MANCHESTER UNITED have knocked Liverpool off their England’s Perch after win Premier League for 19 times..

These are some rewards and records in 2010/2011 season:

Sir Alex Ferguson won Barclays Manager of the Year 2010/2011

Nemanja Vidic won Barclays Player of the Year 2010/2011

Dimitar Berbatov won Top Goalscorer of Premier League 2010/2011 alongside Carlos Tevez with 21 goals, Berba also made the most Hat-trick in a season with 3 Hat-trick (against Liverpool (3-2) , Birmingham City (5-0), and 5 goals when destroy Blackburn Rovers 7-1)

Javier “Chicarito” Hernandez won Sir Matt Busby Player of the Year 2011 (voted by Red Devil’s Supporter)

Luis Nani won Player’s Player of the Year 2011, he also got the most assist with 18 assists in a season.

Wayne Rooney won Goal of the Year 2011 since his sensational overhead kick goal against Manchester City at Old Trafford on 12^th February

Manchester United also made undefeated home season at OLD TRAFFORD.

But we have to say good bye to Edwin Van Der Sar and Gary Neville for the retirement.. Hope MU will get the matched replacement’s player..

GLORY GLORY MANCHESTER UNITED…

Then in the evening I found my soap box was fall down again and the shampoo bottle was still in its place.. “what’s going on here? Is it coincidental again” that was I thought, but when I take the soap, I found the soap was nibbled at many place.. If it was cat or rat, do they eat soap? I still didn’t believe that, even I thought that it was a ghost who ate the soap..haha..

This is the photo what’s happen to my soap..

Then I searched in internet about rat and soap, since there was a old kid song in Indonesia titled “Tikus Makan Sabun” and I found unique fact that mice or rat also been known to eat soap as well as glue if they found nothing to eat. They like soap because of it’s fat content. However, rat or mice are rodents, so they rather nibble and chewing things (include soap, electrical wire,  etc) instead of eat them.. So I felt relieve because it wasn’t ghost who ate my soap..hehe..

So..watch out your soap if there are mice in your home..!!!

There were some interesting tweet from Rio Ferdinand which I collected while AFF cup was going on:

“Just saw that Indonesia beat Malaysia 2-1, my Indonesian twitfam must be very happy right now!”

” Wow its now 3-1 to Indonesia!”

“All the best 2 Indonesia 2day, although they are playing against Bryan Robsons Thailand so a draw would be good all round tweeps!!”

“All the best to indonesia 2day in their semi final….the indonesian tweeps are all over my timeline about this game!!”

“@dirgni19 Philippines gotta up there game, 1-0 down, matbe they need Manny ‘pac man’ Paquiao to go out and do his thing!”

“Straight back on to twitter and the indonesian tweeps have notified me of there cup final game tonight!! Good luck + win that trophy!”

from the first three comments we could see that Rio Ferdinand is watching or at least pay attention to Indonesian match, just wondering how Indonesian match could be seen in England? hehe..

but from last three comments we saw that Rio knew from others tweeps, it’s not surprised since twitter is a great device to connect each other..

unfortunately Indonesian could not win in that competition, after defeat by malaysia with aggregate 2-4 for malaysia..

we just could pray that indonesia could win that trophy in next competition,. and for Rio Ferdinand, always pay attention to our football.. hehe..

Antiviral agents used to treat herpes simplex virus (HSV) and herpes zoster infections do not appear to be associated with an increased risk of birth defects when taken during early pregnancy, according to a large nationwide cohort study in Denmark.

“Maternal use of anti-herpetic antiviral drugs in the first trimester of pregnancy was not associated with an increased risk of birth defects,” said study co-author Dr. Björn Pasternak, of the Statens Serum Institute, Copenhagen, Denmark.

