My Free Day

*salad above + arabian rice+ chicken..yummy...*

30th september'09@2306

I don't remember when was the last time I had an off day during my semesters--one day off between the transition period of subjects.Been real a long time,that's what I know for sure.A chance came today for group 531E...*vihodnii dien*

Had a good sleep,woke up 1 hour later.My mobile alarm rang melodiously "Oh,My lord" ringtone.I did wake up,turned it off and got back to sleep.

After getting settled down around 11am,I started with my paediatrics.Yeap,will be starting the end semester exam rotation tomorrow!! Going to be real exhausting but a FUN cum interesting cycle..what do you expect?It will be an exhilarating moments since I have to get prepared for the exam which comprises 3 semesters work.Not going to be easy,so have to really really word hard and get prepared well.After all ,Navanita is DETERMINED!

At about 2 pm,sevvanthee was cooking wherelse I just got down to the hostel's 'stalovaya'@ cafe,got my favourite meal and climbed upstairs.Sevvanthee: "hey.you're on break right?cookla.." Me: "*giggled*,malasla..moreover my resources are running out,need to get to ashan this week!"..lol..and that's me,just a run to the cafe to feed my grumbling stomach and to minimise the insult to my gastric mucosal layers from the secreted hydrocloric acid.

Whenever I will be at home/in my room,my appetite will definitely be so unsual..get bigger here,I mean.I had breakfast with biscuits,lunch.At 5pm,I got myself a bar bar of Kit Kat,finished munching it.Then around 9pm,I made myslef so called supper "egg omelette and 2 nuggets"..yeah i know it;s not a very healthy diet,but atleast the tomatoes+slices of cucumbers+a quarter egg+some leafy green veg would have balanced my intakes today,I hope:p

2325

Thank you,Prof.Parshikof.

*with the most respected and acknowledged prof*

30th september'09 @ 0046

My second cycle for the sem came to an end today.As much as group 531E will be missing Prof.Parshikof,I'm sure he will be missing us terribly too.Normally the latest he would let us go,at 1 pm.Today,he just wanted to show us more and more,he didn;t want to leave behind any of his plans throughout our rotation.

Amongst the many Profs/doctors/surgeons I have come across,Prof.Parshikof has 'the thing'/what it takes to be a great paediatrics surgeon/a physician.Being under him for 9 days is not adequate..can I join him back during winter practicals?

Being the experienced surgeon cum professor,he takes everything that comes in his way in a more cooler attitude and deals with them without hesitation.That is something that to be learnt from him,seriously..well that's what differentiates a senior physician and the amateur ones.

Ask any of my groupmates,we will way ...'WE Love him!"..His favourite phrase is " Need to think,step by step...see where's the heart,the liver,the stomach"..(while looking at the CXR),..and our favourite phrase of his "Think,..take a cup of tea/coffee...it's so simple,isn;t it?No problem,right?..Paediatrics surgery is all easy,like I have said!"..*sir,we salute you!*

I was stuck in a 'crucial' situation today while interpreting an XRY given to me.One would have easily guessed it was bone tumor based on today;s topic and when your counterparts got the easy variants of bone tumor.Mine could be acute osteomyelitis or bone tumor!I was..."present periosteal reaction(both thin lines downwards and crossing over),irregular border typical for bone tumor,and adjacent bone tissue destruction which is typical for OM and Bone tumor!!!".."what to do?"-Prof asked.I was to answer 'bone tumor' but he wrote on a white board: ( in russian: lechith nelzia ampurirovath)..and I had to choose..though it was just a question,but the I found it very difficult to make my decision when the exact diagnosis is not sure.If it's tumor,one has to be amputated!Amputation,ok,not joke..how are you supposed to amputate someone without distinct confirmation on your diagnosis.After much thoughts,I said' amputation" after being VERY sure on what I saw on the X-ray!...AND-- Prof agreed..I exhaled a breath of relief...I will be dealing with humans ok,I need to be VERY SURE in what I'm doing,I can;t say "MAYBE"!

After much explanation and a visit to the oncology department where numerous cuties(kids) are playing with their mates happily despite their severe diseases,Prof gave us zachut on our books.His last reminder for us was(in russian):"Nice weather,go for a walk,don;t forget the boys and then MUST STUDY,STUDY AND STUDY".

We said good bye and thank you,left his comfy room with lots of memories.

He thought us not to EVER be afraid to do manipulations on patients.Remember the main aim of a doctor is to save the patient,at any cost.

"You are the one in white coat,you can do anything you want because you are the DOCTOR.When you cannot resuscitate a patient by the ABC,remove your shoes,use your foot and BRING BACK the patient to LIVE!There's nothing wrong in it!Remember,You;re The DOCTOR!"---this is the best thing that I've ever heard from a surgeon.

Thanks a million sir,you're definitely will be in all our hearts.Hope to see you again.

