Lirik nih buat aku terfikir adakah aku akan hidup selama-lamanya?
Adakah aku perlu berterusan untuk terus bersikap begini?
Sekiranya ini adalah hari terakhir aku, sanggupkah aku lakukan perkara
yang sia2? Sanggupkah? Then what point do you live for if u cant afford to be the best?
This song remind me of it...
My best friend gave me the best advice
He said each day's a gift and not a given right
Leave no stone unturned, leave your fears behind
And try to take the path less traveled by
That first step you take is the longest stride
If today was your last day and tomorrow was too late
Could you say goodbye to yesterday?
Would you live each moment like your last
Leave old pictures in the past?
Donate every dime you had, if today was your last day?
What if, what if, if today was your last day?
Against the grain should be a way of life
What's worth the price is always worth the fight
Every second counts 'cause there's no second try
So live like you're never living twice
Don't take the free ride in your own life
If today was your last day and tomorrow was too late
Could you say goodbye to yesterday?
Would you live each moment like your last?
Leave old pictures in the past?
Donate every dime you had?
And would you call those friends you never see?
Reminisce old memories?
Would you forgive your enemies?
And would you find that one you're dreaming of?
Swear up and down to God above
That you'd finally fall in love if today was your last day?
If today was your last day
Would you make your mark by mending a broken heart?
You know it's never too late to shoot for the stars
Regardless of who you are
So do whatever it takes
'Cause you can't rewind a moment in this life
Let nothing stand in your way
'Cause the hands of time are never on your side
If today was your last day and tomorrow was too late
Could you say goodbye to yesterday?
Would you live each moment like your last?
Leave old pictures in the past?
Donate every dime you had?
And would you call those friends you never see?
Reminisce old memories?
Would you forgive your enemies?
And would you find that one you're dreaming of
Swear up and down to God above
That you'd finally fall in love if today was your last day?
Sunday, June 14, 2009
Friday, June 12, 2009
Crisis
I'm having crisis rite now. Internal crisis. I can't cope with myself. I need motivation from the outside. But it seem s like i wont get it in this difficult situation rite now. It just.... Difficult.
Bila x der kawan2 di sekeliling, hidup jadi x tentu arah. Tak ada panduan. Bahana bertambah2 bila dapat duduk bilik sorang2. Anything can happen. Syaitan sentiasa berbisik.
Dalam waktu2 macam ni pulak hubungan aku ngan Allah semakin jauh. Bukan makin dekat. Segala suruhanNya banyak aku tinggalkan. I need someone, somewhat, something to drive me get through all dis. Very painful. Nak nangis tapi x boleh. Susah nak nangis.
Since i was small, i never disciplined myself and never being disciplined. Never know wut kind of discipline is. When i entered my boarding school, i got disciplined.
But now. It's getting tougher and tougher and tougher.... Dont know who i can rely to. To You? Yeah i always say that to someone who got the cursed word, 'Down' . Less motivated. Cakap dekat orang boleh la. Bila smpai dekat diri sendiri? Aku rasa malu sebab terlalu banyak dosa yang aku lakukan pada Engkau. Rasa malu dan x layak untuk aku meminta2.
Rasa macam kena cursed. Got cursed when become class rep. Got cursed when leave alone. Got cursed when i studied near my bed. My main problem in my life is i'm sooooo lazy than people around me. But i have much much more bigger vision in my life. Bigger than anyone else. The main barrier is myself. I'm so lazy and i'm ashamed of it.
And people around me. They all said that i'm lazy. Even i believe i'm not that lazy. Kalau aku kuat sangat tido macam mana aku boleh capai smpai tahap nih? Macam mana aku bole pergi sebegini jauh berbanding orang lain.?
Argh!!!! tau tak kenapa aku tension nak mampus sekarang? Sebab aku kena supplement! Dahla kena supplement tapi tak da usaha langsung ke arah nak lulus. Dari pagi smpai petang asyik tido jer... I need to get out far from my comfort zone tapi susah dier macam angkat gunung!