The researchers’ analysis of registry data for 837,795 live-born infants in Denmark between 1996 and 2008 found no link between the use during pregnancy of the anti-herpetic agents acyclovir, famciclovir or valacyclovir and the occurrence of major birth defects, after adjusting for several variables. Of 1,804 pregnancies exposed to one of these antivirals at any time during the first trimester, 40 infants (2.2 percent) had a diagnosis of major birth defect, as compared with 19,920 of 835,991 (2.4 percent) unexposed pregnancies. [JAMA 2010;304(8):859-866]

Further analyses did not reveal any associations between exposure to antivirals during pregnancy and 13 different subgroups of birth defects. However, the number of exposed cases in each subgroup was small, said Pasternak. “Much larger studies are needed to address risks of specific defects. Nonetheless… we believe that the study has public health implications, as it is important to know that women pregnant in the first trimester can be treated with antivirals with relative safety.”

Acyclovir was the most commonly used drug during the study and the most extensively documented antiviral overall. “Therefore, acyclovir should be the drug of choice in the treatment of herpes infections in the first trimester of pregnancy,” said Pasternak.

According to a World Health Organization (WHO) report published in 2008, around 28 million women between the ages of 15 and 49 years in the Southeast Asian region are afflicted with HSV type 2 infection. This compares with 13.7 million in Western Europe, 4.1 million in Japan and 0.9 million in Australia.

“HSV and zoster remain prevalent and obstetricians [in Asia] will continue to see women who first contracted this in early pregnancy,” said Dr. Wee Horng Yen, consultant and deputy head of the department of obstetrics and gynecology, and director of the Women’s Wellness Centre at KK Women’s and Children’s Hospital, Singapore. Standard practice here is to use acyclovir cautiously before 20 weeks of gestation, he added.

Source : www.mims.com

I was in the bathroom, I heard you were brushing your teeth at the washbasin, but after I finished and got out from bathroom, there was something strange, I still heard water flow from the washbasin, ‘why daddy brush his teeth so long?’, I went to the kitchen and I got daddy was laid down on the floor, unconscious and in convulsion. I was panic and called mom who had just went to the office then brought daddy to the hospital…

After CT-scan, we knew that daddy had a bleeding in his brain (Right frontal lobe) and had to have operation called craniotomy immediately to evacuate the blood. I had just graduated from senior high school at the moment and really could not imagine how scared operation on the brain that should open the skull..

Praise God, the operation was successful, daddy could went back to his usual life and there was no grievance..

October 23^rd, 2004

Daddy became unconscious and in convulsion again, I thought “was it bleeding again in his brain?” Daddy took to Elizabet hospital. After CT-scan, there was no new disorder in his brain.. we all relieved, daddy could went home. At one occasion daddy ever said, ”will I pass the 50 years old age after this operation?”, (for information, daddy was born in 3^rd January 1955), “of course you will”, I answered.

November 21^st, 2004

Daddy had convulsion again, this time when he was riding a motorcycle with mom, lucky for them he was fell down after the motorcycle run slowly, since that moment, daddy was forbidden to ride a motorcycle.. There were 3 times convulsion again in December and we realized that it was the sequele or remain symptoms for his brain bleeding so he like had an epilepsy, since that moment daddy took epilepsy drug to control his convulsion. For information, at the moment I was starting studied in the faculty of medicine Diponegoro University, I knew daddy was very proud of this, so I promised that I would study hard for him..

2005-2008

Daddy had 16 times convulsion in 2005, 15 times convulsion in 2006, 11 times convulsion in 2007 and 7 times convulsion in 2008, honestly I was glad that the frequency was decreased every year, I was sure that the seizure will gone..

May 15th 2009

In 2009 daddy had just got seizure once in January, but in May 15^th, after I have a night shift in Surgery, I called by mom if daddy was brought to hospital because he could not move his right arm and leg…OMG…I really frightened out, daddy had a STROKE.. and it made his right side (his active side) paralyzed, hah…I’d just hope at least daddy could walk again.. Daddy got 4 seizures after this stroke

September 25th 2009

Daddy had much practices for walking, but on those day, dad seems different, he was very limp, I’d thought it was just ordinary fever, but I felt it was different, so we brought dad to the hospital again, and it was true daddy had 2^nd STROKE..GOSHH..why did it happen so fast,. Now his left side also paralyzed, dad could not speak and even very difficult to sit… I’d just hope there was no following stroke for dad..

