just came back from oncall. thought a detour to the CC would be nice.
last saturday ade program "jom selamatkan palestin". there was a talk by Aqib on the history of Palestine and why their fight is an ummatic issue, not restricted to the Palestinians only. after the talk we had a discussion on what we could do collectively to increase the awareness of others toward Al-Quds. alhamdulillah, the programme was attended by those from different 'groups'. when the issue is ISLAM, then we must UNITE.
saturday night was SISTERS' NITE. it started off with lagha2 things. i don't mind a few songs but Pussy cat dolls??? pe cite? however after two performances, came the persembahan by 2nd year meddies. they were able to portray the situation of the malaise muslim ummah and our distractions, ignorance and uncaring attitude towards our brothers and sisters in Palestine. the ever busy fifth years pun sempat buat lakonan with the same theme. i really think it was a golden oppurtunity to raise awareness amongst the UIA girls yang tapenah turun surau or attend talks or even programs. at least to remind ppl of Al-Quds day this 21st of August instead of remembering it for the much-hyped wedding of the year.
hmm, tadi at the hospital, i clerked one Orang Asli lady who was admitted for chemotherapy for right colon cancer. she believe's in christianity. she said that was a much easier religion sicne she is uneducated. i kept thinking of how i could da'wah to her? i could only be thankful that at least she believes in God. most orang aslis don't.
it's wonderful talking to patients. i learn a lot from them.
Tuesday, August 15, 2006
Friday, August 11, 2006
Just an entry
Our OT gown. Rase cam pakai baju melayu yang ade hood je. Alhamdulillah we have a mask, just in case surgeons ask us tough questions and we give them lousy answers. At least then, they won't remember our faces :P
This week started with 2 sessions of talks by Prof Dr Muhaya, who is an ophthalmologist. She's an expert in her field and has many awards and achievements to her name. There were many great points that she mentioned but what impressed upon me the most was her sincerity in her work and humility towards mankind. She reminded those who join usrahs to know their pritority and remember their core business here is to study, to prioritize their activities and goals and to avoid getting too distracted to the extent that their main objective is compromised. She mentioned that among the potential traps of an IIUM student is the fact that they are jaguh kampungs; heroes amongst their own kind, a homogenous population with a false reality. I was kinda sad with the poor turnout. Sikit sangat yang pegi. Memang kalau buat program kat UIA Kuantan ni orang yang sama je pegi. Yang lain tu, tak tau lah nak ajak macam mana lagi.
InsyaAllah i'll share more later.
InsyaAllah i'll share more later.
Friday, August 04, 2006
End of week 4
it's been three weeks since i last updated. haha.. macam sibuk.
i've just finished my first case write up. i couldn't do anything else until i completed the assignment. it was on a retroperitoneal tumour. (if ur thinking huh? wats that, then ur normal. i wouldn't have known it existed if i hadn't met the patient).
my patient, a 44 year-old malay man presented with lower urinary tract symptoms with simultaneous defaecation problems for about a month. he had significant loss of appettite and weight. he was constantly nauseated and vomited out everything he ate. from the ultrasound and CT scan done, a tumour in the retroperitoneum was found which compressed on the bladder anteriorly and the rectum posteriorly. he has been warded for more than a month. it was very tedious to go through all the investigations and treatment done.
when i clerked him, his condition had already stabilized and he was scheduled to have his tummour resected yesterday. however due to the overbooked operation theatre, his operation had to be rescheduled to two weeks time. sian die. there's loads of patients who come just have their operation rescheduled. kalau yg dekat2 tak pelah tapi kalau yang dari rompin... jauh tu. to complete my write up i had to do a per rectal examination (basically just insert my index finger into the anal canal to make the necesary assessment). the patient was very cooperative with everything else except that examination. he said that he feared it might worsen his constipation. my supervisor told me that i had to do a PR by hook oor by crook.
i presented his case for my group's long case and when the time to present the physical examination findings came, the doctor told me to do it there and then in front of my twelve groupmates. what choice did i have, or even the patient for that matter. my uneducated finger could not tell what it was touching. sian dia. the patient complained later that there was some bleeding afterwards. i felt soooo guilty.