0115

Switched O.F.F mode

* sacrococcygeal teratoma in an infant*

28th september'09@ 2320

Out of the blues,the day didn't go well for me.Morning it was all fine with practicals in 3rd hostel with Prof.Parshikof.In addition did per rectal examination and proctoscopy on a dummy(obviously!).Practiced more on how to do IM,IV and suturing.Came back to room around 12pm.While waiting for the time to turn 2 pm,I was memorising my russian text..*should've started yesterday but I didn't right after completing the CXR made easy*

First factor of my hastiness is ,today for practical examination which we were supposed to pass up 2 weeks ago.I and few others didn;t go since we were having our tb exams.Reached around 3 pm,and Dr.Natalia Genedevna arrived and the first person to go in was Xiang yun.As we were waiting outside with all kinds of speculations on what questions will be asked to us,we heard a VERY familiar voice...and all of us stopped talking,gasped and mouthed "ANDREVNA!"..for sure all our faces had turned white at that very moment but too bad we didn;t snap a photo at that very moment! Perhaps for once all of us got conned by someone with a similar voice like Dr.Andrevna!! We waited and waited..and finally came my turn.Went in,explained to Dr.Natalia why I couldn't make it for the examination on the scheduled date.She asked " So tell me what's interesting in emergency department where you did your practicals"..I replied "cases on snake bites,asthmatic attacks,accident cases..." "okay,how do you treat status asthmaticus?"..I :"bronchodilators:salbutamol"..She looked at me wearily..I was thinking "was it wrong?" but continued telling " O2 therapy,artificial ventilation,Corticosteroids"..."okay,good mark" she said and gave me a 4 for my summer practicals report!! I said thank you and left..hey I was quite pissed because i don;t know why...perhaps it was our fault or maybe she was just too tired after the long hours in hospital and yeah indeed she was in a bad mood ,too.Only then I knew,all of us GOT 4 from her!!!duh..1st turn off for the day!

Secondly,I was okay with my russian text but when it was about my turn to retell,I was thinking of telling the Madam Tatyana that I would like to prepare better for it but my fat ego told me not to and I finished retelling it..I wasn't satisfied because I think i could have done it better.I asked the teacher whether she wants me to retell it next week but she said "no,you don;t have to.You did good.".. but,I don;t think the same you know..ermm.

Finally as i was reading on the topic oncology for the last classof paeds surgery tomorrow,I got more depressed after coming across photos of infants with tumors..*look at the picture above*..

p/s: a small smile for chipsmore which made my headache (confined to my occipital lobe)disappear within few seconds.

Okay,enough for today,I'm going to bed now!

2345

A Sudden change of wind

28th September'09@0145

I'm supposedly be sleeping right now but i'm still wide awake.Done with my readings,err..russian text i shall wake up tomorrow and memorise it but tomorrow i have practical examination,therefore I don't know whether I will be able to attend russian class.Anyhow,to play safe,I shall do my part before leaving to paeds.

After the much 'politics' which me ,sevvanthee,maalini,kiran(partly),suvin and karan had endured for the past few years,our minor malaysian indian community(MISA) which earlier was said to be 'adjourned forever' was back again to 'life'! I can tell you here,we have never had anything against the other group.Impatience and superiority feelings made a peaceful meeting turned to be an ugly meeting when we disagreed on their plan.Well that happened 2 years ago,after I passed my vice president post to a junior.

Ever since then,me,maalini and sevvanthee have always stayed away from their meetings though we were invited profusely to join them.But,we JUST STAYED AWAY!Still that didn't prevent the president to got us involved in their activities;deepavali night etc.We made things clearer earlier that,we will help with the juniors but we are no longer will be in the association.So,that prolonged till yesterday,sunday(27th september'09).

What happened,nita?A junior messaged me asking the 3 of us to join the meeting in our hostel,7th floor at 9pm.Maalini came into our room.I said "we have to go!"..Maalini and sevvanthee shot each other looks.I continued "we go and make ATTENDANCE..we don't vote for anyone!"..

So we went,guess our appearance suprised the 6th years.We found a spot nearby the window and stood still.Then came the moment of ice-breaking since 3 new juniors are present:2 boys and a girl.

Later on,new comittee members were elected.And here,we are certain that everything was planned 'slickly'...sevvanthee was elected to become the president(since she voiced out 2 years ago!) though she refused totake up the post.Kiran became the vice..and jonas the batch rep.Insisted but retorted by sevvanthee..and the victim was Kiran as the new president for the year 2009/2010,jonas the vice and sevvanthee the batch rep!

Pizza and coke were served but we didn;t help ourselves.The former president ushered us by carrying a box of vegetarian pizza,but we said 'thank you' and left.No,i'm not being arrogant here but my vegetarianism will be ending today wherelse sevvanthee and maalini's reason: 'we already had dinner!"

We came back,had our short meeting in my room,410 and had agood laugh about what had happened..and the conclusion is "We are the VIPS!"

and now,who said there's no political crisis between medical students?..and it will continue even when we have good intention for all.

0205

Krishna,you're the charmer.

27th september'09@1800

A sweet weekend without exams around the corner..it's incomparable to any other days,folks.But with my determination,I shall not let my ample free time/leisure time(you can address it that way,too) lure me away by just watching movies.I did live up to my words,I finished rewriting my lecture on Acute Radiation Injury,started with reading Chest X-Ray made easy..still have few more pages to go.I think i will be able to finish it today~

Weekend without movies?No! Finally,I managed to watch the most awaited Final Destination 4,sadly it wasn't as thrilling/gorry like the previous 3..the movie could have been more better,well that's my opinion!Saturday night after back from our Raya Open house,I read few pages on CXR then watched 'obsessed'-- usually it;s the adam species who will be exerting mental and emotional torture to the eve species,but this movie turned out to be the opposite.Sarah recommended the movie,not bad after all with Beyonce Knowles as co-star.Went to bed at 2 am.

