Monday, March 29, 2010

Altantuya Shaaribuu

Ayah Altantuya diperintah kemuka kos jaminan RM60,000

30/03/2010 6:43pm

SHAH ALAM 30 Mac - Mahkamah Tinggi Shah Alam di sini hari ini memerintahkan bapa Altantuya, Shaariibuu Setev agar mengemukakan kos jaminan sebanyak RM60,000 kepada penganalisis politik, Abdul Razak Baginda dan Kerajaan Malaysia.

Pesuruhjaya Kehakiman Datuk Zaleha Yusof memerintahkan jumlah tersebut dikemukakan dalam tempoh tiga bulan.

Permohonan kos jaminan itu dibuat oleh Abdul Razak dan kerajaan Malaysia selepas kedua-duanya disaman oleh Shaariibuu yang menuntut ganti rugi sebanyak RM100 juta berikutan kematian Altantuya empat tahun lalu. - Utusan

The Altantuya Shaaribuu Case: How and why she was killed

SHAARIBUU SETEV is a bitter and disappointed man. Yet behind the sad face of this Mongolian lies a fierce determination.

"My daughter has been murdered by Malaysians on Malaysian territory. And they did not even offer a word of apology," states this professor of psychology at the National University of Mongolia.

The murder of his daughter, Altantuya Shaaribuu, took place in October 2006. Everything in this case - which started in 2002 when the French-Spanish company Armaris concluded the sale of three submarines to the Malaysian government for �1 billion - is out of the ordinary. The murder of the 28-year-old Mongolian was the result of a "commission" of �114 million by Armaris to its Malaysian counterpart. This commission, acknowledged by the Malaysian government, triggered a chain of events that led to the assassination of Altantuya and the disappearance of several key witnesses in the case.

A November 19, 2006 report from the Malaysian police, which has been kept secret until now, reveals precise descriptions how this young woman, a member of Asian high society, was killed. In this document, one of the killers, a policeman of the Malaysian Special Branch named Sirul Omar, replied to questions by an officer at a police station close to the murder scene.

"When the Chinese woman saw that I had a gun, she begged me to spare her, saying she was pregnant. Azilah [Sirul's commanding officer] grabbed her and threw her on the ground. I immediately shot the left side of her face. Then Azilah took off her clothes and put them in a black plastic bag. Azilah noticed that her hand was still moving. He ordered me to shoot again, which I did," said Sirul.

This is the first confirmation of Altantuya's killers' identity.

"Then we carried her body into the woods. Azilah wrapped explosives around her legs, abdomen and head, and we blew her up."

The revelation of this report in the French newspaper Liberation is the latest chapter in this dramatic saga featuring French arms dealers, Mongolian shamans and Malaysian politicians.

This case is explosive not only for the Malaysian government, with the deputy prime minister and finance minister Najib Razak (who is scheduled to become prime minister at the end of March) suspected of having links to the case. It could also embarrass DCNS, the French company specialising in military shipbuilding. Armaris, which sold Scorp�ne and Agosta submarines to Malaysia in June 2002 was bought by DCNS in 2007.

Altantuya grew up in St Petersburg, then studied at the Institute of Economic Management in Beijing. Besides speaking English, she was fluent in Russian, Chinese and Korean. The fateful cycle for her began when she met Abdul Razak Baginda in Hong Kong in 2004. Baginda is a security expert and was the director of the Malaysian Strategic Research Centre, a pro-government think-tank. The two became romantically involved. Altantuya, nicknamed Tuya by her friends, proved to be a useful assistant, helping Baginda translate from Russian to English.

In March 2005 Altantuya and Baginda went to Europe, touring France, Germany, Italy and Portugal, staying in plush hotels and dining in the finest restaurants. This trip, however, was not only for pleasure: the contract for the sale of the submarines had been signed in 2002, but important details had yet to be settled.

"We knew that Baginda was used by Deputy Prime Minister Najib Razak as an intermediary for weapons deals, especially the high-level ones," says a regional security-affairs expert.

At the end of March 2005 the couple was in Paris, where they met with Najib Razak. A picture shows the three in a Parisian club.

"Tuya showed me the picture. She said that one of the men was her boyfriend, Abdul Razak Baginda, and the other the big boss, Najib Razak," said Altantuya's best friend Amy. "I asked her if they were brothers because of the names, but she said no, that Najib Razak was the prime minister."

Najib Razak has sworn on the Koran that he never met Altantuya. According to a private detective, now in hiding in India, Tuya was also the occasional mistress of the deputy prime minister, who was introduced to her by Baginda at the end of 2004.

In October 2006, Altantuya was informed that the commission paid by Armaris had arrived in the Kuala Lumpur bank account of Perimekar, a company owned by Baginda.

Altantuya went to Kuala Lumpur to claim her share of the commission from Baginda; she said she was entitled to US$500,000 (Bt18 million). She and Baginda had already broken up prior to this.

Meanwhile, a jealous Rosmah Mansor, the feared businesswoman and wife of Najib Razak, objected to any payment to Altantuya.

For several days, Altantuya harassed her ex-lover. On October 18, Baginda could no longer tolerate the daily scenes made by Altantuya in front of his house. He contacted the director of the Special Branch, Musa Safrie, who happened also to be Najib Razak's aide de camp. On October 19, 2006, just before 9pm, two Special Branch officers, Azilah Hadridan and Sirul Omar, were sent to Baginda's house, where Altantuya was gesticulating and shouting. They were ordered to "neutralise the Chinese woman". They kidnapped her, shot her several times, then destroyed her body with C4 explosives, which could only be obtained from the Defence Ministry. Altantuya's entry into Malaysia was erased from immigration records.

Somehow, the local police were tipped off that something odd had happened in front of Baginda's house, and events unfolded that even Deputy Prime Minister Najib Razak could not impede. He tried to cover up the case. Before the arrest of Baginda, [the deputy prime minister] sent him an SMS: "I will see the inspector-general of police at 11am today... The problem will be solved. Be cool". A few hours later, Baginda was arrested along with Azilah and Sirul.

After a trial considered dubious by many observers, Baginda was acquitted of having ordered the murder and was released in November 2008. Accused of having perpetrated the murder, Azilah and Sirul appeared in court last month. If convicted, their sentences will be death. The verdict is scheduled for April 9.

In Ulan Bator, 12-year-old Mungunshagai, the eldest son of Altantuya, is still traumatised by the death of his mother. Five-year-old Altanshagai, her youngest son, is mentally handicapped and doers not understand that he will never see his mother again.

"He asks for her all the time and stays the whole day in his chair. Every evening I bring him sweets and tell him that his mother gave them to me for him," says Shaaribuu Setev, the grandfather of the two boys.

As for Baginda, he has settled in the UK with his family. He has never uttered a word of regret on the fate of the woman who shared his life for two years.

Arnaud Dubus (in Kuala Lumpur, Ulan Bator and Paris)


Ok saya xnak comment pasal Kes Altantuya ke, kerajaan Malaysia ke, Shaariibuu ke, Razak Baginda ke.. sebab nanti if salah sane snih (either saya bagi facts or create story.. tak pasai2 studies saya kt Indonesia kne hang..JPA kne tarik.. tup tap tup tap masuk jail or ISA) *even my Dad pengarah penjara Tapah pn maybe xdpt nak bantu kang*

Saya just nak cerita macam mane if some1 yang dah mati dibunuh/terbunuh/bunuh diri/plane crash/accident/ok laa xkisahlaa ape2 motif pembunuhan pun.. then tiba dibakar/terbakar sampai hancur hangus sampai kiter xnampak dah jenazah/ si korban. So mcm mane kiter nak identify jenazah? Even kiter xnmpk pakaian si korban, ape tah lagi muka dan tubuh badan. Kulit hangus mcm arang (belum lagi termasuk if cuma tinggal serpihan badan sahaja)

Nak ambik darah? tak dapat kesan dah mane vena, artery... darah pun dh xde kt tubuh si korban

Nak ambik cap jari?? sbb org kater DNA cap jari manusia sume lain2..tapi kulit dh rentung.

