What is the diagnosis… (2)?

1.       24 years old Asian male, collapsed on the street, brought to the ER with ventricular fibrillation and was successfully resuscitated. During the stay in the ER, he collapsed again. His calcium level was low and after injection of calcium, he was successfully resuscitated. During physical examination, the physician found calyces on the fist of his right hand and eroded dental enamel.

a.       What is the most probable cause of ventricular fibrillation in a young Asian man?

b.      What is the diagnosis for this patient?

c.       What causes the patient’s hypocalcemia in this case?

d.    What must the physician do?

 

2.       48 years old white male, complains of hematuria and severe pressing back pain particularly on the left. Several hours later he is crashing (BP systolic 75). Radiologist confirms that there is a mass on the left kidney, tearing the left renal artery.

a.       What is the most probable diagnosis for this patient?

b.      What is the surgical management for the patient?

c.       What are the probable complications during the operation?

d.      What must the surgeon do to improve prognosis of this patient in the operation so that he won’t get any complications?

Hihi got these ideas from that one series. I’m gonna use this for my Russian language project. I will be posting the answer in the comment part on 1^st of March 2008, and before this time, you readers are very welcomed to try answering these questions. The answers are quite simple I think

Team Medical Dragon season 2

Hihi I am now 2/3 way before finishing Team Medical Dragon 2 (TMD2) which is very inspiring. There was this one procedure mentioned in TMD2 (episode 5) that I had the chance to watch in IJN called Bentall procedure; which serves the purpose to repair and replace the calcified aortic root and ascending aorta.

The chief of cardiothoracic IJN used a tube for the Bentall procedure (to replace the ascending aorta and the aortic root) in a patient with tertiary syphilis complicated with Hepatitis B. There were a lot of people who watched the surgery at that time; among them were medical students from IMU with their teacher, an anesthesiologist.

But then, towards the ending part, the head surgeon needed to make an orifice at the tube. With all due respect to everyone, the anesthesiologist was a little confused why the surgeon made a hole there, so she asked around. Then I spoke up and said it was for the LCA (Left Coronary Artery). Then everyone (the anesthesiologist, nurses, medical students) was like “ooo…. Baru faham…”

Hihi… that was kinda my proudest moments tho… explaining little stuffs to people in the OT when I am just a mere medical student… Hihi, lucky I read up the procedure that my supervisor talked about before I went to see the operation.

Not bragging la… If bragging pun, I want to stay inspired hihihi… Good stuff that Team Medical Dragon season 2; altho it’s kinda funny all the patients who were operated on are never dead, however dreadful their diseases, and the heart-lung machine installation took only 5 minutes in TMD2 when it took half hour elsewhere.

Medical dramas and inspirations

Many medical students keep themselves inspired to be aspiring doctors by watching medical dramas. For some, they want to be hardcore surgeon like Dr. Christina Yang or neurosurgeon like McDreamy of Grey’s Anatomy, some people want to be genius diagnostician and physician like Dr. Gregory House and his team, some people want to be emergency medicine specialists like Dr. Luka Kovac and Dr. Abby Lockhart of ER, or cardiothoracic surgeons like those in Japanese Team Medical Dragon. There’s absolutely nothing wrong with that, in fact, it’s very good to refresh your inspirations.

But beware! Don’t fall for the medical drama too much. They have been portraying doctors wrongly from time to time. Firstly, how come do doctors look like models??! After working 100 hours a week plus the sleep deprivation, they should’ve looked like crap!

Have you noticed that in House MD, the physicians are the ones hang the fluid, wheel the patients for CT or MRI, read the images, do the surgery and performs autopsy? That’s because the director of House MD wanna save some bucks hiring another another 4 different medical personnels to do the job (nurses, radiologists, surgeons and pathologists). Till now I am still wondering how could Dr. Foreman perform brain biopsy when it should be done by neurosurgeons; and Dr. Chase, currently a surgeon, after years of training as primary care physician and diagnostician!

Grey’s Anatomy has too many mistakes! Same issue to save million bucks, the surgeons are the emergency doctors who attend to the emergency department, the primary care physician who make diagnoses, the radiologist who read images, the nurses to wheel patients, hang fluids and chit chat with the patient.  Surprisingly, residents can even swap cases! And Dr. Yang can choose cardiothoracic by 2^nd year of her training and neglecting other possible surgical rotations!

