1-what happen if u reject someone's friend request on fb?
do they get a notice after that?u know smtms it's a wonder
why people still add those whom they've thrown some
hurtful words some times ago
they were oh so superior b4 that they think they can say
whatever came to their mind n being an ignorant to others feeling
damn i so wanted to just ignore ur request
but i dont have the heart to
though i know even if i approved, it'll still
b pointless bcos they wont even give u a testi saying hello or smthg
what's the point of wanting to b in the friend's list then???

2-i hate my fb now that it's flooded with people's
stories that r totally unrelated to me,n yes the gedikness included
omg sakit mate!!pls act a little bit normal!
gah maybe i'll do some spring cleaning hahah

i had a weird dream this morning
i dreamed of a baby-my baby!
hahaha
i woke up startled n a bit confused
why a baby of all things/human being?
n when im done with paeds too hmmm

the syndrome in my previous post is called
anhydrotic ectodermal dysplasia-it's affecting the ectoderm
so in that child case, he's definitely hairless,
the skin is somewhat pale and thin
and the other thing is he cant control his temperature
n guess what they suggest??
try living in the cold country!
they might go developing seizure and end up with brain damage
if the temperature is too high
they dont have the normal temperature regulator as we do
because they dont sweat so yes no way of reducing the temperature
and they are prone to infection so explained the many
many tablet he's on

i saw another new rare syndrome this week
the child has rubinstein-taybi syndrome
most of the cases were diagnosed by the broad thumbs/great toes
as the facies are not obvious when they are still young
the disorder is due to the deletion of 16p13.3
her face show the features of the syndrome
like beaked nose,
ptosis, small maxilla, microcephaly,
small mouth with crowded irregular teeth, high palate, n
short upper lip
the great toes and the thumbs have some deviation as well
she has a delayed in speech
but she seems friendly enough to let us come near her
and played with us hehe

i didnt go in with dr.G this time so i probably missed
other interesting patients she has

i need to finish my case now ;)

i wanted to write about what happened in sligo
but one of the things include the unavailability of internet connection
at my bnb so yeah i couldnt go online
the modem was in faulty condition-u can see
from the look of it really
but somehow the bnb's makcik asked someone
to come n fix it-well he did but the internet was not that good
so i have to suffice with only browsing the very few pages that i really need to go to
before the connection disconnected or the signal became very weak
i know it'll b better if i just go down the stairs n just plugged it off for a few minutes but i was too lazy haha

i have an early start every morning-8.30 mostly everyday n the bnb is half an hour away from the general hospital on foot, my paeds ward is on level 7 so i normally take the lift
instead of the stairs :D
the clinics are on mostly everyday
the ward round is twice everyday
the scbu is quite small compare to galway
but there is this one baby with pneumothorax
he's a big baby with diabetic mother
but the insertion of drainage tube was a wow bcos i've never seen one b4 hehe
most of the babies there bcos of diabetic mother
pneumothorax baby is the only one in incubator
the rest are all quite well in their cribs

one pt who came to the clinic
had this very pale thin skin-like an albino
with no hair
i could see blood vessels on his head
very clearly like those of osteogenesis imperfecta
he had three fangs-like tooth at the age of three
the tongue was a bit long
n he's on several medications
later the consultant told me he has...........
i forgot-will post it later haha

i'll b going for my away attacment-in sligo again
for the next two weeks
am hoping for the good weather
n not icy cold-n yes no rain pls
as if that's possible haha

anyway we had an outing last night
the ikan was SEDAPPP as in malaysia hehe
that scallops was a little weird though
i dont really like the taste-or rather
i couldnt recall what the taste was like?!
i would say-if you want to eat fish then go to tamarind
thai garden is as the name is = tom yam/tom ka goong(tk reti eja)
indian food is best in kashmir
trattoria is when u feel like eating italian food :D

my bus is at 8 tonight
gah im so not in the mood to pack my bag!! :(

i snapped at someone on friday
i was very much annoyed with mostly everyone
i had a presentation in the morning
of which i only got the case
on wednesday night
left me with only a day to prepare

i was soooo annoyed
bcos seems like everyone want to b oncall
why the hell do they have to b on ward
when they r not suppose to
n when they not even presenting on the next day
or even in the week
it's alright if they were there to check on
their patients' chart for any progress
but when they asked the nurses for history-after 6 i mean
that's when they've taken other people's
right bcos of the soo many people want to
take history after 6 that wednesday
the nurses were reluctant to allow any more
i.e the people who were on the on call list to do our work
which is FINDING THE CASE FOR PRESENTATION!!
i was frustrated my head was throbbing
n the light was unbareable for my eyes
i had to go home n sleep
b4 i went to a&e with sarinah
thank god there were several pt there
i got the case from there
n my headache stopped heh :D

