it was never my fault!!!!

how everyone doing?
tomorrow we will start our fasting month
i wish u all the best.
i wish u all - good health  , joy and happiness!

nonetheless , me is at the other end right now
having fever...pharyngitis ...
something is disturbing my throat..
i wish the antibiotic will kill all the bugs away before fasting start tomorrow!

anyway,
back to my boring life as an anaesthetist..
yes.. we make people sleep well
we make them went thru operation... painlessly and unharmed..
and we had our share of fun too..

the most common cause of surgery ... is self -stupidity..
meaning - caused by human error
and the most common human error is - moto-vehicle accident
who are the prime candidate? mostly the mat rempit..

i'm telling you here.. these mat rempit are really something...
before i put them to deep sleep..
i always asked them.... what happened during the accident..
and the answer would be... " it was not my fault doctor ..."
yes.. that is the most definite answer from the mat rempit...
then they start telling their side of the stories...

" it wasnt my fault doctor... i was riding on the highway at mid nite..
i saw no cars incoming from another side... then i was trying to make u turn in the middle of the highway...
then suddenly a car hit me from the side... buta betul driver kereta tu...."
yes... it wasnt ur fault rite... who the hell do u turn in the middle of a highway????

" it was not my fault doctor... me and a few friends were riding our bikes at night .... and we were not racing doctors ... just plain riding...  i was trying to overtake my friend and my front tyre accidently went up to the air ... i was not trying to do wheelie doctor... some how one of my friend hit my bike while i was accidentally wheelie my bike...":
yeeeeeeeeeeaaaa rite......

everyday i saw these mat rempit... very young age... mostly still in school
but pity them... belum sempat kawin gigi dah tinggal separuh
what a shame...

if u are a parent.. do take care of ur children... make sure they dont end up being of the mat rempit,..
and if u are a mat rempit... if u want to kill urselves.. please dont involve other people...

the beauty of GP ....

it's a common sense it our society
we all believe that GP ( private clinics ) provide better medicine compared to the government clinics
yes... at a quick glance.. yes it's true
it is so bloody true
and i could not deny it at all...

so what actually happened?

situation one...

a young mother brought her baby to the government clinic ... her baby is having fever ... not feeding well..a bit of flu...
after being seen by a doctor or a medical assistant at the clinic ... she was given syrup paracetamol for the baby .. and went back home..
for one day .. she gave the baby the syrup however , condition is not improving...

hence the next day , she opted for second opinion
she made her way to the nearest private clinic...
then the doctor at the clinic prescribe the baby with at least 5 medicine... syrup paracetamol... flu syrup... antibiotic and multivitamin...
she went back home with a big smile..
and served her baby with all the medicine
after a few days... the baby is getting better..
so .. she went back to work ..
and tell the story to the office mate...

eventually.. people prefer private clinic compared to government clinic

here is the truth about our health system

me.. is a government doctor
but sometimes , i do locum at private clinics

and here is the inside truth...

at the government hospital .
our budget is limited
the cheapest drugs is of course the syrup paracetamol...
we dont simply give antibiotic , especially for babies..
if there is no obvious sign of infection...
syrup paracetamol is enough... no need for antibiotic..
the extra supplement should be provided via breast milk...
breast milk is best medicine of all... contained antibiotic... vitamins... mineral..
keep the baby healthy
however... paracetamol isnt a magic drugs..
it doesnt resolve everything..

different story at the private clinic..
when a mother brought her baby with a slightest sign of infection..
doctors straight away give the antibiotic and all sort of supplement...
which is the best treatment .... for short term...
the baby will get well in no time..
however ... the broad usage of antibiotic among baby ...
will cause the bacteria in their baby become susceptible to the antibiotic in the future.

it's so complicated ...
hard to understand if u r not from the medical field
no one is to be blamed here

the government doctors are playing by the book... follow the rules
the private clinics doctors need to give quick relieve to the patients to keep their business running...

happy ramadhan...

salam
my dear reader
happy fasting..
ramadhan is very near to us..
it's a month of blessing
a month of forgiveness
make full use of these coming 29 days occay?

a little reminder to everyone and to me especially...