Sunday morning,woke up at abt 9 am since roomie was awake early.After a good shower and prayers,mad emyself a cup of coffee,and yeah crackers to go along with it,sat infront of my DELL,turned on my current addiction(songs on Lord Krishna) and I just got immersed fully into them.I HAVE to say here that,the albums are definitely a big success.It's certainly a good way to attract youngsters to enjoy the holy chants and devotional songs.Their fusion of music,the sanskrit terms are simply mesmerising.Lord Krishna,you;re THE CHARMER OF THE GOPIS.

Since Krishna is my hero,I was playing the songs all day long in my playlist,listening to them with my earphones,changed my ringtone,alarm and message tones to these songs..see?that's how addicted I am to the songs.Check out the albums entitled:

1.Madhuram,My Sweet Lord

2.Thulasi.

So will be ending my sunday today in 6 hours time,still need to get done with my laundry,memorise a russian text and do extra readings.

Tomorrow paeds surgery will be in 3rd hostel where we will be doing practicals on the dummies:IV,IM etc.It's going to be cool as usual ;)Okay,see ya then,bloggie..let's see how this week enfolds*wink*

1820

Raya Open House in Nizhny Novgorod'09.

26th september'09 @ 1920

The annual Raya Open housewas held today at 3pm outside hostel 3.It was a total different environment,compared to the one held in previous years because today,everyone was served outdoors!! Yeah, the mats were placed on the ground,so that all the Malaysians(1Malaysia) can sit and enjoy the scrumptuous foods prepared by our muslim friends.I enjoyed the foods very much though i'm on vegetarian diet.Had nasi himpit with kuah kacang,nasi minyak,kek pisang,agar-agar and a glass of juice.The breeze was too cold that nearly most of us were shivering non-stop.I had my meal in Pearly;s room,though with sevvanthee ,jonas,grace,chau ling and others.

No occasions are complete without photographs right?so here you go,especially from outside my hostel,Nizhny Novgorod,RUS.

Selamat Hari Raya to all my kawan-kawan yang disayangi.

2000

When it's not an exam cycle..

* In Prof's room:a snap with Abdalla on his birthday(today!)*


23rd September'09 @ 2130





I' m free with nothing to do RIGHT NOW?!!! You're absolutely wrong if you think that way.There are things which I'm supposed to be doing for instance;





1.rewrite my internal medicine lectures but my lecture book is with sarah,will be getting back tomorrow.so have to put off that plan now.





2.thought I would take hours to make notes on Meckel's Diverticulum and Acute Osteomyelitis,but life was made easy by the lecture materials which we took from the prof today.Moreover,I couldn't find this topics in the big blue book of paeds surgery.





3.Read on Abdominal X-ray made easy?Need to sharpen my skills though for the better when it comes interpreting the X-Rays..just like ECG.I'm still working on it.But I'm proud to say,I'm progressing better compared to when i was in 2nd year!!!talk about getting so madly in love with cardio,hence I see myself getting more 'intimate' with ECG;)





4.Revise the basic medical subject: HUMAN ANATOMY!! Only had consistent revision and midnight struggles remembering all the arteries,veins,nerves,innervations,functions in 1st and 2nd year.Once the exam was over,HUMAN ANATOMY only a 'snippet' in medical studies.So ,I have to GET STARTED!!!





5.Paediatrics answer scheme for the year end exam!I'm yet to get started with it.Class notes,lectures of 2 semesters are complete.My additional notes are complete( except for Cardiology:VSD,ASD,TOF..)So,have to add information on 1st semester work.Then,need to check the already pre-made answer scheme by the former seniors,just not to miss other points which I might have ignored.In addition to Nelson's essentials of Paediatrics,I bought another Paeds book recommended by the Dr.Allan -Illustrated Textbook of Paediatrics by Lissauer Clayden.





Frankly,I can always opt to watch movie/take some time to relax but it contradicts with my usual routine.And if I still do it,my guiltiness will kill me in the next coming days.Guess I'm just too used to being occupied(during exam rotations) that whenever I'm supposed to take 5,i will still think of what to do next even when my mind pleads,"let's watch a movie,nita?"





2155

3rd Day of Paediatric Surgery

23rd September'09@0220

More pictures for viewing.Paediatrics surgery is fun! Thanks to Professor Parshikof:)

1st photo(taken by Filzah): a baby weighing only 900 grams,gained 100 grams from her previous weight.This fact enlightened the prof and us! She placed in an incubator,has a nasogastric tube running inside her nose.Undeniable,she;s very cute and adorable:)

2nd photo: not patients but they are my groupmates posing for the pic of the day.Taken outside the Surgery room while waiting for Professor to join us.Group 531E,bravo!

3rd(mission continued by me and Fil with XRAYs): Abdominal Xray of a kid: showing lower intestinal obstruction which is an emergency situation,needed to be operated ASAP.

and what's for tomorrow?

-anorectal atresia/anomalies(done with my reading)

-intussusception(going to start now to read!)

*going to sleep late today since time table ran hay wire after me,sevvanthee and maalini got together for a chat!* lol..

off topic: with all the reasons that I have now,I'm very much convinced by this saying " NEVER MAKE SOMEONE YOUR PRIORITY WHEN YOU ARE JUST AN OPTION!"

