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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
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| 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.
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| 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.
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| Nampak je mendatar... tapi.... |
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| Feels nice to see this thing in the middle of hiking. Energized. |
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| With Hamizah. |
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| 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.
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| 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
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| Breath-taking enough. |
To get here;
Thanks guys for the day, till the next hiking trip!
Bukit 300 pulak okay?
M, Perak, Malaysia
180921
I've Been Watching You
September 19, 2018
I was on my way to the thumbprint machine today when I called Hamizah for dinner together. I was ultimately hungry and in need of food STAT. One of the people who will always hang out with me is obviously her :D
At that time, she was actually preparing for a jog. I decided to join her, yes in my working attire. Who cares though. We went to Astaka in Sitiawan which is famous for its huge field (worth 2km run around the field). Finished a round, I decided to stop. Pancit. I was hungry, remember?
But, sorry I can't stay still. I walked to the basketball court to watch a 3-on-3 game. Mizah on the other hand went for another 2km jog. At the basketball court, there was a Chinese uncle playing on his own and I offered myself to join. -_-'' attempting to shoot, surprisingly my skill hasn't worn out yet. :D
Excited.
We talked for quite some time and that uncle even shared few tips to shoot. I told him I am not that used to basketball as I played netball instead during teenagers. He said that the concept is basically similar and I already have the basic skill :)
"You have good hands and you know how to shoot."
Wahaha uncle. Thanks!
Towards 7pm+, he excused himself to leave and took the ball with him. After a while, there was an Indian boy approaching me and started a conversion. He was one of the players from that 3-on-3 game I've mentioned earlier.
"Are you new here? I've been watching you just now. You have good shooting skills. Feel free to join us any time."
Okayyy. Hati bunga-bunga.
Berbaloi rasanya praktis shooting basketball kat arcade. Cumanya static shooting macam tu okay lagi. Kalau dalam basketball game... ke laut jugak. -_-'
Finishing my day at the park with this :)
I miss my childhood era when this stuff is my playground.
I miss climbing.
Adulthood is full of responsibilities. We are surely growing older. May Allah bless.
Ohh, we finally had tomyam campur, somtam and a plate of white rice divided into two. Haha, masing-masing tengah semangat nak jaga kesihatan.
Till then,
Salam.
SM, Perak, Malaysia
180918
I Feel My Leg is Still There
September 14, 2018
I just feel like writing today.
This evening, when I was in the prayer room for Asar, I quietly listened to 'curahan hati' of a relative who is currently taking care of her father. She was actually sharing her thoughts to another random lady in the prayer room, just to lift up the burden in her chest, I guess.
Even though I am an Orthopaedics houseman and her father is actually in my ward, I am now in the peripheral team - which means my teammates and I are in-charge of all Ortho's patients in other wards in the hospital... so I don't know much about what is happening in the Ortho ward.
Okay, let's get back to that lady...
Her father was initially came with signs of inflammation of the right lower limb and our impression is necrotizing fasciitis. After further examination and discussion with the specialist, he ended up in the operation for wound debridement KIV BKA/AKA. BKA simply means below knee amputation while AKA means above knee amputation. BKA/AKA will only take place if the surgeon thinks it is better to do so and after approval of patient during the operation. Upon incision of the lower limb, there was A LOT OF pus discharge and slough - which means infection! The leg was really not in good condition and the infection was already ascending above knee. T_T
Only if you know how the slough / wound smells like.....
After explaining the intra-op finding and the surgeon explained the need to proceed with AKA, the patient was only keen for BKA at that moment. So, we proceed with that.
That was my first experience with BKA as a houseman.
Limb amputation - it sounds easy to say. But if I put myself in that patient's shoes, I can't imagine to see my leg is no longer there.
But, patient's general health is important as well. That limb can be a source of infection that can lead to sepsis / septic shock - many organs can lose their functions and eventually leading to death.
"Pakcik, saya minta maaf sangat-sangat. Tapi ibu jari kaki pakcik ni sebenarnya dah tak hidup. Kita kena keluarkan dia. Yang mati tak boleh bersama dengan yang hidup, kan pakcik?"
I still remember one of my MO's words towards another patient who came with gangrenous big toe, which means he need rays amputation of the great toe.
Yang mati tak boleh bersama dengan yang hidup, kan pakcik?
This sentence kept on playing in my brain.
Same goes to life. There are some things or people that are not meant for us or things that are actually harmful to us no matter how much we love them. This is when we need to remove them in our life, otherwise they will affect us, physically and mentally - eventually can destroy us.
