hepatitis

the other day, a mother of a patient asked me about her daughter illness..
the daughter was diagnosed with RVD +ve , or in a simpler word - HIV
for hiv +ve patients , most of them had hepatitis B and C as well...

there are many types of hepatitis... - the inflammation of heart... or in Malay, Hati bengkak... or bengkak hati - either way..

the most common are hepatits A , B , C

hepatitis a is very common coz it spreads thru fecal oral route ... it's kinda like cholera ... when u eat infected stuff, or ingested anything infected with hepatitis A virus... then.. u r screwed..
but not that bad coz hepatitis A is curable...

unlike the other 2 sibling.. the hepatitis B n C
those who had hepatitis B and C,
the prognosis is not very good
so far, there is no absolute curative treatment for these 2 hepatitis..
the best would be liver transplant..
but it could relapse..
hepatitis b n c spread thru blood.. , sex, mother to baby..
same thing like hiv...

and there is one more hepatitis, called the autoimmune hepatitis..
this is a very special case..
u wont get this disease from other..
coz it's genetic..
the prognosis also not very good
but the steroid could prolonged the expiry date of the liver..

kuala krai.. here i come

this is how bumblebee looks at night, sorry for the poor quality photo..
i really in need of new camera..

well, starting from tomorrow,
bumblee needs to work extra hard.
i'll be working at hospital kuala krai
not sure about moving there yet.
tomorrow will go there and survey the place
i have no frens there yet.
so, until i can find someone to hang out with..
i'll still live in kota bharu..

anyone from kuala krai out there/.??

umar strikes back

again, another picture of my little raksaksa nephew...
he and the family came back to kelantan for the weekend,
and while they were in kota bharu - we had dinner together @ kfc
and the kids dont eat rice..
just like their uncle..
but then,
living in kota bharu,
there is not many place to have anything else than rice..
kelantanese people are mostly malay..
and rice.. is 2nd to oxygen for them.
ok...
i have a little news here..
no.. i'm not pregnant..
i'll be transfered to hospital kuala krai starting from 10th of feb 2010..
yes, i was hoping for that in view of medical department in kota bharu GH is pretty much like Palestin GH...

hencefoward, i'll get some fresh air there... kuala krai..
not too far away from kota bharu...

bye2 kb..
say hello to kuala krai
i just hope the P1 wimax will have connectivity there...

it's a blind technique

to those who has a family member with chronic kidney problem - u should have heard about this procedure called the peritoneal dialysis.
the aim , or purpose for this procedure is the same as the hemodialysis, which to reduce urea in ur blood.


so, the fun part about this procedure , it is a blind technique. So, u need to be experience and smart to do this procedure successfully.
the complication of this procedure is - the most dangerous one is the perforation of the bowel. when we poke the catheter inside the peritoneal cavity,
there is a good chance we could injury the intestine as well.
which, happened quite a lot...


but then, as i told u before, considering this is a blind technique , shit could happen to any doctor who- did the PD and perforated the bowel ...
which is very very unfortunate - to the patient.. and the doctor as well...

i love badminton

it was the first sport i play in my life..
used to play for the school, then for the district during my primary school lifetime..
as i went to secondary school, i started playing basketball..
hence i left badminton..

when i was in moscow, I started to play badminton again..

now, I'm back in malaysia, i have a lot of frens who enjoy badminton..
now, it becomes a routine for me..
my sport schedule.

sunday - badminton with doctors and medical staffs
monday - badminton with lancer group
tuesday - badminton with dubaiz group
wednesday - badminton with the pilots
thursday - futsal
friday - badminton with dubaiz group
saturday - soccer @ husm

there, there goes my days of life - currently
getting in shape..
anyone who is interested to join.. and stay near by kota bharu,
pls contact me..
the more the marrier..

the other side of everyone's life

i just finished watching this movie, the blind side....
my tears dropped...
not that the story is so saddening..
or it's related to my life..
but it reminded me of a lot of thing..

it's a story about a homeless boy..
his real mother is a drug addict..
came from a gangster hood area...
and find his way to finally became a NFL superstar..
via help from his adopted family...

