Bapak Beca

when a Bapak Beca curious and asked me

"mbak, tadi barusan pulang jam4 pagi, kok jam5 pagi udah mau berangkat lg ke Rumah Sakit?"

i replied simple

"makanya jgn jadi Doctor"

:) :)

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...*

A CaLL

The best part when i saw "private number" appeared in my Hp screen while it was ringing..
and the happiest part when i heard my father's voice over the phone.."Assalamualaikum adik Intan.."

everything seems perfect to me..
when i told my dad & mom about my doctors, patients, studies, exams and others..

my dad was listening carefully just like he's a doctor and i'm the patient..
telling everything about my pain deep inside my heart..

it just like when a girl over excited when her boyfriend was calling her..
and everything seems like a rainbow in cloudy skies...
that's what i'm feeling because i don't have a boyfriend to share the real things...

a father can be the best listener, the best solution over mountain of problems...
the best shoulder to cry over like a baby, the strongest and protective bodyguard...

when we wanna hang over our conversation,
the sweetest words came over from his mouth was...
" love you "

mom & dad,
i love both of u over and over again..
everyday my loves ++ and become higher ..
it just like i'm addicted to my own heroine ..
" Ya Allah, please forgive my parents for every wrong doings they had done, healthy and happy life, and may Along, adik Chik and me always give the best results in everything to make our parents proud of us..kuatkan lah iman kami semua semoga kami sentiasa berjalan lurus.. jauhkan lah kami dari hasutan dan godaan syaitan" amin !

On-Call

Tugas Jaga.. or Oncall ..tu best if ~~~~

1. DM (dokter muda) yg jaga ngn kite tu pun best n sporting
2. Dokter Jaga yg jaga ngn kiter tu sempoi, tenter n mengajar DM, buku tulis for Dr Jaga ..die snd yg tulis (bukan suh DM yg tulis..sbb DM snd ader buku jaga for nk tulis SOAP patients snd)
3. Dokter Jaga tu sporting n blanje DM ..okla atleast air kotak ke... kan dh happy DM yg kerja ngn Dr tu..btol x?
4. Ade org visit time kiter Jaga..wahh itu happy ! or jumpe ngn DM2 stase lain yg on-call same ngn kiter..mmg happy melompat2 ..xkesah dah tu IRD ke aper..hahaha
5. Ade org hantar food kat kiter...wahhhh..xpyh dh mkn" Selamat Menikmati"

so kesimpulannyeh.. xde laa terasa tension/stress/nak maki2 mengamok if on-call from 2pm (after class) till d next morning at 7am ...dahla 730am dah kne msk class blk mcm biasa..

17hrs ..sape xpenat?

tapi for me, sayer bertahan je..harungi apa kt depan.. lex2..cool... jgn mengamok2 xbaik.. ramai patients..treat je baik2... yeahhhh baru idop sentiasa awet muda n disukai ramai :) :) muaxxxx

4n6

Tak sangke, cepat btol masa berlalu. Dah 1bulan dh so bye2 to Forensic, hello to Ophtalmology (blaja psl mata)

Bestla Forensic, santai duk main card, chess, melepak kt canteen forensic yg murah tapi agak "bersih". Tapi plg best is doctors2 Forensic sume cool2 n best2..including Staff specialist. Head Department, Dr. Agus mmg sporting habis, dhla kelakar and byk je cite. PPDS dr.Nyoman, dr. Bambang, dr. Eddy, dr. Nilie (btol nk eje?) n lain2 sume sporting n cool. Thanks to Dr. Nurjahyo as our dosen pebimbing for refrat. Exam autopsy ok je ngn dr.Eddy :) and exam medikolegal ngn Prof Sudjari .. fuh fuh.. *nafas lege even ade je xleh jawab.. tp Prof baikla*

