Picture shown pneumatosis intestinalis in necrotizing enterocolitis. - Symptoms: Related to introduction of feeds, bloody stool, lethargic.
- Treatment: Resect necrotic bowel
Thursday, June 25, 2009
Necrotizing enterocolitis~
Hirschprung~
Fail to pass meconium in the first 24-48 h of life.- Also known as congenital aganglionic megacolon.
- Barium enema: dilated megacolon
- Gold standard: Biopsy (absence of ganglion cell)
- Treatment: Surgical
Duodenal Atresia~
This is 'double bubble' sign in duodenal atresia.- Patient came with bilious vomiting with every feed.
- Associated with Down Syndrome (Trisomy 21).
Blueberry muffin lesion~
Blueberry muffin baby is a term used to describe the characteristic distributed purpura due to extramedullary hematopoiesis found in infants.It was originally considered characteristic of rubella, but is now considered to be potentially associated with many other conditions,such as cytomegalovirus.
It derives its name from the superficial similarity to a blueberry muffin.
Patient have hepatosplenomegaly.
Always remember Rubella!
Wednesday, June 17, 2009
Stalker...
There is no one who prefer to read this blog previously. But suddenly there is a lot of stalker here. Why? Can i ask you that question?
Monday, June 15, 2009
Instinct...
One thing that Allah grant me is that i have instinct to know whether someone that i met is good or bad.
Last Friday, i went to one mosque to ask for the Imam there permission to use the mosque as my batch want to have tazkirah session the next day. When i met that Imam, i felt uneasy about him. He don't even lower his gaze and not focusing the matter that i brought.
He keep on asking whether i am from Penang? Mix? Arab? I felt so annoyed with all those question. For me, he should not focusing on me but on the matter of the Ummah. I am not beautiful but i agree with what had been written by Sis Rytha. I still try to be good as i want his help. After that i went to usrah. At 12 midnight, he is messaging me asking whether i already take enough rest or not and continuing message to ask about the program. It was really annoying when a man messaging you at the middle of the night moreover he is someone that you expect to be terribly pious.
Actually after the program, my batch will be having a dinner. I have 2 clothes that suitable for the events but thinking about the Imam, i decided to wear all black. When i met him on Saturday, he was still not lowering his gaze. I felt that i just want to kill him straight away. I tried my best to tolerate until after the program. But the next day, he ask me permission to know me and keep on giving all the nonsense message. I showed my mom all the messages and she said that she want to slap the Imam.
You might want to laugh to read all these, but if you can think deeply, actually it was really sad when you think that you're not safe even at the mosque. It was so embarrassing.
I know that i don't have enough strength to get married. I am terribly busy. I failed to manage my own times. I am running here and there. But sometimes i felt that i want to get married to makes my life free from fitnah. I wan't to do dakwah and no one is disturbing me anymore. But it was terribly difficult to find someone that can accept me as what i am and really understand my love for dakwah is more than anything else in this world.
Once in my life time, i had met the right person but Allah plans the best for us. Allah has plan the best for him. Allah knows best.
I always remember the story in Islam about Ummu Salamah. Her husband died. After his husband death,Umm Salamah remembered the prayer her husband had quoted on his deathbed from the Prophet and began repeating it, "O Lord, with you I leave this my plight for consideration . . ." But she could not bring herself to continue . . . "O Lord give me something good from it", because she kept asking herself, "Who could be better than Abu Salamah?" In her mind, no one else can replace Abu Salamah. Abu Salamah is among the first one that went for hijrah. But it did not take long before she completed the supplication.
Do you want to know what Allah has plan for her? She was then married to Rasulullah SAW. Allah answered the prayer of Umm Salamah and gave her better than Abu Salamah. From that day on she was no longer the mother of Salamah alone but became the mother of all believers, Umm al-Mu'mineen. This story will always touch my heart.
I prayed to Allah to replace what is gone from me with something better. Allah must had plan something better for me even if it is not in dunya, it will be in akhirat.
