preload
Dec 31

Another EOP has just over.. Surgery.. This time a totally different one..

Previous Paeds & O&G i’m not too interested but this one i’m interested..

Got Prof Khin Tun & Mr Ashok for my long case..

Epigastric pain + hard epigastric mass (liver origin i suppose) + splenomegaly + fever + signs of chronic liver disease + signs of obstructive jaundice..

My provisional diagnosis: HCC since the epigastric mass is so hard..

Then Prof Khin Tun asked points against my diagnosis..

I knew something is wrong out there.. I said pain & fever.. He agreed & asked me how come fever & pain & chronic liver disease signs?

I remembered the nurse opened the case note & told me the current diagnosis they had at the moment.. It’s cholangitis with known case of Hep B..

So WTH, who cares, i shot cholangitis & said Charcot’s Triad matched..

Prof Khin Tun did not agree.. Tough Luck.. Didn’t went into investigations or management..

Kept on beating around the provisional diagnosis only.. sigh

As for short case, i was the last one to take the exam.. so imagine how much energy has been wasted during the waiting from 8am till 11.30am? Lol

I got abscess for the 1st one… Left lower back abscess.. With Dr Kyi & AP Dr Ong..

Everything went smoothly this time.. Thank God!

2nd one was Fibrolipoma.. With AP Dr Thaung & Dr Nyi..

This time was disaster!

On inspection, there is a 10×11cm swelling at right axilla region.. Looks like lipoma to me..

On palpation, WTH? Soft & firm consistency at the same time.. The firm one was like “fibroadenoma” in the breast.. So freely mobile.. LOL

In a man.. i was confused at that moment..

I kept on palpating the swelling and too nervous to speak out..

Dr Nyi guided me a while and at last i did slipping sign.. Lol

Dy Thaung asked me provisional Dx..

I said Lipoma due to skin can be pinched & slipping sign +ve

He asked me why cannot be hemangioma? I answered correctly

He asked what is lipoma? I answered correctly

He asked DDx? I said sebaceous cyst

He asked how to differentiate from lipoma.. I answered correctly again

Then he asked what are the places where lipoma cannot occur?

This time i mixed up with the sebaceous cyst and i said palm & sole.. LOL

They laughed..

They told me “you confused with another disease”

They asked me what is that disease that i’m confused with?

Luckily i said sebaceous cyst..

And the time is up..

However, Dr Thaung said there was scar and i didn’t mentioned inspection correctly.. sigh

I think i’m quite unlucky to get these cases but i hope I’m lucky enough to pass the exam..

Oh ya, that day Dr Kyi asked Jun Ing to take care of me.. LOL

And today she asked me to take care of Jun Ing.. LOL

Anyway, i really  like surgery than paeds & O&G..

surgery, paeds, O&G.. I really dislike O&G :-P

Bookmark and Share
Dec 23

Air Asia!! Lol..

Hell no!!

Well well, Malaysia Airlines a.k.a MAS has come out with this fancy thing for MAS passengers..

As a PDA phone user myself, i’m very delighted to see this coz i can manage my MAS bookings and check-ins with ease!

So how easy is that? Let me show u some of the live photos i got with my iPhone..

So from the main menu, you can see all the essential things..

They are just a single click away!! Soooo EASY!

So is this website only for iPhone?? NOPE!

Basically all phones with internet can use it.. but preferably BIG screen phone.. however, u can try it out yourself

Let’s say i clicked flight status..

So i can choose the date and destination easily.. SIMPLE and FAST..

Or if i wanna book a flight..

I can search the destination easily!! Just a few clicks away anywhere anytime!!

NO NEED to go back home or office to online for booking!!

Just anywhere in Starbuck or Coffee Bean or even during your BIG BUSINESS in toilet :-P

Want to see more??

Just go to http://flymas.mobi/ and find out yourself!!

As the saying goes…

I hear, I forget

I see, I remember

I do I understand!!

