In Health and In Sickness

PERTANYAAN UNTUK CINTA

2010-12-07T00:58:00.002+08:00

Pertanyaan Untuk CINTA

Adakah tapak tanganmu berkeringat, hatimu berdebar kencang dan suaramu tersekat di dadamu?Itu bukan Cinta, itu SUKA.

Adakah kamu tidak dapat melepaskan pandangan mata darinya?Itu bukan Cinta, itu NAFSU.

Adakah kamu menginginkannya kerana kamu tahu ia ada di sana?Itu bukan Cinta, itu KESEPIAN.

Adakah kamu mencintainya kerana itulah yang diinginkan semua orang?Itu bukan Cinta, itu KESETIAAN

Adakah kamu tetap mengatakan kamu menyintainya kerana kamu tidak ingin melukai hatinya?Itu bukan Cinta, itu BELAS KASIHAN.

Adakah kamu menjadi miliknya kerana pandangan matanya membuat hatimu melompat?Itu bukan Cinta, itu TERGILA-GILA.

Adakah kamu memaafkan kesalahannya kerana kamu mengambil berat tentangnya?Itu bukan Cinta, itu PERSAHABATAN.

Adakah kamu mengatakan padanya bahawa setiap hari hanya dia yang kamu fikirkan?Itu bukan Cinta, itu DUSTA.

Adakah kamu rela memberikan semua perkara yang kamu senangi untuk kepentingan dirinya?Itu bukan Cinta, itu KEMURAHAN HATI.

TetapiAdakah kamu tetap bertahan kerana campuran antara kesakitan dan kegembiraan yang membutakan dan tak terfahami ... menarikmu mendekati dan tetap bersamanya?ITULAH CINTA.

Apakah kamu menerima kesalahannya kerna itu bahagian dirinya dan siapa dirinya?Jika demikian, ITULAH CINTA.Adakah kamu tertarik dengan orang lain tapi setia dengannya tanpapenyesalan?Jika demikian, ITULAH CINTA.

Adakah kamu menangis kerana kesakitannya walaupun saat itu dia kuat?ITULAH CINTA.
Adakah hatimu sakit dan hancur ketika dia bersedih?ITULAH CINTA.
Adakah hatimu gembira ketika dia berbahagia?ITULAH CINTA.
Adakah matanya melihat hatimu dan menyentuh jiwamu begitu mendalam sehingga menusuk?Yang demikian itulah namanya CINTA.

"Life without friendship is like the sky without sun"

Black Day for Gunners Fan - Arsenal 2 Spurs 3

2010-11-21T13:06:00.004+08:00

It has been a while since i am so upset after a football match. But going down to spurs in a north london derby, after leading 2-0 is simply unacceptable..

enough said....:(

Outcome of Renal Transplantation

2010-11-20T12:58:00.005+08:00

Recently i have conducted a research in my institution + i have written an abstract paper bout it. Open for comments....

Title:
Outcome of Renal Transplantation: Hospital Tengku Ampuan Afzan Experience.

Authors:
Fariz Safhan MN, Seman MR and Che Roslee D.
Department of Medicine and Nephrology, Hospital Tengku Ampuan Afzan Kuantan

Introduction:
The 3 main modalities of treatment for end stage renal disease (ESRD) are haemodialysis, peritoneal dialysis and renal transplant. Renal transplant has been observed to be the best treatment in-term of patient survival and quality of life. Despite a remarkable improvement in the management of acute rejection, long-term outcome in renal transplantation is not as good. ‘Chronic allograft nephropathy’ and death with a functioning graft are the two common causes of graft loss or graft failure. We have conducted a retrospective study to assess the graft and patient survival of our patients.

Method
This is a retrospective review of available case notes of all transplant patients who are under nephrology clinic follow up since 1990. The demographic and transplant related date were collected and subsequently analysed using SPSS 17.0.

Results
A total of 44 case notes of patients were available for review. Mean age of patients were 44 years old (+7.43). Thirty one (70.5%) of patients were male whilst 13 (29.5%) were female. There were 27 (61.4%) Chinese patients, 13 (29.5%) Malay patients and 4 (9.1%) Indian patients. Nineteen (43.2%) patients had transplant in China, 8 (18.2%) in India, 6 (13.6%) had local cadaveric transplant, 7 (15.9%) had living related donor transplant and another 4 (9.1%) unknown. Ten (22.7%) patients developed acute rejection whilst 14 (31.8%) patient developed chronic allograph nephropathy. Ten (22.7%) of patients developed post transplant diabetes mellitus. The mean graft survival was 16.1 + 1.5 (95 CI 13.3 – 19.1) and the mean patient survival was 24.2 + 2.4 (95% CI 19.5, 29.0).

Conclusion
Our patient and graft survival are comparable to other centers where 5 year survival is more than 90% (mean graft survival 16y; mean patient survival 24y). Renal transplant is a very good treatment option because it leads to a good quality of life and also prolonged survival. More effort needed to encourage our society to donate their kidney since most of the transplant has been done overseas

CINTA ANTARA KITA

2010-11-07T20:45:00.001+08:00

JUST RILEKS RILEKS
UNTUK PASANGAN BERCINTA YANG TUMPANG LALU DI BLOG INI

My Birthday

2010-05-03T20:30:00.002+08:00

Thank You For All The Birthday Wishes ................

Just For Fun

2010-03-23T01:35:00.005+08:00

Hidup sangat sangat sibuk sekarang. Lama betul tak menjengah blog sendiri sampai password pun dah terlupa.

Dapat joke ni dari my friend...just for fun..

Microsoft's Bill Gates decided not to invest further in Punjab
after receiving a letter from Mr Banta Singh.

To : Bill Gates, Microsoft
From : Banta Singh of Punjab
Date : 1 April 2009
Subject: Problems with my new computer

Dear Mr. Bill Gates,

We have bought a computer for our home and we have found some problems,
which I want to bring to your notice..

1. There is a button 'start' but there is no 'stop' button. We request you to check this.

2. One doubt is whether any 're-scooter' is available in system? I find only 're-cycle', but I own a scooter at my home.

3. There is 'Find' button but it is not working. My wife lost the door key and we tried a lot to trace the key with this 'find 'button, but was unable to trace. Please rectify this problem.

4. My child learnt 'Microsoft word' now he wants to learn 'Microsoft sentence', so when you will provide that?

5. I bought computer, CPU, mouse and keyboard, but there is only one icon which shows 'My Computer': when you will provide the remaining items?

6. It is surprising that windows says 'MY Pictures' but there is not even a single photo of mine. So when will you keep my photo in that.

7. There is 'MICROSOFT OFFICE' what about 'MICROSOFT HOME' since I use the PC at home only.

8. You provided 'My Recent Documents'. When you will provide 'My Past Documents'?

9. You provide 'My Network Places'. For God sake please does not provide 'My
Secret Places'. I do not want to let my wife know where I go after my office
hours.

Regards,
Banta
Last one Mr. Bill Gates
P.S: “ Sir, how is it that your name is Gates but you are selling WINDOWS ?”

--

Selamat Tahun Baru 2010

2010-01-01T09:13:00.003+08:00

Di sini ingin mengucapkan selamat tahun baru 2010....semoga kita lebih success di tahun baru ini...

10 Terakhir Ramadhan

2009-09-13T08:14:00.001+08:00

Assalamualaikum dan salam sejahtera....

Kita dah tiba ke sepuluh hari terakhir di bulan Ramadhan. Kalau terawih dengan imam mesir ni dah mula menangis sebab diorang sedih ramadhan dah nak berakhir.....
Pada 10 malam terakhir dalam bulan mulia ini, Allah menganugerahkan satu malam yang sungguh istimewa dan penuh berkat padanya iaitu Lailatul Qadar yang diiktiraf Allah sebagai satu malam yang lebih baik dari 1,000 bulan.Banyak hadis nabi yang menceritakan mengenai Lailatul Qadar, antaranya hadis riwayat Aisyah r.a yang bermaksud: “Carilah sedaya upaya malam al-Qadar pada malam ganjil dari sepuluh malam terakhir pada bulan Ramadan.” (Hadis riwayat Bukhari).Namun, malam sebenarnya Lailatul Qadar muncul tidak diketahui dengan tepat. Ternyata Allah menurunkan Lailatul Qadar yang penuh kerahmatan, limpah kurnia dan keampunan ini sebagai rahsia Allah kepada hamba-Nya. Marilah kita cuba mencari malam lailatur qadar ni...

Ini pula fadhilat solat terawih malam ke 21 hingga ke 30 seperti yang disebut

Malam 21 : Allah binakan sebuah istana dalam Syurga daripada nur.
Malam 22 : Datang ia pada hari Qiamat aman daripada tiap-tiap dukacita dan kerisauan (tidaklah dalam keadaan huru-hara di Padang Masyar).
Malam 23 : Allah Subhanahuwataala binakan kepadanya sebuah bandar di dalam Syurga daripada nur.
Malam 24 : Allah buka peluang 24 doa yang mustajab bagi orang berterawih malam ini, (elok sekali berdoa ketika dalam sujud)
Malam 25 : Allah Taala angkatkan daripada siksa kubur.
Malam 26 : Allah kurniakan kepada orang berterawih pahala pada malam ini seumpama 40 tahun ibadat.
Malam 27 : Allah kurniakan orang berterawih pada malam ini ketangkasan melintas atas titian Sirotolmustaqim seperti kilat menyambar.
Malam 28 : Allah Subhanahuwataala kurniakan kepadanya pahala 1000 darjat di akhirat.
Malam 29 : Allah Subhanahuwataala kurniakan kepadanya pahala 1000 kali haji yang mabrur.
Malam 30 : Allah Subhanahuwataala beri penghormatan kepada orang berterawih pada malam terakhir ini yang teristimewa sekali, lalu berfirman:“Hai hambaKu : makanlah segala jenis buah-buahan yang engkau ingini hendak makan di dalam syurga, dan mandilah engkau dariapda air syurga yang bernama Salsabila, serta munumlah air daripada telaga yang dikurniakan kepada Nabi Muhammad S.A.W. yang bernama ‘Al-Kauthar’.”
Selamat beribadat......

Ketulusan Hati

2009-07-10T02:10:00.000+08:00

In Penang Again

2009-07-09T07:47:00.004+08:00

Baru sedar....lamanya tak post...dan aku di penang lagi ni. Menghadiri National Conference in Clinical Research kat G Hotel Penang.......

Hopefully...boleh catch up dengan friends kat penang ni ..

P/S Sibuk sungguh sebulan dua ni....tanggungjawab kerja semakin bertambah....in charge untuk H1N1 di Pahang lagi.....

Akan post lagi........

In Penang For The Weekend

2009-05-29T19:15:00.003+08:00

Off to penang tis weekend...attending Malaysian Endocrine Soc Annual Congress 2009. Staying at Park Royal Batu Feringhi for 3 nights.....

Apa nak buat masa malam/free kat Penang ni ek....? Aku rasa aku relax je la.....sangat sibuk lately so would be nice dapat some masa to relax a bit...

Till then

Rileks Rileks

2009-05-27T02:49:00.003+08:00

Interactive Lecture on Incretin Based Therapies...Invitation

2009-05-18T12:24:00.005+08:00

To fellow doctors in Kuantan and nearby areas...

There will be a talk on "Integrating Incretin Based Therapies in The Treatment of Type 2 Diabetes" organised by MSD. Lecture by Dr Zanariah Consultant Endocrinologist.

I will be the ChairPerson for the event.

Please leave me a note to those who want to attend (and doesnt know bout it yet) and i will inform the rep from MSD. Thank You

Thank You

In KL for the weekend

2009-05-16T18:28:00.005+08:00

Aku di KL weekend ni....staying at Crowne Plaza Mutiara KL. Attending dinner symposium titled "Practical Strategies for Insulin Intensification in Type 2 DM by Dr Gerstman, consultant endocrinologist from Melbourne, Ozie..

Anyone in KL...care to belanja me makan???

Live oN Radio Tomorrow

2009-05-12T21:44:00.006+08:00

I will be giving a medical talk and "sesi soal jawab" in RTM Pahang "doktor di radio" tomorrow morning 9 am (live)...topic on renal transplant...so PLEASE PLEASE PLEASE wish me luck so that i wont embarrass my self ON AIR...

How Do You Know If You Married The Correct Person

2009-05-10T21:02:00.003+08:00

A Nice Article by Mort Fertel on Marriage Fitness

How Do You Know If You Married The Right Person

During one of my seminars, a woman asked me a question. She said, "How do I know if I married the right person?" I noticed that there was a large man sitting next to her so I said, "It depends. Is that your husband?"
In all seriousness, how do you know? How do you know if you married the right person?

Here’s the answer.

EVERY relationship has a cycle. In the beginning, you fell in love with your spouse. You anticipated their call, wanted their touch, and liked their idiosyncrasies.
Falling in love with your spouse wasn’t hard. In fact, it was a completely spontaneous experience. You didn’t have to DO anything. That’s why it’s called "falling" in love - because it’s happening TO YOU.

People in love sometimes say, "I was swept off my feet." Think about the imagery of that expression. It implies that you were just standing there; doing nothing, and then something came along and happened TO YOU. Falling in love is easy. It’s a passive and spontaneous experience.

But after a few years of marriage, the euphoria of love fades. It’s the natural cycle of EVERY relationship. Slowly but surely, phone calls become a bother (if they come at all), touch is not always welcome (when it happens), and your spouse’s idiosyncrasies, instead of being cute, drive you nuts.

The symptoms of this stage vary with every relationship, but if you think about your marriage, you will notice a dramatic difference between the initial stage when you were in love and a much duller or even angry subsequent stage.

At this point, you and/or your spouse might start asking, "Did I marry the right person?" And as you and your spouse reflect on the euphoria of the love you once had, you may begin to desire that experience with someone else. This is when marriages breakdown. People blame their spouse for their unhappiness and look outside their marriage for fulfillment.

Extramarital fulfillment comes in all shapes and sizes. Infidelity is the most obvious. But sometimes people turn to work, church, a hobby, a friendship, excessive TV, or abusive substances.

But the answer to this dilemma does NOT lie outside your marriage. It lies within it.
I’m not saying that you couldn’t fall in love with someone else. You could. And TEMPORARILY you’d feel better. But you’d be in the same situation a few years later. Because (listen carefully) THE KEY TO SUCCEEDING IN MARRIAGE IS NOT FINDING THE RIGHT PERSON; IT’S LEARNING TO LOVE THE PERSON YOU FOUND.
SUSTAINING love is not a passive or spontaneous experience. It’ll NEVER just happen to you. You can’t "find" LASTING love. You have to "make" it day in and day out. That’s why we have the expression "the labor of love." Because it takes time, effort, and energy. And most importantly, it takes WISDOM. You have to know WHAT TO DO to make your marriage work.

And make no mistake about it. Love is NOT a mystery. There are specific things you can do (with or without your spouse) to succeed with your marriage. Just as there are physical laws of the universe (such as gravity), there are also laws for relationships. Just as the right diet and exercise program makes you physically stronger, certain habits in your relationship WILL make your marriage stronger. It's a direct cause and effect. If you know and apply the laws, the results are predictable - you can "make love.

Doktor oh Doktor

2009-05-07T09:37:00.005+08:00

Oleh AZMAN ANUARrencana@utusan.com.my

PENDEDAHAN berhubung isu penemuan dua doktor di Jabatan Kecemasan Hospital Kuala Lumpur (HKL) 'mencuri tulang' oleh Timbalan Menteri Wilayah Persekutuan, Datuk M. Saravanan sedangkan lebih 20 orang pesakit masih menunggu dalam kesakitan - memang menghangat. Susulannya, pelbagai pihak lain turut mendedahkan versi pengalaman dengan doktor di hospital kerajaan. Semua doktor hospital kerajaan telah dicemuh oleh masyarakat. Tetapi akhirnya lain pula cerita sebenarnya. Dua doktor yang dituduh curi tulang itu sebenarnya doktor pelatih yang baru habis bertugas sejak hari sebelumnya. Bilangan pesakit yang menunggu hanya lapan orang (selebihnya ahli keluarga yang menunggu). Inilah bahana apabila membuat tuduhan tanpa usul periksa.

inilah bahana kalau politician yang takde insight nak nyibuk cari populariti murahan.........

Tidak rasa sedih dan terhinakah doktor dituduh sedemikian. Sedangkan kita tahu mereka bertugas dengan dedikasi, merawat pesakit berbilang kaum tanpa jemu, bekerja siang mahupun malam tanpa hirau penat dan lesu - tiba-tiba dituduh secara melulu sedemikian!

we work between 24 - 36 hours straight if we are on call.......and we still smile (most of us do). Can you think of any other profession that ask you to focus intensely for 36 hours. Nak mandi pun tak sempat kekadang...Selepas menamatkan tugasan on-call doktor tersebut akan terus menyambung tugasan sama ada di wad atau terus ke klinik pesakit luar sehinggalah tamat waktu pejabat hari tersebut. Adalah tidak adil untuk mengatakan seseorang doktor itu kurang mesra pesakit sekiranya beliau kurang senyum dan beramah mesra pada hari tersebut. Mereka keletihan setelah bekerja secara berterusan lebih daripada 24 jam.

Jika ada pun doktor yang bersikap 'curi tulang' jangan dibuat andaian semua doktor begitu. Tempias nama buruk terpalit kepada institusi hospital kerajaan. Pada hakikatnya ramai doktor masih bertanggungjawab dalam menjalankan tugas.Sebagai rakyat Malaysia, mungkin kita pernah menjadi pesakit di hospital mahupun di klinik-klinik kerajaan.Soal menunggu lama adalah lumrah kerana kita maklum jumlah pesakit yang ramai.

Fikirlah....kita nak dr jumpa cepat and tak menunggu lama lama tapi dr tgk kejap je (u cakap dr cincai pulak) OR kita nak tunggu lama sikit tapi dr tgk dgn thorough and complete. Lu fikir sendirilah beb....sebab masa itu fixed tak boleh diubah.

Cuma sikap sewaktu memeriksa pesakit perlu dilakukan dengan penuh dedikasi - bukan menunjukkan reaksi kurang selesa dan kurang berminat untuk merawat pesakit. Pun begitu, kita percaya masih ramai doktor yang komited dengan tugas mereka. Mungkin hanya satu dua orang sahaja yang tidak beretika dan sanggup mencalitkan lumpur kepada nama baik hospital. Doktor dan pembantunya, jururawat telah diberi kursus dalam membentuk etika yang baik sewaktu bertugas.

budaya korporat....

Mereka tahu cara untuk berhadapan dengan jumlah pesakit yang terlalu ramai termasuk melayan pelbagai kerenah pesakit. Petugas di hospital kerajaan harus memberi layanan terbaik kepada setiap orang tanpa mengira status dan kedudukan. Jangan kerana pesakit terdiri dari golongan kurang mampu dan ditempatkan di kelas kedua atau ketiga, mereka dilayan bagai orang yang tiada perasaan - diherdik dan ditengking sesuka hati.

personally lah....kalau pesakit tu cakap baik baik dengan aku lah...ada etika...aku memang layan dengan sangat baik takkiralah kelas mana pun...sebab kita respect orang yang respect kita betul tak....tapi ini ada segelintir kecil tu sakit tak seberapa melenting yang lebih....selalu anak anak buah aku yang kena....tapi tetap layan baik la...cuma sangat tu takdelah..