It is hard to let go, but we need to try and live with the fact. And believe that it happens for reasons.
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I think I lose my writing skills much.
T_T
I miss blogging though.
SM, Perak, Malaysia
180914
180914
Sisters at Heart
September 3, 2018
Both are the youngest in the family.
Both are the only daughter.
My beautiful cousin, Farah.
I am very happy for your marriage, Fa. :) Although I can't be there physically to help through out the plan towards your D-day, deep in heart I am wishing all the good things for you.
And I am ultimately happy to be granted with 3 days off just to be there on that day, to witness the akad, the reception and to be your bridesmaid :) Still remember the day when Mak Yang helped with video call on your engagement day when I was too far away.
Thanks for being a good sister.
Thanks for sharing ears to listen to my stories.
Thanks for praying the best for me.
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| azrenfarah |
May you have a blessed marriage in this world and still be together, happily towards the Hereafter. :)
Ameen ameen!
M, Perak, Malaysia
190303
Just Because It is August :)
August 2, 2018
Time flies fast, honestly.
I don't even realised it is already 1 year since I finally arrived home for good, saying my farewell to Czech and goodbye to long haul flights. Gonna experience them again as soon as I finish housemanship, insyAllah ameen ameen.
Things honestly changed a lot through out time.
Since it is August and turn out August is my favourite month (well, who doesn't love their birthday month though?) :D, I am gonna share this thing here. Well, it is actually the same piece I've shared on my Insta stories. But, I don't feel like describing much about it there.
Reading this tweet makes me re-scroll of my review of 2017 and to re-check how did I summarize my 2017 and what I look forward for 2018.
1. Stop complaining and appreciate how lucky you are every day.
To be honest, I complained a lot about work to my good colleagues - people who will also share their complaints but at the same time, will support each other to go through the day with good heart and hope.
Alhamdulillah, despite the tiredness and uncertainty at work, I hope I can maintain the feeling of good to help others - no matter of helping patients, colleagues, hospital staffs or even random people I met without the thought of quitting.
I know it will be hard to stop complaining but I'll reduce it. Housemanship is a struggle, I am sorry to say this but I deeply understand housemanship's hard life is for my own good, for my survival skill when I will be left somewhere without proper facilities soon. So, bear with me if I complain anything, I am just trying to get the frustration out of my head in a good way and proceed with life as none of it happened. Haha.
Anyway, I am grateful enough with my life - blessed with understanding family members who sacrificed a lot for me. T_T I am lucky enough to have places and people to go if I want to share stuffs. Allah helps me a lot by with beautiful beaches in few minutes drive away.
2. Commit to the goals you set and never look back.
I do have goals. But it was still hard to never look back to previous goals that I need to turn away from. Things will never be the same anymore.
Things changed.
People changed.
Our life changed.
Goals are changeable as well, to be honest, depending on what suits best at that time.
But, for me it is better to set goals and live our life towards them. It always feel good to go with the flow but I would still rather have goals and moving around with that goals :)
3. Saying goodbye to the people that don't bring positive energy into your life.
Yessss, this thing helps a lot!
Keep in touch with people who you know will love you, including the one who will guide, scold you for reasons. I meant it. People who want the best for you will help you but in return, do the same to them. Support each other.
Ignore those who bring you down, whom you feel you lost your self worth.
After all, don't ever bring them down, don't ever lose their self worth. They will get something in return eventually, just not from you. Allah will help doing so, to make them realize what they have done. Just, don't be the one who do bad to people.
4. Sweat every day to boost your mood.
I sweat a lot while working through out the day. Can it be counted other than sweating via exercise? Hahaha.
Alhamdulillah, I am very grateful of my working hours in Ortho as I mentioned before. I have more time for myself and family. I even have time to play badminton after work despite the need to wake up early morning the next day. Adaptation slowly helps anyway. :)
Embracing uncertainty :)
SS, Perak, Malaysia
180802
Hello, Orthopaedics!
July 31, 2018
I just feel like writing today.
It's been a while, I know.
I have successfully completed my Obstetrics & Gynecology posting, alhamdulillah. :) Missing it the moment I am writing this post. O&G was my first in encountering almost everything. My housemanship basically started from zero, there. But, to complete these 2 years, I know I need to move on to another postings.
So, here I am, on my way to complete the very first month in Orthopaedics.
Honestly, I don't have specific postings in mind to choose what is going to be next though. So, I am gladly accepting this posting :) There are few life lessons I learned here (so far in 1 month).
