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Archive for January, 2010

Men from Mars?

BismiLLah…

Sebenarnya tajuk di atas tiada kena-mengena dengan topik yang ingin dibincangkan.

Sekadar menyatakan kekecewaan, tidak berjaya menonton tayangan istimewa percuma dari Tuhan. Setiap malam menyelak langsir, mencari-cari kelibat bulan di tempat yang biasa saya lihat. Tapi cik bulan tiada di situ! Ya, saya lupa kedudukan bulan sedikit berbeza daripada sebelumnya. Bulan dan Marikh berada begitu dekat dengan bumi, tapi malangnya, kedudukan yang tidak tepat menyebabkan saya terlepas fenomena yang hanya setahun sekali. (Sebenarnya boleh saja turun ke bawah untuk mencerap, tapi sebab penakut…. )

Year’s Biggest Full Moon, Mars Create Sky Show

“This month has the largest full moon of 2010, because it coincides with the special moment when the full moon happens to occur on the same day as it is at perigee,” said Marc Jobin, an astronomer at the Montréal Planetarium.

And in a remarkable coincidence, Mars is at opposition Friday—directly opposite to the sun in the sky—so that as the sun sets in the southwest, Mars rises in the northeast.

Around opposition, the red planet gets closest to Earth. This year Mars swung by at just 61 million miles (98 million kilometers) on January 27, and it will still appear remarkably bright during the weekend sky show.

“To the naked eye it will appear as a bright, orange-colored star right next to the full moon—the pair will jump out at you for sure,” Jobin said.

Baca juga: Year’s Best Mars View Tonight

SubhanaLLah, walHamduliLLah, WaLLahu Akbar!

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BismiLLah…

Alhamdulillah, Alhamudulillah, Alhamdulillah

Bukankah Kami telah melapangkan bagimu: dadamu (Wahai Muhammad serta mengisinya Dengan iman dan hidayah petunjuk) ? [1] Dan Kami telah meringankan daripadamu: bebanmu (menyiarkan Islam) [2] Yang memberati tanggunganmu, (dengan memberikan berbagai kemudahan Dalam melaksanakannya)? [3] Dan Kami telah meninggikan bagimu: sebutan namamu (dengan mengurniakan pangkat Nabi dan berbagai kemuliaan) [4] Oleh itu, maka (tetapkanlah kepercayaanmu) Bahawa Sesungguhnya tiap-tiap kesukaran disertai kemudahan [5] Bahawa Sesungguhnya tiap-tiap kesukaran disertai kemudahan. [6] Kemudian apabila Engkau telah selesai (daripada sesuatu amal Soleh), maka bersungguh-sungguhlah Engkau berusaha (mengerjakan amal soleh Yang lain) [7] Dan kepada Tuhanmu sahaja hendaklah Engkau memohon [8] – An-Nasyrah

Jikalau sebelum ini saya rasa ingin menangis kerana tekanan kerja dan tekanan perasaan, tapi hari ini terasa ingin menangis, terharu dengan sokongan dan doa sahabat-sahabat. Pagi-pagi, dalam menahan kantuk, telefon bimbit tidak putus-putus berbunyi menandakan pesanan masuk. Semuanya mengucapkan selamat, untuk menempuh peperiksaan OSCE. (Macam tau-tau aja saya sangat tertekan). Alhamdulillah, walaupun mungkin performance saya tidak begitu sempurna, namun saya panjatkan syukur setinggi-tinggi kepada Allah, dan terima kasih kepada mak & ayah, serta sahabat-sahabat yang mendoakan saya, termasuk yang tidak menzahirkannya. Hari ini saya melangkah ke bilik peperiksaan dengan tenang (walaupun gelabah juga bila berada di hadapan pemeriksa), berkat doa kalian. Semoga Allah memberkati.

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GP OSCE 220110

Station 1: Consultation – Patient with BMI>30
Mid age Female patient was told that her weight is worrisome and that she needs to change her lifestyle. She came to you to seek your advice.
– First and foremost ask the patient what does she understand about her current condition and what is her current concern.
– Explain to the patient what is BMI and what it signifies. What does BMI>30 means and what risks it brings to her.
– Explain the word ‘obesity’ politely.
– Ask if she already has any medical illness and what medication she is taking.
– Ask the patient about her lifestyle; diet, exercise, daily activity/occupation, etc.
– In this case, my patient then showed me her ‘meal diary’. She wanted me to comment on her food intake. (Therefore, you need to know what is the ideal food intake for a normal person (no illness, optimal BMI), patient with high BMI and high risk patient (cardiovascular risk). Please refer to Clinical Practice GuidelineManagement of Obesity
– Tell the patient the ideal food intake, what changes she need to make. (NEVER say you HAVE/MUST do this and that. Use words such as ‘maybe you can start on this…‘ or ‘if possible, you can add in this and that…‘)
– Ask patient how frequent she exercises, what type of exercises, and the duration of exercise. Comment on the adequacy of the exercise. (We must know different types of exercises for different ages, and how much calories are burn in each type of exercise. Again, please refer to the CPG.) 
– Ask how frequent she goes for medical check-ups, and when was the last check-up. Any problem in the result? If yes, what action has been made?
– Refer her to any support group system.
– Confirm with her that she understands what we are talking about.

