Sunday, June 27

Aku suka anime!!!


Fuh penat nk abeskan satu season fullmetal alchemist brotherhood, ade 64 episod da setel 62 ade lg dua episod nk abes..,

xde mende pun nk gtao..just nk gtao yg aku ni mmg suke tgk anime, n nk gtao pengajaran yg dpt diambil dr satu anime yg aku tgk ni..xdela sia2 aku abeskan ms 2-3 hari ni..eheh~

1.Lesson w/o pain is meaningless!
2.U can't gain sumthin' w/o sacrificing sumthin' else in return.

dpt x?..

nk dpt result atas maqbul kalo x sacrifice ms men game, tgk muvi , tdo, mkn n sbg mmg kalo dpt soalan spot 2thn past year boleh kot..XD (thn 5 nk cm2 gak..xpenah dpt woo spanjang 5thn duk sini..)

pas2 bende yg sng kte dpt sng je kte nk lepaskan, org puteh kate 'easy come, easy go'.

jom kte tgk, silap2 jom kte study.., 

saje nk bg semangat ke thn 5 yg hanya ada 2 org je ni..seb baek la ade world cup ade jgk adik2 dtg umah...:)

eh, byk lg anime xabes lg ni..chow dl


Tuesday, June 22

2nd Story

Normal elbow x-ray


For those who are unfamiliar with medical terms, there are medical term in this post which I'll simply explain just for the benefit of understanding.The story will not be understood without knowing the terms.

First the physical therapy, it is a therapy of muscles and joints done by the physical therapist to restore weak, or atrofied muscles to their healthy state by using massaging, heat and by electical stimuli methods.

The second term is Myositis ossificans, is a pathological calcification of healty muscle and hardened it limiting muscle or joint movement.Also in worse case scenario the muscle affected  will become bone-like.

Fuhh, many to explain right? i'll continue with the story...,the title is..,

Boy without teeth!  

A worried mother and his son came to Dr Ali el-deeb clinic, a specialist in rheumatology and an assistant professor at the Tanta University Hospital (TUH).

The boy is wearing a splint on his right elbow, he recently suffers from a trauma that cause  a fracture on his upper one third radial bone. 

The fracture is Alhamdulillah cured, but the mother's complaint is that her son can not move his right arm, due to stiffness on his elbow joint.

It's normal for any joint to has this kind of affect after being cast by plaster of paris (pop), due to the stagnant synovial fluid and bla..bla..bla..(no time to explain..maybe another time)

After assessment Dr Ali noticed that all of the boy's front teeth were missing.So he ask the mother is it due to the accident.Shockingly the loss of teeth had nothing to do with the accident.

Want to know???

It's horrifying, even to Dr Ali! the child was undergoes a physical therapy for his stiff joint, and the most important therapy is the joint stretching which is flexion and extension of the affected elbow joint.

The therapists was doing it without doing a routine x-ray, a simple investigation.They stretch the joint without knowing that the boy has myositis ossificans of brachialis muscle!!.

His muscle had completely turn into bone, can you imagine when someone try to break your bone!.Scream! that is the word, but in this case the boy kept on screaming but the therapists said it is normal (they don't know about the calcified muscle).

The boy kept on screaming and bite his teeth together to ease the pain, sadly they kept on stretching his arm till the calcified muscle broke!.The boy can not stand the pain any longer and bite his front teeth.All the teeth broke due to the straining and the agonizing pain.

There is blood all over his face and after seeing that they stop the stretch.

The mother and the therapist were confused, they do not know what had happened.

Thus the mother became angry and they leaved the therapist out of the blue.A day after,  she visited Dr Ali's clinic and Dr Ali explains the condition of the poor child after confirming it with a simple elbow joint x-ray.

His calcified brachialis muscle was broken, so the choice of treatment is surgery and his arm will not able to move like before due to iatrogenic or his previous doctor silly, stupid yet fatal mistake.Don't forget that his front teeth are all gone too!.

scary~~~~~~..., doesn't it?? 

this story makes me want to study! i hope it goes for you guys too~ XD 


due to 'long-ness' of 2nd story the 3rd story will come out later....tq

Wednesday, June 16

1st medical dilemma

which is which?*

Tinea capitis grey patch vs localized Alopecia areata are my first medical dilemma.The medical crossroad to consider which is which.It needs high level of understanding of both diseases.As both look the same, a patch of hairless and circumscribe lesion. 