1. I need to be physically fit.
Orthopaedics is more about musculoskeletal stuffs - involving fractures of bones, dislocations of joints, diabetic foot ulcers any many more. And this is a surgical based - so, expect operations every single day. Operations are almost 100% different than O&G. They took hourssssss (the longest one I have been in... was 7 hours straight - with 20 minutes break for me in the middle because I was hypoglycemic). But there was one time when there were 4 operations planned to be done that day and it was going one after another from 8am to 5.45pm and all of us there were basically standing the whole hours.
MO: "Hanis, take a break, pergi makan kat pantry. You need energy to assist me."
Full respects to all of my surgeons, who are very committed to reduce all the fractures, to debride all the wound, to explore the area etc. T___T
One day, I was helping the medical assistant to lift up a full right leg of a 150kg man to secure the best position of it so that the surgeon can have the best view and space to do operation on the leg. Once upon a time, I was a person who could lift a 30kg luggage up to 4th floor with stairs - but I assume not anymore. I don't know why but seems like I am losing most of my energy and strength.
So, back to the story of 150kg man.... my hand was literally shaking upon lifting the leg. The surgeon realized this and ended up asking a PPK to exchange with me.
MO: "Hanis, the moral of today, you need to eat more and exercise more."
Me: "Okay, doctor."
Thank you doctor for being considerate enough to a newbie like me.
2. Expect the challenging response.
There was one fine morning, raining cats and dogs at almost 6am, when I still remember the azan was berkumandang. It was time to take blood coming morning (means as an oncall person, we need to take any blood needed for the whole ward early morning that day).
I pushed the blood taking trolley towards a bed - who was known to be very hard to take the blood. But, what could I do? Blood is like an identity to us. Other than physical examinations, doctors can know what is happening in the patients' bodies via blood - how the liver functioning, how well is the kidney, is there any chronic infection going on, are the antibiotics working out yada yada.
So, the uncle said to me. "Doktor nak ambil darah ke? Muak dah tengok muka doktor-doktor asyik nak ambil darah je"
I am so sorry to have this inner thought, "Ingat doktor tak muak ke nak ambil darah?". I proceeded to do so, because this is my job. No matter how much the patient hates blood taking, I am doing my job and trying to make sure to get my job done so that I can feel satisfied for my pay. Keberkatan gaji is very important to me.
I ended my shift that day at about 2pm and later at night, my colleague told me that patient passed away towards the end of the evening. I was not in charge of him but I feel bad for my inner thought that morning... astaghfirullah T___T
3. Get my work done first and only then, help others.
In this department, we are assigned to beds - which mean we need to take care of the specific patient through out our working hours that day. The beds may be the same from the previous day or the next day, depending on how the oncall shift people distribute the beds.
I need to remember, other colleagues may help me but usually all people will focus on getting their carry outs done first.
I need to do the same.
And I need to remember my favourite MO mentioned to me a long time ago, "Hanis, I know you are very nice to help your friends. Keep that attitude but in reality, most of the time, you need to save your a** first."
Life is very subjective. There are colleagues you don't mind to spend your extra time to help them out, but there are some whom you will feel you need to get out of there as soon as you've done your job that day.
Keep being nice, Nina. You can do this.
4. Ortho ward is full of patients with infections.Honestly, I feel bad for all babies and kids who come to the ward. I am sure that there is a big notice in front of the ward that we don't really recommend the parents to bring the small kids and babies inside. I know you want the kids to visit their grandmother, grandfather etc.
But, isn't your children's health more important?
Trust me, babies and small kids' immune systems are not that strong compared to adults. They are still literally growing, their immunity is still maturing. If the infections are strong enough for normal adults, don't you think they are extremely harmful for your little buddies?
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All in all, the posting is honestly full of dramas. Belum masuk kisah-kisah patients yang nak masuk wad tapi taknak masuk wad, nak operation tapi taknak operation. Hahaha. Adoi laaa.
Embrace them, Nina.
Absorb the best parts and let go of the bad ones.
Nina,
You are still learning, try hard to avoid doing mistakes. But, if you do any, acknowledge and analyse the mistakes and try not to do them ever again. If other people blamed you for something not your fault, back yourself up with valid reasons so that they can't fire back at you. But, if they still blamed you for no reasons, then it is their problem, not yours.
I love the working hours in Orthopaedics anyway. :)
One of the best things here other than very helpful senior housemen and MOs who are willing to guide and teach.
M, Perak, Malaysia
180731
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