"Dimana kan ku cari ganti..."

Yosh...finally it comes to the end of year 4...just finished our medicine theory paper which was fair and square...the MCQs were quite difficult and challenging...and the essay questions was quite easy...2 cases of left lobar orthostatic pneumonia and Parkinson's disease...damn I was the person who were presenting about Parkinsonism in Neuro HKL...but I have no time to revise it again last nite since I went to sleep in front of the TV while waiting for AC Milan victory against Liverpool...nice Kaka!!

Em...like the other postings...I don't know what to do after this...we have a week break before entering the final year...wah!!too short to enjoy the holidays and get a peace in my mind...hu!!I'm just thinking what I've lost since I entered this course...wa!! I miss 'them' so much!!

"my precious.."

I was in a school band since form 1...I choosed to play a C flute because I like seruling buluh and those who playing it look smart and handsome...hahah!!what a stupid reasons!! It took 2 years for me to master the fingering and got the pitch right and that time I can play all the notes in 4 octaves just in one minute!! I never regrets playing it since the sound was so nice and peaceful... all my stress and problems went away thru its sounds and melody [and of course all the stress and probelms came back again after I stop playing it..haha!!]...Now, it has been 5 years since I left it and maybe I have lost the skills and the techniques...aii!! Sure tokwan dah lagik power dari aku...die ade flute sendiri bole laa practice...ceh!!

"Shina shina STAR!!"

I also joined my school rugby team...eventhough I was not a good player and represents the state...I did enjoy my training and learning about the game...we were so proud being the ruggers or better known as STAR CobraTasha...we were very enjoyed and loved this game!! "the rough game played by gentlemen.." - that what was arwah Nawi often said to me...

"paint the sunway red..."

I have lost my campus life...no more hot UiTM chicks to flirt around and no more active social life...now it's all about patient and medicine...boring!! Thinking about it everyday make my brain sizzled...I'm at the point of feeling nauseated when going to the ward...fuh!! It's very hard to hang around with my friends from the old school aw well as my non-meds friends...poor me!! My girl also has to suffer..being so lonely and missing me a lot...hu!!

I really lost 'them'...and I'm always hoping to get them back...damn I really want it!!

-=The end of second chapter of clinical trilogy=-

"Wawasan 2020...satu pandangan jauh.."

Pembangunan Modal Insan di Malaysia selepas 50 tahun merdeka

Marilah ramai2 menyokong...Malaysia BOLEH!!! Demi melahirkan pekerja mahir di negara ini!!

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All of them shared one thing in common --> making the people became hedonistic and obsessed with the entertainment

Gemilang 50!!

The Best of End-of-Posting Examinations

Yosh!! Just wanna tell ya all about my previous ujian kepaniteraan di Hospital Selayang...we've been given a few patients to be clerked and to be examined...in front of the examiners and then tell them what's wtrong with the patient...don't know why I did write this post..but it's for sure to purge my empty brain...heh!!

Year 3

Medicine Postings
1-Nocturnal diarrhea and syncope secondary to autonomic diabetic neuropathy
2-Splenomegaly secondary to chronic lymphoid leukaemia
3-Left cerbrovascular accident with right hemiparesis

Paediatrics & Adolescents Medicine Posting
1-Bronchopneumonia
2-Lupus nephritis
3-Hydrocephalus

General Surgery Posting
1-Rectal adenocarcinoma
2-Right breast fibroadenoma

Obstetrics & Gynaecology Posting
1-Multiple pregnancy with hypertension
2-Ovarian cyst
3-Polyhydromnios

Primary Care Medicine
1- Viral conjunctivitis

Rural Health Posting
1-Pregnancy-induced hypertension with diabetes mellitus

Year 4

Medicine Specialty Postings
1- Pulmonary tuberculosis with pleural effusion
2- Amebic liver abscess

ENT, Ophthalmology, Psychiatry & Forensic Medicine Postings
1- Corneal ulcer with hypopyon
2- Proliferative diabetic retinopathy

Orthopaedics Posting
1- Cauda equina syndrome secondary to fall from height

Paediatric, Adolescents & Neonatology Posting
1-Bronchopneumonia
2-Biliary atresia with obstructive jaundice & liver cirrhosis

Surgery Specialty Postings
1- Urethral stricture with suprapubic catheterization
2- Carcinoma of the head of pancreas with obstructive jaundice


to be continued...

Pray for my continuous, never-ending successes...ameen!!ya-rabbal-allameen!!