Nak ambek sampel urine? jantung? ginjal? paru? liver? sume dah jadik *cookies*

Salah satu cara kita nk identify mayat yg rentung akibat kebakaran is dgn check gigi !! sebab walaupun tulang2 yg lain dah hancur/patah/reput tapi, gigi kita masih utuh sebab ade unsur2 element yg kuat *for further info pergila tnyer Dentist nyerk* (ini termasukla if kita masih memakai gigi palsu, crown, bridge ke ape2 laaa psl dental nih) semua ni ade dlm Dental Record. So, once seseorang dh mati dibunuh, plg senang pembunuh nak hilangkan bukti2 is dgn membakar mayat si korban *mmg sangat2 kejam...ko tunggu laaa api neraka nnt ngapppp ko..xde sape nak bele ko*

Moral of d value : pergila check gigi sll.. updating ur kesihatan gigi.. sebab Dental Record ni penting. Ok pasal case Altantuya ni.. smpai skrng mcm masih xbetul2 solve.. tak pela.. hanya Allah saja yg tau kebenaran siapa pembunuh dan yg bersubahat. Hanya akhirat saja yg benar2 Mahkamah yg plg adil. Kita dah tak perlukan pangkat, harta ape2, nanti cuma kebaikan di dunia dan berjalan lurus dgn ajaran2 Islam sahaja dpt menilai kita. Emas berlian, kereta Ferrari, pangkat tinggi, dah melancong 1 dunia smpai ke Bulan, Marikh, Pluto mcmne pun bkn leh bwk masuk kubur. Manusia tak takut dengan azab Allah sekarang di dunia tapi nanti di akhirat tiada siapa leh bantu kita even our parents or bf or nenek or sape2. Hanya ilmu agama bekalan di akhirat. Nauzubillah. Ya Allah Ya Tuhanku, Engkau menghidupkan aku dengan sifat fizikal yg sempurna, maka Engkau matikan lah aku dengan cukup sifat yang sempurna seperti mana aku dilahirkan drpd rahim ibu ku. Matikan lah aku dlm keimanan. Begitu juga dengan kedua ibu-bapa ku dan saudara2 Islam yg seagama dgn ku. Amin

Wednesday, March 24, 2010

Dilatation and Curettage

Mungkin orang pikir kalau ambik medic, mesti kene pandai..mesti kene tahan bau darah, mesti xpengsan kalau tgk darah membuak2, mesti cool kalau tgk jenazah org meninggal, mesti berani tdo dgn cadaver (eh ade ke? ehehhe)

Kalau nak diceritakan, last sem (sem7) belajar subjects Surgery, O&G, Opthalmology, ENT, Forensic, Public Health, and Anaestesiology.

Ingat lagik, kat VK Obgyen (ruang bersalin for phatology sahaja-pertolongan persalinan dgn kelainan/tidak normal/dgn penyakit2 tertentu yg berbahaya kpd ibu dan bayi), petang tu saya on-call so at 3pm till malam. Actually dah 3 hari demam and xbape sihat (tapi dah makan panadol so ingatkan tough laa that day).

Muke bersemangat nak belajar dgn resident/PPDS and kebetulan time tu Dr panggil kami suh tgk D&C (dilatation and curettage) kt room Gyne (nak bersihkan uterus after abortion. nak buang sume darah2 and sisa janin so xtinggal dlm uterus/rahim sebab nanti jadik bende asing dlm body si ibu). Punya la bersemangat nih nak tgk *sebab teringat auntie pnh spontaneous abortion dl* so nak tgk mcmne cara die. Mmg 1st time tgk mcm ngeri ibu pn ngerang kesakitan *of course la sakit plz dont try this at home/ bidan or org2 xpengalaman sebab bahaya infection, or tembus/robek rahim or emboli artery or xbersih scr aseptic*

Mule2 saya berdiri plg depan sbb nak tgk dgn clear mcmne Dr bwt (baru puas hati biar tgk jelas).Suddenly, rasa nausea and dizzy sebab bau darah tibe2 dtg (maybe sebab faktor demam xkebah lagi so mmg cepat rasa nk termuntah if bau mcm2). So, i moved back and tried nak keluar from room tu (room kecik tp rmai org) or duduk kt seat. Tapi rasa segan dgn Dr sebab saya kan student lgk (rasa xrespect kt Dr lak) jadi dgn tabahnyeh saye pn maintain cool and pura2 nothing happen. Jalanla slowly dkt patient si ibu tadik nak sambung tgk curette but suddenly black-out !! *mmg rasa nak termuntah, sejuk extremitas kaki ke kepala, peluh sejuk and muke pucat* trus lari ke sinki muntah !! *thanks to Thila yg tepuk2 belakang saya and bawak saya keluar fr that room ke kawasan lebih lapang* Duduk kejap kt bench luar and Thila sgt sweet ambikkan air aqua for me. Adela ibu2 (family patients yg tunggu kt luar) tanyer saye nampak mcm pitam je nih. *malu lak..dahla pkai lab coat..patut bukak je tdk..ahahhaa*

A few minutes later, saya pn masukla ruang VK after dh stabil and duduk atas bed patient (tempat ibu bersalin). Rmai Dr pn gelakkn sye ckp ade "patient" pitam nak kne bwt CPR laa ape tah lgk duk gurau senda (sebab bawah ruang VK nih is ER-emergency room.. so sape2 pengsan kt floor VK or Gynae leh campak je kebawah trus ke ER...hahaha) *punya laa malu time tu..tutup muka and tunduk je..muka mmg merah thn malu sebab sume duk gelakkan sye*

Memang kalau diingatkan balik, memang kelakar laaa peristiwa mcm nih..ala bkn sye xstrong, tapi sebab demam time tu, rasa loya and nk termuntah la sebab bau darah kan (byk je alasan) ahahaha..

Info about D&C: ~

Dilatation and curettage

A dilatation and curettage (D&C) is an operation performed on women to scrape away the womb lining. The cervix (neck) of the uterus (womb) is dilated using an instrument called a dilator. The endometrium (lining of the womb) is then lightly scraped off using a curette. This spoon-shaped instrument can be used to remove diseased tissue, treat abnormal bleeding or to obtain a specimen for diagnostic purposes.

Problems that may require D&C
D&C can be used as a diagnostic test or as a form of treatment for a range of conditions. Some of the problems that may require D&C include:

  • A history of abnormal menstrual bleeding, such as heavy bleeding (menorrhagia) or bleeding between periods
  • Polyps (small growths protruding from the mucous membrane of the uterus)
  • Uterine infection
  • Incomplete abortion (miscarriage)
  • Surgical abortion
  • Heavy bleeding after childbirth
  • Suspicion of uterine cancer
  • Investigations of female infertility.
Medical issues to consider
You will be advised to have nothing to eat or drink for at least six to eight hours before the surgery. In some cases, you are given an injection an hour before your operation to make you feel drowsy and help dry up internal fluids. Women younger than 35 years are generally advised against undergoing D&C, unless there is no other alternative.

Operation procedure
D&C is regarded as a relatively minor operation and can be done as day surgery but a general anaesthetic is usually given. The typical D&C procedure includes:
  • Once you are anaesthetised, your uterus is examined to determine its size and position.
  • The walls of the vagina are held apart by an instrument called a speculum (the same instrument used during a Pap test).
  • If you aren’t having general anaesthetic, an instrument is inserted to both position the cervix and administer local anaesthetic.
  • Rods (dilators) that increase in size are introduced into the cervix, one at a time, to gently widen the entrance of the cervix (os) to the right diameter.
  • The spoon-shaped curette is inserted through the dilated cervix and into the uterus.
  • The lining of the uterus (endometrium) is scraped off using the curette.
  • What happens next depends on the condition. For example, the scraping procedure concludes the surgical abortion, while tissue samples will be prepared and taken to a laboratory for investigation if the D&C was needed to help diagnose suspected uterine cancer.
Immediately after the procedure
After surgery you can expect:
  • Nurses to record your vital signs such as temperature, pulse and blood pressure.
  • You are observed for any vaginal bleeding.
  • You shouldn’t need pain relief after the operation, although some patients experience mild abdominal cramps. A light pain killing tablet may be suggested.
  • You should be able to get out of bed within a few hours and often are allowed home four to six hours after the operation if there is no vaginal bleeding.
  • If you have lost a lot of blood before the operation, you might be required to stay in hospital overnight.
  • Make arrangements for someone to come and collect you from the surgery or hospital, as you should not drive at least until the next day.
Possible complications
Some of the possible complications of D&C include:
  • Reactions to the medications used, such as allergic reactions to the general anaesthesia
  • Cervical damage due to dilation or the passage of instruments
  • Haemorrhage (bleeding)
  • Infection of the uterus or other pelvic organs
  • Scar tissue within the uterus, if the scraping was too vigorous
  • Puncture of the uterus.
Taking care of yourself at home
Be guided by your doctor or surgeon but general suggestions include:
  • Some cramping or mild abdominal discomfort is considered usual after a D&C. See your doctor if you are concerned or in pain.
  • You should take any medication as ordered by your doctor.
  • If you are taking antibiotics, make sure to take the whole course, even if you feel well.
  • You should not have sexual intercourse for a week or so if possible.
  • Avoid putting anything into your vagina, including tampons or douches, for at least one week or preferably two.
  • If you experience any signs of infection (such as fever, pain or discharge) see your doctor immediately.
Long term outlook
D&C is used to help diagnose certain conditions such as cancer of the uterus. Your doctor will let you know when the results of your laboratory tests are available. Treatment depends on the diagnosis. For example, if cancer is diagnosed, treatment options include hysterectomy (surgical removal of the uterus), radiotherapy, chemotherapy and hormone therapy.

