asthma vs COPD

skin anatomy

http://www.fpnotebook.com/der/exam/sknantmy.htm

Racism

situation..





two options to buy a second hand car.


silver car : one of the owner is a old british guy.


red car : one of the owner is a indian guy.





which car would you choose?


silver car.





why?


because british people usually take a good care of their things and usually they are honest especially when do or sell something , so when they tell about the car condition in the advertisement ... may be it will be more reliable. (sterotyping )








or





because usually indian people always lie? so dont trust them? (sterotyping .. if you had this experience it does not mean every indian like this)














hello people ...


this is racism...stop this action!


we cant just choose the silver car base on this judgement. discrimination





be professional...


collect first .. all the information about those car. investigate ... and analysed the data..


then make a choice.








who knows actually the best car would be the red one. ^_^

*reminder to myself*

how to be a Good doctors?

according to GMC guideline
" a good doctor

1. make their patients their first concern


2. they are competent


3. they keep up date their knowledge and skill.


4. establish and maintain good relationship with patient and colleagues.


5. honest and trustworthy


6. act with integrity "

i am in Mode of PPD revision.

a miracle happen.

today i had osce examination.

what happen? and how did i react?
i finish the cvs examination on time .. however after the question i forgot to bring my file to the next station. when the bell rang 3 times i enter the station. it was communication station. " examiner : where your file ? " oh no.. I RAN OUT TO THE PREVIOUS STATION" . i know that i dont have much time left . i need to take the patient medical history. subahanallah.. alhamdulillah.. Allahu Akbar. I can understand the patient... and remember it well.. even though I dont have more time to ask extra question. thank you for make my situation easy ..Oh Allah.


one more in BP station. I CAN't HEAR THE KOROFKOFF SOUND. and i cant get theBP reading.
should i lied that i get bp and say the no in the normal range eg the bp is 118/70 mmhg?
i can do that . but .. this time i am not..
ergh... i know that my mark will be deducted due to this condition.

why i cant lie? i always practise when taking bp i just said and write what i heard from the stetoscope. i alreasdy get used to that habit.

of course.. it because i will be a doctor one day. i dont want to lie about the my examination...

i realise it at the next station.. my stetoscope was switch off . i forgot to turn it on.. " clicking sound". ( patut la x dpt )! major mistake here... abisla.. ^_^


what did i learn?
dont blame other ( eg : blame exminer bcoz not give me back the folder")
realized my own mistake and admit it ( i am the one who forgot to take the file and i am the one who not check the stetoscope is open or not when taking bp.)
practise osce is good to help me to be more fluent . but during the osce dont just spill up the word. check carefully when examine the patient is there any abnormality.

for communication( headache and angina )
pick up non-berbal cue.. ( especially when the patient show paintfull faceh.. say to her . you look really in pain right now.( baru la patient tu berasa best kn? penat berlakon ...tunjuk muka sakit. tp dr ni perasan..wah ..kn best?)

what you will do if you face the same situation in future?
just be more aware about the file after each station. if that happen.. i need to check back the file before i move to the next station and before the bell start to ring again indicate.. start time.

i will check the stetoscope first before i apply it to the patient arm. make sure it open.


i still dont want lie just to get the mark ..if i did the procedure wrongly .. .because what ever happen .. patient must come first.




that all my reflection for today.. need to leave everything to ALLAH. i did my best.. and i am happy for it ..now the time to leave everything to Him.

my time for having lunch ..rest a bit.. and start back my study for my paper exam on tuesday and wednesday next week. 4 days left.

tata..

human embryology -module life cycle 1

question and ans for basic blood clot

http://www.biology-questions-and-answers.com/blood-questions.html

all about them.

it already near exam. tomorrow will be 24 may. 7 days left to study.

my friends will start their OSCE tomorrow while mine will be on 27 may.

who are they?

i know them nearly two years.

maybe next year i wont be able to see them anymore. .. these people that i love.

i hope Allah make things easier for them...

my 2nd year newcastle medical friends...

^_^

10 days b4 exam

mama.... ayah..

takot.... :'(

arini x bljr .badan ku letih..byk tido ja..dah cuba bca skit then tertido lg.....

maap ayah mama...

maap...

practise clinical examination

even though I already learn about chest examination, and abdominal examination last year but when i learn it this year , i just feel the same feeling. anxious, shy , afraid when i examine male patient. i am the one who have tachycardia , my hand shaking and cold. i even could not speak out word clear even i want to.

i need to overcome my fear toward male patient... in the future

so that i can focus when i am doing the examination.

pls: this is not discrimination toward male but it just happen to me and i need to adjust myself to be more serious and confident when I examine them.

thank you for my friends who willing to be my patient during practise session.

found a video which related to the title of this blog ^_^

Afraid of move up on a paint ball Field?