The truth is that doctors don’t see only ONE patient in one day. They probably see dozens or even hundreds. They do rounds, prescribe meds, do stitches, conference, lunch etc. By the end of the day, the doctor might have forgotten the name of the patients. And probably not much time to chit chat with patients about life or whatever,such as shown in the drama.

The Emergency Room ER drama series; how could paramedic (Dr. Tony Gates) and nurse (Dr. Abby Lockhart) end up being emergency doctors? Hehe, it’s easy. Quit being a paramedic and nurse, go to med school, and be doctors! ER is currently the best picture of how a hospital runs (in my opinion), altho I am really questioning the reality of ER. Is the ER really that chaotic with GSW (Gun Shot Wound) almost every day?

So, watch the series, but verify their mistakes as well. Whichever drama is better, we watch those dramas to keep our inspiration alive on what kinda doctor we want to be, and to escape the monotonous boring lives as doctors/medical students. Yep, that’s the keyword: BORING. Do not expect our lives will be as interesting and as colorful as those in medical drama series. The probably interesting thing is that you’re 40 and you are still unmarried.

Tips to enhance medical study productivity

1.  Identify and recognize your happy hours of studying. All of us has different timing when we enjoy studying the most. For some it’s fresh mornings, for some it’s lunchtime, for some it’s after midnight. Make full use of the charmed study hours and build your routine around it.

2.  Difficult things first, easy is easy. Acid-base balance sucks? Yeah learn that first! Leaving the toughies for later has proved demotivating, especially at the last minutes.

3.  Get a study partner. No one said medicine is easy.

4.  Get a white board or a stuck-on-wall notes. It makes studying irresistable and much easier with the flowcharts and stuffs.

5.  Breaks by changing of subject. The best way of taking breaks is by changing of subjects. There should be a major subject and a minor subject. For example, if you are studying ECGs, you might wanna write case reports as a “minor” for a study deviation. You can fully utilize your own time.

6.  Switch off that music/TV/computer while studying. Some people argue that it helps them study better. Sure music can help you with the boredom, but during the act of active studying and learning, all the music does is get thru your boredom instead of enhancing your memory strength. Plus, if you’re bored, you shouldn’t be studying. Take a break and listen to musics, and get back to the desk when you’re ready.

7.  Clear the mess on your study space. A minimalized, organized and clean surrounding is always inspiring.

8. Give a thought on what drives you to excel in medicine. Your principles? Personal heroes? Career goals? Little things like having favorite motivating phrases in your room can go a long way in keeping your optimism high.

[credits to DGD]

Day 11 Eurowinter 2008: Füssen and the legendary Neuschwanstein castle

This is the day I’ve been waiting so long for! The legendary King’s castle of Neuschwanstein!!! The trip from Rosenheim isn’t that easy. From Rosenheim we had to transit in mighty Munich, then transit again in some alien place called Buchloe only then in Füssen where the legendary Neuschwanstein castle is located. Neuschwanstein is pronounced like Nosh-vahn-shtein, literally translated as New Swan Stone.

And surprisingly, when Suhaili, Hatimi and I arrived in Füssen’s train station, we met other 5 Malaysians, three of them specially came from Prague and the other two are Hatimi’s friends who are studying in Germany. So we all joined together in one group.

The view of the mountains and the castles and the lake is very very superbly superbly majestic!!! We climbed up to the castle and went inside (and I couldn’t tell whether our tour guide was a dude or a chick), but unfortunately for us, no photos inside, except this model of Neuschwanstein.

While the close view of the castle is totally appreciated, we decided to climb another hill to view that legendary castle of which Disneyland’s Sleeping Beauty Castle got the inspiration! Then we got to the Marienbrücke (Bridge of Mary= Jambatan Mariam) where the view of the castle and the mountains is much more spectacular!

Then, we descended the hill and went to the Alpsee, a lake located between the valleys near the castle Neuschwanstein, which is so pretty it made my life that very day living in a perfect fairy tale! The dude behind me in the pic below has been to this place EIGHT (8) times!!! So he was our tour guide. The castle on top of the picture is Hohenschwangau (High Swan), another castle nearby.

Here are the guests who joined us from Prague.

I am so obsessed with this place I bought mousepads picturing the castle, five million fridge magnets and postcards of the castle, and the Neuschwanstein poster itself! Don’t ask me how much I spent!

