Friday, January 29, 2010

supracondylar fracture of humerus..


sape??? sape???

sy dpt fracture ke????????

patient right limb
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ish, takla.. sebenarnye entry kali ni nak share sumthing yg ilmiah sket..alhamdulillah, dpt scrub in/ assist in orthopedic surgery.. smlm pagi , after TBL session ngn Dr Azlan (orthopedic surgeon), die ade ajak dtg an-nur hosp.. die ckp ade interesting case after maghrib, kalo nak assist dtgla..so memule cam mls je nak dtg..konon2 rase nak study je kat rumah...

but then,bile pk2 balik, dpt assist n tgk surgical procedure lg best kot..yela,maybe this is
the only chance to witness that surgery..so, after study circle/ usrah (kol 6.30 baru abis) ,then bergegas balik rumah, mandi, bersiap and smbhyg magrib and pecut gi an-nur plak..so, pergi sane 4 org...2 org assist (me and eda) and lagi 2 org observe...alhamdulillah..Allah gerakkan hati ni utk pergi dan belajar during the surgery

so, rase nye xsume org tau pasal that fracture..supracondylar tu ialah bahagian anatomi yg terdapat pada tulang lengan(humerus)..Fracture of the supracondylar humerus is the most common elbow fracture in children..so, patient akan dtg present usually with history of falling..complaint of pain, swelling, and tenderness at the fracture site.

mesti korg tertanye2 ape yg bahaye nye fracture kat bahagian tulang tersebut...terdapat saraf-saraf yg penting (ulnar nerve, radial nerve, medial nerve) yg lalu berdekatan dgn kawasan fracture tersebut (ade ke saraf yg tak penting...?)..ade jugak vessels (brachial artery) yg penting melalui berdekatan dgn kawasan tersebut..so risk of bleeding and blood loss might happened.

so just now, dr azlan has done reduction and stabel fixation with K-wires ( kirs
chner wire)..All of the fracture fragments should be identified initially. Hematoma should be removed, and the fracture planes should be identified and restored. K-wires is used to used to stabilize bone fragments. These wires can be drilled through the bone to hold the fragments in place.

so basically, the operation is to restore back the fragment fracture into places and the aim is to make sure that the patient can restore the normal function of the arm back.. besides that, the patient td had fracture of distal end of radius jugak..so cast (plaster of paris) has been wrapped to his hand..kesian adek tu, dhla tangan kanan..cmne la die nak menulis kat skolah nnt...maybe he's left handed kot...

over all, i really enjoy the surgery tonite.. mungkin setakat duk umah sambil lagha layan fb and study textbook je, sy xkan dpt pengisian sbyk mlm ni...so, operation yg bermule pada jam 8.45 mlm akhirnya selamat selesai pada jam 10.00 mlm...dan dgn gembiranye dr azlan blanje mkn western food after the surgery...hoorey..perut pun dah kenyang..so balik rumah leh la tido terus...

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ok, korg leh enjoy some pic during surgery ...
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cutting layer by layer


reaching the bone

i'm holding the retractor.. (me wearing white tudung)


where's the fracture bone..tgk cam senang je dlm xray film

this is what i mean the K-wire..is a pin like metal (keras cam besi..xdela lembut cam wire pun)..K-wire is to hold the fragment in the bone..(sorry this is not patient x-ray..sgt lupe nak snap his xray pic)


ok, till now~







Wednesday, January 27, 2010

perut ko buncit ke..??



PERUT BUNCIT !!!!
CAMNE NAK KEMPISKAN NI ????
TAK KAN NAK KENE BERLAPAR JE !!!!
AHAHAAA..KORG RUNSING KE PERUT BUNCIT..???




dah..xpayah nak runsing2 lagi..ehehe..boleh la ckp sbb perut ko (eh silap..perut aku) tak buncit..=)

so, ade penyelesaiannye..
sama ade korg nak atau xnak je..sanggup ke ber
lapar/ berpuasa hari??? eh, bleh jimat duit pe cmtu..hurm, xdela kejam sgt kan w/pun berpuasa tu sgt baik..dpt pahale lagi u..tp kalo puasa tp mase berbuka, melantak tak hengat, jgn harapla nk dpt perut sekempis i nih (gile berlagak pompuan!)


so, kalo nak cube, sile la amalkan dengan istiqamah..ade byk je care, korg pilih la yg plg mudah bg korg utk korg amalkan..niat bukan utk menunjuk2 pasti ade hasilnye...lillahi ta a'la

nah, petua utk korg..


