Program AI For MY Future
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Wisdom to Differentiate
April 18, 2018
Working life is so far bearable. I have no thought of giving up or resigning and hopefully none of them till the end.
There are ups and downs every single day. You can be congratulated and scolded by the same person in just few minutes apart. But, slowly I developed a barrier to my heart to accept the good in any bad things.
I feel very happy when the MOs have the same diagnosis and plans as mine. Here, every single thing need to be discussed with the MOs in which in one way, is very good as juniors can avoid making mistakes or improper plans can be prevented to be done to the patients. On the other hand, sometimes I feel bad to inform the MO for simple stuffs like, if I can give even Tab. Paracetamol (panadol) to the patients if their temperature rises, or syrup MMT if they complained epigastric pain.
But, in real life, MOs surely have FAR MORE EXPERIENCE than the juniors. They can give other plans that juniors can't relate enough, yet.
One thing junior doctors need to do well - is to know the patients well like any important antenatal problems, any previous medical illness, any allergies and current conditions of patients. With this, junior doctors are basically helping A LOT with the MOs plans.
Few things I learned - I need to:
- Be someone who can contribute to the patient's good progress even though I am not the one who decide the right plans for them.
- Be brave enough to double confirm the plans especially if the MOs give out the plans too fast and I can't keep up with them.
- Be calm but fast.
- Be careful in everything without affecting the speed of the work.
Change the things that can be changed, accept those that cannot, and have the wisdom to know the difference.
M, Perak, Malaysia
180417
A Morning Stroll at the Mangrove Park
April 17, 2018
Haha, I can't tell how much I miss blogging and blogwalking.
Anyway, it is another off day today. Going to share something I did on one of my previous off days - which was hmmm, more than 10 days ago? There are postcalls that I am still strong enough to still drive home - for 2 hours ride one way. But, there are some days I totally dozed off upon arriving home, took my bath and performed my prayer. The moment when I thought I would take only 30 minutes to an hour to rest before driving... would turn out to be 4-5 hours sleep. Heee.
And the day I went to this Taman Paya Bakau was that kind of day.
I decided to stay instead.
That morning, I went breakfast with a good friend - we used to know each other during high school and our parents are friends to each other as well. And turn out, we are colleagues in the same hospital right now. I have no idea to know someone here, but the moment I know she is in the same place as mine, I feel happier :)
After breakfast, I proceeded with this mangrove forest plan, while she had something else to do.
So, yeah, I went there alone. There were other visitors as well, but they came in a group.
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| Mangrove trees |
To be honest, the place is FULL of monkeys! I warned you guys, there are a lotttttt of them. Since I went there alone, I thought I could survived till the end until I was nearly ambushed by one of them.
Gosh, I wonder how I survived my high school life with monkeys.
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| See. They were waiting for me. |
Tadaaaa, the view was so amazinggggg!
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| The river. |
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| It is interesting to see the mangrove trees and imagining how they help with the ecosystem to prevent flood. Something I used to see from books. |
Well, I think my parents had took me and my brothers to this kind of place when we were still small kids.
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| Good view, good air. |
Thanks to this family of three for allowing me to join them. :D
Life survival skills of mine, please stay with me and never fade away :) After nearly being ambushed by the monkey, I slowly retreated until I saw this family started walking approaching me. Gently, I asked permission to join them walking together.
"Boleh je dik, takde masalah :)"
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| Kak Farah and family. |
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| The mangrove roots searching to water source, maybe? |
All in all, this place is very nice to hang out with friends and family in the evening of during weekend. Just, because of the monkeys, please be careful with the bags, phones and please please don't bring any food with you. I can say, the safety is about 6/10. But, the pathway is well taken care of. Very clean too! :)
There are jambatan gantung as well, just under renovation right now.
Here, I attach a map to this place. :)
Till next post.