but anyway i'm done with case presentation
so i wont b banging my head on the wall
bcos i couldnt find one anymore hahaha
i must admit i became a meanie when
im annoyed or tired
n yes dont come near me when im not smiling
i might just lash it out at u :p

mc-mong=i feel crazy ;)

good or bad,
dying or running away,
only choose one from each two,
listen closely n remember this,
until i die i'll only choose u

does it happen in normal life???
flattering isnt it? ;p

the girls r having ladies night at the small lect theater csi
but the two of us just couldnt stay any longer than 20???minutes
my head was throbbing felt like it was going to burst
n my eyes felt strained : ( ughh
im sure intan was feeling worse since she was the one with
osce in the morning
n yes i had svrl doses of caffeine today
n right b4 we went to the csi as well
we tried mr.waffle at town
i was starving but couldnt finished the waffle
bcos it's toooo sweeeeet!but they all did??!weird
mmm-whose threshold level is higher now??:p
n qama had to remind me about the
all-4-siblings-dr-so-no-one-'ll-come-near-me?!grgrgr
so far no one ever pointed that out
but unconciously i tried not to tell new people
im meeting for the 1st time that most of my siblings r
doing medicine bcos yes im afraid they'll
run away after hearing that haha silly me
well mostly did anyway gah

oh this one kid pt hugged me at the pre-school i visited
he probably can sense who needs a hug for that dy haha
he's sooo cute! :D

i started my child psych today
hehe it was a dy full with mischievous kids
one had the urge to go back home
bcos he wants to quickly finish his project
of making a giant slingshot
at the end of the session his mum asked him what
he's gonna do with that thing n he replied
with a grin-his baby brother hahaha
but one thing i realize
most of the cases involve family members
the consultant seems to b very familiar with certain
family names, she could recall treating other members of
the family etc, she's a very pleasant lady :D
oh n i got my 3rd case!!! :)

today the kids mostly have AD/HD
but i only saw two kids who showed their ADHD
symptoms n that was during the bp/wt/ht measuring
i.e when the consultant, their mummy weren't around
they bcame quite aggressive
jumping around from one thing to another
that attracted them (hyperactivity),
they couldnt concentrate (inattention),
n yes it could b very dangerous with
a baby in the house n not to mention
to themselves,one of the core symptoms is impulsivity
of which they act on impulse ; )

i found this last night :D

i had the weirdest dream
my tooth fall out
but i didnt feel any pain just a bit sad
as i stare at the small little tooth in my palm

does it means anything?
i know people said it's a bad sign
im a little bit worried now
hopefully it wasnt aything
plus it wasnt within the 4 am sleep

im worried that bilah might b sick
its been such a long time since i last talk to her
my stubborn rebellious little sister
i still think of her as a little sister
i remember her doing the bird pose when she was little
n abah captured the moment with his camera
the photo might still b in the album in our house somewhere
how i miss my sister
n we have different hols time
maybe i need to go to her place sometime

here's some more photos from the ski trip :)

ayesha n me with the plastic sledges
kebar with his ski equipments
intan with her camera-so not in the photo heh :p

our little snowman

lost my jacket by this time

thick isnt it??

back in cuneo for dinner :)
the price is alright n the foods were delicious
the place is quite close to our hotel
n it was packed with people
we had to wait for half an hour or so
to get seated
but it was worth it :)

the next morning we took the train to ventimiglia,
well supposedly the train straight to nice
but we were a bit late n the train left

the weather was very nice
n u can see the palms tree in the background-err or is it
not obvious in this photo?? well we were
entering the Mediterranean area at this stage

the river flowing from the mountains into the sea

the rocky beach
we reachd nice train station at around 3 pm
from there we walked to our hostel
nice is a big city of which is not really to my liking
bcos of too many people n too many tall modern buildings
that was my first impression
but it changed as i walked around later that evening n
the next two days that we stayed there
nice has its old part as well
of which u can see the differnt in the pattern of the buildings design

they have people of different races n yes religions
eventhough we met many people whom i believe
are muslim, we couldnt find any places to eat
which have the halal signs
one which have the sign
somehow also sell pork-which is a bit confusing doesnt it??
maybe they have different meaning in halal
who knows
but anyway i learnt to like the city :)

the photo below was close to their chrstmas market :)

