bring me to LIFE

I was randomly selected to be a subject in my seniors' Special Study Module (SSM) code FF-354-2009 in PPUKM. It's sort of an obligatory research conducted by students themselves, particularly the 4th year medical students facilitated by a supervisor. Since I'll be doing the same thing this year, I figured to give it a shot just to know the essentials for SSM and to be nice to my seniors. After all, I'm gonna need respondents too :D May Allah grant me with beautifully cooperative respondents afterwards :p

So the title was: The Importance of Self Awareness in Developing Reflective Skills Among Third Year UKM Medical Students. People often conduct research revolving scientific or medical studies like asthmatic patients and their quality of lives, the effect of medications and etc I bet you get the picture here. But this piece is unique to me. It is a mirror to picture myself to be better. Moreover, Prof. Har is the supervisor, more like a mother to us all. I get to join her small group discussion (SGD). She taught us how to come up with the 'correct' reflective writing, how to achieve deep reflection, how to look at the people without being biased - although you like this one person so much, you should see his/her weakness, no one is an angel nowadays so yeah, try to find Mr. Hyde in them. By knowing the weakness we could help the one we like to be better, right? If however you hate this girl/guy so much you can't even hear the name, you should not miss out their good sides.

"..It is quite possible that something you dislike is good for you and that something you love is bad for you. Allah knows, and you do not" [Al-Baqarah: 216]

We learned from the movie 'Wit' starring Emma Thompson (does Nanny McPhee ring a bell?). We listed out strength and weaknesses of 4 main characters in this story - Prof. Dr. Kelekian the senior researcher in Oncolgy, Prof. Dr Vivian Bearing the patient and a scholar in 17th century English literature, Dr Jason the registrar and Susie the sensible nurse. Beneficial. It's a good movie, go watch okay please~ :)

SGD here is the intervention for this study. A good intervention indeed. Alhamdulillah. I wanna share some tips on how to reflect based on one's reflective writing that I got from the SGD:

1. Did the writer address his/her emotions in the writing?
eg: "I feel sad because I forgot the investigations of Infective Endocarditis"

2. Did the writer challenge his/her assumptions and perspectives?
eg: "I flipped through my notes and managed to come up with a diagnosis, I dare myself to present the case to the specialist and I did!"

3. Did the writer propose strategies to improve his/her critical thinking skills?

4. Is the writer a deep reflector?
- deep means he/she fulfilled the above details.

That's about it. Simple isn't it?

I think these tips work best for my case write up - at the very end of it which is the reflective part. The one where students usually copy and paste (pragmatist spotted!!) from some clinical skills or ethics articles. Now I have a totally different view of reflective writing. It's a matter of knowing yourself in and out, your fear, and how to jump into another zone that seems dangerous to you. Of course fully equipped la, if you jump right away with nothing then bear in mind that you've been told what to do but you didn't do it and now you're doomed and you're on your own. Hehe. No lah, what friends are for right? I'm pretty sure they'll help you.

It is definitely a rebirth. I'm looking forward to write a reflection that truly represent my whole involvement in my future cases. Thank you dear seniors for the kind invitation, and of course thank you Prof Har for all the enlightenment. My reflective writing won't be a dry and dead piece anymore.

no. of patients: not there yet.. 2 more days and counting..
book of the moment: cuti buku sementara :D

Izzati turns Twenty-Threeeee!

26th April 1987

Dedaun Berguguran
Membuktikan Kedewasaan
Walau Tanpa Madah Dan Hadiah
Namun Cukup Bagiku
Sekadar Ucapan

Selamat Hari Lahir
Iringi Doa Kuhulur
Bersyukur KepadaNya
Atas Nikmat Usia

Sahabatku
Usia Yang Tuhan Kurniakan Ini
Hiasilah Ia Dengan Amalan Yang Murni
Semoga Ia Menjadi Temanmu Di Akhirat Nanti
Selamat Hari Lahir

Usiamu Ibarat Mutiara
Tiada Berganti Lagi
Hiaskan Iman Bersulam Taqwa
Agar Sempat Mengucup
Haruman Syurgawi

Love Love Love,
BFF~

Of Heart and Its Resemblance

I am loved. See those beautiful vessels in red and blue passing through all sorts of different free-of-charge-tolls originated mainly from the most exquisite one stop center - The Heart? With the size of a clenched fist, the heart controls the pumping of blood to various parts of the body throughout my lifetime, preventing me from, well, being dead. It keeps on accomplishing homeostasis regulated by The Perfect Lover, Allah The Almighty. I am so loved by The Most Deserving Lover!