Profesion doktor cukup mulia. Tetapi naluri manusia sentiasa mahu dilayan dengan cepat dan tidak sabar jika terpaksa menunggu lama. Perkara ini dilalui oleh para doktor. Bilangan doktor tidak pernah bertambah. Seorang rakan yang memilih bidang ini pernah meluahkan 'tidak ada masa yang cukup' untuk mereka. Ada masa mereka terlepas waktu makan tengah hari. Kalau mahu ke tandas pun perlu bergilir-gilir. Perkara-perkara seumpama itu adalah biasa bagi seseorang doktor. Namun, kita belum lagi mendengar doktor menjerit marah kerana kepenatan. Belum pernah kita lihat mereka memberontak dan mogok tidak mahu merawat pesakit. Kita pun tidak pernah melihat para doktor berpiket menuntut hak mereka. Tak dengar oun mereka meminta dihargai. Sebaliknya mereka terus bekerja penuh dedikasi siang dan malam tanpa jemu merawat pesakit.Sebenarnya tidak ramai antara kita sedar bahawa waktu bila doktor bekerja. Mereka memulakan tugas sebelum pukul 8 pagi, dan jika on call kena bertugas hingga 36 jam.

doktor takkan mogok...seduh tau tgk orang sakit...doktor ni ada perasaan jugak

Banyak masa mereka korbankan untuk pesakit daripada bersama di sisi ahli keluarga, ibu bapa dan anak-anak. Mereka tidak pernah merungut tentang gaji. Tidak ada siapa antara kita yang serius memikirkan soal menjaga kebajikan doktor.Sekarang, amat jarang pesakit atau waris pesakit yang mengucapkan 'terima kasih' kepada doktor. Sebaliknya ada pesakit yang berani menghentak fail ke atas kepala doktor semata-mata kerana tidak diberi cuti sakit. Tetapi doktor hanya diam, senyum dan meneruskan kerja. Bukanlah bermakna mereka tiada perasaan. Sebaliknya mereka dididik dan dipesan untuk bersabar dengan semua kerenah pesakit. Jangan kerana desakan sesetengah pihak berkepentingan tertentu, mereka ini dijadikan mangsa dan bekerja dalam tekanan. Kelak ia hanya mendatangkan masalah kepada diri doktor, keluarga dan pesakitnya.Mulai hari ini dan mengambil semangat baru sempena Hari Pekerja semalam, eloklah kita ringankan mulut untuk mengucapkan terima kasih kepada setiap doktor yang merawat kita

cakap terima kasih pun cukup...rasa sejuk hati dan berbaloi kerja....bukan nak mintak apa apa extra pun....aku percaya respect has to be mutual - and both ways....

Labour Day - And I Was On Call

2009-05-02T17:24:00.004+08:00

Selamat hari Pekerja....and I was on call.

Ramainya orang sakit di hari buruh - pity to my House Officers and Medical Officers. A lot of interesting...and challenging cases were admitted yesterday.....transverse myelitis, thyroid storm, pregnant ladies with ITP etc...

And when the dust settled, and all cases clerked, me and my MOs + few HOs went to a well deserved dinner? opps supper, around 2 am at Sg Kita food court (depan hospital tu tepi sungai)....it was indeed a long day....and the supper was the best part of the day he heh...

Selamat Hari Pekerja....

When I'm lost in the rain,
In your eyes I know I'll find the light
To light my way.
And when I'm scared,
And losing ground,
When my world is going crazy,
You can turn it all around.
And when I'm down you're there - pushing me to the top.
You're always there, giving me all you've got.
For a shield from the storm,
For a friend, for a love to keep me safe and warm I turn to you.
For the strength to be strong,
For the will to carry on
For everything you do,
for everything that's true I turn to you.
When I lose the will to win,
I just reach for you and I can reach the sky again.
I can do anything '
Cause your love is so amazing, '
Cause your love inspires me.
And when I need a friend,
You're always on my side
Giving me faith taking me through the night

Photos From Sabah (Part 1)

2009-04-15T03:03:00.007+08:00

Few photos taken from my recent trip to sabah (sutera harbour) for the conference.

Manukan Island.....did snorkling here. Beautiful serene beach...wish i am brave enough to do deep sea diving and enjoy the corals....

Boarding from sutera harbour jetty to manukan island

High tea at the island. Some of the delegates which include doctors from vietnam, myanmar, and thailand.

Sea view from my room. What more can i say....

It was an interesting conference...updates on management of nephrology and gastroenterology cases.

Beautiful....as i was lying on the poolside facing the cool and calming sea....i captured matahari terbenam...really like this photo.

The ladies favourite place...pasar filipina....they spend multi hours here....

More photos later....

Renungan Bersama

2009-04-15T02:58:00.003+08:00

Siapakah orang yang sibuk? Orang yang sibuk adalah orang yang tidak mengambil berat akan waktu solatnya seolah-olah ia mempunyai kerajaan seperti kerajaan Nabi Sulaiman a.s.

Siapakah orang yang manis senyumanya? Orang yang mempunyai senyuman yang manis adalah orang yang ditimpa musibah lalu dia kata "Inna lillahi wainna illaihi rajiuun." Lalu sambil berkata,"Ya Rabbi Aku redha dengan ketentuanMu ini", sambil mengukir senyuman.

Siapakah orang yang kaya? Orang yang kaya adalah orang yang bersyukur dengan apa yang ada dan tidak lupa akan kenikmatan dunia yang sementara ini.

Siapakah orang yang miskin? Orang yang miskin adalah orang tidak puas dengan nikmat yang ada sentiasa menumpuk-numpukkan harta.

Siapakah orang yang rugi? Orang yang rugi adalah orang yang sudah sampai usia pertengahan namun masih berat untuk melakukan ibadat dan amal-amal kebaikan.

Siapakah orang yang paling cantik? Orang yang paling cantik adalah orang yang mempunyai akhlak yang baik.

Renungan Bersama..

Waiting for the flight to KK

2009-04-02T10:35:00.005+08:00

Pagi ini koi berkejar kejar ke airport kuantan to catch 630 punya flight. Gila mengantuk. Sampai kat KLIA punyalah awal......boring betul. Next flight ke Kota Kinabalu pukul 12tgahari. Melangut je lah....

Ni koi nak pergi attend REGIONAL EXPERT FORUM ON VIROLOGY AND TRANSPLANT kat Sutera Harbour Kota Kinabalu - 4 days conference. Hopefully i would learn new stuffs and update myself with new things going on. As well as finding some times for island hopping.....nak naik gunung tak sempat le kot attires pun tak bawak.

Tahun ni koi sepatutnya tgk formula one racing...ada org dah siap nak sponsor lagi....tapi sebab conference ni koi postpone le lagi setahun...kat KLIA ni pun penuh poster poster F1.....hopefully ferrari will do better this time...

Okay....koi nak soru jap....

Just my ten cents not my nonsense..

One Year of Blogging

2009-03-24T12:28:00.006+08:00

It was at this very date of 24th March 2008, when i was in front of my lap top in the Registrar Room that i wrote (or typed) the first article in my blog...Times flew...and a year has passed. Yes...i havent been active or writing as much now like i did earlier ...work commitment i guess...but i enjoyed the experience of writing, expressing ideas, making new friends etc....Yeahh i have met some very interesting people from blogging. I know this blog not great but....I really hope that i can still be actively blogging in the future..... To PC and AnSD.....this blog is ain't infant anymore....its a small kid + growing now he hehh.

HAPPY FIRST BIRTHDAY...

97years old doctor & this is what he has to say....

2009-03-22T21:29:00.003+08:00

Got this article from a friend...and i would like to share it with fellow bloggers...

At the age of 97 years and 4 months, Shigeaki Hinohara is one of the world's longest-serving physicians and educators. Hinohara's magic touch is legendary: Since 1941 he has been healing patients at St. Luke's International Hospital in Tokyo and teaching at St. Luke's College of Nursing. After World War II, he envisioned a world-class hospital and college springing from the ruins of Tokyo; thanks to his pioneering spirit and business savvy, the doctor turned these institutions into the nation's top medical facility and nursing school. Today he serves as chairman of the board of trustees at both organizations. Always willing to try new things, he has published around 150 books since his 75th birthday, including one "Living Long, Living Good" that has sold more than 1.2 million copies. As the founder of the New Elderly Movement, Hinohara encourages others to live a long and happy life, a quest in which no role model is better than the doctor himself.

Doctor Shigeaki Hinohara JUDIT KAWAGUCHIPHOTO

Energy comes from feeling good, not from eating well or sleeping a lot. We all remember how as children, when we were having fun, we often forgot to eat or sleep. I believe that we can keep that attitude as adults, too. It's best not to tire the body with too many rules such as lunchtime and bedtime.

All people who live long regardless of nationality, race or gender share one thing in common:None are overweight... For breakfast I drink coffee, a glass of milk and some orange juice with a tablespoon of olive oil in it. Olive oil is great for the arteries and keeps my skin healthy. Lunch is milk and a few cookies, or nothing when I am too busy to eat. I never get hungry because I focus on my work.. Dinner is veggies, a bit of fish and rice, and, twice a week, 100 grams of lean meat..

Always plan ahead. My schedule book is already full until 2014, with lectures and my usual hospital work. In 2016 I'll have some fun, though: I plan to attend the Tokyo Olympics!

There is no need to ever retire, but if one must, it should be a lot later than 65. The current retirement age was set at 65 half a century ago, when the average life-expectancy in Japan was 68 years and only 125 Japanese were over 100 years old. Today, Japanese women live to be around 86 and men 80, and we have 36,000 centenarians in our country. In 20 years we will have about 50,000 people over the age of 100...

Share what you know. I give 150 lectures a year, some for 100 elementary-school children, others for 4,500 business people. I usually speak for 60 to 90 minutes, standing, to stay strong.

When a doctor recommends you take a test or have some surgery, ask whether the doctor would suggest that his or her spouse or children go through such a procedure. Contrary to popular belief, doctors can't cure everyone. So why cause unnecessary pain with surgery I think music and animal therapy can help more than most doctors imagine.
To stay healthy, always take the stairs and carry your own stuff. I take two stairs at a time, to get my muscles moving.

My inspiration is Robert Browning's poem "Abt Vogler." My father used to read it to me. It encourages us to make big art, not small scribbles. It says to try to draw a circle so huge that there is no way we can finish it while we are alive. All we see is an arch; the rest is beyond our vision but it is there in the distance.

Pain is mysterious, and having fun is the best way to forget it. If a child has a toothache, and you start playing a game together, he or she immediately forgets the pain. Hospitals must cater to the basic need of patients: We all want to have fun. At St. Luke's we have music and animal therapies, and art classes.

Don't be crazy about amassing material things. Remember: You don't know when your number is up, and you can't take it with you to the next place.

Hospitals must be designed and prepared for major disasters, and they must accept every patient who appears at their doors. We designed St.... Luke's so we can operate anywhere: in the basement, in the corridors. Most people thought I was crazy to prepare for a catastrophe, but on March 20, 1995, I was unfortunately proven right when members of the Aum Shinrikyu religious cult launched a terrorist attack in the Tokyo subway. We accepted 740 victims and in two hours figured out that it was sarin gas that had hit them. Sadly we lost one person, but we saved 739 lives.

Science alone can't cure or help people. Science lumps us all together, but illness is individual. Each person is unique, and diseases are connected to their hearts. To know the illness and help people, we need liberal and visual arts, not just medical ones.

Life is filled with incidents. On March 31, 1970, when I was 59 years old, I boarded the Yodogo, a flight from Tokyo to Fukuoka. It was a beautiful sunny morning, and as Mount Fuji came into sight, the plane was hijacked by the Japanese Communist League-Red Army Faction. I spent the next four days handcuffed to my seat in 40-degree heat. As a doctor, I looked at it all as an experiment and was amazed at how the body slowed down in a crisis.

Find a role model and aim to achieve even more than they could ever do. My father went to the United States in 1900 to study at DukeUniversity in North Carolina. He was a pioneer and one of my heroes. Later I found a few more life guides, and when I am stuck, I ask myself how they would deal with the problem.

It's wonderful to live long. Until one is 60 years old, it is easy to work for one's family and to achieve one's goals. But in our later years, we should strive to contribute to society. Since the age of 65, I have worked as a volunteer. I still put in 18 hours seven days a week and love every minute of it.

Arshavin is Magic

2009-03-16T00:26:00.004+08:00

ANDREY Arshavin finally showed why Arsenal paid £15million for him.

The playmaker from St Petersburg grabbed his first goal for the Gunners and had a hand in two of the others as Arsenal moved back into the top four.It capped a fine week’s work for the Gunners following their Champions League triumph in Rome last week . Arshavin was Arsenal’s matchwinner and the prospect of teaming him with Cesc Fabregas and Tomas Rosicky when they’re fully fit again is mouthwatering.What a pity it’s come too late.While it might have taken Arsenal an hour or three to score against Roma, two minutes was all it took against Blackburn.It was greeted as Arshavin’s first for the club – a near post scramble from Theo Walcott’s cross. But TV replays showed afterwards that Andre Ooijer’s face got the last touch even though the little Russian celebrated by holding up a gloved finger to signal No 1.It was hard to deny the Russian a share of the glory. Anyone who turns out in pink boots deserves some sort of recognition. Arshavin turned on the magic to claim his first goal for the Gunners.He picked up the ball inside the Blackburn half and cut inside before squeezing his shot into the net from the acutest of angles while others waited in the box.It earned a huge round of applause from his manager... and a huge sigh of relief from players and fans alike.Just as well, really, because Bendtner had one of those frustrating days which was summed up by another glaring miss after Arshavin set him up.But the Russian wrapped up a good day for both him and the Gunners when, with three minutes to go, Paul Robinson could only parry his shot into the path of substitute Emmanuel Eboue who hammered home the rebound.

Relationship

2009-03-07T21:27:00.003+08:00

Life is not about how to survive the storm, but how to dance in the rain

Just some jokes on relationship......

Wife: 'What are you doing?'

Husband: Nothing.

Wife: 'Nothing...? You've been reading our marriage certificate for an hour.' Husband: 'I was looking for the expiration date.'

------------ --------- --------- -

Wife : 'Do you want dinner?'

Husband: 'Sure! What are my choices?'

Wife: 'Yes or no.'

------------ --------- --------- -

HubY 'You always carry my photo in your wallet. Why?'

WIFE: 'When there is a problem, no matter how great, I look at your picture and the problem disappears.'

HUBBY 'You see how miraculous and powerful I am for you?'

WIFE: 'Yes! I see your picture and ask myself what other problem can there be greater than this one?'

------------ ------------------ --------- --------- --------

Girl: 'When we get married, I want to share all your worries, troubles and lighten your burden.'

Boy: 'It's very kind of you, darling, but I don't have any worries or troubles.'

Girl: 'Well that's because we aren't married yet.'

------------ --------- ---------

A newly married man asked his wife, 'Would you have married me if my father hadn't left me a fortune?'

'Honey,' the woman replied sweetly, 'I'd have married you, NO MATTER WHO LEFT YOU A FORTUNE!'

------------ --------- --------- --------- ---------

Girl to her boyfriend: One kiss and I'll be yours forever.

The guy replies: 'Thanks for the early warning.'

------------ --------- --------- -

A wife asked her husband: 'What do you like most in me, my pretty face or my sexy body?' He looked at herfrom head to toe and replied: 'I like your sense of humor!

Lama Tak Menulis..

2009-03-07T15:55:00.005+08:00

Salam...

It has been two months since i jot down something here. Just realise that being a specialist is a lot tougher than i have expected. When i was a house officer and medical officer, physically it was exhausting but mentally it was kind of okay. Now, despite not so much of physical demand, the mental burden is sometimes unbearable. Its not easy sometimes when you have to make so much of "critical" decision....

Ok...enough membebel....i want to mengucapkan happy birthday today to a friend....NYETTO in johor.....semoga dirahmati Allah selalu and dicepatkan bertemu jodoh he he..

SELAMAT TAHUN BARU MAAL HIJRAH 1430 dan SELAMAT TAHUN BARU 2009

2009-01-01T13:33:00.003+08:00

Saya ingin mengucapkan selamat tahun baru kepada semua bloggers.....
Happy Duffy Puffy New Year,semoga hidup diberkati dan dirahmati ALLAH selalu....

SELAMAT HARI RAYA AIDIL ADHA

2008-12-08T09:34:00.003+08:00

Selamat Hari Raya Aidil Adha........Selamat Melakukan Ibadah Korban...

Braya di Kuantan tahun ini.....Korban (portion of) lembu nombor 4 di majlis korban Surau Taman Guru...

5th Regional Medical Update

2008-11-21T23:04:00.003+08:00

Busy organising the 5th Regional Medical Update for Pahang. Nak cari sponsor, nak cari speaker, nak cari venue bla bla bla...

This year's theme - medical disordders in pregnancy. I am also presenting a topic - Renal Disorders in Pregnancy...

Just finished preparing my slides....hopefully no one sleep tomorrow he he..

Till then............

Heavy Schedule Ahead

2008-10-21T02:18:00.003+08:00

Will be busy this one week...hopefully will be able to find time to blog...

ON TOP OF NORMAL WARD ROUND AND CLINIC........

Today - (am) Lecture for Nursing students
(pm) Meeting for Regional Medical Update
Tomorrow - (am) Taking 3rd Year UIA Medical Students for end of posting exam
(pm) Lecture for MA (Pahang)
(night) Shoot to KL for NADI (National Association Diabetes) Conference at
Sunway
Thursday - Sunday: NADI conference
Monday: Oncall
Tuesday: Short case with final year med. Meeting for Regional Medical Update 2.

Arrghh...

The Job Interview.....Just For Fun

2008-10-20T01:24:00.002+08:00

Got this from a friend...

The Job Interview

Four men were sitting around a conference room table being interviewed for a job.
The interviewer asked, 'What is the fastest thing you know of?'

The first man replied, 'A thought. It pops into your head, there's no forewarning that it's on the way; it's just there. A thought is the fastest thing I know of.'
'That's very good,' replied the interviewer.

'And now you, sir,' he asked the second man. 'Hmmm, let me see..... a blink!,' said the second man. 'It comes and goes and you don't know it ever happened. A blink is the fastest thing I know of.'
'Excellent!', said the interviewer. 'The blink of an eye. That's a very popular cliche for speed.'

He then turned to the third man who was contemplating his reply. 'Well, out on my dad's ranch, you step out of the house and on the wall there is a light switch. When you flip that switch, way across the pasture the light at the barn comes on in an instant. Turning on a light is the fastest thing I can think of.'
The interviewer was very impressed with the third answer and thought he had found his man. 'It's hard to beat the speed of light.', he said.

Turning to the fourth man, a Newfoundlander, he posed the same question.
'After hearing the three previous answers, it's obvious to me the fastest thing known is diarrhea,' said the Newfie.
'What!' said the interviewer, stunned by the response.
'Oh, I can explain,' said the Newfie, 'You see, the other day I wasn't feeling so well and ran for the bathroom.
But, before I could think, blink, or turn on the light, I s*** my pants.'

He got the job.

