It's a Heartache !

P/P: Fulanah binti Fulan, a 22 years old female student, was admitted to Hospital Bahagia on 14 March 2010 at 6.45 pm through Emergency Department.

C/C: Heartache 3 days PTA

HPI:
Patient was doing great and excellent until 3 days PTA when she started to have a heartache. The heartache started suddenly at rest. It was intermittent with variable duration. The site of heartache is retrosternal and there is no radiation to any other site. She described the pain as having someone squashing her heart hard. It was a very severe pain that she gave 9.9/10 for the severity of the heartache. The heartache usually starts when she was alone. So, nobody seems to know what really happen. The aggravating factor is not known while the relieving factors are Solah and reciting Quran. The heartache is associated with a severe palpitation, tremors, dizziness and blurred vision.

SR:
General:
. Increase appetite
. No weight loss
. Fatigue

Respiratory:
. Not significant

Cardiovascular:
. Not significant except for those stated in HPI

Gastrointestinal:
. Diarrhea same day PTA

Urinary-genital:
. Frequency same day PTA

Central nervous:
. Not significant except for those stated in HPI

Musculoskeletal:
. Not significant

PMH:
. Of course it's not a first attack (she has had many heartache before)
. First admission
. No history of contact with sick people (but she doesn't really sure if the people she was in contact with have any pain inside them)
. She is allergic to sad songs and sad movies
. No history of blood transfusion
. No history of surgery

Drug Hx:
. Alpella (recurrent; drug abuse)
. Hamoodah Halib (reason unknown)

Family Hx:
. She lives far away from her family so she doesn't really know if there are any similar symptoms in her family. It's already midnight in her hometown and she's sure that her family is sleeping soundly right now. She will ask them tomorrow
. No family hx of DM
. Positive family hx of HT and goiter
. No family hx of any other chronic illnesses

Social Hx:
. Never smokes
. Insured by MARA
. No pet yet
. Great house


P/E: Cannot be done as the patient is not cooperative

Investigation:
There is no appropriate investigation for this patient. She has to investigate by herself, using her own brain and mind.

DDx:
1. Hyperaloneism
2. Preimtihanism
3. Idiopathic Heartache

Treatment:
Although the etiology is still unknown, the doctor decided to put her on some medication first:
1. Supportive
2. H2O
3. Happy songs (any class)

She is advised to avoid sad songs and movies, increase exercise and think positively. She is also strongly encouraged to do more of the relieving factors mentioned.


Prepared by,
Doctor Fruity binti Loops,
No Title (yet),
JUST, Jordan.



FootNotes:
P/P-Patient Profile
C/C-Chief Complaint
PTA-Prior To Admission
HPI-History of Presenting Illness
SR-Systemic Review
PMH-Past Medical History
Hx-History
DM-Diabetes Melitus
HT-Hypertension
P/E-Physical Examination
DDx-Differential diagnosis

p/s: it's a heartache, nothing but a heartache! XD

Falling Apart

I'm getting WORST ...


I feel sick
I feel miserable
I feel hopeless
I feel sad
I feel depressed
I feel empty


I need someone to talk to
I need a shoulder to cry on
I need someone to pull me up

YES !!! I need YOU... ;(

=___+

nape perlu aku TERINGAT dan TERFIKIR ..????




p/s = song of the day ---- > Yank

Disaster happened.

Yeah, i meant it. I mean, we meant it. haha! ;D
What do u expect to do, when u dengan semangatnye ingin 'berdawam' and 'berclass' ..suddenly someone told u to go home. huh? watthe..

Ok, this is the real story.

Awal pagi as usual, amek history from the patient. Hari ni dpt case yg kitorang nak sgt semalam, DVT ( Deep Vein Thrombosis ). Then baru je nk analyze the chief complaint, mrT dah call, ckp the doc came. OK fine, we didn't manage to finish the history taking for sure la kan. Keluar2 je, (after lepak2 several minutes) the doc asked us to decide either to discuss on ECG or THYROID DISORDER. Upon the decision has been made on thyroid disorder, kami pon pegi la belaja sikit2 on that topic. Belaja punya belaja smpai saket tengkuk, mrT called and asked us to go... ?somewhere ( undetected place ). Sounds like X-Ray department, so we rushed there despite of knowing where the exact place is. haha. So we called mrT again, about twice time i guess, asking him where is it. But still..undetected place. ( masalah komunikasi memangg masalah.haih~) Out of the blue, we got the sms..