The day’s trip was my very last day in Europe for this season, and very enjoyable for the 8 of us. During our long train trips back to Rosenheim, we played poker

Day 10 Eurowinter 2008: Salzburg

At first, I thought this season’s Eurotrip is only consist of 3 countries (Germany, Czech, Switzerland), but then I was tripped to go to the 4^th one: Austria. Staying overnight in Rosenheim in one of Hatimi’s friend’s apartment, Salzburg (the city in Austria) is only an hour away. Still, we used Bayern Ticket which saves me lotsa euros!

As usual, we (Suhaili, Hatimi and I) walked in Salzburg’s Old Town.

There’s nothing much to do in the small city of Salzburg, but being a castle-hunter, there is a real good castle located on top of an alpine hill (542 m), the Hohensalzburg Fortress (Literal translation of Hohensalzburg is High Salt Castle). An of course the view from top is always majestic and priceless. Ascension to the fortress is by funicular.

After descending from Hohensalzburg, went for a second to Mozart’s birthplace (Mozart Geburtshaus).

Then ate dinner in superbly expensive Nordsee, got lost in Salzburg’s village and went back to Rosenheim.

Heheh. The trip was real good. Well, if you are touring Bavaria, Salzburg should fit in your  itenerary.

Day 9 Eurowinter 2008: Munich

Nuremberg is a city located in Bavaria (German: Bayern). The rule for tourist in Bavaria; once you’re there you’ve to visit the triad of happiness. Munich, Salzburg and Füssen. And my journey starts here… 

Bought a Bayern Ticket which costs 27 euros, valid for 5 people traveling together in Bavaria with regional trains within 24 hours. With that ticket, Hatimi and I went to Munich and meet one more person named Suhaili. She’s kinda Hatimi’s girlfriend.

 

The Old Town is beautiful, but I’m kinda bored with it. From Day 1 in Prague, I came to see Old Town everyday.

 

So, on this very day we went to BMW museum. BMW Museum is the only museum with cool BMWs in the world, I think. You might wanna go here sometimes!

 

 

I won’t be typing long because my hands are really tied here downloading…

Day 8 Eurowinter 2008: Nürnberg

Woke up very early this morning (4 a.m.) and I hated every second of it. I had to wash myself before checking out, off to Zurich international airport. Flight AirBerlin from Zurich to Nuremberg is the earliest from that international airport this morning at 6.20 a.m.. Landed in Nuremberg airport by 7.15 a.m. and met Hatimi (a friend from MRSM Taiping) at the bahnhof (train station) by 7.50. Wow the system here’s so fast!! Unlike that one place where I have to wait 2 hours from getting off the plane, immigration check, baggage claim, wait for the next transport…

 

And then go to Hatimi’s apartment, living with Baus who is also from MRSM Taiping. Wow the apartment’s so huge they live 6 people! I can build my own private clinic with a consultation room, nurse’s station, and a pharmacy! Hehe, when you earn 900 euros a month and get unlimited internet, kinda worth it to have something like this… unlike that government organization who are so unknowledgeable and/or stingy in sponsoring medical students in Russia (who happen to really want to go back and serve the country anyways) for just 500/700 USD a month when those in Bombay earn 800 USD!

 

Back to Hatimi’s apartment. It’s huge. That’s it. There’s also some kinda mini-gym in the room. rested till late noon. Then went out for a walk in the old town, climbed up the castle (Nuremberg Kaiserburg), and bought myself a sweater in New Yorker (it’s kinda much cheaper here in Germany because New Yorker originates from Germany, not New York). And also today (7^th February) is Hatimi’s birthday.

 

  

Then back to the heavenly apartment to download with super fast speed with the super fast wireless connection shared amongst 6 people! I downloaded many stuffs including this Canadian Muslim sitcom Little Mosque On The Prairie (LMOTP). I watched the sitcom, it’s kinda funny and cool to watch it from a Western Muslim’s viewpoint.

 

Okay now going to bed already tomorrow heading to Munich. Only this time, Hatimi is the travel planner. And he speaks German so much better than me

Day 7 Eurowinter 2008: Luzern and the mountains

I rode a train to Luzern. Luzern is another beautiful city in Switzerland located 50 minutes away from Zurich. Chapel bridge (pic) is the landmark for Zurich. But I wanted to go to the mountains so I bought a discounted ticket to Rigi Kulm (1800 m above sea level). With the Swiss Youth Pass, I am eligible for more than 50% discount for boat trips + train trips + cable car trip back and forth Luzern and Rigi Kulm.

