'3S'

It's Sunday! but need to study for my sessionals, in between, I slept alot also~ huhu

Sunday-Study-Sleep

~~~

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Obstetric Mnemonic

Since I am having a block test tomorrow, here a little bit of mneumonics to share with..p/s thanx to the one that create it!


Oral contraceptive complications: warning signs ACHES:
Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Sharp leg pain


Abdominal pain: causes during pregnancy LARA CROFT:
Labour
Abruption of placenta
Rupture (eg. ectopic/ uterus)
Abortion
Cholestasis
Rectus sheath haematoma
Ovarian tumour
Fibroids
Torsion of uterus


Post-partum haemorrhage (PPH): causes 4 'T's:
Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)


Prenatal care questions ABCDE:
Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?


Asherman syndrome features ASHERMAN:
Acquired Anomaly
Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Repeated uterine trauma
Missed Menses
Adhesions
Normal estrogen and progesterone


Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers 4 is the normal pH of the vagina.
40 weeks is the normal gestation period.
400 oocytes released between menarche and menopause.
400,000 oocytes present at puberty.
28 days in a normal menstrual cycle.
280 days (from last normal menstrual period) in a normal gestation period.


CVS and amniocentesis: when performed "Chorionic" has 9 letters and Chorionic villus sampling performed at 9 weeks gestation.
"AlphaFetoProtein" has 16 letters and it's measured at 16 weeks gestation.


Alpha-fetoprotein: causes for increased maternal serum AFP during pregnancy "Increased Maternal Serum Alpha Feto Protein":
Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Fetal death
Placental abruption


Female pelvis: shapes GAP:
· In order from most to least common:
Gynecoid
Android /Anthropoid
Platypelloid


Pelvic Inflammatory Disease (PID): complications I FACE PID:
Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis


B-agonist tocolytic (C/I or warning) ABCDE:
Angina (Heart disease)
BP high
Chorioamnionitis
Diabetes
Excessive bleeding


Secondary amenorrhea: causes SOAP:
Stress
OCP
Anorexia
Pregnancy


Preeclampsia: classic triad PREeclampsia:
Proteinuria
Rising blood pressure
Edema


Alpha-fetoprotein: some major causes for increased maternal serum AFP during pregnancy TOLD:
Testicular tumours
Obituary (fetal death)
Liver: hepatomas
Defects (neural tube defects)


Dysfunctional uterine bleeding (DUB): 3 major causes DUB:
Don't ovulate (anovulation: 90% of cases)
Unusual corpus leuteum activity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)


IUGR: causes IUGR:
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton


Early cord clamping: indications RAPID CS:
Rh incompatibility
Asphyxia
Premature delivery
Infections
Diabetic mother
CS (caesarian section) previously, so the funda is RAPID CS


Oral contraceptives: side effects CONTRACEPTIVES:
Cholestatic jaundice
Oedema (corneal)
Nasal congestion
Thyroid dysfunction
Raised BP
Acne/ Alopecia/ Anaemia
Cerebrovascular disease
Elevated blood sugar
Porphyria/ Pigmentation/ Pancreatitis
Thromboembolism
Intracranial hypertension
Vomiting (progesterone only)
Erythema nodosum/ Extrapyramidal effects
Sensitivity to light


Forceps: indications for delivery FORCEPS:
Foetus alive
Os dilated
Ruptured membrane
Cervix taken up
Engagement of head
Presentation suitable
Sagittal suture in AP diameter of inlet


Delivery: instrumental delivery prerequisites AABBCCDDEE:
Analgesia
Antisepsis
Bowel empty
Bladder empty
Cephalic presentation
Consent
Dilated cervix
Disproportion (no CPD)
Engaged
Episiotomy


APGAR score components SHIRT:
Skin color: blue or pink
Heart rate: below 100 or over 100
Irritability (response to stimulation): none, grimace or cry
Respirations: irregular or good
Tone (muscle): some flexion or active


Postpartum collapse: causes HEPARINS:
Hemorrhage
Eclampsia
Pulmonary embolism
Amniotic fluid embolism
Regional anaethetic complications
Infarction (MI)
Neurogenic shock
Septic shock


Multiple pregnancy complications HI, PAPA:
Hydramnios (Poly)
IUGR
Preterm labour
Antepartum haemorrhage
Pre-eclampsia
Abortion


IUD: side effects PAINS:
Period that is late
Abdominal cramps
Increase in body temperature
Noticeable vaginal discharge
Spotting


Labour: preterm labor causes DISEASE:
Dehydration
Infection
Sex
Exercise (strenuous)
Activities
Stress
Environmental factor (job, etc)


Miscarriage: recurrent miscarriage causes RIBCAGE:
Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (uterine septum etc.)