the picture above is taken by intan on the coach from cuneo airport
to the city centre, everything surrounding us was blanketed with
the white white snow n yes the sun was very bright probably
reflected by the snow,but honestly we didnt really feel cold
the first thing that came to my mind was, did i brought the wrong
clothing??haha but maybe they had the heater on full blown
both the airport n the bus bcos that airport is quite new,
so you know just for the sake of 1st impression hehe
we took the coach for like 20 minutes to the centre

the driver was not speaking anglaise at all
the only thing which made me sure of where we
were going was the sign boards along the street
n maybe bcos we pronounced the cuneo correctly
thus he understood our destination
there's no info.centre at the bus/train station
we had to ask around for the direction to our hotel
n yes as usual we used two different languages
with some sign language to get the direction we want
a lady at the station gave us a map n scribble the
way to get there on foot

the city was bigger than galway but there was not many
people around n the time was around noon on saturday
i thought maybe we were a bit in the outskirt
we check into the hotel n decided for a walk later
in the evening

this is located close to a carpark, not far away from our hotel
the picture below is of one of the piazza-piazza galimberti
they have sort of christmas market on sunday
u can see there wasnt any street performers at this time
n it was saturday
unlike what we normally see in other plaza or along the
shopstreet in galway,they have a quiet saturday i guess


on sunday,we took a taxi to limone piemonte for
60 euro-return journey,couldnt take a train bcos of a snowfall,
one of the ski resort was closed bcos of it,the day b4,
thank God it wasnt anything massive-well
not affecting all of the resorts i mean ;)
the snow was heavy, they advised us not to go to the higher point
but we did take the cabel car to see the area n snapped some photos

kbar decide to try skiing, changed his snowboots n rent the rest
of the gear for skiing-guess how much it cost him???
twenty-two euros only,ayesha n me changed our jacket n rent
2 sledges for thirty euros
earlier, the four of us had 4 snowboots which cost us 11 euros
n later we had coffee for like 40 cents a cup hehe
i was quite amazed with the cost really
i thought it might cost us much much more than that
anyway, we spent several hours playing
n watching kbar trying his hardest not to fall hahaha

there was this one guy i saw in the ski equipments
rental shops all confident trying his boots etc
but then i saw him again in the not-pro area
falling every few seconds bcos he couldnt controlled
his snowboard haha i thought omg he was all boosting
confidence in the shop but it's all gone now,
however that was the only time he played
i didnt see him around after that-poor guy,his friend was
better though, but this guy did used the board till he reached
the watching (??) area eventhough he kept on falling hehe

some people just go there for sun bathing
it was very bright n the rays were reflected from the snow
hence i lost my jacket in the middle of the
sledging hehe :D
i'll put up other photos later ; )

today wasnt that productive,well not yet but it's alright
im planning on writing my essay later
i talked to a pt today she's just full of negative thoughts
just about everything n i feel sorry for her
she seems to have no support from anyone
everyone seems bad in her eyes
but i dont know them-so cant really tell whether that's the truth
her thinking has been like that n cant b change-i think maybe
she doesnt really trust people so she doesnt open up
to the therapist she's been seeing
or maybe she doesnt trust another way of doing things
n stick to her old ways-the same goes with her mind
my consultant might put her n the family on another therapy
hopefully this time her family will
respond well to the therapy n in a way helping her to get through
this episode in her life
the meds doesnt seems to work with her ever

one pt came up to me this morning n demanded a 2nd opinion
on her mental health status
i was at a loss for a bit as she doesnt care even if im only a medical student
but thank god this sr nurse came n said she'll talk to the consultant
for her later, n the pt didnt press the issues further
she seems a bit aggressive though her size is normal
but we never knew what they r capable of if things got out of hand
n the ward is all locked all the time
bcos there's this one pt who has the tendency to run away from the mental hosp
imagine what will happen if one of the pt bcame too
aggressive or maybe homicidal???n u have no place to
escape n save urself??
gah im imagining things hahahha

oh the schedule tomorrow includes self-study
n nasrul mentioned smthg about japanese restaurant in town hehe :D

my bag still need to b packed
though i only have one more week to go, or maybe just 4 dys
not planning on presenting myself for any presentation for the last
day of the attachment, navid 'll b missing as well so
yes im coming back early next week too
the schedule 'll b as tight as last week
but im going to visit more places
n yes i'll b google-ing the places' location again this week heh

