Thursday, September 29, 2005

With All Respect

Since that things become a hitz for reporter so the character had read it. So, since i had been ask to remove it and respect the opinion ...so that article was deleted.

It ends Here....

So things suddenly became havoc...hmm un expectedly that article i wrote suddely become an attention. I dunno what to say, juz that article is one of the expression i had never tell anyone. So i'm releif that i wrote it. Does not intend to make 'Panjang cerita', juz wanna to say ..everybody has feelings. Everybody have their on beliefs....so jangan la senang2 nak tuduh kan...
After all....Thanx la tetibe je ramai yg baca blog aku ni....

Tuesday, September 27, 2005

Problems...

Everyday i've been through for this past few days is full of trouble and problems. In one hand i has one friends who accuse me take her girlfren from him. The other hand i had unsettled feelings that i can't control. Addition for that i has final exam coming plus with the unfunctioning mind that i has. What the hell has happening?

Friday, September 23, 2005

At last it end.....

Pergh..thats it.Today is the last day after full week with full of adventure and stress, i finally end my Obstertric and gynaecology.It's pretty tough man, with the very psyco guy DR.Divakaran sure you will regret to do Gyane & Obstertric. But actually he is nice, on our last day today he advises us and congrat us as one of the good group.I don't know la the word he's saying is true or not, but the message i wanted to give here eventhough he is psycho but there is still good thing behind him.
But the most good things i like bout the end is, i now can concentrate for final. Eventhough the Obs & Gyane topic to study i haven't finish it yet, but this give me oppurtunity to focus on others posting that i had left few month ago.
After all thanx to all doctors in Obs & gynae.Hehh more interesting i get to meet with DR.Siti.She's nice graduated from HUKM.She tought me so much, so i offically elected her as my MENTOR.
So guy's wanna be Gyanaecologist?Jadi ler klu nak penat and slalu kene saman.HEhehehe...sorry la tak dpt nak submit picture sbb takde access,but actually i have many intersting picture along this posting. Soon i'll update it.....Wait and see huh...

Thursday, September 22, 2005

Emptyness

Since that day, the feelings changes.My heart does not tell she as a friend, but someone special.Someone that i really care. But how can i make she feels the same.How can i make she realize that i'm working hard to win her heart.
Everyday what eva things i do, she will always come to my mind.I can't miss a single minute without her message. If not i feel board, tense and many mixed feelin.
Oh god..pliz help me..

Sudah Jatuh Di Timpa Tangga

It has been long i haven't use that words to describe things or honestly to say problem that appear to my life. So the final are comin' sure my nerves are stimulating with an irregular ryhtm.I try my best to focus on important thing, but masya-Allah this O&G posting had made me tired, even worst than before. Byk tido, ye la penatkan.
Not enough with that last Tuesday, after the CFCS presentation Dr Syayestesh juz give us a briefing bout the Elctive research we have to do soon after final (if i pass and don't have to seat for remideal & suppliment clases).We all have to submit the Introduction paper complete with the title and the supervisors details and pass it on 2nd week of NOvember.Perghhh...byk bangat ini.Tak tau la...hey anybody bapak dye doctor?Pliz jadi Supervisor aku.
Well 1st step i ask ani and Ayuni who have contact with this special people in HUKM and IJN to help me...hope both of them able to help.

Tulerrr Masalah aku....

Tuesday, September 20, 2005

What A Boring Day

Hmm..Don't know why, ut today i feel so boring and don't have that spirit to study or everyday job.I don't have spirit to do my ward rounds, study, revise few materials and others.Why huh? Eventhough i have to do those things but in a condition that i'm not into it.Or should i say "nak tak nak je buat".I can sense something is interupting.This another spirit,i don't know what....

Monday, September 19, 2005

Opinion pliz..

Hey guy's if u read this i need your opinion.So u know peoples have feelings and this feeling sometimes affects u're life.
The things is i actually like fell to some body la. But the problems is i don't know weather she would accept me.1st its come from myself, yeah i've once been rejected. But still that old feeling still there. I try to forget bout it, but can't.2nd i don know she is into me or not.Long time i've been fren with her.Wat should i do? Hmmm, susah nie.
So opinion plizz? heheh.....

