Nuffnanger :-)

Thursday, December 31, 2009

Top 5 Biggest Constellation???

 I am always interested in Astronomy....hehe. I bought a book to study about stars and constellation!!


The real number of constellation is actually 88, not 12. They are even be positioned according to their sizes.U want to know what are the top 5 biggest constellation?

No.1: Hydra (The Water Snake)










No.2: Virgo (The Maiden)














No.3: Ursa Major (The Great Bear)













No.4: Cetus (The Whale)















No.5: Hercules (Hercules)

3rd Day of Posting

Today I reached clinic later than the day before, I called the nurse to ask her to inform the doctor that I was stucked in traffic jam, lol! Lucky me! Hmm...2day saw 32 cases in the morning and 14 cases in the evening. I went out to have brief history taking session with 2 patients before the doctor come,lol. Today the doctor used a lot of equipments including ultrasound for fibroid scanning, ECG to detect any heart abnormalities, nebuliser for asthma aggravated by URTI case, stitching and nail removing for accident case, attempt to remove foreign body which entered the eye. Hehe....so many different cases today....tomorrow is my last day of posting....lalala, will miss the time of learning with doctors and nurses, but not the fact that I have to wake up early! :-(

Wednesday, December 30, 2009

2nd Day of Posting

Reached clinic at about 8.10am, hehe, the doctor just reached a while before me. Today there were 30 cases in the morning and 15 cases in the afternoon. A lot of familiar faces today because there were few same people who were coming back for follow up. This includes an old woman the day before who has to come back to change her dressing. A lot of medical check up tests today. And I saw 2 familiar faces-Sebuyau people today. Heard from them that there are dengue/ chikungunya outbreak in Sebuyau right now. Now the fogging activity is carried out in Sebuyau. And today managed to ask the family history from a patient with hypertension. Visited the dispensary counter with all the drugs, forgot all my pharmacology knowledge already, haih........

p/s: 2 more days to go..........and 2009 also 2 more days to be gone!!!

      I am wishing 2010 will be a great year for me, u, and everyone!!!!!

     I will be going back to Sebuyau on 1/1/2010, but before that must have a party at home (New Year's Eve) with family!!!!

Monday, December 28, 2009

1st Day of GP Posting

Sem 4 GP Posting has just started. I am now doing mine at Asia Clinic, Jalan Pandungan. I am indeed very lucky again to get such a good doctor, Dr. Robert Kho. He graduated his MBBS from Singapore and specialized his Geriatric qualification from Australia. The clinic operates from 8am to 12pm for the morning session and 2pm to 4.30pm for the evening session. I thought the clinic starts at 8.30pm and I was late on the first day, aiyo, bad impression! I observed 27 cases in the morning and 19 cases in the evening. The cases included common illnesses like cough, fever, immunization, leg pain and mostly medical check up for those who wanted to pursue their studies overseas in New Zealand or Australia. There was an old woman with a lump (granulation tissues) interlinked with broken toe nail. She is indeed a happy old woman I have seen, very interesting. She still can be so optimistic over the growth of lump on her toe. Dr. Kho injected local anesthesia at 4 points at lateral sides of the toe (2 on each side). I saw she hold the pain when the needle being poked in, she still can be so tough. Hmm...good good. Finally, the nail(foreign body which is an ideal place for the bacteria to grow, according to the Dr.) had been removed and the granulation tissue was also being cut off. She was so thankful after the simple procedure the doctor had done, :-)

Me: Dr, what was the most unique/special case you have seen in here?
Dr: Every case is special! They are all different.
Me: Wow....(I say this in my heart)

The doctor I am following now is very good, kind. He explained well and treated every patients very good. This could be proved when 1 of the old patient purposely came to give him fried kueh tiaw (if I didn't see wrongly) and few patients told me that he is a very good doctor. Hmm....I want to be like him...I feel very noob as his student now,lol!

p/s: Ah Gong choked during lunch time, it gave me a fright, luckily he was alright after that.
      Went to fun fair with Lee Juin, Jenny, Char Sing, Jason and Kang Jie at night, spent RM14 while Kang Jie spent RM16,not worth it to play all the mini games,lalala...but Tacada is super fun!! Hehe, but regret that my record of video on it was not saved, aiyo. The break dancer was so so great, he could stabilize himself on the spinning wheel and dance with the music, how I wish I could dance like him:-(

Friday, December 25, 2009

Merry Christmas!!!!

Today is Christmas Day!!!!!! Happy Merry Xmas to everyone!!



So how did I celebrate my Christmas Eve??
Hmm....there was a Christmas Potluck Party in my house...
Hehe, btw, only 7 people came...
We had a very great dinner...
Fried rice, nuggets, sausages, french fries, fried kueh tiaw, pao, longan 7-up...
There was Christmas Present Exchange too...
Hehe, I got an optical mouse as exchange with my penguin mini fan.

p/s: My parents and relatives are coming back to Kuching later 2day...
      We are going for family trip 3 days 2 night-Sematan, wohoo!!! Will not be updating my blog till I come   back!
      My bro bought a Nokia N97....damn cool..how I wish to have 1 too,lol!

Thursday, December 24, 2009

23 Dec 2009

I watched movies on pps---Jennifer's Body & Zombieland just now.

Jennifer's body is ok, great to see the pretty actress, hehe!
Zombieland is hopeless man, not nice though some part is funny...well, I thought it will be nice :-(

Did nothing today, basically just sit at home and watch movies,lol!


