Monday, June 15, 2009

MinD uR oWn CounTry ~

WASHINGTON: Presiden Amerika Syarikat Barack Obama berkata, terpulang kepada rakyat Iran untuk memilih dan menentukan siapa pemimpin yang dikehendaki mereka. Obama berkata, adalah tidak wajar sekiranya beliau mencampuri masalah di Iran tetapi 'bersalah sekiranya terus berdiam diri'.. - Berita Harian Online.

Mahmoud Ahmadinejad mengekalkan jawatannya sebagai Presiden Iran.

Keputusan itu didakwa membabitkan penipuan kertas undi serta mencetuskan keganasan membabitkan pihak yang tidak berpuas hati

TEHRAN: Seorang penunjuk perasaan ditembak mati dan beberapa lagi cedera selepas ribuan kumpulan anti Presiden, Mahmoud Ahmadinejad berkumpul di tengah ibu negara.

Seorang jurugambar Iran yang enggan namanya disebut berkata, kejadian itu berlaku di depan markas sukarelawan militan Basij yang dibakar pesuruh. - Berita Harian

p/s: even i'm not so good in politic.. ok i'm not so sure either this election was done in wrong or right way.. but i'm wondering..y America should involve "giving a hand" to "help" Iran ? since this is about their President election in their own country, Iran. if they're not satisfy wif d election.. they can do like Thailand or Philiphine n others country where the majority of citizen against/protest the President until the President surrender (bcs of reasons).. anyway, i love Obama coz he tried to solve issue of Middle East before this. great job rather then Bush ~

Thursday, June 11, 2009

pAedIaTrY~

siannye..

tgk baby kechik2 dh sakit..

kanak2 kurus2..kwasiorkor, marasmus..xde gizi

perut besar2... asites, hepatomegali, splenomegali.. (i palpated this kid, 8yrs old wif Shuffner 8) !!!! Cronic Myeloid Leukemia - CML -

baby wif Willms Tumor (malignant tumor at kidney)

byk kanak2 leukemia .. when i saw him.. he reminds me of my late cousin..died bcs of leukemia when he was small.. Al-Fatihah-(i was around 5-7yrs old..cant really remember. i just asked my dad why his tummy so big? my dad said .."sbb tu jgn mkn meggi n keropok2..nnt prot besar" trus i takut nk mkn junk food.

kids in coma - ICU

kids in quaranteen -takut infectious such as Diphteri..
kanak2 wif TB meningitis, brochopneumoni, brokhitis, bronchiolitis, asthma
premature baby dlm ventilator (kechik gell)

kanak2 wif heart congenital -ventricle septum deviasi -VSD
a small cute baby wif brain tumor..that time..baby tu sesak tachypneu

7yrs old wif kesedaran menurun coz of bone exposure-open fracture on his femur.. -ve for meiosis - eyes refec... his dad told me..story to me..n suara dh sebak.. (i rasa nk nanges..tp tahan je)

DHF grade 3 ..hepatomegali..syok..cyanosis..-emergency-

p/s: i rasa i xleh jd Paediatric.. sbb i xleh tahan tgk kanak2 kechik2 lgk dh sakit..sian tgk.. doakan all of d patients sembuh, kuat semangat, makan byk2 yg bergizi.. amin ~

Monday, June 8, 2009

At least five doctors to suffer from mental woes every month~

Sunday November 30, 2008
At least five doctors to suffer from mental woes every month
By M. KRISHNAMOORTHY


KUALA LUMPUR: Every month, at least five doctors are found to be suffering from mental illnesses, director-general of health Tan Sri Dr Mohd Ismail Merican said.

He said these doctors were either psychotic or neurotic but still managed to get into medical schools because these schools were not screening students meticulously enough.

“When the doctors complete their two-year housemanship and their applications are submitted for registration with the Malaysian Medical Council (MMC), they fail to get registered.

“Their supervisors do not certify them as fit to be registered because of indiscipline and poor attitude arising from mental health problems.

“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,” said Dr Ismail.

These medical graduates, totalling about 60 cases a year, are unable to cope with their housemanship as they may have been pressured by their parents to take up medicine.

Dr Ismail said it was disheartening to note this emerging trend due to an inefficient selection process, adding that the mental cases were referred to the Medical Review Panel (MRP).

Since many of these graduates have spent a lot of money on their medical education, the MRP may extend their housemanship and at the same time send them for psychiatric treatment.

