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Friday, March 30, 2012

a hope to be



'things don't always work the way you'd like'


When I am down and, oh my soul, so weary;
When troubles come and my heart burdened be;
Then, I am still and wait here in the silence,
Until you come and sit awhile with me

and i wish for it to be
and will always wait and see
if only there's really someone who would like to accompany
and finish the race with me



When I am down and, oh my soul, so weary;
When troubles come and my heart burdened be;
Then, I am still and wait here in the silence,
Until you come and sit awhile with me

There is no life - no life without it's hunger;
Each restless heart beats so imperfectly
But when you come and I am filled with wonder,
Sometimes, I think I glimpse eternity



afterall what i need
is just your shoulder

Tuesday, March 27, 2012

DEAR FHIA



Can you please always remind me . . . that

I need to practise write fast
I need to study consistently
I need to develop the interest by myself

But no need to remind me that i need you to remind me about these . . .



Monday, March 26, 2012

OSCE


Station 1 :

(ini ayat sendiri) Patient was admitted for first episode of depression,....bla..bla..bla.. has suicidal thought...bla.bla....doesn't want to take medication..bla..bla..

Q - Discuss with your patient about anti-depressant treatment, and bla..bla.. (soalan pun tak ingat!) ow. Does this patient need admission?

(dear patient, you act bukan main bagus tunjuk muka low mood, depressed..har..i pun terpaksa tunjuk muka empathy lah gitu...tengok you punya muka..i jadi tak tau nak start macam mana. huhu)

Candidate : er..hai hai..my name, your name, bla..bla.. I'm here to discuss with you about the treatment that we are going to carry on for your depression, is it okay for you? [my mood masih normal, takde tanda simpati, empati. LUPE nak tunjuk empathy lol]

Patient : I don't feel that i need to take medication because i don't feel that i'm sick.-dengan suara lemah, perlahan. (huh? adoiy..macam mana nak discuss treatment antidepressant kalau patient sendiri tak nak amek ubat. huhuhuhuuu..)

Candidate : Ow, erm..hmm..so you think you don't need treatment... (pergh..mcm mane nak tanya ni... -.-") I know you has a hard time now....can you tell me how do you feel right now? Do feel sad..what makes you depressed? what that feelings do with you..how does it affect your life? (tak kira...ni kena suruh patient setuju amek ubat jugak, kalau tak macam mana nak proceed..mula tunjuk empathy pada patient hhe)

Patient : I am not happy...i can't concentrate on my work..yea..it affect my relationship with family..

Candidate : [har tu dia. jawab pun] So you are currently sad and this affects your social functioning and relationship with the family, isn't it? Don't you think that you need treatment for that? [alamak not convincing enough ni] You know..we..yea..we have treatment and medication that might be helping you improve your feelings. Would you like to talk about this?

Patient : [mengangguk2..baru nak tunjuk minat pada ubat] hm..yea..ya

Candidate : OK [lega baru boleh start, tapi tak tau sebenarnya nak citer pasal ape.huhu] so we will give you a medication called antidepressant. This medication is not to cure your depression, but it helps to improve your mood and feelings... We will give SSRI (selective serotonine reuptake inhibitor), like fluoxatine. [er...kuantiti? bpe lama? kosong kosong kosong otak kosong!]

i suppose to say something like this but i didn't, despite reading it many times in the quarantine room. ~.~
  • It acts on serotonine receptor in your brain, which is responsible for your mood to be happy. (REMEMBER yea, mechanism of action!).
  • Antidepressants usually started to give effect after 2weeks, so you may find no improvement of your current mood in ther 1st 2 weeks following treatment. After 4 weeks, if there is still no improvement of the symptoms, we will change to other medication that might be effective to you. (duration of tx!)
  • Even though you got improvement of the symptoms, means you are responding positively towards the medication, you should continue taking the medication for at least 6months-9months to prevent any relapse.
  • Most patient (3/4) response positively towards the treatment. (ni pun tak cakap tadi.. the OUTCOME ok)

However, like any other medication it has it's own side effects like nausea, vomiting, giddiness.. and these symptoms usually only occurs at the initial of treatment, and will goes away gradually. So you don't have to worry so much about it. So far, do you have any question?

Patient : What if i take the medication overdose?

