zkwan

Salam,

Setahun sudah berlalu. Pelbagai perkara telah kita lalui tak kiralah pahit,masin,manis,masam, suka atau duka. Apa yang penting, semoga apa yang kita telah lalui kita jadikanlah ianya sbg sempadan atau tauladan. Mungkin kita akan melalui perkara yang sama di masa akan datang.

Di kesempatan ini, saya ingin memohon maaf sekiranya sepanjang tahun ini saya ada terbuat salah atau sengaja buat salah kepada rakan-rakan sy. diluar sana esp. kpd pembaca blog nih.Apapun, kita hanyalah manusia biasa. Tak lari dari melakukan kesilapan.

Ensyaallah,bermulanya tahun baru , kita sama-sama mengorak langkah baru beserta dengan niat dan azam baru untuk mengecapi cita-cita yang kita impikan. Moga-moga apa yang ingin kita capai berjaya dicapai.Hehe

Oh, sebelum saya mengakhiri ucapan ni, ingin saya ingatkan kepada rakan-rakan saya yang berada kat EG., Janganlah Anda Berada di Luar Rumah >11.45pm. Kalau anda rasa kepala anda keras mcm berlian, tafaddhOL...hehehe...

p/s: Mcm perutusan PM plak..tp pendek

The most selfish 1 letter word - I - avoid it.

The most satisfying 2 letter word - We - use it.

The most poisonous 3 letter word - Ego - kill it.

The most used 4 letter word - Love - value it.

The most pleasing 5 letter word - Smile - keep it.

The fastest spreading 6 letter word - Rumour - ignore it.

The hardest working 7 letter word - Success - achieve it.

The most enviable 8 letter word - Jealousy - distance it.

The most powerful 9 letter word - Knowledge - acquire it.

The most essential 10 letter word - Confidence - trust it.

SALAM...

aaaaa..tuka parti2..haha parti pertama kalah tanpa 'bertanding'.haha..parti kedua plak...Gmbar je RFC....tp undi ada adalah rahsia la katekan..hahahahah ..letak gmbr RFC xsemestinye penyokong RFC..hahaha pape pon good luck kepada RaHim..Muge2 dpt membawa sinar cahaya..atau nafas baru kat PCI....

Adu...mcm mne parti pertama buleh kalah siang hari nih.....rase da femes..mungkin xckp manifesto ni..Naseb baek sini xde pengundi hantu..hahaha......

Jom lawat....Rahim Fun Club.....eh silap2...Rahim FAN cluB...RFC :)
http://rahimfanclub.blogspot.com/

Salam.

Lame xupdate blog nih...isk3...hahaha...sebok an da jd internist...btol ke internist tu utk mereka yg maher dalam internal med? tatau la..aku xmahir sgt lg tp jd dak int.med jer..hahahahah.....Nothing to say..Just look around ja..hoo karang berabuk plak blog nih....huh...

Tp,lagu maher zain kt bwh ni best la jugk...sore dia sdap la jgk...tp ..just dgr je..xde pape yeee...hahahaa...aku xde wife lagi....

Ptg td tebc plak stats id sorang kwan ni pasai houseman kat malaysia..Urm..hopefully it will be better soon.Biase bile kcoh2 gini masuk la dlm parlimen then something will be changed.Ensyaallah.
http://thestar.com.my/news/story.asp?file=/2008/12/7/focus/2724546&sec=focus




For The Rest Of my Life

I praise Allah for sending me you my love
You found your home and sail with me
And I`m here with you
Now let me let you know
You`ve opened my heart
I was always thinking that love was wrong
But everything was changed when you came along
OOOOO
And there is a couple words I want to say
Chorus:
For the rest of my life
I`ll be with you
I`ll stay by your side honest and true
Till the end of my time
I`ll be loving you...loving you
For the rest of my life
Thru days and night
I`ll thank Allah for open my eyes
Now and forever I…I`ll be there for you

I know it deep in my heart
I feel so blessed when I think of you
And I ask Allah to bless all we do
You`re my wife and my friend and my strength
And I pray we`re together in Jannah
Now I find myself so strong
Everything changed when you came along
OOOO
And theres a couple word I want to say

*Repeat Chorus
I know that deep in my heart now that you`re here
Infront of me I strongly feel love
And I have no doubt
And I`m singing loud that I`ll love you eternally

Repeat Chorus
I know that deep in my heart..

p/s: Jangan fikir bukan2. Song just a song..haha

Donload Mp3:4 da rest of my Life

Assalamualaikum w.b.t

Lets talk about some medical stuff.. :)...

