terima kasih Tuhan

terima kasih Tuhan ko berikan aku pluang tuk rasa bahagia ini....
terima kasih tuk semua....
semoga semua ini akan berkekalan...
heaRt sMiLe....

the end

should end all of this like my watch end move today(i no, i want a new watch actually)
...stop thinking all of this...more i think about, more it make me hurt....
the principle today, dont ever let myself believe on people who cant face to face on me to tell the truth.... so deep what it means....
huh, lantak ko la nak jadi ape, perlu aku kisah (this word will come out if i was the selfish person)
....no matter la what, asalkan ko bahgie.... tak peningkan idup aku...gulp......

yeah.....life full with people who want b actress and actor.....play fool to others....

officially finished clinical today...

last day in clerking the case..
pleasant.....
clinical so enjoyable...but......quite burden...

big thanx..for all of u...

Pn Lin..in guiding me to open my mind..
Dr Afidah and Dr Ong... da specialist that so cooperative
Dr Naim.....da comparison with others that not so good for me..but it's ok
Dr Izzuan....sharing da info and for tricking me..
Dr Ammar, Dr Nordin, Dr Kavita, Dr Anutha..
all da staff nurse, nurse students and staff especially in K11....
thanx a lot..for very helpful......

TRANSFORMER versus LP

cooperation with LP



great movie graphic



like it...and wat watch it

smoking cessation..

still story regarding the case in the ward...
copd patient...chronic obstructive pulmonary disease.....
kebnyakkan pesakit akan kate...bukan senang nak bhenti tabiat merokok nih....
but guys..can u open ur mind, r u willing to destroyed urself bcoz of smoking.....

eveything happens in front of my eyes...one copd pt warded...breathing by depending to bipap...
he had smoked for 40cig/day.... that really killing urself slowly....
at certain moment, so hard for him to breath..... tseksenye aku tengok...

my boss.....can u give smoking cessation counseling for this pt....
actually, there is no point to advice if they still stubborn with old habit....
and i hoped, the condition now akan menginsafkan die, to stop smoking....

for his son too.....whose the one alwayz at side his father.. he look how bad the condition of his dad, hopefully, he can learn something from this.....

sweet..

engagement of hunter and k.mel.....
next couple..yg akan megikuti jejak yang len in our batch...

so sweet..
congralatulation to sis mel and hunter

sodium imbalance..

in the ward, dr izzuan always test my knowledge.....

friday...
hey..u hutang I, so what is the answer for my last question???
Gulp..what???what question..
why Tazocin cant give together with unasyn????
with very confident...what point to give both which is from the same group together... Tazocin is the broad spectrum and can cover what unasyn covered, so, to give both together, very irrational use of antibiotic...

the problem, Dr Ong say that unasyn given because to cover acino, now the problem, we never get the prove that Tazocin also can cover acino... so how to fight?????

and today, good lesson for me......

because he always test me..so today i come out with one question....

me: dr, how you correct this sodium imbalance,huh???
dr: u want test me or what???? that not a trick rite??
me: no la..i just want to know how u all correct this condition actually...

he show me the formula....

infusate Na-serum na / total body water + 1

- 1L of 3% NaCl will elevate Na conc by .............

still blur....

he give me Sarawak emergencies book, i read it....little bit understand....
it quite difficult to understand if you never practice it..hurmmm

vomiting

last friday meal...
lunch meal...rice+ikan keli+mushroom soup+sotong

saturday...
breakfast menu...nasik lemak.....
lunch menu...nasik minyak..kenduri umah en zainal.....

back to home....
vomit all what i had ate.....
the vomitus come out with rice,meat..and somemore..uwekkk....
the body come tired, i hope can rest but cant sleep..because of some abdominal pain...
sit down to the wall, hope become much better....
this attack come again to disturb my quality of life....
what should i eat???im thinking of some bread to absorb the acid in the stomach....
crawling in the wall to fight back with this pain.....

kemalasan terrramat

banyakknye pci kene wat....
t bgerak langsung....
quite lazy lately........
so..layan...crazy song from eminem....
he alwayz comeout the real song...but, kalu x kutuk org..not eminem la...
.......
but real......

i can live without him but not without her...

Orang kata aku lahir dari perut mak..

(bukan org kata...memang betul)

Bila dahaga, yang susukan aku.... mak

Bila lapar, yang suapkan aku...... mak

Bila keseorangan, yang sentiasa di sampingku... .. mak

Kata mak, perkataan pertama yang aku sebut..... Mak

Bila bangun tidur, aku cari.... mak

Bila nangis, orang pertama yang datang .... mak

Bila nak bermanja, aku dekati.... mak

Bila nak bergesel, aku duduk sebelah.... mak

Bila sedih, yang boleh memujukku hanya.... mak

Bila nakal, yang memarahi aku.... mak

Bila merajuk, yang memujukku cuma..... mak

Bila melakukan kesalahan, yang paling cepat marah.... mak

Bila takut, yang tenangkan aku.... mak

Bila nak peluk, yang aku suka peluk.... mak

Aku selalu teringatkan .... mak

Bila sedih, aku mesti talipon.... mak

Bila seronok, orang pertama aku nak beritahu..... mak

Bila bengang... aku suka luah pada.. mak

Bila takut, aku selalu panggil... "mmaaakkkk! "

Bila sakit, orang paling risau adalah.... mak

Bila nak exam, orang paling sibuk juga.... mak

Bila buat hal, yang marah aku dulu.... mak

Bila ada masalah, yang paling risau.... mak

Yang masih peluk dan cium aku sampai hari ni.. mak

Yang selalu masak makanan kegemaranku.... mak

kalau balik ke kampung, yang selalu bekalkan ulam & lauk pauk..... mak Yang selalu simpan dan kemaskan barang-barang aku.... mak Yang selalu berleter kat aku... mak Yang selalu puji aku.... mak Yang selalu nasihat aku..... mak Bila nak kahwin..Orang pertama aku tunjuk dan rujuk..... mak

Renungkan:

"Kalau kau sudah habis belajar dan berkerja... bolehkah kau kirim wang untuk mak?

mak bukan nak banyak... lima puluh ringgit sebulan pun cukuplah". Berderai air mata jika kita mendengarnya........

