LIFE: WONDERFUL & MEANINGFUL

DeSTRESSing Activity: Cameron Highland (>,<)V

2011-09-26T00:01:00.008+08:00

After 2 postings in final year, i've found a group of posting mates that we can 'ngam & kamcheng' togather despite our differences. Circumstances had made us housemate for almost 2 weeks at Teluk Intan (during Internal Medicine) and immediately we fall in love with each other..haha. We even throw an Open House at Teluk Intan..

Ok, enough about the gushy-mushy feeling..So, we went to Cameron Highland for a 2 days and a night.I'm willing to sacrifice my Siemens 10 km run for this vacation. yeah..i need some de-Stressing activity. Cameron Highland's weather reminds me a LOT like BAndung and Jatinangor...oh how i miss dat place..hurmm. The food was superb..We go there and eat A LOT.. I hope i don't gain weight..hehe

A picture of us playing bubbles (thanks to Miss Nina Hoklai's influence) on a suspension bridge..oh ya da guys are addition to the Mag7. They are our Pak Supir+Sappam (driver+ guard in indo language)

Time tunnel museum is like a collectors display of things from before independence up till 90's. I just like the desk....

We also went to usual place at cameron like strawberry farm, bee farm,cactus valley and tea plantation. The strawberry + yougurt + honey just made my day more sweet & happy...nyum..nyum..

Fresh salad.........grrr

Boh tea plantation was superb. The road was tricky to. It was there since 1920's (some knowledge gain from the video at the museum). I just fell in love with the cafe which was built at the edge of the hill..Wish i have a villa there...haha. They fertilize the tea with aeorplane..so, u can imagine how bis is the place.

ok...so, now back to reality. After 4 hours journey.Thanks to our Pak Supir for his driving skill & effort. We went back home safely,alhamdulillah without injuries or accident. Will start surgical posting the next day...Hepato-billiary team here I come (>,<)

Misi Jubah Merah 2012: 2nd posting-Internal Medicine

2011-09-25T23:36:00.002+08:00

I've reached the end of my 2nd posting which is Internal Medicine. In 7 weeks we were devided into 3 groups and posted to HUKM, Hosp. Teluk Intan (HTI) and KL General Hospital in rotation of 2 weeks each. Every hospital has its own different approach & experience. So, a quick adaptation to the environment is important.

My experience for IM:

1. Hospital UKM (HUKM/PPUKM)
since this is our prime hospital, we were expected to be ready & be the best. So, most of us are more 'rajin' here. I went to the ward morning, evening and night....with breaks in between. We are entrust with 6- 7 patients per person and expected to know the patients condition & daily management. We are expected to help the housemans doing minor procedures. Follow the rounds and present any new case (thats why we need to come every night to cover the beds).. However, it depends on the Medical officer or specialist. Not all of them expect or wants you to present.......

2. Hospital Teluk Intan (HTI)
Shall i say it as a vacation??? haha...I might after 2 weeks of so call 'hardship' at HUKM. We are send to Perak and stays at a terrace house with given a driver to pick us up. Acceptable accomodation & service given by UKM. HTI patients and medical staff are nice...I mean VERY nice. It is obvious especially the nurses if i compare it with PPUKM nurses. They are VERY nice. Now, I've said it twice. Better not to 'mengumpat' here, coz my life will be miserable in HUKM if i wrote it down. The patients respect you and very humble. However, i do notice some language difference. They are not city people. Therefore, the words we choose must not be too formal. Not all, but most of them...

3. General Hospital (HKL)
We were send here to do Dermatology for a week and general medicine for a week. HKL is a very busy hospital. And yes, the nurses are NICE too even they have twice more patients than HUKM....(ok tak nak mengumpat disini pasal nurse HUKM).The general ward gave me a lot of experience with HIV and intravenous drugs users (IVDU) patients. In HUKM i rarely seen them. In HKL they are admitted almost everyday.There are also a lot of TB patients.

Dermatology was also intresting...Get to see various type of psoriasis, Herpes Opthalmicus and Lepramatous Leprae. Others are contact dermatitis and venous stasis..

Thats all for Internal Med....Next stop is SURGERY...The list is out. I'll be in Hepatobilliary team..wish me all da best (>,<)

Best birthday gift ever!!!

2011-09-13T20:06:00.007+08:00

For my 23rd birthday, my 1st brother bought me ticket for YUNA's concert at Dewan Filharmonik Petronas (DFP). I was soooo thrilled about it. We LOVE music and we spend our teenage life playing trios together during our free time (saxaphone,violin & piano).It turn out to be our siblings night out since both of my brothers decided to come along. SO, their job description that night was driver,photographer,chaperone & bodyguard...hehe

My brothers: Anas, Azhar(excluding Adam cause he got UPSR the next day) and me...

Why I like Yuna?? Simply because of I fall in love with her songs:
1. I can relate with the songs cause some of it related to events in my life.
2. Her music got soul in it..
3. Definitely ORIGINAL!!
4. It is different than other Malaysian artist.
5. The music just suits me..a mixture of everything I like..Just nice.The EP in US is much more better.She has improve a lot.

SO....about the concert. It was brilliant & awesome!! I sat about 10 meters from her.The whole 90 minutes gives me goosebumps.The band was wonderful too. Her music was presented 10 times nicer than the CD. And of course, i'll be biased and say her voice was PERFECT!!

I found out that the concert ticket was sold out and they make another concert the next day. But that additional concert ticket was sold out too...incredible response from her fans!

with some of Yuna's band members Effry(bass), Shafiq (2nd guitar) & Adam (keyboard)...they deserved some compliment too!!

my dream comes true....yeay!!

A 'syok sendiri' poem using some of Yuna song titles:

SHe's just a'GADIS SEMASA'
with 'GREEK GODDESS' aura
who says 'Raya oh Yeah'
and enjoys 'FIREWORK' 'AFTER MIDNIGHT'

She 'DECORATE' her lyrics with musics
they are 'RANDOM AWESOME'!!
'ROCKET' to fame,there she goes..
ain't she just a SUPER SOMETHING?

Raya & my holiday project in the kitchen (>,<)

2011-09-10T23:38:00.007+08:00

Happy Eid to muslim bloggers!!

FInally,After 4weeks of hectic life as medical student at Medical department, i get to be a mad scientist in the lab...(meaning the chef in the kitchen) haha...it was fun to try out the recipes and experiment on your own cook food.

This year i learned how to make 'ketupat daun palas'. I was suprised that they sell daun palas at Malacca. My mum told me the leave is also used by Malacca people to make desert (kueh)..We made it,Since this food rarely found in Malacca (origin from Kelantan-terengganu).

It takes me quite some time to master this triangle shape casing.

Another food i miss but hard to get in KL is Kerabu Mangga !! The kerabu mangga i found in KL does not have fish in it.Time to make one at home..yippeee

This year is the 3rd eid celebration at my new house in Malacca. This year decided to host a small feast (open house) for our neighbours and extended family around KL, Malacca & Muar. We also celebrate my 1st nephew 1 year old birthday. It was fun. Since our lawn is quite spacious the childrens love to play football and fireworks there.

Birthday boy with his cousin in his Bumblebee (A gift from Mama Tok)

Other projects are some biscuits and my very own bread pudding. Love the oven so much. I wish i can have one at college..with a set of my own kitchen..

Last but not least, I still get 'duit raya'..haha..Even 2 of my cousin (same age as me) who just started working,also gave me their very own duit raya..Oh, i just love being a student. This will be the last year.The privilage will expired & i have to started giving next year (>,<) Insyallah..Misi Jubah Merah 2012!!

Unintentional Weight loss in elderly: Should we be worried?

2011-06-23T21:04:00.006+08:00

Salam,

It my 2nd week of posting in Family Medicine & Society (FMS)....

Last week, I our weekly Clinical Pathology Conference (CPC) in UKM Medical Center was presented by FMS department. The main topic was about Isolated Unintentional Weight Loss in elderly.It is a diagnostic challenge for the doctors in primary care ( clinics/ general practitioner) since it can be either apart of aging process or pathological. The doctors cannot just simply refer to specialist.them without knowing the reason to do so.

Clinical scenario:

A 71 years old Malay lady, married with 4 children with background history of chronic illness under medication & follow up
* hyertension for 30 years
* diabetes mellitus (DM) for 6 years
* hyperlipidemia for 6 years

There was a history of stroke in 2005 (6 years ago) that was treated.
She also had peptic ulcer disease.

Current problem:
She came to primary care (klinik kesihatan) with problem of loss of appetite and loss of weight for 2 months.
No fever or sign and symptoms pf Upper respiratory tract infection (URTI) and Urinary tract infection (UTI).
She was not depressed.

On physical examination: she is pale but no other abnormalities found. There is no lymphadenopathy.

Investigation on occult blood test: negative

Ultrasound of the abdomen does not reveal any abnormality.

Management at Primary care:
* come again to the clinic in a week.
* with-hold Oral hyperglycemic agent(OHA) since she is hypoglycemic
*continue hypertensive medication
*communicate with family members: bring patient to the nearest health care center if the patient is deteriorating.

HOWEVER>>>>>>

A week later, her condition suddenly worsen and she deteriorates. She is jaundice. Immediately,she was admitted to the medical ward in the hospital..

Further investigation was done and the rults as follows:
*Low Hemoglobin level
*Occult blood test positive
*Increase CA19-9 tumor marker
*Increase Liver function test (LFT)

Final diagnosis : Periampullary carcinoma metastasis to gastric mucosa with obstructive jaundice and impending gastric outlet obstruction...

(what an unexpected complicated diagnosis??....)

Prognosis: The patient had Whipples' Procedure surgery and biliary stenting via ERCP.

click here for the Source of photo

ISOLATED UNINTENTIONAL WEIGHT LOSS IN ELDERLY
Definition: Weight loss of >5% over 6 months (as high as 15-20% in >65 years old)

It's always present with other problems (in this patient: DM, Hypertension, hyperlipidemia). However, there is NO published guideline to manage it.

SO,(in primary care context) either (1) do nothing and accept it as aging process or (2) refer patient for further investigation and management.
What may be the cause???

(1) the most fearful one : MALIGNANCY
(2) should be worried but it is treatable if manage early : NON-MALIGNANCY (60% of the cases) eg: chronic disease(ie DM), Tuberculosis infection.
(3) PSYCHIATRIC ILNESS (10-20% of weight loss) eg: depression
(4) not to worry: ANOREXIA of AGING- physiological change due to decrease smell, taste, chewing and periodontal disease.criteria: 0.1-0.2kg per year.
(5) IDIOPATHIC (25%) unknown cause...

So,
The risk factor for MALIGNANCY(cancer) are Male, increase weight loss, decrease hemoglobin, increase erythrocyte sedimentation rate(ESR), increase ALT,increase LDH
Tumor marker in not the initial investigation, but it it is useful (like in this case)

What can we do if a patient comes to you with unintentional weight loss??

(1) Full history taking
(2) physical examination
(3) investigation: Full blood count (FBC), Renal profile(RP), Liver function test (LFT), ESR/CRP, Chest X-ray, Stool occult blood test.(in there is suspicious/abnormal finding, refer the patient to respective specialist.However, if the findings are normal,observe the patient 3 months later)

Source: notes taken by writer during weekly Clinical Pathological Conference(CPC) on June 15th by Family Medicine & society (FMS) at Universiti Kebangsaan Malaysia Medical Center (UKMMC)

Sites for futher information:
(1) Evaluating and treating unintentional weight loss in Elderly patient-American Academy of Family Physician
(2) An approach to management of unintentional weight loss in elderly people-Canadian Medical Journal Association

Contact dermatitis...a suprising culprit , I've learned!

2011-06-18T08:13:00.008+08:00

Salam & Hi,

I've been to family medicine posting for just a week and there are a lot of common-everday problems I saw at the outpatient clinic. It is interesting because these problems usually does not need admission and requires simpler management.

Here I would like to share a case that is quite common due to misunderstanding and white lie given by the advertising company regarding the everyday soap for bathing or hand washing.

Clinical Scenario:

Source of picture:Wikimedia Commons

A 51 years old senior police officer came with first onset of generalised pruritus (itchiness) for a month. It is more severe at his limbs and abdominal area. It also cause him to have dry skin.

On further questioning on possible allergen contact he denied any allergy towards food,dust,aerosol, current detergent,animals etc. He did not engaged in recent outdoor activites like swimming, travelling or jungle tracking. Moreover, his occupation nature requires him to be inside an air-conditioned room. However he mentioned that he had changed his bathing soap to a antimicrobial soap recently ( I won't mention the brand here...but, it is the commonest anti-microbial being advertised nationwide)

He did seek medical help from private clinic and was given topical cream. His problem relieved by the appliance of the cream temporarily but the symptom persist afterwards.

Other medical illness: sinusitis under medication. There is no chronic illness

He does not smoke or consume alcohol.No fever, loss of appetite or weight. There is no other significance found on other history asked.

On examination of his skin : There skin looks dry with scratch marks.There is no abnormality of the skin indicting skin infection or atopy.

Discussion:
What could be the possible cause of his problem????
* from history, he is not allergic to any possible allergen
* there is no sign of infection

However, the answer is : THE ANTI-MICROBIAL BATHING SOAP!!!

Reason: Anti microbial bathing soap have strong anti microbial properties but LACK of MOISTURIZER. It may not cause problem to younger people since the skin can still produce some naturel moisturizer itself. However, in older people,it will cause dryness of skin and eventually DERMATITIS!!

* Eventhough, Malaysia have high humidity index, our skin still need some moisturizer effect!

So, plan of management:
1. Stop using 'the soap'. Choose a normal soap with good moisturizer properties.
2. Give anti-histamine (Piritone)
3, Moisturizer aqueous to be applied to dry skin
4. Steroid(Hydrocortisone) cream to be applied at the MOST itchy part.
5. Do come back if the symptom persist after a week...(it may due to other cause)

Take home message:
* Choose your hygiene care product that suitable for your skin. If there is any signs of irritation i.e ithciness do change to another product.
* anti-microbial soap is not to be used regularly in people with dry skin type and elderly.

p/s: this case is quite common in primary health care due to lack of knowledge on this kind of matter.
other cause of contact dermatitis : sun light and specific allergens(metals, jewellery...etc)

Final year at last...

2011-06-11T23:49:00.006+08:00

Salam,

I just got back from 5days 3rd Professional & Personal Development (PPD)camp and BTN at Kem Bina Negara at Ulu Sepri, Rembau. I won't comment on the place or cetain issues as we are forbidden to do that. However, i would like to share about what I learned during PPD session.

First of all PPD is the only subject that is compulsory for medical students of UKM. They are starting to implement this program in other faculties in UKM. The 3rd PPD camp is made to prepare us for House officer(HO) life.

The reality of HO life is not short and sweet. I like to quote what was told by a houseman during the video session:" You choose to be a doctor, so do not complaint". She is totally right! We were told about the reality which is not pretty at all. We have to sacrifice a lot of things: missing family functions, no sports,lack of sleep & rest etc..this will continue for 2 years.

Photo of my group members for the LDK session with our facilitator..Thank you very much for sharing your experience with us.

A few lessons learned from my fasilitator who is a professor (peadiatric):
1. BE HUMBLE
*the most dangerous thing is yourself...(EGO)..
* doctors should realize that they are only the INSTRUMENT OF GOD...
* every success they made is from god...your effort contributes to it
* every mistake you make is from yourself because you don't try hard enough to be competent.
* therefore, do not be cocky, think yourself are great because you are the healer!
* treat your parents, siblings,relatives,colleagues, friends and patients right.

2. Be HONEST!!
* do not lie to yourself or others.
* be frank and tell the truth in a nice way. Do not give political correct answer.

3. Cry for HELP!
* being a doctor is not an easy job...ventilate your problems(without mentioning names) to your trusted person (spouse,family,friends)

4. AVOID using CREDIT CARD! * don't event use credit card because you will fall into the financial trap easily.
* our pay won't make us rich but it is adequate for a secure life if we manage it wisely.

5. Treat your patients like your own mother, father and siblings...

To all my batchmates. Hopefully 256 of us will graduate next year...MISI JUBAH MERAH 2012!! Just remember:that a HERO lies in (each of) you!-from our PPD theme song(HERO by Mariah Carey)...

P/S: I was included in mass celebration for people born in June. Thank you to all. It was very special as we get to celebrate it with the whole batch (>,<)V

Travel to UK & Holland during Spring!!

2011-04-20T09:51:00.018+08:00

Alhamdulillah, I was able to fulfill my dream to travel to UK. Decision was made 4 months earlier. I manage to get a cheap ticket to Manchester (RM3200 return). Off i go to Manchester, travelling from KLIA alone and get 12 hours transit at Doha (that's why the ticket is cheap...haha). Lucky the return flight only cause me 1 hour transit. Anyway, alhamdulillah, nothing bad happen while i'm travelling alone for the first time in >2hours flight journey.Total flight journey was 14 hours...total duration of trip=15days...

Special credit to my cousins Nabila Yusoff, Azmir Hisham Ahmad and Zaid Hakim Iskandar & his fiancee' Jannah Radzif. Thank you for the good care and babysitting me while i'm there. Sorry for any inconvenience (",)

University of manchester

The Old Trafford stadium

Piccadily Train Station

at York (about 1 hour from manchester) day trip

Alton's Tower Theme Park at Staffordshire (2 hours from manchester train+bus) day trip. COooooooL rides :)

3DAYS TRIP TO EDINBURGH (colder than manchester,brilliant architecture,love the buildings,very-Harry Potter-like)

backpacking to edinburgh

The view from Edinburgh castle..

sterling castle..

Firth Forth Bridge,end of our countryside trip at edinburgh ..

3NIGHTS 2 DAYS TRIP TO HOLLAND (Brezzy & cold!!,beautiful,cute buildings,canals-a little bit like venice,full with old bicycles,I LOVE TULIPS!)

Holland trip...amsterdam city

one of the buildings at Amsterdam city

Keukenhoff Lisse,the Tulip garden..Holland

Windmill!!

Clogs revolution...

Subahannallh, i can see a lot of amazing creation of Allah
Masyaallah,a very LOVELY experience,(",)

To my juniors : 3rd year books at UKM

2011-03-21T08:12:00.009+08:00

Salam my dear Juniors TWP'08...

Congratulation in advanced for able to be back home. I am looking forward to meet you all at UKMMC.

Ok..about Year3 UKM books, you can buy it once you entered UKM. So, you can save your energy.There will be a book sale at our college by PERSIAP. They get the books from Kamal bookstore.

There are 4 postings and departments in year 3.therefore i list out the books based on that. However i recommend you to see the books first and also ask you other seniors' opinion about it.

Internal Medicine:

1. Oxford handbook of clinical medicine

2. X'press revision in short case, aids to undergraduate medicine,UM

3. sarawak emergency medicine

Surgery:

1. Browse's Introduction to the symptoms and signs of surgical disease

2. principle & practice of surgery

3. In a page surgery-just photocopy this one

4. Churchill's pocketbook of surgery

Obstetric & gynecology:

1.labour room protocol HUKM-buy this at O&G department

2.obstetric UM- original version is cheaper than photocopy version

3.gynecology UM- original version is cheaper than photocopy version

Medicine & society:

It is UNPAD version of PHOP & CHOP...so, you can photocopy the lecture notes from your UKM friends. for this posting,you will have to stay at Tanjung karang for 7 weeks.

For more info, please visit this blog created by the current final year.

http://www.medicalpblukm.blogspot.com/

Let me five you some brief sharing of experience on what happen to me fro the past 2 years.Basically, being the first batch, I don't know what to expect from my new collegues and lecturers. My self esteem is slightly low than it was in UNPAD. I was involved with a LOT of activities and had a GREAT life at UNPAD. Being in UKM, i thought i had to say GOODBYE to all the student activities i enjoyed and focus on my study alone.

haha...NOT>..it is soo not true :)

We are well accepted in the community of UKM. However, there are certain things that never will be same. Just want to say DO NOT WORRY, rest assured...insyaallah you will have a great time here. However, BEAR IN MIND...please do not carried away with the activities and neglect your studies..try not to fail any of your postings (",)

as for student activities...you can join a lot of them and gain merit for you to stay in the college. There are 3 student bodies : JAKSA (manage all about our college-KTDI), PERSIAP (all about academics, management,schedule) and AMSA.

As for me, i think the student activities here are broader...I hold a position at PERSIAP for a term(2010), i join & handle a lot of student programmes inside UKM and outside UKM.

with PERSIAP 2010 committee members..during our outing..

with my nasyeed band..CIMOLEN(Cimol+molen..you can watch our performance in utube,posted by Izmeer..

For guys who LOVE Sports..there are 4 games that you can join each year

1. Sukan antara kolej UKM (SUKEM)

2. Intervarsity Sports Game by AMSA-an inter medic school game

3. Liga Antara Tahun by PERSIAP-an inter batch game among UKM medic

4. KTDI Sports day by JAKSA-our college sports day

there are also games organized by other universities that we sometimes received by invitation.