February 18th 2010

Things became worst.. Mom was in Jakarta, Dad got a high fever.. I had give symptomatic drugs and check his blood laboratory because suspect of Dengue fever.. but the laboratory result that it was not Dengue fever, but the fever still high, his condition also bad because didn’t response with any pain stimulation, so I brought again dad to the hospital, the doctor said it was a SEPSIS and he should take a ventilator, but I with many consideration I decide to refuse the ventilator.. Mom come 2 days after admission.. from this time I realized that dad’s life would not last longer..

April 9th 2010

I was had my last shift in internal medicine, in the morning I was called by my sister that dad’s condition was very bad and she could not feel his pulse..OMG…was that really happened..I was went home and Dad had passed away… I was really sad, I could not be on his side when he died…

thanks God for releasing his suffer.. he was a great dad for me… although you were often angry, but I know you love us very much, thank you for your care and love, forgive me for all my mistakes to you… I regret you would not watch my graduation but I promise to you that I will study hard and become a great doctor…

Thanks for my sweetheart Vania that made Dad’s last birthday really mean for dad and that was my unforgettable memory when I did something last time for dad..

LOVE YOU ALWAYS DAD…

In memoriam Yohanes Avella Slamet Hadiyanto (Yauw Tauw Gwan)

January 3^rd 1955 – April 9^th 2010

It’s all because of anesthesia, which said it was a relaxed stage, but I got really busy n tired there, until I had not read the book until the 3^rd week.

How come?

Daily activity in anesthesia was in the surgery room until at 2.00 pm, where I think there were no much advantages for us to be general medicine. We won’t be permitted to anesthetize patient, right?

What we have to know in anesthesia is how to handling emergency patient, liquid resuscitation, analgesic drugs, etc. and we got about that if the resident gave the tutorial when the operation was went on.

Unfortunately, I included who seldom got the tutorial in the surgery room, so until 3^rd week I still didn’t know much about anesthesia. So I had to borrow my friend’s notes that got many tutorials.

The official tutorial by resident always held after 2.00 pm, so we very often go home at evening moreover the schedule to stay at Kariadi Hospital that also exhausting. Huh..

The unforgettable moment was when I saw patient with “ventricle tachicardy” from fully conscious then gasping until she had cardiac arrest and died, the process last less then 10 minutes. That remind us how big secret of life and die in this world.. Jesus you are my savior..

However, that’s all finished. I got examination with dr.Danu, Sp.An. Hope I got the best I could.. hehe..

Happy Easter…

First I had pretest in Wednesday 25^th March 2009 that was a case with some question..

My case was Steroid induced cataract that has characteristic posterior pole cataract.

There was gossip that you must not get the highest score in the pretest cause it will make you got hard examiner like dr.Pramanawati or dr.Norma..

But I don’t care with that all, why should I “decrease” my point if I could get higher??

However, I got dr.Pramanawati,Sp.M as my examiner.. I don’t know it’s because my high mark or just a damned original unlucky drawing.. I assumed and hope that it’s for the first one, because it can be an addition for my final mark (until I write this I still don’t know how my final mark..hehee..)

There’s no share book or “buku Curhat” in eye department so I this is the story examination with dr.Pramanawati and I will write story below in Indonesian..hehe..

##….senin 30 maret 2009 saya dan mbak Husna mulai nyari pasien di poliklinik mata dan dapet kasus katarak sekitar pukul 10.30. (kasus ujian katanya katarak mulu ya…bosen juga..hehe..) lalu dikasi tau pembimbing dr.Wijayaningrum kalo ujian diundur hari rabo jam 11, jadi hari itu bikin status pasien dengan agak santai sambil mikir2 gimana supaya ga banyak keanehan pada statusnya..heehe..

and tibalah pada saat yang mendebarkan, rabo jam 11.00 dr.Pram dateng tepat waktu and langsung nanyain sapa yang ujian dengan beliau disuruh langsung masuk…waaa…

kami disuruh membacakan resume kasusnya..lalu mulailah beliau bertanya:

P: dr.Pram H: Husna R: Ronald

P: apa itu iris shadow and bagaimana cara periksanya?

R: bla…blaa…bla… (tau lah nih)

P: kenapa bisa ada iris shadow

R: karena ada kekeruhan di lensa dok..

