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December 26, 2010

hOsp!tAl AtTachMeNt - day 5

salam...
ada sedikit rasa malas nak mnulis... malas itu sifat syaitan..jauhkan~ malas kerana? kerana apa ya~ adelah.... yg pasti ia disebabkan sesuatu... jadi dimana kita? oh ya, hari kelima...(gaya perasan macam biase)... hurmm... hari kelima.... apa nak cerita yer... dengar je lah pape yg ncik afiq nak melalut malam ni yer...okeh start mode serius...

hari itu hari khamis..ya, hari khamis... dan kami bakal memasuki bilik bedah manusia, yakni sejenis mamalia... dijadualkan pada pkul 8.30 pagi, pembedahan scoliosis untuk seorang adik perempuan dimana 'spine'nya bengkok hingga membentuk huruf 'S'... untuk pngetahuan pembaca(sesaja mintak simpati) penulis juga menghidap penyakit yg sama... tetapi msih blum mampu dibedah kerana sebab2 yg xdapat dipastikan secara jelas dan betulis(cakap xleh blah, bengkok sikit jer pon...hahaha~) maaf pembaca, penulis senget sdikit malam ini... proceed...

pkul 8 kami dah tercegat(duduk sbenarnya=P) kat depan wad 4U yakni wad ortopedik lelaki dimana seorang uncle akan menjalani pembedahan menggunakan endoscopy melalui tulang belakangnya... jadi, pembedahan scoliosis dijangka memakan masa 4 jam manakala endoscopy lebih kurang 3 jam... jadik kami pon masuk la bilik bersalin... oppss... sorry, bilik persalinan... salah cakap... kena salin baju la plak... urgh~

tadaa~ lpas salin baju~
siap pakai shower cap lagi tuh...
~ajis dah senyum bangga~

pastu masuklah kami ke bilik bedah 12... cam seram jer nama,,"bilik bedah 12"... hoho~ then tengoklah pakar2 bedah buat preparation sebelum membedah... then the surgery nurse said,"green area is sterilized area, so, please stay away"...dia cakap kelantan jer, aku translate ler neh... hehe~ jadi, berusahalah kami meng'stay' away kan diri kami dari green area.... suasana pada ketika itu lebih kurang begini... biarlah saya gambarkan dengan ayat2 dramatik...

+ nurse menghamparkan kain hijau dengan berhati2 ibarat setiap kesilapannya mampu membawa maut
+ 'tukang lampu' or what-they-called-him sedang membetulkan lampu2 di meja bedah seolah2 lampu2 itu x pernah betul, hampir 2-3 pusingan membtulkan lampu yg sama
+ seorang pakar bedah membetulkan posturnya dan sekaligus memakai sunglass yg menyebabkan wajahnya berubah menjadi macho secara mendadak

inilah spesis sunglass yang dipakainya~ urgh~

+ belum cukup dengan itu, abg bertopi flower(kain atas kepala dia ada corak flower) menderu masuk membawa kain2 hijau yg menandakan green area...
+ doktor yg muka ala2 pakistan sedang stretching jarinya dengan tekun dan bersungguh-sungguh
+ seorang doktor perempuan berbangsa india masuk lalu menekan butang2 di sebuah mesin yg kononnya canggih tanpa menyedari kami yg jakun sedang memerhatikannya dengan teliti
+ oh ya, tanpa aku sedari, mulut ajis sudah agak terbuka di dalam topeng mulutnya, begitu juga dengan kaya, dan lain2. jakun betul mereka2 itu...=P

setelah segala preparation selesai, pembedahan itu pun bermula... sejam... dua jam... kaya dah menggigil... 3 jam... x habis lagi... fuuh~ jam sudah msuk pukul 12... nampaknya pembedahan akan berlangsung dengan lebih panjang.... kami bergerak dengan lemah lembutnya secara berkala dari bilik bedah 12 dan bilik bedah 2... bilik 12 dimana pmbedahan scoliosis diadakan dan bilik bedah 2 dimana pembedahan enoscopy diadakan... dan kami juga memasuki bilik 10 dimana pmbedahan kecemasan sedang diadakan dan sempat mengintai bilik 5 dimana neurosurgery sedang berlangsung dengan hangatnya...

begitulah sedikit sebanyak perjalanan pergerakan kami pada hari itu... perasankah post ini sangat sedikit inputnya... let me tell u this, an experience in Operation Room is not something that can be described by words, nor by mouth, nor by pictures or videos... since a real experience is something that i couldn't care less... i wouldn't say magical... i wouldn't say majestic... i wouldn't say fantastic... i wouldn't say priceless... and why is that? cuz i can't find the word that really suits that experience...

