Terima Kasih, Nak.
April 30, 2020
Today morning, just before Subuh prayer, a patient came with complaint of generalised itchiness with periorbital edema (means - bengkak di sekitar mata) that made his eyes become so small, I barely can see.
HCW : dah berapa lama dah jadi macam ni pakcik?
Pakcik : masuk hari keempat ni, pakcik pun taktaw kat mana silapnya. Bangun-bangun tidur, terus jadi camtu, pastu pakcik pergi klinik, dia bagi ubat gatal, ubat allergik, ubat sapu. Tapi makin teruk pulak bengkak kat mata ni.
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| If you received medications like these (only tablets with label of symptoms), please kindly ask the clinic to write down the name at least. Is it piriton, prednisolone? It is tricky even for us to know the names of medications just from the tablets. |
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| Something like this. Wikipedia |
Maybe there was some allergens on his bed, maybe some insects, or maybe some food he ate before. The patient denied any history of food allergy. Though he had some allergic to an analgesics - pain killer (unsure name), he denied any history of taking analgesics prior to symptoms.
At first I got confused if this is allergic reaction OR anaphylactic reaction (which the latter is worse), I quickly read back the notes shared by one of my favourite medical officer and found this.
Going through by systems:
Skin - yeah, pakcik got some itchiness all over body with periorbital edema.
Respiratory - he denied any problem with breathing - no shortness of breath / chest pain / wheezing etc. And the lung was okay, no wheezing (wheezing ni selalu jadi bila saluran nafas jadi sempit, macam orang kena serangan asma.
Gastrointestinal - he also denied any abdominal pain / vomit / diarrhea
Cardiovascular - no history of dizziness / shock / fainted
Neurological - none as well.
Diagnosis:
Allergic reaction secondary to ? cause.
Intravenous cannulation done, we decided to give these medications given:
- IV hydrocortisone 200mg stat
- IV piriton 10mg stat
- IV ranitidine 50mg stat
After discussing with senior about IM adrenaline, there is less harm than benefits to give... though this is allergic reaction (not anaphylactic) - so, IM adrenaline 0.5mg stat.
We reaccessed patient about 30minutes later, the first thing he said "Nak, pakcik dah boleh nampak, terima kasih, nak." We can see the swelling around his eyes already improved much! He claimed the itchiness also had improved, hence we decided to allow him to go home with some medications.
A thing about this pakcik was he kept on smiling through out his visit in ED, soft spoken as well. Dah la mata tengah sepet, senyum senyum lagi la sepet pakcikkk.
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I always feel anxious to work night shift in Emergency Department. With this current Covid situation, staffs are distributed to many teams, hence, I need to survive on my own feet managing the Non Respiratory cases (green zone, yellow zone and red zone). Every single night shift, I will always pray for smooth shifts and the senior MOs working on respi team will not be annoyed to share their opinions for management. Alhamdulillah. the senior MOs, staff nurses, medical assistants are helping a lot and HO colleagues are good as well :)
Till next story :)
Salam Ramadhan semua.
SM, Perak, Malaysia
200430
Self Reflection from Ebit Lew's Beautiful Words
April 26, 2020
After reading these tweets on Twitter, I decided to read more about Ebit Lew. I know his name was famous ever since the Movement Control Order (MCO), when he directly go from one hospital to another to support the preparation for Covid Screening. There were lots of posts flowing on my Facebook timeline at that time, which amazed me a lot. He spent huge amount of money to help those in need.
But, I don't really understand the current issue when he decided to take a break till MCO to be lifted later.
Otherwise, he is an impressive Muslim, who makes me reflect how much have I done for the community. I pray hard that Allah blessed me with my job's contributions as I am not that active in social contribution like him. -_-'
21 pesanan bermakna dari Ebit Lew.— Rahim Isam (@rahim_isam) April 25, 2020
1- “Walaupun kita miskin, tapi bila kita ada agama, kita bahagia”
2- “Kita solat bukan sebab kita baik, tapi sebab kita hamba Allah.”
3- “Siapa betulkan solat, Allah betulkan hidup dia.” pic.twitter.com/t2KG4yLutf
4- “Ketika kita ingat Allah, Allah ingat kita. Ketika kita lupa Allah, Allah tetap ingat kita.”— Rahim Isam (@rahim_isam) April 25, 2020
5- “Kita selalu ingat apa yang kita nak dari Allah, tapi kita selalu lupa apa yang Allah nak dari kita.”
