Wednesday, April 29, 2009

let's play riddle

a friend is what the heart needs all the time







McFly - You've Got A Friend

When you're down and troubled
And you need a helping hand
Nothing, no nothing is going right
Close your eyes and think of me
And soon I will be there
To brighten up even your darkest night

You just call out my name
And you know wherever I am
I'll come running yeah
To see you again
Winter, Spring, Summer or Fall
All you have to do is call
And I'll be there yeah
You've got a friend

If the sky above you
Should turn dark and full of clouds
And that old north wind should begin to blow
Keep your head together
Call my name out loud
Soon I'll be knocking up on your door

You just call out my name
And you know wherever I am
I'll come running
Oh yes I will
To see you again
Winter, Spring, Summer or Fall
All you have to do is call
And I'll be there yeah
You've got a friend

Hey, ain't it good to know that you've got a friend
People can be so cold
They'll hurt you and desert you
Well they'll take your soul if you let them (oh yeah)
But don't you let them

You just call out my name
And you know wherever I am
I'll come running oh yes I will
To see you again
Winter, Spring, Summer or Fall
All you have to do is call
And I'll be there yes I will
You've got a friend



just heard this song during music night today. i just feel like dedicating this song to all my good friends. thanx for always being there for me, n u know u can count on me too. sayang korang!!
*gambar2 tu hanya sebahagian dari korg. sape xde dlm gmbr, ampun ya..

btw, sori la, not in the mood to update. but i have a riddle to share with u. i got this from my 9 year old cousin. sape nak jawab, silakan =)

"billy wears mask n goes out from his home. he turns right. then he turns left, again he turns left, and left. and he reaches his home. what is Billy's job?"

sape tahu sila jawab. selamat berfikir!
~ i'm going to pontian over the weekend. x sabarnyeh!

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Sunday, April 19, 2009

bosan


fear less, hope more
whine less, breathe more
talk less, say more
hate less, love more
and all the good things are yours!



sume org g jln2.. nk jln2 juge.. oh no, i should not whine.. exam is just around the corner. do pray for me!

p/s: tu pokok bunga misai kucing, purple colour.. pic taken at my father's nursery. cantik kan? hihi...


~ mode kebosanan

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Saturday, April 18, 2009

saje nk kongsi

"ya Allah ya tuhan kami, ampunilah dosa kami dan dosa kedua ibubapa kami. kasihanilah mereka berdua sebagaimana mereka berdua mengasihani kami sewaktu kami kecil.."


infertility bubble by Dato S

bubble by me =)

dlm masa 3 minggu dalam wad gynae (sakit puan), byk perkara psl kehidupan sy belajar. lebih2 lagi dalam kehidupan alam rahim. antara kes2 yg dijumpai kat wad:

- ectopic pregnancy during first/ second pregnancy. maksudnya pregnancy bukan dalam uterus/rahim. slalunya fetus ada kat tiub fallopian (yg sambungkan ovari (kilang telur) dgn rahim). treatment slalunya kena operate - unilateral partial salpingectomy, iaitu buang tiub fallopian tu. maka, tinggal sebelah je tiub fallopian yg ada.

- first trimester miscarriage in first pregnancy. bila buat scan, rupenya rahim tu ada masalah kongenital- bicornuate uterus, iaitu rahim ada dinding kat dalam tu, so nmpk macam heart shape. slalunya, rahim ni x dapat menampung kandungan dan akan berakhir dgn keguguran. bentuk lebih kurang macam ni:


- pasangan ni baru berkahwin selama 4 bulan. belum ada anak. one day, the female partner complaint of constipation. bile g hospital and investigated, rupenya the female ada ovarian and uterine cancer. so, kena remove all the ovaries, tiub fallopian, and uterus (TAHBSO). so, never can have child la

- female partner datang utk buat lap-and-dye for infertility for 8 years. maksudnya, buat operation masukkan scope dlm abdomen and tgk patency of tiub fallopian guna dye.

