*AmYgDaLa*

two seminar in a day…with 6 topics…my brain already fully occupied with all the viruses and the diseases….varicella zoster….poliomyelitis….pertussis….measles..mumps…rubella….huh..all mixed up already….after that, i was collapsed in the common room…huh…ngantuk gila seminar dr pukul 10.30 sampai 12.30….:(
talking about rubella…hehhehe…i’m still not immunized against rubella….too afraid of injection…..never mind….i’ll will have it soon…doesn’t want my child having congenital rubella syndrome…..hmmmm…apart from that that, i’ve completed my immunization according to the old malaysian immunization schedule….seems familiar with this sentence huh?
hmmm…we’re waiting for dr yaw and  suddenly topics regarding our collections starts  to come out…hehheh…collecting the coins lah….hasanah,umai and me are the three people that are very fanatic in collecting coins…hmmm..i’m collecting 5 cents and 1 cents…sometimes i collect the others but usually i will definitely will not have any 50 cents cause i have to give all of them to hasanah or umai…heh..hasanah has a lot of 50 cents…almost hundred something if i’m not mistaken…me…collecting only 5 cents and 1 cents…you should now that how many years that i’ve to put my effort to make the money becomes more and more…heh…selalunya aku mintak jer duit satu sen tuh…now i’m thinking of buying another tabung… putting the different coins in their own tabung….it’s fun when liyana and kak anis come to my room and start counting all of the coins…it’s good to have frens that doing their job as a part time accountant!!!
at home, my sister already have a lots of coins…she even doesn’t want to give me even 1 cent!!!! kedekut punya kakak….sometiomes she do want my coins without any exchange….very very unfair!!! dia asyik nak menang jer….my father and my brother also helping her in collecting the cooins..me?????just me,myself and i!!!!! so.people out there..if u doesn’t want our 5 cents and 1 cent..just give it to me lah….( go to the fast food restaurant and you’ll definitely have a lot of 1 cent…) dapat pahala kalau bersedekah…..:)
i’ll be back to kl on thursday…hmmm…thinking of going back tomorrow but many things to be settled down first….today just like that you come to the lecture on SUNDAY!!!just  a few people in here..hah,saper lagi kalau bukan budak paeds and surgery yg still ada kelas even in pro exam punya week….(or so called revision week by the lecturer….) bestlah budak medicine ngan o&g…totally free for the whole week!!!
oklah..better stop now..waiting for alid….still she doesn’t come to library yet…have to search for her at common room….hopefully she does not sleep again….( ko dah tido banyak dah tadi lid…..)

i’ve told one of my best fren about someting and she just come out with and idea…she said..lini..just be like HARADA RIKU….heh…tough it’s hard but i have to try…just for my own sake!!! damn it!!!hopefully NIWA DAISUKE will know it later…it wouldn’t be the same but i’m expecting a good one!!!rite fuza-chan? arigato coz listen to all the rubbish things!!!=P

aserque-chan..gomen ne….always tell u about every single things….lately,i’m totally messed up with myself…**** it off!! damn…doesn’t want to thing anymore but i couldn’t bear it anymore..as what i’ve said…things doesn’t turn out just like we wish for…it **** !!!hehhe…huh…seems i’m turn to be i little bit  emo this morning..maybe i haven’t take my braekfast yet…huh…just want to yell to everybody out there… it doesn’t matter what have done…we still have to go this day and the other day…bla …bla….hoping that nothing would happen…if it would, i doesnt’n want to crossed it anymore…damn!!! it really *****!!! people can see our smiles and  laughs but peole can’t see truly what happen inside us…in front of you..all those thing will come out…heh…that’s a true fren rite??? better stop rite now..i should take my breakfast now…hmmm..brunch i think…..it’s already noon…

another tutorials with dr. fazu…huh,this time she called people one by one to answer her questions….hah….i even did’nt touch anything about that topics… just take it out from my old files during my 2nd year….last night i only read about the langerhans cell histiocytosis for reena’s cp…another sad story for that girl….
hehehhe…during the tutorials all the name starts to came out…plasmodium….entamoeba histolytica….giardia….toxoplasma gondii….heh…i’ve forgot all those things already!!! but how lucky i’m…i have to answer about plasmodium falciparum only…quite easy cause i’ve got through that notes before the class started…;)
rite now, 2nd year are having their holidays ….congrates for their results…if i’m not mistaken, two of them are distinctions rite…congrates once again…just enjoy your holidays before the real medical students’ life started…
hmmm…next week 5th year will having their pro exam……arghh….even tough i’m not taking the exams but i just can feel it…how if i’m in their place….huh.. a very very very scary moment that might cause me to have generalized hypotonia and sudden short term memory loss… ( hah…exam end posting pun macam nak tercabut jantung..ini pulak pro…maunya aku kena stroke time2 nak exam tuh)…..anyway…best of luck to all of 5th year students…hopefully  you can be a good doctor in the future…ganbatte kudasai….:)