Statement From Conference of Rulers

2008-10-18T15:57:00.008+08:00

Truly agree...janganlah isu ini dibangkit bangkitkan lagi oleh mana mana pihak kerana ia boleh mecetuskan suasana tidak harmoni.

Artikel dari NST

KUALA TERENGGANU: The 215th meeting of the Conference of Rulers, held at Istana Maziah here, issued a special press statement yesterday on several matters enshrined in the Federal Constitution.

Following is the statement in full."Press statement issued by the Keeper of the Rulers' Seal on the role of the Yang di-Pertuan Agong and the Malay rulers regarding the special privileges, position, eminence or greatness of the Malay rulers, Islam, Malay as the national language, the special position of the Malays, and genuine interests of the other communities in accordance with the Federal Constitution."The Malay rulers who attended the meeting of the Conference of Rulers conferred on the issuing of this special joint press statement."The Malay rulers hold the constitutional role to safeguard the special privileges, position, eminence and greatness of the Malay rulers, safeguard Islam, Malay as the national language, and the genuine interests of the other communities in Malaysia.

"The actions of certain quarters in disputing and questioning these matters, which formed the primary basis for the formation of Malaysia and are enshrined in the Federal Constitution, had caused provocation and uneasiness among the people. "In retaliation, several quarters particularly Malay leaders whether in the government or non-governmental organisations as well as individuals had expressed their dissatisfaction and anger against those who had made the statements and reports and organised the forums."Among the reasons identified for these to have occurred is the cursory knowledge of those concerned regarding the historical background as to why these provisions were enshrined in the Federal Constitution and the influence of their attempts to implicate the principles of impartiality and justice without regard for the historical background and social condition of this country.

Narrow political interests are also a cause."Unless this phenomenon is arrested immediately, it can lead to disunity and racial strife that can undermine the peace and harmony which has all this while brought progress, development and success to the nation."As such, it is necessary for the Conference of Rulers to emphasise and remind all quarters of these constitutional provisions besides giving emphasis to the assurance of safeguarding the genuine rights of other communities."It has to be emphasised that each provision in the Federal Constitution has undergone the process of discussion, consideration, consultation, sacrifice and compromise of the highest degree for what has been championed, discussed, considered, benefited from as well as agreed to by all quarters concerned, until the realisation of the provisions in the Federal Constitution which are known as the Social Contract."It is not proper to dispute and question this Social Contract and more so to subject it to a review or change because it is the primary basis of the formation of Malaysia.

Therefore, it is appropriate for the Malay rulers to remind that there should never be any attempt ever to test and challenge issues related to the Social Contract."Truly, the leaders of the pre-independence era were insightful, far-sighted. They brought along with them the Malay rulers for the negotiations to claim independence. The institution of the rulers was retained and legally enshrined in the Constitution of an independent Malaysia."The institution of the Rulers was accorded eminence, was positioned at the apex of government, as the head of the country and the states, as a protective umbrella, ensuring impartiality among the citizens. The institution of rulers takes on the role of being a check-and-balance to untangle complications, if any.

"The Conference of Rulers also calls on the Malays to be united to safeguard the privileges, position, eminence and greatness of the Malay rulers, safeguard Islam, Malay as the national language, and the genuine interests of the other communities in Malaysia as enshrined in the Federal Constitution. It has to be emphasised that this agenda is more important and foremost than political or factional interests."Non-Malays should not harbour any apprehension or worry over their genuine rights because these rights are guaranteed under the Federal Constitution and provisions of the state constitutions of Malaysia contained in Article 153 of the Federal Constitution."It is hoped that with this emphasis, all confusion among the people regarding these matters can be contained and an atmosphere of peace, harmony and mutual respect can continue to exist among the people for the maintenance of order in the country.

"Yang di-Pertuan Agong Sultan Mizan Zainal Abidin attended the meeting yesterday.....

Minggu Yang Memenatkan....

2008-10-18T15:21:00.004+08:00

After a week long holiday for raya, being back i hospital is rather tiring...more so that i have 4 on calls lining up for me in a space of one week. Luckily a physician call is not so punishing physically, even though mentally it can be dauting....So that;s why not much update i my blog.

I had a very interesting and challenging case though...A lady in her 4th pregnancy, with background history of CRHD with MR (mitral regurgitation) presented with fast AF, in failure while in the latent phase of labour. Repeated the echo = which showed the presence of MS (mitral stenosis) as well....Started her on amiodarone infusion, and once rate controlled, get my O & G colleagues to do caesarian section under GA...Failure also responded to diuretics. Everything went on well so far, she is in SR, extubated in ICU. Only baby is still in NICU...

Anyway......this one week also has been filled with open house and jamuan raya by different departments in hospitals....free lunch everyday....puasa 6 pun tak habis lagi ni.

And this week took final year UIA medical student for end of block medical posting exam. Pity them has to study during raya...guess that's the sacrifice to be a doctor...

Ok all....have a nice weekend

Syawal Ke 12

2008-10-13T00:02:00.007+08:00

Assalamualaikum..............

Lama jugak tak update sebab raya....sekarang dah hampir di pertengahan bulan syawal kena menulis balik...

Recently aku join facebook....disuruh oleh member member lama....amazing how facebook managed to connect you us with old friends...ada yang dah more than 25 years tak dengar cerita...especially tadika and primary school....belum kira sekolah menengah lagi and uni...

So ni gambar sekolah rendah sultan abdullah kuantan diupload oleh seorang member.....mana satu aku ek???

Mana satu aku ek......

SELAMAT HARI RAYA AIDILFITRI.....MAAF ZAHIR BATIN

2008-09-27T17:38:00.006+08:00

Assalamualaikum........

Buat semua dear friends,,,pengunjung blogger ini samaada yang dikenali atau tidak....saya ingin mengucapkan selamat hari raya aidil fitri and maaf zahir batin.......semoga bergembira selalu menyambut hari lebaran.....and kalau yang ada di kuantan silalah berkunjung ke rumah saya

Jaga kesihatan.....takmo beraya sakit sakit.....kalau sakit jangan lupa seek help he he....

Tahun ni tak sangka dapat banyak kad raya he he...cuma separuh tu dari pharmaceutical company......

Jaga diri semua

Assalamualaikum...

The Hero and The Zero...For The Month

2008-09-27T17:17:00.005+08:00

I am quite neutral in politics. But i do know when things are right and when things are not right. I love my country for sure....

Not surprisingly....this month hero and zero are not from football but from politic...

The Hero - Mr Zaid Ibrahim, you really earned my praise - for standing up and fight against the thing you dont believe in. U resigned from the post which carries so much power. For u...is a man with principle.

Here are some interesting excerpts - from the very own Mr Zaid Ibrahim

On the ISA arrest of Sin Chew Daily reporter Tan Hoon Cheng

"I did not expect this. That our government would find journalists a threat to the country? How can a journalist be a security threat? I cannot understand this. But, I am a minister, so I am responsible. In terms of ISA usage, for example, the police said we detain first, then only we investigate. This is a strange principle. I don’t understand this. You cannot detain people just because you want to investigate."

On rule of law, transparency"I have failed to convince those in authority, in position of power, to effect those changes about how this government should move forward. I believe in the basic principles that this country respects all rights, all people, all citizens.
"This country is for all. There is no room for discrimination. This country is about rule of law, about transparent process. These are the things that we need to change. If you don’t subscribe to this or you just pay lip service to this principle, it is difficult to translate that into a policy."

Q. Do you think Datuk Seri Anwar Ibrahim would bring about reforms?
Zaid: That’s a hypothetical question. I just hope that anyone who forms the government - be it Abdullah, or Najib, or Tengku Razaleigh (Hamzah), or (Tan Sri) Muhyiddin (Yassin), or Anwar as the PM, I don’t care who - I just want the transformation to take place. That’s my hope.

Don’t you think the next person who comes in will face the same obstacles and therefore it is better for someone with your passion to continue with the fight for reforms?Zaid: That’s your view. I have to endure these things. I have come to a conclusion, maybe somebody else is more acceptable. My character or the way I talk may upset people. Maybe some other things can be done by other people. You can’t say just because Zaid Ibrahim is not around it can’t be done. It can be done if the political will is there.

It is indeed heartening to see a BN minister speaks out like this. This is a good sign and definitely augurs well for Malaysia.

The Zero - Hameed Allbar

Needless to say...If so say so much "mengumpat" pulak bulan ramadhan ni....so better dont say anything.....Just u are zero.

Cuti....Menulis

2008-09-22T14:16:00.005+08:00

Ramai lak yang tanya....apasal tetiba banyak lak post ni...sebelum ni nak post seminggu sekali pon susah....bz bz bz memanjang...sampai ada org nak suruh tutup blog ni hu hu...

He he....cuti la hari ni (sebb weekend buat lawatan ke hospital daerah).....and pesakit pun somehow dah kurang dalam wad semua nak mintak blik raya...yang tersangat tenat je lah tinggal....my klinik pakar pun dah tak heavy workload cam half dah kurang pesakit....

So ambil peluang ni untuk siapkan writing my research untuk publish dalam journal...yang terbengkalai....and bila writing ni time kepala dah takde idea maka mencilok le masuk blogging...

Ok......selamat berpuasa.....and carilah peluang beribadat sebaik baiknya di 10 ramadhan akhir...

SEDEH

2008-09-22T11:26:00.007+08:00

Cilok this from an e mail given by a friend....maybe some of you has read it...

Very sedey..........menginsafkan

Nilai RM 5

J alan di situ berlopak-lopak besar,terhinjut- hinjut Honda Civic 1.8 ini dilambung graviti. Ery yang duduk disebelah sudah berapakali bangun tidur, dengkurnya makin menjadi. Siaran radio sekejapberbunyi, bercampur-campur. Sekejap radio perak, sekejap kedah mengikutlambungan kereta. Aku terpaksa memperlahankan kereta melalui satu perkampungan nelayanyang kotor, beberapa budak-budak kecil dengan muka yang comot dan hinguskering di muka berlari-lari. Seorang daripadanya tidak berseluarlangsung,geli.

Ada orang tua berbasikal mengangkat tangan memberi salam.Aku menaikkan cermin kereta, melepaskan rengusan garang. Ery sudah bangun, mengesat-ngesat mata, menggeliat kasar. Mengeluarkanbunyi seperti kerbau. Perempuan sial, sopannya cuma didepanjantan,tersipu- sipu dan bersimpuh malu. Hipokrit ini cuma tahu bersolekdan berdandan bila mahu keluar, di rumah dia seperti perempuan baruberanak,t-shirt goboh dengan kain pelekat senteng dan rambut usaiseperti orang gila, mengeluarkan bau hapak dan masam. Ada sebuah jeti buruk disitu. Beberapa nelayan baru sampai dari lautdisambut peraih-peraih buncit. Memunggah ikan. Ery sudah separuhmenggelepar diluar meliar mata mencari hafik,tunangnya. Aku duduk sahajadi dalam kereta. Aku bencikan pantai hanyir seperti ini. Beberapa gadisbertudung labuh lalu dengan menaiki basikal dan memberi senyuman. Akumenghempas pintu serta merta. Memang benar. Perempuan kolot sepertimereka itu, patut dijerukkan saja di tempat busuk ini.Tolol!

Kemudian, datang seorang tua menghampiri tingkap belakang. Aku sedikitmarah, mengetap bibir. "Nak apa?!" Dia terketar terkejut, sedikitberundur. " Assalammualaikum nak, pakcik ambil upah cuci kereta.." Dia bercakapdengan pandangan yang tumpah ke kakinya, tertib dan seperti takut. Di tangannya ada satu baldi buruk air sabun dengan tuala koyak di bahu.Baju kemeja kusam koyak di poket, cuma dibutang dua menampakkan dadanyayang leper ditolak tulang selangka. Seluar hijau pudar senteng. Tidakberkasut dengan kuku hitam dan kaki yang reput. Menjijikkan! " Basuh sajalah, tapi, awas!! Kalau calar kereta aku,tahulah macamanaaku nak ajar kau!!" Berkata sambil meliarkan mata pada Ery yang tengahtersengih-sengih meramas-ramas tangan dengan tunangnya itu. Duduk pulabersimpuh, membelai-belai rambut. Boleh pula kaki yang asyik dudukterkangkang dirumah itu di tutup rapat. Orang tua itu tertunduk-tunduk mengucap terima kasih. Ah, miskin sepertiini tunduk-tunduk meminta simpati, tiada maruah. Terus saja diamenggosok satu demi satu tayar kereta. Memberus sambil terbatuk-batuk,meludahkan kahak hijau. Pengotor, sial!

Aku mengalihkan mata ke pantai. Peraih berdekah ketawa menepuk- nepukbelakang nelayan kurus itu. Menyerahkan beberapa ringgit. Nelayan itutersenyum pahit. Menyelitkannya di celahkopiah. Itulah, siapa suruhkecil-kecil tidak mahu belajar pandai-pandai, masuk universiti dan kerjabesar. Tidaklah hidup susah seperti itu. Bodoh!! " Sudah nak!!" Pakcik itu datang setelah 20 minit. Aku sudah malashendak memandangnya, dan kuhulurkan sahaja RM 5. Aku rasa itu sudahcukup lumayan untuk fakir seperti dia. Cepat-cepatlah dia pergi. Tapi,sebaliknya dia memegang lama duit itu. Tunduk dan menangis tersedu-sedu.Menambahkan kerut dan mengelap mata dengan hujung kemejanya. "Kenapa ni? Gila?!" " Nak, seumur hidup pakcik hidup susah ini, pakcik kerja memetikkelapa,mencuci tandas di restoran, kemudian mencuci kereta, belumpernah pakcik terima upah sebanyak ini. Paling banyak pun hanyaseringgit." Dia bersungguh-sungguh melihat ke dalam mata aku.Timbul pula sedikitsimpati, sedikit sayu. Rasa yang tidak pernah bertakung dalam hati kerasaku selama 25 tahun ini. Dia melipat kecil wang itu diikat simpul didalam sapu tangan biru muda. Pergi dengan terhinggut menangis denganbaldi buruk ke arah sekumpulan nelayan.

Aku memandangnya denganpandangan kosong. Ini warna kemiskinan, aku tidak pernah lihat. Akumembesar dalam hutan batu, di kota lumpur. Keras diselaput wangkemewahan, kemudian keluar dengan segulung ijazah. Bekerja seperti oranggila untuk duit. Biarlah,kalau aku mahu bantu, ramai lagi diluar sana .Lupakan saja.. Ery memanggil aku dari sebuah kedai makan di situ. Hampir 10 minit akumelayan meluat- melihat Ery yang tersipu-sipu menggagau mee dengan sududan garfu. Kemudian, kelibat orang tua itu melintasi kami, menjinjingdua beg besar hitam berisi barang. Hairan, takkanlah dengan wang RM 5dia boleh membeli barang sebanyak itu. Mustahil. Atau dia memang adaduit tapi,berlagak seperti fakir. Mungkin..

Dengan rasa ragu, aku menghampirinya. Dia memberi senyum lembut dan akudengan rasa curiga bertanya terus. " Eh, pakcik. Tadi saya bagi limaringgit, takkan dapat beli barang sebanyak ini?".Bunyinya sepertimeninggi. Pakcik itu seperti terkejut. Dia diam dan tunduk seketika. Pahit menelan air liur.Meletakkan dua beg plastik di atas tanah,membukanya satupersatu,perlahan- lahan dan terketar. Aku terkedu. Terkejut dan malu.

Pakcik itu mengeluarkan sapu tangan tadidan membuka simpulannya. Wang aku tadi, masih terlipat kemas. " Nak, pakcik tahu. Kami ini orang susah, nak. Hidup seperti najis,dibuang dan ditolak-tolak. Kalian pekup hidung melihat kami. Ambillah ini semula.Pakcik juga punya maruah. Kadang-kadang maruah kami lebih tinggi darikamu orang kaya yang hidup berpura-pura, menipu orang. Harga diri kamimasih kuat. Bila anak menyoal pakcik seperti tadi, anak telah memijakharga diri pakcik. Anak seperti menghukum pakcik sebagai orang tual sialyang berpura-pura susah. Ambillah semula,nak." Pakcik itu meletakkannya di atas tangan aku, dan aku menolak,berkali-kali. Aku sudah menangis, meminta maaf, berkali-kali. Tidak mahumenyentuh langsung wang itu, hingga jatuh di hujung kaki. "Lihat, itulah tempat duit. Di tapak kaki. Duit itu perlu, tapi jangansampai ia lebih tinggi dari harga diri. Jangan sampai duit menjadikankita angkuh dan bongkak.

Pakcik ke sana tadi, tempat nelayan memunggahikan. Pakcik kutip ikan-ikan kembung pecah perut ini yang sudah dibuangke tepi. Dengan bangkai busuk ini pakcik sambung hidup anak-anak pakcik,jangan sampai kelaparan,jangan mati." Mendatar sahaja suara orang tuaitu berkisar-kisar dengan pukulan ombak. Dia terbatuk-batuk berjalan, meninggalkan aku dengan wang lima ringgitdi hujung kaki, dua plasik berisi ikan busuk yang sudah mula dihurunglalat. Aku terduduk menangis semahu-mahunya. Aku mempunyai wang yangboleh membeli segala kemewahan dunia.Cuma aku belum mampu membelisesuatu yang ada dalam diri orang tua itu.

*"jika tidak dapat apa yang kita suka...belajarlah utk menyukai apa yangkita dapat.

Source: Kickdefella told his experience in lock up

2008-09-22T01:01:00.003+08:00

I found a very interesting article written by sifu blogger recently detained...

Source - http://kickdefella.wordpress.com

Kickdefella wrote...

As the reporters rushed to shoot question to me, I asked them, who is The Prime Minister, one reporter for a TV Station, smiled and said, “Pak Lah lagi”, and I said, “Kalau macam tu saya nak masuk lokap baliklah…” I then turn away from them.
Staying inside the police lock-up in Kota Bharu Police Station and in Dang Wangi Police Station was a very memorable and peaceful experience. I found solitude and I felt very close to god.

I spent my time praying and recite Quran verses. I found a wonderful time to pray for Mama and Abah. My confidence grew and I took all the barrage of insults and turn them into respects. As I walked pass the other detainees for the last time, they took turn to shake my hand. I entered the lock-up as a humble man fighting for the small people, when I left, those small people in the lock-up looked at the small man in me as one of their friend. I shouted ‘Makkal Sakthi” trice and say my salaam. They clapped their hands in return.

One of the Police Personnel there told me he would start blogging immediately after he finished his shift for the day. All of them, yes I mean all, asked me to help to fight for the Polis DiRaja Malaysia as they said, their morals it at the lowest.

I told the press, I got more infos about the police rather than the police getting infos about me. I told the press, I enjoyed my time there and it is a treasure for me.

My lawyer and me agreed that I should be charged so we can fight this politically motivated case in court.
.
I had such a great 4 days 3 nights holiday with PDRM and I knew they too enjoyed my company. I made more buddies in the 4 days than I made in a year. I have no complaint about the food, as that is the reality of those poor and small people for which I am fighting.

Of course I do not anticipate Ramadan Buffet during this holiday as that will be a sin for me because those people whom I fight for, never ever even heard the word buffet, leave aside imagining about it in their life’s.