congratulation dr hafidz rizal

welcome to the club mr and mrs hafidz
finally
congratulation to my dear fren dr hafidz
he's a married man now
and i was his best man on the wedding day
( he was my best man on mine )

the lucky girl also from johore...
same as mine...
apparently johorian has this kind of charm
which make guys go crazy


anyway dude..
i wish u all the best ...all the happiness in the world
May God bless both of us

am i a 10?

me my beloved sist , redmummy.... dah boncit dah akak aku nih!

anyway, a very "WIERD"  and a very uncomfortable situation at work a few days ago..
got  a special visit by our superior...
and of course...
complaints and more complaints from the people up above..
apparently we are not doing the best ..
well ... nothing new there..
people died in ICU everyday ...
so as long as people are dying in ICU..
it's always doctors fault rite?

come n work with us for one night and then u tell me we r doing the best or not..

nevertheless....the best part was when we were asked..

"on a scale of 1 to 10 .... how do u rate ur capabability of handling ICU cases " ....

after a very long thought...
i said i am a 10...
..
well... apparently he wasnt expecting that answer from me..
he said if i am a 10 ... i think i am already good enough and i m not willing to learn anymore...

but seriously...

do u want ur staff to be a 5/10 when dealing with life or death situation??
let me ask all the reader out there...
when ur relative is being treated in the ICU... do u want ur relative to the treated by a doctor who is 5/10 ...
or even 8/10
definitely u want a 10/10 doctor to treat them...

and honestly...
i reckon i'm a 10/10 for a medical officer
i'm always learning from my senior
always updating myself with the latest treatment

being good doesnt mean u r already content with ur skill n knowledge
being a 10/10 means we know we can be more than 10/10
and we will always work harder....

the same old question.....

since i became i doctor....
i have been asked the same question ... over and over again...
and this question commonly asked by the medical students....
< Dr Hannan .... honestly.... how do u feel being a doctor >

and my answer has changes a few times as times goes by...

when i first became a doctor..
during my housemanship...
my answer was  " being a doctor is like a living hell"
i even advised them to not being a doctor
i have my reason
and yes..
at that time... , it was killing me being an intern at busy general hospital
i have no life..
but in hospital...

nonetheless.
as i finished my housemanship..
and now i am a legally medical officer..
life as a doctor has changed

during housemanship... i dont make decision..
i follow orders only
and that was no fun
but it was for my own good.
i knew very little to decide between life and death

and now thing has changed
as a medical officer
i have to make the life saving or otherwise decision..
and .... it felt really good when my patient came out alive
and it hurts a lot when someone died...
all of these.. make my daily life.. more interesting
rather just go to work everyday..
following other orders for every single little thing..

so right now...
how do i feel being a doctor
the answer would be.... i feel good... i love saving life..
and i look foward to go to work every single day
... except weekend... i need my day off too...

nora elena.... menitik air mataku....

congratulation tv3
congrate and thank you very much for showing this beautiful drama....
i love the nora elena drama series a lot
the casting is a perfect combination.
mr macho man aaron aziz
and the gorgeous siti saleha

it is such a lovely drama plot..
my 7 pm to  8pm everyday is the most waited hour of the day
i hope tv3 will next produce the DVD for this series...

meleleh air mataku  when i watch the drama...
it is so real..
love it.. love it....

it hurts the most

it hurts the most
yes it does
i have seen these thousand of times in my life
never thought it would happened to someone very close to me
someone who is very important in my life

as a doctor , cancer is no stranger to me
day in and day out..
there are thousands of cancer patients in and out for the hospitals everyday
and it doesnt bother me much
coz it is part of my job

until i get the news someone very close to me also been diagnosed with cancer
it broke my heart
my eyes bursted into tears
i was speechless when he phoned me to tell me the bad news

he was my best friend , a father figure to me
someone who took care of me when i was studying in moscow
he made my life in moscow so meaningful and a lot of joy and fun
he was there for me .... up and down
day and night

he was an active person...
had a very healthy life style
very health concious
no smoking ...
eat healthy stuff
and yet... he still ended up with cancer

i hope i could be there for him
currently he is treated in singapore
i am going to singapore very soon to meet him
......
i ll be there for u sir

Chipsmore

Again... For a thousand time...
My sincere apology for the absence
I was abducted by alien...
Occay... Too good to be true
Actually I was busy doing stuff
Busy thinking....
And eventually it still lead to nowhere

I'm still the same
Nothing much change
gonna be a father soon
Hopefully everything will be fine
Will do my best to keep updating my blog

I was flying high... Sky high

Again... For the thousand times... I m so sorry for not been writing for a long time. Thanks to my readers who have been asking about my well being...
Truth is... I was doing ok.. It was great actually...
But for past few days or so..
I hit the rock bottom..