Last Friday, i went to one mosque to ask for the Imam there permission to use the mosque as my batch want to have tazkirah session the next day. When i met that Imam, i felt uneasy about him. He don't even lower his gaze and not focusing the matter that i brought.
He keep on asking whether i am from Penang? Mix? Arab? I felt so annoyed with all those question. For me, he should not focusing on me but on the matter of the Ummah. I am not beautiful but i agree with what had been written by Sis Rytha. I still try to be good as i want his help. After that i went to usrah. At 12 midnight, he is messaging me asking whether i already take enough rest or not and continuing message to ask about the program. It was really annoying when a man messaging you at the middle of the night moreover he is someone that you expect to be terribly pious.
Actually after the program, my batch will be having a dinner. I have 2 clothes that suitable for the events but thinking about the Imam, i decided to wear all black. When i met him on Saturday, he was still not lowering his gaze. I felt that i just want to kill him straight away. I tried my best to tolerate until after the program. But the next day, he ask me permission to know me and keep on giving all the nonsense message. I showed my mom all the messages and she said that she want to slap the Imam.
You might want to laugh to read all these, but if you can think deeply, actually it was really sad when you think that you're not safe even at the mosque. It was so embarrassing.
I know that i don't have enough strength to get married. I am terribly busy. I failed to manage my own times. I am running here and there. But sometimes i felt that i want to get married to makes my life free from fitnah. I wan't to do dakwah and no one is disturbing me anymore. But it was terribly difficult to find someone that can accept me as what i am and really understand my love for dakwah is more than anything else in this world.
Once in my life time, i had met the right person but Allah plans the best for us. Allah has plan the best for him. Allah knows best.
I always remember the story in Islam about Ummu Salamah. Her husband died. After his husband death,Umm Salamah remembered the prayer her husband had quoted on his deathbed from the Prophet and began repeating it, "O Lord, with you I leave this my plight for consideration . . ." But she could not bring herself to continue . . . "O Lord give me something good from it", because she kept asking herself, "Who could be better than Abu Salamah?" In her mind, no one else can replace Abu Salamah. Abu Salamah is among the first one that went for hijrah. But it did not take long before she completed the supplication.
Do you want to know what Allah has plan for her? She was then married to Rasulullah SAW. Allah answered the prayer of Umm Salamah and gave her better than Abu Salamah. From that day on she was no longer the mother of Salamah alone but became the mother of all believers, Umm al-Mu'mineen. This story will always touch my heart.
I prayed to Allah to replace what is gone from me with something better. Allah must had plan something better for me even if it is not in dunya, it will be in akhirat.
My Perception - Internal Medicine~
William Arthur Ward once said, “The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires”.
If someone going to ask me, what is the great thing about internal medicine; I will definitely say that is because there are too many great teachers here. Dr Shuhaila, Dr Rafizi, Prof Latiff, Prof Rashid, and others have been inspiring me all the times. For example about Dr Shuhaila, she organize a class even on Sunday for us to do a mock long case exam. At that time, she was just coming back from Sabah. And every week, Dr Shuhaila and Dr Rafizi will do a class for us on Saturday from 8 am until 2 pm at least. On weekdays, Dr Rafizi will come almost every day. Where can I find such a great dedicated lecturers?
I always ask Allah to give me knowledge so that I can teach others same as the way my lecturers teach me. It is really inspired to look at them. I really want to be like them. There are only two types of person that I can be jealous to. The first one is the one that have the knowledge and he teaches others. The second one is the one that have wealth and he used it for Islam. Both of the qualities can be seen in my lecturers.
I hate the feeling when I go to hospital and no one really cares about medical student. I hope that I don’t become like that. I want to teach my junior even though at that time I am only a houseman. Ward round has been so boring for me in Putrajaya. Everyone is damn serious with their works. Can’t hospital become a better place for everyone?