On behalf on my readers, families and friends and myself too, let us thank Chief Inspector Mohd Azuan Hussin, Detective Sabri and Detective Mahathir, Sergeant Halim and all the high-ranking officers in the PDRM for taking a good care of your beloved Kickdefella. Although it would not be a good idea to be seeing you guys often, let me just say this… You are really jolly good fellas.

SOURCE - KICKDEFELLA

Arsenal vv Bolton:Theo Wallcott The Whizz Kid

2008-09-21T15:03:00.006+08:00

Baru nak start follow EPL balik this year....the arsenal has done well tis far' but with the relatively young squad, inexperienced and lack of injection of new established players - IAM NOT TOO HOPEFUL. Look like maybe Chelsea this year.

However, what excites me is the NEW HENRY - THEO WALCOTT the whizz kid. Excellent pace, excellent ball control and positioning, just shooting need a bit of sharpening. He has come out of age tis year tis boy....the hattrick against croatia says it all....

Another superb game by walcott last nite even though only as a sub....

Bolton resist but can't handle Walcott's zip
Observer report

Arsenal could have won this game by four or five goals, such was the extent of their superiority, yet they did not and Bolton could just as easily have nicked an equaliser before Denílson's late clincher made certain of the points. That says a lot about the home side's persistence; Bolton were outplayed to an almost embarrassing degree in the first half, yet were still in with a fighting chance until the 87th minute. And if it also hints at Arsenal's old failing of not scoring enough goals while the going is good, they now have an insurance policy called Theo Walcott.

Not that Arsène Wenger is complaining after seven goals in eight days in Lancashire to go top of the Premier League table. Arsenal have been blown off course a few times on their visits to the north west and Wenger must have wondered what he had done to deserve back-to-back trips to Blackburn and Bolton either side of a long Champions League schlep to the kickers of Kiev. The Gunners are not the delicate flowers they once were, however, and, perhaps more significantly, neither of the teams formerly managed by Mark Hughes and Sam Allardyce are as uncompromisingly physical as they used to be. 'They tried to intimidate us, but we kept our nerve,' Wenger said, for form's sake. 'We don't mind physical, it's part of the game.'

Comprehensive 4-0 victory at Ewood Park last week notwithstanding, Wenger took the precaution of leaving Walcott on the bench. Arsenal dominated the first half without him, despite Kevin Nolan opening and closing it with stinging drives that required fingertip saves from Manuel Almunia, and the home side unexpectedly scoring first.

Bolton began as if happy to let Arsenal pass them to pieces, allowing Bacary Sagna and Gaël Clichy to get forward like wingers, and putting the ball out of play so often it was clear they preferred to defend set pieces than counter their visitors in open play. But at least Bolton can defend set pieces, a job made much easier when Cesc Fábregas wafts his corners right over the penalty area and out of play on the other side, as he did just before Bolton scored. They can score from them, too, and took full advantage when Almunia conceded a corner, Kevin Davies climbing above Kolo Touré to meet Joey O'Brien's cross with a decisive header.

Unfortunately for Bolton, going behind obliged Arsenal to raise their game. Sir Alex Ferguson said last week that only Melchester Rovers create more chances than Manchester United - at his age, he should put away the comics and take a closer look at some of his rivals. In the 12 minutes between Bolton scoring and Arsenal equalising, Denílson and Touré shot narrowly wide, Nicklas Bendtner saw a goalbound effort blocked bravely by Danny Shittu and Emmanuel Adebayor and Alex Song both hit the woodwork. The sense of inevitability when Emmanuel Eboué finally scored from Bendtner's pass was added to when Bendtner also found the net barely two minutes later, sweeping in Denílson's low cross.

It had taken Arsenal less than 15 minutes to turn around the game and, by the half-hour stage, Bolton could consider themselves lucky to still be in touch. Arsenal continued to squander good positions, if not clear-cut chances, right up to the interval. What will have concerned Wenger more was the tackle by Davies on Clichy in the closing seconds of the half, when the Bolton striker played both the ball and the man and was rightly booked.

Clichy was sent for X-rays on his shin and did not appear for the second half, which opened with a great save from Jussi Jaaskelainen to prevent Song from extending Arsenal's lead. It would have been interesting to see how Bolton reacted to going two down because, while they were a single goal behind, they did not chase the game or change their plan. They kept nine men back and only Davies up front, refusing to make things easier for Arsenal by stretching themselves and hoping Nolan or Joey O'Brien might pick off an equaliser from long range. The latter almost did just before he was substituted, then Riga - on for the ineffectual Ebi Smolarek - brought a save from Almunia.

Bolton's conservative strategy worked to the extent that Wenger sent on Walcott for the last 20 minutes. It took him a while but, three minutes from time, Walcott's gallop forward sucked in the Bolton defence, leaving Adebayor the simple task of squaring for Denílson at the far post. It was no less than Arsenal deserved, yet slightly cruel on Bolton. 'We couldn't get near them in the first half, but we were excellent in the second,' Gary Megson said. 'For a defeat, it doesn't feel too bad. We have to play like that against teams other than Arsenal.'

GO GUNNERS

Pertanyaan Untuk Cinta

2008-09-20T01:52:00.013+08:00

Got this from someone ....

Pertanyaan Untuk CINTA

Adakah tapak tanganmu berkeringat, hatimu berdebar kencang dan suaramu tersekat di dadamu?Itu bukan Cinta, itu SUKA.

Adakah kamu tidak dapat melepaskan pandangan mata darinya?Itu bukan Cinta, itu NAFSU.

Adakah kamu menginginkannya kerana kamu tahu ia ada di sana?Itu bukan Cinta, itu KESEPIAN.

Adakah kamu mencintainya kerana itulah yang diinginkan semua orang?Itu bukan Cinta, itu KESETIAAN

Adakah kamu tetap mengatakan kamu menyintainya kerana kamu tidak ingin melukai hatinya?Itu bukan Cinta, itu BELAS KASIHAN.

Adakah kamu menjadi miliknya kerana pandangan matanya membuat hatimu melompat?Itu bukan Cinta, itu TERGILA-GILA.

Adakah kamu memaafkan kesalahannya kerana kamu mengambil berat tentangnya?Itu bukan Cinta, itu PERSAHABATAN.

Adakah kamu mengatakan padanya bahawa setiap hari hanya dia yang kamu fikirkan?Itu bukan Cinta, itu DUSTA.

Adakah kamu rela memberikan semua perkara yang kamu senangi untuk kepentingan dirinya?Itu bukan Cinta, itu KEMURAHAN HATI.

TetapiAdakah kamu tetap bertahan kerana campuran antara kesakitan dan kegembiraan yang membutakan dan tak terfahami ... menarikmu mendekati dan tetap bersamanya?ITULAH CINTA.

Apakah kamu menerima kesalahannya kerna itu bahagian dirinya dan siapa dirinya?Jika demikian, ITULAH CINTA.Adakah kamu tertarik dengan orang lain tapi setia dengannya tanpapenyesalan?Jika demikian, ITULAH CINTA.

Adakah kamu menangis kerana kesakitannya walaupun saat itu dia kuat?ITULAH CINTA.

Adakah hatimu sakit dan hancur ketika dia bersedih?ITULAH CINTA.

Adakah hatimu gembira ketika dia berbahagia?ITULAH CINTA.

Adakah matanya melihat hatimu dan menyentuh jiwamu begitu mendalam sehingga menusuk?Yang demikian itulah namanya CINTA.

"Life without friendship is like the sky without sun"

Risiko Transmissi Penyakit Seksual

2008-09-20T01:52:00.012+08:00

AMARAN........................DEWASA SAHAJA DIBENARKAN MEMBACA

ADA orang tanya...adakah risiko TRANSMISSI PENYAKIT SEKSUAL ada tanpa hubungan seksual tapi dengan prelude seperti oral seks...intense kissing....

Seseuatu pasangan mungkin terlibat dalam non coital aktiviti seksual seperti oral seks untuk mengurangkan risiko mengandung dan risiko transmisi penyakit seksual @ STD seperti HIV, herpes, gonorrhoea. Separuh je betul. Risiko mengandung mungkin kurang tapi risiko STD tetap ada. Lebih lebih lagi kebnaykan pasangan tidak menggunakan barrier method. Penyakit seksual boleh dipindahkan melalui air liur, rembesan vagina. air mani, rembesan najis dsb terutamanya kalau terdapat pre existing infection, atau luka atau sakit kulit terbuka. Transmissi HIV meningkat dengan tingginya viral load HIV sesuatu pasangan yang dah ada infeksi....dan lebih tinggi risiko untuk pasangan yang menerima dari yang memberi...

So kenali pasangan sah anda...........

PCI versus Medical Therapy in Stable Angina

2008-09-20T01:52:00.008+08:00

meta analysia versus COURAGE trial

Hmmm....while the overwhelming evidence for the role of PCI / coronary angiplasty in patients with spectrum of unstable angina till STEMI, the evidence is less clear cut for stable coronary artery disease...Traditionally we are taught that there is NO ROLE for PCI in stable angina. This is further supported by a large COURAGE trial. COURAGE found no advantage in terms of death or MI for an initial strategy of PCI over an initial strategy of optimal medical therapy in patients with stable coronary disease...However a recent metaanalysis by Schömig A, Mehilli J, de Waha A offered an alternative, albeit controversial view.....but a meta analysia is a meta analysis........*Remember Avandia meta analysia?

here is the abstract from medscape...

September 2, 2008 (Munich, Germany) — Sure to stoke the still-smoldering coals of the COURAGE debate into fresh flames, a new meta-analysis comparing PCI with medical therapy for stable coronary disease suggests that PCI might be better than medical therapy for improving survival, published in the September 9, 2008 issue of the Journal of the American College of Cardiology (JACC) [1]. The authors of the controversial analysis, which includes the COURAGE trial and 16 other studies, report that patients treated with an invasive approach experienced a 20% reduction in all-cause mortality.
"These findings suggest that a PCI-based invasive strategy may improve long-term survival compared with a medical-treatment-only strategy in patients with stable coronary artery disease" Dr Albert Schömig (Deutsches Herzzentrum, Munich, Germany) and colleagues write. "This justifies the performance of a new randomized clinical trial sufficiently powered for evaluating the impact of PCI on long-term mortality."
The findings, however, are at odds with COURAGE, the largest randomized controlled trial to address this issue. As previously reported by heartwire, COURAGE found no advantage in terms of death or MI for an initial strategy of PCI over an initial strategy of optimal medical therapy in patients with stable coronary disease. Since its presentation during the 2007 ACC meeting, COURAGE has continued to rile interventional cardiologists, who insist the trial does not mirror real-life patients with angina who can't be medically controlled. But noninterventional cardiologists have accused their interventional counterparts of discounting results that might spell a dip in billings.
To heartwire, the senior author of the new meta-analysis, Dr Adnan Kastrati (Deutsches Herzzentrum), said that it was precisely because of this controversy that his group chose to reopen the question of a mortality benefit with a meta-analysis that included the COURAGE results.
"It's exactly because we now have included the COURAGE trial that our meta-analysis should reduce the controversy," Kastrati said. "If you consider the COURAGE trial, you can see also some reduction in mortality, but it is not enough statistically. So the reason we did the study was because no single study is able or sufficiently sized to assess mortality, and the best, most scientific way to put these results together is through a meta-analysis. I'm aware of the critics of this analysis, but we have no other method to do this. Despite the limitations, the best way to let us know the status of the data about the effect of PCI on mortality is to pull all of the studies together in a scientific way, and that is through a meta-analysis."
What Defines a "Recent" MI?
Unlike other meta-analyses, Kastrati and Schömig's study attempted to look at all studies that included data on PCI vs medical therapy, including patients with previous, but not recent, MI. This was necessary, they insist, to reduce the selection bias that has plagued other studies.
But this is a sticking point for the COURAGE investigators, who were asked to comment on the meta-analysis for heartwire.
"This is a flawed meta-analysis because, of the 17 studies that are included, five are of post-MI patients, and one study is of silent myocardial ischemia, combined with the 11 chronic stable angina trials," COURAGE study chair, Dr William E Boden (Buffalo General Hospital, New York) told heartwire. He notes that the study by Dakik et al, as well as DANAMI, SWISSI-II, INSPIRE, and ALKK are post-MI studies, while ACIP is the study of silent myocardial ischemia.
"This is a classic apples plus oranges plus pears meta-analysis," Boden continued. "Such a permissive inclusion of disparate clinical trials violates the fundamental tenets of responsible meta-analysis and is scientifically unjustified. In none of the 11 chronic stable angina trials was there a mortality benefit with PCI. Based on this current meta-analysis, I don't believe that the conclusion that a PCI-based invasive strategy can improve long-term survival vs medical therapy only in patients with stable CAD is justified."
COURAGE co-primary investigator Dr William Weintraub (Christiana Care Health System, Newark, DE) declined to comment in detail but said he was "entirely supportive" of Boden's comments.
Kastrati, however, stood by the inclusion criteria for his study, pointing out that COURAGE itself had included post-MI patients with stable angina. "Many people at some point in their lives have had an infarction, and I don't see any reason to exclude patients who had infarctions six weeks ago," Kastrati explained to heartwire. "If you start to exclude them, what is the [cutoff]? Two weeks, three weeks? It's a source of bias if you start to say I'm excluding this and this and this."
To be included in the current meta-analysis, patients could have had a previous MI but not within the past seven days.
Indeed, Kastrati continued, the major limitation of other meta-analyses, including at least one that also included COURAGE, is selection bias. "When you are doing a meta-analysis, you know in advance the results of the trials, so you can distort the results if you select the trials that you know lead in a certain direction. So the best way to do a meta-analysis is to include all the trials."
Significant Reduction in All-Cause Death
In all, Schömig et al's meta-analysis included 7513 patients; within their respective studies, 3675 were assigned to PCI and 3838 to medical treatment. At 12 months, 271 patients treated with PCI had died, compared with 335 patients treated medically, a 20% reduction in the odds ratio of all-cause death, the authors report.
PCI was also associated with a reduction in cardiac death and a reduction in MI, although these did not reach statistical significance.
Schömig and colleagues also analyzed their data looking at rates of all-cause death over different follow-up periods. They found that the odds ratio for all-cause death in PCI-treated patients improved with longer and longer follow-up.
"We know that PCI procedures are associated with an inherent risk during the period around the intervention, but we need more time for this disadvantage to be offset by the benefits of follow-up," Kastrati explained. "If you look at the results of our study, you see a relation between follow-up length and degree of benefit with PCI. I'm not saying you have to wait 20 years, but in patients with an average age of about 65 years, waiting longer, having a longer follow-up, you can expect more benefit from PCI."
The authors also point out that 28% of medically treated patients in their meta-analysis ended up undergoing PCI at some point during follow-up, a pattern that could have "blunted" the survival differences between the two groups.

Schömig A, Mehilli J, de Waha A, et al. A meta-analysis of 17 randomized trials of a percutaneous coronary intervention-based strategy in patients with stable coronary artery disease. J Am Coll Cardiol 2008; 52:894-904.
O'Rourke RA. Optimal medical therapy is a proven option for chronic stable angina. J Am Coll Cardiol 2008; 52:905-907.
Katritsis DG, Meier B. Percutaneous Coronary intervention for stable coronary artery disease. J Am Coll Cardiol 2008; 52:889-893.

Any comment?

Blog Award

2008-09-20T01:52:00.005+08:00

Received this award from nonnie cuppycake......

Thank you ek....blog terbiar ni pun dapat award...he he...

10 Terakhir Ramadhan

2008-09-20T01:52:00.003+08:00

Assalamualaikum dan salam sejahtera....

Kita dah tiba ke sepuluh hari terakhir di bulan Ramadhan. Kalau terawih dengan imam mesir ni dah mula menangis sebab diorang sedih ramadhan dah nak berakhir.....

Pada 10 malam terakhir dalam bulan mulia ini, Allah menganugerahkan satu malam yang sungguh istimewa dan penuh berkat padanya iaitu Lailatul Qadar yang diiktiraf Allah sebagai satu malam yang lebih baik dari 1,000 bulan.Banyak hadis nabi yang menceritakan mengenai Lailatul Qadar, antaranya hadis riwayat Aisyah r.a yang bermaksud: “Carilah sedaya upaya malam al-Qadar pada malam ganjil dari sepuluh malam terakhir pada bulan Ramadan.” (Hadis riwayat Bukhari).Namun, malam sebenarnya Lailatul Qadar muncul tidak diketahui dengan tepat. Ternyata Allah menurunkan Lailatul Qadar yang penuh kerahmatan, limpah kurnia dan keampunan ini sebagai rahsia Allah kepada hamba-Nya. Marilah kita cuba mencari malam lailatur qadar ni...

Ini pula fadhilat solat terawih malam ke 21 hingga ke 30 seperti yang disebut

Malam 21 : Allah binakan sebuah istana dalam Syurga daripada nur.

Malam 22 : Datang ia pada hari Qiamat aman daripada tiap-tiap dukacita dan kerisauan (tidaklah dalam keadaan huru-hara di Padang Masyar).

Malam 23 : Allah Subhanahuwataala binakan kepadanya sebuah bandar di dalam Syurga daripada nur.

Malam 24 : Allah buka peluang 24 doa yang mustajab bagi orang berterawih malam ini, (elok sekali berdoa ketika dalam sujud)

Malam 25 : Allah Taala angkatkan daripada siksa kubur.

Malam 26 : Allah kurniakan kepada orang berterawih pahala pada malam ini seumpama 40 tahun ibadat.

Malam 27 : Allah kurniakan orang berterawih pada malam ini ketangkasan melintas atas titian Sirotolmustaqim seperti kilat menyambar.

Malam 28 : Allah Subhanahuwataala kurniakan kepadanya pahala 1000 darjat di akhirat.

Malam 29 : Allah Subhanahuwataala kurniakan kepadanya pahala 1000 kali haji yang mabrur.

Malam 30 : Allah Subhanahuwataala beri penghormatan kepada orang berterawih pada malam terakhir ini yang teristimewa sekali, lalu berfirman:“Hai hambaKu : makanlah segala jenis buah-buahan yang engkau ingini hendak makan di dalam syurga, dan mandilah engkau dariapda air syurga yang bernama Salsabila, serta munumlah air daripada telaga yang dikurniakan kepada Nabi Muhammad S.A.W. yang bernama ‘Al-Kauthar’.”

Selamat beribadat......

Jangan Sumpah Memakan Diri

2008-08-27T01:08:00.005+08:00

Masa kecik kecik dulu ada sorang budak kat sekolah (sekolah aku sama dgn ghiya ni).....selalu sangat bersumpah menipu....nak cover dia mencuri..sikit sikit sumpah, sikit sikit sumpah....Curi barang masa rehat pastu mengaku sumpah tak curi...............

Umum telah mengetahui keputusan pilihanraya kecil P 44 Permatang Pauh...Aku bukannya orang politik nak mengulas panjang, atau bukan nak mengulas tentang politik...tetapi sudah nampak di sini bahawa apa apa tuduhan yang dilemparkan kepada DSAI tidak dipercayai oleh majoriti penduduk Permatang Pauh...

Aku cuma nak mengulas isu sumpah sumpah ....hari ni dalam Sinar Harian (edisi Pahang) TM mengulas bahawa rakyat janganlah senang nak bersumpah sumpah sebelum proses perundangan selesai - let the court decide who is guilty and who is not. Bukannya aku nak mengambil belah mana mana pihak - cuma aku sokong sangat lah kenyataan TM ni. Buat apalah ada mahkamah kalau semua orang duk bersumpah laknat je.

