Wednesday, December 30, 2009

Good Bye,31st December'09~

*thank you 2009 for the great year,going to miss you*




It's the last day of the year 2009!!!In less than 24 hours time,the whole world will be embarking into the year 2010.The 4 digits are pretty distinct and kind of stands out in my view.2010,don;t steal the limelight from your counterpart 2009,your time will come and now let me acknowledge 2009 for the last time before I turn my full attention to you,ok?:p




My internal medicine classes indeed were with Dr.Natalia Genedevna.Our very first day,she already had her favourite to pick on all the time which is me.Abdalla and Sara are her favourites(the angels) but Jeff was someone whom she'll tease all the time.The rest were just her additional distractants.By the end of 1st day of class,I(and the rest) had concluded her as being very sarcastic towards her.Despite that,she overloaded us with piles of homeworks.When her questions were not answered,she will assign them as your hometask and will ask about it the following day.So you get the brief idea right how it works?the number of times you fail to answer her,you'll get lesser hours of sleep on that day.She has a good memory..ain't a memory of an ant,ok?She remembers me very well "I took you for practical examination for exam,right?I remember you!"..well Dr."yes,you took me" but she doesn't give chance to me at all,even when i answered her.It's okay Dr,I'm having fun though having classes with you.




Do you believe in this...some people just have a fringgin' good luck and can always get away without being questioned!My flu didn;t disappear even after I took my meds.The irritated me turned to my last resort(as usual)-fight it with a good shower,no meds and adapt it by walking outdoors.And yes,it's better now,only my voice hasn;t back to normal completely.Despite all that,I researched on newly available drugs to be filled up in my prescription list of my patient(mine and abdalla's patient).And today,as usual with my name being the 1st on Dr.'s list,bombarded me with all her questions on my patient whom had unstable angina(crescendo variant)--suspected diagnosis by ME only!and his prescription list was empty and the answer that was given to me was " I thought we are supposed to be discussing about it today morning in the class to come up with the drugs for treatment!"..and he wasn't even asked one single damn question!!! How lucky can you get right?His prescription list wasn't even viewed.Praise the Lord,the drugs that I had prescribed was given greenlight except for morphine sulphate and Oxygen therapy.Phewwwwww....Now,my prescribed drugs can be found on his prescription list...it's okay,I did the job and you got an easy way out~




Being very hopeful here for tomorrow's late night outing with buddies.Usually we will be only on our 4th floor,pot luck,a movie,games and that's how we welcome our new year.A favourable temperature might take us to Minina Sq. to watch the launched fireworks and finally a dinner to commemorate the memories of 2009 and to anticipate 2010 with much enthusiasm.




I will be back with my first post for the year 2010 very soon;)




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Friday, December 25, 2009

Santa,are you there???

* I wish my santa will come and fly me away..*




Merry Christmas,ya'll!!!it's the time of the year,the best also,I'd consider..I've always fancied all snowy white christmas ever since I was a kiddo(influenced completely by cartoons,tv shows..).Does santa clause really exist?Will he come down the chimney,drop gifts in the hanging socks/under the beautiful Christmas tree?I've always wondered...especially now here,should I start believing again in santa clause?Perhaps I should have opened the window wide so I could hear him coming yesterday right with his raindeers..."ho,ho,ho...jingle bells,jingle bells,jingle all the way...."It's still all snowy here but the temprature is spiking up and it's lil bit warmer,yesterday was -10*C which brought back smiles on our faces.




Yesterday was my last day of infectious diseases rotation.Got my zachut..our teacher was actually moved before letting us go..well she said "I'll try to take you all back next semester"..wow,were we that good or do we need further polishing up?*wink*.I like her actually,she's a dedicated and a hardworker compared to the other teachers.There was not a time we were dismissed before 1.30 pm during classes.I loathed one thing in that hospital,well the room which occupied us was really cold,seriously FREAKING cold!hated that though,other wise the rotation was interesting as infectious diseases are very common in medical practice.




After compensating my sleeping hours,went online and had a chat with vicks.Well she asked me




"what do you wish for if santa comes to you at this very moment?"




I replied : "I hope he will come and take me away to Malaysia in his raindeers" to which she replied "omg,that's so sweet"..