  1. minum air kosong/suam byk2..
  2. mkn buah2an selalu...korg mkn buah2 dgn kuantiti yg byk perut x buncit pun..xrugi kan kan kan..
  3. jgn minum air sejurus lepas mkn..tunggula at least stgh jam/ sejam pastu baru minum...(aku kdg2 sampai lupe terus nak minum..esok paginye baru minum..pecah rahsie si kempis ni..ahaaha!)
  4. bancuh teh tanpa gula, then perah limau nipis dlm teh td..then minum..insyaallah
  5. senaman..!!!!!!! setakat jage makan minum, tp senaman mls..ghentikanla tipah oiii!!!
  6. buat la tekan tubi..org melayu kate "sit up"
  7. jgn minum minuman berais..suam2 sudah..nak cantik tak ???
  8. campurkan perahan air limau nipis ngn kapur sirih..then sapu atas perut semalaman..korg nak wat cam bekung pun bleh..
  9. teknik bernafas yg betul..hembuskan nafas (exhale)mase wat abdominal crunch.. supaya otot abdomen contract dgn kemas
  10. last but not least, doa byk2...



SELAMAT MENCUBA!!!!!!!!



Monday, January 25, 2010

dpt duit bile login facebook?????!!!!!!!!!!!!


KORANG SUKE DUIT??????
KORANG NAK DUIT????????
MANE NAK CARIK DUIT?????????


hah! sure korg pening kan mane nak cari duit poket lebey...mcm2 bende sume perlukan duit skang..

nk byr bil air, elektrik, internet, topup hp, bil hp, insurans, makan, minum, minyak kereta, tambang tol, blanje member, duit beli rokok (sape yg smoke je la), hutang kolej la (kalau xbyr xleh amik exam..scarrrryyy ok!)..

so, ade cara sbnrnye and telah terbukti berkesan..xperlu jual produk, xperlu merayau2 cari pelanggan, hanya dengan satu klik, facebook boleh membantu..korg sure ramai member kat facebook kan..so gune kan peluang ni..modal hanye RM 100..setelah akaun anda diaktifkan oleh sponsor anda, then anda perlu mencari 4 org kawan/ahli utk menjana pendapatan seterusnya....saye telah mencuba dan berhasil..dlm sehari terus pulang modal..hari-hari berikutnye,sudah pasti..insyaAllah...

mari bersama2 membantu mengurus wang dengan bijak..so kalo korg nak join/ nak tanye ape2, just msg me at snfarhana@gmail.com or facebook me "farhana shafie"

thanks ya!

Saturday, January 23, 2010

cuppy cakes!!!



hi everyone!!!!
(erk..ceria gile~)
currently i'm still in holiday mood..almost a week dah pun and next week start class balik..need to boost up my energy back before the class begin.

my actual plan today is to ride my adik punye scrambler..but then, suddenly feel wanna made some yummylicious cupcakes..so, sambil2 babysitter my cousin (1 year and 11 months, terusla ke dapur utk sediakan bahan2 kek cawan..

sgt rase mcm ibu2 ok..sambil jage budak kecik yg tak reti dok diam, sambil tula nak membancuh adunan..but, i don't mind at all coz i loves baby and kids! ariesya tu kire baby lagi ke..?