P: itu baru terlihat kalo kekeruhannya sudah cukup banyak.. pada pasien mu ini visus nya saja masih 6/10 sama 6/8.5 jadi saya rasa belum terlihat iris shadow nya, kalo tidak ada ya tidak usah maksa harus ada!

R: (Uppsss….ketauan dah..emang kami ga periksa kok..heheh..) iya dok..

P: Lalu fundus reflek bagaimana memeriksanya?

H: bla..blaa..bla…

P: di satusmu “kekeruhan tidak ikut bergerak ketika bola mata bergerak” maksudnya gimana?

H: kekeruhannya ada di sentral lensa dok.

P: ya saya rasa ga mungkin juga kalo tidak bergerak sama skali ya…pasti ada lah ya geraknya..

H & P : iya dok (hadoh…cara ngliatnya ikut bergerak apa ga aja bingung…hehehe..)

P: gambaran kekeruhan pada FR seperti apa?

R: seperti bercak kehitaman dok

P: kenapa?

R: hmmm…karena reflek dari fundus nya jadi tidak jelas dok

P: ya..karena bercaknya menghalangi pantulan dari fundusnya.. kalo pada oblique illumination kekeruhan seperti apa?

R: seperti bercak keputihan dok..

P: knapa?

R: yaa…karena dilihat langsung dari depan dok..

P: ya..karena dilihat langsung dari depan jadi terlihat keputihan. Kalau kekeruhan sudah menyeluruh seperti apa?

H: terlihat putih pada seluruh lensa yang terlihat seperti mutiara dok..

P: lalu apa bedanya dengan katarak juvenil dan katarak kongenital?

H: usianya dok?

P: bukan…gambarannya yang kamu lihat kalo sama2 putih smua lalu apa bedanya pada katarak2 itu??

H & P: ( silent,..ga ngerti..)….

P: ya udah, pr ya, nanti dicari.. katarak juvenil tu penyebabnya apa?

H: bisa karena uveitis, trauma, ..

P: bukan..bukan.. yang benar2 murni juvenil..

R: ehmmm karna myopia tinggi dok??

P: ya…boleh…trus apa lagi?

H: diabetes dok?

P: nah..itu yang penting…gambarannya seperti apa?

H: snow flake dok..

P: ya..itu tidak selalu muncul sih.. ya sudah skarang bagaimana kalo kita mencurigai itu katarak traumatika?

R: (udah nyebutin voscius ring, iris tremulans, subluksasi/luksasi lensa, n hifema)

P: bukan…bukan… kalo itu kan sudah jelas,. Skarang kalo matanya tenang, gimana kita curiga kalo itu karna trauma.

R: errr… (setelah mikir lama). Kalo kataraknya pada satu mata saja dok??

P: iya.itu dia..kalo pada satu mata saja, harus curiga karna trauma.. kalo katarak yang tidak berkembang, tiap kontrol ya segitu-segitu saja, tu jenis yang mana?

R: (apalagi ini..lom pernah denger…Silent again…)

P: ya udah pr lagi ya…trus kalo operasi katarak komplikasinya apa saja?

H: bla.bla…bla…(salah satunya nyebut iridosiklitis)

P: bagaimana gejalanya kalo iridosiklitis yang bisa ketahuan waktu kontrol post op?

H: mata merah..

P: bukan..kan abis operasi ya mesti matanya merah to ya,.

R: fotofobia dok..

P: nah itu dia…kalo orang nya waktu kontrol merasa silau harus curiga iridosiklitis dan diperiksa slit lamp untuk periksa kekeruhan COA nya.. lalu untuk mencegah iridosiklitis dengan apa?

R: midriatikum dok.

P: yang mana yang kamu pilih?

R: mungkin yang sulfas atropin dong, karna long acting

P: ya nggak,,. Kalo kamu kasi SA, malah IOL nya lepas nanti, karna dengan SA pupil midriasis sangat lebar,jadi pakai yang short acting aja.. lalu diberi apa lagi?