Genetic (aneuploidy, balanced translocation etc.)
Endocrine


Shoulder dystocia: management HELPER:
Call for Help
Episiotomy
Legs up [McRoberts position]
Pressure subrapubically [not on fundus]
Enter vagina for shoulder rotation
Reach for posterior shoulder and deliver posterior shoulder/ Return head into vagina [Zavanelli maneuver] for C-section/ Rupture clavicle or pubic symphisis


Labour: factors which determine rate and outcome of labour 3 P's:
Power: stength of uterine contractions
Passage: size of the pelvic inlet and outlet
Passenger: the fetus--is it big, small, have anomalies, alive or dead


Post-partum examination simplified checklist BUBBLES:
Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section


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'Big' day for Manchester!

Though I am a Chelsea fan, but today is absolutely a massive day for Manchester. Both Man U & Man City won the Premier League for 19th time and FA cup respectively~
For Man U, they have surpassed the record held by Liverpool of 18th league title, and for Man City, their huge investment started to paid off! Well, we're looking forward for next season, as it getting tougher and tougher. Believe me! For Chelsea FC, its the 3rd season post-Abramovich era trophyLESS.

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Surgery Posting Over~ ONG begins!!!

~ After all the 'suspens' unofficially I managed to 'pass' my Surgery posting-The most 'challenging' 4th year posting in MMMC--> Alhamdulillah...currently in ONG posting, but the 1st week already finished...
Around 3.5 month to go before P2S1 exam...no other choice, study, study, study...


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Almost over...

My surgery posting almost over~ I think this is the thoughest posting ever...and it near to its end~...hopefully after this, i can continue my blogging activities~


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Buzz, buzzing, buzy~

Currently I am in the 2nd week of surgery posting. Seniors said that this is the most challenging posting from all. So, I think I might reduce my blogging activities.
Sorry for the inconvinience.


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The Fantastic 2nd week

People say that the time pass so fast. In a blink of an eye my holiday almost over. Today is Friday. Just wanna freshen my mind of what I've been doing in my 2nd week of holiday;

last Friday- cycle to Masjid with bicycle. I think the distance is more far as compared from my hostel in Melaka to Masjid al Azim-the mosque where I usually pray in Melaka. Then I packed some stuff to be brought back to Penang. As Ayah and Ibu returned back from KL, in the evening we went for an early dinner at Secret Recipe plus enjoying eating the cakes there too.

Saturday- Went back to see my Tok and Wan (of my father's side). 'Tok' is meant for 'grandma' and 'Wan' is meant for 'grandpa'. The word nenek/ tok nek is usually meant for the 'great grandma'. As for the 'great grandpa' for this time being, just assume as KIV. I drove all the way from Manjung to Penang. Before we (me, ayah and ibu) arrived there we stopped by to buy Ikan Bawal for lunch. The meal was superb and also cheap. Nothing much has been done on the day itself after arriving there other than chatting with Tok, but at night we (+ Wan) went to Nasi Kandar Beratur. Fullamak, panjang giler orang beratur dekat situ~. The food was marvellous and I give it 9/10.













