Perak, Malaysia | Hradec Kralove, Czech

        life lessons

        Karma by Muharikah | Book Review

        June 11, 2020


        Karma is the sequel of Stigma, written by the same author. This book was bought during previous BBW, and I somehow know that there will be another sequel (the last one) for this series, I decided to postpone reading it till Dilema comes out :) 

        I can't imagine of waiting for Dilema after dealing with Karma. 

        Karma by Muharikah | Book Review

        Title: Stigma
        Author: Muharikah
        Pages: 419
        Publisher: Iman Publication
        Publication Date: March 2019


        While Stigma introduced the main characters, Karma is more focus on the relationships between Dr Iman & Dr Faris who got married together and how they managed their relationship with their hidden history. Dr Iman as we all know, is the boss in the ward that Dr Faris works in so it is undeniable that Dr Iman has the dominant side of her as a leader. While Dr Faris is still fighting with his struggle, unfortunately both of them were surprised with sudden bad news - Dr Faris has a lymphoma! And turned out he is HIV positive too. Dealing with both situations, we can see how both of them trying their best to save the marriage, though I feel mixed feeling with the ending. T_T


        Karma by Muharikah | Book Review

        Based on online dictionary, 

        "Karma - (in Hinduism and Buddhism) the sum of a person's actions in this and previous states of existence, viewed as deciding their fate in future existences." - https://www.lexico.com/en/definition/karma




        Karma by Muharikah | Book Review
        I love the quote :)


        1. "Let the husband lead the family."
        I am attracted to this part, maybe because I am still new in this relationship thingy, to be exact... approaching 10 months of marriage. Alhamdulillah. :)

        Karma by Muharikah | Book Review


        I got the feeling when Faris' position is below Iman at the hospital, but Faris is still Iman's husband to be respected. Point noted.

        Well, if you guys have been reading the blog for a quite some time, I guess you can see how independent I can be... especially with those solo travels. Yeah, I can be dominant too. But, I think through out times, I prefer being the follower. :D No matter how I am able to do something at home, I will try my best to include my husband in the decision making so that nobody feels left out. InsyAllah!

        2. "Medical service is about human act and human touch."
        This is also another reminder to me as a health care worker :)

        Karma by Muharikah | Book Review

        I have love-hate feeling when attending patient as I can't help to feel annoyed every time I met some kind of cases / patients like:
        • accidents involving patients under 18, especially if they are not wearing helmet and do not even have license!
        • accidents involving drunkens!
        • patients who came in a worsened condition just because they ARE NOT COMPLIANT TO MEDICATIONS!
        • patients who came at 3 o'clock in the morning for something they already have for months and years and they don't even bother to get it checked before.
        • yada yada. Hahaha.

        Banyak betul complaints. But, insyAllah for other cases, I am trying my best to give the best with the best attitude :)

        Karma by Muharikah | Book Review
        Aha... quite a number of cases that I have attended involving huge stress or poor management of it that lead to suicidal attempt - taking paracetamol in huge doses (for eg: telan Panadon 4 papan!), drinking Paraquat (herbicides to control weeds).


        3. "Tidak ada karma dalam Islam."
        "Yang ada adalah ketentuan dan takdir Allah yang telah diatur buat kepentingan manusia itu sendiri. Setiap perkara yang Allah takdirkan, sudah pasti ada kebaikannya, walaupun kita membencinya."


        Karma by Muharikah | Book Review

        In this novel, Iman feels like she has done too much sins that Allah is punishing her with lots of challenges. And I think this is the answer to the challenges :)

        Karma by Muharikah | Book Review


        4. Miracles

        "Allah itu Maha Baik, kan kak? Setiap yang pergi, sudah pasti ada pengganti."

        Faris passed away. He did not the survive despite completing the chemotherapy etc as the cancer has spread to the whole body. To be honest, this is such a sad new especially after the patient has consistently compliant to all appointments and medications - seems that the limit of our knowledge and ability given by Allah.

        But, to know a good news after the sad one... is so refreshing :)

        Karma by Muharikah | Book Review
        Iman is pregnant!



        My rating: ★★★★☆

        SM, Perak, Malaysia
        200611

        Stigma by Muharikah | Book Review

        June 10, 2020


        I bought Stigma during a book fair if I am not mistaken and finished reading it at that time. Just because I recently bought the sequels of the novel which are Karma and Dilema, I decided to reread Stigma so that I don't have to get confused with the characters. :)

        Okay, what can I say about Stigma?