Candidate : [pulakkkk... makcik, sy xhafal toxic side effects of antidepressant larrrrrrrrrr] erm.. yea. if you take it overdose it will cause severe side effects on you such as..hrm..severe nausea.er.confusion. That's why it's important for you to follow the doses recommended by the doctor. May be you can have your family to supervise so that you will not go off the range. Hrm, can you tell me why are you thinking of taking overdose? [teringat soalan - suicidal thought!]

Patient : ..because i has very hard time now..i feel like ending my life.

Candidate : ow. hurm. (cepat2, tunjuk empathy ;p) I know it's hard for you. But.. please don't do that[apakahh..hahaha] because it's.. it's not a proper way to end your life. We can give medication that can help you to improve your feelings. So.. (xtau nak cakap ape dah)

tinggggggggggg!

(blur, terstop jap. eh ingat masa dah habis, ada 1 minit lagi rupanya - cEpAt End my discussion)

Candidate : So,we will admit you for the time being..in the hospital..to check your..physical heatlh..and to give you medication to treat your current illness. We will also refer you to Psychiatric Department so that they can help you to cope with this problem. Probably, we will follow up with.. therapy like CBT (cognitive behaviour therapy) to help you with your thinking that affect you emotion and behaviour...

tingggggggggg! TIME's UP



broken englis. of course
but happy now that i'm free!
terima kasih Tuhan tolong sy exam.. :))

Friday, March 23, 2012

A Beautiful note i wish to keep for myself...



days to 14th feb 2012...




by Aziah Ali on Thursday, 22 March 2012 at 17:31 ·




It's been more than a month, yet it still feels like it was only yesterday it all happened... alhamdulillah i think i'm calmer with each new day but the incident keeps replaying on my mind every single day...and not a day passed by without me remembering him..or without tears..


10th feb 2012 friday


The weekend before the accident, i wanted to spend a night in a hotel to celebrate our 7th anniversary. I wanted to make it a surprise but since I don't drive and he would have to bring me to wherever it is that i wanted to go anyway, so i let him know my plan the Friday evening. He laughed at first and was really happy and all appreciative, and the next day he packed our travel bag for the stay and we headed to the hotel.


11th feb 2012 saturday


We spent our time leisurely at the hotel..i asked him if we could go to the shopping mall on the lower floors, but he said "ala kite rehat2 je la kat sini umi eh..abi rase nak rehat je la..leisure2..baring2 tgk tv same2" to which i agreed. We've been spending most of our weekends tending to the house we planned to move in by end of february, so i thought yes we could do with a little leisure time. Maya insisted on going to the pool, so we went for a dip after our asar.. We raced each other across the shorter length of the pool for a few laps and maya showed us how she could follow us with her kickboard (she had a few swimming lessons with her nursery), and he looked genuinely proud of her.."maya dah tak takut air dah umi!" he said with a happy face.

Then we went up for our maghrib prayer, and went for dinner. He brought us a plate of fruits before we had anything, like he always did. He normally eats a lot more food than he did that night if we go to a hotel buffet, but when i asked him to have more he said "Kenyang sgt dah abi nih umi...dulu2 boleh lagi..skang dah tak boleh la umi..dah tua".


12th feb 2012 sunday


Next morning after breakfast and before checkout, he drew maya her bath, and then his own while he said i could have the last turn so i could sleep and rest while waiting for both of them. Then he woke me up and said my bath was ready so I went to the bathroom to see a full warm bath with bubbles. I shouted "wah byknye bubbles..thank you lokong!". Maya who was watching tv went to see the bath and started complaining and crying because she said abi drew her bath earlier without as much bubbles as umi's. Then he came to me whispering "apsal umi ckp kuat2..kan dah ade org jeles tuh..lenkali umi senyap2 je tau". So i let maya had her second bath and he redrew me another bath after maya was done. Little did i know that was gonna be our last little holiday together here in this world.


13th feb 2012 monday


That day, after dropping maya at her nursery i told him i wanted to work from home, since i have exam scripts to mark and i could do that at home. He agreed and on the way home suddenly i decided to have my pregnancy check-up since the clinic is close to our home and his office. He had been asking me to go for checkup since a few days before that when the home pregnancy test came back positive but i told him i wanted to wait until i'm at least 8 weeks, so he quickly agreed when i suddenly changed my mind. At the clinic, when we first saw the clot that was the baby on the ultrasound monitor, i could see him beaming. He actually told the doctor twice about me being anaemic during pregnancy "dr, wife saye nih kalo die pregnant salunye die anaemic, nak kene amek iron tablet ke eh?" i could see genuine concern on his face and that made me feel happy and contented, i think i blushed.


