Urology Surgery

Sekarang dh 1week start stase Surgery..

Opthal dah habis dah..yeay !! *exams ngn dr.Prilia susah ok..detail gell soalan*

Surgery ~
Sekarang dh habis dh round for Urology..
PPDS best gell.. seniors baik.. sekretariat dier baik2 n frenly..
tapi penat skit la.. i started my day wake up at 430am.. gerak g hospital at 530am.. went back home around 5-7pm.. sampai housemate i, Nadhirah dah kangen2 dah ..sbb mcm xberjumpe je with me at home.. hahahaha...

today unlucky la,
xsempat naik tengok operation at GBPT. :( sayang kan...

anyway,
pagi2 kne ikut visit patients, morning report (and DM kne present sume case new patients)..
PPDS santaila..gelak ketawa kuat gell..n dieroang sporting.. xstress kerja..sukela tgk dieroang..

kerja kt Poli kne bwt SOAP penuh..
byk patients dtg ngn chief complaint with hematuria, urine retention, kolik pain, flank pain n lain2 laa
case mcm stone, BPH, cancer vesica urinaria, disfunction erectile..
so DM bwt anamnesa (history taking), check status generalis, check status urology including flank mass, pain knock CVA, external genitalia - circumcised, stenosis MAE, palpated testis simetris.. and the last is digital rectal examination ( indication for male aged above 40 yrs old) - to find out the spinghter anal reflex, mucous, consistency of prostate or nodule. (DRE is important to identify for BPH-Beningn Prostatic Hyperplasia or Carcinoma Prostate)

if kat ESWL (minor operation)
byk case kanak2 with hypospadia (meatus urethra at ventral of penis) coz congenital..
menjerit2 la sakit ... *sian jgk tgk..tapi nak bwt mcmne kan*
den dr.Anis baik gell suh saye pasangkan catheter at this guy (mule2 dier malu coz i'm a girl) tapi dr. Anis said to the young patient that i'm also a doctor :) *that was the 1st experience of psg catheter*

kat ruangan (ward H and D) i handle for 3patients..
cases; 1.stone at urethra, 2.staghhorn stone at left kidney and 3. undescensus testis with hernia
patients pun baik ramah tamah with me.. so senang i nak check patients coz xbyk songeh.. tq ye coz senangkan kerja i nak report kt my PPDS (residents)

anyway, pernah dgr case silikonoma penis? lelaki yg nak besarkan penis so dieorang suntik with ape2 liquid to make it more bigger.. either for sexual satisfaction or terikut2 ngn kawan.. 5days i'm in Urology dh ader 3cases.. so Prof Soenaryo asked PPDS to kumpul kan this cases as research..

ader 1 morning report yg plg bwt kami sume pecah ketawa termasuk Prof jgk.. coz ade 1 case ni pen tersangkut dlm vesica urethra *ok xmau ulasan lanjut lgk*

pokoknye best Urology.. PPDS sgt baik n tenter kami..
even blk lewat malam pun, kami gelak2 gembira je kat ward for nak hilangkan stress..

dulu kecik2 pernah cite2 nak jdk surgeon *tapi sekarang..? hahaha...*