eidul adha bersama kengkawan

with housemate

happy eiduladha :)

'a bad doctor is a criminal';dr'ala'

logic x kata2 prof 'ala?

he gave us a clinical scenario

an infant 8month old coming to you with high fever and difficulty in feeding..

the physician on duty prescribe the child with NSAID to treat the fever..

later on the condition of child become worse..

and he was suffering from acute renal failure..

-so betol la kan..a bad doctor is a criminal-

klu doctor yg excellent..

definitely he will think of infection..

logic la..infant 8 month having high fever and difficulty on feeding..

wat's common is common..

mybe that child having pneumonia ke gastroenteritis ke..

tp maybe jgak viral infection..

pengajaran: ambk history of the patient elok2,do thorough clinical examintion,and order proper investigation based on suspicion

jgn sesuka hati prescribe ubat yg mungkin is nephrotoxic..

in the end u will be a criminal..

hati yang sakit,lesu,lemah,rosak..

Hidup adalah putaran roda. Melewati hari-hari yang dilalui adakalanya menyebabkan kita begitu ghairah menunggang bersama putaran roda kehidupan,sehingga kadang-kadang, kita terlalu sibuk menguruskan hal-hal semasa tanpa sedar ke sana ke mari sedang membawa sekeping hati yang sedang parah kesakitan.

Inilah resmi hidup manusia.

Adakala hati terasa begitu mudah untuk menerima dan melaksanakan kebaikan, dan dalam satu masa lain pula, hati terasa berat untuk mengunjugi kelas-kelas ilmu. Terasa bosan dengan nasihat dan mauizhah hasanah..terasa lesu dari melakukan kebajikan dan dakwah, malah hati makin rindu dan puas dengan layanan nafsu yang buas.

Bagaimana hati menjadi parah sebegini?

Bicara tentang seketul darah bernama HATI. Peranannya kita semua sedari; andai baik dan solehnya hati maka amal dan akhlak serta keseluruhannya akan tampak manis dan berseri. Sebaliknya pula jikalau hati sedang membengkak nan pedih, seluruh pekerti akan rosak dek tempias yang terpalit secara zahir. Kerana ini, hati adalah tumpuan utama untuk diseriusi oleh hamba-hamba yang berjanji untuk menempuh jalan menuju Illahi.

Hati mungkin sahaja menjadi sakit dan pedih tanpa kita sedari. Seperti ikan yang terdampar dari jauh dari halaman sendiri, begitulah jua hati yang sakit- ibaratnya sudah tinggal nyawa-nyawa ikan. Hati yang sakit tidak lagi terasa perit di kala melakukan maksiat, tidak lagi merasai nikmat dalam beribadah..jauh berbeza dengan hati yang hidup, yang pasti merasa terseksa setiap kali melakukan perkara yang dikutuk.

Adakalanya pemilik hati yang sakit dapat merasai simptom-simptomnya namun untuk berusaha mengubatinya terasa amat pahit untuk dicuba. Sementelah melayani kerenah hati yang sakit jauh lebih enak dan manis ditemani nafsu yang membuak-buak.

Namun, hati-hati wahai sahabat!

Barangkali hati yang sudah terlalu lama kepedihan, lama-lama mungkin akan mati dalam kegelapan jauh sungguh dari Tuhan, malah barangkali mampu membuatkan pemiliknya tidak lagi mengenali siapakah Rabbnya. Amal ibadah mungkin ditinggalkan, berjalan di dunia bersama hawa dan nafsu, sedang kemurkaan Allah dijanjikan untuk mereka. Nauzubillah min zalik…

Justeru itu, apabila kita di uji dengan penyakit hati, seeloknya kita cepat-cepat mencari terapinya. Jangan terus biarkan diri terleka dan dahaga. Isikanlah dengan nutrisi-nutrisi yang dapat menghidupkannya kembali.

Kata seorang soleh, amatlah menghairankan manusia itu, mereka menangisi orang yang mati jasadnya sedang tidak menangisi orang yang mati hatinya. Padahal keadaan ini lebih berbahaya

Maka, langkah-langkahurgensi perlu diambil, supaya tidak terus melarat dan sengsara.

Langkah paling awal adalah dengan kembali kepada Allah.

Sungguh Al-Quran dan zikir itu adalah sebaik-baik penyembuh dan pelembut hati.

Kata ibn taimiyyah, Zikir bagi hati ibarat air bagi ikan. Apa jadinya bila ikan dikeluarkan daripada air?

Zikrullah adalah makanan pokok bagi hati dan ruh. Jikalau lama hati menyepi daripada menyebut nama Allah lama kelamaan syaitan akan lebih mudah untuk melemahkan diri. Akhirnya penyakit hati bersarang dalam diri.

