Currently~

Phew!!
What a tough day i'm havin, day by day facing patient who will go for surgery
I know although they doesn't look scared but
deep insight them a thousand question built-up in their mind.
........
Is it painful?
Will i be able to survive prior to the surgery?
Will the surgery be success?
How long the surgery will be taken? What is the cost?
Is there any complication might arise?
Will i get those complication prior to the surgery?
Will i be able to function as normal as before?
etc
......
A lot of thought actually running, playing in their mind
So the dr have to clarify it with them
as to make sure they confident enough to underwent for the surgery
But today i'm don't want to talk about the patient thought,
its more on my thought.hoho
Up till now i'm still wondering why all the patient always come to 'us - medical practitioner'
when they already have proceed to advanced stage of disease?
Is it due to poor insight?or lack of education about the disease they suffering?
They do not concern about their health problem?
Doesn't matter if it is surgical or medical case..
It's always like that.
They don't pity to their own body.*sigh
Like 1 case today, a fourth-ties years old lady who known to have right breast lump and already diagnose to have breast CA last year, defaulted f/up and seek traditional practitioner.
Currently admitted due to shortness of breath for 1 week duration. On examination shows reduce air entry on right lung, and her right breast became worst (ulcerated, abnormal discharge,bleed, palpable lymph node.).
Plus she had jaundice.
So based on may knowledge, she currently having advance breast CA with metastases to the lungs and liver (possible)

Why they have to wait till late stage?
Why?
If this ladies do early surgery, i think she will not lose her right breast.
Unfortunately, she had to lose her right breast now


Conclusion ; based on my opinion, the key to prevent this is for those medical practitioner who see the patient had to educate them properly about the disease they are suffering.
Like above case, if the dr can convince her to go for early surgery, i think she will not suffer much like what she's having now. But the decision making is hard, especially for those who is low education level.
So what to do?


p/s : how many days left for me before facing PRO 3?!.

This New Year, New Me??

This is my first post since we celebrate the joyful and wonderful coming new year, 2010
Its already past 8 day.LOL.
But never mind, i still in the early January of 2010..ngeee.
For 2009, we wanna say thank you for the joy, happiness, sadness and all grateful & graceful memories you put us into.
Farewell 2009
Hope this coming new year will bring more joyful moment & eve, plus unforgettable memories for me especially as the final year medical student.
I hope my colleague and i can pass with flying colors.
~Pray for us k~ ;)

.........................

****Theres always something different going wrong
The path I walk is in the wrong direction
There's always someone fucking hanging on
Can anybody help me make things better?

Your tears don't fall
They crash around me
Her conscience calls the guilty to come home
Your tears don't fall
They crash around me
Her conscience calls the guilty to come home****

............................................

p/s: I'm still thinking of for my list ; "23 things i've to done by this new year 2010" =p

My Sweet 23

MY SWEET 23!!!

A unexpected present from 'daddy' and his crew!

どうもありがとう

+ The Event :

"G- part"


~LMAO~

23

What is great about this no. 23???
Here the fact about what is so great about no 23.
=
click here
=
Actually, no.23 i referred ere is nothing to do about the above fact
(above fact really interesting, u guys shud read about it..hehe)
It's more related to life
Life for person who was born in year 1986
Yah, i was born in dat year.
Today was 27th of December 2009
just past 2 days of Christmas Eve,
4 days to go for new year celebration, end of 2009
So guest wut??
i'm reach my end of being 22 years of age
Today, i'm entering the new era of being 23.
dang it! i gonna miss mr 22.hahaha..
Nevermind,
Maybe Mr 23 is much betta than Mr 22..i hope so!who knoe aite?
Nothing change much seems i joining group 23
Honestly, outside maybe i look like them, but
da reality is dat, inside i'm just a younger than them,
Much more younger which belongs to da immaturity group.LOL
Well its good wut being young from inside.
It can be reflected on outside.ngeee..
So, no one would say u ar belonging to da 'veteran' group.hehe


As from da above pic,
its 23,
time to choose..hoho
wut shud i choose??
But before that, wut is da things exactly i wan to choose?
Choose fruits? choose cloth? choose pants?choose-y? haha..not related
So i tink as for this upcoming new year i determine to do my,
"23 list things i have to do in 2010"
how's dat??.hoho..
A lots of things u can do from da beginning up till end of the year
So i have to choose wisely the item for my 23 list things i've to do!.huh
Is it possible??.
Anything is possible my dear..=)


p/s :

• this is my first time in my life doing "23 list i've to do for 2010". hoho

i hope it's going to be successful!..pray for me k! =)

• the list will follow on next post. can't wait for it.. =P
  

I WANNA TAKE THIS OPPORTUNITY TO WISH MYSELF
"HEPI BESDAY TO ME"
MAY ALL WISH COMES TRUE
;)

ERK?

Guest wat?????????
quite shocking news yesterday actually.huhu.
MY DAD HAD HIS 1ST FB (facebook) ACCOUNT!!!
he add me!.LOL!..how did he find my fb?.hurmmmm...
What u guys/gurls out there tink if ur dad
had sneak out into ur fb which
i tink quite private to someone,
do you all tink shud accept his friends request??
**tink about it**

"Best I Ever Had"

This lately i can stop listening to this songs.."Drake - Best I Ever Had"
I'm addicted to it.the lyrics seriously spice me up!!.
Although it's sounds dirty, i juz love it..i try to listen to clean version,
naaahhhhh!!! it's doesn't match with the title (i hope u understand wat i'm saying ere).huhu
i hope i can dedicated it to somebody!.ngeee ;)

You know a lotta girls be...thinking my songs about them, but
This is not to get confused, this ones for you...