From,
Jiwa Kacau

Sunday, September 18, 2005

Today's Diary

So,for my fellow fren at cheras.Sorry coz blk tak bg tau.Anyway,coz i've got bussiness to do.So don't have time to spend wit u.So today Sunday huh?
8.00 a.m - wake up early then rush to airport.Pergh crowded with thiz all kidz.i mean all jr who got offer to continue their study abroaed.So i actually juz attending to send my pet sister. She's going to Manchester beb. Hmm good luck there Mirz u're always in my mind.U're a good sis.
10.00 a.m - went to Shah Alam, meet my long time no see fren one.Heheh Diana, shocking beb,hey diana if u read this u've change girl.U're more mature and prettier then i see u before. Hmm, cant get my eye's off u.Hehe,jgn mare ek.Sorry la coz u kene blanje. Anyway next time i come back i'll treat u and give present as promise.
Long chat we have. Stat at 11 a.m till 3.00 pm hmm.Many things that we talk about. Diyana u're so successful he.Hey dont bother bout that thing anymore kay.

So after this few hours more at 9 o'clok i'll be back to Ipoh.Bye K.L

Love Story In Havard

Hmm, Nothing to say.But this Korean Drama Siries mmg besh.So watch it.

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Hitsugaya

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Memoirs Of Geisha

Hmm,alooo guys.I don't know la among my fren who often visit this blog do u read novels?If u r juz wanna tell u good news.Maybe u've heard novel called Memoirs of Geisha.Hah..the novel is coming to the screen soon. Besh la this story coz i've read its once, but tak abis.

Orange Range

Somg Title : Asterisk

by Unknown
Miageta Yozora no Hoshi-tachi no hikari,
Miageta Yozora no Hoshi-tachi no hikari

Hitotsu Futatsu kane no ne wa hibiku
Kokoro no naka de hidoki fukaku
Monogatari no you na ishi ga shizuku
Sono naka niwa saizen rock tsuku
Jikan to tomo ni jidai wa ugaku
Nagareru ish wa shizuka ugoku
Yo to chi tami ni sumashite Fine
G, O, O, D, Y

Hana to hikari makizoe ni shitari
Ima toki-hanate dore ka ni todoku made
Youkou no hikari wa kono mukou ni
Ijiridasu to sugu dekisou ni

Miageta Yozora no Hoshi-tachi no hikari,
Mishiranu amoi migaita jidai
Koe iroaseru
Don't act a fool
Kiari hitomi tsui ni dareka no sakebi
Kaze ni omoi o, tsuki ni negai o
Chikara aru kagin ikiteki ne, kyou mo

Miageta Yozora no Hoshi-tachi no hikari,
Mishiranu amoi migaita jidai
Koe iroaseru
Boku-ran o amai-o itsuka dareka no mune ni
Hikari tsuzuke yo
Ano hosi no you ni

Saturday, September 17, 2005

Orange Range Song Lyrics

HANA (a.k.a flower)Composition & Lyrics: ORANGE RANGE


Hanabira no youni chiriyuku naka de
Yume mitai ni kimi ni deaeta KISEKI
Aishiatte KENKA shita
Ironna kabe futari de norikoete
Umare kawatte mo anata no soba de hana ni narou

Itsumade mo aru no darou ka ORE no maue ni aru taiyou wa
Itsumade mo mamori kireru darou ka naki warai okoru kimi no hyoujou wo
Izure subete nakunaru no naraba futari no deai ni motto kansha shiyou
Ano hi ano toki ano basho no KISEKI wa
Mata atarashii kiseki wo umu darou

Aisuru koto de tsuyoku naru koto shinjiru koto de norikireru koto
Kimi ga nokoshita MONO wa ima mo mune ni hora kagayaki ushinawazu ni
Shiawase ni omou meguri aeta koto ORE no egao torimodoseta koto
"Arigatou" afureru kimochi idaki susumu michinori

*Hanabira no youni chiriyuku naka de
Yume mitai ni kimi ni deaeta KISEKI
Aishiatte KENKA shite
Ironna kabe futari de norikoete
Umare kawatte mo anata ni aitai

**Hanabira no youni chitte yuku koto
Kono sekai de subete uke irete yukou
Kimi ga boku ni nokoshita MONO
"Ima" to iu genjitsu no takaramono
Dakara boku wa seiippai ikite hana ni narou

Hana wa nande kareru no darou
Tori wa nande toberu no darou
Kaze wa nande fuku no darou
Tsuki wa nande akariterasu no