Now excuse me for the excitement. Unearthing the fact that I am loved is just so wonderful I cant put it into words. So what I usually do to repay those endless love is to gratify Him and to reflect things that He granted. In this case, the heart :)

My ubersweet senior once told me that the heart - anatomically and physiologically resembles some features of my religion, Islam and it goes both ways. Allow me to show you how :)

You see, the heart doesn't just emerge or come into sight, and blend with the body in a place that it thinks right. It is owned and created by Allah Subhanahu Wata'ala, just like He created the world, the people, the trees, the singing birds and buzzing bugs as well as littlest things that ever exist. Owing to this fact, Islam too, is His inside out. Verily, Islam, like heart, is featured as Rabbaniyah.

The next resemblance will be Syumuliyah which means complete. As you can see, the picture shows that a single heart is an all-embracing organ with complete receiving and ejecting chambers, the vessels that allow blood flow in and out from it, all set in a perfect shape with a perfect function. Needless to say, Islam is a complete religion. Islam embrace all, you name it. From a prayer as you wake up in the morning, next up you work hard like Allah told you so, you buy and sell things while obeying Islamic guidance on economy, you saw hundreds of so called worldly justice with tremendous flaws that fails innocent people (whilst the 'abandoned' Islamic law never fail us), you learn how important marriage constitutes a better community and ummah, you follow Rasulullah (peace be upon him) on how he interacts with people be it family friends frenemies enemies strangers or nature that surrounds you, the list goes on that it saddened me knowing that my knowledge about Islam is very scanty, and lastly, most importantly, Islam gives you the purpose of life, the reason to live by. Gasp. (cakap byk sgt x cukup nafas) Thus I know I should continue digging. I know WHY I must continue to dig. Because Islam has it all. All I have to do is to open a book, refer to the most trusted person about Islam when I encounter any problems regarding 'hukum hakam' and things like that. Gosh I really need a degree on this.

Islam, being universal or 'Alamiyah also fills me with amazement. Look at those 'pipes' (some say it's unethical to use this term). See how it goes from a giant vessel to smaller ones until it divides itself into minute capillaries, reaching all the tissues and spaces. The heart pumps so that each part of the body receive the nutrients and oxygen from the blood thus making them fresh, physically able and sustainable. The same goes with Islam. Islam never fails anyone on earth or the entire universe. Islam is for ALL. If Spock and the Vulcan planet (of course I've watched Star Trek) truly exist, then Islam never neglect them too. All we need is a messenger. We had him once. We have him now, in our hearts. The prophet Muhammad Rasulullah SAW taught us to learn and to teach, and that is how Islam can benefit Spock and his destroyed planet (?? ok rambles alert!).

Feature number 4: Waqi'iyah. The heart pumps faster when you jog, right? Or when you're scared to death, probably due to the 'exam syndrome', or there's a ghost anywhere near you (???). The heart works 24/7 to meet these needs you know. It beats differently when one is sleeping, walking, running, writing or whatsoever according to the condition of the body. A genius that has incredible adaptability. As genius as how Islam allows the application of the Islamic teachings in many different ways, ACCORDING to the person place and time. For instance, the 'rukhshah'. Jama' and Qasr prayers are the famous examples. When you're travelling, you can perform prayer collectively (Jamak, betul ke gune ayat ni?), or you can shorten the prayer (Qasr) and continue travelling, carefree and at the same time, fulfilling your obligation to Allah.

Next up, Inqilabiyah: Islam stands tall when Jahiliyah is being burned down. Try eating a plate of rice mixed with some feces, or blend them together making a soup or porridge. Yummy? No? hehe. Try mixing the oxygenated blood in the left chambers of the heart with deoxygenated blood flowing in and out from the right chambers. This leads to cyanosis. A condition where you could die due to the lack of oxygen, where the hemoglobin, the one that carries the oxygen is severely decreased. People who are cyanotic becomes BLUE in colour. Hence the name. What I'm trying to say here is that Islam, the good, cannot be followed or preceded by bad things. You pray but at the same time you steal. You read quran while you ignore your parents. You don't do drugs but you don't cover or take good care of your 'aurat. But there is still hope. Like the nasheed, the Last Breath, decide which now and do not delay. IMAN has a bestfriend called TAQWA. The faith and believing - befriend with fear. Azam saya~ The do and the don't = I do pray and I try not to talk bad about people. I remember Allah and I don't forget Him. I try to do good things and I hope I could leave the bad ones. It's my bread and butter.

