The year of COVID pandemic

Assalamualaikum

It's almost half of the year but this is my first blog entry for 2020. I am pretty sure everyone have long waited for 2020 and hoped this year going to be a successful and memorable year. I could not agree more that 2020 is an exquisitely unforgettable since we are fighting a pandemic, COVID-19, coronavirus disease discovered in late 2019.

Because this disease is very infectious and hundred thousands have succumbed, many countries started a quarantine policy including Malaysia. Nations, except frontliners, were prohibited from going to school or work and instructed to just stay at home. Being in anaesthesia and intensive care department, our role is pretty much vital. We are the frontliners but the last defense in this war. We emptied our general ICU to cater for COVID/ SARI patients who needed intensive care. Normal wards being turned to temporary ICU. Our working schedule went haywire initially as we need to work 12-hour shift everyday while no one was granted to take annual leave. Things getting harder when some of my colleagues had to be quarantined too. This difficult time for my colleagues and I went on for 1 month plus before we were back to normal office hour and oncall system again and allows to apply leave.

After 2 months of quarantine aka movement restriction order (MCO) in Malaysia, the chaos situation getting pristine. Not that there is no more positive case but it becoming very less. From 100-200 plus cases per day previously, the number today decreased to 10 new positive cases. I am so glad with our country leaders (Tan Sri Muhyiddin and DS Dr Noor Hisham especially), the frontliners and the rakyat who are fighting together in this catastrophe. Thank you for staying at home and obeying to the MCO. We have not totally win this war yet hence we must keep implementing the new norm as a precaution - practice 3W: Wear mask, Wash hands and Warn others as well as to avoid 3C: Crowded place, Confined space and Close conversation.

A picture as memory. First picture while I was in non-COVID operating theater, second and third picture were right before I attended COVID cases, wearing full PPE.

I shall stop my rants now. Stay safe and please take care! #proudtoserve #kitamestimenang
Thank you for reading!

Life is full of surprises

Have you ever wonder about life?
What is the purpose of this life?
Why are you doing what you are doing?
Which is a better choice?
When will your prayers be granted?

Life is full of surprises
You plan, you dream, you prepare
You thought everything will go smoothly
You thought everything will go as your plan
But life is not as straightforward
There's always hump and bump along the way
Because life is full of surprises

Although you did not get what you want
Although you are disappointed
Although you feel at your lowest
Be mindful
Be grateful
Because you are actually so blessed




Do not lose hope nor be sad (3:139)
Perhaps something better is coming
Perhaps what you plan is not as good as His'
Perhaps tomorrow stores so much miracles
Only to you and those who are patient

Because life is full of surprises

P/s: I hope everyone is doing well, stay strong and don't give up yet!

Thank you for reading :)

My friendly advice to house officers

Assalamualaikum and happy weekend y'all....!

This is a story of a house officer (HO) who is in his final posting and already in anaesthesia department for 2 months plus. As I am generally a carefree person, he likes to share his experience working with other MOs to me despite he being playful. He complained about my MO friends who being so strict and not friendly and another senior MO who asked him so many questions about common anaesthesia drugs. I was okay with those complains, just being a listener and tried to tolerate his playfulness.

Last few days, I was oncall at an isolated ortho OT (only 1 anaesth MO oncall there and specialist is not in the OT) and it was kinda eventful oncall from morning- during morning passover, a patient who was given spinal anaesthesia by my friend needed intubation and subsequent cases had problems like difficult spinal anaesthesia and ventilation as well as there were so many cases pending. I. was. so. stressed.

The HO, who just came at 8pm, still being playful; did not do preoperative assessment properly, did not prepare general anaesthesia (GA) drugs for patients, did not attempt to jot down GA form at least patient's vital sign, kept asking me to excuse him to go out of OT and kept wanting to talk about nonsense things (non-medical related). I used to work without HO for 2 years plus before I came to HRPB and I wish there was no HO I have to entertain that night as I was very tired from morning. Nevertheless, I still tried to be patient.

Then after midnight, I had another case, a very big size gentleman with difficult spinal anaesthesia. After few unsuccessful attempts, I decided to just intubate the patient. As the intubation could be difficult, I plan for RSI and started preoxygenate the patient while asking the HO to prepare Rocuronium in 10cc syringe. He came with Rocuronium in 5cc syringe and told me usually Rocuronium is prepared in 5cc syringe. He couldn't answer my question on Rocuronium dose for RSI although I already taught him 2 weeks before that and he was questioned on the similar question by my senior who he complained about! That is when he really got me on my nerve.

"You just prepare another 5cc syringe of Rocuronium and I will do intensive teaching to you after this although it is already 2.30am", I bursted in front of my GA nurse, the still-conscious patient and orthopaedic team.

After I induced the patient and everything stable, I viva-ed the HO on common anaesthetic drug doses and dilution and I was astounded that he wasn't able to answer all the simple questions with a reason: he cannot think properly as its already past midnight. So I taught him again (patiently) and ignored his multiple-times yawning in front of me. I think I should be more tired than him because I worked since 7.30 in the morning but never mind, maybe he will improve when he is a medical officer later (hopefully).


DEAR HOUSE OFFICERS,

I always being very tolerant towards HOs and medical students but I cannot tolerate ignorant doctor.

Choose to be a good and competent doctor. You are a doctor, someone who saves lives.
Learn how to be a good doctor. I am not asking you to read the whole books, just know important knowledges.
Decide to be a good medical officer once you completed your housemanship training, to give the best and safe care to the patients and not merely being a doctor.
This profession is no joke, so know what you should know, be hardworking and dedicated especially when you are already in your last posting.

I hate anyone who is a people pleaser aka kaki kipas. It won't work to flatter me.
Do things properly and I will be pleased.
I, too, hate the superiors who scolded HOs with no valid reason except stressed. I would not support that.
But I want the HOs to improve, be proactive and not playful during crucial moments.
And while you are working hard and smart, enjoy your housemanship posting.
I also don't want to see any HO sad and depress. Have balance in everything.
Know when to have fun. Know when to seek help.
So, let's tolerate each other, do things in a right way together and provide the best care to the patients.
Lillahi ta'ala.


Thank you for reading!

It's okay to not be okay

Olla!

Don't know whether I already update you about this but let me just tell you (?again) that I have been working in Ipoh since November last year~~~! Emmm so far, everyday is a busy day here hence I learned many new things which I feel great about as I finally progressing. I tried to learn as much and as fast as I could because I want to be competent and functional. I think I was competent enough that I offtaged early; but too fast seems not a wise plan!

