Friday, 30 March 2012

List a.k.a senarai

Assalamualaikum n HAIIII!!!!!
Weekend dtg lagi.. yabada beeedooo....

Ok fine..
bile dh masok part 2 or sem 2 ni..
jadual makin lme makin ketat..
err i mean sendat.. no..no..
makin Padat!! yaey!

berterabur habis dh semua.. hampir sama dgan 
kepala otak aku ni..
As a human being...
we usually have our own list...
example...biasanya
orang panggil TO-DO-LIST
ataupun lebih manis dikenali sebagai senarai perkara yang ingin dibuat..
huk3..
tapi kalau aku.. aku....
ada banyak list...a.k.a senarai-senarai

firstly,
WISH LIST
  1. Shopping
  2. ice skating
  3. watching movie
  4. popcorn/carbonate drink
  5. hang out with friends
  6. dating **i like diz**
  7. theme park
  8. enough sleep
  9. KFC/Pizza Hut/McD/etc
  10. big apple donut/secret recipe cake
  11. fashionable
  12. have fun :)

tapi apa kan daya.. impian bukan sekadar harapan.. tapi hanya angan2 yang tak kesampaian.. coz aku de banyak benda yang harus diutamakan.............

T0-D0-LIST
  1. wake up early in the morning
  2. Study
  3. Make homework
  4. clean up room
  5. make a report
  6. make a relative writing
  7. make a script (for YB n president)
  8. facebook (only 15 minutes to know about the current issues and announcements) a.k.a social
  9. burn midnight oil
  10. trying make life FUN!!!!

but it will end up...as...
DONE LIST
  1.    Overslept
  2.   Have lunch at cafe/kitchen at house
  3.   Facebook/Youtube/thmblr/blog etc
  4.   Have dinner same place
  5.  √ Mess up
  6.  √ Playing games
  7.  √ Gossips
  8.  √ Sleep earlier

its happen all the time...
maybe i need to be more discipline..
hehehhehee....

what ever it is..
there is one more list that I must do!!!

Must-Do List
  1.  Pray five times per day
  2.  recite quran/dua'a
  3.  Eating Halal food
  4.  Menutup aurat
  5.  Listen to parents..
  6.  Fullfill responsibilities as servant of Allah :)

Saturday, 24 March 2012

Fantasy! Wedding plan :)

Hi! Today I really want to write about Wedding yeah!
my wedding... OOps! my future wedding..
heheh :) **belum habis study dah nak pikir kawen**
bukn nak menggatal..
tp tuh la.. dah dewasa..
InsyaAllah.. klu diizinkan Allah.. ada kesempatan kita melangkah ke alam perkahwinan..

Bila tibe hari berbahagia itu datang...
I really want........

1. Wedding dresss :DDD

cantik kn.. klu ak XXS xpe la gak an.. he3.. kipas tuh utk ak bile ase panas..
berdebar2 la konon..he3.. yg reben ats kepala ak nk tukar.. pelik la plak.
tapi... klu x dpt yg vogue giler cam tuh pon xpe...
yang ni pon comel..  bersederhana je.. ad x fashion designer nk
design kat ak.. hehhehe

2. Wedding Ring!!
hehhehe.. ada diamond tuh.. mesti mahal neyh.. hehehhe
nmpak mcm sesuai jugak uuh..
this white gold ring! pergh! yg ni yg ak nk sgt.. simple tp... nmpak elegance~

3. Pelamin... hehhehe :)
ad macam King n Queen x?? I wonder sampai x kaki ak mencecah tu...

yang simple ni pon ok.. berlatar belakang seperti ukiran di masjid..
4. Wedding cake.. MMmmmM Yummy!

wah!! the bling bling gtuh.. unik kn.. mcm nak je..

klu x dpt pon.. nk kek coklat yg simple neyh.. decorate ckit2 pon ok gak!
nampak la gak menyelerakan..!! he3..

5. Invitation card :)) *untuk korang la gak*
yg ni simple je.. N & S hehhee...
tp klu bley ak nak yg ni...
cute kn?? kn?? nmpak cam budak2. hehhehe

6. Accessories for the wedding :)

instead nk bg kowg bunga telur.. ak ingat nak bg kek or roti
sedapnye.. macam kotak hadiah..nk bg tetamu :)
tetamu dtg jauh2.. mesti bg sesuatu yg mnggembirakan hati mereka..
7. Wedding reception :)
klu outdoor ....
nmpak mcm bez je an.. yg bunga kat ats khemah tuh
asenye kena tukar kipas tuh..
tp.. klu ada dewan yg kosong.. bley je wat indoor :)

suke2.... nmpak elegant..

