THIS IS ME..MY LIFE IS NOT SO TOUGH..EM

acrylic removable partial denture

Antara menaip dikeyboard laptop dan menulis di kertas, aku lebih suka menulis biar hanya dengan satu warna. Hitam antara putih menyerlahkan rasa. Sudah lama laman ini sepi, angkara emosi yang menjebak rasa. Aku kewalahan. Andai mahu faham, usah dibaca kerana entri aku aku tujukan buat diri yang sering terjepit antara nafsu dan iman. Antara perlu dan hendak.

Ini berkaitan dengan hidup aku sebagai pelajar tahun akhir yang masih bergelut untuk menyiapkan clinical requirement terutama cons (bridge,crown). Siang malam dalam mindaku berlegar dengan kerenah patient yang membuat hal saat-saat akhir. Ada yang tak mampu dielak, aku tidak menyalahkan mereka, Dee.

bite block untuk MMR

 Tuhan sengaja menDUGA kita, di mana keSABARan manusia.

Masih memikir-mikir untuk menyiapkan 5 kes untuk GDP aku. Membuat EnD hampir sebelas orang, namun yang compliance tak sampai 6 orang pun. Kesemuanya mempunyai kes prostho, menyita waktu dan tenagaku untuk berkejar ke lab membuat 1001 macam kerja yang menguji. 

Kes1-amat menarik. Hmm..sebenarnya setiap orang itu unik. Membuat aku lebih memahami hati seorang perokok. Bukan mudah untuk berhenti, empati lebih membantu dari hanya bersimpati.  Juga mungkin kes menarik untuk short dental arch treatment. Ermm..reportnya masih dalam pembaikan.

Kes2-ternyata merubah habit yang berakar umbi dalam diri seseorang itu tidak mudah Dee. Masakan mampu kau merubah seorang yang menjadi warga emas untuk merubah plaque score dari 100% menjadi hanya ¼. Tidak mustahil, Dee. Namun kelihatan agak sukar. Apatah lagi dia seorang yang medically compromised patient-DM, Heart problem, just undergone major surgery. Dia semacam ayah bagi aku, boleh dibawa bergurau senda.

Aku boleh bekerja dengan bahagia meski stress semasa try in kerana MMR yang sedikit berbeza  dan occlusion yang sedikit ‘lari’. 

chrome cobalt partial denture

 Aku hanya mendoakan dia mampu menunaikan Haji untuk mendoakan supaya aku jua mampu ke sana. Sedikit ayatnya yang membuat aku sayu: tak tau la sempat tak pakai gigi ni. Guraunya semasa aku meminta dia hadir untuk try in: ingatkan gigi pak cik dah tumbuh..hehe

Kes3: masih setia dengan OS, perio dan prostho Dee. Kes ini immediate denture due to perio problem. Immediate denture terutama untuk esthetic amat mencabar. Cabaran aku semasa ambil impression lagi. Kerana goyangnya dan rapuhnya sokongan, gigi asyik patah dan aku terpaksa mengulang beberapa kali mengambil final impression dan membuat dua kali MMR. MMR yang amat mencabar Dee. 

anterior crown

 Upper arch hanya punya dua gigi belakang dan dua gigi depan yang akan dicabut untuk immediate denture. Lower arch hanya punya gigi depan. Jadi, untuk melekatkan bite blok untuk MMR agak sukar, asyik tercabut sahaja. Aku bercadang untuk menambah vertical dimension dengan freeway space masih 2mm. Ini akan sedikit mengabaikan occlusion gigi depan yang masih tersisa. 

Try in untuk immediate tak banyak membantu sebenarnya. Namun disebabkan banyak gigi perlu diganti, mungkin aku hanya akan buat try in untuk posterior teeth untuk menilai occlusion. Gigi depan tak boleh try in sebab aku nak curi space untuk susun anterior teeth. Midline dia mungkin akan lari. Harapnya ok masa issue nanti.

3 unit fixed-fixed bridge

 Btw, malam-malam pun masih dengan telefon, membuat dan membatalkan temujanji dengan patient. Dental student & patient berpisah tiada..huhu.. sebab tu aku suka sangat pabila cuti menjelma. 

Kalau boleh henset nak kulempar jauh-jauh supaya tiada mesej atau panggilan berkaitan temujanji. Bukan aku membenci, tanpa patient siapalah aku. Namun sekadar mencari ruang untuk menjadi insan biasa yang kepala tak tepu berfikir, siapakah patut aku panggil untuk memenuhi requirement yang tertunggak. 

full mouth periapical x ray

 Aduhai dentistry! Patient mampu membuatkan aku menangis jua senyum..