Dulu, time saya 2nd year, pernah je ikut group 3rd yr medical students Uitm. *coz Add is my oldfrenz in TKC*. So, joined dieorang kt Forensic HKL. Mmg different laa fr Msia-Indon from my point of view. Kt Msia, mmg diakui theory dieroang mmg mantap la lebih2 lgk they r using full english terms. But ader kekurangan jgk compared to Indonesia. Coz time kt Forensic, kebetulan tgk Autopsy/Post-mortem lelaki Myanmar kene luka tembak (police tembak laa ). Mmg A-Z specialist saje yg bwt with his assistant. Students just tgk kt atas (mcm ader stage for tgk procedure of autopsy. Just time tu Dr baik sgt, dier kater xdpt ilmu if just stkt tengok dari atas stage, so better turun bawah n tgk snd or pegang. Kami pn turunla. Mmg facilities kt Msia mmg canggih n complete la. Even pakaian for Post-mortem pun mmg pakaian khusus. Dr explained to us cara2, how he died, kesan luka tembak tu kene kt mana, emboli artery, and bla2. He also showed to us X-ray and visum from police to do Post-mortem. Dr suruhla kami touched the brain. And i was the one who berani to touch it in the 1st place. *Mcm aneh kenapa bdk2 lain xsentuh and takut2 sampai Dr suruh*. Then baru teringat yg kt Msia dieroang mmg xde belah mayat snd during Anatomy dl (i'm not sure if USM or other uni how) coz they used organ2 yg dh siap dibelah and dah dlm balang formalin utk belajar Anatomy. Compared to us, during 1st year dl, Anatomy practicum dlm 1 group (bape tah.. 12 students ke? xingatla) dapat 1 cadaver yg masih utuh *complete body*. So mmg kami sendiri yg dissect cadaver to from superficial sampaila ke nerves, artery,vein, organs, muscles,tendon, bones, brains and others :) tapi ader Doctors as guidance before nak bwt sume nih la *sebab students leh je tersilap potong kan..or xdapat carik esp mcm vasa and nerves*


Compared to Forensic here, procedure autopsy/post-mortem sume mmg students yg bwt. Starting from PL-pemeriksaan luar jenazah till PD-pemeriksaan dalam jenazah (or autopsy). Of course mmg ader PPDS yg jaga, tapi mmg kami students yg bwt sume. Usually dlm 2groups around 10-12students. Sebab minimum students atleast dah pernah bwt 2x autopsy. So, starting from belah badan bentuk "Y" or "I", gergaji scr manual nak bukak tengkorak for nak check brains (kat Msia canggih coz they r using electric saw), potong and keluarkan organ, check kelainan, timbang berat organ, ambek photo *credit to my sony cybershot as camera autopsy*, catat dlm Visum, all everything Dokter Muda yg bwt. PPDS check2 mane2 yg salah, or tgk kelainan pd organ or betulkan ayat2 kami yg salah dlm laporan Jenazah. Maybe dari segi practical, i'm giving stars to Indonesia compared to Msia. Tapi yg kelakarnyeh, pakaian autopsy kami sume hand-made ! ahahha. *mcm pokok bergerak dlm baja* rain coat, plastik beg for cover up our shoes. :) :) ok nih dari segi budjet mmg Hospital xsediakan for students, so kami snd yg kene beli on our own. Selamat ader duit JPA ..tq government !

Sekarang dh habis dh Forensic. Tapi time group saya jaga, byk dapat cases yg menarik utk belajar.
#Jenazah meninggal coz accident ader laa kot dlm 2-3x,
# case lelaki Mesir meninggal coz Bird Flu,
#rekontruksi tulang2 yg dijumpai kt hutan tahun 2009 *lelaki, diduga kena luka bacok and luka tajam and kne bakar. Tengkorak pecah, patah tulang2, retak, ade kesan luka bacok and luka tajam kt tulang2. Drg. Wieke pun dtg identified gigi coz hanya tinggal tulang je kan..and ukur sume tulang2, nak tau usia si korban*
#case mati lemas dlm sungai.. bengkak sume..
#case pembunuhan. Mati luka tajam and luka tumpul kt kepala, leher, dada, perut, and extrimetas.Usus terburai time baru sampai kt kami. Kesimpulan, mati perdarahan dan kerosakn organ2 vital dan ditambah bengkak otak (oedem otak) coz jantung,paru, hati, perut, usus sume ader luka tajam. mmg ngeri la.. *pembunuh tu dh dapat tangkap dah*
#ade case abortion criminalis so baby tu dh mati si ibu yg kejam tgl dlm kotak dgn plastik hitam. kecikkkkk sgt fetus tu..coz baru 5bln. comel je. bwtla test paru apung. tapi -ve (meaning mmg xpernah bernafas lgk)
#pernah ikut g CSI - Crime Scene Investigation or snih pgl TKP. ade nenek mati dlm kedai makan dier. so Dr dipanggil for pastikan mangsa sudah mati or masih hidup, cari penyebab kematian, cara kematian, and kumpulkan bahan2 bukti. After habis TKP, PPDS trus g lunch, maybe PPDS dh biasa and lali dgn forensic ni so masih lgk bernafsu nak makan :P