6- “Melihat bukan dengan mata tapi dengan hati. Hati yang kenal Allah SWT akan sentiasa belajar mencari kebaikan orang.”— Rahim Isam (@rahim_isam) April 25, 2020
7- “Kemusnahan hidup seseorang bermula apabila dia mula bersangka buruk terhadap sekelilingnya. Dan kemuncak kemusnahannya adalah apabila dia mula bersangka buruk dengan Tuhan.”— Rahim Isam (@rahim_isam) April 25, 2020
8- “Tak mengapa orang hina atau aibkan kita, kita bukan hidup untuk penghormatan manusia tapi hanya untuk Allah sayang.”— Rahim Isam (@rahim_isam) April 25, 2020
9- “Segemuk-gemuk ikan pasti ada tulangnya. Sekurus-kurus ikan pasti ada dagingnya. Sebaik-baik orang pasti ada buruknya. Seburuk-buruk orang pasti ada baiknya. Buang yang keruh ambil yang jernih, carilah baik dalam buruk orang, itulah akhlak. Carilah buruk dalam kebaikan diri...— Rahim Isam (@rahim_isam) April 25, 2020
...sendiri, itulah ikhlas.”— Rahim Isam (@rahim_isam) April 25, 2020
10- “Untuk Allah bantu kita, kita kena dapat doa orang yang makbul doanya. Pertama doa mak ayah kita. Kedua, doa isteri. Ketiga, doa orang baik-baik serta kawan-kawan kita walau melalui ucapan di Facebook. Doakanlah semula kebaikan buat mereka.”
11- “Bila kita bawa orang yang jauh dari Allah kembali kepada Allah,itulah cinta yang sebenar.”— Rahim Isam (@rahim_isam) April 25, 2020
12- “Biar apa orang nak kata, yang penting kita hidup untuk Allah sayang.”
13- “Kita cuba tutup kesedihan dengan hiburan. Tetapi, akhirnya tiada apa yang kita dapat. Kerana ubat kesedihan adalah sujud dan mengadu kepada Allah.”— Rahim Isam (@rahim_isam) April 25, 2020
14- “Dalam hidup ini, kita kena ingat Allah sentiasa sayang kita. Bila Allah sayang dia beri kebaikan, dia beri kita hati yang tenang. Jadi kita kena banyak puji Tuhan.”— Rahim Isam (@rahim_isam) April 25, 2020
15- “Bila kita dakwah orang tapi orang tak dengar, kita doa; Ya Allah, mereka tak tahu, tak faham, mereka lupa. Ya Allah, beri hidayah kepada dia.”— Rahim Isam (@rahim_isam) April 25, 2020
16- “Segala benda tak ada yang kebetulan, tak sengaja dan sengaja, itu semua Allah dah aturkan. Allah dah pertemukan....
... Tujuannya untuk kebaikan.”— Rahim Isam (@rahim_isam) April 25, 2020
17- “Wanita ini amat lembut dan dijadikan untuk disayangi, dikasihi dan dibimbing untuk masuk syurga. Allah jadikan mereka untuk melengkapi kita. Pasti tidak ada silap. Silap hanya bagaimana diri kita menyingkapi dan melaluinya.”
18- “Semua manusia ada hati dan keinginan untuk jadi baik.”— Rahim Isam (@rahim_isam) April 25, 2020
19- “Jangan risau kalau kita buat baik orang tak nampak, yang penting Allah nampak.”
20- “Bila cinta kerana Allah, untuk Allah sayang. Cinta itu akan kekal. Tapi jika cinta selain dari itu belum ada jaminan apa-apa. Berusaha mengasihi keluarga kita kerana Allah untuk redha Allah.— Rahim Isam (@rahim_isam) April 25, 2020
21- “Kita sentiasa mengharapkan kasih sayang daripada manusia. Namun para sahabat hanya mengharapkan kasih sayang daripada Allah. Anugerah yang sebenar-benarnya adalah daripada Allah. Orang yang paling disayangi oleh ramai orang boleh jadi akan dibenci sekelip mata...— Rahim Isam (@rahim_isam) April 25, 2020
...Tetapi itu tidak penting, yang penting apabila Allah sayang.”— Rahim Isam (@rahim_isam) April 25, 2020
Kita kongsi untuk semua ambil manfaat ??
Here, he mentioned a lot about prayers. Yeah, solat tiang agama kan? Simple but most of us take it for granted T_T. I realised as Muslims, we tend to get farther from Allah, especially when we are blessed with ease, happiness, success at that time. But we forget that all those rizq are from Him.
Every speech of him are very eye and heart opening. Sometimes, we tend to search for others' mistakes forgetting that we are human too, so we also make mistakes. Here, we need to practice to see good in others.
Hidup kerana Allah, do things for the sake of Allah.