Other forms of treatment
Alternatives to D&C depend on the condition. For menorrhagia, for example, other forms of diagnosis and treatment include:
  • Using a catheter (thin hollow tube) to take a sample of endometrial tissue for diagnostic purposes.
  • A hysteroscope (a type of slender telescopic device) is generally advised for taking tissue samples from older women.
  • Another diagnostic test is the vaginal ultrasound. This involves introducing a slender device into the vagina to take ‘sound pictures’ of the uterus.
  • The oral contraceptive pill can be used to treat menorrhagia.
  • An intrauterine device (IUD) that’s impregnated with the hormone progesterone can reduce heavy menstrual flow in some cases.
Where to get help
  • Your doctor
  • The Jean Hailes Foundation Tel. 1800 151 441
  • Australasian Menopause Society Tel. (03) 4642 1603
  • Family Planning Victoria Inc. Tel. (03) 9257 0100
Things to remember
  • A dilatation and curettage (D&C) is an operation performed on women to scrape away the womb lining.
  • D&C is a form of treatment for a range of conditions including incomplete miscarriage, polyps or unwanted pregnancy.
  • D&C can be used as a diagnostic test if, for example, cancer of the uterus is suspected.

Saturday, March 20, 2010

ProxiMaL MusCLe WeaKnesS ~

Winging Scapula

Last 2 nights, i text my lovely Auntie, Makteh. She took care of my siblings since we were kids till teenagers (she stayed with family till my aged around 15 then she get married) coz mom and dad bz with their works. She married now with 4 cute lil kids (Awish 7, Marry 6, Baby Mia 4 and Baby Kaseh 1+)

Now i'm growing older (ok i mean not too old ..not a girl but not yet a woman..yela in d middle..hehhe) so it's my turn to reward back what Mak Teh had done to us *baby sister*. Mama and Abah also told us (Along, Adik Chik n me) always remember Makteh, be nice/respect to her and her family, once we start our carrier don't forget to give her some of our salary. Sometime, if i have extra money, i love to buy Tudung Kanak2 for Marry and baby Mia, kopiah kanak2 for Awish, cute name tags from Bandung, dresses and kemeja from Jogja, story books and coloring books and others. I also bought Makteh and Mak(my granny) Semi-Silk Kain Kurung as my successful in business through online shop

I just missed her so much.
I text to her "Salam Makteh, mcm mane kaki? sakit lgk ke?"
She beeped me back "Wslm, Intan. Sakit kaki lg teruk..tapak kaki. nak jalan susah n sakit sgt.."
I was dreaded because she had complaint about it since last month and she just met Orthopedic (specialist in bones).
I tried to call her but ... "maaf, kartu kredit anda tidak cukup utk membuat panggilan ini" oh damn, no credit in this emergency situation! I went out to top-up *thanks Mas jual magazines and koran (newspaper)*

Let's review~name- Makteh, gender- female,age- early 40, race-Malay, job-housewife

Chief complaint-pain like tingle in both feet till can't move and walk for past 1month+. (proximal muscle weakness)

Before this, past 3 months she had pain at her back (around scapula and m.trapezius), radiated to left hand till elbow-humeral, biceps and triceps (till she can't raised her hand or carry her baby), then radiated to waist, then to leg on knee but now (until now) on both feet. Today she recovered from her pain (the upper part of body) except on her feet.
I investigated that no numbness, no vomit or blur vision, gastro-intestinal are normal, and no trauma. *since i cant check her by myself so i can't figure-it out her face (ptosis or facial weakness or others), muscle waste, reflex, or gait (just she said she still can feel the sensory on her feet and she had difficult in walking-related with gait)*

She went to clinics twice before this and the Dr just said it was only stress and bla2 (hate it), then on the 2nd Dr, they referred her to Orthopedic. She met the Specialist and do several checked-up as followed; blood sample-normal (meaning no infection), no uric acid/gout, no diabetic (exclude endocrine myopathies,Myasthenia gravis), no hypertension, xray on knee and leg are normal, urine sample kotor skit (maybe upper urinary track infection) but dah dapat Antibiotic, thyroid levels are normal (exclude MG) . On the 2nd appointment, Orthopedic said it was nothing wrong.

But for me, i might said that it related with nerves (yela saya belum Dr lgk). So, i sms my Auntie, "makteh, salin ni bagi kt Neurologist (specialist in neuro) nanti. Proximal muscle weakness for investigation of muscle disorders - serum CK-creatine kinase, EMG-electromyography and muscle biopsy." i can hear her weak voice over the phone *i can feel your pain and how suffering you are because you still have to take care of your husband and small children on the same time*

I diagnosed a few types of illness related with muscle disorder after discussing with my friends and referring to books (no need to mention what i'm thinking right now). Just i hope it's not true and may Allah give her strength to fight and recover as normal. I know u're afraid to deal with it. But we (family) always give moral support to you, Makteh. Moga cepat sembuh.

take note- no family history of muscle disorder

Thursday, March 18, 2010

ChEmiCaL PeeLinG ~

Mild acne scarring on 32 yrs old woman

After 2 months of chemical peel

Chemical peeling is used to improve the skin's appearance by applying a chemical solution to the skin, causing the top layers of skin to separate and peel off. The new skin is smoother, less wrinkled, and may be more even in color.
Dermatologists may enhance the results of a chemical peel with laser/light-based rejuvenation techniques, or combine with another procedure, such as dermal fillers or botulinum rejuvenation. A thorough evaluation by your dermatologist will help determine what best meets your needs.

What Can a Chemical Peel Do?

* Reduce fine lines, especially under the eyes and around the mouth.
* Treat mild scarring and certain types of acne.
* Diminish skin discoloration, such as sun spots, age spots, liver spots, freckles, or blotchiness.
* Refresh skin texture and color.

How Are Chemical Peels Performed?

Prior to treatment, you may be instructed to stop certain medications and prepare the skin with pre-conditioning creams, which you would apply at home for a period of time. A chemical peel is usually performed in a dermatologist's office, involving the following:

* Cleansing the skin with an agent that removes excess oils; eyes and hair are protected.
* Applying the peel to the designated location (face, neck, chest, hands, arms, or legs), using one or more chemical solutions, such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol).
* Using the proper peeling agent (superficial, medium or deep) based upon the type of skin damage present and your desired results.

During a chemical peel, most patients experience a warm to hot sensation that may last about 5 to 10 minutes and may be followed by some stinging. A deeper peel can be more painful and require medication during or after the procedure, and require a longer recovery time.

What Should Be Expected After Treatment?

To minimize the reappearance of lesions and lines, dermatologists recommend daily use of a broad-spectrum (blocks ultraviolet A and ultraviolet B rays) sunscreen.
Depending upon the type of peel applied, there may be a mild to severe sunburn-like sensation. The gentlest type of peel, a superficial peel, usually produces redness, which is followed by scaling that lasts three to five days.
Medium-depth and deep peels can result in swelling and blisters that may break, crust, turn brown, and peel off over a period of seven to 14 days or longer. Some peels may require surgical tape to be placed on part or all of the treated skin.

Are There Complications?

People with certain skin types have a risk of developing a temporary or permanent skin color change. This risk may increase if you take birth control pills, have been pregnant, or have a family history of brownish discoloration on the face. Persistent redness also may occur after a chemical peel and can last for months.
Although very low, there is a risk of scarring after a chemical peel. If scarring does occur, it can usually be treated with good results. Proper precautions should be taken for patients with a history of fever blisters, cold sores or keloids.

What Are The Limitations of Chemical Peels?

* Cannot tighten loose or sagging skin.
* Does not remove deep scars.
* Cannot change pore size or remove broken blood vessels on the face; however, the procedure may improve the appearance of these conditions.
Dermatologists can perform other procedures to address these conditions.
A dermatologist is a physician who specializes in treating the medical, surgical and cosmetic conditions of the skin, hair and nails.

