This morning, a friend of mine Christina told me that she went yesterday. And she showed me the photos of those super-expensive cars.
Gumball 3000
****
I just remembered, today after the Paediatrics lecture, I played the old grand piano in the lecture hall. It was not there back in April. It was put together with some other old desks, tables and chairs (don’t ask me why). It felt great! I have not played a real piano since last September!
It was released on 19th April here in Poland. Back then, I saw the ads on some small billboards in Warsaw, but I couldn’t figure out what the title was because the title was in Polish, Niepamięć. And I have not seen a lot of trailers like I used to, lately. So that’s one of the reason for not knowing about this movie in advance hahah. Blame it all on Pharmacology
Oblivion 2013
Oblivion 2013
Jack & Julia Harper – Oblivion 2013
Niepamięć (Oblivion). [Cool slideshow]. I’m so gonna watch this again in HD
By the way, I’m now doing Paediatrics clinics. Today, my group went to see an 8-year-old boy, Marcin, who is suffering from Haemophilia type A. He was admitted to the hospital for physiotherapy session. He currently receives infusion of factor VIII concentrate.
Our doctor mentioned that before the factor infusion was introduced as management for Haemophilia, plasma and cryoprecipitate (Cryoprecipitated Antihaemophilic Factor) or “cryo” for short was used. Nowadays, they are largely replaced by the factor concentrates.
Marcin is going to stay in the ward for another two weeks. Our doctor said that he has no parents, he is an orphan so it might be another reason for him not being really cheerful. When our doctor said that, my heart sank. He was cute, a little bit shy and all but by looking at his face I knew (or felt like I knew) that he is lonely.
He was very well-behaved though. He was cooperative and didn’t mind us doing the whole body examination on him. It took quite a while but he was very patient with us. At the end of the interview, our doctor asked him to show his “treasures” which he kept inside the drawer of the side table. He showed us some cards of some football players.
I hope that he would be healthy for all his life. And hopefully the factor concentrate would prevent him from getting crippled in the future. I hope that he will be happy
Yes, experimental cooking. It’s cooking something you have never cooked before. So for this time, I made blue cheese-spinach-prawn lasagna.
It all began 2 days ago, I have these 2 frozen bags of finely chopped spinach and I don’t know what to do with them. (Initially, I bought them to make baked penne for my friend’s bachelorette surprise party)
I tried to make a spinach pasta sauce out of it. I first melted some butter in a pan, then added flour, mixed them and poured milk and mixed them again. Then I added in the spinach.
(From what I’ve Googled, most of the people recommend to squeeze-dry the spinach after thawing).
Then I seasoned it with salt – pepper was out of stock :p
It didn’t taste that good. But I didn’t throw it. I kept it in the fridge. So yesterday, after eating sushi at Sushi Planet with Shasha and Dila, I went to the supermarket to buy some cheese (mozzarella) but then I saw the blue cheese and thought of making blue cheese and spinach rigatoni. Then at the pasta section, at first I took the rigatoni box, but then changed my mind and took lasagna instead. Talk about indecisive!
Blue cheese in Poland
And of course I bought the pepper. Most. Important. Seasoning!
When I got back home, I Googled sooo many recipes because I couldn’t find the exact recipe to cook “blue cheese-spinach-prawn lasagna” so I kind of combined a few recipes to make this lasagna.
This is how I made the lasagna sauce.
Melt butter in a pan
Add milk
Add the blue cheese (crumbled or diced)
Add salt and pepper
Mix
Add the spinach ‘paste’ (the one I’ve prepared the day before, and the one that didn’t taste good)
Add mozzarella
Add prawn
Cook and mix well
Done
For first timers, this is kind of helpful. You can see how the thickness of the sauce should be:
To make the lasagna, I simply used the no-precooking-required-lasagna and I just layered the sauce, shredded mozzarella and the pasta alternately and baked it at 220°C for 20 minutes. And voila!
Blue cheese-spinach-prawn lasagna
Did all these helped to de-stress myself? It did. Partially. ‘Cause I still have the hangover of feeling depressed. Let’s get some SSRI, SNRI, TCA or MAOI y’all!
I thought being 23 is fun. Probably it’s just how I handle myself. And how I look at things. *Sigh* Gotta change my perspective from now on. My perspective on just…everything.
p/s: SSRI, SNRI, TCA and MAOI are groups of antidepressant drugs. I just had my second semester pharmacology oral exam, by the way (which covered drugs for cardiovascular system and central nervous system, thus the antidepressant drugs). And I passed it alhamdulillah.
And this below, is a recent status update from Hilal Asyraf of Langit Ilahi.
Manusia,
suka hidup dalam mimpi,
lena,
harap itulah yang nyata.
