I am so sorry

i am so sorry by Irfan Makki

a rushing doctor

A doctor entered the hospital in a hurry after being called in for an urgent surgery. He answered the call as soon as he could, changed his clothes & went directly to the surgery block.

He found the boy’s father pacing in the hall waiting for the doctor. On seeing him, the dad yelled, “Why did you take all this time to come? Don’t you know that my son’s life is in danger? Don’t you have any sense of responsibility?”

The doctor smiled & said, “I am sorry, I wasn’t in the hospital & I came as fast as I could after receiving the call. And now, I wish you’d calm down so that I can do my job.” The father replied, “Calm down?! What if your son was in this room right now; would you calm down? If your own son dies now what would you do?” said the father angrily.

The doctor smiled again & replied:

الَّذِينَ إِذَا أَصَابَتْهُم مُّصِيبَةٌ قَالُوا إِنَّا لِلَّهِ وَإِنَّا إِلَيْهِ رَاجِعُونَ

“Who, when disaster strikes them, say, “Indeed we belong to Allah , and indeed to Him we will return.” (Quran 2:156)

Doctors cannot prolong lives. Go and do dua for your son, we will do our best by Allah’s Grace.” “Giving advices when you’re not concerned is always easy.” murmured the father.

The surgery took some hours after which the doctor went out happy. “Thank Allah your son is saved” Without waiting for the father’s reply the doctor rushed off down the corridor. As he hurried away he called back, “If you have any questions, please ask the nurse.”

“Why is he so arrogant? He couldn’t wait for a few minutes so that I ask about my son’s state” replied the father.

The nurse answered, tears coming down her face, “His son died yesterday in a road accident, he was at the burial ceremony when we called him for your son’s surgery. Please forgive him, he rushed off to finish burying his son.”

Moral: Never judge anyone’s state, because you never know how their life is & what they’re going through. Always believe in the best in people.

2:152

Bismillah

"Remember Me and I will remember you.." [Al-Baqarah:152]

HOUSE OFFICER GUIDE

HOUSE OFFICER GUIDE
by Dr Goon

1.be up early,dress neat,shave.
2.finish your rounds before your consultant.(and arrive before your MO/Reg/Consultant)
practice correct examination technique and REALLY examine the patient not just copy the previous BHT update.
(always practice examinining in a systematic manner and in your spare time-watch how the MRCPians do it with style and clarity)
3.if the nurses chart monitor seems suspicious/made up-check the vitals yourself.
(carry a handbook-e.g Oxford handbook of clinical medicine to check dosages/terms/clinical conditions etc you are unsure).Trace all the results and more importantly INTERPRATE them and act on them accordingly.
4.If dressings are not done by the nurses- check it and do it yourself.Do it for your patient.You will learn how to do dressings effectively and watch wounds heal before your eyes.
5.Do not dissapear from wards and go for long lunches.This isn’t an office job.A patient may collapse or may need medical attention right away.Take turns with fellow HOs to take short breaks(obviuosly only with ones you can trust).
6.If you have referred a case,ordered blood products,arranged for scans/X-rays but it is still not done-please follow up and do not wait to be asked to do that.
A HO is the ” ward producer” and this is an important responsibility.
7.Do not argue over whose patient is this or that- if the work isn’t complete-the patient suffers.Whilst some HOs couldn’t care less-you should be different and care.After all that’s why you chose MEDICINE in the first place.Help your colleagues with their work.
8.If some nurses do not do their jobs,there is no need to argue with them-just a gentle reminder-better yet, do it yourself.Nurses are not trained to understand the urgency of certain medical conditions and the complex pathophysiology and pharmacological interactions.You chose MEDICINE-so be a doctor.If the patient needs to be wheeled down for an investigation and the MAs or nurses are delaying time-offer to wheel the patient down with them.Remember-its not beneath you to do that.Lead by example.
9.When you are on call-know the problematic patients or critically ill patients.Keep a tight watch and review the patient yourself periodically.DO NOT RELY on nurses’ reports which may be inconsistent and inaccurate.(One patient i treated was recorded as BP 120/80 by a certain nurse-he was having hematemesis-when i checked myself -BP was 85/40)
10.Don’t be a hero-inform your MO/Reg/Consultant when a patient deteriorates or when you get referrals that need urgent attention.But obviously-you will need a strong background of medical knowledge to convey information in a legible/intelligent manner.Institute emergent attention yourself whilst waiting for MO/Reg/Consultant.
11.STUDY STUDY STUDY- If you get depressed thinking all you do is scut duties-you should be even more depressed knowing that you do not know enough.Study
-get good materials for the MRCP/MRCOG/MRCPaed/FRCS-. learn how to read CTs/MRIs/X-rays- you can use the chance when you request for investigations from the Radiologists to teach you a thing or two.Study,memorize and examine patients.Think of differentials and don;t just accept what the casualty officer’s diagnosis is.If your MO/Reg is not knowledgable-use that to funnel your own efforts to be a better clinician so as to guide your future HOs.
12.Come on the weekends and do your rounds-know your patients inside out.
Remember,one day you may be a Specialist and if your HO does all these like you do-you can rest well at home.