Station 2: Mini Clinical Examination – Chronic hypertensive patient follow-up (consultation, physical examination & investigation)
– After the introduction, ask about his current wellbeing – feeling well or not well, his last check-up results, associated medical illness, medication that he is currently taking.
– Oh, dont forget about compliance to the meds and lifestyle changes! (including diet, exercise, daily activities… etc)
– Ask about all the symptoms and signs of complications of hypertension. (Please refer to CPG for Management of Hypertension
– Get the physical examination and investigation result from the examiner. The examiner would not tell unless you ask!
– Make a conclusion based on the history taking, examination and investigation result. Whether his BP is well-controlled or not, and what advice need to be given to the patient. (Again, refer to CPG)
– In my case, apart from retinal changes, my patient’s physical examination and investigations are all within normal range.

Station 3: Clinical skills – Procedure (venepuncture)  for Thyroid function test
– My tips: practice makes perfect, and  please remember all the colour codes of the bottle for each investigation. Oh, and you must know how to fill in the form!!

Station 4: Clinical skills – Instruction to a chronic bronchial asthmatic patient on how to use peak flow meter and its interpretation
– Honestly, I did not really revise on this. I read the GINA guidelines, but did not practice the practical things~~
– Teach the patient how to use the peakflow meter device. Take the best of 3 readings and interprete the result based on the chart given. (Honestly, I did not know how to read the chart!)
– Lastly, give advices to the patient.

Station 5: Physical examination of feet of a chronic diabetic patient
– Examine as usual. A focused and specific examination. Then conclude.

Station 6: Consultation – Patient with positive blood result for Thalassaemia Minor (Trait)
– Ask patient what he understands about his problem. Any other member in the family having the same problem.
– Any symptom of anaemia he experiences
– Explain what thalassaemia is, what is its significance and what risk it brings.
– My patient asks if this disease is dangerous and infectious. How it will affect his life. So, answer his curiousity politely and carefully!
– If the patient is single, ask if he’s planning to get marry soon. Explain why it is important to get his future partner to go for screening for thalassaemia before they get married.
– Explain the risk of thalassaemia major in the offsprings if his partner also has thalassaemia trait.
– Explain what is thalassaemia major and it risks.
– What precaution need to be made, and what treatment is needed (if any).

Station 7: Rest station

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A half-doctor

BismiLLah…

Alhamdulillah, alhamdulillah, alhamdulillah.

Currently in the 3rd week of our final year which will soon end by June 18 this year, Insya’Allah. And I can see everyone has started worrying about the upcoming final examination. Yes, for us, the final exam is like ‘between life and death’, after struggling for almost seven years of hardship (including the A-levels or International Baccalaureate).

Alhamdulillah, so far we have finished half of the major subjects. Three more majors to go for the MB BCh BaO;

Family Medicine (or commonly known as General Practice or GP) – Jan 2-Jan 22.
Live GP OSCE: Jan 22, 2010

Orthopaedics (will be combined with Surgery) – Jan 25 – Feb 12.
Orthopaedic OSCE: Feb 12, 2010

Medicine (with Radiology) – Feb 22 – April 2.
Cardiology Long Case: March 5, 2010
Endocrinology Long Case: March 19, 2010
Respiratory/Haematology Long Case: April 2, 2010

and Surgery (with Anaesthesia) – April 5- May 14.
Surgery OSCE: May 14, 2010

Revision week: May 15-May 30

Final Examination MB BCh BaO: May 31-June 18, 2010

So, Good Luck to me and fellow colleagues! =)

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BismiLLah…

A comforter is a type of blanket. Comforters are intended to keep the user warm, especially during sleep, although they can also be used as mattress pads – Wikipedia

What’s about a comforter? Well, I did not mean the blanket, but the description below explains the title:

Comfort (v)

1- to soothe, console, or reassure; bring cheer to: They tried to comfort her after her loss.
2- to make physically comfortable

Get what I mean? The ‘comforter’ here refers to something that is able to soothe, console and reassure myself. Just like the function of blanket during sleep or cold.