2moro will organize some sort of Potluck and Present Exchange Christmas celebration at my house!
Hopefully more people will turn up!

Well, and Christmas Day, maybe will go Sematan with family, wohoo!!! Anticipating for it!!!!

Aiyoyo, GP Posting is going to start soon, and I have forgotten my stuff, should faster revise and be smart, sien, yet I am still doing nothing but only sleep, eat, watch, play, enjoy.....holiday supposed to have fun isn't it??? But I don't wanna suffer in Sem 5 le....arrgh,,,,haih....

Tuesday, December 22, 2009

....

When people have chosen their right field, they can do so well..........
But for me, I didn't do very well.....and yet my Ultimate Plan is not out...
I doubt myself, can I really do these?
Can I really be what I want to be??
I am afraid, when people ask me...I cannot answer them..
I am upset, when people is in pain, while I cannot help them.
Is it worthy for a people like me to study in this field?
I know life is short, but I still do nothing to it...
I know there is nothing/no one to be blamed,
I should just blame myself....

Monday, December 21, 2009

Life is really Unpredictable

I was told by one of my friend that his secondary friend had just passed away last night.
He is a guy with nice personality...and he is just 21...
But he just left the world without any notification and just so sudden..
Life is really short and we cannot judge what is approaching ahead of our lives??

Sigh........

And one of my friend is also involved in a car accident few days ago, luckily he is alright now...thanks God!!
He had 5-6 stitches on his head...
It just happened at that split seconds when he could not expect bad thing to happen..
And everything was just occurred and he  didn't even know bad thing had happen to him....

Sigh...

Live a simple life, be happy every moment, treasure your love ones!!!!!

Thursday, December 17, 2009

Official Holiday has just Started!!!!

Wohoo, selective exam had finished edy....finally official holiday has started now....

Summative result will be out later, haih...sien. Just hope that I can get what I want, please?? Give me what I want, ok?

Going to 1 Utama later, hmm....will need to buy few stuff/ presents.....don't know what should I buy, and plus I have not much money left already.....I am broke...

Going back Kuching on 19 Dec, hehe, my grandpa's birthday!!!!! So excited, wakaka!!!

20 Dec...Party at Delon's house!!

Then 22 Dec.....Xiao Yaw's birthday celebration!!!!

28-31 Dec....GP Posting in Asia's Clinic!!!!

Should really plan well for my holiday......must not be wasted like every holidays I had....

An Ultimate Plan is coming up soon!!!!

Monday, December 14, 2009

Genting Trip....Casino!!! Woot!!!

Yesterday was indeed a very tiring day but it was quite fun. Went up to Genting with a bunch of friends (7 people)-Me, YH, Natasha, Jamie, Han Hong, Matt & Kar Mun. We departed from Vista at around 9.30am, then reached KL Sentral at about 11am, told that the bus service already full and the next bus scheduled at 2pm, shit. Have to take 2 taxis up to Genting. Managed to get RM90 for each cab after much tolak-menawar (actually we have no objection towards the prices of RM95, but we just wanted to get some snacks before heading off, the person thought that we wanted to reject the offer, he straight away said he will give RM90,lol! We stopped half way to buy doughnut and to eat lunch. So, why go Genting this time??? Haha, of course is to enter the Casino, finally!!! I have waited for so long and now I am officially 21, hehe. But before that we went for the outdoor theme park first. It's RM44 per entry, and we managed to play 4 games only (Pirate Ship, Roller Coaster, Karts and Space Shot), yet they are exciting. 2 of them are quite thrilling. Havnt tried Roller Coaster since long time edy and it's now I step up onto the roller coaster. Some more this time I sat alone, told myself that it is not that scary, and after boarded, it was not that scary though, hehe! Space Shot is another 1, before try it, I feel damn afraid while looking at others playing it, then when reached my turn, wow...scary, went up to the top, count down 12 seconds, then woosh!!! The space shot suddenly drop down, and I can't feel my butt sitting on the chair,lol, but the feeling is quite fun, haha! Played some mini games and won a small seahorse, Han hong won a big Teddy Bear after spent RM70,hmm.... After theme park, we went to Casino, first time walking in the Casino, feel damn noob and dont know a lot of games, made a Genting card and played slot machine in the end and my gamble luck is really not good, lost RM10 (haha, luckily didn't play much though. If play more I think will lose more), Han Hong won back his money, geng! Had dinner at Marry Brown and boarded a bus back to Titiwangsa LRT station,RM6.60 per way. Damn nauseated when heading back coz Jamie and me are the only ones who sit facing backwards,lol! Damn headache...reached home feeling so tired but have to complete my stuff until 3am....havnt done yet though...lol!


Monday

FRIM visit was just a bit crap, nothing much.....all the meetings canceled, thanks God!

2moro will go sing K and watch The Princess and the frog at Sunway, hehe....

Saturday, December 12, 2009

Blackout?

I was sleeping soundly and didn't know why I woke up suddenly, surrounding was covered in dark.....no electricity, no light, no wind...It was super hot, I tried to calm myself and wanted to sleep back but I failed...

No one wanted to stay in dark, everybody went out, left me alone at home...

Went out to check the main switch, pushed it up, it worked!!!

Relief....hooray, went back into sleep peacefully...