On the way back home from the clinic, he was talking about his nazar "arituh abi nazar nak botakkan kepala kalo kite dpt twin, nih kite dpt separuh je twin so abi nak kene botakkan jugakla separuh nih..nnt besok ke abi gi potong rambut pendek2..uish hensem ke tak abi nnt kalo rambut pendek nih umi, tak penah lagi pendek betul2 nih..sure terkejut seme org nnt nih :D" to which i replied "eh mestilah hensem..abi kan hensem..paling hensem skali lah!"..he just laughed..i always told him how handsome he was..and i really meant it..in my eyes he was the most handsome guy..and still is..Then we were discussing about which place to go for my monthly check up and delivery. Then he was talking about ways to realize our dream to have a dozen children.."ok, so campo ngan baby nih insyaAllah dah ade 2, cume nak kene tambah 10 je lg umi..lepas nih kite try dptkan twin every year..5 kali je lagi umi kene pregnant :D" he said to which i replied "wah bukan main die...5 kali jee...banyak la abi punye twin!" and we both laughed..he sent me home after buying me lunch and before leaving for his work he said "umi marking scripts tuh tau..jgn tido plak!" and i kissed his hand and he kissed both my cheeks as we always did before going to work.


I remember seeing how happy he was when we saw the two lines on the test strip when we first did the pregnancy test a few days before. He said "alhamdulillah", gave me a long big hug and thanked me for giving him what he said as the best anniversary present ever..and I believe i saw tears in his eyes, which induced my tears too. That night i realized he woke up for his qiaam. After discovering that i was pregnant, there were a few times where he told me how he would be the happiest man on earth if he could get morning sickness on my behalf for this pregnancy. He would wake up in the morning and asked "eh apsal tade mabuk2 pon lagi abi nih umi?" and i said "lokong biar betul lokong, be careful what you wish for..lokong ingat best eh? seksa woo morning sickness!" and he replied "abi tak kisah umi..abi sanggup wooo :)". He wouldn't allow me near the cat litter because of the harm it might do to the baby, he wouldn't let me near any raindrops, he would try his best to make sure i had enough rest and sleep and he would make sure i eat on time, and no carbonated drink at all. He would prepare a jug of cordial drink for me in the fridge every day to go with my pregnancy supplement which he fed me every night, and for me to drink if i woke up in the middle of the night.


He came back early from work that day, telling me how he was really excited about the baby now that it was confirmed and how he had no mood for work really that day. He was asking if he could upload the baby scan to his fb but i said let's wait for a bit before announcing the news. After our asar, we went to pick up maya and he excitedly told maya that umi now has a baby in her tummy. He had been insisting on telling maya about it since we first found out but i asked him to wait till later since i had a history of miscarriage with our first baby. So all the while before seeing the dr, he actually told maya that he has a baby in his tummy instead and he'll transfer the baby to my tummy when the time comes. That evening in the car he asked maya "maya arituh abi kate baby ade dkt mane?" and maya answered without missing a beat "dkt dlm abi punye tummy!" we looked at each other and we laughed. Then he continued "haa dgr nih abi nak ckp nih..abi dah transfer dah baby dlm umi punye tummy tau..so lps nih baby ade dlm umi punye tummy..ok? Sape punye tummy maya?" to which maya answered "umi punye tummy!".


Before reaching home we went to the wet market to buy some groceries. We bought the stuff we usually buy and that night i cooked masak lemak ketam and sambal sotong. I asked him if he wanted me to fry tempe or fish for him to which he answered "takpela umi..takyah susah2..nih dah ade ketam ngan sotong nih..cukup dah nih umi". He was always like that..easy to please and would never want to hassle me. While i was cooking he helped with cleaning and portioning the chicken, fish, and squids to freeze for our daily meals, like he always did. During dinner he shelled the crabs for me and maya before he did his. He ate a lot that night.One thing weird about him that night was that he was not wearing any t shirt, just his sarong pelekat, even while having dinner. He never ever did that before in the 7 years we've been married.