*source - American Academy of Dermathology

I just had my 1st chemical peels at Erha Clinic with Dr. Vina, Skin Specialist (after a few facial treatments). So i have to avoid exposure of direct sunshine, scratching my face, no sweating and no make-up at all !! I still have to continue my treatment next month (because the treatment require 4x of chemical peels and every week home peels). Anyway, thanks to Pina for accompanied me (she just started 1 month and met Dr for 2nd appointment), thanks to Amri for the Peugeot ride, Amenk and Areen too ;)

Monday, March 15, 2010

Drinking Alcohol ~

What are the tastes of drinking beer, bintang, red or white wine?
As we know that Islam forbidden us from drinking but why certain of us still cross the border line?
What are so special about this drinks? Why not choose Coke or any soda drinks as replacement?
That's why people said, Allah forbidden us from doing this and doing that but we still want to to do it because we have heart but we don't have the soul towards Allah. Why people still drinking even we know it will remains as "haram" in our blood and flesh for the rest of our life (if we din't ask for forgiveness/taubat)? Why human love to break the rules? Or does it sounds cool if i'm drinking and u're not?

In my country, Islam is more strict, control and heavy punishment for those Muslim people who are drinking in public, free sex, "tangkap basah", halal logo in restaurant and lots more. Do u still remember a woman model was caught drinking in public? *hukuman sebat pertama dilakukan ke atas wanita di negara Malaysia*

What happen in Indonesia? You can see a lot of Muslim people still drinking anywhere. Don't go too far to Bali, it also happen here when bapak2 gang minum2 todi selambe je mabuk2 (dangerous if a girl walk alone at night).

1 night, I went hangout with my Indonesians friends at Pakuwon , we went into Circle K (24 hrs mini market like 7E) and the boys bought half dozen of beers.
1 night, I went hangout with my best-friend, ex-schoolmate at Asian Cafe, Subang. Most of the tables with "arak" and most of them were Malays *shame of my race*. A group of young teenagers were seating next to my table and they were playing a "destroying games". A boy took a bottle of beer and spun it on the table and if it pointed to any1 of their friend, he/she had to do any true or dare. Then I saw a few girls stood up and kissed all the boys in their group. *where r your moral, attitude as a girl and why u're so cheap? *maybe bitches are anywhere*

Alcohol goes directly into the bloodstream, physically affecting the whole body. Some illnesses and health problems caused by alcohol include:

  • Hangovers. Headaches, nausea, vomiting, aches and pains all result from drinking too much. Drinking to the point of drunkenness makes you sick
  • Weight gain. Alcohol is not water. A beer has about 150 "empty" calories that provide few if any nutrients. That's why we can see drunk people with big fat belly...gross

  • High blood pressure. Along with being overweight, high blood pressure is associated with many serious health problems.

  • Depressed immune system. Impaired immunity makes you more likely to contract viral illnesses such as flu and infections.

  • Cancer. 2-4% of all cancer cases are related to alcohol. Upper digestive tract cancers are the most common, hitting the esophagus, mouth, larynx, and pharynx. Women who drink prior to menopause are more likely to develop breast cancer. Your risk of skin cancer doubles if you drink slightly more than "moderate levels." Some studies implicate alcohol in colon, stomach, pancreas and lung cancer. And let's not forget the liver.
  • Liver disease. Heavy drinking can cause fatty liver, hepatitis, cirrhosis and cancer of the liver. The liver breaks down alcohol at the rate of only one drink per hour.

  • Alcohol poisoning. Drinking large amounts can result in alcohol poisoning, which causes unconsciousness and even death. Breathing slows, and the skin becomes cold and may look blue. Don't let a person in this condition "sleep it off." Call 911.

  • Heart or respiratory failure. Excessive drinking can have serious results. Heart or respiratory failure often means death.

Other long-term effects of heavy alcohol use include loss of appetite, vitamin deficiencies, stomach ailments, sexual impotence, central nervous system damage, and memory loss.

Let us recall back what happen in Acheh? Tsunami in December 2004 destroyed the city in one breath. 226,000 Indonesians were killed or went missing in the disaster, and approximately 500,000 were left homeless. They said it happen because lot of "dirty things" were done by the villagers such as "laga ayam", maksiat, drinking and others *sad because majority of them are Muslim*

Don't only blamed to Acheh and Indonesia. What will happen to my country?

Saturday, March 13, 2010

CLerKshIP sEm 6 ~

Sem 6 n Sem 7 dulu .. zmn2 clerkship memang best..santai..lepak...


2bulan direct kelas sahaja sahaja *sampai panas bontot duduk kt krusi fr 730am - 1.30pm .. tersengguk2 tdo dlm kelas, malas salin notes, ponteng kelas (ini jangan di teladani)

after that, baru mula 1 bulan clerkship.. (clerkship ni main point dier nak bagi budak2 xschock nanti dah masuk DM-dokter muda/ koas/ clinical)

Sem 6 subjects - Internal medicine, Paediatry, Neurology, Dhermatology, Psychiatry, Pharmacy, and Radiology

Tapi utk Kepaniteraan Muda cuma berlaku kpd Internal Med, Paed, Neuro & Psychiatry sahaja

# 1st round was in Psychiatry.
Psychiatry ni meluas, bende2 ni kita tak nampak sebab main dgn jiwa dan perasaan manusia.
- ade seorang perempuan ni.. dia rasa diri dia tak cantik, berkudis semua (memang ade history of Psoriasis) time dia masuk kelas, dia puji2 semua doctor cantik2..tapi dia tidak. (xde self-confident).
-ade srg budak kecik comel ni.. aged 7.. dier autisme. Parents dia baru perasan dia pelik fr kanak2 lain start time nak masuk TK (tadika). So, kanak2 autisme ni perlu Day Care yg khusus utk merangsang mereka belajar, urus diri, merespon kepada org lain dll.
-seorang lelaki yang baru je masuk pintu dah mengamok2 ckp "aku mengantok!!", "aku capek!!" aku lapar!!" . disebabkan emosi dia xstabil dan takut dier mengamok kt doctors semua, Dr yang jaga dia bawak dier msk dlm bilik die balik.
-seorang lelaki yang asalnya sihat walafiat.. tapi 1 day ni die accident motor. koma beberapa bulan. after sedarkan diri, dia dah tak kenal siapa diri dia dah..(kesian kat bapak dia dh tua, semua kena jaga kebajikan dia)
-ada budak lelaki ni ckp dia artist penyanyi terkenal *tiba2 nyanyi kuat2 dlm kelas* hahha... (kiteorang pun nanyi jgk sebab dia suke ST 12..layan jelaaa)
-seorang ibu nih after melahirkan anak (operate caeser) trus rasa trauma operate . Tak nak mandi, tak nak solat, tak nak makan n kurungkan diri.

Pernah dlm group kecik, saya jadi Doktor yang anamnesis (history taking) kt sorang lelaki ni. dx schizophrenia. Sebab dia kene msk hospital caused mengamok2 pukul mak dia snd dan mengamok kat kampung. So kene bawak msk Hospital sebab takut bahayakan public. Kelakar time sy tanya dia coz nak tau IQ patient "mas, 5x2 berapa?" (suppose kene tanya 100-7 berapa? den -7 lagi berapa...tapi saya tanya soklan darab lak). Patient tu jawab ngn selamba je "doc, kok soklan gampang ditanya??" . Kawan2 semua gelak... *haaa ambik ko kene sebijik kt muka* hahahahaha

Ada juga for rawatan Methadone utk drugs users yang rasa ingin stop/insaf. So mereka ambil ubat ni (ubat kawalan) utk elakkan rasa ketagih kat ganja, heroin & seangkatan dgn nya.

Ada Day Care utk kanak2 istimewa spt Autisme, delayed speech dll (kanak2 yg perlu pelajaran khusus)

#2nd was Neurology
Susah sebab kene recall back Anatomy. hahahaa.. tp interesting cases and bijak2 laa sape ambek Specialist Saraf ni.
Paling sy ingat time on-call kt Ruangan Saraf, ada patient baru "check-in", so tugas DM and Resident/PPDS kene anamnesis/HT and PE (Physical Examnination) kt patient ni. Best time tu PPDS nama Dr.Intan (tapi beliau lelaki ye..jgn silap). After buat semua PE, dia tanya2 students apa diangnose kami (macam main kan). Ape lagi semua bende keluar la.. hahaha... At last baru bukak CT-scan patient ni, it was abses kt otak (xingatla scr details). Plg kelakar.. patient nih dier xmerespon apa yang Dr tanya dan xkenal barang semua (afasia, anomia sebab kerusakan fungsi berbahasa akibat kerosakan otak). Tapi time Dr bwt snout reflect, patient tiba2 ketawa.. sebab bagi dia word tu kelakar. (semua Dr, DM and nurse kt situ gelak juga.. hahahaha) Comel sgt moment tu..

