27 May 2017

Surgical posting done!!

Bismillah..
:) this post was written upon request from my dearest someone..
(sesungguhnya aku merindui dia.. moga dia sentiasa dalam peliharaan dan rahmat Allah)

Alhamdulillah.. Surgical posting done. :)
ermm.. yup. it was tough. tp.. kind of love it and hate it. hahah
betullah kata org.. mcm bercinta..love hate relationship.

klau tanya, minat x.. erm minat jgak ..
tah laa.. percintaan, ade mase suka. ade masa menyampah. hahaahha.. 
ecey ckp mcm pernah bercinta lak aku kan. hekhek..

sebelum terlupa, selamat menempuh madrasah ramadhan. :) i was so excited untuk ramadhan kali ni. tahun lepas bulan puasa kat medical posting. mmg tunggang langgang. terawikh tah kemana. separuh jalan dah syahid. bgun2 dah subuh T.T .. moga ramadhan kali ni ade perubahan huhuhu..

anyway, next posting will be peadiatric.
hurmmm... im not dat well la dgn bebudak.. 
i pray, Allah campakkan rasa minat dlm peads.. bru eksaited nak kerja kann.. :)

for my dearest you yang tgh nebes nak masuk ong posting..
i.Allah, all is well, mmg banyak medicolegal, just be safe.. 
baca balik how to read CTG. what to do . what indicate what. 
APH, PPH, Stages of labour, bacala.. at least recall basic teory.. hehek

ape2 yg rs mcm xsdap hati or tak kena dipandangan mata or kelainan upon ve, 
inform. inform. inform... u have to inform MO sbb kita ni mere HO. 
not the one yg akan buat decision.. so bare in mind, INFORM.

macam kat Seremban, HO x leh pegang mesin ultrasound without supervision, so baik2 la dgn mo, mintak ajarkan.. seronok tau main mesin ultrasound ni.. hehehhe

ingat lagi, ade 3 org MO yg i mintak dyrg ajarkan how to scan.. 
lepas tu, hahaha sebelum mo scan, ak scan dulu hak hak.. tapi with patient's permission la.

and, klau dah pandai baca scan, in emergency cases, kau myb bole buat scan dulu sementara tunggu confirmation by mo.

maksud ak, cthnya haritu,
3am. 29yo GDM G3P2 at 36w+2d datang, claimed SROM at 2.30am.
perspeculum mmg nmpak pooling clear liquor mmg positive litmus.
VE - station -1 
os 3-4cm
cervix 0.5-effaced
selalunya findings mcm ni, ak dah hantar LR STAT. pt in active phase of labour.
tapi patient ni ak rasa xsedap hati.. sbb ak yakin bukan cephalic presentation.
tapi aku palpate abdomen prior to speculum mmg cephalic 3/5 adeyh.
ak panggil Ho lain, mintak counter.. dyrg kata mana ade.. tu hidung dia.. 
seriusly ak tak rasa mcm hidung. aku rasa macam siku.. klau bukan siku, tumit. 
something yg cone shape la.. lol...
dua org HO counter VE ak. dyrg kata cephalic. ak pon... hurmmph.. ok.. 

ak duduk jap.. patient x rsa nak pushing so ak hantar pt kat scan, last scan 1/12, sbb slalunya slagi x 4 cm, MO akan scan dlu.. so da smpai kat scan, ak pon teragak nak scan.. 
tgok2 mmg breech!! yg aku rasa tu, tumit baby!!.

ak lari, panggil lagi duaorang kawan ak td, 
mintak ambik FBC GSH, prepare smua, ak call MO lagi skali, 
breech in labour, dah SROM.
melompat MO ak sekelip mata da terpacak kat scan.
memang breech.

by the time nak post case, smua da siap,
so nampak tak mcmna kau bole save the situation. huhu .. 
basah ketiak jgak aku pagi tu..
kalau ak x scan awal2 mmg bole jd issue jgak la.. 
kau kene, mo pon kene.. sbb mesti kita call bgtahu SROM in labour je, 
which is not emergency at all.

mmg eventfull morning. lepas tu ade preterm in labour plak..
tu mls da nk cite sbb ak jgk yg buat perspeculum. smpai SN tanya DR jari prostin ke, LOL.

so kesimpulannya, klau bole scan sendiri lagi bagus,
certain hosp mmg menggalakkan HO scan baby..
bgusla.. 

anyway, just enjoy your posting.. 
MO mmg bnyak EMO tapi certain time, luar ward luar LR dyrg baik je.. manusia kan..
ehehhe.. lagi2 bile main dgn 2 nyawa.. stress dia tu lain macam.

anyway, jgn lupakan case2 gynae.. mcm ak dah last2 posting baru msuk gynae.. 
xde semangat dah nak blaja hahahahha trok tak.. 

anyway, awal2 tagging mmg rasa smua xkena.. 
rasa diri paling xpandai..
blurr lah senang cite. dun worry, learn.learn.learn.

lagi2 hang dah senior posting so, mo x worried sgt, as long as you know your role .. hekhek..

eyh dahla. malas dah nak ckp psl keje.
tak habis2 klau cerita ttg kerja ni.

persoalannya, bile nak benti keje.. hahahahahah!!!
ok xlawak.

anyway, happy belated bday to me,
dah 26 tahun (*emoticon terkezut)

jgn tanya aku pasal jodoh. sbb jodoh tu urusan tuhan.
poyo x. hahaha..

doala yg terbaik. buat semua. :)
moga RAMADHAN kali ni membawa seribu makna.

Allahumma Amiiinn