through out the movie..
it came to my mind..
that, there are lot ... thousand of people..
who are more unfortunate than us.. in this world..
some people, dont have house to live..
some people, never had a real meal..
just eating from the left over.. and worse, the garbage..

what really touched me was..
there were times, that I thought i hit the wall..
i thought, i was so unlucky..
i was unfortunate... that my life has ended..
yes, some think that being a doctor is already successful..
but for me i have far more dreams.

and I'm on my way toward it..
and currently , along the way ,
there are many hurdles.
and sometimes, i lost .. i just felt down..
and those are the times, i thought it was the end for me..
and i'm done..

but , after watching this movie...
it remind me..
what i've gone thru..
is far less challenging compared to others ..
some have to kill for food everyday..
me.... i just need to be more determined and patience..
to reach my dream..
and I'm praying that i will.

everyone should watch this movie..
if this movie didnt make u want to cry,
there is something wrong in ur brain..
maybe some infarction or intra cranial bleed...

that dinner.

i just came back from a dinner..
medical department dinner... nicknamed the medic nite dinner..
nonetheless, despite the catchy name like that..
it doesnt change the fact how depressing the medical department is !

mmmm...
after a long absence from this blogging world..
i'm out of idea what to write..
used to have about 1000 per day..
now, i'm not too sure i have more than 10 readers per day!

I just got my life back
finally i have someone else running my bistro for me
for the time being.. i'm taking a break from this business world..
for a while..
just wanna concentrate of being a doctor..
i need a rest..
after being warded that day..
i realized i've over worked myself..
i've outdone myself..
i did more than i actually could..

so, i'm taking a time off..
for a few weeks, or months..
need to reorganize my life..
maybe clean up the house for once!
and I could spent more time writing my blog..
like i used to do..

aftermath....

i reckon i lost a few kilos after i was warded last week.
hopefully i could lose a few more kilos.
need to be in good shape..
healthy body... means, less chance of getting those cardiovascular disease..

above, my pix with my bff - dr rusliey...
we'll open our own clinic soon...
hope, the dream will come true..

currently... am very tired..
was oncall last nite..
just another day @ work i supposed..
technically,
if based on european regulation..
the EU had strict rules about the working hours..
so, back in europe..
if u are oncall that particular night..
u are supposed to have a day off the day later on..
but, here in our 1 Malaysia...
after 24 hours of oncall...
we still need to work another 12 hours after that..

so, technically, government doctors in malaysia,
if we are oncall..
we are working 36 hours non stop...

and yes, the secret is..
we are mutant..
we are the x-men.., superman.. batman, spiderman...
which explain we need no rest..
shhh... dont tell anyone...

buzzzzyyyy

I miss this little creature..
he's so damn cute
havent seen him for quite sometimes..
even thou he's too "hyperactive" to be handled..
and destroyed everything in the house...
u just cant stop loving him...

I'm oncall today..
thankfully, not too busy as I was expecting
I'm praying for everyone in kelantan alive and healthy ...
no more admission please,
and hopefully everyone in the ward will sleep well...
praying that there will be no CPR tonite..
aminnn..

learned the hard way

my fav past time...
eat chocolate!
I love those dark chocolate... with a lot of nuts... hazelnut.. cashew...
uummm... yummy!

i got an email few days ago...
and i havent reply it yet..
but to the writer..since u claimed u've been reading my blog..
here goes the reply!

the writer asked me how to be a good doctor, and at the same time, to own ur own business, like I did..

well, my answer would be....
unless u really crazy... dont be like me!
it's tiring to do 2 things at the same time... very tiring...it's killing me!

but, if u insist, here are the inside tips..
even if u a busy doctor, u wont be working at the hospital 24 / 7
there will be some free time - if u r not married! like i do..
if u are married, just spent the left over time u have with ur beloved family..

my case is different..
i'm single and I spent every night, eating out and hanging out with frens..
there, I met a lot of people
I dont really hang out with doctors, coz if I hang out with doctors,
all we talk about is - work, medicine... stress... and more stress... no life
so ended up making frens with people outside the hospital

some are government workers, some are businessman.
there, we became frens... some became good frens...
and... i make use of that...
learned about business from them...slowly..
and when u r ready..
open ur own business..
when u have a lot of frens,
technically, u have a lot of back up...

