Heart Problems

Some images related to general examination of cardiovascular system.

Palmar xanthomata which is a features of hyperlipidaemia.🍗🍦🍭🍔

Osler's node is rare manifestation of infective endocarditis.These are red and tender ,raised nodule.While Janeway lesion which looks alike as osler is painless and doesnt occur to vasculitis but septic microemboli. 

Splinter haemorrhage in infective endocarditis

Cyanosis

Raised JVP

Clubbing

None of the pictures are mine 😆

Sharing is caring.

Lakdhes

When Someone Hates us ,it means We're Growing.. 😏

 I finished my forensic viva and walked towards the stairs and my phone vibrated.

And I saw this message in our whatsapp group.The group consist of all the boys studying here.

Haha,read till the end.Its interesting 😆.

It saying that if you dont have talent why you stealing other people's talent.and Im sure everyone can understand the second line.The ending is a dialogue from Tamil movie-he might be premgi's fan.



I was blurred for a moment.3 days back,the same so called friend messaged me asking about his cert to my number privately but for a picture he messaged me such a way in a group consisting of many people.Fuck  human.
He said the picture was featured on Insta and I stole it.
And I checked his Insta ,the latest picture got like 14likes and he claimed 'his picture' was featured.Who give a fuck.
He asked me where I took it and I said during Rfst time which was in March 2013(I uploaded these pictures at that time and its still here in my blog)
But he said he too took at rfst but in 2014.Like what the fuck..We went there for the same shit and he even posted it later on Insta like during May 2013..So I asked him if he took mine and simply forgot and trying to blame me..haha..
The thing is, that picture is nothing.Any one can take something like that.If you're a friend,you could ask me properly and if by mistake it was his picture,I could simply ask sorry and remove it even from my blog post which dated March 2013.😒
He claimed I might screenshot it from his Insta few days back and uploaded it.Damn.When I sent the blog's link~he vanished.They didnt even like my pictures so I removed them,3 years back.And he said I removed them 3 years back to steal his picture now.~after 3 fucking years.Its like Ocean Eleven's robbery planning period and I sucks at it.-he caught me(but he wasnt even in my followers list )
Maybe his 7th senses told him .😂

Hmm..whatever it is,those words made me felt so cheap especially when a 'friend' of mine said that after a tiring viva..He's super talented I guess.That is why  he sounded  like im a piece of shit 💩  .

My friend once told me,if you could show an ugly place nicely, that is talent.I tried 😊

Soon will come out with good pictures and thanks to his nasty words in the group that day ☺ 💪

A screenshot that will make me smile after years.When someone hates us ,it means we're growing.. 😏

Lakdhes

What will be your Last Wish?

I'm a loner.I do things alone;

in my own terms.

What could be the scenario if you die in a week from now?
Well,I dont care much about it since Im not afraid of death and Im not going to die soon either.I was reading a post and suddenly felt this.




    'I wont die now'
Thats how most of us feels right..But still,you heard your phone ringing at night.When you answered ,you got the news that your cousin just met with an accident and he's no more.Your cousin might thought the same too right,but his no more.Its like you cant predict your future 😕.Recently my sister was messaging me  saying that -'we will get to gather during holidays with our kids in the future bla2'..
What if I couldnt make it till there..
Its a 50:50 probability right..Haha.Its fun,lets be prepared.😆
What shit I could miss if I die in 3 months..
All this shit started since I read this -

Major earthquake warning http://www.express.co.uk/news/science/661052/SCIENTISTS-fear-the-Big-One-is-COMING-as-four-major-earthquakes-strike-in-48-hours
 16 April 2016

The first thing crossed my mind,
1.I will miss my cousin Jagen's wedding.
2..I couldnt see my twinie get wed lock.
3.I wont be able to treat my mom and sis for a grand shopping.
4.I wont be able to see the upcoming Marvel movies.
5.I will miss my aunties.
6I will miss talking with Cyn.Thats all I can recall for now..Hmmm..What will be your last wish?

😪😪😪
Lakdhes

The Evening When Asteroid killed the Dinosaurs.

Instagram

When I was thinking back about the earthquake, I wonder what might happened that evening when asteroid  killed the dinosaurs.Pity Amargasaurus.

And like how the fuck human knows about the site etc..My thoughts wanders..

Chicxulub  is an impact crate buried underneath the Yucatán Peninsula in Mexico.The center is located near the town of Chicxulub, after which the crater is named.This is the site where the asteroid parked and ended dinasour's legacy.

