CRP visits photo album

Kenderaan sendiri bersama kenderaan tajaan pejabat kesihatan

1st visit; kg telemong, tgk sistem tadahan hujan

sanitary well(soklan exam)

bubu
klinik kesihatan pos iskandar
kg org asli pos iskandar; tempat membuat barangan kraftangan
ni perahu kraft
ni perahu betul

ni org betul dlm perahu betulp/s; cetek je tu

ni kenduri penduduk kg kuala triang
ni xde dlm plan asal;kempunan mandi di bukit tangga


wadi tukang bukak durian
visit JBA BERA
kilang kerepek
pakat nak jadi model kerepek
dari kiri, kejal,zarina,iliana,atifah,ayu,marium n tasha

yum..yum.. kerepek!!kilang sawit lak

tanaman gaharu di kilang ayam telur

lawatan ke rumah org tuaprojek ternakan ikan patin
tasik bera

nek bot

last shot sblum bateri flat, hahaha

CRP : Community Residency Programme

what is CRP? some of my fren said, its a CRAP without A. HAhaha. actually its a programme where us, medical students went to the field and doing a health survey +health checkup and and do thematic project based on the data from survey. Usually, for this programme, we will be posted in a rural area as we also help the district health office to do survey in some villages. For this project, it took the whole month. 1 week preparation for thematics, 2 weeks on the field and debriefing week.

This time, we went to Pahang and divided into 5 groups, Bera, Kuala Lipis, Pekan, Maran and Rompin. I'm posted in Bera group and we doing a thematic projecton relationship of handgrip with current health status/ past occupational history. After the tea and coffee session with Sanjay rampal, he warn us for no absentism esp during crp programme, if not he reports us straight to the dean.
So, we in the unwillingly mood going to the group discussion and the tiredness from the day before did not wean off yet.

The first week (23-28 February 2009)
The first thing that we did was ice-breaking and select the comittee for our group. The station manager was Mohd Dzulhelmi, assisted by Siti Nadzrah,Fatin as secretary,Kim wong deputy to secretary, Joo qing as Logistic Manager and Siang Yew as treasurer. Devan as Data manager, and Kejal,Zarina, Marium and as editors.For the whole week we prepared for the field trip, doing literiture review on the topic that we choose,putting up the introduction and do a survey to
see the place that we gonna stay for the next 2 weeks. we also had a whole day SPSS class and truly, it was a grossly boooring!! the only positive things dat week is we had our group discussion in the library, so we had the best internet connection here in Klang and I'm able to download a lot things that week,=P


The Second week (1-8 March 2009)
on the 1st March, everybody getting ready and excited to go for the field trip. Dat morning, as early as 5a.m, there were students that woke up to preparing their bags.At 8, everybody starting to load their BAGS&GOODS into the cars and starts our trip to Bera. By 2pm, we reach ed Bera after 4hrs journey. After a debriefing, we finally able to rest through out the day.

The next day, we had opening ceremony with district health personel and also the head of te villages (tok pat) and we further divided into 4 villages that we will attending. Later we went to visit the villages and started to do mapping. For the research to be valid, we were required to do a random sampling, so for the 1st day, we draw a map of the village, basically included all houses in the area and labelled the house with no. Then, using a random sampling method, we picked no of houses that will be included in the research.

After choosing the house, we did a house by house survey where we will asked about >200Q to each of householder, and then do a physical examination in means of height, weight, BP, BMI and also handgrip strength. Sounds like simple? Hang on.

My group and i were in Kampung Kuala Triang, a village by the side of Pahang's river. It was a very old village, about 200 years of age and it has 7 smaller village in it. As we arrived, we anticipated the problem that we will have;
1. in my group, we only have 7 people, means we at most can only make up to 3 teams and a single runner and we only have a single set of measurements. So we have to coordinate the usage of these item between the 3 teams.
2.in means of transport, the house mostly situated next to the main road of the village, so you can imagine how far do we have to walk if there is about 200houses in the area.
3.there is poor maxis n digi reception, which put us on an disadvantage becoz all of us using either maxis or digi. it's a prob since the runner have to reach us to pass the measurements set.
4. we have to finish this task in 5days.