Then majlis fatwa bkebangsaan baru keluarkan kenyataan hari ni....Majlis Fatwa Kebangsaan berpendapat proses perundangan perlu berjalan terlebih dahulu sebelum lafaz sumpah laknat (muhabalah) dilakukan oleh Mohd Saiful Bukhari Azlan bahawa beliau diliwat oleh Penasihat Parti KeADILan Dato' Seri Anwar Ibrahim

Then Ramlang Poringgi (Imam Masjid WP) bangun mengatakan apa yang sebenarnya berlaku semasa majlis sumpah tu...dia sendiri pun tak tahu yang dia kena attend majlis sumpah ni....dia terima orang atasan...ini pun pelik jugak....kena siasat ni arahan siapa ni...

Dan Datuk Niz Aziz pun cakap - Saya juga berpendirian bahawa sumpah yang dibuat oleh orang yang menuduh baru-baru ini penuh dengan persoalan dan keraguan,"

Jadi bagi aku sudahlah bersumpah saifool weh...jangan di makan sumpah sudah...jelak dah baca berita sesumpah ni kat paper. Orang orang besar pun janganlah sibuk bersumpah sumpah......tak matang namanya tu...biar saifool sorang jelah nak bersumpah ke hapa...u pun harap harap dia dah sedar....

Bak kata seorang penulis...Sumpah itu apa? Paling mudah, sumpah itu pengakuan. Pengakuan dengan siapa? Pengakuan dengan Allah! Inilah yang tersirat dalam syariah. Bukan pengakuan kepada Manusia seperti yang difahami oleh masyarakat sekarang...

Sebab itu orang yang sepatutnya bersumpah adalah orang yang kena tuduh bukan orang yang menuduh. Ini orang yang menuduh pulak yang bersumpah. Inilah yang dikatakan sebagai mempermainkan syariat. Inilah yang ditakuti oleh para ulamak.....

Aku sokong kalau DSAI tak layan kalau org suruh bersumpah sumpah ni......biarlah mahkamah tentukan..kalau dia bersumpah nampak sangat tak matang terikut ikut dgn orang orang tak matang yang suruh dia bersumpah....Sama ada dia bersalah atau tidak,,,itu tak tahulah...Allah lebih mengetahui....dan biarlah mahkamah tentukan dulu....

Isu laporan perubatan aku maleh nak komen......aku cuma kesal kalau kerja sorang doktor diganggu oleh politik (kalau betullah).....memang tak berkenan....so tengoklah apa kesudahan dia...

Hanyalah pandangan peribadi......

Walla'hualam...

Majlis Konvokesyen

2008-08-12T14:59:00.004+08:00

Nak announce that i will be in Penang attending my convocation on 14 / 08 / 2008 at USM Minden.
Will write again.
C ya...

More efforts needed to fight TB.......

2008-07-22T21:10:00.004+08:00

Dear readers..TB cases are on a rise now. In the ward i am working with..almost one cubicle has patients TB related illness....the main reason behind this is the rise of drug user who contracted HIV then exposed to TB. Not all patients with TB has HIV though...some unfortunate ones got from air transmission (contact with infective TB patients at hoem surrounding). Cases of health worker who took care of TB patients then suffered from TB are not unheard of....

Here is an extract from NST...

KUALA LUMPUR: The failure of Asian nations to fight the spread of drug-resistant strains of tuberculosis is worrying the World Health Organisation.
The organisation fears that multidrug-resistant TB (MDR-TB) could spread to the rest of the world if effective treatment is not rendered.WHO regional director for the Western Pacific Dr Shigeru Omi said only one per cent of the estimated 150,000 people with the disease in WHO's Western Pacific Region, which covers East Asia and the Pacific, are getting appropriate treatment. He said each untreated TB patient could infect five to 10 people a year. "MDR-TB raises the risk of a TB epidemic that would be costly and complex to control. Drugs to treat MDR-TB are about 100 times more costly than the regimen for normal TB," said Dr Shigeru.
According to him, MDR-TB is caused by mismanagement of standard TB treatment, but current trends in mobility, migration and overcrowding in urban housing are fuelling it. Poor health services and laboratory facilities also exacerbate the problem."MDR-TB does not stop at borders. An uncontrolled local epidemic threatens the stability of global health security. TB anywhere is TB everywhere." He said the problem was also compounded by the fact that two billion people travelled on airlines every year."We are more vulnerable than ever to the MDR-TB threat," he said at the 6th Technical Advisory Group Meeting to Stop TB in the Western Pacific Region in Tokyo. In Malaysia, there were 16,825 TB cases, with 1,472 deaths nationwide last year compared with 16,665 cases and 1,431 deaths in 2006.It is estimated that the largest number of new TB cases in 2005 occurred in Southeast Asia which accounted for 34 per cent of the global outbreak. The largest number of patients, in any single country, is in India, followed by China, Indonesia, Pakistan, Bangladesh and Africa.Meanwhile, WHO's Western Pacific Regional adviser for TB Dr Pieter Van Maaren said no country in the region was doing enough to fight MDR-TB.

Let us all fight TB...

Nothing New.......Short of 1,800 specialists

2008-07-22T20:37:00.004+08:00

Dah nak berakhir bulan julai rupanya.....bz betul le nak spend time berblogging sekarang..

Hmm...bukak NST...ada statement dari Health Minister yang negara masih kekurangan 1,800 pakar...Dari menteri kesihatan dulu lagi dah cakap negara kurang specialist...tapi apakah yang telah betul betul dilakukan untuk menambahkan specialist dalam negara. Termasuklah lebih mengambil berat kebajikan doktor pakar? The journey to be a specialist is so tough...and being a specialist is even tougher and busier..............Contoh....menjadi pakar bermakna dinaikkan tannga gaji/bersama elaun pakar ...tetapi proses nak mendapatkannya sungguh rumit dan memerlukan banyak borang lah pengesahan itu ini..kekadang dah setahun jadi pakar pun belum dapat menikmati gaji seorang pakar....kena tunggu lagi...bayangkan ada seorang my friend pakar yang sudah berkhidmat sembilan tahun (setahun sebagai pakar) masih di tangga gaji U 41....hmmm

Lagi...dulu ada kecoh di KL kita ada bayar doktor import beratus ribuuuuu!!!!!!! tapi tak reti buat keje pun.....habiskan duit kerajaan sahaja...kalaulah duit tu boleh dihabiskan untuk rakyat or kebajikan doktor doktor tempatan. Kang doktor local ni pulak yang lari swasta atau luar negara.......

Okaylah.....baca artikel ni dari NST

MUAR: There is a shortage of l,800 specialists in government hospitals in the country, Health Minister Datuk Liow Tiong Lai said yesterday.
"The Health Ministry is concerned about the shortage. It is finding ways to encourage more Malaysian specialists working overseas to return and work in the hospitals," he said after opening the MCA Taman Bintang Emas branch at Bukit Pasir here."We do not want the poor or those who cannot afford to pay for services in private hospitals to be deprived of specialist treatment," he said."We want more specialists to serve in hospitals and we will do our best to arrest the problem."Liow said the Muar Sultanah Fatimah Specialist Hospital and Segamat Hospital also faced an acute shortage of specialists.
He said he had received memorandums from the board of visitors from both hospitals and he would look into their complaints immediately to find ways to solve them by the end of the year.On the RM3 million CT Scan installed at the Muar Hospital since December l999 that had not been used because there was no specialist, Liow said he would ask for a report from the hospital's director

Satu lagi mesin CT Scan tu....tak ke membazir namanya beli mesin lepas tu tak guna....siapa la yang pergi order mesin tu...macam beli kereta tapi tak de orang dalm rumah reti bawa kereta....poor planning at Muar Hospital...

Lama tak menulis bebel pulak gue ni......sori friends he he...kekadang frustated dengan sistem dalam negara....

My Mother Admitted

2008-07-05T13:36:00.004+08:00

Assalamualaikum Bloggers.....

Sorry that i have not been online for the last few days. My mother was admitted to hospital for chest infection few days back. Alhamdulillah she is currently recovering well, and hopefully will be back home soon.

Dear blogger friends .... please doakan for the health of my mother. See you all soon.

Wassalam..

Dr Fariz....

Lama Tak Update........

2008-06-24T20:31:00.004+08:00

Hello Friends...

Sorrylah lama tak update blog.....berabuk dibiarkan hu hu....Teramat busy seminggu ni atas sebab sebab yang tak dapat di elakkan....BZ BANGAT........

1/ Specialist baru - so agak sibuk dikerah dengan pelbagai tanggungjawab.
In short - heavy workload.....di wad di klinik oncall.....

2/ Outstation - agak kerap. Visit ke hospital daerah dan juga conferences. Ni baru balik Corfis Course kat KL. Tapi sempat jugak pergi IKEA he he..

3/ Briefing2 sebagai panel jemaah haji.......agak sibuk ni..

4/ Part time lecturers dengan UIA Medical School. So kena ambil medical student teaching.....and minggu ni student third year punya medical exam so kena ambil exam short case and long case....Money is good though he he...

5/ Other activities including getah tetap diteruskan....

So agak sibuk. Namun sayang pada blog berusia 3 bulan ni masih utuh.

So lepas ni akan cuba update cam biasa..To all take care...

VITAMIN FOR RUBBER TREES - VITEX

2008-06-15T19:47:00.009+08:00

Helping a friend promoting the use of VITEX technology in production of rubber.....So VITEX stands for - VITAMINS FOR RUBBER TREES (Vitamin - Latex). So what is VITEX all about....(i am still human doc ok not getah doc he he...ni side time activites je)

Here is the extract from VITEX website

http://www.thevitex.com/products.html

Revolutionary breakthrough for Latex Tapping Technology and it is the only Two-in-one Solution for Rubber Trees to Cure Bark Dryness and to Increase Latex Yield.

Decades of Extensive Scientific Research and Development has resulted in breakthrough invention of VITEX, which provides the following benefits;

Cures and prevent bark dryness
Increase dry rubber content (DRC)
Enhance production of latex
Promote health of rubber trees
Rejuvenates tree barks
Lengthens tree life
Cost effective

Unlike stimulants in the market which only claim to give more Latex and ultimately kills your tree’s health and life. VITEX helps the planters & the plantation.VITEX has been formulated by ex-researcher of Institute of Rubber Research Malaysia who has more than 30 years of experience. VITEX has been tested scientifically for about 7 years plus on more than 4000 hectares of rubber estates.On application of VITEX in the recommended frequency you can see immediate results which will show improvement in the following areas:

Dry Rubber Content (DRC)
Prevention of Dry Bark
Overall improvement in the health of the Rubber Tree
Substantial increase in latex production.

Recommended Usage
One application of VITEX should be about one gram only.
Tapping should be done 24 hours after the application of VITEX
For normal trees (Healthy Trees) application of VITEX should be once in 10 Days.
For Sick Trees or Untapped Trees application should be undertaken once in 5 Days. Until the tree shows substantial improvement in the Overall health.
Do NOT apply VITEX during rainy season which might show clogging of the latex on the tree due to moisture.
VITEX is recommended during Wintering Period. Do NOT tap during this period.

Cures & Prevention of Bark Dryness

Dryness of tapping panel (groove) takes place over a period of time in the course of over-exploitation of rubber trees. This is further aggravated due to tapping on rainy days. Also, some cloned trees are more prone to dryness especially BD and PB clones. Initial Symptoms are an increased yield of watery latex, followed by dry portions of the tapping cut which are darker in color than normal. At present, the remedy is to rest the affected trees for a period of time. If the panel dries right down to ground level and shows no sign of recovery after rest, a new cut should be opened on the opposite side of the tree. The problem of bark dryness can be cured and prevented by VITEX two in one formulation. Tree lace of brown bast tree is removed and VITEX is directly applied along the groove with a brush. You will see results with your own eyes. Also application of VITEX is very helpful in normal trees to protect against bark dryness, overall healthiness of the tree and increased yield in general.

Maximizes Latex Yield

VITEX generates high level of latex production which increases the yield. It is advisable to tap the trees the day after the application. You can see the difference in the latex quantity flow even in about 4 hours of application of VITEX. Unlike stimulants which are currently marketed in rubber industry to generate increase in the latex yield, but apparently tests have proven that their Latex content is more watery and their dried rubber content becomes lower. The reason is very transparent. They simply stimulate the tree to absorb more water from the ground and this leads to latex becoming diluted (which means Dry Rubber Content (DRC) of latex produced using Stimulants is much less). Whereas on applying VITEX it not only increases production of latex to about 2-3 times at the same time the Dry Rubber Content (DRC) increases approximately 38% or remains the same as before. Post application production will show approximately 38% higher or same amount of DRC / H2o composition as before. Another major problem with other products is they merely increase the latex production to a certain extent but compromising on health and life of trees. Over-exploitation coupled with use of harmful chemicals which generate diseases and affect health of trees severely. VITEX acts differently by providing adequate nutrition to promote health of rubber trees so as to rejuvenate tree barks and to prolong tree life.
Today, VITEX has emerged as a miraculous boon to the rubber industry and it is emerging as a new generation product. It is widely tested, accepted, appreciated, through out local and global markets by key industry players.

Comparison Table

VITEX
Stimulants

1
V - Cures Bark Dryness.
S - Absorbs the water, which in turn affects the trees health & results in Bark Dryness.

2
V - Increases Dry Rubber Content (DRC) to Approx. 38%.

S - Decrease in DRC due to wateriness of the Latex produced.

3
V - Rejuvenates tree barks.
S - Deteriorates the tree barks further.

4
V - Lengthens life of the tree
S - Kills the trees life by sucking all the moisture to produce more Latex.

5
V - Increases the yield by generating 2 to 3 time of more latex
S - Increases the yield by 30% but due to less DRC, quality of Latex is poor.

6
V - Promotes overall health of the tree
S - Kills the trees life.

7
V - Cost effective
- Cost effective for a short period. Since you have to re plant new trees due to their usage.

8
V - Proven test results
S - No data’s available.

So sesiapa ada ladang getah..or ada kenal orang yang ada ladang getah yang nak diusahakan........my friend's company can apply the VITEX for proven better production of rubber......SO PLEASE E MAIL ME......

Didn't know AGRO thingy can be quite interesting and sophisticated nowadays..........tak rugi berbakti pada tanah......

The Front Door.......The Colors

2008-06-14T18:58:00.006+08:00

Another entry by Suzy Chiazzari.................uhh so addicted reading her book..

If u remember nothing else about a front door, you will remember its color...This is because color has a very strong visual impact. Colors also have symbolic meanings linked to our individual personal, religious, social or cultural associations.

When u return home, ask yourself whether you get a welcoming feeling or whether you get no feeling at all. You only need to change the color if you feel a strong negative reaction to it. Look to the color of your front door and let the coloor speak to you.

Through your front door, you invite positive energy into your home. This flows in from the natural surroundings and also comes from thoughts and feelings created by the people you invite to enter your personal space.

BLACK

serious, wise, adult and sophisticated. Can also be perceived as threatening, it can keep people away.

WHITE

protective, clear, fair and strong. Can also be seen as cold and distant, with little sense of fun.

RED

creative, passionate and dynamic. May also signify restlessness, and a dislike for peace and quite.

YELLOW

happy, welcoming, and positive. Finding the right tone is tricky, some yellows are pale and cold.

ORANGE

young, warm, and sociable. Vibrant orange can be offensive to some more conservative people.

GREEN

honest, healthy, and friendly. Green is also a calm color that can be read as boring and unexciting

TURQUOISE

mixing blue and green, this color is a calming, meditative color that exudes a peaceful air.

BLUE

relaxing, calm, and quiet. Can be unwelcoming to visitors, but serves to calm you as you enter the home.

PURPLE

between red and blue, purple mixes restful, spiritual qualities with creative and friendly impulses.

PINK

lively fun and caring. pink shares qualities with red but can be seen as immature color.

SO WHAT COLOR ARE YOU FOR YOUR FRONT DOOR.....

ACCORD TRIAL vs ADVANCE TRIAL

2008-06-14T07:25:00.004+08:00

Conflicting evidence ??? what's your comment...

ACCORD (Abstract)

Background

Epidemiologic studies have shown a relationship between glycated hemoglobin levels and cardiovascular events in patients with type 2 diabetes. We investigated whether intensive therapy to target normal glycated hemoglobin levels would reduce cardiovascular events in patients with type 2 diabetes who had either established cardiovascular disease or additional cardiovascular risk factors.

Methods

In this randomized study, 10,251 patients (mean age, 62.2 years) with a median glycated hemoglobin level of 8.1% were assigned to receive intensive therapy (targeting a glycated hemoglobin level below 6.0%) or standard therapy (targeting a level from 7.0 to 7.9%). Of these patients, 38% were women, and 35% had had a previous cardiovascular event. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke, or death from cardiovascular causes. The finding of higher mortality in the intensive-therapy group led to a discontinuation of intensive therapy after a mean of 3.5 years of follow-up.

Results

At 1 year, stable median glycated hemoglobin levels of 6.4% and 7.5% were achieved in the intensive-therapy group and the standard-therapy group, respectively. During follow-up, the primary outcome occurred in 352 patients in the intensive-therapy group, as compared with 371 in the standard-therapy group (hazard ratio, 0.90; 95% confidence interval [CI], 0.78 to 1.04; P=0.16). At the same time, 257 patients in the intensive-therapy group died, as compared with 203 patients in the standard-therapy group (hazard ratio, 1.22; 95% CI, 1.01 to 1.46; P=0.04). Hypoglycemia requiring assistance and weight gain of more than 10 kg were more frequent in the intensive-therapy group (P<0.001).>

Conclusions

As compared with standard therapy, the use of intensive therapy to target normal glycated hemoglobin levels for 3.5 years increased mortality and did not significantly reduce major cardiovascular events. These findings identify a previously unrecognized harm of intensive glucose lowering in high-risk patients with type 2 diabetes.

Full Article For Subscribers Only

http://content.nejm.org/cgi/content/full/358/24/2545

ADVANCE (Abstract)

Background

In patients with type 2 diabetes, the effects of intensive glucose control on vascular outcomes remain uncertain.

Methods

We randomly assigned 11,140 patients with type 2 diabetes to undergo either standard glucose control or intensive glucose control, defined as the use of gliclazide (modified release) plus other drugs as required to achieve a glycated hemoglobin value of 6.5% or less. Primary end points were composites of major macrovascular events (death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke) and major microvascular events (new or worsening nephropathy or retinopathy), assessed both jointly and separately.

