10 interesting facts about colorado.

salam wbt.

wah, sudah bersawang nampaknya blog ini. lama sungguh tak ada orang meng-update. apparently, pengupdate tegar (leyya, thats you) pun sudah lama tidak menjalankan tugasnya. heeee. sebab bulan ramadhan mungkin. semua mesti sedang sibuk mengejar pahala lagi-lagi dah masuk 10 hari terakhir ni. :) bagoslah korang!!

As for me, tak tahu la kenapa tiba-tiba datang mood nak menulis pula. (i think this is me avoiding real work :P ) Well, actually my sister- Kautsar- has been asking me to write about her in my blog ages ago.heheh.yeah, she's self-centred like that sometimes. *kidding* Since good things has happened to her in the past few weeks, i think i'll share that here.

First, I would like to publicly congratulate you on your A-levels results! heee, haven't done that have I?

CONGRATULATIONS KAUTSAR ZAMANURI ON YOUR AWESOME RESULT! and dah fly pun ke Colorado.heheh. (well, better late than never aite)

Another sibling off to another continent of the world. More chance for me to go jalan-jalan.oooh, nak pergi New York. !!(sila bawa yeh nanti kautsar) hee. Alhamdulillah, murah rezeki, dapat result best and dapat fly ke US. ok,habis crite. :P heheh.

Actually tak ada la nak cerita how smart and beautiful you are kat sini kan kautsar, hehe, but I have something to share with you which IS.....

10 interesting facts about colorado!! (taken from 50states.com)

1. The united states Air Force Academy is located in colorado springs.

2. Colorado means "coloured red" (i refuse to spell colour w/out "u" cos I'm in UK and all).hee.

3. Denver, lays claim to the invention of the cheeseburger. (whatt??!) The trademark for the name of cheeseburger was awarded in 1935 to Louis Ballast.

4. The tallest building in Colorado is the Republic Piaza at 57 stories high, in Denver. (go check it out, tapi 57 je?hihi)

5. Every year Denver host the worlds largest rodeo, the western stock show. (hohoh, famous dengan rodeo rupanya. Yang ni tak payah check out la.hee.scary!)

6. The world's largest natural hot springs pool located in Glenwood Springs.

7. the Colorado School of Mines is there!

8. Kautsar and Sherene is there!

9. ok, who else is there? because I cant find anything interesting anymore.10 is too ambitious i guess.heee.kalau NYC tak apa la jugak kan. :P

10. .......

ok, I am not entirely sure whether all of the above is true or not. I hope they are, if not, please blame the website.hehe. Kalau betul, bertambahla knowledge kita about Colorado, Denver. :)

okay, that is all. should be doing some work now!

Selamat mengejar lailatulqadar semua. :) Have fun beribadah.

sebelum saya lupa..

It really hit me after seeing one of the famous lecturers in my place giving a talk about to step out from the comfort zone, specifically in medical school.

I don't know about you, but personally my motivation has this 'half life' of a blink of eye. That's how short it is. I can easily be inspired or motivated AND drastically drained after that just because a patient does not want to be examined or things like that.

The lack of burning desire and enthusiasm in gaining knowledge is really troublesome among the students sekarang. The lecturers can see it through us, really. The moment my lecturer walked into the ward every morning, he/she had this spirit of treating the patients and teaching us the best he/she can. In turn, he/she got lousy answers. Unprepared history takingS. Inadequate knowledge. Latecomers. Silence. A perfect cocktail which is enough to stimulate his/her vocal cord to vibrate more than it should - bebel. Which is very nice to hear actually, coz lama2 dah immune n rasa tak sedap badan kalau tak kena bebel hehe ^_^

But that's not my point. The spotlight is on the panelist in the forum. It was her (my beautiful Prof) transformation that hit me. Such a miracle u know. The first time I saw her, she was not covered by the beautiful hijab she's wearing now. That was a year ago. NOW, she is all about coming back to Allah. Coming back to the root. Coming back to the end of our destination - heaven or hell? She's all about that! I can assure u that not all people with hijab had the guts or at least the habit of 'promoting' Allah when talking, including ME. Some might just put it aside and pretend it to be another part of life. astaghfirullah...