Someone told me this before: learn how to do things in a correct way. I want to practice that alongside of being competent, helpful, kind and knowledgable. Also, I want to remain happy, positive and optimistic too although I no longer friendly and happy-go-lucky like before. Being happy-go-lucky was soooo fun but for now, I choose to be unfriendly for certain reason(s).

Last week, my seniors asked me whether I was okay working here, since apparently one of them is depressed. "I am fine", I told them which is not a lie. I kinda like this place though. There's so many kind people in the department who are always patiently teaching me. However, I cannot stay here for so long, Ill get bored haha.

I pray that everyone is doing fine and do remember this, whatever happens, blame them on your hormones. Bhahaha... Ok ok let's be serious, whatever happens choose to see it positively ya.

Reflecting positive vibes to you and myself ~~~

That's all my rants today. Toodles ^^

Thank you for reading!

The blessings in disguise

Assalamualaikum!!!

This is not unusual for me to not update my blog until almost a year hehe. Today, I promised myself to at least write here once a year on every October 10th as a remembrance of Doctors' Day. Yay, HAPPY DOCTORS' DAY to all doctors who are working hard to ensure the best service/ treatment is provided to all patients.

This year, there was two upsetting incidents happened exactly 3 months ago when I was oncall - I lost a bracelet given by my parents and I 'quarreled' with my boss in our whatsapp group. Just a heads up peeps, if I am oncall or postcall especially when I'm busy or hungry, I hope no one make me get on my nerve or I'll definitely bomb anyone who trigger the switch of my patience, no matter who you are. Yup, I'm so insane when I'm 'hangry'.

I like to wear the bracelet as it feels like my mom is accompanying me anywhere I go. However, my oncall that day was kinda busy - I had to insert central catheter line to the ill patient before I intubate the patient, so I removed my bracelet to do the procedure in aseptic technique. I totally forgot about the bracelet until the day after my postcall day. As I, in the meantime, also felt guilty for talked back to my boss in whatsapp (I didn't swear, I just answered his question truthfully which I think I should just leave it unanswered), I felt very overwhelmed to even live! Those incidents really affected me so much that time. That bracelet is very very very precious not merely because it is expensive but it was given by my beloved parents. Because I like to escape whenever I'm depressed, I went for an impromptu roadtrip to Sarikei. A long drive is one of my way to make myself feels better. I drove really fast on the curvy and bumpy roads to Sarikei from Samarahan, not caring about my life at all since I felt very dejected. I had near-missed accidents twice during that journey but since my car equipped with good safety features, nothing really happened except the loud scream of the car brakes and automatic emergency lights turned on. I was very insane, right? >.<

Few weeks later, I found the bracelet on the floor in the oncall room after a cleaner did an extensive floor cleaning in the room that day. It was a real miracle for me and I am too grateful to Allah for that alhamdulillah. As for my boss who blocked me on whatsapp, phone call and phone message which I think is unnecessary, I initially felt so miserable about that. On my second thought, this should not affect me so much as I usually only use hospital phone to call any of my boss and I don't really text them. Nevertheless, there was still unsatisfied weird forlorn feelings inside me as I think this 'bad blood' thing is something so stupid I have to handle. Who wouldn't feel miserable if someone who used to talk a lot with you suddenly don't even want to say your name or see your face, right? Therefore, I decided to escape again but this time to South Korea.

The trip taught me many life lessons. I met many people who are unhappy albeit rich. I just came back from Korea and I am now feeling so rejuvenated. I do not feel anything anymore about being block or if anyone hate me and I can even tell people (you all) about this which means I am already okay! I never talk openly about anything that disrupts my inner peace. I finally found peace inside me and all praise to Allah who planned everything so perfectly. Alhamdulillah.

Oh by the way, another miracle is that I am transferring back to work in Perak next month! How amazing my life nowadays right? There are many miracles happening (some I did not say here) so I have nothing to complain (except for the slow celcom internet). My current plan is to enjoy my final month in Sarawak to the fullest, appreciate those who still love me and still want to talk to me while preparing to leave for good.

Do you wanna be my babe? ^^

Thank you for reading my yearly life update bhahahahaha. I hope Allah ease everything on your side and we always feel at peace. Be happy alwayyyys~~~!

After a year in Sarawak

Assalamualaikum and hi peeps!

It has been one year that I've been serving in Sarawak. I officially reported duty to JKN Sarawak on October 31st and formally started working in Sarawak Heart Centre (SHC) on November 7th (that time in cardiology department). The HOD of cardiology department, Dr O, is really kind and understanding hence he gave me a week unrecorded leave to settle down here.

I was really rebellious that I get transferred to Sarawak therefore I reluctant to go elsewhere and just wanted to stay in Kuching area which left me no other choice but to be in cardiology department, SHC. I did asked for placement in anaesthesia department during my report duty at JKN Sarawak however there was no vacancy in Kuching area. Nevertheless, I had a nice experience during my stay in cardiology department as all my colleagues are nice and helpful and the hospital is more or less like Hospital Sungai Buloh. (P/s: HSgB is better as it has e-HIS system) (^.-)

Although I can tolerate being in cardiology department, I kept missing to be in anaesthesia again and  I felt that I need to do what I like, I need to have passion on what I am doing to work efficiently. Therefore, after one month in cardiology department, I secretly went to meet HOD of anaesthesia department in SGH and asked for placement there. It wasn't easy to get into anaesthesia department again and I almost gave up until the day I received a text message from her to contact HOD of anaesthesia department in SHC, Dr H. Joining anaesthesia department again on January 1st was the best thing ever happened to me in Sarawak! I never regret this decision and I am forever thankful to Dr O for letting me go after been only almost 2 months in his department and also to Dr H for accepting me to his department.

My good bye message to everyone in cardiology department. =B

And now, I am thinking about transfering again..... still to anaesthesia department but to another hospital which I can gain more knowledge and experience. This time, unlike a year ago, I am feeling sad to leave my current department hence I am convincing myself everyday to proceed with this decision..

Pray for me k and thank you for reading!

Why I did not quit

Assalamualaikum and hello there!

I just realised that today is doctors' day so happy doctors' day to all doctors out there!!!