Yang Terpilih...

Oppss...i did it again!!

5 days more before we get our brain dead in the other end-of-posting examination [alih bahasa: peperiksaan kepaniteraan...heh!!]...don't want to mention it once again...just read my previous post entitled "Kabus Ribut" on may 7, 2007...gosh!!It is happening again!! Of course the other flers now will be in the library...downloading all the information needed into the temporary storage system called brain...they see books, they hear books, they talk books, they walk books and they sleep books...except my housemates who are inevitably loss their excitement and commitment towards any type of exams...yeah!!long live the fantastic four!!

I noticed that when I'm under an enormous amount of stress...my body will react in the way that it not supposed to be...it is not the book that I'm looking for...but..em..how should I tell ya? Ok, it's just the solution or an option that my infarcted brain came out to cope with this exam-induced stress...it is all about ROSSA!!

Sri Rossa Roslaina Handiyani is an extremely pretty Indonesian female artiste previously popular with the hits single like "Tegar" and "Pudar". Why I like so much?-her face looks like 30% of Datuk Siti Nurhaliza and 70% of Nora Danish...both of them are the Malaysian artists that I like...so I've choosed to get obsessed with Rossa since she has the characteristics from both of the artist...like 2 in 1 gitu...tak payah aku penat2 nak cari gambar2 cun untuk 2 org..heh!!

Don't get me wrong...I'm not using her to fulfill my lust...takla sampai nak bawak gambar masuk bilik air buat "main layang-layang"...hahah!!But she is really gorgeous....cantik bangat cewek ini mas!!

"Kau jadikan aku ini wanita yang kau pilih untuk jadi kekasihmu..."

Dah..cukupla!! bawak mengucap...pegi bace bukulaa gandi....lepas exam sambunglaa semula obsession ko tuh....hu!! Hidup Rossa

(pictures taken from www.asianfinest.com)

New Perspectives: Urban Health

Urbanisation refers to a change in size, density and heterogeneity of cities. According to WHO definition of health, it is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Therefore urban health refers to the health of people living in the cities (very simple straight forward definition….heh!!).

Malaysia has experienced a rapid industrialization and urbanization over the past 50 years. Below are some facts about urbanization across the world and in Malaysia.

The urban population has increased from 37% in 1981 to 50% in 2000 (Roziah Omar, 2005).
United Nations projects that 61 percent of humanity will live in cities by 2025.
Majority of the world’s population will live in urban areas by 2007 (Lancet).
About 75% of Malaysian population will be living in cities and towns by 2020 (NST, August 6 2006)

With rapid development of the city, especially in Malaysia, we can’t run from the problems that can arise from the urbanization processes. Most of us know it very well (common sense huh!!). The problems include physical and social as well as mental health. They are as follows:-

Physical
Air pollution, noise, and nuisance
Motor vehicle accident (anda mampu mengubahnya)
Pedestrian injuries and fatalities
Housing – squatters, high-rise building, overcrowding, homeless
Climate changes – El Nino, La Nina, green house effects
Physical inactivity – Diabetes Mellitus, Hypertension, Obesity
Water quality & quantity (dahla rakyat membazir air, nak jual kat Singapore lagik…SYABAS!!)
Waste disposal and sewerage (Oh tandas…berkualiti!!)

Social
Migrant workers – Indon, Bangla, Myanmar, Nepal (datang buat menyemak, buat masalah jenayah, sebar penyakit pastu kahwin ngan org Malaysia)
Occupational diseases
Stress
Crime and abuse
Sexual transmitted diseases (papa jahat!!)
Poverty
Drug addiction (hidu gam ngan taik lembu pon balun jugak…layan!!)


Psychosocial
Divorce (mama tahu papa ligat!!)
Long commutes (that’s the way we jam)
Road rage (yeyeh!!)
Decreased leisure time (tapi papa sempat buat jahat lagi)
Fear – crime, claustrophobia, post-traumatic stress
Loss of sense of community – TV, computer, PS (baru nak kempen ‘kenali jiran anda’)

So people…what should we do?? Continue to live this way?? Is this what should we pay for freedom, after 50 years of independence? Banyak lagik tak cerite atas tuh..malas nak elaborate sume…leceh!!

Aii….seminggu lagik nak exam urban health posting. Malasnye!! (Itu jek main pointnye)

Gemilang 50, Malaysia oh tanahairku!!