Last but not least... I want this Prince!!! ^^


Apabila melangkah ke alam perkahwinan..
pasti banyak tanggungjawab yang perlu kita pikul..
terutama sebagai wanita yang berkerjaya...
membahagikan masa sebagai seorang anak, isteri dan ibu kepada anak..
tp yg plg penting...
bila kite dh ada anak..
bukan kuantiti anak yang perlu dipentingkan..
tetapi.. kualiti anak itu..
betapa pentingnya didikan ibu bapa terhadap anak2..

i'm just afraid one thing when i get kids...
Bolehkah aku menjalankan tanggungjawab sebagai seorang ibu
sepertimana ibu aku mendidik aku??

dalam fantasi aku...
i'm afraid anak aku terperangkap dalam situasi...
Anak ak dan kawan dia bercerita menegnai ibu masing2

Anak   : Cantik baju kau..
Kawan : Mak aku jahit..
Anak    : Mak kau tukang jahit ek? pandai dia jahit..
Kawan : Mak ak surirumah je... Tadi dia bawak makanan Jom! makan sama...
Anak    :(sambil makan) Sedap mak kau masak.. dia pon tukang masak yang hebat..
Kawan : Xdela biasa2 je.. Mak kau lagi hebat doktor pulak tuh..
Anak   : Tapi maid ak yang buat semua....

I hope.. this will not happen...
Hopefully  I have time for my kids..


Surat untuk my future kids,

Dear anak-anak,

Umi harap.. Umi dapat menjalankan tanggungjawab sepenuhnya sebagai seorang ibu sepertimana nenek anak-anak sekalian menjaga Ummi. Ummi akan menjaga segala keperluan dan kehendak anak-anak..
Ummi nak anak-anak Ummi merasai kehidupan mempunyai Ummi yang bukan sekadar berpijak di bumi untuk mencari rezeki untuk anak-anak tetapi Ummi yang berada disamping anak-anak sekalian walaupun apa yang berlaku.. Ummi berharap Ummi dapat mendidik anak-anak dengan baik dan semoga anak-anak dapat membesar dengan baik.. serta mempunyai didikan yang baik... yang Ummi dan Abi didik.. Ummi harap anak-anak tidak menganggap duit itu segalanya.. tetapi ingatlah.. keutuhan hubungan serta kasih sayang dalam keluarga kita lebih dari segalanya... Jauhilah laranganNya dan dekatilah apa yang disuruhNya.~
Ummi akan sentiasa merindui dan menyayangi anak-anak Ummi sekalian.

dari Ummi yang menunggu kelahiran kamu :)

Tuesday, 20 March 2012

Good Luck guys!! For ur SPM Result :)

Hari ini entry pendek je...
coz nak ucap GOOD LUCK kat pelajar2 SPM 2011
yang akan amek result esok (21 Mac 2012)
especially to my juniors...
All the Best :)

Perasaan cuak tuh biase..
tenang kan diri..
banyak berdoa..
semoga Allah permudahkan urusan dan perjalanan masa adik2 nak amek result nanti...

To: Huda Izni..
the only one yg I knal amek SPM result.. t dh amek result.. jgn lupe contact akak k..
What ever the result is..
Just accept it..
bersyukurlah mungkin itu rezekiNya yang Dia nak bagi..
but I know you can do it the BEST you could...

But the most IMPORTANT...
say THANK YOU to all your teacher..
even they not teach you..
but they were there with you
at the most precious and unforgettable moment  :)

Sunday, 18 March 2012

Reflective 2: Simulation Patient

Thursday, 15/3/2011
BSKK 9

As a medical student, I have to learn how to take informations from the patients regarding to their illness.

Encik Shaiful, a 45 year old gentleman gardener, came today because of the onset pain of low backache when he try to bend his body and also when he try to lift load. There is no other symptom of pain in the backbone. He is a smoker with a pack per day and not take the alcohol. His history with his father has gout and stroke while his mother already passed away. He has healthy wife and kids.