So just do it!

Bookmark and Share
Tagged with:
Dec 21

The clock has started..

Countdown to Christmas? 2010? Hell no! My Surgery End of Posting Exam!! Argghh…

Bookmark and Share
Tagged with:
Dec 16

Recently Apple has changed their Apps policy and approved 2 video recording apps for iPhone 2G and 3G.. Meaning not only iPhone 3Gs can take videos!!

The 1st one..iVideoCamera..

ivideocamera

2nd one.. Camcorder..

ivideocamera

Both now at $0.99.. GO BUY NOW!! Lol, i’ll wait and see..

BUT, why on earth the iPhones fans are so happy? is this some kind of “new” feature? Maybe is “new” for iPhone 2G & 3G but video recoding is available in almost all camera phone nowadays bro!

When iPhone OS 3.0 was out, they claimed that iPhone 3G cannot take video due to hardware problems.. so now what?

Bookmark and Share
Tagged with:
Dec 15

Yesterday my friend Googled 1 very interesting question..

And he found his answer and was satisfied with it..

However, i’m not! :p

The question is not complete..

Maybe Google got confused :D

16243_575919667435_222407284_4512809_7759790_n

So i decided to Google again myself..

With more complete sentence..

And i found my answer and i’m very satisfied with it..

Thanks Google!

lwj

Bookmark and Share
Tagged with:
Dec 14

IMG_0158

It’s gonna be a wet week..

Newspaper predicted this week Sibu will flood OMG!

Bookmark and Share
Tagged with:
Dec 13

Last night suddenly so many cars & ppl..

Got fire crackers somemore wo..

those ppl wear nice nice also..

So weird..

I was thinking.. just a dinner at home why wear so grand wo..

Provisional diagnosis: birthday?

DDx: early celebration of 冬至? engagement? wedding?

Then today morning..

(*&&*%^&*&)()_(*&%$#@#$%^&*(

Free morning call for the neighborhood! LOL

PC130012

Here I come!
PC130012

Fire in the hole!
PC130013

Wah car sui leh..
PC130012

Sui zabo also..

Final diagnosis: wedding

Special thanks to Jun Ing for her courage to take pictures although uninvited :P

Bookmark and Share
Dec 12

usb1

What i conclude is EXPENSIVE!

(Data Traveler 101)

4gb Kingston pendrive : RM35

8gb Kingston pendrive: RM59

16gb Kingston pendrive: RM114

usb2

My dad told me in JB 4gb Kingston pendrive Rm19.. LOL

Came back empty handed.

usb3

Anyway, anyone knows what’s the standard speed?

Bookmark and Share
Tagged with:
Dec 04

Tracking using my iphone, my mom always said i din spend much money..

So the summary.. actually this month was a bit more due to “Auto”.. i repaired and serviced my car..

Entertainment: pirated DVD lo.. lolz

Personal: The multivitamins lo… RM100 for 2 bottles..

Household: all my junk foods.. haha

Home.. What’s that? cant recall

IMG_0135

So how do u track your expenses? Do u even know how much u spent?

Bookmark and Share
Tagged with:
Dec 02

well well, my parents just came back from Turkey after 10 days 7 nights.. They had a wonderful time over there.. so here are some of their pics.. more to come :)

TRAIN STATION ANKARATRAIN STATION ANKARA

MUM AT TOPKAPI PALACE ISTANBULMUM AT TOPKAPI PALACE ISTANBUL

BELLY DANCE AT ISTANBULBELLY DANCE AT ISTANBUL

AT WOW HOTEL ISTANBULAT WOW HOTEL ISTANBUL

AT TROJAN HORSE OF TROY CANAKKALEAT TROJAN HORSE OF TROY CANAKKALE

AT COTTON CASTLE PAMUKKALE 09AT COTTON CASTLE PAMUKKALE 09

Bookmark and Share