Let's repay His love, shall we? ^_^

"Indeed, the religion in the sight of Allah is ISLAM..." (Ali 'Imran, 3: 19)

*This is just an analogy, not a scripture. Please correct me if I'm wrong, thanks! And there are a lot more features than these. My knowledge is very limited, this is the best I can do so far, sorry :( hehe.

Patients seen: None seen. Next 2 weeks!!
Book of the moment: errrrr..........

healthy fear *_*

SO.
4th year doesn't start until next week. But why do I feel like I need to hand in some assignments tomorrow?

It must be the thoughts. The dreadful thoughts that clouded my mind everytime I'm about to 'meet' a new semester - What if I can't make it through this time? I put my all in this.. for 6 years! What if I need to repeat all over again? Will I get the scrolls? Yeah, scrollSSS. Its plural. I'll be getting 2 (two) degrees, the best from both worlds - UNPAD & UKM, that's the beauty of Twinning Program. The first time I wore a robe with the square hat and actually graduated was long ago. Kindergarten! Not primary school, not secondary, matric? Never. And that was the last. So I'm really hoping that this time around.. I won't fell into any cracks. Even if I do, I hope I could reach out for some help and fight for the next.

Thoughts thoughts please go away. Allah is there to lead my way.

Insha Allah. I pray for all of us too, for you, who read this, thank you~ ^_^

I think I just created a song out of fear. A healthy fear.

A day with the phlebotomist.

Salam wbt.

Sorry girls for the late update. So much has been going on and sadly to say that updating this blog has not been kinda at the top of my to-do-list. Huuu. :P I’ll definitely try to give it the special attention it deserved in the future. ;)

I seriously have no idea what to talk about so I’m just going to share with you guys my beautiful experience with the phlebotomist (as suggested in the title) last Friday.

* Phlebotomist: qualified technician trained at drawing blood. (Wiki)- in case there are non-medic-readers. :)

Well as you girls know, I am horribly terrible at drawing blood. Heee. Hence the reason for signing up to this session. Ok, so before we started the session, I had a bit of a conversation with the phlebotomist.

P: So, how far are you in drawing blood? Have you practiced a lot?

A: Urm….yeah2. I’ve done quite plenty but have not done much for the past 6 weeks.

A: And, oh yeah, I’ve ONLY kinda managed to draw blood from VISIBLE veins. (Uhuh, I think)

P: Hmm…You’re NEVER going to get visible veins here.

ERRRR….huuuu.

Well, anyhow, the nurse started off by drawing blood from 2 patients and taught me through the hows and whys. And then it was my turn. I still needed some reassurance from her on certain things especially the part where I need to find the vein, but I’d say it was a success. I did get better as I get along and I’ve only failed on 2 patients out of 10 (can’t remember exact no., maybe more) and even the nurse said it was a difficult vein (the moving veins). She said I just need more practice to be able to tackle those kinda veins. All in all, it was a success. It is really about understanding the technique and being able to apply it in practice. So I’m just going to jot down a few tips that I got from her that I find very useful. :D

1. When searching for vein, make sure that you always have the patient make a tight fist.
2. If you’re right-handed, always feel for the bounding vein with your left forefinger and vice versa. Always use that same finger so that you will get very familiar with the sensation.
3. Never ever take your eyes off the site of the vein. If you did, track it again with your finger and only then you proceed with the needle.
4. When the needle is in, make sure you anchor the needle very firmly. If not, you may lose the vein.
5. Time to draw the blood. If there is no blood coming out, Don’t freak out! (like I always did,uhuh) just gently and slowly draw the needle back slightly, you should be able to get it. (yes, I did this a few times during the session, it really worked)
6. If however you still do not get the blood, it is time to call for some help. J
7. Lastly, always have a plaster/cotton pad ready in your left palm so that it’d be a smooth act when you want to take out the needle.

Ok, so that’s it. And oh yeah, do not forget to start of with Bismillah. :) It is Allah after all that makes the hard, easy.

Leyya and xati I’m sure you girls are already experts on this. Hehe. But I just thought I’d share cause this is the only thing that is still fresh in my mind.heehe. OK, cant wait to hear from you xati. :)

Ps: received a lovely msg from a lovely girl Nurul Izzati Izyan Hamdi. Hehe. Thanks dear. :) Just thought I’d mentioned you here.