anyway, i saw a friend of mine
well rather the blog that i read-saying she's fed up with the unnoticeable
signs left by her everywhere ngehehe
i think i know what that's about-but
hopefully that person 'll realize all the signs directed to him sooner or later
it's easier if u already know that particular person's real feeling
then being left guessing what's going on in his mind
but smthg needs to happen linking both of their minds
together or else the girl might get prasan or deluded by silly small things
which is not actually for her
yes sad isnt it but i think that's just how girl is-we tend to get deluded
with things that we wanted to happen to/for us
even in a way, way beyond other people comprehension
sometimes we just miss the exact meaning of things bcos
of what we want to believe
-well maybe not me ahahaha though there were
times i had those believes as well-i learnt how to control
them-well i believe i mng to-err am i??
hmm but sometimes those feelings give the pleasure in life
it makes us anticipate things or eager for the next day
well not that it's unpleasureable feelings isnt it??? ; )

ari ni,my team is on leave?????
gah if i knew, i wouldnt have dragged myself
through a shower n cold morning to b there!
im in general now, got a history from one pt
though wasnt a full history since her uncle was waiting
to talk to her, but yeah they wont b there tomorrow as well
hehe nampaknya sye akn balik awal!!! :D

:D sligo was a bit foggy today as i was out
to the country side and went to see one pt
in tuberrcurry with this nurse n a consultant
but i wasnt that keen of the country side this morning
smthg else mngd to capture my view n kept it
away from the window the whole time
ngehehe
he even sent me to gnrl hosp.since
"u have a bad cough, n this weather is not helping"
i felt giddy-sory if i mngd to disrupt ur image of me :p

why do u have to be so cute
it's impossible to ignore you

those were the first few lines i heard from imogen heap
probably when i was out shopping with some friends
n i totally fall in love with her music
oh im currently in sligo again
at least this time i got a warm room and
a double bed with electric blanket :D
though once again im gonna miss smayang raye :(
here's another one by imogen heap : )



Here's the day you hoped would never come
Don't feed me violence
just run with me through rows of speeding cars.
The papercuts the cheating lovers
The coffee's never strong enough
i know you think it's more than just bad luck

There there baby
it's just text book stuff
it's in the ABC of growing up
Now now darling
oh don't lose your head
cause none of us were angels
and you know I love you yeah

Sleeping pills know sleeping dogs lie
never far enough away
Glistening in the cold sweat of guilt
I've watched you slowly winding down for years
You can't keep on like this...
now's a bad a time as any

There there baby
it's just text book stuff
it's in the ABC of growing up
Now now darling
oh don't kill yourself
cause none of us were angels
and you know I love you yeah

it's ok by me..

it's ok by me..

it's ok by me..it was a long time ago


it's ok by me..

it's ok by me..

it's ok by me..it was a long time ago

There there baby
it's just text book stuff
it's in the ABC of growing up
Now now darling
oh don't lose your head
cause none of us were angels
and you know I love you yeah

There there baby
it's just text book stuff
it's in the ABC of growing up
Now now darling
oh don't kill yourself
cause none of us were angels
and you know I love you yeah

my pt couldnt remember why she was depressed
or rather she gave me smthg which is totally
made up-well i think so
bcos its not related to her but she believes that
is the reason emm now it sounds like delusion?haha
n that eo wants us to provide a complete
past psych history for the case
but not without the help of the charts
if i do ask the pt again
she will either repeat the same answer or
she might come out with a new story haaih...
n the truth is i couldnt find the depressive
episode in the chart anyway

im so happy that i found my list of jack johnson in my laptop!!
the internet is acting up again well as usual,
so i couldnt listen to the playlist in the youtube,
but anyway we had this video session this morning
i had a patient with pressure of speech
gah i thought i did very bad, but the doc.
conducting the playback session
told us it is hard to talk to pt with pressure of speech
and she also has this grandiose so yes she likes the camera hahha
i never have thought she would suddeny asked
whether we r being recorded in the middle of the session hahha
i was so embarrassed it's as if i didnt say anything about
the recording though i actually explained to her twice
but she was pleasant and wasnt that disinhibited this morning
and not as tired as the first time i talked to her last 2 weeks
or else she might just said she want to sleep in the
middle of the video session-yes it happened the first time
well she has BPAD really hence the symptoms ;)
im taking her as my second case :)
n i learnt what the intrusive really means today
i know it's like intrusion but dont
exactly know when they applied it
err do i sound stupid to u?haha

oh several other things i got from psych so far is
not to blame urself for anything that happen in the past or
maybe even think about anything that occurred that deep
since it might slightly lead to guilt which yes
might cause stronger guilty feeling as time passes
-u might end up depress
i believe i do feel depress smtms-but yeah
try not to think too much of it :)