Tapi kalau mak sudah tiada..... .....

MAKKKKK...RINDU MAK.... RINDU SANGAT....

Berapa ramai yang sanggup menyuapkan ibunya....

berapa ramai yang sanggup mencuci muntah ibunya.....

berapa ramai yang sanggup mengantikan lampin ibunya.....

berapa ramai yang sanggup membersihkan najis ibunya....... berapa ramai yang sanggup membuang ulat dan membersihkan luka kudis ibunya.....

berapa ramai yang sanggup berhenti kerja untuk menjaga ibunya.....

Jagalah dan hargai ibu anda sementara anda masih berkesempatan..

blackberry storm

try find out, ape yg tsembunyi......

jeng..jeng..jeng......actually just to show u all this one..he..he...

my blackberry storm..gift by a.kay and sponsored by Iwan.....

hope i can install da drug info, micromidex inside in helping me for dosing management in pt's care...no need again to bring my heavy drug info book all time.... saya suke.... thanx both of my brother for this special gift......

at the moment

my mum still need be warded..i dont know how long.....
but now her condition become much better..thanx God.....
when this happen, Iwan always remind me, after this, can you apply posting very near at home.. just silent..that me....
two person which need always to be care.....
i cant stand to see her sick, in bad condition...as i can, i want my mum recover quickly.... whole night...saya temankan die... Iwan had say to me....that he cant see mum like this..... me???? the condition become worst.....i did not hope so....and i dont want the condition become more worst...
at the moment, i need back to temerloh, i cant lie anymore, my tears quickly flow down, in front of my mum and my sis.... saya hanye mahu die sihat, menikmati segala apa yg saya ingin berikan.....before go, aku kucup dahi mak, and kedua belah pipinye....Plzz cepat sihat.....

headache...

next week, get a interesting case to prezen for me!!!!!
wat is isteresting meaning to her????
unrationale use of antibiotic????
God..help me...

pharmacist k11 incharge...

helo..miss pharmacist in charge k11 rite, we got 1 bed counseling, pt will discharge today...
hold on.......... nek tangga, trn tangga........everyday like this...never use lift, so crowded..i hate situation like this......

first week in ward, one meningitis p.cik..crying in front me.....no intention to make him sad...i am just asking regarding on his children..suddenly, his tears flow down....i try to calm him down.....
tak pe p.cik, jangan sedih..nant anak2 dtg la......kat hospital ni pun kan ramai, staff nurse ade, dr ade, pharmacist pun ade... p.cik pun stop nangis....lega ati aku.....nant kan aku palk nangis same...he..he...

give counseling to pt, make me so sclose to them....and today, wan yg aku bg counseling discharge...she look so hepy..sangat ceria.... i go close to her......m.cik dah sihat..dah nak balik... then, she ask me...dr org mane???? i correct her, bukan dr m.cik...pharmacist.... ank die plak jwb..org trg..she still remember me..hurm....so nice....slam ngan wan, ngan ank2 die skali....besok..pasti saya tak jupe die lg dah.....

ward round with dr naim, dr izzuan and specialist dr afida..sometime make me sick..... im still lacking of knowledge, and so worried if cant give correct answer like they want.... thanx God.. dr naim really helpful..... when ward active means, lot new admission, i no they working under pressure, samotime make me want run away from ward....but, it not professional.... and dr naim will become like lion..so fierce... huh, at this moment, i will take my recommendation slowly.....

today..macam nak gaduh ngan dr izzuan....our conversation:
Dr: why you never write down, what you have assess for this pt
pharm: im waiting for your request(under pressure)

go through the bht...

pharm: do u want start this pt with warfarin???
dr: pt already on rite??
me: where???xde pun....

he check the bht.....oooo...never start again...

me: asking again.... do u want start this pt with warfarin???
dr: why??any problem???
me: if u plan to start with warfarin..so, i can start explain to pt dr...
dr: ha, buat la ape yg patut......

huh......poneng den.... finally just give cardiprin to pt....

sometime

the most favourite

during my childhood, no need to buy this durian.... now, no more at our dusun..... bile teringin sangat, im asking my bro to fulfill my hajat.... walaupun tak same cam durian kg kat kitorg punye dusun dulu, but fine..sedap gak....still remember, i am the first person waiting for this season... my bro will collect a few guni of durian and i will be the one to finish a lot.... my mum always remind me for not eat more coz will meke me hot... tp tak pun.... sangat sedap..cam mane sy nak berhenti makan......

tapi, when my pregnant sister, megidamkan durian nih, i will be the one to advice her for not eating a lot, because worried baby will be hot...cian kat baby...but today, we enjoy this durian together...yummy....lazat.......nak lagiiiii!!!!!!

hajat kesampaian...

sedapppnyeee.... very long time waiting for my favourite

good news

my sis pregnant again...
makin bertambah la my niece and nephew...
insya....on jan next year, kami akan menerima org baru in our family....
face of baby so clean....so pleasant....