How I want to Remember my friends....

The beauty inside

Sorry Nina, I know you told me to just make a synopsis, but I can’t help writing!! You have induce my heart to wriiiittttteeeeeee my heart out….hahaha…. it’s been quite a while I don’t feel like writing up a long essay. But, I promise, the point I want to make, I will highlight it, so for those who hate reading or have tons of other things to read, you can scroll down and go to the bottom of the post, where I summarized what I want to say.

I told Nina today, something I usually told certain people, close people, I told her about what I usually feels after every dinner. Most of the dinner, well actually all of the dinner I went (except for the one….. I shouldn’t say which) I always feel left out. Imagine now, already ‘left out’ after being barred, another dinner for me just to feel left out. Oh man....and I'm the exco some more...? So lets see, why do I feel left out?

REASON 1: Am I not beautiful too??

People coming to dinner always wears their best clothes and make ups. I don’t blame them, I do that too. But not everybody will come to dinners wearing ‘appropriate’ clothes. As Malaysians we all learn to respect each’s other religion. In islam, there is a certain boundaries to what a muslim can wear, doesn’t mean they can’t be beautiful, we can, in any ways, just not the wrong ways. For the non-muslim, they have the right to wear anything they want as beautiful as they want, but…. Being 1 Malaysia, in a place where all races are present isn’t it nicer that we respect each other believes? I’m not asking for every girls to suddenly wear the hijab and the guys wears baju melayu, but at least we wear something that doesn’t ‘offend’ others. I’m quite sure too that other religion also teaches not to wear very ‘revealing’ clothing. Its painful seeing our friends, who we sees going to the ward wearing such modest clothing and just being themselves, but coming to dinners as someone you hardly recognize! On top of that, some with too revealing clothing….its like, “oh this a part of you (body parts) I never seen before! Literally!”. I’m not referring to anyone, since I can’t remember any dinner experiences before, I erased it in my memory long ago. Sorry, but some are just, offensive to the eyes…. For those non-muslims who read this, this does not make me an extremist, I’m just being what a muslim should be.

Tell the believing men to reduce [some] of their vision and guard their private parts. That is purer for them. Indeed, Allah is Acquainted with what they do. And tell the believing women to reduce [some] of their vision and guard their private parts and not expose their adornment except that which [necessarily] appears thereof and to wrap [a portion of] their headcovers over their chests and not expose their adornment except to their husbands, their fathers, their husbands' fathers, their sons, their husbands' sons, their brothers, their brothers' sons, their sisters' sons, their women, that which their right hands possess, or those male attendants having no physical desire, or children who are not yet aware of the private aspects of women. And let them not stamp their feet to make known what they conceal of their adornment. And turn to Allah in repentance, all of you, O believers, that you might succeed. (Source: Holy Quran; Surah An-Nur:30-31)

So as Malaysians, you don’t need to understand this, you can if you want, but at least respect it. So the point is, if there is one time, where we all gather for that very last moments, what do we want to remember about our friends?

• A. Their clothes
• B.Their make-ups
• C. Their body (??!!!)
• D. Their heart

Well, I don’t know about you guys, but I want to remember their heart.  Who says that beautiful is only to the eyes? Well, there are… but those guys are probably big time models and superstars, and we are future doctors, I’m quite sure there is a big difference to that. People can lie about how they look by wearing beautiful clothes and thick make ups, but no one can hide their inner beauty, it just shows… for some reason...

REASON 2: What’s the theme again??

I never follow dinner themes… except for the black and gold something…. Because by chance I have a black and gold jubah, so I just wear it. But honestly, those who really follows themes, I give them the two thumbs up!! Some put so many effort to really go with the flow~ its good really, but I wonder what happen to those expensive clothes we wear especially for our dinner, hmmm…… I don’t think I ever seen anyone wears them to the ward… honestly, I came to a dinner once, wearing something I wear going to the ward…hahaha… And I actually feel a bit proud, because I don’t see anyone who dares to do the same…heheh…I don’t know, maybe there are, but I didn’t see you, sorry..hehe.. so the point is, isn’t it easier if the theme is, well, the theme is just be yourself, release your inner beauty. Drink inner shine a lot… no need make ups, you can still look as cute as Nina Hoklai. (wink!wink!)But of course I wear a bit of make ups too sometimes. (coz I’m not as cute as you):D

REASON 3: Who was it the king and queen again?… but why…..???