Sunday- Had breakfast at Acik Mus House and makan Bihun wit roti canai. After that, me ibu ayah wan and tok went to TAnjung Dawai and bought some ikan masin







~Returned back to Seri Manjung, and well managed to watch Liverpool vs Man U with Astro Beyond HD! Wow. The good news was Man U was defeated that night and that gave an advantage to Chelsea! Hooray!!!

Monday, Tuesday, Wednesday, Thursday- Basically I enjoyed it by playing Mahjog with My mom- quite addicted playing it. Sometimes my mom won the game, but almost all the time, it was me! haha...At night I had the symptoms of hepatic encephalopathy- reversed sleep pattern just to watch the Uefa Champions League- Barcelona Vs Arsenal (Barca won 3-1) & Tottenham Vs Ac Milan-Spurs won via away goal rule.

Friday- I helped my neighbour preparing what is necessary for the daughter's wedding. The Akad Nikah is today itself whereas the wedding ceremony will be tomorrow.

Saturday- 12.30a.m I went to fetch Syahmi at Manjung Bus Station who was just arrived from Seremban. I made a mini birthday celebration for him as both ayah and ibu already asleep.
Today got kenduri kawen at rumah Jiran. Auntie Noor's daughter is married with a guy from Kedah. In the afternoon, me, syahmi, ibu and ayah went to Damansara Damai...

Sunday- Sob2...a very sad day...my holiday is over already..huhu...Drove back all da way to Melaka with AEN 5454...





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Home Alone

Home Alone...
As usual, I began my day with a morning jog, followed by shopping some groceries at TESCO Seri Manjung. Nothing much happen during the day time, but the night was marvellous. I watched Perak Vs Harimau Muda via Astro Arena Channel 801 with both team held in a 1-1 draw match thanx to a last-minute free kick goal scored by the Perak left back. The Young Tiger played a very high tempo game, resulting Perak was shocked and outplayed in the 1st half. But the Perak game was much better in the 2d half.
After the game ended, I watched WWE until 12.30...

Wednesday morning started as early as 3.30a.m to watch Chelsea vs Man U. The game was very interesting as Chelsea came from behind to win the match thanx to the equalizing goal scored by Chelsea new boy, David Luiz (although he might be sent off that night) and a penalty scored by (who else?) Frank Lampard. Man U scored a first half goal by Wayne Rooney-his 7th of the campaign. The most interesting part was, I watched it with Astro Beyond HD via 54' LED TV. That's superb!!! Its been a long time that I haven't enjoyed watching football. Yeah!! After performing the subuh prayers, I slept until 12noon. In the evening, I went for jogging and double the amount that I usually did ( because I didn't jog in the morning). At night I watched RED> Retired Extremely Dangerous casting Bruce Wills as the the main actor and it was a very good movie and worth watching.

Thursday, began with -I cooked spaghetti for my breakfast. Initially it was not that good, but after a proper modification of the meal itself, it became marvellous. Yummy!!! Actually I wanna go for jogging but, it seem to be raining, so I cancelled my jogging. Later I watched the movie The Lost Future~ quite an average movie. Facebooking, watching TVs and checking the mails. Alhamdulillah, JPA has credited my allowances into my account. In the evening, I jogged for 10 rounds!!! Wowo...quite A LOT!!! I ate dinner with the spaghetti that I cooked in the morning and currently I am writing this blog..hehe...the holiday goes on and on~



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Hola Holiday : )

2 weeks of holiday meant alot to me...but for sure I will miss 'her' for 2 weeks also..sok sok..My holiday began cannot become any better than playing in a Futsal Tournament with my team dubbed the Coolblog FC. I wonder who gave the name to this team. Tourament held in Kolej Ibn Sina, University Malaya. Our team managed to win all the preliminary round group matches only to suffer heart break defeat at quarter final. After scoring 20 goals and conceding 8, we all went back in frustration.