Reminiscing my life as a house officer, frankly I said it was not an easy life. I was dreaded to quit like every single days initially (except when I was in my last posting). My first rotation was in the most strict department in the hospital and I cried A LOT during my first posting. I felt so scared to go to work and always nauseated every morning. Few days after I started working, I met one of my senior, Dr Lutfi (he is now my best friend's husband), asking for tips to survive my current rotation. He gave a lot of helpful advices and one of those still fresh in my mind until now which is "do not give up". Whenever I felt like giving up, I thought of that significant advice from him. Apart from that, I was blessed with a good family support, helpful colleagues and kind nurses too and up till now, I am very much thankful to my senior Dr Aida and all nurses in ortho ward 5A. I will never forget their kindness. They are one of the reasons I did not quit.

There were so many people I know eventually quit their housemanship and one of them is my best friend who quit during her second posting. She is one of the best student in my uni and helped me so much during our medical studies. We used to hang out together during our first posting and always told each other about quitting housemanship. Neither did I know that she will really quit housemanship and I was kinda disappointed by the fact that I only knew she quit 3 months later. On my second thought, it is a good thing that she quit earlier as being a doctor is never her dream but her parents'. Meanwhile for myself, it is me who chose this path and I was the one who really wanted to be a doctor since I was 9 years old for whatever reason. Being as rational as I always be, I cannot think of what else I can do other than to serve as a doctor. Therefore, I did not quit.

House officer is only given one day off per week and the other 6 days are working days which were most of the time busy and overwhelming. My multitasking skills grew each days as I was becoming senior whereby I can refer case through phone while typing morning review in the system and tracing blood investigations from the system at the same time. However competent I became as a senior house officer, many times I felt so down and worn out after working before sunrise, went back after sunset and only had my proper meal of the day after I went home. I wanted to quit so badly because I was so exhausted hence I consoled myself by telling that I will quit later but that later never happened as I kept postponing it. This means that, we can use our procrastination charm on quitting issue like this as it works well on me. See, I did not quit!

I am grateful that luck is always on my side and I rarely got scolded by MOs or specialists. However, I received two terrible scoldings when I was in my first and fifth postings. Of course I felt so down for both scoldings but being scolded as fifth poster was something really discouraged me. My feet felt so heavy to go to work on the subsequent days until the day a caretaker of my patient approached me. She thanked me for taking care of her sick husband and told me that I am a good doctor and should continue to be a specialist later. I was taken aback by her comforting words and I realised that I must keep going on to save many more patients in the future and shall not quit.

And now, I am already a medical officer, already 3 years in service. There are so many things I learned and yet so many things more to learn. Although I am a medical officer now, there are still times when I wanted to quit, especially when I could not save my patient. I even wanted to suicide as I felt at my worst - useless and helpless - that I could not resuscitated my patient and bring him back to life. I collected my strengths from Allah and reflected on everything that happened until I am okay again. Someone told me that we are just human beings, life and death is not something we could decide and yeah it is something that I could not disagree. After all the efforts from healthcare providers, it always eventually leads to Hippocrates quote: to cure sometimes, to treat often and to comfort always.

Again, happy doctors day to all doctors out there! Let's keep holding on, be sincere to help our patients lillahi ta'ala and continue to be a better doctor each day in shaa Allah.

That's all for now. Thank you for reading!

Oncall in Sarawak

Assalamualaikum peeps!!

Today I just wanna share about my oncall routine. Since here is heart centre and district hospital, so the oncall is usually not so busy therefore only one anaesthesiology medical officer oncall in a day. Pretty scared in the beginning because everything I have to attend and handle alone but here is really not busy. Plus point is, since  I was a cardiology MO before, I know the cardiology team quite well so we are able to work with each other comfortably while handling crisis. There were times my cardiology friend, Naemah, slept together with me here. Niceeee XD

After passover with my postcall colleague and oncall specialist, I will set up my oncall room to make sure that I am comfortable until the next morning. Being comfortable is very important especially if I am oncall for two consecutive days - Saturday and Sunday - so that I can last for about 50hours in the hospital. Remember, surrounding is vital to set up the oncall mood although during daylight I will be outside the room reviewing patients or attending new referral or at the library or the cafe. Haha..

First, I make sure blanket is nicely fold with warmer ready as our hospital is fully air-conditioned and it is very very cold here. Also, I will ensure the hospital phone is working and easily reachable.

Then these pinky, I put them like a carpet so that it's easy to perform my prayer and of course easy to move around. (We call this linen pinky because the colour is pink on the opposite side)

And lastly the table must have these - plain water, room key, my access card, emergency drugs (in case I got referral for emergency case), stethoscope, APS and referral forms.

FOOD is important and this is to show off some of my oncall foods yesterday. Potato salad from my lovely colleague, cucur from my housemate who she is an emergency department MO here and that kuih from my patient in the ward. Thank you everyone!!! May Allah bless <3

All in all, the top priority of preparing for oncall is to bring the heart and brain with you. LOL. And also don't forget to bring your toiletries ya!

That's all for now. Have a great day people...

Thank you for reading!

Quick life update

Assalamualaikum and happy holidays guys!!

Today is awal muharam so it's a public holiday and tomorrow is Saturday. Therefore, this weekend is really suit for weekend getaway as it is a long weekend and you don't need to apply for annual leave! Exception for me because I oncall yesterday, postcall today and going to oncall again tomorrow and Sunday. Sad isn't it? Yes it is but I did this to help a friend of mine. Actually in our oncall roster, my friend is suppose to oncall this weekend but since she has something important to attend at home hence we swapped our weekend oncall. When someone in my family is sick, I too will feel down and will have the urge to go home as soon as possible.  I hope she's doing fine with her mom in Penang now. Remember, you are as strong as your next move :)

Anyway, nothing much is happening in my life nowadays. No more jonah, no more drama, no more confusion, no more money scam and did not progress much here... I like it this way (except the part that I did not progress much) as I cry less but at the same time I laugh less too. Being someone optimistic and rational, I always reminded myself that things happened for a reason and we should not settle for less. Definitely I'm going to embrace everything that happened in my life - my decision to change department after 1month plus in cardio dept, how I felt so forlorn after unable to save patients, how something trivial can lead to road accident, how people change so drastically and how I become not jonah drastically too hahahaha! All in all, what I remember the most is my happiest feelings in life when I was a HO in anaesth Sg Buloh working second month in the department. I will never ever forget that blessed and blissful feelings.

At the moment, I cannot wait to leave Sarawak and work somewhere near my hometown so that I can stay with my family, meet new people and create some drama at home too lol. #countingdays

Yours truly,
The playful girl

Thank you for reading!