it was my turn for case presentation…and how luckily i’m, i’ve to present to dr. yaw…but a little bit unfortunate for me cause he gave me a quite difficult case in which the patient is in the PICU….her condition is  severe but still she was not intubated anymore….after clerking her mother,hmmm…i’m just thinking of bronchopneumonia…but…how come she has delayed in her developmental milestones….her mother claimed that might be normal cause there is a similar history that runs in tha family..after examined that child….she looks very floppy and she also has generalized hypotonia…she breaths very rapidly and it is strange for me that she used a little effort by using her respirotory muscles but instead of that, she used her abdominal musles to breath in and out….at this point, i’ve started to thinking that it might be something that dr yaw asked me to do this case for my cp….i’ve checked the patient’s file and a very high 5 diagnosis came out….and it is SMA….ohhh…i’ve never seen this word…and even did’nt know SMA stands for what…i just know S….muscular atrophy….

at last…after forcing myself to wake up at 3.30a.m (i slept early cause i was mad at someone….not was…but stilll…) and reconstruct the history all over again…hehheh…my presentation goes well….i tought i might stuck at the history of presenting illness cause….aku buat barai gila….maleh aku nak pikir bebyk pepagi buta tuh….but…my mind doesn’t go well with that child…

if you see that child for the first time…you might say…wah…..comelnya budak ni…and my posting-mate will know me better cause i love those cute…cute…babies very much….but sadly is the SMA part…it is spinal muscular atrophy…it has 3 types and she had the type 1 (the most severe one!!!)huh…i even cannot rember what is the name…something with wernick hoffing…if i’m not mistaken la….

that’s why she does’nt moves all her limbs….she only can move the distal part side by side….hmmm…it also affects her diaphragm muscle and that is why she cannot breathe in a very normal way like us….because of this underlying problem, she got very severe bronchopneumonia and she also had right upper lobe collapse…..very poor right? and it is not finished there…she also had a very poor prognosis…dr yaw said that SMA patient usually die within  a year…but if they live.they have to depend on the ventilator for their whole life!!!!as a muslim….we cannot say how long the patients can live…allah knows better rite….

she is very cute little girl…..her eyes are beautiful…. and you wont believe that she got SMA that might kill her….very sad huh? sometimes…this is the hardest part in this profession….but you should not have sympathy…you only have to be empathy to them….i cannot do anything much except pray to allah so that everything will be better for her….:) (ahhh…dia comel sgt…..mata dia cun!!!!dahlah tak nangis kuat2…aku suka lah baby macam tuh….ohh…lupa plak….that child just 4 months old…..)

ahhh…tensen siut!!!dah taip punyalah panjang tak der lah plak…tak per…di sebbkan nak jugak aku kutuk ko aku taip lagi sekali…klau aku tau benda yg aku taip td hilang aku save dulu tau….heh…capin perasan dia the fourth?langsung tak serupa…jauh gila perbezaannya capin oooii!!!tapi disebabkan ko byk gak berjasa kat aku aku bagik lah ko sama tahap dgn third hokage…hahhahahha…itu mmg sesuai lah…..:P

pasal gambo kat usefilm.com tuh plak…ohhhh…ko kutuk senyuman aku yg cun tuh ekkk….pandailah ko kata tuh gambo pemalas aku….dah org hantar msg kat aku…aku balaslah…kang kalau tak balas org kata sombonglah plak…biasalah…mona lisa lah katakan…hahahhahha….gelak tahap tak ingat punya…mana lah ko dapat idea monalisa tuh ha? heh…malam sebelum pg balok tuh aku dah masak tau…so siang tuh turn aku relax lah plak…apa ko ingat aku ni tukang masak ko ker? alah,setakat bancuh air sirap tuh aku pejam mata pun bleh buat….=P oklah…penat dah nih dua kali plak nak kena taip untuk kutukan ko jer nih….penat2 dah…ada plak yg collapse kat common room karang nih…chow….