Kes4: mak cik ni aku regard macam mak sendiri. Tambah-tambah dia ada asal usul IC 03..hehe. So, feel like home la. Alhamdulillah oral hygiene greatly improved sampai dapat excellent score tu. Macam biasa kes OS,cons,period and prostho. 

Dia tanya, sempat ke dapat gigi sebelum bulan 6, anak nak bertunang..aku jawab: insya Allah….besarnya harapan dia..harapnya Allah membantu aku memenuhi impian itu. Sekarang ni tengah tunggu socket heal after extraction of lower molar. Takes time gak la. Interesting fact, eventhough dia amek nifedipine, tiada obvious gingival enlargement noted as known as calcium channel blocker will do that. 

Kes5 dan 6-masih tertangguh. Kes5 sebab extraction belum mampu dilakukan lantaran kesibukan patient aku. Kes6 sebab aku tak mount lagi dan tak susun gigi lagi. Kes simple yang tak perlu MMR. Hu. Articulatorku sedang diguna untuk menyiapkan banyak kes. Kes lab dengan tambahan bridge dan crown, maka berkampung la aku di lab yang amat sejuk hingga ke tulang sumsum itu. Membuat duplicate cast.

ni namanya multilink untuk cement post, bridge etc

How? Pertama kali duplicate, aku masih untuk tidak merosakkan cast itu. Kali kedua, hmm..gigi depan yang amat penting untuk crown prep patah tambahan ye, vibrator tak ada, vibrate la sendiri manually. Nasib tak baik Michael Bubble menambah gundah di hati..huhu.

Kali kedua, alginate start melekat dan akhirnya cast tak mampu dipisahkan. Rupanya, aku mestilah membentuk separating media, ingatkan Vaseline, rupanya cukup hanya sekadar merendam cast selama lebih kurang 10minit. Hasilnya master cast tak rosak dan duplicate cast pun cantik..awesome..ngeh2

Ok. Untuk membuat crown,harus mengambil impression, buat wax up dan prepare dulu atas cast. Dah lulus, baru panggil untuk prep atas patient. Jauh tu perjalanan. Nak lulus wax up pun satu hal. Anyhow, mengajar erti kesabaran. Wax up ni penting untuk buat temporary crown / bridge guna protem nanti. Guna blue wax untuk wax up. 

Dee, Alhamdulillah akhirnya minggu ke7 block 3 tahun akhir yang mencabar, dengan hanya 1 visit aku mampu menyiapkan post on 11. Guna fiber post dan cement guna multilink. Variolink dah habis. Macam mana nak guna multilink?

stock tray untuk primary impression

 1-acid etch canal tu guna special brush yang boleh masuk sampai canal. Macam biasa, wash and dry

2-multibond 60sec kat fiberpost tu (potong kepala/kaki..hehe kalau terlebih) aku potong kepala sebab yang ni parallel, sama je potong mana-mana pun, kalau tapered, kena potong kepala yang terjojol, kalau potong kaki, nanti ada space hujung tu. Potong guna fine  diamond fissure bur high speed

3-mix A & B..kemudian sapu dalam canal macam bonding lepas acid etch..then light cure

4-letak multilink dekat post, jangan sampai cement tu menutupi kepala dia, setakat orifice je. Tak nak ada cement between composite dan post 

5. multilink ni self cure, tapi boleh gak light cure kejap, then remove excess guna plastic instrument dan light cure sekali lagi, pastikan takde bubble/void dalam tu

6-core with composite

Then, macam biasa restore and check occlusion. The tooth is ready for crowning. 

resin bonded bridge/RBB

Aku bajet 2 visit. Alhamdulillah, dapat siap 1 visit, tu pun 430pm baru terkial nak cement. So, esok nak cuba siapkan moalr RCT yang canal dia semacam occluded yang menyebabkan working length aku semacam bermasalah. 

Targetnya block2 lagi dah siap, mahu berbelas kali datang, tak siap-siap. Mencabar kesabaran. Kadang-kadang kesian juga dekat patient, tapi inilah dentistry. Kita merancang, tapi perancangan Tuhan mengatasi. Ada hikmah di sebalik semua itu. Mungkin aku menghadapi kesusahan menyiapkan molar RCT kerana aku sudah menyiapkan semua RCT anterior. 

Sekian..malam 1100 patah kata.

HMM

Ada orang tu tidur, tak pedulikan aku langsung.
Hmmm

SELAMAT DATANG CINTA!