I stayed at Damansara Damai for a day.On Sunday my sis and me went to Saujana Putra to settle her 'housing' stuffs. Pity her that her Sony handphone was lost during the process. An indication for a brand new I-phone/ Blackberry. Later I went back to Seri Manjung with bus. My sis sent me to Hentian Duta, only to miss my yummy waffle at the very last minute as the bus ready to push off.

I safely arrived at the Seri Manjung Bus Station with my parents already waited there. After performing the Asar prayers, we went to Pasar Malam for dinner. Me ate Maggie goreng and ayam percik~ Hehe...nyum2..

Monday started with my mom waking me up at 7 a.m...Guess what? Its jogging time!! I managed 6 rounds this morning and then we went to KWSP together due to some banking stuff. We cooked lunch together and played Mahjong via I-Pad together! Me win a couples and lost a lot!!! Monday ends with me writing this blog and both my parents went to KL..Home Alone~



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Medicine End Posting Bedside Examination

Date: Today (24/2/2011)
Examiner: Dr Anoop
Student: Me
Patient: A Bangladeshi guy (who Dr Anoop can speak fluent Hindi with)
Question: Do the General Physical Examination. ( which include examination of hand, pulse, eliciting collapsing pulse, peripheral pulses, anatomical landmark of dorsalis pedis artery, popliteal artery)
Homework: Anatomical landmark of popliteal artery (Exam also got homework ek?? Got...with Dr Anoop only)

The course of the upper part of the popliteal artery is indicated by a line from the lateral margin of Semimembranosus at the junction of the middle and lower thirds of the thigh, obliquely downward to the middle of the popliteal fossa; from this point it runs vertically downward for about 2.5 cm. or to the level of a line through the lower part of the tibial tuberosity







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Witnessing 'DEATH"

Innalillah Wa Inna Ilaihi Raajiuun...

Yesterday 21/2/2011 was the 1st time in my life I saw and experiencing a man who is dying.
B4 that, in the morning as usual I was clerking a patient who was beside his bed. That time I could see he was in an intolerable state of breathelessness. Though his wife was there with him, but the pain that he was suffering cannot be described with words. An immediate lesson that I gained that time was, breathlessness can range from very mild to the one that the pak cik was suffering.

After having a Cardiovascular class with Dr Sushil under the topic of ACS-Acute Coronary Syndrome, as I was walking back (returning to hostel), I could saw the same Mak Cik (the wife of the suffering Pak Cik) crying. At that point of time, I didn't have the 'guts' to walk and go back from the hospital. There, inside an intensive room, I saw the MOs, HOs were struggling to resussitate the Pak Cik. Drugs such as Adrenaline, Dobutamine have been used.They countered the acidosis with Sodium Bicarbonate Infusion and CPR was also done. That time I was standing at a corner and felt so hopeless. Even the student nurse also was doing something to help that old man, and what is my contribution as a Medical Student? Nothing. I was a hopeless 'amoeba'. That old man was dying.

Suddenly I heard the MO incharge shouted at me- "Hey Medical Student, wear your glove and mask, come here and do CPR! Hurry!" At that time, I was so surprised and cannot believe that something I could do and contribute. Quickly I rushed off and those things and jumped on the bed and performed the CPR. Slowly, I told the Pak Cik to recite the Holy Sermon " La Ilaha Illa Allah"

Pupillary reflex was absent as I checked his eye. His BP continued to drop inspite the ionotropic agents that was given earlier. His pulse was irregularly irregular possibility of ventricular fibrillation. His extremities started to feel cold. The doctor sent a form to the Mak Cik to be signed. It indicated that 'the time' has came for the Pak Cik to meet his God, our God, The Empire of The Universe. I went and met the Mak Cik and told her to be brave, patience, stay strong and reminded her that all of us came from Allah al-Mighty, and to Him also, we shall return. I gave a kiss to the Pak Cik's forehead and walked out from the ward. I knew that, one day, we shall meet again, but for surely, in another world, World Of Justice.

