Friday, March 25, 2011

~sebaik-baik kejadian part 2~





p0st ni kesinambungan kpd p0st sbl0m ni(name p0n part 2)-warning awl2,,it's g0nna be a l0ooonggg st0ry...

smbung citer psl ward r0und nga DN td...
abih u/s tuh,die bwk kt0rg g interview s0rg ptient nih...(name d rahsiakan ats2 sbb trtntu)
lbh krg cmni la case rep0rt die...

a 59-year0ld malay lady,wh0 became cachectic,presenting with a c0mplaint of abd0minal swelling..
she had men0pause 10 years ag0.
on palpati0n, d0ct0rs detect a mass on the abd0men which laterally m0bile..
CT scan was d0ne,and a large mass c0nfirmed as a tum0r was revealed.
she was diagn0sed with ovarian tum0r..

ok,,plizz ign0re the grammatical err0r...
what's the main thing is...
i want t0 say about EMPATHY(sle cari sndri mkna nyer)...

time tny detail patient tu td...
first2 ok jer,,,die sgt c0operative...
siap jdik m0del utk abd0minal examinati0n ag..trima kasih mkcik...
the DN tny2 psl pers0nal detail,family sume..
smpai la part family hst0ry..
..............................
DN:'' mak ayah makcik dulu sihat??di0rg xde kna sakit kanser ke ape2 ke??''
makcik: xder sumer ok...
DN: ''ade x ahli2 kluarga yg ade skit kanser??''

mule2 sume sm0oth jer...
tp tbe2 je keadaan brtukar em0ti0nal...
patient tu tbe2 je mngalirkan air mata...
aku yg tgk kt tepi ni p0n x keruan jadik nyer...
xtaw nk wt aper...

time ni lar empathy tu pnting...c0mf0rt the patient..
tell her s0mething that can make her calm...
aku respect dgn care DN hndle the patient...
biler die tgk makcik tu da merah mate..
die pause skjp...
die pgang tgn makcik tu...
put herself int0 the situati0n...
very pr0fessi0nal...

a patient,biler d0kter ckp awak ade cancer...
what w0uld it be if y0u re in that situati0n...
c0nfirm sh0ck,paastu nanges2 pny,,
inilah yg di alami oleh mkcik ni...da la die s0rg2 time tu...n0 family is ar0und...

actually, DN x ckp p0n kt mkcik tu psl cancer tuh...
tp mngkin mkcik tu suspici0us bler DN tny psl family hst0ry tuh...

this is what we have been teaches since da 1st class of ECE..
EMPATHY!!
susah nk devel0p..it should occur naturally..

remember,,,a patient is a human being..treat them as such......
..............................................................................................................................
one m0re thing i g0t fr0m this case...
DN ajar kt0rg cmner nk tgk CT scan...
it's fun,,though a bit c0nfusing...
ye larr,,bru nk blaja...
DN p0n x expect we kn0w much...
she's giving us time t0 learn...a step at 0nce...
baek kan????(da brape kli da puji DN)



mcm ni la lbh krg ct scan patient tu...
arr0w tu adelah mass@ tumor...
cume the patient present with bigger mass than this...
can y0u imagine h0w big it is??
kind of like this pic bel0w.....



scary kan....nauzubillah...
juz h0ping the best f0r that makcik...
d0akan smua nyer selamat...aminnn...
n mntak jgk pd ALLAH spy d jauhkan dr drpd sgla jnis pnykit...
aminnnn...

.................end of case discussi0n.................

itu bru yg pg pnyer...
ptg pny sessi0n p0n mnarik gak...
ape yg mnarik nyer????
cer citer...cer citer

CSL pny sessi0n...kt0rg d ajar care2 nk wt PR examinati0n....
0r name pnjg nyer per rectal examinati0n....
da bleh imagine pe kebnda nyer nih???
let's c d pic...




nampak????
ni la dier per rectal exam...
tjuan nyer nk detect any abn0rmality in the rectum and any part of organ in relation t0 it...
cth nyer,,kter leh detect pr0state abn0rmalities,cancer of the rectum etc...
d0kter dk stress kn bnda nih...
kna wt kt sume patient...s0 that n0 unwanted things will be missed out...
bak kate d0kter khadim,,,if u n0t put y0ur finger n0w,y0u may put y0u foot into it later..(ye ke cmni die ckp??da lupe...)


buat prtama kali dlm sejarah idup Lil...
ni la kali prtma aku wt bnda nih...
wat kt patung je ar,klau kt 0rg k0npem aku kna saman nnt...
ye arr,,x dpt mandat ag...
yg bes nyer,,,ari tu aku lar org prtma yg wt kt patung tu,,slpas d0kter..
hahahaha...bangga!!!

it's kind of sensitive thing,,pd mata kasar...
but we dit it f0r g0odss...
lillahi taala...

cukup la k0t utk p0st kali nih...ade lg nnt tmbah...
ni p0n da byk...
really interesting sessi0n t0day...
h0pe 4 m0re on wards...^_^

p/s : rephrase qu0te fr0m d0kter adrian,,,d0ctors are the only pers0n who will get a license t0 kill..(think ab0ut it)
*great p0wer c0mes with great resp0nsibility*....s0,,d0n't play2 k...







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