Assalamualaikum,
I just came back from the hospital's surau after performing Subuh prayer in congregation. Yesterday was my last oncall for this month. Hopefully it was my last oncall as a medical officer/resident/registrar, ameen. I'll be sitting my final exam in 17 days time. Hmmm...
I would like to congratulate my housemans - Dr. Haneem, Dr. Shalini and Dr. Uzir who passed all their assessments with flying colours and successfully completed orthopaedic housemanship rotation training officially yesterday. Well done guys!!
For Dr. Haneem, yesterday was her last day as a houseman and today, she will be coming to work as a medical officer. Only a day difference. Looking forward to work with you. You're one of my most trustworthy, reliable, hardworking and accountable housemans. May her dedication and work attitudes serve to be an examples to her juniors...the new breed of housemans...So many complaints about them nowadays!!
I have special compartment in my heart for houseman. I want them to be excellent, competent and accountable. Not only for themselves, but also for our country and all Malaysians. Because I know, I day, they are the one will be treating me (and all of us). Like Dato' Zamyn always said...to be 'unlike any other'.
Thursday, October 13, 2011
Saturday, October 8, 2011
Chubby and Cute versus Fat and Obese
Assalamualaikum,
I saw a couple holding their 5-month old baby in a ward a few days ago. The baby girl was so cute and chubby. "Comel nyerr!!!" My houseman said while tickling the baby girl. The baby giggled.
But, when it comes to taking blood or inserting a branula, then the problem starts. It will be so difficult to insert take the blood or insert a line if you can't visualize the vein, let alone to palpate it. If the doctors have to poke so many times then the parents will complain. "Shoot...it's not easy to be a houseman, is it?" Luckily, I've passed my Paediatric housemanship training long time ago hehe.
Previously, during my daily round in the Orthopaedic female ward 5D, there was a young, 18-year-old lady (?girl) with a fractured right femur. Her broken bone was fixed with an interlocking nail the day before by 2 of my respected surgeons - Mr. Hazrin and Mr. Fairudz. The story came to me on the night following the surgery. They took nearly 6 hours to fix her. "WoooW!" Usually the procedure will only take 2 hours and maximum 3 hours for complicated cases.
However, in this case, there is an exception. Her magnificent size...
She was an obese young lady. Her arm is as big as a matured man's thigh. Her thigh...god, you just imagine, as big as a baby elephant's leg, I would say. They had so much difficulty even to find the entry point for the nail. After the skin incision, her fat was soooo thick, you can virtually insert your whole hand inside the thigh to reach for the bone....her fat was all over the place, under the skin, under the fascia and in between the muscles...(maybe I exaggerate a bit). Shooohhh! Teribble situation!
It is not my intention to annoy those who are obese. If you're comfortable with your current body habitus, then it's your call and I respect that. Be proud of yourself. I just merely telling you the difficulty that the health professionals are facing in dealing with obese people. And I would like to educate the population in terms of the possible complications as well.
All of us know that obesity is associated with atherosclerosis, hypertension, diabetes mellitus and coronary artery disease. I don't think I need to explain regarding the pathophysiology here...
So, please take care of yourself....don't be overweight. Overweight people will tend to get more severe injury to their bone if they're involve in an accident. This is because of higher force transmission during the collision or impact. Furthermore, it will be more challenging to treat you or your relative when you're admitted to hospital especially in orthopaedic discipline...you're more prone to get pressure sore or ulcer, more prone to get breathing complications such as Fat Embolism Syndrome if your bone is fractured and last but not least, more difficult to fix the fractured bone itself.
"Aku nak slim, aku nak kurus" Tapi setiap kali makan macam tak jumpa makanan seminggu. Remember, our Prophet Muhammad PBUH only eats when he is hungry and stops before he is full. Diet is not enough though. You need to burn the calorie. Do physical activities at least 30 minutes a session, 3 to 4 times a week.