I need to always renew my intention every time I treat patient with this mindset. For Allah, for Allah, for Allah.
May Allah bless him and us :)
Ameen!
Salam Ramadhan everyone.
SM, Perak, Malaysia
200426
Tell Me Three Things by Julie Buxbaum | Book Review
April 14, 2020
I bought this book in Popular prior to previous BBW visit. Actually I separated books I bought from BBW and the rest so that I would like to make sure I read at least half of BBW books (just to feel it worth my money travelling to KL for them haha). But somehow this book look attractive though.
Title: Tell Me Three Things
Author: Julie Buxbaum
Pages: 325
Publisher: Delacorte Press
Publication Date: April 2016
Synopsis:
This book is about Jessie Holmes's life approximately 2 years after the death of her mother. His father got married to a woman he met online, subsequently lead to Jessie's moving to a brand new life in Los Angeles. Jessie knew no one there except her father, new stepmother and stepmother's son.
Few earliest days there, Jessie got an email from anonymous, Somebody/Nobody (SN) who offer to navigate her around without meeting each other in real life. After Jessie slowly making friends there, she was still in contact with SN, while trying to find out who SN was (who seemed to be a guy).
There are about 3 guys in the novel, Ethan Marks - Jessie's partner in some literature project, Liam Sandler - son of a saleswoman who hired her to work in a bookstore, and Caleb - a guy she met in the wrong class, sharing about his summer vacation.
Who is SN? Why is he messaging her?
1. “Perfect days are for people with small, realizable dreams. Or maybe for all of us, they just happen in retrospect; they're only now perfect because they contain something irrevocably and irretrievably lost.”
Jessie lost her mother to cancer at the age of 14 (I guess), and that's approximately the age girls start to become teenagers and somehow mothers are to whom girls will turn, to get further life guidelines.
Through the novel, I can always feel that she missed her mother a lot. The way she counted the days her mother left her, it showed it was never easy for her to forget. And to be real, I believe it is really difficult to move on and live with the memories.
And I love the part where Rachel (Jessie's stepmom) bought flight tickets for her for a weekend trip to Chicago to meet her old friends and to enjoy her known, familiar neighborhood. Rachel is one of the stepmoms who are not... I mean, mean?
2.
I love this part too!
Deep inside, I really hope SN is a good person for Jessie. You know, sometimes I can't help to think that there is someone around Jessie (maybe) planning to trick her on thing like this. T_T
But, I am glad, SN IS A GOOD ONEEEE! :D
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Maybe enough with two. All in all, the story is cute and adorable, though I found it tiring to know the mysterious SN, which was finally exposed at the few final pages of the novel. T_T The three guys are interesting too, I mean, the author somehow managed to trick me into doubting myself to guess which one is SN.
I am a slow reader currently, reading takes a lot of time, making a review as well. Haha.
Till then.
p/s - I can't help to read SN as Staff Nurse -_-'
My rating: ★★★★☆
Who is SN? Why is he messaging her?
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1. “Perfect days are for people with small, realizable dreams. Or maybe for all of us, they just happen in retrospect; they're only now perfect because they contain something irrevocably and irretrievably lost.”
Jessie lost her mother to cancer at the age of 14 (I guess), and that's approximately the age girls start to become teenagers and somehow mothers are to whom girls will turn, to get further life guidelines.
Through the novel, I can always feel that she missed her mother a lot. The way she counted the days her mother left her, it showed it was never easy for her to forget. And to be real, I believe it is really difficult to move on and live with the memories.
And I love the part where Rachel (Jessie's stepmom) bought flight tickets for her for a weekend trip to Chicago to meet her old friends and to enjoy her known, familiar neighborhood. Rachel is one of the stepmoms who are not... I mean, mean?
2.
I love this part too!
Deep inside, I really hope SN is a good person for Jessie. You know, sometimes I can't help to think that there is someone around Jessie (maybe) planning to trick her on thing like this. T_T
But, I am glad, SN IS A GOOD ONEEEE! :D
------------------------
Maybe enough with two. All in all, the story is cute and adorable, though I found it tiring to know the mysterious SN, which was finally exposed at the few final pages of the novel. T_T The three guys are interesting too, I mean, the author somehow managed to trick me into doubting myself to guess which one is SN.
I am a slow reader currently, reading takes a lot of time, making a review as well. Haha.
Till then.
p/s - I can't help to read SN as Staff Nurse -_-'
My rating: ★★★★☆
SM, Perak, Malaysia
200414
Review on Unifi Mobile™ Pek Jasa
March 26, 2020
After more than 10 years of being a loyal Celcom customer, I finally decided to turn my back to it. To be honest, I think Celcom is one of the strong telcos in Malaysia. I have never tried any other Telcos anyway.
