Make it a story

To take a history in faster way. Since it's called history, we make it a story, so it's easy la..

1. Patient's profile, same

2. Chief complaint, same

3. HOPI, draw a horizotal line on ur paper, make it as a timeline. Describe 1st symptoms he had from the left + Rx he received, whatever related. Move to the right that is what happen today
Don't forget to ask history about risk factor, aetiology, differentials and complications ( In order to do that, ilmu kenela cukup beb)

4. Other history tu cam biase la

5. Don't forget to ask what patient concern about his disease (just to show u have empathy and for counselling.

6. For examination, no need to write one by one or try to remember. Just draw a man and u can just tick sign yang die ada, and X kat signs yang he don't have.

Tryla, I think it is useful. So, u won't miss any history and don't have to look back nervously in ur notes if u were to asked something about ur history.

 
Hopefully dapat faham, maknanya, past 3 months what happened. Desribe briefly, ngan Rx he received



Just tick and cross, especially PICCOL tu. Vital signs jgn lupe k. Terlupa nak include sekali... sowwy

Contoh. Anda boleh buat ikut kreativiti sendiri. Semoga memberi manfaat.

p/s:Kredit to one of senior for teaching me this (Macam x dpt kredit gak, sbb identity dirahsiakan, kui kui)

Azam baru vs Azam lama2

Tak tau pon nak tulis apa. Sebab sekarang sibok ngan new year, everyone seems eager to write about new year resolutions, so I pon nak menyebok jugala. Act, x penah ada azam setiap tahun, rasa susah nak work up, and for me tak perlu tahun baru tuk buat azam baru. Instead, everyday perlu ada to-do-list, tiap2 hari pon berazam.

I talked to an MO about his career, eh he came tlalking to us. Mula2 die tanya soalan microb yang belajar 2 years back. Kalau yang semalam belajar pon da lupe, apetah lagi 2 years back. He said:

No way u forget ur 1st, 2nd and whichever year of ur studies, and no way u forget about exam when u're working. Same je, dahla exam makin susah 

Don't throw away all ur international books, for they are very good books for ur future (Rasa buku India lebih complete dari international book, sebenarnye expalanation pjg2, tp x perlu pon tuk exam.

Why u follow ur friends pursue medicine. Even if on ur own will, u'll regret someday. U'll regret my friend.

Advise ur brother sister don't take medic, take other course. After all, doctor is not as glamorous as it sound. Dahla gaji sikit. 6000??Semua tu penipu..

Cukupla tu kot, banyak lg benda2 negative die cakap, include taking medic like commiting suicide but it's too late to turn back. Just take it as u commit suicide but never die, u'll suffer till the end

Oh lupe, die cakap lagi. There's gonna be competition between medical students to get work. So, if tak study betul2, jgn harapla nak dapat kerja nanti. Study la rajin2.

Ada satu lagi, lifestyle also gonna change. He don't realise it, until he's an MO that he feel he don't like to talk with fren, ppl. Maksudnya sembang2 la, byk keja nak buat. How do i say.. antisocial? Something like that. Well, I think it's true. When I'm in my study desk, I mmg don't feel like going out, or even talking to my housemates tp bukan terer sgt pon.cume kalau dah stuffy sgt tu, kluar la jugak. Kang mati sorang2, takde orang tau. huhu. Inilah jadinya kalau surf tenet je  study dengan tekun

Walaubagaimanapun, ini adalah jihad di jalan Allah tuk membantu hambanya yang perlu dilakukan dengan bersungguh2. Memang la ada doctor yang betul2 commit suicide sbb stress tp lebih doctor yang berjaya lagi ramai. Nobody say it is easy, but everything is possible in medicine.

Hari Yang Terakhir

Mase tengah syok2 tido dalam kelas belajar, tiba2 ade orang bukak pintu kelas. Oh, Dr. N** dan die trus berkata "Sir, we're supposed to use this class. We have a class now".
Ketika itu Dr S**** sdg amek kelas. "No! We've been using this class last week also. We booked this class"

Tp, Dr N** tetap berkeras nak gune klas tu, dan Dr S**** tetap berkeras tanak bagi. Rupenye kitorang yang salah, org office salah instruct kitorang. Dr N** dan murid2 kelas tetap menunggu kami beri kelas itu kepada mereka. Tak dptla kan? Dr S**** bukanla sesenang itu, dah la tu, siap cakap Dr N** bodoh, sebab takleh guna kelas lain. Mase tu, beberapa org budak kelas saya nak mengalah, just bagi kelas tu kat Dr N**, tp Dr S**** tetap ngan kepalanya yang keras. Kemudian, Dr S**** keluar dr kelas itu, tentunya tuk berjumpa Dr ***. Bila die kembali, dengan penuh angkuh rase gembira, die kate kita akan teruskan di kelas ini.

Saya terfikir keadaan seperti ini sedang, dan telah berlaku, di Palestin. Hak Palestin dicabul, tanah mereka dicuri. Dulu, saya pon pernah terfikir mase zaman jahil2 dulu, kenapa Palestin sanggup berperang? Kenapa tak bagi je tanah kat Yahudi kalau nak sangat. Sekarang baru saya faham ertinya mempertahan hak kita.