*in reality,I want more,but guess that wish is more than sufficent at this very minute!~"
Last tuesday was an unforgetful day for me.I boarded the bus to internal medicine lecture but I was stuck in a massive traffic.None of the vehicles were moving an inch!At that very time,I felt like getting behind the wheels and ramming into all the vehicles to make my way.It was already 2.55pm and lecture starts on time at 3pm!As I could only see very vividly outside the window,I got down the bus as the doors were opened,only to realise the bus hadn;t even reached the Balshaya Pakrovskaya stop..dang!I wasted no time,ran,cross the road and ran again till I reached the lecture hall at 3.05pm.I was gasping for my breath as entered the hall,lecture had started.I knew my face was all hyperemic(visible?).Didn't change into my white coat,took out my papers and started writing Dr.Panova's lectures on Upper and Lower GIT bleeding (II part)..During break of 10 minutes,I realised I only had missed the first 2 lines of the lecture which means I was fast enough to arrive for lecture!! Yet,I think that was the best exercise anyone could get especially in a freezing cold weather(-10*C or less?).I think I ran like more than 1 km but less than 2 km.And the outcome is : I'm down with flu and sore throat cos of the inhaled cold weather.Luckily,better now.




Next monday will be zachut for russian..and I still have a text"polyclicnic" to retell.I was prepared a month ago,but due to certain circumstances,I couldn't retell.Will get it done by monday and offcially monday too,will be starting with my remaining days of Internal Medicine rotation(for 5 days) in 5th hospital.Most likely we will be under Dr.Natalia Genedevna @ Britney.Anyone would do,doesn't really matter actually but as for now I'm happy because we don't have to travel all the way to 13th HOspital in Avtozavod.





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Friday, December 18, 2009

Winter- to like or to dislike?

*yesterday at 2pm: -15*..winter oh winter...*
*scenery outside hostel no.1*

*everything that you wanted on sis prema's baby shower day*










Holla saturday dawn :) *me still not yawning*.The 3 hours of nap right after back from infectious diseases today is the reason why I'm still being a vampire at this hour.I waited eargerly,very much for friday to come,so it came and left me at a high speed.








Winter is FINALLY here,officially!!The temperature fluctuated and dropped drastically from less than 10*C to -29*C.Extreme cold season that you could ever imagine.It got 'warmer' the next following days: -28*C,-27*C and finally today was -15*C(thankfully!).I've always loved cold season when I was back in Malaysia.Even after I came here,I loved it and still love it and that's only if the temperature doesn;t fall below -15*C.I still can withstand the cold atmosphere provided there's NO caressing wind on my face!








Monday was a long day for me.I had to cover the scarf up till my nose for 2 main reasons:-to hinder myself from catching any unwanted viruses spread by the susceptible people especially in the bus and to prevent my cheeks from getting 'fatter' ...It's freaking cold that my ever senstive lacrimal sac was triggered and tears rolled down my cheeks involuntarily..arrghhh,I hate that..Eyelashes glued together by the snow flecks, fingers and toe numbness can remind you of paraphlegic/diabetic neuropathy patients...so that's the wonders of winter,if you want me to name a few.Still,I think I will be missing this weather after 1.5 years of my stay here.:( Just a request,please get warmer,I mean REAL warm soon perhaps 0*C will be just too perfect anf will bring the utmost joy to all of us here.By the way,for the russians,this is their normal winter,yeah NORMAL WINTER when it's -30*C or even lesser than that!!








Here's my personal note to you bloggie,sorry for abandoning you lately.I've been really busy.I've got so many things to do at a time.I thought of finishing one exam this month but the deans as usual called off all our plans,so I'm left with paediatrics(3 semesters work) on the 22nd January and Epidemiology on the 28th january.6 days apart for 2 exams,so let's do it!!!








I had missed 2 important events for the past 2 weeks.First was Sis Prema's baby shower ceremony in Cheras.It was totally grand as everyone(maternal side) was anticipating the lil cutie very much,I can say that again because he will be grandpa's 1st great grandchild:)




secondly,daddy's surprise birthday party(post birthday) which was held at home in ipoh.Ragu,Mum and my aunties planned it,invited close relatives and dad had his 2nd birthday cake last sunday.I was overjoyed while webcaming as everyone was there except for my elder brothers.I know dad enjoyed the day very much when previously dad complained to me saying "how could your mother forget my age?She lighted extra 1 candle on my cake!"..Mum:"Why is it a big crime now?" Me from here :"Daddy,you are still young to us and you don;t look as if you're 50++" *wink*and dad's reply : Yes ma,AFTER ALL 50++"...I miss being there and witnessing all the precious moments with them.




Okay then,I'm done for today.Nites.








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Saturday, December 12, 2009

9th rotation:Infectious Diseases.






I've never been this exhausted ever in my 5 years here,but yesterday was an exception.The week ended with a gush of tiredness,which made me so worn out at the end of the day.What a Friday was yesterday!!!