0230

2nd Rotation: Paediatric Surgery

22nd september'09 @ 0014


I'm into my second cycle now: Paediatrics Surgery which has started last friday,located at the the Paediatrics Hospital,and we are under the responsibilty of Prof.Parshikof.Nice old man,very meticulous indeed,makes us follow each and every steps very attentively when it comes to interpreting the CXR (chest Xrays) and Abdominal X-rays.He will ask you to start back from square one even if you place the Xray films CORRECTLY on the screen.

Today the class started around 9.15am when we were asked to go for round with him.He's very punctual indeed.Zakiah and I reached his room 5 minutes before 9am.We're the first ones as usual.We knocked the door and heard his voice from inside "yes".

Being a professor is not easy.As we seat with him in the room to discuss on surgeries,his phone will be ringing,asking him to immediately come to the respected rooms,as his consultation is needed.So,we are ushered too by him..and yeah only those with caps,masks are allowed to follow him.

Finally today in class we discussed on oesophageal atresia,he even drew on his mini white board so that we will be able to understand better.Oh yeah,he speaks in russian though all the time.At times i wonder whether I'm taking my medic in their native language! But he knows english,any questions asked in english will be replied in a simple russian,which makes it easier for us.

So who said kids are the angels of life time?Below are their X-rays which Filzah and I managed to capture(as usual,we are the daring ones to do this!) them whilst the professor went out.Check out the X-rays and you'll agree with me that kids can be THE REAL BRATS of the century:

From top:

1st film: suicide attempt by a teenage girl.Swallowed numerous needles.No specific treatment.Only removal by feces.

2nd film:a kid swallowed a needle.(very obvious on the film!).Treatmeant applied as above.

3rd film:kid (again!) swallowed a key.How to remove?via oesophagoscopy or bronchoscopy.

4th film(the best one!):a swallowed coin!.Again,had to use oesophagoscopy and bronchoscopy.

I'm enthusiastic to learn about kids and their problems but there;s certain qualities to be a paediatrician.The very first quality: be extremely patient..do I have that much of patience?I can deal with it but kids,it's disheartening to see their conditions especially those with severe diseases and congenital abnormalities.Somehow,I'm enjoying my new rotation much,looking forward for class tomorrow and gain more inputs form the professor.

0043

The blessed Me with You in My life

*290809 in Rawang with Ragu,Prakash,Raja Rao,Sis Padma,Meelashinhi,Priya,Hanu,Divya,Sashein and Saisha cutie;the day before I left to Russia*


21st September 2009 @ 0104





As I was reading on oesophageal atresia (congenital disorder where part of the middle oesophagus goes missing and with(or without) high possibility of formation fistula or artificial connection between 2 organs,and in this case,tracheo-distal oesophageal fistula,my fingers reached my DELL's mouse,and the next thing I knew I was reading a note posted by my little sister,meelashinhi (sorry dear,I know you are 13 now but your still a baby to me,sweetie:) ) on my msn profile:





"akka,how are u?We all are fine here.byeyyyyyyyyyyyyyyyyyyyyyyyyyyyy."-meelashinhi





"great,but I can't understand anything about the picture."-meelashinshi commented on my new display picture in msn.





I smiled reading her short note.For a moment,everything that's unpleasant seemed to have vanished from my mind.All i remembered was her teen face,her braces,right sided fringe,tall and thin physique and still with her childish attitude whenever sashein pulls pranks on her.Thanks dearie,and I replied as following in her msn profile:





"my dear little sister,i'm fine here ma.How are nana,amma saeshein and you?


prepare well for exams okay ma?


good luck to both of you in finals.


my picture says: behind every successful woman is HERSELF. and now,isn't that motivating?take care there,msg me when you are free.


I'll catch you online on weekends.


lots of love,


nita akka."





Dad always says that we should always encourage others to achieve what they want in life.You should be competitive but should never practice jealousy and do immoral things to get what you want.Uncles always remind me to advice the little ones via email.When these cuties of mine send me mails,I will surely to reply them no matter how occupied I'll be.It's just a simple way of us to keep in touch with me being in this far land from home.





The kids whom I carried and craddled earlier in my life are now sending me messages through emails and smses asking me how am I and yeah,reminding me at the same time to take care.Better still Awinash,my 13 year old nephew will sms me once in a month/on special days to say "Atta(dad's sister),I'm doing well with my studies.All are fine here.How's your exams?Must score all As okay?Take care atta".I'll be smiling silently to myself whenever I read his sms-es..yes he's the only one who will advice me back when I mention about being a hardworker!





All these may look very little in our lifes but for me,I value and APPRECIATE every single simple things like these.These little things are the ones very essential in my life,to make me boast proudly that "there can never be a girl in the world any LUCKIER AND MORE BLESSED WITH TREMONDOUS LOVE than me"!





As long as I have all of you in my journey of life,nothing can dampen my spirit to reach for my goals.And my little dearies,study well and make our family proud..we 're the young generations which they had prayed and wished for.





I'm missing and love you,kids with everything I am.Let's succeed together.:)





0128

My Fun-tastic Friday and Saturday.

19th september'09 @ 2152

I HAD THE BEST WEEKEND EVER SINCE I CAME TO RUSSIA THIS SEMESTER!

What makes it so fun?:

1.Finished with Tb exam on thursday(17th September 2009).