refresh

Bismillah...

Dengarkan semula. Refreshing

Adakah kau lupa
Kita pernah berjaya
Adakah kau lupa
Kita pernah berkuasa

Memayungi dua pertiga dunia
Menrentas benua melayar samudera
Keimanan juga ketaqwaan
Rahsia mereka capai kejayaan

Bangunlah wahai anak bangsa
Kita bina kekuatan jiwa
Tempuh rintangan perjuangan

Gemilang generasi yang silam
Membawa arus perubahan
Keikhlasan hati dan nurani
Ketulusan jiwa mereka berjuang

Sejarah telah mengajar kita
Budaya Islam di serata dunia
Membina tamadun berjaya
Merubah mengangkat maruah

OFF. To Segamat.

nothing last forever

Nothing last forever...

..

Bismillah..

"Sungguh, setan itu tidak akan berpengaruh terhadap orang yang beriman dan bertawakkal kepada Tuhan." [16:99]

kuat2!

..

Aku semakin takut ke sana

beban dosa2ku semakin berat

apakah aku diterima nanti

ya Allah...

didik hati ini

jinakkan nafsuku

ampunkan segala khilafku

:(

..

mereka sungguh baik.

huff..

aku?

Ya Allah...bimbinglah aku..

Er..

Bismillah...

Alhamdulillah. Masih diberi peluang bernafas di muka bumi Tuhan ini. Terasa lama tak menulis. Sebenarnya banyak yang ingin diceritakan, tapi ruang waktu itu tiada. Sudah dua minggu bertapa di rumah yang terletak di Kampung Ulu Pulai, Johor. Kesempatan untuk melapangkan fikiran, membina motivasi untuk melangkah ke alam pekerjaan yang dengarnya begitu mencabar di hadapan sana. Oh, Tuhan, selagi aku masih hambaMu, Engkau sajalah tempat aku berharap..mudahkan segala urusan dan tetapkan hatiku di atas jalanMu ini, walau sesibuk manapun aku nanti, aku harap Engkau masih tetap di hati ini. Amin.

Baru dua hari lepas aku ke Putrajaya. Menguruskan hal registrasi dengan MMC, then ke KKM, SPA dan Pejabat Mara di Jalan Raja Laut. Senangnya urusan kat sini, kalau di negara seberang sana belum tentu selesai dalam waktu satu hari. Jadual temuduga ditetapkan pada 31hb nanti. Turun Putrajaya lagi untuk sesi temuduga dengan SPA. Semoga dipermudahkan.