H: kortikosteroid dok

P: (intinya beliau crita kalau pake kortikosteroid harus hati-hati karna banyak efek samping dan kontraindikasinya, disuruh nyari n dibikin tugas juga) ya udah..hari ini cukup dulu dilanjutkan besok jam 9.30 ya..

…..keesokan harinya, kami berdua ujian lagi, tapi cuma bahas tentang tugasnya aja.. ternyata jawaban untuk tugas yang pertama adalah kalo katarak kongenital tu karena masih cair sehingga terlihat seperti susu, sedangkan katarak juvenil terlihat seperti bubur, kalau katarak senilis seperti mutiara. Lalu untuk katarak yang nonprogresif itu adalah katarak di kapsul posterior. ###

Yeah…it is the review of my exam with dr.Pramanawati,Sp.M, overall she is very kind, not like the gossip that she is terrifying, hope it can help and inspire the next student who will exam with same examiner.. good luck..

It seems my luckiness, that have 75% role in deciding internship mark, has gone…

Actually In those departments, I got kind examiner in Neurology (dr.Hexanto) and Obsgyn (dr.Suryo), people used to call them God for us that usually give good mark..

Yeah, I passed them quite easy, but they just gave me B..

huh…I’m really not satisfied!!!!

Honestly I don’t really care if I got B in all my internship marks.. I’ve just scared if my bad marks will influence when I apply for resident..

Now, I’ve just can pray…hope in this EYE department God bless me and give the best for me so I can get my first A..hehe..

Posted in My Daily LIFE ]]> http://boneadventure.wordpress.com/2009/03/20/my-hattrick-b-in-internship/feed/ 0 Ronald cry yeah eye http://boneadventure.wordpress.com/2009/03/12/2nd-leg-result-knockout-phase-champion-league/ http://boneadventure.wordpress.com/2009/03/12/2nd-leg-result-knockout-phase-champion-league/#comments Thu, 12 Mar 2009 23:10:35 +0000 boneadventure http://boneadventure.wordpress.com/?p=152 ]]> 2^nd leg Result Knockout phase Champion League (10-11^th March, 2009)

Liverpool vs Real Madrid 4-0

(agg. 5-0)

Bayer Muenchen vs Sporting Lisbon 7-1

(agg. 12-1)

Juventus vs Chelsea 2-2

(agg. 2-3)

Panathinaikos vs Villareal 1-2

(agg. 2-3)

Manchester United vs Inter Milan 2-0

(agg. 2-0)

Barcelona vs Lyon 5-2

(agg. 6-3)

Roma vs Arsenal 1-0

(agg. 1-1, Arsenal win on penalties 7-6)

Porto vs Atletico Madrid 0-0

(agg. 2-2, Porto win on away goal)

There’s no surprising result about which clubs that will go through to the quarterfinal.

But there’s one record that Bayer Muenchen made a new highest aggregate goals since Champion Cup became Champion League..

Congratulations for teams who have go through to quarter final, they are 4 English clubs, 2 Spanish Clubs, 1 Germany and 1 Portugal. What a superior English teams in last 4 years.

We will wait for the lottery of quarter final match that will be on Friday 20^th March,2009..

Yeah…more than 3 weeks I inactive from all activity, including write on this..

The 5^th- 8^th in obsgyn, when I became senior, was really busy, furthermore I had examination on 7^th weeks.. but I relieve it’s all over..hehe..

Obsgyn is really tiring, but It is very exciting because much stories and experiences I got there, especially in 8^th week when I was in Tugurejo Hospital.

I saw how a mother was died after deliver her baby, it reminded me that give birth a baby is a struggle between live and death for a mother.

I saw how the process “sungsang” or breech delivery that almost become “after coming head”, when the head of the baby is stuck in vagina while the body has been delivered, it also reminded me that breech delivery has many risks, so be carefull..

Totally I got 3 normal “partus”, it is enough for the minimum requirement 2 “partus” in obsgyn…yeah I know I’ve just got minimal “partus” compare with other, even my friend who study in Trisakti University had already done vaccum extraction just in 2^nd week Obsgyn!!!. Wow…

but it’s okay, maybe this is God’s will that indicate one day I should go back there…as a resident…hehe….

who knows..