It's invalid to you but valid to me

Like I mentioned before,in medicine ,nothing is impossible.As long as you can reason out how it happens,then everyone will "Aaaaaa..","Ooooo..." eventhough it was INVALID for them before!

It was what happened to me today!
I kept argued with my colleague about the diagnosis in PBL trigger this morning.
"It's hemorrhagic stroke,right?"I was kindly asking.
"But I think this patient suffered from ishemic stroke.85% of stroke patients are having ischemic stroke rather than hemorrhagic stroke which contributed only 15%."

Nodded,yup agree!No doubt.Then,I gave her my points.
"The patient has been diagnosed with hypertension several years ago and not compliance with the anti-hypertensive drugs.So,this might be the risk factor for having stroke."

"But,hypertension can also lead to ischemic stroke by forming the atherosclerosis."

"Ya.But most of them will develop hemorrhagic stroke.How?The vessels can't stand the high blood pressure,then it will burst.Second is that,other that hemiplagia and slurred speech(which is the common presentation for both type of strokes),the patient also suffered from headache and vomiting.Normally,when headache and vomiting come together,it is most likely due to increase in intracranial pressure.So,here we can say that when the vessel burst,it will cause hemorrhage whether in cerebral,subarachnoid or ventricular system.Then,intracranial pressure increase,leads to headache and also vomiting."

"Ishemic stroke also can cause headache,right?"

"Yup,but not with vomiting.Headache in ischemic stroke is more due to reduced in blood supply to the brain secondary to occlusion of the blood vessels by atherosclerosis."

Then,when Dr came in and started giving the second trigger,we smiled looking at what was stated there.CT scan : Hemorrhage in the left internal capsule.......

There you are!
Invalid to you but valid to me!

Live as if you were to die tomorrow
Learn as if you were to live forever

New quotes for today

DISEASES DO NOT READ BOOKS
[so don't expect if patient comes with a particular disease,he or she should have all the signs and symptoms as mentioned in the books]


IN MEDICINE,NOTHING IS IMPOSSIBLE
[everything could be possible if you can reason it out]

Conversation with 5 yrs old boy

"Kalau Su Nana nak kereta,Su Nana kena kawen dulu"
Kenapa?
"Sebab nanti Nabil nak hadiahkan Su Nana kereta"
Iye?Kereta apa?
"Kereta Vios!Hmmm...Su Nana nak kaler apa??"
Kaler kelabu,boleh?
"Boleh.Ok,nanti Nabil belikan yer"
Tapi,kalau tak kawen tak boleh ker?
"Tak boleh.Su Nana kena kawen dulu,baru Nabil hadiahkan kereta"
Owh,ok.Tapi Nabil ada duit ker?
"Tak ada"
Habis tu,macam mana nk hadiahkan Su Nana kereta tu?
"Hmmm...ntahla"
Lorh............................................................(@_@)

CFCS 3rd residency

Mungkin residency kali ini adalah yang paling mencabar.Intervensi!!Maknanya kami kena buat program untuk penduduk kampung berdasarkan community diagnosis kami dan kami sendiri tidak pasti sebenarnya tentang sambutan yang akan diberikan.Tapi Alhamdulillah Allah Maha Mendengar.Dia permudahkan urusan kami sehingga ke akhirnya.5 hari di Kg Beta Hilir,macam2 rasa ada!Dari yang positif hinggalah kepada yang negatif.Teruja,gembira,enjoy,gelak2,marah,geram,bengang etc2.Kami pernah bermasam muka.Juga pernah meninggikan suara.Tapi itu tak lama.Semuanya akan kembali seperti sedia kala.Ibarat air dicincang tak akan putus.Ada PBLmate aku sorang ni cakap,"Best r dapat korang jadi satu PBL.Sengal,Satu kepala semuanya."

Aku belajar banyak benda kali ni.Macam2 ragam diorang ni yang aku jumpa.Ada yang jenis suka bergurau tapi kadang2 gurauan tu menyakitkan hati.Sampaikan ada yang makan dalam.Dan ada yang menangis.Bila diorang menangis,mata aku ni pulak akan mengada2 nak merah dan akhirnya air mata aku pun tumpah jua .Aku memang tak boleh tgk kawan menangis.Apatah lagi kawan tu dah lama aku kenal dan aku boleh faham perasaan dia walaupun x sepenuhnya.

Ada juga yang jenis tajam kata2.Kalau dah marah,uisyyyy...boleh berasap telinga dengar ceramah tak berbayar daripada dia.Lebih2 lagi kalau bab masa.Dan bila sampai bab ni,akulah yang selalu jadi mangsa sebab selalu lambat.Kadang2 bengang jugak,tapi memang salah aku pun.So,diam jer lah.Kepada semua ahli kumpulan aku,PBL 17 yang terdiri daripada 13 orang,aku mintak maaf banyak2 sebab lambat sehingga mengganggu kelancaran program.Aku mengaku aku salah.Aku bukan sengaja dan aku akan sentiasa cuba untuk baiki okeh?

Ada jugak yang senang merajuk atau terasa hati.Ada jugak yang jenis banyak mulut.Konklusinya,macam2 la.Dan inilah sebenarnya warna2 kehidupan.eceeece....Tanpa perangai2 yang ada ni,suramlah hidup.At least there is something that can trigger all the feeling centers in our soul,right?Tak delah dull sgt nanti kan kan?

Tentang keluarga angkat,aku sgt2 berterima kasih kepada keluarga Pak Cik Hashim,Mak Cik Yah,Kak Ti dan Iqah sebab terima kami.Sungguh2 terharu.Tolong jangan baik sangat.Kang dah nangis dah tadi masa nak balik..

And that's all.Nanti kalau aku rajin,aku upload lah gambar.Banyak wooo....DSLR Hai Feng saja dah 800++!!HoHooo~So,babai...c u