Friday, December 11, 2009

Kuching here i come....

Time flies....
Selective almost comes to its end...
Next week is assessment week....
Visit report, Video, Poster, Written exam....
After that holiday
Yeah..
And I will be back to Kuching, here I come!!!!


Watched Storm Warrior II just now. Well, feel that it is not as nice as the first 1....
Should settle everything before I head back...

Thursday, December 10, 2009

Woot, Products from Philippine

My friends came back from Philippine today and they brought me the products from there, great!!!!

 
Philippine Dried Mangoes, nice!!!



Crispy Pili (Philippine's Special), my friend recommended this!!!



Haha, again, Mazapan de Pili (candy), my friend said I am a white mouse to this coz he havnt tried it b4..



Well, this is not from Philippine, just a random pic, what is it looks like for you???

Wednesday, December 9, 2009

15 Immune Boosting Foods

Elderberry

An old folk remedy, extract from these dark berries appears to block flu viruses in test tube studies. And a few small studies done in people show it may help you recover more quickly from flu. But scientists caution that further study is needed. The fruit itself is rich in antioxidants and may also have the ability to fight inflammation.

Button Mushrooms

Don't dismiss the lowly mushroom as nutrient poor: It has the mineral selenium and antioxidants. Low levels of selenium have been linked to increased risk of developing more severe flu. And the B vitamins riboflavin and niacin, found in these mushrooms, play a role in a healthy immune system. Animal studies have also shown mushrooms to have antiviral, antibacterial, and anti-tumor effects.

Acai Berry

Hawked as a "super food" along with produce like blueberries, the little acai berry's dark color signals that it is high in antioxidants called anthocyanins. While the acai is not scientifically linked to specific disease- or illness-fighting ability, antioxidants may help your body fight aging and disease. Acai berries can be found most often in juice or smoothie form, or dried and mixed with granola.


Oysters

Aphrodisiac? Immune boosters? Maybe both, thanks to the mineral zinc that's found in oysters. Low zinc levels have been associated with male infertility.  And zinc appears to have some antiviral effect, although researchers can't explain why. However, they do know it is important to several immune system tasks including healing wounds.

Watermelon

Hydrating and refreshing, ripe watermelon also has plenty of a powerful antioxidant, glutathione. Known to help strengthen the immune system so it can fight infection, glutathione is found in the red pulpy flesh near the rind.


Cabbage

This is another source of immune-strengthening glutathione. And cabbage is easy and inexpensive to find during the winter months when it's in season. Try adding cabbages of any variety (white, red, Chinese) to soups and stews to sneak in extra antioxidants and boost your meal's nutritional value.


Almonds

A handful of almonds may shore up your immune system from the effects of stress. A recommended 1/4 cup serving carries nearly 50% of the daily recommended amount of vitamin E, which helps boost the immune system. And they have riboflavin and niacin, B vitamins that may help you bounce back from the effects of stress.

Grapefruit

Grapefruits have a good amount of vitamin C. But science has yet to prove that you can easily get enough vitamin C through foods alone, without supplementation, to help treat cold and flu. However, grapefruit is packed with flavonoids -- natural chemical compounds that have been found to increase immune system activation.  Dislike grapefruits? Try oranges or tangerines.

Wheat Germ

Wheat germ is the part of a wheat seed that feeds a baby wheat plant, so it is full of nutrients. It has zinc, antioxidants, and B vitamins among other vital vitamins and minerals. Wheat germ also offers a good mix of fiber, protein, and some good fat. Substitute wheat germ for part of the regular flour called for in baked goods and other recipes.

Low-Fat Yogurt

A daily cup may reduce your chances of getting a cold.  Look for labels listing "live and active cultures." Some researchers believe they may stimulate your immune system to fight disease. Also look for vitamin D. Recent studies have found a link between low vitamin D levels and an increased risk of cold and flu.

Garlic

Garlic offers several antioxidants that battle immune system invaders. Among garlic's targets are H. pylori, the bacteria associated with some ulcers and stomach cancer. Cooking tip: Peel, chop and let sit 15 to 20 minutes before cooking to activate immune-boosting enzymes.


Spinach

Known as a "super food," spinach is nutrient-rich.  It has folate, which helps your body produce new cells and repair DNA. And it boasts fiber, antioxidants, such as vitamin C, and more. Eat spinach raw or lightly cooked to get the most benefit.


Tea

Green or black? Both are loaded with disease-fighting polyphenols and flavonoids. These antioxidants seek out cell-damaging free radicals and destroy them. Caffeinated and decaf work equally well.


Sweet Potato

Like carrots, sweet potatoes have the antioxidant beta-carotene, which mops up damaging free radicals. Sweet potatoes also boast vitamin A, which is linked to slowing the aging process and may reduce the risk of some cancers.

Broccoli

Easy to find at the grocery store and incorporate into meals, broccoli is an immune-boosting basic. One study reported a chemical in broccoli helped stimulate the immune systems of mice. Plus, it's full of nutrients that protect your body from damage.  It has vitamins A, vitamin C, and glutathione.  Add some low-fat cheese to round out a side dish with immune-enhancing B vitamins and vitamin D.


*Taken from WebMD website









Tuesday, December 8, 2009

Haih...

