Saturday, 13 February 2010

hoho..oncology coming..

assalamualaikum..permulaan mgu ni..sbg student medic,ad tngjwb di oncology center ari ni..my gp(gp 1 dr 3 gp)perlu ke operation room(O.R)..yg mana rase bdebar gak,nk masuk operation theater ni..gerun ngan cancer..yg merupakn pembunuh no.2 di msia slps penykit jantung..hoho..relax..ni baru masuk O.R..blom lg rase cam ne la patient2 tu rase,perasaan dorg,dan khidupan dorg sblm dan slps ad nye cancer ni..back to the topic,ari ni aku, dan 2 org lg member team ke onco..minta kbenaran ke O.R,disebb kn kami shj yg dibenarkn masuk(syrat masuk kena ad baju kot biru,as Dr2 pembedahan gune..)aku mmg da prepare dr mgu lps..dan mmg xsangka mgu k2 dan ari pertama aku kan ke O.R,excited la kate kn..baju tu byk didapati di depan hosptal kecemasan near galak,dalam 40 geneh utk gurls dan 35 geneh utk guys..beza baju tu,for sure la gurls nye lengan panjang..dan llki nyr lengan pendek dan baju dia ketat sikit..huhuh..
on the way,ke u,aku amik la gmbr ni..boring2,jln sorg2,padahal da lambat time ni..da kol 9.30pg(waktu ni ptut da ad kat sane..)uish..lambat lg..selalu p klyah blh pecut..kali ni,cuti,xda mood nk pecut2..haha..kpoyoan blangsung..
then,kami btolak ke oncology,almost 10 a.m,agak lambat,disebbkn yg lain pon lambat dan hampir byk patient mati,disebbkn kelmbatan Dr2 ni..kui2..baru training,lom lg jd surgeon..uish..'awat na,bangun lambat ka??'..take time dlm 20 minute gak la..upe2 nye dekat je oncology hosptal tu..
kaktus on the way ke oncology center..sampai3 je kat center tu..terkesima..subhanaallah..rame nye rakyat mesir kat situ,maknye rame la yg kena cancer,sama ad malignant or benign je..
b4 start,fresh kan minda jap..
Cancer /ˈkænsə(r)/ (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth (division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis (spread to other locations in the body via lymph or blood). These three malignant properties of cancers differentiate them from benign tumors, which are self-limited, and do not invade or metastasize. Most cancers form a tumor but some, like leukemia, do not. The branch of medicine concerned with the study, diagnosis, treatment, and prevention of cancer is oncology.

Neoplasm is an abnormal mass of tissue as a result of neoplasia. Neoplasia (new growth cells. The growth of this clone of cells exceeds, and is uncoordinated with, that of the normal tissues around it. The growth persists in the same excessive manner even after cessation of the stimuli. It usually causes a lump or tumor. Neoplasms may be benign, pre-malignant or malignant. in Greek is the abnormal proliferation of cells..

In modern medicine, the term tumor is synonymous with a neoplasm that has formed a lump. In the past, the term tumor was used differently. Some neoplasms do not cause a lump.

from:wikipedia

operation selalu start kol 9pg,tp kami lewat sikit..so,masuk2 operatioan theater je da separuh dan xbarape nk fhm sgt,sbb cancer ni kt akan bljr yr3,smgt2 nk naik tahun 3,nk tahu lebih lanjut.btw,1 certa,ad sorg senior cakp ngan aku,

'ko phm ke kalo ko masuk O.R??'kate senior tu..