cheh..perasan gila jadi the fourth….sungguh jauh perbezaannya!!!tapi disebabkan ko byk berjasa aku bagi ko punya tahap sampai third hokage jer lah…the fourth tuh aku rasa sampai bebila pun ko tak dapat nak sama tahap dgn dia…=p hahhahahha….

hah..pasal gambo kat usefilm.com tuh….selamba ko kutuk senyuman aku yg cun tuh? ohh…ko kata tuh gambo pemalas aku ekk…heh…malam sebelum gi balok tuh aku dah masak tau…so siang turn aku relax lah pulak….ko igt aku nih tukang masak ko ker? tapi kalau setakat buat air sirap aku pun reti lah….tapi apa2 pun gambo2 ko tuh ada lah gak yg cun..yerlah aku nih bukan photographer macam ko kan….tapi ko kena igt..mission aku nak curik ko nyer camera tuh masih ada dlm plan..cuma tak leh nak dijalankan sebab aku sibuk..(heh,sebok ker..tak..sekarang nih aku tgh sebok enjoy….hahha…padan muka budak surgery!!!)dahlah…len kali lah aku kutuk ko lagik..dah penat taip kutukan khas untuk ko nih….chow…

another hactic week that i have to go through….:( case write up and cp….ahhh….bosan gila!!!case write up plak, pening aku dibuatnya sebab patient tuh tak tau plak apa final diagnosis dia…nak kata biliary atresia ultrasound normal lahplak..nak kata UTI dia obstructive jaundice lah plak…sudahnya, discussion aku tergantung sampai kat HIDA scan jer..nak kena tgu result dia plak…anyway..heheheh…nasib baik ada ‘aainaa buat kes yg sama….tak derlah aku bersusah payah nak menginterpret lab investigation dia yg banyak tuh…cp plak nasib baik dgn dr yaw yg baik tuh…heheheh…lagi plak cuti kan hari khamis nih..heheheh…enjoy lagik…best btul duduk kat paeds ni…aku rasa dah lebih seribu kali aku kata paeds ni heaven….;) tah2 satu hari nnti aku jadik paediatrician instead of surgeon….(heheheh…mesti mr. jun sedih kehilangan seorg bakal surgeon yg berwibawa…hehheheheh)

oklah….nak kena blah dulu…komp yg aku guna ni bebudak nih tgh download anime lah plak…hehehhe…kalau aku jahat aku sabotaj jer..heheheh….

heh…sambungan citer pasal sakura ngan shaoran dah kuar dah…perghh…lama gila tgu…anyway…walaupun campur dgn watak clamp yg lain…yg penting touya ada…..:) org pertama yg tolong downloadkan adalah capin!!!mekasehlah capin yer….teruskan usaha murni ko tuh….malam nih jugak aku tgk lepas aku habis kan tgk DNangel…hmmm…dgn naruto siri 122…penting tuh part shikamaru lawan…
oklah…nak blah dah….arghhh…shade…che’ tak tau lah nak tulis apa…nak tak aku tulis saat2 kita bersama dulu?hahahaa…oppsss….kat sini tak leh nak menggatal…oklah..hang jer yg rajin tgk blog che’ nih…nanti lah bebila nnti che’ pikir nak tulis apa….

hmmm…it’s good to going back to kuantan…but still…it’s not enough to stay for only a few days at home….hmmm…i think i have to stop here first coz a have to rush for my dinner…if not, my frens will let me be here all night long..(huh…i’m telling u..i’m not a good writer and i will do it half way!!!)

heh…just finished tutorial with dr wahab just now…log in into this page and wondering if i can make up a good blog…hmmm…..i’m not good in writing and i always do it in half way….that’s why i’m not a novelist or something like that…talking about dr wahab…heh…he is a very very very good doctor and lecturer… your tutorial will last about less than one hour…and your case presentation just about one hour..hmmm maybe i should add 15 minutes more if he wanted to do short cases…the first and foremost case that he asked us to read is about down’s syndrome…hopefully i can get down’s syndrome during my short case and he is the one who will take my exam…hopefully!!! (cause my previous examiners are the most killer and malignant person…) my frens here might know who are they rite..anyway…hehhehe…i’m going back to kl this weekend and i, myself extend my holiday up to monday coz paeds did not have any class on that day…just ward work…i’ll do that during my way back to kuantan….it’s so heaven to be in paediatric posting…heh…don’t be jelous my other frens..especially in o&g…just conduct the delivery and enjoy smelling the palcenta and most importantly..the cute,cute,cute babies!!!!