Abdominal Percussion

"To know how resonance really sounds like, you need to percuss a hollow region. if the area is filled with - say - fluid or mass, the sound will come up as dull. this happens in a case of ascites." 

In that case, to properly demonstrate how resonance really sounds like, i think we need to do that on a bimbo's head.

p.s. too many medical related post? what to do. saya kan nerd.

pinksterz says the darndest things when she's sleepy

the doctor wrote a list of symptoms relating to the liver and one of them were written as this:

Jaundice/ Itching

Doctor: So can anyone tell me why do i put "itching" just beside "jaundice" in this list of symptoms?
Students: *made noise wtf*
Doctor: yes, because with jaundice there's always itching.
Sleepy Me: and with itching there's always jaundice *subconsciously*
Doctor: *looked at me*
Just- realised- what- stupid- shit- i- just- spurted- out Me: :|
Doctor: No.

illegibility: i am already on my way there.

"I can tell that you are not made to be a doctor from your handwriting ok! No time for neatness! I want all jobs done on time!"

- a pissed Doctor C, an O&G specialist from Hospital X to a new houseman..

i used to wonder why do doctors have such a horrible, horrible handwriting that no one seemed to understand except themselves and those who were involved in the same working field everytime i went to a clinic or hospital for years. YEARS.

once i got a prescription consisted of only something i could only perceived as zigzaggy lines, and somehow i ended up with 5 packets of different medications.

after all these years of puzzles, i've finally got my question answered: they were trained during their studies.

subconsciously.

p.s. think mine is ugly enough? i've seen worse in the hospital. ;p

Mari Menjadi Skema

1. Tahun ini haruslah menjadi lebih rajin daripada seekor semut tapi tidak se-setan semut yang telah menebuk plastik pembungkus kerepek pisang di rumah saya. Bodoh punya semut, plastik setebal dan seliat itu pun mampu kau tebuk. Gigi besi sungguh.

2. Moto hidup saya untuk sesi akademik kali ini adalah "Ke Arah Gaya Hidup Nerd Sejati Untuk Masa Depan Yang Gemilang"™ (saya sudah trademark kan ye jadi jangan mengada nak tiru)

3. Kelas setakat ini adalah 6 jam sehari bermula dari jam 9 pagi, tanpa sebarang waktu rehat di antara setiap sesi kuliah, praktikal dan pembentangan kumpulan. dan sebagai maklumat tambahan, di hospital tiada langsung pusat sumber makanan. Gerai makanan ringan paling hampir adalah tiga tingkat di bawah bilik kuliah kami, itupun ada di luar pintu hospital. Agak jauh. Jadi, cuba teka siapa yang kelaparan menjelang tengahari?

4. Dan cuba teka siapa yang kena serangan gastrik sebaik sahaja tiba di rumah menjelang lewat petang?

5. Salah satu sumber pembakar semangat saya tahun ini adalah kertas cetakan ECG yang saya peroleh ketika membuat latihan elektif cuti musim panas tempoh hari. Saya tak tahu kenapa, tetapi setiap kali saya nampak garis ECG tu saya terasa semangat saya menjadi berkobar kobar. Mungkin fobia terhadap ECG membantu sedikit sebanyak kerana saya tahu saya harus berusaha lebih gigih untuk bakal pesakit saya di masa hadapan. Maka saya tampalkan kertas itu pada dinding di meja studi saya. Semoga semangat terus marak membara ibarat api neraka sehingga akhir tahun.

6. Tahun ini sesi pembelajaran berlangsung di hospital universiti. Di hospital, majoriti pelawat (dan pesakit dan pelajar arab dan pekerja) yang hadir adalah perokok tegar sehinggakan setiap koridor yang saya lalu asyik berbau asap rokok. Arab Mesir memang bebal dan tidak berIQ saya kira! 

7. Oh ingin berkongsi akan satu fakta rambang di sini bahawa saya AMAT BENCI akan asap rokok selain sedikit alah pada baunya.

