STEP 2

Alhamdulillah done with STEP 2 Programme..the biggest annual event by Ikram Mesir 

Million thanks to everyone who support and join this programme. Special thank to awesome speaker, "Pak Utih"

last year's STEP 1, we discuss on 

"How to Be A Muslim doctor's" 

BUT 

for this year, we have

 "When Mecca Meets Medina"

guess what???

Okok...

fyi, event this time, kami analogikan Lelaki sbg Mekah and Perempuan sebagai Medina. Why?? basically, when we talk about Mecca, we could imagine Mekkah punya surface structure, kering saje..kan?? differ to Medina, tanah Medina lebih lembab, and that's y females are more sensitive compare to male??

ouhh..really??

i've learn a lot today! Dulu saya selalu fikir, 

"knp lelaki suka cakap perempuan suka fikir complex2" 

and sometime saya rasa

 "grrrrr..susah nye nak cakap ngn budak laki ni, susah nak bincang!!!"

tingggg!!!

yet, after STEP 2, i noe why.... oooh..salah approach rupanya....i mean, salah teknik komunikasi. Cara fikir pon lain..memang lah susah kalau xde 'ilmu' utk tackle perbezaan tu, utk menjadi 1 kefahaman..kan3??

first thing, kita kena tahu yang Allah cipta kita ni berbeda-beda... ha...gitu jugak ngn laki & pempuan ni..

kalau nak tahu, minat baby laki and baby pempuan pon da lain tau... baby girl cenderung suka pada HUMAn tapi baby boy suka tengok THINGS!! xcaye?? sapa yang da ada baby, cuba test tgk, btul x?? Research ni dibuat oleh seorang prof barat. hmm.. nice facts kan?? 

another facts is, mase kecik, otak baby girl lagi kecik dari baby boy. so, blood flow to baby girl's brain lagi laju dari baby boy punya..about 15%.. That's why kalau tengok perkembangan baby girl and baby boy, yang girl lagi cepat kan?? kalau kita tengok anak pempuan n anak2 laki, yang pempuan lagi cepat belajar, lagi cepat bercakap ngn baik..

wanna noe more??

nanti kan next post I/Allah, ada masa saya akan try share on what i got today, spy kita lebih mudah berinteraksi antara 1 sama lain and mengurangkan krisis antara wanita & lelaki especially to married couple.. very helpful, I/Allah..cya....

xsempat tulis panjang2 sebab ada test..hehe

Death!

i woke up earlier today, planned for jogging with ma hosmate here... Then, hujan..Hujan rahmat.. Lepas azan subuh pagi tadi, ada pengumuman dari surau kat bawah rumah i..Very clear announcement! sbb surau tu kat bwh rumah i je..well, rumah here, mcm bangunan kondo kat msia..no bgloo/semi-D ok.. :)

Tadi pengumuman nya ada orang meninggal dunia. Isteri kepada saudara bernama Mohamad..(al-fatihah) I xsure i kenal ke x.. Bcoz jarang i talk to my egyptian neighbour..not to say im arrogant, but i dono wanna talk about wattt...plus my amiyyah not so good.. sebab people around my house can't speak English :( nak jer cakap ngn dorang.. tapi xreti sangat.. lilbit - owkey lah.. hihihi

so today, i need to stay at home jelah..spesifik lagi, In my room!! :)

yolah, mesir kan, bila hujan, dia lecak sikit.. sbb tanahnya sume bpasir..kan..susah la nk jalan.. kureng syoks..And bila musim winter ni, bila dah raining like this maksudnya dia akan getting cooler & cooler.. nampaknya i jadi orang eskimo lagi lah...sejuk sangat kadang tu.. especially during study week utk mid term exam awal jan hari tu...hihi :)

So my plan for today :

• kemas bilik
• read novel
• read my "very interesting" med books -lilbit :)

plan jogging CANCELLED!! bcoz it's still raining and my kaki got cramp..sbb tlalu sejuk kot..muscle cramp?? xleh lompat2 tali skipping ler today..ohmyyy :( sabar.. mesti ada hikmahnya kan..