Sorry, i am an emo boy, have to type something emo again....
I am really selfish, self concerned and care all about myself only,
I didn't try to care, feel the feelings of my surrounding friends,
I am really sorry if I have offended some of  you,
I should set a goal by now,
I need to start caring for everyone around me,
start to take note of every small things,
I need to care, that's all!!!
I need to CARE!!!
CARE!!!!
  • I am really confused of myself
          that I am not sure what I really want.
  • Feel that by this age I should know how to manage myself properly
          and shouldn't be lazy anymore,
           but I just couldn't do it
  •  Feel that I should have grown up
          but my thinking now is still immature
  •  Feel that I am such a failure
           compared to a lot of successful people out there

           they already earned so much money

           and with so much capabilities, knowledge and principles
  •  They knew so many stuff
          and are talent in everything

          and I am just so lousy in everything...:-(

p/s: I have forgotten everything I have learnt, slap slap myself!!

Monday, December 7, 2009

Eternal Life??

New perspective of life??? Hmmm...I finally graduated from the 3 Days Dao Seminar, haha. It was indeed a very long (from 7-6.30pm everyday), hard (need to wake up at 5.30am everyday) yet very informative (17 lectures, imagine that!) plus touching (tears shake occur but not mine) experience. I learnt a lot about life from it. However I still need some time to truely seen through it.I know it is good, precise but I just need to know it more and deeper. I have make an oath to help others.....maybe I will wait for a suitable time. We all deserve to get to there, and I really want all my lovely family members, great friends and the one I love to be there. Life is not all about studying, working, earning money, enjoying!!! We should do something more meaningful!!! :-)

Sunday, December 6, 2009

Too Tired to say anything

I am really really TIRED...................

Need to wake up at 5.30am again........

Arrhhh!!!!!!!!!!!!!!!!!!!! Help me!!!!!!!!!!!!!!!!!!!!

Friday, December 4, 2009

It's a Tiring Day

Ya, I skipped my 2 selective classes, council meeting today to attend a seminar talk about Dao in Kepong. It is a 3 days seminar. Woke up at 7am and went there. Imagine we have to sit and listen to 7 talks for almost 11 hours, but there are 5 minutes break in between each talk...wah, really tired...and I can't imagine 2moro I have to wake up at 5.45am because the class will start at 7am. Hmm....and it will last until 6.30pm again, wish me luck and grant me more energy for this. Sunday is another tiring day for me....walala..

p/s: Saturday have to rush back for Daniel's Christmas Party....and I can only eat vegetarian food for these 3 days..

Thursday, December 3, 2009

Christmas Day in IMU

Today woke up at 8.30am, went to Tan Sri Abu Bakar's lecture----Quality of healthcare. Didn't really understand what he wanted to say, lol. The meaning is too deep, then second lecture is Yeoh Peng Nam---History of Traditional Chinese medicine,lol, I was just playing the snake game in my phone. Swt!  Then, makan...
after that stay for duty for 4 hours to settle the documents and reply e-mails. At night plan to watch Christmas production in school, but too tired and slept until 8pm. Lol, went to uni at about 8.40pm but the show almost finish dy..haih...

p/s: How I wish I can talk and joke like him....I am just not good in talking ><

Wednesday, December 2, 2009

Finally 2012...

Selective 2day is quite ok, learn about chiropractic and benefits of algae. Discovered there are actually so many algae products useful for anti-neoplastic purposes. Hmm....helped to count pre-matching result after class. Post graduate not much students chose, or maybe most of them just didn't put/hand in/ gave the wrong choices.. Hope I can get my 1st choice....Went to times square to Sing K at Neway, damn expensive-RM22, kena con, but included rice + drink la. Then, watched 2012, finally after 2 failed attempts to watch the movie. It was not bad, I like it but not as much as the day after 2moro. But, overall it was nice. Had BBQ Plaza as dinner. Today spent quite a lot, hmm...shouldn't go out till next week........

Monday, November 30, 2009

Selective Starts...

Today is the first day of selective. We were introduced to Complementary Medicine and were divided into groups to do different topics. I was put into Group 1. My poster topic is Aromatherapy while video presentation topic will be Popularity of Traditional Medicine in Malaysia. Second lecture is by Vijay Singh-Meditation.Lol, he started to tell his story about some super natural power......at first I stay focused to listen to his story but at the end just felt it is not that exciting, maybe the way he tells the story is just so not exciting. Had canteen meeting in the afternoon, therefore missed the Karaoke session, haih....nvm, 2moro must go to watch 2012.....

Sunday, November 29, 2009

I should take care of my teeth before everything is too late!


Flossing teeth is not easy,lol. I flossed my teeth just now for the first time, future dentist discovered that I have  wisdom teeth which will disrupt the molar teeth,hence need to be removed. Maybe I should really teake care of my teeth from now, if not more bacteria will find their way to stay on my enamel....no.....!!!

I want my teeth to be like this....


*Blink*

Saturday, November 28, 2009

Life Sucks

F*CK my life..........

Everything just so so STUPID...

Haih...haih....haih......

My life sucks like hell........

My new phone is dead.....it is dead already....

Thanks to the rain water..

Life after Summative

It's been quite a long time since I last did any exercise because was busy preparing my my exam.But today I did 2 sports in 1 day, wow.... Badminton at 10am, and basketball at 5pm,lol.....

Haih....my phone was left pouring with rain water while we were playing basketball in the rain. I have gorgotten my phone, shit, until now I still don't dare to switch it on, need to wait the water inside it to dry out first, if not short circuit will occur and my phone will die man, poor him only few days old....sien...

