Graduated with MBBS Officially..So happy..

It has finally come to the end of all the studying, writing portfolio and waiting; waiting for the result at least...

It was a time of happy and sorrow both at the same time, as we all will be leaving from IMU for our own journey soon somewhere inside Msia..

Waiting for the result wasn't something enjoyable. I was waking up early in the 5am morning and ended up waiting for hours before i can start driving from PJ to Sban. And, i think i reached there quite early, almost the first to be there for the result, in fact too early. some of them only came after 10:30am or 11am.. Grrrrr....

The result was released about 11:15 am in the morning whereby we were allowed to collect our trascript from the AAD. After that was the waiting for the Declaration Oath to become doctors. It was full of inspiring and wisdom speech from the new dean and some of the other lecturers.


Then, there was a small "feast" for all of us to enjoy before we all left. Throughtout the session, there was a lot of photo taking with friends and lecturer.

Honestly, it still seems like a dream to me. I still remember seeing the seniors graduated happily, congratulating each others a few years ago. We were wondering when will that day come for us. But, look, we are here... with MBBS and Dr title in front

5 Year for One Day of Exam

We have been anticipating this exam for so long, finally the 5 year has come to an end for another new journey to begin with...

Preparing for this final exam isn't easy at all as any case could have come out for the long case and the one and only one case determine our pass or fail. Portfolio discussion also need to be go through again a few times to make sure we do not do any gross mistake or miss and important stuff...

Furthermore, the exam is after the chinese new year which makes everything tougher. I have expected not to study much stuff at home during the chinese new year period. What to be blamed? myself of course, there were just too many temptations at home. The TV, the nice environment to sleep and rest..everything is just so against studying.

Two days before the exam, i moved down to PJ area in my uncle house for preparation of the exam and also for the study group..ANd, luckily that was what happened orelse i might just screwed up in the exam..at least i can finish 1 round of study.. Though throughout this few days my bowel weren't helping out me, i was still fine except that i need to go to the toilet several times a day for my IBS. Even when i was staying in the hotel which cost me rm110 for a night, it never left me. Thought it has leaved me but i was proved wrong..haha

Exam day was the most stressful time for all of us, i was scheduled in the afternoon session for the exam.. was in so much of hoping that i wouldn't get a "combo" case which usually has 4-5 diagnoses and makes the history everywhere...

Anyway, i got a patient with liver cirrhosis and UGIB for that day. Prof Y and Dr C from BP were two of my examiner whereelse i got Dato J and Prof N for my portfolio discussion. Both the session went quite smoothly except a few lagging as i was wondering what they were trying to ask me..

Around 4pm, it finally come to the end..what a relief everytime we come out from the exam room..i can see different faces of either confused, happy and partially sad coming out from the rooms. ANyway, 5 year of study for 1 day of exam; that's what we have for the day..

Long Forgotten..

In the past, i used to

1) indulged in nice songs/music sometime even until the next morning without sleeping. it purified my soul and emotion..but i no longer

2) enjoy reading books ,plenty of thick books, fiction stories..found so many of excitement there inside the cover itself..now? hardly finish a chapter...

3) involve myself in martial art, looks so high upon what i might achieve with what my potential will be..until i realised the other way around..

4)work very hard just to prove that i am really on the right track of taking up medicine. Almost anything come up as common sense. but it no longer appear to be the truth

5) so confidence that i can remember even i have just read once on certain topic and be able to recollect whatever necessary, but it seems impossible now..


What has happened to me? i wonder...

Canthus twitching

It's been few days after that my right eyes external canthus has been twitching involuntarily.

Hmm...Not really signalling something good. I think it's giving me hint that something bad is coming.

Well, i am not sure if it's true enough. On the first day of twitching itself, my external hard disc somehow was claimed by my computer as "corrupted and unreadable"; And that was really of a "great help".

I promised TY to send over some stuff through the internet but finally didn't manage to send it as my external hard disc crashed. At that moment, it was really creating a sense of impending doom as all my data including my academic stuff that i will be needing in sem 10 are all inside and i have just got 1 copy of it

Sigh...i wasted almost 1-2 hours just to find the solution to it..Luckily, i manage to repair it using the repair procedure..Or else, all the data would have been lost into ash..