Ad-Du'a

Assalamu'alaikum & Hello~

"Ya ALLAH ajarkanlah kami bahawa belajar ini bukan untuk sesiapa tapi hanya kerana-Mu. Belajar ini bukan untuk diri, bahkan untuk seluruh umat Rasul-Mu. Belajar ini bukan untuk saat ini bahkan untuk sepanjang zaman-Mu. Ajarkanlah kami apa-apa yang kami tidak tahu tentang ilmu-Mu. Ingatkanlah kami apa-apa yang kami lupa tentang-Mu. Redhailah setiap langkah kami kerana kepada-Mu kami akan kembali"

Attention to Izzati n Asma' n fellow readers.. anda ditugaskan untuk mendoakan saya dan rakan2 dapat jawab exam dengan tenang.. dan LULUS dengan warna terbang2~! Exam ni wajib lulus, kalau tak, tak dapat ijazah yang diidam-idamkan. hehe.. jazakumullahu khairal jaza'~ ^_^

Khidmat Masyarakat (HM): 17 April

Kajian Hubungan Etnik (ZT): 22 April

It's a bit disturbing I know.. struggling with medicine and suddenly this. Sepatutnya subjek ni student UKM ambil masa 1st and 2nd year.. tapi sebab kitorang kat Bandung, so kitorang di-busy-kan dengan benda lain pulak kat sane (read:shopping). Bad bad me. hehe. Anyhow, ILMU walau dari sudut mana sekalipun tetap ilmu.. cahaya yang bisa menerangi. Jadi saya tak nak perlekehkan lagi ilmu2 ni. Allah put me through this, so Insha Allah He'll guide me throughout the way. So please2 doakan okay!

Much Love,
Leya

no. of patients seen: nada.. niente! (sabaq na.. 2 minggu lagi baru habis cuti hihi)

book of the moment: Qur'an Saintifik by Dr. Danial Zainal Abidin

Here's a beautiful video, a du'a recitation by Syeikh Mishaari (my favourite!)

reaching out, connecting hearts.

Bismillahirrahmanirrahim.
Assalamualaikum wbt.

Dearest besties asma' and leya, (I can't believe how much one can write such lovely stuffs that quick! Kudos to you guys! Don't leave me lagging behind guys!)

I guess it's my turn now! Looking back, it's amazing that to see this blog finally materializes on my screen.
True, this blog represents thoughts needed to be shared, words needed to be spread, sorrows needed to be addressed.
What most, this blog is our way of supporting each other. Making most of what we have to complete one another. Praying that together we can mend our hearts and rejuvenate our spirits.

"O my Lord! Forgive me and my brother, and make us enter into Your Mercy, for you are the Most Merciful of those who show mercy."
(Al-Araaf: 151)

The original idea was to keep this blog updated so we can figure out what's going on with one another, however we decided to share this with others, fellow readers so that anyone might benefit from every post insyaAllah. (Just the way you put it asma! Couldn't agree more!)

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

From Cheras, Malaysia(leya) ,
Flying off all the way to Manchester, UK (asma') ,
Crossing borders to it's faithful neighbour, Dublin, Ireland (xati).
Different path, but with the same goal. Different characters nevertheless sharing the same love for one another.

LEYA + ASMA' + XATI = COMPLEMENTARIES = BEST FRIENDS FOREVER LILLAHITAALA

Since our bond is too special for me,

Here's a story about friendship,
Arrabi'i Al- Aslami adalah seorang sahabat Nabi Muhammad SAW, yang merupakan sukarelawan dan melayani keperluan seharian Rasulullah SAW. Suatu hari, Nabi SAW bertanyakan Arrabi apakah permintaannya? (special request)
Apakah jawapan Ar-Rabi'i?
'Ku minta agar tetap dapat menemanimu di syurga,' sahutnya.
MasyaAllah, tinggi sekali nilai persahabatan sahabat Kekasih kita.

Friendship, according to me is..
> more than the usual formal smiles we give when we meet one another
> more than words of sympathy given when one is in distressed
> an initiave, not passively waiting to be pushed.
> about giving and not just recieving blindly.

Teringat pula kata Hasan Al-Bashri tentang ukhuwwah... :)
Tidak ada yang tersisa daripada kehidupan kecuali 3 perkara:
1. Saudaramu yang dapat kau peroleh daripadanya kebaikan daru bergaul dengannya. Bila engkau tersesat dari jalan lurus, ia segera meluruskanmu.
2. Solat dalam keterpaduan, engkau terlindung dari 'melupakannya' dan meliput ganjarannya.
3. Cukuplah kebahagiaan hidup biar engkau tak punya beban tuntutan seseorang yang harus kau tanggung di akhirat....