Went to mid valley to have dinner--Popeye is surprisingly better than KFC and McDonald, hmm....played pool with Leon and Jaeric after that.....haha...6 rounds, all of us scored 2 games....equally good...

Hope that my handphone will survive, if not really really bad....

Friday, November 27, 2009

I have Failed

O ya, I have finished my exam and I have screwed my OBA big big time,and perhaps MEQ, damn it! I have FAILED (In my own context, coz I just can't even fulfill my simple request/target) the exam officially .....

I hate exams. They just don't match my style. They just don't like me and I don't like them too.

And what is worse is that this exam contribute a lot to PMS matching too. Well, I think I have just screwed myself so so much!!

I really hate myself everytime when I work hard for something, ended up the things will not favour to me...

I think it's just my fate, perhaps?

But I shouldn't get defeated. What I can do is to go against it right?? Or should I just quit this course man?? Is it really suitable for me??

But I have decide since early already that once I chose and stepped into this path, I will  follow and do it by my best and reach the end, and that's what I am going to do...

I will work harder, for Sem 5.....I will be back....

p/s: After exam, I don't know why am I still have mood to go to watch movie "The Ninja Assasin". But it was very nice, I reckon it to everyone although it is quite an aggressive movie. Went to cyber after movie until 12.15am, well cyber is not really my style......

Thursday, November 26, 2009

Sei lo

I am going to sleep soon.............in half an hour time, haih...

Everytime I am regretted for not able to finish my studying, sien...

Really should be motivated next time to revise before everything comes and accumulates...

All the things/facts just don't want to stay in my mind, screw it....

Ok la, I think what I can do now is only HOPE....

Wednesday, November 25, 2009

Don't Stress, Be Happy

Exam is on 2moro!!!!
Stress????

Don't stress, or else????.......

Our Antibody formation is impaired

Significantly lower salivary IgA

Increased risk of mononucleosis

So how to counter all the bad effects on our immune body???

You must Share your experiences----Lymphocyte response will be increased wor..

Laugh, and laugh and laugh more---Ig increases, Increased lymphocyte count and activity.

Relaxation (Meditation/listening to soothing musics)----NK activity increases, decreased plasma stress hormones, increased T-cell effectiveness

Aerobic Exercise---NK cell, T-cells, WBC, endorphins, certain immune chemicals increase, but lymphocyte function decreases

Based on all the ways, I personally think that Laugh will be the easiest and time saving way to destress!!! Haha


So, all of you must Laugh out loudly when you are reading your notes!! Hahahahahahaha!!!!!

This is the Spirit!!!!

I managed to stay awake until 7am this morning, saw the sky slowly brighten up,the veiw of IMU with background of colourful sky really truly beautiful, hmm.....I saw Breaking of the Dawn!!!!! Cool, haven't see it for so long time already as I always wake up pass 10am,lol!



This is not the view of IMU actually, but what I saw was similar to this...hehe

Nah, I would say my late night stay up was not that productive,lol. But it was ok la, at least I tried. I went to sleep and wake up at 10.05am, continue.....go go!!!

P/s: Some of my batchmates also stay up late.....lol. Join the Stay Up Late Gang (STLG)!

Tuesday, November 24, 2009

Not Giving Up?

I am still not giving up! I am not planning to sleep 2nite, but dunno how long can I hold,I need to finish all 3 systems but it seems so impossible because after I read, few days passed and I have forgotten almost 90% of them, haih....sien sien...Last day edy before exam, so must really give it 100% hard work and commitment, please Ickes, don't dreaming anymore, you have not enough time for it edy, go go go!!!!

p/s: But I feel I will score quite bad for my this Summative, haih....just wish I don't fail it and get at least an average of all....

Monday, November 23, 2009

Endocrine Quiz Time

Tell me...
How much you know about Endocrine?


1.What is Liddle Sign?? Where can you see it??/

2.Is Micronodular Adrenal Hyperplasia ACTH dependent or independent???

3.Name 3 etiology of Secondary Hyperaldosteronism...

4.What are the 2 lesion in pituitary gland that causes Cushing's Disease??

5.Is Addisons' disease Acute or Chronic??

6.What is also known as Bronze Skin Disease?

7.What are the cells that produce catecholamine called? And where are they located at?

8.What is the treatment for Congenital Adrenal Hyperplasia in children and adult?

9.What are the two prominent features of hypoaldosteronism??

10.Will prolonged administration of Heparin causes Hyperaldosteronism??

11.What is another name for "Dusky coloured Tumour" & "10% Tumour"?




Click here for the answers...

3 more days.........

LOW SIA Yang!!!!


:-(


So many Syndromes:


Nelson Syndrome
Conn's Syndrome
Sheehan's Syndrome
Waterhouse-Friderichsen’s Syndrome 

Von-Hippel-Lindau (VHL) Syndrome

Li-Fraumeni Syndrome
Plummer Syndrome

 

.............etc

Sunday, November 22, 2009

IMU got dancers......

Video 1


Video 2


Video 3


Video 4


Video 5


Video 6


Video 7


Video 8


Video 9



Video 10





Their dances not bad right????? Which dance videos u like?? Please comment...

Where Should I Go???

Where should I go??? Any path that I choose to take will give a completely different route and a different me...
Very hesitated, confused and undecided.....