but then... that was just a little tip...
there is more in life..
u just gonna have to experience it by urselves..
learned the hard way!

i'm all well

thank you to those who visited me at the hospital and to all the warm wishes..thank you very much!

for those who didnt know, I was admitted to ward due to some kind of viral fever
I had a very high grade fever for about a week,
at first I thought it was just another upper respiratory tract infection
and initially I treated myself with the antibiotic
Nonetheless, the best antibiotic I could get my hands on , couldnt free me from the fever
afterward, thing got worse...
I lost my appetite, I became very weak...
started to have a very severe headache...
and I dont feel like talking to anyone...

hence, I asked a fren of mine to send me to the hospital perdana ,
where I was admitted ....

and as I thought , it wasnt just another bacterial infection..
it was a viral fever...
no medication for that..
just rehydration... and eat more..

few days later,
I regained my health back
and here i 'm rite now..
healthy and kicking again
thank you God,
thank you everyone for being there for me...

Al Fatihah

Al fatihah untuk emak shida yang kembali ke rahmatullah pagi tadi.......

about me.....

Your view on yourself:
You are down-to-earth and people like you because you are so straightforward. You are an efficient problem solver because you will listen to both sides of an argument before making a decision that usually appeals to both parties.
- true.. me is very straightfoward....

The type of girlfriend/boyfriend you are looking for:
You are not looking merely for a girl/boyfriend - you are looking for your life partner. Perhaps you should be more open-minded about who you spend time with. The person you are looking for might hide their charm under their exterior.

Your readiness to commit to a relationship:
You are ready to commit as soon as you meet the right person. And you believe you will pretty much know as soon as you might that person.

The seriousness of your love:
You like to flirt and behave seductively. The opposite sex finds this very attractive, and that's why you'll always have admirers hanging off your arms. But how serious are you about choosing someone to be in a relationship with?

Your views on education
You may not like to study but you have many practical ideas. You listen to your own instincts and tend to follow your heart, so you will probably end up with an unusual job.
-my love for education died after spm... since then.. it's just business

The right job for you:
You have many goals and want to achieve as much as you can. The jobs you enjoy are those that let you burn off your considerable excess energy.
- too many...

How do you view success
: You are confident that you will be successful in your chosen career and nothing will stop you from trying.

What are you most afraid of:
You are afraid of having no one to rely on in times of trouble. You don't ever want to be unable to take care of yourself. Independence is important to you.

Who is your true self:
You are mature, reasonable, honest and give good advice. People ask for your comments on all sorts of different issues. Sometimes you might find yourself in a dilemma when trapped with a problem, which your heart rather than your head needs to solve

emmm... 90 percent korreckkk

celebrate the celebration

to all my frens who celebrate x-mas... merry x-mas guys!
hope u all enjoyed the snow at the pavillion kl!

I was in KL yesterday,
yes.. just for a while....
was escorting patient from HKB to HKL...
no big deal
just another day in my life ...

LOTS of ppl asked me why do I work so hard...
does being just a doctor is not enuf?
and I still wanna be more than just a dr?
am I happy with just being a doctor?

Well... I'm happy ..
being a doctor is kinda a part of my childhood dream.
If i just stick to just being a doctor.. I could have a happy simple no hussle life..
Doctor alone is a demanding job... but still there are plenty of free time u could spend with ur family and frens


yes.. I was happy being just a doctor...
until I realized .... my dream wont be fully fullfilled if I am.. just another doctor..

Remember when we were kid....
every boy has a dream to drive a sport car...
in my case.. to drive my own ferrari.
yes... not everyone could achive this dream...

Even if u become rich later in ur life..
by the time u have enuf money to buy a ferrari..
u are already in ur 50-60..
hence.. u opted to buy a coffin instead.
just kidding

anyway, not saying I'll get or buy my ferrari soon.. by doing what i'm doing rite now..
honestly.. it's still an unreachable dream

but then.. who knows, if everything turned out to be great..
I'd have my own ferrari.

I'm happy with my current life.
but then ... I still have goals..
and I need to keep going...
i'm only 25.. and there are million oppurtunities lying ahead of me...

i might be successful.. or i might be bankrupt..
but I'll just keep moving ahead...

hepi bday kakanda!