even after 4 weeks in the ward, i still feel at a loss sometimes. there are slow days and busy days. during the slow ones, u just don't know what to do. i've only been able to perform 4 venepunctures (amek blood orang). teringin nak buat bladder catheterization tapi tak berpeluang lagi. nak pasang branula tak confident lagi. i was scolded by one consultant for not being able to perform a basic abdominal examination. horror gile.
so many patients in the ward don't pray because they have a bladder catheter attached to a drainage bag. i've told them that they can pray because the fluid doesn't leak, but they don't believe me. selama mane derang dalam ward, selama tu lah derang tak solat. hmmm...
i can't help feeling sorry for patients who get nosocomial infetions (hospital acquired infections). penat2 datang for treatment kat hospital, lagi sakit je. especially those with wound breakdown or infected wounds. the cause could be any of the hospital staff or attendants or even med students yang tak practice sangat aseptic technique.
when clerking patients, we have to take a thorough history and leave no relevant details out. that's where we have to ask sensitive questions like history of sexual promiscuity, drug abuse and alcohol abuse. some patients seems 'baik' but u can never be too sure. there's always those skeletons in the closet. tu pun ade yg tak rase bersalah langsung. i guess if u wanna know what kind of social ills are prevalent in the society, go to the hospital!
i've just finished my first case write up. i couldn't do anything else until i completed the assignment. it was on a retroperitoneal tumour. (if ur thinking huh? wats that, then ur normal. i wouldn't have known it existed if i hadn't met the patient).
my patient, a 44 year-old malay man presented with lower urinary tract symptoms with simultaneous defaecation problems for about a month. he had significant loss of appettite and weight. he was constantly nauseated and vomited out everything he ate. from the ultrasound and CT scan done, a tumour in the retroperitoneum was found which compressed on the bladder anteriorly and the rectum posteriorly. he has been warded for more than a month. it was very tedious to go through all the investigations and treatment done.
when i clerked him, his condition had already stabilized and he was scheduled to have his tummour resected yesterday. however due to the overbooked operation theatre, his operation had to be rescheduled to two weeks time. sian die. there's loads of patients who come just have their operation rescheduled. kalau yg dekat2 tak pelah tapi kalau yang dari rompin... jauh tu. to complete my write up i had to do a per rectal examination (basically just insert my index finger into the anal canal to make the necesary assessment). the patient was very cooperative with everything else except that examination. he said that he feared it might worsen his constipation. my supervisor told me that i had to do a PR by hook oor by crook.
i presented his case for my group's long case and when the time to present the physical examination findings came, the doctor told me to do it there and then in front of my twelve groupmates. what choice did i have, or even the patient for that matter. my uneducated finger could not tell what it was touching. sian dia. the patient complained later that there was some bleeding afterwards. i felt soooo guilty.
even after 4 weeks in the ward, i still feel at a loss sometimes. there are slow days and busy days. during the slow ones, u just don't know what to do. i've only been able to perform 4 venepunctures (amek blood orang). teringin nak buat bladder catheterization tapi tak berpeluang lagi. nak pasang branula tak confident lagi. i was scolded by one consultant for not being able to perform a basic abdominal examination. horror gile.
so many patients in the ward don't pray because they have a bladder catheter attached to a drainage bag. i've told them that they can pray because the fluid doesn't leak, but they don't believe me. selama mane derang dalam ward, selama tu lah derang tak solat. hmmm...
i can't help feeling sorry for patients who get nosocomial infetions (hospital acquired infections). penat2 datang for treatment kat hospital, lagi sakit je. especially those with wound breakdown or infected wounds. the cause could be any of the hospital staff or attendants or even med students yang tak practice sangat aseptic technique.
when clerking patients, we have to take a thorough history and leave no relevant details out. that's where we have to ask sensitive questions like history of sexual promiscuity, drug abuse and alcohol abuse. some patients seems 'baik' but u can never be too sure. there's always those skeletons in the closet. tu pun ade yg tak rase bersalah langsung. i guess if u wanna know what kind of social ills are prevalent in the society, go to the hospital!
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