ANU??? Queensland??? UWA??? Adelaide???

Double degree, cheaper??

or

Earlier exposure to overseas, maybe a different me at overseas???

Haih.....must keep on studying and never give up for summative 4, so that I can still choose what I want to choose :-)

Saturday, November 21, 2009

I am Stupid, Useless and Stress

Why am I surrounded by Smart People??? It makes me feel like I am so inferior and stupid. Y can't I be average or better than average compared to others? I really want to succeed every time but no matter how hard I tried, all are only failure that followed, it just makes me feel that I should stop trying because my limit had already reached its max. I am stress, I am doomed, I am really useless. When people complaint that they couldn't score well, they did very well and get an A (Imagine my friend did that, I don't know whether I am happy or upset).When I complaint, it really turns out to be like a shit. I really don't know why others are more stress than me when they never get result worse than B. They just don't realize that it makes me feel even more stress and hyperventilation accompanies. Sometimes I just wish I am like others, not becoming an useless person....

p/s: I thought the theory don't compared with others, try our best, then we will be happy, but actually it's really hard to follow that after we saw what others did and their hard works paid off while mine 1 is the only one which got wasted..........

Specialty Path


 I am an insane 2nd year Medical Student who is not so hardworking. Hmm...compared light and dark, I am afraid of dark more. I like to think big in my life, so does that means that I shall pick dermatology??? Lol, what is yours???

Amenorrhea

Amenorrhea-Absence/ cessation of menstruation in excess of 6 months

Primary: Normal sexual development: No onset of menstruation by age of 16
              Abnormal sexual development: No onset of menstruation by the age of 14

Etiology:
Mayer-Rokitansky-Kuster-Hauser (Mullerian Agenesis)-Outflow tract/ and uterus disorder
Kallmann Syndrome (Hypogonadotrophic hypogonadism & anosmia-loss of smell sensation)-Hypothalamo-Pituitary Axis disorder
Turner's Syndrome (XO-chromosomal abnormalities)-Ovary disorder

Secondary: In previously menstruating women: Absence of menstruation in excess of 6 months (if cycle regular), 12 months (if known to have oligomenorrhea-reduction in frequency of menstruation (6 weeks-6 months)

Etiology:
Stein-Leventhal Syndrome-Polycystic Ovary Syndrome (PCOS)
Asherman's Syndrome- Intrauterine adhesions

Friday, November 20, 2009

Need Motivation Urgently

6 more days to Summative 4 and what am I still doing here??? Wth, I m not studying but doing some pending works which I am not supposed to do right now, siez....Just few days to exam, why don't I just study hard and score as good as I can, but I have just no motivation. Someone please save me!!!! Sigh......


p/s: Went to low yat yesterday to get a newphone-W580i, and so coincident that my mum also owns the same model, but just different colour,lol.....I dunno she has that model!!! A Mum and Son telepathy, hehe!!! :-)

Thursday, November 19, 2009

19 November 2009

Hmm...I will remember this date. It is a date that I first buried my wish under a tree.It is a day of "Meteor Rain"? It is a date that I lost my HP 5610 (Thanks to those group of Mat Rempit)...

It was a normal day for me when suddenly we felt like going to McDonald to study at midnight. Haha, wanna find people to go study together and go there by car but could'nt find. At night, I went to the park to have a walk and did a very special thing-lol, buried my wish under a tree...Hmm...really hope that my wish will come true one day...

After that, we went to Mamak Arena Green to have supper at around 1.15am. After supper,it was already 1.45am and  the dramatic scenery going to take place. YH was walking quite in front of us, Jamie and I were walking behind. Jamie and me saw there was a group of Mat Rempit opposite the road, thought that they were so "useless", knew how to race and acts dangerously only. We didn't care about them and we continued walking back to Vista. Jamie was so tired that she shut her eyes while walking, lol, wondered how she can walk like that. Then while we were walking, suddenly everything happened so fast. The group of Mat rempit stopped right beside us (There were 6 of them-3 motorcycles). I was stunned at first while my mind was still thinking why they raced until here and maybe they wanted to kacau us only, but after few seconds, suddenly I just thought of Shit, they were planning to snatch our valuables, sei lo. Jamie let out a high pitched scream and she faster threw her stuff and ran to YH while a man was chasing her (Luckily the man stopped after a while). 2 man was holding me and desperately searching for my valuables. My left hand was holding my hp very tight and one of them kept on shouting:"Bagi, bagi, bagi....." Ya, they were all Malays. According to YH, one of them is still a teenager (16/17). I suddenly conscious that I should just let go of my hp, if not maybe they will have some weapons or beat me up, so in the end I just let go my hp and they straight away jumped back onto their motorcycles and rode away. At that moment, my thought was shit, I have to make my IC one more time and my keys(SRC and house keys) , I have lost my IC 2 times already, SRC key very important, sei lo. Then after a while I checked my pocket, the keys were still there and I just recalled that I didn't bring my wallet that time, lol. I left my wallet at home, thanks god. Lol! I no need to make all the IC and stuff again.....Ya, so that was everything which happened really really fast and I didn't expect it to even happen. And it gave me a lesson or made me aware that Bukit Jalil area, especially the area between Arena Green, Savanna to Vista, is not safe anymore. So everybody must not go out in the morning (Midnight) and must always be aware of the surrounding, better with lots of people accompany. I was not injured but my pant got torn at the side only. For me, I felt that I was lucky to only lost my hp, but not my life. I thought I will be more sad than expected but surprisingly I am not that sad afterall. Hmm...I just lost all my hp contacts and my hp dictionary!!! Will get a new phone soon...........