        Stigma by Muharikah | Book Review



        Title: Stigma
        Author: Muharikah
        Pages: 351
        Publisher: Iman Publication
        Publication Date: April 2018


        Maybe we can start with a rough synopsis?

        The novel portrays a life story with a medical background; Dr Iman Syahirah is the main character in the story, a medical specialist (a.k.a general physician) in an infectious disease ward, Dr Faris, a medical officer who work together in the same ward. They are in charge of patients with HIV / AIDS and the story plays around this topic. 

        Here come Dr Aleph, a cardiologist who ended up as Dr Iman's best friend. 

        One thing that makes me excited (yet scared) - all of them have the same internal challenge - attracted to same gender but struggling to live a normal, blessed life.

        Yeah, it is scary because it is uncommon for me to see people in medical fields who are LGBTQ and to be honest I am not sure how to react if I meet any. T_T There are some people that I know, but we are not that close... so that's it.




        ---------------------

        I don't want to comment much on the story line as it really depends on the preference of readers. Some may say the story presentation is a bit dull as it contains quite a lot of medical stuffs, but I don't have much problem with it as I have that background too. Yet, the author already explained every terms she used. 

        And maybe I am still a newbie with Malay novels, I find the book to be okay :)

        So, as usual, what I love about doing book reviews is more towards what I have learned from the book hihi... let's go! :)



        1. "Cuma Iman takut. Dalam dia menarik orang lain keluar dari kegelapan, mana tahu dia pula yang tenggelam di dalamnya."

        This is when Iman shared with her best friend, Zarith after Iman met Aleph in a conference I think. Aleph is actually a lady whose appearance is like a guy, a gentleman. At that time, Aleph was actually attracted to Iman and trying to hit on her.... hehe okay kat sini rasa semacam kejap.

        But what I like about both of them, they finally know about each others' past and struggles to change, even trying to support the process.

        Stigma by Muharikah | Book Review

        About the verses, to be honest, I don't much experience dealing with LGBTQ, but the verses sound so good, reminds me on how people afraid to get involved with people having bad issues because they are afraid if in case they got influenced to do the same.

        Stigma by Muharikah | Book Review

        Here, I am surprised to read that Faris furthered his studies in Jordan, while Iman in Egypt. Although they were in Islamic countries, they were still exposed to LGBTQ too. Maknanya, study negara Barat akan terdedah dengan budaya ni, rupanya di negara Arab sekalipun. Ahaa...


        2. "The struggle is real."

        This verse is quoted quite a lot through out the book.

        When Iman trying to counsel her patients about changing the lifestyle, I realised people who are LGBTQ somehow know their preferences are wrong but at the same time, they also feel there's nothing can be done because they are born that way.

        "Tapi, saya tak rasa saya ada pilihan pun, doktor! Dari kecil lagi saya suka kat lelaki. Saya dah cuba untuk suka perempuan! Saya memang tak boleh! Saya rasa geli!" - Johan

        "Percayalah Johan. Kita semua ada pilihan. Cuma kita selalu biarkan nafsu dan perasaan buat pilihan untuk kita. I know, the struggle is real. Tapi yakinlah, jika awak benar-benar mahu berubah, Allah akan bantu awak." - Iman

        From this conversation, I can imagine what if the advice given by Iman was actually given by someone else who is straight? The LGBTQ may even say that... "kau tak faham pun perasaan ni", in another word, we are saying out of empathy. Only if the patient know that the doctor herself was in the same shoes!

        Anyway, yeah. Memang challenging untuk ubah nafsu. The feeling is real. The love. The preferences.

        Stigma by Muharikah | Book Review


        "Bukan hak kita untuk judge orang, Faris. Setiap orang tu pasti ada pengalaman silam dia. Ada trigger yang menjadikan mereka begitu. Ada seorang pesakit ni jadi gay sebab kena liwat dengan abang-abang senior sekolah asrama. Bila you dengar cerita mereka, you will understand and appreciate their struggles. Dari situ, awak boleh bantu mereka untuk berubah dan kembali kepada Allah." - Iman.


        This makes me reflects a lot about my impression every time I met patients with known case of hepatitis, retroviral disease (RVD) etc. Some may even got the disease from husband / wife or even blood transfusion (though it is rare). We usually call them as 'biohazard patient', more towards our preparation to protect ourselves with PPE. 

        Maksudnya, bila nak ambik darah, kena pakai double gloves - walaupun kalau nak ditakdirkan tercucuk, tercucuk jugak. Getah lawan jarum, siapa menang? T_T


        3. "Hati kita ni, Allah yang punya. Serahkan hati kita kepada Allah."