Bertahun menadah hujan emas di negeri orang, sampai masa untuk kembali ke tempat sendiri biar hujannya adalah batu yang menimpa. Er.. Alhamdulillah, 5 tahun tu cepat saja berlalu. "Apa yang baik dibawalah ke Malaysia, yang buruk jangan.." kata seorang kenalan sebelum kami berpisah. "Nanti mampirlah ke rumah kalau ke Malaysia.." sambutku. Semoga tali silaturrahim itu berkekalan.

Rindu pada tanah bekas jajahan Belanda itu pasti ada, tapi untuk kembali ke sana lagi mungkin tidak rasanya. Cukup lah...sekali saja. Tanah itu dan seisinya telah menambah warna dalam kehidupanku. Untuk palitan warna yang berseri dan indah aku ucapkan terima kasih, pada palitan yang pudar dan gelap, tak apa, ia membuat aku sedar hidup tak selalu cantik dan molek...

Ijazah Profesi Dokter...aku hadiahkan pada mak dan abah yang tak pernah henti doanya siang dan malam, beserta sokongan mereka untuk melihat aku berjaya. Tak terbalas pengorbanan mereka untuk kami adik beradik. Mak, abah, hanya Allah sajalah yang membalas kebaikan kalian berdua. Aku hanya mampu doakan mereka tetap diberikan kesihatan dan dan kekuatan untuk menjalankan tugas sebagai hambaNya, diampunkan segala dosa yang pernah dilakukan...amin.

Gelaran ini bukan untuk dibangga-banggakan, bahkan ia merupkan suatu tanggungjawab yang harus dipikul dan ia akan dipertanyakan di akhirat nanti. Ya Allah, tunjukkan aku jalan yang benar...amin..

Hati itu bukan hatiku

Bismillah

A bundle of work has to be done by this midnight. Masyaallah...give me strength ya Rabbi.

Muhasabah diri siket, di tengah2 kesibukan yang melanda. Aku tersentuh dengan sebuah puisi ni..

Bila jiwa kacau risau tentang masa depan,
Bila hati sesak dengan karenah manusia yang tidak memahami,
Bila jiwa sukar berlapang dada,
Bila hati disempitkan dengan sangkaan buruk terhadap saudara lain,
Bila hati sentiasa ingin marah,
Bila hati mula berjinak dengan nafsu yang Allah tidak redha.

Bila akal lupa tujuan asal hidup,
Bila diri terasa enak berlingkar dengan maksiat,
Bila hati puas melakukan perkara yang tidak berbuah amal,
Bila jasad duduk enak tanpa berbuat ma'aruf.

Bila air mata terlalu sukar untuk dititiskan untuk-Nya,
Bila hati mula mengeras,
Bila fikiran melayang untuk perkara sia-sia,
Bila hati mula berputus asa terhadap rahmat dan nikmat-Nya.

Bila diri mula meminta yang berlebihan,
Bila hati mula meminta untuk yang bukan haq,
Bila diri rasa sudah cukup,
Bila lidah terlalu keras untuk mengalunkan zikir.

Bila cemburu terhadap nikmat dan rezeki insan lain,
Bila diri berpura baik di hadapan manusia,
Bila hati merasa perbuatan dosa sebagai tidak apa,
Bila diri sentiasa mahu dipuji.

Bila hati tidak yakin dengan janji-Nya,
Bila diri menyesal dengan setiap taqdir-Nya,
Bila hati sentiasa mencari aib dan salah orang lain,
Bila diri sentiasa ingin memuaskan selain dari Allah.

Bila hati merasa bebas dari jagaan Allah,
Bila merasa diri milik mutlaq diri sendiri,
Bila hati merasa aman melanggar amanah,
Bila merasakan tiada yang lebih penting melainkan diri sendiri.

Bila diri terlalu banyak beralasan,
Bila setiap perbuatan tidak terniat untuk Allah,
Bila diri mula berasa berat untuk sembah dan sujud kepada-Nya,
Bila telinga lebih enak dilagukan dengan selain ayat-ayat suci-Nya.

