We're Moving

InshaAllah starting 2013. I will be blogging from my new blog. Guna wordpress lah lepas ni as I think it is more manageable. Blog ni I won't close..Kenangan kan? Maybe I'll put up some links for dua ratus lima puluh enam series. Yes, I will continue 256 series in my new blog.. Don't worry :-) elehhh macam lah ada orang nak worry sangat pun kan.

2012 was amazing! I love every bits of it - YES, hardships included :-) Hopefully 2013 will be even better! My exam will be on next Sunday & Monday.

I've been blogging on onebonez for like what... 6 years now? wow. how time flies! 6 years... dah pernah delete blog ni...blogging balik.. orang banyak cakap ni memang kena ada jugak outlet untuk brrrrrrrr tot tet tot tet kan..

So my 2013 projects

1. Blogging from my new blog which will focus on weight loss.
2. Finish my dua ratus lima puluh enam series. speaking of which, we're already on day 105... so.. 151 days to go... :-(
3. My 30 Day Shred Group - I started the January group. We'll kickoff on january 1st, insha Allah.. I hope to have 12 groups through out 2013.. Like January, February and all the way to December.
4. get on the dean's list? 

Whoooosh.todiaaa.. semangat sangat kan? Takpe, aim for the star. I can do it, you can do it. We all can! Yeaaa..So, last lah ni entry untuk tahun 2012... Jumpa lagi ya nanti dekat blog baru.. Jeng Jeng Jeng...

BLOG BARU SAYA

tak berapa iap lagi..header pun huduh sebab..hmmm.. takpelah lepas exam I touch up, ok?

tatatititutu.

thank you for reading. 

dua ratus lima puluh enam : day 92 Obs & Gynae

mashaAllah.. cepat sungguh masa berlalu. tahu-tahu dah 92 hari berlalu... 4 rotation minor, sekarang I'm doing my Major rotation Obstetric & Gynaecology. Total buku yang dibeli : 3 buah sebab bukunya saling melengkapi. ZzzzZZZ... member 6th year pulak pesan,

"Ko baca 10 teachers tu untuk Osce, mini Osce... tapi Hackers ko kena baca untuk final pulak".

Obviously, as you can see OnG is not that exciting for me. which explains the 38 days gap of my dua ratus lima puluh enam series update. Of course in OnG you learn to appreciate your mother more. I myself was born at 4.32 am in the morning, C-section due to fetal distress. Well, I bet having to deliver at such wee hour and going under the knife - that, itself was highly risky for my mom ok. not that I want to bring up the issue la that my birthday is coming in almost 3 months time ^_^ oi...makin hari makin tua.. i'll be 24 omg.. (even had to pause a bit to count my age. wattaaa??) no idea lah what to request... Maybe this year I'll just ask for cash from my siblings. senang kan. bagi duit je. emas sekilo ke..muehehehehe...

Just some points I think worth-mentioning.

• I have met a patient who thinks LMP means the last EXPECTED menses.. Let's say real LMP 1/11/2012, suspected next menses 1/12/2012 (for illustrative purpose). This patient thinks LMP is 1/12/2012 and did pregnancy test like few weeks later - positive for pregnancy. Wrong gestational age = wrong management.
• Today was my first day in military hospital. I was amazed with their uniform. I even have the thought of joining the army forces after I graduate - just because of the uniform, of course. Unfortunately today my patient was quite difficult to understand. I asked her for how many years did she BF-ed her son, 1 year... 2 years..? She answered me with "Aa..ya3ni...1 year...2 years...". When did you go for booking visiti? " I go to the clinic every day". We nearly burst into laughter in front of this particular patient. 
• Your local colleague doesn't always understand the patient history. One day we shared a patient with some students and once we stepped out of the room they tells us they don't understand the history. Patient was an Arab too. Also they claim that the patient was annoying and wanting to punch her in the face. and I was like ??????

of course there are happy days in OnG department. Like seeing the look on your patient's face who just got married in her late 30s, primigravida seeing her baby on the ultrasound device, exclaiming "Oh, My baby....". And some mommies who are very excited to deliver their first child, supportive husbands and stuff. And your hormone goes crazy from all these emotion roller-coasters... 

and last but not least. the screaming! traumatizing. enough said!

BTW I'm back on 30 day shred - again! Tapi susah laaaaa takde support group.. So if you want to lose weight, but don't want to spend money on H****L***, gym membership, diet and protein shake.. Come and join me lah. Kita exercise and eat healthily je.. I promise no calorie counting. No product. No nothing. Just a huge amount of your willpower and some imagination. ;-)

Till next time. Toodles!

4th year : internal medicine osce

Hola gorgeous!

Sebelum kita mulakan sesi hari ini, I would like to invite you readers to take a moment to pause and think reaaaally hard on what can we do to help our Muslim brothers and sisters in Gaza.

Harini akak nak share pasal osce internal med. sempat lagi ni you still have around 1 month kan untuk exam. So, what you should do, during bed side teaching.. Ask the doctor to show you (if you haven't seen) to do PE for

- abdominal

- chest (anterior)

- chest (posterior)

- precordium

and then, like I always tell you, VOLUNTEER to perform PE under your attending's supervision. Then, you keep doing it on your patient. During my exam, all I was asked to do was "Palpate the abdomen". Yes, your exam question COULD be that focused. 

When I was in Basma, my second last day.. Ada seorang doc ni, I forgot his name and he taught us how to do PE for OSCE. Suddenly PE become amaaaaazingly teratur dan not that difficult. So, whenever possible, ask the doctor what examiners are looking for masa PE.

You know, kadang-kadang basic things macam WIPE la...ape la... Ok, to make it even easier, once you know apa point2 penting, you number them. And when you practice on your patient, you just ikut flow yang you dah susun, and voila! You will not be missing a thing. Systematic is key here.

e.g. : Regarding precordium - know where to put you staethoscope, and whether to use bell or diaphragm. Do you have to know how murmur sounds like? NOPE. you wont be losing marks for not being able to diagnose or to recognize a murmur. ingat ye, fourth year is all about APPROACH, taking GOOD history and executing a systematic PE.

reference : Mac Leod's and not to forget what your doctors teach you in rounds.

As for OSCE - it would be good if you know the relevance of the question you asked. sebab it will prevent you from asking soalan merapu during OSCE. And, if you're not so lucky examiner might even ask you about why you ask such question. I regret sangat habit suka pilih case. You know, I go to the nurse station, ok harini nak tengok case unstabl angina, room 7,12,15. I go patient shopping. I'd say you'll benefit better if you don't know what's wrong and stick through one patient until you figure out what's his or her problem.

OK selamat maju jaya for your first OSCE :-)

p.s : inshaAllah kalau sempat untuk paeds akan menyusul

p.p.s : as always, brothers and sisters, you are most welcomed to share your thoughts. :-)