Results

After a median of 5 years of follow-up, the mean glycated hemoglobin level was lower in the intensive-control group (6.5%) than in the standard-control group (7.3%). Intensive control reduced the incidence of combined major macrovascular and microvascular events (18.1%, vs. 20.0% with standard control; hazard ratio, 0.90; 95% confidence interval [CI], 0.82 to 0.98; P=0.01), as well as that of major microvascular events (9.4% vs. 10.9%; hazard ratio, 0.86; 95% CI, 0.77 to 0.97; P=0.01), primarily because of a reduction in the incidence of nephropathy (4.1% vs. 5.2%; hazard ratio, 0.79; 95% CI, 0.66 to 0.93; P=0.006), with no significant effect on retinopathy (P=0.50). There were no significant effects of the type of glucose control on major macrovascular events (hazard ratio with intensive control, 0.94; 95% CI, 0.84 to 1.06; P=0.32), death from cardiovascular causes (hazard ratio with intensive control, 0.88; 95% CI, 0.74 to 1.04; P=0.12), or death from any cause (hazard ratio with intensive control, 0.93; 95% CI, 0.83 to 1.06; P=0.28). Severe hypoglycemia, although uncommon, was more common in the intensive-control group (2.7%, vs. 1.5% in the standard-control group; hazard ratio, 1.86; 95% CI, 1.42 to 2.40; P<0.001).>

Conclusions

A strategy of intensive glucose control, involving gliclazide (modified release) and other drugs as required, that lowered the glycated hemoglobin value to 6.5% yielded a 10% relative reduction in the combined outcome of major macrovascular and microvascular events, primarily as a consequence of a 21% relative reduction in nephropathy.

Full Article for subscribers

http://content.nejm.org/cgi/content/full/358/24/2560

What;s your opinion?

Colour and Your Relationship

2008-06-07T09:24:00.008+08:00

Recently a friend who is an interior designer gave me a book entitled "0ur Place" by Suzy Chizzari.....The book basically is about interior design - improve your HOME and improve your RELATIONSHIP....

Ada one chapter ni about color:

Color is a universal language that reveals mesages from your psyhe. Your favourite colors can reveal your strengths and weaknesses and help you understand your relationships with partners, familly and friends. You will naturally feel a deep connection with the people from the same color family as yourself, so you will also have a natural empathy and understandng of what makes each other tick. If your partner belongs to the color family lying alongside yours on the color wheel, u will also have a natural closeness and common outlok on life. Colors that lie opposite each other on the wheel show relationships that can be complementary but can also be odds wth one another. Partners from these oposite families need to work hard at respecting each other's diferences and finding their own space within the relationship............

Blue family members are calmer and quiter than the other 3 groups.Often these people are introverted and prefer a peaceful life. They also prefer to spend more time on their own and use their home as a retreat and private sanctuary. The blue family member needs privacy n their home and intimate spaces where they can relax....

The green color family reveals a combination of character traits. On one hand the green pesonality is calm and quiet: onthe other they enjoy social intraction. They refer spendin time with one other person rather than a bg group, so they put time and energy into their relationships. The home is very important to them, and they like to be settled, ecureand surrounded by personal items.

The red family group have an outgoing and active personality. Red people undrstand action more than words and often take the lead in a relationship. They ave strong personalitis and willpower, so they are good at seing things through to the end. Red family members need a stimulating and drmatic envirnment. The best way to rlate to people fro this family is by doing thigs together - a decorating project will be ideal.

The yellow family is happy sociable and otgoing. They are frendly people who are clever and bright. They lie intllectual stimulation and tyo exchane ideas. Their home should be ligh and bright, andgive them te opportunity to socaliseand comunicate. The yellw fmily can be highly creative but with a practical streak. THey are ful of ideas for home decoratng and god atpanning and organising our hme...

SO WHAT CLOUR ARE YOU......just my nine cents not my nonsense

National Conference of Medical Sciences

2008-06-07T02:34:00.005+08:00

Baru baru ini aku present dalam national conference of medical sciences 2008. My colleague dr noridah pun present jugak....abstract presentation kita orang ni boleh dilayari di official site NCMS....link dia below

http://www.medic.usm.my/publication/mjms/our_journal/mjms_Vol_15_supp1/mjms_suppl_OM_08.pdf

aku punya OM-1. noridah punya OM-2. Ni lah kali pertama kitorang present as a specialist....so pressure of expectation tu adalah jugak hu hu.....

walaupun kitorang tak menang apa2 hari tu - its a good experience dapat present kat national audience and research kitorang acknowledged untuk publication...

pict kitorang tgh present...sori kualiti gambar not very good....

JUST MY NINE CENTS NOT MY NONSENSE

Graduation Dinner For PostGraduate Students

2008-06-07T01:49:00.004+08:00

Bertempat di Hotel Renaissance pada 25 / 05 / 2008 - graduation night / dinner untuk meraikan postgraduate students yang baru menamatkan 4 tahun pengajian master dan menjadi specialist telah diadakan. Di sini aku mengabadikan beberapa keping gambar (betui ke ayat ni hu hu....) sebagai kenangan untuk malam itu.

Terharu jugak sebenarnya........

Me with trophy...

Me and Nazri

Yang datang dinner malam tu

Malam ini juga merupakan malam terakhir aku lepak dengan member - member yang sama graduate....miz, ng, ayman...nanti kita jumpa kat mana mana conference ek fellas........

Okay just my nine cents not my nonsense.........

First Day At Work Tomorrow..........

2008-06-02T02:12:00.003+08:00

Lama gak tak post....Enjoying freedom from work he heh..

Will start work at HTAA Kuantan tomorrow.........

Pendek je entry nanti sambung orait...

My Last Day In Kelantan....Bye

2008-05-27T08:49:00.006+08:00

THIS WILL BE LAST ENTRY IN KELANTAN FOR THE TIME BEING (tak tahulah kalau kena transfer balik ke sini in future)

My 2 years in kelantan has been memorable....(tiru balik my previous post he he)..

It has been great living here.....and i, not surprisingly began to like Kelantan. Still love Kuantan / Pahang more though he he, but Kelantan is a breath of fresh air. As far as modernisation / development is concerned, I don't see a single Kelantanese ever complained about it. They are still well-off people and some even have more money in their pockets as compared to KL dwellers. People in Kelantan prefer things just the way they are. If they didn't,they would leave and go to other states. However, kelantanese people will always come back to kelantan. There's always a huge traffic jam during major holidays because they all want to balik kampung. From what i observed, they are very proud of their state. More interestingly, even the non muslim Chinese and Indian whom i met loved the the rule by state government here, considering this is a Islamic Party governance....the reasons i did not ask.

Food....yummm. Some foods are authentic to Kelantan and some of them I rarely find them outside of the state...except maybe in ...Siam. Got akok, tepung pasong, nasi kerabu, nasi tumpang, tepung bungkus, cek mek molek, putu halba...just to mention a few. The problem is.....sometimes they are too sweet even though they dont have to be he he......explain the higher prevalence of diabetes in Kelantan i guess. In pasar Khadijah ......melambak lambak food he heh...

This blog entry wont be complete without mentioning Kelantanese girls. They are.............so sweet. Their smiles are just "melting" he he....the closer they are the border the more gorgeous they are heheh.....However, i managed not to "jatuh hati" to any one of kelantan girl yet (so far lah.........still got time i guess he heh). Maybe too busy working and studying at the same time. I have known enough people who came here and then permanently chosen to live here.....after they married Kelantan girl...Good for them.....SKMK huh...

WHAT I WILL MISS IN SHORT

1/ My Friends - study mates, course mates, tenis mates, makan mates and lepak mates....thank you all for making my life so "livin" here..

2/ The families that have been nice to me - kak azimah's (yang beria ria carik awek kelate for me to marry he he), abg rahims' , kak nurul's, and witty angels monalisa mastura family.

3/ Kelantenese Girls - yes, would meet them in other parts of malaysia as well but wont be in such abundance i guess.. -> ladies here have such a "mata kuyu" or "mata bundar" that can melt hearts he he he (adeiiii), so the trick not to terpikat is jangan tengok lama2 he he...

4/ The food - ada le sikit sikit as mentioned above. but tak terlalu suka manis manis so takpelah kotss...

5/ My lepak place - my lovely hse, reg room and mmed room, kb mall, tennis courts, nasi kerabu golok and d village and others..

Okaylah got to make a move.......

WILL BE BACK IN KUANTAN = START WORK AT KUANTAN GH ON 02/06/2008 - next entry will be from kuantan...

TAKE CARE ALL....

Just my nine cents not my nonsense

Unit Trust.........

2008-05-25T07:56:00.004+08:00

Tetiba duk kemas kemas hari ni tingat laks kat UNIT TRUST aku...lama dah tak tengok apa dah jadi dengan market,,,naik ke turun ke? Agen merangkap "financial adviser" aku pon senyap jer ni hu hu..sO buka internet and check le....

Aku ader join 5 funds:

1/ CIMB Islamic Balanced Fund (joined feb 2006) - buying unit price 0.4220 - current unit price 0.5220 ------> CHANTEKKKKK, tapi cukup ke chantek dia ni??

2/ CIMB Islamic Global Equity Fund (joined jan 2008) - buying price 0.500 - current unit price 0.5770 -----> WOW CEPATNYA NAIK....POTENSI BESAR NI..

3/ PUBLIC MUTUAL Islamic China Ittikal Fund (joined jan 2008) - buying price 0.2235 - current unit price 0.2252 -------> SLOWNYA, AKU INGAT ADA BEIJING OLIMPIK MARKET LEH MELOMPAT LOMPAT

4/ PUBLIC MUTUAL Islamic Select and Treasures Fund (joined mac 2008) - buying price 0.2500 current price 0.2583 -------> 2 EARLY TO JUDGE

5/ PUBLIC MUTUAL Islamic Optimal Growth Fund (joined april 2008) - buying price 0.2500 current price 0.2506 ------> ALSO 2 EARLY JUST JOINED

so o ada few small decisions.....since IBF so static now - should i pull out the money and invest kat CIGEF yang tengah merapid semacam je naik??? then PUBLIC MUTUAL was d best islamic funds last year - should i join new islamic funds even though agak slow now...

Come on my finance and marketing friends - advise me yang VERY NOVICE pasal finance ni...kalau terserlah ke novicean i sori ler budak baru belajar he hehh....

Ini site unit trust funds for those interested

http://www.publicmutual.com.my/

http://www.cimb-wealthadvisors.com/

http://www.cimb-principal.com.my/individual/default.asp

Just my nine cents not my nonsense

Dinner With Old Buddies....

2008-05-25T07:30:00.004+08:00

Malam tadi aku gi dinner dgn member2 study group masa year 1 master hari tu...Dr R and Dr A. Dr AW tak dapat mai sebab wife ada tuition. Borak borak pasal kisah lalu duk pulun study and story story di belakang he heh...Pergi merata duk prektis short case long case.....sampai gi ke HKB....Mula mula aku sedih gak sebab diorang tak dapat convo sama ku bulan 8 nanti...then after borak2 aku realise yang derang enjoy their life......REZKI ADA DI MANA MANA.....maybe what happened is the best for them.....

Dr R quit masa 2nd year - stress too much to cope.....now dia serve district hospital and by next year akan jadi timbalan pengarah kot....he is enjoying his life...yang penting stress minimal kerja tempat dia kerja sekarang .....and wife dia anak anak dia happy...

Dr A didn't get through 1st year - he was so hardworking that aku rasa sgt sedih untuk dia. 3 kali dia sit 4 the 1st year exam.....But life is better now for him....QUIT GOVERNMENT AND OPENED UP A CLINIC - NOW A VERY SUCCESFUL GP - keta pun dah mewah he he.....very happy for him...

Dr AW masih buat master and now final year.....lambat sikit sebab repeat 3rd year...just hanging there bro lagi setahun ......

I can tribute me passing the recent exam to u all my bro's...without our study group before i wouldnt have reached the level i am now....again - rindu all d memoirs masa kita study group dulu...even thou kite makan lebih dari study he heh....and i hope we will meet again in d future - definitely i will visit kelate again...(hopefully dah ada wife masa ni he hehh)....

.............just my nine cents not my nonsense.....my last three days in kelate

The Tennis Nation of Rizhan_Zinzan @ HUSM

2008-05-23T07:45:00.010+08:00

I love.....and addicted to playing tenis...Dan bersama sama geng tenis di HUSM memang menyeronokkan. Tenis mates aku datang dari pelbagai lapisan - ada lecturer ada undergraduate medical student ada spouses/anak kepada doktor ada cikgu ada toke business etc.....but kitorang memang happy main together. Memang kalau tension kat wad tu lepas balik keje and main tenis memang release tension !!!!!. Mula mula aku join diorang 2 years ago ni segan le jugak - nampak cam over terer je tapi they accepted me well....sekarang ni aku dah tahap STAR dah ni... (exaggerate and perasan cam biasa hu hu)...

Sempat jugak aku masuk dua tournament masa kat sini....main double je lah..first SUKAD, sukan antar fakulti buat kat main campus USM Penang - ni boleh sampai semi final (bronze medal)....cuma kat semi tu kena tetak dek ex player SUKMA sampai tak sempat nak berpeluh dah kalah hew hew hew....Then Kelantan (Amateur) Closed - ni bungkus kat second round....(P.S - takpe Ali next year kita try lagi)...

So let me let the pictures speak for me lah...

reket kesayangan - prince 02 hybrid shark...

Tournament Kat USM Main Campus - jauh wo dari kelate nak gi penang.......

Normal days at tennis court - main sambil picnic he heh

Sesambil tu malam sempat lagi makan2 and main bowling he heh........

I will miss DEFINITELY my tennis mates since i am leaving kelantan hu hu hu......nampak gaya kena cari geng baru kat kuantan...

Terima kasih untuk kenangan yang terindah..

.................JUST MY NINE CENTS NOT MY NONSENSE.........

Doc's Jokes - Just For Fun

2008-05-20T12:11:00.009+08:00

Answering Service At The Mental Institute

"Hello, and welcome to the mental health hotline.

If you are obsessive-compulsive, press 1 repeatedly.

If you are co-dependent, please ask someone to press 2 for you.

If you have multiple personalities, press 3,4,5, and 6.

If you are paranoid, we know who you are and what you want. Stay on the line so we can trace your call.

If you are delusional, press 7 and your call will transferred to the mother ship.

If you are schizophrenic, listen carefully and a small voice will tell you which number to press.

If you are manic depressive, it doesn't matter which number you press, no one will answer.

If you have a nervous disorder, please fidget with the hash key until someone comes on the line.

If you are dyslexic, press 6969696969.

If you have amnesia, press 8 and state your name, address, phone number, date of birth, social security number, and your mother's maiden name.

If you have post-traumatic-stress disorder, slowly and carefully press 000.

If you have bipolar disorder, please leave a message after the beep, or before the beep, or after the beep. Please wait for the beep.

If you have short-term memory loss, press 9. If you have short term memory loss, press 9. If you have short term memory loss, press 9. If you have short term memory loss, press 9.

If you have low self esteem, please hang up. All our operators are too busy to talk to you."

..............JUST MY NINE CENTS NOT MY NONSENSE..............

A Patient Should Be Responsible For His (Her) Health.....

2008-05-20T01:18:00.008+08:00

I attended to a patient about a month ago. He had history of coronary artery disease with 2 vessels disease - angioplasty (PTCA) done 4 months prior to admission, and presented with retrosternal chest pain.

This masa kat middle middle dah - dah tanya dah sakit kat mana and symptoms symptoms lain...

Me: Boleh tanya ke pakcik - ubat yang doktor beri pakcik makan ikut aturan ke?

Pakcik K: Hmm hmm hmm......ubat pakcik dah tok make (tak makan) dah....

Me: Kenapa pakcik tak makan ubat - ubat dah habis ke kat rumah?

Pakcik K: Pakcik ingat dah pasang belon kat urat jantung pakcik, tak perlu makan ubat dah. Ye lah doh molek aliran darah buat po nak make ubat lagi...

Me: Doktor tak beritahu pakcik ke yang pakcik masih kena makan ubat tu......

Pakcik K: Doktor memang suruh make ubat....tapi pakcik tanya kawan kawan pakcik cakap tak payoh doh make ubat

Me: (....little bit irritation creeping in....) Pakcik....walaupun pakcik dah pasang belon....ubat kena makan pakcik....ubat cair darah tu nak halang darah beku terbentuk semula kat belon tu...ubat cholestrol tu tak nak kasi ketulan lemak terjadi di salur darah pakcik...dan ubat darah tinggi tu kena makanlah jugak kalau tak tekanan darah pakcik naik....

Pakcik K: Ye ke...pakcik pun dah isap rokok semulaa ingat takpe...

Me: (stunned) (lepas check pakcik tu)..pakcik...saya kena masukkan pakcik ke dalam wad jantung...saya rasa salur darah pakcik tersumbat semula...dan ada kemungkinan besar belon hari tu pun boleh tersumbat semula....bla bla bla....

ECG - new ST depression anterolateral leads

MY DIAGNOSIS - ACUTE CORONARY SYNDROME, possible INSTENT RESTENOSIS (ISR)

The patient had a re angioram and ISR confirmed to be present - he was managed accordingly.

Kalaulah ramai patient macam ni - susahlah. Decide nak makan tak nak makan ubat sendiri sendiri....lepas tu kena masuk wad buat angiogram semula. Pasang le belon ke stent ke yang canggih - pas tu ubat tak makan...last last sumbat balik..kena buat semula. Hisap rokok pulak tu - nikotin boleh menipiskan salur darah jantung dan juga meninggikan risiko stent atau belon tersumbat..Maybe our patient education not tip top yet la.

As a doctor - quite frustrating to have patient like this

FYI; post angiogram normally would be on double antiplatelet (Aspirin or Plavix) for 0ne year if DDS or 3/12 if Baremetal stent. Statin should be onboard also to prevent or regress atherosclerotic plaque...then other medications such as beta blocker / ACEI / ARB normally on board as well if indicated.

Just my 9 cents not my nonsense......

Breaking News...TDM Keluar AMENO

2008-05-19T21:07:00.004+08:00

ALOR SETAR, 19 Mei�

Berita terbaru benar-benar mengejutkan apabila mantan perdana menteri, Tun Dr Mahathir Mohamad hari ini mengumumkan keluar dari Umno dan hanya bersedia kembali ke pangkuan parti itu selepas Datuk Seri Abdullah Ahmad Badawi meletak jawatan.

Ini seakan-akan membayangkan kerajaan Barisan Nasional (BN) bakal tumbang dalam masa terdekat ini selepas kehilangan kuasa majoriti pada pilihan raya umum 8 Mac lalu.
Perletakan jawatannya berkuatkuasa serta merta. Bukan sekadar meletak jawatan sebaliknya beliau menyaran ahli-ahli Umno supaya turut berbuat demikian.
Dr Mahathir memberitahu beliau bertindak keluar Umno kerana tidak yakin dengan kepemimpinan Abdullah.

�Saya akan hanya kembali semula ke parti tersebut apabila pucuk pimpinan ditukar,� katanya sebagaimana dipetik Malaysiakini.com.
Beliau mengumumkan perkara itu ketika berucap dalam satu forum di Alor Setar pagi tadi.
Dr Mahathir juga menggesa kesemua menteri Umno, timbalan menteri dan semua peringkat pemimpin, supaya bersama dengannya keluar dari parti.
Beliau bertindak keluar parti yang diterajuinya selama 22 tahun, seakan-akan menurut jejak langkah dibuat Perdana Menteri pertama selepas merdeka, Tuanku Abdul Rahman.
Tuanku Abdul Rahman menyertai Semangat 46 selepas Umno diharamkan ekoran kekalutan pada pemilihan merebut jawatan presiden 1987.