-------------------------------------------------------------------------------------------------

Go home!

y???? there is no round today??

The doctor will not take the attendance. so just go home no problem no worries ;)

but we want to learn. we cudn't find the place. where is it actually? [memang truly asia ;p ]

it is the place where we discuss about the chest pain the day before yesterday!

-------------------------------------------------------------------------------------------------

sender:
mrT
+962XXXXXXXXX

replied by:
Nokia 6670
+962XXXXXXXXX


OMG! that's it rupenye. That's the place!

HAHA (gelakkan diri sendri) HAHAHAHA (gelak2 lagi)
sebab sesat, sebab lupe pasal semalam n kelmarin, sebab dah xberani nk masuk round takot mrT dah coverkan kehilangan kami.

But still, deep inside our hearts, Tuhan je yg tau betapa kami kecewa, hampa, duka dan lara... T_T

it's raining, only on us ;(

So, we ended up going home. Salah siapa? salah sendiri., sebab ckp xabes lagi dh konon2 tau. hahahahah!

Class? satu kelas je plk tu? hmm, we'll think about it, sooner or later.. ( 2hours left to re-think abou it ;p )

P/s ; Sori, mulut ter'masin. T_T

Laugh It Up For Your Heart

Ting Tong !!!!!!!


Today we have no class.. =D


so bersantai2 la kami kat rumah awal arini heee XD


Mahfuzah : " Waaa sangat epi ok dapat balik sejam awal before azan Zohor."

(hahaha~ selaluyer ktorng balik mesti after azan..so arini cipta rekod baru la^^)




Semalam aku xde idea nak tulis ape..


Now baru ada... ;)



****************************************************************************************************




LAUGH

Hahahahahahaaha~!!!!!!

LAUGH

Hehehhhehehehe~!!!!!!

LAUGH

Huahauhauahaha~!!!!!





Do you laugh????


No??


Oh God~


Do please laugh people~ !!!!!!!!





"Women laugh 7x more than men and they live 7 years longer"



Do you know why??????



ngeh3....ngeh3....ngeh3...

Humor is infectious. The sound of roaring laughter is far more contagious than any cough , sniffle or sneeze. When laughter is shared , it binds people together and increase happiness and intimacy .

Laughter is a power antidote for stress, pain and conflict. Nothing works faster to bring your mind and body back into balance than a good laugh. Humor lightens your burden , inspires hopes, and connect you with others.

Definitely I would say ....






LAUGHTER IS THE BEST MEDICINE




OK2... Now lets see the BENEFITS of LAUGHTER

Physical Health Benefits :

• Laughter relaxes the whole body. A good, hearty laugh relieves physical tension and stress, leaving your muscles relaxed for up to 45 minutes after.

• Laughter boosts the immune system. Laughter decreases stress hormones and increases immune cells and infection-fighting antibodies, thus improving your resistance to disease.

• Laughter triggers the release of endorphins, the body’s natural feel-good chemicals. Endorphins promote an overall sense of well-being and can even temporarily relieve pain.

• Laughter protects the heart. Laughter improves the function of blood vessels and increases blood flow, which can help protect you against a heart attack and other cardiovascular problem

Mental Health Benefits :

• Laughter dissolves distressing emotions. You can’t feel anxious, angry, or sad when you’re laughing.

• Laughter helps you relax and recharge. It reduces stress and increases energy, enabling you to stay focused and accomplish more.

• Humor shifts perspective, allowing you to see situations in a more realistic, less threatening light. A humorous perspective creates psychological distance, which can help you avoid feeling overwhelmed.
  

Social Health Benefits :

• Be more spontaneous. Humor gets you out of your head and away from your troubles.

