saiko~~~

underneath this saikoness is actually somebody yang undergoing depression (undergone kot..sebab dah x rasa sgt), but i'm taking it pretty well.

last week (kot..x ingat..xmo ingat) aku didatangi t-shirt yg didesign oleh aku tapi end up mjadi...urm..how shud i put it.. BUROK? [dats kinda harsh, NOT!!] apa mau buat, dis is wat happen when u deal with egyptians~ T_T aku bkak kilang sndiri kang, baru tau!! [sabar.. sabar.. ade hikmah nye tu.... ade ke? ade2..]
maka selepas mengalami depresi tahap maximum, i found out i gained weight unexpectedly!!! like whoa how did i get dis freakin fat! (cushing ka?? oh tidak.. xde central obesity..fuh..) [not dat im saying before this i'm kurus or anything.. jaga kesihatan mari!!]
tanpa disedari, sebenarnye i've been munching freakin junk food and fast food like.. everyday kot! dah la hari tu buat choc chip cookies (entah brape ribu calorie per cookie) mkn hari2 without considering the amount of fat consumed!!

consequence nye, aku mhukum diri dgn memulakan lifestyle yang lebih sihat berbanding "depression week" aku~

• no junk food (ok maybe once a week..or two)
• no fast food forever (urmm.. ni ble kot seminggu sekali..since dah nak pokai @_@)
• jalan balik-pergi ke skolah~ (burn fat burn!!!)
• elak drpd menggoreng makanan~ (exception for telor and nasik goreng, tapi ayam etc rebus only!!)
• kalau lapar malam2, makan buah (mansurah fawakih nye murah awi2~)
• bangun tidoq minum ayaq kosong teruih~ (macam missy elliot buat..heeeeeee.. ok fine fine.. tak patut amek example dr mat salleh..)
• drink air kosong suam alot!! (since summer is approaching, the weather's gonna be of the chain!! [bodo giler] egypt is like an oven when it comes to summer T_T)

ok dah la tu.. banyak sgt.. kang tak buat.. mari istiqamah !
owh istiqamah dlm pelajaran dan ibadah juga~ [yea rite miriam, have u been studying, seriously???]

mid exam's coming.. not mock.. 40 markah masuk final.. mati!!! 5th may or 12th may, it doesnt matter..! semangat study mari mari~~

"pants pants pants pants oh hoe oh hoe sorry sorry sorry naega naega naega macho pajo pajo bebeh~"
-dis song is for kak pips yg tgh pyrexia.. smoga dgn lagu ni, akk mjadi lebeh sihat utk ke skola~get well so0n =D

since kita tgh blaja pasal CVL, ECT and Pain clinic..

1st, utk buat Central Venous Line, mark the spot. in this case, is the IJV

2nd, inject some local anesthetic

3rd, inject and aspirate the marked spot at the same time (so that you know that you're at the right place.. kalau nak, boleh je guna ultrasound to see the IJV~)

then pull the syringe out but leave the wire in

then you insert the CVL through the wire

then you sew it in place so that it wont lari.. tadaa!

***
ECT (Electroconvulsive Therapy)

this is the ECT machine thingy.

thiopental.. one of the 2 components you need before you proceed with the ECT. you need your anesthetic (the thiopental) and muscle relaxant

"ok Dr.X, you read the papers 1st. i'll prepare the patient for you.."

patient's ready ! ok nurses, pegang dia betul2~

can you see the doctor holding the handle of the machine at the patient's head? then you shock the patient!

ok dah! terbalikkan patient ke tepi~ what's this position called? ok i forgot but this is to make sure the patient's tongue dont jatuh ke belakang of her throat so that it wont obstruct her airway.

ok pastu habis~ tu je. its not even painful pun. the patient will wake up few minutes later~

***
PAIN CLINIC

at the Pain Clinic.. "Dr, saya sakit sini sana sini etc."

Pain assessment ruler.. you cant measure pain with a device.. so the only thing you can depend on is your patient's own assessment of his pain.

Mood disorder

Susan Boyle! from Britain's Got Talent

http://www.youtube.com/watch?v=9lp0IWv8QZY&feature=related

JUST WATCH THIS!!!
tak ble blah langsung tgk muka Simon Cowell..haha!
awesome!!! tenganga ok~~~~~~
unexpected.. and awesome!!

"..and more importantly, dia saudara sesama Islam aku.."

let me put this in a way we can relate with.

One day a patient comes into your office.
with a complaint of fatigue, anorexia and weight loss, bleeding tendency.
and after examining him, you found out he has jaundice and ascites.

so you ask for CBC, liver enzyme test and ELISA for Hepatitis B and C and a liver biopsy.