Please take care of your health, burn those fat!!!
PS Please, jangan ada yang terasa hati yer kawan2...sekadar berkongsi pengalaman. Take it positively.
I saw a couple holding their 5-month old baby in a ward a few days ago. The baby girl was so cute and chubby. "Comel nyerr!!!" My houseman said while tickling the baby girl. The baby giggled.
But, when it comes to taking blood or inserting a branula, then the problem starts. It will be so difficult to insert take the blood or insert a line if you can't visualize the vein, let alone to palpate it. If the doctors have to poke so many times then the parents will complain. "Shoot...it's not easy to be a houseman, is it?" Luckily, I've passed my Paediatric housemanship training long time ago hehe.
Previously, during my daily round in the Orthopaedic female ward 5D, there was a young, 18-year-old lady (?girl) with a fractured right femur. Her broken bone was fixed with an interlocking nail the day before by 2 of my respected surgeons - Mr. Hazrin and Mr. Fairudz. The story came to me on the night following the surgery. They took nearly 6 hours to fix her. "WoooW!" Usually the procedure will only take 2 hours and maximum 3 hours for complicated cases.
However, in this case, there is an exception. Her magnificent size...
She was an obese young lady. Her arm is as big as a matured man's thigh. Her thigh...god, you just imagine, as big as a baby elephant's leg, I would say. They had so much difficulty even to find the entry point for the nail. After the skin incision, her fat was soooo thick, you can virtually insert your whole hand inside the thigh to reach for the bone....her fat was all over the place, under the skin, under the fascia and in between the muscles...(maybe I exaggerate a bit). Shooohhh! Teribble situation!
It is not my intention to annoy those who are obese. If you're comfortable with your current body habitus, then it's your call and I respect that. Be proud of yourself. I just merely telling you the difficulty that the health professionals are facing in dealing with obese people. And I would like to educate the population in terms of the possible complications as well.
 |
| Best nyer...chicken chop!! |
 |
| Gambar hiasan...perbezaan yang ketara antara 2 sahabat |
All of us know that obesity is associated with atherosclerosis, hypertension, diabetes mellitus and coronary artery disease. I don't think I need to explain regarding the pathophysiology here...
So, please take care of yourself....don't be overweight. Overweight people will tend to get more severe injury to their bone if they're involve in an accident. This is because of higher force transmission during the collision or impact. Furthermore, it will be more challenging to treat you or your relative when you're admitted to hospital especially in orthopaedic discipline...you're more prone to get pressure sore or ulcer, more prone to get breathing complications such as Fat Embolism Syndrome if your bone is fractured and last but not least, more difficult to fix the fractured bone itself.
"Aku nak slim, aku nak kurus" Tapi setiap kali makan macam tak jumpa makanan seminggu. Remember, our Prophet Muhammad PBUH only eats when he is hungry and stops before he is full. Diet is not enough though. You need to burn the calorie. Do physical activities at least 30 minutes a session, 3 to 4 times a week.
Please take care of your health, burn those fat!!!
PS Please, jangan ada yang terasa hati yer kawan2...sekadar berkongsi pengalaman. Take it positively.
Friday, October 7, 2011
2012 Budget
Assalamualaikum,
Kita semua telah mendengar pembentangan bajet 2012 oleh Perdana Menteri, Datuk Seri Najib Tun Razak, yang juga menteri kewangan petang tadi.
Perkara2 yang berkenaan dengan kakitangan awam, secara kesimpulannya:
Secara spesifik untuk sektor kesihatan pula:
Kalau nak baca bajet 2012 yang lengkap boleh baca disini
Saya memang amat bersyukur dengan bajet kali ini, alhamdulilLah. Cuma saya rasa kecewa dengan sesetengah rakyat Malaysia yang tak tahu bersyukur. Tak pernah nak berterima kasih dengan apa yang diberi.