• Let go of defensiveness. Laughter helps you forget judgments, criticisms, and doubts.

• Release inhibitions. Your fear of holding back and holding on are set aside.

• Express your true feelings. Deeply felt emotions are allowed to rise to the surface.
  

Since so much benefits can be derived from laughter ..



Why aren't you people laugh????????



If you are not a humorous person..



Come on~!!!!!



Do change..



Don't make your life dull and lonely.



^__________^



Ok?????


Peace ~!!!!!!!!

p/s... Thanks for ur CEKODOK yek =D

Perfectly imperfect

Life is not really a smooth journey.

and we have to admit that sometimes in life, shit does happen.

p/s ; mind my rude words. Life is full of imperfections. ;(

Hungry or Angry

Pernah tak korang berasa marah mungkin sebab disakiti atau terasa hati???


Aku sendiri pun selalu terstuck dalam situasi macam nie..


Memang sangat payah untuk kita kawal perasaan marah.


Kalau tidak dibendung perasaan ini masak jawabnya.


Selalunya kalau aku marah sangat aku akan tidur..Bangun je tidur kuranglah marah tu. heee =)


Perasaan marah ini memang sifat semulajadi manusia.


Tercetusnya perasaan ini berpunca daripada keadaan yang tidak adil, difitnah , diperalat, dituduh bukan-bukan dan diancan kehilangan sesuatu yang berharga.


Aku tertarik pada satu artikel tentang tips hilangkan rasa marah.


So aku pun nak la share dengan korang.


Kot2 berkesan ^^









Cara-cara kita nak berhadapan dengan orang yang marah.
(Uisshhh korang toksah lah nak dok simbah2 minyak kat api yang marak yek. Kang ada lak yang rentung.)

• Beri peluang kepada orang yang marah itu untuk meluahkan terlebih dahulu punca kemarahannya.

• Ketika berhadapan dengan individu yang sedang marah jangan menyampuk

• Kaji punca kemarahan dan cuba atasi. Sekiranya punca kemarahan itu daripada kita maka minta maaflah dari dia.

• Cuba bertanyakan beberapa soalan untuk menyelesaikan masalahnya. Terimalah kemarahannya dengan tenang.

Cara mengatasi marah dalam ISLAM :-

• Mengubah posisi - Rasulullah SAW bersabda : " Apabila salah seorang di antara kamu marah dan ketika itu ia berkedudukan berdiri, maka hendaklah ia duduk. Kerana hal itu akan menghilangkan marahnya. Dan kalau tidak, maka hendaklah ia berbaring." (Riwayat Muslim)
  

• Berwuduk - Rasulullah SAW bersabda : " Marah itu datangnya daripada syaitan, dan syaitan itu diciptakan daripada api, sedangkan api itu hanya dipadamkan dengan air. Oleh itu apabila ada di antara kamu marah, maka hendaklah ia berwuduk . " (Hadis Riwayat Abi daud)
  

• Minum air

• Mendiamkan diri ketika marah

• Berlindung kepada Allah daripada syaitan

• Meluahkan perasaan dan masalah pada tempat dan masa yang sesuai

• Berfikiran positif

• Belajar menyampaikan marah secara positif dan terhormat. Mengelak daripada memekik atau bertindak garang

• Bawa bertenang seperti menarik nafas

• Senyum kerana senyum boleh meredakan tekanan
  

p/s = Banyak benda kita boleh ambil dari sini.. Moga2 kita boleh mengawal perasaan marah.
Senyum2 selalu yek =D ....


Do listen to this song.. Sweet^^ n layan~ Senyum Seindah Suria (cover)

Lost

Lost feeling to care
Lost sympathy to spare
Lost patience to bear
Lost sense to keep fair

Lost endurance, to follow restriction
Lost peace, to stop frustration
Lost power, to avoid attention
Lost strength, to shun aggression

Lost courage, to sacrifice
Lost kindness, to be polite
Lost temper, to keep quiet
Lost thought, to be right

Lost anger, to control
Lost opinion, to give poll
Lost desire, to keep goal
Lost myself, to have a role...