Back to the topic. What gives you comfort when you are confused or stressed out? Some would say music, advices or a hug from loved ones, and many more… Well, back in my school days, Maths exercise would absolutely relieve me from stress! Amazing! But that was waaaay before I get into medical school. And now I’m talking about the present time. (Hoho, i’m off topic again).

Nasyeed vs. Quran

Let’s ask ourselves, which one soothe our heart more, nasyeed or Qur’anic verses? Surely by default, most of us will give the latter as an answer. But how far do we really practice our answer? How much do we listen to the music (or nasyeed, whichever you like to call) in a day, compared to the Qur’an? When we came back from school or work, feeling distressed, frustrated, and heartbroken. We switched on the computer or laptop or radio, what did we usually choose to listen to? Do not think too long, but just answer it sincerely to our heart.

I remember when I was really stressed out one day, a friend listened to my cries and said;

I don’t know which of the verses from Qur’an that would give you comfort and ease the ‘pain’ that you are having now, I’m sorry. How I wish I could.” She then shared her opinion regarding the problem I was facing. And later, I received an email from her, with a song written and dedicated to me.

I cried. I knew exactly which verse that would be a good reminder and ‘a comforter’ for me at that particular time. But somehow, I did not have it mind until what she had said to me. Yes, she had reminded me, that His Beautiful Words are the Greatest reliever of all.

I am pretty sure that most of us knows that too. We have heard and read through this word of Allah hundreds of times,

Absolutely, by remembering GOD, the hearts rejoice.” [Qur’an 13: 28]

Yet, why do we seek relieve of our emotional disturbance or breakdown from other than Qur’an?

Oh, I would like to clarify that I am not talking about musics that are clearly forbidden in our religion, but I am writing in response to the evolution of the so-called contemporary islamic music or what people call nasyeed. And more importantly, I am not against any type of music as along as it follows the rules of islamic law.

People might say that we should be glad that there are loads of islamic songs (excluding the stupid love nasyeeds songs) we can choose nowadays as alternatives to the pop/rock/whatsoever songs. Yes, I agree. Many claims that these type of songs/musics make us closer to God, and give comfort to our disturbed heart. So, I am pretty sure, some of us might even feel that, the nasyeeds give us more comfort than the Quranic verses itself. (Why? because we fail to understand the Quranic verses, and it is easier to understand the message from the nasyeeds) We may deny it, but just try to look back and ask ourselves, how long do we actually spend our day listening to the music compared to Qur’an?

Well, some people may argue, the wording of the decent nasyeeds itself were taken from the translation of words of Allah and His Messenger. Hence, listening to nasyeed is an action to remember Allah and His messenger. So why am I making a big fuss here?

Because I am afraid that as time goes, people might forget the Qur’an and the purpose of revelation of Qur’an to the whole mankind; to offer Words of comfort, and to guide our paths in the worldly life. Because we already have the replacement: Nasyeeds.

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“Use the provisions bestowed upon you by GOD to seek the abode of the Hereafter, without neglecting your share in this world. Be charitable, as GOD has been charitable towards you. Do not keep on corrupting the earth. GOD does not love the corruptors.”
[Qur’an, 28:77]

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BismiLLah…

I don’t usually share this to public. But I think I really need a lot of du’a from all, because life is never getting easier and new challenges are yet to come.

Oh, the last day of final examination will be on my 25th birthday. Thereafter, I should work on the project that I have promised the twinkling little star. It would be my target number 1.5 then. =)

Allah Yusahhil.

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Stressed and confused

BismiLLah…

Had so many things in mind that I couldn’t even speak or write anything out of them. I’m just at the beginning of my final year, but why am I so stressed out and confused?

(Huh, i haven’t written anything for so long, and for today, i put up some rubbish on my blog. Dear me, what’s up with you? Oh Allah, comfort my heart with your Love and Blessings.)

Oh Allah, I’m your slave and the son (daughter) of your male slave (my father) and your female slave (my mother) of which my forehead is in Your Hand. Your judgement upon me is assured, and your decree concerning me is just. I ask You by every name that You have named Yourself with, revealed in Your Book (Al-Qur’an), taught each and everyone of Your creation or kept unto Yourself in the knowledge of unseen that is with You; to make the Qur’an the spring of my heart, and the light of my chest, the dispeller of my sorrows and the dissipater of my anxiety and worry.

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