Monday, August 27, 2007

family medicine

hehe...
gambar ni adalah lakonan semata-mata


this is my 2nd week of family medicine. there's a lot to be read compared to the previous 4 weeks of community medicine. gone are my days of relaxation and play. now it's which assignment do i do 1st or what is most important for me to study 1st?





i'm posted to Klinik Kesihatan Jaya Gading at the outpatient side. there's much to be done and learnt during these 2 weeks but my progress is rather slow.





our research project has taken up most of my weekends. i'm glad i get to home this merdeka hols insha Allah.

Monday, August 20, 2007

the trip to Ulu Tembeling

We arrived at Kuala Tahan around noon after a 4-hour bus ride from Kuantan.
After filling our stomachs with adequate food and relieving our bladders at the expensive toilet (hey, 50 cents mahal eh), we were all set for another 4-hour BOAT ride to Kg Bantal. Boy, were we excited.
I was excited during the 1st 2 hours and then tried hard to keep meself from boredom for the next 2 hours. But the view was spectacular, Subhanallah!
We reached there by 6pm and walked about the place. There were buffallos everywhere. That night we had a discussion with our lecturer regarding our research project. Just as the session ended, the electricity was cut off so we all called it a night. the blackout persisted until the next morning so we had to shower and get ready in the dark.

The whole group, ready to follow the medical health team which provides monthly health services to the villagers who live along the riverside. The health team consists of an M.O, a staff nurse, a community nurse and a medical attendant. That morning we went to Kg Mat Daling by 4 boats.

At first, we thought that the river was deep since the water level reached the necks of the buffaloes. Ces, rupa-rupanya derang melutut dalam tu. Tertipu kitorang.

There were areas of the river which were not deep enough so as you can see, our boatman had to push the boat to deeper waters. We did get down a few times to push the boat too.

At Kg Mat Daling.

On the way back, we asked the boatmen if we could have a dip in the water and he agreed.

We had a whale of a time.

* There are chunks of major events that i have not yet included.


Monday, August 13, 2007

more Pekan pics

the past weekend was a big affair for IIUM Kuantan as I-QUEST was the boldest attempt at promoting the university to the people of Kuantan whom might not have realized our existence here.

there's lots to tell so naturally i end up not telling at all.

instead, i'd rather post up more pics.


in front of the BAKAS hilux

studying the water system there


inspecting the old system at the water treatment plant

on top of the new water treatment system

PKD, the place we were attached to for 3 weeks in Pekan as viewed from the nurses hostel we stayed in

Sunday, August 12, 2007

Going backwards

The Impromptu talk

It’s the 2nd last day of our posting in Pekan. Today we followed unit BAKAS of PKD to Kg Cengkeroh and Kg Pandan to look at the toilets and proper sewage disposal they provide for the poor villagers who cannot afford to make proper ones themselves. The health inspector in-charge was very nice and answered all our petty questions. Most of the needy people were Cambodians and Kedahans who settled here years ago.

In the afternoon, my group had to go to program Doktor Muda at Casuarina Resort. It’s a school prog jointly organized by unit sekolah PKD and kementerian pelajaran. We had to go because it was our turn to follow unit sekolah. So at 2pm we waited at PKD. We weren’t really sure what activity we were to follow until the officer explained on the way that we had to give a motivational talk to the participants. All 4 of us gulped. Since there was no way out of it, we had to brainstorm on what to say to the standard 4, 5 &6 kids.

My very, very dear friends all graciously gave the task to me. I was quite nervous. The last time I addressed standard 4 children was after SPM and I had time to prepare back then. What could I prepare in barely 10 minutes? I just made an outline of what to say and then began.

Since my outline was so rough, I just said whatever came to mind. I started by getting to know the kids and asking them about their role as ‘doktor muda’ at school. Then I asked about their purpose in life, why they studied etc. keluar lah dalil ibadah, our role as khalifah and amar ma’ruf nahi mungkar. Nganga2 these kids dengar.

Ok, ok, mebe I went a bit over my head in my explanations and should have simplified the concepts but I just wanted to introduce the concepts to them so that at least it would trigger them in future when they hear about them again. Then for practical purposes, I asked them how would they advice their friends who smoked. I guess I may have overemphasized this part because when I asked the kids to give a conclusion of what they got from my talk, half of them said “merokok membahayakan kesihatan”. Hehe, at least they got something rite, although it wasn’t the main point. And they didn’t sleep throughout my talk so that does say something doesn’t it…hehe.

I’m so out of touch with kids nowadays. Gotta get more practice. U just never know when u’r gonna have to give a talk.

8/8/07, 11.30pm


RETROSPECTIVE DIAGNOSIS

Sometimes life goes so fast and you are kept busy with plenty of activities and responsibilities that you hardly have time to breath.

When u do have time for a breather, only then can u take the time to evaluate and ponder upon the happenings of the recent past.

Like in labour, the doctor cannot be certain whether a woman will undergo normal labour or a complicated one until she actually goes through all the stages involved. Anything can happen along the way, thus normal labour is a retrospective diagnosis rather than a provisional one.
It’s only been 6 weeks since i entered year 4 but a lot has happened.
We started off with 2 weeks of gruesome forensics followed by 2 weeks of mind-boggling psychiatry. Both fields are very interesting, though the former slightly more than the latter.
Whether i slept in a lecture or not shouldn't be an indicator of the boringness of the lecture because my attention span is very, very limited. If I was younger I could be diagnosed as having ADHD I think.