        "Dah lama saya tak dengar orang nasihatkan saya macam ni doktor. Dah lama juga saya tak jaga solat saya. Asyik tinggal saja." - Johan

        " Jangan putus asa, Johan. Allah ada. Awak jaga solat, Allah akan jaga awak. Awak berdoa dan minta tolong pada Dia, Dia pasti akan bantu awak. Awak hanya perlu bersungguh-sungguh. Ingat ya, Johan? Hati kita ni, Allah yang punya. Serahkan hati kita kepada Allah." - Iman


        This conversation also reminds me how important of our prayers. I can relate with my work too. Memang tiap-tiap kali nak pergi kerja, doa banyak-banyak semoga Allah bantu. Alhamdulillah, even though I feel a bit sad because I don't have much opportunities to work with female senior doctors, I feel blessed that most of the male seniors that I've been working with are VERY HELPFUL. I believe Allah is helping me through them - their knowledge and experiences. 


        4. Umat Islam memang memerlukan ramai doktor pakar.

        This hits me a lot. Huhuhu. Maybe because I am still contemplating of furthering studies or simply stay in this position till Allah knows when.

        Stigma by Muharikah | Book Review

        "Dulu, profesor saya pernah nasihatkan, dia cakap: pertama, tak ramai orang Muslim yang berjaya sempai ke peringkat tertinggi dalam perubatan. Kedua, bila kita nak treat pesakit kita, rasa lebih nikmat apabila kita tahu cara terbaik untuk merawat. Bayangkan jika kita tak ada ilmu perubatan, sedangkan mereka perlukan pertolongan. Bagaimana kita nak bantu?" - Iman

        "Terakhir sekali dia kata, apabila dah jadi specialist, physically kita akan lebih banyak masa untuk luangkan dengan family kita. Cuma yang diperlukan adalah otak kita. Gaji pun bertambah, ada waktu hanyak perlu on call dari rumah sahaja." - Iman

        Huhuhu....

        Tapi nak sambung belajar balik tu... mashaAllah perasaan dia, serba salah betul. A lot of things need to be considered - money, place, family the most important. Based on my seniors sharing, ramai je yang bergolak rumahtangga bila ada yang sambung belajar. All need patience and understanding, right?


        5. Dosa

        "Dosa ini, pada awalnya memang kita rasa berat. Rasa gelap. Kita rasa sesal dan gelisah. Tapi, bila kita dah selalu buat, hati kita akan jadi gelap dari hari ke hari, sehingga kita tidak lagi merasai bahawa dosa itu satu dosa." - Ustazah Norhafizah

        "Hati kita sudah desensitize dengan maksiat. Apa yang berlaku bila kita dah tak sensitif? Dosa tu jadi perkara biasa. Kita tak sedar dosa tu satu kesalahan. Apabla ada orang tegur, kita melenting. Apabila solat, kita dah tak rasa manis beribadah. Apabila baca Quran, kita susah nak menangis." - Ustazah Norhafizah

        So true.



        Stigma by Muharikah | Book Review


        -----------

        Generally, the content is actually heavy but I glad that Muharikah managed to tackle it and produce the product with a light read :) There are too many things we can learned from this novel, insyAllah. 
        Good job, Muharikah :)

        I can't wait to share my reviews on the sequels too :D

        My rating: ★★★★☆

        SM, Perak, Malaysia
        200610

        The Art of Letting God by Mizi Wahid | Book Review

        June 6, 2020

        I have my eyes on this book for months but keep on postponing because of the price -_-'. I know RM50 is not that much for a book, to be exact a hard covered book. But as I have spent hundredssss of ringgit during the previous Big Bad Wolf, I need to calm myself from buying new books until I read at least a quarter of books I bought from BBW hehe.

        So, here I am!
        I managed to grab it at a discounted price during Pesta Buku Iman and I can say I love it so much! The book arrived just before Ramadhan, so I have spent the whole Ramadhan reading it, slowly. I even brought it to the hospital and shared things I read with my colleagues, then we ended up sharing our own experiences. It was lovely, alhamdulillah.


        The Art of Letting God

        Title: The Art of Letting God
        Author: Mizi Wahid
        Pages: 147    
        Publisher: Iman Publications
        Publication Date: March 2019


        The Art of Letting God
        Back cover of The Art of Letting God.


