surgery posting

bismilahirahmanirrahim..................
ASSALAMUALAIKUM.........

semalam dh abis exam bertulis theory for medicine and surgery... Ya Allah, anin tak tahulah anin jawab betul ke tak...yang pasti.. anin rasa surgery paper senang lagi dari medicine.. =P walaupun time anin jawab surgery tu anin duk belakang sekali...dengan lampu tak berapa nak terang.. kesejukkan..hall yang besar... but at least tak seStress time medicine ikut giliran dan anin duk betul2 depan white board.. doktor tengok je apa anin jawab atas paper tu... ohoohoho.... =X

for the first time :
1) jawab MCQ yang banyakkkk (yes &no for each A,B,C,D,E)selalunya jawab satu soalan utk satu jawapan... ataupun.. I,II, III ,IV,VI -ABCD 
30 soalan X 5 =150jawapan.... waaa..... byknya... 
2) jawab MEQ- ada 2 set.. first tu... ada kertas biru, pink & kuning,... lepas jawab letak dalam sampul tepi meja.. jawab satu lagi .. warna biru- sign & symptom...warna pink.. continuity for kertas biru punya soalan... baca betul2.. be careful.... investigation u want to do?? -done... last paper... YELL yellow.... boleh pulak anin lambat menjawab lagi 3 minit baru nak jawab... haish... gelak sendirilah bila dah jawab.... management- IV fluid... potassium - thanks to guru dalam internet.. for teach me DKA.. hehehhe.. DIABETIC KETO-ACIDOSIS.... sebut betul-betul... hhihihi...

mcm Dr waleem tak?? =P

this friday, 25th january 2013 our last clinical posting in surgery----

nak exam clinical lagi... cuak2... what gonna happen...

QUE SERA-SERA what ever will be will be the future not ours to see que sera2.. 

dah merepek anin ni... dengar citer Dr Lam akan jadi examiner...

 ~!uwwaaaa....... seramnya.... masa BST boleh laa.... sbb ada kwn2.. 

exam ni nnt nak present sorg.. 

time BST haritu semua TAKUT nak present sbb dgr citer mcm2 pasal Dr Lam

1. they say... dia sorg yg garang,serius,tegas,mengerunkan....
2.  mereka kata dia suka tanya macam2.. semua dlm grp kena tahu kes apa.. bkn org present je kena hentam...   
3. mereka kata lagi... dia suka cakap "U fail.. u mandatory Fail... U stupid......" POINT one to another... lepas sorg2 kena... 
4. kata mereka lagi.... dia suka main tekan2 pen.... (dia suka gelak ada lah...bila kitaorg tak dpt jwb.. pen tu sekali je kot..tu pun tak tekan kuat pun)
5. 100 plus +white board marker + kertas A4 = mesti ada
6. dia ajar dengan cara melukis dan menulis-mudah faham

ITU KATA MEREKA lah....... ada yg betul ada yg kurang tepat... maybe mood dia ok kot hari tu..
but one thing i should say... different people ..different story... don't judge book by it cover.. jgn letak atau menilai seseorang sebelum kita kenal mereka... mereka tell us begitu supaya kami bersedia menghadapi segala KEMUNGKINAN yang akan terjadi.. so WE FACE IT!!! yeahhh..... be prepare jelah.. (gaya muka ku pasrah bila nak present)

one things i would like to say... dia ajar kami macam kami ni anak dia sendiri... ayat pertama anin ckp dah kena stop.. why?? b'coz tak mention Mrs.Mr,Miss....

(alahai adnin......selalu anin dengar kak janna comment kat staff pizza hut (dulu2 lah)- tolong jangan panggil kak atau makcik- be more formal when u deal with costumer... use miss,madam ect. NOW anin pulak yg kena... hahahaha laugh to myself.. =P )

Good morning sir,(greet the examiner), this is my patient Mrs/puan ................,66 y/o,malay lady (more polite)came from Klang ,date of arrival on ..........................,came to hospital with chief complain of abdominal pain for 1week ago...

chronological is important due to the severity of the patient...

(abdominal pain-jaundice-vomiting-fever) depends on which one come first.... clerk betul2 ya korg..

(this might be not ordinary abdominal pain.. yg amik antacid dah ok.. yang amik magnesium triglyceride dah ok...)

lepas dah lama dia ajar... anin teringat kat bapak.. kalo anin nakal mesti bapak pukul belakang anin... bukan sakit pun binyi je kuat...walaupun anin ni bukanlah anak manja but anin tahu bapak bukan sengaja nak pukul.. tapi sekadar utk kita sedar yang dia sayang kat kita... dia nak anak dia belajar... =P

so, bila time physical examination haritu anin berdiri disebelah kanan Dr Lam- dia ckp 

draw on his abdomen the anatomy surface-line.. for 9 quadrant Dr? hohoho..

abis anin conteng kat badan classmate anin dengan white board marker.. nasib baik dia bg..

"FOR THE PURPOSE OF LEARNING-i would do it" katanyalah... =P

-transpyloric plane

-transtubercular plane

bergilir2 kitaorg menjawab..sambil pusing2 katil kat bilik specialist on call... (jln on the way ke surau tu-radicare) hampir semua kena tepuk dengan Dr Lam... 

less stress when he do like this.. we also learn fast that way... =P

Dr say.... abdominal examination is very important - many case in surgery about this case.... 

heheheheh.... =D

gudluck for those yg akan menghadapi examination oriented posting (eop) 

anin doakan yg terbaik utk clinical exam kali ini.. terutama pada orang2 yang anin sayanglah kan..

hahhahaha =)

semoga kalian dikurniakan kesihatan yang baik dalam menjalani ujian kali ini... 

ALL THE BEST!! chaiyok2!!!!