8. Jadi bukanlah sesuatu yang pelik lagi mustahil apabila baru 3 hari kelas saya dah jatuh sakit. Kesian kan?

9. Ketika ini saya pasti kalian tertanya bukan mengapa saya menulis dengan penuh skema di belog tidak berpelajaran saya ini? Percayalah, saya dah berubah menjadi skema. Manusia skema adalah menarik. Saya juga baru sedar saya lebih tertarik kepada manusia yang berperwatakan skema skema kayu.

10. Atau mungkin ini hanyalah kesan sampingan sementara ubat demam yang sedap mengalir di dalam urat darah saya.

p.s. picture is courtesy of my super delayed Just Another Project 365™ (mengada kan nak courtesy konon ceh cakap je la free pimping website kau yang dah nak nazak tu kahkahkah)

aaaaand howdy from cairo!

pardon my absence for the past few days (actually, it's been a week precisely) but i am safely back into my second home, cairo, last friday, after 2 days being stranded in Riyadh Airport. well, it was just my (bad) luck that the staff of cairo international airport decided to run a strike on the day of my flight causing the delay of me stepping into donkey's poo land (direct translation) wtf.

so how was i doing in riyadh?

here's what you need to know:

i was the only malaysian going to cairo stuck there. no kidding okay. there were another group of malaysian i bumped as well, but they were flying off to london.

and because of that almost all the staff there knew me by name. in fact, when i reached riyadh i directly went to the praying room and decided to bunk there for the night since i had 14 hours until my flight. 2 hours before the departure i went to the gate only to find out my flight was cancelled!

so i confronted the guy at the gate and the first word he asked me was "are you miss pink?"

"err.. yes i am"

"we've been looking for you! come with me"

"wait. what? hang on. tell me why is my flight is cancelled first. where are you going? hey wait for meeeeee!!!"

so i followed him to the information counter and another guy told me that my flight was scheduled to the evening. GAH! so that was when i told him whether i could get a hotel or something since by evening i would be staying in the airport for more than 24 hours already and he told me that i would get access to the business class lounge.

wow. that was easy, i thought. i was only demanding for hotel so at least they would haggle it down to something "smaller" (like, the lounge wtf). at least i would be comfortable in there and most importantly, THERE WOULD BE FREE WIFI!

so that was how i ended up in the business class lounge. right there and then, i still didn't know what was going on in cairo until i logged into my twitter and saw a junior retweeting a news link of the strike in the airport. -___-"

to cut the story short, my flight was delayed for three times but this time i wasn't complaining because surprisingly i was treated well by the staff there (compared to the last time i flew with them when i was going back to malaysia). every few hours, one staff would come and ask me if i am okay. and since i was in the lounge, obviously i got to eat anything prepared there which were way better than what they were serving to the passengers on the plane wtf.

but since i was agitated and cranky and moody and all i wanted was to reach cairo as soon as possible, i didn't feel like eating. at all. also, i started to feel slightly feverish.

that was when those guys managing the lounge were getting worried lololololol. they were concerned that i "wasn't taking any food" and kept asking me whether i was "okay or not?". at one point, the staff even brought me food and put it in front of me, asking me to eat it since i hadn't have anything for almost 20 hours. sumpah aku rasa macam ditatang bak minyak yang penuh. :')

and after the third scheduled flight was cancelled, the manager came down to see me and offered me hotel accomodation but since i was all alone, i refused it (to his dismay hahahaha but it was very safe okay to be alone in a place you weren't familiar with) and requested for a pillow and blanket. it was bloody cold okay i was shivering no shit!

and while i was trying to find a comfortable enough position to (try to) sleep on the sofa, the staff in the lounge came up to me and asked me whether i wanted him to line up few sofa so it could be my temporary bed. he saw my teared up eyes (fine lah, i admit that i was crying silently from underneath, thinking about my luck with saudi airlines wtf but can you blame me for being such a girl in this kind of situation?) and asked me whether i am sure i am okay or not! hahahaha damn touched okay but a bit paiseh at the same time lah.

oh btw, do you know what's the cutest sight i saw in riyadh? when i returned to the lounge from my night stroll around the airport, all the abang abang lounge were sitting in a row, hogging all the computers provided there for the passengers (because no one was there for them to attend la), facebooking each other wtf. HAHAHAHA!