Ada patient stroke ni kejang kaki tiba2.. (bayangkan kita yang kaki cramp kejap je after habis jogging, br bgn tdo ke dah mengerang kesakitan)

Exam Neuro oral ngn Dr Specialist. Wah susah !! *itu je mampu terungkap*

#3. Internal Medicine
Even org ckp lab nih penat, heavy, susah bla2.. tapi sempoi laaa time ni.. sebab dgn seorang Dr yang sgt baik hati. Ok actually Dr nih menghidap ataxia (
Ataxia: Wobbliness. Incoordination and unsteadiness due to the brain's failure to regulate the body's posture and regulate the strength and direction of limb movements. Ataxia is usually a consequence of disease in the brain, specifically in the cerebellum which lies beneath the back part of the cerebrum.)
Even dia sakit2 tapi dia sanggup mengajar kami..mmg respect :) Dalam 2weeks kami byk present case, discuss and belajar. Masuk ward pun once je kot. Tgk and discuss patient breast cancer, kidney failure, hepatocarcinoma (liver cancer).

#4. Pediatric
-Kesian tgk bayi a few months dah sakit Willm's Tumor (kidney tumor esp happen at children). Baby ni datang dgn nenek n mak dia from Bali. Jauhkan !! naik train (our teaching hospital handle whole cases of East Indonesia.. Hospital rujukan so semua case byk je nak dapat..untung Dr dpt byk rare cases).
-Sana sni baby nangis, budak2 meragam semua. * tapi kesian sgt..dahla miskin.. keluarga xmampu nak bayar semua kos ubat, treatment, susu, pampers *(sebab time tu kt ward 3rd class)
-Ada budak nih, 8thn diagnosed with Acute Lymphoblastic Leukemia.. time sy PE adik ni - hepatomegali, splenomegali S7, dan ada kelainan kt jantung jgk (xbape ingat scr details)
-Pernah time nak check sorang patient ni.. budak kt bed sebelah dia mengamok sebab kacau dia tgh nyenyak tidur (mak dier yg kejutkan dia..bkn kami) tiba2 mengamok2 and ludah kt kami (skittttt je lagik nak kne kt my lab coat) *haaaaa..kalau bukan patient tu.. dah lama kne smack yela bdk2..dahla sakit..kne byk bersabar jdk Dr ni*

Overall.. Sem 6 memang best.. oh memory xleh lupa jgk sebab sy pun terinfeksi virus merbahaya pandemic (xpayahla nak ckp virus ape). maybe nasokomial (dpt fr Hospital). Alhamdulillah sembuh total :)

Friday, March 12, 2010

HO ?

Sekarang sy dah 4th year 2nd sem medical student di Universitas Airlangga, Surabaya..

If nak recall balik, memang banyak susah-senang. tapi bila baca news psl future nanti dh jadi HO kat hospital Malaysia.(perhaps next yr grad insyaALLah). mesti rasa gerun, takut rasa ilmu di dada tak cukup, takut kene marah dengan MO & Specialist (bos)

Tapi walaupun kita semua rasa xready lagi, pusing-pusing balik wajib juga kita face it (sape suruh ambek medic if xready nak jadik doctor? lagipun kita handle nyawa manusia.. bukan anak patung yg ader kt my bed)

For students oversea especially Malaysians students di Indonesia .. mungkin kita rasa susah nanti nak balik Malaysia. Sini kita guna Bahasa Indonesia and Latin terms (kadang2 je kot English in PBL). Macam mana nak mantapkan diri sebelum kita tempuh diri kita dengan suasana hospital di Malaysia? *ini berlaku kpd students medic, dentist n pharmacy*

1# Ramaikan kenalan rakan sejawat anda yg sedang belajar di IPTA/IPTS di Malaysia atau yang sedang berkerja *sibuk on-call xpayahla nak tanyer byk sgt..pening direoang xcukup tdo*

2# Guna English text-book yang mudah dibeli di Kamal Bookstore (depan HKL) siapa tak tau goolge map. Daripada kita semua membazir duit asyik pergi SPA, melancong ke sana sini, tgk 3D movies, shopping tak keharuan *menghabiskan duit rakyat guna duit JPA/Mara or mak bapak* better habis kan berjuta-juta ringgit beli Harrison, Willliams, Nelson & dll..
Tanya kpd seniors/ kawan2 yg byk link/ kwn2 di Malaysia/ uncle yg kerja kt Kamal Bookstore mana buku paling bagus, latest edition dan di pakai oleh students dan doctors di Malaysia (sebab contoh spt tropical disease lain Malaysia dan negara2 lain kerana faktor cuaca, geografi, vektor dan lain2. jadi kalau nak beli buku Parasit jangan tersilap beli buku " made in India" pula sebab lain penyakit nya*

3# Rajinkan diri semasa semester break pergi buat Attachment selama > 3minggu di Hospital Kerajaan. Banyak imput !!! doctors tak kan marah kita sebab kita masih student (ok paling2 ditanya macam2 n kita kena lah jawab snd..xleh nak tergantung kat org sebelah)..
Sebab nanti if dah HO, if Boss tanya kita tak dapat nak jawab/buat kerja salah/ubat tak tau/tersilap patients pasti di chop " U ni dari Universiti mana dulu? bodoh itu pun tak dapat nak buat" ... *&&%$%%% +# (sensor kene tapis)
#Kepada yang ada keluarga mengambil bidang seangkatan.. bolehla selamat sikit sebab nanti apa2 dapat langsung bertanya "abah, anti-hypertensi mana paling safe for pregnancy woman?" or "dont worry son, mom ada connection dgn staff nurse ni, ngn neurologist ni..dieroang tu sume bestfren mama" tapi kalau macam saya??? yang langsung tiada connection dengan siapa sahaja bagaimana? pasti semua beban jatuh ke bahu masing2. maka siapkan lah diri dengan ilmu yang setinggi Everast. Main point is ringankan mulut bertanya kepada sesiapa sahaja (asal tidak sesat) mengenai ilmu pelajaran, skills lab, bagaimana jadual, ini itu dan segalanya. Rugi ke kalau kita tanya 1000 soalan? jangan jadi bodoh sombong atau sok bagus/ sok pintar

4# Rajinkan diri search/google internet mengenai new disease, new drugs, new treatment, new rules about medical stuff atau apa sahaja yang berkaitan dengan Kementerian Kesihatan, Hospital Kerajaan di Malaysia. Google mengenai bagaimana menempuhi dan bekerja sbg HO kelak (metal prepare) dengan membaca utusan ol, the starts, berita harian, blogs atau apa2 sahaja

p/s: sebenarnya jangan takut nak menempuh sesuatu yang baru. biasala kita belum jejak kaki lagi tapi org lain sudah menakut-nakutkan (mental torture). face it ! keep on smiling and have faith in urself that u're the best among the rest. Tanamkan azam "aku grad from Uni ******** dan semua org pasti bangga dengan aku sebab aku bijak theory, aku bagus dlm skills lab, patients aku cakap aku doctor yg ramah dan lembut". alaaa nanti if bos marah2 kita.. kita pekak kan jela (dalam hati nak sumpah seranah xkesahla..hehehe). Tapi apa2 pun, kita sediakan la diri kita dengan bekalan dulu... ;)

Tuesday, March 9, 2010

Top Ranking Of University In Indonesia

According to Globe Asia’s Guide to Indonesian Universities

Public Universities

1. University of Indonesia

2. Gadjah Mada University

3. Institut Teknologi Bandung (Bandung Institute of Technology)

4. Institut Pertanian Bogor (Bogor Agriculture University)

5. Padjajaran University

6. Airlangga University

7. Hasanuddin University

8. Institut Teknologi Surabaya (Surabaya Institute of Technology)

9. Dipenogoro University

10. Universitas Sumatera Utara (University of North Sumatera)

Private Universities

1. Pelita Harapan University
2. Trisakti University
3. Tarumanegara University
4. Atmajaya University
5. Parahayangan University
6. Bina Nusantara University
7. Muhammadiyah Malang University
8. Maranatha University
9. Satya Wacana University
10. Petra University


1. UI (BHMN) - Arrow Jakarta
2. UGM (BHMN) - Arrow Yogyakarta
3. UNAIR (BHMN) - Arrow Surabaya
4. UNPAD (Negeri) - Arrow Bandung
5. UNDIP (Negeri) - Arrow Semarang
6. UNHAS (Negeri) - Arrow Makkasar
7. USU (BHMN) - Arrow Medan
8. TRISAKTI (Swasta) - Arrow Jakarta
9. UNSRI (Negeri) - Arrow Palembang
10.UDAYANA (Negeri) - Arrow Denpasar
11.ATMAJAYA (Swasta) - Arrow Jakarta
12.ANDALAS (Negeri) - Arrow Padang
13.UNIBRAW (Negeri) - Arrow Malang
14.Maratha (Swasta) - Arrow Bandung
15. UNS (Negeri) - Arrow Surakarta


i don't know if there is the latest updated of top ranking medical universities in Indonesia.
So, this might help for those juniors who are searching for the best university to further their studies in Medical Faculty ;)

Monday, March 8, 2010

CaMpUs LiFe ~

I've been in Surabaya since 2006.. today 8th March 2010...