All the tiredness of the week exerted 'the cumulative effect' yesterday.Firstly,blame it on the 6 days of quarantine which threw my plans off the track.BECAUSE OF THE QUARANTINE,we have to replace classes of epidemiology with the consent of the professor.Actually I don;t mind replacing all the classes,and THAT'S ONLY IF she's in charge.Her extra notes besides the usual read outs of lectures by other teachers,makes her lectures interesting for me.




As for that,Group 531E,F and D were only asked to replace 2 days of lectures.With new rotation on infectious diseases from 9 ok,latest 9.30am to 2pm,we had to leave to minina for epidemiology at 3.30pm till 5.30pm.On wednesday,the class ended at 5pm.By the time I reached to hostel,it was already 7pm...that's my friday!!! I came back,cooked my staple food,maggie + egg,had my so called dinner whilst surfing the web and by 8pm i was all set to zzzzz...




and today,I woke up at 9am! A complete 13 hours of sleep.Did some room cleaning,had breakfast and I think I will be going back to my bed very soon..,perhaps after a couple of hours because the tiredness in me is not weaning off any time..duh!that's not a good sign when exams are just around the corner..errmmm...




Infectious diseases rotation.Professor is really good till I had to scribble her lectures and rewrite them back home if I were to copy each and every word of hers.So,thanks to my E66,whenever she goes out,one of my groupmates will be guarding the door,and I will carry out my mission to snap her lecture materials for future reference...




Personally i think,they should have just combined epidemiology + infectious diseases cycles together.Why?Mostly because the topics of infectious diseases are related!(in fact the exam questions for both of the subjects are the same!)...so,they should have just compressed both cycles at a time,but Russians...what's more there to be said?




In class,practically we just discuss whatever that's been given in lectures and maybe add one or two new informations from our tutorial classes' teacher..pretty much less hectic cycle for me.So now I have an ample of time for the other subjects which I had given break for few days due to my busy days...




Okay,back to week,eh..maybe after a few hours of nap?will think about it...~




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Friday, December 4, 2009

8th Rotation: CARDIO SURGERY.


4th December'09 @ 2234




At last,here I am,sitting on my bed,leaning against the wall,me DELL on my lap,playlist with my favourite tracks and FINALLY this is my first post for the month december which will be officiated by my most waited and looked forward rotation: Cardio Surgery.To be honest,in my time table it was written surgical diseases and I cared less actually,thinking my group,just like any other years will be travelling all the way to Ilinskaya and for the 3rd time(maybe?) will be stuck at the Urology department but hey,I gasped and said "REALLY?WE HAVE CARDIO rotation?cool...yeay!!! "




This cardio rotation is from 2nd dec till 8th dec *sighing here*..why so short of time for a most vital organ,am I right?Can we retort and go on demonstration here so that they will abolish subjects like philosophy and hygiene and make use of those times with Cardiology?*how I wish*...You can excuse me here for being extra sensitive when it comes to the heart,I can't be helped here,addicted completely with these complex organ for years and I know for sure which speciality I will be choosing once I'm done with my M.D.I've never changed my mind and that's what I want.The strong affection of mine towards the heart can never be separable...I'm just totally in love with the heart as an organ!:)




1st day of rotation:prepared for class on anatomy and physiology of the heart as we were told by the previous groups.We will be under a nepalese doctor.Zakiah was all agitated wherelse I was more relaxed and cool that I even took a pic of myself at my study table(he-he).Zakiah: "takutla,cikgu nepal tu sarcastic tau"..Me :chill la,it's the heart..I'm al excited..see look at me!!"..Zakiah : "yela,you suka the heart".. me :"yeappppp" and continued " after having all the strict teachers,tak kisah dah,let's see what happens today!"




Reached cardiac centre on time but as we entered Dr.Krishna's(if I'm correct)cabin,wani,syahrul,fil and sara were already in their positions.Names were already written on a piece of paper and began ice breaking ceremony..then first thing he said "come before 9 am!"..At one glance,looking at his fair skin,petite and thin physique,very neatly combed hair,and spectacle on his nose,you'll think he's just like any other doctors(go easy on you) but I know,you cannot fool around with him. I just knew it even before I saw him..why?Because you're talking about someone in the field of CARDIOLOGY!They just have this 'arrogance that attracts others and it will actually inspire you to move towards your goal!'+ with this unique aura of being a CARDIOLOGIST/CARDIOSURGEON.If it was any other doctors with full of arrogance,by now I would have critised them..I know I'm being so unfair but CARDIOLOGY IS THE SPECIAL FIELD AMONG THE REST.