I was flying high... Sky high... I was doing very well.. I was this close to achieve my lifelong dream...
But everything just fall apart...

All because.. People just being human....
All those back stabbers...
The jealousy..
Being envy..
"hasad dengki" ...
All these craps that ruined my life badly rite now...
Damn u guys..

no big news... but it's on the news again

it's on the news again...
click here  for the whole story in the berita harian website...

i've written about this issue here , so many times..
and i'm pretty sure the readers here are pretty much tired of reading about pathetic and sad government life..
long working hours ... minimal pay...
yeah... sound like indonesian buruh...
as a matter of fact..
i reckon , our ministers talk more about indonesian amah welfare compared to our government doctor welfare
sorry to say that
but , that's the truth

dear my beloved prime minister , Dato Seri Najib Tun Razak...
please treat as us as well as we treat our patient..

for crying out loud.. i have to park my car 500 meter from my ward i'm in charge
i have to park my car at the psychiatric hospital everyday
and that was not even in the hospital compound..
considering our job is saving people life
it's too much to ask for dedicated parking slots for doctors?

boring dah tulis pasal ni....

thank you , and thank you again

thank you and thank you..

out of 1000 people out there who love you ,
there will be at least 1 person u hated u.
it's just a cycle of nature
we are human
we have feeling..
the  jealousy , hatred ...
all those self destructing feeling
which eventually bring no good to everyone

be thankful for what we have
always be nice to other
but there is always limit for that , not until the extend of u getting bullied over....

listen to the good advices given to u..
sometimes we didnt realize we are on the wrong path
as a human being... it's our nature to be misleaded at times...

be someone who forgive and forget...
u ll find the world is a better place once u upon up ur heart and mind...

let's pray for a wonderful life
let's hope for a better days ahead of us!

off the gym...
jom bersenam kawan2...

cukup setakat ini yer ceramah pagi jumaat.
jangan lupe solat jumaat bagi umat jantan2 di luar sana...
ingatan utk semua termasuk saya jua!
senyum-senyum selalau

life is too short to be sad and gloomy

what happened was

being a doctor may be the most noble job in the world

but at times , 

it could be very dangerous as well...

once upon a time 

i was doing locum at a private clinic...

one day , came this one big family 

bringing their beloved son

he's about 19 years old

good looking , loveable and look healthy physically

but he was brought to the clinic that night as he was having shortness of breath

then came the mother into the treatment room..

"doctor ! quickly see my son... he's having asthmatic attack!  quick quick !" yelled the fat ugly mother...

I was seeing other patient that time and I told her 

" occay , i'll see him after this patient "

she gave me the " not satisfied look" and went out ...

then i called in the sick boy..

he came in accompanied by his mother , 2 fat sisters and fierce looking father..

" quickly examine my brother " ordered the fat sister..

" settle down... calm down.. let me do my job " i replied...

then i check that boy ...  in and out..

i examined everything...

after i've done  ,  I smiled at the family..

i told the ugly mother  "he's fine , just having a panic attack ... "

then the mother yelled at me again " doctor! my son is having asthmatic attack!  give him the meds! he's so sick , he cant breath... you idiot doctor! "

i said nothing....
then i asked all of them to leave 

it was just me and the kid in the room...

i kindly asked the kid " hey boy .... just tell me the truth here occay , no bullshit.. no crap... i know what's wrong with u ... just admit it ! ur mother is sooooooooooo bloody annoying! "

" i need the pill doc! dah 2 hari x dpt pil kuda ni doc... please help me " the boy begged me...

" screw you.... i had enough of ur family... go home and pray to Allah" i told off the boy...

clearly , he was having the withdrawal syndrome

but i kept his secret from the family.. it's the patient-doctor thingy...

then the boy asked for my forgiveness for how his family reacted to me.

but it didnt end there...

the father came back into my room.

complaining about my poor medical skills, told me that i'm not qualified to be a doctor

i told him and his family to go home...

but he threatened to kill me...

and that was his mistake...

straight away ,

i made a call ...

a "fren" dropped by at the clinic..

