tp yg ni pr0ses klahiran blaku ngan cpt.time tuh kit0rng je yg ader ngan patient,nurse kat luar.patient nih da saket2 nk branak.kit0rng cube la menenangkan beliau,suh tarik nafas la pe sume.tetibe dia ckp..da kluar,ader bnde da kluar.kit0rng cuak la,try la tgk pebende.skali tgk kpale baby da kuar.dgn cuak n kelam-kabutnye sume jerit pnggil nurse..hahaha,tkej0t nurse.nurse p0n dtg la.pas kuar je kpale,bdn n kaki baby tu kuar dgn sng n pntasnye..tp dsebabkan baby tu agk besar,patient nye tuuuuttt tk0yak gak la.tpkse jahit.sian dia,sakit kn jahit~huuu
begitu la citernye..da penat taip.pastu ader byk lg 0rg nk branak msuk.time kit0rng xtggu ni la rmai nk branak O_o tp dsebabkan da penat n ak lak de kelas k0l 9 nnt,s0 blk laa..smpai umah da 7.30am.smbung tid0 jap,pastu kn kejut suh g kelas~hee ^^
nk citer sal 0ncall semlm..kn 0bserve deliveries kat lab0ur r0om.
ak 0ncall k0l 7pm-7am..smngat laa g nih,umah ak p0n agk ja0h nga hukm,s0 g la awl sket.
smpai2 je da tlepas 1 delivery..s0,skang hnye de 1 je patient.kit0rng lak ader 7 0rg sume..
patient nih de pr0blem sket..dia da lam aktive phase nk branak tp bukaan cervix dia still 4cm (full dilatati0n:10cm)..sblm nih da induce lab0r 3x tp xjadi pape.s0,d0ct0r suh tggu 8jam..kal0 tade perubahan gak kn wat cesarean secti0n..s0,kit0rng dgn hmpe & mngant0knye tggu la.mse tu ader s0rng seni0r laki tgh 0ncall gak.baek.dia la yg byk ajr2 kit0rng time nih.lam k0l 1 a.m abg tu blk..tnggl la kit0rng2 je.ader yg da t'tid0 tggu..
tepat jam 3 a.m..sume d0ct0r da cbuk2.patient tu da kn wat 0perati0n (ceaser).pakar bius ngah tid0 time tuh.tpkse la dikejutkan..sume jd kelam-kab0t tmasuk laa kit0rng.sbb kal0 nk wat 0perati0n bkn kat lab0ur r0om,tp kn g kat OT (0perating theatre).kit0rng p0n mtk la kbenaran tuk msuk OT.sib bek sume leh msuk.tukar bju OT pe sume,pastu leh plak sesat.xjmpe bilik pmbedahan patient tuh katne.sengal je..cari punye cari jmpe gak la.g la msuk 0bserve.best tgk!~nk kuarkan baby tu skejap je.tp nk jahit blk uterus tu cam de pr0blem sket.s0,tpkse call d0c len tuk wat pr0cedure tuh..0perati0n mik mase lam sejam lbh gak r..sume da slamat.
kit0rng p0n blk la smule ke lab0ur r0om td.n mase ni rmai pulak yg nk branak.n kit0rng bpeluang la blaja cemane nurse prepare patient yg nk branak.sbb sume ni kit0rng kn buat tau wktu nk c0nduct deliveries nnt (bile da yakin la).blaja msuk branula,ctg,byk laa..then,kit0rng sempat 0bserve vaginal delivery.tp yg ni pr0ses klahiran blaku ngan cpt.time tuh kit0rng je yg ader ngan patient,nurse kat luar.patient nih da saket2 nk branak.kit0rng cube la menenangkan beliau,suh tarik nafas la pe sume.tetibe dia ckp..da kluar,ader bnde da kluar.kit0rng cuak la,try la tgk pebende.skali tgk kpale baby da kuar.dgn cuak n kelam-kabutnye sume jerit pnggil nurse..hahaha,tkej0t nurse.nurse p0n dtg la.pas kuar je kpale,bdn n kaki baby tu kuar dgn sng n pntasnye..tp dsebabkan baby tu agk besar,patient nye tuuuuttt tk0yak gak la.tpkse jahit.sian dia,sakit kn jahit~huuu
begitu la citernye..da penat taip.pastu ader byk lg 0rg nk branak msuk.time kit0rng xtggu ni la rmai nk branak O_o tp dsebabkan da penat n ak lak de kelas k0l 9 nnt,s0 blk laa..smpai umah da 7.30am.smbung tid0 jap,pastu kn kejut suh g kelas~hee ^^
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