(pictures taken from www.sunway.com.my/suncon/core_td_klcc1.html)

"Kami guru Malaysia...berikrar dan berjanji..."

This is a public announcement…I would like to wish all my teachers a “Happy Teacher’s Day”!! My highest and greatest gratitude and appreciation to my previous primary and secondary school teacher in Sekolah Kebangsaan Rompin and Sekolah Tuanku Abdul Rahman; whose have taught and guided me from nobody to somebody. Not to forget all the dedicated teachers in Kolej IKIP Kuantan who have struggled ‘bullying’ me until I was qualified to pursue my study in this highly-competetive medical course.

All of them were responsible to what I’ve become today. Without their guidance I would never be at this place and will not get whatever I’ve had achieved. Thanks to Allah the Almighty for giving me such a good people like them.

Last but not least, to all my lecturers and professors, who have been extra-hardworking in the making of future Malay doctors and make this faculty standing tall among the others. Thank you very very much!!

“Selamat Hari Guru”

"terima kasih cikgu!!"

Tersebutlah alkisah...

SEKOLAH TUANKU ABDUL RAHMAN atau lebih dikenali sebagai STAR telah ditubuhkan pada tanggal 14 Januari 1957 di sebuah tempat di Ipoh yang dikenali sebagai Baeza Avenue atau kini dikenali dengan nama Ashby Road. Pada masa itu ia dikenali dengan nama THE MALAY SECONDARY SCHOOL (MSS). Objektif penubuhan sekolah ini adalah untuk memberi pendidikan yang lebih sempurna kepada anak-anak bumiputera luar bandar agar mereka dapat menikmati kemudahan pembelajaran sama seperti rakan-rakan mereka di bandar.

Pada 2 haribulan Januari 1958, ia telah berpindah dari Baeza Avenue ke tapak sekarang yang pada waktu itu dikenali sebagai ‘Tiger Lane’. STAR telah berubah wajah menjadi sebuah sekolah yang gah dengan bangunannya yang modern waktu itu di atas tapak seluas 46 ekar. Pada 14 Mei 1958,sekali lagi sejarah terukir apabila THE MALAY SECONDARY SCHOOL ini telah ditukarkan namanya kepada SEKOLAH TUANKU ABDUL RAHMAN (STAR) seperti yang kita kenali hari ini.

Pada 23 September 1958, Al-marhum Tuanku Abdul Rahman, Duli Yang Maha Mulia Yang Dipertuan Agong Pertama Tanah Melayu telah berkenan untuk mencemar duli merasmikan pembukaan sekolah ini. Baginda juga telah berkenan menyempurnakan istiadat permasyuran nama sekolah ini dengan nama SEKOLAH TUANKU ABDUL RAHMAN sempena nama baginda.

Pada peringkat awal, terdapat 16 orang tenaga pengajar telah diamanahkan untuk mendidik 360 orang pelajar yang dibahagikan kepada 5 buah kelas tingkatan satu dan empat buah kelas peralihan. Bahasa pengantar yang digunakan pada waktu itu ialah Bahasa Inggeris. STAR telah menjadi sebuah sekolah yang disegani di bawah kepimpinan pengetuanya yang pertama iaitu Al-marhum Tun Hamdan bin Sheikh Tahir (jawatan yang terakhir beliau ialah Tuan Yang Terutama Yang Dipertua Negeri Pulau Pinang).

Sejak dari hari pertama penubuhannya, STAR telah menjadi tempat bernaung pelajar-pelajar yang datang dari seluruh negara. Ramai anak petani, nelayan dan pekebun telah berpeluang untuk menimba ilmu di sekolah bertuah ini. Tidak hairan mengapa ia menjadi alma mater bagi seluruh bekas pelajar STAR dan juga guru-gurunya.

Selama lebih daripada empat dekad, STAR telah berjaya mengotakan janjinya untuk melahirkan anak-anak bangsa yang berjaya dalam bidang pelajaran dan kokurikulum. Pada hari ini kita dapat melihat ramai lulusan STAR yang menjadi pemimpin negara yang terbilang, ahli-ahli korporat yang berjaya serta barisan cendikiawan yang disegani ramai. Banyak agensi kerajaan dan swasta yang diterajui oleh anak-anak yang dahulunya pernah menuntut di STAR.

Kini usia STAR sudah menjangkau 50 tahun sama seperti usia negara Malaysia yang tercinta ini, bermakna pada tahun 2007 nanti, STAR akan menyambut perayaan JUBLI EMAS menandakan satu usia yang cukup matang bagi sebuah institusi yang disegani di tanah air.