I really hope that there is a continuation of study circle in Putrajaya so that we have a motivation. Sometimes we’re repeating the same day everyday. Go hospital and clerk the patient. We’re human and we tend to be bored. It will be great when we receive a booster at least once a week.
I think my enjoyment of clinical years is basically because I understand the learning process. I am not studying for the sake of exam like when I was in my pre-clinical years. I think I am just surviving in my pre-clinical years. The feeling of thirsty about the knowledge really comes in clinical years.
I agree with Dr Shuhaila that there should be a concept of mentor mentee in clinical years. Everyone should have their own mentor so that the mentor can really help them if they’re weak in certain area.
I love my small group for Internal Medicine. They have been helping me so much in terms of my study. I felt for the first time, SCL has been done. If we’re bored, we will do a discussion about our patient. All of us will really discuss about the patient especially every Tuesday in Terendak as Prof Rashid will come the next day =)
In this small piece of perception, I would like to ask forgiveness from all of my lecturers for every single mistake that I do that hurt you. Thanks a lot for such a wonderful experience.
If someone going to ask me, what is the great thing about internal medicine; I will definitely say that is because there are too many great teachers here. Dr Shuhaila, Dr Rafizi, Prof Latiff, Prof Rashid, and others have been inspiring me all the times. For example about Dr Shuhaila, she organize a class even on Sunday for us to do a mock long case exam. At that time, she was just coming back from Sabah. And every week, Dr Shuhaila and Dr Rafizi will do a class for us on Saturday from 8 am until 2 pm at least. On weekdays, Dr Rafizi will come almost every day. Where can I find such a great dedicated lecturers?
I always ask Allah to give me knowledge so that I can teach others same as the way my lecturers teach me. It is really inspired to look at them. I really want to be like them. There are only two types of person that I can be jealous to. The first one is the one that have the knowledge and he teaches others. The second one is the one that have wealth and he used it for Islam. Both of the qualities can be seen in my lecturers.
I hate the feeling when I go to hospital and no one really cares about medical student. I hope that I don’t become like that. I want to teach my junior even though at that time I am only a houseman. Ward round has been so boring for me in Putrajaya. Everyone is damn serious with their works. Can’t hospital become a better place for everyone?
I really hope that there is a continuation of study circle in Putrajaya so that we have a motivation. Sometimes we’re repeating the same day everyday. Go hospital and clerk the patient. We’re human and we tend to be bored. It will be great when we receive a booster at least once a week.
I think my enjoyment of clinical years is basically because I understand the learning process. I am not studying for the sake of exam like when I was in my pre-clinical years. I think I am just surviving in my pre-clinical years. The feeling of thirsty about the knowledge really comes in clinical years.
I agree with Dr Shuhaila that there should be a concept of mentor mentee in clinical years. Everyone should have their own mentor so that the mentor can really help them if they’re weak in certain area.
I love my small group for Internal Medicine. They have been helping me so much in terms of my study. I felt for the first time, SCL has been done. If we’re bored, we will do a discussion about our patient. All of us will really discuss about the patient especially every Tuesday in Terendak as Prof Rashid will come the next day =)
In this small piece of perception, I would like to ask forgiveness from all of my lecturers for every single mistake that I do that hurt you. Thanks a lot for such a wonderful experience.
My Perception - Surgery~
Alhamdulillah I was able to finish the surgery posting without any problem, except my log book. I failed inserting brannula and do proctoscopy. Anyway, surgery is such a posting that really tough and test your brain and body fitness. It is not as easy as what other people told me before. They keep on telling me that surgery is easier and direct to the point. But for me it is different. Yes it is direct to the point but it hard actually compared to internal medicine posting.
First of all the work that we need to do has doubled. Since every week we have to present 1 long case, I really need to spend most of the weekdays doing it, since I am not good at presenting long cases. But frankly speaking, I learned a lot during presenting my long case. It is actually thanks to both of our lecturers that come out with the idea of presenting it in hard copy because they want to see it how we write the cases. It feels like having a personal tuition classes whenever our lecturer correct the mistakes in the presentation. I really benefited in every long case that I presented.