1) Normal value of CVP?

2) Differentiate between arterial pulse & venous pulse?

3) Why IJV better than EJV?

4) Instead IJV is better, why we use EJV?

5) What is surface anatomy of EJV and IJV?

6) During examination EJV, it is better to use right EJV than left. Why?

7) Define degree of congestion?

8) What are items to be done during EJV examination?

9) Classfication congested neck vein and its causes?

10) Define systolic venous pulse and its causes?

11) Mechanism of Kausmaul’s sign?

12) Types of hepatojugular reflux and causes?

Answer? Here it is….

Assalamualaikum wbt.

Maybe hobi aku suke bc quote kot.....kdg2 bc quote ni dpt bg motivasi & pengajaran...urm..enjoy it....

[ Langit xselalunye cerah ]

1) Never tell your problems to anyone...20% don't care and the other 80% are glad you have them.

2) When life gives you a hundred reasons to cry, show life that you have a thousand reasons to smile.

3) Never allow someone to be your priority while you're just their option

4) If today was perfect there would be no need for tomorrow.

5) Never regret something that made you smile

6) "Be nice to people on your way up because you meet them on your way down."

7) Strive for excellence, not perfection.

8) Don't expect life to be fair.

9) Just because it's not what you were expecting, doesn't mean it's not everything you've been waiting for...

10) I like to pretend that everything's alright. Because when everybody else thinks you're fine, sometimes you forget for a while that you're not

11) Sometimes you just can’t open up to someone.

12) Not because you don’t trust them. But because once you tell someone how you feel inside, you’re giving them permission to hurt you…

13) everybody wants happiness

nobody wants pain

but you can't have a rainbow

without a little rain

14) "Be carefull..the ones that make you smile are the same ones that can shatter your heart."

15) Everything you want comes after you stop looking for it...

16) Don't listen or think about anything other people say about you. Just live your life and prove them wrong.

17) No one can ruin your day without YOUR permission.

18) It hurts to love someone and not be loved in return.

But what is more painful is to love someone and never

find the courage to let that person know how you feel.

19) Always put yourself in the other's shoes. If you feel that it hurts you, it probably hurts the person too.

20) Twenty years from now you will be more disappointed by the things you didn't do than by the things you did.

21) It's the rule of life: everything you've always waited for comes the very second you stop looking for it.

p/s: 21 years old...

Salam..

In our life, msti ada sumthing yg kite pk nk bt, tp xtebt...phtu bile peluang tu da melepas...baru nk menyesal..haha..so,jgn takut2 nk bt sumthing..just go on.....

( kabur skit, nk cpt..takut tuan punye g amek.. :)..yg psti bkn aku punye..aku xreti melukis )

..Just 4sharing....kt bwh ni ada game skit...kalu rase bosan2 buleh la donload..game kanak2 ribena je pun...bole la bt ilang bosan....

salam

"maen tenet smpai bosan,tgk cite smpai pening...stdy plak"

PEF=post-examination format laptop..hehe..

Biase lepas exm, ramai yg kemas meja stdy, kemas mcm2...tp laptop/pc xkemas...Bile time exm, byk bnda donload...gmbr ber'mege-mege' byte, video clinical examination la..lagu la...mcm2..word la ppt la..pahtu cmpak je kt desktop, ada C ada D , E F G H...dan sbgainye...lepas exam, xkemas balek...phtu mule la laptop slow..Bile slow, mule la crk cd nk format xpn cr kedai nk repair.hehe..buang mase, buang duit..( aku la tu )....

