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Saturday, May 29, 2010

the silver lining

it has been a tough week for me...
so many bad events happened at the same time...
luckily, i have my family and my dear frens at my side..
rite when i needed them the most

slowly, i'm seeing the silver lining..

what i have lost... very unlikely to be recovered..
but it opens space for new one,

it reminds me that. .. nothing last forever.

and for the past few days..
i learned a lot of thing about life...
what happened a week ago,
has made me a better man ( i supposed )
bad thing happened for a reason..
but that doesnt mean i want bad thing happened to me.
it was a terrible period of time.
but i'm milking the best out of it,

thank you everyone for ur help and support.

i'm glad that u guys are always there for me..

u are my silver lining ,

Wednesday, May 26, 2010

sigh....god please help me...

i once said, if life gives u lemon... go n make a lemonade from it. Well, easier said than done! I'm currently hit by series of unfortunate events. What happened? I do not want to mention it here. All i know, rite now - my life is suck. I wish i could say otherwise, but this is for real. I need helps, i needs people around me to give me reasons to keep on going. God, bless me, and forgive all my sins... And help me please....

Sunday, May 23, 2010

my ego

It's too big
It's too wide
It's too strong
It wont fit
It's too much
It's too tough
He talks like this
Cuz he can back it up
He got a big ego
Such a huge ego
I love his big ego
It's too much
He walks like this
Cuz he can back it up

well, those what beyonce said about men and their ego!
a man, must have ego.
it's a very crucial part of being a true man.
but not too much...
just enough ego , to show that u have ur own stand ,
and u will fight for ur right , hence no one would bully u around..

and of course, ladies want men with ego..
men with no ego , totally gay!

me myself , have a huge ego...
trust me.
but i dont simply showed it around.
if u hit the wrong button...
u gonna see my ego side.
and trust me... even me myself hate to see my own ego
but, it's a part of me...
i am what i am rite now, because of my ego.
my success, my failure - the ego plays and important part in it

nonetheless, remember
ego is like salt and sugar in our daily life.
without salt n sugar in food..
everything will be tasteless..
but too much of them...
u'll get diabetic and hypertension!


Thursday, May 20, 2010

folic acid for pregnancy

Yes.... , to ladies who just get married and plan to get pregnant soon, u have to take the folic acid supplement before u get pregnant... about 1-2 months before u get pregnant.
So, u could start taking folic acid about 1 month before u get married :P

why do pregnant ladies need extra folic acid?

well, when u are getting pregnant , the mother will produce more blood ( red blood cells )
folic acid level in ur body will reduce , in the process...
folic acid is a vital component in development of baby skull, brain and spine...
hence, folate acid deficiency could cause such unfortunate event such as anancephaly , as i mentioned in my previous post

we do get folic acid in our daily food intake. folic acid, is also known as the vitamin B9, can be found in spinach, lettuce, beans and fruits.
but , for those who are getting pregnant, u gonna need extra folic acid. So, get some from the nearest pharmacy.

a study also showed that, folic acid help to prevent heart disease and stroke...

So, to the future mothers , take folic acid when u think u are about to get pregnant :)
there is no harm in taking this supplement as long as u follow the dosage!

Wednesday, May 19, 2010

getting pregnant?

this is what happened to ur baby if u didnt consume enough folic acid before getting pregnant.
the photo above showed a baby with condition called as the anencephaly ; result from the neural tube defect...

most baby who are borned like this, wont live long...
this kind of baby is borned with incomplete brain, cranium and scalp.

so, if u just get married, make sure u take ur supplement... folic acid.. bla bla bla..