Bila teringat balik pasal annoucement ammu tadi about DEATH.. I was wondering.. Everyone will die..cuma masa saje lain2.. xkira muda, tua, kecik, besar, got health prob or not, semua akan meninggal, answering the call from The Creator.. kan??

so, are you prepared for death??  ask yourself!! to get something good, we need to work for it..Hardwork!!

Zikir

Alhamdulillah, Today i still breathing, Allah still gimme chances to pray, zikrullah, and work for better person!! 

Btw.. Talking about zikrullah, i remembered 1 day, i went to my fav "kedai runcit" nearby my home.. I  call the owner of dat kedai as "baba".. i like him so much bcoz dia jual barang2 xambik bnyk untung..quit cheap..malaysian here use to love baba so much!! hahaha..

 He came to me and ask "did u zikir to Allah??" (in arabic opcoz la...!! baba xpandai speaking sgt.. syuwaiyyah bass[sikit2 je boleh],) no wat???? Tergamam jugak lah dat time.. Then cepat2 zikir.. Senyum jela kat baba.. "Aiwah wa In shaa Allah , baba" he told me to zikrullah kittir, doa'a kittir (zikir alot, pray to Allah alot) ehehehe..

so touched! Not bcoz of baba..but Allah.. He knew that i was lagha, always playing around, konon busy with my medic stuff till i forget to zikr, forget to put doa'a a lot..hmmm..Then He sent me a man, to remind me , to advice what should i do.. Don't u think it was awesome?? reallly GREAT!!! Subhanallah...

we tho we're sooooo busy!! When we've problem, we search for Him, but when we're happy did we?? Sometime we use to forget rite?? aghhhh...so bad u.... kenapalah kita selalu lupa eyk.. we shouldn't let this happen again. Who create us? Who help us? Who ease our works? Who gv u preddy/ensem face tu?? who?? uhu.. Zikir kittir ya!!

Layakkah kita untuk menghukum?

Untuk berfikiran positif @ negatif. Pilihan di tangan kita. Apabila melihat sesuatu perkara yang berlaku dihadapan mata kita, terpulang pada kita untuk think and decide...

Adakah dengan sentiasa mengingati kesilapan orang itu kita panggil lumrah kehidupan? Siapa kita untuk menghukum? Dan siapa dia untuk sentiasa dihukum & dipersalahkan? Sedangkan Allah sendiri sudah berjanji bahawa Allah sentiasa membuka pintu taubat untuk hamba-hambaNya. Then, siapa kita untuk bertindak sesuka hati?

Ya, ada yang kata, memaafkan itu lebih mudah dari melupakan. Kerana peristiwa lampau itu mungkin terlalu pahit.. Tapi...tapi... kita kena sentiasa ingat, syadid sangat kah kita? Kita ni suci sangat ke, tak pernah melakukan dosa apa-apa ke??

Saya kira post kali ini, saya ingin cuba mengubah paradigma kalian dan segala persepsi buruk terhadap orang disekeliling kalian yang pernah melakukan dosa,atau segala apa kesilapan perlu dihapuskan!! Why?? Bukan you yang patut menghukum, tapi Allah. Hanya Allah yang layak menghukum hamba-hambaNya yang berdosa.

Kerja kita-kita semua ini hanyalah dengan menasihat & membawa ke jalan kebenaran. Ok?? Mungkin sebelum ini, mereka pernah tersilap langkah dek kurangnya ilmu, kurangnya supporter..Sebab tu dia tersilap. Jangan salahkan orang 100%. Siapalah kita..

Kita sendiri bukannya tak pernah lakukan kesilapan. Cuba bayangkan kalau Allah cipta manusia dengan ada monitor dosa di dahi. All our sin will appear on that screen. Then everyone yang nampak kita akan tahu segala dosa yang pernah kita lakukan dari sekecil2 zarah sampailah sebesar2 dosa..Nak ke?? We should be grateful that Allah menjaga aib kita. Banyak sangat dosa kita dengan Allah. Cukuplah. Jangan tambah lagi dengan dosa mengumpat, mengherdik & mencaci org lain. 

