something to share~~

"manage your energy"

by Mac Anderson

Not long ago, I had the opportunity to spend some time with best selling author John Maxwell. The conversation turned to how managing your energy can be one of the keys to leadership. John felt that leadership and energy were joined at the hip. It is impossible to have one without the other. He said that it all starts with knowing yourself, knowing your limitations, and knowing when you perform best. The key, for him, is to schedule his most crucial activities when his energy levels are at their peak. John, for example, schedules his important meetings and his writing time in the mornings when he feels the most energized. Activities of less urgency are scheduled in the afternoons.

Also, as he winds down at home in the evenings, he saves an hour or two for writing letters and for light reading. Of course, he said, a schedule doesn't always cooperate, but following this general philosophy has served him well.

For me the key to managing my energy is exercise. It almost sounds too simple to be important, however, without exercise my energy levels and my attitude "take a hit."

Lastly, protecting and replenishing your emotional energy is critical for every leader. Mira Kirshenbaum, in her book The Emotional Energy Factor, offers a refreshing, down-to-earth approach:

"First, you plug the leaks: learn to recognize what drains your energy - life situations, toxic people, or habits such as worry, indecision or guilt. Second, you identify what fills your tank - pleasure, prayer, anticipation, or fun - and give yourself more."

selamat berbuka malaysia!

selamat berbuka puasa!

sedapnya!

macam nak beli semua ja!

sangat terliur la!



nak nak jugak!

bila puasa,semua benda nak makan,itu dan ini.tapi bila dah berbuka tu,seteguk air pun dah cukup sampai makanan yang lain membazir ja.nafsu manusia,musuh paling besar!jihad akhbar~~~~

3rd residency

bersama alia yang pemalu

menarik!

menarik!

semalam belajar tentang pregnancy.menariknya ciptaan Allah.rasa nak nangis pun ada tambah-tambah dalam bulan puasa ini.sangat tersentuh hati!dr adibah tunjuk from 1 week to the next week apa yang berlaku dalam perut mak sehinggala sampai masa nak beranak.sangat comel tengok bayi dalam mother's womb.sangat-sangat tersentuh dengan ciptaan Allah,sangat unik dan sistematik.nantila kalau rajin i put the slides regarding the fetal growth dalam womb.kalau dalam perut dah comel,bila besar mesti lagi comel.betul le sebaik-baik ciptaan adalah manusia

obstructive lung disease

obstructive lung diseases(OBL)

hmmm..belum tulis tapi dah rasa susah nak terang dalam bahasa melayu,aiy0ooo

ok,berdasarkan tajuk entry,kita kena tahu dulu apa maksud OBL,dah nama pun obstruction so mesti ada kaitan dengan obstruct dekat mana-mana airway tract,tak kira la dari nose sampai la bronchiole..tapi yang ada dalam my medical book ni takde la plak obstruct dekat hidung.kalau hidung apa ek?taik hidung banyak?(kalau faten baca,mesti dia cakap,"nenex betul!")

dalam OBL,pesakit akan mengalami masalah pernafasan sebab ada airway limitation disebabkan ada obstruction.so,bila ada airway limitation,kuranglah O2 yang masuk dan CO2 yang keluar.nanti dalam badan org tu ada banyak CO2 and boleh dapat acidosis,aiyoo penyakit sudah~~selain itu,FVC might be normal and for FEV1,for sure la berkurang sebab Co2 susah nak keluar.lepas tu bila dan CO2 tak boleh keluar dari peparu,peparu dia akan besar,dari chest xray kita nampak kawasan hitam dekat lung tu besat,hyperinflated.dan bila peparu tu dah besar,pesakit akan susah nak bernafas,macam manala nak bernafas,kalau nak kembang lagi,boleh meletup peparu tu,so dia dapat chest thighness.and dia akan guna accessory muscles untuk tolong dia bernafas(my study groupmate,kita dah cover muslces ni,jangan lupa!)

selain asma,ada 2 lagi penyakit OBL

1. emphysema
2. chronic bronchitis

dua-dua penyakit ini juga dikenali sebagai chronic obstructive disease sebab dia irreversible.kalau asma dia reversible.

emphysema
emphysema berlaki disebabkan oleh dilation of the respiratory bronchioles or the alveolar duct to the end.ada dua jenis emphysema yang penting.centriacinar and panacinar.

• centriacinar

the dilatation of the lung occur at the respiratory bronchiole only and do not related with alpha 1 antitrypsin deficiency

• panacinar

dilatation occur at the alveolar duct and the alveoli,and a/w alpha 1 anttrypsin deficiency.

alpha 1 antitrypsin

• berperanan sebagai antiproteolytic.apabila seseorang itu merokok,nicotine yang dibebaskan akan meransang pengumpulan sel-sel neutrophil dan seterusnya membebaskan proteolytic enzyme yang membuatkan tissue damage dekat lung.so bila ada antitrypsin,dia boleh kurangkan aktiviti tissue damage.bila takda damage,takdela dilatation.bijak tak?

centriacinar dan panacinar memang sangat berkait rapat dengan smoking.selain membebaskan nicotine,rokok juga menyebabkan terbentuknya free radical.free radical ini akan menginactivatekan anti trypsin yang ada dan seterusnya menyebabkan tissue damage.

pure emphysema berkait rapat dengan pink puffer.kak ro cakap sebab dilation tu berlaku dekat area hujung2,gaseous exchange occur sebab tu patient hyperventilate walaupun muka dia blushing(blushing sebab banyak oxygenated blood,hyperventilate sebab nak removekan CO2 tu).

p/s: mengantukla,nanti kalau rajin,i make a new post regarding chronic bronchitis plak.

-ilmu tanpa amal,ibarat pkok tidak berbuah-