Today itself, i had my shoe torn with "Open mouth view" to become a flip-flop after V accidentally step on it. Well, i am expecting it to be worn out soon but not so soon...real sad. Guess i will have to send it to the butler shop to have it repaired. I likes that shoe as it was a comforting shoe and the only shoe which lasted me for about 2 years without needing to change one. I am considered lucky as it only got torn off at the end of the day and not the start of the day. Otherwise, i just can't imagine how will be the day like..haha

Status Does Matter

Was discussing on a matter of "clock" reading with a few of them where the conversation lead to a mess..

And, finally, it comes to a answer which i already gave. But, this time, it's from a word of distinguished person.

Status does matters isn't it? How realistic can a human being be...

so, next time, make sure you quote something from a distinguished person to validate your answer.

How irony...

Catastrophic Rain...

Today is another day of my monthly hypnotherapy class. But, in comparison to when i was studying for my certificate and diploma, i was actually taking public transport and "Bus No 11" almost every month when i had the class.

When i was actually reaching the junction before turning into MU entrance, there start the big drops of tear from the sky and in a very short instance; it became a torrential rain which actually can wet the whole of my clothes when if i had to actually just stay in the rain for 5 seconds without cover.

I was thinking back how i was actually so fortunate the last time of being able to walk "safely" until i reached my hypnosis classroom in UM without actually having my self getting soaked.. If i were to talk and public transport for today and then walk inside UM for about 10 minutes to reach the class, i would be certainly fully soaked..haha

Fresh Fruits ...Lelong Lelong!!!

Looks very healthy isn't it with the variety of fruits available fresh from the "Pasar Malam". Guess what? It's only RM 10 for 17 mixed fruits. There are Fuji Apple, Sunkist Orange, Green Apple and etc..

Hope that i will be as healthy as how they are looking now..haha

One Simple Mistake

i wasn't realise until recently that i have made the biggest mistakes in house number 587. Now, everyone in this house is like seeing ghost when we see each other..Well, maybe i am exaggerating it too much..haha

But, i think it was because of my studying habit which was usually self rather than group study that lead me to this. It was our first posting in surgery when he initially saw the notes i made about neck swelling. Basically, it summarized everything about neck swelling in a paper. He was kind enough to ask if we could start sharing notes and etc but somehow at that moment i was rather giving excuses not to do that.

I don't really know why i did that. perhaps i was more comfortable studying alone. I am not too sure..Anyway, now he no longer share things and he started closing his door physically, i am not sure if it is psychologically..haha

Anyway, hope that things would be better off in the future..

Distractions..

i was supposed to have a peaceful session with my hypnotherapy class today. but a series of calls and messages came and distracted me..

it was about accommodation in BP, cos we are going to stay there for our final semester. However, it didnt turn up well..cos we have 4 person instead of a 3-person house, guess wat? we need to book for 2 houses but don't know who else will be staying with us..sigh...need another 2 housemates.

And, thats the moment where i cant find any way out of the trouble and ended up not knowing what i am studying of today..really a big headache...that was also the moment where i find myself very disturbed by this kind of simple little things..haih..

YMBJ !!!!

Today, i didn't learn much but 1 thing for sure, Prof A taught us about this short Form
YMBJ - YOU MUST BE JOKING !!!

sometime i do wonder, what we encounter most of the days would actually need us to pass the phrase out..haha

H1N1 confirmed in Msia?

Wow...it's kinda freaky to hear that malaysia finally breakings the record and has announced the first case of H1N1 Flu. Worst of all, it's in sungai Buluh hospitals which is rather near to Seremban? And, to complicate all these..all the passangers taking the same flights with the infected need to be traced...

Who knows how many would have been infected , all that we know - H1N1 can infect anyone the day before the flu symptoms arise..Creepy.Imagined all the houseman working in the hospital who might not know what they are facing..

Ultimate Drops, Finally !!!

Finally, we are all glad after hearing the rustling sounds of the strong wind with hustling sounds of the incoming torrential rain..