Life has to move on. But definitely there will be a time, that its our turn. Maybe now, next 2 minutes, next week or next year.An 'Alim' person had told me that the interval between life and death is as same as the duration between the Azan and Iqamah.

Before I end, let us together recite the Ummul Kitab Al Fatihah, for those who have past away before us and all the Muslimin Muslimat, Mukminin Mukminat entirely.

Al-Fatihah...




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MasyaAllah...Egyptians' Victory!!!

I am pretty sure that all of us knew that Husni Mubarak's regime has been teared into pieces. But I'm not sure whether most of us knew that Syeikh Yusuf Qaradhawi has returned to his homeland for the 1st time in 30 years! What a massive reception for him! He lead the Friday(18/2/2011) prayers as well reciting the Friday sermon(khutbah)! Nearly 2 millions of Muslims were there at the Tahrir Square! MASYAALLAH!!! ALLAHUAKBAR!!!






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Perak FA & Hamburg SV

As many people know that I am a fanatic fan of Perak FA, just wanna share something intresting here...Just now, as I was surfing the internet, I just realized that there is ONE similarity between these 2 clubs...BOTH OF THEM HAVE NEVER BEEN RELEGATED!!!
It means, since the inception of the Malaysia Football League-previously known as Liga Perdana Malaysia, now Liga Super Malaysia/Malaysia Super League, Perak FA has never been relegated! Congratz!!!
The same happen to Hamburg SV, there have never been relagated from the top-tier of the German Football- currently known as 'Bundesliga'. Credit to them also!
I wonder how top Giants teams like Bayern Munich, Werder Bremen, and Schalke 04 have 'tasted' relegation???


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Aortic Regurgitation

Sometime, I use this 'fancy' word --> aortic 'regurge'

Clinical signs include;

* Hyperdynamic apical impulse displaced laterally and inferiorly may be associated with an ejection click.
* Decrescendo diastolic murmur is heard best while the patient is leaning forward on deep expiration.
* Apical middiastolic rumble
* Austin-Flint murmur
* Pulsus bisferiens; increased pulse pressure; visible, forceful, and bounding peripheral pulses (water hammer)
* Corrigan pulse - Quickly collapsing pulses
* Corrigan sign- dancing carotids,prominent carotid pulsation in the neck
* Musset sign - Bobbing/nodding of the head with each systolic pulsation
* Quincke sign - Capillary pulsations of the nail bed (alternate flushing and blanching of the nail bed)
* Hill sign - Systolic pressure in lower extremity greater than systolic pressure in upper extremity by at least 100 mm Hg
* Traube/ Pistol shot sign - Loud systolic sound over femoral arteries
* Duroziez sign - Systolic-diastolic murmur produced by compression of femoral artery with a stethoscope

Usually all these sign can be appreciated in chronic cases.



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Horner's Syndrome

Horner's syndrome or Horner syndrome is a clinical syndrome caused by damage to the sympathetic nervous system.
A classiccal triad of;
1. miosis (ie, constricted pupil)
2. partial ptosis(which is drooping of the upper eyelid from loss of sympathetic innervation to the superior tarsal muscle, also known as Müller's muscle) and
3. loss of hemifacial sweating (anhidrosis)

others->Enophthalmos (the impression that the eye is sunk in) loss of ciliospinal reflex and bloodshot conjunctiva may occur depending on the site of lesion

The clinical features of Horner's syndrome can be remembered using the mnemonic, "Horny PAMELa" for Ptosis, Anhidrosis, Miosis, Enophthalmos and Loss of ciliospinal reflex.

Usually examiner will ask, the relationship between Horner Syndrome & Bronchogenic Carcinomo of the apex of lung.