1 december.... it was my "kakanda" bday. we were supposed to celebrate the glorious date at Las Vegas... but due to visas problem.. the venue was moved to the next best place.... ALAHYUMI BISTRO!
it was a small simple bbq party, attended by closest frens... , and it was also a last minute planning coz everyone was so bloody busy.
the party should have started at 10 pm, but everyone turned out at 11.59 pm...
superb timing guys...
in front of alahyumi bistro....

my man.. tiger

yeah, this bastard screwed up, big time.

what to do, when u r a famous personality, this is the price u have to pay should u make any wrong turn.

Just heard over the new a few mins ago that he's considering quitting from being a pro golfer
what the heck dude
u screwed up...
the whole world know
but despite of that,
regardless of ur personal life...
u r the man in golf

to hell what ppl think of u personally

just be the man that make u known world wide...

mr simpson said...

You tried your best and you failed miserably. The lesson is 'never try'. -Homer Simpson someone said to me just now... " life is not fair"
" I'm busting my ass reading and studying for my final and my frens were just partying like there is no tomorrow and next month we all just gonna end up at the same stage holding the same degree"

well... let's read the new york times sunday edition year 1938....the headline was " Life is not fair"

Infact, life is never fair! life was not fair back then.. and it's still not fair

Some ppl borned to be rich, some are borned in the barnyard... ( occay.. too much)
some ppl work day and night ... and could only buy a second hand kancil...
those rich kids, never need to wake up until lunch and do nothing all day long... still driving ferrari to the night club....

so...? what can i say...

the next best thing to do is... just do the best u could.. grab every opportunity..

if u fren is busy partying all night long while u r prepping for ur final and u both got the same grade ... dont be jealous ...
once in a while.. join the party...

A diplomatic husband said to his wife, "How do you expect me to remember your birthday when you never look any older?"

to all mothers and fathers out there. Pay a good attention if ur baby or ur child is not feeding well or complained of abdominal pain or when u noticed there is a mass at his/ her abdomen.....
it could be one of the symptom and sign in this disease called the intussusception...

dalam bahasa melayu bermaksud usus2 terlipat masuk dalam usus... emmm... camner nak terangkan ek.. tgk gambar di atas la....
so, when this happened, it cause the instenstinal obstruction... which cause the baby/child cant eat and cannot "berak"

so... if in doubt, bring ur kids to see the dr quickly!

and if u bring ur kid to GP/ private clinic for abdominal pain, make sure the doctor examine the abdomen... palpate or whatsoever...

up ...up and to the sky!

in case u all are wondering what the heck is this thing... this is not ur average egg tart or telur dadar or ur pineapple pine... this is how stomach cancer look likes. :)
yummmmmyy isnt it?
let's we all pray to God that our stomach will never be like this one... aminnn
I've been trying to update my blog for the past few days...
i even have a few draft ready
but nothing was completed
there are a lot i want to say here
but i just cant get it out rite now
maybe a later.

I just came back from KL a few days ago
had a long business meeting with my big "brother"
he drives a ferrari
and I also want to drive my own ferrari in the future..
in the nearest future hopefully
and I also dreaming of the title " dato" as he's already a datuk seri
nonetheless... I think I'm on the right way
got few business plan coming up...
we'll see...
we'll see

ritual circumcision

this is what i have been doing for the past few days... circumcision... or dalam bahasa melayu ... berkhatan. Never thought that i finally became one of my own nightmare.
u know, when we were kids ( for guys ) the thing we scared the most are "tok mudim"
yup... the word tok mudim itself my some people feel unease ... especially at their groin area.

even me myself.. up until today... i cant watch ppl being circumcised without feeling " wierd" at my penis!
no kidding.

Nonetheless, as a bloody doctor, i must be expert @ this thing... circumcising !
hence, that's what i ve been doing....
now, I'm able to do circumcision by myself.... yeah.. dengan bangganya!
today, I circumcised 3 kids, 3 days ago, about 7 kids became my victim!
... and more to come... ooo yeahh

i'm lovin my job... totally!
i was thinking to lower down my bumblebee..
but then.. in view of current condition of malaysian tarmac...
i better not..
there are holes everywhere.....