b.a.j.a.t.

"This should be in every GP's office, you go in to the GP with a cold and they should just stick this little multi-channel stethoscope to your chest. We might all hope that our hearts sound like Mozart, unfortunately at some stage they might sound like Metallica"

Dr Scott Rikard
University College Dublin

for your information, i was talking about the very new and most up to date stethoscope ever been made. Together, the researchers have designed and built a new "super" stereo stethoscope that uses six microphones instead of one. It is essentially just six little round microphones about the size of a US quarter, connected to a computer. He also mentioned that, "On the screen you can see the lub, dub sounds of your heart, a little peak for the lub and a little peak for the dub evolve across the screen."and yes, it is already being used a team of cardiologists at St Vincent's hospital in Dublin. the most interesthing tpart is where, it can also give us a clue of diagnosis via its screen whether it is a early diastolic murmur, pan systolic murmur or other types or murmur

while i was reading this article from the bbc news, i was thinking, do all of these technology can really make our life easier or do we get lazy from time to time even lazy enough to synapse our brain cells to develope and give any hint which type of murmur is it. i still remember how does the old medicine was practiced, it only depends on history, history, history and clinical examination plus a little bit of investigation and yet, patients were still able to lived.

a few out of 100 medical breakthrough for the past several decades ago were history and clinical examination, this was based on my reading from the library. why do we always wanted to use short cuts but not the long road? i really don't know, u tell me. perhaps, maybe one day when technology overrides the 'traditional' method, we may no longer need medical doctor or specialist, the layman can start making diagnosis, become house and play doctors. is that good or bad?we need to think about it

Labels: medical

salam maal hijrah to all my fellow muslim/muslimat out there



i'm sure all of us know already what does hijrah means, but do give me the chance to at least define it. Maal hijrah is an important day for islam followers as it indicates an important event that happened in history of islam. It is a day to recall the migration of our beloved prophet, nabi muhammad s.a.w from mecca to Medina and as a Muslims, it is also a day of a new beginning for a new chapter of our life.

from my point of view, it is important for us to review back ourselves and analyze whether we are on the right track, track where it is govern by al-quran and as-sunnah. from there, we can determine what we should improve on in this new chapter of life. bear in mind, becoming a good person is not as easy as it seems to be because we will always be asses by several ways from our creator, which is our god,Allah.

come my friend, from now on, we can start metamorphose into a better person. from a better person we can produce a better community and from a better community, a great nation is what we will get. i'm sick already living in this kinda so-called malaysia boleh country, we need changes.

-class dismiss-

Labels: others

ok, here some radiological test to all of you out there..




spot diagnosis please..one best answer

a. fracture of male genital part
b. FB (doorknob) in patient's intestine
c. fracture of femur
d. not sure. couldn't think of any

p/s: even me don't know the answer but do recall back our anatomy guys, are u sure there is a bone in there~ hehehehe enough said!

Labels: medical

the star, 18th december 2008, thursday..
Trainee doctors will now get a day off after carrying out their 24-hour on-call duty. Health Minister Datuk Liow Tiong Lai said the directive will take effect immediately

yup, by the time the minister announced this great news, for sure thousands of house officer were jumping around with their patient happily and screamed 'merdeka' like they were finally been released by the curse of malaysia goverment. many people a.k.a house officer themselves claimed that they did not have enough rest within their 2 years training but the main question is, do all houseman in every hospital experienced the same condition?do all of them have the same workload? i'm not that sure, but from what i heard it depends on which hospital and the number of doctors being placed there. however, the bottom line is, this is what all of us are waiting for especially future doctors.

on the other hand, i think all the doctors that been trained overseas can start thinking of serving the country and come back as early as possible. they always use the same excuse regarding malaysia housemanship that made them decide not to serve malaysia for the time being. but for now,no more excuse guys~ Hmmm, but what about our mo's, specialist and consultant? do they got this special offer too? i do hope not ;P heheheh



p/s: i heard about overseas houseman that they have certain limitation in terms of working hours.

Labels: myramblings

"A strong kiss may cause an imbalance in the air pressure between two inner ears and lead to a broken ear drum"

courtesy of bbcnews

all of us are very aware that, one of the way to show our love to someone special is by kissing. but, what if that special kiss leads to something catastrophic such as deafness? i'm sure all of us want to avoid kissing, and find another method to prove their feelings towards their partner. this is exactly what happened to this unlucky women.

