Attachment X-Files

Salam.

Just to jot down few things about what I've seen and learned throughout my attachment days in PK UTM. Basically, its nothing much compared to what you might see in hospitals but to me those kind of experience is just overwhelming and so memorable.

1. Blood taking. Scientific term is venipuncture.

Blood is the main 'vehicle' of our body, so it carries along all sorts of things inside it like the circulating antigens, antibodies, cells, virus, hormones so on and so forth. So, lets just say doctors could diagnose your illness based on your blood analysis.

During attachment, most people asked why their blood look so dark and black. Well, the blood is like that because it comes from the veins ie deoxygenated ie contains deoxyhemoglobin ie darker. And to some extent some people blood look a bit viscous compared to others.

Anyhow, I managed to take blood samples from a number of patients with obvious veins. Haha it is satisfying to see the blood oozes into the syringe. I felt like a dracula for a bit. XD
Of course, there were times when the blood wont come out. Sometimes, it looks like a vein but when you poke inside there is none. I know, disappointing right.

2. Minor procedure. 

-Abscess draining from a Psoriasis patients, and from back of ears of a male.
-Broken nail extraction from a female.
-Ear toiletting in patients with impacted ear wax etc
-Wound dressing for minor accidents
-Minor suture for opened wound
-Vaccination of HPV intramuscularly

3. Pregnancy check up. 

-Calculating (estimated due date) EDD from (last menstrual period) LMP. According to Naegel's Rule you just minus 3 months and add 7 days from the LMP.

eg: LMP = 17/10/2012
     EDD  = 24/7/2013

-Measuring fetal growth according to mom's bump measurement. I dont know the shortform for this (not MBM of course). Measurement done from fundus of bump ie below the xiphoid process till the superior pubic bone. The measurement (inch) should be +/- 2 from fetus age. But doesn't apply to almost due babies (eg: 36th weeks). You dont want mom's stomach to explode due to its hugeness right. How bright Allah is. He created everything so perfectly!

eg: measurement should be 22-26 inch for fetus of 24 weeks old. You have a round calendar chart to calculate the week easily.

-Palpating the bump to find the head of fetus. Its round like coconut and fits nicely in your palm when palpated. Its firm compared to other parts of the mom's bump. Might get used to it with further practice and experience.

-Hearing fetus heartbeats. Dud dud dud dud dud . It is sooo fast as fetal heart rate normally is very high compared to us adults, ranging from 120-160 beats per minute. Should be heard as rapid and regular dud dud dud dud dud. We dont count the beats, rather just confirm its rhythm and regularity. Or sometimes, we ask the mother to record the baby movement. Should be more than 10 movements in 12 hours duration. Will easily detect any abnormality in rhythm and regularity with further practice and experience.

4. Ultrasounds

-Kidney ultrasound. Male complains of rt hypochondriac pain. We started checking on lt hypochondriac first. As lt kidney is overlaid by spleen from front, we place the probe from patient's back. On the other hand, we place the probe from front for rt kidney sonography. And there you go, watching the vulnerable images, hardddd to understand. Gotta have firm grasp in anatomy to fully understand and analyse the images though.

-Fetal ultrasound.

Don't really get these weird looking sonograph due to its always changing shape and looks. But yeah. Will get used to them with practice later on, inshaAllah. Here, we see, 4D ultrasound of the fetus. We see the pumping heart with 4 chambers, the hockey stick shaped femur, the biparietal head diameter (BHD).
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Ok, thats all for now. Will add more to this file later on. InshaAllah! :)
Attachment is a mere labour to gain experience, to apply, to observe, to learn and to practice.
It is no doubt and goes without telling super duper exhausting. At least for me. Haha yeah I am a lazy bum, duduk rumah goyang kaki kind of person, so when I have to give out extra effort everyday (and without payment too) I become soooooooo tired. But of course, worth all the sweat. :)

Existing doctors might tell you the reality of being a doctor. Its not easy. But you gotta endure it with much perseverance, be ready to get scolded, but yeah we learn from it. Take it from bright side, we remember fierce teachers more right, the one who were so mean to us back then, but contributed a lot to moulding the you present now.

InshaAllah, I'm ready! I always pray that I always will. :)

Till then, wassalam.

Of what actually happen before winter break

Salam 'alaik dear readers. :D

Guess where am I now? Hewhew ok tak comel langsung ketawa macam tu. Anyway, alhamdulillah, I am in Johor Bahru now, at the home sweeeeet home.

I is very the happy one you know. This year punye winter break, diberi kesempatan utk berjalan lebih sikit atas bumi ni, mentadabbur alam, for that Alhamdulillah thumma Alhamdulillah. I get to meet many new friends, seniors, juniors and family.

