Everything Cramped Up

Pretty much sums up the condition in my brain right now.

It has been a while since I last blog (sume sebab exam... benci ah!!)

anyway, since the exams are just one week away, I'll just cram everything in this post, so readers, be warned... this might actually be a long one.

Wanted to post an entry during the First Raya, as it is a very special day. Nothing, would top a fresh entry on special occasions. But than again on the day itself? How vain would that make me??
(err... no offence to those who posted an entry on the first of Syawal... matilah kene kejar lepas nie..)

I wake up that day with the least of celebration mood whatsoever since I've been thinking about the exams since the night before. It was purely due to obligation that I forced myself out of the bed to start preparing for the annual solat while still hoping against all odds my parents would just leave me at the house (serius takde mood) Well, it was highly unlikely through I was the last to step out of the house.

After the Prayer, we went back home for a bit of breakfast before heading to my uncle's house. There company was the same as last year except for one newly-Chinese-convert cambridge graduate celebrating his first Raya. He's quite the talkative guy and from the way he sees it, He's going to continue studying Syari'ah for his post-grad (he's a lawyer now). I was impressed to say the least. He's just converted and he's already thinking of intertwining his practice with the way of Islam. Terrer kan?

Then, it's the yearly visit (untuk aku jeh la yearly, the other family members selalu je gi) to the so-called "Arabic gathering" house. There, you can find almost all of the representative of the Arabic families from Aljunids to Al-Shatrees to the Bajunaids till Al-Haddads. You name it, there's bound to be someone from at least one family house. There were people from all over the world too. This time around, there were Arabs from London and Zimbabwe. If I can remember correctly, last raya we had Arabs from Haddramauts and Sudan too. The greetings at the house are also heavily influenced with Arabic language (duh-uh). Instead of 'selamat hari raya', we say 'minalAidin walFa'izeen' with 'Kullu sanah wa Antum Bikheir' . the term 'ana' and 'anta' can be heard profusely and there's a whole other range of arabic dialects thrown at each other. The conversation usually is a mix of english and arabic but sometimes it can be a full blown Arabic conversation that I don't really understand at all!! Giloh la... Owh, the range of clothes, it's not the usual Raya celebration. Instead of just the traditional Baju Melayu, there's also people with thupps (betol ke aku eje nie??) Jubahs and Sudanese clothes. One rule was that, everyone must button up every buttonhole there is on the clothes. Seriously, if you don't button up properly, matilah kene fire kat sane (I think this is why I can't stand to see people wearing baju melayu with buttons halfway through... serius tak tahan tgk, rase nak koyak2 je baju tuh!!).
One thing I lack in this meeting, is face recognition. Seriously. People came to me and talk and talk but at the end of the day I don't know who am I talking to while the other party had known my name right from the beginning. There's this one guy who said he knew Memer coz they studied in the same school. So we talked a bit and towards the end he sends his regards to Meme... the problem is, I don't know who's the guy. (nak tanyer malulah pulak, because you're suppose to already know everyone there... padan muke sape suruh pegi sane setahun sekali je kan?... matilah tak kenal orang!!) So memer, if you know some arabic guy with curly hair who went to the same school as you, staying in Shah Alam, studying medic in IMU, and going to fly to New Zealand, let me know eh??


The rest of the day, I got more and more excited as I met some more of my aunties and uncles and cousins... through still thinking about the exams... haih... Finally I Can't stand it anymore and went back to Cyber-bosan-gile-jaya by the third day of Raya. hahaha

--------------------------

In other news,

Adi was admitted into the An-Nur wad.

Serious. (pause for effect)

He finally gave in to excise the lump of his right hand as it was starting to hurt.

So Husni and me went with him to see Mr. Azlan to remove the lump.