Alhamdulillah i've survived all the tiredness of being a med student, sweet escaped to Hospital to finished up my proposal (sem4) and research (sem5), the emotional of learning PBL with group discussion, "makalah" and presentation, interesting skills-lab and others

so let me preview my hectic life in campus ~

1st sem
# happy life, homesick, pressure of ospect (every junior hated it), bio-med

2nd sem
#i started to feel pressured and stress when i learned Human Anatomy. Doctors in department of Anatomy and Histology were really supportive and cool. (till now i'm closed with them esp Dr. Chairol, Dr. Suzy, Dr. Bambang, Dr. Subadjio and others). We had to deal with cadaver and dissect the real human flesh ~ you have to know the names of muscles, bones, brains veins, arteries and nerves. where it goes, from where, the origin and lots more~ so twice a week we faced our cadaver, and we smelled "good" (because of the strong formalin)

i'm really a hard working girl (since my doctors said you have to learned at least 4hours per day to keep your brain working for Anatomy).. hahha..

the funniest thing i still remembered when i cut my cadaver's penis. we've learned that in lecture hall 1st for what to today every time before we entered the practicum. we have to know the veins and others in the penis. so, i thought that we can cut it off to see what was inside it. (actually the other group didnt done it).
after i've cut it off, a doctor came to my table and he said " kok tragis sekali?" while he bent himself.
omg.. am i wrong? am i gonna be scolded? but i'm lucky that day. i'm not ;)
but most of the Anatomy doctors were really nice to us even though they were strict.
so after we had finished our practicum, we had to clean things up.
i don't know where to keep the penis ? (what? should i bring it back home so the next day i'll bring it back to practicum?)
finally i just kept it in his rib cage (but unfortunately the next practicum, the penis was gone.. maybe dropped in the formalin pool where all the cadavers were "sleeping")

for your info, how my University can get a lots of cadaver? how the process and procedure? does it legal for med students to dissect real human/cadaver?
- when some1 died in hospital within 2weeks no one claimed the body, the hospital will sell the body to University. it cost around Rp 2millions (about RM 800) per body. then they will insert formalin in A.femoralis (around tight) and douse in a formalin pool for 1 year (to avoid infection such as HIV, hepatitis and other disease contact with blood and liquid)
- some said med students cannot use real human but some said it is allow as long as in studies and learn to know (respect the cadaver as human-being)

Anatomy divided into 3 packets. 1st was - extremitas (legs and hands), 2nd - thorax and abdominal, 3rd - head and neck.
* i think the easiest was 2nd packet when i got past in the exam even doc called my name for some silly mistake i've done* (students should not doodle in questions paper or else you will get zero marks). lucky me when the Anatomy team didn't punished me.i asked them y? the reason was i was brave to commit my mistake.
*the hardest was 3rd packet-head and neck coz we had to remember even tiniest part of brain (a lot of colorful pins will inserted into the slices of brains so you have to name it)

Anatomy Lab

Histo Lab

3rd Sem
# it was important to learn physiology. and biochem *boring*
physio lab with frog's leg (the contraction of muscle gastrocnomeus), frog's stomach, turtle's heart
i just don't really like biochem's lab

4th Sem
# i love Phatology Klinik. for me it's easy to score in practicum (you have to remember like 10-15 kind of experiment and techniques in lab, pathology and other disease but on the exam day.. only 2 will come out for blood test and urine test). Doctor praised me caused she said i should got 100% but i forgot something *i dont remember what* so i got 96% (i didn't mean to show off but it just that sweet memory for me during campus life)

In PK lab, I still remember when students should learn how to withdraw 5cc blood from cutaneous vein in arm using syringe, then we mixed with anti-coagulant or just throw it (waste yeah??) So we learn how to do by inject our own friends !!! hahahaa.... (aku cucuk ko..ko cucuk aku).. doesn't it cool?? the 1st thing i tried from Zue's blood.. then she took mine (it happen in my room coz i asked the Dr for extra syringe and he gave me 2).. 1st time !! felt like fainted!! hahaha.. den d next lab, i tried to Aiman, Yoga n other students.. overall i've tried 7 times but the most successful only 3 :)*occay, who wanna me to withdraw their blood?*. Oh, Aiman used to take my blood but what happen next?? hematome for 1week !!! *kapilari pecah*

i love Microb and Parasit !!! my doctors, Dr. Eddy and Dr. Subadyo still recognized me till now (or maybe i'm too friendly?). i love when my Parasit Dr will asked us lots of question before we start our lab and i always ready to answer it (even though sometimes i'm not so sure about it) hehehe..

5th Sem
# i love Patologi Anatomy ! i love to learn and to see the human parts with disease such as sample of biopsy of breast cancer, squamous cells carcinoma, a toe with malignant tumor, lungs cancer, and lots !
Pathophysio was interesting and med students should conquer this subject ;)
i'm not so good in Pharmacology *stress*

Presentation for Pharmaco Case

Lab Pharmaco using cute bunny for anaestacy drugs *ciankan rabit tu*

6th Sem and 7th Sem >>> Clerkship Years (will story later)

Alhamdulillah, i've past all the years..*now becoming Doktor Muda* i've make my parents and family proud of me, thank to my lecturers for non-stop giving us knowledge, friends in my batch PD'06, seniors esp Nadhirah,Cikin, Arina Auliya, Yasmine (all FK05) and super2 seniors and all of Malaysians in Surabaya :)
Not to forget my lovely buddies- Loot (she was Pharmacist student in UGM and now is working at Hsptl Sg. Petani), Add and her fellow friends- (final yr medical students in UiTM), K.Nuzul- (final year in Unibraw, Malang), my pre-med geng - Nani, Alia, Coco, Syaz, Syed, Kak Haya, Hadi, Ketam, Lala and others

Sunday, March 7, 2010

Pemimpin Belanda Hina Al-Quran

LONDON 6 Mac – Pemimpin anti-Islam Belanda, Geert Wilders mengutuk kitab suci al-Quran di dalam Dewan Tinggi Britain, sekali gus mencetuskan perdebatan hangat di dalam bangunan pentadbiran itu serta mencetuskan protes di luar Dewan bagi melahirkan tanda kemarahan.

Sebelum ini Wilders pernah menghina Nabi Muhammad dengan menyifatkan baginda sebagai ‘orang gasar dan fidofilia’.

Wilders menayangkan filem 15 minit Fitna kepada kira-kira 60 orang semalam, termasuk beberapa orang bangsawan dalam bilik jawatankuasa Parlimen. Filem tersebut mengaitkan al-Quran dengan keganasan, tentangan terhadap homoseksual dan penindasan wanita.

Di luar Dewan, kira-kira 200 penunjuk perasaan mengejek dan melaungkan ‘Samseng fasis keluar dari jalan-jalan raya kami’. Polis juga bergelut dengan penunjuk perasaan yang cuba menyekat jalan raya bagi menghalang demonstrasi aktivis penyokong Wilders, Liga Pertahanan England daripada menghampiri Parlimen.

Ahli politik berambut perang itu kemudian berucap kepada media Britain dengan memetik kata-kata Thomas Jefferson, George Orwell dan merujuk kepada Pindaan Pertama dalam Perlembagaan Amerika Syarikat (AS).

“Saya percaya Islam adalah agama yang ganas dan bahaya, namun saya tidak memushi penganutnya,” katanya kepada pemberita.

Bagaimanapun, Wilders mahu seluruh Eropah mengharamkan pendatang beragama Islam kerana didakwanya membawa ideologi fasis.

Lawatan itu dan kontroversi yang menyelubunginya, melonjakkan imej Wilders menjelang kempen pilihan raya umum yang akan dihadapi Parti Kebebasan pimpinannya.

Parti itu menunjukkan prestasi baik pada pilihan raya kecil minggu ini dengan memenangi sebuah bandar dan berada di tempat kedua di sebuah bandar lain.

