Bahaya Diabetes perempuan mengandung.

.

Saya percaya semua orang tahu diabetes tu apa.

bahasa pasar- Kencing Manisss.

ok, bukan nk cerita tentang diabetes. tapi nak cerita tentang effect Diabetes pada ibu2 yang sedang mengandung di luar sana. tapi takkk bolehhh nak kawal pemakanann...

Bila si Ibu mengambil pemakanan bergula yang sangat2 tinggi, gula dalam darah akan memuncak dengan mendadak! kalau hari2 mcm ni, hari2 lah memuncak!

Anda tahu ibu berkongsi semua benda dengan baby dlm perut? pandaiii....

jadi, gula yang memuncak tu, dikongsi juga kan???

ape jadi dengan baby? ade effect?

baby akan menerima sebanyakk mungkin gula yang ditelan ibu. apa ibu makan, baby makan. kalau mcm tu, baby pun boleh dpt diabetes lah?? tepat sekali!!

ini akan mengakibatkan kelahiran BIG BABY. a.k.a MACROSOMIA.

ingat, bukan semua big baby tu bagus! big baby diabetes is a NIGHTMARE!

BIG, BIG, BIG, sampai bila tiba masanya dia nak lihat dunia, dia tak mampu nak keluar! sebab baby terlalu besar.

ibu kesakitan --> baby cuba untuk keluar --> vagina mula buka --> kepala baby mula keluar --> TAPI!

tapi badan terlalu besar, badan baby tak bolehh keluar. baby tersangkut! kepala lihat dunia, tapi badan masih didalam. ape nak buat???

tarik baby??? NO.

caesarian???NO.

kepala baby dah keluar, TAK BOLEH tarik masuk balik    


WHAT TO DO????? WORSE NIGHTMARE.......

DECAPITATION!!! nauzubillah!!! none of us wants that to happen right????

ibu mana yang sanggup melihat kepala anak dipotong? salah ibu? salah siapa?

salah kita, masyarakat yang tak ambil kisah tentang kepentingan kesihatan.

jadi, jagalah pemakanan anda!
make sure ibu makan sedap, tapi sehat dan seimbang ok!

Sakit tekak?

Sekarang di India musim panas. jadi ramai org sakit. demam la, batuk la,  sakit tekak la.. must be some kind of viral thingy in the air. Aku sendiri pun baru baik dari demam.

Back to the topic, kalau anda sakit tekak, ape anda buat?

jumpa doctor? bagus. tapi doctor bagi ubat ape?

Antibiotik?? 

Kalau anda setakat sakit tekak, baru demam dua tiga hari, dan doctor tu bagi antibiotik Adalah lebih baik, anda bangun, dan keluar dari klinik tu terus. Mungkin, boleh ckp gini, '' Doctor, doctor, tak bagus bagi antibiotik senang2 mcm ni taw. Doctor balik bace buku sikit lagi ye.'' okay, say it nicely lah. hehe


tahu kenape? Antibiotik ni, dihasilkan dari sumber2 kultur bacteria and tumbuhan2 yang tertentu. Ingat senang ke nak perah Bacteria2 tu suruh dorang buat antibiotik banyak2? haaaa...sebab tu, antibiotik MAHAL.


Usage of antibiotik yang kerap boleh menyebabkan resistance, @ kebal antibiotik.

akibatnye? pesakit akan kebal terhadap kebanyakan ubat-ubatan. maka, memerlukan ubat yang lebih tinggi dosage nya dari orang biasa.

Jadi, apa perlu buat bila sakit tekak??

Kalau aku jumpa doctor di India sebab sakit tekak, diorang akan kata mcm ni.

'' just go home, and gargle with salt water...no need of drugs for now..if u have fever, just take paracetamol. ''

nampak betapa doctor2 India tidak membazirkan wang anda! tak perlu immediate antibiotik treatment. Sape yang pandai2 bagi antibiotik, confirm kena marah kaw2. sebab tak pakai otak. buang duit pesakit. lol.

macam mane nak dapat salt water? SENANGGGG...

first, take a small bowl, filled with water.

Make sure its warm!

then, add a big pinch of salt. ( well, it depends on the amount of water )

Stir it up. and gargle!!!

Trust me, thats how Doctors in India treat patients with SORE THROAT!

gargle lah dua,tiga kali sehari...sampai elok..=) u'll feel the difference..

how?? here's how;

- salty water has hypertonic effect

- hypertonicity pulls the edematous tonsil away

- salt kills bacteria

logical enough??? then GIVE IT A TRY!!!=))

p/s: tapi kalau dah lebih seminggu demam and sakit tekak, saya nasihatkan jumpa lah doctor.=)

Tangisan seorang pesakit.