Me and anaesthesia department

Assalamualaikum guyss,,,

How are you doing? As usual, I will only update my blog once in a blue moon hihi. So this gonna be a looonggg post.......

Macam mimpi je sekarang aku MO kat anaesthesia department. Bila ingat balik, my very first intubation actually when I was a medical student in anaesthesia posting at Hospital Taiping. I forgot already what operation was it but I persuaded the anaesthetist to let me intubate and I succeeded with one attempt! Nevertheless, never in my mind that I wanted to pursue in anaesthesia. In fact, I really like medical department when I was a medical student.

During my early housemanship period at Sg Buloh, to be frank, I hated anaesth MOs especially when I was in my first posting but towards my subsequent postings I was pretty excited to see them or refer cases to them as they look so cool handling very sick patients. Apart from that, I was always envious to the anaesth team when I had to assist surgeries in OT during my surgical, O&G and ortho postings. (p/s: anaesth team doesn't have to assist surgery and I don't like to assist surgery too). Before I finish my fifth posting, my best friend Kama suggested that we choose anaesthesia as our final posting. We even wrote letter to hospital director so that he places us in anaesthesia department. However, Kama changed her mind in the very last minute as she chose to be in emergency department thereafter. Whereas, me and my unnie Fiffy reported duty at anaesth department together and we worked together in the department, many times so happily haha~~

Anaesthesia Sg Buloh provides a really good training (if you are diligent and want to learn) and HOs is trained with oncall system, not shift. We have superb intensivists and they are one of the reasons why I like to be in anaesth (they are tooooooo ADORABLE!!!) Sebenarnya aku takut nak join anaesth dept ni memula sebab MOs ramai macam garang and tak friendly. Jangkaan meleset, rupanya diorang ni macam angel je dengan anaesth HO, dengan department lain memang tegas and garang sikit hahah. They are really sweet and kind. I still remember Dr R let me intubate a patient in OT two attempts (usually other MO will give only one chance to HO); Dr A let me intubate patient in ICU (my first intubation as anaesth HO and it was successful); Dr T always be my alibi and taught me to insert IJV central venous catheter (CVL); Dr C always let me do procedures, taught me to do subclavian CVL and ECHO; Dr W always let me give spinal block even for emergency obstetric case (not fetal bradycardia); Dr F let me do all 7 CVLs without supervision as it was really jonah oncall day; Dr SG likes to crack jokes and very supportive; Dr S still really nice like when I first encounter him in surgical dept and etc. All in all, these lovely experiences have caused me to be so interested in anaesth. There was one incident on Aug 15th (I was about to finish the posting early September) where I was accused of MIA by this one obnoxious MO as I wasn't in his OT but with my specialist. Because I was so devastated, I applied to not be a floating MO in anaesth. But my application was rejected and my specialists who knows me so well, being so nice to me as she didn't put me to work with the obnoxious MO throughout my floating time. Hahaha, that's the bittersweet experience in anaesth HSgB. Until now, I still miss the anaesth team, the sisters, nurses, MOs and ofcourse the specialists.

Thank you everyone for the best experience throughout my housemanship <3

When I get posted to Sarawak, I asked for anaesthesia department however the post was full in Kuching. As I want to work only in Kuching area, I chose cardiology department in Sarawak Heart Center which is still near Kuching area. Everyday when I came to work at CCU, I will look at the anaesth oncall room's door while feeling really wants to be back in anaesth. It was not easy for me to go back to anaesth department. I approached anaesth HOD in Sarawak General Hospital (SGH) somewhere early December and gave her recommendation letter from my anaesth HOD in HSgB. I was jubilant when she said she'll help to arrange my placement but on Dec 13th she told me that MO anaesth placement in SGH is full. Being optimistic, I was just keep praying although I was upset by that news. On the very next day,  I received text from her to contact anaesth HOD in PJS. To my surprise, the HOD said he is gonna recruit me as anaesth MO in PJS. (P/s: they don't have their own anaesth MO in PJS so I became pioneer againnnnn hehe).

Alhamdulillah, I started working in anaesth dept since January where I did my tag call for one month in SGH. Alhamdulillah, I am very grateful that I opted to do what I like rather than staying in my previous department. Actually I am more grateful that I got to work as cardio MO for almost 2 months before I'm back to anaesthesia. At least I got to familiarise with the hospital and people in cardio dept. After 3months in anaesthesia department PJS, I really like the bosses and the working environment. Awesomeness!

After-work selfie. Haha XD

Because here is heart centre, we do not have general medical or obstetric or orthopaedic or neurosurgical patients hence I'm lacking of some anaesthesia skills on handling those cases. Looking at the bright side, I'm fortunate that we still have urology, geriatric and some peadiatric patients here therefore I still able to perform spinal block for the urology patients going for surgery and intubate peadiatric patients.

After the lengthy post, the take home message here is to do what you like and go for what you really want to do because you will enjoy it. Choose a job you love, you'll never work a day in your life.

Thank you for reading!

Troubleshoot should I quit housemanship

Assalamualaikum and hi there!

This time I'll write on a more serious topic as per the title. Based on stories I heard from those who studied medicine abroad, I can say that housemanship in Malaysia is kinda tough. But at least nowadays housemen working schedule is in shift system, no more oncall system. Mind you certain hospital still using oncall system and in Sg Buloh, anaes department also trained all the HOs to work in oncall system. Being a houseman is really not easy as it is a transition from an enjoyable student lifestyle to an unimaginable hectic working life.

It is normal to feel so overwhelmed, down and wanting to quit housemanship especially those who are very new to this job. For the first posters, you must be shocked, emotionally and physically tired after at least 14 days of working for more than 15hours per day. Plus, you are adapting with the new environment, new people e.g. senior HO, MOs, specialists, nurses etc as well as coping with the working system (review patients, familiarise with writting notes in PC or on papers and taking bloods).

Me being a houseman for 722days already (I have to be exact as I'm counting days to finish really soon hewhewhew), I observed so many trends and behaviours of my housemanship colleagues. Some really work so efficiently and diligently, some work smartly (do work fast & go back home early), some just likes to take their own sweet time to finish carry out plan and dont mind getting home late at night. I am all of the above, it really depends on my mood though hiksss! Not forgetting those with attitude problem MIA and not doing work properly, I can just pray they change to be better.