“In the event they are assigned to work, they will be thoroughly supervised and counselled by experts and given light duties until their mental condition improves.

“I am not so sure whether we can identify those with attitude problems during an interview unless such problems are obvious,” Dr Ismail said at a forum on Training Future Doctors: Have we got it right?”

About 2,000 medical doctors are registered annually from 21 local medical schools and 400 recognised schools overseas.

Different medical schools around the world have different selection criteria for their students, Dr Ismail said.

However, he said that the ministry was also planning some form of examination to check their attitude, knowledge and experience after they complete their final examination.

Most of the mentally ill students, he said, could have undergone pressure and depression while studying and faced difficulty in coping in a hospital environment.

The other weakness was a lack of proficiency in the English language.

Higher Education director-general Prof Datuk Dr Radin Umar Radin Sohadi said the ministry was currently reviewing universities’ curricula to ensure high standards in medical education and training for doctors.

“Uppermost on our minds will be the safety and well-being of patients,” he said.

p/s: i think graduated doctors not only face d pressure and depression fr their parents wif high expectation to c their children becoming doctors...but housemanship and hospital environment too.. pressure fr the seniors doctors, pressure fr the patients complaint, on-call, salary and others (depending on how a doctor can handle the problem and stress)..

so, i'm giving advise to our students who studing in Indonesia and learning in local bahasa Indonesia... learn the medical term in English too (even not in Latin terms).. we really need to improve our English since our gov hsptl fully in English. learn how to take history taking wif patients in English too (esp in KL and city). it still not late for us to improve ourselve. dont gv up. holiday break just dont waste it.. apply to do the clinical in gov hsptl near ur house.get lots of friends fr local uni perhaps they can help us 1 day... ")

Saturday, June 6, 2009

SakIt JiWa~



tomorrow gonna be my last posting in Clerkship.. pediatric for 2weeks.. den 1week study week.. FINALS EXAM ~ choking ~

my syg, Aneem n Myra (old tkcians frenz) love to listen to my story about studies, hsptl, patients n medical stuff.. ahakz.. i love u gurls *cpt kawin after Ucop*

on 11th-15th i had my Psychiatry -1st posting
we learnt how to take history taking, diagnose the patients, ward round, Methadone Clinic (drugs abuse who wanna stop their bad habit.. example from morphine to methadone),n Day Care for children (hyperactive, ausitsme)
it was really fun when we deal wif Schizofrenia patient.. from history taking, the way they seat, the way they talk-audiatory or visual hallucination.. we can concluded that either organic or non organic Schizofrenia.

1 of the patient get mad when he saw us. he yelled and said wanna rest coz tired.maybe he was bored wif d questions. den pura2 tidur kt kerusi..ahakz..from there, i can see how our Psychiatrists hv to calm down their patient, pujuk baek2 wif soft n gentle..finally they took him back to his room (mcm jail je)..he was diagnosed as non-organic Schizofrenia after he had an accident ~ trauma capitis and coma for a few months

we were divided into a small group wif 1 patient to take history taking.. since i was infront of d circle..i volunteered to be d dokter muda to ask him questions.he came wif his mom. he was brought to the hsptl coz he get mad and tried to hit his own mom n neighbours. he felt anxiety. i asked him to knw his intelligence, i'm supposed to ask him 100-9 and -9 and -9 but i asked him "mas, 10-7 berapa?"..he replied and hint me back "kok soalan gampang ditanya". whole class laughed. "mas, sering gak bermain sama adik nya" he said "kan udah besar (he's 30+)..ngapain mau main?" hahah..dusshhhh!!! kene balik kt hidung ku ~ d best part was when he sang a song -ST12 ..randy and apan as backup singers

a 17 years old boy said he is a pilot n can fly thousand of aeroplanes..he can see ghost enter his body
a mother who had heavy depression and committed to suicide after Caesarean operation
a 7 yrs old kid wif austime who cannot concentrate in 1 thing (mudah teralih), no eyes to eyes contact

Monday, June 1, 2009

Survival Among The Fittest~

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fren , thila, zue n albert



"the survival in the fittest"

29th and 30th of may.. really created a history in my life...since this was the 1st time i joined debate comp.

