Monday, December 26, 2011

i am blessed on 25th december 2011



assalamualaikum..
it's been while i am in silent mode..blame the crazy HO job..
ok enuf about work



2011 has been a great year for me..
i pass my MBBS (aft 7 years of hardship)
i am a carrier woman now..
i'm engaged!! (aft 7 years in a relationship!!)
what a coincidence..
everything is about num 7..
maybe my lucky num is 7..i should have 7 kids then after married..ahahaa

is a great feeling now..subhanallah..
i wonder how's the feeling soon after nikah..
i pray to Allah that our relationship always been blessed
and may He guides us throughout this "critical" phase of relationship..
org tua-tua kata bertunang ni banyak dugaan nye...maklum la masing2 darah tgh manis..wonder how the blood taste? hurm..

semoga ikatan pertunangan ni berakhir dengan ikatan yg sah insyaAllah next year..
moga kalian semua mendoakan perhubungan kami...
InsyaAllah



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Wednesday, October 26, 2011

happy 1 month anniversary



assalamualaikum...

fuhh fuhhh...buang dulu semua habuk2 dan sawang2 yg dah bermaharajalela kt blog picisan ni


alhamdulillah..
sudah sebulan bekerja membanting tulang empat kerat
suka..duka..penat..tawa..hiba..
semua dah dirasa dlm tempoh singkat ni
seriously!!!
hanya sabar yg menjadi pendorong utk terus melangkah

1st 2 weeks in medical posting mmg mencabar jiwa..
tagging selama 2 mggu bererti masuk kerja sesudah subuh, dan pulang sebelum tgh mlm..kdg2 dpt la rasa balik sharp pukul 10 mlm..tp kdg2 mmg merasa la balik kol 12 mlm..
waktu 2 mggu tu terasa lama nye berlalu..hari2 selalu nak nangis bukan sbb apa..tp sbb kaki sakit sgt seharian berdiri lama dlm ward..

alhamdulillah, dpt off tag after 2 weeks..so bermulalah rutin shift sbg HO..
setakat skip breakfast, skip lunch tu mmg dah alah bisa tegal biasa..tp sy sgt bersyukur tempat kerja sebelah rumah je..so hari2 mmg mak dah sediakan breakfast..thank you so much ma!!
jasamu akan ku kenang...

okla..nnt sy sambung lg journey as a HO..skang dah ngntuk sgt..harus tido sbb esok nak kene sampai ward b4 6.45...ok bye...

Tuesday, September 27, 2011

1st posting yeawwww!!



assalamualaikum..

quick update for today..
have received official later for my first posting tomorrow

jeng jeng jeng!!!!!

i got the scariest department ever..

MEDICAL!!!!

hope this is the best for me!!
to gain new experience and increase my knowledge..
remember! it's the time ! learn as much as i can..

Rabbi Yassir Wa La Tu'assir..
Ya Allah, permudahkanlah urusan ku dan berkatilah pekerjaan ku..

(sorry, official name tag belum dpt lg..so buat ni dulu utk sementara)

Monday, September 26, 2011

1st day at work



Sy sungguh happy pagi ni bila on da way ke tempat kerja pada hari pertama
tiba-tiba dpt satu sms berbunyi...

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" Tahniah dan selamat memulakan kerjaya sebagai doc. Apak bersyukur ke hadrat ILAHI cita2 mak dan apak dimakbulkan disamping usaha kuat angah. Pesan apak, dgn kejayaan ini sentiasalah bersyukur seterusnya berusaha menjadi seorg doctor yg berjaya, beriman dan disegani. I'm proud of you Dr. Siti Nor Farhana.. Selamat Maju Jaya"

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mesti korg pelik pesal la sy nak kene happy sgt kan..for ur information, my dad orgnya garang..dari kecik mmg sy takut sgt dgn die..so bila once in a while dpt sms sweet camni mmg rase happy and terharu sgt..terus rase bersemangat nak gi kerja...
and mesti korg pelik pesal la nak kene ber sms padahal sy dok kat rumah je pun..hospital pun sebelah je.. sbbnye apak balik kg smlm, so pagi ni die takde kt rumah utk tgk anak die gi kerja..