Lemme stop making this entry so lengthy and just straight to the point. Here are questions I prepared to help determine whether you should or should not quit housemanship:

1. Is medicine is your choice or your family's?
- if it is your choice , add 1 point
- if its your family's, minus 1 point

2. Do you have some liking in this field?
- if yes, add 1 point
- if no, minus 1 point

3. Can you stand with humiliation, scoldings and working without seeing sunlight for at least 2 weeks?
- if you think you can, add 1 point
- if no, minus 1 point

4. Are you afraid to quit because of yourself or your family?
- if its because of yourself, add 2 points
- if its because of your family, minus 1 point
- if you are not sure, add 1 point

5. After start working for 14days, are you surviving well means you dont have to fake illness or take mc or el?
- if yes, add 3 points
- if no, minus 3 points

6. Do yo always feel afraid to go to work until you have to take mc or el?
- if yes, minus 1 point
- if no, add 1 point

After all the above questions, if your mark is negative, you should rethink about being in this profession. If you get positive marks, you should just continue this housemanship journey. Its just for a short time, once you become more senior you will be able to cope better.
Below are additional questions to help you decide.

7. Do you think you can cope with this kind of no-life life?
- if your answer is no and you are really not happy, my advice is you should consider quitting and do something you like. Dont torcher yourself to achieve your family's ambition because you deserve to be happy and achieve your own ambition.
- if you are not sure or your answer is yes, go to the next question.

8. Do you feel happy saving people and make other's smile after they recover from their illness?
- if yes, please do not quit. This is your ambition and your passion. You can survive this. Be strong!
- if no or you are not sure, go to next question.

9. Is being a doctor is your ambition?
- if yes, STRICTLY DO NOT QUIT!!!
- if no and you have other things to do in your mind, you should just quit and do what you like.

These are rough guidelines to help you make decision. After answering these questions you still not sure of your decision, do istikarah prayer and ask around-your colleagues, batchmate, family and even the bosses. Their opinions are really helpful.

I think that is all for now. If you decide to continue being a doctor, do not settle for average, do your very best and serve the patients the best you can. Because if the patient is you or your family, you would choose to be treated from a good doctor right?

Toodles peeps... xoxo

Me as senior house officer: Medical Dept

Asslamualaikum semua...

Aku masuk medical department as a fifth poster. Still remember when I was still tagging (day 1 in department), one of the patients desaturated but the PM shift HO is a junior poster. He did not know what to do hence I helped him managing the patient while waiting for oncall MO to arrive. Remember peeps, if patient desaturated ke ape ke, just use ABCD approach k, baru la tak lupa nak buat apa.

On my day 2 of tagging, after 4pm ada patient kat PKKN ni persistent tachycardia pulak. Terus suruh nurse buat ECG and I reviewed with my friend looks like sinus tachycardia. Patient looks dry as well and complain of pain kat tangan. So aku suruh run fluids and prescribed pain killer. The very next morning round dengan MO review balik ECG, still we are convinced it's sinus tachycardia. Kebetulan konsultan aka HOD lalu wad so MO panggil bos nak tanya opinion. Bos cakap it's SVT then mengamuk habis sebab aku tak passover kes tu to the oncall doctor semalam. Itu lah second time aku kena marah teruk sejak housemanship ni. The patient was sent to CCU immediately and discharged well after few days.

In medical, specialists and MOs are like friends. We work and eat together. Hewhewhew~

Since my 2nd week in medical, I was assign to be ward leader hence I was incharge of HO roster. Therefore, it's easy for me to arrange my schedule but it was so difficult to handle HOs yang suka EL. Pernah aku kena kerja 24hours kat medical ni sebab ganti orang EL. Totally unplanned and unprepared but I survived, alhamdulilah.

Paling happy kat medical ni ialah waktu viva department, dapat full marks. Dr J and Dr S claimed they never gave full marks to anyone before and asked me to join them in medical. Of course the safe answer I gave " Errrrr, I will consider it". Haha. The best part is waktu hospital viva, my HOD said "I still remember you in PKKN before, but you did so well throughout the posting. Dr J is really stingy to give marks but you got full marks. Well done". Malu I olls dia puji depan HOD department lain and timbalan pengarah hospital. >.<

Sebab bos semua baik sangat, aku struggle pegi beli kek ni dan ajak kawan2 buat farewell party the week we were leaving the department. TQ medical team for the bitter sweet memories.

All in all, the take home messages here are to always passover smartly to the oncall person and expect the unexpected. Anything abnormal, inform je bos awal2, lantaklah kalau kena marah sebab inform simple thing pun.

Thanks for reading!

"I am stronger because I had to be, smarter because of my mistakes, happier because of the sadness I have known and now wiser because I learned."

My housemanship summary: Senior year

Assalamualaikum,

Ha, baru ade mood nak update blog.. Six month apart pulak tu. LOL. My life is still the same. I still work as a doctor in the same hospital. Yup, my work means my life. I love my job now. I faced with love-hate relationship with my job before but now I really love my job. Dulu setiap minggu mesti mesej mak cakap nak quit la, dah penat la, nak quit and quit and quit. But I didn't because I don't have plan B which is what I'm going to do next if I quit. Being a rational person, I didn't quit but faced all the struggles instead. Now I'm glad I didn't quit. After being so long in the stormy days, I now found the rainbow. Ceewah =)

Allah dah takdirkan aku dapat posting yang banyak dugaan dulu dan pergi ke posting yang makin mudah kemudiannya. Orthopedics -- Paediatrics -- O&G -- Surgical -- Medical -- Anaethesiology. Ortho tu ko orang takyah tanya memang banyak drama. Somehow I missed the dramas. LOL. I enjoyed the drama actually especially during radiology conference; cuma aku punya adrenaline rush waktu grand ward round setiap hari Isnin tu memang paling aku tak suka. Anak Dato' pun boleh kena halau keluar wad tau waktu round kalau ko salah bagi simple info like patient tu ade diabetes dah 10 tahun tapi ko cakap dua tahun. Nasib baik aku tak pernah kena HAHAHAHA. Bila fikir balik, sebenarnya orthoLIFE training ni the best training. Ajar semua HO tentang love, integrity, fun and endurance. Bila HOD strict sikit baru la takde orang nak EL je kejenya. Yes, aku memang pembenci orang yang EL/ malas kerja ni.

