MB. BCH. BAO

Alhamdulillah, syukur kepada Allah SWT. Results final year dah kuar ptg tadi. Tahniah kepada kawan-kawanku yang disayangi. We're doctors now! Moga perjalanan selepas ini dipermudahkan Allah SWT.

When?

Alhamdulillah, 3 papers down. Get ready for clinics and orals in the next 3 weeks. May Allah SWT make it easy for all of us. Ameen.


" ..If you keep someone's company do not ask him if he loves you. Rather, look into your heart and soul. Whatever you feel for him is similar to what he feels for you.." =)
(Abdullah b. Mas'ud)

Allahuakbar

O Gentle One, be gentle with us

Harapan dan pengharapan

Esok mock exam short cases untuk medicine. Lagi 10 hari sebelum start exam. Erm, by the time aku tulis entry ni, dah tinggal 9 hari...huhu.

Kecuakan semakin terasa. Bersabarlah! huhu. Harapan makabah, kaum keluarga, sanak saudara dan orang-orang di sekeliling sangatlah tinggi. Semua ingin melihat kejayaan setelah 5-6 tahun berada di rantau orang. Ya Allah, bantulah hambaMu ini, permudahkanlah segala urusan, tenang dan lapangkanlah dadaku ini dalam menuntut ilmuMu Ya Allah....

Thank you!

Sayang korang semua =)

happy 25th birthday! - Thanks Amira :)

di mana ketenangan

Assalamualaikum wbt.

Selamat menyambut Maulidur Rasul, 12 Rabiul-Awal. Cinta manusia itu tidak kekal. Hanya menyebabkan titisan air mata yang tidak berguna walau sedikit pun. Cintailah Allah dan Rasul melebihi segala-galanya.

"Jika ada antara kita yang terlupa, maka izinkanku memberitahu. Aku ada seorang Nabi... Allah yang beri. Allah telah mengurniakanku seorang Nabi untuk aku taati. Dan Nabi itu telah bersusah-payah, mengorbankan seluruh hidupnya untukku. Nabi itu telah menderita, terseksa, menahan cacian dan makian, menahan lapar dan dahaga, terluka dan cedera parah, serta menyabung nyawa untukku. Suka duka dirinya, tidak lena tidurnya, keluh-kesahnya, kebimbangannya dan airmatanya semata-mata adalah kerana merisaukan jika aku tidak jumpa jalan pulang ke syurga. Dan Nabi itu tidak meminta balasan apa-apa pun. Bahkan semuanya dilakukan dengan rasa rindu kasih dan rela. Sampai ke detik-detik akhir hayatnya, dia masih menyebut-nyebut tentang aku umatnya"

-Renungkan dan muhasabah diri masing-masing-

( I should post this entry yesterday)

As for me:
I'm 25 years old today, can't believe it! Time flies and there's lots of mistakes been done during these years. May Allah SWT forgive me and show me the right path. It is less than 1 month for my final exam, can't believe it either! Tough year?? yeah, it is. May Allah SWT help all the final meds in Galway, ameen. Pray for us..

Apart from that:
This May insya Allah, I'm going to face new 'event' in my life. Am I ready for that?? well, I don't know. It's a bit scary to be honest..huhu. My inferiority complex is still high, which is not good!
May Allah SWT give strength to face all the possibilities in life.

Doa

" Telah banyak nikmat yang Engkau anugerahkan kepadaku, namun sedikit sekali syukurku kepadaMu. Banyak sekali cubaan yang Engkau timpakan kepadaku, namun sedikit sekali kesabaranku untuk menghadapinya. Ya Allah, alangkah sedikitnya rasa syukur atas nikmat yang Engkau berikan, padahal Engkau tidak menghentikan nikmat itu kepadaku. Ya Allah, alangkah sedikitnya kesabaranku menghadapi cubaanMu, padahal Engkau tidak pernah meninggalkan diriku. Ya Allah yang melihat diriku berada dalam dosa-dosa besar, tapi tidak menyeksaku dan tidak pula membuka tabir rahsiaku. Ya Allah Si pemilik semua kebaikan yang tidak terputus. Ya Allah yang mempunyai nikmat yang tidak berubah, limpahkanlah selawat kepada Nabi Muhammad beserta keluarganya. Ampunilah kami dan berilah kami rahmatMu "

-Doa Ali bin Hussain di Mina-

Belajar RAJIN-RAJIN!
Insya Allah.