when my brother said "i've nvr hear u speak in english?"
when my mom said " adik intan boleh cakap ?" coz in my family, i'm the only child who less talk among my brother and my lawyer sister. pot pet pot pet..
abah said "great job! bagus2..mcm ni laa anak abah"
chicak said "well done sys"
n lots more supports n congratulations from my relatives and friends.

thanks to aimi, nouz, aiman, kak niza, n mirul who came to watch d debate comp at Grabik lt. 3 and Aula Ruang Sidang A. u guys really rockz~ thanks to others to esp Nadhirah who always listen to my problem ..ahakz

thanks to Albert who came just like an angel to help us at d 1st place when Zue had basketball match - clash timing wif debate -

how our hard work to complete the research till whole day .. ( study pun xrajen mcm ni) thanks to Albert n Thila who had printed all of our data..when we burn our 3days holiday..

it just like a miracle when i was nominated as d best speaker .. i think Thila should deserved it more.. coz she helped us wif her IQ and she can catch up faster n rebut back..

Thila rajen gell download youtube about debate

1st speaker – intan
2nd speaker- zulaikha
3rd speaker- thila
Reply speech- intan

We managed to get the highest ranking.. 10 teams for English Debate Decan Cup 09

1.THBT protecting environment is more important then economic growth
06 (Gov) vs PPDS (doctors who continuing their specialist programmed) rehab medic
06 won. Margin points 1.5

2. THBT CCTV is not threaten to our privacy
07 (gov) vs 06 (opponent)
06 Won. Margin point 1

3. THBT death penalty is the best way for corruptor
06 (gov) vs PPDS mata
06 Won. Margin points 4

Semifinal
THBT government should continuing the BLT (Bantuan Langsung Tunai)
08 (gov) vs 06(opponent)
06 won

Final
THBT survival in the fittest –economic- (our theme is dealing with economic crisis is the best way to develop Indonesia)
06 (gov) vs 08
06 won

Thanks to all who really help us bfr..
Thanks to my friends all around the world who hd gv ur moral support n ideas (mush-US, syahir-India, byk laa-Malaysia)

Wednesday, May 6, 2009

we should appreciate what doctors hv done to the patients..not blaming them for small matter~

Oleh AZMAN ANUAR
rencana@utusan.com.my

PENDEDAHAN berhubung isu penemuan dua doktor di Jabatan Kecemasan Hospital Kuala Lumpur (HKL) 'mencuri tulang' oleh Timbalan Menteri Wilayah Persekutuan, Datuk M. Saravanan sedangkan lebih 20 orang pesakit masih menunggu dalam kesakitan - memang menghangat.

Susulannya, pelbagai pihak lain turut mendedahkan versi pengalaman dengan doktor di hospital kerajaan. Semua doktor hospital kerajaan telah dicemuh oleh masyarakat.

Tetapi akhirnya lain pula cerita sebenarnya. Dua doktor yang dituduh curi tulang itu sebenarnya doktor pelatih yang baru habis bertugas sejak hari sebelumnya. Bilangan pesakit yang menunggu hanya lapan orang (selebihnya ahli keluarga yang menunggu).

Inilah bahana apabila membuat tuduhan tanpa usul periksa. Tidak rasa sedih dan terhinakah doktor dituduh sedemikian. Sedangkan kita tahu mereka bertugas dengan dedikasi, merawat pesakit berbilang kaum tanpa jemu, bekerja siang mahupun malam tanpa hirau penat dan lesu - tiba-tiba dituduh secara melulu sedemikian!

Jika ada pun doktor yang bersikap 'curi tulang' jangan dibuat andaian semua doktor begitu. Tempias nama buruk terpalit kepada institusi hospital kerajaan.

Pada hakikatnya ramai doktor masih bertanggungjawab dalam menjalankan tugas.

Sebagai rakyat Malaysia, mungkin kita pernah menjadi pesakit di hospital mahupun di klinik-klinik kerajaan.

Soal menunggu lama adalah lumrah kerana kita maklum jumlah pesakit yang ramai. Cuma sikap sewaktu memeriksa pesakit perlu dilakukan dengan penuh dedikasi - bukan menunjukkan reaksi kurang selesa dan kurang berminat untuk merawat pesakit.

Pun begitu, kita percaya masih ramai doktor yang komited dengan tugas mereka. Mungkin hanya satu dua orang sahaja yang tidak beretika dan sanggup mencalitkan lumpur kepada nama baik hospital.