This reminds me of a very beautiful scenery when me and my mama took a package Norway in a Nutshell last summer. The view from top is always majestic and breathtaking! I have a thing for not-so-high hills and mountains. I hiked so many times the Bukit Larut when I was in high school MRSM Taiping. When I was in Makkah, I climbed up Jabal Thur, Jabal Nur and Jabar Rahmah. In Nizhniy also there’s a hill, but I don’t need to climb it. I am already on top of it (in front of my hostel – the Switzerland Park)

The boat stopped in Vitznau before I took the connecting train up to Rigi Kulm. It was raining but the Alpine view was priceless!

After arriving at Rigi Kulm station (1752 m), it was very windy. I rented a sledge to play, but due to the heavy snowstorm, me and the Korean guys who also rented sledges returned them. Lucky the guy in charge gave back the rental money, else I wont have money left for dinner. I was kinda disappointed up here because I thought I could see the view of Switzerland from top, but all here is pure white. I did nothing except going to the toilet, called home to tell that I’m fine at the top of alpine mountain and waited for the descending train. Probably there’s so much fun stuffs to do in summertime. Below is a picture of Weggis:

I descended the mountain by cable car from Rigi Kaltbad (1453 m) with the Korean guys. It was so steep juz like when I took the ascending train. Rigi Kaltbad offers much more spectacular view than Rigi Kulm and much better climate. Then I descended to Weggis by cable car (which was pretty fast), from which the alpine view is prettier than when I ascended. Then I cruised Lake Luzern from Weggis to the city of Luzern and took a train back to Zurich.

 

Zurich central station has a night market today (wednesday) selling lavish variety of foods. The central station is really spacious anyway, so it’s kinda good to have things like this once a week. At the hostel, I met two fellow Nizhnians who are on their way back to Nizhniy… it’s really a small small world.

The damn hostel didn’t provide free wireless so I had to go Starbucks to play internet. Drank a decaf bcoz I need to wake up early tomorrow to meet Hatimi in Nuremberg. Early morning flight at 6.20 a.m.

Day 6 Eurowinter 2008: Basel and Bern

I woke up late but I got nothing to do in Zurich. I decided to go to Basel (English pronounced Baahl) and BernThe day started with kebab. The kebab restaurant is just opposite my hostel. Kebab is a food which supplies a traveler’s nutritional needs. It has pita bread for carbo, chicken/beef for protein, salads for vitamins and fibers; and not to mention it tastes so goooood for my lovely Asian tongue.

 

I headed to Basel. Basel is a city located by the Rhine river bordering Germany, France and Switzerland (pic). Nice small city, just like the other cities in Switzerland. The elite people, elite shops, elite old town, elite chocolate shops. One can also organize your own trip in Basel. There’s a pamphlet on that available in the Basel central station. I took the Erasmus walk which is 30 minutes round the Old Town covering the main sites.

I bought Swiss chocolate (pic) in front of Basel’s city hall. There is this shop called Merkur. It is so yummy but expensive no doubt. For the futures Swiss-travelers to-be, spare A LOT OF MONEY for swiss chocolate. Yes, A LOT! Don’t buy for anyone because once tasted, you’ll always want more. You just cant get enough from swiss chocolate. They’re very endorphinic!

 

A tip for potential Swiss chocolate buyers: buy the ones which are freshly packed and mixed variety, not those which are already packed for example the famous toblerone. The feel of eating the freshly packed chocolate – you can’t get anywhere else in the world. Just like you buying fish in fish market, do you prefer fresh or packed frozen? I’m not saying toblerone is no good, but toblerone is available everywhere in the world. It’s kinda waste of money to buy toblerone in Switzerland. I am very surprised to learn that they also make chocolates for diabetics!!

They separate the alcoholic chocolate from the non-alcoholic ones.

Even while I’m writing this, I am eating the chocolates. Mmmhhh…! They melt between my fingers! Meaning those are pure swiss chocolates and my fingers have good blood circulation.

Nächste Halte: Bern (Next stop: Bern). Bern is a very charming city. Many people mistake Zurich as the capital of Switzerland, but no, it’s Bern! Those who don’t know this should be sent to Swiss Biro Tata Negara (then of course everyone will get it wrong! Who doesn’t love Switzerland?!)

Since it’s getting pretty dark, I went to see Alpines Museum which tells a lot about the famous and elegant Swiss Alps. Then, I went to Zytglogge (pics), the famous landmark for Bern. After sunset, there was like a light show at the Zytglogge. I don’t know what’s the occasion but I think it’s beautiful.

