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Semalam merupakan End Blok exam pertama untuk tahun 5. Jadinya tak boleh masuk wad & jika ke klinik, pastinya tiada doktor UIA. Ini kerana semuanya terlibat sebagai examiner.

Mengenangkan begitu, takkan nak duduk-duduk sahaja. Jadinya yana menyatakan hasrat yana kepa Zira untuk membuat diskusi bersama junior tahun 3. Ajakla beberapa orang. Korang pick topik, baca before hand & kita bincang apa yang korang tak paham. Mereka memilih 2 topik. Upper GI Bleeding- PUD & Varices & Colorectal Carcinoma.

Yana seperti biasa awal pagi sudah di JHC. Berjanji dengan mereka di JHC jam 8.30 pagi. Diskusi disertai oleh Zira, Wada, dan 2 lagi (ouhh, yana selalu masalah nak ingat nama. Haha. Malu dengan Mr Shuk yang mampu ingat nama whole group of students)

It was really a good one, we discuss to the very great detail & did few questions. I would like to show to them, learning medicine is not as tough as they think. They can share the load of reading with their group mates & distribute work of doing notes among them. I encourage them to have their own notes. It will be easier when they enter fifth year in 2 years time.

Hoping the discussion will make them feel happy & motivated to study more =)

Tepat jam 2 petang, saya meminta kak raihan untuk menghantar saya ke terminal. Disebabkan semalam adalah tengah minggu, jadinya lebih kurang 15 penumpang sahaja. Saya dijemput oleh abah (ayah mertua) di pekeliling. Selalunya saya akan berjumpa abah di CIMB bersebelahan sogo. Tapi kalini, abah mahu datang pekeliling kerana beliau keluar ofis awal & jalan untuk ke pekeliling tidak sesak lagi. Saya sampai pekeliling jam 4.50pm dan abah sudah menanti di sana. Bestnya ada abah boleh jemput. TQ abah~

Semalam happily berbuka bersama - me, encik suami, abah & mak =)

Tepat jam 8 malam, kami menuju ke Putra Medical Centre, Sg Buloh. Mak ada temujanji bersama pakar ortopedik di sini. Kami dapat giliran no 4. Kami menunggu lebih kurang sejam setengah sebelum sampai giliran kami. Saya dapat perhatikan doktor meluangkan 'ample' time dengan setiap pesakit. Akhirnya saya dapat melihat sendiri doktor yang selalu disebut mak, Dr Siva. Melihatkan doktor nie teringat Mr Jacob. Cuma Dr Siva berisi sedikit. & beliau memang ada aura orthopedic. Very nice doctor & explains well. hehe. Terkenang our orthopedic lecturers.

Previously he gave these options:
1) Medication - Glucosamine & chondroitin
2) 1 + hyaluronic acid injection (rm2000)
3) 1 + 2 +operation scope (bersih sendi) - rm8000
4) 1 + 2 + 3 + stem cell (rm10 000)
5) 1 + 2 + 3 + 4 + brace (rm6000)

Previously my mother was only on supplement. Supplement is just a supplement,. If the problem progress, the supplement is not beneficial. Since her problem recurred. Doctor did advice for surgery or stem cell- to correct the angulation. For him, correct the problem since it is mild & once and for all.
(in knee xray - reduce join space & mild angulation of leg leg but from PE no obvious malalignment, no swelling, no joint line pain, no hyperextension )
But as expected, my mother refuse for surgery due to raya is just around the corner. After discussion, he suggest on option no 2.

If my mother is an athelete, he would really suggest for surgery. Since my mother is a housewife & already stop working, he can be linient & give other option.hehe

Hyaluronic injection can last about 9months to 2 years per injection depends on patient activity. To improve the effect of hyaluronic acid, he suggest usage of OA brace. Use it while walking & cooking. I did asked Mr Shuk regarding brace & Mr Shuk said its not indicated in OA patient unless it is post operative or injury secondary to trauma. But based on Mr Siva experience, the usage of brace really helped patient that refuse for surgery & can correct the mild malalignment my mother has.

But for now, we chose hyaluronic injection first. Brace is an option. Doctor said ,he can give it straightaway after he finished up seeing all his patient. But since in private,its quite costly. My mum asked wether this injection covered by insurans & he said yes but she need to be warded first. So we agree and plan to be warded at 10am today.

Before we end our meeting, Mr siva asked....
Mr siva: are u a nurse?? (smiling~)
Me : Doctor, I look like a nurse eh??? hehe
Mr Siva : Laugh~ Then what are you??
Me: Medical student.
Mr Siva: Where?what year are you??
Me: UIA kuantan. reaching to the end. smiling~
Mr Siva: Ooooo, I know all your lecturers - Mr hafiz, Mr kamarul, Mr zamzuri, etc2. Previously, i work in kuantan. Mr kamarul, is he still having class at 2am with his students??
Me : hehe. yup. (dlm hati - dah agak dah. if dia tau yana medical student&kat kuantan mesti dia kenal our lecturer. Our orthopedic lecturer kan famous.haha)
Mr Siva: he never change & i bet he still bring his student out after oncal at the same place. (i agree) Oh, why dont you consult mr hafiz??he's approachable person
Me: I just smile & agree with him. But Mr hafiz is quite busy. Maybe one day. Hehe

Afterwards, we went home & have supper at Maju Ahmad - ni macam ala2 taj point kat kuantan. Hehe.