Laptop/PC ni mcm meja stdy jgk. Kalu cmpak2 note cmpk buku...bile nk crk gelabah xjmpe.Bepeluh nk crk balek..mcm kmptr, bile letak merate2 lame2 byk la fragment2 di createkn...bile fragment tu xdefragkn smule, slow la kom hang tu...( aku la tu )...haih....
nk xnk..nk defrag..da telambat.....kene la format jwpnnye...make byk la brg ilang.( tatau la teori ni betul ke x...kalu ada org yg pakar...betulkan)

Oh, Tahniah kepada Pasukan Bule Sepak Malaysia kerna dpt mas dalam sukan SEA...smuge kite sume dpt amek smngt harimau malaya....yosh!...

Salam..

( Link dia kat sini: http://news.bbc.co.uk/2/hi/business/8407274.stm )

Video perlawanan Malaysia dan Thailand pada Sukan Sea Laos. Malaysia menang 2-1 hasil jaringan Nasriq pada minit 81 dan Fakri pada minit ke 90. Semasa aku dan rakan-rakan membaca akhbar mengenai perlawanan ini, minda kita orang dah secara automatik berkata Malaysia akan kalah setelah kekalahan Malaysia 1 -3 kepada pasukan Vietnam sebelum ini.Tahniah kepada anak muda skuad bolasepak Malaysia. Ini sekaligus melayakkan Malaysia ke separuh akhir menentang Laos.

Thailand yang lapan kali juara sukan sea dan merupakan gergasi bolasepak Asean pula dikiritik hebat oleh media di sana. Biasalah kalau menang dipuji melambung tetapi kalau kalah kena kutuk tak ingat.

Di bawah video jaringan gol Malaysia VS Thailand semalam.( pinjam dr isuhangat.net )

Kisah ini merupakan satu teladan kepada kita semua tentang kenapa selama ini kita sering ditimpa dugaan yang adakalanya sukar untuk kita tanggung dan terlalu menyakitkan.

Sepasang datuk dan nenek pergi belanja di sebuah kedai cenderamata untuk mencari hadiah buat cucu mereka. Kemudian mata mereka tertuju kepada cawan yang cantik. "Lihat cawan itu," kata si nenek kepada suaminya. "Kau betul, inilah cangkir tercantik yang pernah aku lihat," ujar si datuk. Pada ketika mereka mendekati cawan itu, tiba-tiba cangkir yang dimaksud berbicara, "Terima kasih untuk perhatian anda, perlu diketahui bahwa aku dulunya tidak cantik. Sebelum menjadi cawan yang dikagumi, aku hanyalah selonggok tanah liat yang tidak berguna. Namun suatu hari ada seorang penjunan dengan tangan kotor melempar aku ke sebuah roda berputar. Kemudian ia mulai memutar-mutar aku hingga aku merasa pening. Stop ! Stop ! Aku berteriak. Tetapi orang itu berkata, 'Belum !' Lalu ia mulai menyodok dan meninju aku berulang-ulang. Stop! Stop ! teriakku lagi. Tapi orang ini masih saja meninjuku, tanpa menghiraukan teriakanku. Bahkan lebih buruk lagi ia memasukkan aku ke dalam api. Panas! Panas ! Teriakku dengan kuat. Stop ! Cukup ! Teriakku lagi.Tapi orang ini berkata, 'Belum !' Akhirnya ia mengangkat aku dari api itu dan membiarkan aku sampai sejuk. Aku fikir, selesailah penderitaanku. Oh ternyata belum. Setelah sejuk aku diberikan kepada seorang wanita muda dan ia mulai mewarnai aku. Asapnya begitu memualkan. Stop ! Stop ! Aku berteriak. Wanita itu berkata, ' Belum !' Lalu ia memberikan aku kepada seorang lelaki dan ia memasukkan aku sekali lagi ke api yang lebih panas dari sebelumnya ! Tolong ! Hentikan penyiksaan ini ! Sambil menangis aku berteriak sekuat-kuatnya.Tapi orang ini tidak peduli dengan teriakanku. Ia terus membakarku. Setelah puas "menyiksaku" kini aku dibiarkan sejuk. Setelah benar-benar sejuk seorang wanita cantik mengangkatku dan menempatkan aku dekat kaca. Aku melihat diriku.Aku terkejut sekali. Aku hampir tidak percaya, kerana di hadapanku berdiri sebuah cawan yang begitu cantik. Semua kesakitan dan penderitaanku yang lalu menjadi sirna tatkala kulihat diriku." Datuk dan nenek itu terdiam membisu. Lalu diceritakan kisah itu kepada cucunya.