Tetapi mimpi,
bukan realiti,
tidak berlaku,
tidak terjadi,
hanya kepalsuan,
yang membaluti,
agar kita rasa mahu terus menyambung tidur,
lagi dan lagi.
Realiti memang pahit,
kebenaran bukan semuanya manis,
tetapi dengan berhadapan realiti,
kita bergerak memperbaiki,
buruk kepada baik,
baik kepada lebih baik,
dan itu semua realiti,
terjadi,
bukan hanya mimpi.
Memang realiti tidak seindah mimpi,
tetapi realiti itu kebenaran, satu juta ringgit di dalam mimpi, dengan satu sen di alam realiti, masih satu sen alam realiti lebih mahal.
Maka bangkitlah dari mimpi,
lihatlah realiti,
dan laksanakan perubahan.
Perubahan takkan berlaku,
jika manusia tidak punya.kesedaran
*****
These few days, I’ve been worrying, cried and thought a lot over some stupid petty things, things that I know I shouldn’t be thinking too much about. Earlier this evening, I went out for a walk, and also to top up my public transport 3-months-pass. When I was on my way back to my apartment, I purposely slowed down my pace and thought about the reason why I was being as-I-described or simply, pathetic.
And then I knew, that my problem was that I wasn’t being grateful enough. A close friend of mine just lost her dear sister, another friend on Facebook just lost her father.
Oh and while I was like 100 meters away from my apartment, I saw a man. He was carrying the large blue worn-out Ikea bag on his shoulder. I don’t want to judge, but he LOOKED like the typical homeless person in Warsaw, and he was searching for something from the large garbage bin, probably things that he could sell to the recycling company.
So seeing all those situations happening around me, what more reason for me to not be grateful? I really have to learn to be more grateful. Kena lebih bersyukur!
Just remember while you have a roof over your head, clothes on your back, food on your plate, some do not.
I’m currently doing Cardio for clinics. This is the second week. I think this is the best clinics I’ve had so far.
Today, we saw a patient with a broken heart syndrome. It’s called Takotsubo cardiomyopathy a.k.a. transient apical ballooning syndrome or stress-induced cardiomyopathy.
Broken heart syndrome is a temporary heart condition brought on by stressful situations, such as the death of a loved one. People with broken heart syndrome may have sudden chest pain or think they’re having a heart attack. These broken heart syndrome symptoms may be brought on by the heart’s reaction to a surge of stress hormones. In broken heart syndrome, a part of your heart temporarily enlarges and doesn’t pump well, while the remainder of the heart functions normally or with even more forceful contractions.
Symptoms:
Broken heart syndrome symptoms can mimic a heart attack. Common symptoms include:
Chest pain
Shortness of breath
An irregular heartbeat
A generalized weakness
Causes:
The exact cause of broken heart syndrome is unclear. It’s thought that a surge of stress hormones, such as adrenaline, might temporarily damage the hearts of some people. How these hormones might hurt the heart or whether something else is responsible isn’t completely clear. A temporary constriction of the large or small arteries of the heart may play a role.
Broken heart syndrome is often preceded by an intense physical or emotional event. Some potential triggers of broken heart syndrome are:
News of an unexpected death of a loved one
A frightening medical diagnosis
Domestic abuse
Losing a lot of money
A surprise party
Having to perform publicly
Physical stressors, such as an asthma attack, infection, a car accident or major surgery
How is broken heart syndrome different from a heart attack?
Most heart attacks are caused by a complete or near complete blockage of a heart artery. This blockage is due to a blood clot forming at the site of narrowing from fatty buildup (atherosclerosis) in the wall of the artery. In broken heart syndrome, the heart arteries are not blocked, although blood flow in the arteries of the heart may be reduced.
*****
The patient was a lady, we auscultated her heart and everything was fine. The rhythm was regular, the heart rate was within normal range, the heart sounds were loud and there was no murmur. Our doctor@lecturer told us after the physical examination, that this is her third time of the same attack, and currently she was stressed due to her husband’s health.
It is important to do angiography of the coronary artery in this kind of patients to exclude myocardial infarction.
Speaking of myocardial infarction, we also saw a gentlemen after MI. He had chest pain before he went to sleep. He was awaken due to very painful chest pain. He called the ambulance and he was “lucky“ enough that he had the ventricular fibrillation while he was in the ambulance with the medical team present to defibrillate him.
According to our doctor after making stent/s in the coronary artery, the treatment for the patient includes:
anticoagulants (heparin for just one day)
anti-platelet agents (clopidogrel for 1 year & aspirin – lifelong)
beta blocker (life long)
ACE inhibitor (life long)
statins (life long)
Our doctor@lecturer from last week and this week are very nice, and really good. I used to and still think that I want to specialised in family medicine. Now I think I’m considering to be a cardiologist hahah. Ohh, and one more thing, I’m kind of interested in psychology. I don’t know