(yeay...i join them too...FUTSAL WOMEN's team )

for those who like long distance run or marathon...u can join KTDI runners club...hehe..speaking of 5km,10km,15km,20+ run.u can personally contact me for this :) there is tasik permaisuri in front of the hospital for you to jog every sunny morning or evening. Free public aerobic every sunday. For those who likes to swim, u can go to Pusat renang cheras (also in front of HUKM).personally, i never go there because there is no womens' day..huhu.

some of the medals gained during year 3 and 4...there are 3 others not included in the photo :)

Again BEAR in MIND..do not neglect your studies. you will find a lot of distrations here..my advice to you is form a study group, makes discussions. read the gudiebook and identified the important topics. learn how to answer the exam questions. Go to the library, there are a lot of books you can borrow (5 books for 2 weeks).

verily,along with every hardship is relief
verily,along with hardship is relief
so when you finished(your occupation),devote yorself to Allah's worship
and to you lord(alone) turn (all your) intentions and hopes
verses 5-8, Al-Inshirah

That's all for now... All the best my dear Juniors :) see ya at HUKM

FUTSAL...can't get enough of it :)

2011-02-28T08:05:00.007+08:00

Yes.. that's right.. i was introduced to futsal during my 1st year at Bandung. My team was the underdog. the only game we won was when my left front teeth broke into half...haha..worth the damage. Lucky the minor recostructive procedure is covered under my medical insurance :) only tell my 2nd brother about it cause i know he won't freak out and prevent me from playing. Mama only knows about it months later..hehe

then..I stop...because the team don't want to continue anymore...lack of players..etc...

when I came back to UKM..jeng..jeng jeng..I was shock..They actually have games for girls it FUTSAL. I was Thrilled...yeay. However, my batch(year 3) don't have a team. The year 4 seniors do play and have their own team. So, I start my search...gather some friends to form a team. The seniors was very encouraging. They let us play to represent our college and university. however, the team is still new, lacking of people and skills.

Because of us, we girls get a turn to play at the only court available in the hospital (next to rumah McD). Every thursday is our day. Occasionally, we rent the futsal court at Challangerz. they have girls night discount..hehe. We usually play at night.

Our enthusiasm and chemistry started to built up.We learn the skills and tactic by ourselves and some help from the seniors and friends.Techically we don't have a coach. We only started to win...and win BIG during the 4 th game at SUKEM in 2010. We got 2nd place in UKM (if we got first we have the chance to represent UKM in MAKSUM-sukan antara universti). Then we got 3rd place during inter varsity game.

Our team had play against each other during futsal 3 by 3 match for our sport's day. My team get the 1st place. we got the big hamper :)

The last game was the BIGGEST win ever. we got GOLD...yeay!

I hope, we don't have to retire from the games in final year. we do give the opportunities to the juniors. however, there's always something that hold them from joining. Therefore,we will be GLAD to play if they can't play for any tournament this year :)

1. Sukan antara kolej UKM (SUKEM) 2009 at UKM,Bangi
2. AMSA Inter-varsity game-medical students 2009 at UKM, Bangi
3. SMMAMS' Inter-varsity game-medical students UPM 2010 at UPM Serdang.
4. Sukan antara kolej UKM (SUKEM) 2010 at UKM, Bangi
5. AMSA Intervarsity game-medical students 2010, at UKM, Bangi
6. Kolej Tun Dr Ismail (KTDI) Sports day 2011
6. Inter-medical varsity Debate & Sports 2011, at UM, Jln Pantai

Good things keeps on coming...

2011-02-28T07:52:00.002+08:00

Alhamdulillah.....

AsSalam (peace be upon you).

Sorry, for a long holiday from blogging.

Updates about me:
1. end my year 4 with psychiatry department. It was very intresting and colourful. i like my supervisor a lot.

2. I PASS my final exam...alhamdulillah...that means 2 months holiday.

3. My futsal team get to win GOLD...yeayeahh :) more about it in the next post...EXCITED ('',)

4. I'm going to UK and Amsterdam....with my cousins :) Finallly my dream comes true

5. My 2nd bro is getting married in June.my cousin is getting married in July...THREE of my Twinning UKM-UNPAD family members are getting married this year(1 of them already married)

6. I'm officially an aunt last year when my nephew was born in september. Now, more babies keeps on coming from my cousins...yeay!! can't get enough with those cute babies

Palestine, tomorrow you'll be FREE!

2011-01-02T19:54:00.009+08:00

Salam.

I celebrate new year differently this year. The date 01.01.01 brings a significant meaning for me as I participate in supporting campaign to FREE Palestine by Konsert Amal Palestine.It is our college yearly program to collect donation fro Palestine.Last year we did a run.

We are able to get Algebra, NICE and Nowseeheart performing. My team, CIMOLEN(Cimol+Molen-indonesian snacks) also makes our first performance after we won the TAlentime English speaking ZOne,alhamdulillah.

Here are some sneak peak of the event. credits to Aisyah Zakaria, Nina Hoklai and Hanim Nawawi for some pictures in here.

CIMOLEN: frm left Izmeer(solo), Mudin(solo), Syahrul(percusionnist), Hanim (percusionnist) and me(pianist)

You can view CIMOLEN performances here:

1. Open your eyes, Maher Zain http://youtu.be/JWk_tqkqYCg

2. Palestine Tomorrow will be free,Maher zain http://youtu.be/q2rR-zdlGUU

ALGEBRA..

NOWSEEHEART performing 3 songs: Damai yang hilang& KuHarap Cinta-lagu kenangan zaman sekolah rendah dulu-dulu..lagu terbaru: kerana doa

sila jangan jelous...hehe

with ALGEBRA & NICE

CIMOLEN with a fan...cewah..

InsyaAllah PAlestine will be FREE one day!! Allah never let us down, put our trust in HIM. ALlahhuakhbar(Allah is the GReatest)!!

p/s CIMOLEN next performance will be for college dinner at Putrajaya Convention Centre (PICC).We will try to perform song other than Maher Zain..hehe. Then we might enter inter college Nasyeed song in MArch. Pray for us (",)

TRIAD (ENT,OPthal,Anaesth) Posting!

2010-11-27T06:37:00.008+08:00

Salam,

Yesterday, I officially ended this three minor postings group all togather and called TRIAD posting. It was definitely tiring with so many things to catch up in such a little time. We also log book to fill in and case reports(case write up) to be made for each minor posting. Regardless all, it is indeed an intresting posting as I won't encounter it as houseman (HO) again.

We get 3 weeks for Ear, Nose & Throat (ENT) posting, 3 weeks for ophthalmology and 2 weeks for Anaesthesiology. So total duration like a major posting = 8 weeks !! oh ya, for this posting we need to have an otoscope and opthalmoscope that cost about RM600 altogather. The advantage is you can practice it at people anytime you want.

Anaesthesiology
This is the last minor posting of triad which I am most intrested on. Anaesthetist are also known as perioperative doctor. They manage patient whenever a surgery is involved and will see the patient before. during and after surgery (during recovery). The triad of anesthesiology on the effect aimed during surgery is: anesthesia (unconscious), muscle relaxant and analgesia (no pain).

In this posting, knowledge about drugs & medication is vital. We need to know the types of drug, mechanism of action, effects, indication...all the pharmacology parts. I used to dislike memorizing pharmacology. However, since the posting teaches us the relation and importance of these drugs, it makes pharmacology interesting!

Anesthetist need to be skilled in inserting needles to patient and life saving procedures. We need to do 5 intravenous cannulation at Accident & emergency(OT)within 2 weeks for this posting and see general and regional anaesthesia procedures at Operation Theater(OT). We also took Basic Life course(BLS), learn about defibrillator and type of mask use during the last week(2nd week).
Source of picture : http://mediconet.blogspot.com/2009_11_01_archive.html

Yup,maybe I want to be an anaesthetist...put people to sleep..and wake them up after the surgery..hehe :)

Ear,nose & throat (ENT)-Otolaryngology

From the name itself, you can guess which area it involves. It is the first minor posting frm TRIAD. SInce my supervisor is specialize in nose, i see a lot of cases related to nose. In this posting, we need to know how to use the otoscope to see the eardrum clearly. The most intresting thing I was able to see is the presence of Aspergillus Nigra inside the ear (looks like fungi at the bread). The doctor later clean it with the ear toilet (suction of the fungi out from the ear).

normal eardrum that can be viewed via otoscope

Source of picture :
http://www.eardoc.info/news/swimmers-ear-overview/

An ear infected with Aspergillus Niger. Diagnosis : otomycosis

Source of picture:
http://lessons4medicos.blogspot.com/2008/07/inflammation-of-ear-canal.html

Some common cases seen are allergic rhinitis. They have special clinic day called allergic clinic. Another intresting thing to see is the needle prick test. There will be about 20 antigens of common triggers of allergic like dust mite, prawn an nuts that will be tested. The staff will make a small pricked on the patient's forearm(palmar side) with a blunt pin without bleeding. It is painless. Although, it may cause anxiety to certain people...hehe

Ophtahlmology
Your eyes do not see what your mind does not know!! It is all about eyes and everything related to it. So, the basic science of eyes needed to be revised. I am amzed to know that we can suspect a systemic disease by looking at the eyes. The eyes will effected in most systemic disease know especially diabetes mellitus. We have to learn to use opthalmoscope to see the retina (an area further behind, inside your eyeball) with the help of pupil dilator. We need to draw 20 significant findings of retinal disorder in our log book that needed doctor's sign.

It needs a lot of practice to get the skill of using a direct opthalmoscope. It can be tiring to us as we need to strain our eyes to see the area of retina and find if there's anye significant finding.

However, regardless all, i like the picture of retina..its' beautiful (subahanallah!)

Source of picture:
http://faculty.washington.edu/alexbert/MEDEX/Fall/HEENT_PE_Obj.htm

Next posting will be PSYCHIATRY(my LAST posting for year 4) and then I'll be a FINAL YEAR student after the final exam... (",)

Sexually Healthy Youths!

2010-11-21T23:08:00.006+08:00

Salam,

What happen if you talk about sexuality issues?? Variety of respond will come out.The respond will range from openly discuss about it to stigmatized the topic and refuse to discuss it. It is not only about sex.It is about the relationship between men and women,XY with XX,mars & venus (you get the picture).

Islam is syumul(complete) that have guidelines in sexuality issues and on how we should behave among different genders. A sexually healty youth should feel safe with those who are known to be safe.

from An-Nur (24:30-31)
Tell the believing men to lower their gaze and be modest. That is purer for them. Lo! Allah is aware of what they do. (30)
And tell the believing women to lower their gaze and be modest, and to display of their adornment only that which is apparent, and to draw their veils over their bosoms, and not to reveal their adornment save to their own husbands or fathers or husbands' fathers, or their sons or their husbands' sons, or their brothers or their brothers' sons or sisters' sons, or their women, or their slaves, or male attendants who lack vigour, or children who know naught of women's nakedness. And let them not stamp their feet so as to reveal what they hide of their adornment. And turn unto Allah together, O believers, in order that ye may succeed. (31)

Who are the one who are known to be safe?? They are those who obeys these to verses in Al-Quran.. men who protect his and the womens' modesty..women who protects her modesty and cover her aurat (body)..Its all there in AL-quran the book of guidence for Muslims.

According to Mary Buxton,a certified sex therapist, A sexually healthy teen are those who appreciates their BODIES (even a non-muslim agrees on this). Appreciating your body in Islam is covering our body and also keep our modesty.

Sexually healthy teens are:

* those who take RESPONSIBILITY for their own BEHAVIOURS
-so,please be wise in any decision and do not blame others on your action because you are the one who is responsible for your own choice.
* COMMUNICATE effective and respectfully
-learn to say NO,protect and prevent yourself from being used.
* express love and intimacy in a way that is appropriate to their AGE
-choose SAVE sex instead of safe sex...SAVE it for the only one who already commit to you (husband/wife). Say NO to pre-marital sex!

remember this from An-Nur,24: 26...
Vile women are for vile men, and vile men for vile women. Good women are for good men, and good men for good women; such are innocent of that which people say: For them is pardon and a bountiful provision. (26)

Another issue related to medical profession...

you are a muslim doctor at a general private clinic. One day a Muslim colleage girl came and admit to you that she is sexually active and need you to prescribe her contraception pill. What will you do?

Some may say, I am a muslim doctor.so, I am against this behaviour and I want to refer her to a colleague who agrees to do it.

However...what if she neglects it and take some other harmful medication or methods for her contraception needs? Who will be responsible if anything goes wrong?

The best thing to do is...

First, make a good rapport with her. Explain the consequences and advice her to get back to the right path. After that, give her the contraception as ethically it may prevent harm and provide beneficience to the patient. Pray that one day she will realize her mistakes and seek forgiveness form HIM (taubah)

Note: This issue was dicussed by Prof Harlina during her talk on Let's become sexually healthy youths! I just share what I got from her intresting talk.May it benefit me and you..Ameen :)

Revised topic:Muslim Government Doctors Criteria

2010-11-04T20:39:00.002+08:00

Salam...this is an entry written by a friend (also my batch mate) as a feedback on Malaysian GOvernment Doctors Criteria. It is something we all medical students should read and think of!!

1. There is life outside medicine. Who said so you can't have life outside medicine. That's ridiculous. Think! There is doctor who is married with doctor in the same hospital. Also, there is doctor who is dating with staff in the hospital, including nurses! Well, that's what I call dating. Sport? Walking, running in the hospital isn't that call sport? Don't be "closed-minded" Think! There is doctor who joins the Fitness First. Clubbing? A muslim should avoid this. You know that. Think! Can't do chores for your parents? Of course you can’t if you are not living with them in the same house. But wait, praying Dua’ for your parents isn’t that one’s must do? That’s one simple chore you can do for your parents. Think! Even, there are doctors who become a member of NGO of Islamic Society eg. IKRAM, KARISMA, JIM, others as to dakwah. Think! The is life outside medicine. It’s just you who make your life in such a cocoon. Think!

2. When you are in the working profession, you earn your own money. You have your own life. Still living with parents under one roof and being pampered by them? Of course not. And of course you can, if you want to. Well, not only doctors who are not living with their parents! Don't you think so? Think! Move out of the house ASAP because your parents wouldn’t understand your job? Please don’t follow this advice. Don’t run away from your parents. They wouldn’t understand your job? They’ve raised you up until you are able to stand on your own feet. They know you. They will know. They never come to hospital watching how a doctor working? I bet your mom had admitted to any Gynecology ward before this. Think!

3. Bila jodoh dah sampai seru dan berkemampuan, berkahwinlah. Sememangnya fitrah manusia ingin saling mencintai dan dikasihi. No need to wait until you have complete for the Govt compulsory services. There is medical student who married during study. There is houseman who married her registra. Think! There is life outside medicine.

4. Get baby as soon as possible after getting married. Well, depend on your luck. Rezeki Allah bg lain-lain. Fikir balik. Apekah tujuan berkahwin? Tak mau anak? Panjangkanlah zuriatmu yang baik-baik sementara nyawa masih ada. Think!

5. Follow the work protocols in your hospital. That what keeps you safe. Think!

6. 36 hours working non stop? Trust me, you can sleep in between. Yes, I’ve seen doctors doing it. Are you really sure non stop? Muslim has break for prayers. Isn’t that enough? How many doctors have died because of this? None. Think! Everybody can do it. Allah akan bagi ujian yang hanye setimpal dengan kemampuanmu.

7. Don’t drive if you know that you are drowsy or disoriented. Don’t be stupid. Get a taxi. Be smart, be safe. Think!

8. Coffee contain caffeine, and some how it can cause tolerance. If you are a coffee lover, of course you need constant supply of it. For coffee hater like me, better to avoid it. Find a better way to keep you fresh. Think!

9. Managing stress is very important. I’m sure you have had experienced any stressful event in your life. But yet, you managed to get over it. How? Nicotine patch? Definitely not. You are doctor. Don’t abuse drug. That’s why you learn psychiatry aren’t you? Think!

10. Don’t get over influenced by the media. That’s are all movies to be watched by the people all over the world. Of course the story line are all made up and making its much interesting. Don’t you think so? Do you think that the doctors’ life in the movies (House, Scrubs, Grey Anatomy) resembles its own doctors’ life in its country? Do you think so? Think! Do you think that you can get better life in other hospital than in Malaysia? How better is better? Think!

11. There are doctors who have gardens at their houses. Yes, they have maid. So?

12. Try to walk around with houseman in the hospital during your practical year. Don’t forget to smell them. Do they smelly? Never in my experience! They have time to take a break, and have bath. Think!

13. Fasting. Islam has trained you to stay empty stomach, right? Sacrificing yourself to save someone’s life isn’t that beautiful? Think!

14. Doctors do deserve MCs. Who says so that they’re not deserve to get one?! Remember, we are all human being and human gets sick when they get sick. Don’t you think so? Nobody is perfect. My supervisor had MC because she had sore throat. What?! Sore throat? Think!

15. Scolding, destructive criticism, racial bias, finger pointing from your supervisors are nothing. I am very sure you have trained to become resistant with all of these negative tortures during your practical years. Think! Why they do that? They love you. They want to make you a better doctor. They don’t want you to make mistakes. This profession involving lives. This is not a playground. Think! You want being pampered by them? Being nicely treated by them? This is not kindergarten anymore. Think! I love being scolded. That what keeps me moving on.

16. You think your life will be just confined to the hospital only? How many doctors having fun with families, travelling around the world, win noble prizes, etc, etc, etc………..? Think!

Never regret of what you are doing now, Medical Students…
Isn’t this your school-age AMBITION?Yer cikgu, saye nak jadi dokter. Saye nak bantu orang sakit.
Wasn’t that your kiddy answer?
Yes, you wanted to be here. Yes you are.Think! Think back.

Its not easy to get you here. Yes, here. How many years had you struggled to get you in this profession. You are now half-step distance to become a doctor. Never turn back.

I do believe that my life has been planned by Allah. Why am I here? Because Allah had planned for me to be here. Ouh, I need to find the hikmah behinds these. Allah knows what is the best for His servants.

Never let negative thought under estimate yourself, your capability. If other doctors who can do it, why not you? WHY NOT YOU? Of course there is NO SHORTCUT to be one. A consultant. You think it is easy to become one? They also had struggled through tough years to be one. Yes.

Every king was once a weak baby, and every awesome building was once just a drawing on a piece of paper. And you? THINK!

Jadi dokter, satu pekerjaan yang mulia. Yes, doctors playing God. But yet, everything happen dengan IzinNya. Saving lives, isn’t that mulia? Imagine you save someone’s life or making someone to have a better quality of life. And that person able to beribadat and do good things because you’ve helped that person. Don’t you think “saham pahala” gets to you? Allah knows.
What other profession yang the customer really trust the person? None can beat doctor profession. So, use this opportunity to dakwah as well.
THINK PLEASE!

Positive mind set will definitely deliver Positive attitude!

written by Muhd Izmeer

Dare to DREAM!!

2010-10-19T20:25:00.009+08:00

Salam(peace be upon you),

WARNING:this entry is quite self centered cause i'm talking bout my achievements..hehe :)

October is the month of some of my dreams comes true. It all does not come easily. Practise makes perfect.I did encountered some failures in achieving them.Therefore, when I practise,spend some time & money in preparing myself for it. I was dare to DREAM.

However, the road is not easy and I never thought that god will answers my prayer so soon in giving everything in a month...alhmdulillah(praise Allah).

My dreams that are fulflilled:

1. PAss my Paediatric & Orthopaedic posting (core posting that people can easily get flunk). so far never fail any posting yet even though i'm busy with college activities & student societies..God forbid any of this from happening..Amin :)

2. Get 2nd for Futsal in inter-collage sports game at UKM (SUKEM 2010)-we are competing other non medical colleage in our Universiti Kebangsaan Malaysia so far our team never win any game.our greatest achievement was a tie..hehe.On that day we only loss to the winning team.My 'udang terbakar' (burned face) was worth it after all-still have it after 2 weeks. We played 5 games straight that day.

As the Captain, I can never do this alone.Thanks to the dedicated people in the team-Temoh, Farah, Fatin,Farhana,Christina,Afifah & Hanim for the constant practise this year...even during puasa :) also Nana and friends as our additional help! It all started last year but the team expanded middle of this year. Thanks to my futsal ball that become the pacemaker of our team..Just before SUKEM, my futsal shoes came along,and it is PINK!-the only thing I bought for raya :)

3. Get to sing and perform duet piano-guitar at my college during Hari Siswi :) last performance was last year..Me & Farah performed togather last year during our college dinner but we did not sing. This time we sing and we only practise togather the night before and the performance turn out to be just nice as everyone like it :)

4. Able to finish 10km run at get the finishing medal at UPM Wave Run 2010-This is my second attempt on 10km run. My first one was at Putrajaya.unable to get the finishing medal & was quite sad about it(maybe will try again next year). This time I am quite prepared. Thanks to Nadiah my runner buddy for the training togather, Mr KC Lee a.k.a coach for the guide and 'Nike+ band'..not feeling guilty to buy it coz I get it less 50%..hehe

(an insult to Mizuno because regardless the runner tee, I'm wearning Nike+band & Nike shoe with Addidas pants)SORRY!!

I was DARE to DREAM! and NOW i BELIEVE anything is POSSIBLE..insyallah(with Allah's will). Just need to believe and work on it.. everthing starts with the WILL to DO IT!

p/s it is normal to get down sometimes. I do feel it to. Just need to find the way to get your spirit up. What happen this month do lift up my spirit...however you never know what the future holds. May my spirit always lift up high (",)

Dealing with cute beings..

2010-08-29T18:09:00.005+08:00

Salam..

Hi. Finally I can relax a bit as my study week just started. The term ends with Paediatric posting. It's not just dealing with cute beings(children). We have to win their hearts and modified certain techniques in dealing with our small patients.

During this posting, i am officially an aunt as my nephew was born on August 18th...new member of the family : Umar Khalish (haven't meet him in person yet..busy playing with other children in Paediatric posting..huhu)

I was susprised that i am more mentally exhausted for this posting (I rather be exhausted due to physical stress).I was quite depressed towards the end of it as I had to faced the small practical exam called short-case and also other factors that is to private to be mentioned here. Its funny cause I think, I am more stress in this posting compared to Obs& Gyne. Lucky, it happen in Ramadhan,where we will find back the ease of mind during this holy month.

