he's 21 and i destroyed the c.a.k.e

this post should be done and posted on the day [january 21st]

but i couldnt make it without the cake and him

so today

*two days later*

happy birthday to mr ali azeezie

it's your 21st

*i'm still 19 =D*

*and i heart you*

*me.him.cake*

*the present*

but it's kinda sad

cause i'd ruined the cuppacakes alltogether

it actually happened due to my moderate driving skill

i was actually driving to subang

and was nearing touch n' go booth

when i didnt realised there's a car up front

and my sis kt sblh was like,

"dira,break..break!!!"

i slammed on the brake pedal

and luckily nothing happened

but the cuppacakes which was on the back seat slide down

and there u go

RUINED!!!!

*cuppacakes courtesy to +wondermilk*

but i was kinda touched when azeezie said,

"takpe ya...yg penting effort tu ade.."

then again

happy birthday syg

i l.o.v.e you

till then

with love,

spend a moment to t.h.i.n.k

caution : this post might contain nonsense to some people

of all this time

we had always known that human *especially girls* are very sensitive and prone to be hurt emotionally

little did we know

physiologically

organs are sensitive too

*in the sense "pandai merajuk"*

this post will illustrate two phenomena in which the writer *me obviously* observe how organs "merajuk"

phenomena 1

*2nd endocrine PBL - rain & drain*

in this particular pbl, we learned almost everything we need to know on one of the most common medical conditions,

Diabetes Mellitus

*note the usage of the word "almost"..this indicates the feeling of the writer who thought that there are still a lot of things to know on dm*

in the pathogenesis *pathogenesis = the process on how the disease manifest itself* of type 2 dm, there are two mechanisms that happens

mechanism number one

insulin resistance

this one is very closely-related to obesity

in this mechanism, it is said that our peripheral tissues *namely the fat cells and the muscle cells* had become resistant towards the effect of insulin

so this leads to the disability of those tissues mentioned above to take up glucose which is important for their energy source

eventually, the glucose we consumed during our meal *rice,potato,etc* remains and accumulates in the blood leading to hyperglycaemia *hyper = a lot, glyc = glucose, aemia = blood*

but unfortunately, this mechanism has nothing to do with the purpose of writing this post

what's intriguing to the writer is the second mechanism

mechanism number two

B-cell dysfunction

secondary to the first mechanism mentioned above

as an adaptive process, the B-cells of the islet of Langerhans of the pancreas *these cells are specialized cells which are found in the pancreas and function to synthesise and secrete insulin* will try to overcome the resistance and secrete more and more insulin so that the level of glucose in our body can be regulated

the interesting part is that, after quite some time *text book mentions few years* these B-cells will be exhausted and stop producing insulin

this eventually leads to overt diabetes

in this second mechanism, the writer is very much fascinated on how the B-cells surrender most probably due to exhaustion and stop functioning

just like all of us, even cells have feeling of tiredness and decided to let go after realising for some time that whatever that they are doing doesnt make so much different

it is easy for us to watch people strive their hardest and say "keep going" and "never give up"

but, do we exactly realise how much pain do people have to endure in order to keep going and never give up?

phenomena 2

*pharmacology lecture on steroids*

in this lecture which had just ended few hours ago, there was one term that made the writer stops and thinks

Adrenal Suppression

this is one of the toxicities of glucocorticoids *ie : prednisolone, dexamethasone* which happens in patients with prolonged administration of them

this happens when our adrenal cortex which normally functions to secrete these endogenous glucocorticoids decided to stop doing so due to the presence of exogenous ones

what happen is that, the adrenal tissue sort of stopping itself from doing its job because somebody else already did which refers to the doctors who are responsible in administering the drugs

i dont call it as cheating, but it does look like one, doesnt it?

just like us also, when there are somebody else doing our job

we tend to let go of the responsibility

*the writer does this too sometimes and she believes others do as well*

overall conclusion

God makes us the most exquisite creation exist on this Earth. we *particularly the medical students* learn on everything about our body. the anatomy, physiology, biochemistry, pathology and all other aspects of human being and life. but do we ever realise how closely our body and our personality related? things that the writer mentioned above were only two examples of all the other miraculous creations of God that was actually present in our daily life as in our daily practices. there are still more to be discovered.

