Wednesday, October 27, 2010
Exhaused
Tired....busy..and I am officially dead in mentally....so tired....=( ..so many things to write...but when I'm done with my homework, is already 3am... can't even online and blog anymore....haizs.....
Friday, October 22, 2010
FUTSAL !
Apart from being a nerdy... exercise is important too!!! but sadly and hardly I can maintain exercise everyday...such a lazy bum... hehe..
Just got back from the futsal training, exhausted...=) but is totally fun! I can't play well *of course lar, play only when I need to, so how to play well right?*
Most of the players were not here today cause is WEEKENDS... everyone go back home!!!! and I'm stuck in the conference tomorrow in penang island.
Nothing special happened but playing in a futsal court is my first time though I step in before.. but practically play in house in my first time! hmm but compare to KL futsal place that I went is a bit different... the fake grass and soil keep entering my shoe... haha maybe due to my "kaki itik ke atau kaki katak..." while playing....ahahhaa.....
It supposed to be a training but we are so skill-less! weird huh? I TOLD YOU>>> we are playing for fun....
passing the ball around, stopping the ball and strike into the goal is not EASY! cause i only know how to defence....ahahahha.... looks like I'm stuck with study....aiks! should change ler... have to jog more like I used to be in india......
=)
Just got back from the futsal training, exhausted...=) but is totally fun! I can't play well *of course lar, play only when I need to, so how to play well right?*
Most of the players were not here today cause is WEEKENDS... everyone go back home!!!! and I'm stuck in the conference tomorrow in penang island.
Nothing special happened but playing in a futsal court is my first time though I step in before.. but practically play in house in my first time! hmm but compare to KL futsal place that I went is a bit different... the fake grass and soil keep entering my shoe... haha maybe due to my "kaki itik ke atau kaki katak..." while playing....ahahhaa.....
It supposed to be a training but we are so skill-less! weird huh? I TOLD YOU>>> we are playing for fun....
passing the ball around, stopping the ball and strike into the goal is not EASY! cause i only know how to defence....ahahahha.... looks like I'm stuck with study....aiks! should change ler... have to jog more like I used to be in india......
=)
...My first OBSERVE on ALVEOLOPLASTY...
LUCKY day!!!!!! I'm so so so lucky cause today I mange to observe a minor surgery of alveoloplasty ( trimming or removal of the labiobuccal alveolar bone along with some interdental and interraducular bone.) *just trimming of over jaw bone that irregular which plan to introduce a denture* .
After submit my assignment, 4 of us hve nothing to do so just walk around without any lab coat *ahaha is not supposed to be that way* in the clinic area. Then one of our friendly + sporting senior *well he know all the people thou he is first batch !*was measuring a patient's BP (blood pressure). Curiousity makes me stand and look at them.*no one was there that time*. Then another senior washelping him as well to prepare. *thou like something big going to happen...=P*
They started to wear mask ,gown and a longer surgical glove while the instruments are ready and nicely placed. Another smart looking senior (2nd batch) was standing beside me and trying to help them to adjust light. cool right? so many things to be ready...haizs..but sadly I'm not allowed to take any photos....if not I can show what I"m talking about .
Minor surgery started after the senior who in house show the lecturer where he will incise and cut. As usual LA is given but this time is infiltration on the lower gum and some near by soft tissues . Then surgery is started smoothly. First he give a excision on the gum then slowly elevate the mucoperiosteal flap (gingival attaching the bone). This is not as easy as I thought cause the bone and gum really stick tight and the blood is oozing out. Retraction of the flap is done by using a L shape metal.Though suction of blood is done, but stay calm and be sure where to remove and trim the projection of bone with rongeur (a type for cutter like to cut the projected or over hang bony) is really improtant because when there are so many eyes looking at what you are doing, it really makes people nervous.
After cutting, trimming is done with file. *how to determine is smooth enough and the trimming can stop? ok,if the bone is rough in nature, then remove the L shape retractor ,place back the mucoperiosteal flap and use fingers to feel again.If it is smooth mean it is alright! * Continue with applying some iodine+ saline for irrigation, then suture it back. *something I learn.. a THROW mean another round of surgical notch * Senior placed 5 suture then continue another long acting LA as block.
PHEW...... one hour just pass like that. maybe what i explain is brief cause I'm still new with all of the term. But is a good experience to observe and there's a smart senior explaining step by step beside me when we were observing how the surgical went on! I really love it! thanks to the super smart senior lar, he shares his knowledge !
oh another thing I noticed today which is patient asked to lye on the chair awhile after any procedure is done this is because to prevent pooling of blood that will make patient feel dizzy.=)
ask more learn more!!!!! which is really TRUE!!!!!!!
though I'm not smart but learning is FUN!!!!!