Wilders berkata, dia mungkin menjadi Perdana Menteri selepas pilihan raya pada 9 Jun ini dan akan menutup semua sekolah orang Islam, menghentikan pembinaan masjid baru malah mengharamkan al-Quran. – AP

p/s: Ya Allah, lindungilah umat Islam drpd musuh2 yg berjiwa syaitan. Kuatkanlah iman kami dan kuatkanlah jihad kami untuk mempertahankan tiang agama kami. Amin

Tuesday, March 2, 2010

Tanda-Tanda Kematian


Adapun tanda-tanda kematian mengikut ulamak adalah benar dan ujud cuma amalan dan ketakwaan kita sahaja yang akan dapat membezakan kepekaan kita kepada tanda-tanda ini.
Rasulallah SAW diriwayatkan masih mampu memperlihat dan menceritakan kepada keluarga dan sahabat secara lansung akan kesukaran menghadapi sakaratulmaut dari awal hinggalah akhirnya hayat Baginda.
Imam Ghazali rahimahullah diriwayatkan memperolehi tanda-tanda ini sehinggakan beliau mampu menyediakan dirinya untuk menghadapi sakaratulmaut secara sendirian. Beliau menyediakan dirinya dengan segala persiapan termasuk mandinya, wuduknya serta kafannya sekali cuma ketika sampai bahagian tubuh dan kepala sahaja beliau telah memanggil abangnya iaitu Imam Ahmad Ibnu Hambal untuk menyambung tugas tersebut. Beliau wafat ketika Imam Ahmad bersedia untuk mengkafankan bahagian mukanya.
Adapun riwayat -riwayat ini memperlihatkan kepada kita sesungguhnya Allah SWT tidak pernah berlaku zalim kepada hambanya. Tanda-tanda yang diberikan adalah untuk menjadikan kita umat Islam supaya dapat bertaubat dan bersedia dalam perjalanan menghadap Allah SWT. Walaubagaimanapun semua tanda-tanda ini akan berlaku kepada orang-orang Islam sahaja manakala orang-orang kafir iaitu orang yang menyekutukan Allah nyawa mereka ini akan terus di rentap tanpa sebarang peringatan sesuai dengan kekufuran mereka kepada Allah SWT.
Adapun tanda-tanda ini terbahagi kepada beberapa keadaan :
# Tanda 100 hari sebelum hari mati.

Ini adalah tanda pertama dari Allah SWT kepada hambanya dan hanya akan disedari oleh mereka-mereka yang dikehendakinya. Walaubagaimanapun semua orang Islam akan mendapat tanda ini cuma samada mereka sedar atau tidak sahaja.
Tanda ini akan berlaku lazimnya selepas waktu Asar. Seluruh tubuh iaitu dari hujung rambut sehingga ke hujung kaki akan mengalami getaran atau seakan-akan mengigil. Contohnya seperti daging lembu yang baru disembelih dimana jika diperhatikan dengan teliti kita akan mendapati daging tersebut seakan-akan bergetar.
Tanda ini rasanya lazat dan bagi mereka sedar dan berdetik di hati bahawa mungkin ini adalah tanda mati maka getaran ini akan berhenti dan hilang setelah kita sedar akan kehadiran tanda ini. Bagi mereka yang tidak diberi kesedaran atau mereka yang hanyut dengan kenikmatan tanpa memikirkan soal kematian , tanda ini akan lenyap begitu sahaja tanpa sebarang munafaat. Bagi yang sedar dengan kehadiran tanda ini maka ini adalah peluang terbaik untuk memunafaatkan masa yang ada untuk mempersiapkan diri dengan amalan dan urusan yang akan dibawa atau ditinggalkan sesudah mati.
# Tanda 40 hari sebelum hari mati

Tanda ini juga akan berlaku sesudah waktu Asar. Bahagian pusat kita akan berdenyut-denyut.Pada ketika ini daun yang tertulis nama kita akan gugur dari pokok yang letaknya di atas Arash Allah SWT.Maka malaikatmaut akan mengambil daun tersebut dan mula membuat persediaannya ke atas kita antaranya ialah ia akan mula mengikuti kita sepanjang masa.
Akan terjadi malaikatmaut ini akan memperlihatkan wajahnya sekilas lalu dan jika ini terjadi, mereka yang terpilih ini akan merasakan seakan-akan bingung seketika.Adapun malaikatmaut ini wujudnya cuma seorang tetapi kuasanya untuk mencabut nyawa adalah bersamaan dengan jumlah nyawa yang akan dicabutnya.
# Tanda 7 hari

Adapun tanda ini akan diberikan hanya kepada mereka yang diuji dengan musibah kesakitan di mana orang sakit yang tidak makan secara tiba-tiba ianya berselera untuk makan.
# Tanda 3 hari

Pada ketika ini akan terasa denyutan di bahagian tengah dahi kita iaitu diantara dahi kanan dan kiri.Jika tanda ini dapat dikesan maka berpuasalah kita selepas itu supaya perut kita tidak mengandungi banyak najis dan ini akan memudahkan urusan orang yang akan memandikan kita nanti.
Ketika ini juga mata hitam kita tidak akan bersinar lagi dan bagi orang yang sakit hidungnya akan perlahan-lahan jatuh dan ini dapat dikesan jika kita melihatnya dari bahagian sisi.
Telinganya akan layu dimana bahagian hujungnya akan beransur-ansur masuk ke dalam.Telapak kakinya yang terlunjur akan perlahan-lahan jatuh ke depan dan sukar ditegakkan.
# Tanda 1 hari

Akan berlaku sesudah waktu Asar di mana kita akan merasakan satu denyutan di sebelah belakang iaitu di kawasan ubun-ubun di mana ini menandakan kita tidak akan sempat untuk menemui waktu Asar keesokan harinya.
# Tanda akhir

Akan berlaku keadaan di mana kita akan merasakan satu keadaan sejuk di bahagian pusat dan ianya akan turun ke pinggang dan seterusnya akan naik ke bahagian halkum. Ketika ini hendaklah kita terus mengucap kalimah syahadah dan berdiam diri dan menantikan kedatangan malaikatmaut untuk menjemput kita kembali kepada Allah SWT yang telah menghidupkan kita dan sekarang akan mematikan pula.


Sesungguhnya marilah kita bertaqwa dan berdoa kepada Allah SWT semoga kita adalah di antara orang-orang yang yang dipilih oleh Allah yang akan diberi kesedaran untuk peka terhadap tanda-tanda mati ini semoga kita dapat membuat persiapan terakhir dalam usaha memohon keampunan samada dari Allah SWT mahupun dari manusia sendiri dari segala dosa dan urusan hutang piutang kita.Walaubagaimanapun sesuai dengan sifat Allah SWT yang maha berkuasa lagi pemurah lagi maha mengasihani maka diriwatkan bahawa tarikh mati seseorang manusia itu masih boleh diubah dengan amalan doa iaitu samada doa dari kita sendiri ataupun doa dari orang lain. Namun ianya adalah ketentuan Allah SWT semata-mata.
Oleh itu marilah kita bersama-sama berusaha dan berdoa semuga kita diberi hidayah dan petunjuk oleh Allah SWT serta kelapangan masa dan kesihatan tubuh badan dan juga fikiran dalam usaha kita untuk mencari keredhaan Allah SWT samada di dunia mahupun akhirat.
Apa yang baik dan benar itu datangnya dari Allah SWT dan apa yang salah dan silap itu adalah dari kelemahan manusia itu sendiri.

p/s: i copied this from a blog.. moga kita makin menuju kearah kebaikan di akhirat. takut kalau di pikir tentang kematian dan alam akhirat kelak.

Housemanship in Malaysia

From TheStar.

Sunday December 7, 2008

Young docs walk a tightrope


After completing a gruelling course, young doctors have another challenge to face – a demanding two-year housemanship where they rely on lots of coffee, cope with very little sleep and put up with public chastisements.

SHE had always wanted to be a doctor but six months into her housemanship, she snapped and just couldn’t take the stress anymore.

*Kavitha found the workload and endless hours on call a real burden, sapping her energy and spirit. Today, says her concerned father *Gurdave, she is close to having a nervous breakdown and is seeing a psychiatrist for counselling.

“The work load was too heavy and the hours too long. When she was on call, she sometimes had to work for up to 36 hours straight. She wants to be transferred to another hospital but every hospital is just as bad.

“But I don’t want her to walk away from the profession. I have spent close to RM400,000 on her education. I don’t want anything back but just for her to get through this,” says Gurdave.

Unfortunately, housemanship is taking its toll on many young doctors like Kavitha. Statistically, she is one of at least five housemen a month who is found to be suffering from mental illness.

Health Ministry director-general Tan Sri Dr Ismail Merican revealed last week that many of the medical graduates are unable to cope with their housemanship.

“The mental cases range from psychotic to neurotic. Psychotic cases include delusions and hallucinations, and neurotic behaviour includes anxiety, fear and anger due to the competitive environment.’’

On-call system

The term houseman refers to an advanced student or graduate in medicine gaining supervised practical experience. In Malaysia, it is compulsory for doctors to undergo housemanship for two years after completing their medical degree. During housemanship, they are rotated among six departments – emergency department, medical, paediatric, general surgery, orthopaedic, and obstetrics and gynaecology – where they are attached to for four months each.