        Anyway, while writing this, I realised I don't have much book reviews on non-fiction (?) Actually I've been known by my family as a person who lacks fiction imagination haha, so I tried my best to read lots of fiction books to improve it.




        Allow me to share snippets or beautiful verses from this book :)


        1. The greatest temptation many of us find most challenging to deal with in life - is the temptation to give up.

        This is very true, we have the temptation to quit whatever we are doing, for various reasons - financial problem, family problem, lost of focus, emotional attacks etc. But, the moment we managed to overcome this temptation, that's the beauty of success. It actually can be seen as one point in life, but to be honest, life is continuous journey so to overcome it needs life long courage and support.

        In this book, the author described more about Prophet Moses (p.b.u.h) who was not only asking Allah for ease in affairs but strength, wisdom, patience, ability and support :)

         

        2. Tawakkul is the word used to imply one's act of reliance on God or "trusting in His plan". It is also seen as "perfect trust in God, and complete reliance on Him alone.

        Reading this verse, reminds me on previous conversation with a friend of mine who is an atheist. Medical school was a hard time. To get through each tests and years, I learned a lot about tawakkal and really, success is not only about studying smart but the idea of having Allah to rely on after our hard works.

        "Tie your camel first and then put your trust in Allah."

        She mentioned to me how stressful she was and asked how do Malaysians can remain calm. Haha. Only if she could see hurricanes in our hearts :D

        "Maybe because most of us are Muslims? We usually leave it to God after we tried our best during the process of revising."
        "Oh, I don't believe in God, but I believe my success will be from my hard work, that's why I need to study more."

        In my heart... no wonder. Penat sebenarnya bila kita terlalu bergantung pada kemampuan sendiri sebab manusia memang bukan perfect, akan ada kesilapan dan kelemahan. 



        3. Believe that nothing just happens. Instead, everything happens for a good reason. And everything happens for you, not against you.

        Most of times, we tend to argue about others rizq and complained why such opportunities do not come to us. And we tend not to realised how much other rizq have Allah blessed us with. Some may have a good occupation and income, but he may not have children yet. Some may be blessed with children but having difficulties in work.

        The author also mentioned about the tools and ingredients to success that we may already have but we don't realised it - so, we ended up to keep wondering about our unanswered prayers. 

        The Art of Letting God

        "If all of you were to truly have faith in Allah s.w.t. He will certainly provide you with sustenance, just as He would give to a little bird, for when it leaves its nest in the morning with an empty stomach, but returns home in the evening full."



        4. Friends, reject the cup of poison. Instead, drink from the fountain of faith, the reservoir of resilience, and the sea of spiritual confidence.

        In the book, this part was described as we are exposed to lots of "poison" which would murder our thoughts and destroy our peace and happiness to its death.

        I believe most of us have our own experiences. 

        The Art of Letting God

        Rejections from other people.
        Bad words that push us down.

        Refuse that poisons, reject that unproductive comments, go beyond.



        5. "How do we know if we've forgiven somebody, and have completely moved on?"

        The author listed down few check lists to see where we are and how much further we need to go to finally achieved the term 'completely moved on'.
        • Are we still interested to know about them?
        • Do we feel our blood boiling when we hear their name being mentioned in a conversation?
        • Do we feel awkward when we bump into the person?
        • Are our emotions still at the mercy of our senses being triggered by old memories?
        • Do we feel unhappy when someone tells us about the person's happiness?
        • Are we secretly stalking them?

        I agree with the author with letting Gold be the one to "teach our enemies a lesson". We don't have to be one as Allah surely know the best lesson to give with the perfect timing.

        The Art of Letting God


        "Those who spend in prosperity and in adversity, who suppress anger, and forgive others, verily, Allah loves those who do good." (Quran 3:134)

        Let it go and let God :)

        "Experience genuine peace in your life when you learn how to love in moderation, fear within limits and hate within reason."


        The Art of Letting God


        6. Each new day, deserves a brand new beginning. Let go of yesterday's hurts, begin the day in the name of Allah. Just as He magnificently heals all of our physical wounds, trust in Him to supernaturally heal our emotional and spiritual wounds too.

        I love the part "Never back away from opportunities to help others who are struggling, by making a positive difference in their lives" despite having this kind of thought, "But I'm not good enough".

        Humans are never perfect.
        Humans do make mistakes.

        Even the first human Allah created - Prophet Adam, fell with persuasions of Iblis and eventually being casted out from Paradise, Prophet Adam repented for his sins and became the first Messenger of ALlah to humanity.

        I know we are not prophet, but from this story, we need to believe that humans make mistake and Allah is always there to forgive us more that we are to forgive ourselves.