Here is Seremban, it was really hot like hell that everyday was like being in the dessert for everyone of us. Not a single drop of rain fall during this 1 month period with the excessively high temperature which almost drove us crazy.

The rain continued throughout the night until the next morning where i decided to off the alarm and keep on sleeping until i really need to wake up to go for class.. Haha\

and. the next day, my car is as shiny as it should be..save all my effort of washing the car..so happy..

Radiology Posting

We have started with Radiological Posting(Sem 9) since yesterday,it's a 2 week rotation posting whereby we need to learn about the essential radiological investigations in the hospitals which include Ultrasound (U/L), Plain Radiograph, CT scan, MRI, Fluoroscopy, Intravenous Urogram (IVU)and mammogram.

All these are available for us to access with the exception to mammogram of course. It's for patient's privacy.

Somehow, it has been scheduled that Tue, Thurs and Fri to be Fluoroscopy day which is the investigating machine for Barium Studies and Cystouretrogram.

On today itself, we saw 2 cases of cystorethrogram, 1 case of Barium Meal and Another case of Barium Enema.

Most interestingly, we tasted the Barrium Sulphate which is the contrast used in the study. Well.. it's doesn't taste so bad but we didn't really took so much of course. Orelse, we will surely be running to the toilet. Haha

Barium Meal itself is not a comfortable test as patient need to swallow about 6 small cups of Barium Sulphate so that a few view of radiograph can be taken to see the abnormalities in the oesophagus while standing.

On the other hand, Barium Enema can be a real havoc. It's infused into the patient's rectum via a large catether and later air is also pumped in so that a double contrast barium enema can be demonstrated on the radiograph. Besides that, it requires various turning of position so that the entire colon could be coated to view the entire colonic mucosae in order not to miss any abnormalities.

It's been an interesting day today that we managed to see all the interesting procedures. if we were to stay in MRI or CT scan room, probably there will be lot of fungus growing over there..haha

Suicide in Medical Field

Psychiatrist are claimed to be the first rank medical specialty who was claimed for centuries for their high suicide rate as they were able to help most of the people but themselves. How ironic...

But, guess what? Anaesthetist claimed the 2nd ranking..unbelievable..

Emotional Pain Can Be As Pain or More...

Read from a medical book a few days ago that emotional pain, the agony experienced by the "heart" couldn't be of any deceiving as compared to the real pain from a lacerating wound with a sharp knife...

How interesting ... though i know that this fact is indeed more truthful than any other thing, it's just how amazing that we can simply denied it when the science is still not able to prove it.

Probably someday will come, there will be something to cure wounded "heart"..haha
Or, maybe it is just up to us to get over with the pain ???

Thalassaemia Awareness Talk in HTJ

Attended a talk organized by Negeri Sembilan Thalassaemia Association in conjunction with a pharmaceutical company for lay person on thalassaemia last Saturday which was rather interesting. An one day whereby they educate lay person about the hereditary disease. The programme lasted from 9am to 2pm and was started with short talk from HTJ Pengarah and Head of Department of Paediatric in HTJ.

Amusingly, it's all communicated in Malay language which i think most of the talkers find difficulty with when they have long communicate in English ever since they joined the medical profession.

There was a talk on the overview of thalassaemia disease which they keep on emphasizing that it's not infectious followed by another talk about the management, working opportunity and issue in pregnancy.

Of course, the most interesting part would be from the pharmaceutical company where they have 2 short video summarising the effect of iron overload and the life of thalassaemic patients after they found out the oral solution instead of the injection. undoubtterly, the cost was not shown, just to terrify the public. haha

The lousiest part? it is a talk by the personnel from government working resources. Basicly, she was just not prepared for this talk. She gave a talk on how to get a job for a normal person without any consideration for thalassemic patients who would require more holidays for their blood tranfusion. Bad day for her, as she actually manage to trigger the rage from some of the patients. How impressve...

Anyway, we were glad to have the free guideline for thalasaemmia which would be very useful for us. Though the breakfast and lunch was provided, it was not really a good meal as there was a lot of people attending the talk. Once you are late in queing there goes the 15 minutes just for that.