Bila Cakap Pasal Hati

Cinta
Kita memang mengharapkan dia menjadi milik kita. Segala apa yang kita buat, kalau buleh nak dia tahu.. dan kita sebuleh mungkin tak nak sakitkan hati dia. kita akan sentiasa berfikir tentang dirinya. (dalam erti lain : cinta di tujukan kepada seseorang yg kita selalu ingat dan mimpi.. Tanpanya kita akan rasa sunyi dan kita cintakan sepenuh jiwa dengan hati yg ikhlas kepadanya walaupun dia buat tak tau je)

Sayang
Kita memerlukan dia di masa kita mahukan seseorang untuk berkongsi rahsia dan kisah duka kita. selalunya kita akan sayangkan seseorang yang menjadi TELINGA kepada masalah kita. (dalam erti lain : sayang di tujukan kepada seseorang yang boleh membuangkan masa dia untuk mendengar dan memeningkan kepalanya dgn masalah kita dan kita jugak boleh menyakitkan hati dia kerana kita bukannya cinta kepadanya)

Suka
Kita sukakan dia kerana dia kelakar. Dia happy-go-lucky. Bila bersama dengan dia, kita rasa nak tergelak sampai nak pecah perut. Tapi, kita taklah rindu sangat kat dia bila tak berjumpa seminggu…(dalam erti lain : suka di tujukan kepada seseorang yang boleh menjadi pelawak kepada kita. Kita akan suruh dia diam sekirangnya keng kita dah nak pecah…)

Minat
Apa sesuatu pada dirinya yang menarik kita untuk mendekatinya.(dalam erti lain : minat ditujukan kepada seseorang yang ada sifat, peribadi atau barang yang kita mahukan… )

p/s = Tetapi kita kena ingat bahawa tanpa minat , suka dan sayang kita tidak akan CINTA pada seseorang itu…

: My Dead Soul :

Aku nie ibarat duri dalam daging ke????

Ape aku buat semua nampak salah..

Pernah ke ko terpikir ape yang aku rasa..

Ko boleh letak bape banyak title pon untuk diri aku..

Selagi aku kuat aku boleh telan semua tu..

Orang memang senang nak cakap..

'xyah lah pikir benda yang menyakitkan hati'

Tapi pernah ke korang letakkan diri korang dalam tempat aku..

Seolah2 aku dipersalahkan dalam semua hal..

Aku lah yang kejam..

Aku lah yang jahat...

Ko pikir aku xpenat ker nak hadapi semua nie..

Aku pon manusia biasa yang ada hati dan perasaan..

Ko lontarkan segala ape yang ko nak ibarat aku manusia tanpa hati..

Aku terombang ambing sorang2..

Aku xde tempat berpauh lagi dah...

Kenapalah benda nie mesti nak jadi serentak..

Kat sape lagi aku nak ngadu...

AKu xkuat lagi dah nak bertahan...

Aku dah penat..

Kalau mahu buang aku..buang lah sampai xde kesan..

Jangan tinggalkan secalit ape pon..

Aku hanya perlukan mereka yang memerlukan aku

Aku hanya mahukan family aku..

Sebab mereka je yang memahami aku dan mampu menegakkan aku tika aku jatuh..

Aku pasrah..

Aku redha..

Aku bukan insan yang terbaik seperti yang ko harapkan..

Sebab di mata ko aku nie amat menjengkilkan...

Aku harap ko bahagia dengan kehidupan ko...

-Difficult Feelings-

Have you ever use your negative emotions to avoid your true pain???

We are often not aware that it is happening.

This process is automatic and involuntary.

Let me give you some examples.

1. Do you ever smile when you are really angry???
2. Have you acted angry when deep inside you were afraid???
3. Do you laugh and make jokes when you are really sad and hurt???
4. Have you been quick to blame others when you felt guilty or afraid???
   

I myself always stuck in such situation.

Pretending that's everything goes sweet and juicy.

Trying to be cool even it hurts me so much

As long as I can cope with it I wont blow my cover


-the end-