On the next day, as sun raises, we went to the village and started our mission. Our goal of the day is to finish as much as possible however at first, we have to be familliar with the questionares because we have different sheets to put on the answer. At first house, my partner and i have to take about an hour to finish the questionares. Later, we got used to it and able to finished them as early as 20minutes. On the first day, we only manage to go to 12 house total of 3 groups. it looks a gloomy day for us since the other village have finished about 20% of their requirements(however there is differences in no of manpower, location and no of house needed)

On the wednesday, we had visits in the morning and there also had been bad news to one of our collegues so my partner had to go back to kl and we had lesser manpower and manage to go to our 18th houses. that night, our supervisor already warning us whether we can finished up in next 3 days.

As the next day come by, we planned to do an all out day and this time we managed to settle 26 houses in a day and on the friday, we already finished the required no of house. The only problem left is to do the handgrip measurement since the measures are used by the other 3 village before us and on the saturday, what we have to do is to retrace our sample and do a handgrip.

For the whole week, every night we would had meeting and also data key-in where we have to settle the questionares that had been clerk by us and only later the data will be merged together as Bera's Data before it merged with other district.

As the data merged on the saturday night, our field work officially finished and it was a relief for all of us. there had been a lot of drama in my teams through the week and i'm glad it's over. There had been "i don't want to talk to you" drama, "where have you been?", "i don't want to ride in his car","i'm boycotting the meeting" and a lot more and i don't want to talk about it.

To repay the kindness of the villagers that supports us all along the survey, we did a free health checkup in accordance of Maulidur Rasul in the mosque of the village. we really thanks them all!
in the next post it will be all the visits n funs we had for the 3rd n debriefing wee, =D..

(^0^)

fuhh.... it's been a while. but it quite long actually, hahahaha. a lot of things happened through past several months and lastly i'm about free to write again(typing actually). Sorry for the delay and i think i gonna write several post later. Please wait patiently for it will ya? =)

...

byk nak tulis,tp byk bende nk buat..sabo je la...

Medical school nerd scale

1. you ever said, "Netter is God"
- i said, netter is King! = yes

2. you can discuss autopsy/anatomy over a meal
-not in the 1st week with cadaver =yes

3. you own a 4 color pen
-anatomy needs a lot of drawing = yes

4. -it's just isn't enough for you
- yupz! i owned about 12th!! +yes

5.you use more than one colour to take notes
-not the notes from the lecture, but yes =yes

6.you hv used up more than 6 highlighters in the past 6 months
-emm, yes? =yes

7.you have ever highlighted something YOU wrote
-sadly yes =yes

8.You haven't had a date in 3 months
it's complicated =yes

9.You haven't had a date since entering medical school
-emm, i'm not answering this question =0

10.you have not been able to remember the normal term for something because you were
thinking of the medical term (ie reflux for heartburn)
-sometimes =yes

11.you get more sleep in lecture than at home
-of course!!Ting!Ting!Ting! =yes

12.you know the correct spelling for pruritus
- is it P.R.U.R.I.T.U.S.? =yes

13.-you also know what it means
-yes, =) =yes

14.You have ever asked a question in class
-err..yes? =yes

15.-The prof didn't understand the question
-he is =yes

16.-you didn't believe the answer the prof gave
-err,somehow i have b4 =yes

17.-you went to look it up to see if they were right
- yes =yes

18.You can't hold a conversation on anything other than med school
-I can't stand a conversation about med school in my non-medical mode!!! =no

19.You skip class to study
-only when the next day is exam =yes

20.You've said you didn't do well on a test on which you beat the mean
- really? what is the mean? =no

21.You spend more than 15hrs a week on email
-definitely not, i spend 15hrs on friendster,soccernet,onemanga, and facebook,blogspot =P =can it be yes?

22.You have a callous on your finger from writing
not yet =no

23.More than one professor knows you by name
-i don't think so =no

24.When you ask a question,a new professor have said "oh, i've heard of you"
- no =no

25.You can name more amino acids than past presidents
there only 4 past PM, amino acid is more than 20.. =no

26.You use more than 5 acronyms an hour when talking
only when in medical discussion? =no

27.You actually know what PERRLA stands for
is it Pupil Equal Round Reduced to Light Accomodation? =yes

28.You know all the steps of the TCA cycle
Oh my God! it's 1st year! =no

29.You do not read PTA as parent teachers association
err, yes..? =yes

30.You can remember the muscles in the forearm
please give me a 5 minutes to revise..damn!i've forgot! =no

31.You know the structures in urea cycle
yupz n no.