Ok, paling jahat sekali, Apan pernah terkejutkan saye dlm ruang Autopsy sampai saye menjerit mcm org gila. Till bapak yg jaga forensic tu kaget n lari nak selamatkan saye. *Thila ingatkan sye kne rasuk* .. bukan kene rasuk.. tapi Apan nih mmg nakal la !! selamat xpengsan !

Pernah jgk time 2nd autopsy, jenazah dh mulai membusuk (manusia start membusuk >18-24 jam and plg cepat membusuk are brain, cecum -usus, uterus post partus) time tu sayer termuntah ngn horror nyeh coz bwt kat abdomen esp usus. Tapi steady je, after lap2 mulut and rasa xpening dah, sambung balik bwt kerja. ahakz.. kne la kuatkan semangat..

Ape2 pun, kita sedekahkan Al-fatihah kepada jenazah2 kt Forensic yg dah meninggal dunia (mostly Islam coz Indonesia penduduk ramai Islam). Al-fatihah jgk kepada kaum keluarga kita yg dh meniggal dunia. Moga roh2 mereka diampukan dosa dan ditempatkan bersama2 org yg beriman.

SRoLL n RoBes ~

Alhamdulillah, on 7th-12th my parents came to visit me for convocation occasion.
Wisuda on 10th April. Selamat atas Sarjana Kedokteran.
The day when i make my parents, family, lecturers and friends proud of me :)
Tq Allah for giving us chance to breath in this world being successful person
Tq parents for ur support, loves and sharing
Tq Doctors for ur ilmu and kebaikan

InsyaAllah..moga2 Dokter Muda dapat dilalui dengan tabah, sempurna, tidak main2, lulus semua ujian dan tidak melakukan kesalahan2 displin. Moga kami lulus on time.. insyaAllah Sept 2011 :) kemudian berbakti ke negara asal kami kembali.. aminnnnnnnnnnnnnn ~

HappY biRtHdaY to Me :)

I love those pictures ... Anyway thanks to Nad, Acap, Arina, Auliya, Pika & Amar.. sweet sgt korang.. sedap brfdy cake tu ! xtau pn they nk bwt suprise..hahah..tp comel la acap dtg bwk cake! haha... after makan2 we g support Infuse Band (Yasmin, Adam, Aki, Faried n bdk Indo lain xknal) ..performed kat Speedy belakang TP. yeahhh Min rockkkk !!!

Thanks to mama when she faced between death and life just to labor me on 29th March 1986. Thanks mama & abah for ur commitment, loves, caring, n responsible parents to raise 3 of us with tears & joyful. Along celebrate birthday same date & month with me too on 29th March 84 while Chik on 14th March 87. When we were small, every year we celebrated our birthday together having some party at home (tq mama dh melayan kerenah kami..tq maksu, makteh n sume2 auntie2 & uncle2 kesayangan kami)

Tq mama.. tq abah...

Hoping that we can reward u with golds, jewelery, luxurious cars and big house. But those things are not as high as ur loves towards ur children.

May Allah bless our family. Only Allah knows ur kindness and both of u had done such a good model as parents to color our life. Just like people said that children are white, pure and plain , their parents who the one decided to create their life in future besides attitude, moral, religious and others.

We know that mama n abah proud of us. Seeing us growing as adult, mature, being a Muslim n Muslimah towards Islam, never put the important ones behind and with bright future (InsyaAllah). Along as accountant, me as future doctor & Adeq Chik as future lawyer. We still need ur prayers and bless to become successful persons in future and of course we need both of u where ever and when ever we are.

Thanks En. Zainudin Hj Othaman and Pn Norihan Jaafar. We always pray for ur health,murah rezeki, panjang umur, may Allah forgive ur sins, may both of u always hear the good news from ur children, tears on ur cheeks because of our high achievement but not on our failure.

We love both of u !!

-Along, Intan & Adik Chik :)