Aku penah dapat tension macam nih. Dulu masa zaman sekola. And u know wut? I almost failed all my exam. Nasib baik sekadar lulus jer. Maqbul. Tak fail. But unfortunately at that time i got hypertension. Masa tgh exam bile waktu tgh hari jer sakit kepala dier hanya Allah jer yang tau. Segala yang aku hafal bile kuar time exam. Blank. I hate that time.
Tapi sekarang situasi is much like the same. The different is it would affect my future. If i fail this exam, aku x leh pg tahun 3. Aku study hard mcm org lain tapi rasa diri nih macam sial plak. Fail. Aku x leh terima. Dulu aku antara orang yg lagi pandai bbanding kebanyakan orang. Tapi bile aku masuk sini aku rasa macam aku antara orang terbodoh plak. Tapi aku tau aku bukan bodoh.
Mungkin salah aku. Salah amek langkah. Aku terlalu leka dengan benda lain. Aku jadi x fokus. X fokus macam orang lain. So it ended up what? With failed. I hope this is not the end of my life.
Malas + x fokus + banyak tido + duduk sorang2 + bnyak dosa = fail + even aku study.
Ya Allah aku tau Kau dengar rintihan aku ya Allah. Kau hindarkanlah aku dari ujian ini ya Allah. Aku x mampu nak mengharunginya Ya Allah. Last2 aku jadi lagi jauh daripada Kau Ya Allah. Takkan Kau nak lihat hamba Kau yang hina nih jadi begini Ya Allah. Kau keluarkanlah aku dari situasi buruk ni. Aku tak sanggup. Tak tahan. Tak boleh terima. Aku tau ramai yang lebih teruk ujian mereka tapi aku tau Kau bagi ujian pada mereka yang layak. Sememangnya aku x layak, tak terpilih dan tak mampu nak hadapi ujian Kau.
Bila x der kawan2 di sekeliling, hidup jadi x tentu arah. Tak ada panduan. Bahana bertambah2 bila dapat duduk bilik sorang2. Anything can happen. Syaitan sentiasa berbisik.
Dalam waktu2 macam ni pulak hubungan aku ngan Allah semakin jauh. Bukan makin dekat. Segala suruhanNya banyak aku tinggalkan. I need someone, somewhat, something to drive me get through all dis. Very painful. Nak nangis tapi x boleh. Susah nak nangis.
Since i was small, i never disciplined myself and never being disciplined. Never know wut kind of discipline is. When i entered my boarding school, i got disciplined.
But now. It's getting tougher and tougher and tougher.... Dont know who i can rely to. To You? Yeah i always say that to someone who got the cursed word, 'Down' . Less motivated. Cakap dekat orang boleh la. Bila smpai dekat diri sendiri? Aku rasa malu sebab terlalu banyak dosa yang aku lakukan pada Engkau. Rasa malu dan x layak untuk aku meminta2.
Rasa macam kena cursed. Got cursed when become class rep. Got cursed when leave alone. Got cursed when i studied near my bed. My main problem in my life is i'm sooooo lazy than people around me. But i have much much more bigger vision in my life. Bigger than anyone else. The main barrier is myself. I'm so lazy and i'm ashamed of it.
And people around me. They all said that i'm lazy. Even i believe i'm not that lazy. Kalau aku kuat sangat tido macam mana aku boleh capai smpai tahap nih? Macam mana aku bole pergi sebegini jauh berbanding orang lain.?
Argh!!!! tau tak kenapa aku tension nak mampus sekarang? Sebab aku kena supplement! Dahla kena supplement tapi tak da usaha langsung ke arah nak lulus. Dari pagi smpai petang asyik tido jer... I need to get out far from my comfort zone tapi susah dier macam angkat gunung!
Aku penah dapat tension macam nih. Dulu masa zaman sekola. And u know wut? I almost failed all my exam. Nasib baik sekadar lulus jer. Maqbul. Tak fail. But unfortunately at that time i got hypertension. Masa tgh exam bile waktu tgh hari jer sakit kepala dier hanya Allah jer yang tau. Segala yang aku hafal bile kuar time exam. Blank. I hate that time.
Tapi sekarang situasi is much like the same. The different is it would affect my future. If i fail this exam, aku x leh pg tahun 3. Aku study hard mcm org lain tapi rasa diri nih macam sial plak. Fail. Aku x leh terima. Dulu aku antara orang yg lagi pandai bbanding kebanyakan orang. Tapi bile aku masuk sini aku rasa macam aku antara orang terbodoh plak. Tapi aku tau aku bukan bodoh.