32.You know the dermatome distribution
Lalalala.Humpty Dumpty on the wall,what was my dermatome to remember all?
my thigh is L2 with lower half is L3, see,see, and from lateral to medial leg it is definitely L4 with L5 until the you count 4, and S1 at the little toe,alalalala

33.You can't remember what you have for breakfast
i have sardine roll's!wait. is it lunch or dinner? =no

34.You can't spell world, much less backwards
W.O.R.L.D. backward D.L.O.R.W. damn!! =no

35.You've ever been sexually aroused by the breast shadow on an x-ray
-that is sexually retarded! =no

36.You equate "morning stiffness" with rheumatoid arthritis
Yes

37.You actually know normal values for plasma sodium
135 is it?

38.-Pottasium
it's 4.6,confirm!=)

39.Missing class causes you extreme stress
Attending full class for the whole week cause me extreme stress!!!! =no!!

40.You have seriously asked someone "So, how does that make you feel?"
Yes, it's part of history taking =Yes

41.You have asked will this be on the exam
- yes

42.-Just after prof said it wouldn't
-equally yes

43.You identify with Deb on ER
err, which one is deb? =no

44.You have made a medical joke
i think i ever mde once =yes

45.-no one laughed
sigh! too bad =yes

46.-You figured they just weren;t that far in their studying
- i'm the one far behind, huhuhuhu =no

47.You wear your stethoscope around your neck on the bus-never.
Please don't do that, capap petala langit ke 8 =no

48.-you don't even know which way the things goes in your ears
-that's 2 years ago, hahahaha =No

49."SOB" means shortness of breath to you
yup!definitely no System of A Down =Yes

50.You have gone to student health with suspicion of a disease you have studied
err, i think i ever diagnose myself b4 =yes

51.-within 3 days of the lecture
3days and half, hahahah yupz..=P

52.You have answered a question in class
- no

53.-asked by professor
- no

54.-it was a rhetorical question
-damn!

55.You can quote lines from the movie "Malice"
- i can't remember this movie? all i remember is Peach Adam=no

56.-you believe them
- don't know =no

57.You can flip your pen over your thumb
- emm, wait,let me try.. hey! check this out! i can do it!! =yes

58.- with both hands
-wow, this must be from my subconcious mind! =yes

59.-you do so throughout class
- damn, if i do that, i'm parkinsonism!(pen rolling tremor) =no

60.You have corrected a professor in class
-never =no

61.-the rest of the class didn't understand the lecture to begin with
-yes

62.You know how to calculate specificity
err, no...

63.-positive predictive value
what the hell?? = no

64.-anion gap
a'ah! i know this one =yes

65.-you can't balance your chequebook
wait, emm, i think i can

66.You did't know what the weather was like for the past week
damn you, i know!

67.You didn't know what the weather is like right now
my bed is next to the window!

68.You actually talk in open ended questions
hahaha, it hv become habits!-yes

69.DIC isn't a slang term for the penis in your book
-of course it's not! =yes

70.You think B- is a bad grade
-that a pleasure to hv it, =no

71.you have stressed about a pass/fail class
Yeah!! =yes

72.You study during most of your meals
i seperated it from my meal. =no

73.You saw nothing abnormal about Obsessive-Compulsive Disorder
-wait, let me see, BEnjamin, Boon keat, no, they r abnormal!! =no

74.You draw all the slides not already provided in the handouts
damn!have to.. =yes

75.-including the cartoons (humerous type)
-laughter the best medicine.hahahaha =P =no

76.Anatomy makes you hungry
All of them makes me hungry faster =yes

77.You would even consider saying "Ease back on my finger at your own pace"
=no

78.You know the size of a RBC
i think so, ? no?

79.-you didn't know the size of a football field
it is bigger that futsal and tennis court =yes

80.You eyesight has worsened by 10pts or more in a year
oh no!! =no

81.You have the library hours memorized
dadada, i only sit in the library this semerter only for DL and CRP =no

82.You have your own seat in library
if i went to, it would be almost same spot! =yes

83.You score more than 95% on the Epidemiology Final
-no

84.You own more than 1 white coat
i only hv 1 =no

85.You have debated between giving up sleep or eating in order to find more time to study
- i sincerely gave up studying, hahahhaa =no

86.You started studying for boards more than 2 months in advance
err, i think, its 2 weeks =no

87.You have never received a personal invitation to discuss your grades with the dean
thankfully, never =yes