:)

i wonder

for the past one month, i ve been gaining a lot of weight
less sport, and my parent was staying at my house all the while my niece was admitted..
so, my mother had been taking care of my daily meals..
and i have been eating a lot..

plus.. less badminton , more golf..
and golf - not helping much in burning calories compared to badminton or futsal

so, here's the plan..
me not gonna eat rice for the next one month until my birthday..
and gonna go jogging as frequent as possible..

yes, less rice... more salad... and other things... which not containing rice..

i wanna to get back in shape..

must look awesome for my birthday party...
talking about my birthday party...still thinking of having one hell of a party this year...
last year we celebrated at hard rock kl..
this year? ... any idea??


mmm.... maybe somewhere outside KL...

still thinking...

my birthday wish?

i just want a good health and become super rich :)
yup,

Dear God , make me healthy and wealthy

Monday, May 17, 2010

babies.... and more babies


opppppssss...
not mine , yet!

I'm currently away from the medical department.
starting a fresh new life at the paediatric wards.
currently i'm at the neonatal ward...

i'm not an expert with baby and small children.
i remember, when my nephew umar slept with me ( the parent was the hospital , taking care of the sister )
he cried almost 3 times at night until the morning.
everytime he cried , he just grabbed my hand and forced me to wake up..
but, me being me - i couldnt be bothered less...
i just ignored him.. and continue my sleep...
his yelling was like a lullaby to my ears
but it's my way to teach him .... i called it " tough love"

so, the next day, he only woke up and cried 2 times....

the 3rd day , he didnt even cried at all... he slept soundly and comfortably by my side...

and the on the 4th day, he didnt make any sound at all... i woke up at 6 am , he was sleeping on the floor, couldnt recall when he felt down from the bed.... no injury thou...
and yet, he slept well on the carpet...

hence, being at the neonatal ward , with 30 babies crying at the same time, i could nt care less...

just doing my job... just trying to finish the day and want to send all the babies back home to their mother... no more than that...

but then, earlier this morning,
i took one baby out from her cradle and the treatment cradle as i needed to take her blood ...
as i was holding her ,
her cute little fingers , play with my tie and my name tag...
suddenly, i felt warmth and love glowing inside me...
it's such a great feeling..
of all sudden, working with the babies become so meaningful..
looking at their cute faces... just lighten up my days....

i'm loving my job....

Sunday, May 16, 2010

what had happened

it had been a very busy month for the family...
the picture above explained everything.
the hospital has become the 2nd house to my family members
( but for me it's no 1 home :p )

my niece has been admitted to the hospital since nearly a month ago due to the injury she sustained on her left eye...
it was caused by a stupid kid who threw a wood stick to her,
which eventually - made her cant see thru her left eye rite now

today she's undergoing an operation
to remove the blood clots in her eyes...

her full story at http://angelsofourlife.blogspot.com

Friday, April 30, 2010

serving the government

working for the government might be the safest job in malaysia
coz our government is very stable
and the political party which is running the government right now looks like gonna lead the country for like forever.

but then, working for malaysian government may not be the luxurious job....
- just enuf to pay ur bills and have a decent life..

as a government doctor, i do not earn much.
some people thought that doctors rich
for those who works at private sector - yes, they are super rich

but us, we just earn maybe rm 10 more than teachers
no kidding

if u compare the money with the job rate we did everyday ,
it's kinda ridiculous actually
for example , we earn rm 110 for 24 hours oncall in weekend..
so, it's about rm 4.50 per hour....
guess how much does the bangladesh labour earn per hour? rm 4.60....
hahahha...

well... that was just a gross picture about a real life as a government doctor...
it's a n0ble job..
and i'm sure our government did the best for us.
maybe this is our value to the government..
i have nothing more to say
just being thankful the government who employed me.

i'm so tired

I'm so tired
i'm at the end of my medical posting
cant wait to go to the emergency department
which i wish will be my permenant department in the future
i love all the action, thrill and the fast thinking situation in saving life

i dont really enjoy doing the ward round...
it's kinda boring
i would rather spending the day doing all kind of procedures rather than writing discharge summary and referral letters..
my colleague called me " procedure maniac"
coz i would eagerly do all the procedure - central line cvp, the arterial lines, the chest tube insertion, the lumbar puncture..
normal blood taking already bored me to death

hence, really looking foward to be at the emergency department..