One thing that I really like during this posting is the bedside teaching. Bedside teaching with Mr Ahmed Awil is great. We are like houseman in Hospital Terendak. It was actually a good learning experience. It feels like Mr Ahmed Awil really cares about us by asking every single thing about the patient. He didn’t want any of us lagging behind. His voice was so invasive that I can still remember every single thing that he said during the bedside teaching and in the clinic, especially if I got scolded. I got scolded when I don’t know how to palpate indiect inguinal hernia. He said that I can’t become a doctor because of that. I will reveal one secret here. I will always cry actually whenever I look at the clinical examination video for inguinal hernia. I don’t like it and sometimes I just hate surgery because of that but then I know that I have to do it in order to become a doctor. It was actually thanks a lot to Mr Ahmed Awil for keep on pushing us to do and learn something. It helps to increase our momentum, especially a slow learner like me. It makes me wanted to improve my performance, just because I don’t want to get scolded again.
Bedside teaching with Mr Ahmed Ali is totally different. It also a great learning experience but in different way. I enjoy bedside teaching with him even though I will always get palpitation waiting to be asked. He is really great but terribly humble. The way he explains things one by one really helps me to remember things easily. Alhamdulillah I can still remember the things that he asked during our TBL and seminar because he tried to correlate the learning issues in the topic. Bedside teaching with Mr Al Amin is a priceless experience. He showed us how to do a proper clinical examination. I can see that he tries to explain everything in detail regarding the cases.
I want to suggest one thing. For me it is good if the lecturers arranged the class for us like the way Dr Haizal organize it in O&G posting. I felt that I don’t have enough teaching in this posting.
I love the idea of using stair in this posting. It is good for our health.
Last thing, I would like to say sorry to both Mr Ahmed about my performances. I am truly sorry about it. It is not because I took it lightly but I am panic during the discussion. I don’t really like the way exam being conducted. It was totally not suitable for me. However, I seriously will improve myself. That is my pledge for the end posting of surgery. Thank you again to Mr Ahmed Awil, Mr Ahmed Ali Almutawakel, and Mr Al Amin for your teaching during this 8 week of surgery posting. We are so lucky to have all of you as our lecturers. May Allah bless you always. Thank you so much.
First of all the work that we need to do has doubled. Since every week we have to present 1 long case, I really need to spend most of the weekdays doing it, since I am not good at presenting long cases. But frankly speaking, I learned a lot during presenting my long case. It is actually thanks to both of our lecturers that come out with the idea of presenting it in hard copy because they want to see it how we write the cases. It feels like having a personal tuition classes whenever our lecturer correct the mistakes in the presentation. I really benefited in every long case that I presented.
One thing that I really like during this posting is the bedside teaching. Bedside teaching with Mr Ahmed Awil is great. We are like houseman in Hospital Terendak. It was actually a good learning experience. It feels like Mr Ahmed Awil really cares about us by asking every single thing about the patient. He didn’t want any of us lagging behind. His voice was so invasive that I can still remember every single thing that he said during the bedside teaching and in the clinic, especially if I got scolded. I got scolded when I don’t know how to palpate indiect inguinal hernia. He said that I can’t become a doctor because of that. I will reveal one secret here. I will always cry actually whenever I look at the clinical examination video for inguinal hernia. I don’t like it and sometimes I just hate surgery because of that but then I know that I have to do it in order to become a doctor. It was actually thanks a lot to Mr Ahmed Awil for keep on pushing us to do and learn something. It helps to increase our momentum, especially a slow learner like me. It makes me wanted to improve my performance, just because I don’t want to get scolded again.
Bedside teaching with Mr Ahmed Ali is totally different. It also a great learning experience but in different way. I enjoy bedside teaching with him even though I will always get palpitation waiting to be asked. He is really great but terribly humble. The way he explains things one by one really helps me to remember things easily. Alhamdulillah I can still remember the things that he asked during our TBL and seminar because he tried to correlate the learning issues in the topic. Bedside teaching with Mr Al Amin is a priceless experience. He showed us how to do a proper clinical examination. I can see that he tries to explain everything in detail regarding the cases.