to see a back of a person being cut open by scalpel, to see a bone being cut by a steel string, to see a spinal cord in front of real eyes, to see a tiny camera through a hole made up at the back bone of a person, to see a bunch of nerve blocking the surgeon's eyes from seeing deeper, to see blood rushing out as the blood vessel is being cut, to see a surgeon's being scolded by the head surgeon(now that one is funny), to see anasthesiologist cried in the Operation Theatre, to see a nurse playing games in her phone during surgery, and for a true memory, to see a friend of mine saying," when i went home, i wanna buy a chicken, a thread, a needle and i wanna learn how to do stitches so that my hands won't be shakky and i will become more expert"(okay that oneblew me off completely! what an idea! i don't know what 2 say) bribe me anything and bliv me, i won't sell this experience during my 5 days at HUSM at any cost... cuz u know what, this memory is priceless...

till then waiting for the next HA at HRPZ2 next year... and this time with more KMBians i bliv~ chow~ salamualaikum~

3njoy the pic!

lim mengantuk.kaya menggigil kesejukan.penulis sejuk sikit jer

penulis posing xleh blah sebelah surgeon~

kontrol di bilik persalinan~ ngee~

scoliosis operation

kaya masih lagi menggigil

endoscopy Operation


2025 : a cardiothoracic surgeon.insyaallah~


December 24, 2010

hOsp!tAl AtTachMeNt - day 4

salam...
kami memasuki hari ke-4 dimana kami menjangka hari itu akan menjadi hari yg agak bosan..
tanpa kami sedari hari itu merupakan hari yg agak menarik bagi kami...
urgh~ hate formal writing....

i would call this day as rehabilitation day but due to some additional xtvties on dat prtcular day, i would prefer it as 'anatomy day'...
hak3~

first, we were introduced to mr Kamaruddin in rehab department...
rehab stands for rehabilitation which means it is a place for those who have problems with their movement due to some small or large abnormalities whether it's natural cause or accidentally cause...(asal rase english pelik sgt neh) it is a place to those who're looking for solution to make themselves able to walk, to move, or to response exactly the same as the normal human beings...

we were asked to go to the 'ruang legar gymnasium' and we who're blindly folded by the word gymnasium kept searching for a big hall with all the gym's facilities... but we lowered our jaws eventually when one of the medical assistant there said,"gymnasium tu bilik je dik, yang adik lalu lalang dari tadi lagi tu..."and thus showing us the exact room that we kept moving around it just to feel the aircond at that 'ruang legar'...such a waste of time... fail~

we waited there and one of the sister at the rgstration counter asked,"adik2 ni dari mana? ke doktor2? ke prof? akak tkut tersilap je"with a definitely curious face of her... then one of us said something stupid,"kami dari jabatan ortopedik"... *jaws lowered again...kah3!! that sister then said,"owh.." my face at that time was not in this world.... i wanna laugh as loud as i would, but u know, with all the patients there waiting their turn looking at us, i just maintain my cool and trying to behave like a real doctor... and u know what, all of my friends are doing exactly the same thing...LOL~

then Mr Kamar came out from that 'gym' and said, "semua ni bawah Dr halim(ketua jabatan ortopedik) yer? mari masuk," that sister was looking at us again and with the help of all the patients waiting there, they manage to put us in the situation of a celebrities... with all the looks, we couldn't care less.. but we maintain our posture and enter the room... ~sigh~ one to go... here's another one...

as we enter the room, there's patient of course...again.'patientS'.... and they kept looking at us as if they never ever see a person before... now i know why we're the centre of attraction today, usually, doctors didn't move together... at least not in a team of 8 person... and were not wearing labcoat,not like the other team from our college... so, we're not indicating that we're medical students... and our faces is like younger than what it should be at the age of a new doctor(removing the fact that dzufar, ajis and arip was there)... that explains everything...