It confused me a little, because the initial lesion is almost the same and the exclamation site is very hard and almost impossible to find.Also the diagnostic scales of the tinea capitis often get wash away by shampoo (mothers always clean her offspring before seeing a dermatologist).

Without the characteristic scales, patch of tinea capitis will look like patch of alopecia areata!.The solution is, tell the mother to come back or re-inspection after 3 days and tell her also do not wash her offspring hair.

Then the sign and scales of tinea capitis will return the diagnosis is surely tinea capitis and if it does not return, it is the same like before then the diagnosis will be alopecia areata.

Albeit that this is only a dermatological case, a misdiagnosis will be an eternal error because the treatment of both disease are totally contraindicated to each other.As for tinea is antifungal and for alopecia is corticosteroid.

Corticosteroid treatment in tinea capitis will flare the infection causing diffuse tinea capitis.My lecture advice is "Do not jump into a diagnosis like you jump from a bus here in egypt, but slowly arrive at the station and take all the steps necessary then after that you'll arrive at the diagnosis in no time at all".

thank you Dr!,
*Alpecia right and tinea capitis left

Monday, June 14

a little sumthin' to share


In Neurology round, one of the most typical and classical case is hemiplegia. For those who are still not accustomed to medical term it is called one-sided paralysis according to the part of brain affected.

"What is common is common" a sentence which my lecturer repeat all and over, because in medical field, we as a student or a HO or a MO or the upper level doctors must exclude the typical causes and then the uncommon or the atypical causes are considered after the commons were subsided.

Vascular is the common cause of hemiplegia.The 'tiga serangkai' illnesses which are Diabetes Mellitus type II-Hypertension-Arteriosclerotic Heart Disease.Enough of the medical mumbo-jumbo, want more info just click on the links.

In hemiplegic patient the pyramidal tract affection will cause weakness in the extensors of the upper limbs and flexors of the lower limbs.So the patient attitude will be like this ( the patient suffers left hemiplegia ) .

left upper limb in flexor attitude and 
left lower limb in extensor attitude 

These position is a blessing from Allah because the flexion of the upper hand helps him to touch his mouth, eats and wash his face.Furthermore the extension of the lower limb allows him to walk ( Subhanallah ).

Allah's blessing is everywhere, open our eyes, mind and heart.We can sense it if we try!.A lesson to learn is concluded in the ayah below, from surah Al-An'am verse 12.

"He ( Allah ) has decreed for himself mercy"

[ As a bounty from him, this is a gentle 
summoning of them (kuffar) to the faith (islam) ]*  
from Tafsir Al-Jalalain*

wallahu a'lam, wassalam.

Thursday, June 10

Capub ahli beyt


Hari jumaat sepertimana minggu-minggu sebelumnya adalah hari 'makan luar' untuk rumah kami, Bait Attibba'.Bagi menyambut seruan agama (O_o) kami sebulat suara mengishtiharkan bahawa hari ini tiada orang akan masak!.Best duk umah nie, sape nak duk kene banyak2 doa supaya ahli beyt umah ni cpt kawen n kua dr umah ni (mashi?).

Keluar waktu malam la best musim2 panas ni, sejuk sket kalo klua pagi adoi mmg xtahan panas, terik, dan berlecaklah tubuh badan.Ikhwah je yang boleh klua malam kat mesir ni, akhawat tidak boleh kecuali hal-hal kecemasan dan penting sahaja.Tapi, ade je yg klua tanpa mushrif, nt bl da jadi pape nt tanggung sendiri k! (bukan nk doakan ke ape ke, pikir sendirila yea da besa).