Tuesday, April 27, 2010

tiger wood in the making part 2


yes,
trying hard to be as good as tiger
i even went to play golf at night
no kidding,...
yes... what to do..
day time... i'm stuck at the hospital..
hence, the only free time i have ... in the evening

nowdays, the golf set is always in my car
just in case of emergency...
should anyone invite me to play,
i'll be there...
heheh...

well, actually, if u are in kelantan,
and want to play or just started playing golf..
come n join me..
i still dont have a sparing partner as good ( bad ) as i am..
heheh..
if u are,
do not hesitate to call / contact me...
golf - connecting people

Sunday, April 25, 2010

tiger wood in the making

sorry,
no update for few days,
was busy doing on calls!
yes, i was oncall on thursday,
then i was oncall again on saturday
life couldnt be better...

i'm starting to enjoy my new hobby - golf.
it's a sport actually,
require a lot of skills and energy.

i'm still new, still learning,
looking for friends to come n play along with me
apparently not many golfer around in my age

so, most of the time i ended up playing with grandpa and uncles
which is good ;
hanging out with older group ,
make me wiser
and learn new things
and a few tricks in life
something that u wont find in any book.

Thursday, April 22, 2010

who is sya_zazoo

to sya_zazoo..
1st, thank u for visiting my blog'
but after reading ur comments,
u r not very much welcome here.

i dont know who the heck u are ,
but i'm sure we never met ,
and i definitely never treated u.

yes, i'm still a young doctor , only work for nearly 2 years....
but i'm proud of what i've done, and i'm grateful
let me ask u sya zazoo..., when u are at my current age , 25 years old..
how much do u achieve?
how much do u make a month???
not trying to show off here,
but u are very irritating

i do not intend to find out who u are,
but a a few of my readers apparently know u
and some of them work at the same office as u do sya zazoo
they did write to me about you
apparently , according to these few people
" u are not very like-able at ur office because of ur attitude"

and u are very famous due to ur not so nice action and words

which, explain all ur rude comments here.

I'm sure even medical students have better view than u are

honestly, just go away

if u dare to make comments here, x payah la letak gambar anak kat profile tu
show ur true face..
letak gambar anak pon orang tau...

Saturday, April 17, 2010

truth about the complaint

I'm not sure about what is "sya_zazoo" problem ,
but i'm sure she had a bad experience at the hospital

to sya zazoo..
may i know what are u?
are u working? own a business?
or whatever?

u are expecting a doctor to give a 5 star treatment at the government hospital?
r u kidding me?
it's not us who made the rule that we have to work extra hour everyday
but we did that becoz , if we didnt? who gonna suffer? the citizen right?
we do have the right is we dont want to work extra hours,
but we are human being..
knowing the fact if all doctor refuse to work extra hours at the government hospital,
how many people are going to die everyday?
hence, we doctors - sacrifice our time to serve the people..
and yet we dont write to newspaper - asking why are there so many sick people out there?

seriously, sya zazoo... u have issue here
i dont know what's ur problem
but if u have personal issue, go and take it somewhere else.
i'm saying the truth about the free health care that our government provide
but hardly appreciated by the citizen.

and one more thing,
i realize - those who made complains about government hospital,
are those who came and visit their relative for 5 minutes at the hospital
for those u stay and wait their sick relative / family member by the bedside - they would see and understood how hard does the doctors work, day in and day out

I once asked by a mother of a patient ,
"doctor, bile abes keje? semalam mak cik tengok doctor dah keje dari awal pagi, tengah2 malam pulak dok ambik darah patients, pastu pagi2 dah masuk ward balik.. doctor x balik rumah ke? , ni dah petang dah? mak cik pon dah 3-4 kali salin baju... "

i just smiled..
and yet people like sya zazoo are so critical about doctors...
hell...i dont care about this kind of people.
i did my job and i'm happy when patient get better