A note to me besties leya and asma (introducing some Irish tone here): tegurlah saya bila salah, ingatkan saya kiranya saya lupa, bantulah saya andai kata saya tidak tahu.

Some hard core puisi to ponder,

Sahabat yang tak berguna saat datangnya derita
Nyarislah seperti seteru laiknya
......
Selamat tinggal dunia
Bila tak ada lagi teman sejati
Yang jujur, tepati janji dan saling mengerti.

By: Imam As Syafii rahimahullah

Ya Allah, berkatilah usaha kami, semoga kami diteguhkan pendirian dan disatukan di syurgaMU nanti Ya Allah, Ya Rahman..'

p.s:
no of patients: zero zip zilch (will start next week)
currently reading: clinical medicine by kumar and clarke (pocket version) : starting my rotation for medicine tomorrow!

Love you both.

cute eh?

A 'pretty late' Intro

Salam wbt xati, leyya and readers out there.

Ok, so I am supposed to be writing about this weeks ago but due to my perfect time management, I have successfully delayed it till now. ;)

walaupun leyya dah post beberapa entry dlm blog nih, I still want to share to others how we came about this blog.

once upon a time, xati and me pernah la menulis blog tetapi dah lama dah berhenti, mungkin kerana isi-isi blog kitorang sangatla tidak membawa manfaat kepada diri sendiri mahupun orang lain. (agaknya la :P ) I'm not sure leyya ada blog ke tidak..hehe, tp kalau ad, rasenye x pernah di-share dgn kami. :) so I assume x adalah.hee.

Maka halnya sekarang ni, tiba-tiba ada perasaan nk menulis kembali untuk share whatever interesting things/thoughts/experience we encounter to each other as we rarely have time utk call each other and talk anymore. So we resort to writing instead- to keep the ukhuwwah alive, iA. :D

We decided to make it public so that other people can benefit from this as well, iA.

(Cuba2lah baca entry2 di bawah ini, boleh dpt sesuatu iA.)

This blog consists of three authors which are me- asma', alia suzana aka leyya, and izzati aka xati.( the 3 besties ).

Ok, that's all I can write for now.

Skarang tgh cuti so tade ape yg menarik berlaku lg on my part. lets hear from you pulak xati. :)

take care girls.~

no of pts seen: 0 (on hols rite now)

currently reading: Sang Pemimpi by Andrea Hirata.

Sugar and Spice and Everything Nice

Assalamu'alaikum and Hello World~!

Dearest Izzati and Asma', hopefully you're doing well~ ^-^

When was the last time we 'shared' stories with a name? (as in the name of a person)

Not once when I talked bad about a friend with another friend or other friendS did I not feel BAD afterwards.

It's tempting at the start and seemed to be more fun approaching the end, like eagerly eating your favourite foods and not letting others to have them more than you do. But when you're full, you feel like throwing up. And that is when you realize, like sugar and spice and everything nice, too much talking is never good for you. Especially talking nasty stuffs.

Imagine putting yourself as the subject. I'd die like being shot by tremendous amout of arrows with people cheering on. Not good at all :( And if you are the one who shoot the arrow, well lucky you, you're in this superb video! Check it out :)

"O you who believe! Avoid much suspicions, indeed some suspicions are sins. And spy not, neither backbiting one another. Would one of you like to eat the flesh of his dead brother? You would hate it. And fear Allah. Verily, Allah is the One Who accepts repentance, the Most Merciful." (al-Hujurat: 12)

Dear Believers... Faith is not just the verbal statement of believing in Allah and Rasulullah, but to obey in practical life and to exert sincere efforts in the cause of Allah. If you keep on corrupting collective life (yeah you could) and spoil mutual relationship by mocking and taunting each other, creating suspicions, spying into other people's affairs and backbiting, then you are not testifying Islam by heart and actions. You might be counted as a Muslim in this world, and may be treated like a Muslim in society, but you are not a believer in the sight of Allah.

So I find walk the talk is the best way. Or simply just walk away if suddenly gossiping says hi. I vowed to obey Allah when I speak and in my doings. May He give me strength along the way.

THEN I can proudly sing the James Brown's song~
I feel NICE, like SUGAR and SPICE,
I feeeel nice, like sugar and spice,
So nice, so nice, I got YOU!
^_~

Wonder Mother.