She was brought to the hospital in china and was said to have left ear partially deaf after a passionate kiss. the doctor in charge said that, 'The kiss reduced the pressure in the mouth, pulled the eardrum out and caused the breakdown of the ear'. ok guys, let us recap what we learned in ENT posting.

causes of deafness can be divided into conductive and sensorineural if i'm not mistaken. taking into account that she only sustained partially deafness, we may exclude sensorineural deafness (usually, they will come with more severe hearing problems) and this leaves us with conductive causes which can further divided into obstruction of external ear canal or Eustachian tube problem.

So, the doctor postulate that kissing can alter the pressure in the oral cavity. My hypothesis would be, from kissing it will further leads to discrepancy in terms of pressure between the middle ear and the external ear since our oral cavity is connected to the ear via Eustachian tube. as a consequences of this, effusion may arise. the bottom line is, middle ear effusion is exactly the culprit in this case!! (i think so, do correct me if i'm wrong). i wonder what exactly the doctor meant by broken ear drum.hmm~ perforation perhaps.

back to that women, fortunatelly, the doctor in charge reassured her that she is expected to regain her full hearing within two months (good prognosis aite!)


Prof Sani: medical students, can one of u give me the causes of deafness in this particular gentleman
Medical Student: his wife prof
Prof sani: you guys understand or not!!

p/s: hehehe prof sani's so-called trademark will always remain inside our heart

Labels: medical

i get this story from a blog (courtesy of mmr), enjoy it..

At 85 years of age, Roger married Jenny, a lovely 25 year old. Since her new husband is so old, Jenny decides that after their wedding she and Roger should have separate bedrooms because she is concerned that her new but aged husband may overexert himself if they spend the entire night together.

After the wedding festivities, Jenny prepares herself for bed and the expected knock on the door. Sure enough the knock comes, the door opens and there is Roger, her 85 year old groom, ready for action. They unite as one. All goes well, Roger takes leave of his bride and she prepares to go to sleep.

After a few minutes, Jenny hears another knock on her bedroom door and it’s Roger, again he is ready for more action. Somewhat surprised, Jenny consents for more coupling. When the newly weds are done, Roger kisses his bride, bids her a fond good night and leaves.

She is set to go to sleep again but, aha you guessed it - Roger is back again, rapping on the door and is as fresh as a 25-year-old, ready for more action. And once more, they enjoy each other.

But as Roger gets set to leave again, his young bride says to him, ‘I am thoroughly impressed that at your age you can perform so well and so often. I have been with guys less than a third of your age who were only good once. You are truly a great lover, Roger.’

Roger, somewhat embarrassed, turns to Jenny and says: ‘You mean I was here already?’.

The moral of the story:Don’t be afraid of getting old, Alzheimer’s has its advantages.

p/s: if u couldn't grab this joke, i recommend u to read it over and over again until u start to laugh or smile

Labels: myramblings

'We only had one pint of blood, one scalpel, one pair of forceps and I wasn't sure if the anaesthetic was strong enough'

courtesy of mailonline

this is a true story about a surgeon, who volunteered himself to work in africa (a place where real facilities are not provided). his patient was bitten by a hippo and underwent amputation of his left arm just below the shoulder by another surgeon. unfortunately, the wound was infected and need to be treated urgently. that patient only had 20% chance of living!! the surgeon thought of removing the patient's whole shoulder and scapula. however, he never truly conduct this type of surgery before, and yet this is his first experience!! so, he texted his colleague and asked for the standard operating procedure. suprisingly, the operation went succesfully. bravo dr. nott

cut and ligate arteries based on instruction? what the heck! i think it is nearly impossible to do so without risking the patient's life. but, instead of giving up, he took the risk and manage to save a person's life.



p/s: i'm very sure many of us will also experience the same situation while working in any dristrict area but please, don't ask for instruction or advice via friendster/facebook or comment in blog!!

Mr X wrote on your wall or maybe Mr X commented on his status: weyh,patient hyponatremia, camnaer nak correct ek?