88.A tie is the only addition necessary to what you normally wear when you go to see patients - yes!! only during formal hour =yes

89.You wear scrubs to tests
i never see people wearing scrubs, but i've seen Heng with cool fever, hahahaha =P =no

90.You have made plans to study during vacations
ahahhaa, ever =yes

91.-you actually did
actually, it never happened =no

92.You have designated seat in lecture
Hahahaha, yes! during 2nd year

93.-You have ever asked someone to move away from "your seat"
-i think i hv hahaha =yes

94.You sleep less than 4 hours a night
-frequently yes i sleep a lot during day,hahhaha =yes

95.-you think that is plenty
-seriously NOT ENOUGH!! =no

96.-you thought about cutting back
-how dare you!! =no

97.You study more than 35hrs outside the class
i don't think so!! =no

98.You retype handouts given in class
i rewrite what lectrer taugh during class =yes

99.-you think you are a slackyard
-no

100.You think everyone answer yes to the most of these questions
wait, let me count first!


Scale
<20 You're not in Med school. Go back to your party and leave us alone
21-35 Either Med school is a breeze or you like the sound of "Senor Doctor"
36-45 Gota love that Primary Care
46-60 Well, I never really thought about MD/Phd, but now you mention it...
61-75 Your social life is shot, misght as well try to earn lots of money
76-90 which surgery subspeciality did you say you liked?
91-100 All hail, great Med School Nerd Master

Gunung Stong Expedition

After our surgery end of posting exam, we had a plan to go to hiking Gunung Stong in Dabong, Kelantan. 17 of us,going there. Hadi was our mastermind, Wadie as our ranger,Mukhlis as our head of chef, Muhyidin as logistic manager,Dzul incharge of safety,Rosdi and Aidy as paramedic, others were Hazwan, Saifulhaziq, Dol,Saperi, Fadli, Faris, Taufiq,Adam, Faizzin,and me myself.This time, we decided to travel by train since its a budget plan. The plan was going there by train on 8.30pm on 20 february from KL sentral, reach Dabong train station by 7.30a.m the next morning, going up the hill at 9.00,spend a night there and hv a barbeque before get down the next evening and take a 9.00pm train back to KL.we should be reaching Klang by 9.00a.m on monday because we had CRP briefing. a simple plan for our short holiday,=)

Friday 20 February 2009

After friday prayer, we finish packing up our bags and get ready to go to KL sentral. I traveled in Dol's car together with Hadi and Taufiq.We managed to avoid the massive traffic jam before it peaks hour and reach KL sentral by 4.30p.m and Dol have to go to UM to park his car.So, we have some time to hang around KL sentral.At 7.00p.m everybody already there and were waiting for prayer and have our dinner before boarding on 8.15p.m.After settling our bags and ourselves, the train leaving KL sentral to Gemas, a transit station before it changed it heads to east coast. After a while, it was so boring in the train so we spend our time chit-chatting and wondering around in the train.

Saturday 21 February 2009

We arrived at Gemas Station at 12.30a.m. we went out of the train and tried the delicious Gemas nasi lemak before continuing our journey.At first,it was hard to sleep in the train, it was because the train moves frequently. However, somehow, we managed to have a short sleep.Around 5.30a.m we woke up and the train almost reaching kelantan, we had our subuh prayer and enjoy the scenery as the morning starts to shines.At 7.45a.m, we arrived at Dabong train station, took some picture before continued our journey to wadie's house.There, we had some breakfast, and changed our clothes before get ready to hiking.After a short briefing, we started our hiking. It was so calm to be with the nature.As we crossed the below waterfall, our souls jumps to joy and we were eager to climb up to Jelawang camp. During our journey, we really enjoyed the scenery we had there. It was so beautiful and natural. The breeze were refreshing and there were alot of rare insects and flowers that we seen.Later, the track become more harder and steep. we had to rest for a while several times in our journey. Later, about 11.30a.m, we reach baha camp. It was a relief to all of us. After we get to our campsite, were set up our tents and kitchen. After a break for a while, we started to cook our lunch and later, we going to waterfall!! The water was blue, cold and refreshing! we really enjoyed our evening there. Some of us even tried to slide down the waterfall. it was exciting and hillarious. One of our friends only managed to climb the waterfall to slide down after 16 tries!Late in the evening, it was raining for a while and it quite a problem for us since it hards to find woods for our campfire and cooking.In the night, after prayer, we started to barbeque.That night, we sat around the fire, ate and chit-chatting among ourselves. After our dinner, we followed fadhli who wants to fishing at the waterfall and he managed to catch a fish.by 11.00p.m we went back to our campsite and Dzul announced the duty rooster to keep the fire up all night.He also gave us a salt to put around our tents to prevent incoming insects and then, everybody goes to sleep until their duty came up.