Gynaecological Posting

As far as it's concerned me, gynaecological(gynae)posting is really hectic that i hardly can make out some time to read. What am i busy with? Oncall almost every other day from 5 to 11pm. Worst of all, we need to stay in the ward from 5 to 7pm when it doesn't make sense at all as it' s the visiting hours for family members.

What are we supposed to do there? standing there and blocking the way when there is already too much crowd? This is a real crap... When someone mentioned that houseman is also there, i really wanted to just slap that ill-looking face. The houseman need to be there for the patient to take care of them. What are we as a tiny little creature in the ward can provide? Not even information when what we know is actually not much...

Perhaps they have misunderstood the real purpose of being in the ward, which is for us to learn. But learning has to be an initiative for everyone and not covering the ward full of patients for the sake of covering. We are there in the ward to learn about managements of patients and not to learn to cover ward for the sake of fearing some lecturer who would come to the day the next morning asking about the patients.

This week has been a little bit crappy due to some unreasonable people who just wanted to cover themselves up. Anyway, i do hope gynae posting for another 3 weeks to be fun and interesting that nobody else ruin it.

GP Posting

As Family Medicine Posting is one of the essential posting for us in fourth year, general practice is also included in the four week of posting.

It was kinda funny when mentioning about GP posting, i only managed to get a GP to be attached on on the last day of submission of the GP details. i got rejected by 6 GP for attachment due to various reasons which include busy with something and they no longer accepting student for attachment. Sigh...

Fortunately, i finally found my GP on the morning of the last day of submission. it's a clinic near my place in Rasah jaya. I only made a call to request for the attachment as i do not want to get rejected again for the seventh time...

Anyway, i found no regret for my attachement with an Indian Dr in the clinic i mentioned. The Dr is funny, knowledgeable and willing to teach; and that is the most important point here. We would discuss about the case when he is seeing patients and we would chat from ground to sky when there is no patient around.

It's really a great pleasure being in his clinic as i learned a lot about being a Dr, he also taught me some life value which i might treasure being a houseman later on; not very later actually.

His ways of handling the patients really make all the patients feel comfortable. Patients are able to trust him and allow him to actually make the best decision for them. That's is the kind of value would anyone treasure the most being a Dr.

Pak Lang Chicken Rice in PD

Hmm... See, i knew i am cursed by someone to be choked on chicken bone but who? It's chicken rice again!!!

This chicken rice shop as entitled as "Pak lang Chicken Rice Shop" is located in the town of Port Dickson slightly north to Port Dickson Hospital.




It's famous for the French Toast and also the chicken Rice either the plain or the special type.

Taste : 8/10 (soup heavily spiced)
Size : Moderate
Price (Special) : Rm 6.00
(Plain) : Rm 4.50
French Toast :
Sanitation : Average
Awaiting Time : 20-30 min
Service : Average
Overall Marking : 8/10

Personally, i would only give 4/10 for the french Toast. Totally not sure
why it is famous.. Maybe the cook lost the standard today. Haha

Ampangan Chicken Rice

Hmm...weird. looks like it's been chicken rice for this whole month... What a "chicken month". Wonder what is wrong with me..haha

Anyway, this is also another recommended chicken rice near Ampangan Clinic (KKA), a left turning right after KKA.

Claimed to be the " World Champion"- maybe in this small world called Ampangan and was up on screen on TV3-local Majalah Tiga.



It has got :

1 plate of corn flavoured rice
1 plate of chicken meat - small to big pieces (depend on your luck)
1 bowl of soup - small and heavily seasoned
1 small plate of chilli

The chicken meat has a nice texture except for the burnt part outside,Rice smells nice and sweet in mouth. The overall size of the meal is moderate to large with 7/10 taste.Sanitation is also not bad. Awaiting time - 15 to 30 minutes

But, service is lacking.
We ordered 5 drinks but 6 was sent to us and no "taugeh"(bean sprouts) was served. What a disappointment!!!


Taste : 7.5/10 (-1 for overburnt part and soup)
Size : Moderate to Large
Sanitation : ok
Awaiting Time : 15-30 min
Service : not bad
Overall Marking : 7/10