Diagnosis : Chronic Hepatitis C, with liver cirrhosis.

Prognosis : BAD

Treatment : Liver transplant.

but.. after the liver transplant, his body rejects the organ.

takkan kau nak biar patient kau mati je kan?
obviously you'll do something to lessen his pain regarding the fact that he's dying~

can you compare this case with my previous post?

kita gagal nak tegur kawan kita.. takkan kita nak biar je dia?
and aku harap semua kawan2 aku yang baca post ni, dapat msg yang cuba sampaikan ni.

contoh la .. dia minum arak~

"siti..jangan la minum arak..please.."
"eh mir kau tu sape nak paksa aku..lantak ar aku nak buat pape pun"
"aku x paksa kau~ aku nak nasihat je.. please.. aku tegur pun sebab kau kawan aku siti.."
"please la mir.. biar je aku ok.."

Diagnosis : Minum arak

Prognosis : Dosa besar = HELL

did we do anything when we saw our friend buat salah?
yes we did. kita tegur dia.
pastu? tu je? tu je usaha kita???
try lagi and try sampai kita penat.

So to compare with the patient, i mentioned that "xkn nak biar patient tu mati je walaupun xle nak wat pape, kita cuba lessen the pain"

translation : "xkn nk biar siti buat dosa je (wlaupun da tegor), kita cuba kurangkn dosa dia.."

you might get this kinda respond from the others,
"apsal nak kisah? biar je la dia buat dosa dia..kau dah tegur dia..dia nak buat gak, lantak p ar kt dia..you're just wasting your time." <-- a bit selfish there, don't you think so?

jawab ni..
"sebab dia kawan aku..and more importantly, dia saudara sesama Islam aku."

***
"Wa3tasimu bihablillahi jami3an.. wala tafarraqu"
-and hold fast to the rope of Allah and be not divided amongst yourselves-
Qur'an 3:103
as Islam requires Muslims to be united together and warns against division

ni just opinion aku.betul ke salah, i oso donno. if ada yang nak tegur aku, sila.aku lagi suka =) ingat, kalu nak tegur tu, tegur leklok.
sorry juga kalau ade sape2 terasa ~

someone once told me..

you can never make a change if you go around "takleh buat ni! takleh buat tu!"
UNLESS..
you say it nicely and in an appropriate and polite way..

contoh eh..

scene A
"siti!! ko jangan wat menda tu!! haram la!! kau tak menda tu haram!! apsal ko buat lagi!!" (dgn tone yang sgt marah)

scene B
"siti.. you're my dearest fren~ and aku rs kau pon tau kan kapel tu xde baiknye.. pape aku cakap ni kau ble tolak or terima~ and aku takleh nak paksa kau sbb sape la aku ni kan~ i'm not ur mom or ur dad..but i'm your friend.. and i'm saying this because i care about you.. and aku tamo tengok ko menyesal 1 hari nnti~" (dgn tone yang sangat lembut)

you might make a change there.
rather than scolding and fighting and eventually that person will start talking behind the 'other' person's back (mengumpat yang dosa nye lebih teruk dari makan daging sedara sndiri)..

response scene A
"wei ko tau x..housemate aku tu.. siot tol.. ade ke dia cakap kat aku yang menda tu haram bla3. ade ke fatwa cakap menda tu haram?? bodo tol la dia tu.. sape dia nak cakap camtu kat aku? dia ingat dia tu mak aku ke?" (sambil mengata sambil bertambah dosanye)


response scene B
"hurm.. aku rs.. betul jugak ape yg dia cakap tu.. mmg betul menda tu xde baiknye.."

jom try nasihat dgn cara yg betol n berhikmah~
and terimalah nasihat orang tu kalau kita sendiri tau apa yg diorang cuba cakap tu adalah yang benar..

orang lain2, opinion pon lain2.
tapi utk buat any decision, ask yourself this question "adakah kita buat ni sebab nafsu/keinginan sendiri or kerana Allah?"

kita semua dah besar matang..
kadang2 kita tatau pun tu sebenarnya bisikan syaitan..

try la bergaul both side. put yourself in his/her shoes.

then we can see ape sebenarnye core problem.

wallahu ta3ala a3lam.

DARE to be Different

when you try something different.. they'll be some pros and cons.
1. some people might accept it well.
or
2. some people might give irrelevant immature comments.

and when everyone else starts to do that 'something different', no. 2 dah tak bising.. nape ek?

dont be afraid of trying something different

(unless menda tu mmg sah2 melanggar hukum Allah)