Paeds busy tapi takde drama. Aku paling suka HOD paeds antara semua HOD, baik and sporting habis (HOD anaes pun best). Last week aku terjumpa Dr V, supervisor kat paeds dulu. Tak sangka dia ingat aku lagi dan suruh aku join paeds. Waktu dia cakap, "What do you want to do next? Oh you are considering paeds right. Come join us after this", I was like "errr  I'm not sure yet, I'm still considering paeds". Ok jawapan selamat. =B

O&G best jugak. Siap turun padang main bola jaring dengan bosses lagi. Tapi sebab hari tu aku postcall, aku rasa baiklah aku tengok je tak main. Huhu. Surgical pun best. Aku agak jonah kat surgical. Ade je patient hematemesis tengah2 malam waktu aku shift PM. Padahal patient tu KIV discharge coming morning kot. Urghhhh. Paling best surgical ni banyak cuti. Aku cuti 2 minggu ok untuk EOP!! Yeayyyyy

Nampak sangat muka postcall di situ! Heh

My 5th posting is medical. Memang posting yang the best lah! Orang kata save the best for the last kan. So memang 2 posting terakhir aku ni paling best. Medical ni busy dan ade drama sikit kalau kat wad PKKN tapi bosses dia baik nak mamp. Aku sayang gila kat MOs and specialists medical ni. Ade la sorang MO and sorang specialist aku tak suka tapi aku tak kerja bawah diorang sangat pun.

Aku suka buat scan untuk patients yang datang kat early pregnancy unit (EPAU). Heee~

Thanks for reading!

1 year housemanship experience

Assalamualaikum... This just a random talk about my experience so far.

I'm a houseman for 1 year 2 months already now. Currently I'm in my fourth posting which is surgical. I went through orthopaedic, paediatric and O&G before. During my first posting, I learnt a lot about people and working life. I had a not-really-nice experience during the first posting. But I kinda miss my first posting though; I missed the teamwork I had during the posting. I worked with superb colleagues (but some are annoying) and also the nurses!!! I love the sister and nurses. They helped me a lot and gave strength to me to cope with the department cultures. Yeah, the department had some weird cultures and MOs wasn't so friendly that time. They just make a big fuss about anything during rounds and they won't help to present any single case during rounds. There's one day, left me alone in ward during morning round and I have to present all the cases. In ortho, you cannot refer to any notes while presenting case during rounds. Of course I couldn't remember every details of all 28 cases in ward hence I got screamed at. Haha. My memory wasn't so great though. >.<

My mentor in ortho, the best and kindest specialist in the department. I still remember how I cried in front of him. Haha. Hope he's in best health and be blessed always.

Then I went to paeds. I had a bit of culture shock with the bosses. Many of the MOs and specialist are so nice which unlike the previous posting. I enjoyed being in paeds except when I have to take blood from the NNJ babies. I love babies and children but I don't like to poke them especially those with hard-to-get veins. On my last day in the department, my supervisor asked me to join paeds and of course I'd love too however the thing that made me still thinking about joining paeds is how to deal with the needing to poke the babies????

How can you have heart to poke these too cute babies? I still remember how I cried together with the babies when I took their blood. So heart-breaking you know?!

My O&G posting is also a great experience for me. I love working at labour room but it's usually so tiring especially when its a jonah day. I love doing procedures in labour room but you know sometimes it's like a war zone there which made you feel overwhelmed. Nevertheless, I wont pursue into this field. For me, O&G is equal to medicolegal department. So many medicolegal issues the department encountered. Perhaps, patients like to sue O&G doctors for any slightest mistake. So, it's a nay for O&G.

Me and colleagues during episiotomy suturing workshop.

Now I'm in surgery. Initially I hated this department. So far I will hate which ever department I going through during tagging time. Hiks! Now I kinda like it. The specialists are so cute like really cute. Some likes to shout during ward rounds (I found this cute too), some are just having serious facial expression all the time, some dressed up so nicely with pretty lipstick colour and high heels and some are just super nice, teaching during rounds and likes houseman to involve in deciding management for patient. I know all of them having a kind heart. I just know it from how they devoted their time for patients. They went back so late at night like at 11pm as they faced with difficult surgery which took hoursss to finish and if they are post call, they still works the next day as usual. They are so workaholic. May Allah bless all my surgeons!

As far as now, I met a very super super nice doctors and badas one. I kept questioning myself, how can this particular doctor, Dr S be so patient, talk so softly and teach anyone so nicely whereas another particular doctor so sarcastic, scream next to your ear and asked for explaination letter without checking properly into the matter. Surely I wants to be like Dr S but you know I got some temper sometimes. LOL

Now my concern is to finish my housemanship and get into any specialty. Somehow, I still do not know what specialty I should take. I really can't decide now as yet.

That's all for now peeps. Thanks for reading!

Professional examination OSCE for medical student

Olla peeps. It's been a year since I updated my blog. It's because I was coping with housemanship thingy as well as I forgotten my password to assess my blog. Just recently able to figure out the password. Haha..

So here, I just wanna share regarding my OSCE questions during my professional examination. Hope this can benefit anyone. Here you go...

LONG CASE: PP type 3 posterior

Causes uterine irritability

- braxton hicks contraction

- labour contraction

- uterine hyperstimulation by IOL

- abruptio placenta (usually hard uterus)

Methods use to detect fundus

- lateral grip

- fundal grip

- what else???

What can really determine uterus larger or smaller than date

- based on clinical fundal height more than 4 discrepancies not SFH

Possible causes of breech presentation for this patient

- Prematurity

- Placenta previa

- Congenital anomaly e.g. Neural tube defect (meningomyelocoele)

Other

- Polyhydramnios

- Multiple pregnancy

- Hydrocephalus

- Previous pregnancy with breech

- Abnormal uterus

Investigation to do

1. Full blood count- to check for anemia and maintain Hb > 10g/dL

2. GSH- if necessary, blood bank only hold pt’s GSH for 48hrs only

3. Fetal surveillance- CTG, US

When to transfuse blood

Women at or above 34 weeks gestation with haemoglobin less than 7 g/dL

Management: You’ve been called by a nurse informing that the pt develop bleeding. What are you going to do?