Pengajaran:
Seperti inilah kehidupan membentuk kita. Dalam perjalanan hidup akan banyak kita temui keadaan yang tidak menyenangkan, sakit, penuh penderitaan, dan banyak air mata. Tetapi inilah satu-satunya cara untuk mengubah kita supaya menjadi 'cantik'. Jangan lupa bahawa cobaan yang kita alami tidak akan melebihi kekuatan kita. Ertinya tidak ada alasan untuk tergoda dan jatuh dalam dosa apabila anda sedang menghadapi ujian hidup, jangan kecil hati, kerana Tuhan sedang membentuk anda. Bentukan-bentukan ini memang menyakitkan tetapi setelah semua proses itu selesai. Anda akan melihat betapa cantiknya Tuhan membentuk anda untuk kehidupan yang lebih baik dan bermakna di hari kemudian dan hari pembalasan(akhirat). WAllahu a'lam

Nak salahkan siapa??

Yelah atas dunia ni xsume org tau sume benda…xsume jge org terlintas nk tanye ape dia tatau…kalu sume org tau ape dia tatau,mesti sume org atas dunia ni tau sume bnda. Well, kalu kita tau something yg important dan utk kebaikan sejagat, ape salahnye kite kongsi,spreadkan news.xde la org yg terkapai2 dan tatau pape ni tatau smpai bejanggut….Huh!...anyway, ramai people ckp…xleh salahkn org..knape awak tak tanye org?....mmg la xleh salahkan org…mmg xsalahkan org pon..cumenye,ape salahnye trus kongsi sblm ditanya….Ilham nk tnye tu bknnye kejap mcm letrik..zup sampai lam paler…boleh tnye trus….msti la makan ms…ntah2 makn mase smpai da expired da…..yakni..smpai ms tu…soklan tu xperlu lg ditnye…dan ms tu org telahpun kecundang……So, don’t expect people know everything and don’t expect people know what they are doing. .….Xsalah kongsi bnda org da tau..walaupun da ramai tau,maybe ada sesetengah org still tatau. Dan jgn plak perkecilkan org yg tatau. Mungkin hari ni hari awak tau sume bnda, esok luse tulat…tahun depan ..mungkin giliran awak pula tatau something. SO, kalu org tnye something yg important, jgn la pelekeh plak ..ckp eh..yg tu pun tatau ke…xconcern langsung.. mmg la, manusia ni ada part dia jd lupa…atau dlm kate lain lalai….kalu sume org concern, alangkah bahagianya dunia nih…xde masalah…Huh!.....Byk quote2 yg mengatakan saling mengingatilah sesame kamu, sesungguhnya ingat mengingati , jiwamu akan tenang…..

Entry ni bukan nk merepek, cumenye yelah terkilan juga bile something important xdi spreadkan..haha..mungkin hari ni aku meenulis mcm ni,esok luse org laen pulak tulis mcm ni. Biase lah manusia tak ferfect..Hidup ni satu perkongsian…kalu masing2 nk bwk hal masing2, xnk bekongsi….pasti satu hari nnt, dia akan menyesal….percayalah!....hahah…..

Ok lah…cukup la tu menulis ntah pape….