All this information is a summary from what I've got. When time for feedback from the simulation patient, he said that I already got 90% of the information. I'm not ask him about his mother, wife and kids. I'm just asking about his father. About the pain, I'm should asking about the radiation of the pain. I should actually know about the red flags symptom of the backache. I also should ask how the pain fell whether its just a pain at the skin, or throbbing or other else. I should ask more open ended question so that the patient can describe the pain that he feel.

This the example of red flags symptom of back pain I should know:


Red Flags: Cancer Related Red Flags with Low Back Pain

  1. History of cancer
  2. Unexplained weight loss >10 kg within 6 months
  3. Age over 50 years or under 17 years old
  4. Failure to improve with therapy
  5. Pain persists for more than 4 to 6 weeks
  6. Night pain or pain at rest

Red Flags: Infection Related Red Flags with Low Back Pain

  1. Persistent fever (temperature over 100.4 F)
  2. History of intravenous Drug Abuse
  3. Severe Pain
  4. Lumbar spine surgery within the last year
  5. Recent bacterial infection
  • Urinary Tract Infection or Pyelonephritis
  • Cellulitis
  • Pneumonia
  • Wound (e.g. Decubitus Ulcer) in spine region
Immunocompromised states


  • Systemic Corticosteroids
  • Organ transplant
  • Diabetes Mellitus
  • Human Immunodeficiency Virus (HIV)
  • Rest Pain

Red Flags: Cauda Equina Syndrome Related Red Flags with Back Pain

  1. Urinary Incontinence or retention
  2. Saddle anesthesia
  3. Anal sphincter tone decreased or fecal Incontinence
  4. Bilateral lower extremity weakness or numbness
  5. Progressive neurologic deficit
  6. Major motor weakness
  7. Major sensory deficit

Red Flags: Significant Herniated nucleus pulposus

  1. Major Muscle Weakness (strength 3 of 5 or less)
  2. Foot drop
  3. Red Flags: Vertebral Fracture related red flags with Low Back Pain
  4. Prolonged use of Corticosteroids
  5. Age greater than 70 years
  6. History of Osteoporosis
  7. Mild trauma over age 50 years (or with Osteoporosis)
  8. Recent significant trauma at any age
  9. Ejection from motor vehicle
  10. Fall from substantial height

Red Flags: Abdominal Aortic Aneurysm red flags with Low Back Pain

  1. Abdominal pulsating mass
  2. Atherosclerotic vascular disease
  3. Pain at rest or nocturnal pain
  4. Age greater than 60 years

Red Flags: General (weak Test Specificity)

  1. Vertebral tenderness
  2. Limited spine range of motion



The symptom That i should include:

Symptoms: Low Back Pain Timing
Duration

  • Acute Low Back Pain onset within 3 months
  • Chronic Low Back Pain persistent beyond 3 months

Follows Trauma, bending, or lifting
Suggests Lumbar Disc Disease
Morning back stiffness with pain and onset before age 40 years
Suggests Spondyloarthropathy
Age of onset
Age under 20 years
Diskitis
Vertebral Metastases
Scoliosis
Pyelonephritis
Sickle Cell Anemia
Slipped Vertebral apophysis
Age under 20 years: Athletes
Spondylolysis (with risk of Spondylolisthesis)
Vertebral Stress Fracture
Hyperlordosis
Age 20 to 50 years old
Lumbar strain or sprain
Lumbar Disc Disease
Lumbar Spinal Stenosis
Spondyloarthropathy
Genitourinary causes (e.g. Pyelonephritis, Nephrolithiasis, Endometriosis, Pelvic Inflammatory Disease)
Gastrointestinal causes (e.g. Cholecystitis, Peptic Ulcer Disease, Pancreatitis)
Age over 50 years
Vertebral Compression Fracture
Spinal stenosis
Spondylosis
Vertebral Metastases
Vertebral Diskitis or Vertebral Osteomyelitis
Abdominal Aortic Aneurysm
Herpes Zoster
Symptoms: Low Back Pain Location and Radiation
Dermatomal

  • Herpes Zoster

Spine
Midline (especially with Vertebral tenderness and limited range of motion suggests )
Vertebral disorder

  • Traumatic Vertebral Fracture (major trauma)
  • Compression Fracture
  • Vertebral metastases
  • Vertebral Osteomyelitis