Naze BOKU wa KOKO ni iru n darou
Naze KIMI wa KOKO ni iru n darou
Naze KIMI deaeta n darou
KIMI ni deaeta koto sore wa unmei

(*REPEAT)

(**REPEAT)

Ame agari niji kakari ao arashi ni umareshi hikari
Koko ni yuruginai taisetsuna mono
Kidzuite'ru "aisuru" to iu koto
Mada arukeru darou? mieteru n da mou
"Omoi" toki wo koe toowa ni hibike
Kimi no yorokobi kimi no itami kimi no subete yo
Saa saki hokore motto motto motto

Speechless

Speechless,or tak terkata. That's juz it, i don't know wat to say.Today 16th Sept 2005, rushing from Ipoh back to K.L juz wanna to be home coz wanna to send her. Hope she'll be ok by now, on Sunday she'll be leaving to Manchester. Mirz, be good, take care of your self. Byk2 berdoa and jgn lupe semayang. Be ur self.
Recap, from wat i've heard before. My angel is the prettiest of all, she used to fly freely, i'm falling to her. She the one who cure when i'm hurt. Eventhough my angel do not really know what inside me, but i'm always waiting till u ubderstand. Now my angel is going to fly, away n far away. I can't break her wings, that's rude. Let her go, and when u come back. I'll be the first youll see.

Thursday, September 15, 2005

Phaeochromocytoma

Phaeochromocytoma.
I've watch the 2nd season of House M.D,story bout the very,very clever doctor.The diagnosis this time is Phaeochromocytoma.So i've read bout it so lets see wat is it actually.

It is the condition where body are producing too much of adrenalin.


Causes/ Aetiology
1.Tumor in the unner part of adrenal galand specifically call adrenal medulla. This cause overproduction of adrenalin and noradrenalin. Comprise 90 % of causes.
2.About 10 % are from - ganglioneuroma or symphatoblastoma
it is due to over production from the symphatetic nerve chain and ganglions which swells.So it produce too much of adrenalin.

Malignant?
90% are benign
10% are found in bith adrenal glanb but still benign
10% are malignant and can spread around body

Familial Association
10% runs in families where other family members have a same condition
Two major famili association:
1. Those with neurofibromatosis,
2.In Multiple Endocrine Neoplasia (MEN type 2)

Sign And Symptom
1. Anxienty
2. Headache
3. sweating
4. Palpitation
5. Tremor

Often the patients describe sudden onset of attacks with thumping severe headache, profuse sweating and yet look pale, fast heart palpitations, extreme anxiety as if about to die, body tremor, and if measured, a very high blood pressure. After some time (usually less than 15mins but in 80% as long as one hour) the attack subsides and the patient feels washed out. The frequency of attacks can vary from once every 2 months to many times per day but usually become more frequent as time goes by. Between attacks, blood pressure may remain raised but in some reverts to normal. Some 50% of patients exhibit a postural fall in blood pressure even if the supine pressure is normal. The severity of the crises are not dependent on the size of the tumour but on its overactivity; small tumours can be very overactive.

Investigation
1. High levels of noradrenaline and/or adrenaline in a 24hour collection of urine.
2. Occasionally blood noradrenaline and/or adrenaline are measured but usually this is not required where urine tests show high levels of these hormones.
3. CAT scan or MRI scan of adrenals show one or both adrenals enlarged. Where the condition is due to sympathetic chain tumour a MRI of the body will pick up the abnormalities.
4. Radioactive labelled meta-iodobenzyl guanidine (MIBG) scan. MIBG is taken up by the cells overactively making noradrenaline / adrenaline. This test is not always successful if the cells concerned are not actually overproducing at the time of the testing.

Treatment
The aim is to surgically remove the tumour(s). However it is essential to first block the action of the excess noradrenaline / adrenaline before the operation. The reason for this is that just the anaesthetic and later handling of the tumour at the time of operation can precipitate a crisis. In a crisis the tumour releases massive amount of hormone resulting in a dangerously high level of blood pressure which could cause a heart attack or brain haemorrhage.To reduce this risk the endocrinologist will arrange for the patient to have the action of noradrenaline / adrenaline blocked by a special drug called phenoxybenzamine. His drug is usually begun in hospital for as it begins to work blood pressure can precipitiously fall requiring expansion of blood volume with salt water given intravenously. The drug dosage will be gradually increased until maximum effect is achieved and this can take many days. For acute attacks the doctor has available an intravenous preparation called phentolamine but this doesn’t last long hence the need for the long acting phenoxybenzamine. Once the latter is fully effective then the specialist will add another drug called a beta blocker (usually propanolol) to reduce the force of heart beat and prevent any fast palpitation.