Labels: medical

Assalamualaikum to all the people that i care =)

Yup, as u can see, i'm currently in a goood mood to post somthing in my blog. Yeah, i know, i know, everyone must thought that this blog had closed already after being left for 2 months without any notice or post. i do hope that by saying sorry, it will compensate ur anger towards me (kalu tak, takkan sampai ader blog citer pasal blog2 yg dah lamer tak update kan =P hehehe) like bronchiols that are constrict become dilate after giving salbutamol. so, take this post and my sorry as salbutamol in order to relieve ur "bronchoconstriction". join me with my story and let us breath happily...haha intro mcm aper ntah,ok2 i cut the crap and straight to the point

29th November 2008
Summary in a point form:
*went to the curve for class gathering (class 510 MRSM jasin)
*spending time and talked about the past plus laughed together

What i wanted to post is about f.r.i.e.n.d. basically, we started to have friends since day 1 of pre school or primary school. no one like to be alone aite. from that point, all of us had their own journey from primary to secondary school, followed by matriculation and ended up in university. we share every ups and downs, tears and laughter with our friends during that period of transition. unfortunately, every transition that we went through usually will accompanied with formation of a new friend and loss contact of an old friend. furthermore, it is out of our control especially when u start being busy with ur own study, assignement, bla bla. time2 mcm ni la orang kater kiter sombong la, berlagak la dan macam2 lagi.

but, when the time come where we have the chance to meet back our old friend, it can make us so euphoric (ntah2 aku jer kot yg excited sgt~). it was so interesting, hearing other peoples story, progression in life, opinion in certain issues and the most valuable thing is, to recall back what happened six years back and laugh at it together. actually, every time we met we will keep on repeating the same story, but guess what, we will still laugh at it as hardly as we could as if we heard it for the first time. hehehe it was so much fun. i noticed that, every time we laughed, people around us will make a typical face and look at us. i describe it as weyh-boleh-tak-diam-skit facial appearance, but...it just couldn't stop us hehehehe.



as a conclusion, once a friend will always be a friend. that include all my johanians, victorians, KMNS-ians and not to forget medical faculty ukm. Thanks for accepting me as your friend and i do will always remember u guys as my friend, isnyaAllah~

p/s: i didn't bring my camera (actually, i dont have any) so, no pic guys, sorry

Hye there..
first of all,before i start my ramblings, i would like to apologize to all of you because of not updating my blog for 1 month i guess. There were couples of thing happened which really put me in a condition that blogging is nearly 89.9% impossible at that moment. One of it was my laptop, it was infected with a resistant virus which suddenly block my ip protocol and guess what,i even couldn't surf the internet (i wish i could give iv acyclovir, an antiviral). on the other hand, another lame excuse that i can give is definitely because of my postings. triad postings really put my butts off. and for your information, i have just finished my final semester 1 exam and it was quite okay despite having a bit difficulty in forcing my brain to vomit the answer. currently, I'm in a week holiday, therefore it is an unacceptable excuse for not putting any update in this blog. to all the readers out there,just sit, read and enjoy the taste of my word.

Malaysia did it again..at first cinta medik 1,2 and now ampang medical. this drama really put our attention towards it because back in our mind, we hope that this time it will stand high and at least be on par with other medical drama such as house m.d. and grey's anatomy or i rather be more happy if it's as good as team medical dragon (japan drama). but, as usuall, they always keep on disappointing us (i mean, medical students and other health care workers). even tough it seems a bit similar like grey's anatomy i.e putting a slow jazz english song as a background in the drama, having a female main actress as the narrator (like meredith in grey's), showing a scene where the male doctor get up from bed half naked with a women beside him (indicate that they were making love on that night which is really typical of grey's) and etc but its still not enough to be on the same level with grey's.

however, credits should be given to the producer team. at least they have the effort to come with such a drama. its is more better compare to cinta medic. its just that, malaysian actor/actress are really not ready enough to act as a physician or surgeon, maybe its to heavy for them. i wonder, how do house and grey's actor/actress practice their role that produce such a perfect character. i don't want to comment much because i am too a malaysian, therefore it is not appropriate for me to badly criticize for all your effort. just a reminder, there in no such thing as presenting a case to the surgeon/physician in Malay. if you are talking about a case with your colleague, then its okay. but to present a case in malay and slit some english medical term in it. it really sound awkward to us. (except people who studying in indonesia)

if one of you guys from the production team suddenly read this post, i am sorry if my words sounds offensive but in the reality, it is just a post from a malaysian who really want the country to produce something meaningful. move on from a typical love concept drama, we have enough of it. take other asian country as an example, learn from them and fly our malaysia flag high.

Labels: myramblings

hye there..
i just finish my ent posting and suddenly i found out this pic while surfing the net. it's a bit censored i supposed but take it as a joke aite. as far as i concern, sperm does not cause tonsillitis rite..hmmm is that a good or a bad news.i dunno...



p/s: i read this joke before in one of suara persiap edition, its hillarious, for me. if u guys think u are still under 18, so better ask permission from ur parents before inteprate the pic. lastly, if u guys x understand what the pic means..being innocent is always the best =)

Labels: myramblings