M, Perak, Malaysia
180417
Segmen: Making A Blog List by Blog Siqahiqa
April 8, 2018
Having an off day and I decided to stay here. A bit tired to drive home, insyAllah next off day I'll be back to my hometown.
So, let's spend few minutes for the blog :D
Anyway, Siqahhhh, here I am, joining your segment :D
Click the banner for further details okay?
Or HERE.
Everyone who join this will be included in her blog list, anyway. Let's join this one!
M, Perak, Malaysia
180408
Detour by Raudhatul Hifza | Book Review
March 27, 2018
Despite the busy working days, I decided to have a goal of reading at least one book per month. It was a bit hard to keep in track as I don't have the luxury to read the book in the hospital and upon reaching home, I am already tired to even hold a book.
Memang bila pegang buku nak baca, the next moment I wake up... it is already 5am plus and I need to get ready for another working day.
So, after analyzing the trend, I got the pattern; to read few pages for 5-10 minutes in the morning while having my breakfast before leaving the house for work.
And finally I finished reading a book! :D
Title: Detour
Author: Raudhatul Hifza
Pages: 268
Publisher: Iman Publication
Publication Date: Jan 2018
There is no specific synopsis of this book unless you haven't read Hiatus. Oh, this book is kind of a sequel of Hiatus, just it is not written by Budak Tomato (I think?) and to be honest I imagine Muharikah is the one who wrote this piece. WAllahualam.
In this book, you can get a better understanding of Hiatus, from Raudhah's point of views.
A good, simple book to be honest, with not much cliffhanging parts but I am a bit disappointed with another open-ending book. Tapi, dah tu penulis nak buat, I can do nothing but to read, observe and apply the lessons I've learned from it.
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1. Be the person who can bring someone closer to Allah (together with us).
I believe I can relate well to the verse as Raudhah and I share the same career. Alhamdulillah I haven't deal with dying patients yet in this department, hopefully not but I believe it is something unavoidable in the hospital. Patients can die every day.
In O&G, it is more towards happiness of welcoming a newborn into this world. But, there are tears as well. Some women who really want a baby but unable to have one. Some women who got pregnant and really treasure their pregnancies suddenly came to the hospital because of per vaginal bleeding and upon examinations, they are diagnosed to have miscarriages T_T
'Bukan rezeki saya, kan doktor?' while shedding her tears.
Only Allah knows how sad I am to deal with this. But, I need to be professional as well even though quite a few times, I got carried away with this empathy emotion. What I can do is to calm them (in a rush, I need to help with other patients too) and reassured that 'Allah nak bagi yang lebih baik untuk akak. Akak pun muda lagi, insyAllah nanti akak cuba lagi ya.'
2. Rejection is another part of learning.
Well, rejection is my daily meal in the hospital. Well, it is for my own good anyway. Rejections really help me to improve on how to present cases, how to decide on the plans and the most importantly, why I need to perform such examinations and how to persuade patients.
Like, in O&G, not all cases we need to do vaginal examination (known as check jalan). In fact, there is another way to check the vagina - per speculum (orang panggil masuk mulut itik kat bawah) which is usually done if pregnant women complained of leaking liquor (rasa macam ada air mengalir lah doktor)
Same goes to abdominal ultrasound. In some cases, we need to do trans-vaginal ultrasound (masuk probe ultrasound melalui vagina untuk nampak organ peranakan lebih jelas) instead of trans-abdominally. But, we still need to respect the patients if they refuse any.
- 'Dah dia taknak, kita tak boleh paksa, Hanis. Yang penting, kita dah bagitahu baik buruk sesuatu prosedur tu dan make sure tulis dalam fail dia yang dia refuse.'
3. This too shall pass.
Every time I feel down with my own achievement, I always pat myself, "You have done the best for now, there are always rooms for improvement. And this too shall pass."
I hope my ability to work will be more efficient and fast with time. Ameen.
4. Dealing with depressed person.
I love how the author described this part well.