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thanks to u syg coz selalu support sy tak kire masa..he sms'ed' me "Love u syg..enjor ur first day at work"
yeah...i really enjoy my first day coz belum start tagging posting lg..pasni mmg awk akan dpt sms dari sy yg asyik mengadu je la kot..

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and not to forget million thanks to my mum..she also works in the same hosp..kat bahagian admin and mak in-charge HO..so kesimpulannye segala urusan lapor diri sy hanya lapor kat mak je...ahahahaa...kalau lapar leh jumpe mak and mintak makanan..best best!


okla..dah penat...esok lusa kalau xpenat kite sambung k...

Sunday, September 25, 2011

new chapter begin



assalamualaikum

lama betul dah blog ni menyepikan diri..
setelah sekian lama sy bercuti semenjak tamat belajar pada june 2011, now i'll begin my new chapter of life

org kata belaja medic lama...but once u start working, the cycle begin as in ur first time studying medicine..in medicine, the learning process is everyday..non-stop!

i've juz finished my induction course last week and i juz started my 1st day of working today..


dear friends and readers (if i've any)..
plz pray for my journey and hopefully i can be a great muslim doctor for our nation..
I pray to Allah to grant me a successful life ahead and let me be istiqamah and be a passionate doc..aaaminnn..


to my dear cucms doc's,
we have been together for 5 years and we have made it..
it's our time to shine and let's do this once again!

hope to see u guys again in December...will miss u all!!!

Saturday, August 6, 2011

kehilangan


salam ramadhan..

sekali lagi.. bgn pagi td sy dikejutkan dgn sms dan emel yg memberitahu one of our beloved lecturer has passed away this morning..

Allahyarhamah Dr. Norrashidah is our paediatric consultant and HOD of paediatric in Hosp Serdang..
masih terngiang2 lagi gelak tawa beliau during our bedside teaching and TBL session..
perwatakan beliau yg kelakar, mudah mesra, loving and caring membuatkan ramai org sayang pada beliau..

eventho beliau seorang yg mudah ketawa and gelak besar, but sometimes she can be so garang especially during our grand round.. she is the one who is really dedicated towards her patient even when she was given m.c for a month due to ligament tear, she did come to hospital to meet her patient and teaches us..

not just medical knowledge that she has taught us, but she always motivate us to be a better person in the future..

dear Dr Norra, you'll always be loved and missed..u're such a marvellous teacher, doctor, friend, and mother to all of us. . may Allah bless ur soul..
Al-Fatihah


Friday, August 5, 2011

Al-fatihah...




salam ramadhan al-mubarak

td tetiba dpt satu sms yg sgt buat sy terkejut..tak percaya...sampai sy bace sms berulang kali..
sms diterima dari roomate sy amirah.. 3 tahun kitrg jd roomate n housemate, so mmg dh rapat sgt..
miya sms utk memberitahu ayahnya baru sahaja pulang ke rahmatullah pada hari rabu lepas..arwah meninggal di Mekah semasa mereka sekeluarga menunaikan umrah..

miya, sy doakan miya sekeluarga tabah utk dugaan ni..semoga arwah ayah miya ditempatkan dikalangan para solihin..

kpd kalian yg membaca, mari kita sama-sama sedekahkan al-fatihah dan mendoakan kesejahteraan beliau di sana..