Towards the end of the class of our first day,I was brain dead which happened the following day and even today..yeay finally it's friday!This is the most stressful rotation that we have ever had in our 5 years here especially when it comes to surgey cycle.We are only given 30 minutes of break and class will end sharp at 1.30pm.One by one will be called to answer his questions without referring to any notes and he will catch you and hit you back directly on the face when you failed to answer him,just like,he'll go "see,you didn't read the books,if you had read,you would have known the answer!" and that made my blood pressure spike up because I simply anti anyone who says that to ME!and yeah it changed our opinions on him.2nd part before the break,we visited the patients,I was the first to take a full history complemented with physical examination on a patient with congenital bicuspid aortic valve.It was ok but as usual,the language is the barrier..and as for the practical part,I did well (yes!) ..later,we moved on another patient..and our final task during the 30 minutes break was to make a short case report for discussion before we will be dismissed.In addition to that,we had to make an article containing >8 pages of information related to our given topics.Now you see..this dr is hyperactive and strict despite his stature just like they say "kecil-kecil cili padi" or "diam-diam ubi berisi"




2nd day : the nepalese dr. who's doing his second year residency here,continued with his skills to drain all our energy with his questionnaires.He's very good in trapping you...he'll listen carefully without any facial expressions or gestures,then to recheck whether you are being attentive,he'll ask you to repeat what your colleagues had just said.When you fail to repeat,he'll give you his wisdowm words " always respect to listen"..He lets you learn your mistake without pointing at it for example,he'll listen to " pumonary veins drain to right atrium ,right?" and you'll go "yes,it is" *in the midst of answering his questions/during presentation* and then he'll just smile and ask another person to alert the 1st one..see?He showed us echocardiography of valvular heart diseases and pcitures ofpulmonary amboli that was removed.He even took out from the refrigerator and showed us all the 'pathological artifacts' which they had removed during the heart surgeries. same routine continued yesterday :presentation-patients-ad hoc case reports-discussions.The number of scowled faces increased today.




3rd day : My presentation today based on atrioventricular canals.It was 10 pages long.I prepared well (I think) that I didn't had much time left for my today's topic : Ischemic heard disease.IHD is not something that will leave my mind easily after the strenuous cycle and exam of internal medicine,so I was confident that I could answer him if any questions were to be directed to me.After patients,break and dicussions.We watched clips on coronary angiography,how is it done,and it's indications.He was less uptight today,was making jokes and made us laugh when he still bombarded us.Words of wisdom for the day" where there;s a will,there's a way" .."learning is a continuous process".."listen to your patients"..Finallt when we were done for the day ,he sat back,on his chair and asked us to give comments on his classes,both positive and negative ones.One thing all of us had in common: WE REALLY GAINED ALOT IN THESE 3 DAYS.(like what jeff said :it's not even the 3rd day,I'm already so exhausted!)..so when it comes to my turn,I said:


positive remark: This is the best surgery cycle ever.


suggestion: can we atleast watch 1 open heart surgery?(to which he said we might be*fingers crossed,hopefully!* on mon /tues)


negative remark: *looked at one by one * and I said .." we don't like when you say WE DIDN'T READ THE BOOKS!" (to which he smiled)


His response to all of our comments :ACCEPTED!

conclusion: He's the best dr.anyone could ever get here in russia.If only all the teachers are like him we will be great medical students and inevitably a competent one.*Believe it,we said that to him* Fil even said : Wish we could have met you earlier.Just like I had said,his arrogance didn;t make us feel alienated/angry towards him..it's just that your ego is challenged when he smirks at you.He's very sharp though.Definitely,he was the all studious type during his med school years.His knowledge on CARDIO is adorable and it's the way he explains them without any hesitations when you're in doubt.Maybe his fluency in english despite his ascent makes me write all this admirable characters his in CARDIO.




As for me,I wasn't under a great amount of stress just like how the rest had mentioned.All that I see is me myself being like him one day.I want to be some one like that.This doctor is another inspiration of mine which has started ever since wednesday.




We can't thank you enough you,sir though you made most of our hearts palpitate in your classes.I'm very proud to say,I'm his last victim which he had picked on(the least number of times,I would say)..and I;m very happy for that.




Just like Dr.Krishna had said "BEING A DOCTOR IS NOT AN EASY STEP"..and now,who will deny that?I know,I still have a long way to go in this path of CARDIOLOGY.




Once again,Thank you DR.




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