I was in Paris for 6 whole days and then I headed back home. Actually Paris wasn't in my plan pun awalnya. I dah beli tiket to Malaysia on 15th Feb then tiba-tiba university awalkan cuti. Nak awalkan tiket I have to pay like 2000 LE which was quite a sum weih. I macam kenapa sungguh berat ujian yg diberikan Ya Allah (over moi) hehehe. I decided to keluar from Egypt to anywhere I tak kisah asalkan not Egypt. Ended up, ticket to Paris paling murah and ada senior abang (female) kat sane. Aku seolah-olah nampak cahaya di hujung terowong gitu then ke sana lah daku membawa diri.

Dan sesungguhnya aku ni memang lah pelik dan perlukan kelas firm decision making. I dont even understand what was I thinking back then when I decided to go to Paris. Bila dah beli tiket to Paris tiba-tiba rasa menyesal sbb better if aku awalkan je tiket, dapat spend time with bros yg cuti CNY and pergi walimah sedara aku kat Kelantan (Kelantan okay, once in a blue moon je pergi). All this happened masa peri examination. Dahla balik dari Paris sampai Cairo pukul 2.50 pagi on 15th Feb. Balik Malaysia pun 15th Feb gak. Ah sudah takut pulak aku kalau tetibe flight delay kang, ade yg terlepas flight balik Malaysia pulak. Messy sungguh hidup aku waktu tu worrying over something that is yet to happen.

I was in a great stress tau waktu exam tu fikir ni fikir tu, sumpah la rase macam Datuk Seri pikir bussiness kat negara jiran apa aku merepek #%%^&**( hehehe. Jadi bila kita stress kita buat apa? Kakak naqibah kita kata pohonlah pertolongan drpd Yg Maha Pengatur itu.

Jadi........

Alhamdulillah.....

Semuanya turned out great. Malah sangat better dari expectations aku, hilang semua kerisauan dan penyesalan (ewah) seriously terharu sangat. Cantik je Allah aturkan semuanya untuk aku. Maka nikmat Tuhan yg mana lagi hendak aku dustakan? Guys, hands down, honestly, aku sungguh touching mu tahu dok?

Kak JR sangat baik. Seniors kat sana bawak kitorang jalan-jalan. Baik. Memang sangat baik. Banyak aku belajar drpd mereka. Bukanlah nak kata diorang buat kelas mengajar aku duhhh cuma, we could learn something from someone else's action kan. Gitu la.

Bila diorang baik sangat macam tu kan, aku pun rasa, aku nak jadik baik macam tu jugak kat orang lain. Sebab they made me happy by that. So I hope I could be the one making others happy too. Macam cycle of good deeds oh bukankah dunia akn menjadi sebuah tempat yg sgt best bila dipenuhi insan berfikiran sedemikian rupa?

Hei panjangnya aku tulis.

Ok lah, gambar will be updated soon in another entries. Those were such a memory seriously. Sangat best sampai tak tergambar best mcm mana lah Allah prepares utk hamba Dia kat syurga nanti. Huuuu just thinking about it gives me some goosebumps. Excited but no less fearful. Anyway, just strive hard in this life and be the best give the best we could in this life for endless bliss awaiting in hereafter. InsyaAllah.

p/s: Give, we shall be happy.
p/s: Worrying is like rocking a chair. It gives you something to do but never brings you anywhere. Thanks kak JR.
p/s: Want less, you'll feel rich. Nevertheless, dream high, you'll be stronger.

Rambles on Holiday

Assalamualaikum.

Okay, tonight, I'm gonna rant about anything. So expect a tsunami of words and 'HAHAHA' and anything. Cause yeah, anything. Like yeah, anything. Okay, I'm being super saiya-ly annoying here. So, moving on to first point. 

MPH Online;

Recently I've ordered some books (3 books) from MPH Online. It says I will get the books in 3-5 working days time. I ordered them on 7th August and today is already 15th August. Exactly the 5th working days after 7th August. I've been very obedient coming out (covering every aurah possible) everyday to check the mailbox to see if anything has arrived but up to this day, I've been up to a total, big, humongous disappointment! Haiyoh, hurry up la weih! I've emailed them though about that. Hopefully, my books will turn up in the mailbox tomorrow. Please please please kamu jangan nakal MPH!!.

Of driving;

For the record, I've been very annoying to pester my dad on how the car is too big for me to drive (please, don't say I'm being riya' cause I just wanna story-tell you here). Yelah, I graduated from Berjaya Driving School (I'm not that 'Berjaya' anyway), driving a Kancil only, but suddenly I'm faced with a huge and gigantic 4WD which of course disturbed me in every way you could imagine. Okay, there's not much need for me to drive actually, but but but, sometimes I did wish badly I could drive. When my grandmother was here, I wished I can take her to shopping sayur and barang dapur in Tesco wherever la because she likes it. But, yeah, I am 'crippled' like that, pity me eh, up to the level, I even thought of hiring a driver. HAHAHA. True story, I'm laughing at myself!

