nanaIn

titi…
aku mmg tengah rajin update blog skrg. n thanx for reading. Muahs!! Hugs n kisses for u!! ;D
aku doakan ko nyer exam cvs respi pass n ade flying colours. if not, u will be missing me much2 more. owh, there’s no no. u will pass!!
u know i plan to go ur house kan? then kite jalan2 tepi pantai n makan seafood byk2 sampai cholesterol level kite exceed normal range. pastu kalo duit elaun ade byk lagi, bole shopping tudung bawal. why la me never hav enuff of those tudung bawal? huhu..
paper la…
pastu me n wan oso plan to go penang… amir will be our tour guide! =) pastu from penang we go langkawi jln2 beli coklat. owh, ni tambah my spare tyres. hoho. n i cant wait nak naik cable car, n visit that place shah rukh khan berlakun citer donn…
yeay2!!
hati aku melonjak-lonjak keriangan! =)
plez.. plez.. do come back, k!

my presentation was ok. i know prof harwant sgt suka x-ray. so, when i put many good x-rays, of course la he likes it. dont hav to say too much, he will explain. gooooood…
thanx to website uni of washington. the x-rays are real n really illustrate what me n my groupmates need to see.
today we also had a case presentation (its an everyday routine actually).
i summarized one of the case td ek..

58 year old Malay man, gardener, who was previously well, complained of pain at the right hip region after a trivial wall. The pain was progressive, and worst at night. He had lost of appetite, lost of weight and reduce effort tolerant.
Plain radiograph show diffuse osteopenia at the right hip and fracture neck of femur. He also had lytic lesion at the lumbar vertebrae.
Now, patient is having pain all over the body.
The systemic review show no other abnormality except for bloating and tenesmus.
But on colonoscopy, no growth in the colorectal region.

Diagnosis?
Prof Harwant said its chondrosarcoma, base on the radiograph feature. (sbb ade diffuse lytic lesion, n some calcifications)
But maybe, metastatic from other places. (if metastatic, there will be moth eaten appearance, and it wont be that diffuse)
lagipon, they could not find any primary lesion.

sepatutnyer, patient tu dah di-treated earlier, by total hip arthroplasty. but, maybe they didnt think its chondrosarcoma. but prof said, even it wasnt it, still the hip replacement will help the patient, in sense that there will be no more pain there, n the patient can have a better life instead of lying on the bed and waiting for death.

think of it, if u have cancer, kan, n ur time left in the world is only around 5 months, dont u wanna spend it on something beneficial and lead the best life u could ever had? 

we should put ourselves in the patient’s situation, then only can we give them best treatment. n that’s what we call EMPATHY.

hmm..

yo! its actually topic for my presentation esok. i have to prepare powerpoint, radiograph findings in osteopenia n osteosclerosis. huh. dont know how to tell, but from the x-ray, i think u can see, that for osteopenia, of course the bones are less, so it appear more radiolucent (black) n for osteosclerosis, there is increase in the bone density, so it become more radioopaque(white).
so, wut i should write in my presentation? hmm.. i just put the x-ray photos… as many as i can, then write the descriptions.
if u guys wanna see the photos, n descriptions and also differential diagnosis, can visit this;
https://www.rad.washington.edu/academics/academic-sections/msk

n, there is this one website where u can find free books for orthopaedics;
www.worldortho.com

currently enjoying ortho! have fun!

Its nearly two years now.. living this life without you. loving, caring, protective u… u noe, no one in this world could ever replace u. u r the best.
im all alone now.. dont have ur shoulder to rest my head on when im sad. i cant hug u anymore. no one to fight with and sulking on anymore. no one to turn to.
im missing u. hopeless me..
I noe u r there, plez pray for me, so i would always be strong and brave.

love u, ayah… Al-Fatihah…

a minor emotional trauma might cause an exaggerated emotional response.
Diagnosis? PMS!!

what would u feel knowing that someone hates u? really really hates you? but u guys would see each other like everyday, n even your shadow would cause intense pain of hatred in that person’s small heart?
there’s a stabbing, throbbing, sharp, burning aching pain in my heart.
who cares?
i care!

sebab esok hari besar for Malaysia, aku pon cam xtido lg. pelik ni, nana..
tho i think we all know tomorrow’s result. takyah la nak buat iklan byk2 kat tv n radio. abis satu roundabout jd tempat letak poster. the government mesti menang, but maybe… maybe la.. setelah mendengar beberapa org yg lebih dewasa berkata. majoriti mesti kurang tahun ni. which is good la. satu tanda untuk kerajaan untuk improvise. right?
hmm… actually nak meluahkan perasaan.
few days ago, i went to follow the psychiatric team went for community visit. i was with my 3 other groupmates. n im the only one yg ade extra melanin pigment. bukan sebab they all use Olay total effect or Ponds. ala. u know why la, kan.
kerajaan claimed that rakyat Malaysia bersatu padu. kite ni bangsa Malaysia, xde dah bangse yg xde melanin. kurang melanin atau over melanin.
tp, sumhow everywords talk in the car, langsung x menggambarkan kite faham each other. diorg cakap bahase diorang. aku cakap bahasa aku (of course la ckp sesorg dlm minda aku jer)
hati sangat lar membara mase tu. tapi since dah one year this has been happening, i juz ignore la. malas nak ckp dah "can u guys plez talk in english?" ckp pon tak gune.