5 mins later ... the father begging for my forgiveness.... on his kneess... kissing my shoes...

lesson to be learned 

1st - dont screw with me.

2nd - dont screw with me

3rd  - still dont screw with me 

4th - if ur healthy kid - suddenly had panic attack after not going out with frens for few days ....

u might talk to him before bringing him to doctor.... if not... u will look like a fool...

situation

different scenario at work everyday...
most commonly at the emergency room

scenario 1.

patient : doktor , tolong lah anak saya doktor... doktor buat lah ape yang patut... tolong lah doktor.. saya hanya mampu berdoa je... saya berserah pada tuhan... doktor buat lah yang terbaik untuk anak saya doktor,
terima kasih banyak2 doktor...

doctor : yer makcik , kami akan memberi rawatan yang terbaik kepada anak mak cik... sebaik yang kami mampu... seterusnya terserah lah kepada Yang Maha Esa....


scenario 2.

patient : doctor... i want u treat my son as soon as possible... he's ill and need urgent attention...  i've been waiting for u guys for quite sometimes...

doctor :  .......

patient : cepat la sket doktor... dah lama dah tunggu ni... die sakit ni....

( p.s - at the emergency department ... we doctors attend the most ill patient first .... the one who's dying need to be seen 1st....    ur son who's having panic attack because of drug " pill kuda " withdrawal syndrome is not considered as life threatening...  )

i catch a grenade for u!

she said " i'm more than a women "

I said " u must be a man then "

thank you miss tan vi jan for the lovely t shirt!
i love bruno mars very much and currently wearing it at the clinic
just now my patient asked me..
" wow , dr rock la.. minat bruno mars ek "
i just smiled

in the end of the day, i'm still a normal guy
if u meet me at the mall , or the gym
it wont cross ur mind that i m a bloody doctor!
hehehe...

my open letter to the prime minister

Dear Prime minister
let me start here with a big salute to u...
u manage to rule the country for quite sometimes
and i reckon our country is doing quite well actually
people are still alive , no wars , inflation is under control
and no nuclear plant is being built so far
congratulation

as a government worker
i'm happy to have a leader like you

but as a doctor
i would to pin point a few little thing that u might have overlooked
during ur current administration

as all my readers understood
i hate smoker
i hate cigarettes in general
as a doctor , this is our biggest enemy

i'm not denying , smoking cigarettes is one of the famous hobby / past times among our malaysian
everyone smokes.... the politician , the police , even people who works at the hospital

nevertheless , everyone is in denial state when it comes to this problem
nobody likes to see their children smoke cigarette ...
hell - some parent would beat their kids when they found out their kids do smoke cigaratte
but then ... is that all we can do..
try to prevent the kids from smoking?

Mr Najib...
do u realize , how much cigaratte has costed our country financially...
we have free health support - which is good and i salute u for that
but then ....
a lot of the money dedicated for health of our citizen
is used to treat diseases caused by smoking cigarattes
a disease that we caused ourselves..
the lung cancer... the chronic lung disease... COPD...
cost hundred of million a year to treat these people..
the amount of chemotheraphy  needed to treat the lung cancer patients...
u should have know better Mr Najib

yes i know , our country gained a lot from Malboro and Dunhill for the taxes
but then... is it worth it...

therefore ,
i would to suggest to u ... to ban cigaratte in Malaysia...
MR NAJIB.. if u do proposed this issue at the parliament..
i promise u , i'll vote for u for the rest of my life
regardless...

but , until then... 

words of wisdom from kura kura...

 

  if u want to loose weight really quick..

u should learn from this lady...

she's good 

and she herself is the proven subject

 

 

 

KuraKuraDiBawahCawanKaca said...