2.Had class up till 12 pm on friday with paeds professor since the rest were to sit for tb exam.

3.Friday(18th September'09)

- cooked lunch:nasi goreng

-watched movies: 1st: orphan-was expecting it to turn gruesome but disappointed since it was just a thriller.

-2nd movie: silent hill(not a horror movie too,but too cartoonic-again I was devastated!)

-chatted with priya and exchanged photos via msn which we snapped before i left home.

-blogged on something that has been on my mind for sometime.

-came to concious that sincerity has never been there in the very first place.

-hit my bed at 2am.

4.Saturday

-awakened by 7 am.

-got up at 10am.

-had breakfast with 2 slices of bread + coffee

-turned on music on my DELL.

-hooked up with 'The thief' while listening to music.

-online at the same time in msn.

-made myself lunch: taufu ketchup with rice.

-watched a movie: Catch me if you can.

-got hold of a chat friend,had a real long good chat in msn,thank you.

-and again,the regular chat with a friend.

-and blogging now...

-and am still online in msn..huhooo for 12 hours now!

*so,have you seen how i spent my free days?don't you wish to do the same?*

2 days of real hibernation is certainly enough.And now my battery has been fully charged when previously it was in the last bar.:p.Tomorrow my usual day will bein at let say 1o am.Will be getting up at 9am and i have tonnes of things to do:

1.Translate a russian text for monday's class.

2.Rewrite my internal medicines lecture...how many nita?*beaming proudly: 3 lectures!*

3.Complete my remaining paeds surgery class notes.

4.Read on oesophageal atresia for paediatrics class on monday.

5.start back my 5 hours MUST STUDY regime.

I'm going to slip straight under my blanket now..good night,saturday!

2212

21 things a GIRL should NEVER apologise.

Thanks shalu for the forward.Nice message to pass around.

1.NEVER APOLOGISE for pursuing what makes you happy.Even if you need to quit your job,transfer schools, or move across country,always do what you really want.

2.NEVER APOLOGISE for using proper english.Keeping it real doesn't mean you have to speak Ebonics.

3.NEVER APOLOGISE for giving your best in a relationship that just didn't work out.

4.NEVER APOLOGISE for crying.Wear waterproof mascara and express yourself.

5.NEVER APOLOGISE for being successful.Only haters want to keep you at their level.

6.NEVER APOLOGISE for 10 pounds you need to lose.People who truly care about you will accept you as you are.

7.NEVER APOLOGISE for wearing a weave or braids.You bought it so it's yours.

8.NEVER APOLOGISE for being frugal.Just because you save your money instead of blowing it on the latest fashion emergency doesn't mean you are cheap.

9.NEVER APOLOGISE for treating yourself for something special.Sometimes you have to show yourself some appreciations.

10.NEVER APOLOGISE for demanding respect.You are to always be treated as a QUEEN.

11.NEVER APOLOGISE for leaving an abusive relationship.Your safety should always be a priority.

12.NEVER APOLOGISE for keeping the ring even if you did not get married..

13.NEVER APOLOGISE for setting high standards in a relationship.You know what you can tolerate and what simply gets on your nerves.

14.NEVER APOLOGISE for dating outside your race.Just because you found your Mr.Right across the colour line doesn't mean you don't love your Brothas..

15.NEVER APOLOGISE to your new friends about old friends.There's a reason she's been your girl from day one.

16.NEVER APOLOGISE for ordering dessert or more than one dessert.

17.DON'T APOLOGISE for being a single mom.Babies are a blessing.

18.NEVER APOLOGISE for saying NO.

19.NEVER APOLOGISE for not knowing how to cook.Even if you can't burn like Grandma you know how to order good take out.(Right Girl!)

20.NEVER APOLOGISE for making more money than your man,you work hard and you deserve to get paid.

21.NEVER APOLOGISE for being you!KEEP YOU HEAD UP AND KEEP MOVING FORWARD.

*ALWAYS REMEMBER THAT GOD LOVES YOU AND HE ALWAYS HAS YOUR BACK.*

Done with Tuberculosis.

17th september'09 @ 2225

TB Classes and it's exam finally has come to an end at 3pm today!!!.Me and exams,the feelings and roller-skating emotions before exams are definitely not ever going to subside or get better any time soon!!Luckily,managed to get through it with an excellent mark on my zachut book!

Ok,ok I know I started reading tb way too late compared to others...the reason is because of my previous exam.I had been a procrastinator for quite some time now,..well,it happens you know no matter how you tried..my schedules and tight regime.For example,yes I said I will start with tb on thrusday after internal but even on friday I didn't get started on it!! The moment I came back from class on friday after purchasing groceries,took a nap,woke up fresh,had dinner,surfed the net forawhile.When I decided to open my lectures notes,there you go,my dearest friend cum blockmate,joined us and we had so had our blockmate night's talk which actually lasted till 2am!!! wooohooo..it's not like we actually spend time with each other on ordinary days.things were sertainly different when we were in 1st and 2nd years,but now,even our 4th floor is turning 'less happening' because of the seriousness and busy lifes of ours.

So,officially started getting serious with Tb on saturday from 8.30am till today 12pm.I was actually thinking of doing it tomorrow with my other groupmates but with only 2 hours of sleep last night and continuous revisions,I decided to just join the team,: sevvanthee,pearly,kiran,sarah and xiang yun.Like i had told earlier,when it comes to medicine,somehow you just feel there;s always something you have missed before the exam.That thought and feeling will actually slowly nag you slowly and persistently,asking you to divert the road and choose another date to do your exam!