Abu Musa Al-Asyariy meriwayatkan, Rasulullah bersabda;

Perumpamaan orang yang berzikir dengan orang yang tidak berzikir adalah seperti orang yang hidup dengan orang yang mati. HR Bukhari

Istighfar yang muncul dari hati yang benar-benar menyesali dosa adalah rawatan hati yang benar-benar mujarab. Memohon maghfirah dan keampunan dari Allah dapat merendahkan hati serta meleburkan air mata yang sekian lama membeku.

Dan tidak cukup dengan itu, sentiasalah berdoa agar dipelihara daripada penyakit hati yang berkali-kali melanda diri.

Sesungguhnya, tiadalah penawar yang lebih baik untuk merawat hati yang parah melainkan kembali mengingati Allah. Bila mana terasa penat dan lemah, terus-terusanlah mengingati Allah dalam setiap amal dan perbuatan. Semoga dengan hati yang sihat bercahaya diterangi iman, stamina akan bertambah untuk terus beribadah dan beramal. Sungguh, kekuatan itu lahir dari dalam, dari seketul daging yang akan menjana seluruh tubuhnya; yakni al-Qalb.

http://ismamesir.com/v2/2010/06/hati-yang-sedang-parah/

dr.'ala'..u'r the best prof i've ever met!

hari yg ditakuti student unit endocrinology pd setiap mggu akhirnya tiba..
'SELASA!!'
hari clinical round yg menggerunkan bg kami..
pg tu part of us taking history and i was the one who responsible to do clinical examination..
plus hr tu dpt atypical case..
girl,12yo dgn history of fever ,athralgia, back pain and fatigue for 2 months..
when i examined her..i've found out there were purpura on her chest and lower limb and ecchymotic patches around her extremeties..
off course wat's coming in our mind is leukemia..
but there was no splenomegaly,hepatomegaly..(not necessarily present right?)
so we do dif diagnosis and try to exclude anythng which are not possible to narrow down our doagnosis.

however..even we think we 've done our best before prof 'ala come..
we're still lacking in his eyes..huhu..
daydreaming la..
memang patot kna hentam pon..
because we didn't follow the protocols that he taught us..
plus..knowledge pon x lah byk sgt..sbb kurang membaca kan?:p
habes sem..start sem baru dh lupa ape yg blajar ms sem lama..
nk kata nyanyuk..umo muda lg..
nk jd dktor ke mcm ni?haih~

ape yg dr.'ala ajar..
the way he torture us..the way he gave us pressure..
automatically made us thinking in active way..
how to find out the clue from every case,do diffrential diagnosis well and try to narrow the field of diagnosis and then do appropriate investigation to reach the final diagnosis..
that's the way the real doc is thinking..huhu
bkn sbb still student..so stdy2..tnpa nk prktik mcm mn nk gna bla face clinical scenario in the future..

kamu dh fifth year ok?xde ms nk main2 dh..

ho oh ho

salam blog..lama x menjengukk.hehe

hari ni..after stalking situ sini..

sy terbaca satu article yg agak menarik..dan boleh dibuat pengajaran untk bakal2 doktor

simonsim.wordpress.com

May 27, 2011

here are few examples of the instant noodle house officers that i have met..

# case 1

patient in hypovolemia with hypotension..

MO: pls do fluid resuscitation..

HO doesn’t know what fluid resuscitation is, and malu (shy shy la) to ask the MO.. but he remembers resuscitation is something to do with CPR (cadiopulmonary resuscitation).. so he performs chest compression in a CONSCIOUS patient, causing respiratory distress to the patient, and the patient is looking at him in one kind.. and the smokes come out from the MO’s head..

deserved for HO paling tukul award.. (this HO graduated from Russia, recipient of scholarship from a famous local body)..

# case 2

vital signs stable on a dead body..

the HO did his evening round in the acute bay.. one of the patients was intubated due to head injury.. the family members told him the body became stiff 2 hours ago.. but the monitor still showing pulse rate (patient on ionotropes).. so he documented “patient GCS remains poor, vital signs stable, continue the same management”.. huh..????? how to become a doctor even he/she can’t even differentiate between LIFE and DEATH..????? why do they want to spend the parents and tax payers money to study medicine but the medical knowledge is lousier than a layman..?????

deserved for HO otak ketam award.. (again, this is another HO graduated from Russia)..

# case 3

for MO to resus patient..

i was attending a patient in the female surgical ward..

suddenly another patient in the same ward collapsed and desaturated.. the nurses were shouting and called the surgical house officer who was sitting at the counter doing nothing at that time to attend the patient.. he walked slowly to the bed of that patient but did not examine the patient, he just pointed his finger toward me “neh, doktor dekat sana”.. huh????? what type of houseman is this..????? asking a MO to attend a collapsed patient without examining and doing the initial resuscitation works..?????

deserved for HO ubi kentang award.. (this HO graduated from a local public university, one of the three oldest medical schools in this country)..