 

 

 

       hai, this is my opinion.. i rasa u kena control ur portion intake.. jangan makan sekali harung je.. makan 5-6x sehari dalam portion sikit.. kalau u busy, u boleh makan protein bar or minum protein shake.. kalau u nak turun cepat, say bye2 kat nasi lemak, makanan manis2, lemak2..       drink 3liters of water tiap2 hari.. paling senang, bila celik je mata pagi2, habiskan 500-1000ml air.. selalunya kalau u stop minum makanan goreng2+berlemak and tinggalkan minuman manis, dalam 1-2 bulan dah tunjuk result.. nasi2 tu semua u tukar ke brown rice or wholewheat pasta.. lauk minyak2 sila kurangkan.. main rebus2 and grill je.. senang je, marinate chicken breast dengan black pepper and salt.. then grill.. makan dengan pasta..            after 7pm, jangan sentuh any carbo.. makan protein je.. pasal training pulak, takat lari manja2 kat treadmill lemak2 degil tu takkan cair.. u kena try buat High Intensity Interval Training(HIIT) jog for 1minute, lepas tu sprinting as fast as u can for 30-60secs.. then jog balik.. ulang 5-7x.. ambik masa 20minit je.. it will burns ur legs likes hell! kalau nak best lagi, naikkan incline treadmill tuh.. untuk weight training, i rasa u kena tukar ur program.. kasi badan terkejut sikit.. barbell squat, bench press, deadlift and other compound exercise u kena buat 3-4x seminggu.. muscle can helps u to burn excess calories.. bagi i, tak perlu exercise tiap2 hari.. 4-5x seminggu okay dah.. yang penting tiap2 exercise yang u buat tuh, intensity mesti tinggi..                              exercise hanya tolong 30% je untuk turunkan berat, selebihnya ialah diet.. kalau exercise giler tapi makan 'makanan sampah' buat ape kan? mindset kena kuat.. disiplin and komited.. kasi masa 12weeks kat urself.. i know u can do it!! sorry doctor.. i memang tak tau cara nak tulis dengan ayat lembut2 ke ape.. bagi i ubat takkan membantu untuk sihat or kurus.. exercise+healthy food+rest je yang dapat membantu..

selamat pagi malaysia - tolong sebarkan yer !

i ve been meaning to put this photo online for everyone to see it clearly for quite a while
so here u go
tell everyone , foward this photo to ur beloved
i hope this will be a clear to all the perokok out there
merokok itu haram
dan menyusahkan para doktor
dan membazirkan duit rakyat utk merawat diorang ni

:)

not the flash news
but something to be remember

my patient made me drop a tear....

this rarely happened to me..
it's so touching..

@ the clinic today

a chinese guy , who was diagnosed with colon cancer , currently on chemotheraphy...
he's planned for operation somewhere next month
hence he came to see me today for the pre operative assessment..

i asked him..." uncle.. ape yg nak operate next month ni..."
he replied " nak buang kanser, lepas tu nak masuk balik stoma kat perut ni...
pakcik x selesa ade stoma ni... x bole nak buat kerja.."
then i told him... he's planned for other operation  , not for reversal of stoma
therefore i arrange him to see the surgeon again to discuss regarding the operation

before he left the room
he came to me.. shake both of my hand
and he said " doktor , saya mintak maaf banyak2 susahkan doktor...
saya x sekolah , x pandai pasal ni.. sebab tu saya susah faham sikit , terima kasih sebab beri penjelasan panjang lebar pasal penyakit saya ni .. saya harap doktor x marah..."
I was stunned... i was speechless..
he looked so naive and  innocent...

then i told him ... holding back my tear..
"pakcik.. this is my job... ni keje saya rawat orang, saya buat yang terbaik... saya doakan yang terbaik utk pakcik..."
he hugged me..
then i asked him to leave..
not gonna cry in front of everyone..

dont hate me coz i'm beautiful

first and foremost
i would like to thank all my readers for all the moral support
and all the tips given
for me - striving for my weight reduction programme
thank you so much..
it means a lot to me..
a simple word of " chaiyok" makes me grow stronger every second
and work harder every day

i'm a very ambitious person...
whenever i'm aiming for something
i will work extra hard for it.
and of course , i only dream for something which is possible..
my current dream is to be rich and famous
it does sound cocky
but that is something that kept me going every minute

as a human being , we need something to hold on
something to led us..
something to achieve
and then , our life will be a meaningful one..

i said to myself ,
one day i'll drive that convertible bmw 6 series
one day i will
hopefully i wont be too old by then

how am i gonna achieve my dream..
that's a secret ... hehehehe....
kalau nak cepat, jumpe bomoh kak limah belakang umah...