Mr Kamar showed us a lil' bit about the facilities in there... i saw a man moving his legs using holder with a rubber... i saw a woman shifting dumbbell... and all other stuff... my fingers was shaking with exagerration to snap one or two pic of those room... but we're not allowed since the patients are using it and the privacy of patients are something that we couldn't push ourselves to be disrespectful... imagine us in their place, what will u feel if some kids snap your picture... think it yourself... so, sorry.. there's no picture of this room...

finished with that room... we proceed to the prosthetic and orthotic room... before that we're being teased by Mr Kamar about why we wanted to be a doctor... he told us a lot of things doctors can't do, holidays, big cars, leisure, less money(if u're working with the government), marriage, house... and lastly he said he wasn't demotivating us... just making us clear that doctor's job is not all about title and all that... it is about a way of life which only a few would like to live... a restless life which u must sacrifice some of your needs... a way of life that i'm about to enter... a medical world... yes, i'm going to enter it... and certainly, u can't be alone in that world... sometimes, u have to face the challenges alone.. but u can't face it alone all the time... and i'm definitely lucky as i got my ikhwah with me supporting me from beside me and asking me to support them from beside them too... don't be jealous since u yourself should find your own ikhwah now or later...

proceed to the prosthetic and orthotic room... prosthetic is a part of medicine that allows an artificial device extension to replace a lost or destroyed body parts... while orthotics is a section within medical treatment that uses orthopedic device to correct, support or guide the function of limb or torso in humans... Mr Razak was the one incharge of this department... he is the one explaining all those process in producing devices... i don't want to talk to much in this,just let the pic do the talking... =P

Mr Razak showing us the handmade orthotic leg(or what-the-name-of-tiger it is being called)

now showing : prosthetic leg

benda alah kaler kuning 2 xkan x pernah tgok kot...

the braces made up there for a woman...
unfortunately she's gone... and this were donated back to the hospital...

penulis posing dengan alat bantu tangan..nak buat peace, tpi xleh bengkok...
urgh~

then Mr Razak showed us how the braces were made...
see the white plate there... there's it's real shape...
(a small one tho)
being immersed in 100C water...lets see what happened...

almost colourless and elastic...
senang lentur org luar ckap...
(kaya 'hot' excited nak sentuh...hoho~)

nak buktikan kesenanglenturannya...
lilit kat tangan LIM...asyik2 tangan lim jer jadik patient...sian2...

tengok level elastiknya~
bliv it or not~ u bet~
(aiman munawwar teruja dengan bahan itu)

lepas tarik panjang2, boleh rendam balik...
jimat kan??

p/s: abaikan mereka berdua ini...
lihat struktur kaki yg putih2 dibelakang...
itu replika untuk buat kaki palsu...

selepas itu habislah acara melawat kami pada hari itu.... tapi jam baru masuk pukul 11 pagi...
selalunya HA kami habis pukul 4 petang... then sumthing came up in our head... Bilik mayat xnak pergi ke? xkan xnak kot... then, hohoho~

"hello, kitorang nak pergi bilik mayat boleh x?"
"hurmm, boleh. Tapi kita pergi tempat lain dulu"
"kat maner?"
"Makmal Anatomi"

muke seketul2 dah xleh blah dah... dari muka yang mengantuk mula bukak mata, dari muka bosan dah masuk muka excited x hingat, pantang jer sebut anatomi, bilik mayat, mesti terbeliak excited... xpe2, biarkan... jom kita singgah makmal anatomi dulu...


this is the famous Dr Halim(merangkap bapak dzufar)
org yg bertanggungjawab membenarkan kami menjalani HA yg best x hingat ni...
trimas Dr Halim!!
yg tengah dipegang2 tu ialah mayat yg telah melalui proses plastination (dimana sejenis solution dimasukkan melalui salur darah lalu mengeraskan bahagian badan mayat seperti plastik)

itu mayatnya... dan disebelah kanannya itu manusia yakni penulis...

ini bahagian2 usus kita ya tuan2 puan2~
esophagus,duodenum,jejunum,dan ileum...
p/s : ini adalah bahan yg x boleh dimakan.

ini...paru2 if i'm not mistaken...
a real one, but cannot be used anymore...

this is kidney~
sama macam buku teks kan??
tapi sumpah, ni yg betul...

ini... err... ermm...erkk...
testes to be precise... no comment~

penulis posing gaya xleh blah di sebelah lengan...err...someone...

see there??
tangan2 bergelimpangan~ yg plastik dan yg betul bergandingan bersama~

babies~ fuuh~ zoom sedikit!
uhuh! clearer huh?

aiman munawwar gila bayang bersama awek barunya, cik tengkorak...

i like dis one.... dari tepi...
tukar view camera!

spinal cord...see there?
it's just there... =P

then dah boring2 kat makmal anatomi.... gambar dah beratus2... sampai habis bateri handphone sumer... kami berjalan dengan perlahan-lahan ke arah bilik mayat... pakcik yang bawak kami terlupa bagik warning yang teramatlah penting... jangan sedut sangat udara dalam bilik mayat...dia cuma pakai topeng untuk die jer... dan biarkan kami terpinga-pinga dengan bau itu... i would say bau formalin as soya yang dah x berapa nak elok.. bayang sendiri laa... pc di rumah ini x berapa canggih nak mengepost bau formalin disini... and a humorous accident does happened... i would name it kejadian melucukan dibilik mayat...