Walaupun STAR pernah melalui pelbagai dugaan serta jerit- perih, namun ia tetap teguh berdiri sebagai sebuah institusi pendidikan yang unggul di negara kita. STAR pernah melalui zaman suka dan duka yang kadang kala mencalarkan sedikit sebanyak reputasinya sebagai sebuah sekolah elit. Namun demikian STAR akan terus gagah melangkah ke hadapan tidak kira apa halangan yang mendatang; ibarat kata pepatah ‘membujur lalu, melintang patah’.

Kini walaupun terpaksa bersaing dengan 53 buah lagi Sekolah Berasrama Penuh serta terpaksa berhadapan dengan sekolah-sekolah premier lain di seluruh pelusuk tanah air, STAR akan terus berusaha meletakkan dirinya menjadi sebuah sekolah yang cemerlang, gemilang lagi terbilang di negara ini.

Azam untuk berjaya akan terus tersemat di dada seluruh warga STAR. Iltizam untuk meletakkan STAR pada kedudukan teratas akan terus membara di hati anak-anak didik dan mereka yang terlibat dengan STAR.

“ILMU PANDUAN HIDUP” dan “TRADISI KECEMERLANGAN” menjadi pegangan kami.

Source: www.staripoh.com

Happy Mother's Day

This is the public announcement, I would like to wish my one and only beloved mom, Pn Junidah Abidin; a wonderful woman, lovely wife, most favourite in-law and a great mother!!



I love you mom!!

"Ibu...ibu...engkaulah ratu hatiku"

Final Countdown

The Road Not Taken by Robert Frost

Two roads diverged in a yellow wood,

And sorry I could not travel both

And be one traveler, long I stood

And looked down one as far as I could

To where it bent in the undergrowth

Then took the other, as just as fair,

And having perhaps the better claim,

Because it was grassy and wanted wear;

Though as for that the passing there

Had worn them really about the same

And both that morning equally lay

In leaves no step had trodden black

Oh, I kept the first for another day!

Yet knowing how way leads on to way,

I doubted if I should ever come back

I shall be telling this with a sigh

Somewhere ages and ages hence:

Two roads diverged in a wood, and I--

I took the one less traveled by,

And that has made all the difference

Regrets? I had a few...but then again, too few to mention


One more year to go...the final year!! It's just around the corner...

We are nobody...

"The superior doctor prevents sickness; the mediocre doctor attends to impending sickness; the inferior doctor treats actual sickness"

"everybody wants to study medicine; macam chendawan tumbuh lepas hujan"

What do you understand by the aboved Chinese proverb? Whom do you think they are? I have some opinions, but it might not be the same as yours.




p/s: none of the public health specialists are the failed doctors

When the STAR winds...

“Melihat bunyi mendengar warna”

Don’t tell me there are other more interesting things than seeing back my long time no see school band. My trip to SSP Cyberjaya which was guided by Psycho was really a trip to remember…the place where we meet Mat Bond, our school band teacher. You don’t know how many thousands he had spent from his own money just to make sure our band still alive when we first started 10 years ago. And you also can’t guess how much he had lost and suffer; it was all for the band. I was one of the people at that time to open back the long lost forgotten “bilik band”. Then we cleaned up all the dust and assembled all the disarticulated instruments and polished up all the gloomy steel with the hope it will shine brightly in the future…

It was a hard time to make people around us accept and realize our talent. My first competition in STF JB 1997 was really funny. I hardly play any notes on the score sheet; just put the instrument on the mouth and acting like playing it nicely, wahahahah!!! There are a lot more interesting stories to be shared. I’ll tell you if there is any free time when we hanging out together.

It takes 2 years for me to master the instrument and had a perfect fingering. When I saw them can play nicely, producing quite a good sound made me feel proud. It was a nice feel to see that our hard works previously finally made our juniors better than us…in some ways, heh!! And guess what? Most of them are just Form 2 and 3!! What a bright future ahead for the STARWinds!!

Hope they can play better and achieve higher, producing solid, impressive quality of sound and tuning. Make the songs livelier…and most important enjoy playing it!!

Thanks to Psycho…yosh!

Pushing the limits...

What the previous, present & future doctors can’t do?