Umah ni lengkap ssgt daripd thn 1 hingga thn 5 ade, 2 orang tahun 5, sorg thn 4, sorg thn 3, 2 org thn dua, dan sorang lg payess tahun 1 (duk uma atas tp kami da anggap mcm ahli beyt sbb bl bunyi loceng mesti muka die, cume skang jarang dtg sbb nk xm, tp tgu la world cup esok cmne---).

xmo merapu da jom tgk gambar ahli beyt~~~.(gamba disusun mengikut umo yea kwn2)

mat @ k'naan

sopi @ yee sung?? ntahla~

Pakeh @ rock kapak jiwang (lua je grg dlm lembut woo)

zool @ adam****


Sham @ tukang jual tiket

gambar strsnye adalah edisi couple yang di benarkan oleh islam..,

adik2 thn 2 yang besar dari abg2 thn 5

abg2 thn 3 n 4 yg sebok sentiasa ( msg sape tu? eheh~)

abg2 thn 5 yg sebok kire duet nk kawen (lg2 yg tgh pgg duet)
sorg lg tgh kire duet kat atas meja..tgk duit die kat bwh ni..

ni je yg ade pas mkn kt lua~adoiii..,

tu jela ahli beyt yang ade..,cume payess xdiajak untuk makan skali kerana status ahli beyt masih diragui.Pnt ngarut ptg2 ni.


Monday, June 7

Do not become like this

house md
-want some?-

Once in the Dermatology lecture given by Prof. Dr Najwa

"What is your name?" she said "Mahmod?Muhammad?"

"Syafiq, Syafiiiiiqqqq ( with qalqalah ) bil qaf ya dukturah" I replied.

Dr said "Bitetkallim 3arabi?" ( pandai cakap arab? )

Me "Aiwah, InsyaAllah.., nus-we-nus ya dukturah" ( ya insyaAllah siki-sikit je dokter )

"Mashi" She replied "leyh na3mil as3ah sadr fil A3yan Urticaria?"
 ( baekla..,nape kte buat chest x-ray kat pesakit urticaria? )  

Me ( ngarut gler, da la dalam muhadarah ramai org maluuunye kalo salah ) 
"Erm..,erm..,to exclude Malignancy ya dukturah"

"Aiwah asaH keda" said her. ( tepat skali )

"Alhamdulillah" ( seb baekla~..,hantam kromo je ) monolog-ing myself. 

Lesson to learn?

1.Always study because luck doesn't work multiple times.
2.Always try to improve your Ammiah ( increase in years doesn't mean increase fluency-la syafiq! )
3.Always hide yourself from being ask by Dr ( just for myself )
4.Do not become the doctor in the stories below ( very important )

1st story entitled "Ad-dawa' Muhtaram" ( Respectful or Powerful Medicine )

A man with unknown fever came to Dr x clinic
complaining about his symptom..,
After a ten minutes talking and sharing Dr x took a pen,
a doctor's pen, an expensive and wet-inked one..,
To write the prescription..,
Then the patient sent away to buy his medicine at the local pharmacy..,
He bought all the medicine Dr x wrote for him..,
At home he talks to his wife and kids 

"ed-duktur yeddini dawak muhtaram..,ed-dawak kulluh yesawi tultumit ginih"
( dr bg kat aku ubat best gler..,300 genih )

Want to know what are the drugs?
it contain the following....,

Broad spec anti-bacteria cefotaxime 
( 3rd generation cephalosporin )
Broad spec systemic anti-fungal fluconazole
( Azole group hepatotoxic! )
systemic anti-viral acilclovir
( Chromosome mutagen )

Dr x cover all of the bases for infection related fever..,
by writing those without considering the drugs interaction..,
Because he could not diagnose which infection is which...,

( !@#$%^&;*^&* )

2nd and 3rd stories will be up soon...,InsyaAllah

Friday, June 4

Jangan Tunggu..[marratan saniah]

Untuk Ammar..,
Teman seperjuangan

Alhamdulillah selesai sudah satu 'major' subjek saya pada tahun ini.Kalimah suci alhamdulillah yang saya ucapkan ini bukanlah petanda kepada kemenangan atau pengakhiran akan tetapi ia adalah satu petanda bahawa perjuangan 3ilmu yang tidak kunjung putus ini sudah sampai kepada fasa akhir bagi sesi 08/09 tahun 4 saya di sini.Apabila dikenangkan kembali sudah 4 tahun saya berada di sini,mendalami ilmu Allah yang diberikan secebis cuma kepada hambanNYA yang amat lemah ini.