Well, I’m quite sure most of the time we judge winners by how awesome they go with the flow~ I remember one of the judges of one of the dinners told me, “I don’t know who to pick….”, FYI, its not because there’s too many candidates, but during that time, everybody seems to be too “malas” to follow themes. But now, since medic student is more rich, such issue will not be raised laa… can follow theme punya la, no hal…. But on what basis do we pick the King and Queens? Just by what they wear? Its okay, it’s a good idea, since people put a lot of effort to look good in every dinner. In that case, so why don’t we make a dinner where inner beauty would be the theme, and the King and Queens would be, the nicest of friends…. The nicest of people…. The one who make a lot of sacrifices for all of us…. The one who sometimes cried for us…. Belanja us....when JPA is not in yet…. Let us sleep in their bed when we have nightmares…(tribute to Nabila who let me sleep beside her on the night i have nightmare during posting at HTI).....you know... those guys…. The one we really want to remember as Kings and Queens… hey this IS the LAST dinner for you guys right? So why not? Make the King and Queen someone who really are the kings and queens of 5^th year medical student… as a way of saying, thank you friend, we will remember you always….

and hey! Why not make a lot of Kings and Queens? Different type of King and Queens for different categories.... and everybody should bring present too...oh oh...and maybe we can make small cute medals, and put there "best friend award" make it as dedications...:DD

I know the idea and conditions I’m asking here seems to be the opposite of what we usually do, but isn’t that the point of the LAST DINNER? One that really LASTS, not just in pictures, but in our hearts… We respect each other’s believes and boundaries, remember our friends for who they are, and give a BIG THANK YOU to someone who deserve it…..(oh, I think I’m gonna cry…TT_TT)

So here’s a proposal for a theme, if you don’t like it, well, I don’t mind, I still have another year to try this out! Haha!

“Release Your Inner Beauty”

Here is the reasons (for those who don’t read the doodles up here)

Inner beauty is not something you can paste with makeup’s and buy with expensive clothes, but you can show by just being a friend, being who you are, and respecting others as 1 Malaysia

It is a theme made to treasure friendship so that we will remember it during those last moments. No need to hassle on what to wear, just whatever makes you feel pretty everyday (you are pretty right?? And handsome too la…)

As a way to say thank you to those friends who really give all out for us for the past 5 years, they will be our Kings and Queen

Let’s not just treasure beauty, but let’s treasure, INNER BEAUTY

How I want to remember my friends:

Pictures of my friends,that they are proud of (if not, they wouldn't put it on facebook!)

 May God bless us all....

"Misi Jubah Merah"

Last Sunday, during the 2^nd Fiqh Perubatan, I met Kak Long, one of our beloved senior who had just fly from Sabah to attend their Graduation ceremony the day before. Honestly, I’ve never seen kak Long in such high spirits before. Its like she have all the energy in the world, I can see the glow of happiness when she talked about the “jubah merah” and the graduation ceremony. Me and my best pal, Hayat took a picture, and I take the chance to ‘test’ the “jubah merah” myself. Its surprisingly comfortable by the way!

I had been reflecting quite a lot on that day. Not only because I get to meet Kak Long, but during Fiqh Perubatan itself, a lot of emotions takes place. If I can, I want the whole world to know about what I’m facing during my final year, and how much it had been affecting my studies. But what I fear the most is the kind of reaction I will get from others that will eventually affect my way of thinking in a negative way. I’m not making sense am I? Well, some things are not meant to be understood. But for once, wearing that “jubah merah” made me forget about all those troubles, and I really felt like ‘my turn’ to wear it for real is really that close. The feel of that heavy red fabric hugging my body feels warm and so welcoming. Will be it be next year for me? and next year is really just a couple of months away.

In my opinion, the happiness one felt during their graduation does not depend on their PNGK or wether they received distinction or what not. It depends on the overall performance of that particular student. How much effort had he or she put in making all of it worth it. And that is something only the person themselves can determined. Success is subjective isn’t? I always told myself that success to me is really that simple, its when I manage to be happy and always giving my best effort to gain the best in the worst of situations. It doesn’t matter how well I perform, as long as I give it my best, to me that is already considered as a success.