        Beautiful :)



        The Art of Letting God


        My rating: ★★★★★

        SM, Perak, Malaysia
        200606

        The Sky

        May 12, 2020


        Sunrise from the hospital, to be exact - the Emergency Department. :D
        I think this one was taken on my post-night shift around 7am plus. 





        Sunrise.

        Means it is another day.
        Another opportunity. Another chance.

        For?
        Being a better person.

        I always wonder, how did I survived housemanship the past 2 years. To be honest, I believe most housemen will have the thought of quitting, but due to every own reasons, most of them survived and still surviving. It was a tough journey. Hanis Amanina who you are seeing now is a lot different than who she was in Czech or before that. Hehe :D

        Go with the flow.

        Sometimes, I cannot deny that the HOship hurt my heart and feeling a lot. I believe it affects my personality, my attitude and my knowledge. Learning as a medical student is not the same as being a doctor itself. The responsibilities I need to carry every time I do something to the patients, always overwhelm me. Still. 

        But at the same time, honestly it gave me happiness as well - able to manage patients correctly, able to see patients getting healthy, surrounded with good and helpful colleagues, have the opportunity to say the first Assalamualaikum to newborns. MashaAllah, the feeling was AMAZINGGGG and I will never forget that! :)

        I believe the key is not to give up.

        Recently I read the The Art of Letting God, at the very first chapter, it shared about the greatest temptation. I agree that the greatest temptation to deal with is the temptation to give up. 

        "Are these goals truly achievable? Am I being realistic? Am I good enough? Am I worthy of such achievements? Or is it simple better for me to just give up?"

        In the book, it mentioned about dealing with it is by asking help from Allah. When we looked back the story of Prophet Moses (peace be upon him), despite only asking for ease, he also asked for strength, wisdom, patience, ability and support. 



        I have shared a post about DOA PENERANG HATI when I was still a medical student. At that time, I was having difficulties adapting with Czech's exam system where almost all exams were done orally. T_T It was a struggle to speak medical stuffs or answer medical questions confidently in the exam because once you said something wrong, the examiner will directly know you are lacking something there and suddenly he will go deeper on something that you are not confident with.

        But Alhamdulillah, that phase has passed. :)
        Housemanship tooooo :)

        Alhamdulillah alhamdulillah. 





        Anyway, still remember my collections of sky over 2014? Can't believe 6 years have passed. WOWWW. MashAllah :)



        Day 8 of May Photo A Day - The Sky
        SM, Perak, Malaysia
        200512

        View From A Window

        May 1, 2020


        Since the MCO took place, my life rotated between the apartment and the hospital. I rarely go to the supermarkets as my husband will do most of the groceries shopping (usually after his post-night shift). Our schedule are shift based as people know. Most of times, the moment we leave the hospital is when the supermarket close. 

        Still, we have food to cook and eat, alhamdulillah. And surprisingly, from the 1st day of Ramadhan till now, we managed to cook ourselves (our aim is not to order outside food hehe)

        I miss the beach a lot too.

        The view from our room :) pretty!


        I am currently reading The Art of Letting God by Mizi Wahid. The book is not that thick, but I honestly took longer time to read. Not because the book is boring or what, but the contents are beautiful enough for me to take my own sweet time to enjoy. 

        There is a part of the book sharing about "You Have What You Need"

        Human is a creation that usually gets disappointed when we don't get what we want. Our aim is that the moment we ask for something, that something should be given. In this book, you can enjoy the idea that actually Allah has already given the 'ingredients' to get that something. 

        For example, we want to excel in our studies. Of course we need some efforts to reach the destination. We are blessed with knowledge shared by older researchers or teachers that are contained in the books. That can be the ingredient for success. Books = knowledge. Others can be experiences, some skills that need to be polished from time to time. To be an adult as we are today, we need to grow as a baby to a kid, then to a teenager. We don't simple born and suddenly became an adult, right?

        Life is a process.
        Prayer is a process too. 

        Even if we failed, we surely will learn something if we have tried our best. I love the lists in the book about what we should look forward to despite failure:
        1. A greater aptitude for patience
        2. A richer experience of life
        3. Personal growth
        4. A deeper sense of gratitude and satisfaction
        5. Strength to overcome future challenges
        6. Grit to get through the dry seasons
        7. Resilience during tough times


        Keep on living and learning :)
        Always see things from the good windows (read as perspectives), yea?