Saya memang tak puas hati la ngan Dr S****, dahla curik tersalah mengajar kat kelas orang, tp tanak bagi balik, pulak tu cakap orang tu bodoh sebab tanak guna kelas lain. Kalau orang yang menuntut haknya yang telah diambil orang lain itu bodoh, apa status orang yang mengambil tempat orang lain itu? Pulak tu, ade hati nak suh gune kelas lain, sama la seperti datang mencuri negara orang, suruh orang tu pegi dok negara lain. Banyak cantik muka kau...

Walaubagaimana pun, saya sangat bangga ngan Dr N**. Bodoh2 die pon, die berani pertahankan hak die dan pertahankan kebenaran.

Kepada Dr S****, sy bukan nak menderhaka (x berkat lak ilmu aku kang), saya kagum ngan anda yang sgt terer dan sy ucapkan terima kasih kerana telah mengajar saya berfikir dalam menuntut ilmu. Tp, amek mase pk sikit, kalaulah tiba2 ada orang datang rumah anda, buat macam rumah sendiri dan berkata pada anda, "Pegi cari rumah lain la"
Lu pk la sendiri.

I don't understand what stupidity is this

The Moving Day

Hari ini mmg penuh dengan aktiviti, in fact, sy baru berenti berehat sekarang, kul 6.15pm

7.00 am Naik bas ke Muar
8.00am-12pm Aktiviti pembelajaran di Hospital Muar
12pm-2pm Siapkan logbook tuk dihantar hari ini
2pm-5pm Service kereta
5pm-6pm Hantar kawan2 ke Melaka sentral sambil bershopping2 di Mydin

Bz kan saya?

7.30pm-9pm Hantar kawan lagi ke Melaka Sentral sambil tunggu bas saya kul 9
9pm-5/6am Tido (syok nya)

Productivity vs activity

Selama ini saya query kenapa despite many hours in hospital, despite burden of works but most of Manipal's students my knowledge is not appropriate (?) with the time I spent studying or be in the hospital. I came across a book, Ultimate Productivity written by Jim Stovall, a very gook book.

Katanya dalam buku dia, tak semestinya sebab banyak buat kerja, so u produce banyak juga. Some aktiviti counterproductive. Camne tu? Maknenye bawa kite ke belakang, contohnya nak pegi satu tempat, tp amek jalan yang opposite, mana nak sampai kan?

Kadang2, before buat kerja must ask ur self:

1. What is it that I'm really trying to accomplish?
2. Do I really have to accomplish this?
3. Will this activity move me towards the end result?
4.Is there any better way to get from here than the way I'm currently pursuing?

Jadi, tak perlulah jadi seperti hamster yang banyak buat aktiviti, but bring him nowhere.

Something not in the book

Nak marah betul hati ini, semalam kaki K*** tersepit kat pintu almari, just like what happened to me the other day (thumb terkepit pintu kereta). Then, we went to the same clinic where I got the treatment. But, it was different doctor when K*** got out looking unhappy with unsettled nail also.
Cit, K*** kate that doctor said, " I cannot do anything, can give you antibiotics (what the....???? Patutla banyak case antibiotic resistance bacteria sekarang ni, kepit pintu pon nak bagi antibiotics ke?plz.... )

Then, apa yang saya nak marah sangat10, when K*** told her "My fren had this prob b4, dr here tebuk her nail"
She said, " I never heard of that, I don't know what ur fren is talking about" dengan nada yang menyekit and irritating (the fren is me la)

Nasib baik la kat klinik, and I ni masih ade sikit maruah, and sebab takde bukti and sebab K*** kate, takpela jomla kita balik. Kalau tak, mmg I will go inside the doctor's room and cakap "Dr, meh sy buat, dr tengok eh. Lps ni kalau ade orang datang sbb hematoma kat kuku, jgn bg antiotics, tp tebuk cam ni, release kan pressure die to reduce the pain." (kalau nak bagi analgesic, akal logik aku boleh terima lagi)

Can u feel the hotness

Sesungguhnya doktor, benda ni mmg takde lam buku, tp logikla sikit. Kalau nak release intracranial pressure kan kite tebuk kepala die. Tak boleh apply kat sini ke? Kuku kan keras, bila dah hematoma, camne die nak occupy the small space? Koppaaa...

Nampak tak lubang tu? Sebesar2 gamba aku letak (nak marah sgt la ni)

Allah Sedang Berbicara Denganmu

Aku: Nak solat dulu
Dia: Jom jemaah (aku sangkakan dia bergurau)
Aku : Jom
Dia : Kat surau
Aku : Anda pergilah dulu, nanti esok2 da rajin saya pergi lah
Dia : Semoga bermula malam ni anda menjadi rajin
       Dulu anda rajin gi masjid, subuh terutamanya.

Aku memang dah mula lupa, siapakah aku, apa yang aku buat untuk hidup sejak aku mula merasakan matahari itu bersinar untukku. Aku sudah lupa yang awan mendung pernah memayungiku dulu.
Alhamdulillah, Allah berbicara denganku melalui seorang teman sahabat.

So, azam baru at least seminggu sekali kembali solat subuh di masjid tapi sekarang subuh awal sangat la, kul 5.30 takut tak sempat. (Alasan lagi)
Terima kasih, sahabat...

Aku dalam cerita di atas ialah Sabrina bt Saifudin (bukan nama sebenar)

Gambar sejadah yang solat di rumah saya (dalam entry yang lepas)