Renung balik diri kita, pakaian kita, akhlak kita. Kalau kita berkopiah lengkap, bertudung labuh, berniqab bagai, jangan pula kita cemari pakaian2 suci itu dengan pemikiran kotor kita. Dengan mengkafirkan pakaian orang lain. Jangan rasa diri kita terlalu betul. Kalau kita rasa kita dah betul, dah siqqah sangat, there's must be something wrong with our "Qalb"(hati).. Tanya balik, iman kita...

why? b'coz apa yang saya lihat dalam kelompak masyarakat kita hari ini, cukup payah untuk kita memaafkan orang. Ada yang dah maafkan, tapi still lagi diungkit silap orang tu. Kadangkala dosa berpuluh tahun dulu pun dibuka lagi. Walhal orang tu hari ni dah berubah dah, dah jadi orang baik-baik.. sentiasa ingat Allah..Kerana apa? Hidayah tu kan milik Allah. terpulanglah pada Allah nak bagi bila hidayah kat hambaNya. 

Kesimpulannya, bila kita pandang orang, bergaul dengan orang, jangan judge orang sesuka hati kita. Jangan pandang sebelah mata, infact pandang dengan mata hati! Orang putih kata, "Don't judge the book by its cover!!" Ha,, inilah.. Yang ni kita pegang. Sebelum nak mengata orang, nak mengumpat ke apa, ingat, siapa kita. Siapa kita dimata Allah. Kalau nak jadi hamba yang sentiasa disayangi Allah, jangan buat. You choose! Moga sama-sama kita ambil ibrah dari tulisan ini, sekadar untuk peringatan sahabat-sahabat dan diri sendiri.

An awe-inspiring day

Alhamdulillah, dengan rahmat Allah, i manage to get an osem usrah. Sebab selama ni selalu duk berharap agar dapat usrah yang selalu zupzup menggoncos hati nih. well, budak nakal kan. nak la usrah kental sket.At least bila ada usrah, terdidik sikit. Kurang lah nakal beberapa percent. bajet! kurang ker~ haha

Well, today 1st usrah with my new naqibah. nama? Ms J..hahaha.. mana bleh expose identiti kat sini..no..no...no...! utk batch i, senior shuffle kan usrah kitaorg..Rombakan yang sangat besar lah kot. maybe bcoz last year, dalam 1 usrah, terlalu ramai kot. This year, max 7 org..just swit :)

Dapat ahli usrah baru,naqibah baru,so new 'smell' la! haha..*bahasa apa ntah ni* semangat barulah pagi tadi.. jalan nyoxnyox ke rumah akhawat sorang2..Naqibah we all came from other muhafazah (kawasan lain), so there are many interesting things to share 

1st takruf session - Alhamdulillah, Allah lancarkan semua hari ni. Masuk bab tafsir, rasa cam lembik nak jatuh. Sebab Allah hantaq love letter melalui ayat al-quran yang dibaca hari ni. Meresap zpppppp dalam hati tu.. Bila sampai kat ayat MaRAN dari ALLAH..Rasa ketar je, takut sangat. rasa mcm hati kena hiris halusssss ajer. haha..no kiding!
hari ni tadabur surah at-Tariq & at-Takassur.

Surah at-Tariq

I swear by the heaven and the comer by night,

And what will make you know what the comer by night is?

The star of piercing brightness,

There is not a soul but over it is a keeper,

so let man consider of what he is created,

He is created of water pouring forth,

coming from between the back and ribs,

Most surely He is able to return him (to life),

On the day when hidden things shall be made manifest,

He shall have neither strength nor helper,

I swear by the raining heavens,

And the earth splitting (with plants)

Most surely it is a decisive word,

And it is no joke,

Surely they will make a scheme,

And I (too) will make a scheme

So grant the unbelievers a respite:let them alone for a while.

Time dalam halaqah tadi, i guna tafsir melayu, bila balik bila, baca tafsir english, rasa macam lagi best plak  maksud dia. macam makin faham. Insya Allah. Try la cuba nanti. Compare2 kan.