Doktor dan pembantunya, jururawat telah diberi kursus dalam membentuk etika yang baik sewaktu bertugas. Mereka tahu cara untuk berhadapan dengan jumlah pesakit yang terlalu ramai termasuk melayan pelbagai kerenah pesakit.

Petugas di hospital kerajaan harus memberi layanan terbaik kepada setiap orang tanpa mengira status dan kedudukan. Jangan kerana pesakit terdiri dari golongan kurang mampu dan ditempatkan di kelas kedua atau ketiga, mereka dilayan bagai orang yang tiada perasaan - diherdik dan ditengking sesuka hati.

Profesion doktor cukup mulia. Tetapi naluri manusia sentiasa mahu dilayan dengan cepat dan tidak sabar jika terpaksa menunggu lama.

Perkara ini dilalui oleh para doktor. Bilangan doktor tidak pernah bertambah. Seorang rakan yang memilih bidang ini pernah meluahkan 'tidak ada masa yang cukup' untuk mereka.

Ada masa mereka terlepas waktu makan tengah hari. Kalau mahu ke tandas pun perlu bergilir-gilir. Perkara-perkara seumpama itu adalah biasa bagi seseorang doktor.

Namun, kita belum lagi mendengar doktor menjerit marah kerana kepenatan. Belum pernah kita lihat mereka memberontak dan mogok tidak mahu merawat pesakit.

Kita pun tidak pernah melihat para doktor berpiket menuntut hak mereka. Tak dengar oun mereka meminta dihargai. Sebaliknya mereka terus bekerja penuh dedikasi siang dan malam tanpa jemu merawat pesakit.

Sebenarnya tidak ramai antara kita sedar bahawa waktu bila doktor bekerja. Mereka memulakan tugas sebelum pukul 8 pagi, dan jika on call kena bertugas hingga 36 jam.

Banyak masa mereka korbankan untuk pesakit daripada bersama di sisi ahli keluarga, ibu bapa dan anak-anak.

Mereka tidak pernah merungut tentang gaji. Tidak ada siapa antara kita yang serius memikirkan soal menjaga kebajikan doktor.

Sekarang, amat jarang pesakit atau waris pesakit yang mengucapkan 'terima kasih' kepada doktor. Sebaliknya ada pesakit yang berani menghentak fail ke atas kepala doktor semata-mata kerana tidak diberi cuti sakit.

Tetapi doktor hanya diam, senyum dan meneruskan kerja. Bukanlah bermakna mereka tiada perasaan. Sebaliknya mereka dididik dan dipesan untuk bersabar dengan semua kerenah pesakit.

Jangan kerana desakan sesetengah pihak berkepentingan tertentu, mereka ini dijadikan mangsa dan bekerja dalam tekanan. Kelak ia hanya mendatangkan masalah kepada diri doktor, keluarga dan pesakitnya.

Mulai hari ini dan mengambil semangat baru sempena Hari Pekerja semalam, eloklah kita ringankan mulut untuk mengucapkan terima kasih kepada setiap doktor yang merawat kita

Wednesday, April 8, 2009

29 march 2009~

happening, havoc, glamor, awesome, fantastic, blue theme, and d best eva picnic burfday party on top of Menara Ampang.



earth hour.. at Menara Ampang. beautiful mask


izni my beloved bestfren ..muaxxxxx


me and kak yong ..cousin

b
burfday boy n gurl ... 29 march! countdown ..on earth hour!


me


thanks mak ndak 4 d sedap gell bihun, izni for d pepsi,tikar n balloons, samud for d 2large pizza! and aneem for d beautiful mask, wand and sparta crown


thanks for coming..love u guys!


delicious almond cake! thanks phya, n cilut


me,izni n along


thanks for coming guys...i love u all


thanks to my lovely Munchers (ex-Tkcians 9903) !! thanks for coming ..samud,izni,phya,cilut and aneem! not forget to afie n his gf, laila n her frenz, shue and bf phya
my 23rd burfday party wif along.. on 29march09!

thanks to those who wish me on fb,ym,sms n calling. thanks to mizerq-india, beyh-UK, syahir-india,qistina-indonesia..for ur call all over d wordl!

thanks ma for labor us (me and along) and abah too who had taught us to bcm independent n useful person for our future. adhik chik, we love u too.. suppose we celebrate it together 3 of us..but she was in Sarawak..