Since many centuries ago, the medical fields have expanded tremendously, from only a few fields of interests including medicine and surgery until the super subspecialty that we can see today. You can name any specialty and you can find a lot of new inventions which they said for the best interests of the patients. The invention of new surgical techniques and development of new, effective drugs have significantly increased the success rate in the treatment of the diseases leading to a better survival and improving patients’ quality of life. But there is one thing that they should not forget…

Our first rotation in medical specialty postings were not so fantastic, it has revealed a lot of our weakness and mistakes that we’ve done before. It doesn’t took a short time for us to develop such complications; the first group to be tested on a new integrated, improving curriculum that they’ve claimed to be among the best in the world, in parallel with the vision of leading the medical profession and influencing the practice worldwide.

The second round would be the respiratory medicine and neurology. My first day in IPR KL which is the tertiary center and the national referral center for the respiratory diseases was a good experience. During the orientation in the morning with the ward sister, one patient has collapsed and the resuscitation team immediately attended the patient and tried their very best to save him and he was intubated. His condition was not so good but they managed to control the acute situation. We continue our ward works, clerking patients and practice the physical examination. After we finished performing Zuhr pray in the afternoon, suddenly there was high-pitched, continuous alarming sound that we know what it meant. It came from the continuous cardiac monitoring machine that showed an asystole rhythm of the patient’s heart. We can saw it very clearly through the window since the surau is situated just behind the ward. The patient passed away...

We just proceed with our scheduled timetable and in the afternoon until one more patient collapsed and they’ve done the same thing. Unfortunately the same outcome they’ve got. The resuscitation failed and the patient was not survived.

I suddenly realized that how great the technology has improved, how good the medicine was, and how hard we try, it was not us that determined the patient’s fate. Some of us thought that the doctors are the healers, the God; they can recognize the disease and start the appropriate treatment and then follow them up regularly and eventually the disease is cured or controlled. But in the end, it is God (Allah) that decides the entire outcome. He is The Healer, and we are just the ‘equipment’ that serves as a medium between Him and the patient. That is the fact and we, especially the future doctors should never ever forget about that, not even once!!

“Sesungguhnya yang baik itu semuanya datang dari Allah dan yang buruk itu datang dari kelemahan diri kita sendiri”

Subhanallah

Kabus Ribut

“Gosh…I didn’t teach you that!!”

That was kind a bad closing statement when you were in the exam…after you’ve been struggling to find for the answers…then you started to think whether your ward work or your cirrhotic brain can help you to reason out your answers…not mentioning about the over sympathetic drive that make you feel so disgusting…very dry mouth and lips, palpitations with impending arrhythmias, hyper hydrosis prominently seen at the frontal area with a few drops started to wet your face…huh!!

"Not me!!"

End of posting examination…does that really important? What does it shows? What does it indicates? Different candidates will have a different views about it…looking at different perspective and of course try to make the very best out of it…Hardworking and bookworms’ students whose been spending most of their time in the ward and ‘sleep’ in the library with the books will have more exposure and experience compared to those who are inevitably lazy, leisure-seeker students whose always disappear even before 5. They’re doing games and watching television during on calls…at home!!

Then few days before the exam…they behave, walk and talk like a zombie…reading so many books and notes like there is no tomorrow….this last minute study is a very popular style and have been applied by all students across the nations!! When the day come, all of them will struggle to vomit and retching out all the facts they’ve read, all the things they’ve seen and all the knowledge that they’ve know. The results then been released and those who were successfully vomited out the sufficient things will have a good grades and few will fail at least one of the exam components.

The question is…does the result reflect their true ability, their true understanding or their actual skills in mastering the knowledge? What they’ve already vomited out make their ‘stomach’ became empty? Ward works, seminars, lectures, on calls, so on and so forth…can they retained all those facts for a long time? Why when they’ve been asked again after a period of time…they seem to know nothing about that, like they’re never seen or heard it before? Where does all the hard works go?

I am one of those people…after 2 months having all sort of so-called hardship…learnt a lot of the things that we must know and understand earlier...and realizing more weakness and defects that we have and yet there was very few that can be improved. But same things happened…again and again!! Our beloved dean said we must study for the exam and yes we do followed his advice with a little misunderstanding…we thought it was for the end of posting examination but what he meant was for the final professional exam 3!! The most difficult…and most unfair exam…on earth!!

What should I do? What should we do? What should they do? ...to make sure these things won’t happen again…it was really a heartbroken moment when we realize that all the hard works went into the drain after the exam…provided they’ve really work hard to get as high as they can…huh!! What a shame!!

I’m hopeless!! Help me!!