I'm glad I finished it today!!! 1st exam of the sem-9th sem '09..down with 1..tuberculosis!!Professor turned out to be my examiner and I managed to answer him,asked him for another X-ray which made it 2,and here I go,a 5 from him!thank you sir.

After getting back home,sevvanthee and I walked to the park,had our 'chicken shashlik'- gritting and shivering there while enjoying our dinner.The wind was getting colder,but it was such a beautiful day to go out and have fun!

I'm all worn out,just want to get some sleep now..tomorrow will be starting my new rotation-peadiatrics surgery.

I'm deaclaring here,no more procrastinating things which I'm supposed to be completing today itself!(though i don't do it often!)

This week,I have friday saturday and sunday all for me.I have chose to spend my friday and saturday snuggling with a good novel which I got from sarah,enjoy the music of life and take some time off from my usual routine from being a medical student and my books!

2240

My words= a surgeon's scalpel

*THE FATHER OF MEDICINE:THE GREAT HIPPOCRATES*

13th september'09@ 2346





"A burning candle,for others"-is a famous quote from a Dutch Physician,Van Tulip,who wanted to make 'a burning candle' as the motto which symbolises the doctors' profession.Doctor's profession comprises many aspects:highly knowledgeable,must be hardworking,ready to work in any conditions,a perfectionist of all time besides being loving towards the patients,mourn together when others in pain,be kind,patient and kind-heartedness.





One of the most prominent Russian Internists,Prof.M.P Konchalovskii said " one can be a bad writer,artiste or actor,BUT ONE CANNOT AND SHOULD NOT BE A BAD DOCTOR".A doctor has an enormous responsibility for in him entrusted the most valuable asset -life of a patient.A doctor should 'fall ill' together with his patient,sense and feel the pain of others just like his own.On a first call,a doctor should hurry to his alleviate his patient from pain regardless of his own desires.


As said by Drevnii Indii,"a doctor should do everything that's possible to save his patient's life even when it cost his own life."





A doctor MUST be in courages/in a good spirit so that he can attend to his patients efficently,think wisely,diagnose and treat his patients correctly.A good doctor does everything on his own will so that he gains trust from his patients.The believe/faith one has on his doctor- effective medicines.An Ancient physician Ibnu-Sina(Avicenna) said," a doctor has 3 instruments:-words,plan,knife".He equated a doctor's words to the scalpel of a surgeon.In Hippocratic oath which is recited by the young physicians,it is quoted to be "TO WHATEVER HOUSES THAT I ENTER,I WILL GO INTO THEM FOR THE BENEFIT OF THE SICK,AND WILL ABSTAIN FROM EVERY VOLUNTARY ACT OF MISCHIEF AND CORRUPTION".





Excellent as it is a doctor's profession!It restores a patient's life and health-what else can be more important?





For the very first time in my life,I was driven by such a force to translate this russian class' text which i'm supposed to be reciting to the teacher tomorrow.Qualities of a doctor should have-talk about being physician here.It is a time of your life to be one especially after having gone through the intermittent phases as jr.hippocrates.





The text certainly inspires one to be a better doctor(well,it does exert effect on me!) though it's not a piece of cake to retell it in russian!





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My Sunday Morning

13th september @ 0850

What am I doing up so early morning..hello it's sunday nita,why are you up so early?

-this is my usual routine here when exams are coming up,weekends or any other ordinary days,i'll be the first bird to wake up...I'm waiting for this friday to come so that I can sleep more than 10 hours on saturday!!!..*hey,the week still hasn't started,and your talking about it coming to the end..lol*

Yesterday was practically highlighting the tb lectures..yet to make them stay intactly in my mind.Brain got exhausted by 10 pm,but I managed to hit teh bed at 12.30am.Thought I will be able to finish everything one round but,I realised still left with cavernous tb,fibrocavernous tb to be done..so I shall finish them now,then add extra informations from the TB reference book from the library.

Since Russian classes have started,I have to memorise one whole text for the class tomorrow!..duh it's back again..but luckily we're no more chained to Irina Mihailovna(the head of the department).

And bloggie,I rejoined facebook.Reactivated it.Like you would have guessed,it brought back lots of speculations especially from subha,shalu,aud and vicks.Speaking the truth,I miss being in touch with them/getting latest updates about them.*You guys know why I left but I came back not for the same reason*....I'm back there for you,my buddies:)

Okay,can;t make my blog any longer,ctaching up with my time.Yet to finish my coffee and get started on tb.

Good luck for TB exam..gambatte,nita.

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1st cycle-TB updates

* my pathologically predisposed asthenic chest fluorography result*


*1st day...I had to circle it with purple pen because the papule was invisible*

11th september'09 @ 1550

TB classes will be coming to an end next wednesday.Sarah and Xiang Yun did favour for us by asking the professor and our doctors to end the class earlier maybe on tuesday so that we can have 1 day study break and do the 1st exam of our 1st sem of 5th year on thursday.No answer was given yet...he said they will think about it.