Wednesday, July 13, 2011

kisah hati



hidup ini ibarat roda yang berputar
ada ketika kita di bawah
ada ketikanya kita gah di atas
roda yang berputar pasti berhenti bila tiba di destinasi

tapi,
andai destinasi yg ingin kau tuju masih belum ditemui
jangan pernah berhenti
teruskan melangkah, teruskan berlari
satu saat dan ketika, pasti akan kau miliki

namun sekiranya
andai takdir menentukan itu bukan yg hakiki
itu bukan utk dimiliki
percayalah akan ketentuan Ilahi
suatu saat, sang pelangi akan muncul
menemani dan mewarnai akan kisah ini

Wednesday, July 6, 2011

menu org tgh demam


mmg tgh demam..
sroot sreettt sroott srettt je hidung ni
tekak pun gatal2 batuk tak berhenti

tp tetibe rasa nak memasak
ye! sy mmg seorg yg malas memasak bile ade kat rumah..sbbnye, mak dah siap masakkan sebelum mak gi kerja..(baik dan rajin kan mak sy)
so hari ni bgn2 tido je tgk xde lauk! uwaaa...mak tak masak..agaknye sbb lambat bgn kot..xpe mak, angah rajin hari ni =)

memandangkan apak pun puasa hari ni, sy dgn rase anak solehahnye pun memvolunteerkan diri utk masak for dinner/buke puasa

so, menu ape lagi yg belum pernah try eh..tinnggg! jom buat nasi ayam penyet..
ni resipi nye..bleh la try nnt..
resipi diambil di internet!

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Untuk Ayam

1 ekor ayam – potong 8 bahagian, rebus dan toskan (simpan air rebusan ayam untuk buat sup)

  • ½ sudu besar Jintan Manis – goreng tanpa minyak hingga naik bau
  • ½ sudu besar Jintan Putih – goreng tanpa minyak hingga naik bau
  • 3 sudu besar Biji Ketumbar – goreng tanpa minyak hingga naik bau
  • 1 sudu besar Serbuk Kari Ayam
  • 1 sudu besar Serbuk Kunyit
  • ½ sudu besar Serbuk Lada Putih
  • 3 ulas Bawang putih
  • 1cm Halia
  • Sedikit Air
  • 1 sudu kecil Garam
  • Minyak masak untuk menggoreng.
  1. Masukkan kesemua bahan (kecuali minyak masak) dalam pengisar, kisar hingga halus.
  2. Lumur bahan yang telah dikisar pada ayam dan perap la lelame pun takpe..nak sedap, perap satu mlm baru meresap (tp sy perap kejap je dlm 4 jam cmtu)
  3. (Simpan bahan kisar yang berlebihan untuk goreng tempe dan tahu.)
  4. bile dah perap, golek-golekkann pada tepung beras. (kalau nak goreng terus pun xpe..tapi x crispy la nnt..)
  5. Panaskan minyak dan goreng hingga garing.

Untuk Sambal.

  • Sedikit minyak masak
  • 20 batang Cili merah (lg byk lg pedas)
  • ( sy gune dlm12 btg je sbb stok dalam simpanan dah habis =) tp byk jugak hasilnye_
  • 10 biji Cili padi
  • 8-10 biji Bawang kecil/merah, hiris
  • 3 biji Bawang putih, hiris
  • 5 biji Tomato, potong 4
  • 5 cm Belacan
  • 2 sudu Ikan Bilis
  • 2-3 sudu gula merah/secukup rasa
  1. Panaskan minyak. Goreng ikan bilis hingga garing/rangup. Angkat dan ketepikan.
  2. Goreng belacan seketika Angkat dan ketepikan.
  3. Masukkan bawang merah, bawang putih dan cili. Setelah layu, masukkan tomato. Gaul rata dan tutup api. Angkat dan ketepikan.
  4. Sejukkan semua bahan yang telah digoreng pada suhu bilik.
  5. Masukkan kesemuanya ke dalam pengisar atau lesung batu. Kisar atau tumbuk sehingga separa halus.(sy terkisar halus sgt td..tp rase still same..tu yg penting)
  6. Masukkan semua bahan tumbuk ke dalam periuk dan panaskan.
  7. Masukkan gula merah dan gaul rata.
  8. Rasa sambal yang terhasil, tambah garam atau gula merah jika perlu mengikut citarasa.
  9. nak perah limau purut sket pun bleh..rase masam2 pedas2 baru best!
  10. * Sambal boleh disediakan sehari sebelum hidangan sajian. Simpan sambal dalam peti sejuk. Panaskan sambal sebelum disajikan.
untuk sup
1. air rebusan ayam td ditapis (kasi buang lemak2 ayam mase rebus td)
2. tumis bawang putih, bwng merah, ketumbar, bunge lawang, kalau ade sup bunjut, masuk kan terus
3. pastu masukkan hasil tumisan kedalam air rebusan ayam td..tambah serai...panaskan and tutup api..taraa..siap!