Bagaimanapun, Dr Mahathir meminta mereka (pemimpin Umno) supaya jangan menyertai parti-parti yang lain.
"Tunggulah hingga Abdullah letak jawatan sebagai perdana menteri dan presiden parti, dan kita boleh kembali semula kepada Umno," katanya.
Dr Mahathir merupakan perdana menteri Malaysia keempat dan memegang jawatan tersebut selama 22 sejak 1981. - mj

Predicted this i guess....since the election day.

Ntahlah....pening dengan sandiwara politician kat malaysia ni....

Just my nine cents not my nonsense................

Kamalia Fitra............The 4 Years That You Have Gone

2008-05-18T09:49:00.004+08:00

Gugusan hari-hari indah bersama mu "Kamalia"

Bangkitkan kembali rindu ku

Ingin ku berlari mengejar seribu bayangmu "Kamalia"

Lirik lagu camelia ni very touching...for it reminds me of the special person that was once here with me........

Kini sudah 4 tahun pemergian mu meninggalkan dunia yang fana. Dan kenangan bersamamu akan sentiasa terpahat dalam hati ini.

Part time blogger - kingmaker in the new tech world

2008-05-16T20:47:00.003+08:00

Happened to read Times Magazine today. And there is the story about Michael Arrington - a part time blogger who make the TIME 100 (Anwar Ibrahin made this list also - the sole Malaysian ...).

Written by Arianna Huffington (first blogger to make TIME 100)

Michael Arrington a former corporate attorney, who via his TechCrunch blog has become one of the most influential figures on the web, is the quintessential blogger: intense, passionate, consumed with his subject, opinionated, sleep deprived, forward thinking, easy to irritate and apt to air jis grudges in public. Arrington's vast network of Silicon Valley sources - many gained through his legendary parties - allows him to be ahead of the tech-biz curve and often play Web 2.0 kingmaker.

The road to online glory for Arrington has had many detours. A self described "exceptionally average attorney, " he left law to become a web enterpreneur - just in time to have the internet bubble burst in jis face. He took a year offand, after returning to the work world, started blogging as a way to understand the new Web start ups that had arisen in his absence. Tech crunch took off, and he soon found himself and accidental power broker. He's not leaving the next step to chance: Crunch has expanded to sites covering everything from gadgets to portable computing to jobs, with more on the drawing board.

Dubbed the Walter Winchell of Silicon Valley and compared by Wired magazine to "a Hollywood agent at a cast party" and to "Tony Soprano - a large man always on the verge of losing his cool," Arrington is ready to add another rep: cyber mogul...

Nice inspirational story..........

Junior Specialist

2008-05-14T08:16:00.006+08:00

Alhamdulillah.........diri yang pacal ini telah lulus..

Teringat masa kecil kecil dulu - masa kelas darjah 2 (umo baru 8 tahun) - cikgu tanya pasal cita cita nak jadi apa. WITHOUT HESITATION aku jawap - nak jadi doktor pakar, nak jadi speselis (slang kanak kanak hu hu.....)

Little that i know - only 24 years later - that cita cita ini baru tercapai..menjadi specialist dalam internal medicine..alhamdulillah aku dah lulus viva akhir baru ni...so

Yeahh....it was a struggle. Started with my undergraduate years in New Zeland 1995 - 2000. Then jerit perih kursus master bermula tahun 2004 - 2008. Kenapa medic perlu 4 tahun untuk buat master aku pun tak pasti. Bermula dengan 15 orang of us satu batch tahun 2004 tu, hanya 7 orang yang berjaya menamatkan pengajian. Aku takde keluarga so maybe aku sepatutnya pass walaupun aku ni nasib cukup cukup makan je pass - takde tanggungjawab lain. Simpati pada rakan rakan ada yang sampai rumahtangga berantakan disebabkan master.

I guess - aku dah menyambut cabaran untuk menjadi seorang pakar. Dan, walaupun beribu kali aku rasa cam nak quit and tak tahan - akhirnya aku berjaya merangkak jugak sampai.....alhamdulillah.....

Ramai yang telah memberikan galakan dan dorongan -...banyak sangat nama so tak dapat ditulis semua di sini. Thanks the most to my parents who stayed with me during this difficult period. Then kawan kawan seperjuangan especially nobu - carry on fighting one more year 4 u to go hu hu.....then of course pizi yang walaupun dah resign keep bagi dorongan kat aku selama 4 tahun...

Rasa cam emo je tulis blog no hari ni.......just nak cakap walau aku dah jadi specialist - aku masih THE SAME AND THE OLD FARIZ @ RIZHAN @ ZINZAN @ ZZ (ikut how you all know me)dan tak berubah.....will keep writing and upadating you all dengan latest in medical world...and i would still menyengal cam biasa hak hak hak..

So..THANK YOU ALL. kena prepare untuk start keje di hospital kuantan in June...new challenge. Enjoy dulou kot holiday sebelum start keje tu...

So Metformin can be used in GDM after all?

2008-05-13T01:34:00.010+08:00

Happened to read an article in NEJM recently. Metformin versus insulin for the treatment of gestational diabetes.....The old school of teaching was only insulin can be used in pregnant ladies with diabetes...because lack of safety profile of OHA in pregnant ladies. So controversial gak kot buat study compare insulin vs metformin (ethical issue etc?). Opinion varied i guess.........

Read and give ur comment......full article only for NEJM subscriber http://content.nejm.org/cgi/content/short/358/19/2003

Abstract here:

Metformin versus Insulin for the Treatment of Gestational Diabetes
Janet A. Rowan, M.B., Ch.B., William M. Hague, M.D., Wanzhen Gao, Ph.D., Malcolm R. Battin, M.B., Ch.B., M. Peter Moore, M.B., Ch.B., for the MiG Trial Investigators

ABSTRACT
Background Metformin is a logical treatment for women with gestational diabetes mellitus, but randomized trials to assess the efficacy and safety of its use for this condition are lacking.

Methods

We randomly assigned 751 women with gestational diabetes mellitus at 20 to 33 weeks of gestation to open treatment with metformin (with supplemental insulin if required) or insulin. The primary outcome was a composite of neonatal hypoglycemia, respiratory distress, need for phototherapy, birth trauma, 5-minute Apgar score less than 7, or prematurity. The trial was designed to rule out a 33% increase (from 30% to 40%) in this composite outcome in infants of women treated with metformin as compared with those treated with insulin. Secondary outcomes included neonatal anthropometric measurements, maternal glycemic control, maternal hypertensive complications, postpartum glucose tolerance, and acceptability of treatment.

Results
Of the 363 women assigned to metformin, 92.6% continued to receive metformin until delivery and 46.3% received supplemental insulin. The rate of the primary composite outcome was 32.0% in the group assigned to metformin and 32.2% in the insulin group (relative risk, 1.00; 95% confidence interval, 0.90 to 1.10). More women in the metformin group than in the insulin group stated that they would choose to receive their assigned treatment again (76.6% vs. 27.2%, P<0.001).>

So...judge urself...........

Targeted Therapy For Lung Cancer

2008-05-12T14:46:00.008+08:00

Recovering now from the trauma of viva exam...as well as recovering from bronchitis. Havent been posting much lately.....guess i need to start writing again huh...

Remember allahyarham Tan Sri SM Nasamudiin who recently passed away of advanced lung cancer...Semoga rohnya dicucuri rahmat Allah. He got treatment in USA. I do not know the details of the treatment......but i guess he must have received TARGETTED THERAPY -> NeW TREATMENT MODALITIES in managing cancer. Targeted therapy is NOT CHEMOTHERAPY. It is a recent way of treatment in which it targets the critical molecular pathway of a disease.

Targeted therapy can involve either cell surface antibodies (monoclonal antibodies), gene therapy (such as immunomodulation) or signal from a small molecule (such as TKI). In Lung cancer the current TKI (EGFR) in Phase 3 include Iressa or Tarceva. Currently those treatment used as second or third line for stage IIIB or Stage IV lung cancer. Then another one is Arvastin (VEGF) used in conbination with standard chemotherapy - also second line.

Too much details huh....anyway i have many articles regarding targetted therapy. Just want to highlight that medical is expanding - lots of new things coming on such as above. So treatment of cancer other than chemotherapy - exciting...

Who is keen for articles can e mail me..

Okay..till then...doakan i lulus my viva kay...

Bulan May Yang Penuh Bermakna

2008-05-09T18:27:00.003+08:00

Bulan May..
Juga diucapkan.........

- Happy Anniversary and Happy Birthdays to my lovely parents....
- Selamat Hari Ibu kepada my mum dan semua bloggers kaum ibu si sini.....
- Selamat Hari Guru kepada para guru....
- Selamat Hari Jururawat kepada missi missi yang masuk blog ni....

Happy sokmo..........

Demam dan demam.......

2008-05-05T12:13:00.007+08:00

Since my birthday........dah dua hari demam. Study pun terpaksa bertapis. Banyak masa spend terbongkang atas sofa hu hu....

Now rasa cam lega sikit...........tapi still muscle ache, joint ache and headache. Looks like viral..but i still take antibiotics because lots of my patient coughing - so i may have acquired hospital infection - high chance of bacterial infection...Belasah dua terus Zinnat plus Zithromax hu hu - tak baik jugak tak tahulah.............

When I'm lost in the rain,

In your eyes I know I'll find the light

To light my way.

And when I'm scared,

And losing ground,

When my world is going crazy,

You can turn it all around.

And when I'm down you're there - pushing me to the top.

You're always there, giving me all you've got.

For a shield from the storm,

For a friend, for a love to keep me safe and warm I turn to you.

For the strength to be strong,

For the will to carry on

For everything you do,

for everything that's true I turn to you.

When I lose the will to win,

I just reach for you and I can reach the sky again.

I can do anything '

Cause your love is so amazing, '

Cause your love inspires me.

And when I need a friend,

You're always on my side

Giving me faith taking me through the night

la la la la................

Thank You For Birthday Wish...3rd of May

2008-05-03T23:40:00.005+08:00

Dearest friends.........

Thank you for all yang wish me selamat hari lahir.....yang call, yang sms, yang leave online messages, yang e mail and tak lupa yang post dalam blog. And of course yang arrange makan2 for today - i had 4 heavy meals today uhhh.....super kenyang. TQ nyetto for being the first caller, NH for being the second caller and MS for being the third caller and witty the fourth sms / caller (aci sebab dia jauh) he hehhh...I rarely celebrate my birthday heavy2 - si this year considered quite heavy....

Sorry that i have been a bit busy lately - viva is approaching fast....

I will post some pictures later....

Thank You All - Love Ya.............

Cholestrol Lowering Drugs - Statin Studies...........

2008-04-30T15:24:00.005+08:00

Working in teaching hospital such as HUSM gave me the opportunities to use variety of "evidence based medications" which are not normally available in KKM hospitals. Been using plenty of Atorvastatin (Lipitor) and Rosuvastatin (Crestor) here for management of dyslipidaemia............

Here are some evidences - good for my viva revision he he........

EVIDENCES FOR ATORVASTATIN

CARDS - Atorvastatin 10 mg vs placebo in diabetic patients without CVD - LDL reduction greater, 48% relative risk reduction in stroke (primary prevention study)

ASCOT/LLA - Atorvastatin 10 mg - 36% in non fatal MI and fatal CHD (primary prevention study)

MIRACL - Atorvastatin 80 mg - 50% RR reduction of fatal and non fatal stroke (secondary prevention)

PROVE IT - Atorvastatin 80 mg - 16% RR reduction of a composite of all cause mortality and major CV events (secondary prevention)

TNT - Atorvastatin 80 mg - 25% reduction risk of stroke

EVIDENCES FOR ROSUVASTATIN

(NI semua nama study - nama planet / galaxy related)

ASTEROID - Rosuvastatin 40 mg - significant regression of atherosclerosis

METEOR - Rosuvastatin 40 mg - on progression of atherosclerosis by measuring intima media thickness 48% LDL reduction 10% HDL reduction

JUPITER - Rosuvastatin 20 mg - studies stopped early - benefit in primary prevention cardiovascular events (not published yet)

CORONA - Rosuvastatin 10 mg - reduced CV morbidity and mortality, overall survival , in NYHA II-IV heart failure of ischaemic aetiology

There are also evidences for other statins such as pravastatin and simvastatin but not written here....diet, exercise and weight loss remained integral component though....

Exam Time......................Stress...

2008-04-28T23:39:00.006+08:00

U just know it when exam around the corner. Undergraduates and postgraduates alike, suddenly have changes in behaviour. More serious and less smiling he heh. So come end of April and early May - more zombies walking around than human being..

Medical Undergraduates

Year 5 pro exam started yesterday. All the best young budding doctors. The world just started the moment you all pass the exam he he. I helped prepare a few long cases and short cases for the exam.....last minute recruitment he he.

Master in Internal Medicine

First year post graduate

...................i know..i know....its tough...sat the exam three years ago.....back to basic sciences and pathophysiology.....after few years of working i guess it needs lot of effort and revision to pass this exam...

Second year post graduate

Lepak year yeah...................no exam. But has to cover the wards since the other 'years' having exam.

Third year post graduate

...................The toughest exam i have ever sat in my life.....Lucky to pass it last year...(walaupun lulus cukup makan janji lulus he he) - short cases x 4, long cases x 2, viva x3 , MCQ x 100, OSCE x 30, MEQ x 2, Probleb Solving (Grey Cases) x 4. One week of trauma. So good luck guys......Will become registrar once u passed. Knew people who took arcalion lah, propranolol and variety other things he he.....

Fourth year post graduate - Registrar exit viva

.........One viva - defense of thesis and general viva. The last hurdle before being specialist. The exam i will be sitting in 11/05/08.....uhhh scared a bit now. Struggling to study bio statistics now - to use when defending my thesis......

TO ALL READERS WISH ME LUCK OKAY......doakan untuk saya...thank you. Stress ni hu hu....

Quit smoking......The Nicotine Trick

2008-04-26T09:53:00.013+08:00

Lots of people asked me on how to quit smoking......recently a friend nicked "jejaka kacak" (kacak ke.....) inquired on the way to stop smoking. For me - its difficult if u want it to be difficult, and its easy if you want it to be easy. Smoking is the root of almost all disease......believe me. Erectile function also may be affected by smoking ok guys....he heh.

I guess therapy of your mind is the best way to help you stop smoking. Maybe with the help of medical treatment, if required. Its always about your motivation and strength to control the urge. A friend once told me - a "bebelling" wife also cannot stop him from smoking he heh. ...The best smoking cessation assistance on the planet is your own will and determination. If you aren't motivated and committed to kicking the habit, no quit aid can help you. If you are ready to quit, any of them have the potential to work with exccellent results.

Recently i met a patient who is an English guy, who worked for the VIP here. Nice chap...T. We were chatting about many things. He's also Arsenal supporter yeahh...When i asked about smoking history - he said that he managed to quit smoking 6 months ago - and he felt great. He said that he was reading this book THE NICOTINE TRICK by NEIL CASEY (ada iklan sebelah - amazon.com) and the impact of the book was so powerful that he managed to quit smoking.

He said that the author mainly touched on the our powerful minds. Nicotine is just playing an unconscious trick to our mind. The power of Neil Casey's method lies in his understanding of the subconscious mind. Nicotine doesn't exist on the conscious level, half the time you light a cigarette, you're hardly even aware that you've done it. The powerful minds can actually create and perpetuate withdrawal symptoms. He systematically explains how the process works, all the way from the first cigarette to the post-smoking cravings. T said that as a doctor i should read it. I will T when the opportunity arised...thank you.

Motivation can be suported by medical treatment. Nicotine replacement therapies (NRTs) including nicotine gums, nicotine inhalers, nicotine lozenges, nicotine nasal spray provide a measured dose of nicotine to help ease the physical symptoms of nicotine withdrawal. They only contains nicotine - without the thousands of poisonous carcinogens. Unfiortunately it does not work for T. And there is always risk of nicotine addiction.

Recently there has been emphasis on nicotine free treatment such as bupropion, and more recently Chantix (Varenicline). I was invited to attend a conference @ launch or varenicline recently - and the concept was interesting, theoretically at least. Still need more studies to confirm LT effectiveness. Champix has the unique ability to partially activate nicotine receptors in the brain, reducing a person's craving or withdrawal urge for nicotine when he stops smoking. In addition, if a person smokes during the course of varenicline treatment, the drug reduces smoking satisfaction by interference of nicotine binding with these same receptors. The medicine available now in Malaysia (BY PFIZER). Worth trying for hardcore smoker.

And having support group, smoking forum, quit smoking clinic may also help.

So why wait......help yourself and your family by quit smoking. Doctors can help you...Better buy chantix than viagra he heh...

P/S - those with experience and stories please share with us...

See ya fellas......

Oxymorons..................

2008-04-26T03:25:00.003+08:00

Got this from a friend......just for fun.

Here you will find the top 45 oxymorons. An oxymoron is a combination of two words that are completely opposite in meaning. In the dictionary you'll find: "A rhetorical figure in which incongruous or contradictory terms are combined, as in a deafening silence and a mournful optimist." You've probably heard many of these before but didn't realize that they fall within this category.

45. Act naturally 44. Found missing 43. Resident alien 42. Advanced BASIC 41. Genuine imitation 40. Airline Food 39. Good grief 38. Same difference 37. Almost exactly 36. Government organization 35. Sanitary landfill 34. Alone together 33. Legally drunk 32. Silent scream 31. Living dead 30. Small crowd 29. Business ethics 28. Soft rock 27. Butt head 26. Military intelligence 25. Software documentation 24. New classic 23. Sweet sorrow 22. Child Proof 21. "Now, then ..." 20. Synthetic natural gas 19. Passive aggression 18. Taped live 17. Clearly misunderstood 16. Peace force 15. Extinct life 14. Temporary tax increase 13. Computer jock 12. Plastic glasses 11. Terribly pleased 10. Computer security 9. Political science 8. Tight slacks 7. Definite maybe 6. Pretty ugly 5. Twelve-ounce pound cake 4. Diet ice cream 3. Working vacation 2. Exact estimate ...And the number 1 oxymoron is.. 1. Microsoft Works

He heh....u all ada dengar apa apa lagi oxymorons?

My two years in Kelantan

2008-04-24T20:26:00.005+08:00

I have been living in Kelantan for almost two years. Part of the master (mmed) training requirement is doing two years of posting at HUSM Kubang Kerian Kelantan. Duhhh...initially i was kind of "scared" to live in Kelantan. How "not so clever" was I that time. Being misinformed by the media, be it electronic or printing, about living in Kelantan bla bla bla.....And the stories of "SKMK" also circulated around

It has been great living here.....and i, not surprisingly began to like Kelantan. Still love Kuantan / Pahang more though he he, but Kelantan is a breath of fresh air. As far as modernisation / development is concerned, I don't see a single Kelantanese ever complained about it. They are still well-off people and some even have more money in their pockets as compared to KL dwellers. People in Kelantan prefer things just the way they are. If they didn't,they would leave and go to other states. However, kelantanese people will always come back to kelantan. There's always a huge traffic jam during major holidays because they all want to balik kampung. From what i observed, they are very proud of their state. More interestingly, even the non muslim Chinese and Indian whom i met loved the the rule by state government here, considering this is a Islamic Party governance....the reasons i did not ask.