Hari ni aku start posting kat department surgery balik. ( we have rotations )  EXCITED. tak tipu.=)
i love surgery. InsyaAllah, by Allah's will, that's what i want to specialize into. ameen.

Lepas aku present the case, Doc demo la skit2 cara nak examine Inguinal Hernia patient tu. Patient tu dah tua.Penuh uban di kepala. Mungkin sebaya atuk2 kita semua.

Patient was a Tuberculosis patient 30 years back. 1 year ago, he had left inguinal hernia. 5 months back, he got right inguinal hernia pulak. and thats why he came. A poor man like him, knows nothing about all this. All he knows is, he need to see a doctor, if the swelling occur on the other side.

Then, doc suruh aku demo balik ape yg die ajar tadi. When i was doing some test on the patient, he suddenly broke down. He cried. Cried, because he was so worried, about anything wrong with him this time.

Ye la, seminggu ni,student doctors asyik datang and learn examining hernia on him.  Layman like him, must be very worry, when all the doctors kept on coming examining him. If I were in his place, I would definitely be worried.

He cried. Saying sorry to the doctor and me. He can't go on with the examination. He asked the doctor, holding his hands tightly. '' Is there anything wrong with me? ''

Sebak la jugak aku kat situ. Guilty pun ada. Pitty apetah lagi. tapi kena act professional lah. takkan aku pun nak meleleh kat situ.

After that, Doc pun explain everything to him. that everyhting is fine. The students came here just to learn. Not because there's something serious going on with him. Doctor comforted him nicely. Patting him at back. and he was fine again. So we said sorry for making him worried and uncomfortable. Then continue our discussions in the office.

Itu saje sharing aku for today.

* These things I learnt, are making me not just a good doctor,but also a better human..

p/s: The stories I share hanye sekadar perkongsian perjalanan aku in becoming a doctor. Bukan untuk mengaibkan siapa2.=)

Result gempak mesti amek medic ke?

Bila SPM keluar, time tu la yang nk decide amek course ape for life...

okay, ini situasinye.

situasi A:

hm....dpt 15A la!Alhamdulillah..tapi...nak amek course ape ek...aku minat melukis..tak kan nak jadi pelukis pulakk...hmmm.... amek Medic lah...jadi doctor...walaupun TAK MINAT, tp alang2 result gempak camni, rase rugi pulak kalau tak amek medic..

jadi, si A ni pun pegi la amek medic..blaja punya blaja...rase TAK MINAT. maka, xboleh go on..rase nk berhenti...dah membazir setahun, dua usia yang ada...

ni situasi yang biasa aku jumpa..

-1-

me: knape ko amek medik?

B: sbb mak aku suruh...aku malas la nk membantah..=(

-2-

me: kenapa ko amek medic?

C: sbb result elokkk....tak tahu nak amek ape..try je lah medik..xsangka dapat..=(

-3-

me: kenape ko amek medik?

D: sbb kawan2 aku amek medik...aku follow la.nanti berpisah pulak...sedih..=(

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okayy.....nampak pattern di atas?? kesimpulannya satu, TAK MINAT.

Minat tu penting! dalam ape2 pun yang kita buat..even kalau nk makan pun, kalau tak minat, tak makan..kalau makan pun, tak habis.sebab tak minat. haa...nampak betape pentingnya minat tu?

Ape yang aku boleh kate, medic ni bukan la sekadar 15A1...17A1...it takes you more than an A! yes it does..

sanggup tak tido malam buat OT?

sanggup tak tido malam study?

sanggup tak balik rumah makan masakan mak??

sanggup korbankan 'zaman remaja'?

kalau sanggup, okay lah tu..pikir lagi skali.g wat istikharah. baru amek medic. TRUST ME, IT AIN'T NO EASY.

kalau ko rase ko terer biology, tu blum cukup untuk kate ko boleh jadi doktor..susah medic ni i tell u..u have to read THICK BOOKS....thousands of pages..voluminous subjects..bukan takat satu.maybe 3, mayb 5 subjects yang buku masing2 berkepokk tebalnya...haha...menakutkan tak medic ni?? tapi kalau minat, best je...ape2 pun, kalau minat, insyaAllah mudah...( cewahhh, pandai ko bebel ye tasha )

cehh, aku ni cakap je lebat...2nd year pun tak habis lagi..( lagi bape minggu nk final la nih!)..ye, aku bukan la pelajar yang hebat..bukan distinction ponn...tapi aku minat. and MINAT aku tu, aku tanam dalam2 sejak aku kecik..tak sangka 'pokok minat' tu bercambah hari ni..tunggu nk berbuah je...=)) insyaAllah...

ape pun, medic ni takde la teruk sangat...takde la sampai takde life...aku okay je....kawan2 aku ok je...dpt je tgk wayang...dpt je shopping..dpt je lepak mcm remaja lain...bezanya, kami buat semua tu pada waktu lapang aje..bukanlah memanjang jeee lapangggg...

kesimpulan yang aku nak buat kat sini, kalau dapat result gempak tu, jangan la jadikan medic ni the only choice you have in life...banyak je lagi peluang kat bumi Allah ni..macam2...yang penting minat...bukan sebab:-

1) parents suruh..( sape yang nak kena bace buku berlori lori tu? kau ke parents kau? )

2) sebab result elokkk ( result elok tuh, tak semestinya ko takleh wat benda lainnnn...)