Assalamu’alaikum WBT & Hi semua~

My lovely BFF Asma’ n Izzati, keep on rocking ya kat sana ^-^

Today’s entry is about my experience back in Obstetrics & Gynaecology posting which happened to be my very 1st posting upon entering 3rd year! O&G babe~ RED ward lagi (tapi Green lagi mencabar). SCARIEST posting yang menghantui medical students terutamanya 3rd year UKM ni. Nonetheless, posting nilah yang paling banyak beri peluang untuk hands on, sangat best! On top of that, I felt privileged to have Prof. Emeritus Dr. Nafisah Adeeb as my supervisor ^-^ Strict I tell you, but my groupmates and I learned a lot from her. Setiap minggu, pada hari Selasa, tepat jam 11 pagi, masing-masing dah baca doa selamat supaya lebih bijak bila berhadapan dgn beliau. Tanpa persediaan yang lengkap, pertemuan dengan beliau yg dikenali sebagai Prof Adeeb boleh dianggap FATAL. “Don’t be a doctor if you are lazy!”, antara kata-kata beliau yang masih saya ingat sampai sekarang ^-^ Thanks a lot Prof!

O&G posting buat saya rasa insaf dan sangat menghargai pengorbanan para ibu, terutamanya MY MAK~ Tak lupa juga pada para bapa, MY ABAH yang banyak bermandi peluh, memerah keringat sehari-hari untuk sudi menyambut insan baru yang tak berdaya dalam hidup, dan seterusnya beri kasih sayang yang tak putus-putus hingga akhirnya anak itu tadi membesar dan melebar menjadi entiti penting pembentuk masyarakat dan ummah.

Memang padanlah Si Tanggang dan Malim Kundang dijadikan batu akibat derhaka pada ibu. “Keredhaan Allah terletak pada keredhaan ibubapa manakala kemurkaan Allah terletak pada kemurkaan ibubapa” (Hadith)

Pengalaman paling best bila di labour room/wad bersalin. Keadaan di situ kebiasaannya tegang, penuh debar dan memenatkan dengan bunyi alat yang bermacam2. Sisi positifnya pula, banyak hikmah Allah tersembunyi, banyak skills yang boleh diperbaiki, banyak ilmu boleh diperoleh hasil tunjuk ajar HO dan midwives, banyak pahala boleh diraih bila bantu ibu-ibu tersebut. Di wad bersalinlah saya dan kawan2 oncall dari 7 petang saaampai 7 pagi esoknya, dan kembali ke wad pada jam 8 pagi (yup, memang mata lebam macam panda, lagi2 kalau banyak kes) Peluang ni bukan senang nak dapat, perlu bergilir2 dengan rakan seperjuangan yang lain utk dapatkan pesakit yang nak bersalin. Ada masa, tiada langsung kes walaupun semalaman menunggu. Allah punya perancangan yang lebih hebat. Waktu lengang tersebut biasanya kami isi dengan membaca, berbincang dan berborak2, kadang2 midwife ajar cara2 menjahit episiotomy. Kalau boring sangat, kami tidur je atas sofa dan kerusi berselimutkan white coat.

Biasanya, sebelum pesakit dibawa ke wad bersalin, mereka akan ditempatkan di bilik 1st stage dahulu. 1st stage represents tahap pertama dalam proses kelahiran. Di 1st stage ni ada 2 orang ‘guru’ a.k.a nurses yang sangat sporting! – Kak Ju dan Kak Cik. Mereka ni memang tak lokek ilmu. I remember the first time meeting them, masa tu kekok sikitla, cuak kan sebab orang kata midwives garang gila, saya pun blur2 je tak reti nak buat apa2, tapi bila approach elok2, kak Ju n kak Cik terus bagi peluang uruskan patient, ajar cara pasang dan baca cardiotocograph (CTG – alat untuk assess jantung baby dan contraction rahim ibu)ajar cara buat urine catheterization, pasang branula, kira contraction manually, buat VE (vaginal exam) dan macam2 lagi. Since then, my favourite second home would be 1st stage after my bedroom! :p Cumanya, kak Ju n kak cik tak dapat ajar cara deliver baby, sebab ibu yang dah stabil akan dibawa ke wad bersalin di tingkat bawah pulak, 1st stage bukan utk bersalin. Hehe. TAPI… di 1st stage ni lah saya tolong sambut baby buat kali kedua! Betul2 di ruang pintu masuk, on the way nak tolak patient ke labour room. Bayangkan dengan katil bergerak, ibu dah tak tentu arah, bila periksa bawah tup2 dah crowning! (baby mula nampakkan kepala) Ya Rabbi~