Note

Dosa kejahatan adalah apa yang mendatangkan resah pada dirimu dan engkau tidak suka manusia lain melihat atau mengetahuinya (Hadith Muslim)

Small Bowel Obstruction

Bowel obstruction is a mechanical or functional obstruction of the intestines, preventing the normal transit of the products of digestion. It can occur at any level distal to the duodenum of the small intestine and is a medical emergency and surgical problem.

Causes: ABCD
- Adhesions
- Bulge eg: Hernias
- Carcinomas
- Diverticular disease ( If large bowel)

other causes:
- Crohn's disease
- Gallstones ileus
- Intussusception
- TB
- Volvulus
- Foreign body

Clinical features:
- Vomiting
- Abdominal pain
- Abdominal distension
- Constipation

Auscultation: high-pitched bowel sound

Investigations:
- Colonoscopy
- PFA
- Barium enema
- CT

Treatment:
Non-surgical (conservative) and surgical,

• Conservative treatment- insertion of NG tube, correction of dehydration and electrolyte abnormalities ( 'Drip And Suck').
• Opiod- forsevere pain.
• Antiemetics- for vomiting.
  
• Adhesive obstructions often settle without surgery. If obstruction is complete a surgery is required.

Small bowel obstruction caused by Crohn's disease, peritoneal carcinomatosis, sclerosing peritonitis and postpartum bowel obstruction are typically treated conservatively without surgery.

Complications:

• Infection
• Gangrene of the bowel
• Perforation in the intestine

La Tahzan

Assalamualaikum wbt.

Alhamdulillah, syukur kepada Allah dengan segala nikmat kurniaanNya. Bangun pagi ni, aku berazam nak study Obs & Gynae. Dah start membaca, tetapi ada suatu perasaan yang tiba-tiba datang melanda. HUHUHU..tak suka akan perasaan camtu. Kenapa perlu bersedih? Berdukacita bukanlah ajaran agama dan ianya tidak mendatangkan sebarang manfaat. Aku tahu akan hakikat tersebut, tapi kenapa hati ni masih rasa tak tenteram?? I know I have to do something to make those feeling goes away. Aku menulis di sini dengan harapan perasaan aku ini akan berlalu pergi. Sesungguhnya dengan mengingati Allah hati akan menjadi tenang.

Kesedihan mempunyai pengaruh untuk menghentikan bukan untuk menggerakkan. Ia sama sekali tidak mendatangkan manfaat bagi hati. Kesedihan adalah hal yang paling disenangi syaitan. Justeru itu, syaitan selalu berusaha supaya seorang hamba itu bersedih hati untuk menghentikan setiap langkah dan niat baiknya.

" sesungguhnya perbuatan berbisik (dengan kejahatan) itu adalah (hasutan) syaitan untuk menjadikan orang-orang yang beriman berdukacita" (Al-mujadalah: 10)

Adakah aku bersedih kerana segala dosa-dosa yang telah dilakukan selama ini?? huhu. Kesedihan yang terpuji adalah kesedihan yang disebabkan kegagalan melaksanakan suatu ketaatan atau disebabkan terperosok ke jurang kemaksiatan. Kesedihan seorang hamba yang disebabkan oleh kesedaran bahawa kedekatan dan ketaatannya kepada Allah sangat kurang maka hal itu menandakan bahawa hatinya hidup dan masih terbuka untuk menerima hidayah dan cahayaNya. Ya Allah, ampuni segala dosa-dosaku. Moga-moga kesedihan, kebimbangan dan kerisauanku ini dapat menghapuskan sebahagian dosa-dosaku.

" tidaklah seorang mukmin ditimpa kesedihan, kebimbangan dan kerisauan, kecuali Allah pasti akan menghapaus sebahagian dosa-dosanya" (Riwayat Bukhari dan Muslim)

Moga luahan hati aku di pagi hari memberi manfaat. Kadang-kadang, ada perasaan yang susah untuk diluahkan dengan kata-kata. Semua benda buat pun rasa serba tak kena. Ya Allah, damaikanlah hatiku ini...

Once, I was drowning in my fears
and the twinkle in my eye disappeared
and I had no way to look on
my horizon seemed to have gone
and my whole life, seemed empty and bleak
each day and night, the answers I seek

But when, the darkness seemed so strong
and I couldn't go on
to the sky I raised my hands
making right what was so wrong
I found the strength to carry on
up to heaven where I belong
In life, there are lessons to be learned
with steadfastness, paradise Is earned
and if, all hope seems to be gone
just hold on till after the storm
and if you ask, what purpose have I
why am I here, and why do I cry?