Bronchogenic Carcinomo of the apex of lung (aka Pancoast Tumor-mostly a non small cell cancer)-->Sympathetic Ganglion Compression in the cervical region--> Horner Syndrome





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Jugular Venous Pressure ( JVP)

The jugular venous pressure (JVP, sometimes referred to as jugular venous pulse) is the indirectly observed pressure over the venous system. It can be useful in the differentiation of different forms of heart and lung disease. Classically three upward deflections and two downward deflections have been described.



The upward deflections are;
- "a" (atrial contraction)
- "c" (ventricular contraction and resulting bulging of tricuspid into the right atrium during isovolumic systole) and
-"v"= atrial venous filling

The downward deflections of the wave are;
-"x"(the atrium relaxes and the tricuspid valve moves downward) during early right ventricular systole
-"y" descent (filling of ventricle after tricuspid opening)

In Exam, all the above will be asked, as they are the basics that all medical student should now, and after succeding in answering them, this they (the examiner) might asked;

# Large 'a' wave (increased atrial contraction pressure)

* tricuspid &/ pulmunory stenosis
* Right heart failure/ Right vntricular hypertrophy
* Pulmonary hypertension

# Cannon 'a' wave (atria contracting against closed tricuspid valve)

* Atrial flutter
* Premature atrial rhythm (or tachycardia)
* third degree heart block
* Ventricular ectopics
* Ventricular tachycardia

# Absent 'a' wave (no unifocal atrial depolarisation)

* atrial fibrillation

# Large 'v' wave (c-v wave)

* Tricuspid regurgitation

# Slow 'y' descent

* Tricuspid stenosis








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Hooray!!! Its weekend again!!!

HAha...its Friday! and the best part of it--> Its weekend!!!
The question right now will be, how should I manage my weekend? Just no my brother called me, asking whether I am interested in going to Paroi Stadium to watch Perak Fa VS PDRM...I don't think so, as I am having exam next week!
My plan are as below;
1.Study for End of Posting Examination
2.Exercises/ Work Out
3.Study for End of Posting Examination
4.Study for End of Posting Examination
5.Finish my Medicine logbook
6.Study for End of Posting Examination
7.Finish 2 Medicine Case Sheet
8.Try to go hospital for Study for End of Posting Examination
9.Study for End of Posting Examination
10.Study for End of Posting Examination

Arrghhh!!!!!-->Study for End of Posting Examination


Huhu..No more 'Hooray' =(



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Dream Car ( As for now~)

When I was playing futsal with my teammates (usually, there will be Arif, Abbas, Dinbo & the others- we usually play at Cheng Sport Planet) something that always attract me beside the talents that the futsal players already have in them (such as Arif~) is nothing but CARS (berlambak parking dekat futsal court)!...

Logically thinking, people who play futsal usually fall under medial to upper class group in Malaysia. There I could see them using from 'Protons'(which include all models of Proton) & 'Produas'(mostly Kancil and MyV) to cars like Toyota Vios, Honda City, and if I am lucky enough; Toyota Corolla Altis & Honda Civic. Very hard to see Mercedes, BMW (old BMW ada laa), and all the upper class cars.

Suppose I am working with 'sufficient' income, these are my preference;
1. Peugeot 308- The lowest price; RM 100k on the road!


2. Mitsubishi Lancer- around RM120k OTR!


3. Toyota Vios the lowest price is around RM 72k OTR...(My last choice as it is the cheapest among the 3 and being manufactured by Toyota)


Actually I wanna opt for Lancer, but to mahallaa...Peugeot 308 kinda 'ok' with its price and performance...but still log way to go. By the time I start working, there will be plenty of new cars in the market. Really hope the price will not be so expensive in the future (Malaysia will 100% follow the AFTA)...
But as for now, its just angan2 Mat Jenin...

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Trigger Finger

What is trigger finger?? The word trigger finger may be taken from the action of a policeman (most likely) pulls the trigger of a gun.
It is also known as-(by right its scientific name is) Stenosing tenosynovitis. It is an inability to extend a flexed finger. It occurs when one of the flexor tendons does not slide smoothly through the pulleys at the metacapophalangeal joint. Patients will present with a flexed finger that must be forcibly extended using the other hand.