The crater was discovered by Antonio Camargo and Glen Penfield, geophysicists who had been looking for petroleum in the Yucatán during the late 1970s. Penfield was initially unable to obtain evidence that the geological feature was a crater, and gave up his search. Through contact with Alan Hildebrand, Penfield somehow obtained the samples that suggested it was an impact feature. -shocked quartz .

Shocked quartz is a form of quartz that has a microscopic structure that is different from normal quartz. They formed under intense pressure (but limited temperature).




 The presence of shocked quartz proves that these craters were formed by an impact and a volcano would not generate the pressure required.So it's definitely not from volcano and thats how they proved the whole shit.


The asteroid, which had a diameter of about six miles struck the Yucatan peninsula and left a crater( Chicxulub) measuring 12 miles deep by 124 miles wide. It seems the collision wiped out about 80% of the Earth's species alive on Earth at the time.Thanx god I born in 91.😆




L@kdhes

What Shyness does to an Introvert

Today during a medical camp conducted by Mexchange sponsored by Magical Light foundation Singapore,I saw this boy.Maybe 7 or 8 years old,sitting at the corner of a bench,eyes full of questions but no guts to come forward and ask.I felt like I saw myself in him.I dont know what people term it but it's an unpleasant feeling inside and I could realized it from his restless motion.You feel like screaming,fuck you go stand behind but something in you will tell you,-its okay just leave it and stand..

You never  actually voice out for your rights.During my schools days,whenever we won any games like hockey or cricket,the next Monday I wont go to the school..Its like,I dont know why I did that ..Shy to go on stage and get the medal infront of everyone?Or what people might think about me?Look at his hair?His pants?Even if two friends talking and laughing about their boyfriend when u'r on stage and you somehow by God's grace saw it.That's it.The mind will create a whole fucking scene in your head and wondering what they smiled about?One thing you sure is,its definitely 100% about you.Peaceful sleep isnt an element at night on that day.I remember an incident which happended during  form 4 days.The teacher,I still remember her  name..Cik Mariz Liza.Nice name.She was my class teacher as well as my English teacher.So she's the one that have to handle us.So we was having 'selecting class monitor session ' and by some fucking bad luck,my friends choosed me.I told the teacher that I will be the assistant and  made her choose Jimmy as the monitor.The fear of what people will tell about your voice when you have to greet the teacher once she or he enters?I dont know.English,communication ,talking whatever shit comes with it isnt my cup of tea..and today when I see the journey I had travelled,I felt like I regret for not being myself and made fault assumption that Im an introvert.No body does actually.Its the voice that talking inside.The voice that ask you to be in your comfort zone all the time.Its like if you kill it,thats the moment when your life will start.

And Cik Maria Liza hates me.My introvertic imagination or its true?I dont know.-and I dont care about it now..You will too,soon.



LAKDHES

There is a Life after School and it's sucks!

   

Few years back It was our first day in college.What might be our mood that time?First day of college life definitely turns everyone into an enthusiast newbie.I don't remember the first day of my school life.I wonder how many might still remember their first day of school, crying and looking for their mum. Even college life was sort of that kind of feelings.The first day of college in a complete foreign soil full of barbaric humans will definitely make you realize that you still need your mum even when you're 19. It's just that we are grown now and crying on the first day of college isn't a way of adolescence- at least not infront of your new batchmates. Your story might become a dark history and you never want to listen it during your final year.Luckily we didn't.I didn't perhaps.

Enthusiasm and pseudo-thrills that we created through our imagination was remarkable.Thanks to Kollywood movies for all the beautiful college life segments.Unfortunately,at that moment I didn't know that subconscious mind can't differentiate between reality and imagination. It was a tough 'stain' that still hard to remove from our dreams; until today . The first lesson I learnt in my first class during my first day in medical school was never sit at the last bench.So, at least during lecture, I must sit infront. That was my 2 minutes mantra when I was walking from the dissection hall to the lecture hall.It wasn't that far, but it took few minutes because of the unorganized walk along the corridor by the students here.So what might happened? I only managed to get a place just three rows front away from the last bench.Things never happen as we wished, that is the universal law of expecting.

Ours wont even look this good.

When I was ready with my pen and note book, the Sir came.