Cinta itu bagai api, MARAK dan membakar diri. Menjulang semangat CITA biar menjamah jaya.

Cinta itu ANUGERAH terindah. Saat RINDU bertandang, aku penasaran. TerBIUS oleh perasaan, aku kewalahan. Alangkah cinta pabila ia berbicara, KUASAnya bukan kepalang. Aduhai diri, berTABAHlah meladeni ujian. Mujahadahlah mencari REDHA Tuhan.

BENAR, aku cintakannya. Namun bukan kerana dirinya, namun kerana agama dan IMAN yang berSEBATI dengannya. 

Dia pemuda idaman. 30 juz KEMAS terakam dalam dadanya. Pernah cuba-cuba menawarkan cinta berkias melalui orang tengah. Sayang, cinta aku kepadanya hanya cinta sesama MUSLIM. Hatiku masih belum terbuka untuk berbicara soal AKAD. Masih punya beban tanggungjawab seorang PELAJAR ijazah untuk dilunaskan. Dia ‘gentleman’. Menghormati pendirian seorang wanita sepertiku. Tidak kutahu, dalam diam rupanya dia memasang tekad, yang PERTAMA itu, biarlah yang terAKHIR.

Ini hari penyatuan sebuah cinta DEMI kerana-Nya. Kami bersatu kerana janji Allah itu pasti. Jodoh itu bukan PILIHAN, ia ialah takdir yang tersurat. Melihatnya melafaz akad, ada sebak mengepung di dada. Betapa SETIA dia memegang kemas suaraku padanya: Andai kau ketemu seseorang yang ‘serasi’ serasa seakan ‘soulmate’ janganlah pernah kaulepaskan. Kerana perempuan dalam dunia ini tak ramai yang mampu menjengah MENUMPANG DIAM di teratak hatimu.

Hari ini hari bahagia KAMI. Aku senyum menatap bicaranya saat dia menyatukan kami dalam ikatan yang SAH. Aku menyelesaikan IJAZAHku dan dia hadir meLENGKAPkan duniaku. Terima KASIH kerana setia menyemai rindu dalam diam, ISTIQAMAH dalam menyedekahkan doa setiap selepas solatmu untukku. Moga kita sama-sama membantu menuntun untuk menuju SYURGA abadi di sana.

7 THINGS YOUR MUSLIM HUSBAND WON’T TELL YOU

Ever wish you could read your husband’s mind? Western culture encourages husbands and wives to talk to each other and discuss things.

However, in many Muslim cultures, men are raised to be stoic and tight-lipped. Muslim husbands are very often (not always) reluctant to talk about certain things with their wives.

Part of the problem is also that sometimes it is hard to actually formulate our thoughts into the right words.

The only thing more difficult than translating thoughts to words is translating feelings to words.

So, a lot of Muslim men and women go through their marriages with very little communication and never really knowing what the other person is thinking.

This quick list is for the Muslim sisters in my audience. This list will give you good idea of some of the things your husband thinks about, but just doesn’t know how, or want, to tell you.

1. Above All, He Desires Your Respect

I spoke about this in my article “Love or Respect: Which Do You Prefer?”.

In this article, I explained that women want to know their husbands love them, and men want to know their wives respect them.

It’s important that Muslim women understand the value of respect for men, especially Muslim men. In Islam, men are taught from a young age that they are supposed to be the bread-winners and caretakers of their families.

You can imagine how frustrating it would be for a man, who tries his best to care for his family, to be married to a woman who doesn’t respect him. She may declare that she loves him, but without her respect, he will quickly fall out of love with her.

This idea is put forward in the Quran where Allah says:

"Men are in charge of women by what Allah has given one over the other and what they spend from their wealth. So righteous women are devoutly obedient, guarding in [the husband's] absence what Allah would have them guard." [Chapter 4, Verse 34]

2. He Desires Your Loyalty

This goes hand in hand with respect. There’s nothing that will ruin a marriage quicker than the idea that your spouse is not loyal. The idea, that he or she is not going to stick by you. I’m not talking about infidelity. 

This is what usually comes to mind when people talk about loyalty in a marriage. What I’m talking about is knowing that the person whom you’ve chosen to spend the rest of your life with is going to be there for you when you really need them.

Most men won’t admit it, but we do need women. And we do need your support.And it’s very troubling to be married to a woman who may not be around when the going gets tough.If you are constantly threatening divorce or separation or Khula (Islamic divorce initiated by the wife), you can expect your marriage to fizzle out very quickly.

Your husband needs to know that you’re going to be by his side if:

He loses his job and the money gets tight.