Bila mulut lebih senang berbicara tentang dunia dari manisnya syurga,
Bila redha manusia lebih dicari daripada redha Allah,
Bila merasa cinta manusia lebih asyik daripada cinta Allah,
Bila hati tidak rindu untuk bertemu-Nya,
Bila hati mula disempitkan dengan dunia,
Bila diri sombong tidak mahu meminta kepada-Nya,
Bila setiap akal, jiwa dan jasad terikat dengan dunia.

Hati itu bukan hati aku lagi..

Heal my heart ya Allah..

Bless me with a new heart..

copy from here

If you lose your way

Believe in a better day

Trials will come

But surely they will fade away

If you just believe

What is plain to see

Just open your heart

And let His love flow through

I believe I believe, I believe I believe

And now I feel my heart is at peace

-Irfan Makki & Maher Zain-

Elephantiasis

Bismillah

We went to Puskesmas Pedes today. It took about 30 minutes journey from Rengasdengklok by Angkot. We were pleasantly greeted by the staffs there to see the mass treatment of filariasis/ elephantiasis/"Untut" overall the Pedes Sub-district in order to cover the entire at-risk population. It was indeed a valueble experience to join this programme.

The Banner

The pills-Combination of Diethylcarbamazine and Albendazole.

Educate the villager on how to consume those pills. Bapak tu=Pak RT/ Ketua Kampung Desa ?? (^^

The Village...lupe nama kampung ni apa..

Filariasis/ elephantiasis/ Untut Disease

Sedikit info mengenai elephantiasis

It is caused by parasite named Wuchereria bancrofti, Brugia malayi, or B. timori and transmitted by mosquitoes. The infective form of these parasite called microfilaria (larvae) enter the bloodstream, reproduce and spread.

Elephantiasis is characterized by the gross enlargement of a limb or areas of the trunk or head. There is an abnormal accumulation of watery fluid in the tissues (edema) causing severe swelling. The skin usually develops a thickened, pebbly appearance and may become ulcerated and darkened. Fever, chills and a general feeling of ill health (malaise) may be present.

Elephantiasis may also affect the male and female genital organs. In a male, there may be enlargement of the scrotum, and the penis may be retracted under skin which has become thickened, nonelastic, hot and painful. The spermatic cords may become thickened.

The external parts of the female genital organs (vulva) may also be affected by elephantiasis. A long, tumorous mass covered by thickened and ulcerated skin may develop between the thighs. There may also be an enlargement of the lymph nodes of the legs.

The recommended regimen for treatment through mass drug administration (MDA) is a single dose of two medicines given together - albendazole (400 mg) plus either ivermectin (150-200 mcg/kg) in areas where onchocerciasis (river blindness) is also endemic or diethylcarbamazine citrate (DEC) (6 mg/kg) in areas where onchocerciasis is not endemic. These medicines clear microfilariae from the bloodstream and kill most of the adult worms.

OFF

Rengasdengklok, Karawang.

1624 WIB.

When you get hurt and don't know how to heal it, just see the best doctor:

ALLAH.

He can heal everything, and it's free..

Be thankful for all problems you have to face.

They exist to accompany you to learn to be stronger.

Mak

Bismillah

An hour talking on the phone with my beloved mom was not enough. I want to see her, hug her and spent all my day with her. Abah is not at home. "He is in Kluang with En. Yusop, settling about our home there...." mom said.

Puan Rahmah @ my Mom...

Miss you. Tunggu Ain balik...

Hari ini di Kutawaluya

Bismillah

Di sini letaknya Puskesmas Kutawaluya, Karawang, Jawa Barat, Indonesia

Rasa banyak cakap pula hari.