 He looked unembellished, in his late 40's with a nerdy glasses, a typical lecturer straight from Satan's cave. He was one indeed. His sinister smile was his trademark .The first question he asked, 'how many foreigners are here? Raise your hand'.If you were him, you could see about 20 raised hands while all the local student's head turned towards us, scanning and counting in their heads.I noticed some of students from our group of 20 seems proud of themselves.The proud smiles were there on their faces as if they going to receive a medal .Meanwhile the remaining us looked nervous -and I'm one of them.The sir asked us to move to the middle of the lecture hall;to the stairs.We were clueless for a moment.The lecture hall was in a mourning silence .Moment next, he uttered few words and linked it to his college life.He narrated us that he studied in UK and the people there treated him bad because he was a foreigner.We were standing in the middle, holding our pen and books, listening to him with full attention. It was interesting.

In the climax, he asked us,'Why should I treat foreigners well when I was treated such a way..?' So we got the point there. His story, the lecture, even that day itself isn't interesting anymore.It wasn't our fault in the first place.I was just 3 when some Britain junkies bullied him.It wasn't his fault too.He was gifted with such an annoying face that ended up with people bullied him.He asked us to sit on the floor and follow the lecture. Some of the Malaysian girl showed 'seriously??' kind of face, while the boys just goes with the tide like an emotionless statues except this boy from Ipoh.I don't remember his name then.I only met him once and he was abnormally friendly.. He was seriously down and his facial muscles couldn't hide it.Who wouldn't actually? You wore your new fresh whitish lab coat and the reality was you have to sit on the floor..The floor that hundreds of muddy and dusty slippers just walked onto- a pair of it was mine, just replace the slipper with shoe. With his nicely ironed blue shirt and polished black shoe, it definitely wasn't a pleasant morning for him,and us..and definitely not a good start for any student..

Old yet painful.

So that is why Im going to recall some of my schooldays moments through pictures taken in 2008 in my next post.8 years passed already and it feels like a long time.Hmm.


Lakdhes
               

Hackers

Some itchy hand. 😅

Another Day to Live Hard-Largest Earthquake of my Life

The day started slow and lazy yet we went all the way to Anderkilla to design and print the banners.

Collin in action

Magical Light Foundation 

Vaccines used in Bangladesh

Skipping  all that,it was about the earthquake.Like it was the largest I have ever experienced.Basically I experienced them before in the past but the thing is ,those times,I will be too lazy to move my ass all the way down and come up again.It's like the fire alarm during school days.It rang,student gathered at the field but you will never see your school actually burning.Even a little sight of smokes will be invisible to our eyes-it never been there.That's how I felt all the time about earthquake.

Even a prawn will  cross their f*cking hands infront of me 😆

I was eating my prawn  that I cooked  with rice after many days.It's like I completely avoided carbs and my metabolism went haywire started taking and storing the fats around the hips at the same time I can see visible vessels underneath the skins.It's dry,I trained like fuck but when it comes to eating,I sucks.It means my body is thinking that it actually starving of lipids and started to store it.So I started to give it some carbohydrates so that when I cutoff the rice after a week,the lipolysis will  be better than now.

Recent study suggested  that elevated lipogenesis is not the primary cause of obesity in Psammomys obesus,an Israeli sand rats as lipogenic rate only markedly increases after obesity is already present in hyperglycemic animals.
Obesity and diabetes in these rats occur with the sequential transition of animals from normal insulin sensitivity to impaired insulin sensitivity, accompanied by increased adiposity, prior to insulin resistance and obesity, in a manner similar to susceptible human populations.So take care of your carbs intake too,not only the fats.If not you will die fast.Im sharing my story now because I didnt  die yesterday either.Means I still have some unfinished jobs on earth.😆

 It felt like the bed was moving like a slow and rapid seesaw.(that's how my six senses sensed it at that moment).This time I felt I should go down leaving the house.I never even bring my passport.All the doors was moving,all the sliding windows opened themselves and I heard people screaming ,reciting Quran and I even heard the kids started to cry when the lights went out suddenly..The sound of the strong wind from the narrow window gaps made it more scarier than any other earthquakes.It was dark but my phones was there with me to safeguard my escape to the ground~with shorts and with an unwashed hand with rice grains still on my keratin layer😐.

Earthquakes 🌋

Luckily no one was injured in that partial dark stampede.By the time I reached first floor I realized that the tremor stopped and the electricity came back from no where revealing me with with my shorts and unwashed hand .It's not only the largest but embarrassing one too. 
~here people see shorts as sexy I guess.I still remember how people looked at us when we  walked with shorts on streets during our first year.They look at you as if you're walking in underwears like the guy in Borat.

And later I learnt more about the origin of the earthquake.