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'Healthy' Lifestyle

'Healthy' is a subjective thing. WHO define the word 'health' as; a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
Eventhough that it looks like a complete definition, but still a lots of people argue about it. As I mention before, it is kind of abstract and subjective and vary from one individual to another. From 'A' point of view, health is like 'this', but 'B' might not agree with 'A'!
Alhamdulillah, it has been a year since I have completed my GM 'regime' diet (You can search it from my previous post). Initially I thought that it was difficult to reduce weight, but after I achieved a total of near 35kg of weight loss, some of the people said that it was even harder to maintain it!!!( Wow, that's another task!)
Ok, in this post, I would like to congratulate my self for being success to maintain my weight in a year duration.

These what I have done:
1. I had my own exercise timetable. I have set up targetted amount of work up for each week. For example, in a week at least I need to go jogging for at least 3 session for at least 30 minutes/session. The frequency can be vary, it is up to you. I also had up other exercises such as swimming(~ 2 time/week), playing football(when I am very busy with my daily postings) and gym work out. Before you start your workout, you need to know what are you doing and what is the target, and after you finish, just question yourself back, "Does my aim accomplished?"



2. Diet. Haha, this time no more GM diet. I couldn't imagine how I have the guts in doing that..but it really works! Ok, currently I try to eat what ever meal I want BUT in MODERATE amount. Bare in mind, I have lost a total of 35kgs so badly, and why do I want to easily gain it back? So whennever I eat excessively (alhamdulillah, my appetite is superb) I will think back of all my effort that I have done it before!

3. Calorie concious. This concept I used in situation like this. When I go breakfast at a Mamak restaurant, I would rather order 'air suam' instead of 'nescafee' not because I am 'kedekut' but it is because, when I reach my hostel back, I prefer to drink coffee while studying. By doing this method, you easily save calories for 1 glass of coffee!!! I also apply this method to other condition, and for sure the conditions may be varies but the concept remain the same. You also try it!



4. Own food timetable. This one you need to be strong enough and dicipline in doing this. If let say, I wanna have 'heavy meal'- chicken fried rest for example, I would rather try my best to eat it before 7 p.m. By doing this, I might not able to eat with my friends because of different timetable, but that is kind of price that I have to pay! But, actually I always eat biscuit (1 bar of small Tiger biscuit) for my dinner for most of the day in a week.



5. Last one for this post, I always give myself a break. Sometime when you wanna go and workout, but your body say that "enough is enough" then it is the time for you to have some break. Forget about the work out for a while. That time, you can eat what ever you wish (conciously) and continue the workout when you feel that your body will recover.

Okay folks, that's it for now. I may not be the most perfect person to give this small piece of tips regarding 'healthy' lifestyle, but this are some piece of puzzles that I have done throughout the year. Healthy is not just about reducing weight, but being fit is surely a part of it!

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Punctuality!!!

I woke up at 7 but arrived in the hospital Melaka at 8.17a.m. As soon as I arrived, Latchna (my batchmate) called me from far saying that Dr Yashodara Rao had arrived already...Oh My God...I'm late(class at *a.m)!!! Hau Hau Hau...(of course, there's some 'extra' lecture was going on)
After all, I'm the 2nd student to arrived there~ (Peace!)
I knew that I'm not afford to do the same mistake like that ever again (I will try my best!), as it was a really huge and gross mistake!!!
I need to improve my attitude~
Cannot be late anymore~
Next class at 3.30p.m--> better move now~
Need to pause blogging for a while~
Just GO LAAA!!!!




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Malam I Luv Rasulullah S.A.W

Alhamdulillah,in conjunction with the Maulidur Rasul 1432H/2011M, we(the Muslim residents of MMMC boys Hostel) have managed to organize such a beautiful programme.