nah..nila hasilnye...
okla kan utk kali pertama cube wat nih..korg try la plak nnt..

Monday, July 4, 2011

kisah benar




korg pernah rase kurang confident tak bile berdepan ngn org ramai di saat muke bagai permukaan bulan..
yela, kite org perempuan ni ade je waktu2 tertentu yg dihujani jerawat kan..kan kan..
tak kisah la, time korg stress ke, dtg bulan ke, or ape2 yg wat hormone kurang stabil

same goes to me here..
muke takdela licin bak kulit epal, tp xdela teruk sgt mcm kawah gunung berapi (nauzubillah..)
cam biasa2 jela, time cik peot dtg menjengah, time tula die muncul..
tp nk dijadikan cerite ade satu masa nih, jerawat mcm suke2 je nak tumbuh xkire masa..so, tgn pun gatal la try mcm2 produk konon nak ilangkan jerawat cepat2..sekali, xtaula tergune produk ape yg mungkin tak sesuai ngn kulit, trus meradang jerawat tuh, jd makin teruk..kalau kecik takpe, ni dh besar cop ibu jari kot!

time tu last year (2010) lagi 3 mggu nk raye kalau tak silap..
mcm2 dah try, cara homemade tradisional pun x jalan..
gi klas pun org asyik tanye knape dgn muke..lecturer pun siap tanye..ahhaa, hanye grupmate sy je tau sape lect yg concern sgt tuh =)

sampai la ade satu masa ni tgk2 kat internet/blog, jumpe satu produk..
bile dah bace testimoni penggune2 yg lain, maka sy pun nekad la nak try..takut jugak dlm hati ni..

alhamdulillah..semuanya beransur pulih..and just nice before raya semua kerunsingan tuh hilang and beraya dgn gembira! syukur alhamdulillah..

until now still gune produk tu..tp bukan hari2 la (sbb ia kecik cinoet, nnt cpt habis)..on and off gune facial wash lain jugak..
skang ni tgh terfikir utk jd dealer for that product, so sesape yg rase nak try, can ask me..sy sgt berbesar hati utk kongsi dgn anda semua =)

ni die bukti setelah hampir setahun menjadi penggune setia

p/s: gmbr2 dibawah adalah yg asli..tiada sebarang peng"edit"an terhadap gmbr tersebut..just edit utk susun pic je =)






taken during aidilfitri 2010

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and this is my latest photo
nape??? tak percaye ke...





Friday, July 1, 2011

roti bakar buat anda jd cepat tua???

Toasts, croissants speed up ageing



Breakfast.jpg
How toasts and croissants speed up ageing (Thinkstock photos/Getty Images)
The next time you eat that crispy toast in the breakfast, better think again, as scientists have suggested that these toasts could be fast-trackingageing and chronic disease.

Josephine Forbes of the Baker IDI Heart and Diabetes Institute conducted a study on how many common foods - toast and croissants included-can produce chemicals now suspected of fast-tracking ageing and chronic disease.

Named Advanced Glycation End Products (AGEs), these chemicals turn up in foods ranging from hash browns to cola drinks and coffee.