Total patients hari ni 170 orang. Hari ni cases pelik-pelik, yang tak pernah muncul, muncul pula hari ni. Tadi anak sekolah datang pengsan, dipapah kawan- kawannya. Dx: Hypoglycemia + dysmenorrhea. Case yang kedua ditangani Elisya yang tangani. Dx: Gangrene Diabetes Mellitus. Dianjurkan refer pergi G.H dia taknak. Sudahnya Elisya bengang sendiri. Then ada seorang patient ni katanya pengsan. Dx: Dia-histeria-anak- dia-kejang

Depan Puskesmas Kutawaluya- Comot~~

kata-kata Sayyid Qutb

Bismillah

Orang yang hidup untuk dirinya sendiri akan hidup seperti orang yang kerdil dan mati sebagai seorang yang kerdil. Tetapi orang yang hidup bagi orang lain akan hidup sebagi orang yang 'besar' dan mati sebagai orang yang besar juga- Sayyid Qutb

Hari Lahir ke-24

Bismillah

"Salam.Selamat hari jadi Ain. Moga Allah berkatkan usia, ilmu dan penuh bijaksana. Salam sayang dari mak dan abah"

"Selamat hari lahir.

Semoga Allah permudahkan urusannya,

Mengangkat semua masalahnya,

Memperluaskan pintu rezekiNya,

dan menggolongkan kamu dalam kalangan yang memasuki syurgaNya

Amiin."

^^

"My dearie rumet~epi bday..mg pjg umo mrh rzki..cpt2 jdk dote n istri solehah gtu>__<"

"Alamak tidakkkKkkkkkk, maafkan kakanda adik, too busy in Bogor jaga malam, lupa ucap happy birthday, tapi ini masih sempat kot :) miss u sis, have a great one!"

Hari berganti hari

bunga mekar kembang cantik

menghiasi alam menambah ceria

menjentik mesra hati si kumbang

Hari silih berganti

dan kau makin dewasa

hidup tak mudah

itu kau tahu

maka teguhlah

badai di depan besarnya siapa tahu

maka bertahanlah

ujian yang mendatang bakal mengusir semangat

maka bersiap sedialah

Biar semakin bertambah umurmu

maka iman juga biar semakin tebal

Biar masa laju meninggalkan hari semalam

maka ketaqwaan juga biar semakin hebat

Jalani usiamu dengan penuh rasa syukur

Biar ia diberkati

Bukan mengeluh di setiap dugaan

Kerana itu bukan sifat insan yang beriman..

Selamat hari lahir yang ke-24..:))

OFF-

sahabat, kenapa berubah

sahabat,

kenapa berubah

kalau kau sudah benar dengan caramu sebelumnya

kalau kau sudah lurus ke jalanNya sebelumnya

sahabat

kenapa berubah

kalau kau sudah merasa kasih sayang Allah padaMu

kalau kau sudah merasa lembutnya Allah padaMu

yang mengajarkan kau erti takdir

yang mengajarkan kau makna redha

sahabat

kenapa berubah

kalau kau sudah mendengar betapa indahnya syurga

kalau kau sudah mendengar betapa sengsaranya neraka

sahabat

kenapa berubah

ke mana pergi sifat malumu

bosankah engkau dengan caramu

letihkah engkau menunggu

apa yang kau cari sebenarnya

sahabat

kenapa berubah

pastikah engkau

dia akan menyuntingmu

menjadikan kau suri hidupnya

bisakah dia membimbingmu

menuju ke Jannah Ilahi

dengan caranya sekarang?

sahabat

aku masih tertanya

kenapa berubah

bertahun kau teguh dengan pendirianmu

kenapa sekarang harus kau runtuhkan benteng itu

sahabat

mungkin ini waktu Tuhan mengujimu

benar- benar menguji

ujian terberat yang pernah kau terima

kuatlah sahabat

Allah Maha Penyayang

Allah Maha Pengampun

Pusling

Bismillah..

I joined PUSLING (PUSKESMAS KELILING) today.

Puskesmas Keliling

History taking, diagnose and treatment

The team of Puskesmas Keliling. Only 4 of us

There is "jamban" and where they get bath and washing clothes

The road