# case 4

for MO to insert branula..

during my housemanship time in 2006, when we have problem in inserting a branula, we NEVER called our MO for help (except for neonates).. we would call our senior houseman (most of the time, the captain) to help us to insert the branula.. during my second housemanship posting, i started to insert the femoral line and i did my toes amputation for diabetic patients ALONE while my MO was sleeping the whole night.. i did my first peritoneal dialysis together with my houseman friends without the presence of our MO when i was in the medical posting.. but now, what types of procedures that a houseman can perform..???

recently, during my busy oncall day, suddenly the nurse called me up “doktor, tolong insert branula, houseman dah cuba 2 kali tapi tak dapat”.. huh??? why can’t the houseman call me directly if he/she cannot get the line?? just left the patient and ordered the nurse to call me..?? what tpye of attitude is this..?? no responsibility at all.. when i went to see the patient, i found the vein of the patient was BIGGER than the vein on the manikin..!!!!! how could the HO fail to insert a line into such a huge vein..?????

deserved for HO kurang asam garam award.. (this HO also graduated from a local public university)..

# case 5

in the past, we houseman worked like lembu and donkey.. there was no time for us to sit and rest.. the MO just sat over the counter and monitored what we were doing.. we used to offer ourselves to assist the MO in doing any bedside procedures..

nowadays, the house officers are sitting over the counter and “observing” the MO doing their job.. no greetings, no offer, no initiative to learn..

deserved for HO kurang upaya fizikal award..

# case 6

houseman manja..

a female houseman is a little bit slow in doing her job and her medical knowledge is very poor.. but she likes to come to work late, and goes back home early.. every morning during the ward round, one of the surgeons likes to ask her a lot of questions to test her medical knowlege.. and most of the time she can’t answer.. one day, suddenly the surgeon receives a phone call when he is doing surgery “i’m the mother of @#$%, please stop asking my daughter any questions, or i will make a complain to the state health director..” huh?? like this also can arr..???

deserved for HO lampin pasti tak bocor award.. (this HO graduated from a local private medical school)..

so, is it really a houseman’s life so stressful..?? to me, YES in the past few years.. but NO in these days.. i don’t understand why the HO nowadays like to complain, small small things also complain, even language barrier with patients also become an issue to them..

in my opinion, these HO are too pampered by parents, not competent in clinical skills, too ego, and not taking positive attitude and initiative to improve themselves.. today, there are so many house officers in the ward compared to few years back, the workloads are markedly reduced.. so what are they complaining about..??? the stressfulness is mainly due to their incompetency to function as a house officer.. (of course there are still a lot of hard working, capable and reliable house officers around, but the numbers are not many now)..

advice: don’t become a doctor just because of the title “doctor”, or one may end up like them..

i felt lost!

i felt lost...

dalam dunia sndiri..

dah x knal diri sendiri dh..

apa yg sy mahu?

apa yg sy tgh buat ni?

semua rs mcm x kna..

kenapa..kenapaaa...kenapaaaa..??

yaALLAH bimbinglah ak ke jalan Mu yg benar..

ke jalan Mu yg lurus..

ramadhan sudah mahu berlabuh tirai..

tp apa yg sy dpt untk bln ramadhan pnuh barakah ini?

i felt like i've got nothing..

syukur

apa yg ada jrg disyukuri...

apa yg tiada sering di risaukn...

nikmat yg dikecap baru kan terasa...

bila hilang apa yg diberi...

timbul rs jemu bila sudah di dlm genggaman...

dunia ibarat air laut...

diminum hanya menambah haus...

nafsu bagaikn fatamorgana...

di padang pasir...

panas yg membahang disangka air...

dunia dan nafsu bagai byg2...

dilihat ada...

ditangkap hilang...

saya rasa..

saya rasa kan..

saya dh berjaya buang smua yg m'belenggu hati sy selama ni..

yeah..free..

ya hati sy free..:D

" just put ur trust in the Ever living ONE who Dies Not "

-mengharapkn Ramdhan kali ni penuh mkna..

agr dpt ku lalui dgn sempurna-

++kali ni puasa jauh dr family++

++hurm..nk make ike tuko++

subhanallah..

ovulation - live

berat.....

seperti ada belenggu di anggota yang empat........

cuma tercegat.....

sesekali wajah pucat....

jerit sukma teramat kuat.....

sepertinya terjerat dalam jerat......

tidak kekanan atau kiri..

atau kedepan...atau kebelakang...

ada sekat....

ke dalam jua....

semuanya keparat....

mengharap pada Sang Penyelamat....

harus kuat.....

doa saidina UMAR Al-Khattab

doa Saidina Umar R.A:

'yaALLAH seperti Engkau tahu ak ni berwatak keras.

oleh kerana itu lunakkanlah hatiku,

aku ni LEMAH yaALLAH,,

maka kuatkanlah ak.

aku ni kikir yaAllah ,

maka jadikankah ak hambaMu yg pengasih ,pemurah dan dermawan."

amiin

muga dpt amalkn doa tersbut.