so that was why i was quite okay eventhough i went through such a looooooooooooong delay in the flight. after all, it wasn't really their fault la. blame the egyptians!! grrrr.

but does this change my perceptions towards them after my first bad experience last august?

no. saudi airlines still sucks overall despite their good service and manner this time around. they are well known for flight delayment (especially the ones to kuala lumpur/cairo from riyadh!) so kids, do stay away from this airlines. i repeat, DO NOT GO NEAR THEM AT ALL.

do i regret going through this?


not really. i can safely claim that i am the only malaysian that has gone through this experience LOL. it does teach me something apart from testing my patience big time (which i must say, i did really well this time around HAHAHA), which i should keep it to myself for now. :)

my un-used "cancelled" boarding pass. siapa nak? i am thinking of framing it up and passing it to my granchildren.

Howdy from Riyadh!

orang cakap gua kaki komplen.

salah sikit gua komplen.
silap info sikit gua komplen.
orang lewat untuk temujanji/ mesyuarat/ keluar melepak/ permainkan gua/ tipu gua/ buat perangai ciba (eh mestilah yang ni wajib kompen)/ lembab buat kerja pun gua komplen.

"ei kak pink ni suka komplen! komplen! komplen! kepala angin betul pompuan sorang ni"

tapi berkat perangai gua bertahun tahun suka komplen bila gua rasa gua diperbodohkan dan hak pengguna gua ditahikan oleh mereka yang berkenaan, maka skill mengomplen gua adalah semakin mantops.

dan berkat skill yang mantops, disebabkan flight gua delay lagi 9 jam (sebelum ni dah transit 14 jam please), gua berjaya dapatkan pass ke business class lounge.

nya ha ha ha ha!

A Meltdown.

so my summer break is coming to an end. i will be flying back to my second home, Cairo to continue my study as a fifth year student reaaaaaaaaaaaaaaaaaaaaaaal soon.

wow. i just feel so old saying that. when i just arrived in cairo and was getting to know the seniors, one of the common questions that i asked them was "akak sekarang tahun berapa ek?"

and i would get answers like "third year" or "fifth year". and my response would be "wow seronoknyaaaaaaaaaaaa dah nak habis dah" or in the former's case "eeee dah nak masuk clinical phase la bestnyaaa jumpa patient."

oh and did i gap my mouth back then as well? you bet i did.

so i really can't imagine myself, this girl, is actually going to be in the same throne place as those seniors. am i prepared for it? i was told numerous times that the fifth year in my university is the killer year. the worst of the worsts. in short, the fifth year my uni is like the Avada Kedavra of Faculty of Medicine (which i secretly believe is actually, internationally, ran by Lord Voldemort for killing our souls and taking away the live in our lives wtf).

two weeks back, i got the general timetable for our clinical rounds and i was literally out of breath the first time i saw it. there was 15 different clinical rounds (16 if you count in Introductory Course if you're dramatic enough wtf). There are of course THE internal medicine (equals to the Death Eaters wtf), Psychiatry and ... - THE HORROR - Pediatrics. *dark face*

few days back, i actually freaked out thinking i should get myself some reference books and was messaging some seniors asking for advices! if you think this is not freak out let me show you how my message to them really sound like and feel free to judge me afterwards.

"...should i get myself an international book? i am not really the type that read international book because they are usually SO thick and there are SO many words in it, half of which i don't understand and need to refer the dictionary which means more work for me and that's totally not good since i don't like moving to my table to find my dictionary when i am comfortable lying on my bed to actually study (beside my notebook of course).....  but since so many of my friends are getting Kumar & Clarks i begin to think of getting one! is it compulsory to own that book as a medical student? like seriously? from the first look at it, i can totally tell myself i am never opening it and read it. Ever. it's so thick and heavy!!!!! my hands are still sore right now after hefting it up for less than 3 seconds!...."

knowing me, my principle as these years as a medstudent is simple.