Looking at myself right now, thinking about all the ups and downs I went through, I really felt like I had been struggling real hard. Maybe others would beg to differ, and some might even criticize me, but no matter. I was told by my teachers, that “only you know how good you are, and don’t let anyone else let you feel down”. Heck yes! I’ve been doing my best to get myself in a good shape. Sometimes I failed, but I know sooner or later I will stand up anyway and walked in one piece or in pieces. I know that above all, I have to accept myself in order for me to be accepted by others. A good friend once told me, “the only person who will make your life easier is yourself”. How true she was, even though we sometime hope that the people around us will give us all the support we need to succeed, but in the end, all we have is ourselves to decide whether we want to stay on or give up. I felt really lucky being blessed to be on the road of tarbiyyah. The locus of support I’m receiving extends massively. Sometimes I can feel that the whole world is doing their part to help me, and InsyaAllah, only Allah alone will decide for me and His decision is the best decision.

TIPS 8 : Internal Medicine in UKMMC

I was either very lucky or unlucky to have medicine as my first posting. Its been 3 weeks in internal medicine (IM). In my opinion, in IM there is not much variation of the things you need to do, but because medicine itself is a cocktail of all the basic things in medicine, the heaviness lies on the things you need to know, rather than the things you need to get done.The first week is the coffee and lectures week, where there will be lots of coffee to make sure you can stay awake for the long lectures. It might be a little too much to have lectures from 8am-5pm, but some of the lectures really got you thinking of how inadequate your knowledge is. So you will either become motivated to study even harder, or end up getting depressed or a mixture of both (most of the time), but then you need to stand up no matter what to get yourself ready for the real stuff.

My first ward work was at UKMMC. You either start at UKMMC, HKL or HTI. I don’t know about the rest yet, but here’s my very own tips to make sure you can stay, well at least, organized, during IM in UKMMC. Now IM in UKMMC is a lot heavier (from what I heard). It’s a compulsory to be present during ward rounds everyday and to present your case. So even though I say there is not much variation of the things you need to do, but covering the beds and preparing for the ward rounds sometimes takes up half of your life in medicine. Since there will be 4-5 person per ward, one person must cover 6-7 beds. What makes it more heavier is when you ward is very “active” despite being the “active ward” at all. Being in Medical 5, there will be 4-6 new cases every day, that’s right, EVERY DAY, and I don’t know about other ward rounds, our ward rounds will and always start at 9am and ends at 12pm, minimum. Oh yes, the second week is a good week for you to make sure your musculoskeletal system is up to the 3 hours round. So what should you keep in mind during IM? Here’s my tip

For new cases

1. Arrive at the ward at 7am because most new cases came after midnight. You only have 1 hour then to clerk new case and do reviews. At 8.00am till 9.00am you have to attend either lectures, grand ward rounds, CME, or CPC. Right after the lecture finishes, you'll be expected to be ready for the rounds.
2. Clerk the history and present in a way you are trying to arrive to a diagnosis, maybe not necessarily the full history. This is where you sell your stories to the specialist during rounds. Sometimes, there is not much time, so at least try to get the chief complaint and background history right. But come back later to try to get the full history too. Add up investigations and physical examination if you manage to do it in time.
3. If patient could not give history (stroke patients, too tired, refuse, etc), no excuse, clerk the notes (last resort). At least you know your case. Spend time to clerk the case other times if possible.
4. Don’t waste the presence of family members, catch them as soon as you see them, get the history from them too, not the other way around (refuse to take history because don’t want to disturb patients with their family member.)
5. Get involve with the patient’s investigations, especially blood taking and branula. You will have the privileged to take the patient’s blood if he or she is your patient. But don’t get too greedy; make sure your friends get a chance to fill their log books too.

Follow up-ing patients / review patients

What to Review:

About yesterday:

• Had the plan yesterday been carried out?
• What was the result of the recent  investigations or procedures done to the patient? (In pertaining to the patient’s problem)
• Who else had seen the patient yesterday? (Example: in referred cases/ physiotherapy/dietitian)

About today:

• Is the patient well today? Any acute complaints?
• What are the vitals? (BP, HR, RR, T, SpO2, etc..)
• What are the physical findings today? (In pertaining to patient’s problem, eg: lungs clear, no more abdominal pain)
• Is the patient plan for anything today?