Magnitude - 7.2
Region MYANMAR
Date time 2016-04-13 13:55:17.6 UTC
Location 23.12 N ; 94.89 E
Depth 131 km(BBC said 140)
Distances 177 km NW of Mandalay, Myanmar / pop: 1,208,099 / local time: 20:25:17.6 2016-04-13
75 km SE of Mawlaik, Myanmar / pop: 44,540 / local time: 20:25:17.6 2016-04-13

The shaking felt across the region including me 😆.The 6.9 magnitude quake took place at a depth of around 140km -a depth that saved many  life  perhaps.Since it happened on ground,-no tsunami 👌Hmmm..Looks like God gave me another day to live hard.💪

That evening.. ☺


Lakdhes

A day in Life

Don't feel like writing much.So let me summarize my day through pictures in a chronological order.

😊

Day started with a blessed weather.

557am.

Bunch of expired medicine.Have you ever wonder what will happen if you eat an expired medicine..😆 Do your research.Dont be lazy.If I write it here,you will forget the moment you close your chrome.So read yourself and store the info for long term.

Figure out what this picture means from my previous posts.

The best  booster I ever used.~Stanabol X Superior 14

I burnt my chicken 😐

My life at times~Just about me

Experience the sound yourself.

Sun is setting.

☺

Library 

Hospital again

Emergency ward 

Ortho ward .

N at 1217am,no electricity😧.-thanks to high speed yet cheap Grammen internet plan.Better than Malaysian telco mobile data plans.

Lakdhes

A great Evening But A Bad Dine

It was one of the most awkward day.I'm a typical introvert(I guess so).I talk very less,most of the time I wont utter any words but it will be really noisy inside my head.I went there for Collin.It was Asian University for Women's charity event.To be specific ,its a club name Women Across Borders Club of AUW's right to education -fund raising Event.When I went there,the gate was actually closed with a male guard standing at the corner.I messaged Collin and he said get the ticket and come up.Dot.😢

I just walked towards the guard and he asked -came for event?
'Yes,'I replied.
He pointed his fingers to the ticket counter while opening the smaller gate at the corner of the large gate for me.I went inside,gave my name,phone num and paid 200tk.The ticket cost 150tk.
'Do you have change,'the girl asked.
Damn,its not even 500tk note.It's just two 100tk notes and for the balance 50 tk she asked me for change.But somehow my 200tk is accepted and she gave me the change and the ticket and asked a girl to escort me to the lift.I entered.I thought she will press the floor for me and go but she followed too.
'Is this a part of your college?I was curious as my brain start to wonder.
'Yes,'she replied.Their university do actually have an elevator and it was beautiful.😕
It seems,if im not mistaken, the girls rooms are located in between  our journey to the top and for security purpose so that no one stop mid way and enter a girl's room,they escort us up to the top floor.By the time I reached,the event already enter it's 'second phase';I was that late..The event was nice ,no  bad comments and indeed all the performance made me wonder how they could did that.It was great especially the band's intro music.Well,at last the event end and before I left I met this girl.She's from Malaysia and she was one of the Maybank Scholar from Malaysia for Biomedical if Im not wrong.She came in news recently and she was one of the girl that was invited by White House and she actually gave a speech.Damn.But she looks really tiny.Collins introduced me to her by saying this is bla222..She said hi and I hi back.

'You know Lakdhes before ?,Collins asked.
'No,'she replied with a smile.
Few seconds ago I just said I knew her when Collins asked the same-during bla222
😐
Maybe I should said no too,I smiled at my self . Collins went to the stall's corner to chat with his friends.
'You 're the one who went to US right',I asked.
'Yes,'she replied with the same smile.Maybe she felt awkward too.Actually I don't know her in person too.We had few gathering before and she came few times and thats when we knew that there is a girl from our country existed in Chittagong in AUW.Marina Mahathir shared her news on her timeline and that's how I said I 'know' her earlier..

Hours later
I went market and bought things to cook.Basically work out is easy.In fact a piece of cake but diet is the fucked up thing.-especially if you're studying for exam and doing it at the same time.Sometime I wonder maybe gym isn't working out for me.I'm doing it for years and nothing great happens.My gene sucks and the satellite cells aren't actually activating my skeletal muscle I guess.Hypertrophy is not happening doesn't matter what shit I did.It's hurts when you can't get something that you really like.hmm..let me try harder.

Hmm..

Chittagong is by the sea right?Then why are the seafoods aren't fresh and expensive ?The worst,it's smell.That fish was the worse dish I ever cooked and ate recently.Even garlic,ginger and turmeric couldn't kill the smell.😭 Maybe the fisherman won't wash their ship's temporary ice storage.Awful smell and taste.

A great evening but a bad dine.

Lakdhes