we enter that room without our mask... a step into that room, and the smell... urgh~ we manage to cover our nose with our necktie... very lucky to wear tie that day... and after about 1-2 minutes... my nose is kinda unaffected by that smell... and i, without any hesitation drop it down and breath like normal... like nothing is going on... after telling us stories about the corpses.. i asked,"pakcik, kenapa bau dia dah kurang?" then he said with a laugh..."alah bisategal biasa...hohoho~ sesetengah orang mudah lali dengan bau ni" and i think i'm the one that was easily being unaffected... i think i am adaptable with any smell except one... it's the "kumbang busuk"...or kelantanese used to name it 'kesing'.... that one ... urgh... ican't handle it...

back to the story... but then i asked one other question,"pakcik, takde effect pape ke formalin ni?" dengan selambanya dia jawab,"formalin is very toxic solution, can cause cancer btw".... and my face at that time was... argghhh!!! i don't know what to say...not only me.. some of my friends too... but i think i'm the longest one 'being mutated' by that formalin smell.. no wonder that uncle wear his mask all the time... they ended up calling me 'afiq formalin' which i looked as nothing interesting... not the type of thing that pissed me off... so, if u like to use that name on me, use it well... cause i'm not affected at all... haha~ so, kaya...keep calling me that, Mr Lighting.... u'll end up tiring ur own tongue... huhu~

and here's some pic we manage to take...

see there?? that pakcik keep his mask all the time without telling us anything...
unfair!! arghh~

hohoho~ there's too many of them tho...

siamese corpse... being dissected...
if u think this is nice... ask me for the extreme one if u've got the chance...
i won't show it here... it should be 18+...
haha~

i bliv that is all that i manage to show... not to mention all those pict in my lappy was awesome enough... hahaha~ this is about 10% of them... till then, waiting for the 5th day report live from the Operation Theatre! see u there guys~
so, Assalamualaikum from Afiq Khalid in Kelantan...

with prosthetic and orthotic department
sempoi~
thank you so much uncle Razak!!

with pakcik makmal anatomi and bilik mayat...
tengok mask ditangannya~
papepon, Thank You So much too Uncle Bilik Mayat!!

p/s : segala info dan gambar adalah hakmilik penulis dan mengambilnya dengan apa jua cara merupakan sesuatu yang dibolehkan HANYA dengan izin penulis... copyright~
peace no war!

December 22, 2010

hOsp!tAl AtTachMeNt - day 3

salam...
now it's the third day...
i would say it as "Medical Imaging Day"
haha~

on that particular day, we were being exposed to the imaging world of medicine by "Kak Nor"(radiologist at Radiology Department) a very2 friendly tour guide... i would prefer to say a friendly lecturer...(that's her target by the way, gud luck sis) she took us to every corner of the imaging department and show all those sophisticated machines... not to say their price tho...urgh~ the funny thing is every time she finished explaining something, the first question that we'll ask was,"berapa ribu benda ni kak?"..hahaha~ and bliv me, i wouldn't dare to take note of all those prices...

the first room we enter is the CT scan room...
i bliv CT scan stands for "Computer Tomography scan"... a complete set of machine where the basic unit of those 'scanner' is a x-ray machine... the upper inner part of the "donut"(u'll know what i mean later) is the one releasing the radiation and the bottom inner part of the same "donut" is the receptor... the "donut" rotates so that every side of the "wanted part" of patient's body will be detected... one rotation gives 128 pictures... and the pictures are then arranged in the computer system producing a 3-D image of skull, spine and even your ribs... now let's see the "donut"...


see the donut? told ya~
ajis excited nak masuk benda alah tu...

see the skull? that's 3-D image produced from the scan...
nice huh?

the second one is the xray room... there's no need telling u guys bout this room... i bliv u've entered it a couple times already... a room with the xray machine... i don't even take a picture there.. sigh~ let's go to the next room..