humans are beautiful, arent they?

till then

xoxo

time to get m.e.l.l.o.w

everything started when prof. shahrir sang belaian jiwa with the final year students during the faculty dinner

i realised some of the malay songs are actually very beautiful

*not to criticised malay songs whatsoever, but the songs these days are full of craps*

**apology**

so i was kinda indulge myself into that kind of songs

and my favourite one will be

Kau Ilhamku

by Man Bai

the lyrics is so touching that you can actually dedicate this song to anyone important in your life

*tetiba rse mcm promote lagu pulak*

but seriously

i listen to this song every night

and the rhythm and words soothe me

remind me of loving everyone around

and be grateful of everything

*sighing blissfully*

ok2

done with that

continue with diabetic neuropathy and its relation with postural hypotension

*whatever!!*

till then

xoxo

d.i.f.f.i.c.u.l.t

1997

when i was about to begin primary school

my parents' were actually planning to send me to SRJK(C) Chung Hwa

in which i violently disagree and when to SKKP instead

and now

13 years later

2010

i'm quite mad at myself because i objected my parents' idea

if only i had attended Chung Hwa last 13 years

i'm supposedly able to speak in Mandarin these days

and can interact far better with people

*sigh*

it was the home visit i went today that open my eyes

first thing first

there are 4 people in my group

Ryan

Wei Ming

Mei Sung

&

ME

it is very challenging when you have to work with people that speaks different language than you do

and it is far more challenging when the person you are about to know and build rapport with and examine speaks the language you don't understand too

my patient is a Chinese woman

who cant speak Malay very well

i feel sad and frustrated because there's nothing much i can do during the home visit

thank God the maid is an Indonesian

and she took care of everything about our patient

so i manage to at least gather up on very aspect of my patient's daily life

her diet

her sleeping habit

her daily activities

who's taking care of her

and etc

so most of the social history was filled up by me

*where there's a will, there's always a way*

later the 4 of us went to McDonalds

and we gather up every information that we have

translate them into English

put all of them in the correct order

and eat

and i at last know what is wrong with my patient

*sigh*

if only i follow my parent's idea 13 years ago

and can speak Mandarin today

life wouldn't be so difficult

*more sigh*

and to my groupmates

thanks for being so tolerant and understanding

and translate every single word for me

i really appreciate all of you =D

till then

xoxo

p/s : silap masuk jln on the way blik menyebabkan kitorg passed through a huge graveyard which has a papan tanda at the end of the road showing pusat bandaraya...amazing!!

b.e.a.u.t.i.f.u.l in its own way

today was actually the 37th day of the current semester

but this environment was the first i had watched

i walked *as usual* with zatil this morning to the faculty

at 7, it was still very dark as if it was still 6 and there were tiny specks of rain coming down from above

at first, i was like, "kte naek bas la zatil, mcm nk ujan je ni"

so, off we went to the bus stop

unfortunately, the first bus had left already and we had to wait for another

then zatil said, "kte jlnla nad. bkn lebat pun ujan. renyai2 je"

so, we walked

as we exit the college

it was dark

*well, mentioned it already*

but there were like lots of cars than the usual days

thinking, i asked zatil, "asl byk kete eh??"

**few moments of quietness**

answering my own question, "patutla...budak2 sekolah arini"

obviously, they started yesterday

but yesterday, i missed that particular environment because class was at 10 and i took the bus rather than walking

i dont have the reason why

but i love the environment i had been in today

maybe just as an individual walking through it

and had nothing involved with the whole going-to-school process

but watching the way people reacted in that process was eventful

i love to see kids walking fast into the school compound with bags and water bottles and books

they resemble the idea of thirst in knowledge

i love to see sons & daughters kiss their parents goodbye before they exit the car to join their friends to school

i love to see the joy & laughter as they walk to school

i love to see the prefects looking reckless at the gates waiting for those who are late

it showed what i used to look like during my school days

those scenes were beautiful

each in its own way

till then

xoxo

p/s : duit da abes byr yuran sem 4.....*sigh*

tahun .b.a.r.u.

it is already the third day

still new i believe =D

HAPPY NEW YEAR

till then

xoxo