Memang lumrah manusia, tidak pernah puas dengan apa yang ada dan apa yang diberi. Sekiranya diberi satu sungai yang mengalir emas sekali pun, manusia akan berkata "kalau lah aku ada 2 sungai emas ni..."
Allah berfirman yang mafhumnya, "kalau kamu bersyukur, maka akan Ku tambahkan lagi, tetapi sekiranya kamu kufur (tidak bersyukur), sesungguhnya azab Ku amat lah pedih"
Agaknya, sebab itu lah sekarang ni ramai orang yang tak pernah cukup dengan apa yang ada. Hidup susah, duit tak pernah cukup, fikiran serabut, hati tak tenang....mereka tidak bersyukur.
Tak payah la nak berdengki dengan orang lain, dengki dengan golongan guru yang dapat kenaikan gaji, dengan pesara2, tak bersyukur dengan subsidi yang diberi, dengan segala kemudahan yang disediakan, keamanan negara dan lain2.
Cuba lah berlapang dada.... bersyukur dan berterima kasih. Rasanya, dengan bersikap begitu hidup kita lebih tenang, bahagia, murah rezeki dan dirahmatiNya, insyaAllah.
This is what I think.
Kita semua telah mendengar pembentangan bajet 2012 oleh Perdana Menteri, Datuk Seri Najib Tun Razak, yang juga menteri kewangan petang tadi.
Perkara2 yang berkenaan dengan kakitangan awam, secara kesimpulannya:
- Bonus separuh gaji atau minimum RM500 pada bulan disember 2011
- Kenaikan gaji tahunan sebanyak RM80-RM320 (mengikut gred gaji)
- Lanjutan umur persaraan ke 60 tahun (daripada 58 tahun sekarang)
- Wujud lebih banyak tangga gaji, oleh itu gaji maksimum yang lebih tinggi
- Menambahbaik struktur gaji penjawat awam dengan kenaikan antara 7-13 %
Secara spesifik untuk sektor kesihatan pula:
- Elaun flexi duty RM600 (untuk houseman sahaja)
- Kenaikan oncall claim sebanyak RM30-RM80 untuk pegawai perubatan
- Naiktaraf Hospital Kuala Lumpur dan Hospital Putrajaya
- Pembinaan Hospital Wanita dan Kanak2
- Penambahan 50 Klinik 1Malaysia, dan 81 Klinik Kesihatan
Kalau nak baca bajet 2012 yang lengkap boleh baca disini
Saya memang amat bersyukur dengan bajet kali ini, alhamdulilLah. Cuma saya rasa kecewa dengan sesetengah rakyat Malaysia yang tak tahu bersyukur. Tak pernah nak berterima kasih dengan apa yang diberi.
Memang lumrah manusia, tidak pernah puas dengan apa yang ada dan apa yang diberi. Sekiranya diberi satu sungai yang mengalir emas sekali pun, manusia akan berkata "kalau lah aku ada 2 sungai emas ni..."
Allah berfirman yang mafhumnya, "kalau kamu bersyukur, maka akan Ku tambahkan lagi, tetapi sekiranya kamu kufur (tidak bersyukur), sesungguhnya azab Ku amat lah pedih"
Agaknya, sebab itu lah sekarang ni ramai orang yang tak pernah cukup dengan apa yang ada. Hidup susah, duit tak pernah cukup, fikiran serabut, hati tak tenang....mereka tidak bersyukur.
Tak payah la nak berdengki dengan orang lain, dengki dengan golongan guru yang dapat kenaikan gaji, dengan pesara2, tak bersyukur dengan subsidi yang diberi, dengan segala kemudahan yang disediakan, keamanan negara dan lain2.
Cuba lah berlapang dada.... bersyukur dan berterima kasih. Rasanya, dengan bersikap begitu hidup kita lebih tenang, bahagia, murah rezeki dan dirahmatiNya, insyaAllah.
This is what I think.
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