Mungkin salah aku. Salah amek langkah. Aku terlalu leka dengan benda lain. Aku jadi x fokus. X fokus macam orang lain. So it ended up what? With failed. I hope this is not the end of my life.
Malas + x fokus + banyak tido + duduk sorang2 + bnyak dosa = fail + even aku study.
Ya Allah aku tau Kau dengar rintihan aku ya Allah. Kau hindarkanlah aku dari ujian ini ya Allah. Aku x mampu nak mengharunginya Ya Allah. Last2 aku jadi lagi jauh daripada Kau Ya Allah. Takkan Kau nak lihat hamba Kau yang hina nih jadi begini Ya Allah. Kau keluarkanlah aku dari situasi buruk ni. Aku tak sanggup. Tak tahan. Tak boleh terima. Aku tau ramai yang lebih teruk ujian mereka tapi aku tau Kau bagi ujian pada mereka yang layak. Sememangnya aku x layak, tak terpilih dan tak mampu nak hadapi ujian Kau.
Thursday, June 11, 2009
Osteoarthritis
Aku terang dekat dalam blog nih sbnrnye bukannyer aper. Kadang2 bosan study stail lame. So aku amek inisiatif nak buat nota dalam blog plak. So bley gak senang ingat kan? Ala lagi pun ak kena supplement tak macm kengkawan aku yg lain. Sume dah lepas. Mau tak tekanan. Tekanan melampau smpai migrain aku kena. Dah seminggu lebih aku batuk still tak baik2 even mkan ubat batuk. Nak kena bagi codein baru baik agaknyer. Tapi tu sume Allah punyer keje. Harap2 ak dikurniakan kesihatan supya dapat jawab exam dengan baik nnt.
So back to our main topic today is about osteoarthritis.
Definition
The degenerative joint disease involving the degeneration of articular cartilage.
So wut is the idea behind dis? Degeneration articular cartilage. Due to wat? Lack of collagen synthesis. Collagen is important in formation of the articular cartilage. U must remember dat.
So the pathogenesis pn lebey kurang ader kaitan dengan lack of collagen synthesis la kan. Eh yer ker ape yg ak ckap nih? Hehehe mntak maapla kalo salah. Kena tgk buku balik nih. Adoiyai...
Eh betulla ape ak ckap kot. So lets continue.
Actually ade beberapa faktor yg boleh menyebabkan osteoarthritis nih. First genetic factor. Chromosome 2 ngan 11 ader masalah.
2. Ageing factor. Which causing hormonal changes leading to decrease synthesis type II collagen. Long term weight bearing and wear and tear cause damage to the joint.
3. Predisposing factor. What i mean ade penyakit awal yg lain yg menyebabkan pnyakit osteoarthritis.
Such as septic arthritis.
4. Mechanical effect like obesity, previous joint deformities cab also contribute the joint destruction.
So al these can decrease protective proteoglycan in cartilage and imbalance in collagen synthesis. Low collagen synthesis will weaken the collagen network of the cartilage.
Cytokine like TnF , IL-1 cause decrease in functional chondrocyte so damage cartilage is not repaired.
Macro aku cite kendian la yer. Penat nak menulis nih. Aku bukannyer suke menulis sangat tapi nak examnyer pasal terpaksa la buat stail camni. Sajer jer nak buang angin kat sini. Hehe
So back to our main topic today is about osteoarthritis.
Definition
The degenerative joint disease involving the degeneration of articular cartilage.
So wut is the idea behind dis? Degeneration articular cartilage. Due to wat? Lack of collagen synthesis. Collagen is important in formation of the articular cartilage. U must remember dat.
So the pathogenesis pn lebey kurang ader kaitan dengan lack of collagen synthesis la kan. Eh yer ker ape yg ak ckap nih? Hehehe mntak maapla kalo salah. Kena tgk buku balik nih. Adoiyai...
Eh betulla ape ak ckap kot. So lets continue.