But now, worry no more. 

Came a day (I've forgotten the date) when I felt so motivated to drive, thanks to a friend. He said I have to give it a try, break the wall, the scaredy-cat me or any obstacles that keeps me from driving. So, I asked my dad to keep me company to somewhere. Well, we started in Taman Sutera cause normally the traffic is not as heavy as in the main road. So, we drove around and around (around around nak termuntah jugak sebab cuak sangat!). I managed to drive from Taman Sutera to bazaar Perling Mall to home. Along the way, I did took a U-turn which was verrrrrry daring of me (phewh berpeluh haku), crossed a junction and side-parked quite cacat-ly but hey I managed to bring us home, unscathed, Alhamdulillah. HAHAHAA The happiest, the most bangga-able moment, the most ujub moment I felt when I finally reached home! It was indescribable! Such a victory! Like I was freed from an unexplained prison I made myself. Alhamdulillah. 

But I didn't forget, everything goes back to Him. Thanks to Him cause He protects me, put the courage inside me, blesses me with a patient father, so on and so forth. 

Now that I can drive (InsyaAllah), I'm gonna use it wisely. One of my friend once told me, she learnt how to drive because it would be easier for her to bring adik-adik to jaulah, go to usrah etc. The point is, her niat when driving is for God. I was totally gobsmacked, right at the heart! The power of niat and sincere tazkirah. I hope I'm giving benefits with this newfound ability and it wouldn't be a great embarrassment anymore to change my P (probationary) license to a competent one. Teehee.

Points to Ponder:

I realized that at some level of our live, we are faced with obstacles, a great uncertainty which could make you feel so down, so inferior, so low self-esteem. But, to my new discovery, it all depends on yourself to remain at that place, remain a coward, or to run away from those negativities, to break the wall, jump over it, and head to freedom. Because this is life. You feel, you learn, you apply, you decide, you anything!

Sidenotes:

But the most daring one from my siblings would be my youngest brother la aka Mur the Jemmy. (nama kena merah sebab dia nakal!) HAHAH. He's safely home now. He arrived today during sahur and is early for Raya holiday cause he skipped school in an illegal way. Students staying in hostel call this manner as 'fly'. Yeah, he flew back to his nest. HAHA his story is too long to jot in this entry. Maybe next time. Up to today, he has received 3 phone calls from his teachers for this bad bad job. All I can say is create a big 'network' cause they might or always save you! Hehe.

Ramadhan almost comes to its end. Let's grab the opportunity!! (hello hello myself). 

Wassalam. ;)

10-13 August 2012; Jalan-jalan Johor.

Assalamualaikum.

Setahun tak bersua muka boleh mengundang hati yang remuk-redam mentahan rindu ecewah, intro jiwang semacem je ni. XD Tapi itu adelah hakikat bagi manusia bernama aku. Jiwang lagi sekali. XD Apape pun, tarikh kat atas ni memang waktu aku bertemu dengan orang-orang yg dah lama aku tak bersua muka, berjabat tangan berpeluk mesra. XD

REMINDER Maahad;

This is the main story kenapa aku berada di Muar haritu. Tapi sedih seh tak dapat jumpa cikgu. Boleh pulak tuan hamba tak terfikir hari Sabtu cikgu-cikgi bercuti di rumah. Haiyoh, so aku jumpa dengan students and kawan-kawan lama je lah. Jumpa Zahin. Liyana, Syakila, Jay, Nana, Najwa dan seniors dan juniors kat sekolah dulu. Nama yang takde sebab aku selalu jumpa kat Mesir. Hehe.

Oh, ada Form 5 yang ingat aku lagi. Sungguh terharu lah aku. Hmm, Alia jumpa aku tanya 'Akak, akak pernah duduk dorm Mariah Qibtiah ke masa akak Form 4?' Aku yang blur dan loading ni dengan pantas dan efisyennye cakap 'Eh akak kat sini dari Form 1 sampai Form 3 je' sambil senyum senyum ayu haha. Eh tetibe aku teringat aku sempat jadi Form 4 selama sebulan kat Maahad sebelum pindah SMAPL!! Aku pun 'Eh awak, ha'a la akak dulu dorm tu. Hehe awak ni form bape bla bla bla and the rest is history. Alia tu Form 1 masa aku Form 4, lepas aku refresh hippocampus aku bebanyak kali, baru aku nampak muka dia samar-samar. Hewhew.

Bukan aku bangga, aku cuma terharu sebab masih diingati. T_T Maahad yang sangat best, tempat aku dipertemukan dengan sahabat yang banyak membentuk dan menjadikan aku harini. Huhu.

Jumpa Najwa lagi and adik Sufiyyah yang comel tu. Najwa selaku boss bawak kereta tolong hantar and ambil huuu terhutang budi sudah dengan die.