Food....yummm. Some foods are authentic to Kelantan and some of them I rarely find them outside of the state...except maybe in ...Siam. Got akok, tepung pasong, nasi kerabu, nasi tumpang, tepung bungkus, cek mek molek, putu halba...just to mention a few. The problem is.....sometimes they are too sweet even though they dont have to be he he......explain the higher prevalence of diabetes in Kelantan i guess. In pasar Khadijah ......melambak lambak food he heh...

To the nice people i have met - esp my colleagues in HUSM, my staffs, Kak Azimah and family (sungguh2 diorang ni nak carikkan kelantan girl for me he he), Kak Mun and family, my tennis gang (farid, fami, bobo, firo, jijah, sharul, atin, su, cik wan etc), the "monaliza mastura groups - ni witty nye parents - tq sebab selalu bagi discount kalau beri computer accessories hu hu and not forgetting eireen - the ever workaholic chinese girl who loves kelantan so much.... memories in Kelantan would be treasured forever......

Oklah.....enough kot. Just taking a break.....

Notes on Ibadah....

2008-04-23T12:56:00.008+08:00

Masa saya graduate in 2000...ada 3 months gap sebelum dipanggil bertugas jadi doktor (HO). Some of the things i did (other than lepak) ialah menjadi penterjemah dan penulis untuk satu Islamic IT centre ni di Kuantan.....terjumpa pulak dalam internet hasil kerja saya dulu. So untuk tatapan bersama............satu chapter dalam artikel

Nota Kelas Aqidah Aqidah Class Notes
Lesson 4
ORAL IBADAH.
It means (3) every ibadah which is related to oral saying. They are many kinds of this ibadah. Here, a few examples of important types of Oral Ibadah will be mentioned as a comparison to the others.

a. Doa It is divided into 2 parts: - Praising doa - Requesting doa

i. Praising doa
Remembering Allah by reciting His names (Asma Ul Husna) with no intention of wishing for anythings be it to ask for rezki or to ask for forgiveness etc. So, the intention of this type of doa is only to praise Allah such as the doa below:
O Allah the Most who Live, O Allah the Most Standing on Its Own, O Allah the Most Creator of the heavens (sky) and earth, O Allah the Most High and Most Noble.
ii. Requesting doa
To beg or to ask for something that is desired from Allah by mentioning His names and Attributes, be it for things in this world or wishes in the Hereafter such as asking for His guidance and good rezki, winning a fight, entering heaven, asking for forgiveness and others. both kinds of doa are a part of ibadah. As what Rasulullah said :
Doa is deeds (ibadah). (HR Tarmidzi, Ibnu Majah and Imam Ahmad)

And because doa is ibadah, we have to follow the rules and regulations which have been outlined by Allah SWT and Rasullullah SAW in performing this ibadah. For example, it is outlined in this hadith and verse:
Invoke your Lord with humility and in secret. He likes not the aggressors. (Al A’raf : 55)
O mankind, lower your voice while doa (pray) as you are not asking from the deaf and not from the one far away but you are asking from the One who Listen and See.(HR Muslim)

Reference: 1. Tafsir Mukhtashar Ibnu Katsir; Mohd Ali Al Shabuny; II / 440 – 441. 2. Tafsir Al Munir; Prof Wahbah Al Zuhaily: XI / 54. 3. Hakikat Dua Kalimah Syahadat; Dr Abdullah Yasin.

Notes by: Dr Abdullah Yasin: Islamic Counsellor in Saudi Arabia Embassy.

Prepared and translated by:
Dr Fariz Safhan b Mohamad Nor
Eda Suhana binti Sharudin

...Kembali Location Education Centre IT Centre

A Korean Lady "Googleing" for IBS and found this blog....interesting stuff....google in korean language

2008-04-23T12:42:00.005+08:00

To my dear friend whom i suspected to have IBS.................please seek medical advice......IBS is quite significant to be ignored ok....he he..............korean also google for IBS kay........ so please....your doctor can help you...

IBS guideline에 대한 약 348,000개 결과 중 1 - 10. (0.08 초)
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이미지 검색결과 더보기 »
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NICE clinical guideline on the ...
nelm - Evidence Based ...2008년 4월 9일
Irritable Bowel Syndrome ...
evolusi medic - evolusimed ...16시간 전
What is the sensitivity and ...
NLH Question Answering Service2008년 4월 20일
[Celiac News] What is the ...
the sensible celiac - www ...2008년 4월 21일
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Report from the IBS AB Annual ...
Business Wire (press release) - 11시간 전
State Administration Ministry to ...
Sofia Echo - 2008년 4월 11일
Notice of Annual General Meeting of ...
Business Wire (press release) - 2008년 3월 25일
Irritable Bowel Syndrome Home Use ...
PR Web (press release) - 2008년 4월 16일
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도움말: ‘검색’ 버튼을 클릭하는 대신 엔터키를 사용하면 시간이 절약됩니다.
[PDF]
PRIMARY CARE SOCIETY FOR GASTROENTEROLOGY Irritable Bowel Syndrome ...
파일형식: PDF/Adobe Acrobat - HTML 버전IBS does. not predispose to colorectal cancer or inflammatory bowel disease. This guideline was developed by Greg Rubin, Yenal Dundar and Tom Kennedy for the Primary Care Society for. Gastroenterology. We thank all the participants in ...pcsg.lchost.co.uk/html/IBS%20Guidelines%20Nov%202001.PDF - 유사한 페이지
IBS guidelines support decision making in general practice ...- [ 이 페이지 번역하기 BETA ]
New IBS guidelines from the PCSG due out this month aim to enhance patient care by promoting an effective doctor-patient relationship.www.eguidelines.co.uk/eguidelinesmain/gip/vol_4/sep_01/rubin_ibs_sep01.htm - 17k - 저장된 페이지 - 유사한 페이지
UpToDate AGA guideline: Irritable bowel syndrome- [ 이 페이지 번역하기 BETA ]
The following guidelines, based on a comprehensive review [1], were developed as an update to assist the physician in the clinical understanding, diagnosis, and management of patients with irritable bowel syndrome (IBS). ...patients.uptodate.com/topic.asp?file=gihepgui/4878 - 15k - 저장된 페이지 - 유사한 페이지
[PDF]
Irritable Bowel Syndrome (IBS) Guideline Implementation ...
파일형식: PDF/Adobe Acrobat - HTML 버전For education and detailing you will want to use the all the Delfini IBS Guideline Resource Kit. contents. along with the implementation strategies .... with an IBS clinical guideline and associated tools for clinicians and patients: ...www.delfini.org/IBS_IM_Comm_Tool.pdf - 유사한 페이지
Delfini IBS Intro- [ 이 페이지 번역하기 BETA ]
IBS Guideline Resource Kit Introduction Guideline Resource Info & Algorithm Info for Patients & Clinicians ... This kit contains information about the best available evidence at the date of this guideline on IBS diagnosis and treatment ...www.delfini.org/page_ibs.htm - 23k - 저장된 페이지 - 유사한 페이지 http://www.google.co.kr/search?complete=1&hl=ko&lr=&newwindow=1&q=+site:www.delfini.org+IBS+guideline
ScienceDirect - Clinical Gastroenterology and Hepatology : An ...- [ 이 페이지 번역하기 BETA ]
Therefore, an IBS guideline should also report on the efficacy of different treatments for the improvement of these ... The IBS guideline [7] used ROME II criteria to grade the quality of each therapy trial included in the guideline. ...linkinghub.elsevier.com/retrieve/pii/S1542356503001393 - 유사한 페이지
Irritable bowel syndrome- [ 이 페이지 번역하기 BETA ]
It will be able to make a call at any point during development of the guideline, and stakeholders will usually be given 4 ... Development of the clinical guideline is under way and is being led by the National Collaborating Centre. ...www.nice.org.uk/page.aspx?o=291060 - 33k - 저장된 페이지 - 유사한 페이지
Irritable bowel syndrome - Guideline consultation- [ 이 페이지 번역하기 BETA ]
2007년 8월 16일 ... A clinical practice guideline on IBS is being developed for use in the NHS in England and Wales. Registered stakeholders for the IBS guideline are invited to comment on the provisional recommendations via this website. ...www.nice.org.uk/page.aspx?o=448543 - 17k - 저장된 페이지 - 유사한 페이지

Just for fun

Irritable Bowel Syndrome..........The Functional Disorder of Gastrointestinal Tract

2008-04-22T19:57:00.007+08:00

Has been quite busy lately.............not enough to write my own article....

However, i have been a bit concerned with a friend whom i suspected of having irritable bowel syndrome....dia "poo poo" like 5 times per day or more, day or night, before or after meals, with on and off mild abdominal discomfort. But this dear friend never believe me he he - dia thinks that dia perfectly normal (ada problem psikologi ni he heh)

IBS is characterized by chronically recurring abdominal pain or discomfort and altered bowel habits. IBS is a functional disorder, defined by Rome criteria -

Recurrent abdominal pain or discomfort at least 3 days per month for the past 3 months, associated with two or more of the following

- improvement with defecation

- onset associated with a change in frequency of stool

- onset associated with change in form (appearance) of stool

My dear fren, it is one of the most common syndromes seen by gastroenterologists, physician or family heath doctors. So seek medical help please..tak jadi OKU punya kalau seek help.

To fellow doctors especially internists......tell me how would you manage this vignette from NEJM before you all read the article below. Especially nobu - since you are writing a research on IBS.

A 28-year-old woman presents with a 7-month history of recurrent, crampy pain in the left lower abdominal quadrant, bloating with abdominal distention, and frequent, loose stools. She reports having had similar but milder symptoms since childhood. She spends long times in the bathroom because she is worried about uncontrollable discomfort and fecal soiling if she does not completely empty her bowels before leaving the house. She feels anxious and fatigued and is frustrated that her previous physician did not seem to take her distress seriously. Physical examination is unremarkable except for tenderness over the left lower quadrant. How should her case be evaluated and treated?

After you have then only see below.
Below is a nice article from NEJM written by Emeran A. Mayer, M.D.
Volume 358:1692-1699
April 17, 2008

http://content.nejm.org/cgi/content/full/358/16/1692

Take care all.

Catatan Seorang Blogger Hingusan................ 1000 page views

2008-04-21T12:04:00.007+08:00

Assalamualaikum.......

Minta maaf kerana dah 4 hari tak update blog. Ada conference di Langkawi......dan lepas itu agak sibuk sikit dengan kerja dan urusan lain.

Hari ni walaupun cuti masih kena siapkan banyak paperworks.....uhhh.

Pembaca pembaca blog sekalian..

Bila saya buka blog saya hari ini - rekod menunjukkan genap 1000 page views, 279 unique views, 138 first time visitors. TQ kerana menjenguk blog hingusan ini yang baru dibuka 22 hari lepas (1 April 2008). Saya harap kita dapat bersama sama share knowledge, problems dan apa apa saja melalui blog ini. Banyak juga yang telah saya pelajari dari komen dan catatan pembaca. Juga member member baru yang dikenali melalui blog ini (alamak................skema nye aku hari ni hak hak hak)..

Pembaca pembaca blog sekalian......

Menarik bila saya lihat balik google search - camne orang boleh jumpa blog ini.

Ada yang amat kelakar....ada yang purely medical....

Contoh google search yang menyebabkan pelayar internet terjerumus ke blog ini ke blog ini:-

- sel darah putih kurang

- apakah dia leukemia

- ubat putus cinta (keh keh keh - ni pun leh sampai blog aku)

- power points presentation on incretins

- DPP4. ppt

- ACEI and ARB proteinuria

- simvastatin and ezetimibe intimal thickness

- cni senang buat ???? (menda ni???)

- perawatan pesakit leukemia

- ubat untuk datang bulan (hak hak hak - ini pun ada)

- ubat sakit migraine

Pembaca pembaca blog sekalian....

Ada 5 reader yang request power point untuk incretin tu - saya dah berikan. semoga dapat manfaat bersama sama. Ada yang minta saya updatekan profile - especially pengalaman kerja - so saya dah updatekan. Ada yang nak minta dating he he - ni tak boleh dipenuhi buat masa ni (masa ni je la hak hak hak).

Kalau ada apa apa komen silalah beritahu lagi. Untuk 4 top viewer/commenter/chatter of my blog - dr hapizi, farahish, aina witty angel and buttercup....terima kasih 4 support semua.....tambah dua orang lagi muss k and dr nobu....TQ

Till then.

SWOT Analysis...........I am flattered

2008-04-17T23:31:00.010+08:00

Hari tu ada seorang dear friend NYET (with group of friends) buat SWOT analysis....siapa yang takde background business / marketing etc memang tak tahu apa kebende le swot analysis ni ...termasuklah tuan punya blog ni.

So ini lepas di google dalam internet - barulah me tahu apa dia SWOT analysis..... SWOT ni untuk mengkaji samaada sesuatu "business" itu sesuai atau strategik untuk dijalankan. Ia mengambil faktor dalaman dan faktor luaran untuk mengkaji kesesuaian. So untuk seorang doktor SWOT ini boleh digunakan - mengkaji samaada sebuah hospital atau klinik sesuai dibuka di sesuatu tempat, mencari rakan kongsi niaga yang sesuai, samaada sesuatu keputusan untuk membuat sub kepakaran mana yang sesuai bagi seorang specialist, untuk membuat research yang sesuai dan berbagai bagai lagi.

(from tutor 2u)

SWOT analysis
Definition:
SWOT is an abbreviation for Strengths, Weaknesses, Opportunities and Threats
SWOT analysis is an important tool for auditing the overall strategic position of a business and its environment.
Once key strategic issues have been identified, they feed into business objectives, particularly marketing objectives. SWOT analysis can be used in conjunction with other tools for audit and analysis, such as PEST analysis and Porter's Five-Forces analysis. It is also a very popular tool with business and marketing students because it is quick and easy to learn.
The Key Distinction - Internal and External Issues
Strengths and weaknesses are Internal factors. For example, a strength could be your specialist marketing expertise. A weakness could be the lack of a new product.
Opportunities and threats are external factors. For example, an opportunity could be a developing distribution channel such as the Internet, or changing consumer lifestyles that potentially increase demand for a company's products. A threat could be a new competitor in an important existing market or a technological change that makes existing products potentially obsolete.
it is worth pointing out that SWOT analysis can be very subjective - two people rarely come-up with the same version of a SWOT analysis even when given the same information about the same business and its environment. Accordingly, SWOT analysis is best used as a guide and not a prescription. Adding and weighting criteria to each factor increases the validity of the analysis.
Normally put in chart

So apparently SWOT ni boleh buat kat orang jugak - tengok compatibility macam boleh couple. So these girls (and seorang guy) .... buat SWOT on people termasuklah on me he heh......flattering betul. Aku dapat hard copy lagi SWOT tu..tapi rasa macam byk tak betul je......ada ke one of my threat ialah ONE OF MOST WANTED DUDE .....tak betul ni ......kalau tinggal me sorang dalam dunia ni baru betul kot jadi most wanted he he.....Anyway tak boleh dinafikan i am flattered (korang bodek ek!) especially tengok strengths....sengal pon leh jadi strength ke hak hak hak...

Just for fun......tengah prepare presentation

Kuman Dalam Khinzir...

2008-04-17T23:01:00.003+08:00

Kekadang rasa nak gelak dengan politician.....pasal khinzir pun nak bergaduh...pasal nak guna stesen radio pun boleh berbahas dalam surat khabar. Banyak yang remeh temeh betul. Cam budak budak lak. Me - tak le involve dalam politik sangat...sekadar memerhati di pinggiran. Cuma kalau ikut logik....apalah nak dihalang kalau pihak lagi satu nak guna stesen radio ke apa ke.......berani kerana benar takut kerana salah.......kalau takut di expose jangan laa buat salah...whatever lah.......

Cerita pasal khinzir ni.......ada banyak data yang menunjukkan rasional di sebalik pengharaman makan daging babi ni...........

1/ Alix Fano - world famous author of "lethal laws-animal testing" as well as the director of Medical Research Modernisation Committee mengesahkan khinzir ni ada ability untuk mengubah kuman kuman virus yang menyerangnya menjadi lebih merbahaya dari masa ke semasa. The same thing reported by American Centers for Disease Control and Prevention. Penemuan seterusnya mengesahkan penemuan ini. Pada kerongkong babi (macam reservoir) terdapat sel sel tertentu yang mampu mengubah pelbagai kuman virus kepada bentuk berbahaya.

2/ Saintis dari Britain melaporkan penemuan retrovirus PERV daripada khinzir. This discovery menyebabkan kerajaan britain mengharamkan kesemua aktiviti pembedahan organ daripada babi kepada manusia.

3/ Beberapa kuman lagi ditemui termasuk - porcine torovirus, porcine rotavirus, PRRS, H3N2 swine flu virus (from campaign for responsible transplantation)

4/ Pigs may help spread bird flu among humans - microbiologist expert.

Ada microbiologist / veterinar / zoologist yang boleh komen??

So sekiranya langkah diambil untuk memastikan penternakan babi ini dikawal dan tidak melibatkan kekacauan persekitaran - dan semua item recycle......aku sokong. Nak halang penternakan khinzir tak bolehlah...kita hidup masyarakat majmuk. Cuma pastikan kebersihan alam.......dan tidak dekat kawasan orang tinggal...terutamanya orang islam.

Hanya pendapat.........

MY STUDY ON DENGUE FEVER....

2008-04-17T01:09:00.007+08:00

Recently one of my research was presented during the 18th conference of the Asian Pacific Association for the Study of the Liver (APASL) on March 23 - 26, 2008. The conference was held at Coex Convention Centre, Seoul, Korea Selatan. I have put the original abstract for your viewing (the poster at Seoul was slightly different). If you keen to see the full research e mail me at rizhan_zinzan@yahoo.com

Liver Function Derangement and the Association with Bleeding Morbidity in Dengue Hemorrhagic Fever

Authors:
FARIZ SAFHAN and LEE YONG YEH1
Department of Medicine, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia

ABSTRACT

Background
Dengue fever is an endemic infective disease which has seen a significant re-emergence in Malaysia. Liver function derangements have been described in dengue infection but its association with bleeding occurrence has not been consistently shown in previous studies.

Objectives
The main objective was to study the association between liver function derangements and the severity of dengue virus infection and bleeding outcomes.

Methodology
This is a cross-sectional study involving 144 patients with dengue virus infection (World Health Organisation criteria) recruited from October 2005 until March 2006 in Hospital Tengku Ampuan Afzan, Kuantan. Severity of dengue infection was classified into uncomplicated dengue fever (DF) and dengue haemorrhagic fever (DHF) with or without Dengue Shock Syndrome (DSS). The bleeding outcomes were grouped into “no bleeding”, “petechiae”, “minor bleeding” and “major bleeding”. The association between liver derangement and DHF was analysed using independent t-test and multiple logistic regression analysis. The association between liver derangement and bleeding outcome was analysed using Kruskal-Wallis and Mann-Whitney tests.

Results
The mean patient’s age was 31 + 12 years old. There were 85 (59.7%) patients with DHF. There were 31 (21.5%) patients who had no bleeding, 39 (27.1%) patients had petechiae, 53 (36.8%) patients had minor bleeding and 21 (14.6%) patients had major bleeding. The mean AST level in DHF was 253.5 + 205.5 IU/L (p<0.001), p =" 0.027)" p =" 0.038)" p="0.585)" p="0.593).">Any comment?