1. If possible, came at night to review your patients, at least get to know what happen to the patient yesterday. Usually too many new case to cover the next day, you have to give time for that in the morning. But almost every time, blood result will only be ready in the morning. So if you can come earlier than 7.00 am, you can get everything done quite magnificently good.
2. If you have the time, help the HO to fill in the reviews so that you will not be questioned so much. Oh yes, don't forget to get really friendly with the HO. They gonna help you out quite a lot.
3. To keep your reviews organized, make a table of the patient’s , vitals and important investigations so that you can update and see the trend of the result too. For example:

contoh..

So that’s all I can think of in terms of taking care of the ward and ward rounds. But there are other things to keep in mind during IM, the on calls, procedures to do, procedures to observe, lectures, teachings, oh, and of course the study groups. But basically, those stuff aren’t new, so try to manage time efficiently so that you have adequate time to do all (and I’m not so good at that, so you should ask other people for the tips, hohoho…)So all the best, I’m off to HTI! Chaiyok!

Woman in Medicine

Woman in Medicine, so what's the problem??

courtesy of Nayzak

Being a member of medscape, I, sometimes find some time to read the blogs of medical students or doctors posted in Medscape because most of them are very beneficial. Today, one topic drives my attention, it was "Woman in Medicine, Betrayal or Trust". The post was written by Elizabeth Wiley, a medical student, she was commenting on a published piece from New York Times by a female anaesthesiologist. I find some part of her post quite true. This is part of her post:

A couple of weeks ago, Dr. Karen Sibert, an anesthesiologist, published a piece in the New York Times called "Don't Quit This Day Job." In this op-ed, she argues that "[m]edicine shouldn't be a part-time interest to be set aside if it becomes inconvenient; it deserves to be a life's work." The crux of her piece takes issue with the decision by many female physicians to work less than their male counterparts, whether in the form of extended leave or more permanent part-time work. To Dr. Sibert, such a decision is a betrayal of public trust and misuse of public investment in medical training.

Having just finished my anesthesia rotation as part of general surgery, I have to say that I find it a little shocking that this anesthesologist would make such an argument. Anesthesia is well-known for being a competitive "lifestyle" specialty among medical students and, compared to general surgery, for example, seems to live up to the label in practice as far as I can tell. This is not to say that anesthesologists aren't incredibly important; rather, their work schedules seem to be particularly amenable to "work-life balance" and family life. Dr. Sibert repeatedly references the primary care shortages facing our country, but it's a little difficult to take her seriously given the choice that she made. I wonder -- did she betray society too with her specialty choice? Shouldnt we all be obligated to choose the specialties with the greatest need? Where does the obligation begin and end? But I digress....

As a (relatively) young woman in medicine, I was horrifed to read Dr. Sibert's piece. Her argument is bluntly shortsighted. The culprit in the current physician shortage is not women who go to medical school and dare to start a family. Instead, I'd start with the centuries of oppression and gender discrimination that have created an "advanced, civilized society" in which women are still insidiously expected to assume responsibility for all things domestic. Of course, having made it this far in medical school, I have to admit that women do bear the biological burden of gestation and childbirth. But that's not the genesis of this problem. 

Her post reminded me of what my naqibah always told me. Women and men are different and they are meant for different purposes on earth. Quotting from the holy Quran in surah Al-Imran, verse 36, when Imran's wife had pledged to consecrated whatever that is in her womb for Allah's, but then she give birth to a baby girl, Maryam, she says;

But when she delivered her, she said, "My Lord, I have delivered a female." And Allah was most knowing of what she delivered, "And the male is not like the female. And I have named her Mary, and I seek refuge for her in You and [for] her descendants from Satan, the expelled [from the mercy of Allah ]."

True enough, men and woman are not the same, pshysically and mentally too. The wife serve a larger role in upbringing of a child compare to the father. Even how busy a wife would be, she can never run away from that fact. Being a female doctor, it would be a challenge. Therefore, a reminder to us all, to always keep this at heart. 