The most enjoyable part of this posting is playing with the small children and determine their age based on their performance. We call it Developmental Assessment! So, now i have the skill of guessing the age of small kids..yeay! We also have to be competent in neonatal screening where we check any abnormalities in babies less than 24 hour of life. Now i can hold babies less than one day without fear of breaking their delicate bodies.

Doctors in paediatrics are considered as those who wants to produce a perfect & safe doctors out of the students. Their intention is good! The process of making us realizing how we should work hard is quite eye-opening. Medicine is not just memorizing..it is more to understanding!

In paediatric, we have to understand the impact of the problem towards the social factor of the child. I encounter a lot of patinents under 'Orang Kurang Upaya' (OKU) and go to special class. It's a bonus for me as I did my elective posting there last semester.Moreover, the effect towards the family economical status is tremendous in chronically ill patients. Belive me, medical treatment& management is not cheap!

I also also discover that even a few months old child can have a lots of problem more or equal to patients we see in the adult medical ward. It is intresting to see how critically ill babies were managed with my posting at neonatal intensive care unit (NICU). Paediatrics and obstetric & gynecology(O&G) are siblings. I understand more about the hazards and risk for the babies that can effect their future. We are exposed to so many hazards and yet we are able to be normal...hehe.

Wasalam.

Our beloved teacher..

2010-08-09T00:21:00.007+08:00

Salam,

Wow, Paediatric posting does have its impact on me. I have 'puasa' from updating my blog for a month. And yes Ramadhan is coming up starting 11/8..but that won't keep me from having small jogs by tasik in the evening or futsal next to rumah Mc D every Thursday(strictly..the court is ours on Thrursday.no men are allowed.sorry to disapointed you guys last week.hehe)

With PERSIAP 2010 COmmittee..goodbye MU..welcome Arsenal

No one can replace his dedication towards us the students. Not all teachers are the same. Some are garang(stirct..and even give you palpitation), some are very friendly(making you smile up to your ear) and there's even certain lecturers are sarcastic (making you Insaf for a certain period). There's even lecturer who ignores you that you have to make certain effort for them to aknowledge you (if you are proactive enough).

All the differences colors up our life as astudent. I could not agree more with Prof Norzi, another respectable lecturer from O&G. The diversity makes life intresting and NOT BORING. Therefore,its up to us students to take it positively or negatively.

I'm glad to know that if you did something wrong, all the anger and dissapointment won't be remembered(unless it is significant). So, its ok to make mistake, but improve not to make it next time. Don't make the bad scene affects you so much causing you traumatized when you see the lecturer.

From a story by one of our lecturer(cannot tell who),it happened to one of our senior during professional exam(for final years). She was sooo traumatized by this one lecturer causing her to faint during the exam..the power of FOBIA..hehe

Buddies United at Prof's house

Personal birthday gift..sorry for the 'bunyi sumbang'..haven't play my 2nd instrument for quite sometime..

So, lecturers. I am glad for your help and touched by your dedication. To Prof Madya Shahrir Mohammad: Thank you for everything. Happy Belated Birthday! Glad we did suprised you with the help of your beloved wife & daughters :) I'm glad to be apart of the 5th year suprised party plan

Wslm.

P/s : Glad that Prof 'tak jadi' transfer to USIM totally :)

Passion for sports :)

2010-06-30T19:04:00.007+08:00

Salam,

It's already a year since I lft Bandung. Overthere,i have a routine of spending my evenings or weekend morning doing aerobic, light jog or swimming. Among of those three, I usually go for aerobic the most since the gym is just 15 minutes walk from where I stayed. I even entered the competition twice and attended the gym instructor's parties a few times for birthdays and her engagement. Through sports, I make friends with the local peoples(ibu-ibu), including students from other faculties.

When I came back to Malaysia, I have to find something to substitute my evening aerobics. The hospital is a very strategic place since the swimming pool and stadium is just in front of it. However, no ladies' day for the pool which keeping me from going...huhu. Another alternative is jogging by Taman tasik Permaisuri which something I can do alone when no one can accompany me.

I am not new in jogging. I did jogging since high school.However, I never consider it as something I enjoy the most(especially when u do it alone) until I enter the competition which I upgrade myself as a long distance runner. It feels good when you are able to finish the race. It is definitely a bonus when you are better than others. The next aim is 12.3km run..

It started about a year ago which i only manage to jog half round of the tasik and then gradually upgrading myself until I was able to finish 3 rounds straight without stopping. Later, I entered a 7km run organized by my fellow friends which open for public . I did training twice for it and manage to get 4th place in 43 minutes duration without injuries and to my suprise no tremendous exhaustion. I puasa sunat the next day and did my normal run on the other day. Therefore, i am eager for another run. I guess, I am now infected with running. :) Thus, i bought the Nike shoes specifically for long distance running at a bargain price.

Actually I was aiming for a futsal shoes for a long time. However, after a few considerations, I choose running shoes. Finally, we girls get one day (Thursday) for us to use the court at our 'kolej kediaman'. Thanks to our Jawatankuasa Kolej (JAKSA).However, I wonder will it last? This is because, not many girls are ehtusiastic enough to come down and play. Sooner or later, the guys will claim back the day..huhu.

Sports unites people no matter who they are and brings us closer :)

Wasalam (",)

6 June??

2010-06-06T20:30:00.003+08:00

Salam,

Why the date is significant to me??

Its my date of birth! I am officially 22 years old today. Alhamdulillah..Hmm,,Getting older I should be more wiser right?

HAPPY BIRTHDAY!

Thank you for the wishes and prayers that everyone send me via SMS & FB. I was suprised to received 99 new notification after restraining myself from using it from saturday morning till tonight since I'm busy with my cousin's wedding preparation.

Today is the 5th cousin's wedding that I shared the wedding cake with my the newly weds..haha..Thats the truth of 6th June. You can see a lot of people getting married on date. The school holidays usually fall on that day. YDP Agong's birthday also sometimes choosen to be on that date (this year on 5th of June). Some mother even choose to do cesearian section on this date (its a true story I learned from my friend).

Maybe the number is nice to certain people 06..06..?? this date does not signifies any celebration, yet people like to choose it for a wedding date. maybe because it will ususally fall on school holiday.My birthdate falls on 1988.thereore my birthdate is 06.06.88..nice number eh??

As for me..happy getting older..huhu.It's ok..I will be 'Young at heart' as always :).Hopefully I will 'amanah' in what Allah give me to live this life as servant and to serve others.May success be mine and happy life awaits me in future. AMin..
Wasalam

p/s : my only little brother will 'sunat'(circumcision) tomorrow (on 7/6). Therefor, my bodyguard number will increase to 3 now :) ..people says that boys will shoot up and gets taller after cirumcision.Is there any proof?He is excited to get taller than me..(yeah,I agree i'm quite small) 'kecik-kecik cili padi' (",)

Extra lesson at Operation Theater (OT)

2010-05-31T15:00:00.016+08:00

Salam,

Entering Operation Theater(OT) room is our routine in certain postings. I had this experience in previous postings ( Surgery and O&G). However, today it is quite different with the rest of my experiences in OT room. We received tazkirah, philosopy insight and teaching by Mr Halim, an Ortho-Paediatric specialist of UKMMC. We cover a lot of topics today and as adult self directed learner, we had to revise Apley's(our ortho book) to learn more rather than spoon feed by our lecturers.

Extra things we learn besides orthopaedic are :

1. We get to use to mp3 player playing music in OT room to make working environment less intense. Sometimes they even put al-Quran recital which make the surrounding calm & soothing. I even encounter an OT room where the registrar from middle east recite alquran that he bought during a sugery of a muslim man during my surgical posting.

Mr Halim inform us that its better to play Al-Quran recital than other songs. It makes people talk less inside the OT (to respect the recital) and less tense. Besides, we don't frequently recite al-Quran therefore, why not we listen more.

2. He did mention about prayers that doctors usually always try to fullfill during their busy day. Never leave your prayers,he said.DUring Friday prayers, he advise us the girls to help the Muslim male doctors in covering them during the prayers. It is a win-win situation coz they have to cover female doctors during maternal leave. Have to agree with that!

3. It is also important for us students to be change our attitude and become adult learner. We all are given the freedom of choice in choosing how we want to learn and become the doctor who saves people. It is quite related to a forum done just a few days ago for our juniors during their orientation before entering clinical world.

Malaysian education system is so used to spoon-feeding in giving education since kindergaten and suddenly, during university they want us to be matured with self-directed learning. The adjustment have to be made and the mind set have to change into a better insight. We are already adults and given the freedom of choice on how to learn without being told. We have to be proactive in the sense of seeking knowledge.

We cannot wait the lecturers to give silver spoon-feeding or attach a ryles tube to channel the knowledge to us. Knowledge is at the tips of your finger. There are internet to be the source of knowledge if books is a burden for you. There are friends that we can form a group and study togather for better understanding.

4. Never talk or give information about something you are not sure. Rather say that you don't know rather than not sure about what you trying to convey. People tends to hold to what we say. For example when we give the possible diagnosis to a patient saying that the patient might has cancer but it can be possible an infection. The patient will prefer to hold to the better progosis one which is cancer as the diagnosis. We are humans. We do prefer the good things rather than the bad one. So, we might give them false hope(s)!

5. Our priority is as a STUDENT! Do not involve with things that can jeoparadise your study and future. Be a student who do his/her part as a student-study adequately and follow the flow. Adjustment to the situation is important!

Actually this is his comment on some issues faced by our medical students' society,PERSIAP(we are a NATURAL organization!!) being the blacksheep of the university family due to student's & university political issues..He gave his point of views base on his exprience as student leader during his time. From his concern of PERSIAP, I think he was probably one of PERSIAP committee...hehe

We have to seek knowledge, don't wait for it to come!

Tips in becoming surgeon...you have to have:

Eyes like an eagle,Heart like a lion, Hands like a lady,

Wasalam.

A Sunshine award to fellow bloggers (",)

2010-05-29T13:33:00.008+08:00

Salam,

"The Sunshine Award is awarded to bloggers whose positivity and creativity inspire others in the blogging world."

This is something nice to do to other people telling how much I appreciate their blog. I was actually given the same award by a Twinning UKM-UNPAD junior(Asmayanti) I met less than an hour during her orientation at UKMMC before going to Bandung in 2009. Giving is rewarding :)

This is what she write about me:

7. LIFE: WONDERFUL AND MEANINGFUL. A blog of Kak Aishah. My super senior, the first generation of TWP UKM-UNPAD. First met her at PPUKM during the registration. A cheerful and cute girl I must say. Love to read her entries about experiences in clicinal year. Thanks akak, you make it sound so fun! Do accept this award from me. :)

I would like to award a few of my blogger friends that most of them I know outside the blogger life. This is not ordinal and hopefully it does makes your life shine as bright as the sun and motivates you to write more (",)

1. aku yang sedang belajar by Madziani aka Ani, my TWP UKM-UNPAD friend and my ex study group mate at UNPAD who always love to write intresting stories about her life. Some may sound sad but at the end you'll find the intresting part of it. Likes to write sajak.

2. Secebis kehidupan by Nur Hanisah, my TWP UKM-UNPAD friend and also my ex study group mate at UNPAD who like to share info about medical,life and some motivation. Like to write sajak too!

3.Coffee-Talk by Lutfi Fadil, my TWP UKM-UNPAD junior(responsible in persuading him to take this program),ex-KMPK 2005/2006 mate(even though i when there for 1 half month)and my friend who never skip his coffee drink since school. Also coffee fanatic & addict(u can relate that to his blog title)haha.Anyway,his writing is intresting that makes you open your eyes and think. Maybe its the effect from the coffee..yeke?? Nice insight too!!

4. A little reminder by Jazli Aziz, my high-school (SMKBB) friend now a final year at UIA Kuantan that likes to write about Islamic views on various things that we youngsters ought to know. He had nice point of views and intresting topic on his post.

5. Ini Amad Pesan by Ahmad Fahmi aka Dr Amad, my batch mate at UNPAD Bandung who likes to share his views on a lot of matters relate to Islam that I consider as my online usrah..Always love the input that also fills with colors. Nice to read eventhough its long.Like to see intresting pictures inside it too!

6. Ana Solehah by Kak Aimi, my senior at UNPAD Bandung who like to write short(less wordy) but meaningful stories about her clinical life at UNPAD Bandung.It gives me some idea about how our seniors encounter clinical years (KOAS) at Bandung since I do my clinical at UKMMC. Anyway, I like her thoughts & pint of view of thins she sees in life.Thanks kak (",)

7. Penjejak FIhyatul Kahfi by Ahmad Zulfahmi, my batch mate at UNPAD Bandung and also my ex-bos when I was Exco of Student society at Bandung.He likes to share some ideas on things happening around us and also his life that have relation to Islamic views on it. Like his insight on his stories.Another online Usrah..hehe

8.Ain Musa by Ain Musa,my batch mate at UKM Malaysia. She is pettite',cute and funny. I will always find her post to be funny and cute. The writing is very creative and this girl really have the talent to make people laugh by reading her entries..keep it up girl (",)

9.Fadhli16288 by Mohd Fadhli, my UKM Malaysia senior, 'cikgu' and friend who helps me fit in into academic system and organisation field in UKM. He was the YDP of our Medical students' society and writes mostly about his opinion on our medical students' society, UKMMC, his life and also some public issues. Suprisingly i found it informative..hehe.

10.Dr Radzi's weblog by Radzi, my batch mate at UNPAD Bandung who likes to write about life and Islam..Indeed another online usrah!! He likes to share his opinions on things happens in life that we can reflect to ourselves and try to be better.

11. Hikmah Kembara by Nur Faiz, a blogger friend from Mut'ah, Jordan.She likes to fills her blog with 'pantun' that I found intresting and creative.

12. Medical PBL UKM by a group of final years (UKM Medical students batch 2006). It is a very informative and usefull blog created by students that is very benificial to us,especially to UKMMC medical students.Lecture notes, list of books, past year questions and informations on medical postings can be found in this blog. Manage to get the idea of clinical year postings of UKM from this blog.I learn about this blog before I winish my pre-clinical at UNPAD,Bandung. FOund it useful.Good job to the admin!

Actually, there are other blogs that I like to 'hop in' and be faithful silent reader. they all are in my blog list..

For these 12 bloggers, please claim your award and...

i. Nominate 12 more bloggers.
ii. Put the logo onto your sidebar or within a post.
iii. Link the nominees within your post.
iv. Let the nominees know they have received this award by commenting on their respective blogs.
v. Share the love and link to the person from whom you have received the award.

I know it's a hassle, but wouldn't it be nice to share this and bring smile to others?

Wasalam (",)

Getting bussier in Year 4..

2010-05-21T20:12:00.012+08:00

Salam,

My year 4 starts with a lot of activities & commitments as a committee in Student society here (Welfare Exco). I did try to reduced my extra curicular activities by restraining myself from taking responsiblities. The reason is, I don't want to damage myself or breaking people's trust with bad quality of performance.Learning to say NO to certain things you desire but unable to cope is IMPORTANT! However, i can't stop myself from joining activites as participants..hehe

Today, I met my SSM supervisor a cardiothoracic surgeon with my other group members. We discuss on our research topic with literature review we have gathered beforehand. The topic is the relationship of left main stem coronary artery with carotid stenosis.Its gonna be BIG and I like it!

We will have to go to Institut Jantung Negara (IJN) to collect data for 6 months with the manpower of 5 people.I don't mind the extra work because our research will have the significance in managing peolpe with heart disease due to left main stem artery stenosis in Malaysia setting.

We will have SSM scientific presentation of our research next year.It is also a competition as the best presentation will present their research in a conference between 3 countries (Malaysia.Indonesia & Brunei). To gain some experience, I will join the 2nd SSM scientific presentation by our final year(year 5) next week.I did join the 1st Malaysian International Medical Conference(MIMSC) last yr and 2nd MIMS at UM last week and gets an overview of what research & research presentation really is.

With 2nd MIMSC ended, I already end my term as Society of Malaysian Medical Accociation-MedicalStudents (SMMAMS) committee member. However, i did not finish my responsibility for SMMAMS yet. There is CME for Malaysian Medical students, a program under me as Director at UKMMC on July 10th.there will be 30 participant from ten medical schools.Hopefully it will become a success like the 2nd MIMSC last week.

Society of Malaysian Medical Accociation-Medical Students (SMMAMS) committee members,2009/2010 session ( what a great team!)

from left: Melvin(UM),Kar Yee(UM),Justin(IMU),Thanesh(PMC),Aishah(UKM),Syazwani(USIM) & Benjamin (UM).

My cycle of posting in Year 4 is quite similar to Year 3 because the 2 heavy & considered tough postings are in my 1st semester. In year 3 I started my semester I with Surgery and O&G while this year I have Ortho & Paediatric in my 1st semster.LAst yr I also manage a big event in my 1 st semester (World health day as vice-director).

This year,the same cycle goes. I will manage Continuing Medical Education (CME) for Medical Students-national level, as the director.Hopefully with the experience of fortunate survival last year, I can improve myself to be better this year regardless the extra responsibility I willing to take.Insyallah!

Excited faces before entering a posterior instrumentation and fusion on congenital scoliosis arthrogryphosis patient under Spine Team

Year 4 is indeed a busier year compare to year 3. We have extra postings & assignments to be cover despite our four major postings:

1. 4 major postings:Orthopaedic, Paediatric,Triad-Ophtal,ENT,Anaes and Psychiatry.
2. Special Study Modul(SSM): need to do research in a group of 5 ppl.
3. Forensic: need to observed 10 autopsy and assist 2 autopsies

* extra things for us Twinning UKM-UNPAD students is our Pengurusan Masa(TIme management) class (university subject) on saturday. THis class is a compulsory,that we have to take in order to graduate.

Orthopaedic & Traumatology is indeed an intresting field of surgery.Its mainly about muscle & bones of your body.It consist of 8 teams: Athroplasty, Spine, Rehab, Trauma, Oncology-ortho, Paediatric-ortho,Hands & Sports.During waiting for my SPM result to come out (2005), I did an attachment at Gleneagles Hospital.I met a Rehab-Ortho specialist that introduced me to bed sores. Little did i know about bed sores until I enter medical school. However, the exposure that I got from the doctor somehow making me intrested and motivated to be in Medical field. I did consider taking intrest in Rehab.But, I will decide after completing my undergrad.

The good thing in Ortho rotation is we get to experience various teams each week during our 8weeks posting at UKMMC,cheras. There are 4 wards as our 'libraries' and one ward for ortho-paeds, with 26 bed per ward as our 'books'.We learn through understanding the patient's problems.Ortho also means a lot of revision of ANATOMY!! Now i know the importance of unnderstanding anatomy in details.

an x-ray film of Galeazzi fracture...a case for my traumatology case write up(case studies that we have to write from history taking until management including personal thoughts on it)

extra info: According to E-medicine article published in February 11th, 2010: ‘Galeazzi Fracture is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint (DRUJ); the injury disrupts the forearm axis joint’
In laymans' term: its a fracture of bone at your forearm, specifically at lower third of your forearm that also affect your wrist.

with the complex medical term above, I rest my case!

Thanks for reading my CURHAT (Curahan Hati). I don't mind getting busy if its for the benefit of others.

Life is to SHORT to be EASILY taken. Thus,making everyday BENEFICIAL becomes MEANINGFUL!

Wasalam (",)

Elective Posting with special kids (",)

2010-04-16T06:13:00.018+08:00

Salam,

During end of year 3 holiday, I am required to do an elective posting that is preferably more to community work rather than anything to do with medical. It is a must for medical students of UKM to fulfill this requirement before graduate.

My mum prefers me to spend most of my holidays at home.Therefore, I choose a place near my house & only do a half day work.Therefore, I choose volunteering at Kelas khas(Special need class). In Malaysia, we have 'Kelas Khas' at normal government schools to let them be in the society and not feel left out. I'm fortunate to have Puan Azizah,Penolong Kanan 1 of SK Bukit Beruang,Melaka as my neighbour who kindly give me the ride to school every morning.

At first, Puan Aishah the coordinator(yes, we share the same name..hehe) doesn't know what kind of work to give me. They never receive medical student for an attacthment before. The pogram just entering it's 2nd year at the school. They only receives their first elective teacher a week earlier than my application. I did variety of things : entering students data,entertain them, decorating the class, teaching & managing the childrens(including make them wash their hands before they eat).

Bulliying the kids or being bullied by the kids..huhu..

decorating...

The 'Kelas Khas' consists of 20 children devided into 3 classes based on their IQ : Pintar(low), Bestari(moderate) and Arif(good). They have four teachers with one coordinator. They are having shortage of teachers since I was told that the teacher to student's ratio should be 1:4.

How the children was detected and advised to enter the school??
Some of them was detected by parents earlier who later seek advice from the doctor. However most of them gets recomendation from their teacher/school to do check up at the nearest Policlinic. They will be screened by the doctor that decides weather the child have learning disorder or not.If they have certain disorder, they will be advised for further management and registered under OKU (orang kurang upaya-disable people). These children will recives RM3OO per month(if i'm not mistaken) from government.

Not all children with learning difficulties are considered as OKU and send to 'Kelas khas'.Every primary school in Malaysia have to make sure that their students can fulfill 3M (Membaca,menulis,mengira-reading,writing,counting) by standard 3 (9 years old).Teachers who detect their students cannot read or count by that time will be send to 'Kelas Pemulihan' under qualified teachers.This program is under LINUS. Teachers at 'Kelas Pemulihan' will detect weather the child can be considered as OKU or not and make referal letter for check-up with the doctor.