Happy Eid…Sorry for everything……

P/s: “ Entry ni xditujukan kepada individu-individu tertentu ye…Just utk perkongsian bersama ”

Wrote by:

Assalamualaikum warahmatullah...

Kullu sanah we antum toyyibin....

Maaf zahir dan batin kalu ada silap salah..( xkn berkire kot )...kekekeke...

Only in EGypt: :D

( in eg, we can see carpet on the road... :D )

Well, mungkin kapet dr umah atas kot jatuh..ahaha....

( Dengar ceramah sempena Hari raya Aidil Adha..haha )

- haha...amek clinical sheet ke dgr ceramah tu bro..kekekeke..just kidding..dun take it sensitively...hahaha -

Sebelum:

Selepas:

By the way, for those from G1 want to take a look AT the surgical instruments, u can download it:
http://www.4shared.com/file/159768931/1aec4ac9/Surgical_Instrument.html

A man who dares to waste one hour of time has not discovered the value of life.

As the morning comes i hear chicks singing
It is not love inconvenience login their home
All of them are happy? and singing, or Coco
Except the one who always calm and silent...
Her mother left and she remained alone
she couldint learn the song is she wept in a corner alone
Coco Wawa Wawa Coco Coco or Coco

p/s: tatau la betul ke x lyric tu...pau dr utube jerk..hahaha...kuku wawa....

Ding dong ding dong…bunyik msg masuk kt hanpone celcom….

From: CELCOM
Date:13.11.2009 17:45
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From::1888
Date: 13.11.2009 17:45
BONUS BULANAN XXL: Gandakan bonus bulanan apabila anda menggunakan RM50 atau lebih setiap bln. Promosi sah dari 1 Nov hingga 31 Dis 09. Info: www.xpax.com.my

Dua msg tu buleh thn lagi….tapi….yg bwh ni …skali dua xpe..byk kali plak masuk…aish……..( seb bek la Egypt ni ada style life-time validity..kalu x...tatau laa )

From:+601454623**
Date:13.11.2009 17:45:58
Sori kak sy xdok kredit nak bls td. Kak wat ubs kat cc ko td? Nita

From: :+601454623**
Date: 13.11.2009 17:45
Kak balik kul brp bljr ubs td..kita kira tubik nati elaun mskla deh. Blh bele2 g ambik elaun.

From:+601994670**
Date: 13.11.2009 17:45
Saen abe wt dop k.b nk mai phnie

- msg2 yg sesat....ibarat peluru sesat -......
p/s: krdt to nokia pc suite....( xde khoje aku nk taip balik msg tu )
--------------------------------------------------------------------------------

Virchows gland
Berry’s sign
Troisier’s sign
Charcot’s triad
Dercum’s disease

“buat air kopi+creamer…….makan Halls dluh……lepas abes makan Halls…baru je nak minum air..tgk2………..adaa binatang…….takpe..kene bersyukur sbb smpt nmpk binatang tuh…kalu x terminum..Alhamdulillah”….

Tgh bace phrase “ their function is depressed in obstructive jaundice and chronic liver diseases” tibe2 rase ‘nachtragend’…… Mungkin kerana ‘binatang’ dalam gelas aku kot buat aku jd nachtragend’....

Since i am the youngest one in my family, I have seen a lot of people in my life. I saw a lot of nice and bad things. I have gained a lot of experiences esp. from my relatives. That is the one of the benefit of being the youngest one. :D……( although some people call the youngest one is the manje skali. .but I don’t think so :D )

I want to share with you one of those experiences….It is about attitude/behavior. Some people they act like an adult…but actually people surrounding them look at them just childish. Why? Because they are just ‘acting’ it……attire, behavior, talking, walking, jogging ( LOL ) just acting like an adult…but they don’t realize…their acting cause people surrounding look at them like just a kid…I don’t like ‘acting-like-an-adult’ people. because, mreka xbuleh ditegor mahupun mintak tolong…I have seen this group of people not once….but so many times in my life...one of my relatives also have this ‘perangai’..hehee By the way, I cant comment or criticize the way of somebody life because it is their way of life….so why I wrote this topic……it is all about ‘nachtragend’

“To be an adult, u must think like an adult not just acting like them”- Datuk ku berkata…

“You can’t think your way into a new way of living…you have to live your way into a new way of thinking” – Quote from my previous blog…

Now, I can continue my reading….