To add up to what Elizabeth mentioned, it is not the problem that there are more woman in medicine who dare to start a family,  but to me it is what had become to the world now that woman are assumed to take up the same role as men. There is nothing wrong with female doctors, we need female doctors to treat female patients and in some areas of medicine such as pediatrics and O&G where the female role is predominant. (so to all those men who thinks that female doctors made a bad wife, I wouldn't want you as a husband anyway, good female doctors who understand human and health make the best of mothers and wife, duhhh~~~!) The problem is that, we should be aware of the circumstances. Woman bears a responsibility towards family upbringing and the men would have a larger role as the breadwinner in the family (or pemenang roti as my mother calls it :DD). It is only acceptable that there are difference in the workload and expectations of woman in medicine. 

But to start something as big as changing the whole healthcare organization system require a great deal of public understanding. But just a point for all of us to ponder on, when the time comes for a chance to change, we should give it our full support, that's all I'm saying.

Finally submitted my very own manuscript

Yeay!After all the hard work,I'm just relieved~~~ Our group had to do 4 manuscript. Matun is in-charge of the main manuscript, Prisca, Micheal and me had to create 3 whole new manuscript to submit to 3 different journals. So yup, that's one manuscript per-person! It took quite an enormous deal of time, money, stress, tears, laughter and joy too. So I don't care anymore whether they will accept it or not, what matter most is the experience! :D

Living proof of my submitted manuscript..hehe..

Are you Ready for Ramadhan?

I'm asking myself whether i'm ready or not for this holy month of Ramadhan. I'm doing surgery during Ramadhan, which is good, since I heard surgery is not that heavy. I hope I have enough time to spend for Ramadhan. At the same time, i'm also worry, about the state of my spiritual strenght. True enough, 5th year was even more challenging than I thought.

However, my life is not about being a doctor. Of course I want to be the best kind of doctor I can be, but what would that mean if can’t be the best of a muslim that I can be at the same time. If I have to choose to excel in medic or to excel in being a muslim I choose the later. Before this I always thought we should not choose over both since being a muslim you have to be good at both, but the truth is, medic is hard. I never thought I said it. Yes it’s true, and I am admitting it now. So for those reading this, if you are not in medicine and are thinking about doing it, make sure you have a stomach to hold for all the nauseating hardship.

But for now, I am focusing on strengthening my spiritual strength. Without it, I cant be sure I can improve my knowledge in any aspect of my life. So get ready, Rejab, Syaaban and comes Ramadhan, I hope to improve myself to become a better person.

How to Begin and Finish your SST notes

Assalamualaikum... To all my friends, here is just some tips if you are not sure how you want to do your notes. This is how i do it. Its simple and fun! At the end of the day, you come out with a note you can feel satisfied with. 

Check it out:

Step 1: Research

Surf the internet for CPG or journals regarding your topic. Our first priority should be the latest Malaysian CPG followed by international CPG, journals, and trusted website. Books are also essential, but usually inadequate. Surfing the net not only ease your process, as you only need to copy, paste and alter some of the words, in addition, some of the information in the internet is presented in a more creative way making it a better choice.

Step 2: Outline

Refer to the previous post on outline of SST notes (http://doctorimanrozali.blogspot.com/2011/03/guideline-for-sst-5th-year.html). Make sure you have gain all the material to fulfill the outline before starting. Add other things that you found during you research to make your notes more interesting and superb!

Step 3: Fulfilling the outline on Microsoft Office Word

Open a new word document, copy paste the outline and start filling in the outline. If you copy paste from journals, make sure to alter the words so that it is short and concise.

• If you are typing, don’t use too weird short form. If you do, please provide the clues.
• Some of the information may be in table form and some other information can be in diagram form.
• Try to do things in point form

click for larger view

Step 4: Converting the notes to boxes

This is a bit tricky.

Open a new Microsoft Powerpoint Presentation, copy your outline (one sub topic at a time) from word document and paste it into powerpoint. Automatically it will be in boxes. Do for all the outline so that all the outline is in small boxes that can be move around.

• Give your boxes some outline so that you can alter it later

give outline. Use narrow outline is better

• Do for all your outline. Use small font (for example : Times New Roman size 9)

Step 5: Planning the whole note

Take a piece of paper, and base on your outline, plan how you want the notes to look like:

Take into consideration the size of boxes of information so that you can estimate the space and how many information you can place in one paper.