I had a GREAT time there and the childrens are cute & adorale(naughty at the same time..hehe). I experienced variety of disorders: DOwn syndrome,autistic,mild conductive hearing loss with with isolated speech delay,slow learner. Most of them have Attention deficit hypertensive disorder(ADHD).

{DOwn syndrome:extra genetic material at chromosome 21 causing Trisomy 21 developemntal delays and abnormalities mentally & physically, Autism:neural development disorder that impaired social interaction & communication, COnductive hearing loss: hearing loss due to defect on conducting sound to the inner ear,Isolated speech delay: speech disorder limited to language expression or production,Slow learner a.k.a Lembam(in Malay language), ADHD: either attentional problem is greater than hyperactivity or vice versa or both in a child which is a neurobehavioral developmental disorder)

During my elective posting there,I am fortunate to have opportunity to join Hari OKU Peringkat Negeri Melaka 2010 as the 'Guru Pengiring' as the class sends some children for drawing contest.I also join their Bowling therapy (held once a month) and gardening with them to upgrade their class backyard. The school also receives a visit from Thailand teachers during my 2nd week of posting.

Hari OKU Peringkat Negeri Melaka 2010

Bowling therapy

Gardening day

Visit form Thailand teachers..

The best thing of all, i was adressed as CIKGU when i was there. The kids know me as their teacher .I used to have the ambition to become a teacher until I develop more passion towards medical world. Most of my families(mom,aunt,uncles & cousins) are teachers. Therefore, this opportunity fulfill a part of me. Indeed "Giving is Rewarding"

Thank you to all the teachers and supporting staff of Kelas Khas,SKBB including 2 practical teachers in the picture and 2 male teachers not in the picture..

Everyday fills with colors of life and I learned to cope with it. Emotionally win the childs’ heart and trust is a reward for me. Receiving hug and kisses or able to make them fulfill small task is a huge success for me.

Wasalam

P/s: DO correct me if there is any correction one the facts of special class and special children.

Health screening at SMK Teknik Sepang.

2010-03-28T05:56:00.012+08:00

Salam,

Alhmdulillah, I've passed my year 3 without problems & happilly appreciating my 2 months break. The 1st month of my break fills with a few activities spend at KL,Kelantan & Malacca.

The lastest activity done is becoming a volunteer for health screening booth set up by our UKM Medical Society (PERSIAP). We received the invitation from Science & Social Faculty of UKM for their event Hari Jantung Sedunia at that school on 27/04/2010.

The girls setting up the banner

What we did there? Basic health check up: Height,weight,body fat measurement,Blood pressure(BP) and blood type. At the end of session, everyone will be given counselling on their health check-up result.

For the first hour, I have to manage the counselling booth.I always wonder, what kind of problem they want to know? Porblems faced by these form 4 students(16 years old)
1. Most of them have low blood pressure.
2. Some are overweight or have low/normoweight but with high fat index.

Blood Pressure is tension exerted on walls of arteries(a type of blood vessel that brings blood from heart to body cells) by the strength of contraction of the the heart.

Masitah with her favourite elctronical BP set

Example of the normal reading 120/90. 120 is called the Systolic BP while 90 is the Diastolic BP. Systolic BP indicates the blood flow into your heart while Diastolic BP indicates the blood flow from heart to body.

Therefore, low blood pressure indicates low flow of blood to your body & other vital organs. It is normal to have low BP if you are atheletes & people who exercise regularly.They also have low risk for stroke,kidney disease and heart disease. Thus, low BP is acceptable as long as it is not low enough to cause symptoms(dizziness,fainting) and problems to the body(chest pain/heart attack when insufficient blood supply to heart).

Me & the adik-adik

Weight issues & high fat index can be manage with eating in a small amount 5 times per day and choose the food according to the food pyramid. Excercise is very important.For those who doesn't involve with sports, brisk walking for more than 45 minutes,3 times per week is good for health. However, for weight reduction, for effort in cutting the calories & increasing fequency of excercise should be done.

guy's booth

girl's booth

Wasalam (",)

MEr..De...Ka??not really..

2010-03-02T12:49:00.009+08:00

picture taken during exam week...distracted for a while ;P

"start a day with thinking of serving instead of being served!"

Salam,

Finally,I am able to continue wiritng after restraining myself from writing my blog due to final exam..Alhamdulillah.Waiting for the result to come out next week.

From Facebook & yahoo messanger.I can see a lot of comments from my batchmates,especially posting-mates expressing their feelings toward the questions. Mostly, they are an expression of hatred, frustration and anxious. The positive thinking ones saying how relief they are from the obtacles they face.

Life is what you see and interprate the things happen to you. How you respond will determine how you will see things in live. Either positive or negative. Positive thoughts attracts the positive things to your life. You don't belive it eh?? You can read 'The Secret' by RHonda Byrne and learn to believe & think positive. You will also find out about the power of law of attraction when you started to belief.

Ash-Sharh 94:1-8
In the name of Allah, the Beneficent, the Merciful

Have We not caused thy bosom to dilate(melapangkan dadamu), (1) And eased thee of the burden (2) Which weighed down thy back; (3) And exalted thy fame? (4) But lo! with hardship goeth ease, (5) Lo! with hardship goeth ease; (6) So when thou art relieved, still toil (7) And strive to please thy Lord. (8)

GOd have send us reminders & words of comfort in the al-Quran. Look at verse 4 & 5. The verse repeats showing the strong reminder Allah wants us to be reminded.

"every negative things happen there always positive things behind it!"

Applying to our post exam emo..why not we think of the positive side of it.We should recall mistakes we done,find the answer for questions we don't know,recorrected our wrong and memorize the right answer.Therefore, if we are asked the same question, we already know the answer or easily recall the correct answer.

verse 6 means even after what happen, occupied your time with something that brings benefit.For me any good things can be choosen since the key to pleased God is amal ma'ruf nahi mungkar (do the good things, leave the bad things behind)

If you are not a muslim, i think you'll also agree about my point above..beacause humans are created of the instict of wanting good things in life and being good is apart of it.For example is the concept of 'Karma' in eastern religion (Hindu,Jain, Sikh & buddhist philosophies).Bottom line is,every religion teach us to do good deeds.

So, time occupying activites during my break wil be:
1.spring cleaning my room (mcm tongkang peacah due to exam week)-step by step :p
2.managing students society resposibilities as Exco Kebajikan 2- a lot of things to settle.
3.do elective posting at kelas khas at a primary school at Malacca-have to do background reading about special kids
4.duty as a Allah's servant,daughter to my parents & sister to my brothers.
5.have fun in vacation with family & friends.
6.Read a lot of non medical books.
7.Sports activities to get high & also secondary prevention of gaining weight..hehe

P/s:I always like the surah Ash-Sharh 94:1-8.I get the idea to put it in my blog
after reading '5 Tahun 5 bulan' written by Hlovate (finish reading in one day-just after exam yesterday..hehe).More books are asking to be read (",)

What is written down is a reminder to you and to myself who is still learning to be a better person.

Wasalam (",)

Live to serve..

2010-02-19T04:38:00.007+08:00

Salam..

We live to serve or being served?

This entry is based on a motivational talk given by my beloved role model Prof. Dr Muhaya Haji Mohamad,titled: Doctors Extraordinaire at PPUKM Auditorium last night (18/02/2010)

still in a procees in finishing her book...

This talk was organised by our final year seniors. Unfortunately it was done during our study week (3rd yr final exam started on 22/2) and during 4th years final year break( they finished their final exam about 2 weeks ago). Therefore not many choose to attend the talk. Credit to Alia who become the precipitating factor of my attendence (",)

Here are some of the notes I took that can be shared.Hopefully the recording by our university will be made into CD and distributed widely among us (as what Prof wish).

1. Life is about controlling your mind. We have to live the life by design not by default.

2. Regarding my question earlier. We should live to serve not live to served!! Every doctors should have this thoughts when they wake up in the morning. We should be the person who patients feel betters when they see us not vice versa.

3.Dare to dream!! Scientifically,there is neurolinguistic programming inside our body making our thoughts influnce our body.Therefore dream of what you want(with all your heart), you will get it one day. Not 'angan-angan Mat Jenin' - In my opinion, It is proven by the birth of 'The Secret'-a worldwide bestselling motivational book by Rhonda Byrne.Therefore, picture yourself of the future you want,and insyaallah(with the will of ALlah/God) it will happen.

4.To dream you must have roadmap in life: What you achieve is based on:
definitions of your vision
firmness of your purpose
steadiness of your faith
depth of our gratitude

5.Just do it!! Don't think. I really like this idea.Thinking before doing something is good,however it usually becomes too much preventing you of doing something good. Believe in yourself when your intention is for the good. I applied this right after the talk by initiating the taking picture session with Prof..causing others to take picture with her too (",)

6.Power of word is tremendous. When you tell a lie you will become weak. In my opinion, it is human's nature because we are created to do good as chaliph of the world.Therefore, don't cheat/lie in life,especially exam!!

7.Create a very good cirlce of influence by people you meet and books you read. I would like to suggest a few which influnce the talk also.I guess Prof also read these books. She did mention The 7th Habit of Highly Effective People by Stephen Covey. Another book I would like to suggest is The Secret by Rhonda Byrne. Credit to Lutfi for introducing me to these two books and Prof 2years ago (",) To be in circle of winners we should have this 3 focus in life : Health,wealth & wisdom.

8.Life is a MISSION.Keep on asking yourself how can I serve instead of ho can I bes served.How??
*help people as much to get God's help
*do things to best of your ability
*becoming the reason for people excelent
*forgive people

9.Before healing others heal yourself physically,spiritually,emotionally and socially.

10.
What your thoughts, they lead to attitude
what your attitudes, they lead to words
what your words, they lead to actions
what your actions ,they lead to habits
what your habits ,they determine your character
what your character, it determine your destiny.

11. Lets become host to God by
* be creative instead of competitive
* be kind instead of being 'right'wannabe
* be beauty
* be LOVE : Listen,overlook people mistake,Voice out good things,make Effort for it to work)
* be expansive
* be abundance
* be receptive-accept people(appreciate,acknowledge and Do NOT criticise them)

12. THe Magic 3-doing that we should have:
* Think of good thoughts
* Speak kind words
* Take good actions

These are all I can share. I hope I can do more than just that. The best always come from Prof Muhaya herself.
My dream & wishes:
1. able to have her as one of the speaker for National Medical Student CME(continuous Medical education) done at UKM in July by PERSIAP with SMMAMS(society of Malaysia Medical Association Medical Student) this year.
2. Get Prof's signature for her book: How to become a good & successful medical student, A holistic approach ( forgot to bring her book last night)

'change is permanent, personal development is a choice'

take one step at a time for change(s)..It takes 3 weeks to establised new habit(",)

May readers have benefit from this post..
For my medical student friends:May we become Extraordinary Doctors!!

Wasalam (",)

L.O.V.E is....??

2010-02-12T20:30:00.008+08:00

Salam,

Love is a state of feeling that can do tremendous things, either postive or negative. Because of love human can make the world a better place or destroy it.

There are two kinds of love: love between human and God(ALlah) and between human and god's creation(human,animals,nature,things)

We are blessed with 'unconditional love' that makes a family close to each other: Husband and wife tolerating each other, mothers' sacrifice for the child,father's hard work as breadwinner of the family, children obeying their parents.

Unconditional love is a love given without condition or wanting anything in return.It is a natural reaction of feeling that god creates for us humans to make a world a better place. For example, mothers are the best teacher of all since nothing can beat her influence of the child. Anything that she taught her children since young will be easily digested & followed.Isn't the reason behind this is the unconditional love??

I went to a talk organized by Malaysian Student's organization at Bandung on love between men & women(between Mars&Venus,two different creature sharing same genus & species-homo sapiens). What's the cronology of LOVE that brings two different hearts togather?
1.CRUSH
2.AMAZED-positive quality shown by the person that make you like him/her
3.FEARED-fearing of losing of having to share the special place in the person's heart.
4.ACCEPTANCE-accept the person's personality positve & negative
5.SACRIFICE-willing to do anything for that person
6.HOPE-hoping that the person will love you as much as you love him/her
7.LOYALTY-loyal to the person you love.

The best way to deal with it is by coupling reaction=MARRIAGE.Which is Nikah connecting people..NOT pre-marriage coupling reaction.

The world view premarriage couple as normal thing and chosing to only couple after marriage as a weird thing. I experienced that and I'm considered as one of the weird one. I choose to 'be weird' as I think premarriage coupling only brings more bad than good. Marriage means able to give commitment to another person, therefore no harm to wait for the right moment.

DOn't be like this cat who is trapped in love...

Today, during one of our common lecture, we learned about 'Dealing with uncertainties & death' for Personal & Professional Development (PPD) course . The doctor point out that besides the patient's condition, Love is a also another example of uncertainty...Doug Hubbard define Uncertainty as the lack of certainty, A state of having limited knowledge where it is impossibleto exactly describe existing state or future outcome, more than one possible outcome.

It is true love among humans, animals and all the creation of god is in a state of uncertainty. We always forget that there is a love that is 'certain' which is love to God (Allah). We experienced the love everyday and yet we always forget where the source comes from.The air we breathe,the delicious food that we eat, the beautiful creation of god that we able to appreciate are all the prove of love that god gives us.

No matter how much we adore,look up to or hope for a person there always be the uncertainty of the state of love.It might be 'crushed' anytime.The person or animal may died,the things that you like may destroyed or stollen.The Love of god is lasting,forever and never ends unless we choosen not to believe.

I think what i like to convey about ALlah's love is well written and sing in a song 'Open your eyes' by Maher ZAIn-which is another Maher Zain song i'll learn to play with my piano right after final exam as requested by my beloved twinning UKM-UNPAD friends.

May this post brings benefit to you and me (",)

Wasalam.

Unity & 1 Malaysia in Interfaith discussion..

2010-02-06T08:08:00.012+08:00

Salam,

Yesterday, clinical medical students (especially 3rd years) were invited to attend an interfaith forum regarding medical proffesion. It was arranged by our Personal & Professional Develepment Modul Coordinator-Assctd Prof Harlina Siraj. It was very interesting, interactive and motivating.

SInce it was done on friday evening (where the mind of most of us towards weekends activities & going home), the attendence was between poor to satisfactory. Well, its everybody choice. ATTITUDE problem is one of the main reason. However, there are some who have teachings & long case(practical assessment) during that time.

SO, in summary here are some of things that were discussed. I only point out things that i'm confident of to share with some addition of my opinion.

In Islam, The prophet reminded us to remember about 5 things before 5 things like in Surah Al-Asr(Time) :

1.Health before ill
2.youth before old
3.wealth before poor
4.free before busy
5.life before death

WHY?? Life for Muslim is the intermediate phase as we belive in afterlife. The 5 things are the motivation for us to amal ma'aruf, nahi mungkar(do good and leave the bad things)as the preparation for afterlife later. In life we receives challanges to strenghten our faith to Allah (god).One of the challange is ILLNESS. A good believer will accept his fate but never stop losing hope to cure him/herself. Therefore, it does not mean that if you are extremely ill, you can kill yourself.

The Speaker from Buddhism(Dr Phang, a Psyhciatrist from UPM) mentioned about Karma. Karma is a concept of action or deed that causing the cycle of causes and effects.It was originating in India and applied in Eastern religions : Hinduism, Jain, Sikh and Buddhist. Basically Karma relates more to the power of your mind control.

Quoted from Wikipedia :Buddhism links karma directly to the motives behind an action. Motivation usually makes the difference between "good" and "bad" actions, but included in the motivation is also the aspect of ignorance such that a well-intended action from an ignorant mind can subsequently be interpreted as a "bad" action in the sense that it creates unpleasant results for the "actor".

There are mental and physical health.The mind can effect the health and vice versa.In medical we call the condition psychosomatic when someone thinks that he is sick but actually nothing wrong with him (physically).However, eventually he will get the physical problems also, as his minds make hime thinks he is sick.

Speaker from Christianity, Dr Lopez(Oncology Specialist) focused his presentation on abortion and ethuanasia. In Malaysia, 50 million abortions done yearly. A suprising fact indeed because Malaysia population is about 22-25 millions. Only the minority of the whole are due to medical reasons. Sad fact isn't it?/

Euthanasia..Eu means good, Thanasia means death..GOOD DEATH??Is there such thing? Ethuanasia is a mercy killing; the delibrate ending of a life of a person suffering from an incurable disease(Dorland's dictionary).However, all religion against it. Dr Lopez mentioned that Christians believed that life is sacred and humans was given the right to lead the world. In Islam, life is a GIFT from Allah(god)that we have to accept and makes good things out of it.It is not our decision to take our own life,and not even others.So far, only Netherlands legally allowed euthanasia.

Sadly, I was half awake during the 4th & last presentation from Dr Bala, Hinduism representative due to lack of sleep for long case assesment preparation (I had my long case assessment earlier on that day). Therefore, I googled and found an intresting article about Hinduism & Medical care. The basic concepts in Hinduism are Ahimsa (non-violence) and Karma. Ahisma is cause no harm either by action, word or thought(one of the reason why Hidus are vegetarian).

Karma in Hinduism is quite similar to Budddhism about good and bad that helps balance the person's soul. The Karma lets their believer ACCEPT challenges in life (eg: illness,death,fate)by thinking of the positive things out of the bad things that happens. Can read more about it from here http://www.angelfire.com/az/ambersukumaran/medicine.html

In Islam we believed in 'Qada' & 'Qadar' which is fate & Allah's will that we have to learn to accept and go through because in everything that happens there's always the 'hikmah'(good & benificial things) behind it.Only those who make an effort to find it,will able to feel it.This is because humans created with 'fitrah'(human nature) of finding goodness in life no matter how bad he was before.

During the Question & Answer(Q&A) session, a friend ask about what if the patient wants something (eg : sperm donation) that against the doctors' religion??
ANswer: Assctd Prof Harlina says, according to International Federation of Gynecology & Obstetrics (FIGO)on FIGO committee for study of ehtical aspects of Human reproductive and Women's Health published November 2006: If a physician is either unable or unwilling to provide a desired medical service for nonmedical reasons, he or she should make every effort to achieve appopriate refferel.

in simple word: if you decided that what patient wants is against your religion, you should respect them and reffered to a colleague that share the patient's belief.

In conclusion of the forum, i would like to quote the points by Dr Munnawar Hatta,the Islamic speaker in encouraging us to learn more about other religions for better understanding and respect among each other.

We live in the world of diversity.DOn't make the interfaith discussion as a battlefield to damage the relationship among us. Isn't the reason why Allah creates us in diversity is for us to learn to accept,learn about each other and be friends??

Therefore:
1. lets join interfaith forum in future
2. Learn about the similarity and differences
3. Respect other's belief
4. Don't be afraid or have stigma in interfaith discussion if the purpose to find an agreement instead of argument.

May readers have benefit from this post.

1 MALAYSIA!!

Wasalam (",)

A series of poking...

2010-01-21T22:12:00.007+08:00

Salam,

I volunteered to be one of the 'victim'(research subject) for my 4th year seniors SSM(research) under Surgical Department. I have to give them my precious blood twice (at least). One taken without any compression on your arm(in normal blood taking a light pressure have to be appiled to make the blood vessel vissible), another one with a compression of 10 mmHg less than your systolic BP within 3minutes.

When i surrender my arm to the staff nurse( because the doctor room are full with students), they says my vein is quite fine & not really visible...and that means...there is a possiblity of a few series of attempts to get my precious blood.

The prediction becomes a reality..

1st poke by staff nurse...usng 23G needle(blue) small size,butterfly type..(they have smaller size, for peadiatric patient),unfortunately, not successful.

the butterfly needle (it looks like butterfly, easier to use,less pain, more hygenic & cost more too)-my favourite type of needle (",)

I was reffered to a doctor next door...2nd poke by green(medium size) needle..not successful, he insert it to another site & make it deeper...it is much more painfull than the blue needle

Still...NO success

the classic needle & syringe..

He move to my other arm, put on the cuff and did the 3rd poke...with the green needle..finally, the red blood appears....I'm the happiest person in the room of course (",)..

Reminder, blood taking with the pressure on(due to the research objective) was the most painful of all- A VERY SHARP PAIN

Last, for the control blood, he have to poke me again(the 4th poke) to get my blood without any pressure on. This time the doctor have to choose the vein from on my hand. I never let anyone practise taking blood on my hand before (logically because it is more painful than the arm). I persuade the doctor to use the smaller needle instead..the blue needle.

Finally, it was a success. However, the blood comes out only drop by drop..It tooks us sometime to get about 1 ml of my blood from that..It was the least painful of all
(isn't it a good way to end the misery..hehe)

At the end, I was rewarded with a bottle of mineral water & a delicious packed nasi lemak ayam.

Regardless all, if i was needed again, i won't hesistate to help. Hopefully, their research found some good & benificial findings. Therefore, all the pain is worth it.

Looking from the positive angle, I learn to experience the feeling of pain by different size of needle on different sites of my arm.EMPHATY!! It is important to at least know how it feel because poking people is doctors job everyday a ward. I myself did this procedure to patients during my practical at wards. SOmetimes i did more than one attempt to a patient. And so now I know the feeling. Thus, I won't attempt more than twice as long as i'm a medical student. Unless, i really have to do it more than that...

Lesson of the day which i can think of...
1. Don't stop volunteering as long as you are sincere with it...
2. Be emphaty but not symphaty
3. NO pain NO gain!!
4. Patience is the key to success.
5. Don't give up and try again...