Forbes and researchers overseas have suggested that too many AGEs building up in the body can contribute to heart disease and diabetes - and the wrinkling and pigmentation that goes with ageing skin.

The foods producing the most AGEs tend to be processed foods high in sugar or fat, especially animal fat, that are then grilled, baked or fried at high temperatures, often until they're crispy and golden, said Forbes.

"The more a food has sugar added to it and the more it's processed, the more AGEs it usually produces. Baked, crunchy breakfast cereals and toasted mueslis also produce AGEs, but raw oats and porridge are fine," the Sydney Morning Herald quoted her as saying.

It seems that once you start mucking around with food the more AGEs it produces - there aren't many foods in their natural state that produce AGEs," she added.

We can accumulate too many AGEs in two ways. One is from some foods; the other is when blood sugar levels are too high, as with diabetes or pre-diabetes.

Although research into AGEs' effects is still in the early stages, studies have suggested they can harm the immune system and contribute to hardened arteries and problems with kidney function.

They can age skin by attacking collagen and promote arthritis by damaging the joints.


Thursday, June 30, 2011

for a friend whom i miss so much



sahabat
sepimu tanpa bicara
tidak ku ketahui sejak bila dan mengapa
diammu dgn tiba-tiba
masihku tertanya apa silapnya

sahabat
senda gurau gelak tawamu sentiasa di mata
hiba gembira yg pernah kita kongsi bersama
kini pudar ditelan masa
kenapa dibiar begitu sahaja

sahabat
rajukmu jgn dibiar disimpan lama
walau ku buntu apa, siapa, dan dimana puncanya
namun
berdiam itu bukan penyelesaiannya


sahabat
kini ku tahu kau bahagia
menanti kehadiran sikecil pengikat cinta
tangan ku tadah mohon pada-Nya
moga kau sentiasa dalam rahmat kasih Nya

sahabat
andai diri ini terlanjur bicara
kemaafan dipohon sekian kalinya
doa ku titipkan padaMu yg Esa
buatmu sahabat yg ku ingat sentiasa

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to my friend Y, semoga perjalanan 3rd trimester dipermudahkan..hope ko ngn baby sentiasa sihat...can't wait to see ur little angle..







Friday, June 24, 2011

tgk sunset jom

tgk sunset kat mane???
takde la jauh sgt..dkt2 ngn my hometown je..


disebabkan Mr.SIZ kene gi outstation kt Pangkor, so dgn tak malunye sy pun balik la ke rumah jugak..padahal nk gune alasan nk suh kereta die angkut brg2 sy yg berkotak-kotak [ utk pengetahuan, sy skrg dlm operasi memindahkan brg2 setelah tamat belajar]..nak harapkan si comel putih savvy tuh mane muat nak angkut sekaligus, so mari ambil peluang nih..

lgpun, mmg kene balik jugak sbb nak amik roadtax..tak perasan selama ni dah ke hulu ke hilir ngn kereta tamat roadtax sejak april 2011..

ok, byk plak bebel...
die kene gi pangkor sbb kene bg ceramah, satu hari je pun..selesai urusan kerja, mr.siz lepak rumah sy..and petang tu kitrg gi tgk sunset sambil lepak2 minum tepi pantai..best betul angin sepoi2 bahasa..


ni maybe minggu terakhir jumpe..pasni, i'm going home for good and start kerja..wuhuuu..tak sangke dah nak jd career woman dah..
pasni, entry pun cite pasal kerja je la..xde bunge bunge dlm hati ade taman la yo.



so, tggu je la jemputan dari kami ye nnt..masa dan ketika akan diberitahu..

Monday, June 20, 2011

unsafe???