I supposed to watch this video before went to play paintball .. huhu... so that i know how to move forward safely. ( ^_^ being shot 3 times at right knee when trying to move forward)

I had my first experience playing paint ball last Saturday( 7/5/11 )with 14 of my batch friends and some locals.

Even though I got shot a lot ..remain about 13 swollen bruises on my body, the next day my whole body pain because of the muscle cramp and bruises . I can say this is an awesome experience..the best part for me is when you move forward.. and start to think your next step to win the game. think quick. a good practise to be a doctor I think. haha

I learned a lot of different aspect from my first time playing paint ball.

1. dont afraid to move up, move forward. The first 2 game I don't move at all from my hiding place and pretend to be on defend position ( actually afraid and dont know how to move up) and finally I being shot so easily and need to go out from the game. I think .. which part to you want to be .. stay on the same place and wait from being shoot or try to move up and may being shot . I think trying to move up is more safer.. I can try to avoid being shot by not stay on the same place and I can try to help my team to win. Thus start on the 3rd game I try to move forward .I enjoy this part really...

2. teamwork and strategy really important in this game. not just shoot from far or hiding back or over brave but being shot a lot. haha.

the best game that I experience is .. my team being an attacker and our aim is to take 3 oil tank which is near the defend team (enemy) and move it to out starting point.

at first I my it is quite impossible for us to play this. most in my team is a malaysian girl. just about the same height.. and dont think that we able to move up the tank without being shot...we think the tanks are too big and heavy. before this the opposite team also wont be able to move the tank when they be the attacker.

however we try it together. This time ...teamwork and strategy take place.

5 of us move forward on both side near to the tank (at centre) while the other back up at the back and move forward bit by bit following us.

we come out with an Crazy idea .. Kamikaze.. at the same time.

3 of us coming from both side...try to run forward to the tank while shotting.. trying to distract the opponent and at the same time cover another two .. while those two trying to move up the tank. Of Course those 3 girls being shot the most. But we manage to move the tank . success!!

2 tanks more to go.. even though being shot .. everyone seem to be very positive do their best ..

even tough we dont manage to bring those 3 .. to win the game .. but for us manage getting one tank ...is sooo great.. especially when doing it together.

the worst experience which when I be a defender team for the same type of the same game..(oil tank one)

there are 4 barrier for all in my team to hide and shot the attacker ..I am the one who in the nearest barrier to the tank( front) . At first I have an accompany but she totally disappeared.

I want to run to back barrier but I may get shot and being eliminated from the game. However, I try to stay and try to shoot who ever opponent that move forward or go nearer to the tank because that the best place to see the opponent and the chance to make them get shot more higher. ( I dont wear spec .. so uncomfortable..so I cant see far..) when I trying to shot at the opponent ... I dont realize one of the opponent side came nearer to me.. so NEAR about less than 15 feets I think ( unfortunately as just I realized the opponent, I being shot at my right side on my head.. the paint ball it hit my right ear and part below the ear.. I scream.. OUCHH!!.... HELP2.. I still being shot.., I raise my hand and just lie down.. sooo hurt. my eyes got wet a bit.. and nearly start to cry.. ( thankfully that I am not doing that) and I cant wake up.. the pain too strong on that TIME.I close my eyes tightly.. . the referee stop the game and my team run toward me. ( actually ... after the game ..I being told .. my team at the back soon as they realize the opponent they try to shot them but they miss it .) I am feel more scared when they want to open my scarf to check it. ( I dont want to open my scarf.. not in front guys!!!) ..i know my girls friends cover me up.. that time.. I still ..dont want to do that.. trying to bear the pain.. I wake up and stay at the safety zone... I realized the person that shoot me already leave the game area.. what remain is gun at the ground. of course .. that person do thing against 2 rules. move across the territory line and to the defend team barrier, and the second thing shoot a person less than 25 feets.

Alhamdulillah..Thankfully I was ok.. and just swollen at ear part, nothing serious happen.

I felt what happen to me is really paintfull..my heart keep saying Allah when I am in pain just after being shot that NEAR and I dont know what will happen to me on that time......

but realized what happen to me just small thing..I cant really imagine how my islamic brothers and sisters in palestin..mine just a game..but..for they ..is real..

May Allah protect them...

Now .. I still suffered with the bruise all part at my body.. my friend will be the same ..I think..hope it will heal fastly and I can be active back to study..

Paintball game for Girls? of course yes.....I really afraid of being shot and to move forward but it does not mean that I can't play.

Got an EXAM .. less than A month..

I need to move forward... . like in the game too..

do I want to make an my best Effort to move forward ( study and etc) ..and wait for the result( being shot or win the game.= fail or pass the exam)?

or just remain at my place , stay there without doing anything ( not study) and wait for the result ?

I want to choose the first part..

I need to do my best about what I can do.. my Efforts...

and then tawakkal..

leave the result to Allah..

ok now.. FOCUS.. ON YOUR EFFORT.. 22 days left.

^_^ caiyok !!