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

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..

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...

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...

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..

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

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

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