SOOCA dah habes :)

Sy tinggalkan sesuatu before keluar rumah pagi td..benda yg selalu buat waktu 1st year, because I have no one to express my feeling at that time (:p), so tmpat paling best adelah laptop..

9 jun2 2008 (monday)..
SOOCA 2nd year

one year after..
9 june 2009 (tuesday)..

06.10 am - my turn dlm 1 jam setengah lg.

I'm nervous because i only remember 17 cases out of 31 cases,
now adlh masa2 utk bertawakal. i hope i'll get one of these cases :

1.Heart Failure
2.Myocardial Infarction
3.Arrhythmia
4.Fracture
5.Systemic Lupus Erythematosus
6.HIV/AIDS

These are the only cases that I remember most.

I hope I can get >70. Amin =)

Will be back in several hours.

I'm back!!

Malas nak tulis pape actually utk SOOCA ni, tp dah lame sgt tak jenguk blog..huhu..dah byk friends' updates sy tertinggal.

Ok, cite pasal SOOCA (satu2nya exam yg berjaye buat saye nervous..huhuhu..)

Mula2 nak dpt turn hari isnin bcoz i love being the first person. Tapi dapat hari selasa. Takpe la, mungkin ada hikmah dapat hari ni. W/pun it increased the duration of my nervousness. Saye pun pelik knape perasaan nervous tu boleh dtg, tapi masa present rasa nervous tu langsung takde. Everytime SOOCA mesti mcm ni. Waktu present hati rase berbunga2 sebab nak cpt habis.

I know my effort tak seberapa pun. Mcm sy ckp kt atas, sy cuma hafal 17 cases. And sy pilih cases di atas utk dpt pagi td sbb itu je case yg mcm byk sket isi nak ckp.Jadi saya memang tak layak utk mengharapkan markah tinggi2. Tak pernah tidur lewat drpd biasa dan tak pernah bgn awal drpd biase utk study. Kdg2 mmg rase tak layak sgt nak rase tak puas hati kalau dapat mrkh rendah. Sbb mmg usaha tak cukup pun..

Tahun lepas saya tak puas hati, bukan sbb saye rase saye patut dpt lagi tinggi..i'll accept it kalau mmg saye mmg tak bagus..mmg saye tak terrer pon..tapi i studied that case perfectly, and explained everything, even the doctor said.."i know you knew everything and can explain it.." tp pastu bg mrkh tu.. and in that room sume yg saye dgr dpt mrkh rendah..ade laa sedikit rase sedih n ketidakpuasan..tapi takpe laa,rezeki masing2 kan :)

saye bg contoh : kalau org tu tulisan buruk, tapi bile die buat notes mmg best sgt, isi lengkap, takkan kite taknak bace notes die sbb tulisan mmg buruk? ataupun, kalau kite jadi examiner karangan SPM, sbb tulisan student tu buruk, xkan kite nak bg mrkh rendah kat student tu w/pun isi die bagus kn? Itu cume analogy..

Xde la..bukan nye nak ungkit hal yg lepas byk2 kali.. tp sometimes saye terase jugak bile saye luahkan perasaan, pastu ade org ckp.."Sooca ni tgk confidence level jugak, kalau kite confident waktu bentang doctor tu senang la nak dpt tinggi"..(memberi saye gmbrn bahawa, die nak ckp saye ni tak confident waktu bentang..kot) ataupun, bile ade org dpt mrkh rendah skit (sikit je rendahnye)..even though bagi saye,kalau saye dpt mrkh tu, sy dah cukup bersyukur dah..pastu saye ckp "ok sgt dah mrkh tu, cube bygkn cmane saye rase last year"..then die jwb "tapi masalahnye dah bentang sume dah, cume yg tuu..tuu.. je tak ckp" (memberi gmbrn bahawa, die nak ckp tahun lepas saye tak ckp sume...kot) -- pape pun..OVERCONFIDENT pun tak bagus kan..

Saye suke org yg ckp.."takpe, takde rezeki, mungkin next time", atau "takpe2, benda yg lepas jgn kenang dah, lepas ni byk lagi kite perlu buat", atau "sooca ni kan mmg mcm tu".. at least, boleh menghiburkan sikit hati yg lara. Seriously. Walaupun ayat tu pendek, tp sgt menenangkan bile org yg tgh frust dgr:) ramai yg suke ckp mcm ni, i like..:)

OK LAH..full stop.. BENDA TU DAH LEPAS..saya harap ini kali terakhir saya mention pasal tu.

And, hari ni adelah hari yg saye sgt nanti2 kan..i'm done with my sooCA!!!

Actually since semalam, waktu kwn2 lain amek sooca, saye dah rase nervous mcm sy plak yg nak amek sooca hari tu. ye la, saye pun nervous nk dgr result kwn2 yg lain. sbb i understand the situation, and kalau boleh, nak sume org dpt markah bagus2 =) Alhamdulillah la sume dpt mrkh bagus w/pun ade jugak yg kurang berpuas hati, biase lah tu.. teruskan usaha utk MDE plak. InsyaAllah rezeki kat tempat lain sentiasa terbentang luas. Amin :)

Saye letih so saye nak pendekkan cerite, sy pegi FK dlm jam 7.10 pagi,sorang2 sbb sume kwn2 pedca except zahidah n krie dah sooca smlm,tp krie n zhdh dpt turn jam11.30, n on da way tu rase tenang sbb sunyi sepi je,plus hujan renyai2..rase nervous pun hilang.. waktu tu terase nak cpt2 habis sooca.