In conclusion,the results is 4 pokes on my hand & arm.
(what an exaggeration?? Patients have to deal with their blood taken everyday..but i'm making it a big deal after a series of blood taking in a day..hehe..)

Wasalam..(",)

Music & lyrics works togather...

2010-01-11T21:27:00.012+08:00

Salam,

Anugerah Juara Lagu fever just cured... I'm glad that all my favourite songs win the prizes.I love music...Maybe its the influence from my passion on playing instruments (piano & violin).

Whenever i hear a song i will concentrate on the music more and ignore the lyrics. Not until a couple years ago, a friend changed me to appreciate the lyrics also.

At the same time, the movie 'Music & lyric' came out played by Hugh Grant and Drew Barrymore. It makes me changed my perception on songs. To give a good impact to the listener, both music & lyrics have to be good. This is because, it have to be appreciated and understand altogather.

After i did that i realise that not all songs with good musics have nice lyrics. Some even have some bad and indecent meaning.

Last weekend during UKM Medical Student Society aka PERSIAP 35 years celebration Dinner, i played piano as a backup for my friend who sang solo. Eventhough its a nasyeed (islamic song), i think the song can be applied to anyone who's in sadness and feel loss. It is suitable for anyone who believes and put trust in god.

I was given the task a week earlier, within the day, i manage to play the whole song. It have a beautiful music & lyrics..

Insyaallah ( With god's willing)
by Maher ZAin

Everytime you feel like you cannot go on
You feel so lost
That your so alone
All you is see is night
And darkness all around
You feel so helpless
You can`t see which way to go
Don`t despair and never loose hope
Cause Allah is always by your side

Insya Allah3x
Insya Allah you`ll find your way

Everytime you can make one more mistake
You feel you can`t repent
And that its way too late
Your`re so confused,wrong decisions you have made
Haunt your mind and your heart is full of shame

Don`t despair and never loose hope
Cause Allah is always by your side
Insya Allah3x
Insya Allah you`ll find your way
Insya Allah3x
Insya Allah you`ll find your way

Turn to Allah
He`s never far away
Put your trust in Him
Raise your hands and pray
OOO Ya Allah
Guide my steps don`t let me go astray
You`re the only one that showed me the way,
Showed me the way 2x
Insya Allah3x
Insya Allah we`ll find the way

source: http://media.photobucket.com/image/hope/dramadiva_photo/My%20Favorites/Spritual/hope.jpg

Candid picture at dinner...

Another favourite song of my is a theme song of a box office Indonesian Movie, Laskar Pelangi. It's about someone trying to persue his dream with enthusiasm and high spirit believing that one day he /she will prevail.

At the same time, the song keep reminding the listener to appreciate life eventhough life is hard. Lif is indeed WONDERFUL & MEANINGFUL Isn't it a good motivational song??

LASKAR PELANGI (soldier of the rainbow)by Nidji (an indonesian band)

Mimpi adalah kunci
Untuk kita menaklukkan dunia
Berlarilah tanpa lelah
Sampai engkau meraihnya

Laskar pelangi
Takkan terikat waktu
Bebaskan mimpimu di angkasa
Warnai bintang di jiwa

Menarilah dan terus tertawa
Walau dunia tak seindah surga
Bersyukurlah pada yang kuasa
Cinta kita di dunia

Selamanya...

Cinta kepada hidup
Memberikan senyuman abadi
Walau hidup kadang tak adil
Tapi cinta lengkapi kita

Laskar pelangi
Takkan terikat waktu
Jangan berhenti mewarnai
Jutaan mimpi di bumi

Menarilah dan terus tertawa
Walau dunia tak seindah surga
Bersyukurlah pada yang kuasa
Cinta kita di dunia

Menarilah dan terus tertawa
Walau dunia tak seindah surga
Bersukurlah pada yang kuasa
Cinta kita di dunia

Selamanya...

Selamanya...

Laskar pelangi
Takkan terikat waktu...

source: http://www.cartoonmotivators.com/MotivatorCartoons/images/Road2Success(b).jpg

Becoming a part of PERSIAP committee family..This picture was taken after the voting & announcement with the previous committee during the PERSIAP 35th Annual Grand Meeting.Thanks for the vote and trust on me. An extra task and responsibility that will be handle with effort and diligence(A promise to myself..hehe)

WAsalam (",)

A patient's request..

2010-01-07T18:02:00.010+08:00

Salam,

Its been a while i take my break from writing. Time is the most precious and valueable thing right now. However, since i have something i want to share i'll spend some of my time for this post.

This post is about what i've experienced from a patient I've met during my frist week at internal medicine ward..

One of clinical student's routine in the ward is talk to patient and gain their history of their disease/problem (a.k.a. history taking/clerking). So, i came across this patient, a middle age Malay gentleman. Generally he does not look ill or depressed.

He actually suffers from a mild stroke..and some other common stroke patients background history: Diabetes mellitus, hypertension, hyperlipidemia,history of chronic smoking..

The conversation about his illness is about 15 minutes but he talks about his insight and hopes on us future doctors and doctors for nearly an hour.hehe..imagine that..

Lesson 1 : Never do something to a patient without telling them what you are doing and things that the patient can anticipate...

Only recently, the ethical stduies is included in the medical school syllybus. The medical personnel who treat the Pak Cik fails to give proper 'informed consent'. That is the among the first thing to do which is provide an adequate infromation and get agreement from patient in anything you want to do to them.

What happen to him was he was injected with TB antigen for Mantoux test to see the presence of Tuberculosis. He was not informed on the effect which there will be a small rash at the side of injection and it can cause itchiness. What happen to him was, he scratch the injected site due to the itchiness and causing him to get a big swollen bump there. It happen to him years ago when he was admitted for TB at a governemnt hospital in our country.

Positive result of Mantoux test...it is only a temporary effect..

(Extra info: matoux test is a method to support the TB diagnosis. It is injected intradermally and the cell mediated response is within 48-72 hours is recorded. The response is usually shown as rash. COmmon Side effects is itchiness.Positive result is when the induration is >10mm(in people with moderate risk factor and high prevelance country).Induration is palpable raised hardened area of the skin

Lesson 2 : when someone is physically sick, they'll need more attention from their closed one(family,spouse& closed friends). If not, pshycologically the will get sick too..
He did mention that when he is warded, he feels lonely when nobody he knows around. When his children visit him, they didn't bother to talk to him or entertain him. It makes him feels sad and become a burden. He later inform his family members and they started to paying attention to him and visit often. it makes him feel happy and accept his stay at hospital.

My postulation is when someone is sick, the coping mechanism is also disturb. Therefore, it is helpful when there is something that can trigger your coping mechanism to become well and eventually that person will motivated to recover.

That is why people always bring something when they visit a sick person. Isn't it common to see a Get Well Soon card send with a basket full of fruits or a bouquet of flower???

This e-card was taken from http://www.123greetings.com/aff-bin/card/464/101594

Pshycological health can influence the major portion of our physical health.

However, the most important support is from the people you love..Money can't by happiness, Money can't buy love, Money can't buy health as well.

It is easily to get bored to be hospitalised.Therefore, pshycological health is easily affected also. It is much more worst because the is stay beacuse of our illness and we cannot do anything. They have to be independent and have to rely and trust on the medical personnels.The question is, are we capable enough to be trust on??

Wasalam (",)

Internal Medicene....Wait & See

2009-12-25T00:08:00.003+08:00

Salam,

CUT & SEE : Surgery
DELIVER & SEE : O&G
WAIT & SEE : Internal Medicene

SImple & short words to describe 3 postings I faced quoted from Prof. Zainul, HUKM O&G specialist during Zero repeaters campaign talk..

You can read that the actions that's appear in each discipline is SEE!!

Seeing is believing..How could a doctor treat appopritely wihtout meeting the patient? (except for Dr House!!)

There are 6 wards of internal medicene in HUKM with 2 CCU. That means A LOT of opportunities to learn..My advice is get a comfortable shoes cause your feet are precious for this posting for a lot of walking and standing.

A lot of procedure can be appreciated in the ward, so you have to be opportunistic organism. Put away your inferiority and shyness..Ask Medical officers, housemen and nurses questions and permission to observe or do the procedures. Final year seniors can be helpful also.

Having Internal Medicene as my last posting of the year gives me some advantage. In this posting a lot of things to be covered. Some knowledge gathered during previous posting does help in facing this posting.

Hopefully i will survive (",)

Wasalam

My third posting :Medicine & society

2009-12-05T21:44:00.013+08:00

Salam,

This posting was considered as a vacation posting. I found out it is totally a big fat liar..hehe. A LOT of report have to be submitted..A LOT of travelling along tanjung karang or sabak bernam district. Have to visit da same ppl's house in kampong at least 3 times for the 3 different survey we have to conduct..

However, I do learn a lot of intresting knowledge. I can say that this posting is a 'Lawatan sambil belajar' posting. It's not too bad after all. However, i easily feel bored there.

For this posting, we are attached to 3 different places:

1. District health office aka Pejabat kesihatan daerah (PKD)

there R 8 units under pembantu pegawai kesihatan persekitaran (PPKP) which are:
1. unit pentadbiran
2. unit kualiti makanan
3. unit bekalan air & kebersihan alam sekitar (BAKAS)
4. unit kualiti air minuman (KMAM)
5. unit pendidikan
6. unit kawalan penyakit berjangkit
7. unit kawalan vektor
8. unit kesihatan sekolah

each day we go to different places. It is amazing to know the power that PKD have in managing & controlling the health of ppl in the district and its relation with the state and national level.

hunting for mosquito larvae for vector control sample...beware Mr. & Mrs aedes aegypti or aedes albopictus . we gonna kidnapped ur larvae.heheheh..

fogging time..beware Mr. & Mrs aedes aegypti or aedes albopictus . you gonna suffocated to death..heheheh...

our ketua posting showing his exophthalmos eye with the water station( where we get the sample to test it for quality control)

pH test(one of the physical test)..there are physical,chemical & microbiological test done by KMAM unit to the water.

lets go back to school..reminds me a lot of my chilhood memory of my health check up at school

vaccination time!!a lots of emotions going on here..

showing our excited faces..haha

2. Klinik kesihatan(KK)aka Health clinic and klinik desa (KD) aka District clinic.

KK is devided into two department which are outpatient department and Maternal & Child Healthcare clinic(MCHC) department.

PKD will monitor everything regarding health in the district including the KK.Every KK will take care a few KD. So, KD are like their child, KK is the mother and PKD is like the grandfatehr.KD will only manage antenatal check up, vaccination, routine physical check up for Hypertension patient.

my group at KD

with special children under PDK care( it is another unit under KK for special child)

3. Tanjung Karang District Hospital

This posting does give memorable and meaningful memories...Objective achieved (",)

Wasalam

Medicine & society..

2009-11-25T00:34:00.004+08:00

Salam,

This is not really a honeymoon posting!! quoted from one of my friend. hurmmm, I have to agree with that.We are now reach the TENSE stage as a lot of assignments to be done and report due date with presentations will be after holiday(Now is the 6th week.7th and 8th week will be the presentation and evaluation week)

UKM student complex at Tanjung Karang

One of our group discuccion regarding specific Survey on the villagers..

However, for me,I experienced some interesting and colorful experience with this posting. First of all, it explains my curiosity of how health care system been manage in a district and kampong area till the state and national level. Our group is special because there are two Japanese (Tomomi and Mariko) students staying with us since 1st week until 5th week . We had fun with them and learn from each other about Japanese language, knowledge on Japan health care and even cooking..

vaccination at school with unit sekolah

The place we are posted to is Tanjung Karang. It is quite boring cause we are trapped in the complex and only go out for food or activities. However, i'm too occupied with activities and assignment to bother with it.

I like the fact that i have the time to jog and experienced the nature more..I love the evening scene during my jogging time at the student's complex. There are lots of herds of birds flying home to their nest. Another sceneric view is the muddy beach 30 minutes walk from our complex or (5 minutes drive). It will be nice if you can see the sunset by the beach.

the beach near our complex

tea break by the beach after survey at kampong

There are some interesting places that i haven't yet get to explore. So far, i've experienced Ikan bakar at Jeram. The restaurant is by the muddy beach and have nice panoramic view.The price is quite cheap too. I've been to kayaking at Sg Sireh (the BEST activity so far)and took pictures at paddy field of sekincan. Not to forget a few episodes of Kerepek shopping at Sekincan.

muddy beach at Jeram

in front of the ikan bakar restraunt at Jeram

Paddy field at sekinchan

our Japanese friends Mariko and Tomomi

kayaking at Sungai Sireh

Basically..these are the honeymoon things i did during this posting.There are a few more places to explore indeed before leaving Tanjung karang...will tell more later.

Wasalam (",)

End of O&G..welcome to Medicine & Society

2009-11-01T09:37:00.002+08:00

Salam,

TOmorrow will be my 3rd week in Medicine & Society (a.k.a JKM) posting. What happen in between O&G and JKM was my final semester 1 exam. Alhamdulillah i passed (",). Now, moving forward to JKM posting which most of us consider as a VACATION.

WHY??
1.less stressful
2.the accomodation: aircond,TV room, washing machine and fridge every block
3.got canteen to practise ur cooking skills
4.get to play sports & games in the evening(if it doesn't rain)-Jogging-futsal-baling sliper-bola beracun-volley
5.beach
6.satay Hub
7. very Mobile : have to go around Kuala Selangor/ Sabak bernam( Pejabat Kesihatan daerah,Hospital and Klinik Kesihatan)
8.get to know the health system in district area
9.BBQ (on 6th week..can't wait for it)
10.Kelip-kelip(firely) park..will go there

the list may go on..

This posting become more colourfull as there are 2 japanese students from Nikita University attached to us for 6th week. Become quite close to them. Mariko is good in sports. She jog quite fast..have a great deal to catch up with her. Thanks to her pacemaker (one of her jog partner)for making her to jog that fast.

Intervarsity game is coming up this December. My heart make a summersault in joy as there is futsal for girls in the tournament. Hopefully i'll get some good players as teamates (",)

EXAMS!!..sharing is caring (",)-rewrite version

2009-10-02T21:28:00.003+08:00

salam..

weird..my recent post was deleted after i edit it..so sad,have to re-write it back..hurmm..

It feels like it was just yesterday i enter UKMMC Cheras for clinical phase of my medical year. Beig the first batch of a new program(twinning UKM-UNPAD) is challenging as we have to face new syllybuse. Here, we have seniors who 'pampered' us with a lot of help in the ward and vice versa.

I would like to give my appreciation on behalf of my firends for those who help us, the newcomers in getting through our clinical phase.Certainly pre-clinical year and clinical year are two different situation. My two previous postings (surgery and o&G) did leaved me some valueble and wonderful experience.

Thank you for the knowledge shared. I think choosing not to share is selfish. You never know the benefit of sharing which bring a lot of good things to you.However, we should share something only when we are knowledgeble on the topic.Help yourself first before you help others.

Sharing with sincerity leave satisfying effect on the giver, Sharing with force leave hatred in you, Sharing for glory won't last forever
Sharing with good intention means you care....However better sharing something than doing nothing.

I hope everyone who reads this will enjoy and start sharing

wasalam

the last on call......

2009-09-08T00:39:00.003+08:00

Salam;

Alhamdullillah.. after a few moments of frustation, i am able to finish my 5th conduct of delivery today.It was fast, i don't have to wait for long.

What i like about my last on call today is i get to witness one of the most memorable event as a muslim twice and somehow today, i touched me. Guess what it is?? It is the Azan or Iqamah dat whispered by the father to their newborn child.(Info for non muslims:It is the first act of devotion representing the baby to world as Muslim).

Another intresting thing about the two deliveries is both are having their first child and best part is looking at the reaction of the father-to-be. I always like to see couples who are waiting for their first child. Of course they'll look worried, anxious and happy at the same time.Their inexperienced self showed some wittiness in managing the situation. In a sum, these kind of reaction gave me a sort of feeling that life is meaningful(eventhough i am not the one who experienced it).

Regardless the bad experienced..i find more enjoyment in labour room because of these meaningful experience and cute babies. People who ACCEPTs to get SCOLDED are NON-EGOISTIC people.Yeah, i get scolded.Sometimes it's my fault, sometimes its' someones fault and sometimes i get scolded with non-concrete reason. The best thing to do is reflex urself back and Improve!! Whatever it is...see u again labour room during 5th year(hopefully i don't flunk somewhere in between that needs me to repeat my year3)

Wasalam (",)

P/S: i have short case this thursday..which me all the BEST LUCK in the world.AMIN!!

On call & Delivery..

2009-08-09T07:00:00.006+08:00

SAlam..

I just got back from my 3rd on call (7pm-7am). The delivery ward was cold and I was hypothermic.Better remind myself to bring sweater next time. The intake last night was little compare to my previous two on calls.The whole on-call group was quite dissapointed.

I was fortunate to be able to conduct one delivery today without have to wait more than half an hour. Yeah..we all are trying to fill up our log book. We are required to conduct 5 normal deliveries(after observed at least 3 deliveries)and watch 5 abnormal deliveries.

I only get to observed one normal delivery and one cesearian section(abnormal)during my first on call. My luck was better during my second one since I get to observed 2 normal deliveries, 1 twin delivery(abnormal)and did a few small procedures. My 11 hours wait for the primigravida(1st pregnancy mom)pays off as I get to do my first conduct.

The intake of patients during 2nd on call was high and patient keep on coming for labour. You can guess who are the most happy person in the ward...the father and us who are on-call of course.

11 hours wait was worth it....with baby Reneu..The 1st experience of conducting delivery.

Delivery is painful, yet it is a wonderful thing that women have to experince. I think, every mother is a winner. It is not easy to give a life born to this world. When you see the baby come out healthy to this world you will feel very happy for the family. Watching these adorable babies make you forget about your tiredness and exhaustion.

That's what I like about O&G posting which is the most heavy and 'feared' posting of 3 rd year.Students call it Orang-orang Garang posting as the lecturers are strict. Yes..it is tiring,demanding and you get high expectations from the lecturers and yet it is an intresting posting since you get involved with a lot of procedures and can apply what you learn from book to the real situation. Watching cute babies in between does give the some flavor to it..hehe (",)

Thats all for now.Will have a day trip to Batu Pahat for 2nd brother convocation..

Wasalam(",)

BUbye surgery..Welcome O&G

2009-08-01T22:58:00.005+08:00

SAlam..

It's already been a week i've started O&G and i've already miss surgery.However, my journey has to go on.

O&G is much more strict and sturctured compare to surgery. If the lecturer promise something they will do it. If they said the lecture is at 8am u have to be there at least 5 minutes before.To be safe at least 10minutes because i've been to a lecture where the lecturer close and lock the door 5 minutes before the lecture.

If they ask you to read on certain topic you better do if not you will 'kena' when you cannot answer your question. When you taking history(clerking) patient you have to know all about them. Make sure you find out terms that you are not sure inside the ticket(patient's record).By the way, you have to cover the beds in the ward(team leader have to divide the beds). Labour room gave me intesting experience.We can only be there during on calls.wE get 1O on calls per posting to satisfied the need of 5 conduct of normal deliveries per student.My first on call was on wednesday 7pm till 7am.We have to observe at least 3 deliveries before we can conduct with the help of the midwive and doctors

Alhamdullillah i manage to observed 1 normal delivery and 1 abnormal delivery(cesearian section).The story of my experience can be quite long...to cut it short: for the abnormal delivery..i& my partner(Mas) hav to wait for 6hours befor we go to Operation theatera(OT) Got back home at 5.30am and manage to get 1 hour sleep before Grand ward round(where we have to present case at 8am. The funny thing is..i only feel sleepy& tired on the next day..hehe

What i like about O&G is there are a lot of things that students are allowed to do or directed to do(log book).The feeling of involvement is there which surgery posting lack of. Next is the CUTE BABIES of course!!..really release ur tension when you see them.

LOVE to see couples who get their first born baby. I can feel their 'aura' of excitement and joy. SO...SWEET.It touch my heart till it tears(in joy) me a bit(nasib baik org tak perasan).hehe(",)

SO...far, adala a few unpleasent moments..however i have to take it positively because mostly it comes from my own mistake. Time management is very important. Managing stress also become a crucial factor of survival in medicine world. Recently, i heard 3 of my coursemate decided to change their coure. However, better back off if you feel medicine doesn/t suits you. Because medicine is about a lot SACRIFICE!!

Wasalam

P/S:
Gratitudes & THANK YOU to my supervisors in vascular team during Surgery posting
1. Prof Dr Hanafiah Harunarahid (vascular surgeon consultant)
2. Asstd Prof Zulkifli (urology surgeon)
3. Mr Toh Chang Jern(neurology surgeon)
4. Mr Jeevan(neurology surgeon)
5. Mr Azim (vascular surgeon)

and also registrars(Dr Johann,Dr Azlan & Dr Sadana), MO, HO and nurses in surgical department.not to forget..my friends and 5th years that i met during the posting(",)
THANK YOU!!

STigma on Doctors..

2009-07-24T22:01:00.005+08:00

Salam..

Finally, i manage to import internet connection from KL..long story..no need to elobrate.Now I'm in Malacca.In two days I'll start the O&G posting which is the toughest posting of 3 year..Hopefully I can cope with that.

Today i would like to write about Stigma on doctors..

When you feel something wrong with you...do you straight away seek help from the doctor?
Or..you decided to wait untill i resolve by itself...
or... you decided to do self-treatment by taking painkillers or do anything that might relief the problem..

well, majority will prefer to choose those two later options than seeing doctors.. So, far non of my family members are doctors yet. Only me and my 2 cousins are still in medical school.Some of my family members are the typical people who are afraid of doctors. For them, doctors are only for severe cases.If possible, they want to avoid seeing one.