Sunday 21 February 2009

I woke up at 4.00a.m in the morning, I only see darkness around me and there was nobody was keeping up the fire. I thought everybody went to sleep and nobody keeps it up, so i joined them too.at 6.00a.m i woke up for subuh prayer. That morning, when i went down to take wudhuk, i accidently hit branch of tree and luckily it escaped from going through my eye. What i got is a superficial bruise across my left eye. It was painful at first.at 6.45a.m we went to jelawang waterfall to see sunrise.It was a magnificent scenery we have there as there were a layer of white clouds below us.We really enjoy the sunrise scenery that morning.After that, we went back to our camp and prepared our breakfast, a maggi!. That morning we found up nobody keeping the fire up last night because everybody was too tired to wake up. Luckily there was no incident happened.After breakfast, some of us went for some adventure in the jelawang jungle before all of us went to waterfall again. we played until afternoon when we went back for lunch and started to pack up our tents and bags.At 3.30p.m, we went down the mountain. This time, it was more trickier than the day before because the track was slippery because of the rain the day before. However, we managed to reach down without any incidents.Later, we went back to Wadie's house to have our dinner before boarding train back to KL at 9.00p.m.In the train, everybody fell asleep fastly because of the tiring day.


Monday 22 February 2009

We reached KL sentral by 7.45a.m and we had to rush to get back to Klang as the briefing starts at 9.00 p.m. However, sometimes there were something that would not going to keep up with your plan. Dol's car was blocked by other car and the owner of the car who left the telephone no on the dashboard neverpick up the phone. Later, only at 10.00a.m we managed to get the car and reached Klang by 11.00p.m. We were caught red-handed by Sanjay Rampal for not attending the morning briefing and he let us go with a warning. It was a very tiring day and after the briefing end, all of us finally had a good sleeps.

Surgery End of Posting Exam

Hi again!!! Hmm..i'm been busy for the past 3 weeks, and even didn't hv time to write new entry. I thinking about writing several post this time. Firstly i want to write about Surgery end of posting examination i had on 16&17 February 2009. On 16 was written examination and on 17 was my long case examination.


Through our clinical posting, only surgery posting will have a long case in our end of posting exam. Medicine and peads will have shortcase exam and for O&G and Primary care medicine don't have any of it. In the long case examination, we will be given an hour to clerk and do examination on a patient before we present the case to the examiner.

That morning, the coordinator was Mr Tai, and he called up our names and patients bed.Only god know how the atmosphere that morning. Everyone was restless and wandering what case and what kind of patients that we will have.

I was given patient on bed 46, a 80 years old patient. That day, it was so challenging because i have to drill all the information in 1 hour. At first, everything that patients said did not making any sense to me, maybe due to the nervousness and i have to race with time. Later, i calm down and retracing my steps and tried to lead my case through what my patient complained and i finally able to figured out his case. After that, everything goes smoothly from completing the history, physical examination, provisonal diagnosis and the investigation.

when the lecturer came, i was a bit calm since i'm able to prepare my case. He did asks a lot of questions, ask me to do a physical examination, and drilled through me. It was my very long 30minutes and through every minutes goes by, i hope he stops asking questions. What a felief when he asked to called my friends to be examined.


After the examination, for me, the time i had spent with my patients in the surgery wards are the most precious time for us, medical students.I'll really appreciate the WR. For your information, my group surgery posting was the most busy compared to other group that already had the surgery posting. We had total more than 20 wards round + tutorials, and every ward round, we would have at least 1 case and at most 3/4 of the ward(40patients). Thanks to As.Prof. George Lee, Dr. KL Ng, Dr. Khaidir, Mr Soma, Dr Shanggar, Dr Yoong, Dr Faizal and Dr Micheal for the 8weeks we spends with them.Not forgetting the nurse and staff of ward 3A,ward 4A and Operation room of HTAR. After this, i'm going for Medicine posting again after 1 month of Community Residency programme.