My first experience of extraction!!=)

I EXTRACTED a TOOTH!!!!!!!!!!

Yes,i PULLED OUT a 48 (right third molar) which has severe dental caries!!!!

Without any mental preparation,
Suddenly,Dr.James,my oral surgery lecturer asked me to extract a tooth.....

And i don't know why i'm always so "lucky" to have a special patient as my 1st patient..

Well,what so special about my patient??

She is suspected to have oral submucous fibrosis (OSMF)

(OSMF is a premalignant condition..means usually patient has this condition will have increased risk of getting cancer.It usually caused by betel/areca nut chewing..means "槟榔")



But my patient is so unlucky,because she has no habit of areca nut chewing or smoking or any bad habits,and yet she has suffering for this disease.=(

This was the 1st time i saw a OSMF patient and i had the chance to feel the fibrous band that present in her oral cavity...erm,,,the feeling of touching her buccal mucosa and upper lip is just like stretching a rubber band...and she has a special shape of uvula,a hockey stick shaped uvula....

Well,the characteristic of this condition will be having restricted mouth opening.
Since my patient has the difficulty in opening her mouth and this was my 1st time,Dr.James helped me injecting the LA to the patient.

And he placed the forceps on the tooth and instructed me to hold the forceps and taught me the ways to hold it properly.

"Okay,push the forceps to lingually first"
"Well,now pull it to buccal side...."
"Try to rotate the tooth with the forceps.."
"Yes,good...keep going...keep going....go buccal again...go buccal again...."
"Yes,going to end....keep giving buccal!!"

AND,FINALLY,I'D PULLED THE TOOTH OUT!!
Phew~~~~~~


Pressing the socket by using the gauze,trying to stop the bleeding....
Then checking for any fracture of the extracted tooth,to avoid any fragments left in the socket...
Double confirmed,a complete tooth had extracted!!

Since the patient is suspected for OSMF,Dr.James asked me to be his assistant to help him take a biopsy from the patient's buccal mucosa.

Helping him to retract the mouth and controlling the light...
Seeing him using a surgical blade and did a smooth cut on the right cheek of the patient..
A small piece biopsy had done and it was kept in a formalin-filled bottle to be sent to the lab for investigation.This investigation is done to confirm the diagnosis of oral submucous fibrosis.

Well,even though i didn't do the complete extraction including injecting the local anesthetic this time,but the feeling of extracting the 1st tooth is so so so....erm..GreAt??
well,i know it did sound "scary",but anyway it was a small satisfaction to me,ok??!....=P

I wish i will have a chance to do a full procedure by myself next time.....
hehe....see who will be the "lucky guinea pig" then....oops,i mean my lucky patient...=P

p/s:Dr.James is really a good surgeon + lecturer....He built up my interest in surgery.And don't know why i don't wanna disappoint him,so i promise myself I will perform well in front of him in my next posting..... *crossed fingers* =)

Heart ill

Feeling feverish and dizzy.....
Probably my heart is "infected" again..........

Knowing the "causative agent",
but too bad,
this "toxin" is too strong to be destroyed,and besides, the" host" itself has a low immunity.... =(

Thought my heart will be immunized since it was infected so many times,
but seems like the "antibiotic" is not functioning well or the causative agent has developed the "resistance" to the antibiotic.....hmmmm

How nice if there is a "vaccination" for the heart......
coz i'm really hate the feeling of being "IIIIILLLLLLLLL" !!!

I need a good ZZzzzz!!!

I hate the alarm sound....
Coz everytime i nearly kissed the handsome prince in my dream and it wakes me up!!GRRHHH
To my handphone alarm,can you please wait for me to finish my lovely dream before u start yelling??


I hate the cocks crow outside my windows....
Coz their voices are just too irritating..and sometimes even crow at 3am!!
To the cocks,can you please crow with a nicer and pleasant voice??and do you need me to buy you a watch,coz i am wondering why u always crow at the midnight....


I hate the sky start turning bright out there.....
Coz the sunlight forces my eyes to open....
To Mr.Sunny,is it possible to show your face outside my window later than other windows,erm...around 1 hour??so that i can have a better excuse to tell my lecturers why i overslept...


I love my comfy bed....
To my lovely bed,do you love me??The time we spend together is less than 5 hours per day...So if you do <3 me,can you think of some ideas so that we can stick together longer....You never know it's so hard for me to get away from you...



Just woke up from the bed...mind is blur..eyes are heavy....
Don't know why i am writing this crapppssss....
Feel like taking benzodiazepine so that i can have a wonderful,peaceful good zzzzzzz.........
*Yawning~*

2010,here you are!!!

*BREATH~~~~~~~*


The smell of the year 2010 is so so so NICE~~~~~



(well,i cheated...actually just smell like the past years..... =.=")


Telling myself must write this on the last day of 2009 or on 1st of Jan 2010,but i still didn't manage to write it on time,WHY????????

coz,i am a super super lazy blogger loh......hohoho~~~~~

But who cares??I'm not earning $ from writing all these boring stories about my life,not writing it for people sake,not writing it because I'm still can't think of what to write.....so yes,it's late!!!!!! lalalala~~

Erm........Should i review my 2009??????



*MIND BLANK*...........


Oh gosh,i can't think of anything to write....

The only 1 thing that i can't let go is MY WEIGHT!!!!!!!!
Isshhhh,after coming to Penang,my weight just can't stop increasing......
Oh well,i'm just like a BALL now..........T________T


Fine,forget about my weight.......


Hmmm.....think carefully....
my 2009 really passed by just like that without leaving any footprints or tracks........
How pathetic??!! =(

Honestly,most of us just treated this year as honeymoon year and didn't study at all....All these while,we just played and had fun,without noticing the days just slip away through our fingers....
When we started to realize and wanted to grab it,it was too late for everything.....


REGRET!!!REGRET!!!REGRET!!!!!!!!

Well,i know,you wanna say it's too late to regret..

So,let's move on!!

Here we come,2010!!! =)

Many people say this year,'tiger year' will be a bad year....hmmm...i can't doubt it,coz everything might comes true,we will never know....

Just wish that everything in my life can as smooth as whip creammmm~~
Just wish that my family and friends can stay healthy and happyyiee~~~
Just wish that su peen and I can be as sweetest as possibleeee~~~(so greedy...=P)
Just wish that there is peace out there....No war...No disaster....Less global warming~~~~

Thanks to my great family who are being my mental support all these while...
Thanks to my lovely boyfriend who is being so considerate and tolerate with me....
Thanks to my wonderful friends who are always be there for me.....
Thanks to myself in everything.....(sounds so narcissism...=P)

Well,
my wishlist this year...

Short plans

• Reduce my super duber extra fats!!!! ( Oats,steamed vege,fruits,exercise,i love u guys!!)
  
• Study super hard for my coming finals!! (Shafer's,Davidson,Rajgopel,I need u guys!!)
• Planning my timetable well!!(well,this is the hardest,never planned my timetable though always say the same thing every years T_T )

Long plans

• Learn something new!! (Swimming,guitar,yoga,driving etc....hopefully won't say "wait" anymore to them)
• Make my 2010 more memorable than 2009!!
  

Hopefully I can fulfill my plans........ *crossed fingers*

Last but not least,

People,have fun and enjoy your 2010 till max!!!!!! ^____^

------HAPPY 2010-----