I nak share pengisian dari surah at-takathur sebenarnya. Nanti u olls check tafsir okeyh? *homework* ngehehe..

dalam ayat ni, Allah remind us jangan riak. Kita semua tahu kan, riak tu xbagus, infact Allah pun sangat tak suka pada org yang riak. Selak balik surah ni, Allah remind, warning 3x, dengan ayat yang sama. (nak tahu? bukak tafsir sendiri, jangan malas :) baca2)

Riak ni macam-macam. Ada yang sedar, ada yang kita tak sedar. Ada orang riak sebab dia kaya, harta banyak xhabis nak makan, ada orang riak sebab dia cantik, sebab pandai, rasa banyak ilmu, atau rasa dia baik/alim..hmm..macam-macam ada!

tapi satu jelah kita nak kena tahu, yang hati ni kena betul-betul jaga. Sebab susah sangat nak jaga hati ni. Kadang-kadang boleh tunggang tebalik pon ada. ngehehe..Adakala kita tak perasan pon yang kita riak. *istighfar banyak-banyak*

ada orang, Allah uji ngan kemewahan, ada orang, Allah uji dengan musibah bertubi-tubi. Tapi jangan lah bila dah senang, kita lalai, lupa Allah. 

so let man consider of what he is created,

He is created of water pouring forth,

coming from between the back and ribs,

(surah at-Tariq:5-7)

Dari surah ni, Allah remind darimana kita datang kan? Dari airmani je pon. So, mana mungkin kita nak sombong dengan Allah? Sape kita? hebat sangat ker? Sedangkan Allah itu Maha Kuasa, Allah lebih Mengetahui segala-galanya. 

Kadangkala kita di atas, adakalanya di bawah. Tapi yang penting, untuk berubah, kena lah selalu stick di jalan tarbiyyah ni. Biar ada orang guide hati kita. kan? 

Mungkin kita pernah je bangga dengan apa yang kita ada, skill yang Allah bagi kat kita. Gunakan apa yang kita ada pada jalan yang betul ah. Not to show off. Biar kita hidup, bermanfaat bagi masyarakat. And before go to bed, always muhasabah la atas apa yang kita lakukan pada hari tu...

In shaa Allah, moga Allah permudahkan hidup kita. Moga mendapat rahmat darinya. Senyum sokmo :)

Disturbance of Suprarenal Cortex

Hyperaldosteronism (aldosteronism)

Hyperaldrenalism (Cushing Syndrome)

Hypoadrenalism (Addison's Disease)

Adrenogenital Syndrome

Hyperaldosteronism (Aldosteronism)

TYPES

    A) Primary Aldosteronism (Conn's syndrome)

          - due to Tumor of Zona Glomerulosa Cells leads to secretion  

            of large amounts of aldosterone

    B) Secondary Aldosteronism

          - Stimulation of renin-angiotensin system (eg heart failure & 

             renal failure)

          - Decreased degradation of aldosterone by liver ( eg Hepatic 

            Failure) 

CLINICAL FEATURES

1. Cardiovascular - Hypertension due to Na retention
2. Blood 

• Increase plasma [Na] - leads to increase blood volume
• Decrease plasma [K] - hypokalamia
• Excess Hydrogen secretion - Alkalosis

Hyperaldrenalism (Cushing's Syndrome) - due to increase circulating levels of glucocorticoids / increased androgen or estrogen levels

               

TYPES

     A) Primary (ACTH-independent)

            - due to adrenal adenoma / carcinoma

     B) Secondary  (ACTH dependent)

           - due to ecxcess secretion at CRH / pituitary tumor

CLINICAL FEATURES

1. Metabolic changes 
• Increased BMR
• Fat Metabolism
• Carbohydrate Metabolism
• Protein Metabolism
2. Skin changes
• development of prple Stria
• In Secondary Cushing's Syndrome, there will be Skin pigmentation & Hirsutism
3. Cardiovascular Changes
• hypertension
• Edema & Increased Capillary Fragility
4. Blood Changes
• Mild polycythemia
• Mild Lymphopenia
5. Disturbance of Reproductive Functions
• Amenorrhea (Irregular Menstruation in Females)
• Impotence (in Males)