That night he helped me with the internet connections for my MAPS and after i was done with MAPS he was already asleep next to me, he looked very sleepy that night. Normally he would be the last one to sleep. Since i was up anyway, I went down to slice some young mangoes he bought me at the market and brought it up to share with him. I woke him up and we shared the mangoes, actually i was feeding him the mango slices alternately with myself because he was really sleepy.. i asked him if it was good..he replied "sedap umi :)" with his eyes barely opened..which was kinda weird since he normally resents young mangoes. Even though he was sleepy, he still remembered to feed me my pregnancy supplement before we went to bed, coz he knew how i would always conveniently 'forget' my meds.


14th feb 2012 tuesday


Normally every weekday morning he would be the first one to wake up, take his shower and then only he would wake me and maya up. I remember how he would come from the shower and said "Bangun semua wahai penduduk kampong! Carik bantal tutup mata cepat abi nak bukak lampu dah nih! Kang silau kang!"..yes he was a funny guy who made us laugh a lot.. That morning however, he woke me up saying he and maya had already showered, so it's my turn to wake up. I saw maya was already in her uniform so i went to take my shower. After taking my shower, i saw him lying on the bed leisurely..looking at me...smiling at me..then he laughed "haha..arinih abi tipu seme org..abi belum mandi pon lagi sbenanye... arinih abi nak mandi last skali :D"..indeed he had his last bath on this world that day..his last bath before returning to Allah..


We had our subuh prayer, then he fixed my laptop's keyboard that i was complaining the night before. He made sure i tested the keyboard and was happy with it before refixing all the screws. Then he packed maya's schoolbag, packed my laptop into my bag, took out the chicken portion for our dinner from the freezer to fridge and he also packed a change of clothes for him and for me. Yes he normally did practically everything for us, he has spoiled me for 7 years with his care and love. He planned to go and continue fixing the lights and fans in our new home after work that day, so with the change he packed we could have fresh clothes after that. He also made a remark on how he felt really hungry upon waking up for that day and a few days before, despite having big dinners.


After maya had her morning milk, we left and we stopped at a stall to buy maya some kueh. He whispered to me "utk kite umi takyah beli pape..belikan utk maya je..nnt lepas anta maya kite gi mkn roti canai kat fcm..shhh" he didn't want maya to hear because maya also loves roti canai..so i bought 3 karipaps..offered to maya and she said she wanted only one, so i ended up sharing the 2 karipaps with him..we had our morning chat as usual in the car..but honestly to this day i can't recall what exactly were we talking about that morning..


I remember telling him "lokong ade lori kat depan tuh"..and a few seconds later a loud bang..it all happened too fast..i remember i kept repeating to myself "astaghfirullahal'azim" and i could hear maya's scream.. after the car finally stopped i was expecting everybody to be ok, because i was..i could hear maya crying so i thought she should be ok..but his head was resting on my shoulder...he looked like he was just sleeping, with his eyes slightly open, as he always was when he sleeps...he looked calm and there was no signs of shock on his face..except for the blood that was coming out of his nose, mouth and ears..i cried..calling him..."abiii...abiii...lokong..lokong!!!" when i shook him to try and wake him up there was even more blood coming out onto my clothes..passers by were asking me to get out of the car with maya since there was thin smoke coming out of the engine...i was still crying but deep in my heart i kinda realised..the day has come...Allah has taken my husband..He has taken back who He has mercifully allowed me to borrow..and he was never mine to begin with..


I insisted to the fireman that i wanted to wait until they get him out, but they coaxed me to tend to maya's broken leg first. So we went to the hospital and while i was there i overheard the walkie talkie on one of the staffs "two confirmed dead on site"...that confirmed that 14th feb 2012 was the day my beloved husband returned to his Creator..it broke my heart..it really did.. I felt so helpless and i saw everything that we planned together collapsing before me..our new baby, our new home...everything..