'atleast aku nk bljr'bisik hati kecil ku..jgn perlekehkn semngt org baru ni bro...@#$$%%

huhu..mmg la bro,aku xfhm,da nama pon training mase yr2,masih mentah la..mmg la dia tahun 3 da bljr byk..tp blh jd kemungkinan kt dapat spirit baru kat situ,dapat jumpe Dr2 dan nurse2 ramah2 lagi tu..baik2..selalu pelawa makan kat aku..kui3..that the point..tp aku selalu la tolak..almaklum la,mknn araB la..haha..memilih la ko ni,esti..huisshhh...

ok,abes certa tu..1st case aku masuk,abdominal STM,colic tumor..wpon xtahu apekah yg blaku,atleast ad historical dan diagnosis patient yg aku tahu istilah2 nye..dibawah ni ad sikit pic,dari ap yg aku baca dan may be ad skit perkara yg blh kt amik dan fhm disni,wpon xbyk atleast ad(nk legakn hati kan..stlh kena la percikan keperlian dan pujian dr senior tu..smgt2..)..klik pic utk lbh jelas..



terjemah sikit..patient ni perempuan..nama dia sayedah,ahmad abdullah,umo 50 tahun,jenis ke2 cancer dia..blh klik pic..utk lihat lbih jelas..byk sgt istilah2 yg pernah aku jumpa dan dipelajari stakat tahun 2 medical student..


lg pasal patient tu..


rehat jap ngan bergmbr ngan jururawat yg terlibat dgn team pembedahan ni..
peace!!!

ni pic Dr2 sdg brusaha utk buang colic cancer..xdapat tgk dekat..


ni dia Dr2 yg terlibat..xnk ggu..cam tgh sibuk je..jom p operation theater lain..hehe..

ok..skrg ni pon tgh blangsung pembedahan colic cancer di operation theater ke 2..lets proceed to other theater..3rd one..baru nk mula..wow..!!srnk tgk dr mula..skrg ni..pasal ape??tahu x??try teka..!!!ni kt bljr mase2 yr1..anat..mula2 sekali..bhgn upper limb..btulx??

haaa..??dpt x???axilla region pasal breast cancer..kesian sgt..
waktu ni agak segan sikit..tp xpe..bljr2..besar sgt2..tumor tu..da stage 4..wow!!!amazing,,last stage..huhu..sedih nye..kat ibu ni..



ni lg pic..kalo perasan kat situ ad muscle pectoralis major dan minor..sblh kiri tgn Dr sedang mmegang payu dara yg ad tumor..agak berat ye..sbb Dr tu berkali2 mnangkat nye keatas semula apabila hendak jatuh ke bwh..ni skrg proses pembuangan payu dara yg ad tumor..keseluruhan payu dara perlu dibuang..dan Dr need to search the lymph node nearer the cancer..sbb lymph node la tmpt active nye sel2 cancer termasuk salur darah..lymph node yg dicari dibwh ketiak(axilla)that y,mase bljr dlu Dr selalu ingtkn pasal artery kat bhgn tu..penting sbb kalo silap potong blh byk hilang darah..even,artery yg kecil sekali pon..need more cares here..!!!

tgk ni..ad salur darah kat sni..cube teka artery or vein??
answer:vein..can u imagine..yg kt bljr ad la colour,merah , biru la..kuning..tp kalo tgk kat sni..cam xleh bezakn je..uishhh...need to be surgeon..to make surgery like this..hermmm..


lg pic..lps payu dara di buang dan Dr2 sedang meneliti bhgn2 yg mungkin ad lg cells cancer..tp bkn sume blh ditilik ngan mata kasar ye!!!ingt tu...dlm darah pon ad lg cells ni ..so,this operation just nk buang the main..spy xmerebak ke next payudara..


syafakilah..
ni lagi pic..proses pembkaran lemak..nk remove kan breast..kwsn yg byk lemak..



setelah di buang dr badan pesakit..besar2..subhanaallah..



operation ni je da byk darah..sedangkn xda masuk darah baru mase pmbedahan blangsung..

mesin ni record HR,ECG dan lain2 patient..


anesthetic, need take care of it..kalo kurang kena tukar botol baru..



video ni..pasal nye ap??mai tgk..amazing..hehe..punye la aku cari mane p nye darahh tu memancut..upe2 nye kena kat aku dan member aku..haha..klkar2..Dr pon gelak..huhu..

*tommorrow need to go OR lg..moge2 dapat benda baru..hermm..miss this experience..
*special case for medicalclick member..slmt bjuang shbt2 ku..

No comments: