MISSING THIS PLACE: G3.8C

COMPARTMENT C ;)

Saya merindui bilik ini

Bilik terbaik di blok G

Tingkap bilik ini ditinted oleh brother yang menghuni sebelumnya

Terima kasih brother, siapapun kamu, semoga bahagia

Kamu membuat hidup saya ceria, kerana bilik ini tidak panas

Jadi Ida dan Nawa suka sekali dtg ke sini sepulangnya dari kelas

Sambil makan pisang goreng keropok lekor dan air tebu pakcik cafe

Bilik ini berhadapan dgn padang bola, 

Juga boleh nampak court tenis dan volleyball 

Jadi ia medan terbaik menyanyi lagu tuai padi antara masak, intai 'mereka' antara nampak

(Oh beristighfar di dalam hati atas dosa2 lalu...)

Hujung minggu riuh saya menegur kawan2 yang membasuh kereta di bawah

Kereta saya? Hantar ke car wash saja ;)

Compartment C ini luas sedikit berbanding yang lain

Jadi ia port terbaik makan2 juga

Gosip2, tengok movie, baring2 dgn Ida, Sal dan Nawa

Kaksarah pon pengunjung utama, jika saya tak ke bilik dia

Mimi, Fiza, Miya, Farah, dan Mazu pon kerap muncul muka

We sure have great time before, have we?

Jadi ya, saya merindui tempat ini

Kerana bukan saja ia bilik terbaik, tapi ada banyak memori

Insya Allah akan kembali ke sini,

Bukan bilik ini secara khasnya 

Tapi saya akan kembali ke tempat itu

Ke Garden of Knowledge and Virtue

Walaupun tidak kembali ke bilik terbaik

Tapi saya akan selalu dekat dengannya, juga memorinya

;)

p/s hari ini mood menulis dalam bahasa melayu, sambil menanti berbuka mee goreng terbaik dan cucuq udang terbestest dgn housemates fantabulous ;)

CERITA KUCING, HIGH PROTEIN DIET, DAN ICU

assalamualaikum.
selamat berpuasa hari ke 6 to all. smg amalan kita diterima, insya allah.

a very cute story in a medical ward.

on thursday i went up to review a patient. septicemia case, with DM and HPT. he also has gastritis. Pt is LOA, but appetite is improving, and he is on soft diabetic diet. Has been losing wt for the past couple of months, and he appear wasted. high protein diet it is to the pt. i prescribe milk supplement to him before, but he could not tolerate the milk -nausea and vomiting. so i gave him modular protein supplement to be added to his porridge. Alhamdulillah he tolerate it well.

Well that is not the cute story i'm about to tell. so when i review this pt, the sister of the ward happened to be there as well. she is a very funny-cute-motherly lady. but she always forget my name. from perak she is, thus its easier for her to call me YONG (i believed it is a nama manja for girl in perak). so we discussed a lil bit about the pt's progress and high protein diet. and then suddenly she told me that her cat was once hospitalized, warded in icu, and given high protein diet. i was like huh???

yup, high protein diet for cat. ok lets call the cat lionel messi (bukan nama sebenar). poor messi has stunted growth. his brother has grown big but he is still small. he also developed diarrhea and vomiting. he has become so thin. so being a concern owner she is, the sister brought messi to the animal medical center in jalan tun razak (or is it jalan ipoh? x igt laa). he was warded in the cat icu, and given drip bcos he was dehydrated. and then he was given high protein diet (for catch up growth). well i heard of veterinar clinic before, but icu for cat? that was my 1st time. i forgot the name of the high protein foods for cat sorry.

nway messi was warded for several days (cost for cat icu is rm50, not including meds and foods, per day). the sister mentioned that his condition is improving. ever heard of a pet always know his owner? whenever the sister pay a visit to him, he will meow and cheer up. (but to a friend, who 'raised' fishes, aku x sure la pulak kan ikan kenal x owner dia ;) nway all d best to the new batch, dont worry nama mcm tough insya allah kekal la yg ni). well back to the story, messi was discharged after a few days of treatment. sister still continue his high protein diet for quite sometimes after that, and she said that messi's development has improved a lot since then. he grows bigger, the fur becomes shinier, and he becomes more active, portraying the name messi (though it is not his real name).

what i want to highlight here is right diet, appropriate to ur condition is very important. even animal shows significant changes when correct theraputic diet is implemented to him. dietetics has become one of the important treatment of a patient, because a pt's nutritional status as well as dietary intake pretty much affecting the prognosis of that particular diseases. 

funny part of the story is how the sister so enthusiastically tell me the story in the middle of the ward. the other staff nurse, overhearing the story, were smiling to us. she show me the picture of messi, from before warded, when in icu, and upon discharge. imagine she has like 600+ pictures in her phone's memory, so she has to scroll one by one to look for it. kite x sampai hati nak cakap x payah susah2, sbb die semangat sgt, so kite layan je la ;) then she realized she didnt have the latest pic of messi (who is perfectly healthy now), so she promised me to take one. fulfilling her promise, right after i counseled wt reduction diet to a pt yesterday (friday) she called me:

sister: yong, dah habis tgk pt ke?

me: dah counseling dah pt bed ** tu. ade refer lg ke sister?

sister: x de dah. nak turun dah ke? kejap. 

me: knp ade sample biskut raya ke (hehe)

sister: ni, awak (yes she called herself awak mcm usop wilcha tu) kan dah janji nak tunjuk gmbr messi yg terbaru. smlm awak dah amik gmbr die. jap eh.

*taking out her phone, scroll the pics, and show me a healthy, shiny, gorjes cat*

me: wow chumilnya..........bagus la diet die.

sister: tu la, die byk girlfriend tau skrg. 

monolog dalaman saya: hai tu pon nak cite ke sister??? haii laaa. 

well thats about it. cute kan cerita ni? baik cakap cute. kongkong nih. ;)

p/s dah selamat smpai umah pkl 9.30 mlm. teki-teki: kalau kite gembira kite cakap seronok kan? kalau gembira banyak kite cakap ape? jwpn: beronok-ronok!

WORDLESS WEDNESDAY: LAU KANA BAINANA

Allahumma solli ala saidina Muhammad

RAMADHAN KAREEM

Bismillahirrahmanirrahim. 

Assalamualaikum.

wahai orang-orang yang beriman, puasa diwajibkan ke atas kamu sebagaimana ia telah diwajibkan ke atas umat sebelummu, agar (dengan puasa itu) kamu menjadi insan yang bertakwa. (Al-Baqarah 2:185)

Alhamdulillah. Ramadhan insya Allah bakal tiba lagi untuk tahun ini. Semoga kita semua mendapat keberkatan dan rahmat daripada Allah. Selamat berpuasa kepada semua.  Semoga tahun ini lebih baik dari tahun sebelumnya. 

kenangan berbuka allied sisters di padang mpk sebelah masjid sultan ahmad shah kuantan

kenangan ramadhan berbuka di rumah hazirah aka nek guru aka kaklong di kerteh. sedapnya bubur lambuk emak kamu babe.

kenangan ramadhan allied health sc final year 2010 troop di sate zul kuantan

kenangan malam ihya' ramadhan allied sisters di musolla sister

she is one of the regular imamah di musolla blok g. selamat menempuh ramadhan di perantauan kakak.

 Ramadhan kareem.

Allahu Akram. 

THE STORY OF MY DIETETIC COUNSELING

It’s the world hepatitis day peringkat Hospital Selayang last Friday. And of course, they ask dietitians to open up a dietetic consultation booth. Its only been about 2 months I’ve been working in Selayang Hospital, and they have organized several events that involved diet consultation. Last month was for Hari Tanpa Tembakau.

me and cik elly diet consultation for hari tanpa tembakau hosp selayang June 2011 -pix taken from ben's fb

Personally, I did enjoy give diet consultation to people, for I always love community programme. Perhaps for some people it seems lame or boring or tiring, but from my point of view, it is one of the best ways to convey and disseminate the message to the public –healthy eating. Ever since study time, whenever there is health exhibition programme, diet booth always win –I mean it always has the longest queue, and the same happened here. Sorry pharmacy booth ;) And I love seeing how eager ppl are to learn about diet yeay! ;)

long queue for diet consultation. see counseling kat sorang, yang lain pon nak dgr -pix taken from ben's fb

Looking back to the first person I ever counseled, I think it was during Medex’07 (Medical and Allied Health Sciences Exhibition in conjunction of Convest 2007 at IIUM Gombak). That was our very first community programme. We were in our second year. At first I was avoiding myself from counseling work, only did screening part (measure weight ht body fat bla2). I was not yet ready to give diet consultation. But witnessing few of my friends who were very good at counseling did trigger me. So I tried one –and yup I like it! And Diet booth won the best booth for the programme. Yeay again!!

When we started our clinical year, my group was first posted at Klinik Kesihatan Bandar Kuantan Bukit Sekilau. Bukit Sekilau Kuantan is a Chinese community (I think so, because there are lots of Chinese pt there). Thing about Chinese ppl in Kuantan is most of them speak Cantonese, neither Malay nor English. Hence diet counseling there is quite challenging. You have to simplify ur words but at the same time not to forgo important part of ur counseling. Its always funny to see how enthusiastic we became to ensure pt understand what we are saying. One of my friend when counseled those type of pt, she will transformed into a kindergarten teacher, as in counseled the pt like he/she is a kid. And yes I have flaws too. When I happened to have Chinese pt who doesn’t really understand Malay or English, I always speak loudly. Yup it’s a habit. Haha. Funneyh because my friends said they can hear my voice across the hall, and excuse me Ija they don’t understand Malay not deaf ;) Well among the so many patients that we’ve seen there, there is this uncle that I still remember clearly. Here goes:

Me: Uncle, bile ade kencing manis, buah pon kena hati2 makan. Sbb buah pon ade gula. Kita sarankan makan buah 2 kali sehari, tapi kena ikut saiz hidangan (yadda yadda and tell d pt serving size of fruits)

Uncle: Ooo itu mcm ya. Itu buah cempelak pon boleh makan lorr?

Me: Cempelak??? (after few seconds I got it –CEMPEDAK!). Oh itu cempelak pon boleh makan uncle, tp kalau nak makan sekali makan boleh makan 4 ulas saje, x boleh lebih nanti gula darah naik.

Uncle: 4 kecik itu??? Itu lekat kat tekak saja mehhh!!! ~and then we both laugh~

Haha incident uncle cempelak will be a story that I’ll remember forever… 

at KKBK Bukit sekilau, Kuantan. tp ni gmbr grp community, bkn clinical. -pix taken from mazu's fb

Anyway, giving diet consultation gives us a mixed of feeling, depending on the patient. There are ppl who really eager to listen to our advice and ask question, hence will bring smile to our face. There are ppl who don’t even bother to listen, thus we’ll be demotivated (hey u don’t want to help urself in the 1^st place so why shud we bother?). Sometimes there is pt that share secrets and ask for opinion. Tough huh, kena jadi counselor pulak. There are also arrogant ppl, that  are so full of themselves, think that they know everything, and question our qualification  to advice. These ppl? Increase BP mehh (attn: pt kakzam ;)).. There are also flirtatious, funny, sad, problematic, etc. Ada yang bila kita buat public diet consultation, kite consult sorang, yg lain berkerumun nak dgr sekali. Ada jugak  yg nak jodohkan kita dgn anak dia (lol), and many many more. 

But regardless of what type of patient they are, we, as dietitian, will try our best to give diet consultation appropriate to their health condition. Diet consultation is very individual, thus there is no exact script that we can memorize. Of course the guidelines is there, but still we have to build rapport and make sure the dietary changes that we want them to implement suit their life, not just syok2 sendiri. Because we want the dietary changes to be implemented for life, not only for few weeks prior to counseling and boom, relapse! 

Well, to end this story, a funny story during diet consultation Hari Tanpa Tembakau last month:

Miss A: Dik, akak ni, ada problem ni tau. Bila akak ketawa je, akak rase mcm semput. Rasa nak putus urat. Ada diet yang sesuai x dik untuk elak putus urat?

Me: Huhhh???? (monolog dalaman: what the hell diet putus urat???)

kite ngn kak elly hari tanpa tembakau -pix taken from kak elly's fb

 So fellow dietitian friends, if u read this, ada diet untuk putus urat x? lol!

MENSYUKURI NIKMAT SAKIT

Assalamualaikum.

Hello all.