I was later told maya would need to undergo operation and i asked the dr if maya could go for his abi's funeral before her operation, which was declined. I told maya that abi has returned to Allah and we wouldn't be able to see abi even after we got out of the hospital. I told her twice in case she missed the point, but she just said "ok" both times. I told her i was going to accompany abi because abi will need to be buried near nenek's house, to which again she said ok. Then she asked "umi kenapa Allah panggil abi blk cpt sgt?" i quavered a bit, trying my best to compose myself and then i said to her "sbb abi sangat baik dan sgt rajin maya...abi dah siapkan seme homework yg Allah suruh abi buat..so Allah kate abi dah boleh balik rehat2 sayang...kite punye homework belum siap..sebab tu Allah belum panggil kite balik skali ngan abi"..and she nodded.


When i first saw his face in hospital serdang where he had his post-mortem, it really broke my heart to see him lying lifeless on the trolley. But to see that he was his usual handsome self and smiling, that calmed me a bit. Actually it calmed me a lot. I'd like to believe that his soul was shown a good resting place in which he would rest until the judgment day, hence his sweet smile. I accompanied him to masjid mardi where he had his last bath. While waiting for the people to bathe him, i talked to him in between reading the yaasin. I told him about maya. I told him how it was raining lightly outside. I told him how maya asked me to kiss him on her behalf, with wet kisses on both of his cheeks. I told him how i love him so much. And after he had his bath, i accompanied him on the van jenazah for his burial in melaka. I continued with the yaasin, and whispered to him to let him know when we've passed his old family home in peringgit and when we've reached mak and baba's place. I remember whispering to him "lokong kite dah sampai rumah mak, lokong...ramai org dtg tgk lokong". He was smiling in his kafan when people were paying him their last respect and he was still smiling when i last kissed his forehead before the burial. That to me, was a beautiful closure, alhamdulillah.


Sometimes it makes me think..maybe at some point of my life with him, i might have loved him more than i loved Allah..and this serves as a reminder that only our love to Allah will last forever..only Allah would be able to love us forever..not a thing, not a human..yes we should love and respect our husbands, but we need to always check so that our love towards our husbands are never more than our love towards Allah..but at the same time we should also observe the prophet's saying "If I were to order anyone to prostrate to anyone else, I would order woman to prostrate to her husband due to the greatness of his right over her". We should appreciate our husbands and treat them well as we never know when will be our last day of having them. And to the husbands perhaps this could be a reminder to be kind to your wife so you could leave them with sweet memories to last their whole life insyaAllah, should you be called by Allah before your wife.


His love towards me was in fact a precious gift from Allah..through him to me..and maybe i was not able to see the fact that it was really from Allah before..and i am truly grateful to Allah for the opportunity to be the wife to the kindest man i've ever met in my life..


I am still grieving his passing, I am still missing him badly that it hurts..but i should see beyond that as well..i should be grateful to Allah for borrowing me a really kind husband for 7 beautiful years..alhamdulillah.. and two kids who'll be my pillars of strength insyaAllah..maya normally sits behind her abi in the car, but a few days before the accident she spilled her drink on the seat behind me..he was not happy to see the water stain so he actually moved maya's seat behind me instead to cover the stain...i think that saved her life..coz she might've been gone with him too if she was sitting behind him on that day like she normally does...indeed Allah is the most merciful the most gracious..

I'm grateful to Allah that i was right beside him when he returned, and he left me with countless sweet memories..i would be in regret for the rest of my life if he was to return to Allah when i was sulking but alhamdulillah i wasn't..we were happy..


For all the kind souls who have helped us and also who are still helping us in any way, i'd like you to know that we really appreciate every single thought, msg, prayer, donation, visit etc..may Allah bless all of you with big rewards insyaAllah, for indeed you have helped us a lot alhamdulillah.


O Allah please grant me and our children strength and patience in facing your tests, and please reunite all of us in the hereafter if that is indeed the best for all of us..please forgive all of our sins..please grant my husband a good resting place while waiting for yaumul akhirah, please let his grave be bright and spacious and please bless him with your love and mercy..indeed you're the most merciful the most gracious ya Allah..amin..alfatihah


p/s: lokong nih umi dah uploadkan gamba baby kite yg lokong nak upload arituh..hrp2 baby nih boy mcm yg lokong nak..maya pon dah tanak girl lg sbb die kate abi dah balik die nak baby boy pulak.. harap2 baby nnt handsome dan baik sangat mcm lokong...amin..i love you lokong..always will..



she just teaches me how beautiful a muslim family should be...

and how beautiful living with ALLAH's love


May ALLAH bless her, the one who had returned and the family

amin..