Disc disorder

  • Herniated Disc
  • Vertebral diskiitis

Sacroiliac Joint

  • Sacroiliac joint dysfunction
  • Spondyloarthropathy
  • Paraspinous or lateral low back
  • Lumbar strain or lumbar sprain

Abdomen
Epigastrium and upper quadrants radiating to upper portion of the low back
Peptic Ulcer Disease
Pancreatitis
Cholecystitis
Constipation
Unilateral Abdominal Pain radiating to flank
Nephrolithiasis
Pyelonephritis
Periumbilical Abdominal Pain radiating to midline of low back
Abdominal Aortic Aneurysm

Buttock
Piriformis Syndrome
Sacroiliac Joint Dysfunction
Pilonidal Cyst
Perirectal Abscess

Leg
Vertebral levels L1 to L3 radiates to hip and thigh
Vertebral levels L4 to L5 radiate below the knee

  • Radiation below knee is most specific for herniated disc

Symptoms: Low Back Pain Provocation
Prolonged sitting provokes pain

  • Lumbar Disc Disease
  • Spondylosis (disc pain)

Valsalva (cough, sneeze, or straining) provokes pain

  • Lumbar Disc Disease

Hyperextension provokes pain

  • Spondylolisthesis
  • Spondylolysis
  • Spondylosis (facet pain)
  • Sacroiliac Joint Disease

Standing or Walking

  • Lumbar Spinal Stenosis
  • Pseudoclaudication with pain radiating into legs
  • Spondylolisthesis
  • Spondylosis (facet pain)

Symptoms: Low Back Pain Palliation


Rest (relative or complete?)

  • Lumbar Strain or sprain

Ice or heat?
Medications?
Lying with knees flexed relieves pain

  • Lumbar Disc Disease
  • Spondylolisthesis

Sitting relieves pain

  • Lumbar Spinal Stenosis

Thursday, 15 March 2012

Happy Belated Birthday :)

video


Heheh...
saya buat khas untuk kawan saya Naadira nasir...
yg juga suke amek gambar...
mse kat puncak alam....
Kite satu family...
my GFF :DDD
also with janda n anak2 sekalian..
(mummy, bang long,kak ngah, kak chik n bibik aka adik)
hehhehe..
not forget my only anak yg mnje.. Nabilahtasha :)

sangat windu sumenye

terima kasih kepada semua yg menjayakan video neyh

kredit to:
Wan Fashniwazi
Fatin Izzati
Che Wan Muhammad
Murni Atikah
Siti Fatma
Noor Zaiti
Farahain

Thursday, 8 March 2012

Reflective 1: Ready to face.........

segmen Anjakan Paradigma.. bersama dengan Dr. Fadzillah Kamsah..
mengubah anda kepada yg lebih positif..
i'll still remember about a slot which teach us to ready in any condition at any time..
actually this slot is for the ibu2 tunggal.. yg kehilangan suami terpaksa menjaga anak2..
but at the same time it also can teach a student like us to ready face the future..

being a student is hard..
being a worker is tougher..
but being the parent is the most toughest responsibilities we gonna hold..

persoalannya..
are u  ready to face the future?
are you already plan your journey towards the future?
is there any obstacles during your journey?

in my condition:

i'm not plan being a doctor... but since I've already there in medical track..
i need to plan for myself.. Yes! i need to be doctor..
serve for my family, fwen, community and also the country..
But one thing that i have to remind myself
being a doctor is just not good enough..
but being a good doctor is the best way to create a better life :DD

but along the journey..
i have to face many things especially during my studies..
i have to improve my verbal and non-verbal skills.. i shall consider every aspects,

rsenye semua student ada kesukaran yg mereka hadapi mse sedang belajar
not only for medical student..
klu dh nmenye belajar...
xde pe yg senang..
nk belajar masak bukannye senang..
nk belajar menjahit buknnye senang..
bukn semua orang tahu berkebun
bukn semua orang tahu...nk mengemas n membersih..

like Dr. Fadzillah said..
matlamat itu adalah peta perjalanan

yes!! ur goal is ur destination in ur map! the journey is already there!
what u need to do is just find a way!
but of course we dunno what happen along the journey..
there will be many obstacles
only ourselves will make the choice either to continue or not..