I want to suggest one thing. For me it is good if the lecturers arranged the class for us like the way Dr Haizal organize it in O&G posting. I felt that I don’t have enough teaching in this posting.
I love the idea of using stair in this posting. It is good for our health.
Last thing, I would like to say sorry to both Mr Ahmed about my performances. I am truly sorry about it. It is not because I took it lightly but I am panic during the discussion. I don’t really like the way exam being conducted. It was totally not suitable for me. However, I seriously will improve myself. That is my pledge for the end posting of surgery. Thank you again to Mr Ahmed Awil, Mr Ahmed Ali Almutawakel, and Mr Al Amin for your teaching during this 8 week of surgery posting. We are so lucky to have all of you as our lecturers. May Allah bless you always. Thank you so much.
Surgery ~ Reflective Diary - Week 8
Academic Account
The exam was really tough for me. But I believe that everything has been destined. So I am not worrying so much.
My patient that I clerked during exam already discharged. I can’t ask her to fill the patient assessment form. I asked one of my patients that I have clerked to assess me. She had breast carcinoma and had already undergone toilet mastectomy.
I got a lot of terminal ill-patient in this posting that makes my heart burst. She is one of them. She is lucky because she really had good children. Her daughter will always be with her. I felt so touched when her son came and give her salam and kiss her. It was really a beautiful moment for me as we all know that teenagers nowadays are really terrible. I f the boy was little bit older; maybe I will fall in love. Just kidding!
She wants to give all 10 marks but then I said to her, it was impossible. Nobody is perfect. Then she gives me random marks. When I need to go, I said to her that this is my last day in hospital. I said to her that I will pray for her and may Allah gives her strength and cure her. Suddenly she starts crying. I think she knows her prognosis.
I don’t want to be there for a long time as I am afraid that I will start crying. I said thanks to her and go. I start crying after that.
Medicine teaches me a lot of things. I agree with the entire thing that had been said by Mr Ahmed Awil during grand reflection. I can’t believe that I already finished my third year. I can’t believe that I have reached this point. Alhamdulillah, Alhamdulillah and Alhamdulillah. I am nobody without Allah’s help.
S - I have Allah with me. Be in medical field that really teach me about life.
W - Easily cried, how I am gonna to become a doctor?
O – Be more mature in this field; see more cases, built confidence.
T - Make patient uncomfortable with my crying habit
Non Academic Account
One of my schoolmates died. He is a third year medical student and study in Cairo University. He just finished his exam and went to search a place to organize an Islamic program. But Allah loves him more; he alleged an accident and syahid peacefully.
I want to die like him. I really want syahid. I hope and always prayed that Allah grant it for me one day.
I have a lot of works to do. I am in charged for tazkirah Session this Saturday. I need to help my friend for Sister Talk today.
I am also missed my home terribly. I am going back to Johor this Sunday. My heart beat so fast to wait for that moment.
S - Remembrance of death will always give me motivation.
W - Can’t wait to go home.
O - Use my holiday effectively
T – Died in a bad way.
The exam was really tough for me. But I believe that everything has been destined. So I am not worrying so much.
My patient that I clerked during exam already discharged. I can’t ask her to fill the patient assessment form. I asked one of my patients that I have clerked to assess me. She had breast carcinoma and had already undergone toilet mastectomy.
I got a lot of terminal ill-patient in this posting that makes my heart burst. She is one of them. She is lucky because she really had good children. Her daughter will always be with her. I felt so touched when her son came and give her salam and kiss her. It was really a beautiful moment for me as we all know that teenagers nowadays are really terrible. I f the boy was little bit older; maybe I will fall in love. Just kidding!