It was an unexpected night!!!

Wednesday, November 18, 2009

Tuesday, November 17, 2009

Beauty of Sebuyau



Map of Sebuyau


The Sebuyau Mountain-Symbol of Sebuyau



Our shop is at the first shop lot of this row (Not captured)



Row of shop near the jetty




Sebuyau is a small Sarawakian coastal town. It borders Sri Aman and Simunjan in the island of Borneo. Most of its inhabitants are made up of the Malay and the Iban people. It is a place where I grew up. It is a place full of my childhood memories. I missed the Nasi Lemak there, truly appetizing yet cheap. I missed the childhood friends I have there, now most of them have lost in touch with me. I missed the old time!!!

Monday, November 16, 2009

My Lovely Granpa



This is my Granpa, haha!! (Very handsome right?) Guess how old is he edy?? I bet you can't guess his real age..

I  admire my Granpa very much. He is a determined person, following principles of his life, diligent and skillful.

 

He pasted this paper on the wall, listed out all the principles we should have in life!





All the philosophies to teach us must be filial to parents, husband and wife must be loving towards each other, aunties must treat each other well and respect each other, siblings must be loving and helping each other, trust in friends and self improvement and well-being.



Meaningful right?

Hmm, his birthday is coming soon, hehe. I will be going back on 19 Dec to celebrate his birthday, wohoo...

Sunday, November 15, 2009

Did I change?

I just don't like to be questioned about my emoness sometimes. My bad mood just suddenly come at times and I cannot resist it or rather avoid it.There is no reason behind it or sometimes rather I just don't want anyone to know about the reason.I just wish myself to be happy but it's just very hard for me to grab the happiness to myself all the time. My friend once told me that I need to learn to be bad, then I will be getting what I want. My close 1 also said to me that good people don't get treated well or got what is good in return while the opposite bad guy will live longer and succeed in their lives. Well, maybe I have changed according to my friends, I am not the innocent one anymore! I am turning bad slowly....

Thursday, November 12, 2009

Wilms Tumour

WILMS TUMOUR (WT) is the fifth most common pediatric malignancy and the most common type of renal tumor in children.It can arise sporadically, can develop in association with genetic syndromes, or can be familial.

Pathogenesis & Genetics:

WAGR Syndrome
-Associated with congenital malformations

-Wilms tumour (Those with below 3 congenital malformation always assoc with wilms tumour)
-Aniridia (Congenital absence of Iris)
-Genitourinary malformations
-Retard (Mental retardation resulted from abnormal CNS development)

-Aniridia, GU malformations, and mental retardation are usually detected in the perinatal period, and patients with these conditions require careful long-term follow-up, both because of the consequences of the congenital defects and because of the potential development of a Wilms tumor.
-The deletion of varying lengths of chromosomal material along the short arm of chromosome 11 is the underlying defect, and developmental abnormalities are related to the contiguous loss of neighboring genes.


Denys-Drash Syndrome

-rare disorder
-triad of congenital nephropathy (constant feature), wilms tumour & intersex disorders (from mutation of WT1 gene)
-clinically manifests as an early onset nephrotic syndrome and progresses to renal failure during the first 3 years of life.
-Classic presentation:pure gonadal dysgenesis with male pseudohermaphroditism


Beckwith-Wiedmann Syndrome
-Originally, Professor Wiedemann coined the term EMG syndrome.

-Exomphalos (a weakness of the baby's abdominal wall where the umbilical cord joins it, leads to Omphalocele)
-Macroglossia (unusual enlargement (hypertrophy) of the tongue)
-Gigantism

Other features:
-Organomegaly
-Hemihypertrophy (Overgrowth of one side of the body)
-Adrenal Cytomegaly

Over time, this constellation was renamed Beckwith-Wiedemann syndrome (BWS).

-Region of 11p was the first identified example of imprinting in mammals (ie, the process whereby the 2 alleles of a gene are expressed differentially).

Precursor lesions???----NEPHROGENIC RESTS

Badges

Button badges are universal. They're small, unobtrusive, but they also make a big statement about whatever it is you want to make. They've a popular promotional item that people give to their customers and clients and at events, fundraisers and gatherings. Many people also collect button badges as a hobby. They come in all sizes, are mostly colorful and can be either hand printed or embossed with a standard design. (Extracted from http://www.positivemoneyideas.com/idea.php?ideaID=460&moneymakingidea=Button-Badges)




In IMU, there are a lot of fund-raising events which sell badges, and I have bought quite a few of them since I entered IMU......



Halloween Badges

"Noise"-Music & Performance Usual Event Promotional Badges



HIV Awareness-CrusAIDSers's badges




ISOW--Breast Awareness & Club Promotional badges



I have forgotten what this badges for?? CSC (Community Service Club)??

 

Dental Exhibition Promotional Badge



Haha, and this is Orientation Group 8---Infinity!!! First and ever group badge!!! (My name is printed on it!)




