Saturday, February 26, 2011

Latest blog...

I am just thinking....

Maybe I should create a specially dedicated blog related to things that I am studying at the moment, Orthopaedic stuff  I mean. That will be useful for my colleagues as well as the medical students...and so that, my personal blog will not be too mixed up like 'rojak'.

I think that is what I'm gonna do next.

Helping others who are studying my field of interest...that will be rewarding in this world as well is in the hereafter.

Camry Make-Over!

Assalamualaikum,


Seronoknya!!!


Semalam dah hantar kereta Camry ke Seremban untuk first stage make-over. Kesian kat kereta Camry tu, dah nampak cat brown original dia hehehe. (alahai, lupa la pulak nak ambil gambar camry sebelum make-over citt).


Kereta Camry ni I beli tahun 2000, New Zealand new (kira recon car la kalau kat Malaysia ni). Toyota Camry 2000cc, tahun 1994. Kitanya sekarang ni dah berumur 16 tahun. Kalau manusia dah muda remaja, tingkatan 4. Tapi sebab camry ni kereta, kira dah tua la.


So, rancangannya, nak buat make-over. Stage by stage.

  • First step, cat baru dulu sbb ni yang paling emergency, takut berkarat nanti, berlubang ke, susah. Proses ni may take up to 2 weeks. Semalam pilih warna metallic gold chewah....

  • Second stage, nak letak tinted glass

  • Third, nak tukar tayar baru sbb tayar dah botak. camry ni pakai rim 16/55/205 so harganya boleh tahan la jugak hehehe

  • Finally, nak upgrade, tukar cassette player ke CD player dan sound system baru yeay!! Kalau ada budget lebih, maybe boleh consider tambah accessories lain2 hhee.


Nanti dah siap cat I upload gambar okey.

Bye...

Pneumonic: Developmental Dysplasia of the Hip

Salam,

Just wanna share with all of you, my fellow orthopaedics colleagues.


My study group (actually Dr.Sabarudin) has came out with this pneumonic for the radiological sign or lines that we should look for, measure and evaluate in children with Developmental Dysplasia of the Hip. It will be easier for us to recall all the measurements if we remember the pneumonic. Here goes:


          WHAT SOS V


          W     Wiberg Centre-Edge Angle
          H      Hilgenreiner line
          A      Acetabular Index
          T      Tear drop sign


          S      Soursil
          O     Ossification of the head of femur
          S      Shenton line

          V      Von Rosen line


Okay guys. Enjoy the pneumonic. I will share more info/pneumonics afterwards.

Wednesday, February 23, 2011

Olympic Qualifying Round: Malaysia versus Pakistan

Salam.

Malam ni, pasukan bolasepak Malaysia (U23) akan bertemu Pakistan pada pusingan pertama kelayakan Olimpik di Stadium Shah Alam pada jam 8:45 malam. Tak sabar rasanya. Kena make sure anak2 buat homework dan tidur awal, supaya dapat concentrate pada game hehehe.

Sejak pasukan Harimau Malaya menang Piala Suzuki AFF di Indonesia tempoh hari, semakin bersemangat pulak mengikuti perkembangan bolasepak Malaysia ni. Lebih2 lagi, peningkatan setakat ini agak konsisten. baru2 ni pasukan senior Malaysia mengalahkan Taiwan 2-0. Harapnya malam ni pasukan Malaysia menang lagi!

Gambar dari: http://forum.lowyat.net/topic/1762985

 



Jurulatih Malaysia, Ong Kim Swee yakin Malaysia akan mencatatkan kemenangan malam ni. beliau mahu jaringan yang besar sehingga berkata sanggup menurunkan 7 penyerang untuk mencapai objektif tersebut hehehe, Hebat. Rata2 semua pemain Malaysia adalah dari pasukan Harimau Muda A, dan hanya 4 orang dari pasukan Kedah, Kelantan dan Negeri Sembilan. Berikut adalah senarai pemain Malaysia:



Goalkeepers
Khairul Fahmi Che Mat - 22 - Kelantan
Izham Tarmizi Roslan - 19 - Harimau Muda A

Defenders
Muslim Ahmad © - 21 - Harimau Muda A
Affise Faisal Mamat - 21 - Harimau Muda A
Faizal Muhammad - 21 - Harimau Muda A
Mahali Jasuli - 21 - Harimau Muda A
Fadhli Shas - 20 - Harimau Muda A
Fandi Othman - 18 - Harimau Muda A

Midfielders
K. Gurusamy - 22 - Harimau Muda A
Wan Zaharulnizam - 19 - Harimau Muda A
Gary Steven Robbat - 18 - Harimau Muda A
Irfan Fazail - 19 - Harimau Muda A
S. Sivanesan - 21 - Harimau Muda A
Wan Zack Haikal - 19 - Harimau Muda A
Faizal Abu Bakar - 20 - Kedah

Forwards
Ferris Danial Mat Nasir - 18 - Harimau Muda A
Fakri Saarani - 21 - Negeri Sembilan
Shakir Ali - 22 - Kedah


Menurut International The News, Jurulatih pasukan Pakistan, Tariq Lutfi berkata pasukannya bersedia menghadapi Malaysia. Pasukan Pakistan sudah membuat persiapan teliti. Baru2 ini pasukan Pakistan ke Thailand selama 2 minggu dan menjalani 4 perlawanan persahabatan di sana. Pasukan Pakistan bermain mengikut formasi 4-2-3-1 dan mempunyai 2 pemain yang bermain di Eropah termasuk Yousuf Butt yg bermain di Denmark. 