She wants to give all 10 marks but then I said to her, it was impossible. Nobody is perfect. Then she gives me random marks. When I need to go, I said to her that this is my last day in hospital. I said to her that I will pray for her and may Allah gives her strength and cure her. Suddenly she starts crying. I think she knows her prognosis.
I don’t want to be there for a long time as I am afraid that I will start crying. I said thanks to her and go. I start crying after that.
Medicine teaches me a lot of things. I agree with the entire thing that had been said by Mr Ahmed Awil during grand reflection. I can’t believe that I already finished my third year. I can’t believe that I have reached this point. Alhamdulillah, Alhamdulillah and Alhamdulillah. I am nobody without Allah’s help.
S - I have Allah with me. Be in medical field that really teach me about life.
W - Easily cried, how I am gonna to become a doctor?
O – Be more mature in this field; see more cases, built confidence.
T - Make patient uncomfortable with my crying habit
Non Academic Account
One of my schoolmates died. He is a third year medical student and study in Cairo University. He just finished his exam and went to search a place to organize an Islamic program. But Allah loves him more; he alleged an accident and syahid peacefully.
I want to die like him. I really want syahid. I hope and always prayed that Allah grant it for me one day.
I have a lot of works to do. I am in charged for tazkirah Session this Saturday. I need to help my friend for Sister Talk today.
I am also missed my home terribly. I am going back to Johor this Sunday. My heart beat so fast to wait for that moment.
S - Remembrance of death will always give me motivation.
W - Can’t wait to go home.
O - Use my holiday effectively
T – Died in a bad way.
Surgery ~ Reflective Diary - Week 7
Academic Account
What a short week..!! What a busy week..!! I need to finish my long case presentation within this week. Luckily I already have enough patients for my long cases; it is just that I didn’t have enough time to write a proper long case. Alhamdulillah, lastly I managed to finished it. This week I spent my time in the clinic. It was a great learning experience. I did a lot of wound dressing at the clinic. I didn’t have the opportunity to do that in Terendak but Alhamdulillah I got the chance to learn how to do it properly and at the same time perform it. The staff nurses were so kind and helpful. We thanked them because they put 100% trust in us. Even the patients were so cooperative to allow us to do the wound dressing even though they know that we are only the medical students.
But I am so sad with myself. I am easily tired. I manage to draw blood but I failed to insert brannula. Maybe my friends are right. They said that I am a gangster. I am not good in skill. So sad that I can’t complete my log book. Nevermind,I will be doing emergency medicine for my elective and I can practice more. Insya Allah, i will become a good doctor.
S – Still manage to complete work eventhough I am terribly tired
W – Gangster, I am not good with skill.
O - Practice more during elective
T - My log book was not completed and there is high risk that I am going to get scolded.
Non Academic Account
I spend my weekend studying. I am not motivated actually but still trying to do the best. I am afraid with physical examination. Seriously I hate the way exam being conducted. I can’t focus. Afeera, be patient! 1 more week to go then I will enjoy holiday perhaps if I am not fail. Allahu A’lam. Allah knows what the best for me.
S- Believe that Allah is always there for me, His rope is strong and will never waver. His provision is there for all who are in need.
W - Easily tired, is should do blood test when I went back to Johor
O – Exam is an opportunity but it can also be threats, but then everything is destined. In His Dominion we exist for as long as He wills. And we call upon His bounty through prayer. And seek His favors through hope. For He is our refuge when difficulty strengthens its hold
T - Failure but then that was the best that Allah has plan for me.
What a short week..!! What a busy week..!! I need to finish my long case presentation within this week. Luckily I already have enough patients for my long cases; it is just that I didn’t have enough time to write a proper long case. Alhamdulillah, lastly I managed to finished it. This week I spent my time in the clinic. It was a great learning experience. I did a lot of wound dressing at the clinic. I didn’t have the opportunity to do that in Terendak but Alhamdulillah I got the chance to learn how to do it properly and at the same time perform it. The staff nurses were so kind and helpful. We thanked them because they put 100% trust in us. Even the patients were so cooperative to allow us to do the wound dressing even though they know that we are only the medical students.