This is one the reason why people delay their treatment. When they decided to see doctor their problem has already worsen or only can be relief but not totally cured..

WHY are they afraid to the DOCTORS?? certain people even develop white-coat syndrome where their blood pressure rise up in the presence of the doctor.

Public/Patients' stigma on doctors:1. They like to prescribe patients pain killers, might as well I just take pain killers and save my money, time and energy of going to the clinic.
2. They might ask me to undergo invasive procedure like taking my blood, thus doctors=dracula..hehe
3. the point above can also mean DOCTOR=PAIN4. Doctors are my chance to get extra holidays-Medical certificate (MC)5. When you see them, you can be diagnosed with some serious/chronic illness
6. Doctors are INCONSIDERATE when they ask you to STOP doing things you like.
7. They are harsh when you dissobey them
8. WHen I meet the doctor, he'll be 'the BOSS'..no point of voicing up my opinion or decision.
9. I will get sick if I see doctors.
10.If you see doctors..it means something is WRONG with u

So, can we say it is the Public/Patient's fault to have these stigma??
NOpe..

It all come back to us DOCTORS and FUTURE DOCTORS on how we should behave in treating them appopriately and ethically.

However there are other reasons why people didn't want to seek early help from doctors.It doesn't rest on the stigma on doctors alone.. there are other reasons also like patient's education, social life and economical background.

WSlm..

Stigma is prejudism!!

2009-07-11T22:43:00.014+08:00

Salam(peace),

What do you think when you see these pictures??

Down syndrome- they don't choose to be like this and it is not a transmitted disease!!

leprosy- it can be cured(if get early treatment),the picture on the right is after the treatment.

obesity-there are many reasons on why they become like this

mental illness and starvation-a boy that was locked in his house and doesn't get proper treatment.

dwarfism-they don't choose to be small, regardless their size,they are like normal people too

You might think of avoiding them...staring at them because they don't look normal or worse tease them.

DOn't you think it is inappopriate?? Aren't they human being too like us??
These people have stigmatized illness who usually gets stigma from the society.

What is stigma? Stigma is a negative impression or prejudism on a certain group of people who have stigmatized illness(eg: mental illness, skin diseases, HIV,Down syndrome).

They tends to get stigmatized and neglected by the society.

Moreover, they receives less social support. In addition to their own problem, they can get depress because of less support. Not many employeers want to employ them. Since they don't have income, the can't afford the medicine or treatment they need.
Due to their limitation, they need special public facilities or consideration that we tends to neglect.

Some of them may not have support by their own family members. The health care system also do have stigma on them.Sadly, some health care workers too doesn't understand their condition and have stigma on them

What we can do???
First, UNDERSTAND their condition and erase the myth you know about them
Next, ACCEPT them as who they are.Let them live with us without feeling inferior
Then, CHANGE and let others change wih you by educating them to UNDERSTAND & ACCEPT

To learn more about STIGMA and STIGMATIZED illness...you are invited to attend this forum under Hari KEsihatan Sedunia 2009.The theme this year is STIGMATIZED illness-To Understand, Accept & Change organized by AMSA UKM in conjunction with PERSIAP,PPK & JAKSA.As one of the high committee members, I'll be glad if many people willing to join us.

Title: ''Penyakit Stigma, Masyarakat boleh berubah''
Panels:
Prof Fuad Ismail- Jabatan Onkologi, PPUKM
Prof Madya Dr. Ruzanna Zamzam-Jab. Psikiatri, PPUKM
Dr Azmi Mohd Tamil-Jab. Kebajikan Masyarakat, PPUKM
Where?? Pusat Perubatan Universiti Kebangsaan Malaysia, PPUKM
When?? 18/07/2009(Saturday) from 2.00pm till 5.00pm
Fee?? FREE of charge

Contact person:Siti Juliana 017 370 2023, Noradila Salmi 017 953 9608

Publics can also join the blood donation, medical check-up and mini exhibition.
Where?? PPUKM
When?? 17-18/07/2009(friday and saturday) from 10.00am till 5.00pm

Hopefully our small effort will make the difference..by making people aware of the stigmatized illness.Hopefully many people will change and make world better place to live.

Poster of HAri kesihatan Dunia 2009-Peringkat PPUKM

Wasalam..(",)

P/s: Stigmatized illness patients can be pretty and live happily like them...so, CHANGE to make the world a better place for them to live.

Engaged not yet MARRIED

2009-07-03T22:52:00.008+08:00

Salam..

Yes i'm ENGAGED but not yet married to MEDICINE with white coat as the prove of our agreement . Gotcha...think i'll engaged to someone for real huh??(",)Hopefully i will wear the 'white gown' and get married to medicine in 3 years time. May god forbid any failures that can cause my engagement to be extended(repeat year) or ended(drop out)

This is my 6th week in surgical posting and i followed 5th year senior's long case assessment(thank u abg shah for inviting me and few other 3 years).MIne will be next week(huhu..takut nye). After everything comes towards the end,their supervisor Mr Azizi( a neurosurgeon) share some of his insight on medical life..He said "students,u all are married to medicine. Your future husband or wife will be your second (madu la kot)"

Marriage itself means COMMITMENT to someone else other than yourself.

From my understanding is, once you accept to enroll into Medical school, you have sign an agreement to become a doctor. Being one is not easy..A LOT to cover..memorise..skills to apply..Having a good communication skills is an advantage. We have to put OTHER PEOPLE 1st than your own need.Helping people is your priority.NOT money, power or social status

The MAIN JOB to medical students is STUDY and mastering taking patient's history. History taking is not somthing that you can take light. I use to think that it only need memorization. The truth is, it also needs some intelligence and thinking. It is like a maze that you have to solve.

First of all you have to identify the patients' main problem,ask relevent questions and then try to find other possibilities that might contribute to the problem.

Afterwards, base on your knowledge to differentiate the 1001 diseases manifestation, you have to choose the hypothesis of what might be the disease.At the end, you have to present your finding in the most concise way which may sounds easy. However,it also needs your ability to concise it the right way.Pratice Makes PERFECT!!.

Regardless the reality of the work, it is NOBLE to choose to be in this profession. Lesser burden to whoever think that the knowledge they gain from the patient is intresting and motivating.You'll think your life is more meaningfull to see patients leave you in better condition.

Wasalam (",)

P/s:
1. feel bad for patients who have bad prognosis...huhu. May they have strength to face it with courage and determination to live their life better.
2. I saw an amputation operation(below-knee) during my on call on friday.cool...bu kesian that pakcik to have a leg amputated.

Sensitive question....

2009-06-26T18:41:00.010+08:00

Salam,

What do you feel when someone ask you about your sexual activity?? In medicine, it is relevent to ask this question to the patient when necessary regarding to the problem.Definitely,we will keep it private and confidential. Today is the end of my 5th week and so far I had some 'shocking information' from two different patient.

I bet you it is not easy to ask those question in respect to the patients' feeling. It is a bonus when the patient really confess to you which means they do really trust you.We in the medical field cannot banned or stigmatize certain group of people(even though we don't agree with their conduct) by treating them differently.It is the rule of ehtics to be beneficience,non-maleficience, justice and autonomy in giving our service.

So, what are the shocking news??

PATIENT 1, an old indian man. he confess having multiple sexual partner since 20 years old.Most of the reason is due to influnces from friends.He admitted that he have high sexual drive. It happend since his early twenties.He said that its common with his Malay MUSLIM friends. He even saw some of them have sex with dogs(tak masuk dek akal btol manusia ni).
He spend some of his money to support the 'prostitution bussiness'.Up till now his family especially his wife doesn't know about his extra activity. He was admitted to the ward because of difficulty in urination due to benign prostatic hyperplasia(BPH).BPH is enlargement of the prostate that constrict the urinary tract causing a person to have slow flow,increase frequency in urination etc.It is common in middle aged men..

PATIENT 2, a 27 years old Malay Muslim man who is practicing anal sex.FYI, he is well educated man with a degree. He admitted to still have feelings on women but not in any relationship with them.He agrees with the idea of marriage and have have kids if he find the women he likes. The activity is painful but according to him,is not painful to do it if he likes the man.He do it at least once a week since the past 3 years.He started with oral sex and then advancing to anal sex due to influences from friends...

out of curosity,i asked him a few questions and here are the summary...
1. each week will be a different partner
2. they meet through their special website
3. some of them are married man with kids
4. it happen to all kind of people: students, teachers and even doctors..
5. muslim men also involve with this...
6. usually they are man with soft personality(usually they will be the receiver)
7. normal looking man also do it(usually they are the giver

He was admitted to the ward due to problem with the fistula of anus(the anal canal is communicating with the skin surface).It happen mainly due to hygienity problem. The predisposing factor in this man is his sexual practice that can cause infection to happen easily on the anus.

Regarding practising anal sex with strangers...he have high chance to get other uncurable infections like HIV and hepatitis B or C. I pray that he will stop the conduct and try to appreciates his live more in a better way. I can only give my advice but the decision is in his hands to change.

My own tought......
I don't know why people still do things eventhough they know it will harm themselves.If they believe in god, don't they think about afterlife(hari akhirat). Don't they care about the sins they've done?? (tekejut juga ramai MELAYU ISLAM yg terjebak)

Maybe the pleasure they have right now win over their guilt of sins..

If you have the will to change, anything is possible.
Wasalam(",)

P/s: tau pasal ni, takut pula nak kawin..huhu.kpd bakal2 isteri diluar sana check background bakal suami anda.kepada lelaki, kami perempuan ada tak payah cari lelaki lain..hehe

I feel small.......

2009-06-19T18:10:00.008+08:00

Salam..

For Surgical posting, I was assigned to vascular team and all the registrar are taller than average Malaysian man. So, imagined what happened to me during the ward round(visit patients bed).I have to find any posible potential space to fit my 5 feet tall self in able to have a good view and be apart of the team.Sometimes i just stand behind them and see the patient through any spaces exist between them.

However the title above isn't about size issue.It is a methaphore of what i feel since this pass few weeks.

I feel small as i feel my knowledge wise is still not enough. The discussions i have with my study group mates and team members does really helps me. Questions bombarded to us during ward rounds or teaching from our supervisors, registrar, Medical Officer or any seniors do give us clue in what should we know. Well, they are a lot.Sometimes I know the answer but the way I convey it is wrong. I hope I can master the skill of answering 'maturely' according to what they want.

I feel small as I am hopeless to see and hear people crying of pain. There is nothing I can do except doing anything I can to relief it.During certain painful procedure what i can do is only provide some supportive words and pat their hand or back. To be in this profession we can give our emphaty but not total symphaty. If you are emotionally liable to them you cannot perform your duty towards them well.

I feel small as I never think I can do everything alone. As a medical student, I do rely on my friends to relieve my studies burden.Knowledge are for sharing, it is not for keeping. We learn and remember more through discussion rather than reading alone.

I feel small as Allah's humble servant as anyone can get sick. Sometimes death comes within a short notice and you don't realise it until its too late. A patient that i clerk(interviewing his problem) and do a bit of examination on last tuesday was only 27 years old. He was detected to have liver cancer stage 4 within a month. What puzzled the doctors was he doesn't have risk factors to have it and the cause was idiopathic(unknown).He passed away on wednesday(the day after I clerk him).May he rest in peace...AMIn.

I praised the mother to be very supportive and never leave his bedside to be with him.The father is a responsible man to take care of their other 3 daughters at home in Malacca.The neighbours back home are caring enough to hold Yassin recital and Hajat Prayers for him. She told me about her sons' problem without any single tears in her eye. I guess she accepts her son's fate as Qada' and Qadar from Allah. I am sure the there are reasons for all the things happening to us (good or bad).The way of how you accept things will determine what will happen next.Being always humble to him(Allah) does make you always put Allah first in your heart. Hope I can maintain that.

Moreover,doctors are not superhuman, they can get sick too.Patient comes to you to get better regardless you are sick or not.

Today, alhamdulillah I manage to do venopuncture(taking blood from vein) from a patient at Internal medicine ward for my logbook.I've already practice this procedure with my friends a few times and as the consequence, we get bruises at the site of needle puncture on our arm.Well, no pain no gain.hehe.. We willingly to injured ourselves in order to be competent in doing the invasive procedure to the patient.

Wasalam (",)

P/s can't wait for the weekend to have a nice jog by the Taman Tasik Permaisuri...and i'm Not going home.Have case write up to be done!!

Time is EMAS..

2009-06-12T23:46:00.011+08:00

Salam,

Demi masa sesungghuhnya manusia kerugian,melainkan mereka yang beramal beriman dan beramal soleh...I have to agree with this verses from Al-Quran taken from al-Asr(Time).I would like to apply this verses to show how precious time is(not in a religous angle). We never realise it till we get really busy or into trouble.

I realise now that only those who have passion on medicine can survive the life long learning years.Encouragement from parents or intrest alone can't isn't enough to satisfy the needs you have to satisfied in order to be a DOCTOR!

Why??
1. STUDY always is the top most priority(after Allah the CreatoR)..i get this habit of reading anytime i can as I always feels that my knowledge is still shallow.

yup, we need to cover a lot of things..

2. Time is EMAS(gold)...everytime is valueble and you have to learn to put 1st thing 1st. Thus, time management is very important. I have to sacrifice my sleeping time..huhu

3. Have to always think POSITIVE and raise up from any failure with dignity and a promise to work harder (This is what i get from stories for those who fail and have to re-sit exam or even repeat their year without giving up).Though, i never plan on repeating year, may Allah forbid that from happening

4. Understanding from people you have comitment for is very important. Alhamdullh i don't have comitments to anyone except my my family so far. Lucky i trained myself to only call my mum once a week or only for important things since i left home to further studies at Indonesia. I always told them my life now is not as easy as before,I hope they understand me..

Regardless all I mentioned above doesn't draw me back so far....because

Alhamdulillah,I have passion on becoming a doctor...

Since i get bored of only watching and clerking,today I assisted the nusres at procedure room of surgical clinic doing wound dressing, removing the suture and changing the suprapubic catheter.

I feel happy doing those thing regardless the smell and view that might cause people have nausea or loss of appetite..This is because i learned a lot(knowing the way of handling equipments) when i do it rather than watching.I'm glad Kak Fiza & Kak Dijah let me assist them..

For me to be good in something you must know everything from the basic till the complicated one. Its a good thing also to learn about the hospital policy and the fee the patients need to pay(saja ngada nak tau lebih2 la pula...",)

Today also i met the patient i clerk during first week of posting. I help up cleaned his wound and glad to meet that uncle again.His wound looks ok and I'm happy with it.

Good communication skill also the key point in becoming a good doctor. I have to get patient's trust and intrest during taking their history of disease. I was told by a Medical officer, to be a good student, you have to clerk at least one patient a day and do general basic physical examintaion on him/her.Since then i try to apply that.

As a clinical student, i have to be creative in finding the opportuninty to learn wisely. Like what i can conclude from Prof Hanafiah(my group spervisor) advice, there's nobody will tell you what to do. You have to find it yourself the opportunity to learn and not wait someone to come and teach you.

I had a valuable lesson earlier this week of not preparing much and not revising well on my basic knowledge.I hope to not repeat the same mistake again an always alert on that. Hope i can perform better.

May Allah make my journey in life smoother and easier..AMIN!!

Wasalam..

Ps: I still think that life is wonderful and meaningful in its own way each day..hehe(",).

2nd week.

2009-06-05T23:46:00.011+08:00

Salam,

First of all Allhamdulillah(thank u God) for given me the chance to live till now and celebrate my 21st birthday today(June,6th).Key of freedom they say..I think its key to responsibility to make the right decisions in life!!

Second week just ended today.I and my housemate take the half day off,go to KLCC and watched gorgeous Zac Efron in '17 again'.For me, i feel kind of weird to exposed around people after only go back & fro to hospital for the rest of my days. The white coat really have an effect in changing my personality,psychologically in a positive way. With the white coat on I am ready to mingled with patient, seeing dreadfull wounds...Without it I'm just Me someone's daughter, friend and sister.

After a few times reschedule,changing groups we finally settled with our original group during 1st week. I'm very glad with that decision as i really LIKE my group. I am very thankfull to have a nice group members that are dedicated to our group and the most important thing is cooperative and willing to share. Sharing is caring right??

As a group leader, i make sure everyone gets the opportunity to fill up their log books,arrange teaching meet with our busy supervisors and our schedule.Extra thing we do is we set up our own tutorial meet at the end of certain procedure or OT and discuss what we have learned and what we should read more.Thus, i makes the learning process much more benificial to everyone in the group.

This week also,my study group just started our meetings and I learn a lot from it!It consist of 5 members (3girls,2guys).I think everyone should have study group once you enter clinical.

AFter 2nd week, i can see a few ADVANTAGES that i have as coming from UKM-UNPAD twinning programme:
* Our SKills lab really exposed us too the clinical. Here, i had a workshop yesterday and learned 6 skills. Each skills was taught for 10minutes in rotation of seven groups of 10 students. The skills that we learned were:
1. Urine catheterization
2. Pre Rectal examinationa(aka Digital rectal exmntn)
3. Suturing and holding the equipments
4. Nasogastric tube insertion
5. Breast examination
6. Brannula insertion(aka IV insertion)
Imagine how lucky I was to learn one skill for 2 and half hour€s in a group of 10 in a week and get evaluated in the second meet in the same week at UNPAD. Everyone get the chance to memorize,learn and use all the equipments adequately.However, as people have variability, the skills are slightly different but allahamdulillah I can adapt to that.

* We learned more cases.Logically we learned more as the regular students learned pre-clinical for 2 years and ours are 3 years.However, i still have to re-read as i forget some of it..hehe

* Since we know certain things more, we become quite confident to do things.yeke??(kembang kuncup kembang kuncup)hehe..Maybe some of us do...A radiologist told my friend that he heard that UNPAD students are confident.It must be from talks among his colleages since our postings doesn't majorly involved radiology yet.

I'm glad that so far my friends from UNPAD manage to be OK in here. So far i didn't here any negative comments on us..I hoping to not hearing about it at all i the future.

Wednesday was my lucky day as I get to do all the things i planned on that day.What are they?
1. Clearking a very cooperative patient in the surgical clinic.

2. Presenting a case in front of a registrar(doctor that is going to be a speacialist).He corrected me and i'm glad that i learned my weaknesses at last in presenting case.Will try to present case again next time.

3. Watched an operation on removing the gallbladder(cholestectomy)by Open surgery method on a cholelithiasis patient whom i clerk a day before for my case assessment report.After it was removed, a registrar disect it and i get to feel the content(bile stones-moxed type)while collecting it into the specimen bottle. I get to feel a real gallbladder too.It was a WONDERFULL experience after standing for about two hours straight..The patient also a nice lady.She was very helpfull during the clerking me & my friend conduct befor the operation.She also let us practise some general physical examination on her.

So,those are some view of my posting this week..My inquisitive and motivation level is still high.Hopefully it will go on forever..(",)Till then, bubye.

Wasalam.

P/S: i got a sister in my family at last...a sister IN LAW (",). May happiness will always be with you Abang Yayai and Kak Yah.Can't wait for a nephew or niece and becoming and aunty..

1st week of 1st posting

2009-05-30T21:33:00.009+08:00

Salam (peace)

So, I'm sure some of you are excited to know what happened to me during my first week of my clinical year.My first posting is SURGERY! So..here it goes:

In summary:

1. The first week always be the blurry one..The method of learning is TOTALLY DIFFERENT from pre-clinical years..NOBODY is there to tell you what to do. Everything comes from your own initiative and intelligence to find the opportunity. You won't know it till you experience it.

2. Regardless all from the above...I ENJOYED my condition right now in the CLINICAL way..so far...WHY??
* You get to see things that you can't get from books
* You apply and refresh what you learn during pre-clinical into 'real thing'
* We get exposure to real patient...real cases..COOL!!
* We get to know the hospital: how it really works with a lot of people working togather to help those in need
* You get to sharpened your communication skill by doing CLERKING( aka amnenesis)..this job is our main job in the ward..investigating the patients..
Sometiomes, i feel like i'm a police officer..hoho

3. I understand now why people says SURGERY is the 'inspirational posting'
* the doctors mostly are COOL...(get to see some Good looking faces to..hehe)
* watching surgery is a WONDERFULL experience
* less tense in this department
* the Operation theatre(OT) is fully air-cond...have to wear scrubs when entering the OT department.so..adala feel mcm surgeon

4. About the posting..there are 3 places you have to go:
* WARD : there are 2 ward 3rd year students are allowed to go to..ward 1 (men) and ward 2(women)
* CLINICS : here, you can learn a lot here..get to participate more in the procesdures
* OPERATION THEATER (OT): You can-see-only learning process but you should apply what you see with what you learn to make the process more benificial.

5. WOn't I get lost??
* Every students get a log book.This log book is fill with requirements that students have to fullfill during each posting and everything must be confirmed with the doctor or nurse signature.
* The seniors are kind and toughtful to organize the buddy system. Each junior have their own buddy(senior) to help out in surviving the clinical life.So, we can ask them about studies, books etc.

So, in conclusion...
to my UNPAD juniors..no need to worry..be motivated to looking forward to your clinical years at PPUKM.
To my self..i'm thinking of becoming a surgeon..hopefully i can succeed in everything I do and always feel motivated to learn.

MOTIVATION thats' DRIVE you to go FAR BEYOND THE SEAS..

Wasalam(peace be upon u who read this)

PPD camp

2009-05-22T23:49:00.008+08:00

Salam...

After white coat ceremony at the end of PPD Camp 2...