Bubble tea syrup is unsafe



Two other products suspected to be contaminated by DEHP were Chuang's Square C
ookies the brown sugar, all-wheat, almond and sesame variants; and Natural Beauty Drink Powder and Natural Beauty Fruit and Vegetable Powder.
PETALING JAYA: A Taiwanese product commonly used in bubble tea drinks sold in the Klang Valley has been confirmed by the Health Ministry to be contaminated with the carcinogen diethylhexyl phthalate (DEHP).
“The ministry has instructed the companies concerned to recall their products immediately while samples have been taken for analysis. All retailers have also been advised to halt sales of the food products with imme-diate effect.
Customers who have bought the items are advised not to consume them,” Liow said.
The manufacturers for the products were Chuang's King Tai Chang Food Co Ltd and Prince Pharmaceutical Co Ltd, while the importers areSyarikat Nguan Seng (1990) Sdn Bhd and Billion Synergy Sdn Bhd.

Liow also said that another 15 food products from Taiwan had been tested and found to be free of contamination, including New Choice Pudding, Lychee Syrup, Honey Peach Syrup and Black Tea imported by Elegant Solution Trading.
Other products free from contamination include Power Bifidus Yogurt Drink, Kinohimitsu JapanD'tox Juice and eight Cosway Oriyen products.
Other food products found not contaminated include Singlong Ho Egg Noodle, Sun Chi Song Hua Ban Noodles, White Jade Noodle and MIC's Taiwan Lemon Wafer.
In a statement, Health Minister Datuk Seri Liow Tiong Lai said the product had been identified as the “Strawberry Syrup” manufactured byT & M Resources Corporation and imported by Elegant Solution Trading.
http://thestaronline.com/news/story.asp?file=/2011/6/18/nation/8927807&sec=nation
selamat tinggal sayang!!! ='(


kl-jb-kl-kl



date: 18 th June 2011

such a long tiring day but really valuable and enjoyable..
as early as 9.30 a.m (xdela awal sgt..) went to JB for Mr. SIZ's friend wedding.. gi satu kereta with his friend..gasakla bersempit 5 org satu kereta..nasib xkene saman..

tak best betul JB ni..xde ape yg menarik..penat je drive jauh2..nasib baik lauk kenduri sedap, so xde la rase rugi ke ape =) (sorry la, kalau ade sesape org JB yg terasa..tp org2 JB sendiri ckp kat sy JB xde ape2)
after kenduri, kitrg lepak jap minum kat restoran singgah selalu..then gi beli frozen otak-otak..murah beb, 50 keping RM 13 je..kalau kat kedai-kedai makan, mau nye sampai 70sen sekeping, kalau 50 keping korg makan, pergh RM 35 sesaje utk otak-otak..yes! save duit sy 22 ringgit..nnt hari-hari leh mkn otak-otak

around 5 p.m kitrg gerak balik ke KL..sampai ngam2 dah magrib..abis la..bape laju die bwk..nasibla ye awk kalau saman berderet nnt =)

then, after magrib, went off to KL to sheriman's house..owh, man ni my grupmate since semester 9 lagi..kepale otak gile sket budak ni..aahahaa
terbaikla bro, makanan kat rumah ko mmg best..nasi berlauk, kambing golek, salads, desserts, pergh..mmg pecah perut la..
tetibe sedey plak rase.ntah bile la dpt gather ramai2 satu batch lagi

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date: 19 th June 2011

hari ni hari ahad..makan2 lagi..tp kali ni kat rumah hanan..menu kambing jugak!
nasi arab from sabaa'..mmg terbaikla mkn reramai dlm dulang..tak ingt dah bile last sy makan cmni..dulu kat kg selalu la jugak..tp skrg no more..

both makan2 kan rumah hanan n sheriman ni adalah jamuan kesyukuran sempena all of us dah tamat pengajian..tq for inviting me and friends..len kali bleh jamu2 lagi =)

okayla, nk tido sbb perut dah kenyang

Saturday, June 11, 2011

manic!!!



i think i would be allowed to be manic for this whole week!