Al kisahnya.. pesakit tu saya jaga.. awal2 lagi ibu yg sweet tu menolak untuk diberi epidural anesthesia. Katanya tak pernah rasa sakit bersalin. Jadi kitorang bagi IM pethidine je lah untuk kurangkan rasa sakit tu. Masa contraction masih mild, pesakit tu nampaknya boleh tahan lagi, masih boleh tersenyum. Saya teruskan kerja-kerja rutin periksa urin, catat vital signs, kira contraction etc pada pesakit lain. The next moment I saw her, katil dan bantal dia berlumuran darah mcm dalam cerita horror, branula yang dipasang tadi dah tercabut! Rupa-rupanya pesakit saya tu tak tahan dah dengan contraction yg semakin kuat, hinggakan dia meronta2 pegang sisi katil dan akhirnya menyebabkan branula tu tertanggal dari tangannya. Muka ibu tersebut menandakan rasa sakit yg amat sangat. Mujur 1st stage tu kecil, kak Ju pun ternampak kejadian tu jadi kami sama-sama bersihkan dan pasang semula branula. Waduh, kaget gue. Tiba-tiba ibu tu kata dengan suara yg lemah “Saya nak epidural lah..”

Waktu tu, tempoh perkhidmatan epidural pun dah habis. Jadi pesakit terpaksa juga tahan. Sepatutnya, dengan bukaan yang masih sedikit, pesakit dilarang untuk meneran bagi mengelakkan tenaga mereka habis bila dah sampai waktu yg sesuai. Tapi dek kerana kesakitan yang tak tertahan, ibu tu teran jugak. Bila periksa, dah 9 cm! Kami pun siap2 untuk hantar ibu tersebut ke wad bersalin. Set tekanan darah ditanggal, barang-barang keperluan lain dibawa sekali. Belum sempat keluar dari pintu, ibu dah mula meraung lebih kuat, kak Ju terus periksa bawah, ternyata dah crowning! Baby dah tak sabar nak keluar~ Tidak dapat tidak, bayi tersebut perlu disambut di situ juga. Bermula dengan kepala, bahu, dan akhirnya bayi ditarik keluar keseluruhannya, segala puji bagi Allah, seorang bayi perempuan yang sangat comel selamat dilahirkan. Bisikan nama Allah jadi kata2 meraikan kelahiran insan suci itu, ibu yang tadinya berkerut2 menahan sakit terus tersenyum syukur, seakan2 sakit pedih sebelumnya hilang begitu sahaja tatkala melihat anak yang baru lahir. Katil pesakit ditolak ke ruang asal. Seterusnya giliran saya mengeluarkan uri. Ibu itu terkejut kerana merasakan ada sesuatu yang ‘minta dikeluarkan’ dari rahimnya

“Doktor, ada baby lagi ke??” (Sesetengah patient masih panggil medical students Doktor walaupun telah diberitahu dan diyakinkan beberapa kali bahawa perjalanan kami masihlah jauh nak dpt title Dr)

“Eh tak Puan, jangan risau, kami nak keluarkan uri je ni..Puan tenang ya, uri ni kena betul2 dikeluarkan semua sekali, kalau ada sisa, boleh buat jangkitan kuman”

“Oh…ok.. saya ingatkan ada baby lagi” Kami tertawa kecil, si ibu kembali berbaring tenang. Setelah lower abdomen diperiksa dan saya dapati ada hardening menandakan contraction, gushing of blood, lengthening of the cord, maka saya pun tarik perlahan2 cord tersebut (controlled cord traction katanya), sedikit demi sedikit sambil berselawat. Kalau tarik kuat2, dengan rahim2 tu akan terkebawah, na’uzubillah. Kemudian saya tarik keluar uri dengan cara memusing2 atau memutar2kannya.. bes~ Alhamdulillah semuanya selamat. Setelah dikira2 dan diteliti uri tu ada 2 lapisan chorion dan amnion, cotyledon cukup, takde tisu yang tertinggal, 2 arteri dan single vein pada umbilical cord, so Dr HO bertugas pulak jahit episiotomy, sebab saya tak competent lagi nak buat waktu tu. Huhu.

meet the wondrous placenta! fresh from the womb ^_^

Begitulah rutin delivery. Kalau nak ikutkan, banyak lagi pengalaman berharga. Ada ibu yang meraung “Doktor nak bagi saya mati ke ha??”, tangan saya dicengkam hingga berdarah dan berbekas, ibu itu meronta2 mahukan caeserian section, semuanya kerana tidak tahan dengan kesakitan ketika bersalin. Kesian sangat, dalam keadaan mcm tu, tak wajar ibu itu dimarah, kalau saya di tempatnya pun, na’uzubillah, mungkin juga saya berkelakuan seperti yg tak dijangka.