He tries to do something (like start a business or go back to school) but fails at it.

His reputation is tarnished or his honor is attacked.
You should be loyal to your husband before everything else except Allah and His Messenger (sallAllaahu 'alayhi wa sallam).

If you’re loyal to your husband, than rest assured he’ll be loyal to you.

3. He Wants To Have Sex More Often

Let’s get this right out into the open.Some women might think men are narrow-minded brutes for this, but it’s the truth.Men desire sex. Men really desire sex.

So when you give him the following excuses:

“I’ve got a headache.”
“I’m not feeling good.”
“Can’t it wait till the weekend? I’m really not in the mood.”

Know that your husband is going to go to sleep a little upset with you, even if he doesn’t show it.And do this often enough, he’s going to start resenting you. And that resentment will build up and may lead to him being unnecessarily mean to you or losing some love.

Please keep the following hadith in mind:
"When a man calls his wife to his bed, and she does not respond and he (the husband) spends the night angry with her, the angels curse her until morning." [Bukhari and Muslim]

Something to think about.

4. He Thinks About Other Women

Okay, first of all, calm down. Don’t unsubscribe from my mailing list just yet. Let me explain this.

All men think about other women.

It doesn’t mean he’s going to cheat on you.

It doesn’t mean he’s thinking about taking a second wife.
It doesn’t mean he’s fantasizing about another woman.

It just means that all (straight) men do, at some point in their lives, consider having another woman (i.e. wife).

You’re better off coming to terms with this and accepting it than having false, purile notions about men. The best way to combat these thoughts are to apply the advice given in the first three secrets:

Respect him.
Be loyal to him.
Give him physical love when he wants it.

Does this mean he’ll never take a second wife if you do these three things? Of course not.But it will raise your value in his mind relative to other woman and he’ll be all the more reluctant to look for those three things (respect, loyalty, and sex) elsewhere.

5. He Wants To Make You Happy

Why do you think men work so hard to make money?
Why do you think men are willing to leave their jobs and risk starting a business?

Why do you think men like buying women gifts?
Because deep down, we really just want to make you happy.

Sometimes we screw it up and forget our anniversary. But we really would prefer to remember because we know it would make you happy.

So when your husband buys you a gift, accept it, rejoice over it, thank him profusely, and use it as often as possible.

If he buys you some jewelry, wear it.
If he buys you a new smartphone, use it.
If he buys you a car, drive it.

And don’t be so quick to nag him about the things he doesn’t do right. Because then he’ll start feeling that you don’t respect (there’s that word again) the things he does do for you.

6. If You Nudge Him, He Can Be A Better Muslim

Nobody’s perfect. Perhaps your husband isn’t a Muslim scholar. Perhaps he’s not the best Muslim in the world.You can nudge him to make him better. But you can’t force him.

Do little things to get him to improve his Islam.

Offer to wake him up for Salaatul Fajr.
Encourage him to make Salaah at the Masjid.

Tell him how much nicer he’d look if he grew his beard.

This takes deliberate words, a soft touch, and careful action. No one likes to be preached to. But if you do this right, you’ll be getting a double reward:

The reward that comes with living with a righteous husband. And the reward in the next life for encouraging your husband to the truth.

"Except for those who have believed and done righteous deeds and advised each other to truth and advised each other to patience." [Chapter 103, Verse 3]

7. He Loves You, Even If He Doesn’t Always Show It

I know, this one may be kinda hard to swallow. But it’s true (usually).
Men are just not that good at showing emotion (unless we’re talking sports or politics).

We don’t tell our wives “I love you” often enough.

We’re not perfect. And constantly comparing us to Prophet Muhammad (sallAllaahu 'alayhi wa sallam) ain’t helping. 

Of course, we are supposed to emulate him (sallAllaahu 'alayhi wa sallam) as much as we can. And for most of us, we are doing the best we can.

But we just can’t treat you the same way he (sallAllaahu 'alayhi wa sallam) treated his wives. Similarly, it’s unfair for men to expect their wives to behave like Aisha (radiyAllaahu 'anhu) and his other wives (radiyAllaahu 'anhu) did.

Just because your husband doesn’t treat you in the way (you think) the Prophet (sallAllaahu 'alayhi wa sallam) treated his wives, doesn’t mean your husband doesn’t love you.

It just means he’s human.It is very important that you understand this.

If he’s doing his best to take care of you.
If he doesn’t abuse you or sleep around.
If he sincerely tries to solve your problems and helps you in the best way he can.

Then chances are he loves you. A lot.

Now move from in front of the television and go make me a sandwich.

JUST KIDDING!