Ingatan




Sy jumpa ni dari seorang wanita yang tabah...

Benar katamu ya ukhti

Terima kasih atas kata-kata yang penuh bermakna =)


Tuesday, March 20, 2012

Turn Around..



It's EOB exam just around the corner! (E.O.B = End of Block)

I have 2 case write up to be submitted by this Friday worth 5% of the whole rotation mark.

Then I have 2 exams on Monday - 1) PBQ (problem based question) + MCQ
2) Long Case Exam (clerking and presenting)

Then I have to go through the OSCE exam on Tuesday morning

Both the Monday and Tuesday exam worth 15% of overall mark. The rest 80% come in the final exam soon at the end of the year.


Ouh time flies so fast~ need to study smart and hard while finishing my case write up T.T huhuh. May Allah makes it ease for me...amin




Monday, March 19, 2012

Home Visit



Just return from home visit of our psychiatric patients. A few thoughts came into my mind

Pt 1 : lives in a very small, lack of air circulation 'apartment seratus' with her old mother and one 'psychic' brother. And one of my friends noticed a small cute rat baby running in the kitchen. Bersyukur dengan rumah dan bilik kami, walaupun nampak kecil, tapi tetap selesa dan jauh lebih besar dan selesa daripada mereka. Astaghfirullah. Tak baik merungut apa-apa lagi.

Pt 2 : lives at the coridor side just in front of his house. An apartment. Sampai-sampai je nampak terus ada satu tilam + bantal usang n selimut terbentang kat tepi koridor, satu penyidai tuala di bahagian luar tingkap berhampiran. Then the mother called the patient from somewhere i don't know. He was a medium-build Chinese young man. I couldn't believe he slept in the corridor every night and day. It was a level 2 apartment, fortunately the apartment was beside the sea with good air circulation by the sea breeze. From the story I heard from the staffs, the mother's boyfriend didn't like the son to stay in the house, that's why he has to stay outside. It was a nice beautiful apartment, with 2 bedrooms i think. Bersyukurlah sy masih punya rumah, dan tak pernah dihalau untuk tidur di luar rumah. Semoga satu hari pesakit tadi akan dibenarkan tidur di dalam rumah, and the family problem resolves soon.

Patient lain, ada yang takde di rumah. Mostly ok. Hurm, that's the story for today. Home visit yang penat di bawah matahari yang panas. But contains many things to be learn.

Anyway, tujuan homevisit adalah untuk memantau keadaan dan pengambilan ubatan oleh pesakit kami, dan biasanya pesakit akan diberi injection ubat depot monthly in case they are not compliance to medications. (tak makan ubat)

babai

Wednesday, March 14, 2012

To Tell the Past Forgotten Story that Someone Would like to Know








i would rather choose the one below
than the new 'not good looking' version of paediatrics book
See the formal fake sunflower~


Maybe i just like the previous artistic sunflower






Thank God for giving me an exchange

just finished wrapping up my new books

feel like happy but...

not so happy

because

.. . . . . . . . . . . . . . . . . . . . . .. . .

plus exam is just around the corner



‎'bunga matahari sangat cantik! kembang di waktu pagi,
darinya pagi hingganya petang xjemu ku memandang,
bunga matahari sangat cantik di atas buku paediatrics ku,
darinya pagi hingganya petang xjemu ku memandang...


esok mari pergi Tanjung Rambutan
Hospital Bahagia Ulu Kinta
gerak pukul 5am

Thursday, March 8, 2012

I'm Hungry



it is a hectic life

it seems to be harder and harder

at one time making you feel like exhausted and breathless

sometimes you enjoy, sometimes you won't

it is fast and furious

i would have think on how could i go on

whenever, wherever i might found it worthless

life is where you want to make people happy

and may it be blessed by The Almighty

so that it will in the end become the one that is priceless

with Allah's will...


Monday, March 5, 2012

True


The power of God is with you depending on what you give. The best thing to give your enemy is forgiveness, to your opponents tolerance, to your friends your heart, to your children a good example, to your father deference, to your mother behaviours that her proud of you. to yourself respect, to all mankind charity
 

Hari-Hari Medika ini ditulis semata-mata insyaALLAH untuk manfaat bersama Dicontengconteng oleh MazunaChan © 2010