And when, the darkness seems so strong
and you just cant go on
pray for your helping hand
you'll see the sun will rise again
you'll find the strength to carry on
up to heaven where you belong
Cos life is but a journey for us all
we cry, we laugh, we run sometimes we fall
but through it all, always recall
God never gives, a burden too tall


**menuntut ilmu hanya kerana Allah...mari sambung belajar o&G.
Susah bila ada perasaan cam di atas. Makabah hantar jauh2 tuk blaja...so, Slamat belajar rakan-rakan n enjoy the weekend, yeah! =)

Aku & Housemates

Assalamualaikum

The only thing in my mind right now is STUDY! huhu....
Lots to cover in medicine, surgery and obs & gynae. Ya Allah, berilah kekuatan kepada semua hamba-hambaMu, final meds di Galway..
Baru lepas dinner dengan housemates. Dinner adalah masa yang diperuntukkan bersama housemates. Kalau tak, nak jumpa muka sorang-sorang pun susah. To MJ, Hepi Birthday! Kesian adikku sorang ni, tak sempat nak celebrate birthday dia arini. Weekend la erk Mira, Insya Allah. Mira aka MJ adalah the only juniour in the house, tapi dia agak matang la berbanding kitorang yang lain..heheh.
Tadi Husna ckp aku masih dalam fasa yang tenang. HUHU....betulkah?? Hana pun cakap camtu gak aritu...huhu. To be honest, luaran lain dari dalaman...nampak tenang, dalam hati ni Allah sahaja yang tahu. Air mata sentiasa ada je nak bergenang, nak berlinang.
Selain tu, episode of diarrhoea, headaches and asthma dah pun bermula bulan lepas- all stress related?? erm, macam-macam kan. To Husna, maybe diarrhoea ko pun psychological kot... ;)
Apapun usaha, doa, tawakkal dan redha dengan segala ketentuan Allah. Untuk masa sekarang, aku kena tingkatkan usaha. RISAU. Doakan kami semua.

Okeh, that's all for today. Buku surgery menantiku...
Oh, tgh suka dengar lagu ni:

Headaches

MIGRAINE

A migraine can be disabling — with symptoms so severe, all you can think about is finding a dark, quiet place to lie down. Up to 17% of women and 6% of men have experienced a migraine

Signs and symptoms:

-Moderate to severe pain, which may be confined to one side of the head or may affect both sides
-Head pain with a pulsating or throbbing quality
-Pain that worsens with physical activity
-Pain that interferes with your regular activities
-Nausea with or without vomiting
-Sensitivity to light and sound

When left untreated, a migraine typically lasts from four to 72 hours, but the frequency with which headaches occur varies from person to person. You may have migraines several times a month or just once or twice a year.

Not all migraines are the same. Most people experience migraines without auras, which were previously called common migraines. Some, however, have migraines with auras, which were previously called classic migraines. If you're in the second group, you'll likely have an aura about 15 to 30 minutes before your headache begins. Auras may continue after your headache starts or even occur after your headache begins. When you're experiencing an aura, you may:

-See sparkling flashes of light
-Perceive dazzling zigzag lines in your field of vision
-Experience slowly spreading blind spots in your vision
-Feel tingling, pins and needles sensations in one arm or leg
-Rarely, experience weakness or language and speech problems

Whether or not you have auras, you may have one or more sensations of premonition (prodrome) several hours or a day or so before your headache actually strikes, including:
-Feelings of elation or intense energy
-Cravings for sweets
-Thirst
-Drowsiness
-Irritability or depression

Causes:

Although much about headaches still isn't understood, some researchers think migraines may be caused by functional changes in the trigeminal nerve system, a major pain pathway in your nervous system, and by imbalances in brain chemicals, including serotonin, which plays a regulatory role for pain messages going through this pathway.
During a headache, serotonin levels drop. Researchers believe this causes the trigeminal nerve to release substances called neuropeptides, which travel to your brain's outer covering (meninges). There they cause blood vessels to become dilated and inflamed. The result is headache pain.

Migraine triggers:

-Hormonal changes. Although the exact relationship between hormones and headaches isn't clear, fluctuations in estrogen seem to trigger headaches in many women with known migraines. -Hormonal medications, such as contraceptives and hormone replacement therapy, also may worsen migraines.
-Foods. Certain foods appear to trigger headaches in some people. Skipping meals or fasting also can trigger migraines.

