assalamualaikum...

here my site, my own way to present myself as i won't bother anyone
this is how i'm expressing myself by writing here, because most of the time I'm enjoying blogging

Monday, May 11, 2015

personality test : Are you emotionally stable?

You are 99% emotionally stable

"You have very high levels of emotional intelligence; you can not only detect others feeling and your own with no difficulty at all, but you also have very good adaptive mechanism. You can control your feelings very well, you can make yourself happy when you're sad and you can stay cool when your happiness might hurt somebody else. People really appreciate your emotional stability, why else they all come to you for you

its so true, i realize nowadays i can manage my emotion very well.. i know when i'm stress and down and know how to manage it.. unless, i'm very broken i will seek help from my beloved mother.. her words really soothing me and give me strength to rise up again to achieve my goal..

back then, i know i always be like a jerk, moody all the time and give bad influences to other peoples around me, but then i realize i must change the way i expressing myself..

normal la, manusia kan ada turun naik nya, tapi kalau tak sedar dan dikawal dengan betul, hancuss lahh! diri menuju kematangan adalah satu benda yang payah dan memakan masa tapi tak mustahil..
kan?


Sunday, May 10, 2015

ceritera exam cardiology

this time osce cardiology pulak,
sama macam kes yang lepas, list nama atas2 tapi masuk exam last sekali, walaupun tak de lah lewat macam dulu

dan alhamdulillah, aku tak nervous sgt, masuk tu rileks je

question: auscultate the mitral area
salah tangan bila nak palpate apex of ptt, prof tanya :are u left handed?"
"eh, sorry doc, i'm not" cepat2 tukar tangan sebab masa tu tangan kanan tgh pegang stethoscope

me: S1 is muffled, S2 i'm not sure because the sound is hard to hear, pansystolic murmur ..bla bla propagate to (alamak tak check pulak sampai ke axilla, kantoi)
prof: in MR is it possible all murmur will propagate to axilla?
me: not (confidently, walaupun tak tau the reason)
prof: why?
me: emm.. (serious memang tak tau kenapa)
prof: the propagation is due to direction of ejection right? (prof cuba membantu)
me : what doctor, i still can't get it (serious memang tak tahu sebab mmg xpernah spe2 ajar pon psl reason propagation ni..adoi)
prof: i know, this question is very hard. let me explain, it is because when the ahterior leaflet is affected, the direction will be toward the axilla, but if posterior leaflet affected which is not
me : ohh.. this is really new information for me

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

prof: during auscultation, u palpate also the carotid..why?
me: to make sure the timing of murmur is systolic which will synchronize with carotid pulsation
prof: when u palpate the carotid sometimes its dangerous. why?
me: eh.. (terkejut, xboleh palpate carotid ke) because the brain will not get the blood supply (jawpaan paling noob..keke)
prof : no no.. because it will stimulate vasovagal reflex that will cause bradycardia, especially with patient with v tach, we can do carotid massage
me: ohhh.. we can also put the ice..
prof: your method is correct to know the timing, i'm not saying that's wrong but actually u can make sure the timing by the type of murmur (obviously if harsh is MR, while rumbling is MS) or by the heart sound itself..lub dab
me : yeah doctor, but actually i can't hear clearly the murmur (patient tu obese kot, ingat sng nak dengar..susah giler nak detect..bunyi nya dengar tak dengar je)

konklusinya, soalan yang aku dapat kali ni agak rare..
dan paling best, i got many new information that i will not get in the class.. cool prof ni

inilah exam yang i dun care what marks the prof will give, its just like i'm happy with this kind of situation during exam.. learning something new, having discussion

because actually entah kenapa rasa down.. mood tak stabil
minta doa dari mak n family.. alhamdulillah everything going smoothly
whatever the result will be, i'm trying my best to be positive and struggle toward the success..

next mcq n problem solving exam..pray for me

Ceritera exam CTX

Sengaja mahu menukilkan kisah pengalaman sewaktu exam oral masa cardiothoracic round hari tu
masuk clinical year ni oral / osce exam itu biasa bagi setiap end of round..
dulu masa pre cinical tak ada pon, so nak bagi adapt tu agak sukar pada mulanya

alhamdulillah naik tahun 5 ni, dah okey sikit, tak delah nervous anxious menggila.. terkawal lagi la debar tu..

ceritanya, dalam list nama, nama aku atas2 so bajet akan masuk exam awal la kan..
rupa2nya prof yang akan access group aku tu x dapat datang, maklumlah head of department kot.. mesti busy~
so mula2 dah prepare la sebab dia yang mengajar CABG, ischemic HD bagai tu,
tau2 masa exam dia tak de, so budak2 dlm group aku tu berpecah2 masuk group lain

yang sadisnya, orang lain dah habes exam, aku dgn bebudak group baru aku tu tak masuk2 exam lagi, bayangkan dah 12.30, padahal mula exam pukul 9 camtu.. buku tu dah ulang baca khatam 2, 3 kali dah.. sampai naik give up pun ada

akhirnya, prof sampai.. kami satu group terkedek2 ikot prof, dia suruh masuk satu group terus semua sekali lapan lapan orang tu
duduk tu, aku paling tepi dekat dgn prof

prof: how many all of u?
me: we are eight, doctor
prof: so 8 + 1 ?
me : (blur) 9
prof: what is pneumothorax?
me : air inside ..
prof : ok, u next (sambil tuding ke kawan sebelah aku)

so, konklusinya. prof hanya tanya dua soalan.. what is pneumothorax? what is hydrothorax?
and all full mark..

kami gelak2 n like seriously!!

berbaloi la tunggu macam nak gila, xmasuk2 exam.. last2 prof kitorg sgt funny and nice..haha

last part, bergambar beramai2 dengan prof

tak habes2 ayat dia.. "you all are excellent group..very excellent.."

Alahmdulillah, everything going smoothly even during that time my life is upside down, serabut gilak, ada je macam2 problem.. problem apa, tak perlu lah nak cerita kot..hee