I just got back from Besut BTN camp after spending 5 days there for Professional Personal Development 2 (PPD)camp.Medical students of UKM have to attend this camp during 1st(starting pre-clinical),3rd(starting clinical) and 5th year(final year).

PPD is a modul that will be assessed throughout the year and this camp is the beginning of the modul. This modul is intergrated into each posting.However, I'm not really sure yet how they evaluate us yet.If you fail PPD it equal to failing a posting.If you fail 3 or more posting after re-sit, you have to repeat the year..huhu..May Allah forbid that happening to me..

The moduls are mainly by Assoc. Prof Dr Harlina with the help of other PPD department members.This time the Camp comandent is Assoc. Prof Dr Zulkifli who is also our Pengetua KTDI

The objective of PPD camp are different for each year.For PPD 2 it is more to developing medical professionalism and preparing us to the clinical world.The moduls are related to managing diversity, honesty, assesscibality as a medical students and medical ethics. We are also given a lecture by Prof. Dr Rohaizak about etiquettes of doctors on our behavior,manner and appearence.

I am glad to have such a GREAT team members regardless our diversity..hehe.We all share the same spirit and had a good bonding during the activities. I am in Kumpulan 10 and there was 24 groups for 272 students.Quite a big number eh??

In summary:

1.The camp is at Besut, 5minutes walk to the beach.

2.My bus sesat during our journey to Besut and we arrived after 12 hours on road..huhu
Excited faces when we just started our journey

3.The condition was VERY HOT!!I nearly melted...hoho..

4.WE are well fed as we get to eat 6 times per day(ruining my diet plan..huhu)

5.I LIKE my Kumpulan 10 members...they are wonderful

6.I get rashes and gatal2 on 4th day till now..huhu.Some of my friends get similar problems.

7.The Kembara(which is the cream of PPD) had to be cancelled due to the heavy rain but, good thing is we get to mandi hujan..hehe
after the Kembara was cancelled..we heal our dissapointment by taking photos by the beach..

8.On 4th day, we get to do Subuh prayer by the beach however the sunrise wasn't visible due to cloudy condtion(later it rained and we have to cancel Kembara..huhu)

9.The schedule are very thight...slept during ceramah BTN..can't help it..(",)

10.We have to write a letter to ourselves about what we want to achieve during clinical years and our feeling at the moment.These letters are kept and will be given to us on the day before our graduation in 2012 insyaAllah.I just can't wait to read my letter again on 2012.
with Dr Irwan Januarsih & Dr Uni who are from UNPAD..we will miss you!!

I would like to thank all who make this PPD camp2 happen especially to Dr Harlina & PPD unit, Dr. Zul, Dr SHahrir, Dr Setiawan & Dr Irwan Januarsih from UNPAD and all fascilitators.Special thanks to my fascilitator Dr Azaman(Pharmacology) and Dr Suzaily(Psychiatry).Both of you have been a wonderful fascilitator to us, Kumpulan 10.

I really enjoyed this PPD camp.I hope to experience more excitement and enjoyful moments during PPD3 camp during my 5th year..With this I rest my case

Wasalam(",)

I'm Home

2009-05-09T09:40:00.005+08:00

Salam..

Alhamdulillah..I'm already home for two days. It's steamy here..I keep changing my clothes because I always drain in my sweat.Thank you to the GLOBAL WARMING, my home is getting warmer compare to 3 years ago.

What happen in this 2 days:
1. I become a 'puteri lilin' and keep on staying at home with the fan or air-cond on.So friends if you want to ask me out bring me to a close area with air-cond or fan..hehe.

2. My family is busy with my brother's wedding preparation(about a month away). Thank you Abg yayai, I become your 'buruh kerahan tenaga' managing the bunga telur and wedding invitation cards.My mum decided to make the 'hantaran' and 'bunga telur' by herself with the help of other creative family members. Well, it can cut the cost and you' ll feel more satisfied with the end product if you make everything by yourself. Moreover, my family members are creative with these 'wedding thing'..hehe..Definitely will get their help when it comes to my turn.

3. Another tradition is we usually send the invitation card by hand..Yes, I repeat BY HAND!!...but only to certain people like family and close friend.SO, today they will go out and send the cards whlie visiting people they invite, while I have to stay home managing the other cards to be post and babysit my little brother(which i'm glad to stay in the air-cond home)...(",)

4. My family is also in transition of moving to Malacca(but we still keep the house at KL).The house is still in renovation, so still can't move in yet.

5. My 7 boxes of cargo shipping also arrived safely in the evening on the day i arrived.. Still thinking how to manage all the boxes...huhu.

6. Like to tease my little brother in my free time and swim almost everyday(",)

7. Pasar malam...yeah.And delicious Malaysian food..I'm in food HEAVEN.

8. Busy with preparation on registration at UKM on 13/5...have to pack my stuf from the 7 boxes and try to find some clothes from the boxes for my orientation and 5days camp..hoho

That's all for now.Sorry for babbling too much..Just bear with me (",)

Wasalam

p/s: pictures will be uploaded later.I'm borrowing my bro laptop for this..hehe

Farewell Jatinangor.......

2009-05-06T07:20:00.016+08:00

WE are ELIGIBLE to continue at UKM MALAYSIA!!

Salam..

Today will be the last time i write my blog at Indonesia. I lead this last days with some unforgettable memories..Receiving a lot of GOOD LUCK wishes and prayers and also farewells. People throw us 3 farewell parties..I'm touched.

My heart ache to leave here and start a new chapter of my life as a clinical student at Pusat Perubatan UKM. It is sad to leave all the friends i made and the life i lead for three years. Even three years feels too short..Definitely I feel sad but I keep my self optimist.This goodbye doesn't mean forever.Everyone have to move on...huhuhu

BBQ at Caringin(where i live for 2 years) with other twinning friends..

Farewell party with PADMA, an organization that manage international students

perform song by Mambai titled Kau Ilhamku with other twinning friends as a gift for PADMA

Farewell by Batchmates(2006 FANTASTIC) from Regular and International program.

With Indonesian friends..will miss u all.

Farewell with my close international program friends..we were housemate for a year during foundation.So many memories i have with you all..Miss you..huhu. Nad the peacock(peace no war..hehe) and AJ the rabbit(hehe).I will remember last night always.Thank you(",)

My last experiment at Jatinangor..CHOCOLATE CAKE.. Thanks to the teacher(Salmi).
I made two for my floor mates, junior and aerobic instructor.

Another important part of my life at JAtinangor is AEROBIC. I go there every week and become part of Arena Senam Jatinangor family members.There i get know lots of ibu who likes to aerobic and make friends with students from other faculty..It was an intresting experience and memorable to mingled with them. I also attended birthday parties and engagement by them.Yesterday was my the last time I go there. Thank you teh(aerobic instructor) for the baju aerobic you gave me.

With Arena Senam Jatinangor members..

Farewell my friends....
Thank you for everything
the memories I had with you
will be kept always in my heart

Dear friend,
just remember
We only part to meet again
Reunited in future i pray
INSYALLAH(with ALLah's will)

Wasalam

Friendly comperative religion(FCR).......

2009-05-03T07:16:00.008+08:00

Salam(Peace be upon you)

I nearly decided to absent from this short seminar because of the long journey i had earlier of the day (Bali-Jakarta-Jatinangor,Bandung).What can i do...my last days at Indonesia are full with activities.

However, since the seminar is about comparing religions(which is something i never attend before), I finally choose to go. Alhamdulillah(TQ ALLah).. I made the right choice.It opened my mind into something new.

This is the first time the event is done at Universitas Padjadjaran.Thus,I would like to THANK the organizer(Biro Agama Islam Kelab Umno Bandung-B.A.I.K) to organize this wonderful event.However i would be more merrier and exciting if you all can invite the representative of other religion also..not only our other brother and sister in other religion.What's the use of comparison without them rite!Moreover, due to lack of time, FCR modules have to be compressed(tak cukup puas la..).Maybe next time rite(",).Definitely, I will join FCR in in Malaysia.

The presenter is Shah Kirit or well known as Bro Shah. He also bring his younger brother, Dinesh along.Both are Indians and still are.They didn't become Malay(RACE,cause you have to be born into it) but they become Muslim(RELIGION).Alhamdulillah(Thank u to Allah),they converted to Muslim for more than a decade already.

What is ISLAM?? Islam means total OBEDIENT and SURRENDER ,to get PEACE and BELIEVED in AUTHENTIC way to GOD(ALLAH). The similarity among other religion Christian, Hindu, Sikh is we believe GOD is ONE.The prove is stated in the source of the religion which is the Book of each religion(eg:Al-Quran in Islam, Bible in Christian).

Then, why not we just accept all religion since we all believe in ONE GOD??
The answer is worship GOD as how GOD wants us to worship GOD, not as how we think we want to worship GOD.

The source of Islam is Al-Quran and Hadiths. Al-Quran is the word of GOD given to us through the messenger,Muhammad(peace be upon him).Hadiths is whatever Muhammad do, give speech about or whatever happen in front of him that he leave a comment on.

If you compare Al-QUran(exist 1400 years ago)with modern sience, you will astonished to find the similarities. So how could it be the word of devil since Muhammad cannot write nor read.Moreover, modern technology doesn't exist 1400 years ago.

Muhammad also was awarded the title of Al-Amin by the Arabic Quraisy before he become a messenger because of his sincerity and never tell lies since he was a child.He was a very trusted man in Mecca. He is a PERFECT man for us human to follow as an example.You will say nobody is perfect.But,believe it or not, Muhammad(pbuh) was someone that was born with PERFECT qualities.

Thus, what ever that is not stated in the Al-Quran and Hadiths is NOT ISLAM!! Don't judge Islam by the act of their believers,but judge it by the two sources i mentioned above.Even muslims also get confuse!! I hope everyone will go back and use their given INTELLIGENCE to find what is ISLAM from this two sources.

We may born as MUSLIM but we are not sure we can die as MUSLIM. The most important in ISLAM is we die as MUSLIM.Thus, regardless you born as Muslim or non-Muslim, we are the same..Islam believe two phase in life before and after puberty.We all born as Islam,innocent and with no sin.After puberty you will be judge and your sins will be count. GOD gives us the intuition to find him.Let us use the INTELLIGENCE to find the truth.

WAllahualam

WAsalam(may peace be upon you)

P/s: Islam comes from word Salam meaning PEACE

Bali..

2009-05-02T00:55:00.019+08:00

Salam,

I just got back from BALI..Yes..BALI! I would like to describe Bali as a tropical paradise with fusion between west and east. There's A LOT of tourist that you can meet everywhere.

Finally i get to go there.Alhamdulillah! It was a challenge as a Muslim because of the food(the famous food is Babi guling)and there are full of half naked people.Thus,we got extra lesson on ANATOMY of human body.The funny thing is,we became the center of attraction there instead of girls in bikini..hehe.Because its quite hard to find tourist we head scarf on with fully clothes on.

Regardless all of it I'm PROUD to practice Islam in this condition. I also experienced praying inside the car.

Why i want to got there? the first and foremost is i want to experience the beauty of Bali.Next i want to see the culture of Balinese people that have close relation with Hinduism. Third, i want to make my last 10 days in Indonesia more memorable..huhu.

Is Bali suitable for us Muslims to spend their holidays?? Yes, there are a lot of interesting places you can go besides the beach that are full with half naked people or pubs and night clubs..Just ignore those places and spend your quality time on nature and cultural activities like what I've done with my friends. Totally NO drug, NO alcohol and NO sex...

The most memorable thing is scuba diving. This is my 2nd time as explorer diver(without license).My first time was at Perhentian Island,Malaysia with my brothers and we immediately fell in love with it.We planned to make it a family thing as we all will take the course at UKM and get the scuba diving license. Its not cheap but it's worth it.

My total expenses through out the Bali trip is only 3.2 million rupiah for 6 days.if including plane ticket is about 4.2 million( about RM 1,500). We traveled to almost all the tourist spot with 4 days of charted car with driver. We also get to buy a lot of souvenirs at the factory with grocer price( thanks to Agus our driver who bring us there).

So, here is the summary of my trip...

Day 1,Sunday, 26/4- we just walk around Kuta beach

There's no Angkot but they use this colorful mini bus instead for short distance transportation along the beach.

(Charted car with driver from day 2-5)

Day 2,Monday, 27/4
* Water sports: Para sailing,flying fish,banana boat and scuba diving( we did some negotiation on the price and manage to get acceptable price for these 4 activities)

* Garuda Wisnu Kencana Park(GWK)- Watched very big statues here!
* Ulu Watu, watch Kecak dance here!
* Seafood dinner at Jinbara under the star and moon light by the beach, we can see the airplane landing area from Jinbara beach.
(manage to get the cheapest restaurant)
Kecak dance

Day 3,Tuesday, 28/4
* Watched dolphins at Lovina beach have to cross Bali from south(Kuta beach-where we stay) to North.Took us 3 hours journey.Get to watch sunrise here.
* Kintamani and Batur Mountain - still active volcano
* Batik factory,get to take home some specially requested batik painting as souvenirs with cheap price.

At Lovina Beach where the sun started to come out......I'm speechless

Day 4,Wednesday, 29/4
* Taman Ayun- the nicest temple we visited so far

* Alas keraton- monkeys all over the place...scares me..huhu
* Bedugul-nice highland at Bali, a little bit cool like Bandung
* Tanah Lot- a temple on a big rock that looks as if its floating at the sea.

Day 5,Thursday,30/4
* Watched Barongan and keris dance

* Shopping at Bali Creative-factory that produce souvenirs.we shop at grocer price (",)
* Visited Medical faculty of Universitas Udayana

* Watched sunset by the beach..Subahannallah,very beautiful

Day 6,Friday,1/5
*Back to Jakarta..then Bandung by road.

I'm tired but very happy.The moments i had there was unforgettable.Insyaallah I will visit Bali again to experience the beauty of Allah's creation.

Wasalam.

Sound of music.......

2009-04-25T19:22:00.015+08:00

Salam,

Today i would like to share my experience visiting Saung Angklung Udjo(SAU). It is one of tourist attraction in Bandung. I just discover this place last year.Alhamdullilah I finally went there on last Thursday.

The visitors are mostly Caucasian.When i visited SAU, there was about 3 buses of Caucasian that are mostly Dutch. I'm quite suprised with the number of 'Mat Salleh'(Indonesian called them 'Bule') cause i only see them rarely in Bandung or Jatinangor.I guess Caucasian prefer Arts,culture and music compare to us Malaysian who spend their money more on 'appreciating shopping'.

The place was aspired by Pak Udjo and is continue by his son now. For more info you can log on into their official website http://www.angklung-udjo.co.id .The ticket is 50,000 for locals or students(make sure you bring your student cards) and 80,000 for foreigner.

What is angklung? It is a musical instrument that is made from bamboo. The sound is soothing and refreshing. I once watch an Angklung orchestra at Institut Teknologi Bandung(ITB) during 'International Day'.I immediately fall in love with it.

This trip was memorable for us siblings as regardless our differences, we share a common passion on music with our parents too.I can say its a 'Family thing' We like orchestra, life music,traditional performances and also theater.I've been longing to watch this cultural show for a quite some time.

My brothers with Pak Herman, A sundanese family friend that work as Music Officer at Universiti Teknologi Malaysia(that's how my brothers know him)

The cream of the visit is actually the LIVE PERFORMANCES.All performances done by their students age as little as 2years old till late teens. Up till now, there are about 500 students of SAU.At morning they go to school, after school they come with their parents to SAU to learn and perform.

Cirumcision Parade with Kuda kepang dance...

The performance is done daily from 1530-1730.The show is divided into 2 parts with 15 minutes break in between. The performance was started with Kuda Kepang dance.Then there's a cirumcision parade and celebration and proceeded with 'Tarian bertopeng'.
There's also wayang golek and musical instruments performances(Rumba and Angklung).
Musical instrument performance.....

We also gets the opportunity to experience the excitement and togetherness in playing simple songs.Yes,that's right... we get to play Angklung.It was a wonderful experience for us definitely!!

finally..my hands on angklung(",) Get a little help from Sylvi 11 years old girl next to me.Already learns angklung for 2 years.Notice the Angklung necklace??That's is actually our ticket(nice idea!!)

with Lily, a 2years old girl.She dance during Kuda kepang dance and Circumcision parade.Sooo..CUTE!!

Something interesting at SAU,...SAVE the EARTH..Go..go..GREEN!!

Toilet eh?? Very clean and nice art and design...

I hope this place will continue to grow to maintain the Sundanese Culture in the future.It is great to see the young generation knows their culture and roots. Moreover, they spend their time on something educative while keeping the culture alive.It is better than spending more time on watching television, computer games or Play Station

Wasalam.

Bye..bye Mr P

2009-04-24T16:49:00.017+08:00

Salam..

Today I have to say good bye for a while for Mr P. We've been together for almost 2years now(",)

I bought the portable Yamaha piano at Braga Music, Bandung in July 2007.It was quite cheap compare to Malaysian price.It cause me some 4 million rupiah including transportation to Jatinangor(45minutes from Bandung city). Well, even though Mr P isn't cheap, i think he worth every rupiah on him.

Mr P and me have a lots of moments together..We did a few performances together.He ease my mind sometimes especially during exams when my brain is 'jammed'.He listen to my voice while i sing without complain..hehe..he practically obey my fingers on him..Any men can't match him(",)

I and my brothers are passionate on music.At home we play duet and trio numerous of time and we did some performances too..However non of us make it as our major studies.(extra info; Both of my brothers are engineers in communication, working with ASTRO).I miss the moment and since i'm coming home we can meet up and turn the house into a studio..sorry neighbours(",)

For Mr P transportation, i asked my brothers help.Since electronic gadgets are fragile,I'm worried with Mr P safety if i send it by shipping.At the same time, the come here for holiday and mission to find Factory outlet Levi's jeans. They manage to find it but unfortunately their sizes are not available.So, they bought Burberry, Hugo and Pierre Cardin instead... Each cost less than 200,000rp(Rm 80)

Believe it or not..this is my 4th time to Kawah Putih at Ciwide, Bandung

Finally..i get to experience something new...GEOLOGY MUSEUM

Frankly,its quite boring.However, i finally know that 16,000 years ago Bandung is filled with water. See the dotted line area that is filled in water.

Dissapointed!! They are not real T-Rex when i knock the bone i can feel it is actually made from plastic

The CREAM of the whole day Trip...SAUNG ANGKLUNG.It was a WONDERFULL experience.Worth every rupiah we spend on the ticket( 50,000rp for locals, 80,000 for foreigners) I will post a special entry for it tomorrow.

End the day with Java Bean Coffee near our hotel...coffee Latte' on left, coffee Mocha on right..nyum..nyum

Alhamdulillah the piano is only 15kg.I called my first brother, and he told me that they manage to transport it without extra charge.I hope Mr P will be transported safetly....AMIN

SEE YOU AGAIN Mr P at Malaysia...i will miss you.
Wasalam

ESQ,a journey to find a meaningful life....

2009-04-20T07:09:00.012+08:00

Salam.......

As you can see from my blog address, i think that life should be wonderful. However, i always pray for guidance to have it meaningful. For example, my life as a student at UNPAD becoming more meaningful when i join the extracurricular activities by PKPMI,KUBI,BEM AS-Sifa'and other student organization in UNPAD..especially medical faculty.

It's challenging but a good learning process when enthrust me into several leadership position in the student's organization. Don't i ever feel tired to balance it with studies? Frankly yes, however i will rather choose to have a more meanigful life rather staying put doing nothing except study. I hope it continues when i continue at UKM.

Regardless what I've done till now...Do i ever achieve any truly meaningful life??
I just discover it after i join a motivational program by ESQ( Emotional, Spiritual Quotient).To discover it i choose to join ESQ instead of Sports' Day by PKPMI(which i really want to participate).I'm glad i choose ESQ!!It was founded by Ary Ginanjar Agustian.For more info you can visit the website here http://www.esqway165.com/

My fellow bloggers who joined...we are the only Malaysians

The ESQ way use what have been thought by our prophet Muhammad pbuh 1400 years ago which are 165(1 ihsan, 6 pillars of iman, 5 pillars of Islam). Since from primary school we are exposed to intelligent quotient method of learning.Thus our emotional and spiritual quotient are based on the initiative of our parents to guide us, the environment we live in and the will of ourselves to learn it more.

ESQ thought as that Al-Quran is not only for Muslim but Al-Quran and Islam are for humans.So, other religion can also apply this concepts by adjusting them according to their own religion.In fact, there was a Buddhist among the participant. So far, 10% of the alumni is non-Muslim.

The theme song is Demi matahari by Snada(u can find it at u-tube)...it is based on Ash-Syams,chapter91..verses 1-6..

By the sun and his brightness, (1) And the moon when she followeth him, (2) And the day when it revealeth him, (3) And the night when it enshroudeth him, (4) And the heaven and Him Who built it, (5) And the earth and Him Who spread it, (6) And a soul and Him Who perfected it (7) And inspired it (with conscience of) what is wrong for it and (what is) right for it.

The learning process is very interesting which i haven't found in any program yet. Before we start, we have a few rules to obey.Both of your brains are working because they use audio visual method.Songs are played while the modules are given. We dance or exercise during break in between modules.It makes the learning process FUN and EASY to absorb.The way to learn is 'BERSENANG-SENANG'(relax and fun).

ESQ teach us to integrate our IQ,EQ and SQ by making ALLAH(GOD..the creator)as the center of everything.During ESQ, they taught us more on EQ and SQ by using verses from al-Quran.They lead us to learn 99 names of Allah(asma al- husna) and let us apply it to ourselves.