I love learning diseases in human beings.It's very enlightening and gives me satisfaction when I learn more about these diseases and be able to answer my parents,friends,lil cousins when they 'consult' me.:) But my mind perceives and processes abstract informations in a lower speed..just like how the fetus descends via the false and true pelvis,immunology on HLA,antigen-antibody mechanism,pathways of certain sensory organs in neurology.. but when it comes to relating the sequalae and pathology which can be understood and viewed,I tend to enjoy and wanting to get to know them more.

Last monday,we did Montoux test which is the preliminary test done on any patients suspected of tuberculosis infection.An experienced nurse thought us how to do the test.It was pretty much a scene in that procedure room with all of us had to be 'doctor' and 'patient' at the same time.Few of us pricked their fingers while trying to remove the cap of the syringe.Emmy and Abdalla didn't want to victimise their colleagues,therefore opted not to become 'doctors'.I did on Zaid-and yeah,a cute little lemon-pealed papule appeared.Then I had to become 'doctor' for the second time for zakiah and it turned out to be good too,but smaller than Zaid's.Mine was done by zakiah,can't really see it since it was done rather little deeper..but now I can feel an elevated surface on my left forearm..perhaps the papule got trapped above the dermis:p

It's a must to do fluorography when students are having classes in the tuberculosis dispensary.It was my very first time doing it because usually we prefer Chest X-rays back at home.The former is informative too.We collected our results yesterday and our dear Dr. gave comment on them.Mine was:

1.wrong position of standing since the distance between the right clavicle/collar bone and the left clavicle to the sternum if different.

2.asthenic constitution but it's normal(mind you!)

3.slightly inflamed level of the upper diaphragm due to minor pathology reactions taking place..but nothing more serious,and it can be omitted and need not to worry...well not only me,Jeff also had it!

Daily we will be shown patients' X-Rays,few of it were even there before I was born.

On patients,Im still yet to do my case report,will be working on it this weekend besides juggling my time to prepare for my TB exam.

I visited Sara and Abdalla's patient who's a girl of 4 years old.She looked very pale,a slow learner,has tuberculosis infection.She was born to a HIV + mother but the virus wasn't detected in this little cute kiddo.

Paediatrics wards are usually cheerful despite of the hidden sadness.The moment we walked in,the kids trailed behind us and we together examining Sara's patient and few of them very enthusiastic to show their scar of Montoux test to us.At times i wonder why they have to suffer at this tender age..when they are supposed to be out there in playground/going for school,they ended up in hospitals,and waiting anxiously for the day to walk out of the ward.I hope these kids will be free-ed from the miseries that had befallen onto them.There's one funny scene,despite all the brave ones,they are these little timid looking kids.While we were passing by the wards,one kid even crawled under his bed,talk about being phobic towards DOCTORS!

All in all,I need to catch up on TB and get prepared for it by next week..so my precious saturday and sunday,you guys are definitely not free this week!!

*TB exam fever*

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new look for a new sem :-)

*yeay...back to my short wavy hair*

10th september'09 @ 1731

I''ve been dreading to have back short hair ever since I decided not to rebond my hair this year.Straight hair has worn out its trend,and if I were to say that-nothing beats having back your genuine hair.

Due to some unavoidable reasons,I didn't make an effort for another visit to the saloon in Ipoh once I got my slight trim done on 25th July before the grand reunion.I should've done all the cutting job there itself but sheerly,i had no interest to try new look over there.

And now with my completion of Internal Medicine exam,I have the urge to look 'new' and complete..so today was the day,decided to hit the saloon nearby hostel,accompanied by sara and ta--daaaa..it's done..love it,and I love my wavy hair:)

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a T to the DOC of 4 years.(yes,I am one)

090909 @ 2315

D.O.C.T NAVANITA,welcome to 5th year!

a special note:thanks for all your wishes for my exam:mum,dad,ragu, shalu,sarah,maalini,soo ching,sevvanthee,suvin,ravi,jia lynn,sara,kiran,zakiah.

A breath of relief air after 2 months ++ of heaving heartbeat and load in me.Like I had planned earlier to unlift the burden in me from the previous semester,I successfully completed my Internal Medicine exam today at 5pm,after having face to face session with the most digeruni Dr.Andrevna.I can't believe that I actually sat opposite her in the examination hall...but before that,to tell ya,I had the most memorable day which I will never forget ever.

For the very first time,I had to rush back to the dean's and pay to sit for the exam since I postponed it from previous semester.Halfway on my way to the dean's from the hospital,I was cursing(not really) Yuri for not being serious on the payment matter.He gave us permission to sit for the exam but didn't mention on paying.

Upon reaching the hospital,you can imagine with all the tension and spiked up cathecolamine level in the blood,I was furious when the assistant examiner told Jia Lynn and I were not allowed to sit for the exam without our payment receipt.We changed back into our casual wear,changed our second pair of shoes and was practically ran to catch the bus to the dean's.

Only God knows how repentful I was while walking under the scorching sun(not so la,compared to in Malaysia) to the dean's.I swear ,I will not be a CHICKEN next time by BACKING OUT LAST MINUTE.I was muttering silently.."see nita,this wouldn't have happened if only you had done your exam on your day!".

We left the dean's around 1.40pm after the payment.We could've reached earlier to the hospital but since we walked thinking it was nearer,we were lost and were actually went further down the road,had to stop few Russian strangers and enquire the way to the hospital.Jia Lynn never would have thought her idea to walk could make us so worn out..and I was actually thinking of boarding the bus and going back to hostel!