   

It got darker and I got an evening train back to Zurich for one hour journey. The Zurich-bound trains are available every half hour from Bern thanks to the very extensive and systematic train services in Switzerland!

Later at night in my hostel, I met two new people as my roommates; a Korean-Canadian guy and a Spanish guy. They both travel alone and met in Zurich; and both have traveled for 4 months! Wow!! The western system allows a person to take a year off before resuming studies in college. That’s kinda cool to hear.

The Korean-Canadian guy gave me some tips for my trip to the Alps the next day. I always wanted to go to the top of Europe (Jungfraujoch), but we’ll see! He said it was so expensive that my Swiss Youth Pass doesn’t cover all the price to the top of the mountain,  it’s -20 degrees there and I don’t think I’m prepared for that kinda climate in the currently +8 degrees in Zurich.

Day 5 Eurowinter 2008: Zurich and Schaffhausen

I arrived early in the morning in Zurich Hauptbahnhof (Zurich Central Station) at 6.20 a.m. after 13-hour long train from Prague. My accommodation is at City Backpacker Zurich, located at the center of Old Town which is not that far from the Zurich Hauptbahnhof. Unfortunately for me, after being so tired of the long journey, my bed wasn’t available until 11 a.m.

City Backpacker Zurich is the cheapest budget hostel in the center of Zurich which costs only 22 euros for one night in a dormitory. But then, it’s crappier. The building is like a cheap flathouse (which is of course expensive in a city like Zurich). Unlike the Geneva City Hostel, the Zurich one doesn’t have free wireless so I wasn’t able to update my blog for a while. And Geneva’s hostel services are so much better (selling Swiss tickets from the hostel office, bigger common rooms, locker and laundry services)

 

Before the bed is ready, I decided to take a walk in Zurich city. But first, I called home with my European simcard United Mobile and wished my 17 year old brother Farhan happy birthday on the 4^th of February 2008. Then I bought myself a Swiss Youth Pass (pic) at the price of CHF 195 (EUR 121) that allows unlimited travel within Switzerland from one end of the country till another end. Meaning I can travel from Zurich (German-speaking Northeast Switzerland) to the most west of Switzerland Geneva (French-speaking) or Lugano in the most south (Italian-speaking) and get back to Zurich on the very same day! (This thanks to the very extensive and systematic train services of Switzerland)

Zurich is the smallest metropolitan city in the world with the population 360, 000. I finished sightseeing Zurich in less than 2 hours. Most sights are located in the Old Town and my hostel is also in the Old Town, so you can do the math (pic).

After checking in I had kebab for my breakfast (or lunch) and then tour lake Zurich. With the alpine panorama, clear blue sky where the white seagulls are flying, fresh air with cool nice weather, real European architectures and sculptures on its buildings, friendly Swiss people – you can do the math.

Later, I caught a train to a countryside Schaffhausen. Schaffhausen is very famous for the Europe’s most powerful waterfall. OMG the waterfall is so beautiful!!! (pics)

 

On my way back, I stopped by at Suria, Malaysian food bistro near Schaffhausen train station. I couldn’t find a Malaysian restaurant in metropolitan Zurich, but there it is in the small town of Schaffhausen.(pic)

 

 

At night back in my hostel, there was a new Japanese guy as my roommate. He is Cairo-bound. He travels alone (most of the young travelers here travel alone!) loves Naruto more than anything else. Wahahaha! If he loves Bleach, maybe I could talk much more about that.

Day 4 Eurowinter 2008: Prague

I checked out from the UMelounu Hostel already but they still let me use the Wifi until my departure to Zurich this evening. Still here, downloading stuffs, which I couldn’t do back in Nizhniy thanks to the stupid money-sucking administration for the limited internet connection (paid by megabytes). Which part of the world does such thing besides Nizhniy?

Well, by noon am going out to cover some small place which I haven’t been yet in Prague and maybe buy some souvenirs for myself and family. People in Nizhniy won’t get any

I went up the hill in Prague by funicular (pic) and climbed a tower on top of the hill to get a pretty spectacular view of Prague. People can sit at home and watch TV, but they climb the mountains anyway. Guess who quoted that?

After that I went to a dancing building. I wasn’t dancing but the building is (pic). Then bought something for the train journey and later I embarked the Zurich-bound train. At first I got the room on the sleeping wagon all by myself, but at about 10 p.m.by the Austrian border, there was an old Swiss guy came into the room.