-High aku tamat @ 1137pm-

p/s: ..coffee + incense stick……this ‘article’ xbesangkut paut pd mane2 individu mahupun yg telah kembali atau yg masih hidup..….

Assalamualaikum...

A female patient,Fatma Ahmed Mohammada ( not real name ), 32 years old, housewife, married with 1 daughter from kafr sheik, admitted to the hospital on 10 nov 2009 complain of painless swelling lateral part in front of the neck since 1 year.

The condition is started since 1 year ago with single swelling at muscular triangle by gradual onset and slowly progressive course. The swelling is not painful and not associated with L.N neck swelling.

There is no pressure symptoms such as dysnea,dysphagia, or hoarseness of voice.

There is no toxic manifestation such as excessive sweating, palpitation,insomnia and irritability and loss of weight inspite good appetite.

There is no metastatic symptoms.

Patient have no Dm, no hypertension,no history of bilharziasis, no TB and no previous operation.

Family history is irrelevant.

General Examination:

Patient is fully conscious, well oriented, well developed, no special decubitus, no special gait, normal weight,no jaundice, no palor, and no cyanosis.

Vital sign:

BP: 112/65

Pulse: 80beats/min

RR: 17 cycle/min

Temp: 36.9

…. N bla3…

And…I was attended to the subtotal thyroidectomy of this patient……….

…Another case…I think I like the odd ones. Hehe….and I think when u know the odd , u will be more advance than other people…Know the odd, then u will be different than the others.. LOL….

This case is about a patient who is maybe psycho maybe not…I have been introduced this case by one of our doctors who teach us in clinical round. He gave to us a plain xray of abdomen. And I was astonished because I saw a lot of needles in her abdomen. Then I attended my 6^th operation :D…. today~……

8/11 needles.~....

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

It comes and it goes……

Fantasy and reality is something different. In our life, we need both of them. But, what happen when one of them more affecting our life. It will make us terrible and sometimes miserable…:D…..well, please keep it balance!...

It comes and it goes,

Every day is new day…every second is new second, every minute is new minute, every hour is new hour, every step is new step, every now and then we are always repeating the same thing.By repetition we will learn new thing....

- Wasting Time ended @ 2:10a.m ( Malaysia ) -

Assalamualaikum w.b.T

Well it is little bit weird now. Because I’m not a person who like to share some experiences with people but I like to dig and take it from people. ( the unfair way is my style..haha )…

Last Wednesday my group had been given a chance to join the operation one more time. Actually this is 3rd time I see the operation. 2 times in Egypt and once in USM, Malaysia.
For my views, of course Malaysia got better technology, hehe…Anyway, this time I would to share with my reader a laparoscopic splenectomy.

At 8 o’clock, we all arrive ( not all actually, just people who tend to be a early comerssss ). Then, one of the doctor who is responsible for the operation give some ideas about the surgery and some discussion about spleen and blood. As all we know spleen is the organ which is responsible for destruction of old RBC. For our knowledge, RBC life-span is 120days which is equal to 4months.What about range RBC count??

• Women: 4.2 to 5.4 million/uL
• Men: 4.7 to 6.1 million/uL
• Children: 4.6 to 4.8 million/uL

How does spleen can be enlarged???...Actually there are some numbers of infections and diseases can contribute to an enlarge spleen including viral infections such as mononucleosis, bacterial infections such as syphilis or endocarditis, maybe caused by parasitic infection such as malaria, cirrhosis and other diseases affecting the liver. Splenomegaly also can be caused by various type of hemolytic anaemia, blood cancer such as leukaemia and Hodgkin disease and so on..

Spleen that have been pulled out by the doctor. hehe..( Pulled out! )