        I am planning to join this photo challenge :) Wish me determination hehe
        Till next post,
        Happy Labour Day!
        Byeeee.
        Assalamualaikum.


        Seri Manjung, Perak, Malaysia
        200501

        Things I Would Love to Improve in 2020

        January 1, 2020

        Alhamdulillah, we entered another decade. It is 2020, guys! The year I've been looking for since I was a kid. All those 'Wawasan 2020' chants, I believe most of us still remember how excited we were when we need to draw things we imagine in 2020.


        2020 means I become a year older, approaching 30's. Of course I feel old, but somehow we need to grow and move forward. We can never rewind the time, except in memories. Thus, I believe, 2020 is the year I would like to restart documenting my life, so I can recall and appreciate all things that going to happen later. :) sure, gonna use them to reflect myself too. 

        I started my 2020 in hospital, in which I had my night shift. Didn't have the opportunity to count down, but I was lucky enough to see live fireworks at 11pm (early one I guess). Emergency department (ED) never fail to have guests, I must say. Patients kept coming and cases that I've been expecting were real - those with burns and accidents. In medical setting, we call accidents as alleged MVA (motor vehicle accident) - it can be either motorbike (MB) skidded, motorbike vs motorbike (MB vs MB) etc - trust me, there are so many short forms for medical documentation which are not official but understandable. 

        Oh, back to the title, I rarely have new year resolution (I think) as growing older, I learned to put less expectation but still work hard to achieve something if I have put my mind for it.

        So, this 2020 may see another part of my planning - to list down things I would love to improve and maybe you can try them too.


        1. Prepare proper medications at home.
        • I realised, there are a lot of cases in ED that really do not require patients to see treatment. It is not that the situations are not serious, but we do believe there are few cases that can be observed and proper care at home.
        • For example, you have fever started around 8pm, instead of going to see doctor at 12am (4 hours later), why not you try to take Tablet Paracetamol 1 gram first, then observe the temperature trend. It is way better if we have thermometer at home so that the observation will be way better.


        2. Read more.
        • Since I have been binge-buying books during the previous Big Bad Wolf, I have been telling myself to read at least few pages per day OR to finish reading a book within 2-3 weeks. So, by the time the next Kuala Lumpur International Book Fair start, I have solid reason to buy more books.
        • For now, I am controlling myself not to buy books even restrain from entering Popular bookstore. 
        • I decided to read more fictions, as I realized my brain is too tired to consume all facts / reflections in non-fiction books.


        3. Travel more.
        • Housemanship is obviously the phase where all junior doctors find it hard to juggle between work and life. After spending at least 10-15hours at work (the formal working hours), I find that my off day is only to be spent for sleeping or lazying around. I am too tired even to think, thus decided to sleep in my comfy duvet. 
        • This year, I would love to plan more trips around Malaysia and to attempt travelling around Asia or maybe Europe. 
        • I would love to plan for umrah again :)


        4. To decide on further study plan.
        • I am a family person, even before marriage, I love to spend time with my parents. Just, housemanship restrict me to do so. Even though my working place is just 2 hours away, I am honestly tired to drive and as mentioned before, I prefer sleeping.
        • Studying is a another constraint. When I have spent 3/4 of my day at work, the time I have left is only for sleeping and relaxing. I find it hard to spend hours to do revision like when I used to be a student. I decided that I will try my best to study as much as possible during working hours. It works but honestly I still need to read back all theories - pathophysiology, the side effects, indications & contraindications of each stuffs.
        • Haven't decide yet on which specialty I would like to further. A part of my heart says 'just stay as chronic medical officer' but due to current dilemma in health system, a part of my heart are considering to migrate - in which, I surely need to further my study to secure a better place. 


        All in all, I also have a plan to update my blog with at least 2-3 posts per week. Not sure how it is going to be, but will try my best. Short posts should be okay, I think.







        The Thought That Counts

        February 10, 2019



        I've shared this on my Insta stories but I think I better make a single entry about it, for my own satisfaction and to show how life really is plus to acknowledge awesome people do exist :)



        It was the day when I stayed alone in my ward, trying to handle between new cases to clerk and to approach so many "doktor, nak noted patient bed xx, complain bla bla bla...." Well, it is a good thing there are nurses who can update doctor what has been going in the ward because seriously you have no time to really check on every single patient the whole time. And this is obviously a government hospital, please don't expect one doctor and one nurse for one patient basis. No such thing, okay?