Friday, April 16, 2010

my reply

well,
there were many comment regarding my previous entry

occay,
here are the fact about medical service in Malaysia

The government hospital serve the citizen for free. The patient only pay a minimal amount.
hencefoward, not everyone appreciate this.
A simple blood taking would cost about rm10. If u are admitted for dengue fever, there will be more than 10 blood takings...
and that was just blood taking alone..
other cost? did any of us realize how much health care is really costing the government???
and yet, nobody appreciate the government hospital.
sigh

regarding the previous issue
i'm sure the "cucu" has communication issue with the doctor from the private hospital.
Any doctor would understand , that stage 4 cancer has no definite cure.
hence, he's not actually referring the grandmother to the government hospital to be cured.
Just for palliative care.
therefore, that particular case is not on top of the list for the oncologist in HKL

Do you have any idea how many oncologist we have in Malaysia?
how many of them work in HKL?
there are less than 20 oncologist in malaysia.
and most of them works at private hospital.

and guess... how many oncology patients we have in Malaysia??
A LOT!

from that big amount of patients with cancers ,
there are a big fraction of them who are in early stages and still have chance to be cured..
and these people are the priority to the oncologist

for those with stage 4, even the best oncologist has nothing much to say about it.
which explained , why the oncology at HKL was not in rush to see the grandmother.

HKL is a government hospital. It's a very busy hospital
there are many emergency cases there.
be patient,
it's free after all.

doctor would prioritize the patients that we are able to cure and save.

for example , in case of pregnant lady - the mother is the priority coz the mother is alive. the baby is not alive yet in the real world.

so, be considerate.
we doctors, always do the best we could.

we came early to work , came back home late everyday , but we never claimed overtime..
and u all still call us inconsiderate?
funny as it is..

if u have someone works as doctor in ur family,
then u would know how hard life as a doctor is.

to those medical students who read my blog...
life as a medical students and real doctors are totally different.
just keep reading ur book.
u have long way to go.
when u start working, then u'll understand what i really meant.
u have no idea how is it in the real world as a doctor.

Sunday, April 11, 2010

kecewa dengan perkhidmatan hkl?

the other day,
i was reading the e newspaper , and i came across this article, a complaint about another government hospital , HKL

in this article, the writer complaint about a very bad treatment given to her " nenek saudara "

SAYA ingin berkongsi pengalaman pahit nenek saudara saya selaku pesakit di HKL baru-baru ini. Sabtu lalu, nenek saudara saya yang disahkan menghidap penyakit kanser paru-paru Tahap 4 dipindahkan dari sebuah hospital swasta di Petaling Jaya ke Hospital Kuala Lumpur (HKL) untuk mendapatkan rawatan susulan.

Pemindahannya dilakukan atas nasihat doktor di hospital swasta tersebut dengan alasan HKL menyediakan rawatan khidmat Onkologi terbaik bagi pesakit kanser.

Atas nasihat tersebut, pihak kami sekeluarga pun bersetuju dengan perpindahan itu. Pihak hospital swasta berurusan dengan pakar Onkologi HKL untuk kemasukan pesakit. Namun, apabila pesakit dipindahkan, beliau dimasukkan ke wad kecemasan untuk beberapa jam. Kemudian, beliau hanya dimasukkan ke wad biasa dengan alasan doktor akan memeriksanya sebelum dimasukkan ke wad Bahagian Onkologi.

Beliau telah dimasukkan ke wad kelas tiga bagi tujuan pemantauan oleh pihak doktor 24 jam. Pihak kami telah meminta untuk dimasukkan ke wad kelas pertama kerana ingin memberi keselesaan kepada pesakit tetapi tidak digalakkan oleh pihak HKL kerana pesakit terlalu kritikal untuk wad kelas tersebut.

Pemantauan pihak doktor di wad tersebut hanya dari 8 pagi sehingga 12 tengah hari pada hari Sabtu dan Ahad dari 8 pagi sehingga 5 petang pada hari lain. Saya memang tidak faham dengan dasar ini. Adakah doktor tidak memantau langsung pesakit selepas pukul 12 tengah hari atau 5 petang?

