Overall View During My Clinical Attachment

now ana just want to share some picture during my clinical attachemnt.but i just show you some because most of my picture is not available seen by others(jangan fikir bukan2.cumanya banyak gambar pompuan/muslimah.kan tak berapa elok expose sangat gambar pompuan.intenert ni bukan tempat yang selamat sangat nak tayang gambar).so enjoy it.....

too boring waiting for the doctor.so tangkap gambar yang ntah apa2lah

alat2 yang digunakan untuk IUD

ultrasound.so excited watching the baby on the screen

the room for in vitro fetilization

fertility outpatient clinic

my first experience watching cesarean

dulu ana ingatkan kat bilik bedah cuma perlukan doctor dan nurse je rupanya pelbagai lagi kepakaran lain yang di perlukan

MUH stand for Mansoura University Hospital

O & G department form outside

part of hospital

this sign for operation room

my second week clinical attachment

agak mewah jugalah kalau ikut standard mesir

SMH stand for Specialized Medical Hospital

from outside

doctors make an endoscope on the patient

our GIT on the screen

the patient suffer from severe jaundice.all her stomach full with blood

room where the doctor make an endoscope on the patient

kecik je tempat ni

endoscope machine

in english ENDOSCOPY UNIT

terharu bila nampak anak2 yang bawa parent jumpa doktor

i don't know why i feel so sorry on this patient(the man)

from outside the gastrointestinal and hepatology outpatient clinic

my last day clinical attcahment

ana wish i could make another clinical attachment at the other department.and insya Allah next year i wish i'm able to make an attachment in malayasia

My Last Day Clinical Attachment in O&G Department

Eeeemmm.......

Alhamdulillah tepat pada pukul 1 petang pada 20 ogos 2011 ana telah selamat menamatkan attachment ana di O&G Department.The best thing I want to share is ana dah berjaya melihat sendiri vaginal delivery.Pppppeeeerrrrgggghhhh even not ana yang give birth to the baby but ana seolah-olah boleh rasa what the patient feel.Sooooooo painfull.When ana sampai je kat emergency unit tu there is a patient dah selamat give a birth.So i was so excited to see the baby.But you know ajal maut all in Allah's hand.It is an intra fetal death case.What?????????Dah payah2 bersalinkan anak yang hanya Allah je tahu how the pain feel but at the end there is no baby.So saddddd.But for me I was sad not only because the baby was dead but ana tak berpeluang to see the moment when the baby keluar from the mother's vagina.So ana x puas hati ana pegi masuk wad yang menempatkan patient yang wait for the delivery.Then suddenly I heard one of the patient scream.Wow that's it.My turn to see the vaginal delivery.So I ask the doctor either the patient will give vaginal delivery or cesarean.The doctor's answer make me smile sampai ke telinga.He said"she will give a normal(vaginal) delivery".Yes!That my chance.So I wait for the patient.Now the patient wait for the opening of the vagina.We are waiting for that since 10.15 a.m.Ana pun menunggu dengan penuh kesabaran.Every time the doctor examine the patient I must ask him what he doing and ask for what.The patient was given oxytocin to make an uterus contraction.The most question i'm asking to the doctor is "dr how long we have to wait?"Apalah ana ni.Apa ingat dr tu tuhan ke nak tentukan exact time orang nak bersalin.The only answer from the doctor we just wait until the vaginal opening about 10 cm(3 fingers).Ok.Sabar jelah.

Tetiba satu jeritan yang teramatlah kuat come out from the patient.Aaaarrrggghhh trauma...........Sakitnya.Walaupaun bukan ana yang bersalin tapi cukup dengan mendengar jeritan pesakit ana dapat rasa kesakitan walaupun x sama.SSSSAAAAKKKKIIITTT PPPPPAAAIIINNNN.So the doctor examine the fetal heart beat.Wow syok giler.The doctor give me a chance to heard too.So sweet.Besarnya dan agungnya ciptaan Allah yang menciptakan kita.Satu nyawa mampu hidup dalam nyawa yang lain.Miracle.Tungu punya tunggu sampai ana pun dah naik bosan dan naik lali dengan jeritan patient tu jam pun dah menunujukkan 12.30 p.m.Can you imagine?How our mum can stand for that pain berjam-jam.Malah the doctor said that vaginal delivery is a journey.That patient suffer from labour pain seince yesterday.Wwwwaaahhhtttt?Kalau ana tak tau lah macam mana.Tak lama lepas tu 2 orang doctor dah terpaksa yang conduct one patient.Tetiba patient tu kena angkat ke satu bilik dan semua doctor-doctor dan nurse-nurse berlari-lari anak ke bilik yang sama.Ana pun yang dok syok sangat baca nota sepanjang attachment ana blur for a moment.Apa lagi ana pun berlagaklah macam doktor berlari juga.Lepas tu terfikir "Eh buat apa aku lari?"So I'm asking the doctor is it the patient want to deliver the baby now?Without seeing my face the doctor said YES!Apa lagi ana pun dengan penuh semangat ikutlah juga.Wwaaahhhh mudahnya patient tu nak bersalin.Baring je kat katil kepala baby dah keluar.BABY BOYYYYYYY.So cute.Wek wek wek.3.20 kg.Now the mum can smile even she still feel pain.I'm so excited seeing that baby even the baby have no any relation with me.That's all.Everything is done dah nak dekat2 pukul 1petang.Alhamdulillah.Lahir lagi seorang bakal penegak islam.AMIN