3) sebab member ( heloooo....yang ko ikut member tu watpe? kalau ko gagal nanti, member ko nak ikot ke? dia mati, ko nak ikot masuk kubur? )

jadi, buatla keputusan sewarasnya! ini soal mase depan anda..bukan orang tepi, atas, kiri, kanan anda.

p/s: sape yang harus dipersalahkan? diri sendiri yang keliru dengan masa depan? atau kerajaan yang tak membuka lebih banyak JENIS pekerjaan di Malaysia? renung2kan!=)

tips: banyak kan mendengar pengalaman dari orang yang involve dalam field yang korang minat..you might get better review and tips in persuing what you want in life, insyaAllah!

Buerger's disease.

Also called as TAO. Thrombo Angitis Obliterans. It is the inflammation and thrombosis of the small and medium Arteries and veins.

Patient 30 years old, Male presented with the complain of an ulcer since 2 n 1/2 years back. Started from the size of a coin to the present size. It is associated with pain and pus discharge. He's a chronic smoker for 5 years.No history of trauma over the area.

Ulcer: sloping edge, with muscle as the floor, and Calcaneum bone as the base.

Management: -Debridement

-Skin grafting

-Arterial by pass

Why diagnose TOA?

- it occurs predominantly in men,

- age 20-40 years old

- mainly caused by chronic smoking

p/s: pictures are showing a healing ulcer, as he has been admitted here for 1 week. Debridement has been done.

*i actually got this case for my Surgery exam today.

Chronic Osteomyelitis. i dont know what to call it in Malay.

I think, Radang tulang??erk...must be some better words for it...lol..go n ask Malaysian doctor, they sure know one..

***************

A male patient presented with complain multiple ulcers on the leg since 6 years back. It is progressive and painful. Barely walk due to the pain. Granulation tissue and sinus tracts can be noted.

On Xray: Sclerotic and lytic lesions noted in the leg

Management: Above knee amputation

p/s: Post ini ditulis atas tujuan Education. bukan untuk menakutkan or memalukan mana2 pihak.=)

Cockroaches cause Asthma?

Yup. Cockroaches can cause asthma. thats what i learnt today, time theory pediatrics.

Mr.P was teaching us about Asthma in pediatrics.interesting enough i can say. mungkin juga sebab aku ini pesakit tegar encik Asthma.lol.

menarik, belajar tentang penyakit diri sendiri..terasa lebih mengetahui ape yang tak diketahui. nampak saja seperti penyakit simple. tapi bukan mudah utk merawatnya.

so, back to LIPAS. pelik bukan?

how?

they have allergens in their poo poo and saliva. that will lead to serious asthma attack to susceptible person. jadi jgn terkejut, jika anak anda tiba2 diserang asthma selepas memakan makanan yang terbiar, tanpa ditutup.

sekian.bye.

OBG ( Obstetrics and Gynaecology )

Whats OBG? owh, its a department for org2 yang mengandung, nak bersalin, atau ape2 masalah berkaitan dgn wanita..

basically, its a boring subject.LOL. i wonder how those doctors studied all the bla bla bla stuff..=_=..fewhh... seriously, not interested. but, salute those who are!

so, today OT lagi..but this time, a rare one. ade lebih kurang 100 cases je in this world. i repeat, IN THIS WORLD. oh waw...=) Alhamdulillah..lucky i am!

that lady, she had a small Uterine artery. so had an embolisation for that artery. people with small uterine artery usually refuse to get a 2nd pregnancy; since there will be a risk of Post Partum Haemorrhage..( excessive bleeding after delivery ).

in 'her' case, an interesting one. She had her first pregnancy before. and it was an Anomaly..( kurang sempurna )..so it was aborted...DnC was done..(dilatation and curretage)

then she was brave enough to make a decision of having a 2nd pregnancy..which, the risk is PPH, Abortion, baby may not survive upto 9 months, etc...somehow, Allah the Merciful, has got a BETTER plan for her..Alhamdulillah! she managed to get through 9 months without complication!=))

and today, another innocent male baby was born..Welcome to the world! May Islam be with u, one day..=) InsyaAllah..