Ketika berada di wad tersebut (kelas ketiga), pesakit tidak berasa selesa kerana keadaan wad terlalu panas, sesak serta bising selain berada dalam keadaan kritikal. Saya terpaksa membawa kipas meja sendiri untuk mengurangkan keadaan panas pesakit. Malah, katil yang digunakan pesakit tidak berfungsi dengan sepenuhnya disebabkan bahagian kepalanya tidak dapat dinaikkan atau diturunkan.

Jururawat yang bertugas juga kelihatan tidak tahu apa patut dilakukan terhadap pesakit. Saya terpaksa meminta ubat-ubatan berkenaan seperti ubat batuk dan ubat tidur untuk pesakit. Doktor kanan (senior) hanya datang pada lewat petang dan akhirnya membenarkan pesakit untuk dipindahkan ke wad kelas pertama.

Malangnya, wad tersebut telah penuh dan hanya ada pada keesokkan harinya. Saya amat kecewa kerana pesakit kelihatan semakin lemah dan tidak selesa. Pakar Onkologi juga tidak muncul langsung untuk memeriksa pesakit. Apabila saya memaksa doktor bertugas untuk menghubungi pakar Onkologi, beliau menyatakan bahawa pakar tersebut menganggap kes pesakit tidak penting dan hanya akan datang pada keesokkan harinya.

Bayangkanlah pesakit sudah berada pada Tahap 4 kanser paru-paru dan ini dianggap tidak penting oleh pakar Onkologi.

Pada awal pagi keesokannya, kira-kira pukul 5 pagi, hati saya tergerak untuk menghubungi pihak hospital bertanyakan status keadaan pesakit. Pihak yang menjawab panggilan meminta saya menunggu sebentar kerana difahamkan pesakit sedang berada dalam keadaan tenat dan sedang dirawat.

Sementara menunggu, saya kedengaran pihak yang menjawab telefon terpinga-pinga tidak tahu untuk berkata apa kepada saya. Dia bertanyakan kepada rakan sekerjanya dan berkata: "Nak cakap apa ni? Nak cakap apa ni?" Setelah hampir seminit saya menunggu, dia meminta saya untuk bergegas ke hospital. Saya memarahinya kerana tidak menghubungi saya secepat mungkin.

Bayangkanlah, kalau saya tidak menghubungi hospital, agaknya bila mereka akan menghubungi saya? Apabila saya tiba di hospital, keadaan pesakit sudah terlalu tenat dan saya meminta doktor bertugas untuk menyelamatkannya dengan apa cara sekali pun.

Beliau hanya berkata: "Saya bukan Tuhan dan pesakit sudah bersedia untuk 'pergi'." Saya hanya sempat membisikkan ke telinganya memintanya jangan meninggalkan kami namun tiada tindak balas. Saya kemudian membacakan surah Yasin dan 'mengucap' untuknya. Pesakit kemudian 'pergi' dengan tenang.

Walaupun saya menerima kenyataan bahawa ajal dan maut di tangan Tuhan dan reda dengan pemergian nenek saudara saya, tapi saya amat kecewa dengan perkhidmatan yang diberikan oleh pihak HKL.

Saya amat menyesal kerana membuat keputusan untuk memindahkan arwah nenek saudara ke HKL. Kemudahan yang rosak seperti katil tidak dapat dilaraskan memburukkan keadaan lagi. Saya bertekad untuk tidak menghantar ahli keluarga saya atau sesiapa pun ke HKL lagi.

CUCU SAUDARA YANG SEDIH

Kuala Lumpur


occay,

here's the thing wahai cucu saudara...

ur grandma has stage 4 lung cancer... i'm sure the doctor at the private hospital has told u the prognosis of the disease. No one ever survive the stage 4 cancer. hence, i'm sure the doctor at the private hospital, asked u to send ur grandma to HKL - mainly for palliative care

even the best oncology has nothing much could do on an elderly patient with stage 4 cancer.