ALHAMDULILLAH...praise be to ALLAH..
what more could i ask..today is one of the happiest day of my life.
after a long journey i've been through, so many ups and downs..happiness and tears..finally...

to hear my name being called..
Siti Nor Farhana -Passed!!!!
that was the moment i've waited for a long time..
subhanallah, i'm blessed today..

the journey will not stop here..
medical school has ended..but there comes responsibilities..

May Allah blessed this journey for me to serve humanity and benefit the ummah and continue to nurture the passion to care..

a million thanks to my parents and family,dedicated lecturers, helpful batchmates, and friends who never fail to guide and support me through this beautiful long never ended journey for where i am today..

may i be a reliable, sensible and noble
DR. SITI NOR FARHANA MOHD SHAFIE..

Friday, June 10, 2011

today is the day!!



alhamdulillah...
my final pro-exam3 has finished yesterday..

and yes!
today [FRIDAY] is the day..
result will be announced soon..perhaps before 6 p.m today (another 5hrs to wait)

dear friends, readers..
plz pray for my success..

[penantian itu satu penyiksaan]


Wednesday, June 1, 2011

sikit je lagi



alhamdulillah
alhamdulillah
alhamdulillah

tiada kata yang lebih hebat mampu sy ucapkan..

today is my first long case MBBS final exam (exam final utk medical student)
utk yg tak tahu, during long case exam, we will have 1 hour with patient and 30 minutes with 2 examiners..

for my first long case today, alhamdullillah, doa saye diperkenankan.. (saya terselamat daripada dapat patient with case2 yg sy taknak!!)i'm grateful to have such a nice,kind, cooperative and very knowledgeable about his disease..

ok, biar saye summarize..

a 30 y/o M gentleman with strong fmHx of colon ca, presented for exam purposed. hx dates back 5 months ago when he first presented with blood in stool. it is painless blood mixed with stool. small in amount, no clot, no mucus, not precipitated by straining.
no other hx significant (no abd pain, no distension, no altered bowel habit, no tenesmus, no fecal matter during urination, no constitutional symptom)..have strong family hx of colon ca, dad dx at age 50, cousin and auntie died at young age due to colon ca. other risk factor, he is a smoker. no hx of chrons dz, no ulcerative colitis.
went to Kajang Hosp and colonoscopy done shows 2 polyp at ascending and descending colon. then, requested to continue further mx in hosp serdang. here, few colonoscopy done due to suspicious HPE result. polypectomy done in march and HPE shows malignant type. in April, he had done total colectomy and CT scan also done shows Duke Stage A. so, post operatively was non eventful. only complaint of increase bowel motion (5x daily with watery stool).otherwise, he lives his daily life as normal as usual.
currently have followup with serdang. plan for colonoscopy every 6 months.
on examination, nothing much except there is evidence of well healed laparotomy scar which is mild tender to palpation. other examination (lung, liver, bone, lymphnode) was unremarkable. patient refuse for per rectal exm.

so, the question asked by the examiner is basically retrospectively. here are some quest yg i still remember and answer yg i bagi

1) why he had several colonoscopy in the same hosp --> i said due to suspicious HPE finding initially
2) what are the risk factor of colon ca in this patient --> family hx and smoking je!!
3) what are the risk factor do u know of --> smoking, alcohol,diet..ermm
4) then examiner ask what kind of diet do u mean --> instead of saying grilled type of food, tetibe je sy jawab BBQ! hahahaha, pastu prof tanye KFC tak ke..=)))))
5) what other disease may lead to colon ca --> ulcerative colitis, chrons disease
6) then he ask if let say u have decided to plan for surgery, what other investigation u need to do..
--> i said CT scan for staging, tumor marker CEA, pre-op investigtion
7) does CEA will help u in confirm the diagnosis --> NO! it is not specific..it is mainly for post-op screening for any recurrence
8) if let say patient have lesion in right colon, what surgery u plan for --> right hemicolectomy
9) if at the rectum --> i said it depends..see how long from the anal verge --> consider APR or anterior ressection
10) before op, what do u want to do --> make sure patient is healthy/fit for operation,advice to take low fibre diet, gives bowel prep, keep NBM and pre-op ix.