A documentation regarding the perception of the muslim in the Western world towards Prophet Muhammad S.A.W. The attendance was encouraging as we performed our Isyak prayers upto 5-6 safs. Brother 'Khairils', Faiz & Ammar had delivered their 'influential' speeches during the programme. Hopefully that, there will be more and more programmes like this being organized in the near future!!! InsyaAllah!!!











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Ayah's Pic In Utusan!

Though I am not a fan of the 'controversial' Utusan Malaysia, but today, my father's picture is in the newspaper (Utusan Malaysia 15Feb 2011 Page 6). The picture shows Ayah standing beside the current Defense Minister, Datuk Seri Zahid Hamidi discussing something regarding some of the naval ship stuff.



Bravo ayah! Congratulations!!!


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Me Con il Calcio

what 'Me Con il Calcio' means? haha! Simple, it means 'Me and Football' if we translate it to Italian language! As I have stayed in La Spezia, Italy I can remember some of it languange till now.

I first started to know about football when I was a kid approximately 15 years ago. That time, my uncle and cousins from my mother's side talk a lot of football. Manchester Utd, Aston Villa, Newcastle Utd, Liverpool, Arsenal are some of those names that were ringing in my ears that time!

But the interest came, when I was staying in Italy 12 years ago! In 1998 France was the host fot the Fifa World Cup! Thare are plety of lives matches and I didn't have to stay up at night to watch it (like now) as France and Italy shares the same time zone!!!



The 1998 World Cup showed France beat Italy in a penalty shoot out in the semifinal and eventually won against Brazil 3-0 in the Final thanks to goals from Zinedine Zidane's header and a late Emmanuel Petit's goal!!

As times goes on, the interest raise up to the sky!!!
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Mesir a.k.a Egypt

Egypt the land of al-Anbiya'(prophets), but let us don't forget, it is also the land of 'al-Firauns'.
There are lots of history telling us the events that had occured in this famous land, beginning with the days of Prophet Musa A.S(though the Westerns call him Mosses, but I will always call him Musa Alaihissalam), to the days of As Syahid Al Imam Hassan Al Banna, currently to the downfallen regime of Husni Mubarak!!!

As a Muslim who are 'following' far from Malaysia, I've learned so many things here.

1.Money and Power will make us becoming more greedy day by day.
2.There is no guarantee that any goverment in this world will last forever, EXCEPT the Goverment Of Allah S.W.T.
3.The people's voices need to be respected in any circumstaces! Don't think that the people nowadays are stupid and can be fooled around!
4.A 'true freedom' of Egypt will InsyaAllah lead to the 'freedom' of Palestine and the other Arabian coutries.
5. Egypt a.k.a Mesir has been highlighted with many stories, controversies, dramas since the days of Prophets, now, and I expect as well in the future.




As for now, congratulations to my fellow Muslim Brother and Sister in Egypt. You deserve this victory! Barakallahualaikum Ajmaiin!!!






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Perak FA; A New Era!!!

Kejor Yob Kejor!!!Ipoh mali Talak Sombong!!!
After 3 matches, 2 win and a draw is enough to put my BELOVED PERAK FA 2nd place in MSL standings! Well done!! Tonight match Vs Kedah FA!!..Hopefully we can beat them down!!!






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Weekend Buzzer~

Alhamdulillah, me begin my weekend with 'Qiamullail' programme held in Masjid FahurRahman, Pengkalan Rama, Melaka. Though there was some unnecessary incidence;(thief-stealing,happen to my friend, and thank God it wasn't happen to me...) apart from that the programme finished succesfully~

Football, though Man U won Vs Man City, but the biggest result was Perak won 2-0 Vs Negeri 9!!! Haha, Negeri 9 have four Malaysia squad player that has won Vs Hong Kong a week ago!!! Congratz! Ipoh Mali Talak Sombong!!!

Medicine 2nd Block Test- Hau Hau Hau Hau!!! Still a lot to cover!








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