1. Attend pt immediately

2. Check amount of blood loss- might bleed a bit only

3. Put on CTG to monitor fetal heart activity and sign of labour (increase contraction)

4. Prepare patient for emergency lower segment caeseran section

  

SHORT CASES

1. Hand examination

- Present findings: pt has tenderness over distal radial side of wrist & +ve finkelstein test

- Dx: De quervain tenosynovitis

- Ddx: fracture of carpal bone

- Mx: rest, splinting, anti-inflammatory medication, injection of corticosteroid, surgical release of tendon sheath (rarely do)

- Cx steroid injection: tendon rupture, skin atrophy

2. Abdomen examination (obstetric)

- Calculate EDD and POA (at 40 w POA)

- Present your abdominal findings: scar, clinical FH 34w, SFH 35cm which is smaller than date

- Dx: Uterus smaller than date

- Causes: wrong date, oligohydramnios, congenital anomaly (renal agenesis)

- Questions u want to ask pt: ask whether she is sure of LNMP, does she has benefit of early dating scan, any hx gush of fluid (leaking liquor)

- Mx: to confirm date, to do VE in order to check any pooling of amniotic fluid, test fluid with litmus paper & nitralazine test and check bishop score. Give antibiotic to cover any infection.

- Bishop 4/10, what to do? – because cervix not yet favourable, IOL with prostin

3. History taking (psychiatry)

- Dx: OCD

- Ddx: GAD, panic disorder (pt has no symptoms to suggest MDD)

- Why panic disorder? – she has some symptoms of panic attack e.g. SOB, palpitation

- What organic cause could be for the symptoms? - hyperthyroidism

- What specific obsession she has: checking obsession

- How to mx? – give antidepressant such as SSRI, TCA and examples are fluoxetine, clomipramine

4. Examine motor & sensory of UL & LL

- Positive findings: reduced sensation over peripheral area

- What pt has? - Peripheral neuropathy

- Dx: peripheral neuropathy 2⁰ diabetes

- Ddx: peripheral neuropathy 2⁰ alcohol

These are simpler version of what I went through. Kindly read more about those topics and aim for distinction okayy?!

Best of luck all future doctors!!! ^^

Survived for 32days

Assalamualaikum

It's been 1 month since I started my first posting in Orthopaedic Department Hospital Sungai Buloh. All these while Allah helped me so much. Been a first poster, there's so many things I did not know. I absolutely agree that study medicine and work as a doctor has significant difference. Somehow I miss being medical student. Hukhukhuk~

Anyhow, I just would like emphasize on important tips to survive during the housemanship which is always be close to our creator, Allah SWT. Ask help from Him every seconds. Alhamdulillah, I'm so thankful that He always hear my prayers and gave what I asked for. Trust Him all your heart and don't forget that everything happens with His will. Next to it is that we must NEVER EVER EVER GIVE UP!!!

Remember, you are as strong as your next move. How hard life and people try to bring you down, you must ask Him to shield you from falling. There's 89 days for me to finish this posting. Every morning I woke up, adrenaline rush would be there and I hope I can stand with this until end of this posting,

26th Sept was my awesome day since been in this posting. I'm blessed with this mentor mentee group. :')

#prayforme
#mayAllahease
#tobethebestdoctor
#lillahitaala

Thanks for reading. May Allah bless us and please pray for my success!

Apa itu MD UKM AUCMS ?

Assalamualaikum

Sebelum melapor diri untuk bertugas di hospital pada hari Selasa nanti, eloklah untuk aku tulis entry yang dah dijanjikan ini. Yela, kang dah kerja nak bery pun tak sempat inikan nak menulis blog. Ihiks! :-B

Aku ni sejak kecil ditakdirkan untuk jadi pioneer. Pioneer untuk kelas rancangan khas, pioneer for math & science in English and the most recent is pioneer untuk program MD UKM secara kerjasama. Kerana batch aku ni pioneer, makanya bilangan kami hanyalah sedikit iaitu 31orang sahaja. Kalau campur dengan our counterpart in HUKM dan MD UKM UnPad jadi seramai 260+ orang. 0.o"

Mesti korang curious bagaimana kami terjebak dengan AUCMS ini kan kan kan... Actually, after dapat results SPM, kitorang laju-laju ke portal MARA dan memohon biasiswa untuk belajar oversea. Zaman hingusan dulu impian aku sangatlah menggunung, nak belajar kat oversea je barulah gempak... Hati teramatlah girang apabila mendapat tahu aku terpilih untuk interview MARA di UniKL. Beberapa lama kemudian, aku dapat surat tawaran:

AUCMS back then was known as ACMS. Mula2 tengok perkataan ACMS tu, aku & famili seakan pelik dan tertanya2, apakah itu? Namun, 07-07-08 ialah titik-tolak kami terjerumus ke lubuk AUCMS ni...

Pre-medical disini, waktu zaman aku tu, menawarkan untuk sambung pengajian di Indonesia, which is where I wish not to go for study (no offence ye). Kalau jalan2 best la kan... Tapi aku struggle habis-habisan jugak waktu premed sebab ada ura-ura boleh pergi Ireland. Gempak sihh kalau dapat buat medik di Ireland! Namun, suratan takdir aku adalah untuk belajar di Malaysia. Tawaran ke Ireland takde lagi waktu batch aku tu.. Aku pun tidak mahu ke Indonesia. Hati memberontak giler waktu tu. Kemudian, aku dipanggil interview untuk program MD UKM. Bagi aku, baik study di Malaysia ajelah begini.

Dengan berat hati, aku pun study kat sini...

Program kerjasama UKM ni, basically, semua modul pembelajaran adalah sama sejibik seperti di UKM Bangi cuma kami belajar di AUCMS Kepala Batas. All lectures given by UKM lecturers via teleconference. Tapi batch aku je yang ada teleconference, the next batches aren't allowed for that for I-don't-know reason. Kalau ada bab yang tak faham, kami tanya lecturers kat AUCMS ni.

For your information, semua exam papers came from UKM and their lecturers are the one who mark our papers. Sebab exam dia susah yang tak tersangka, ramai juga yang terpaksa drop year dan ada yang quit making us left with 31 orang je di final year.

Waktu Clinical Skills learning (CSL) module ketika di first year, kitorang pergi Hospital Kepala Batas. Semua masih innocent dan bersemangat waja ketika itu. ;p

Bermula tahun tiga, bermulah proses penghijrahan kami ke seantero dunia. Oh, bukan oversea, kami belajar hanya di Malaysia. Kami yang MD UKM - AUCMS ni posted at Hospital Kulim during our year three dan sebelum officially bermula telah ke HUKM untuk one-week basic clinical orientation. Lepas tu, kami kena pergi posting Jabatan Kesihatan Masyarakat (JKM) di Tanjung Karang for 7 weeks and one week at HUKM. Waktu ni lah kami berkenalan dengan our counterpart dan ada yang dari UnPad pun baru balik ke UKM. 