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| Cute little simcard |
But after paying almost RM110 per month (actually RM98 + tax) for my First Gold Plus plan, I realised there are few other choices out there that offer almost similar plan with cheaper price T_T.
- 20GB free weekend Internet (5GB every Saturday & Sunday)
- 20GB weekday Internet
- 100GB free Super VideoWalla for 12months
- unlimited calls to all networks
- unlimited social apps
- ** unlimited Hotspot within those 40GBs
Sounds okay.
But look at this one!
UNIFI MOBILE™ PEK JASA - (RM 59/month)
- unlimited data
- unlimited calls to all networks
- unlimited SMS to all networks
- no contract
- 10GB Hotspot
I have surveyed for Maxis, Digi, U-Mobile too, but none of them are interesting as how I am attracted to Unifi -_-' Maybe due to the reason that lots of my colleagues in ED use Unifi, most of them have given generally nice feedback.
It was a hard decision to make and I hope I don't regret it.
So, good bye Celcom!
2007-2020
On 10th February 2020, I finally decided to proceed with the plan :) I went to the nearest TM point and inform the officer about what I want. Alhamdulillah the process was smooth, with the help of the officer. If you want to apply the same Pek Jasa as I am, don't forget to bring your working ID as well ya.
It is still early to give thorough feedback on this new data plan, but generally for the past 1 month:
- I have no problem assessing the Internet (on Unifi) as the data is unlimited. When I was using Celcom previously, it was really hard when the month approached the few last days. My job requires me to be on Mobile Data for 24/7, there are lots of PDFs to be downloaded, not to forget lots of movies/dramas to be watched on off days.
- Unifi coverage is not that broad compared to Celcom. There was one time I went to Sendayan for a Paediatric course and it was really hard to even get 1 bar! I don't know why but seems that friends using other Telcos have no problem with their coverage. Ehemm... but no problem so far in Manjung.
- I can feel the difference of paying the bill! RM59 vs RM 98.
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| I just knew that Unifi gives free LTE hotspot for 999GB till 1/4/2020. Alhamdulillah, I can use mobile hotspot to connect to my laptop :D |
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| The charges breakdown. |
I am currently on Day 2 of staying at home due to some reasons that (maybe) I will share later. Please pray for me and my ED team :)
SM, Perak, Malaysia
200326
The Rainbow Skywalk, Penang - Worth It!
March 9, 2020
This post was supposed to be published a week ago. But, I was quite lazy to open my laptop and I don't fancy writing over phone much. Hehe :)
This one is the Rainbow Skywalk (at level 68) of THE TOP, Penang. If you love heights or glass floors, this is one of the places to go :)
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| They offer official photos, but we have bought one from the observatory deck. We just asked the other tourists to snap photos of us :) |
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| The entrance to the Rainbow Skywalk. |
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| THE TOP will provide us with this reusable shoe covers, it is for free but you need to return to them later. The shoe covers are needed to walk over the glassy floor. |
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| The world's first tower curved skywalk. |
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| The view from the curved skywalk. |
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| One of the view up there. There is a restaurant if you want to try having lunch / dinner with 360 degree view :) |
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| It is said to be wishing pot, people (as expected) will throw some coins inside to wish for something. It is a common view at wishing fountains all over the world though. |
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| This is the restaurant I mentioned earlier - Coco Cabana Bar & Bistro. I had no idea about the menus, but I was more interested to play this one :D |
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| Tadaaa :D I used to play this one at home (when I was a child), you know the darts game we can buy from the night market. It was too expensive to buy toys at the mall at that time :D I guess, currently is is even more expensive hehe |
That's the end of my Penang trip. Let's look forward to more trips. :) Haziq and I just finished our 1640km road trip to the south of Malaysia, please pray that I will write about the trip faster hehe
200309
SM, Perak, Malaysia
Welcome to THE TOP, Penang
February 25, 2020
8th February 2020
Penang, Malaysia
The next day, we decided to explore THE TOP, Penang. There are actually a lot of fun things to do like the Rainbow Skywalk, Jurassic Research Center, 7D Discover Motion Theater, Tech Dome Penang etc. But, in view of we didn't have enormous time, we decided to try the Rainbow Skywalk. Similar to other state's highest point, this one offers the 360 degree view of Penang.
It is located at the top of Komtar tower. Though I've been to Penang multiple times, I can't remember going to Komtar. -_-'
For parking, you can try the parking at Komtar, Not that expensive I think (can't remember the fee).
There are two sections for the top view of Penang - one is the Observatory Deck (at level 65) and the other one is the Rainbow Skywalk (level 68). If you park your car at the Komtar parking area, you can see signboard at each parking levels.