Day 3 Eurowinter 2008: Hradec Kralove

I missed early train to Hradec. But heh, I caught another one an hour later. Train leaves every hour to Hradec Kralove for one and half hours. Before I ran to the Prague Central Station, I had a crappy European breakfast provided by the hostel. Seriously, I think nasi lemak kerang which my mama usually buys for me is much yummier and healthier

I arrived at Hradec Kralove and Nabilah fetched me. Nabilah is my childhood friend from TTDI (altho 2 months during summer holidays every year I never met her)… Hradec is a small quiet town with population of less than 100, 000. On weekends almost all shops are closed except restaurants and TESCO. It kills me to watch a city like that… Even Nizhniy Novgorod is more happening and larger than Prague (population-wise).

As a rule, every city in Central Europe has Old Town, so does Hradec Kralove. Old Town is where people go shopping for fancy stuffs, the youngsters with the kissing, booze and cigarettes, the homeless sit around and chat with each other about life, but there were none of those in Hradec. It was dead silent! But it’s kinda nice beautiful town where people are friendlier and know each other.

My trip in Hradec includes the visit to Charles University Faculty of Medicine building and the university hospital. Hehe I love the smell of hospital… And my God, the hospital is really beautifully colourful, very clean and modern with real European arts for decorations, unlike those I saw in Nizhniy or in Kuala Lumpur. Alas, when I came visit, there were not so many patients. Either people in Hradec don’t get sick on weekends or practising medicine there really sucks! No offfense intended

Inside the hospital compound, there is a kind of superbly cool learning building for medical students. When I went inside, I was surprised by the great civilization which is nowhere to be seen from the place where I came from wahahahaha.

Then I came back to Prague at early evening (I kinda have to leave early becoz Nabilah insisted). Going around Prague’s Old Town once again because people say it’s nice at night with all the lights, but I don’t think so. With those kinda lights, I need a very good photocamera if I ever want to get good photos.

Later at night, there is a European girl complaining about pain in the lower abdominal area. When I introduced myself as medical student, she came for my opinion. I found out that she is sexually active and didn’t wash her private parts after intercourse. She probably has UTI or STD. She didn’t want to go see a doctor because the doctors here are rude according to her. I think doctors are the rudest professionals on earth, but then it’ kinda hard to explain to normal people about why doctors are like that. I advised her to see doctor and get prescription for antibiotics, but she’s kinda reluctant. She said she’ll sleep herself until the pain is gone, but if the problem worsens, she’ll see a doctor…

Well, that’s all for the boring saturday night. Tomorrow’s my big day to Zurich 13 hours train journey.

Day 2 Eurowinter 2008: Prague

The day started off badly, I hate the hangover for not having enough sleep (altho I slept all the way from Nuremberg to Prague). And had a hard time finding this damn hostel, so far from metro station… ergh! Even now, when I am using Wifi at Hostel UMelounu in Prague, I feel so damned (at least they have free internet – am downloading grey’s anatomy and bleach 158)… after this will go out buy train tickets to Zurich and Hradec Kralove (to meet Nabilah tomorrow). My bed in this hostel is not ready yet, but perhaps by noon it will. 09.46 a.m. Prague time.

Okay I got my room and I went out. Bought the tickets to Zurich and Hradec Kralove. Even tho some of the people here can’t speak English, they can speak russian, and the czech language is almost as same as russian ones! So far, not so much of language difficulties…

Then I went sightseeing. In Prague’s Old Town, I met two Malaysian students in RSMU, Joany (spelling?) and Abrar. We met in front of the clock tower. We talked a bit, and then they invited me to walk with them… Huhu! I feel lucky to have some people to be with, to help take my photos. I am so lucky; whenever I travel alone I always meet new people. Like yesterday with the French girl, last year a Danish model in Italy…

And one accident happen. Before we crossed the Charles bridge, I accidentally dropped their camera, and crashed it. I felt very guilty, but they are cool people. They could still enjoy after the accident and that cheered me up. And wefinally worked out on how to pay for the broken camera. It was a Canon Photoshop A550, and it’s not really theirs. It belongs to one of my ex-classmates in primary school in Taman Tun, who is now currently studying in RSMU…

So, O’People of Nizhniy Novgorod who want my souvenirs, you will not get any! Wahahahaha!

And yeah, I think Prague is explorable in one day. I finished important sights of Prague. I dont do museums, so saves much of my time studying ancient people and stuffs.

Okay need to go to bed…