Over the years, those undergoing housemanship have been voicing their unhappiness but these complaints have generally fallen on deaf ears. The biggest grouse housemen have seems to be the on-call system, where they are sometimes subjected to work 36 hours at a stretch.

*Pedro, who is into his sixth month of housemanship, says he has on occasion worked 38 hours straight with only one hour rest in-between.

“In some hospitals, the patient load is non-stop as they have to accept referrals from other hospitals,” says Pedro, adding that this is more apparent at hospitals in Johor Baru and Klang which are the busiest in the country.

Housemen are provided facilities such as beds and they can sleep if they have no cases to attend to. However, this is rarely the case and the most sleep they get is about two to three hours. And that is only when the housemen take turns to sleep, says *Lalitha whose housemanship stint ended recently.

“We force ourselves to carry on. What keeps us going is coffee and tea. It is only after we are no longer on call that we can go back and crash until the next day,” she says. Depending on the department and the hospital they are serving in, housemen could be on-call for up to 15 days a month. Lalitha says that during her first posting, she would work from 6am to midnight every day.

“We go home, have a bath and sleep for five hours before the cycle is repeated. They are preparing us for the on-call,” she says.

Shortage of doctors

Dr Kuljit Singh, president of the Malaysian Society of Otorhinolaryngology and Head Neck Surgeons (MSO- HNS), believes that one factor that can cause high pressure for trainee doctors is the shortage of doctors at some hospitals.

“Some hospitals have a lower doctor to patient ratio, so the housemen, being the lowest category in the medical fraternity, have to take on a lot of the work and responsibility, especially the lousy tasks, in the name of training,” he says.

Universiti Kebangsaan Malaysia Medical Centre (PPUKM) dean and director Prof Datuk Dr Lokman Saim agrees, saying that pressure from their heavy workload can push some doctors to the brink of breaking down.

“It is normal for a doctor to be on duty for more than 36 hours with on-call duties. In Europe, this has been recognised as a problem and they have passed a law to state that doctors cannot work more than 12 hours straight. Maybe we need laws like that if we want to improve our doctors’ welfare,” he opines.

Under the European Working Time Directive in 2004, junior doctors can work no more than 56 hours a week. They can work up to 13 hours a day but then have to have an 11-hour break.

Acknowledging that the number of doctors in Malaysia may still be too low for such a ruling, Dr Lokman nevertheless thinks it is a possible solution for the future.

Dr Lokman thinks that the problem of housemen suffering from mental problems can be prevented at the entry point of the profession.

“Currently, for public universities, students are selected by the Higher Education Ministry based on their exam results and co-curriculum activities. No interviews are conducted, so there is no way for the individual medical schools to assess their attitude and character. If we get the right candidates for the programme, we can be sure of the doctors we produce,” he argues.

However, he admits that it is not a foolproof method but he believes that it will help weed out the obviously unsuitable candidates.

“Many students are forced by their parents to take up medicine and these students end up very stressed because the course is difficult and they are not motivated. It will help us ascertain if a candidate has the right attitude and disposition to be a doctor,” he adds.

He highlights that a majority of students who fail and drop out of medicine are those who are forced by their parents into the field.


But for those who successfully completed their degree, the challenge is dealing with the hospital environment.

They may have to contend with a handful of senior medical officers with the “Napoleon” complex who make the lives of the housemen difficult, says Dr Kuljit Singh who had served in government hospitals before branching out into private service.

“There is sometimes an element of bullying and high-handedness in the way some senior medical officers and consultants treat their junior house officers. They become Little Napoleons and are dictatorial. They say they went through the same regiment and that made them good doctors, so the newbies need to go through the same process,” says Dr Kuljit.

A senior doctor in the Johor Baru hospital, *Zul is also not happy with the treatment dished out to housemen.

“I have seen the degrading treatment given to medical officers, even after they have finished their housemanship,” he says. Zul himself was a houseman in the same hospital a few years ago and he says nothing has changed.

“If they talk about your work then it’s all right, but then they go into character assassination,” he says.

The housemen are usually screamed at by their specialists in the wards and in the clinics, he adds.

“The words used in front of patients are sometimes so degrading that in my opinion, it is these specialists who are the ones suffering from ‘mental woes’,” says Zul.

Those who fought back would be referred to the head of department who would either try to rectify the situation or extend the posting of the houseman, adds Zul.

A few of the housemen say there have been times when they were threatened with extensions in the department by medical officers.

Zul says that three of his friends quit the medical profession during their housemanship, with one of them ending up as a housewife.

“One of them would get anxiety attacks whenever she came to the ward. The thing is she was an excellent student,” says Zul.

*Maniam was barely a week into his housemanship when a specialist yelled at him in front of a patient.

“He asked me if I paid to pass my exams and also said I was the worst doctor he had ever come across. How can he say such a thing when I was there for only a week? They tend to look down on us as if we don’t know anything,” says Maniam.

However, Dr Kuljit, who taught at Universiti Malaya, shares that many students today are more pampered and have led a sheltered life, and thus cannot stand the pressure. Many come from a protected family environment, so when they are reprimanded, they get stressed and depressed. He believes that medical schools need to instil more soft skills, particularly interpersonal skills, in their students.

“We have many top scorers taking up medicine but many of them lack people skills. These students can manage with their studies but when they start working, they don’t know how to deal with their superiors, especially when they get scolded by them,” he says.

Pedro, on the other hand, does not have problems with any of the senior doctors he has to work with and says they are gems.

“I have no complaints because they teach us a lot. They offer us the opportunity to learn complicated procedures. They are willing to teach you even if there are possible complications. Even the specialists take time to teach you,” he adds.

President of the Malaysian Medical Association Datuk Khoo Kar Lin is unsure about the cause of mental problems faced by the doctors although he says the finding by the Health Ministry is a concern. He says a survey should be done on housemen to find out the causes.

“We have not received any complaints (about housemanship). I went through the system myself and from my impression it is not different from say 30 years ago. They are not being more overworked than yesterday,” says Khoo, adding that he enjoyed his housemanship.

“Every profession will have its challenges. We have to be cautious because people will always think that they are victimised and work longer hours compared to others,” adds Khoo.

President of the Malaysian Mental Health Association Datin Dr Ang Kim Teng says that housemanship could be a contributing factor to mental problems.

“It is not the job that causes it but the underlying susceptibility. Some people are more prone to this and the job stress could be a triggering factor. Factory workers, policemen and teachers can also face the same problem.

“It all depends on the individual’s ability to cope with stress. A lot of housemen go through their stints without any problems,” says Dr Ang.

Lalitha enjoyed her housemanship despite the many challenges in the different departments.

“We know this awaits us in the field. When I first started, I asked myself what I was doing here. The doctors pick on your mistakes and are not bothered if you have enough rest,” says Lalitha who got used to housemanship by her third posting.

She believes adaptation is the hardest and those who studied in foreign universities may have it tougher as they may not understand some of the terms used.

For *Tan, her social life took the backstage and she had to cut down on spending time with her family and friends.

“Those were the times when I thought of quitting but the feeling passed very quickly,” she says.

Tan didn’t really encounter any problems with the staff but has friends who have had books thrown at them and senior staff nurses giving them a hard time.

“At the end of the day, I am satisfied that I have somehow made a difference in a patient’s life. I don’t have any regrets getting into this line,” she says.

For Pedro, the only time he feels discouraged is when he has to get up at 5.30am for work.

“Once you get there it’s over in a snap,” he shares, adding that he feels really good when patients come out of life-threatening situations.

Pedro also says with all the running around they have to do, housemanship is the best weight loss programme.

“I can now fit into pants which I wore in Form Five!” he quips.

Prevention at entry

Dr Lokman Saim thinks that the problem can be prevented at the entry point of the profession, which is the medical course.

“Currently, for the public university, students are selected by the Higher Education Ministry based on their exam results and co-curriculum activities.

“No interviews are conducted, so there is no way for the individual medical schools to asses their attitude and character. If we get the right candidates for the programme, we can be sure of the doctors we produce,” Dr Lokman argues.

He admits that it is not a foolproof method but he believes that it will help.

“Many students are forced by their parents to take up medicine and these students end up very stressed because the course is difficult and they are not motivated. It will help us ascertain if a candidate has the right attitude and disposition to be a doctor,” he adds.

He highlights that the majority of students who fail and drop out of medicine are those who are forced by their parents into the field.

  • Names have been changed to protect identities
p/s: i'll entering the new world of housemanship sooner.. perhaps next year. hv to mental prepared besides strong basic theory and enough skills to perform my best... good luck young doctors in future taking.. may Allah bless us in term of helping patients.. ;)