Just look at the sign. Just look at how Allah grant His servants. HIDAYAH is just the BEST thing that one could crave for. I need hidayah to go to the ward. I need hidayah to push me to study. I need hidayah to urge me struggling rather than rolling on my bed thinking that I'll pass the exams and that I'll be a GOOD and SAFE doctor as I graduate. NONSENSE.

The only formula is to usaha + doa + tawakal. No short cut.
I repeat, NO SHORT CUT.

One day I'm gonna be the only doctor in charge. I can't rely on other people to help me motivated doing things that I should do. Not like these days where I can choose to be in the ward or not. Allah is always watching and counting the deeds be it good or bad. So knock the door of your heart. Is it open for the lights to come in, or will it be closed because of the bad things we've done?

Hidayah milik Allah.

Tapi kita perlu berusaha ke arah kebaikan. Bukan mengharapkan kebaikan datang bergolek. Saya harap semangat saya bukan semangat chicken shit. Saya doakan anda semua juga begitu. Cheerio!

Patients seen: yesterday got thyroid eye disease (NOSPECS), glaucoma in a pregnant woman, 2 proliferative diabetic retinopathy, cataract + complicated surgery, retinal detachment - left eye.
Books: currently baca emedicine untuk CWU :)

EYE love you.. ophthalmology!

Thank You Allah~ I've been busy juggling with work work work n kadang2 bacaan quran pun dah berkurang tapi Allah yang Maha Penyayang tetap berikan segala2nya yang saya perlukan... I wish I can be a better servant.. huhu

Day 4 Ophthal: I can't feel my body. Seriously.

That's how tired I am nowadays... Tak pernah bajet pulak ophthal penat macam ni.. I really need a break, a spa, bekam, detoxify segala mcm makanan yg merapu, or anything relaxing. Macam mana la HO nanti agaknya -_-;

I could use some sleep jugak actually. But there's no space for so called 'beauty sleep' anymore. Aiyah~

Despite all that, I love my life now. I choose to love, not to hate. Everyday I talked to myself - "Today is going to be a better day!" Then I visualize my doings. It helps. Keeps me motivated alhamdulillah :) (tips from Prof Muhaya)

Plus, my supervisor is super nice! A softie. Very considerate. Alhamdulillah~ Better make full use of this opportunity. I hope I don't disappoint her in any way. And I really want to stay away from being a lousy 'first line screener' at the primary healthcare center.

Oh, time to study! Lotsa things to do besides straining my eyes while focusing on the fundus-the optic disc, vessels, macula fovea etc :p

Found a fun website, check it out ^_^ > www.ophthobook.com

Patients seen: I'm a doctor to patients, not diseases. But I can't reveal their names here rite? So i put the name of diseases instead :D
Glaucoma, diabetic retinopathy, VKH, cataract n lots of them!, uveitis, CMV retinitis, age-related macular degeneration and... almost dapat varicose veins sebab lama sgt berdiri :p
Books: FUN-do-scopy made easy, toronto ophthal, kanski ophthal atlas, ICT ophthal :D

Allah Maha Adil

Astaghfirullah..

Terukla my performance masa short case semalam~ T_T We were told to clerk cases, present, examine, generate working and differential diagnosis, lepas tu gedebak gedebuk la kena tanya and discuss. The first case was quite straight forward - CSF leakage. Macam biasala, kawan saya present chief complaint and all the bla3 details.

Tapi...

Sampai katil patient saya yang dah day 7 post-op, supervisor saya yang hebat suruh summarize and discuss about current status of the patient. OMG~ *thought block* Tergagap nak goreng.

Lepas tu confidence level terus turun turun... dan turun lagi. Isks.

First time tau jadi macam tu. Ada yang tak beres gamaknya. Sampai lupa post-op day berapa. Teruknya Alia...

Alhamdulillah, Dr super baik. Beliau banyak guide. My tasks were:

1. Examine and comment on patient's general appearance.
Very brief and roughly (as opposed to my presentation which was panjang dan berterabur):

Patient is lying on the bed. Tracheostomy tube. Oxygen mask not used (what a waste, terus Dr suruh discontinue the O2). Nasogastric tube. Scar from inferior border of lower lip extending to the submental region, ada jugak kat neck until midclavicular area. Kat chest pun ada sebab ada reconstruction using pectoralis major (PM flap).