But I am so sad with myself. I am easily tired. I manage to draw blood but I failed to insert brannula. Maybe my friends are right. They said that I am a gangster. I am not good in skill. So sad that I can’t complete my log book. Nevermind,I will be doing emergency medicine for my elective and I can practice more. Insya Allah, i will become a good doctor.
S – Still manage to complete work eventhough I am terribly tired
W – Gangster, I am not good with skill.
O - Practice more during elective
T - My log book was not completed and there is high risk that I am going to get scolded.
Non Academic Account
I spend my weekend studying. I am not motivated actually but still trying to do the best. I am afraid with physical examination. Seriously I hate the way exam being conducted. I can’t focus. Afeera, be patient! 1 more week to go then I will enjoy holiday perhaps if I am not fail. Allahu A’lam. Allah knows what the best for me.
Every grain of sand
In every desert land, He knows
Every shade of palm
Every closed hand, He knows
Every sparkling tear
On every eyelash, He knows
Every thought I have
And every word I share, He knows
Allah knows
In every desert land, He knows
Every shade of palm
Every closed hand, He knows
Every sparkling tear
On every eyelash, He knows
Every thought I have
And every word I share, He knows
Allah knows
S- Believe that Allah is always there for me, His rope is strong and will never waver. His provision is there for all who are in need.
W - Easily tired, is should do blood test when I went back to Johor
O – Exam is an opportunity but it can also be threats, but then everything is destined. In His Dominion we exist for as long as He wills. And we call upon His bounty through prayer. And seek His favors through hope. For He is our refuge when difficulty strengthens its hold
T - Failure but then that was the best that Allah has plan for me.
Surgery ~ Reflective Diary - Week 6
Academic Account
Personally, I felt that surgery posting is little bit not well organized like other previous posting. I am so tired of calling the specialist and quarrelling with Randall in this posting.
I felt very tired and got severe headache on Tuesday. I am not studying in this week I am tired but then it doesn’t really benefit me. I can’t concentrate during TBL and Seminar. Then I need to think about the end posting dinner. I need to go to college and meet all the lecturers. It was really tiring.
I am also tired when I need to deal with all small particulars thing. I am still week in terms of presentation. I don’t think that my case presentation really reflect my ability in presenting case if I am a houseman.
S- I don’t think that I have strength anymore. I just cannot wait finishing this posting.
W- Cannot bear difficulty
O- Study during the weekend
T – Fail in end posting exam
Non Academic Account
It’s already a month I don’t met my family. I fell not motivated at all. Another 2 weeks more to go. I just cannot wait to finish this posting.
I went to Nilai this week to release my stress. I walk alone.
Then I do revision using Kaplan USMLE Step 2. It is the most suitable book and way of studying for me.
On Sunday night, I have usrah. It is good to have usrah as I felt that my heart will loose its tenderness if I don’t hear tazkirah for a long time.
S - Use a good book like Kaplan USMLE Step 2 to do revision.
W – Shopping and wasting my time
O- Usrah where I can reflect all the wrong doing that I do throughout the week.
T - Fail in end posting exam.
Personally, I felt that surgery posting is little bit not well organized like other previous posting. I am so tired of calling the specialist and quarrelling with Randall in this posting.
I felt very tired and got severe headache on Tuesday. I am not studying in this week I am tired but then it doesn’t really benefit me. I can’t concentrate during TBL and Seminar. Then I need to think about the end posting dinner. I need to go to college and meet all the lecturers. It was really tiring.
I am also tired when I need to deal with all small particulars thing. I am still week in terms of presentation. I don’t think that my case presentation really reflect my ability in presenting case if I am a houseman.
S- I don’t think that I have strength anymore. I just cannot wait finishing this posting.
W- Cannot bear difficulty
O- Study during the weekend
T – Fail in end posting exam
Non Academic Account
It’s already a month I don’t met my family. I fell not motivated at all. Another 2 weeks more to go. I just cannot wait to finish this posting.