Katelah Mr. Azlan kecewe tak dapat jadikkan Adi patient for Final exam nanti... hahaha..
(takpe2, there still one more lump in his left hand)


before the surgery

As he was covered for, Mr. Azlan said it's best if Adi stayed over in the ward for one day. Lawak gile! Serius lawaks! Mr. Azlan even considered admitting him in the Rose Ward (sayang wad tuh tak bukak... sigh~) Finally he settled for a double ward in the Orchid Ward.


while waiting for Adi to change

After praying and all, we went to the second floor and Adi was supposed to change into the OT gown. Katelah he didn't come out after 15 minutes. the reason? Segan with the staff nurse! Ahahaha.... In the end, he wore the scrub's pants. Beriman sungguh Adi nieh (puji ok, bukan kutuk!!) then again, I think if I were to wore the gown, mesti malu jugak... huhuhu....


the 15-minutes change =P

We changed into the scrubs while taking pictures (gile camera sgt student cucms nieh). When everything is ready, Mr. Azalan said one of us can assist him in the surgery. So I did. ~sogan-sogan belajaq how to scrub in a a surgery~


getting ready for the surgery


husni and me



Mr. Azlan just used the local anesthetic;lignocaine & marcaine (macam sunat tuh..) and a tourniquet for the whole surgery.


preparing the LA

while he's preparing the LA, we played around with the camera


adi yg konon2 kene epidural


cakk!!


kontrol gedik... ahahaha...


cucuk je banyak-banyak dr.. hehehe


covered in forbidole (betol ke aku eje nie) macam daging salai jeh...

When Mr. Azlan was looking for the lump, (which was, as he had rightfully guess from the start, a ganglion instead of lipomas as everyone had thought of... clap, clap, clap) he accidentally punctured it which, quoting from himself " makes my life more difficult". The lump had shrunken that I can't see it anymore. Terrer lah Mr. Azlan dapat jumpe bende tuh...


ready, start-Go!!


assistant yang kekok, sigh~

Mr. Azlan was very funny, throwing jokes throughout the surgery and making me laugh (penat tau nak tahan gelak mase pegang instruments tuh)


pulling the ganglion


husni mem-posing

Was really nervous because it have been ages since I last pick up the clamps and the forceps and the scissors. Thankfully, I didn't even shake my hands during the surgery. (weee... naseb baek gile tanga tuh tak gegar) Still, it was kinda kekok doing the thing while sitting down, so halfway through, I just stood up till the whole thing end. Better view too. Much better.


macam magic la pulak

When it's all done (around 45 minutes), Mr. Azlan gave us a question on the tendons we could see at the dorsum. Siap Adi gerak-gerak lagih the extensor indices...uuuu


the ganglion... finally!


stitching it back with the mattress style.

back in the changing room, sempat lagih mem-posing extra, ahaks...


Adi poyo~


Gaye nurse lah pulak


Gaye Matron

We went to the Orchid Ward which is the same level as the peadeatric ward. Adi was very excited. There was this one cute little girl who was just one day old... cuteeeeee~~ Abislah anak-anak orang tuh dikerjekan pedo nieh... (matilah aku kene kejar besok... ahaha)


testing the bed


adeh, lepas kene pukul ngn nurse kat peads ward tuh...


the lipoma, eh, ganglion in a bottle


silelah jadik 'female' pulak... ahahaha...

Teharu mase the staff nurse tegor: "eh, nie student kite nieh, ade ape kat sini?" waaaa... siap recognized as the hospital nye student lagik...

---------------------

today was fun... but there's only 6 days left...


AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

----------------------

owh... Selamat Hari Raya to all of you!! and goodluck to tjose taking the exams next friday!!

Shame on me if you fool me twice

currently listening to: background music of grey's anatomy 325 ending (kinda melancholic)

It has been a while since I last updated my blog. Generally, it's because of lack of pictures to put in the blog, so... (saje je alasan)

anyway, went to see a surgery this evening... Izani called Husni and me while we were searching for food. Quickly, I dump the idea of my stomach growling and the three of us went to An-Nur instead. While in the car, we suffered a little bit of anxiety attack, so we started to search for the books that might help us when Dr. Razalee asks us something in the OT!! (shit-0) all we could see through, was a pathophysiology book and a clinical examination book. menolong la sgt kan? matilah aku kene bambu ngn Dr. Razalee!! we decided to just walk in anyway (rempoh je) but not before calling Prof. Nasar and asking for help on the histology of the GIT (just in case, desperate siot huhu)

while we were in the changing room, Husni and Izani played around with the scrubs, somehow, they managed to confuse me into wearing a long sleeved scrubs. I only realized it when we were in the OT, I was like shit!! this is the second time!! NOT AGAIN!!! waaaaaaa!! (tapi buat muke selambe, whatever la kan) anyway, the abdomen was already open (laparotomy) when we were in, and the small intestine were already out... (mcm dalam medic tv tuh)
so Dr. Razalee asked us; what's the cause of intestinal obstruction? we timidly said it can be caused by mechanical and physiological obstruction..