sometimes kite akn rse down bcoz of what we are..
kite akn terasa 'kecil' dgn owg yg 'besar'
means that kite rse dri kite x cukup hebat macam owg lain..
sometimes ada owg tuh terasa terlebih hebat dr owg lain..
but remember my fwen!!
jgn terasa down sgt coz sometimes akn menyebabkan hati kite rosak
menyebabkan kufur kepadaNya.. sbbnye kite kdg2 kite x sedar hati kite terdetik "Tuahn tidak adil padaku"
Insyallah xkan ada la ye kawan2 kite berfikir seperti ini...
Sebab itu kite perlu kan semangat dalam hidup..
cakap mang la senang..
tp camne nak cari semangat tuh??

but for me,..
ak akn tengok owg yg terdekat ngan ak..
owg yg plg susah hadapi idop..
but still can survive in the right track~~
cukuplah sekadar melihat diri aku sendiri..
i'm not come from the rich family..
ataupun keluarga yang senang lenang..
but cukup sekadar keperluan harian dan bersederhana dalam hidup..
what i've want
since my kid, i can't get easily from them..
they promise me..,if i scored in my exam they will give me..
but yet they dun give me..
but still i work hard to do best so that they will notice me..
till i've grown up...
i never stop from working hard coz the work hard is there in me..

i never blame my parents becoz of their hard life..
but i'm thankful for them coz give me the chance to let face the outside world and know better about life
i learn from my experience and also mistakes..
yes i feel ashamed to make mistakes
but to overcome the shame of my life i will remind myself to not repeat the mistakes again..

yes i'm grateful bcoz my mother is full time housewife..
when i was a little kid..
i wanna be like her..
take care of everyone in my family..
even she is not complete her studies..
but she knows better than me :))

mknn mama yg tersedap coz she put effort into it :)
mama yg tercantik coz hati mama cantik dihiasi keikhlasan dlm setiap perkara yg dilakukan :)

if people said that doctor is a noble profession..
i would said that housewife is the most noble profession in this world..

that's the one way that the spirit came from!!
My Mother and also family :D

Sunday, 4 March 2012

All the FUNNY FUNNY things :DDD ~Pangkor Island~

tadaaaa!!!
dh masok sem 2 pon :D
jadual mang pack giler.. mang x balik umah lgsung...
cuti mid sem pon xde cuti..
de program Anak angkat selama 5 hari.. kat Melaka..
on that day will be my birthday... :(

sblom msuk sem 2..
de la program HC kat pangkor..
biasela..
after exam final.. bile pegi sne xde mende nk dirisaukan..
ngeh3
cume risau pasal result je la..
dh lme x pegi kat Pulau..
bile dh ade chance..
mandi berjemur x igt dunia..
even penat pon.. we enjoyed our journey :)))

but ade certain capture that make me LOL!!
bila diminta wat gaye bebas...
hhehehe girlz usually prepare with their "peace fingers" hehhehe


bile dh 3 org cube jadi bawang merah.. eyh x bawang putih kot.. 3 3 nyanyi x sedap!

Bile ade duyong.. eyh x dugong kowt..terdampar kat pasir...

dugong terdampar???keh3.. jgn mare.. juz kidding~
comey jer duyong neyh... cam Princess Ariel yg dlm citer
 Little Mermaid tuh.. hehhee
 SNORKELLING!! time~.. err yg ni lagi la pelik.. bile sume mnunjukkan bertapa excitednyer mereka..
test snorkell kat persisir pantai
yg ni x ley blah.. atas darat tros.. keh3... 

yg neyh tengah audition mentor agaknyer.. nk jd apprentice adira dlm ombak rindu agaknyer..
xdela.. dy pnat menunggu kowt...
sementara menunggu~
alahai manisnye gadis melayu neyh.... 

then.. we've met my junior as a former uitm p.alm wlupon dyowg x sempat jumpa ak. tetap ak ex p.alam.. hhehehhe
klaka la... nmpak cam skema plak dak medic neyh..
err x kowt.. juz pentingkan keselamatan..  

when its come to serius part! The last group yang kena pick up naik bot ke challet.. dyowg solat dlu sbb wisau takot lambat plak..

never forget servant's responsibilities towards Allah

:DDD

Klik enTry Yg agak2 Menarik ^^