so, the ingredients (i made choc cup cake) are:
  1. 2 cups of flour
  2. 2 cups of castor sugar
  3. 200 g of butter (1/2 cup)
  4. 1 1/2 cup of cocoa powder
  5. 2 t/s of baking powder
  6. 1 1/2 t/s of soda bicarbonate
  7. 2 t/s of essen vanilla
  8. 2 eggs
  9. 1 1/2 cups of fresh milk / cold water
  10. 150g of shortening ( i replace with 3 t/s of dough softener..saje suke2 tukar)
ingredients for the icing (buttercream icing)
  1. 250 g butter
  2. 250 g icing sugar
  3. 100 g shortening
  4. 2 t/s essen vanilla (optional)
so, how to make it...simple and easy..
  1. preheat oven at 180'C about 30 minutes
  2. ayak all dry ingredients together.. (flour, sugar, cocoa powder, soda bicarbonate, baking powder)
  3. then, mix the butter and castor sugar with low speed mixer until it become fluffy
  4. then, mix the dry ingredient ( masukkan sikit demi sikit) into the mixer alternately with fresh milk/cold water
  5. then, add in the essen vanilla, eggs and the shortening
  6. beat it until it turn soft, creamy and fluffy...(sile kawal nafsu sbb mmg rase nak sapu kat roti and makan begitu saje je time ni...)
  7. then, pour it into the fancy cup (jgn masuk penuh...3/4 of cup only)
  8. bake it at 180'C about 20-25 minutes (jgn gatal tangan nak bukak tutup oven tu..cupcake bentat pdn muke)
  9. then, let the tiny2 cake cold for a while before u deco it with ur buttercream icing..
  10. for the icing, just mix it all together..beat it until it become soft and fluffy jugak...u can add food colouring to make ur deco colourful

so, i think that's all for now..this is my first time making cup cakes
(selalu asyik wat cake je)..i really enjoy doing it esp the deco part.. sorry, i dont like baking by using the instant flour for cupcake or cake that some people used to .. like just bancuh2 and campur air je..tak original la beb..

ok, korg bleh try plak..kalo rase xbest resipi ni, google je k...
after all, every one yg dh rase my homemade cuppy, they did enjoy it..tahniah utk diri sendiri..okies =)

pre-order are invited but only available during my holiday je..hehehe =)



Thursday, January 21, 2010

25 random facts about farhanashafie



  1. I'm underweight OK= BMI 17.5!!!! ..so kalo org tanye nape mkn byk gile tp bdn cmtu jugak..jwbnye "ade aku kisah..jeles la tu"
  2. I hate liars....
  3. sgt menyampah org yg suke ckp separuh jln (cth: eh, sebenarnye ade org ckp ko ni.....erm,xpela,len kali la aku bgtau) <-- nak kene sumpah jd sesumpah ke ape!!!
  4. will cry after scolding sumbody
  5. pendiam tp mulut laser <-- org yg ckp...
  6. I love sport... (sek rendah: hoki, perahu layar,netball sek men: perahu layar lagi, handball,softball,volleyball matrix: volleyball je universiti: volleyball lagi,futsal) long distance runner from primary school until now..
  7. I hardly trust anyone
  8. I totally hate hair dyes..done it once and regret it
  9. I will always regret after cutting my hair short
  10. can ride motorcycle but i don't have motor license (lesen L ade la...)
  11. is used to wear braces when i was 13 y/o
  12. went for umrah at the age of 13 --> ( hadiah UPSR 5A)
  13. has 5 siblings and i'm the second
  14. family called me "dikna" at home
  15. sy suke masak masakan melayu..masakan kmpung...suke juge try masak western food..
  16. pernah reject many boys during school time (say no to cinta monyet..hah poyo!)
  17. mahu belajar knitting and jahit baju <-- sgt perempuan ok!!!!
  18. can smell cockroach from distance..really hate that smelly insect
  19. loves baby!!!
  20. admire a well-rounded person...anyone????????
  21. have a group named TLC...and all of them is getting married except for the docs..girls, we know who we are..kan kan kan.
  22. is supposed to be in odessa, ukraine rite now doing final year medic...i miss my odessian..guys u're my family..u know who u are...
  23. currently doing medicine, year 4 in CUCMS <-- i'm grateful for this opportunity..alhamdulillah
  24. really hope that i will pass my MBBS on time with flying colours and hopefully I can be a safe doctor... (1 more year to go..caiyok!!!)
  25. is in a relationship with him for nearly 6 years...Oh Allah..blessed us forever..

p/s: i'm tagging all of u...sile buat 25 random facts about u guys k..

Sunday, January 17, 2010

Membace sambil menabung!!!!!!!!!!!!!!!!!!!!!!!!!