- patient dtg dgn per vaginal bleeding in early pregnancy. diagnosed as complete miscarriage. yg sedihnya, that was the first pregnancy, IUI (intrauterine insemination) lagi. IUI tu sejenis cara utk mengandung, bila ada masalah fertility. as in this patient, infertility for 5 years

- patient at 23 weeks of gestation, dtg utk termination of pregnancy because of anencephaly. anencephaly tu ialah sejenis masalah kongenital di mana otak/ tengkorak kepala tak membentuk. nk tau lebih lanjut, google sendiri la ye. sy xnk letak gmbr anencephaly kat sini.


tu just a few of the cases we have seen in the ward. tak masuk byk lagi kes2 kanser servik/ rahim/ ovari. mmg depressing jugak la as compared to obstetrics ward.
pastu, bila tgk all these couples sume ada masalah nk dpt anak, sy pon terpikir la masa dpn. what if these things happened to me? how would i cope with this? wl my partner always be by my side? huhu~ nauzubillah.. takutnya. hopefully i will get a good husband. mahu sgt ok. hehe.. just wait until the time comes la. no speculation please :)

oh btw, sape2 yg dah kawen n dah ada sexual intercourse, or plan so in the future, do go for PAP smear for cervical cancer screening. pegi je klinik kerajaan, free! tgh promote ni, hehe...

n sile la bersyukur yg anda dilahirkan ke dunia ni. bukan senang tau sperm and ovum nak berjumpa. jauh tu perjalanannya. berterima kasih juga kepada mak ayah, n Allah.. jgn lupe tu!


~ nk kawen n nk anak.. normal human instinct maa, hehe

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Thursday, April 16, 2009

can't wait...

"... ingatlah, hanya dengan mengingati Allah lah hati menjadi tenteram." (13:28)

for the gynae posting to end!
which is in another 1 week!
kerana saya sgt capek!
kerana need to study A LOT of things
pray for me, my exam will be on nx wednesday (written) and friday (long case with Dr. SS).
seriously, i need luck! hehe..
~ suke O&G! tapi ianya sgt memenatkan both mental & fizikal

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Monday, April 06, 2009

it's not merely an abscess


just thought to share with u a case i've clerked in the gynaecology ward yesterday.

a 22 y/o female Muslim, enganged, presented to hospital with a swelling at the private part, associated with pain and mild fever for 6 days. on examination, it was a swollen left bartholin's cyst abscess. I&D was done. on further questioning, the girl admitted that she has active unprotected sexual intercourses with her fiance. they planned to get married in this coming December.

hm..
for non-medical readers, Bartholin's gland is situated at the female private part, which normally produce 'moisturizer'. it is normally not palpable unless it is blocked or infected. usually it is associated with sexually transmitted disease but it is not an exclusive cause.

if you were the doctor, how would u counsel her?
as a Muslim doctor, how would u tackle this problem?
as a Muslim, how would u tell the girl that her act with her fiance is a sin?

when i first see this case and i knew the story, i was like- padan muke, why u have sexual intercourse before married?
on the second thought, who am i to punish her, isn't it. what she has done is not my problem. it is the future that is matter most. what can i do as a Muslim sister to prevent her from repeating the same sin? it was a tough job. she knew that her act is a sin. 'kalau parents saya tau ni mati la saya'.. from my judgement, she is not from a very well educated background. to tell and lecture her on how her act is a sin is clearly not a good move. in fact, i had to level down to talk to her. n somehow, i managed to talk to her regarding the 'problem'. it was a very brief one but i think i did deliver my intention and she seems to accept it. Alhamdulillah.. at least i have done something good during my on-call on sunday night =)

well, that was not the first time i encounter such a social problem of pre-marital sexual intercourse. it is indeed a hard situation to face to. the problem is more than just an abscess, more than just an ectopic pregnancy. well, as a Doctor, u r not supposed to mix ur religious principle with other people's. but as a Muslim, u have the obligation for 'amal maaruf nahi mungkar'..

a right way at the right time is the solution, i think. don't u think so? =)

I&D: incision and drainage


~ another 3 weeks of hectic life

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