Sememangnya melahirkan anak itu merupakan pertarungan antara hidup dan mati. Apabila seorang ibu mula sakit hendak bersalin, pahala yang dicatatkan seperti orang yang berjihad pada jalan Allah. Apabila dia melahirkan anak, keluarlah dosa-dosanya. Subhanallah.. Tetapi cuba bayangkan insan-insan yang turut bertarung dgn kesakitan itu tadi, setelah melalui tempoh 9 bulan mengandung, tiba-tiba membuang anak tersebut sewenang2nya di ceruk2 kotor dan berbahaya. Lebih menyedihkan lagi ada yang membunuh dengan cara yang tidak berperikemanusiaan kerana terlanjur akibat perhubungan yang haram. Astaghfirullah.. Hal ini tiada lain perlu dibanteras dengan mengakar ke punca utama – pergaulan bebas dan penzinaan yang berleluasa. Realiti yang menyakitkan. Semoga kita tidak tergolong dalam kalangan hambaNya yang menempah murka dan neraka, tetapi bijak menjaga iman dan keluarga menuju jannah yang didamba dengan izin-Nya. Selamat menempuh hari-hari seterusnya dengan semangat IMAN dan TAQWA!

“Hai orang-orang yang beriman, peliharalah dirimu dan keluargamu dari api neraka yang bahan bakarnya adalah manusia dan batu; penjaganya malaikat-malaikat yang kasar, keras, dan tidak mendurhakai Allah terhadap apa yang diperintahkan-Nya kepada mereka dan selalu mengerjakan apa yang diperintahkan” (at-Tahrim, 66 : 6)

The Wonder Mother taught me to PUUSSSHH it to the LIMIT! And never ever give up.

.: Denyut Kasih Medik :.

Assalamu'alaikum and Hi to all Book Lovers~! ^_^

This is a major call to all of you out there who wants to deepen your knowledge regarding health and medicine in Islam in a most practical way..

It combines real life stories based on a doctor's experience (because the author is a doctor, it rhymes. hehe), temporary medical issues involving usage of clexane (nak tahu kena baca), solat time sakit, family planning, perihal wanita like haid and istihadah, facing patients/people with various problems and losing faith, basically a complete package just nice to fill our knowledge reservoir as we enter the medical field. I find it fun to read because the author gives the ideas on how to deal with issues being mentioned and how to voice out those ideas clearly. As we all know, communication plays a vital role in a doctor-patient relationship kan. Sometimes our thoughts run free tak berhenti2 tapi tak reti nak deliver the message :( So yeah, memang best, terbakar semangat, tak sabar2 nak habis cuti and apply input dari novel ni (betul ni, tak tipu~ :p). And not just plain words, but with facts for every issues! Concise pulak tu. How cool is that? No need to wandering around looking for answers (malas a bit di situ).

Also, ada part2 'dalam hati ada taman'. The author kata fiqh cinta, a good guide though ^_^

WAJIB BACA bagi medical students and nursing students k, you're going to need it in your practice to instill on going motivation and to have funtastic drive to study! Trust me you won't regret it inshaAllah ^-^ Cuma RM23.00, 390 pages, and muat masuk poket white coat :p I am so looking forward to reading materials yang macam ni.. nak karang sendiri pengalaman pun takde, nak menulis pun tak reti :(

Have fun reading and discovering!! And don't forget to share it with your family and friends and siapa2 jela ye~

” Sebaik-baik manusia diantaramu adalah yang paling banyak manfaatnya bagi orang lain ” (HR. Bukhari).

Crossing Borders...

The photo reflects US now; 3 different persons living in 3 different places but share the same dream I suppose :) Hopefully this blog connects our hearts EFFICIENTLY (haha) no matter how far we are...
Thanks to Skype, crossing borders from Malaysia > Manchester > Dublin is much easier.
It's about time we share our written thoughts and feelings, right GURLS~? ^_^
May Allah bless us all. Love always.