Actually ade beberapa faktor yg boleh menyebabkan osteoarthritis nih. First genetic factor. Chromosome 2 ngan 11 ader masalah.
2. Ageing factor. Which causing hormonal changes leading to decrease synthesis type II collagen. Long term weight bearing and wear and tear cause damage to the joint.
3. Predisposing factor. What i mean ade penyakit awal yg lain yg menyebabkan pnyakit osteoarthritis.
Such as septic arthritis.
4. Mechanical effect like obesity, previous joint deformities cab also contribute the joint destruction.
So al these can decrease protective proteoglycan in cartilage and imbalance in collagen synthesis. Low collagen synthesis will weaken the collagen network of the cartilage.
Cytokine like TnF , IL-1 cause decrease in functional chondrocyte so damage cartilage is not repaired.
Macro aku cite kendian la yer. Penat nak menulis nih. Aku bukannyer suke menulis sangat tapi nak examnyer pasal terpaksa la buat stail camni. Sajer jer nak buang angin kat sini. Hehe
osteomylitis
Hi sesapa yg terbaca blog nih. Sorila kalo entry nih merapu sebab kengkadang nih la tempat ak nak meluahkan rasa. Rasa payau , masin dsb.
So today i want to merepek bout osteomylitis. So wut do u understand bout osteomyelitis? What is the meaning? The inflammation of the bone and cartilage.
Ingat tu bukan bjne jer tau sbb word 'mye' to refer to the cartilage.
So usually the route of infection are hematogenous, thru wound fracture, ape lg ek? Aa..
Extension of the infection like septic arthritis.
So this infection start from the metaphyseal region. Why? High vascularity there. So when there is bacterial infection. It will lead to inflammatory response and promote release other mediators to. So this will cause swelling and edema of the area. High pressure in that area causing the congestion and lead to ischemic. Part nih ak plik skit. Bile dah congestion naper ischemic plak? Btul ker notes nih? Ah it doesnt matter as long i just explain wut i noe.
So what happen next? Tjen it will cause cell necrosis and it will extend to the periosteum and create subperiosteal abscess.
So in persistent infection the inflammation reaction will increase the fibroblast activity. As healing process la kirenyer sbb formation of fibrin usually occur after inflammation. So if u see inflammation tmpat tu juge ade fibrosis activity. Anyway lets proceed. So there are also increased in osteoblastic activity and osteclastic activity.
So osteoclast and osteoblast want to fix the situation tapi diorang nih tak pandai. So what happened? Formation of involucrum pn happened.
Adoi penat la. So macroscopy plak.
Wut u expected to see?
Of course u will see the involucrum surrounded the infected area. Also u can see sequestra, dead necrotic bodies. What else? Decalcification can also occured.
So today i want to merepek bout osteomylitis. So wut do u understand bout osteomyelitis? What is the meaning? The inflammation of the bone and cartilage.
Ingat tu bukan bjne jer tau sbb word 'mye' to refer to the cartilage.
So usually the route of infection are hematogenous, thru wound fracture, ape lg ek? Aa..
Extension of the infection like septic arthritis.
So this infection start from the metaphyseal region. Why? High vascularity there. So when there is bacterial infection. It will lead to inflammatory response and promote release other mediators to. So this will cause swelling and edema of the area. High pressure in that area causing the congestion and lead to ischemic. Part nih ak plik skit. Bile dah congestion naper ischemic plak? Btul ker notes nih? Ah it doesnt matter as long i just explain wut i noe.
So what happen next? Tjen it will cause cell necrosis and it will extend to the periosteum and create subperiosteal abscess.
So in persistent infection the inflammation reaction will increase the fibroblast activity. As healing process la kirenyer sbb formation of fibrin usually occur after inflammation. So if u see inflammation tmpat tu juge ade fibrosis activity. Anyway lets proceed. So there are also increased in osteoblastic activity and osteclastic activity.
So osteoclast and osteoblast want to fix the situation tapi diorang nih tak pandai. So what happened? Formation of involucrum pn happened.
Adoi penat la. So macroscopy plak.
Wut u expected to see?
Of course u will see the involucrum surrounded the infected area. Also u can see sequestra, dead necrotic bodies. What else? Decalcification can also occured.
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