smartarians

The most fatabulous free photo editing web I know (www.picnik.com) is closing down, so this is a final project before saying goodbye. 
I call this piece, Under the Sun. 
Let this be a motivation to study dengan penuh jiwa dan perasaan untuk menjadi doktor yang terbaik dengan redha dan rahmatNya~ ^^


"Never regard study as a duty, but as the enviable opportunity to learn to know the liberating influence of beauty in the realm of the spirit for your own personal joy and to the profit of the community to which your later work belongs." -the guy next to me-


Best friend, faster finish your exam, then come down and study with me~ TT


Because sometimes, two is better than one.

just do it

*Nike sign floats in mind*


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To have faith and do good deeds.


I seem to have been procrastinating on the latter. 
Always thinking there will be another day but never actually dwell on the fact that, the knowledge of my death, is not mine. 


I repeatedly throw myself into a slump. :(
Yet You send reminders in the form of friends and family. :')

Betullah orang cakap, masa lapang yang tidak diisi dengan perkara berfaedah membunuh pemuda.
Kyaa~


A past can kill your future. 
I think I've experienced enough to know that. 


So, to make today a past you won't regret tomorrow and in future, please, please buck up on your deed.


And don't jump into something too big. 
Do simple things really, moderately, consistently. 
Otherwise you'll be burnt out. :O


Most importantly, jangan berkira-kira melakukan sesuatu untuk Allah, kalaulah Allah berkira dengan kita, pastinya kita adalah orang-orang yang rugi~ :O OMG~


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As for med school.
Last week we got to properly examine a patient (finally! though I still feel disappointed in the teaching system overall)


The very simple abdominal examination:
Start with less invasive procedure to more invasive ones.


So, 


1. Inspection
If there's a mass/lesion, describe. 5S - site, size, shape, surface, skin overlying.
Got distension at the flanks? (Ascites?)


2. Auscultation : 
Bowel sounds: randomly place your stethoscope on the abdomen. If you can't hear any sound, then flick patient's abdomen. 
Scratching: Place stethoscope near the inferior border of sternum. And start 'scratching' the patient with one finger, from the right ASIS towards the liver. When you've reached the liver border, the sound will sound more rough. 
Perform auscultation of the heart while you're at it! *I heard holosystolic murmur* lub whoosh~


3. Percussion
Through out the abdomen: it should have a resonant quality, not dull. 
To recognise liver border: when finding liver border, make use of the intercostal spaces so that your finger won't slip and also because you can confidently describe the region. :P


4. Palpation and deep palpation
Ask patient if they are experiencing pain. Palpate that region last. 
Since you're an amateur, perform with one hand, cause your lack of experience may burden your brain and you'll only end up more confused when the palpation is done. 


5. DRE
Tak buat but I keep thinking of Naruto's Thousand Years of Pain. *insert Scream by Munch*


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Owh, and happy April you all~

isle of reality, ocean of diarrhoea

Are the details in the fabric
Are the things that make you panic
Are your thoughts results of static clings?


Are the things that make you blow
Hell, no reason, go on and scream
If you're shocked it's just a fault of faulty manufacturing


Credit: Details in The Fabric, J Mraz
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Natural inhibitors
Circumstances can make people insensitive
It may help with self defence
But it builds unnecessary walls
It gave little room to care


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Truly care for others
One person at a time


It's not like you've never done it
Just give a lil' more push

goosebumps

The thoughts that scare you.
Taking responsibilities. 


However, that shouldn't demotivate aite?
It just means I gotta work harder. 
To give the best I can. 


*Work with a smile* 


:)


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And yes, the time came and went. 
Where spiders were left to spun webs on this page. 
So much for a self promise of frequenting writing. :P FAIL!  

6 hari lagi ^^

Salam a ahoj people!
:) Happy Chinese New Year!!! Woot2!!! :D 
Hows the Mandarin orange and Ngan Yin peanuts going? 
I hear Ipoh traffic quite bad today (Saturday) 


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This week, must be one of those weird weeks. 


Cause the doctor commented, "You will be a gentle doctor" - she sounded sweet so, I think she meant it in a good way, but it was due to my failure to elicit proper response from a patient. 
(Me? ME? A gentle doctor? HAHAHA. Dalam hati, jawab, nah, I'm just scared I'll hurt them if I exert to much power. I'm very strong. Like seriously. Haha! *Obsessional thoughts of being Superman's twin sister*)
The reason I came out with (as an internal monologue) became invalid as everybody else managed to elicit response in our HYPERREFLEXIC patient. 
Hence, I concluded that I need more practice~ 



So one fine Friday morning, I went to the Zdravotnicke Potreby and asked about "reflexni kladivo" - buat vocab sendiri - and I got myself a reflex hammer.. OH YEAH!
With the needle to examine pyramidal signs. 
And these rubber strips to test sensation. 
Which made me so happy, and I had that smiling spasm on the way to class. :) :) :) :) :)


However, the patient we got was areflexia, or with very minimal reflex on her limbs but it went well, I think I did better this time. Alhamdulillah :)



Buat style Dr Linek ah next week. Wa chaaaa!


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Owh, and psychiatry exam is near. :) And so is neurology credits~


*tolong doakan kejayaan menimba ilmu dan lepas exam dengan cemerlang please. tysm! xx*
6 hari to go ;)

dear troubled soul

Song: Why by Rascal Flatts


Keep on fighting, life is worth fighting for. 
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We can't change the past but we definitely could work on the now, so that in the future, we can look to a better past 
Even if things go wrong along the way, there's no reason to stop striving
For we are loved by Him, and for He knows us best; always ask for His guidance, His forgiveness
#thankyouAllah 
And of course, you are loved, so really, don't be shy to ask others for help :P 


Ohkay people, lets terus bekerja ^^

one year closer

A year closer to the grave. :) 
*how we wished each other during birthdays in secondary school, seemingly dark, but actually a good reminder on how we've journeyed this world, preparing for the next* 
Good bye 2011, hello 2012. 


It's still January, so I'm not late, noooooo? Kekeke...
So before the resolutions and wishes list, I guess it's fair to scan through 2011. 

Those goals achieved~ Kyaaa~ *shining eyes*

Those goals left behind~ Kyaaa~ T_T

Those good habits developed :) :) :)

Those bad habits developed :( :( :(

Feelings felt and learnt :O 

Ja ne, I can't write in full since it's not a journal (What? I have a journal? Yes! I do! And this time around, I'm trying to keep it somewhere I know so I won't lose it again! Ha!) but, I realised that I put up too many goals for 2011 without prioritising and it ended up with "yang dikejar tak dapat, yang digendong beciciran" *baca dengan nada sedih* *tapi sebab dapat keluarkan peribahasa, bangga sekejap* Kekeke :P


So for 2012, the basis for resolution making is:
Have a list of things you wanna achieve according to specific fields (God, family, school, work, health, social) and prioritise on just one thing in every field. As in, in all circumstances, you must do all there is within your power to make sure you reach that goal. For example: daily recitation of the Quran, or killing bad habits such as giving white lies~ kyaaa~ 


As for the wish list, make sure it's reasonable.


Above all, lets keep our purpose right, and choose those of which will lead us to His blessings. 
Maybe the hardest habit to kill every year is submission to the nafsu :X 
May Allah protect us all this year. 


Honestly, there's just so many things to fix. Will I make it?
I don't know but lets keep on trying, we might die along the way, but at least we'll die trying. 
*baca dengan nada semangat ohkay, bukan nada depresi!"
Syahid atau kemenangan ;)