MDD

at the clinic today i clerked a middleaged chinese lady and diagnosed her to have major depressive disorder (mdd) with anxiety symptoms. i had to spend a long time reassuring her about her condition and convince her to take her medication. she's a teacher so she's educated and has read a lot so it was tough convincing her as she was afraid of the side effects of the medication. she had [sychomotor retardation and couldn't concentrate on what i was telling her.

many people suffer from MDD. i wanna help these people but i have to teguhkan my perasaan dulu or i'll be affected easily.

rase macam terdevelop counter transferance je.

in 2 days i've met 2 female teachers who developed MDD. both were rather of the perfectionist type and worried a lot. i can't make any generalisation but both had an underlying susceptibility to become depressed.

"Ya Allah, please keep my mind healthy and prevent me from getting depression. and please give me the ability and competency to help others in need."

high and low

one of jo's bestfriend

it's amazing what a refreshing nap and a phone call can do to enlighten my spirits.

yesterday i joined Dr Nora's clinic sessions and met many interesting patients. we saw other cases apart from schizophrenia alhamdulillah.

today my group was scheduled to follow the community psychiatric nurse go for home visits. i was expecting an exciting day but had a rather drab one. maybe if i had been less enthusthiastic i would have felt better?

What do you do when...

What do you do when your end posting exams are 2 weeks away and there’s still so much that you don’t know?

What do you do when your ultimate exam that is designed to assess whatever you have learnt for the last 5 years and also evaluate your safety to be given the license to practice is in 5 weeks time and you don’t know what the heck it is that you actually know?

What do you do when you feel that you have been having shortness of breath on exertion (NYHA class 2), restricted airway, fullness of the throat and occasional localized, sudden onset, stabbing left-sided chest pain lasting only several seconds and an ECG and flexible nasolaryngoscopy proved absence of any pathology you diagnose yourself as hypochondriasis with globus hystericus? Oh and on otoscopy your tympanic membrane looked perfectly healthy and the ENT guy says your fit for the exams? Oh and your friends help you by teasing you about the problem?

What do you do when your frustrated with your fiancé who is acting all gloomy, refuses to speak or sms you, you don’t have a clue what is happening yet there are some things that you need to ask him?

What do you do when your posting mate has adjustment disorder because she absolutely hates psychi and cant wait to run back to the OT and her mood is contagious that your mildly infected as well?

What do you do when one of your anak usrah is conveniently uncontactable around peri-usrah (read: before and after) time but somehow can answer your sms at some other time.

What do you do when you think you like psychi but find yourself relating too much with the symptoms that you start to become depressed?

What do you do when you only study because you love spending time with your best friends in the best study group ever?

What do you do when you try to lift your spirits but find it so hard to do?

What do you do when you feel like you wanna break down and cry like you did last time in orthopaedics but it’s all stuck inside?

What do you do when you know you haven’t completed your 6 case summaries and haven’t read through your scribbled notes which you had planned to do last week and your desk is a pile of mess, but don’t feel like doing any study-related activity at present?

I dunno what you would do.

But this is what I did.

I ironed 4 baju kurungs, 4 pants, 1 white coat and 1 tudung while watching 3 episodes of House Season 4 and wrote this entry.

My diagnosis is mixed affective disoreder precipitated by recent life stressors and perpetuated by the upcoming exams and type A personality.

trip to permai

postcard from manchester

one of the things that can lift the spirit, relieve sore backs and feet and make me forget all my worries and problems after coming back from an oncall is a lovely POSTCARD from a friend.

many thanx to fae from manchester. all the best with her studies :)

can't wait for postcards from klang ;)

new postcard

yay i got a postcard from aishah mn from cranfield. coolness. thanx bakal mommy :)

pictures

Dr puteri melur's baby girl - Zainab Al-Ghazali bt Husni


Nik Sumayyah's baby boy - Omar


nawaz with mak teh's sunglasses


girl's day out at KLCC. bought shoes and perfume. lunched at the manhattan fish shop.
(i had bilateral sore shoulders carrying around lappie the whole day)


having a blast with sisters

typical usrah session

i've been in the same usrah group since 1st year. my usrahmates are also my best friends.

our current naqibah is the 4th one. each naqibah had their own style and we learnt a lot from all of them.

we discuss a lot of issues and topics during our sessions.

everyone's consciousness level fluctuates during our sessions. gilir2 tidur sebab semua selalu kepenatan. presenter je tak boleh tidur hehe.

i'll miss my friends terribly when we graduate. but i know we will always have each other as our hearts are binded by iman inshaAllah.

pictures

after the absence of entries for some time, i just don't feel like writing many words.

i'll just put up pictures.

i have found another skin to write on.. haha. might not need pens and paper after this.

(caution: the act of writing on the skin is not painful but the inflammatory reaction following hurts a lot)

aisyah cut her own hair

ayyasy likes to pout. he was trying to emulate the steamstress with her measuring tape.

nawwaz developed a liking for his mak yang's sarung lengan and wouldn't give it back.

i was given the honour of naming these two hamsters aswad (black) and baidha' (white)