"the thinner the book, the lesser pages it has, the larger the font in it, the better it is for me"

and my bestest line ever which some of you might be fortunate enough to read in facebook before i deleted it off for the fear it might tarnish my cool image to the juniors wtf

"PERLU KE ADA KUMAR AND CLARKS TU?! PERLU KE PERLU KE KALAU- TAKDE-  TAKLEH- LULUS- TAHUN- LIMA PUNYA PERLU KE?!?!

HAHAHHAHAHAHAHA!

why am i actually freaking out? well i thought you'd never asked.

apart from the fact that everyone is telling me internal medicine is hard/ difficult/ torturing/ etc.. i actually have another, personal good reasons why i should freak out.

#1 I hate anything to do with ECG. or Heart. or Cardiology. in fact i totally didn't enjoy my first year physiology when the time came for cardiology. it was confusing and hard. and as you know during this holiday, i did 6 weeks attachments in the hospital and 2 of them were spent in Medical.

DO YOU FREAKING KNOW WHAT THEY DO IN MEDICAL?!

Read ECG. FML.

DO YOU FREAKING KNOW HOW MUCH I STRESSED OUT DURING MY FORENSIC END ROUND FINAL EXAM BECAUSE THERE WAS GOING TO BE A QUESTION ON ECG?!

Go ask my twitter followers wtf. they know since i totally spammed their timeline with my tweets ranting about how i hate those annoying zig-zag-y lines!!!!

DO YOU KNOW WHAT CLINICAL ROUND THEY HAVE IN THE FIFTH YEAR?

Cardiology.

Seriously i hate ECG so much that if time travel machine exists i will travel back in the past and kill Willem Einthoven for inventing such genious but torturing machine to read the human's heart!!! oh and i am talking to you too Alexander Muirhead for initiating all this craziness with electricity and heart beats.

#2 i am yet to master my arabic to be good enough so that i can freaking converse to the locals there. we are supposed to enter and meet the patients, REAL EGYPTIAN PATIENTS in the fifth year. how now brown cow?

perhaps i shall continue telling myself that my arabic is super advance that even the egyptians can't undertand what i am saying wtf.


#3 also during the attachment, i was lucky enough to meet nice housemen who willingly tried not to make my posting boring by voluntarily teaching me stuff, explaining them to me the best they could (and i tried my best to put my "i understand. totally" face afterwards wtf) and asking me questions based on my pre-clinical years.


so one day there was a new patient admitted into the ward and he came in with a blood screening report. there was "Rouleax" mentioned on it. and as you expected, i was asked a question about this by a doctor while he was doing his job clerking down the patient case-sheet.

"tell me what's this?" *tapped the pen to the word on the paper*
"errr..." *sheepish smile*
*looked at me expecting an answer*
"i heard it before! i think it has something to do with erm.... liver cells"

and the doctor fainted on the spot, hearing my answer wtf.

nolah just kidding, he just slapped his forehead after hearing my answer because it was too ridiculous. in case you are curious, it has to do with Red Blood Cell. remember the "Stacked coin-like formation" phrase? uh huh.

and that wasn't the only occasion that i forgot stuff i've already learnt! if you told me "it's fine. you took physiology 4 years back" so that's totally cool. well tell you what, i only left pharma for less than 2 years back and i barely remember any drugs name now. except paracetamol. FML again.

THIS IS WHAT FREAKS ME OUT.

WHY AM I FORGETTING THINGS I SHOULDN'T BE FORGETTING?!
WHY AM I NOT LIKE MY CLASSMATES?!
HOW ON EARTH THEY CAN FREAKING ANSWER EVERYTHING AND ACTUALLY CAN RELATE STUFF ON THE SPOT?! MAYBE THEY'RE SECRETLY CYBORGS.
AM I A BAD MEDICAL STUDENT?
DID I NOT PUT ENOUGH EFFORTS IN MY STUDIES?!


FOUR YEARS IN MEDSCHOOL AND I AM STILL BLUR IN THE HOSPITAL WHY IS THIS HAPPENING I SHOULD AT LEAST KNOW SOME STUFF!!!! *pulls hair*

ARGH TIME TO PLAY THE ASIAN CARD AND TURN ON MY KIASU MODE.