        I am sorry because sometimes, there are patient's relatives who keep on complaining this and that in which they can obviously help with. T___T

        On that day, I received a call from a colleague from another medical ward requesting for one houseman to accompany patient to send to HRPB, Ipoh for further intervention. In view of there was only one houseman in each Ward A and Ward B, 2 housemen in Ward C (in which I am in charge now), so of course we need to help with man power. One houseman to take care of 35-40 patient is doable but trust me, it is super tiring. After informing my MO about the request, she told me to stay with her in the ward instead and to send another colleague of mine to HRPBI.

        I wish I was the one sending the patient, especially when I have completed my beds' carry out...haha

        So, the day went on.... until 9.57pm, I finally done with clerking the last new case before planning to call the day off. After reviewing the patient with MO, she asked me to prepare to go home after settling the carry out for new cases. And finally it was 10pm, time to go home. 

        "Dr, patient bed xx tu GCS* drop, SpO2 pun tak boleh pick up, 80% je"

        The patient was already on BiPAP (a device / machine to help with respiration) and I still remember my MO said to me to prepare with intubation if her GCS drop. Rushing to call my MO who was in ED with another new referral, she rushed back to the ward and intubate the patient. It was already 10.40pm when I was offering to manual bag the patient until the anesthesiology team arrived to connect the endotracheal tube with ventilator, meanwhile my on call colleague went to settle with the STAT blood for that patient. 

        Since my HO friend was working alone that night, I didn't feel good to leave him. 

        And phone kept on ringing, I suddenly remembered I was planning to have late dinner that night with friends. Staff nurse helped to cover while I picked up the phone. Trust me again, talking to a phone while you are bagging the patient is not something you should do. Family members can make viral of you. 

        Approaching 11.30pm, finally the anesth came and I passed over the tube to the MO and slowly I went to pick up my bag to leave. Suddenly, I saw my friends walking to the ward, planning to help.

        I felt like crying, blessed to have these people. T_T
        They even had my meal packed, in case I am too tired to eat outside that night.



        *GCS - Glasgow Coma Scale - to rate one's level of consciousness for eye, verbal, movement response. If GCS less than 8, indicate for intubation.

        Good people exist!
        Alhamdulillah.

        SM, Perak, Malaysia
        190210

        Trust Me, Nurses Deserve More Respect:)

        December 30, 2018


        I am very sad to read the latest 'not our level' issue and I feel called to share my experience about this. Nurses are basically people I meet every day (except my off day, of course) and they are actually the health institutions' backbone, to be honest!

        They deserve more respect, more appreciation.
        Here, I am not trying to say about respect compared to other professions as I have this belief that every jobs have their own struggle and hardship. But, I want to clarify that nurses deserve better than how they are treated by community. 

        Let me share roughly about my life in the ward.

        Officially, the schedule of houseman (normal / extended shift) started at 6-7am, depending on hospitals, one of the first person we meet in the ward will be the nurses. Some of them will be at the counter, settling stuffs before handling their pass overs to the morning shift nurses. Upon HOs are doing morning reviews, all the medical notes (or we call them BHT - bed head tickets) are already on the patients' table, together with the observation charts and medication charts. Nurses are the one who distribute the files to each beds every morning while they are taking the vital signs reading for EACH patient 4-6hourly. 

        Vital signs - blood pressure, heart/pulse rate / temperature / oxygen saturation / respiratory rate (how many times you breath per minute) / pain score

        Just imagine if patients' vital signs are not monitor accordingly, who will be the first person to notice patients' blood pressure drop a lot? Who will update the HOs that patients are desaturating / gasping for air?





        After their pass overs, they will make beds - meaning arranging bed linens, giving out new cloths, changing pampers etc AND at the same time, some others will check and records the next vital signs monitoring. Some will distribute the medications while checking the glucose level (for diabetic patients)

        Just imagine again, how patients' progress will be if nurses don't serve the medications on time, or how the sugar level will be if no one pricking the fingers of patient and check for it?

        "Dr, SpO2 patients tak dapat pick up ni. Dari tadi 90% je. Akak up kan bagi nasal prong taw"
        "Dr, BP pakcik X ni mencanak-canak ni. Nak kata stress, dia relaks je. Nak bagi ubat stat apa-apa tak?"
        "Dr, GM (glucose monitoring) patient 2.6 je ni. Nak bagi apa-apa?"


        Then approaching 8am, medical officers and specialist will be around to check progress of each patients. Morning rounds can end as early as 9.30-10am, but some complicated cases may delay it to 11+am. After round with bosses, HOs will carry out the plan, TOGETHER with the help of nurses.