It is not that easy to deal with these people in real life. Theory and words are totally different than in reality. People are too different from each other. But, I think that I can use this as a guideline.
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All in all, this book is a bit monotonous but I believe that if we read this book for the sake of just to finish it, we will reach to higher disappointment. Anyway, if you have read Hiatus, I would highly recommend this one to continue reading after Hiatus :)
My rating: ★★★☆☆
M, Perak, Malaysia
180327
Beautiful Quotes from Lee Chong Wei Movie
March 26, 2018
I am running out of time for this post, but I really want to write down the lessons I learned from this movie. Honestly, as a badminton fan, this movie has a soft spot in my heart. Especially to appreciate that a sport legend is not a legend at the first place, but he wins the world with efforts, passion, determination, supports etc.
Oh yea, this is the very first movie I watched alone in cinema.
So far that I can recall, I guess?
And I learned that I can get a ticket for only RM10 in TGV cinemas if I pay with Maybank card (for showing times before 6pm).
Lee Chong Wei Movie
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| credit - http://www.leechongweimovie.com/ |
Honestly I don't expect much from it as I haven't watch any new movies' trailers. And I can't imagine the movie is going to be more to formal documentary or else. But, I finally decided to buy the tickets just because it is about badminton and Lee Chong Wei.
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| credit - http://www.leechongweimovie.com/ |
"Tiada impian yang tak dapat dicapai kecuali kalau kita berputus asa dari awal."
Again, it is about effort to achieve something. No matter what, we need to put our efforts while praying hard to get something.
Kita mungkin belum dapat nikmati terbang ke negara lain kalau the Wright brothers berputus asa nak buat kapal terbang.
Kita mungkin belum dapat nikmati perkembangan telefon canggih kalau Alexander Graham Bell berputus asa nak buat telefon.
"Hidup ni ada banyak nasihat dari pelbagai orang. Tugas kita ialah cantumkan cebisan-cebisan nasihat untuk jadi sesuatu yang berguna."
Maybe this is not the exact quote from the movie, but I believe it is something like this :)
Well, when we are sorting out the puzzle, we need to organize every parts of it and sort them together to get a full picture of it. Same as the life.
"Setiap kali hilang keyakinan, ingatlah masih ada orang percaya dengan kemampuan kita."
Haha... I can relate my life to this. In my case, the person will be my family. No matter how hard my day is, every time I look at their faces (virtually for now), my energy get boosted :) May Allah bless them <3
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| credit - http://www.leechongweimovie.com/ |
Nah, a beautiful song! :D
Till then,
Assalamualaikum.
M, Perak, Malaysia
180323
Sharing about Hypertension in Pregnancy
March 25, 2018
Normal people usually have normal blood pressure (BP). But, actually most people have hypertension nowadays. T_T However, pregnancy can also induce hypertension - due to hormones, the placenta (uri) and the struggle of pregnancy itself. Hypertension in pregnancy is not something to take for granted, in fact it is in the top 5 disorders in pregnancy that can harm mothers (lead to death).
For people who have family's background for hypertension, we need to be extra careful on our lifestyle and diet.
1. Hypertension - different terms in pregnancy.
There are quite a number terms and definitions I need to understand and remember in order to get the proper diagnosis and plans for specific patients.
Hypertension in general can reduce blood flow to many organs like:
I am still learning and observing this situation.
But, from my knowledge, once a pregnant woman is diagnosed with hypertension or have BP ≥ 140/90 in any check-ups in Klinik Kesihatan and written in their pink books, she need to get her BP measured every other day (EOD). This means, day 1 - day 3 - day 5 and continuously until her next check up or even until delivery of baby. Even after labor, her BP need to be monitored to make sure it is in a safe range.