There is an intresting fact that we learned about Kaizen.It is a concept which helps Japan becoming better, beating the West with Bullet train(fastest in the world) and car industry by turning something bad into a better thing. Actually, we way is in Al-Quran if we understand the true meaning of Al-fatihah..subahannallah.If you want to know more you have to join ESQ.

How to join them?? If you live in Jatinangor,there will be a training near Al-Islam Hospital on early May. I already took information on ESQ at Malaysia and insyaallah,I will join their program there.As Alumni, you can their training and programs for free.

ESQ are well recognize in the world especially at their neighboring countries like Malaysia.

So friends, i would like to suggest you all to join it. Alhamdulillah in my last month at Indonesia, I am able to participate in ESQ at its country of origin.

I hope the effort of ESQ...
1....to change Indonesia into a better country with out coruption( Golden country)will be achieved.
2....to humans realize the meaningful of life goes on.
3....can make MALAYSIA achived vision 2020..Malaysia Boleh!!

Wasalam

P/s: About my previous entry, there's almost similar true story about it we learned during ESQ about an ESQ alumni. When the loved one died, people expect here to be hysteric. However, she didn't but she says to the lifeless body..Daddy, i know that this will happen someday. We are his humble servant and one day i will meet him too,thus i will always pray for you and prepare myself before i meet HIM...

So friends, the moral of the the story is always believe in Qada' and Qadar Allah(fate by Allah)

Life is as brief as candle

2009-04-17T22:37:00.006+08:00

Salam....

Well finally I've finished packing up my belongings for shipping to Malaysia. The result is almost 1m cubic of spaces used....about 25 A4 boxes..

Quite a lot eh??85% of it are my collections of books..

However today i was informed a SHOCKING & SAD news. One of my first year junior's mother just passed away. A few weeks ago she was hospitalized for stroke and he went back home(Malaysia). They will sit for the final year exam on April 20th(just in a few days ).

Questions suddenly fills in my head... What if something like that happen to me? It is just before a final exam that will decide weather you PASS or FAIL(have to repeat the year).Am i STRONG enough to cope and deal with it??

Then i remember this verses from al-Quran, taken from sura Al-Baqara:

Allah tasketh not a soul beyond its scope. For it (is only) that which it hath earned, and against it (only) that which it hath deserved. Our Lord! Condemn us not if we forget, or miss the mark! Our Lord! Lay not on us such a burden as thou didst lay on those before us! Our Lord! Impose not on us that which we have not the strength to bear! Pardon us, absolve us and have mercy on us, Thou, our Protector, and give us victory over the disbelieving folk. (286)
Things happen and ALLAH knows that we can cope with it!!

O ye who believe! Seek help in steadfastness and prayer. Lo! Allah is with the steadfastn>. (153)
Be STEADFAST!!

And surely We shall try you with something of fear and hunger, and loss of wealth and lives and crops; but give glad tidings to the steadfast, (155)

So, any unfortunate events or bad things happen just remember this zikr......
'LAHAULA WALA QUWATA ILLA BILLAH HIL ALIYIL A’ZIM'
'Tiada Kekuatan dan Daya Melainkan dari Allah yang Maha Tinggi lagi Maha Mulia'

why?? because if BAD things happen...always rely on HIM,our creator!!
Then you'll appreciate more things you take for granted.Ada Hikmah disebalik musibah yang melanda..

Simple examples are:
if you sick, you'll taking care of your health more..
if you broke or have no money, you'll plan on saving next time
if you lose someone dear or close to you...you'll appreciate the moment you had with them and lead BETTER life

because...
LIFE is WONDERUL,it is MEANINGFUL but it also BRIEF as CANDLE.

Wasalam.

I'm touched...

2009-04-15T08:48:00.011+08:00

SAlam......

Becoming one of the member of the first batch of twinning program was historical to me. This program is the first one conducted by Malaysian government university with oversea university on medicine.

As the pioneer, the pressure on us is high. Without seniors to rely on, we march into the battlefield with support from family, friends and among ourselves.That is why we are so close together like family and kompak(always in togather) in everything that we do.

Our Choral speaking performance on Febuary for lecturers (UKM and UNPAD)...about our live in Jatinangor, specially dedicated to our UNPAD dosen).

However the most important supporter is our own lecturers.If we are siblings among ourselves..they are the parents of our family.The first month of our arrival, we were celebrated by our lecturers. We are excited to see them sing karaoke for us. Since that event, it somehow make us closer.Lecturers that have been always with us since the first year are Dr Tri(now Pembantu Dekan2), Dr Betty( Our first coordinator) and Dr Setiawan(Our latest coordinator).There are also Dr Sri, both of Dr Ike (pshiatric and pharmacology), Dr Ghozali, Dr Najua and others that i may forgot to mention.

So, last Sunday, Dr Tri along with other lecturers celebrate our farewell at his house at Moh Toba. He told us that they receive us with a feast and now, they want to let us go also with a feast. I always like Dr Tri for his wise words. He mentioned that we are the child of UNPAD and they will let go us to become a foreigner (merantau) at UKM, Malaysia.As foreigners we will struggle more and try harder to succeed. He hope we will meet again as colleague. I'm touched..

However, our UNPAD lecturer will visit us every semester to see how we 'bloom',like what have been done by our UKM lecturer in visiting us every semester. I guess our performance will always be observed till we graduated..hehe

they gave speech..later, they sang for us...DOSEN IDOL...who do you think gets the best vote??hmmm

The local food was great and our ear also are fed with the live 'keroncong' music by a team of musician. As our appreciation, we sang Kau Ilhamku(song by Mumbai) which was the song we sang for them during the first feast..Luckly i memorised it well to accompany my friends sing with playing the keyboard.

the MAIN DISH...

side dish..bakso..nyum..nyum

side dish.....Sate..sedappppppp

SUnBURNED me, with Dr Najua and friends...after netball game earlier that morning.Yup, we have to rush to this farewell party and didn't attend the prize giving ceremony.

Netball tournament.....

2009-04-12T07:26:00.009+08:00

Salam...

SUNBURN..SUn..BUrn..The heat from yesterday game is still burning my face. Lucky i'm just the reserve player.Never would i have imagine to join a netball team? Even futsal, which i joined during first year. Frankly, back at school i never do any sports..haha..dats rite(",)

I think we the twinning programe batch 2006 are quite fanatic with their batch member's team..in Futsal..badminton..and netball of course. Shows how kompak we are. Besides, we will be separated into 4 different groups back in UKM.

Back, to netball...we send two teams(Netballerz and Gondii) like we did during 1st year. We didn't join during 2nd year because of final exams. So, this year is the last and payback time....

Netballerz hot to go H-O-T-T-O-G-O!!

Gondi..Gondi..Gondi..Meow!!

ALHAMDULILLAH...in NETBALL, Gondii got 2nd place and we(Netballerz) got 3rd place..The futsal team (Maulana) got 1st place,finally after 3 years trying hard..

Mulana Hot To Go..H-O-T-T-O-G-O!!

i think the organizer should be more careful..the game is in 2009 not 2008 like in the medal..hmmm

So, I'm PROUD & HAPPY that we all finally leave something memorable before we leave UNPAD and other Malaysian STudents here..I'm sure you all will miss us..ehem..hehe(",)

Apa yang penting??? KERJASAMA! (imported from Wonder pet)

wasalam

Happy Birthday!!

2009-04-09T05:53:00.005+08:00

The picture above taken during last raya..Abg Memen busy teaching Adik to ride bicycle.

SAlam..

Today is my beloved Mama's birthday. Alhmadulillah, i think finally she found more peaceful life after our family decided to move to Malacca from Kuala Lumpur.

The previous school was an all-boys-famous-secondary government school in Kuala Lumpur. It was busy,hectic and full with high expectation. Being the 2nd person in charge with the school she have to deal with both teachers and students...and also parents. The Principal always outstation to meet the course and activities by government for the school principal, leaving my mum in charge. My mom have to adapt to this condition after 21 years happily teaching at an all-girl-school that gave less pressure.

Glad for my mum, she's sound more happy and less irritated. Funny, she event complaint to me she don't know what to do at the school(too relax after the hectic life at KL) because all the teachers are very cooperative and do their job well.The students are well behave and didn't cause much problems.The school was my dad secondary school.Moreover, Malacca is a nice small city compare to the busy KL...Well, i live most of my life in KL.Can't wait to get back to the new home(",)

HAPPY 53rd BIRTHDAY MAMA!

May you found more happy, less stress and peaceful life.I miss you!!

Conquer Cikuda Pool

2009-04-07T06:10:00.022+08:00

Salam..

What do you think about pool party???
Hmmm..the first picture will come out from our mind is pool..sexy bikinis..tropical objects(pineapple,palm tree)...sunburn..

I experienced that except the bikini part okay...Although those with XY chromosome (men)are strictly prohibited, i still feel safer to cover the whole area.

Well..Islam is simple as long as we don't breach ALlah rules. So,last Sunday,girls from my batch(2006) organized POOL PARTY. Strictly for girls only!! . We had a lot of FUN and EXCITEMENT...and also SUNBURN..huhu

You can view a wise opinion about pool part from here
http//:sekadarperkongsian.blogspot.com/2009/04/pool-party.html

Finally..i get to experience Cikuda pool..usually i go to Al-Masoem pool which quite plain and boring.Here, the pool is surrounded by beautiful scenery from the paddy field

Since this party is for girls only we are free to swim..play games..sing the karaoke without embarrassing ourselves in front of the guys.The objective is to make us girls in batch 2006 closer and also as a farewell for us Twinning programe since we are leaving on May 6-7th to Malaysia.

Sadly the girls from dentistry cannot join us since they are having their final exam.I'm not sure about the absent of the pharmacy girls. Anyway, the food was great and A LOT...good job to 'AJK makanan'....here are some of the food

breakfast

finger food and fruits

dessert

finally..MAIN COURSE

I and Salmi have a special job that day as aerobic instructor..finally my 1st experience. It was quite ok..most of us(who goes to aerobic class) can follow it, while others are enthusiasm first timers..hehe(",)

The games are fun and the prizes are cool(we twinning in charge in prizes and goody bags). What i like the most is the goody back, design by the Dydo the JUNGLE JANE(an award/title given to those who gave the highest participation on that day)...

I always like her drawing which she like to put in her notes for tutorial mates, i call the figure as Memory Lane figure.

Us..

Black henna...(in transition of accepting it..feels weird.hmmmmm)

In conclusion,my stomach in FULL load(i didn't take dinner afterwards), i have black henna on my right hand from the henna booth, i got 2 prizes for two games i won and i got SUNBURN!

Wasalam

Islamic Hijri Calendar

2009-04-07T06:10:00.001+08:00

Recall...

2009-04-04T19:45:00.017+08:00

Salam

I just want to recall back what I've done after finish my final exam during this pass two weeks.Does it compatible with my post exam plans?

Well alhmdulillah i manage to fulfill most of it.

My first project: the art of embroidery...changing this.....

into this....

On Food,instead of making I've decided to be the eater not the maker.hehe...
I experienced Japanese and Korean delicacy around Bandung. On last Monday, i follow a group of my class mate to Paris Van Java(PVJ) for sushi at Sushi Hana.Compare to Hanamasa,Hanamasa is better in term of food choices and price.

crabmeat salad..nyum..nyum

Sadly i can't go to Jakarta and Malang for a few reasons. However, i get to go Taman Bunga Nusantara(TBN) and Kota Bunga at Bogor.

Yesterday i went to a Waterfall and stream recreational area at Citengah with 17 other girls (classmates). We charted 2 Angkot(Angkutan Kota) which cause us 20,000rp each to get there.
Naik Angkot from our house...

The nearly an hour journey is quite adventurous as we go through curve and zigzag roads.

However, the nausea all fade away as we get to experience the true nature of waterfall stream spa..

I had a WONDERFUL time there to ease my mind, experience and appreciate the beautiful creation of Allah

The latest book i bought is 'Laskar Pelangi'. The author Andrea Hirata is an AMAZING guy to wrote such a beautiful novel. This is my first time to explore this kind of novel.I like the way he describe and develop each paragraph.

He used the common knowledge and integrate it with the novel.For example, he used scientific names to acknowledge the plants and trees. He also makes analogy of what he trying to convey by using common known history and civilization.

Lucky i live in Indonesia for nearly three years because i can appreciate it more since i understand Indonesian language.I'm planning to buy the other three books to complete my cllection of the tetralogy of Andrea Hirata books.

However,I'm sure we Malaysian can understand it also because there's isn't much different between Malaysian and Indonesian language.

picture taken from http://id.wikipedia.org/wiki/Laskar_Pelangi

Wasalam

Promoted to clinical year..

2009-04-03T00:12:00.010+08:00

Salam..

As you can read the above title...finally i'm eligible to go home and continue my clinical year at UKM. My result isn't a 'gempak' one. However, alhamdulillah i am promoted without any problem..(means without any fail subject)

I'm taking the facultative remedial to improve my grade.Another reason is the exam helps to motivate me to study.Thus, i choose to kill two bird with one stone by having the opportunity to improve my grade and revise what i've learned as the preparation for clinical year.

T-shirt UNPAD i bought..

At the back...i gave the opportunity to my batch mate to scribble(Conteng) it..nyesal..huhu..NOT,you guys leave something memorable to me!!

My appriciation to all the lectures who are all keren, helpful and kind.

THANK YOU to:
1.Allah the mighty for giving me strength and opportunity to still standing to where i am right now.Kun fayakun...alhamdulillah!!
2.My Parents and family who are always giving their support and prayers.
3.My study group mate which we go through everything together...you guys always been supportive and helpful.
4.My batch& class mate who are fun to be with regardless our differnces and always supportive to each other.We..the twinning programe 2006 are always KOMPAK(in unity)!!

My batch mate after the result came out(yes, we have to wear the alma mater(UNPAD) coat to get our result)

Hopefully we will keep in touch in UKM as we will be divided in to four different group..

For those who takes remedial exam whether obligatory(wajib) or facultative(tak wajib) i wish you all GOOD LUCK and my prayer that all of us are eligible to continue our clinical year at UKM this year..

For those with 'Gempak' result and choose to go home earlier(didn't take remedial)..happy holiday with family and friends

Wasalam....gonna miss you all TWP'06(",)

Around the world in a day...

2009-03-31T08:40:00.035+08:00

Salam..

What a tiring but wonderful day i've experienced yesterday..hmmm
First of all, i'm not joking about the title above..It feels like you've been around the world when you go to Taman Bunga Nusantara and Kota Bunga at Bogor.
The place is about 2hours by road from Bandung City...

Let me introduce you to it...the Pictures will help me for that. It is a must-to-go recreational area if you come or study here!!

Enterence fee:20,000rp

see the big peacock behind me!! beautifull isn't it??

huge Flower carpet...

these grass from Queensland, Australia..

French garden...

Musical fountain......

American Garden...feels like entering the Secret Garden...

with cute LITTLE teddy..

Welcome to JAPAN..Ni Honen

Mediterranean Garden...beware the cactus

From Mediterranean we fly back to Indonesia..Bali

We end it with Flower clock...

Next place is KOTA BUNGA..There are a lot of houses resemble places around the world.However due to a lot walking with taking pictures for 3 hours earlier at TBN, we became to tired to take pictures with the houses.

we only stop at the Little Venice..Sadly due to lack of time(close at 4.30pm) we cannot have a ride with the Gondola or ferry..huhu

enterence ticket..12,000 rp

CHina??

America again

Singapore..

Merman..hoho

Narnia??

The end
Wasalam

Donation...

2009-03-28T07:24:00.007+08:00

Salam..

About 2 weeks ago, i was asked by a 2nd year junior, Christina to help her for PURE HEART Program by becoming their collecting AGENT. There was a doubt deep in my heart because this charity drive is done by the Christian Society of Malaysian Student and Kelab Kebajikan at Jatinangor, Bandung.

It was a few days before i was asked, i read a friend's blog discussing about this program and his point of view make sense.The conclusion i made is we can help this program as long as the objective clear to help the people in need.Besides most locals here are Muslims to (It doesn't mean i'm objecting in helping non-Muslims)

What are my doubt??
I don't want this program become a way of people recognizing Christian is better than Islam.

However, it is A GOOD thing that the Christian society conducting this program. Finally this year they involved with helping the community like previously done a lot by IMAN (Islamic Malaysian Society, bandung).Yes,IMAN has done a few charity program.Sad thing is it doesn't involve us collectively.However, the Palestinian Charity drive was a good move.

Hopefully you guys will do something like this next time.HIDUP IMAN!!. A big applause for those who are helping and make it happen(",)

I'm proud of my friends and kosan mates who were really dedicated to contribute.Besides, we are going home to Malaysia.This many of us want to give away a lot of their belongings to the locals here(",)

The reason i Agree to help because i believe the program regardless done by any society is to HELP people in need. Thus, as a Muslim i am willing to help. Helping people is the first reason of me becoming a doctor.

Islam is Syumul(complete). When there's poor, there's the rich to help. Allah already commend us, the caliph of the world to help each other...help the people in need as stated in Al Baqarah[2] : 267

يَـٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُوٓاْ أَنفِقُواْ مِن طَيِّبَـٰتِ مَا ڪَسَبۡتُمۡ وَمِمَّآ أَخۡرَجۡنَا لَكُم مِّنَ ٱلۡأَرۡضِ‌ۖ وَلَا تَيَمَّمُواْ ٱلۡخَبِيثَ مِنۡهُ تُنفِقُونَ وَلَسۡتُم بِـَٔاخِذِيهِ إِلَّآ أَن تُغۡمِضُواْ فِيهِ‌ۚ وَٱعۡلَمُوٓاْ أَنَّ ٱللَّهَ غَنِىٌّ حَمِيدٌ (٢٦٧)

O ye who believe! Spend of the good things which ye have earned, and of that which We bring forth from the earth for you, and seek not the bad (with intent) to spend thereof (in charity) when ye would not take it for yourselves save with disdain; and know that Allah is Absolute, Owner of Praise. (267)

Actually the verse above also regarding Zakat which is one of the 5 main pillar of Islam (Rukun Islam). Zakat is giving away some of your valuable things(money) to the eligible people(eg:poor people, mualaf-people who just converted to Islam). It is a must in Islam to do zakat every year like praying 5 times a day.

However Islam does not promote those who likes to help have PRIDE over ruled the reason of helping (sedekah). This is because Allah wants us to sedekah with sincerity ..not because of to show how a good person you are. However, if it can promote Islam as A good adn Syumul(complete) religon, we should do it by the name of ISLAM!!....refer to the verse below,Taken from Al-Baqarah[2] : 271

إِن تُبۡدُواْ ٱلصَّدَقَـٰتِ فَنِعِمَّا هِىَ‌ۖ وَإِن تُخۡفُوهَا وَتُؤۡتُوهَا ٱلۡفُقَرَآءَ فَهُوَ خَيۡرٌ۬ لَّڪُمۡ‌ۚ وَيُكَفِّرُ عَنڪُم مِّن سَيِّـَٔاتِڪُمۡ‌ۗ وَٱللَّهُ بِمَا تَعۡمَلُونَ خَبِيرٌ۬ (٢٧١)
If ye publish your almsgiving, it is well, but if ye hide it and give it to the poor, it will be better for you, and will atone for some of your ill-deeds. Allah is Informed of what ye do. (271)

Wasalam.

Pain...

2009-03-25T18:38:00.007+08:00

Salam..

This post is dedicated to my left feet..hehe.Its hurting me when i walk and preventing me from doing sports except swimming..huhu.So, i gave a special treat by giving them a new room slippers

What is PAIN? According to Mr Dorland(that's what i call Dorland's pocket Medical Dictionary),Pain is a feeling of distress, suffering or agony, caused by stimulation of specialized nerve endings.

In medical term pain sensetion is what we called as nocioception or nociperception. Nocioceptor is the pain receptor.

How we can feel pain is the connection and interaction between the nerve circuit at nocioceptor to the central nervous system(brain) and then after it signal(impulse) is interpreted the signal will be send to the appropriate area.
For example, when you touch a hot kettle, you will immediately move your hand away from the hot kettle.

Unless, your nociceptor is damage.It can happen in chronic diabetic patient because they have neuropathy which is death of nerve.Usually at the peripheral area like fingers and toes which are the common sites for gangrene in chronic diabetic patient.

Nocioceptor is important because it can prevent us from further damaging ourselves and prepare the body for recovery.

Subahannalllah...Don't you ever think how we can control this in less than seconds?? How can the brain interpret everything & decide in a short time??

Aren't we human a WONDERFUL creature which have a brain with intelligence(akal) that differentiate us with animals and plants
It must be a great force who create us....Which is ALLAH.

Al-Quran has already talk about nocioceptor...long before the discovery of it.
Those who reject our signs, we shall soon Cast into Fire;
As often as their skins, Are roasted through,
We shall change them, For fresh skins,
That they may taste, The Penalty: For Allah,
Is Exalted in Power, Wise
(Al-Quran 4:56)

"Al- Quran is not a book of science but a book of 'signs'. Thus, you won't find a direct answer. However if you read or try to find the correlation between the 'signs' with science you will be amazed.
Some people may need only one sign while others may need hundreds to believe the divine origin of al-Quran.Some would be unwilling to accept the truth after being shown thousand signs"
(Paragraph taken from QURAN & MODERN SCIENCE, compatible or incompetible? Author:Dr Zakir Abdul karim Naik ,page 7 & 68)

Sources:
1. Dorland's pocket Medical Dictionary, 27th edition
2. QURAN & MODERN SCIENCE, compatible or incompetible? Author:Dr Zakir Abdul karim Naik