Type of Operation
The operation is called an adrenalectomy. This may be of a key hole type but the surgeon may need to do a conventional approach. The latter may involve an incision in your back just below your ribs on one side. If both adrenals have to be removed then this is often done by an incision across the front of the upper abdomen.

Sunday, September 11, 2005

Lord Of Dog Town

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Lord Of Dog Town, cool movie beb. Have u all watch it?,its bout the revolution of skates.The stories background was on 1975, when this 3 people Jay Adams, Stacy Peralta and Tony Alva who was a surfers involved in Skatebord championship, where they brings up new tricks and style of skate boarding. Tony Alva become the 1st world skate board champions, Stacey Peralta establish his own company and introduce tony hawk who that time only 14 years old ,and now Tony Hawk is the world number one Skate board Champion. While Jay adams become the spokes person for one of great company in America for Skate Board.

Menanti Sebuah Jawaban

Aku tak bisa luluhkan hatimu
Dan aku tak bisa menyentuh cintamu...
Seiiring jejak kakiku bergetar
Aku telah terpagut oleh cintamu
Menelusup hariku dengan harapan
(Namun kau masih) terdiam membisu


Reff.
Sepenuhnya aku ingin memelukmu
Mendekap penuh harapan
Tuk mencintaimu
Setulusnya aku akan terus menunggu
Menanti sebuah jawaban
Tuk memilikimu


Betapa pilunya rindu menusuk jiwaku
Semoga kau tau isi hatiku
Dan seiring waktu yang terus berputar
Aku masih terhanyut dalam mimpiku
Aku tak bisa luluhkan hatimu
Dan aku tak bisa menyentuh cintamu...

Manchester University

The University of Manchester has been created by bringing together The Victoria University of Manchester and UMIST, two of Britain's most distinguished universities, to create a powerful new force in British Higher Education.

The new merged University has been established with an unprecedented £300m investment programme. With some of the highest quality teaching and research and the broadest spread of academic subjects, we will be able to compete with the best universities in the world. The new institution is expected to be the largest single-site university in the UK, offering students a greater choice of degree programmes and options, and even better facilities and student support services.

A landmark document has recently been published which sets out the exciting plan for making The University of Manchester one of the top 25 universities in the world by 2015.

Good Bye my Baby..Mir

Hmm,kind of sad.She's leaving me soon.She is going to continue her study at Machester University. I hope once u get there Mir don't forget bout our time toghether. U're such a wonderful person, that make me happy. Good Luck In your study in Manchester,I'll make sure i'll go there after i finish my study as i promise to u.

Guess Who?

Who is this guy? Try make a guess.

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MCQ:
a.Jehan Miskin
b.Jehan Kaya
c.Michael Jackson
d.Donald Trump
e.Kesemua Di Atas

Saturday, September 10, 2005

The Class Of 2005

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My New Handphoe

Here we are the new nokia model...heheh complete with 3G access.
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Tuesday, September 06, 2005

K.E Bought a New Camera BEB!!!

Pergh on Merdeka day we all go to ipoh parade to follow K.E where she plan to buy a new camera. Heheh orang kaya. After this K.E angau kamera la gamak nyer.

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Selamat Pengantin Baru Kak Nikki

Hmm.Selamat pengantin baru kak niki, who selamat di ijab kabul on 3rd September 2005. She is our dearest staff in PCM who are very baik and helpful. Moga berbahagia ke anak cucu. forgot to say ha...after we went back home all of us had diarrhoea for 2 days. Arghhh abdominal cramps.

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Saturday, September 03, 2005

Dome Berjaya Times Square

Hmm, very special aroma and sedap.Huh 1st time went to the Dome. Before this i used to go coffe bean, starbucks or gloria jean cafe.Worth it to go there and have a cup of coffea

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Thursday, September 01, 2005

Merdeka Day

49 years malaysia merdeka.On 31st August while u all celebrating merdeka day me and my fren were in the ward doing our on call.You know what me n my fren lucky that day where we delivered the merdeka baby..hehe
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