We bought our tickets via KLOOK, just because we want the cashback via Shopback. It was RM48 per person (similar price with the official website). Prepare to show our identity card to get the benefits of Malaysian citizen and pray that the good weather is on our side.
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| Though we bought the ticket online, we still need to queue to claim our wristband (which will be used to enter both Observatory Deck & Rainbow Skywalk). On the wall, you can see lots of pictures of famous people visiting THE TOP. :) |
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| Our wristbands. I love our veins anyway hahaha. |
It was Thaipusam that day but CNY decorations were still all around. Well, didn't mind either as the decorations were beautiful too! Before taking the lift, we passed through the pathway and why not we took pictures here ;))
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| I wish I will have the opportunity to watch sakura with real eyes :) |
At level 65, there will be introduction video before you can step into the Observatory Deck, but it was broken at that time, so they allow us to go inside directly.
The first view you will see is the Gurney Drive.
"Gurney drive is a popular seafront promenade in Pulau Tikus, Penang. The drive is one of Penang's most popular tourist destinations, famous for its hawker food. Previously know as the new coast road, it was completed in 1936, along the north beach and renamed in 1052 after Sir Henry Gurney, the British High Commissioner in Malaya at that time."
"The Kek Lok Si Temple is a famous Buddhist temple situated in Ayer Hitam. As one of the largest and finest Buddhist temples in Malaysia, it serves as an important pilgrimage center for worshippers from South East Asian countries. The entire temple was built from 1891 to 1930, and it is now a center for Chinese culture and Buddha's teachings as well as a unique heritage treasure."
Then, there will be an area with glass floor that we can stand on top of it. It is not that scary anyway, I've been to Macau Tower (with the world highest bungee jump) - that one was scarier. :D
There are photographers who will take your photos and if you are satisfied with the photos, you can proceed with payment. If I'm not mistaken, it was around RM40+ per printed photo. It include a soft copy of it online (I forgot to claim the photo) -_-' it had already expired after 14 days. T_T
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| Selfie for now. |
Walking around the deck, you can see Penang Bridge as well.
"The Penang Bridge is a 13.5km (8.4-mile) dual carriageway toll bridge and controlled-access highway, connecting Butterworth on the mainland side of the state with Gelugor on the island, crossing the Selatan Strait. The bridge was inaugurated on 14 September 1985 and it is the first road connection between the peninsula and the island. It was the longest bridge in Malaysia until the Second Penang Bridge, with a total length of 24km (15miles) was opened on 1 March 2014."
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| The tower binocular - RM2 for few minutes. |
"Seberang Perai, or previously known as 'Pyre' during the British Colonial era, is situated opposite Penang island on the main land, and connects to the island by the Penang Bridge and ferry services. The mainland is where the heart of mega commercial projects and residential townships is, with 54% of the Penang population living here. Many major developments are now focused in Seberang Perai, which has been crowned as Penang's catalyst for growth in the 21st century."
"Initiated in the year 1920, the Penang Ferry Service is the oldest ferry service in Malaysia. It connects Sultan Abdul Halim Ferry Terminal in Butterworth to Raja Tun Uda Ferry Terminal at Weld Quay, Penang. It served as the major link between the mainland and the island untul the Penang Brudge opened in 1985. The ferry service allows pedestrian passengers on the upper deck and small vehicles on the lower deck."
Talking about the ferry, when I traveled to Penang with my parents, we usually travel to the island via ferry and took the bridge later to get back to the mainland :) It is a good experience to try the ferry service here, especially when you bring along kids. They will find this fascinating :)
"Padang Kota Lama, located in one of the oldest districts of George Town, was among the earliest settlement of town. When Francis Light (Founder of Penang) landed at the cape in 1786, he found that this part of the island was uninhabited. The land was flat but overgrown with hardwood trees such as the Penaga Laut (ironwood). The northern shore was sandy while the eastern shore was covered with mangrove swamp. Light was said to have blasted silver coins into the forest to induce he workers to clear the land. These coins could possibly still buried in the area where Padang Kota Lama is located today."
Actually I were the one excited to come here as I would like to check out THE GRAVITYZ. Have any idea about it? It is for those with adrenaline rush to challenge ourselves with things involving the great height. They claim to offer activities under one of the best high-altitude sports platform in ASEAN!
If I'm not mistaken, the price is less than RM150 per person.
However due to time constraint and it was so hot that morning, we decided to plan another trip later to this place again :)
In the next post, we can enjoy the view from the Rainbow Walk :D
Till then.
SM, Perak, Malaysia
200225
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