Anda suka membaca? mahukan sumber e-book TANPA HAD?
Saya ada pakej 'serampang dua mata' yang HEBAT!!
Mari membaca sambil menambah DUIT p
oket anda!!



salam and hai !!! entry kali ni nak cite pasal membaca dan menabung...mesti korg pelik kan.. xpe, let me explain one by one..

one of my friend ni bgtau yg kite boleh membaca sambil me
njana duit poket, pelik kan??? erm, ni bukan kisah pelik, tp benar2 terjadi..pernah tak korg rase, bile beli buku, and pastu korg leh dpt balik duit yg korg gunekan tu..

so entry ni nk memperkenalkan cara utk kite menambah duit poket sambil membaca..kan ke membace tu amalan mulia, so kat cni, korg xpyh pening2, dgn modal yg kecil, korg boleh download buku2 yg korg nak bace..so, marilah kite membace sambil menabun
g k...

Pakej e-book ni memang menarik.
Sebabnya ia mengumpulkan koleksi e-book tanpa had. Bermakna, dengan Rm50 shj, we can get bermacam-macam e-book yang menanti untuk dibaca. Nak tahu yang lebih mengejutkan lagi?

Bilangannya sentiasa bertambah!!!
koleksi e-book pakej ni akan sentiasa diupdate, n saya hanya perlu download shj!

Kalau bilangan e-book ini x mengejutkan korang sume, meh saya bgtahu yang pakej ni dilengkapi dengan sistem RESELLER [jual semule] yang HEBAT!!

Saya mule-mule pon xyakin, sbb tujuan utama saya ialah untuk mendapatkan koleksi e-book tanpa had, tetapi setelah sehari daftar, n promote pakej ni di internet, modal RM50 saya sudah dipulangkan !!!

Teruskan baca dan rasai KEHANGATANNYA !!! korg boleh klik di sini utk mencuba dan menabung wang saku anda!!!!




p/s: if korg ade ape2 nak tanye, bleh tinggalkan pesanan kat shoutbox or comment box k...thanks





Tuesday, January 12, 2010

the worst part is over~~



cam scary la title entry kali ni.... erm, korg tau ke ape die worst part yg dimaksudkan?? hurm..kalo korg still a student, then u guys should noe...apetah lagi being a nerdify medical student (tp aku rase aku tak nerd..)


so, what has happened??? yesterday alhamdullilah, i have ended the long case for psychiatric end of posting exam...with a lot of distractions prior to exam plus the unstable emotion (no one knoe i just can say i have successfully overcome it... thanks to the dinner with family over the weekend, at least be with my parents for a night, it soothing my mind a bit.
. happy birthday to my brother, hello, sile sedar dah tua..umur pun dah 23..sile blanje angah lebih2 sket tahun ni..apekah???


we had a great dinner at the ship bukit bintang + enjoy the show at the ship pub upstairs..suke atila kitrg nak masuk pub..ngn family je pun.. a show by sexy divas was kind of interesting , i mean the jokes and all..but for underage kids, sile ade pengawasan ibu bape..


erm, back to the exam thingy.. i got a 50 years old malay man has been admitted for 4 days. tanye nape masuk ward, die ckp die pun tak tau...ok..blank ! cool cool...tanye lagi..mule2 ape jadi sampai kene masuk ward..then, he said he was routinely attending the methadone clinic and suddenly doc say that he needs to be admitted..penin pale dpt pt cmni...tanye lagi..nape doc suh pakcik masuk ward..pakcik tu jwb die taktau..pakcik tu plak rase die kene masuk sbb die celaru..hah pulak..tetibe aku tak tau nak sebut celaru in english..lantak..mase present aku sebut je celaru sbb aku tak reti nak translate...tanye doc celaru in english ape..die pun terblank jap...ahahahaa..best2
..basically, i got a patient with chronic substance abuse which has develop schizoprenia..paham tak.? then, everything was fine...adela beberapa soalan yg mmg aku taktau jwb...

1) what is the common drug that have high percentage to cause schizophrenia

2) what do u understand about HEE ..factor for relapse schizo...
(tula...pdn muke xpenah amik kisah..tau name penuh utk HEE je)

p/s: for those who know the answer can comment in my comment box..jgn tgk buku k sblm jwb..try an error..ehehee..i noe the answer already now..ahahhaa.learnt from mistake ok... ok, till now..2 more to go...! gudluck!

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