        Carry out can means a lot. It is either active or passive. Active means you need to do it stat / right now as the delay can affect the patients much - urgent blood takings, urgent scan requests, urgent referrals. To be honest, passive carry outs are important as well T_T. Why? They need to be done within working hours (minus the lunch break) - referral to physiotherapy / diabetic nurses / dietitian / speech therapy / pharmacists / hemodialysis / ECHO / scans.

        Not to forget... tracing stuffs - it can be either old notes (documents from previous hospitalization in the same hospital / details from hospitalization in another hospitals / baseline blood results etc)

        As simple as this, really show how doctors need nurses A LOT. They will always reminds us of our carry out, for the sake of patients. 



        I will never forget my very first day of work. I was in O&G department at that time, trying to figure out how to do proper vaginal examination. Doing it as a medical student is not the same as when I am already a doctor. I feel blessed to have good nurses around to guide me around with so many new, first-time things in working life. 

        Nurses have more experience than doctors, especially the one who have worked for years. Experiences vs knowledge - very subjective isn't it? Doctors may learn more through out the 5-6 years of study, but nurses have better knowledge via experiences. :)

        ---------------------






        All in all, medical staffs need each other. I am here to support the nurses!
        And trust me, human beings need each other. That's why we live in the same world, right?

        Respect others as much as we want people to respect us.
        Love others as much as we want others to love us.

        And lastly, this proves that we need to expect nothing in return, just blessings from Allah for whatever people don't see.

        Much love for you guys. <3

        SM, Perak, Malaysia
        181230

        Hiking Trip - Bukit Engku Busu, Perak

        September 21, 2018


        Wahaha. Macam tak percaya je saya berpeluang pergi hiking masa housemanship ni.

        So, this time, my friends and I went to Bukit Engku Busu, Lumut. There are at least 2 hills to hike if you come here - the other one is Bukit 300 (located close to Teluk Batik). Going to hike that hill soon, insyAllah.


        As usual, need to read a bit about the hill. I honestly read this blog post a long ago, since I was still in Obs&Gyne. Just, I didn't have the opportunity that time. :) And my memory about the things I've read already faded away T_T


        Our team - Hamizah, Hanis, Haziq, Sham

        Just a little introduction about this hill. It is approximately 331 meters high (1087 feet) and named after a king(?) or prince(?) notsurethough, Raja Engku Busu who was been invited to help eliminating pirates in the area. The pirates were disturbing most of the Dutch, British ships etc. However, he was killed and lost the mission.

        Manjung that we know today is actually being called as Dindings. The new name has been used since 1st January 1982. 


        Welcome to Trek Merentas Hutan Bukit Engku Busu :D

        If you read the blog post I mentioned earlier, you can imagine how challenging the route is. Most of it is covered with roots that we need to climb to get higher up. At some slippery areas, there are ropes provided to help us. If I am not mistaken, there are 8 check points to reach the peak. 


        Nampak je mendatar... tapi....

        Feels nice to see this thing in the middle of hiking. Energized. 

        With Hamizah.

        Seeeeee. Roots everywhere. 

        Seeing roots like that reminds me of 4 seasons I experienced before. Can you imagine how trees can survive different seasons with different challenges? Because Allah has created them with all the needful preparation. For example, don't you think the roots play a huge role?

        "When the roots are deep, there is no reason to fear the wind."

        Exactly though.

        If someone has deep roots of religion, send them anywhere insyAllah they won't change.
        If someone has deep roots of love, go and meet a lot of people - insyAllah they won't stray away.
        If someone has deep roots of knowledge, insyAllah they won't be bothered with evolution of ideas and even look forward for more.

        Rasa macam dah lama tak tadabbur alam. I think I need to start on this again. 


        Tadaaaa.

        The peak of this hill is actually covered with plants and trees, so don't expect beautiful views from the peak. But, just before the peak, there is a route on the right that we can enjoy the view of the sea and TLDM. People said that we can see Pulau Pangkor as well but I am not that sure which one it is.

        Overall, we took about 3 hours plus (I think so) to hike and get back to the base. It was challenging for me but with non-stop motivation of "sikit je lagi", "tu haaa, dah nak sampai dah".... I feel like, yes I can do this. Haha.

        Well, biasa la tu. Ayat "5 minit je lagi" dah biasa dalam kamus hiking ni. :D

        Breath-taking enough.

        To get here;



        Thanks guys for the day, till the next hiking trip!
        Bukit 300 pulak okay?

        M, Perak, Malaysia
        180921

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