Hypoadrenalism ( Addison's Disease)

 

CAUSES

  - failure/destruction of adrenal cortex due to :

           a) Autoimmune disease

           b) T.B

CLINICAL FEATURES

1. Metaboilic Changes ( due to cortisol deficiency)
• Decreased BMR
• Hypoglycemia
• Failure of kidney diuresis
• weakness of skeletal muscle
2. Manifestation due to aldosterone deficiency
• Excessive loss of Na in urine cause hypovolemia & hypotension
• H retention lead to acidosis
• hyperkalemia
3. Pigmentation of the skin & mucous membranes
• caused by direct action of ACTH on melanocytes 
• More prominent in 
• light expose areas (eg face , front of neck, back of hands)
• Pressure points ( eg Back of trunk, elbow, front of knee)
4. Gastrointestinal Symptoms
• anorexia, nausea,vomiting,diarrhea
5. Addisonian crisis
• Patient are exposed to stress ( eg trauma, illness, surgery), thus patient can't tolerate with it, and falls severely ill, weakened & shocked
• Treatment 
• Saline infusion
• High doses of cortisol & aldosterone
• Eliminate the stress

Adrenogenital Syndrome

CAUSES

  - Tumour of adrenal cortex that secretes excessive amounts of androgens

CLINICAL FEATURES

1. In females
• Virilism (Adult)
• appearance of male secondary sex characters
• Characterized by :
• hirsutism
• deepness of voice
• amenorrhea
• hypertrrophy of clitoris with atrophy of external genitalia
• Pseudo-Hermaphroditism (before Puberty)
• born with genetic constitution and gonads of females butt with external genitalia of males
• signs of virilism develop later in life
2. In Males
• Precocious pseudo-puberty( males before Puberty)
• early development of male secondary sex characteristic without testicular growth
• No affect (Adult)

Alhamdulillah, 
It has been so long that i din update anything here. I've been busy since i'm back here. Notice dat my life gonna change a lot when i first step on my leg at Cairo Airport early on this Oct'12.. 

Alhamdulillah, Allah bless all my effort(Insya Allah), He give me chance to pursue my studies in medicine. There are big different between my last sem and this year. This sem gonna be more challenging. Why? Just look at the syllbus for this sem, for anatomy we have neuroanatomy, head & neck, Special embryology, lower limb and the best things is, all those books are thick enough!! haha..(miserable again)

Same goes to other subjects..tough! but then, i think, Insya Allah, it will be fun because what i have this sem is all within my interest. About brain and so on. Hope Allah will ease everything for me and my friends.

There another things i really unsatisfied with Gamaah(university) yakni we are given only 1day leave a week. Only on Friday. We need more rest, come on!! stress la... friday come, friday go..Like touch n go saja..Pls! i din' feel like i've been "relay" on Friday bcoz 1day-doesn't make sense la..Sobs2..Bcoz of very limited time, I arrange my schedule with academic 90%.. Hahaha.. (very nerdy)

yala...no time for lepak2'ing with gilak2 friends, ziarah rumah junior, but sometime i have to do it. Bcoz i want my life to be colourful, not dull like this. Bcoz it's boring! I need to meet friends, chit-chatting with them, go shopping, have a normal life..Maybe dats why people says, Doctor have no life..Rite..rite?? ngehehe...

not exactly like that, actually, we ourselves need to arrange our schedule wisely. Give time for us to have fun, to study & most important thing is AVOID STRESS...!!

Yet, i miss my family. This is the 2nd year i celebrate Raya Qorban here. I miss the moments i celebrated eid with my family. see the events of sembelihan with my own eyes. Here, we qurban unta and kambing, differ to kelantan, we always qurban lembu...

Stop the epic!!!! hahaha.. whatever it is, there's must be something Allah want to give us. ok?? Enjoy your life as medical students! go girl...