Astaghfirullahal3azim pabila saya mengenangkan pemergian sahabat kita semua yang baru sahaja menemui Allah (moga dibawah naunganNYA) , saya disini masih lagi mendapat nikmat ukhuwwah islamiah yang masih utuh dihati mahasiswa Tanta perubatan juga julusan agama.Malunya saya kerana tidak mensyukuri nikmat ukhuwwah ini yang mana mengiringi nikmat iman dan islam..Allahuakbar,saya amat berharap akan almarhum akan sentiasa di ingati di dalam doa harian kita,"kenanglah daku dalam doamu" itulah yang akan saya ucapkan jika sayalah yang menemui ajal.

Saya di sini ingin menguacpkan rasa kagum saya kepada ukhuwwah yang telah ditunjukkan oleh sahabat-sahabat saya yang berada di Kaherah, pelbagai produksi , kata-kata , blog , derma , dan segala macam usaha yang dibuat bagi mengenang yang telah pergi.Allah sahaja yang boleh membalas jasa-jasa yang kamu semua lakukan.Saya disini hanya dapat mengabadikan Allahyarham Amar hanya dengan perkataan dan ayat sahaja."Manusia hanya akan dikira mati jika tiada siapa yang akan mengingatinya" itulah kata-kata yang saya pegang tulisan dan doa saya ditujukan kepadanya.

Apa yang saya dapat dalam ujian Allah ini?

1.kalo ade wat silap ngn ahli beyt , kawan-kawan jgn tgu untuk minta maaf

2.kalo ade hutang dengn sesiapa sahaja jgn tgu untuk byr

3.kalo ade hajat yang belum tertunai jgn tgu untuk menunaikannya

4.kalo terfikir nak call family , jgn tgu,,,call trs ( da kol family da minggu ni?,harini? )

5.kalo ade bende baik yang nak buat , jgn tgu..buat trs.

6.kalo ade bende jahat nak buat jgn tgu trs mengucap dan beristighfar byk3 kali (Rasullullah SAW pun 70 kali sehari)

Kerana ajal maut tiada sesiapa yang tahu , bersedialah...

-Allah's weakest slave-

Tuesday, June 1

!!!الله عليك يا يهود

بسم الله الرحمن الرحيم

05.31.2010 Istanbul

A statement from the conference on "International Youth Forum," "5th for cultural cooperation between the Muslim youth", held in Astnnbul rightly heinous crime committed this morning, he says, "So for those who fight because they did wrong and that God's power to the victory"

Continues throughout the world, including representatives of youth of the world Islamic Youth Forum of the Fifth International, being committed by the hands of brutal further injustice and aggression, which was not sanctioned by the divine law and human civilization and human value against the beleaguered people defenseless in the Gaza Strip, which lies in the perimeters more than a million and a half million people without any right of human life that is given to humanity without food, no cure and no shelter. 

The action of the soldiers of the usurper Zionist entity the dawn of this day of attack and occupation of the naval vessels of freedom which carried part of the meanings of life, symbolic of the people of Gaza; that there is the rest of the pronouns on this earth will not forget and will never forget free the oppressed people in the sector, but that the hand of treachery and aggression, insisted to get rid of this spirit of pure before they reach the body of the besieged, h à landing ships attacked military and civilian shot at a free, wreak their dead and wounded and arrested oxygen transit to the Gaza Strip, adding another crime to record acts of terrorist aggression arrogant. 

The International Youth Forum in this sad, to address the international community to intervene immediately to stop the heinous crime of being in the face of the Zionist monster predator pause reveal the ugly face of the usurper entity and lift the injustice against the besieged people, the right to land and history.

We also call on the OIC and the Arab League not to stand idly in front of the received and gets those oppressed of the aggression and deprivation in compliance with the verse "When all of give a helping hand, then you'll be victorious."

We also call on all free men in the world to demonstrate and rise up in the streets, deploring and condemning this crime did not respect any human being on earth, and the payment systems of official positions bold in the direction of pressure on the United Nations and all parties to the international community to deter the Zionist entity and stop the crimes committed by IOF against the people Palestinian supporters of all to him.

"ولا تهنوا ولا تحزنوا وأنتم الأعلون إن كنتم مؤمنين"

"ولله العزة ولرسوله وللمؤمنين"
International Youth Forum
General President
Hassan Beetmaz

Direct copy from HERE and translated HERE

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