So today is the first day of my GP placement. I always thought working as a GP would mean more relax time, coffee/tea time and less patients. But, today it proved me wrong! Let me brief you about the place first. I have my placement at New Croft Surgery in Horsforth, about 30 minutes bus ride from Burley Road Woodsley Road bus stop. As I arrived, I reported to Gill Robinson at the reception. 

It was a bit hectic this morning. They were short of staff because one of them went off day because of DVT and the other one; I'm not sure. hehe. Ok. So, to fulfill the learning point of having to understand other jobs in GP practice, I spent all morning with the receptionist. It was awful lot of works on the front desk. I never knew they have to do many tasks at once such as answering phone calls , booking slots for patients, checking-in patients, giving out prescription notes, answering GP requests etc etc. Really no time to breathe, and I'm impressed with the receptionist's ability to talk non-stop everyday. It would be  really tiring if it was me though. I even hated to talk that much.

In my late morning session, I went to home-visit with Dr Bolton. We visited three patients at three different houses. One of them was a Cambridge Professor, dalam hati "waah, pandai gile patient ni". huhu. And he have stroke with some heart problem. He suspected that he has Basal Cell Carcinoma on his face. And bila check, it might not be cancer. It was sebarrhoeic keratosis. A benign growth of blocked sebum due to old age. It is not cancerous. So, the doctor doesn't prescribe anything for the patient. The other patient, with lots of antiques in her house, had Atrial Fibrillation (A-Fib), was presented with diarrhoea. She was just on A-fib medication so the doctor think that the diarrhoea was a side-effect of her medication. Therefore, Dr Bolton cut off some medication, which are Ramipril and can't remember the other one. During examination, he asked me to feel for A-fib pulse. I was honored to do so and I'm very suprised with the erreticness of the patient's pulse. I was seriously irregularly irregular! haha. Siyes like siyesly. Later, we went visit a patient with stiff neck and shoulder. She was a nurse and she thinks she has polymyalgia rheumatica (PMR). Dalam hati, "hebat lah patient2 ni..sumenye diorang tau da." So, the doctor took some blood for the blood test. Oh I forgot to mention, well actually, the patient offered me to take blood from her, but I was like, "sorry. it's my first day. Maybe next time". And at that moment, I regretted my action. haha. Patut buat je!

Then, I've been asked to sit with him during patients' consultation session. Alright. The first patient has cough, both sides bronchiectasis, green sputum, asthma on blue inhaler, and tightness across chest pain. Dr Bolton prescribed her with antibiotic - tetracyclin. The second one, has spider naevi on her chest. She's afraid her rodent ulcer, a type of BCC on her leg, might had spread to chest. But the doctor asked her not to worry. The next person is a bit complicated though. She is going to have heart operation on december, mitral valve operation. The doctor offered me to hear her murmur, a mitral regurgitation murmur, and it was unbelievable a loud murmur! yeaay. First time hearing a murmur, all this while dengar at youtube je. haha. She also seems to be a bit happier than before, according to Dr Bolton lah. I thought it might be because of steroid side-effects, but he said it's more likely to be due to alendronic acid, a biphosphate drug's, side effects. It is a drug for osteoporosis. By the way, she was on steroid because of her Polymyalgia Rheumatica. It was prednisolone. The next patient pulak presented with Bell's Palsy. It's interesting though, but I have to revise back my neuro thingy. haha Lupa banyak jugak. I can just answered doctor's question regarding the nerve and motor neuron involved. I have forgotten the neuro exams.

So, that's all for today. Ade lagi other patients, but I can't really remember. huhu. Hope, Allah will help me. It is really a tiring day. Penatnye keje 12 hours a day. phew phew. k bye

31st October 2011

PMS. Kalau kat UK ni, PMS memang femes lah. Daripada Pre-menstrual syndrome sampailah Perhimpunan Musim Sejuk IKRAM. Tapi untuk entry ni, nak cite pasal syndrome2 piyed (period) lah. Seperti yang semua sedia maklum, piyed ni takdak la kat laki. Why? Because lelaki takde ovaries, derang ade penis. opps! macam dah makin lucah dah entry ni. ok2. Back to the point.

Actually, saya ni nak cite pasal petanda-petanda piyed (PMS). Dalam banyak-banyak petanda tu, saya nak pilih satu je. Untuk kamu-kamu kaum hawa, ada tak yang selalu sakit-sakit perut (abdomen) semasa atau sebelum piyed? In other words, nama die period pain lah. Kalau saya personally, saya memang jenis yang period pain. Setiap bulan merana guling guling masuk bawah katil dalam bathtub dan dapur menunggu air masak sebab sakit. Saya tak suke period pain. Sebab ianya memang sangat sakit! oklah. Mungkin berbeza untuk semua orang. Kalau pakai SOCRATES, S for severity tu, memang saya letak 8 over 10 la. Untuk orang lain, mungkin letak 4 je over 10. huhu

Saya pun penah dengar orang cakap, period pain ni takdelah sakit sangat. Tapi saya kadang-kadang menyampah tak gemar dengan orang yang buat statement camni. Selalunya mereka yang cakap ni bukan ada pengalaman pun period pain. Sebab tu dia taktau camne sakitnya.  Dahlah tengah emo-emo period ni kan. Dia nak menafikan lak kesakitan orang yang period pain, macam saya. Ni bukan ditujukan kepada mana-mana pihak ye. Ni hanyalah contoh. hehe. 