Believe me, in unfortunate events, some patients can skip all these and go direct to seizure T_____T
Pregnant women who are / have:
These five alphabets are scary to me. It actually means - To Rule Out Impending Eclampsia
The havoc to manage a fitting pregnant woman is not a joke. At least few people need to take part in this especially to:
And if you are diagnosed with hypertension in pregnancy, please and please make sure you follow what your doctors have told you. If you need to take medications, please don't skip. If you need to get your BP measured every other day, please do so even though it can be a hassle.
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"Seizure in pregnancy is eclampsia until proven otherwise."
2. Why hypertension can be harmful in pregnancy?Well, hypertension is dangerous no matter someone is pregnant or not. In this post, I would love to share why and how hypertension in pregnancy is not an easy matter.
Hypertension in general can reduce blood flow to many organs like:
- brain (can lead to coma etc),
- heart (heart failure / attack etc),
- kidney (renal failure etc),
- eyes (blurring of vision etc),
- etc
So, can we imagine what can happen to the baby if the mother herself is not in good condition?
In O&G, mothers always come first to be rescued, only then the baby.
In O&G, mothers always come first to be rescued, only then the baby.
Effects - premature birth, stillbirth, complications to babies afterwards (learning disability, seizure etc)
3. How will be the routine for pregnant women with hypertension?
I am still learning and observing this situation.
But, from my knowledge, once a pregnant woman is diagnosed with hypertension or have BP ≥ 140/90 in any check-ups in Klinik Kesihatan and written in their pink books, she need to get her BP measured every other day (EOD). This means, day 1 - day 3 - day 5 and continuously until her next check up or even until delivery of baby. Even after labor, her BP need to be monitored to make sure it is in a safe range.
4. What are the signs & symptoms of impending eclampsia?Patients usually complain of headache, dizziness (rasa pinar-pinar), blurring of vision, epigastric pain (pedih ulu hati), nausea (mual), vomiting, edema (kaki bengkak). These are the things need to be watched out every time we meet patients with hypertension.
Believe me, in unfortunate events, some patients can skip all these and go direct to seizure T_____T
5. Who is at risk of pre-eclampsia / eclampsia?
Pregnant women who are / have:
- Previous history of pre-eclampsia
- Other diseases - kidney, diabetes etc
- Multiple pregnancy - twins / triplets etc
- Obesity
- Primigravida (first pregnancy)
- Family history of pre-eclampsia
6. How a hypertensive pregnant woman can be admitted to the hospital?As someone who have been clerking patients coming to EPAU (Early Pregnancy Assessment Unit) or in some place this unit is called PAC (Pregnancy Assessment Center), most pregnant women who came for high BP is diagnosed with 'TRO IE'.
These five alphabets are scary to me. It actually means - To Rule Out Impending Eclampsia
- They have high BP
- 80-90% of them have proteinuria (protein in urine).
- Some of them have signs and symptoms of Impending Eclampsia.
- Some even ended up with seizure.
- Most of them need to have induction of labor (IOL) / emergency C-sec (EMLSCS) as they can't exceed 38weeks! to deliver the baby - delivery is the best way to avoid the worst scenario.
The havoc to manage a fitting pregnant woman is not a joke. At least few people need to take part in this especially to:
- Prepare Magnesium Sulphate bolus and infusion (to fight the seizure),
- To check all vital signs (BP. pulse rate, respiratory rate, temperature)
- To recheck Pre-Eclampsia profile (full blood count, liver function test, renal profile, urine full examination and microscopy examination, coagulation profile)
7. How to avoid these?Hmm.. first, let's pray hard to all pregnant women to have a smooth and uneventful pregnancy. Live a good and healthy lifestyle, control our diet, don't ever skip any antenatal check-ups.
And if you are diagnosed with hypertension in pregnancy, please and please make sure you follow what your doctors have told you. If you need to take medications, please don't skip. If you need to get your BP measured every other day, please do so even though it can be a hassle.
"Seizure in pregnancy is eclampsia until proven otherwise."
M, Perak, Malaysia
180323
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