2. Why does this patient need tracheostomy? (indication utk patient ni special)
- For surgical access.
- Impending upper airway obstruction.

3. Why does this patient need NGT?
- Trismus sebab pain during chewing and mouth opening > cannot eat solid foods very well > nutrisi yang tidak sihat > bagi NGT untuk high protein diet (susu)

4. Imagine u r the HO in charge, patient just come back from OT, what would u do?
*gulp* Ni soalan time surgery dulu ni. Boleh pulak lupa. (akibat belah otak untuk belajar secara serpihan)
"Err... assess the surgical site?"
"Aiyah.. begin with simple things dulu"
- VITAL SIGNS ALIA, VITAL SIGNS! Haiya.. what kind of doctor-to-be lah tak sistematik cengginih.. (kutuk diri sendiri kejap)
- don't freak out kalau temperature slightly higher than pre-op, it is a response kpd surgery, especially loooong surgery, like hers la.
- of course cek conciousness etc
- THEN comes the scar
- pain control - in this case guna patient-controlled analgesic. pakai morphine.

Lepas tu pergi katil2 lain pulak - Vocal Polyps, Laryngeal Carcinoma, cholesteatoma, then Dr bawak pergi wad paeds. Ah sudah, takde org cover bed patient ENT kat paeds tu. Dr sengaja rupanya. Kawan saya kena clerk parents the cute 7 months old baby tu.

CYSTIC HYGROMA.

poor baby~ T_T saya memang tak sesuai jadi paeds. tak bole tengok baby sakit. it is heartbreaking. huhu. Alhamdulillah, Allah kurniakan tubuh badan dan akal yang sihat dari kecik sampai besar. ada nikmat iman dan islam lagi.

Alia, banyakkan bersyukur ye.... Jangan mengada sangat....

Apa2 pun, bila balik tu saya muhasabah dalam2. Sedih sangat sebab perform tak bagus. Macam dah kecewakan Dr je. Saya teringat sesuatu. Saya lupa call mak abah! Kesalahan yang tak boleh dimaafkan. isks.

Anyways.. yang penting setiap sesuatu yang berlaku tu tak akan lari dari hikmah Allah. Allah Maha Adil. Dia berlaku adil pada setiap hambaNya, sesuai dengan ketahanan masing2.

"Apakah kamu mengira bahwa kamu akan masuk syurga, padahal belum datang kepadamu (cobaan) sebagaimana halnya orang-orang terdahulu sebelum kamu?
Mereka ditimpa oleh malapetaka dan kesengsaraan, serta digoncangkan (dengan bermacam-macam cobaan) sehingga berkatalah Rasul dan orang-orang yang beriman bersamanya: 'Bilakah datangnya pertolongan Allah?'
Ingatlah, sesungguhnya pertolongan Allah itu amat dekat."
Al-Baqarah: 214

Ustaz saya kata, selalunya Allah akan datangkan pertolongan bila kita dah tersepit dan tak jumpa jalan keluar. Saya setuju 200%. Sebab saya dah banyak kali kena.

~Adil nye Allah~

Patients seen: BANYAK! Hari ni klinik dari 9 pagi - 2.30 petang. Tak lunch pun. Dah biasa pulak. Bad for the tummy~
So cases for today - several cholesteatomaS, 2 cases of microtia and canal atresia, cochlear implant, meniere's disease, CSOM, allergic rhinitis, Obstructive Sleep Apnea etc.
Currently reading: jurnalsssss... sebab nak siapkan case write up and SSM.
DOAKAN SAYA YA~TQ!

kes pendek

Esok short case exam masa ward round, Insha Allah..

Ear: inspection, palpation, otoscopy, Rinne's test, Weber test.

Nose: inspection, palpation of the sinuses, cold-spatula test, anterior rhinoscopy, posterior rhinoscopy.

Throat: indirect laryngoscopy.

Oral cavity: inspection, palpation, bimanual maybe *cuaks*

Cranial nerves: trigeminal (5th) and facial (7th) cranial nerves.

Ada 5 je patient ENT kat wad sekarang. 1 lagi lodger dari medical ward - unilateral vocal cord palsy secondary to lung carcinoma, tak sempat clerk lagi sebab patient baru masuk malam tadi.

Semoga Allah permudakan urusan saya dan rakan-rakan..