then, the external examiner asked..
1) if let say post-op day 5, patient suddenly complaint of calf pain and swelling, what is ur ddx --> DVT, lympatic obstruction, cellulitis
2) what is ur ix --> coag profile, D-dimer, chest x-ray for PE (but the examiner said rarely can see in x-ray)
3) what other ix to look for PE --> i was errrmmm.. (lupe gile!) then examiner said have u heard about V/Q perfussion scan??? (oh sy penah dgr tp lupe and i smile =)
4) what is ur principle mx --> i said early mobilization, reduce weight if obese, stop smoking, TED stocking..
but the examiner said reduce weight and stop smoking will take longer time..so what other thing u wanna give..
--> then i said heparin
5) what type of heparin do u know --> 2 type low molecular weight and unfractionated heparin...
6) what is the difference --> LMWheparin didn't require monitoring, less side effect..
7)anything u wanna do--> i was errmmmm....i'm not sure...
then the examiner said, do u want to rehydrate patient...??? (i just said, yeah i will to prevent coagulable state)
8) then he asked, do u think this patient ade hypercoagulable state --> i just said i think he does not have it..

then prof shaker tanye balik..

9) what type of family hx this patient might have --> i said FAP and HNPCC
10) what other ddx if young patient came with bloody stool --> i said hemorrhoids, polyp, anal fissure
11) what other presentation patient may come if ade colon ca --> then i just repeat back all the negative sx dlm hx td (tenesmus, abd pain, abd mass, symp of bowel obstruction, LOA, LOW bla bla bla....goreng!)

i think that's all la..the examiner was so nice and calm..Alhamdulillah again..!


another 2 exam to go nextweek! OSCE and medical based long case...
doakan sy dan rakan-rakan lulus cemerlang ye...
bittaufiq wannajah...insyaallah!

Saturday, May 28, 2011

sudah dekat...




woohhooooo...
harinya kian hampir
masanya hampir tiba

let's do this once..and do the best of it!!!

i'll be away and mute from
1st JUNE 2011 - 9th JUNE 2011

wish me luck yeah !! =)

*****
*********
***************

rakan-rakan semua, yang sy kenali, ataupun "silent reader" yg sudi membaca bebelan sy selama ni, andai ada silap dan salah, terkasar bahasa, atau ade entry2 yg buat anda terasa..sy susun sepuluh jari pohon ampun dan maaf ye.. (mcm dah nak raya la pulak )

pohon jasa baik kalian doakan sy dan rakan-rakan satu bacth utk LULUS cemerlang bg final professional exam nxtweek onwards..

Sunday, May 15, 2011

to my besties..congratulation!

14th May 2011


today is the day...owh, not mine..
congrats to my beloved bestfrenforever "NurDiana AbdRazak a.k.a Yan" on your E-day!
may the happiness be with u forever..and may this relationship (u n fendi) and ur life filled with happiness and barakah..





ko gorgeous sgt ok!









p/s: pray for my final pro-exam 3 plz........!!

Friday, May 6, 2011

tik tok tik tok


semakin hari semakin cepat masa berlalu
betul la nukilan mengatakan masa tidak akan menunggu kita..
tp walaupun sy sedar akan fakta tersebut
kenapa sy masih membuang masa!!!!!

the day just tinggal less than a month..
I should struggle for it....NO MATTER WHAT!!

owh, plz la wahai diri
sile jgn buang masa..ko dah takde masa dah ni..
PANNNGGGGG! tampar pipi kanan kasi sedar dari mimpi..


Thursday, May 5, 2011

kamu seadanya




just the way u are~~~

lallalalallaa


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