3rd room... MRI Room... we're taking extra precaution entering this side of imaging department... cuz u know, the giant magnet take everything from u.. juz for info, all steel or iron will be attracted to those magnet... all those steel and iron in the room is a special type of steel that prevent itself from being attracted.. even if i'm just sitting in front of the door for a while, my phone battery... urgh~ MRI's concept is just about the same with CT scan... but, it's using magnet... MRI stands for "Magnetic Resonance Imaging"... scanning tumour in a brain would be much easier than 20 years ago.. thanks to this thing... there's a baby inside the MRI at the time we enter that room... we've been told that scanning using MRI takes about 45 minutes while CT scan is just merely 5 minutes.. or even faster... and in MRI process, the patient can't move at all.. if he/she does move, the process will be restarted again... and this what gives CT scan benefit... but the more detail is of course MRI... hehe~ let us see the MRI room..


look... there's a baby there... of course u can't see him...-_-'
see the brain? that's not his brain, his process is still ongoing...
this is the room for the radiologist, and they look through the window when the scanning is still in process...
~gelap~

the 4th one is angiography room... i've never heard of it... it is used for diagnosis and treatment on the same time... this room is used when the surgery or the treatment need to be done by using those specific imaging machine... kinda sleepy when i enter this room.. so, can't tell a lot... sorry~ manage to grab some pic btw...

main part of angiography room..
see the bed there... there's invisible patient lying there...
just imagine it, and the scanning machine is the round up there.. see it?

hurm... recognise this one?
ultrasound?correct! 10 marks!
(reflection aku kat screen yg mahal tuh~ gaya perasan~)

how bout this one?
don't ask me... i don't know what is this...
(seriously, i don't know.. i'm sleepy okay!)

fuuh~ nice one huh?
anesthesiologist~ handle this thing over here!
a ...."mesin bius"??

that's all from angiography room... whoops! not gonna end there... there's 2 more...
sabaq ye adik2... klau x sanggup bace, xpe... tuan punyer blog x terasa ati pon... sigh~

the 5th ke 6th? 5th kot... "detsa" nama pendek dia...(tukaq mode malay, dah tunggang langgang english aku)... nama panjang...densitometri room.. insyaallah betul ler aku eja tuh... yang ni xray gak, tapi low radiation jer... dari nama pon bleh agak kan fungsi dia? nak ukur density tulang kita... selalunya untuk pesakit osteoporosis dan sewaktu dengannya... check this out~


urgh~ model2 KMB ler neh...
abaikan mereka... tengok mesin 2 jer...

tuan punyer blog bergambo dengan model2 KMB...
dari kiri : LIM, Kaya Hot, sleepy blogger, Na'im..
yang mach0 kat bawah 2 Ajis...

nampak baju aneh tu? tu baju biase jer... cumer dalam tu ade plate Barium ke amende ntah...
rasenyer Barium... tp x konpem la plak... nampak jer bebudak 2 tegap sumer...kaki punyer lenguh... aku rasa baju 2 lagi berat daripada aku... sadis betul... tapi siyes, berat~~ opss, lupe function... function dier, bila radiation dari alat2 keluar, orang yg pakai baju 2 akan dilindungi...
baju 2 x pantul... sebaliknya, dia akan serap radiation lantas mengelakkan makhluk2 yang memakai baju2 diatas selamat 98% daripada radiation... lagik 2% kut2 plate dalam baju 2 patah... then sendirik mau pikir lah~

the last room is flurouscopy room...
sejibik cam bilik xray... stail amik2 gamba gak... dulu HUSM guna mesin ni nak amik gamba internal patient... tulang2 yang ade beberapa ketul 2 akan dapat di'scan' dengan benda alah ni... tapi benda ni dah rosak.. so, kitorang main2 laa... haha~

mula2 sumer buat muka serius

pastu ada orang tanya harga...
akak tu ckap,"mesin ni dah rosak dik"
zoom leklok disebelah kanan gambo ader kertas yang berlabel "ROSAK"
kah3~

pastu sumer dah jadik selamber, siap2 boleh duduk lagi...
tengok 'tangan panjang ajis' dah merayap dah~

sampai itulah hari kami di HUSM Kubang Kerian pada hari ketiga yakni hari selasa pada tanggal 14 Disember 2010 bersamaan 8 muharam 1432H... kalau silap betulkan weh! was2 neh... kami masih berdebar2 menunggu ketibaan expidition makmal anatomi dan bilik mayat pada hari rabu dan operation Theatre pada hari khamis... sluurpp~

ayat dah x berapa betul... mata dah terketar-ketar mintak ditutup... kepala dah gila2 sket, klau perasan perbezaan tona bahasa dari atas sampai bawah... maknanya tuan blog dah penat menulis... sekian sajalah report pada hari selasa ye tuan2 puan2...(sekalik lagi gaya perasan ada org baca blog aku).....

till then assalamualaikum~ and gudnite...

arigatou kepada Kak Nor!
semoga berjaya dalam usaha menjadi pensyarah~
kami dari KMB mendoakan kejayaan akak~
chow~

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