Sangat penat!!!balik tadi rase nak terpengsan je..dah r kene naik tangga kan...huhu..macam nak kebuluran je..dah r beg berat balik from kedai peluru n membeli peluru2..xpe2..saye xkan pegi kedai peluru kat kelantan..ngee..kat cork terdesak sket...huhu...anyways i have a great day today apart from my stomach...sakit peyutttt..mule2 burning sensation pastu bloated pastu tenesmus...ngeee..apekah tandanya itu?tapi lepas makan nasi dah ok..ngee..itu tandanya lapar kot..hahahah..:P..walaupon lunch tadi i had a cup of coffee with a scone+butter+rasberry jam..ngeee....
pagi tadi i had a morning session with Dr.S. He is a neurologist in CUH...sangat best.tapi teruk gile r...takde org turn up except me..mael pon dtg lambat..kiteorg tunggu about 15mins kat ward 5B tapi xde org turn up so die ajak myself pegi Outpatient department n masa on the way tu nampak mael so suruh die cepat2...n mmg kiteorg berdua je aa..campor dr ademola..tapi bayangkan la consultant tunggu ko?apekah?tapi Dr.S best r..banyak gak borak ngan die sampai la Dr.A tu datang..hehe..i asked him to show Hoffman's reflex(unreliable sign of UMN lesion), n tanye a few more questions la..pastu die tanye ape area yg im interested...of course la neurology..and thats the reason y i woke up at 815am today to go the tutorial..kalau ikut hati mmg malas gile nak pegi..die cakap very good but i told him my opinion after OPD neurosurgery..die cakap yeah..thats y kalau nak bwat neurology kene keep in mind yg 60-70% of ur patients wont getting better...huhu..so kene fikir yang tu..yelah..semuanye mostly pon kan neuroDEgeneration kan...Parkinson's disease...i just knw that lifespan if u take the medication sume pon 14 yrs jer..sebab campor ngan side effects of the drugs, the progressiveness of the disease bla bla..14 yrs jer..sedih kan?tapi after outpatient ngan die ari ni macam nak balik je neuro..hehe..tapi skang ni rase geriatric antara pilihan hati..memang la deal ngan org yang x basuh berak, kencing dalam seluar, pekak, prangai macam budak2 tapi sebab kalau fikir nanti kite pon akan tua jugak...n kite pon maybe akan jadi macam diorg so ape kate kite layan diorg baek2 so that last2 nanti Allah balas kite dapat jagaan yg baek waktu kite tua..lagipon nanti i nak jaga my parents so kalau bwat geriatrics lagi paham penyakit orang2 tua..betol x?ngeeeee...
n today i encountered few interesting cases..even satu case yang sangat2 rare yg xkan penah terbace unless u nak specialise kan name "Kugellberg Wellander Syndrome"...ngeee...pastu ade satu case lain ni yg Dr.S pon xleh nak kasi diagnosis sebab pelik..pakcik tu ade involuntary abnormal jerky movements..cam selang 10mins..Dr.S cakap die jadi camtu after die jatuh n fractured die punyer radius..tapi Dr.S cakap patutnye kalau fikir xkan ade side effect camtu sebab yelah radius kat tangan..movement tu involved banyak parts of his body...huhu...pastu die punye wife nangis sebab die ckaap malu la..kalau kat restoran sume org pandang2 die..of course la..huhu....tapi Dr.S cakap scan die macam normal so macam bukan organic lesion..tapi Dr.S cakap xkan die nak cakap tu non-organic lesion yg die saje2 bwat sebab nakkan attention n skang dh melekat..xpasal2 kene medicolegal..huhu...no comment....
pagi tadi i had a morning session with Dr.S. He is a neurologist in CUH...sangat best.tapi teruk gile r...takde org turn up except me..mael pon dtg lambat..kiteorg tunggu about 15mins kat ward 5B tapi xde org turn up so die ajak myself pegi Outpatient department n masa on the way tu nampak mael so suruh die cepat2...n mmg kiteorg berdua je aa..campor dr ademola..tapi bayangkan la consultant tunggu ko?apekah?tapi Dr.S best r..banyak gak borak ngan die sampai la Dr.A tu datang..hehe..i asked him to show Hoffman's reflex(unreliable sign of UMN lesion), n tanye a few more questions la..pastu die tanye ape area yg im interested...of course la neurology..and thats the reason y i woke up at 815am today to go the tutorial..kalau ikut hati mmg malas gile nak pegi..die cakap very good but i told him my opinion after OPD neurosurgery..die cakap yeah..thats y kalau nak bwat neurology kene keep in mind yg 60-70% of ur patients wont getting better...huhu..so kene fikir yang tu..yelah..semuanye mostly pon kan neuroDEgeneration kan...Parkinson's disease...i just knw that lifespan if u take the medication sume pon 14 yrs jer..sebab campor ngan side effects of the drugs, the progressiveness of the disease bla bla..14 yrs jer..sedih kan?tapi after outpatient ngan die ari ni macam nak balik je neuro..hehe..tapi skang ni rase geriatric antara pilihan hati..memang la deal ngan org yang x basuh berak, kencing dalam seluar, pekak, prangai macam budak2 tapi sebab kalau fikir nanti kite pon akan tua jugak...n kite pon maybe akan jadi macam diorg so ape kate kite layan diorg baek2 so that last2 nanti Allah balas kite dapat jagaan yg baek waktu kite tua..lagipon nanti i nak jaga my parents so kalau bwat geriatrics lagi paham penyakit orang2 tua..betol x?ngeeeee...
n today i encountered few interesting cases..even satu case yang sangat2 rare yg xkan penah terbace unless u nak specialise kan name "Kugellberg Wellander Syndrome"...ngeee...pastu ade satu case lain ni yg Dr.S pon xleh nak kasi diagnosis sebab pelik..pakcik tu ade involuntary abnormal jerky movements..cam selang 10mins..Dr.S cakap die jadi camtu after die jatuh n fractured die punyer radius..tapi Dr.S cakap patutnye kalau fikir xkan ade side effect camtu sebab yelah radius kat tangan..movement tu involved banyak parts of his body...huhu...pastu die punye wife nangis sebab die ckaap malu la..kalau kat restoran sume org pandang2 die..of course la..huhu....tapi Dr.S cakap scan die macam normal so macam bukan organic lesion..tapi Dr.S cakap xkan die nak cakap tu non-organic lesion yg die saje2 bwat sebab nakkan attention n skang dh melekat..xpasal2 kene medicolegal..huhu...no comment....
No comments:
Post a Comment