Wow, so much!!! Colourful & nice....:-)

Tuesday, November 10, 2009

Happiness

Just read an entry about happiness from Timothy's blog just now, it inspired me to write an entry about this too.
Happiness is a level of pleasure you achieved after you got what you want and are contented of what you have.
Human is an emotional animal, unsatisfying yet sometimes non-appreciable creature. We always have emotion swing of our daily life, not to mention because of big crisis we faced, but just a small little things that we met, we will feel depressed and upset the whole day. We will always think if we have done something earlier or at least did something to it, then everything will turn out to be different and maybe we will feel very happy of the outcome.Or rather if we get what others have but we don't have, we will feel that we are equally successful and be happy with what we got. We are never satisfied with what we have now. We always think harder that why is everything will go the way that we don't want it to be and keep on complaining or expressing the sadness in our life. But, we just need to realize one thing that is everything is actually same as before, but just there are some changes with others that made you feel that your life is not great enough. Everyone lives different life, and we must not always compare our life with others and should always be grateful of what we have now and be appreciated especially our family, friends and any people who have just walked across with us in our journey of life.

I used to enjoy myself a lot back in Sem 1 & 2. But Sem 3 & 4 for me is just not as fun/happy to me! However, after I look back and look forward at my life now, I just realized that I have actually achieved more than I have lost. I just need to appreciate what I have now and feel satisfied with them. Then, I guess happiness will just return...

Be happy, Smile always!
We have left only 7 months and 9 days in IMU, be more appreciable to all the people around you as you may not be able to see some of them again in your future life.



My birthday present from a group of friends-MP4 Player, really thanks so much for that! I love it very much!


Leon's post with his birthday present!

A simple Kolo Mee from Kuching can taste so different & nice in KL & made me HaPpY!!
I am just so lucky to have everything in my life!!!

Monday, November 9, 2009

2nd Week of Renal


Exam is getting nearer, time is getting shorter, motivation of mine still not getting stronger. Just heard from someone that Summative for Sem 4 is the determinant exam for those who want to go PMS to get their preferred choice....Sei lo, I thought it is not as important than Sem 3's EOS. Die die die, must wake up!!! Wake up!


Aarhhh!!!!!!

Saturday, November 7, 2009

21st

Key to Success is always Working Hard to achieve it!!! Maybe I didn't follow this principle always, I am the type of person who gives up easily because I think that be perseverance will only give pain/ disappointment! Hmm...I should change that thinking!

So what's up with this 21st Entry? I will just set my goal here in order to change myself.

1. Be more Optimistic
2. Study very very Hard
3. Be more Mature
4. Smile more
5. Have Faith in Myself

Apart from that, I have set 3 resolutions for myself too, and to achieve that, I must work hard towards it!!!
I will change, be better, be a new person!!!!



Quotes:
"At the age of twenty, we don't care what the world thinks of us; at thirty, we worry about what it is thinking of us; at forty, we discover that it wasn't thinking of us at all".

My Birthday for 2009 (Part II)

Today was a quite busy day, woke up at 10.30am, then went to facebook---haha, so many birthday's wishes! Then, replied the wishes one by one till 12pm. Long right? Haha, went for meeting at 12.45pm, tapao lunch to eat in the meeting room. At the moment I stepped inside the meeting room, suddenly saw a cake with candles lighting on it, and they were singing birthday song to me. Haha, didn't expect this will happen...thanks a lot Zia, Wee Kiat, Nirmal, Ashvini, Mira!!!



  "To Our Most Beloved Treasurer, Gambatte!"


Was asked to take the candle using mouth from the cake and my nose touched the icing,lol!


Meeting progressed until 2.15pm. Then went for PBL from 2.30-4pm. Was rather quiet during PBL, haih...I don't really like PBL, felt like didn't learn much from it, even the PBL stuff was not done by me, took it from my friend, lol! After PBL,received a birthday present from mummy, hehe. She said I will vomit out blood after I unwrap the present, haha!



The birthday present from Jamie
Guess what's inside??



Hehe

 

 




There were 2 renal lectures-first-by Nyunt Wai & Sufian, damn boring,haha! Lecture finished, everyone went home. I went to play pool with Mervyn. After pool, he said he wanted to have dinner with us,lol, this is weird, because normally he won't stay back for dinner. Went back to my apartment, knew something is going on, but just ignore it,lol! By the time I pushed open my B2-10-2 door, suddenly, wow, happy birthday song and candle lighting cake,




  "Happy B'day Sia Yang (Ickus)"---lol, the person spelt "Ickes" wrongly

and there were so many people, about 20++, thanks everyone for coming!!! Haha, actually I don't really know how to react but just felt a bit akward (I really don't know how to face such a grand situation,lol!) but thankful. Thanks everyone willing to come despite of exam coming soon!! Really thankful! And my face got thrown icing by YH and YX,lol!!! Haha....After that, we walked to Esplanade mamak to have dinner- Nasi Lemak Biasa Roti Tisu and Teh O Ice Limau. Hehe, we walked back to vista after dinner too. O ya, at first planned want to go to sing k, but after know that it's quite expensive, then cancelled the plan,lol! Went back home, watched PPS, no studying at all, haha. And I am very happy, because my small wish was fulfilled by my lovely housemates,lol. They did a performance live for me, so touched. "Nobody dance" 1.13 minutes, damn cool!! Haha!


P/s: Adult dy...must be more mature now...
      Haha, happy to received call wishes from my parents (as usual)!!!
     And I should learn how to floss edy....