 Step 6: Rearranging your notes

Now that you know how you want your notes to look like, just rearrange you boxes around. Add arrown and so on to assist your notes. It may be a little bit different than how you planned, just make sure all your outline are present in the notes.

Have some fun rearranging and touch up your notes until you are satisfied with it. Your notes can be in portrait or landscape

Step 7: Submit your notes to the respective email address

I will accept notes submitted in powerpoint form.

• for IM notes: sst.internalmedicine@gmail.com
• for O&G notes : sst.obsngyn@gmail.com

 THAT'S ALL FOLKS! HAVE FUN~ ^^

Guideline for SST 5th year:

Guideline General untuk semua notes:

Just like in case write up format, please include these:

1. Definition
2. Epidemiology
3. Aetiology
4. Patophysiology (if applicable)
5. Risk factors
6. Symptoms
7. Signs/physical findings
8. Differential Diagnosis
9. Investigations
10. Managements
11. Prognosis and Complications
12. REFERENCES (PLEASE INCLUDE)

FOR REFERENCES:

• References from the internet is PROHIBITED, unless it is evidenced based and accepted widely
• Please use references from textbooks and CPGs  as first priority
• For IM, please don’t use info from Oxford ONLY, include from other trusted source as well

Untuk IM sahaja

Bagi mereka yang dapat tajuk pharmaco, ada guideline tersendiri:

1. MOA
2. Side Effects
3. Complication
4. Contraindication
5. Indication

Tajuk-tajuk pharmacology

• Antihypertensive

• Medications for asthma

• Oral hypoglycemic agents and insulin

• Medications for cardiac failure

• Medication for acute coronary syndrome

• Medication for tuberculosis

• Statin + Fibrate+ Antibiotics + NSAIDs

Format utk notes:

• Gunakan font Times New Roman
• Size 9 minimum, 12 maximum (tapi kalau nak guna utk penegasan tajuk boleh lebih dari saiz 12)
• Gunakan creativity anda utk menghasilkan mind maps
• Gunakan table
• Masukkan gambar jika perlu

SST is back on business!

Assalamualaikum and hello to all my fellow friends,

As I mentioned before, we from the SST organizer is planning to proceed with SST on Internal Medicine and Obstetric & Gynaecology. Like before, the purpose of this SST is to create a book of our own effort to help each other in our journey to become a successful medical students together thus becoming successful doctors together, insyaAllah. One of the main objective is to be able to create this book before SSM postings starts so that we can use it for our study groups as a study material (not as reference book) and of course to be used as quick revision for our study before exams.

THE SST COMMITTEE (and PICs)

Zatel Iman

012-6437075

zatel_atty@yahoo.com

Masita Dahaban

013-9654522

mas88_ida@yahoo.com.my

Nurul Hayati Mohamed Saat

013-6380897

hayatan149@gmail.com

Rahmah Abdul Rahman

013-2762598

sacel_little_angel@yahoo.com

Ahmad Tantawi

017-6387010

obidientgunner_88@yahoo.com

SST PICs

Farih Najihah

Aishah Abdul Latiff
Aifaa

Saiyidi Azizi

Izzatul Izzanis

Siti Nor Atikah (mak)

Rafidah

Adeeba Abdullah

Ainna

This time, there will be more improvements that we planned to do so that we all can benefit together. The improvements for this coming SST are:

• all notes will no longer be hand written, must be in typed form to ease reading and looks nicer
• the notes will be classified by system as well as by symptoms (easier to remember differential diagnosis) or will be classified in such a way it is more practical.
• many tips will be included (especially for O&G)
• will be more organized, complete and tidy (insyaAllah)

THE SST JOURNEY

there will be 4 phase, please take note

Phase 1: identification of successful students team members (today until 4th of march 2011)

• please tell all your other friends of the former SST members or other people that might want to contribute.
• You can choose to just contribute notes, but don’t want the book, but please inform us. May your good deeds brings goodness to you… :D
• lasted from today to 4^th of march, after this date, there will be no more intake of SST members. But if you insist, SST is a very loving committee: D

Phase 2: distribution of work (on 10^th of march)

• there might be a probability that one student may have to do 2 or more notes on topics from IM, O&G or both (especially if members are very little)
• Please be alert on your topics, make sure you know what your topics are by this date