maybe this is one of the reasons kite patut pertahankan bangsa keturunan kite. when they all got it, we will just be forgotten.

tapi, ni x bermakna kite xleh hidup bersatu padu n amalkan tolak ansur.. ade byk lg people yg ‘less melanin pigmented’ yang sometimes better than us. . kan?

esok ari mengundi! selamat mengundi kepada seluruh rakyat Malaysia.
ceh. beria aku ucap selamat mengundi. padahal aku daftar pon x lagi. owh, dont start berleter kat aku. aku dah dengar dah. aku dah insaf dah. dgn ini, sajidahyusrina bimti zaimi, berikrar akan mendaftar mengundi pada masa hadapan. hehe. mengundi (memilih pemimpin) tu kewajipan kite kat dunia. so, kalo kite tak buat, nnt kite akan di tanya di Akhirat nnt. (ni wan bitau aku)
then, aku tanye abg nusi (my bro in law).. wut if dua2 calon tu x sesuai jd pemimpin. u know la org politik skrg kan?
abg nusi pon ckp.. we still hav to vote, means choose la. kite kene pilih la antara dua tu, yg mane satu bole memimpin kite, dan yg bole memelihara agama dan bangsa kite. walaupon sesetengah mereka x jge pon 2 bende ni. so, kewajipan kite mesti la dijalankan.
cume, before u all prgi memangkah dacing or bulan esok, i want to quote prof harwant nyer ayat siang td. "sharpen ur mind!". pastu mst bole buat pilihan yg tepat. =)

daaa…

yep. Liason Psychiatry. tu la yang aku tgh study skrg. as wut dr. shane said (who is my lecturer), dulu2 bidang psychiatry ni x well developed lg, n doctors found ramai org yg ade medical illness ade psychiatric illness. n those patients, as wut org melayu said ‘org gile’ di hantar la ke assylum. contohnyer, hospital permai n hptl kat tanjung rambutan. as time goes by, they decided to sort of same2 treat those patients. so, any patient with medical illness found kat ward will be referred to the psychiatrist n they r managed together. xyah sgt nak htr2 tjg rambutan. tu la liason psychiatry that aku faham.
one of the things i need to do in this posting, is to find patient kat surgical/medical ward who has psychiatric problem. mule2 rase cam impossible je. tp u will never know unless u try. so, i went la to the wards, before aku penat2 nak cari sendirik, aku pon pergi la tanye houseman drs. Rupe-rupenyer ade jer. tho x ramai, at least one ward tu mesti ade satu.
today, i found one schizophrenic patient, but from the conversations wif her, i couldnt really say she has schizophrenia. tho she does look like one. huhu. so, takleh la nak take it to do my case report. then, there is patient wif depression, she overdose paracetamol(panadol).. sounds like good case to learn, tapi… hadeih… coz she was so depressed, she didnt wanna talk to me. puas dah i senyum sampai telinga tau!!!  (sounds teruk,kan? org sakit, but i feel happy sbb ade case. but, i need to, coz i hav to learn from them, so one day i could treat others =) )
i nearly give up. haihhh…
dah pk nak balik ni, i walk my way out of the ward. tp, sampai dkt pintu tu, i saw one patient… hmm…. mcm x berapa sedar je makcik tu… aku pon start la senyum nampak semua gigi2 ku yg cantik ni. (ha ha) approaching the makcik n her daughter. Alhamdulillah… i got the case!!
makcik tu was admitted dan disagka having hypoglycemic attack (body kite x cukup gula), tp, walaupon dah diberi dextrose (gula), makcik tu x ok. so, she had a CT scan. They found infarct kat brain. (sort of stroke la) multiple infarct. so, they treat her as having stroke. tp, i dont think that doctors know that she’s having memory loss n also depression. owh. banyaknyer issue dalam cerita makcik tu… im tired already… but kesian sgt makcik tu… maybe dugaan… for her, n for her children.. Kan?

dah lame x update blog ni. exam fever was over. Alhamdulillah, i pass… tho without distinction. but its good enuff to pass since i myself was so lazy in that 2 weeks of study break. spent nearly half of that two weeks sleeping n koya-ing. its so me. ;p
now, dah start sem 8, n yesterday dr xavier said, enjoy your semester 8!! serious? r we supposed to enjoy sem 8? seems like I should. yeah!!! so, i am lar… tapi, yg x bestnyer, xde gang nak enjoy. since wan posting fam med, nampak cam busy jer, n my housemates are beginning to have their sem 9 exam fever, tho its around 5 months ahead. huhu. so, im here la.. in my small study room, trying to enjoy this free time. .
tp, cant wait for this coming sunday!! nak pergi mandi air terjun wif my friends!!! yeah!!!
n im still gian nak berendam air laut like last time when i went to Goldcoast Sepang wif wan. mandi sampai 2 jam sampai kecut jari2 n watch the sunset. bestnyer!!
we had a good time there tho the air cond kat chalet tu was so cold, samapi x jadi bangun pagi2 nak tgk sunrise. huhu. n we enjoyed the sotong celup tepung gak! sedap giler since the sotong was so fresh, n makan sambil dibuai angin pantai… huuuuuu…. bestnyer……….