Puding Caramel Idaman Hati

Ok dah 4-5 hari ni asyik dok teringat-ingat pudding caramel mak. Smp ade aura-aura terasa dalam mulut dh..betol oke. Mak’s pudding caramel is the best worldwide. Selalu mak akan letak peach fruit, susun cantik2 and bile dh siap pudding caramel, mak punye decoration boleh mencapai standard seorang chef professional kat hotel. Very the soodapp!

Saya bangun pagi td, terus pasang niat nak buat jugak pudding caramel hari ini (Lepas baca doa bangun tido la k ;p). Kalo nak buat, barang kene ade. Susu cair (evaporated milk) agak susah nak cari kt indon ni. Vanilla essence dh ade sbb aritu saya dh bwk dr Malaysia. Telur bole beli kt Indomaret dkt dgn umah ni. The only yg nk kene cari now is evaporated milk.

So after keje petang td saya terus singgah kt Avia. Avia ni kedai supermarket yang agak besarla dpn hospital ktorg. Tp nk bejalan pi sana pun satu hal jugak sbb kne naik overhead bridge dulu. Bende ni saya paling xsuke buat tp sbb takut kete byk so saya pun kerabat la tangga tu naik turun just to cross that damn road. Tp jalan mmg busy gile la sbb kete masuk kuar kawasan hospital. Dahla dengan menstrual cramp lagi. Tapi xpelah, it’s either today or never. Kene buat hr ni jgk coz esok saya oncall dah. My kaki really hurts sbb since Monday hari tu saya keje kt Emergency asyik berdiri ja. Tapak kaki ya allah sakit tuhan ja yang tahu. Tiap stgh jam, tgk jamtangan sbb dok kire bpe jam lagi nak balik umah n terjun atas katil. Serius. Mmg xlarat sgt nk berdiri. Baru keje 3 hari, kaki sakit mcm dh keje sebulan. Tak taula saya intern bedah nanti mcm mane. 48 jam keje non stop, 8 jam rest smbung lg 48 jam untuk 14 days berturut-turut. And kt emergency you wont duduk-duduk mcm doctor dkt outpatient ok!

Ok back to cerita beli susu cair. First before gi Avia, saya singgah City Hub jap survey harga, now dh Rp 175000 per night. Tak dapat nak masuk room sebab fully occupied. Mane tau kot2 makbapak nak mai ke nanti. Hehe, berangan Kim setahun lagi okey! Then kaki saya truss berjalan ke destinasi kedua that is Avia.



Act dis is the first time saya btol2 masuk explore kedai Avia ni. Macam-macam ada rupenye!! Jadik rambang mata plak..skrg I have few list of food nak masak in mind sbb dok nmpk mcm2 kt Avia. Hehe..tular ssh tgk brg masakan byk2 ni. Sume rase nk masak, nk try. Nasib la apetite and jumlah food yang saya makan agak tidak bersesuaian dengan size badan saya. I have quite high metabolism, makan la byk mana pun, insyaallah tetap maintain. Hikhik. Cakap besar ek, nti dh beranak dua kite tgk die still maintain ke dh jadi belon ek Kim (Nauzubillahhhhh, NO NO I’ll keep myself fit! Amin!) Orang cakap kalo nak tgk sorg pmpuan tu nti gemuk ke x after kawin, tgk mak die. So Kim xkan penah risau sebab mak die very the slim even anak 4.hehe.



Susu dah dapat! DairyChamp evaporated milk. Tangan saya tergatai grap skali sardine 1 tin and vitamin rambut 6 bijik brand Miranda (haha, mcm bunyik brand minum plak apelaaaa) Skrg tinggal tnggu mak msg gitau resepi. Hehe.



Pagi tadi dh sms mak-“ Mak nurul xingat la sukatan susu and telur nk buat pudding caramel. Mak boleh x bgtau bpe bijik telur pakai and bpe byk susu pakai.” Hehe. Kesian mak tpaksa melayan anak dara die yang jauh di perantauan ni dok mintak resepi…^^ mak cakap ok nanti mak sms nurul lagi, mak skrg nk pi jmp doc gigi sat dgn Hamzah pasai gigi mak sakit. Ciannn mak, mak cpt2 sembuh ok! Tapi resepi mak anak mak ni dok tunggu lagiii..awat xmsg2 lg ni…hehe

Act I can just browse internet cari resepi tp saya lebih rase satisfaction kalo resepi tu dtg dr mak. Ntahla..just rasa nk buat mcm mak. Rindu mak kot sbnrnye ;p Lepas ni kalo mak dh msg bole teruss zasssss pi dapur and blend bahan2 and masuk sume dlm periuk kukus…buat gula hangus…masuk sume dlm fridge and makan sejuk2,, Bestnyeee! Yeayyyy!! Yumyummmmm!