-Stress. A hard week at work followed by relaxation may lead to a weekend migraine. Stress at work or home also can instigate migraines.
-Sensory stimuli. Bright lights and sun glare can produce head pain. So can unusual smells — including pleasant scents, such as perfume and flowers, and unpleasant odors, such as paint thinner and secondhand smoke.

-Changes in wake-sleep pattern. Either missing sleep or getting too much sleep may serve as a trigger for migraine attacks in some individuals.

-Physical factors.
-Changes in the environment. A change of weather, season, altitude level, barometric pressure or time zone can prompt a migraine.

-Medications. Certain medications can aggravate migraines



* migraine- ddx for headaches. Start having this kind of headache last week. Causes?? erm, most probably the lights..

New Year 2008

Sunnah Berjuang



.............

Berjuang tak pernah senang
Ombak derita tiada henti
Tenang tegang silih berganti
Inilah sunnah, orang berjuang

Malamnya bagai rahib merintih sayu
Dihiris dosa airmata
Siangnya bagaikan singa dirimba
Memerah keringat, meluah tenaga

..............

** Mula suka dengan lagu ini. For the moment-dalam perjuangan di medan ilmu..moga Allah membantu hamba-hambaNya yang memerlukan pertolongan dan belas kasihan. Ampunilah dosa-dosaku Ya Allah...
Adakah akan ada peluang untuk betul- betul merasai perasaan berjuang? Insya Allah

Berjuang memang pahit, kerana syurga itu manis.
Moga Allah kuatkan dan tetapkan hatiku ini...ameen.

Happiness

Sadness have strikes me
I fought harder and harder
To get the happiness back
I weeps frequently
I smiles frequently
Happiness is what I want in return
Having family to support me
Gave me a happiness

Sadness have strikes me
I fought harder and harder
To get happiness back
I wore masks thousand times
I pretend and it hurt
Having friends to take off my mask
To reveal the truth out of me
Gave me a happiness

Sadness have strikes me
I fought harder and harder
To get the happiness back
My heart is shattered
I grabbed a broom to gather it together
I cries
Having someone glue my heart all together
Brought me into happiness once again.


-anonymous-

Bleach episode 18

Assalamualaikum

Salam Eiduladha. Entry yang tiada apa-apa info. Aku menaip mengikut apa yang terlintas di dalam kepala je. So, minta maaf la andai merapu. Terasa macam berserabut. Serabut apa? Banyak sangat ke benda di dalam kepala tu? Entahla...

Pagi ni bercita-cita nak study orthopaedics. Baru je baca satu page, pastu terasa bosan...huhu. Teruk kan. End upnya.. sebijik kek coklat yang moist berjaya dihasilkan. Bila nampak je adunan kek aku yang dah siap, Aini tegur ' erk, tgh bosan ke?' ye...sedikit bosan harini. Sejak bila ntah aku mendevelop hobi baru. Bila bosan tahap tak tahu nak buat apa, aku akan masuk dapur dan buat cake..huhu. Terasa pelik pulak bunyinya untuk aku.....

Lately jugak, mood aku agak tak betul. Turun naik. Agak-agak, mana silapnya erk? Kepada kawanku yang jauh di berlainan benua...ribuan kemaafan diatas perangaiku ini. Kadang-kadang tak faham jugak dengan diri sendiri. Kalau aku pun tak faham...orang lain lagi la susah nak faham kan. Kita semua dijadikan berlainan antara satu sama lain. Akan kucuba untuk menggembirakan orang2 yang aku sayang.

Lagi 2 minggu cuti akan berakhir. January ni, aku akan away ke Roscommon untuk rotation medicine. Terasa banyak lagi benda yang belum dicover. Boleh ke aku ni nak jadi Doctor?? isk3....
Aku sedar aku nak exam. Jangan terlalu risau sebab itu akan menambahkan pressure yang dah sedia ada. Kepada semua kawan-kawan or sesiapa yang menyinggah di sini....doakanlah ye..

* Tak salah menitiskan air mata andai itu dapat mengubat hati...

BERUSAHALAH!!

OCD

Obsessive-compulsive disorder (OCD), a type of anxiety disorder, is a potentially disabling illness that traps people in endless cycles of repetitive thoughts and behaviors. People with OCD are plagued by recurring and distressing thoughts, fears or images (obsessions) that they cannot control. The anxiety (nervousness) produced by these thoughts leads to an urgent need to perform certain rituals or routines (compulsions). The compulsive rituals are performed in an attempt to prevent the obsessive thoughts or make them go away.