I went to Nilai this week to release my stress. I walk alone.
Then I do revision using Kaplan USMLE Step 2. It is the most suitable book and way of studying for me.
On Sunday night, I have usrah. It is good to have usrah as I felt that my heart will loose its tenderness if I don’t hear tazkirah for a long time.
S - Use a good book like Kaplan USMLE Step 2 to do revision.
W – Shopping and wasting my time
O- Usrah where I can reflect all the wrong doing that I do throughout the week.
T - Fail in end posting exam.
Surgery ~ Reflective Diary - Week 5
Academic Account
I felt guilty when I came late during grand ward round with Dr Ahmed Ali. I am so tired in this week. On call twice, preparing for seminar as my partner didn’t anything at all, went to usrah on Thurday made me really tired. I wake up early but after Subuh prayer, I fall asleep.
I confess to my naqibah during usrah that I came late. She said it was a sin. I felt so guilty this week. I promised to myself that I don’t want to come late again.
I passed my mid posting exam. I believed that I am improving in terms of academic during clinical years. I still remember my mentor said that I am the worst in the group during my professional exam. I felt that I want to meet him again and prove to him that he was wrong.
I believed that everything has been destined. Allah tested me often with failure during my pre-clinical years when I don’t believe in destiny totally with my heart.
Allah has planned my life to be the best…
S – Allah by my side
W - coming late to hospital
O- improve my attitude in coming week and for the rest of my life
T - patient died as I had poor attitude
Non Academic Account
I went to Pustaka Mukmin with Iman. I bought novel – Rindu Andalusia. I am extremely happy to have that book but I am so sad to say that I don’t have time to read that book.
On Saturday, I went to Alamanda with Ummu Salamah. Nothing happen there but I am thinking a lot about people. What is their purpose in life actually?
Last but no least, I went to help Dr Rafizi and Dr Shuhaila.
I felt that I want to become Doraemon and can stop time but I know that I can’t.
Allah had already said in the Quran:
I swear by the time, Most surely man is in loss, Except those who believe and do good, and enjoin on each other truth, and enjoin on each other patience. (Surah AlAsr)
S - love reading novel, hope to become writer in future
W – Tired, not fit
O - Improve this week
T - Becoming the lose one
I felt guilty when I came late during grand ward round with Dr Ahmed Ali. I am so tired in this week. On call twice, preparing for seminar as my partner didn’t anything at all, went to usrah on Thurday made me really tired. I wake up early but after Subuh prayer, I fall asleep.
I confess to my naqibah during usrah that I came late. She said it was a sin. I felt so guilty this week. I promised to myself that I don’t want to come late again.
I passed my mid posting exam. I believed that I am improving in terms of academic during clinical years. I still remember my mentor said that I am the worst in the group during my professional exam. I felt that I want to meet him again and prove to him that he was wrong.
I believed that everything has been destined. Allah tested me often with failure during my pre-clinical years when I don’t believe in destiny totally with my heart.
Allah has planned my life to be the best…
S – Allah by my side
W - coming late to hospital
O- improve my attitude in coming week and for the rest of my life
T - patient died as I had poor attitude
Non Academic Account
I went to Pustaka Mukmin with Iman. I bought novel – Rindu Andalusia. I am extremely happy to have that book but I am so sad to say that I don’t have time to read that book.
On Saturday, I went to Alamanda with Ummu Salamah. Nothing happen there but I am thinking a lot about people. What is their purpose in life actually?
Last but no least, I went to help Dr Rafizi and Dr Shuhaila.
I felt that I want to become Doraemon and can stop time but I know that I can’t.
Allah had already said in the Quran:
I swear by the time, Most surely man is in loss, Except those who believe and do good, and enjoin on each other truth, and enjoin on each other patience. (Surah AlAsr)
S - love reading novel, hope to become writer in future
W – Tired, not fit
O - Improve this week
T - Becoming the lose one
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