Phase 3: data collection (after 10^th of march to 18^th April)

• All notes will have to be emailed to the following mail

• for IM notes: sst.internalmedicine@gmail.com

• for O&G notes : sst.obsngyn@gmail.com

• or can be given in soft copy form to any of the PIC above
• any problems for submitting (mailer demon said the email did not arrived) please contact me or Rahmah
• we have given more than a month of free and holiday-ish period to do this, so please give all out to make this note. Try to submit as soon as possible…please ease our burden…but don’t do cincai2…you will be asked to do it again.
• try your best to be creative, use diagrams, mind maps and tables...avoid using paragraphs

Phase 4: publishing

• it will take some time for us to publish these books, please be patient we try to make it as soon as SSM starts, insyaAllah by the first or second week.
• For the first publishing only members will receive the books, for non-members, they will have to deal with kak ros themselves.
• For those who only wish to contribute, but does not want to buy, please inform early to me or Tantawi, or any other PIC

Guideline for SST 5^th year:

Just like in case write up format, please include these:

1. Definition
2. Epidemiology
3. Aetiology
4. Patophysiology (if applicable)
5. Risk factors
6. Symptoms
7. Signs/physical findings
8. Differential Diagnosis
9. Investigations
10. Managements
11. REFERENCES (PLEASE INCLUDE)

FOR REFERENCES:

• References from the internet is PROHIBITED, unless it is evidenced based and accepted widely
• Please use references from textbooks and CPGs  as first priority
• For IM, please don’t use info from Oxford ONLY, include from other trusted source as well

OPEN FOR SUGGESTIONS :D

Any questions, please ask to me directly (zatel iman), or any of the committees you are more comfortable with~ thank you for your attention

P/S: IF YOU ARE INTERESTED PLEASE CONTACT ANY OF THE ABOVE COMMITTEE MEMBERS OR PERSON IN CHARGE (PIC) AND GIVE YOUR NAME, EMAIL AND HP NUMBERS...THANK YOU

“Coming together is a beginning. Keeping together is progress. Working together is success.”

Henry Ford

Truly, those who believe (in the Oneness of Allah Islamic Monotheism, and in His Messenger Muhammad SAW) and do righteous good deeds, for them will be an endless reward that will never stop (i.e. Paradise) (Fussilat:8)

OSCE ENT

EAR

cholesteotoma

Cholesteotoma gak kut...x igt la plak...huhu

Cholesteotoma

acute CSOM

OM with effusion

Grommet

Tonsilitis

Otitis externa

foreign body in ear (an ant)

complications of OM

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BAHA

BAHA conventional

hearing aid

Subject VI:1 (proband) at 9 years of age, showing a sloping hearing loss at the high frequencies of stimulation, a pattern mainly consistent with a sensorineural origin. (B) Subject VI:2 (affected male, brother of the proband) at 6 years of age before 

tympanogram

play audiometry

Epley menouver 

NOSE

A and B, Normal appearance of right and left sphenoethmoidal recesses. C and D, Normal appearance of right and left middle turbinate and middle meatus areas. Right middle meatus is not well seen. E, A large surgically created opening into right maxillary sinus. F, Extensive polyposis in the left anterior ethmoidal area. This area can be visualized because of prior surgery in this area. G, View inside right maxillary sinus (as in E) showing polypoid mucosal changes with a "cobblestone" appearance. H, A collection of tenacious green "allergic mucin" firmly attached to the mucosa within the left maxillary sinus of a patient with allergic fungal sinusitis. Culture of the mucus grew Aspergillus flavus.

rhinosinusitis

polyp (ethmoidal)

NPC

Foreign body in nose

Epistaxis!!

THROAT & NECK

tonsilitis

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neck lump

Ludwig's Angina (okay, so its not very common la...)

Cavernoud sinus thrombosis...susah sgt eh?

ne CT cavernous sinus thrombosis

FNP

RRP

haha...saje nak buat lawak...anyway, botox is one of the treatment for spasmodic dysphonia that causes hoarseness... ada treatment utk lain gak yg penting, tp tak ingt utk pe...(~_~")

Electrolarynx/astificial larynx

TEP

Laryngomalacia

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nak tunjuk subglottic stenosis