On my way to go to home I start to think "Macam mana lah mak aku boleh tahan sakit macam tu sekali sebanyak 8 kali?Dasyat ooooo".Before this ana think when we want to give birth we just feel pain during delivery.But ana totally salah.We will feel very very very very pain before,during and after delivery.Wow.Before delivery it's very pain for the vaginal opening.During delivery it's very pain during the baby is come out.And after delivery it's very pain during jahitan kita nak recover and when the doctor examine us.And di sebabkan kesakitan2 yang ana tengok nilah ana macam x berapa fikir keseronokan je kalau fikir nak ada anak.Macam TARAUMA.

so my advise to all reader yang bergelar anak(semua nya bergelar anak kan?kalau tak macam mana reader sekalian boleh ada kat dunia ni) janganlah sia-sia kan mak kita.Sakit dia nak lahirkan kita.Bagi yang lahir by cesarean jangan ingat mak kita tak rasa sakit.Sakit juga especially masa naK recover.

To my mak maaf sebab saya mak terpaksa rasa kesakitan yang teramat.Dan terima kasih sebab saya mak sanggup berkorban.X de apa yang boleh saya cakap cuma TERIMA KASIH BANYAK-BANYAK MAK.THANK YOU SO MUCH MUM.SYUKRAN JAZILLAN YA UMMI.

p/s:Bagi sapa2 yang rasa diri tu nak jadi atau dah jadi dah(dah declare pun) diri tu anak derhaka cuba pegi koyak korang punya kulit sikit.Sakit x?Kalau sakit ingatlah mak kita rasa jauh lagi sakit.Dan memang x de otak orang yang tak tau nak menghargai orang yang bersakit-sakit untuk dia

this is the site where the doctor examine the patient

the doctors and nurses which are responsible on patient who will give normal delivery

baby boyyy

cute right?ana terus rindu dengan anak buah

3.2 kg.he seem so small but quite heavy

machine where we put the baby to give them some heat

katil khas untuk orang bersalin.nampak tak macam tempat letak kaki tu?

My First Day Clinical Attachment

alhamdulillah.............

Masuk hari ni (17/8/2011) ana dah berjaya berpuasa dengan jayanya selama 17 days.Besides, ana juga dah berjaya completekan ana punya attachment at 3 different departments.All the department is a branch for o&g department.First day ana di tempatkan di outpatient clinic obstetrics.Doctor whose in charge was very busy.There a lot of patient.So ana and my partner have to wait about on hour.Tapi kami x senang duduk.Last2 join nurse basuh infection after cesarean.There are 2 patients with same type of infection.But the first patient is more severe.Punya lah berbau luka mak cik tu.Nak muntah pun ada.Then bila kami tengok the doctor keluar masuk kat satu bilik tu we decide just to follow the doctor even the doctor didn't ask us to do so.Berkat kesabaran menunggu hampir satu jam akhirnya kami berjaya menyaksikan 3 patients doing the ultrasound.One with liver pain during pregnant.The doctor said it was very dangerous because it may lead intra fetal death(kematian dalam kandungan).Second patient was so amazing.normal pregnancy.So cute to see the baby.I guess the baby still young because the derivative of the aortic arch still not develop.The doctor show us the aortic arch look like a rod.The last patient was very sad.Ana pelik apa hal la patient ni muka dia macam nak nagis je setiap masa.Patient lain relax je kot.Dahlah perut dia not big as the the others tapi mimik muka dia paling sedih.Then the doctor make an ultrasound on her.INTRA FETAL DEATH.No wonder lah her face look like that.Even doctor letak ultrasound tu kat perut dia je pun dia dah jerit.Then the doctor ask us to see at the fetal's respiration.No pulsation.So sad.Then the doctor minta patient tu kangkang.Tu pun dia tak tahan .Memang betulah keguguran ni sangat sangatlah sakit.Then doctor make vaginal examination.Apa lagi menjerit sepenuh jiwa raga lah patient tu.Bila ana dengar patient2 ni jerit ana mesti ingat kat mak ana.Macam ni juga ke mak ana jerit waktu melahirkan ana.Kesian kat mak.Sori ye mak.Mak susah2 lahirkan ana tapi ana tak jadi anak yang baik.Ana nakal.Maaf mak.Dan memang patutlah syurag tu terletak di bawah telapak kaki ibu.Payahnya mak2 kita nak melahirkan kita.Bukan je semasa melahirkan sebelum dan selepas melahirkan pun mak kita kena hadapi macam2 kemungkinan dan kesakitan.So habis cerita hari first.Nanti ana cerita untuk hari seterusnya.

pelajar2 yang terlibat tengah agihkan fail

the doctor that in charge the malaysian student clinical attachment THANKS A LOT TO DR NISREEN

the most important and advise to all student who are involve

the view of obstetrics and gynecology departmnet

my group member waiting for the doctor in charge