Sepatutnya saye dpt first round, tp tetibe sbb doc tak cukup, waktu saye diubah. Yg mane,itu sgt lah mengganggu psychology saye pagi td.huhuhu. Sbb saye dah ready nak masuk, n xnak pk pape dah, tibe2 die ckp sy dpt turn jam12 tghari after sume org dah habis. This is my another weakness. Kalau saye dah set dlm kepala yg saye akan buat satu benda, n kalau saye dah ready utk itu, tp tibe2 ade org cancel or ubah apelagi kalau saye tgh nervous mcm tu..saye susah nak terima sbb last minute. Pastu nama saya dah di tulis utk sooca jam12. tapi tibe2 2nd round dorang panggil plak. sukehati je..huuuu..

Hari ni, ada 3 cases only - Fracture, Unstable Angina, and ITP. ITP tak masuk dlm list saye kat atas sbb saye hafal benda tu hari sabtu baru2 ni, so mungkin takkan ingt sgt epidemiology and all that. Saye jadi org last yg cabut undi, so ada 1 case je yg tinggal utk saya. Takde pilihan, tapi Alhamdulillah sbb dpt case yg saye nak, kat atas tu myocardial infarction, tp actually case ni unstable angina. Saya dpt bilik no.2 dijage oleh 2 doctor lelaki yg familiar tp saye tak tau name.heeee:p 1 doc cardio yg ajar normal ECG waktu skills lab, 1 doc yg ajar thanatology tu. yg suke bace 1 slide lame2 tu..

Tapi...
Actually case tu bukan lah myocardial infarction. huhu. Tapi basically still gune basic science yg same. Cume td buang masa sikit nak fikir pasal interpretation memandangkan case tu TAKDE PROBLEM kat heart langsung except for the CHEST PAIN.

Lebih kurang cmni la summary case tu (ter rajin nak type.hehe):

A 55 yrs old gentleman come with a chief complain of chest discomfort when taking a bath 2 hours ago. The chest pain disappeared after 10 minutes. This is his first experience. Family history - brother died at the age of 60 due to heart attack.

History Taking :
2 years ago - BP was (can't remember but slightly high) and doctor gave him antihypertensive drug -- >BP back to normal.
1 year ago - abnormal lipid slightly high-doctor advised him to do regular exercise & to have low-fat diet

He underwent exercise testing : achieve max HR, no ischemic changes, no chest pain.

PE:
BP normal, cholesterol normal, LDL normal,HDL normal, triglycerides normal, blood glucose normal, (byk lg tp sume normal)

X-ray all normal (mls nk type each)
Heart exam : (List byk gile tp sume normal,buang mase je bace)
ECG : (list byk2 jugak, sinus rythm, HR, PR interval, sume2 la yg dlm skills lab tu, tapi sume normal except ST depression)

Lab : Sume normal. And ada 1 word ckp No troponin was detected.

Diagnosis : Unstable Angina
Differential Diagnosis : Non STEMI

Treatment : Aspirin, Clopidogrel,Beta Blocker, Unfractionated heparin, ACE inhibitors.

Camtu lah lebih kurang case yg kitorg dpt tadi. Saye tak hafal langsung epidemiology, prognosis and all utk Unstable angina sbb yg hafal cumelah utk STEMI. Tapi saye telah menipu dgn meletakkan percentage of population ikut suke hati saye dan negara yg terkena adelah semestinya US.hhehe.. Tapi saye ade problem nak buat pathophysiology sbb dlm patient ni cume ada chest pain.huhu. Jadi my pathophysio sgt lah pendek tadi....And then, sudah semestinya saya tak tau apekah Clopidogrel itu. huhuhu. Dgn yakinnya saya pun tak ckp pape pasal drug tu. Basically, sy ade problem kat 3 bnde ni la td..huhu

And the result is :

Doctor --> You didn't explain about the primary & secondary prevention of unstable angina (yg mane, saye tak tau langsung bende apekah ini), and (ini of course) the management.And also, u didn't explain clearly about the differential diagnosis of acute chest pain. (ini LI saye dulu, tp sy ingat GERD je.huhu)

Pastu doc tanye how i feel, tnye puas hati tak dgn mrkh, tnye ape lagi, x ingat dah. Alhamdulillah, sy dpt ape yg sy nak. Thanx to doctor yg baik :)

Tahun ni kuar 5 case je..semalam 2 cases, hari ni 3 case..hmmmm.. takpe2, Allah Maha Mengetahui di mana keadilan itu tersembunyi..

Ok la, dah penat, nak tido awal mlm ni, w/pun bilik tak kemas lg.huhu.

B4 that, nak say thanx to sume ahli tutorial saye sepanjang tahun ni, sebab LI korg actually byk membantu..utk SOCA and MDE jugak. Nak list down name2 mereka :

DermatoMusculoSkeletal System - Fairuz Nazilah, Nadiraa Faiza (hee..xtau betul tak eja nama dira ni), Yosheena, Nadya Amin, Izyan Dhaniah,Siti Nadirah, Akmal @ Steve, Faizal and Syafiq@Syap

HematoImmunology System - Noor Ashikin, Noor Adlin, Fatin Amirah, Hajar, Khairul Hafidz, Kanaesan, Iqbal Yunizar, Hafiz Idrus and Firdaus Ahmayuddin

Cardiovascular System- Syamimi aka mimi khalis, Nor Idyani, Adi Nordin, Ahmad Fahmi, Fakhrul Radzi, Reza Zahedi,Khairul Hafidz sekali lagi, and Moveen

And Utk group discussion Swimming Trunk - Zubed, Rozi,Teha, Sha, Pikah, AJ, and budak2 Pedca :)

Best of Luck!!! =)

Walaupun SOOCA dah habis, ada banyak paper lagi pasni, berturut2 plak tu, pastu OSCE.. semoga diberikan kemudahan utk sume paper n OSCE ni. AMIN =)