Pt. Sakai, Muar;

Ini rumah nenda aku lah. Pergi mengeluarkan keladi dari tanah, mengenal pokok kesum yang renek tu, mengait rambutan guna galah panjang nak terkehel tengkuk aku mendongak lama noh. Toklah the best memasak kari daging + roti jala, asam pedas ikan tenggiri. Haha Toklah bekalkan Fazira banyak benda wei dari keladi sampai ke benih belimbing kecik-kecik tu.

Pastu tahan bus depan rumah nenek aku utk pergi Batu Pahat. Haaa, ini agak kelakar bagi aku. Seriously wei, aku tak sangka boleh tahan bus depan rumah nenek aku pergi Batu Pahat. Aku ingatkan kene pergi bus stand kat bandar tu. Mati-mati aku tak percaya kat nenek aku sampai nenek aku kate 'orang duduk sini dah 20 tahun dah laa!' Haaa nasib baik Asmah ada, tolong tahankan bus semua. Fazira ngan aku naik bus siap bawak keladi, rambutan, daun kesum ape semua tu tau, jangan memahen. HAHA. Tapi, best!

IPTHO, Batu Pahat;

Haaa, ini cerita lagi best! Jumpa Sabrina, pastu sempat sharing dengan akhawats kat sini. Alhamdulillah, dapat rejuvenate sikit diri ni yang dah lemau. Huhu. Sempat berbicara hati ke hati ewah sambil makan rambutan bertiga. Best sangat! Rasa macam haish tak dapat nak describe perasaan ke-perfecto-an saat tersebut.. Allah, bersyukur sangat rasa sebab dapat rasa perasaan tu. Sabrina, Fazira, terima kasih sebab banyak motivate aku indirectly. From the way you guys discussed things, from the way you guys think, from the way you guys talk, semuanya ada saham masing-masing XD. Hee aku rasa kelako dan sedikit malu la pulak cakap camni tapi ahh tak kira nak cakap jugak. Haha.

Trivia: Aku dengan Sab dulu umpama belangkas kat Maahad Muar. Fazira ni pulak kawan baik Sab kat KISAS. Pastu aku terjumpa pulak Fazira kat KTT melarat ke Alexandria. Nampak tak permainannye di situ? Huhu. Alhamdulillah, siapa tak bersyukur dikurniakan kawan macam diorang ni.

Pt. Sulong, Batu Pahat;

Aku dah sampai kampung Fazira! Ahahaha dia bawak aku naik motor tahu tak?! Huahh cuak tahap kebebeyh yg tak dapat ditaksir oleh minda. Aku ni jakun sikit. Last naik motor masa darjah 4 kot, itu pun takat pusing-pusing kat taman, pakcik aku bawak. Haha. Pergi kilang nenek Faz ni. Kilang kerepek. Ramainye umat manusiaaaaa hai. Selepas bersesak beratur tunggu kerepek ubi pedas, balik semula rumah nenek Faz, then balik Johor Bahru. Orang Johor lama-lama panggil Johor Bahru ni Johor. Macam orang Mesir jugak. Die panggil Kaherah tu, Masr (Mesir). Balik Johor dengan ayah and abang Faz.

Terima kasih daun keladi, lain kali nak tumpang lagi kat ayah Faz huhu sebab hantar aku sampai depan rumah. Terbaiklah ayah Faz. Ayah die dulu join St. John kat sekolah, pangkat tinggi okeh Ketua Pegawai Turus Kawasan ke ape nama die tah. Haha banyak okeh pakcik share. Antaranya:

Kalau orang minum racun, nak bagi apa?
Jawapan: bagi air garam pekat. Utk neutralizekan balik racun tu, nanti orang tu akan termuntah.

Kalau orang accident patah tulang belakang, ha acane nak transfer die masuk dlm ambulans. Guna pengusung tak boleh.
Jawapan: Kena guna selimut!

Kalau orang sakit perut nak bagi apa?
Jawapan: Hiris kunyit  halus, pastu rebus, minum air die.

Macamne nak stopkan bleeding?
Jawapan: Ligate the part gune kain, ikat ketat-ketat, every 1 minute kene loosekan ikatan tu bagi darah lalu, pastu ikat balik.

Ha banyaklah lagi. Tak tertaip aku kat sini. Hehe.

//

In a nutshell, aku bersyukur dikurniakan, dipertemukan dengan orang-orang sebaik ini. Alhamdulillah. Moga ukhuwah yang terbina ni berkekalan ke akhirnya. Moga Allah ikatkan hati-hati ini hingga kita kembali pada-Nya. Allah, tak tercakap dah. Biar hati je yang tahu. Ok dah dah la tu gelakkan aku (khas utk Fazira). Terer jugak aku menyulam untai kata pemanis bicara camni eh. Hehe kidding!

Sekian, wassalam.