PLUS - it's a normal procedure that every admission has to go thru the emergency. dear cucu sedih, at government hospital, there are many critically ill patient need to be saved at the emergency room, hence ur grandma had to wait for quite sometimes.

sorry about that, but our country still dont have enuf doctor and the ER is still not big enough.

well, there are many more i have to say here

but what u experience at HKL is a standard procedure, if u want a VIP service... just stay at the private hospital. the choice is urs if u have the money. that's all.


Saturday, April 10, 2010

tiger wood is my idol

i finally got my hand on the golf club.
yes, after being influenced by my brother who played before behind our backyard ,
i decided to follow him to the golf course today.

i managed to hit 100 balls today,
it was fun... and it was quite an exercise too.

now, i have backsore and shoulder pain
but it was worth it.

I used to wonder why people play golf,
and i used to be critical to those people who are in love with golf

until u play the game, u wont understand it.
yes, it's an expensive game,
the golf clubs cost a lot, the balls, the membership

but then, it's a game...
one set of golf clubs costs as much as a new set of sport rims

Friday, April 09, 2010

another story

here is another true story that happened to me in my daily life working as a coolie a.k.a doctor at
the government hospital

occay, true fact about me.
young patients loves me... coz we speak the same language...
the untie and grandma age patients likes me coz they want me to be their in law
the pakcik and atok2 age patients enjoy having doctor like me coz i listen to their story

but, not everyone likes me...

.. One fine day at the ward..

a patient was admitted due to end stage renal failure , and he's planned for peritoneal dialysis..
it's an invasive procedure, where doctor poked the abdomen, put a drainage system and clean the abdomen.. it's an alternative to hemodialysis

Apparently this patient is very arrogant...
when he was planned for the procedure, he requested for a senior medical officer to do the procedure on him, and refused on me doing the procedure as he claimed i look too young to be a doctor,
so fine - i was irritated, but i did not care, less work for me.

I told the pakcik, that particular medical officer that he requested wasnt available..
so , i told him to pick someone else..

he saw a chinese doctor in the same ward with me, and asked for the chinese doctor to do the procedure on him

I said "fine " , let just get it over it...

Little that he knew, that chinese doctor just started working , and only done the procedure once before - under my supervision

and... since the patient requested , that chinese doctor , did the procedure on him - unsuccessfully.....

and i had to take over ... eventually..
hehhee...

after the procedure was done... a nurse told that patient that i am a senior doctor in the ward...

before he was discharged , he said he was sorry ....

and yesterday he was admitted again , and we became good friend... :)

the end....

Thursday, April 08, 2010

am i getting old

came back from work quite early today
luckily nobody is dying in my ward.
had a calm day'
just another at work

reached home, then turned on my lappy
checked my email, fb... then read the news..
then went out to jog..

came back home from jogging..
made myself ceasar salad for dinner..
watched a movie while having dinner alone..
it was a funny movie.. was laughing alone..
i dont care..

then , finished movie ,
decided to do the laundry ,
then went up to the bedroom ,
i ended up reading the emergency medical book.. ( wow)

and here i am currently... feeling asleep..

well..
i guess this is it..
i reached a point..
where being home , is better than being out with friends
am i getting old... mmmm..

Tuesday, April 06, 2010

congratulation dear students

today our government announced that - 1500 excellent students , we'll be getting the national scholarship
congratulation to those who'll be chosen :)

2 thumbs up for 30 lucky students who got their special scholarship, they totally deserved it.
no arguement.

i was one of them back them
so happy with my spm result , got the JPA scholarship, then went to overseas to get my MD...
dream came true babeh!
living a good life..
yes, all the hard work during SPM paid off!!!
totally..

so, to those who excelled in the spm ... cheerish the moment.. u r on top of the sky....
for the moment.
just remember , it wont last forever,
this is just another hurdle in life
many more to come.

i had some frens who excelled in SPM,
but screwed up on the later part

not saying u all shouldnt be celebrating this glorious achivement..
as a matter of fact ,
just have a hell of party out of it..
coz,
u'll be facing a bigger test in the future

whatever it is..
enjoy the moment..

i miss those time...