"so what's the cause for mechanical?"

"urm.. urr.. urr..." *stutter*

"takkan tak tau kot? ni mesti tido dalam scl." (kene sebijik)

"urm~ tumour??"

"HA, lagik?"

"urm.. constriction, fibrosis of the wall, fusion, unperforation???"

"saye x nak pathophysiology, nak causes? macam kalau congenital causes ape??"

erk! shitto!! ape ek??? all that i could think off was that congenital defect... omphalocele, gastroschiasis,and the fistula thingy which was highly unlikely...urgh...

the answer was a congenital band around the small intestine.

how could i ever forgot about it? (didn't even read it for the finals *sarcastic tone*)

so anyway,

we watched the surgery, while being bombarded by question (which we could answer, sort off) it was quite long... dah la tak makan dpd pagi (coz xde duit) then kene stand for like 2 hours in the OT, naseb baek tak pengsan!!

Prof. Ikram was telling us how he had used the GA for the guy and now is putting him on the second bag of normal saline. the guy is going to be really dehydrated (baru blaja pagi tuh) especially coz his intestine is out in the open for the air to suck it dry (moisture wise, 10 mL/Kg/min) . per minute babey... damn fast, so that's why they put the wet cloth on it.. huhu...

Dr. Razalee was calm, through the operation was difficult as there were many a time when he tried to pull the intestine out, it was stuck all over. somehow the position of the intestine were messed up, good thing nothing got tangled and form a knot (else it would really be a messy job, huhu) while Dr. razalee was meraba-ing inside the abdomen, he found an appendix in the center of the abdominal cavity!!! shoot!! it's supposed to be at your lower right quadrant (terrer tak aku tau anatomy?? wuuu!! bangge siot!) the appendix was cut out even through it didn't pose any threat... yet! Dr. Razalee said that this is an exploratory surgery, where you check everything, if you find something abnormal, just cut it off. if not, just close it back (mcm penah dgr je ayat nie)

everytime the O2/Bp/PP machine (mental note: have to know what it is called) beeps, the three of us would jump up.. ahaha kiteorng yg melebeh.. Prof ikram selambe je. Layan2!!

finally when we have answered (not really) all the question, and the patient was fine, it's time to close up the whole thing. But, even through the band was cut, the small intestine was still dilated (it's like a balloon) so they had to squeeze the contents upwards:

small intestine----> gastric

boy, was that scary... the thing look so fragile and yet it's being squeeze out (takot gile kalo tepecah)!! when it reaches the gastric, Prof. Ikram who had prepared the suction machine, suck it out. But midway along the procedure, the tube got stuck, and we only realised that AFTER the feces/chyme came out through the patient's mouth + nostrils! shit, SHIT gile! Husni got some of it on his toe coz he's the nearest to the fella. Prof Ikram quickly suck the feces out. cleared the mouth and nostrils and all... (dalam ati, only God knows la kan kalo taik ade kat dlm mulut...) after clearing the whole thing, Dr. Razalee put the intestine (now a bit flattened) into the abdomen before closing the wound... (cube teka die suture gune teknik ape??)

we were offered to watch another surgery (ceaserean section) but we were too tired, plus there is no extra scrubs left and Prof. Ikram is going to go back home... (tanak dok ngn doktor2 yg tak dikenali!!)

-------------------------------------

there were some things running through my mind this past few weeks. serious things. So, what do you do when you face this situation;

even through you know, but you can't tell,
even if you want to help, you cannot??
and all you can really do, if any, is just


wait...


--------------------------------------

this post seriously is full of purple!! semangat kolej!!