So, macam mana nak manage pain ni ye? Untuk saya, macam-macam cara dah saya try. Daripada letak air panas dalam hot water bottle sampai lah ke makan mefenamic acid aka pain killer untuk menyahkan kesakitan itu. Yang berkesan dengan jayanya untuk saya hanyalah pain killer. huhu. Tu pun ambil masa dalam 2 jam jugak baru nak take effect. haiyo. Lambat kan. Dah kena marah dah sebab ambik pain killer everytime piyed. Saya pun risau jugak, tapi after consult dengan doctor, sebenarnya, it is not that bad. Makan setakat 4-5 biji sebulan would do not much harm. Kalau ikutkan saya, memang saya hentam je asalkan kurang sakit dan tak ganggu perjalanan hidup ku yang haru-biru ini. Cuma, yelah, asyik kena tahan telinga je orang nasihat tak elok makan lah, tahan je lah sakit tu belum beranak lagi... haih... internal conflict tau dak. 

Lastly, saya buat kesimpulan. Saya makan jugak! wahaha. Tu pun if saya betul-betul tak tahan la. Bila dah asyik ponteng kelas je sbb tak tahan sakit, memang tak bagus la kan. Tak kan setiap bulan pun nak cuti-cuti Malaysia. haha. Macam pelajar terbaik SPM lak semangat sangat nak gi kelas. Bagi saya, banyak lagi pun cara yang boleh harm badan kita, macam buah pinggang, bukan setakat makan pain killer je. hehehuhuhuhihihi..

Oklah. Dah habis dah emo pasal period pain. Nak sambung guling dalam duvet. Babai

xx

pengajian histology dan cincin :p

decor di pintu masuk

duduk sementara tunggu buffet dinner siap

gambar intro

first meal. amek skit je dulu. skit ke tu? 

Red hot. Bunge atas meje pun nak kaler merah

mango yogurt

Condense caramel mousse 

sushi

fried prawn and calamari

Muke orang lapar

Dapat belon terbang :)

dan bunge

ni meal ke berapa tak ingat dah

dapat cake surprise from the restaurant. terkejut jugak lah. huhu

thank u red hot buffet

Tu tajuk di atas tu semata-mata dibuat untuk ingat diri sendiri bahawasanya saya dah bertunang, bukan olok-olok macam main kawen-kawen tu ye. Ni memang sah nye tunang. Disebabkan saya ni dah makin hebat lupa benda-benda, patutlah jugak kot saye buat entry ringkas pasal hari engagement sy yang dah berlalu 3 bulan tu. hew hew

Daripada saya merepek je bek saya letak skit-skit lah kot gmbar-gambar di hari kejadian. Ni sume gambar adik-adik kesayanganku yang amek ni. Nampak pro sungguh kan. Tak perlu dah nak hire photographer. eceh. Bajet puji adik. Padahal dah kene jerit dah dgn along "tu salah tu. setting salah tu. jangan gune flash!!" oh sungguh tak sopan. tapi ye la. adik beradik bukan mmg gitu ke. ahaks. Yang penting majlis yang sangat ringkas ni selamat lah diadakan. Cincin pun dah kat jari.

Ni gmbar sebelum orang serbu rumah

Ni angkatan keluarga belah lelaki

Cium tangan sikit hihi

Dengan adik beradikku muahxx

Cincin utk cik abang

peace

my favourite foodss nyum. habis kenduri terus belasah lauk

Harapnye, hubungan kami selamat tanpa bencana taufan katrina atau salmah. Meskipun kami selalu bertengkar macam anjing dan kucing (saya kucing comel, dia comel gak :p), tapi kami selalu je baik-baik lepas tu. Hobi kami memang nak cari sape pemenang pertama dalam setiap benda. Masalah sungguh kan. Ok2. Tu je. Yang penting, kami bahagia. kiki

Sekian sahaja. Post ini didedikasikan kepada diri sendiri sempena masuknya umurku yang ke 22 (sekarang pukul 12am kat Malaysia, tapi 5pm kat UK). So kira waktu Malaysia la. Thank you mama for everything. For sume-sume ni. Walaupun mama sangat letih kerana terpaksa keluar setiap petang dengan efi untuk siapkan majlis ni, tapi mama buat jugak. oh terharuu. Disebabkan tu, efi sangat suka majlis tunang efi. hehe

Happy birthday to me :)

efi xxx

link gambar hantaran

We managed to visit Pompei! hehe. Tak ramai pun yang datang tengok pompei bila visit Italy sebab Pompei ni agak jauh jugak. We took train from Rome and duration dia about 3 hours rasanye. However, compared to all cities, Pompeilah city yang paling murah! paling banyak makanan halal! paling sedap makanan halal dijumpai! hehe. Lodging pun murah. 

Pompei famous dengan tinggalan bandar terancangnya suatu masa dahulu yang kini habis tinggal sisa-sisa selepas selamat diliputi lava gunung berapi. Ada sesetengah source yang kata, kaum manusia yang duduk kat Pompei ni dulu macam kaum Nabi Lut yang gemar homoseks ni. Sebab Tuhan murka lah bandar diorang habis terbakar dek lava yang panas membara tu. 

Bukti tambahan yang menyebabkan orang-orang dan angin-angin kata macam tu ialah sebab terjumpanya banyak mayat manusia yang sudah mengeras >> jadi seolah-olah patung, dalam keadaan mereka sedang melakukan tuuut (perbuatan tulah) antara kaum sejenis. Wallahualam. Tapi tak dinafikan, kota ni banyak gak lucah-lucah dia. Kat dinding-dinding rumah pelacur semua ada ukiran/lukisan lelaki and perempuan dalam posisi yang mencurigakan. eheh. 

Jom tengok gambar-gambar kami yang berjaya ditangkap. Btw, harga masuk tempat ni 18 Euro tapi kami masuk free. Almaklumlah kami ni termasuk warga bertuah yang dapat semua entry free ke semua tempat-tempat bersejarah Italy. hehe Jangan jeles. Banyak da kami jimat ^.^