During the forensics part, we had a mock trial where our very own forensics pathologist acted as the judge. We had 2 real lawyers to examine and cross-examine the witnesses who consisted of my selected classmates. We had to act like in a real court and were not allowed to move our legs or cross them in respect for the court. That was certainly hard to do.

The psychiatric lectures were rather interesting because we learn about what happens when human behaviour or nature goes to the extremes of a spectrum. Take for example the mood; we can be happy but when too happy there is the possibility of becoming manic and whilst it’s okay to feel sad due to an appropriate trigger, being too sad all the time may indicate depression. The alarming thing is that I could identify with a lot of psychiatric symptoms being taught. Good thing those symptoms do not interfere with my daily functioning otherwise a consult with Dr Nora would be indicated.

Another interesting fact is that there are three culture-bound syndromes in which the names originate from bahasa or Malaysian culture such as ‘AMUK’, ‘LATAH, and ‘KORO’. The first two are definitely known to everyone but I doubt that many know about the last disease. Cari lah sendiri. It’s quite funny.

At the end of the 2 weeks we had a test which contributes 10% to our final marks in our actual psychiatry posting in 5th year. Throughout the 2 weeks we were reminded constantly that only about 10% of our seniors actually passed the test. Alhamdulillah, when the results came out, half of the class passed. The most surprising thing was that I got the highest mark. It was terribly surprising indeed. I’ve never ever gotten highest for anything since my matriculation days. It just had to be psychiatry eh. So I’m like the most psychotic student la kan. My effort was just the same as before. Only Allah knows why I scored this time. Maybe I’m destined to become a psychiatrist. Haha, on the other hand, most probably not.

I remember the last lecture of the intro to psychi posting where the guest lecturer started off the class by asking who was the cleverest student of our batch. Of course the sisters said it was a sister but no one admitted to it. The brothers were unresponsive as usual. The lecturer asked a few more provocative questions and the sisters responded accordingly. And then the lecture went on as usual. At the end of it, one brother raised his hand and said he disagreed with the way the lecturer kept on and on about who was the cleverest student and also the sisters opinion that sisters are clever just because they get the highest mark or get distinction. He said that everyone is clever and even the person who would get the highest mark on the psychi test may not be the cleverest of us all. Sian plak lecturer tu. He never intended to make it sound like that. This guy je yg way too sensitive and defensive. Biasalah sisters suka respond to the lecturer’s questions compared to brothers yang senyap je all the time. Kena jemput baru nak cakap or give opinion. Mesti la kitorang nak menangkan sisters all the time even when we’re wrong. The argument itself is interesting for us. Habis2an I ngumpat dia sebab geram.

What I find remarkable is the fact that I was actually the one who became what he said. Of course I agree. I am certainly not the brainiest. Possibly the craziest but definitely not the cleverest. It was just the way he said it that I disapprove of.

(written sometime in July)

Friday, August 10, 2007

anak sedares


i took this pic from kak yung.
ayyash sangat tembam sekali.
aisyah ngade2 nak pakai topi ayyash.

A RETROSPECTIVE NARRATION OF MY PEKAN POSTING

yesterday marked the end of my 3-week posting in Pekan Town, the royal city of Pahang (royal je lebih tapi takde lah hebat mane pun). i have many sweet memories there and a few somewhat bitter ones. glad to be back in kuantan.

the people in Pekan are very nice and helpful. since we had visit many places such as the hospital units, a factory, the water treatment plant, and following the health inpsectors on their daily rounds and duties. wherever we went, we were treated so nicely and everyone answered our petty questions enthuthiastically.

this posting is to help us understand better community medicine and primary care. only now do i know the difference between klinik kesihatan and klinik desa and the functions of the doctors and community nurses. the health inspectors play a very big role in ensuring that the community doesn't get sick but no one really realizes and appreciates their efforts.

there's so many K's and P's that we have to know for example PPP is Pegawai Pembantu Perubatan, IK or Inspektor Kesihatan or health inspector is now known as PPKP (can't remember what that stands for) but if you add another K (Kanan) to the previous one, PPKPK it means the PPKP's boss. then ther's PKA (Pegawai Kesihatan Awam) and PRA. confused already? then i've achieved my goal hehe :P



posing in front of the PKD (Pejabat Kesihatan Daerah) office on our 1st official day in Pekan.
everyone was eager and excited.


getting acquainted with the Pekan Hospital. still excited and wide-eyed.


the whole rowdy group in front of Peramu Jaya Community Policlinic with Dr Rusini, the Family Medicine Specialist


following the malaria unit on a spraying job at Kg Gumumin Chini, an Orang Asli village.
dogs to them are like cats to us . they were everywhere. on the way back we stopped at Tasik Chini and also ate some truly delicious durians. puas dah makan durian.


following the CDC (communicable disease control) unit on a TB contact tracing mission in Runchang. we had to ride a 4-wheel drive to reach that particular house. looking at the huts they live in, i feel so thankful and blessed with everything i have. imagine 3 families living in such a small house. wow.


there's more pics but i've just put up a few so u'd get a general idea of what i've been doing for the past 3 weeks.

i do look forward to my 3-day riverine health in Ulu Tembeling next week. i've already bought the necessary shoes to wear on the boat. hehe, it's not a sin to be excited rite.

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

i did something impulsive today. i actually did it without considering too much. i succumbed to my vanity and bought a pair of 1-month trial contact lenses without any justification. i spent quite some time just sticking the lenses into my eyes. i'm predicting a long and tedious month ahead. i'm still feeling nauseated and lightheaded since i stepped out of the optometrist. i hope i istiqamah with these lenses. my current habits are gonna make it quite hard to be vigilant. let's pray that i willbe so that i get my money's worth.