Presentation Mode

I just loooovvve this feeling. The cold night breeze just after the heavy rain. Plus myself yang baru mandi. Rase fresh sgt2. Saya suka bukak tingkap bilik bile saya buat keje dpn laptop. Or even time saye tido, kalo bukak tingkap, perrrhhh mmg tido nyenyak gile sbb angin sejukk je. Kdg2 kalo trtido smp magrib, angin sejuk tu lah yg akan membuat saya trbgun sbb ttbe rase sejuk. haha. I'll miss this wheather bile blk Malaysia nanti. Malang is the bestest place utk study because cuaca x panas sgt, and also bestest place to tido lah kan tanpa perlu membayar lebih utk air cond. hehe. Malam ni ade assigment yang nk kene siapkan. Dr Ririn email kan 1 artikel psl Dementia and she required us to present khamis ni.



Macam biase, saya dh bukak tingkap, bukak lampu study, mengadap lappy, online and way to goooo! Sebab hari tu supervisor kat Department Pediatrics dah puji slide yang saya buat (plus our group dapat extra points sbb slide bagus), so sejak tu tugas membuat slide member2 saya akan serahkan kat saya. Cisss tak gune btoll. But neway i still enjoy my work. Ok gotta go!!

Headache

Headache is a common illness I’ll encounter almost everyday at the Neurology Department outpatient clinic. I can even now claim myself as a headache specialist! (sebab hari2 ade je patient yang dtg complain sakit kepala!). When a new patient came (known as OB here. OB stands for Orang Baru) they will straight come to Dokter Muda (me and my team friends), we have our own room to actually history taking and examine our patients *wink*wink. All the SOAP (Subjective complain, Objective, Assessment and Planning) will be written in order in the patients’ medical records.

For me to actually diagnose what type of headache, I’ll need to collect as much data as possible and match them with the physical examination. It is important to determine the character, severity, site, duration, frequency, radiation, aggravating and relieving factors and the associated symptoms. And from that, i'll need to figure out weather the pain is vascular or muscular in origin.


Four type of headaches according to their frequencies are: Tension-type headache, migraine headache, sinus headache, headache with systemic infection (Eg meningitis) and head trauma. Of these, tension-type headache is the most to be encountered in an outpatient clinical practice (You’ll only find head trauma in the ER rather than in outpatient! ;p).


What is headache? Headache is pain or discomfort between the orbits (your eyes) and occiput (an area near the back of your neck), arising from pain sensitive structures. Pain sensitive structures inside your scull are : venous sinuses, cortical veins, basal arteries, dura of anterior, middle and posterior fossa.

The commonest type of headache, experienced by 70% males and 90% females at some time of their lives, is Tension-type headache. It is also known as muscle-contraction headache. It is caused by sustained contraction of the muscles around your head and caused by such trivial issues as stress, fatigue and lack of sleep. Unless frequent, if not daily, people is unlikely to come for medical attention because the headache can be relieved simply by over-the-counter nonprescription analgesics.

Treatment : the most correct treatment is muscle-relaxants (because it is caused by muscle contraction so we treat by giving mucle-relaxants.) such as Carisoprodol 350 mg, Chlorzoxazone 500 mg or Metaxalone 800 mg. But most people will be comfort enough with 2 panadols due to analgesics property of the drug. In Rumah Sakit Saiful Anwar, these patients will usually be given a combination of Paracetamol 400mg, Diazepam 2 mg, Amitriptilin 5mg and Cafein 30mg.



Next is migraine. Migraine headache is divided into migraine with aura and without aura. An aura is a warning of visual, sensory or motor type. Patients will complain that they will start to see a flash of lightening, zig-zags, sudden visual loss or hear something just minutes before they have migraine attack. These headache is also assosiated with pallor, coldness of the hands and feet, nausea, vomiting and diarrhea.


What is the cause? It is caused by arterial vasodilation (pembuluh darah anda mengembang dan menekan saraf-saraf di kepala) in combination with neurogenic inflammation, preferentially involving the frontal branch artery of the superficial temporal artery, giving rise to the throbbing pain in the temple (rasa sakit berdenyut yang bersamaan dengan denyut pembuluh darah di daerah berdekatan telinga di kepala anda).

People tend to have migraines after having coffee (kandungan caffein), dark chocolate (kandungan phenylethtylamine) or MSG (ajinomoto) in food. So please avoid these! In some woman, migraine usually occur in relation to her menstrual cycle.

Treatment : Almotriptans, Electriptan, Zolmitriptan and other triptan drugs.

Ok, hopefully this will be informative for readers, till the next entry!!

Source : My kitab Manual of Neurologic Therapeutics 7th Edition and Adam's =)

MAK...(-_-)

Mak, hari ni nurul rasa rindu sangat2 kat mak, dah 8 bulan nurul xtengok mak. Mak sihat kan. Nurul doakan mak sihat dan tabah selalu..Rindu sangat mak..Mak doakanlah Allah mudahkan semua urusan nurul kat sini n dpt balik Malaysia cepat2..
(-_-)(-_-)