 Ni dah last day JKM posting. Gila kau, aku taknak balik Kulim kot bila dah lama2 kat sana.. :'(

Fourth year, kami ditempatkan di Hospital Taiping untuk posting ENT, Anaesthesiology, Ophthalmology and Psychiatry. Posting paediatrik dan orthopaedik, kami kembali ke Hospital Kulim. 

MUARC ni research conference. Memang modul wajib UKM untuk sape2 rasa nak graduate. Hihi.. Selesai MUARC, barulah officially kami mula posting clinical fifth year.

Fifth year pulak di Hospital Sultanah Bahiyah, Alor Setar. Kat hospital2 lain sebelum ni hanya kami je ada kat situ so tak rasa persaingan sangat tapi ketika di fifth year, ada kawan2 dari AIMST jugak. Sedikit competition untuk clerk patient berlaku tapi medical knowledge tu kitorang selalu share bersama. Aku pun ada sorang very good friend kat AIMST hasil sering bertukar2 ilmu. Waktu fifth year ni pun ada posting yang kena pergi ke HUKM, belajar kat sana seminggu or dua minggu then barulah baik ke Alor Setar. Banyaaakk sangat kami berjalan. Penat tapi best jugak.... :D

Memang kami kejap disana, kejap disini. Tapi kalau exam je, mesti lecturers dari UKM datang untuk assess kami. Dah kata MD UKM grads, diorang haruslah OCD untuk menjamin kualiti sebab tu sanggup turun naik flight jumpa kami.

Hari bersejarah- Professional examination results' announcement. Dean UKM pun datang Kampus Medik AUCMS di Kulim. Alhamdulillah, ramai yang pass. Yang tak pass tu, mungkin ada hikmahnya, dapat study lagi untuk 6 bulan di HUKM. It's still a precious experience though.

Personally, sekarang aku bersyukur tak study oversea sebab kalo study local, lagi cepat habis dan banyak exposure kat local hospital and diseases. Dulu memang memberontak tapi sekarang baru nampak apa yang Allah takdirkan untuk aku. Cumanya, aku tak nasihatkan for you to pursue your study at AUCMS sebab kolej tu macam tak stabil je sekarang. But the choice is in your hand.

In a nutshell, my batch is special and limited edition. We faced numbers of difficulties and challenges to reach where we are now and we hope to become dedicated and great doctors insyaallah. =)

Thanks for reading. ^^

Apa yang perlu untuk Program Transformasi Minda?

Assalamualaikum

Alhamdulillah, setelah hampir 5 bulan bercuti, aku telah dipanggil untuk berkhidmat bakti kepada kerajaan Malaysia. Weee,,, gembira hati I olls disamping turut berasa cuak dan gementar untuk officially berkerja sebagai seorang doktor. :')

Bermula dari batch PTM Ogos 2014, pihak KKM menggunakan sistem baru which is kita dapat tahu posting kat hospital mana dulu barulah dapat surat induksi/ program transformasi minda (PTM). Aku akan berkerja di Hospital Sungai Buloh. Semua yang bakal bertugas di Selangor berkursus di Hotel Flamingo, Ampang.

Nak berkerja sebagai seorang penjawat awam, wajib tau untuk datang PTM. Buat bakal houseman, kita wajib membawa 4 dokumen seperti di bawah ketika register di PTM masing2:

1) 1 salinan Sijil pendaftaran sementara MMC
2) 1 salinan borang pemeriksaan perubatan (ada dapat sekali dengan surat SPA)
3) 1 salinan surat tawaran SPA
* Sila bawa dokumen asal untuk semua salinan2 di atas
4) 2 salinan borang profil peserta (1 ori + 1 fotostat) berserta gambar setiap satu borang

Jadi, tak perlu pening2 ye.. 4 dokumen je kena bawak.

Bagi perempuan, korg mesti akan pening berapa banyak baju nak bawak, nak pakai baju apa and like oh oh I'm so confused! Jangan risau, tujuan post ini ditulis pun untuk membantu golongan seperti kalian.

Aktiviti PTM ni banyak dengar ceramah je sampai penceramah pun boleh ghaib depan mata anda (kalau you tidur -.-). Waktu ceramah kena pakai baju formal tahu. Bila bercakap tentang formal, haruslah bawa baju kurung. Nak pakai blouse dengan skirt labuh pun boleh asalkan nampak formal dan professional. Tudung tu boleh je nak pakai shawl atau tudung sarung, as long as you selesa, nampak kemas dan berkeyakinan tinggi. Beauty is confidence, girls! Muahaha... :p

Aku punya ptm dari 25-29 Ogos. Sebab 5 hari, aku pun bawak 4 pasang baju kurung untuk pakai waktu siang, 2 blouses with long skirt serta 2 jubah untuk pakai waktu malam. Baju tidur bawak 2 pasang cukup la, bukan nak tidur sangat pun. Habis program pukul 10.30pm lepas tu ade diskusi kumpulan. Depends on your group nak habis discussion pukul berapa. Group aku hari tu kul 12.30midnight je paling lambat. Yang pasti, pukul 6.15am esok kena berkumpul kat lobi dah untuk senamrobik. Ya, ada senamrobik setiap pagi.. Jangan rebel ye semua..Jadi, jangan lupa bawak at least 2 pasang sport attire dan kasut sukan ok?!

Selain ceramah, ada aktiviti berkumpulan- lukisan & soalan2 (seperti diatas) serta sketsa. Sketsa tu basically how doctors should handle certain situation. Korang bawak la crayon, alat tulis dan apa yang dirasakan perlu untuk kegunaan masa depan! Wehuuuu...

Ni antara tugasan yang kena buat iaitu jawab 50 soalan umum... Soalan2 ni pentinggg sangat sebab, nanti ada ujian and soalan2 ujian tu lebih kurang dengan soalan2 dalam tugasan kita ni,, Jangan terkejut tau, memang betul2 ada ujian 20 soalan objektif pada hari terakhir PTM. It's not a medical exam.. Soalan2 dia based on the lectures given dan soalan2 dalam 50 soalan tu... Tentang perlembagaan Malaysia, gred2 perkhidmatan awam etc.

Chill guys... enjoy your PTM and the most crucial part is to enjoy the foods provided. Dah la makan 6 kali sehari, sedap pulak tu semua makanan. I'm so in love with the hotel's foods.

Ni kumpulan I olls masa kat ptm itu hari. Ada jugak geng2 HO Sungai Buloh disini. :)

Ni geng MD UKM - AUCMS. We are special and limited edition... ;')

I think that's all for now. Thanks for reading guys.... ^^