Menurut Ranking FIFA yg dikeluarkan pada 2 februari 2011, Malaysia berada di tangga ke140 dan Pakistan di tangga yang ke173. 


Namun ranking ni mungkin tidak boleh dipakai untuk pasukan bawah 23 tahun (U23) yang akan bermain malam ni. Lagi pun, bola kan bulat, so apa2 pun boleh berlaku. Kita sama2 berharap dan berdoa pasukan Malaysia dapat bermain dengan baik, menjaringkan gol dengan banyaknya dan pada masa yang sama, Khairul Fahmi Che Mat dapat menjaga gawang Malaysia daripada ditembusi. 

My Prediction: Malaysia 3, Pakistan 0. 

Tuesday, February 22, 2011

Tour Forecast!

Assalamualaikum,

I am going to have an excellent, great and fun tours ahead!

          April 2011        
A flight full of my family delegation to Kota Kinabalu,Sabah for the marriage ceremony of my younger brother

          End of 2011      
A 3-day,2-night trip to Singapore with my family. My last trip to Singapore was in 1988, I think.

          3rd Qtr 2012    
Pilgrimage to Mecca, Saudi Arabia, with my lovely and beloved wife

          1st Qtr 2013    
To Perth, Australia to visit my youngest sister, who will complete her accountancy course that year. And maybe, just maybe, straight to New Zealand for a tour to the North and South islands. I can pay my cousin, Dr. Yaya a visit. She is currently doing postgraduate dentistry course in the University of Otago, where I previously studied.            


Hmmm, awesome. Looking forward for the trips...

Okay now. Enough wondering. Back to study. Taaa.

Monday, February 21, 2011

Congenital Pseudoarthrosis of Tibia

 Assalamualaikum,


I just wanna share the story of 17 years old Malay boy who has the condition called Congenital Pseudoarthrosis of the Tibia (CPT).  He is currently in my ward after had a surgery done on his right leg.


He was diagnosed to have this rare condition since childhood. The problem of this condition is that a segment of the tibia (shin bone) is abnormal. The segment composed of fibrous tissue and not the normal bone that we all have, in other words, the segment is weak, fragile and easily broken.


The bone was broken many times before and he was managed in many hospitals and undergone multiple surgeries. Unfortunately, none of the surgeries were successful. The most probable explanation for the failures is because the abnormal segment was not completely excised intraoperatively.



When he presented to us, he has multiple cafe-au-lait spots, normal spine, no ligamentous laxity and normal vision. His IQ was low (mentally challenged). His affected leg was crooked and bent and we can easily feel the edge of the affected bony segment. It was painless though. He has 20 cm shortening and he walks by using specially modified shoes (by his father). His father glued a 20cm rubber-construct over the sole of his right shoe to compensate for the shortening...very clever. I should have taken a picture of his shoe...&#^*&


Multiple Cafe-au-lait spots


So, after discussing with the patient and his parents regarding the pro and cons of the surgery, they agreed to have the surgery. We have excised the affected the whole abnormal segment (remove the abnormal part), plate the tibia (meaning bring the bone ends together), put a bone graft and to a certain degree, correct the alignment. It looks much better after the surgery...but the leg is still 10cm short, haha. Oh no, what should we do now?



The view from the side




Top view before the surgery


Don't worry, we are planning for the second stage surgery later, to lengthen the leg. Hopefully everything goes well for him, insyaAllah.


After the surgery, much better looking now, right?
   


That's all for now...I will share more cases as they pop-up.Wassalam.

Sunday, February 20, 2011

Financial freedom!

Just to remind myself and my beloved readers,
Again and again,
Always aim high in our daily life.


Money is not everything,
But nowadays,
Almost for everything we need money.


To make a living,
being an employee may not be enough.
Business is the way to go,
Whatever the business may be.
Because,
9 out of 10 of the wealth are from business.


So,
Why waste our whole life,
for the 1 out of 10 proportion??
Useless isn't it?


Come,
Let us do business,
Grab any opportunities that come.


I have found mine.
Have you?

Friday, February 18, 2011

Swanson's classification

Salam,

It has been quite a while since I last updated my blog. This time, I am thinking of making a little contribution to my colleagues and friends who are studying Master in Orthopaedics Surgery. One of many ways to memorize things, facts and information is by making pneumonics.

Just want to share a new pneumonic that my colleagues (Dr. Sabarudin and Dr. Zainal) and I formulated for Swanson classification for congenital hand deformities.