Semoga kami tak kecewakan mak ayah.. dan semestinye tak hancurkan hati supervisor kami yang sangat baik!

~Belajar bukan kerana Allah ibarat jasad tanpa nyawa~

Esok hari Jumaat.

Bismillahirrahmanirahim.
Bangi, 15 July 2010.

Salam buat semua yang sudi bertandang.
Apa khabar BFF? (Is it kaifa halukuma?)

Coretan hari ini ringkas saja.
Moga bermanfaat.


Dari Abu Sa'id al-Khudzri radhiallahu anh bahawa Nabi salallahu 'alaihi wasalam bersabda:



Barangsiapa membaca surah al-Kahfi pada hari Jum'at, maka cahaya meneranginya antara dirinya dan dua Jum'at.
...


(Hadith sahih riwayat: Al-Hakim)


Dari Abu Darda' r.a Rasulullah s.a.w telah bersabda: "Siapa yang
menghafal 10 ayat pertama dari surah al-Kahfi terpelihara daripada
dajjal."

(Hadith sahih riwayat: Imam Muslim)

klik sini

Dah banyak kali saya berazam untuk mengamalkan surah al-Kahfi setiap hari Jumaat setelah mengetahui khasiatnya.
Dan banyak kali juga saya lupa akan niat saya.
Cuti musim panas dah bermula, harapan saya: Untuk tidak meninggalkan bacaan Surah Al-Kahfi setiap hari Jumaat.
Ya Allah bantulah hambaMu ini istiqamah dalam hal ini.

Aishah narrated that Allah's Apostle said, "Do good deeds properly, sincerely and moderately, and know that your deeds will not make you enter paradise, and that the most beloved deed to Allah's is the most regular and constant even though it were little" (Al-Bukhari)

The keywords are:
Proper. Sincere. Moderate.Regular. Constant.
Start today, keep it up.Stay steadfast.

Peringatan untuk saya dan sahabat semua.
Ayuh kita rebut pahala pada penghulu segala hari ini.

p.s: no of patients met: 2 --> abah and mak lang
--> succeeded in performing a knee examination on abah to exclude any ligaments or menisci problems(dengan confident nya, i know i was supposed to do a hip exam as well, but....).
--->Topmost differential was Osteoarthritis.
----->Convinced abah to go see his doctor. He is currently on Glucosamine.
-------> Currently Abah is not in that much pain and lenguh2 anymore.
----------> Izzati is very happy. (Although I would be happier if Abah went on and had an xray done.)
--------------> Eventhough Abah said when he told his doctor about his legs, the doctor automatically prescribed him Glucosamine, Izzati still thinks its a huge achievement for her. hahahahaha.
Jazakallahukahiran kathira abah. (^o^)!
p.p.s: A book i'm currently on: Ensiklopedia Fiqah Wanita Muslimah (Syeikh Abu Malik Kamal As-Sayid Salim - always read such book with regards to other fiqh scholars yg mu'tabar)

BFF. Jangan biarkan saya hanyut dengan ujian masa lapang ini.

Astaghfirullahal'azim.
Astaghfirullahal'azim.
Astaghfirullahal'azim.

(^_^)

Ilal Liqa'.

EasyNoTension

My 1st week in ENT Department = FUN!! And tiring...

8 am - 10 am: Lectures
10 am - 12.30 am: Clinic/Otorhinolaryngology Ward
2 pm - 5 pm: Lectures

Doctors are sempoi, so very super kind.

Otoscopy, Rinne and Weber tests, indirect laryngoscopy, anterior rhinoscopy segala macam boleh buat dengan jayanya atas tunjuk ajar para doktor.. terima kasih Allah~

First day pun saya dah kena present kes. Eh no no. 2 jam pertama dalam posting ENT dah kena present kes - thorougly! Buccal mucosa tumor pulak tu *_* Alhamdulillah, worth it~ Doctor tersebut tanya bertubi-tubi sampai menggelegak otak. Terbaik!

Next week no lectures. Better start off with case write up! 2 weeks before ENT ends. Opthal menunggu.

Saya kena refresh anatomy sungguh-sungguh! ENT sangat penting even for GPs! ENT bukan posting main-lalu-tanpa-ambil-serius.

Terasa nak further ENT pulak nanti.

I LOVE E.N.T!