reflection of the day~

الانشراح

Surah Al Inshirah atau Surat Alam Nasyrah adalah surat ke-94 dalam Al Qur'an. Surat ini terdiri atas 8 ayat dan termasuk golongan surat-surat Makkiyah serta diturunkan sesudah surat Adh Dhuhaa. Nama Alam Nasyrah diambil dari kata Alam Nasyrah yang terdapat pada ayat pertama, yang berarti: bukankah Kami telah melapangkan.

1. Bukankah Kami telah melapangkan bagimu: dadamu (Wahai Muhammad serta mengisinya Dengan iman dan hidayah petunjuk) ?

2. Dan Kami telah meringankan daripadamu: bebanmu (menyiarkan Islam) -

3. yang memberati tanggunganmu, (dengan memberikan berbagai kemudahan Dalam melaksanakannya)?

4. Dan Kami telah meninggikan bagimu: sebutan namamu (dengan mengurniakan pangkat Nabi dan berbagai kemuliaan)?

5. Oleh itu, maka (tetapkanlah kepercayaanmu) Bahawa Sesungguhnya tiap-tiap kesukaran disertai kemudahan,

6. (sekali lagi ditegaskan): Bahawa Sesungguhnya tiap-tiap kesukaran disertai kemudahan.

7. Kemudian apabila Engkau telah selesai (daripada sesuatu amal Soleh), maka bersungguh-sungguhlah Engkau berusaha (mengerjakan amal soleh yang lain),

8. Dan kepada Tuhanmu sahaja hendaklah Engkau memohon (Apa yang Engkau gemar dan ingini).

have really good experience today..

6.30am in the went to ward..

as usual..blood taking,inserting branula,clerking patient,examine patient

then follow ward round..learnt how to manage prolonged menses in 14 years old lady

after that went to menopausal clinic

really love that session with Prof Dr Nik

at first i'm feeling scared to join

but when the clinic started,i really enjoy..

learn about HRT and menopause

make me understand more

then i had teaching with my supervisor

got palpitation..haha..becoz thinking what he would ask me..

expected..he will ask very basic question

LIE - relation of long axis of fetus to the long axis of mother's uterus

PRESENTATION - part of fetus which occupies the lower pole of uterus/pelvic brim

ATTITUDE - relationship of its different parts to each other

POSITION - relationship of denominator of presenting part to the mother's pelvis. If vertex,denominator is occiput.

ENGAGEMENT - descent of biparietal diameter through the pelvic brim

the next question is everything about forceps delivery

Full dilatation of cervix

OA/OP position

Rupture of membrane

Catherterization / exclude CPD

Episiotomy

Pain killer - epidural / pudendal nerve block

Skills/ supervision/sterile procedure

remember this pnemonic..at least it will help u..hehe

the next question is regarding counseling session regarding mode of delivery in patient with one previous scar..next time i will share..hehe

today really makes me feels confident..

hopefully this spirit will be long lasting..

so, get ready for tomorrow OT..make sure u know anatomy well ^_^

semoga Allah mempermudahkan segala urusanmu..

setiap satu kesusahan pasti akan ada kesenangan..

Anhedonia..

i dunno why..

lately i felt really difficult to start study..

blurrrr...

looks like no guide..

and i dun feel the need to study..

owwhh..this is so bad..

why should i feel this?

i should think positively..

or should i go out?

i felt like trapping in this place..

i can't focus on my study..

although this is more relaxing week..

i still felt my life is miserable..

everyday need to get ready to be scolded..

although i already prepared mentally..

i still felt down after being scolded..

then i need time to recover again..

same cycle goes on everyday..

but,i love yesterday session..

specialist ward round with dr suraya..

i already felt that she will pick me for short case..

yeah..it's true..

A 28 years old lady primigravida at 33 weeks POA with contraction pain and per vaginal bleeding..plz examine her abdomen..

i'm glad that dr nasir advice makes my examination smoother..

but dr suraya ask me..

"can u feel the baby if u palpating like that?"

with full of confidence..i answered "yes"

yeah..it looks like i'm doing very light palpation..

but i really can feel it..

i present my finding to her..

then she examine the patient to confirm my finding..

it is correct!!!!

i'm glad..

becoz of that thing,

i can wipe off everything that happened in the morning..

at least there is something that make me feel i'm not that bad..

during discussion,i'm also glad that i can answer some of her question..

thanks to orange ward during my 3rd year..

i learnt so many thing during grand ward round..

and the more happy things,

i can remember it well till now..

thanks so much prof zaleha,prof azlin,prof paul and dr amelia..

i love orange team very well..

what i learnt today??

this is my 3rd week of O&G..

it is more relaxing..

since there is no workshop or tutorial

i just came back from ogac..

i was oncall..

although nothing much that i can do there..

still..

i'm very tired..

keep having dehydration..

at this moment..

i felt more confident doing venepuncture..

that's why people always say practice makes perfect..

the only thing that i'm not really confident is iv cannula..

however...i still need to try..

but i'm scared of failure..

but..if u never do it..

u won't know..

i met patient with mitral regurgitation and tricuspid regurgitation..

well..i should admit that i dun really know how to appreciate it..

the only murmur that i can recognize is pansystolic murmur..

hopefull during internal medicine posting i can learn more

then i met patient with pill-rolling tremor..

the 1st thing came into my mind..

parkinson's disease..

again..this should be a good revision for me..

yesterday in clinic..

i clerked one patient..

complaint of abdominal pain..

since i less often clerking gynae case compared to obstetric..

i stuck..i dun know what to ask..

but,during presenting the case..

doctor teach me that i need to consider other causes since she had hysterectomy before..

most likely abdominal pain came from other causes not only O&G

di saat aku stress..

currently aku posting O&G..

entah mengapa terasa begitu stress

bagaikan xcukup rehat..

aku terasa sudah burn out..

setiap pulang dari wad,

perasaaan yang muncul adalah aku xmahu study di bilik

aku mahu tido..

penat datang bertimpa-timpa..

penat untuk hari ini masih tidak hilang..

ditambah pula dengan penat esok hari..

aku penat..

di fikiranku hanya ada perkataan tido..

terasa begitu banyak xrevise lg..

bilateral tubal ligation..

puerpural pyrexia..

fetal distress..

meconium stained liquor..

trial of scar..

late antenatal booking..

uterus larger than date..

augmentation of labour..

wound dehiscence

rupenya baru ku sedari..

begitu banyak benda yang boleh dipelajari hanya daripada satu case..

ya Allah..semoga Kau terus memberi aku kekuatan..

sesungguhnya aku lemah tanpaMu..