The easy way to remember is by the pneumonic:

CUFFd DOG

C - Congenital Constriction Band Syndrome
U - Undergrowth (Madelung's deformity)
F - Failure of Formation
Fd - Failure of Differentiation
D - Duplication (polydactyly)
O - Overgrowth (macrodactyly)
G - Generalized Skeletal anomalies


That's all for now. Just email me if you want more info.

Bye

Monday, February 14, 2011

Hospital Kijal

Assalamualaikum,


Semalam Menteri Kesihatan Malaysia, Datuk Liow Tiong Lai mengumumkan pembinaan hospital baru di Kijal, Kemaman, Terengganu. Tanah seluas 20 hektar telah pun dikenal pasti. Lepas hospital tu siap nanti, Hospital Kemaman di Chukai akan ditukar status menjadi klinik kesihatan. Kalau ikut perkiraan saya, lokasi Hospital Kijal (nak kena cari nama yang best sikit ni...nama Hospital Kijal ni kurang best la....) ni cuma dalam 10-20km aje dari lokasi hospital kemaman yang ada sekarang. Perkara yang sama pernah berlaku pada 2005 di mana Hospital Mentakab ditukar menjadi Klinik Kesihatan Mentakab sebaik sahaja Hospital Temerloh berfungsi sepenuhnya dan mengambilalih fungsinya. Saya merupakan salah seorang pegawai perubatan yang terlibat dalam proses perpindahan tersebut.

 
Saya menyokong penuh pembinaan hospital baru ni. Saya dibesarkan di Bandar Chukai, Kemaman dan sememangnya kawasan Hospital Kemaman amat terhad sekiranya hendak dinaiktaraf lagi. Nak kena robohkan bangunan sedia-ada dulu sebelum sebarang pembinaan baru hendak dibuat. Semasa saya menjalani latihan di Hospital Kemaman pada tahun 2001 dahulu, perkhidmatan yang ada adalah terhad. Sekarang, telah ada perkhidmatan pakar di Hospital Kemaman termasuk Ortopedik, Anaesthesia (Bius) dan Obstetric and Gynaecology (Sakit Puan) tetapi pembedahan yang boleh dilakukan adalah terhad kerana kekurangan tenaga kerja dan kemudahan di dewan bedah.


Pembinaan hospital baru dapat menjamin lebih kemudahan dan keselesaan kepada rakyat di selatan Terengganu.Sekarang, kebanyakan penduduk Kemaman perlu ke Kuantan bagi mendapatkan perkhidmatan kesihatan, perjalanan yang mengambil masa hampir satu jam. Cuma perlu ditekankan di sini, jalinan jalanraya  dari bandar Chukai ke Kijal kena diperbaiki bagi mengelakkan kesesakan. Pesakit dan pelawat dari bandar Chukai terpaksa melalui kawasan perindustrian Telok Kalong dan Pelabuhan Kemaman sebelum tiba di Kijal.


Sudah pasti, dengan adanya hospital di Kijal, Bandar Satelit Kijal akan lebih pesat membangun dan dapat menjana peluang ekonomi kepada rakyat di kawasan tersebut selain mengurangkan kesesakan di Bandar Chukai. Satu lagi, kawasan parking yang cukup perlu disediakan... tak nak jadi macam di Pusat Perubatan UKM, Pusat Perubatan UM, HTAA, Hospital Kemaman dan lain2 hospital di Malaysia ni yang memang amat susah nak cari parking kalau waktu melawat. Kadang2 tu, doktor dan staf pun takde tempat nak  parking...memang mengarut!


Sementara menunggu Hospital Kijal siap, kerajaan dah meluluskan peruntukan RM20 juta untuk menaiktaraf hospital Kemaman bagi membeli mesin CT scan dan perkhidmatan pakar. Setakat ni CT scan cuma ada di Hospital Sultanah Nur Zahirah (HSNZ) di Kuala Terengganu dan Hospital Tengku Ampuan Afzan (HTAA) di Kuantan. AlhamdulilLah, dengan adanya CT scan, perkhidmatan kesihatan untuk rakyat dapat dimaksimumkan. Lepas ni, kita harap, mesin MRI dapat disediakan di Hospital Kijal bila siap nanti.


Mungkin satu hari saya akan bekerja sebagai Pakar Ortopedik di Hospital Kijal...

Tuesday, February 1, 2011

Selamat Hari Wilayah

Assalamualaikum,

Hari ini, 1 Februari 2011 adalah Hari Wilayah Persekutuan. Malaysia mempunyai 3 wilayah persekutuan iaitu Kuala Lumpur, Putrajaya dan Labuan.


Mengikut perangkaan statistik, jumlah penduduk di wilayah persekutuan adalah lebih 1.6 juta orang.




Setiap Wilayah Persekutuan mempunyai sejarahnya yang tersendiri. Kena baca kalau nak tahu. Sejarah merupakan guru yang terbaik bagi seseorang yang mempunyai cita2 untuk menjadi pemimpin negara.

Selamat bercuti.

Wassalam.