[chorus]
Baby you're my everything, you're all i ever wanted
We could do it real big, bigger than you ever done it
You be up on everything, other hoes ain't ever on it
I want this forever, i swear i could spend whatever on it
Cause she hold me down every time i hit her up
When i get right i promise that we gone live it up
She make me beg for it, till she give it up
And i say the same thing every single time
I say...
You da fuckin' best [x4]
best i ever had,
Best i ever had [x3]
I say you da fuckin'...

Know you gotta roommate,
Call me when there's no one there,
Put the key under the matt and you know i be over there (eeeup)
I be over there, shawty i be over there
I be hittin' all the spots that you ain't even know was there
And you don't even have to ask twice,
You could have my heart, or we could share it like the last slice
Always felt like you were so accustomed to the fast life
Have a nigga thinking that he met you in a past life
Sweat pants, hair tied, chillin' with no make-up on
That's when you're the prettiest, i hope that you don't take it wrong
You don't even trip when friends say you ain't bringing drake along
You know that i'm working i be there soon as i make it home
And she a patient in my waiting room,
Never pay attention to the rumours and what they assume
And until em' girls prove it, i'm the one that never get confused wit

Cause,

[chorus]
Baby you're my everything, you're all i ever wanted
We could do it real big, bigger than you ever done it
You be up on everything, other hoes ain't ever on it
I want this forever, i swear i could spend whatever on it
Cause she hold me down every time i hit her up
When i get right i promise that we gone live it up
She make me beg for it, till she give it up
And i say the same thing every single time
I say...
You da fuckin' best [x4]
best i ever had,
Best i ever had [x3]
I say you da fuckin'...


Sex, love, pain, baby i be on that tank shit,
Buzz so big, i could probably sell a blank disk
Play my album, drop bitches will buy it for the picture
And niggas will buy two and claim they got it for they sister
Magazine paper girl but money ain't the issue
They bring dinner to my room and ask me to initial
She call me the referee cause i be so official
My shirt ain't got no strips but i can make your pussy whistle
Like the andy griffin theme song,
And who told you to put them jeans on
Double cup love, you're the one i lean on
Feeling for a fix, than you should really get your fiend on
Yeah, just know my condo is the crack spot
Every single show she out there reppin' like a mascot
Get it from the back and make ya fuckin' bra strap pop
All up in your slot till a nigga hit the jack pot

Baby you're my everything, you're all i ever wanted
We could do it real big, bigger than you ever done it
You be up on everything, other hoes ain't ever on it
I want this forever, i swear i could spend whatever on it
Cause she hold me down every time i hit her up
When i get right i promise that we gone live it up
She make me beg for it, till she give it up
And i say the same thing every single time
I say...
You da fuckin' best [x4]
You da best i ever had,
Best i ever had [x3]
I say...
You da fuckin' best [x4]
You da best i ever had,
Best i ever had [x3]

Uhh, ah yea
See this the type of joint you gotta dedicate to somebody
Just make sure they that special somebody
Young money
You know who you are, i got ya

p/s: TRY LISTEN TO IT!! BEST I EVER HAD!!=)

R'Quirement??

"Petua ini dipetik dari Dr Rizal, Jabatan Pediatrik HUSM utk mereka yang xlama lagi bergelar doktor.."

"What Are Required to Become a Good Housemen a.k.a
HO/doktor pelatih"

1. Good in history taking
   
2. Good in blood taking
   
3. Always update all the patient's investigation
   
4. Most crucial one' - know to differentiate between acute & non-acute cases & manage it wisely..one of the identity being as a safe doctor.
   

So this is some of the requirement briefly la..ini pon dari amanat Dr. Rizal aritu masa gi briefing posting pediatric. Aku just highlight kat sini utk sahabat2 aku d'luar sana yang xlama lagi nk jadi houseman nanti. So boleh la jadikan petua yang x s'berapa ini utk d'jadikan panduan sebelum tamat pengajian.insyallah!. =)

*sambil di-iringi lagu dari kumpulan The Fray - How To Save A Life*

................................................................................

Where did I go wrong, I lost a friend

Somewhere along in the bitterness

And I would have stayed up with you all night

Had I known how to save a life

Let him know that you know best

Cause after all you do know best

Try to slip past his defense

Without granting innocence

Lay down a list of what is wrong

The things you've told him all along

And pray to God he hears you

And pray to God he hears you
......................................................................................

Hampeh!!...

"What a bad day!!"

bedebah tul...
tgk kesan luka yg terpampang di gambarajah atas
yaaaa,itu lengan ak yg telah diketik/digigit/dipatuk/dicalit oleh menatang spesis ape tah, ak xsure..tp yg pasti bkn spesis tumbuh-tumbuhan yek..
merah tuh dh mcm biji saga
pedih tuh xleh d'xpress dgn kata2.sendiri mau hingat la..
mujur kena di lengan, klu kat muka mahu x nye hilang k'henseman yg ada..hehe