Although the ritual may make the anxiety go away temporarily, the person must perform the ritual again when the obsessive thoughts return. This OCD cycle can progress to the point of taking up hours of the person's day and significantly interfering with normal activities. People with OCD may be aware that their obsessions and compulsions are senseless or unrealistic, but they cannot stop themselves.

What Are the Symptoms of Obsessive-Compulsive Disorder?

The symptoms of OCD, which are the obsessions and compulsions, may vary. Common obsessions include:

• Fear of dirt or contamination by germs.
• Fear of causing harm to another.
• Fear of making a mistake.
• Fear of being embarrassed or behaving in a socially unacceptable manner.
• Fear of thinking evil or sinful thoughts.
• Need for order, symmetry or exactness.
• Excessive doubt and the need for constant reassurance.
  

Common compulsions include:

• Repeatedly bathing, showering or washing hands.
• Refusing to shake hands or touch doorknobs.
• Repeatedly checking things, such as locks or stoves.
• Constant counting, mentally or aloud, while performing routine tasks.
• Constantly arranging things in a certain way.
• Eating foods in a specific order.
• Being stuck on words, images or thoughts, usually disturbing, that won't go away and can interfere with sleep.
• Repeating specific words, phrases or prayers.
• Needing to perform tasks a certain number of times.
• Collecting or hoarding items with no apparent value.

To Husna (if you read this),

To be diagnosed with Obsessive-compulsive disorder, one must have either obsessions or compulsions alone, or obsessions and compulsions, according to the DSM-IV-TR diagnostic criteria...

** So, sila la bukak balik buku Psych utk check criteria tuh..kekeke. Ye, aku ada OCD sket...tapi arranging things in certain way je.....takdela constant..kan kan..heheh. Susun cheese tu...seriusly unintentionally, luar kawalan tuhh... =)

Day by day

Bismillahirrahmanirrahim

It feels like ages since the last time I'm here. Nothing much to write or to say. Life is good, alhamdulillah. Smiling, enjoying all the things that I've learn although tears keep coming down...

" Why do people cry? Recent evidence suggests that the tears produced by emotional crying may be a way that the body disposes of toxic substances. It may seem strange to think of crying as beneficial, yet many people say that "a good cry" makes them feel better" - some quote that I found in one of the article about psychology. Erm, I think so...

Right now I'm reading a book entitled 'You can be the happiest woman in the world, a treasure chest of reminders', written by Dr. A' id al-Qarni. I enjoyed reading this book because it gives the kind of motivation that I need. Thanks Zai for this book, I really like it =)

After hardship, Allah will soon grant relief.

You are dealing with a Lord Who is Most Kind and Most Generous. Remember that you have to seek reward with Allah swt. If some worry, distress or grief befalls you, remember that it is an expiation for sin. Take what comes to you and give thanks. Count the blessing that Allah has bestowed upon you. This is all the words that really motivate the souls.

When morning comes, remember that the sun is shining upon thousands of miserable woman but you are blessed. How many tears flow down women's cheeks, but you are smiling and happy. So praise Allah, the Exalted, for His kindness, protection and generosity.

Sit and think, and be honest with yourself; look at the numbers and statistics. How many things do you own, how much wealth do you possess, how many blessing do you enjoy, how many things do you have that bring you delight? Beauty, wealth, shade, a home, a country, light, air, water, nourishment, medicine, love? Rejoice and be a good cheer

Praise be to Allah Who has taken away my grief. Although tears keep coming...just be strong and lead the way, insya Allah.

I Love U

Nak balik jumpa mak.....

membaca..

Bacalah dengan nama Tuhanmu yang menciptakan...

Setiap hari membaca.....membaca....dan membaca. Banyak kan ilmu Allah SWT.

Setiap hari ada tutorial dan akan berjumpa dengan patient yang baru. Setiap kali jugak, consultants atau regs atau sho akan tanya soalan yang selama ni rasa-rasa macam dah study, tapi masih samar-samar.....adehhh

Berusahalah selagi termampu. Insya Allah day by day ilmu akan bertambah selagimana kita rajin untuk mencari ilmu Allah...especially dalam bidang medicine ni. Terasa banyak sangat benda yang kena study sekarang ni. Banyak yang kena cover tapi tak tercover lagi. 2 anaest case sedang menunggu untuk disiapkan.....isk3

BERUSAHALAH!