Is excited to see all these! some of my friends feel is YUCK and GERLI... but ....working in a blood field, is really challenging cause a bone don't really look like a bone when you see it. SO on spot decision and observe is really important. A small mistake will bring alot of complication!
PS : what I wrote is not 100% correct k... this is just what I learn and using my lay man's term to note it down....=)
After submit my assignment, 4 of us hve nothing to do so just walk around without any lab coat *ahaha is not supposed to be that way* in the clinic area. Then one of our friendly + sporting senior *well he know all the people thou he is first batch !*was measuring a patient's BP (blood pressure). Curiousity makes me stand and look at them.*no one was there that time*. Then another senior washelping him as well to prepare. *thou like something big going to happen...=P*
They started to wear mask ,gown and a longer surgical glove while the instruments are ready and nicely placed. Another smart looking senior (2nd batch) was standing beside me and trying to help them to adjust light. cool right? so many things to be ready...haizs..but sadly I'm not allowed to take any photos....if not I can show what I"m talking about .
Minor surgery started after the senior who in house show the lecturer where he will incise and cut. As usual LA is given but this time is infiltration on the lower gum and some near by soft tissues . Then surgery is started smoothly. First he give a excision on the gum then slowly elevate the mucoperiosteal flap (gingival attaching the bone). This is not as easy as I thought cause the bone and gum really stick tight and the blood is oozing out. Retraction of the flap is done by using a L shape metal.Though suction of blood is done, but stay calm and be sure where to remove and trim the projection of bone with rongeur (a type for cutter like to cut the projected or over hang bony) is really improtant because when there are so many eyes looking at what you are doing, it really makes people nervous.
After cutting, trimming is done with file. *how to determine is smooth enough and the trimming can stop? ok,if the bone is rough in nature, then remove the L shape retractor ,place back the mucoperiosteal flap and use fingers to feel again.If it is smooth mean it is alright! * Continue with applying some iodine+ saline for irrigation, then suture it back. *something I learn.. a THROW mean another round of surgical notch * Senior placed 5 suture then continue another long acting LA as block.
PHEW...... one hour just pass like that. maybe what i explain is brief cause I'm still new with all of the term. But is a good experience to observe and there's a smart senior explaining step by step beside me when we were observing how the surgical went on! I really love it! thanks to the super smart senior lar, he shares his knowledge !
*well this alveoloplasty is cause by alot of reason. From what my super smart and handsome looking today taught me is due to....sometimes is due to the tooth that had been extracted and socket left open ,so covering of this gum will cause this problem in long duration. or it might be cause by nature, or etc.. placing LA on which side to which side is depend on the place surgical is done. NO block is given during surgical is because there's no use of blocking mental neve when the place to work is no going to affect that part though is mandibular. while injecting LA, touch te bone with needle then move backward then only start inject the LA. Needle shouldn't place in one part and inject till the end because if directly injected to the nerve will cause nerve damage. So, should move the needle around the area where we injected...COOL huh?? this is all explained by him oh... SMART right? ahahha I did learn alot ! *
oh another thing I noticed today which is patient asked to lye on the chair awhile after any procedure is done this is because to prevent pooling of blood that will make patient feel dizzy.=)
ask more learn more!!!!! which is really TRUE!!!!!!!
though I'm not smart but learning is FUN!!!!!
Is excited to see all these! some of my friends feel is YUCK and GERLI... but ....working in a blood field, is really challenging cause a bone don't really look like a bone when you see it. SO on spot decision and observe is really important. A small mistake will bring alot of complication!
PS : what I wrote is not 100% correct k... this is just what I learn and using my lay man's term to note it down....=)
Thursday, October 21, 2010
I'm a FUTURE surgeon!!!
well, time for me to start over again on a new blog but blogging bout my uni life in penang after came back from SALEM,INDIA..
Before further blogging, I would like those who read help me to correct my language k,don't hesitate and leave a comment because this is the main purpose I choose to write it in english. Time fly, after 2years in India, I came back for good. A brand new uni life for my clinical year is waiting for me. I wouldn't say that everything is perfect here compare to Salem but is BETTER.
There are lots of things that I can't expect from Salem I can get it here, but those I had in Salem, I couldn't find it here. So this is a new starting point for me again.
Before further blogging, I would like those who read help me to correct my language k,don't hesitate and leave a comment because this is the main purpose I choose to write it in english. Time fly, after 2years in India, I came back for good. A brand new uni life for my clinical year is waiting for me. I wouldn't say that everything is perfect here compare to Salem but is BETTER.
There are lots of things that I can't expect from Salem I can get it here, but those I had in Salem, I couldn't find it here. So this is a new starting point for me again.
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