Reached around 2 pm to the hospital,hurried once again to the previous classroom,only to realise Dr.Tatyana was locking the door.She saw us and I've no idea why,it just ran across my mind:"she must be thinking,hey this lecture girl,hasn't done her exam yet?"..after gathering my stethoscope,tonometer,pencil case and internal hand book,we left,got our patient for the day.My first patient,he wasn't in the ward.Once again,I was crushed as I know every other people was in the examination hall or already done with examining their patients and me?stuck with a missing patient..another patient in the ward offered to be my patient,but I declined.Dr.Natalia gave me another patient,and I pronto went to her ward.Once again,it's just not my day..the patient has hearing impairement which means..you knowla,how to get informations that I need to make a diagnosis if she can't hear me?..duh,I sat beside her,managed to get a scratch of details on her admission.Later,a patient voluntered to be our translator.As I thought,things will turn good,the patient got emotional,agitated and I was told by the volunteer to leave and came in later after she has calmed down!I was..no words to describe my feelings except I really felt like weeping,my face had turned hyperemic,I took all my things and left the ward."You guys just don;t understand,I'm having exam TODAY!"..I told to myself in between the moments of about to breakdown!

Dr.Natalia came,pretty much irritated seeing me standing outside her room."Why are you waiting here?" Me:"The patient can;t hear,and she doesn't want to co-operate" Hence,she told me to make a diagnosis on progressive angina which means I did suspect the diagnosis correctly based on the patient's history.So there I was,leaning against the wall of 5th floor,fill dup the form on diagnosis,physical examination,lab investigation and the treatment.

After 15 minutes,Dr.Natalia came with Dr.Petrov who asked me: "so,are you ready to present your diagnosis?" I quickly turned to Dr.Natalia and gave her my papers because I didn't want to spend another few minutes explaing to him about my patient.Later on,Dr.Natalia went to check on the patient,and I was allowed to go to the examination hall..finally!!!

As I entered the exam hall,I noticed my previous 3rd year's beloved Dr,Pavlovna.Later,my most respected Dr.Tatyana came to my view.I sat at the front table facing her.After I settled down,I realised,I was actually sitting infront of Dr.Andrevna who's busy questioning another 6th year student...darn.I continued answering my questions on asthma,insulin and ECG.Jia Lynn broke into laughter when Dr.Andrevna asked a student" Did you know what Dr.House will do?" on Cor Pulmonale.I looked up and smiled and bistro,looked down before I heard Dr Andrevna laughed too and peeping over the student's shoulder towards us!

Oh yeah,did i tell you?I'm always the luckiest one during exams..I will always get the best Drs to question me.The moment I saw Dr.Tatyana,I felt lighter but I knew I wouldn't be getting her as my examiner.She actually walked out the room once i start writing my answers.After 20 minutes,she walked in.My name was called and I knew,my examiner would be Dr.Andrevna.I was pretty much had calmed down maybe after the long walk to the hospital:p.

Sat infront of her.Started few lines on asthma,she said "Not like this" and I thought I gave her the wrong definition!Instead,she took away my papers,and turned them over which means I was not ALLOWED to see/read from what I had written.I had to see her and tell her on her face!

So started my exam session with her.She made me sit with her for almost more than 30 minutes when the others are already done..I was the second last to leave the examination room besides Karan.She loves to interrupt while you're fluently speaking,loves to see the confused look on your face when she throws questions at you.For her,my exam questions didn't interest her much.I was suprised I actually asked her "then what am I supposed to answer?"..Dr.Andrevna:"Continue"..lol.

After done with teh questions,her attention shifted to my ECG.Got it right: Atrial Fibrillation.Then she gave me another 2 ECGs(if I'm not mistaken),then wanted to give me a 4.I smiled and after the neuro effect,guess I could take it.An unexpected miracle took place,Dr.Pavlovna who was watching me from the next table,told Dr.Andrevna: "No,give her another question,she can answer for 5".Dr.Andrevna shifted her gaze towards me.Dr.Pavlovna continued" I remember her,she is a good student,studies well".I was ready to leave but slumped back to my seat when Dr.Pavlovna voiced out.Dr.Tatyana,Dr.Andrevna and Dr.Pavlovna who were watching me,laughed about my reaction.And here you go,finally again,she gave an ECG..yeay..got it right too: ventricular tachycardia.They you go Nita,a 5 from the mighty Dr.Andrevna!Thank you ma'am.Wished my thanks to Dr.Tatyana,took my zachut book,and said thanks to Dr.Pavlovna who was at the registering table,she winked at me..thanks,ma'am.She still remembers her students,what can I say?I was her favourite what in class 2 years ago:)

As I was flying not so high,I realised my stethoscope and tonomoeter were missing in the examination hall.Surely somebody has mistakenly taken them.My missings were noted by the doctors and they actually surprised and Dr.Andrevna,shrugged her shoulders.Uhhoo,now if they are really missing,I have to get a new one,Luckily,I left my Littman at home.

I exitted the hall,messaged dad and mum.Dad called to congratulate.Mum called after reaching home from work and I told them the incidents which had taken place the whole day.

Believe me,neither it was a piece cake nor peace of mind to be back home when you still feel so incomplete with the tittle DOC instead of DOCT with the end of 4th year medical studies.

And now what?TB is waiting in line anxiously to get in touch with me.

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