CERITA SAKIT

I’ve been sick for about a month. On and off. Nausea, vomiting, headache, cough. And being me, I am not a big fan of seeing doctor. So it took me a good 3 weeks of sakit-tak sakit-sakit balik cycle to see one. Yesterday my sister brought me to a GP. The diagnosis? Quite a lot I tell u. 

1.      Left eye conjunctivitis –I believed I got infected from a pt. I did diabetic counseling to him on Friday. And he happily opened his eye protective gear to listen to me and looking at the pamphlet. Aissh laaa..In my 24 years of living, this is the first time I got sakit mata. Thank god its not itchy or watery or what not. Just feel like there is a layer on my eyes. And its not that comfy. Anyway as I am staying at my sister’s place at the moment (sori sis sakit je dtg umah awak L), I bought this nerd spectacles to protect little syauqi from being infected. Pretty cool huh? Hehe.

muka budak sakit cuba jadi nerd. see my infected  left eye?

2.       Gastritis. –the GP said that it is acute. But still, no more spicy and oily foods in the meantime. This is so heartbreaking, u know, being a big fan of spicy foods. A friend of mine already predicted this before, based on the sign and sx –vomit after eating. I think the peak of this problem is when I have a dose of caffeine last Thursday. Its been quite a while since I drink coffee, but I was really sleepy that day. So I bought a can of coffee that morning. Caffeine, as you know, is a stimulant. It could increase production of stomach acid, hence can worsen symptoms of gastritis. Right after I finish the good 1 can, I felt dizzy, my hand trembled, and of course, nausea. Then on the afternoon, off we went to get lunch at Selayang Baru. I tried to ignore the nausea feeling, ordered Maggi goreng. It was delicious, but of course I cudnt finish it. Still, I ate few chilies ;) And then, boom! As soon as I arrived office I vomit out all my stomach content. Rase nak mati masa tu, sakit.

3.       GERD –Got this secondary to gastritis. So adik2, how it happens? Lets recall the pathophysiology. Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents (food or liquid) leak backwards from the stomach into the esophagus. This action can irritate the esophagus, causing heartburn and other symptoms like vomiting. Eh akak x hafal pon copy paste dr pubmed health je ;). So in my case, I really did vomit a lot this month. Vomiting sucks! U’ll experience heartburn, sore throat and not to mention the exhaustion that u feel after such episode.  It took a lot of your energy. At the moment I cudnt tolerate much food at a time. Has to eat small and frequent meal. Anyway I am LOA now, so I don’t really eat pon. Mute point kan. Hehe. But I did force eat now, for the purpose of taking all the meds. Aigoo..

4.       Throat inflammation and fever –ye la, since eat very little, sakit2 lagi, immune system pon compromise la. But the sore throat is killing me. Its hard to swallow foods. It just make the other problem worst. Dah la x selera makan, nak paksa makan pon tekak sakit. Haii laa.. 

CERITA PENGAJARAN DARIPADA SAKIT

Anyway, we hear people said about remember 5 things before 5 all the time. In fact we remember them well: sihat sebelum sakit, muda sebelum tua, kaya sebelum miskin, lapang sebelum sempit, dan hidup sebelum mati. But it is always easier for us to remember those magical reminders when we already experience the later things.

Dah sakit baru ingat nikmat sihat. Dah sakit baru nak ingat Allah banyak-banyak. Dah sakit baru nak memohon kat Allah sungguh-sungguh. Tapi itu adalah pengajaran daripada sakit ini yang perlu kita fahami. Sakit itu nikmat. Bila sakit kita lagi banyak beristighfar, mintak ampun kat Allah. Bila sakit kita jadi lagi dekat dgn Al-Muhaimin. Bila sakit kita lagi banyak berdoa kepada Ar-Rahim.  Dan kerana itu, saya mensyukuri nikmat sakit ini.

"Dan kami menguji kamu dengan kesusahan dan kesenangan sebagai cubaan; dan kepada Kamilah kamu semua akan dikembalikan" (Surah al-Anbiya’ ayat 35)

Mohon doa dari semua, untuk kesejahteraan dan kesihatan kita bersama. Amin. 

Ija,
Menulis di kala sakit...dan lapar...

p/s: always adviced pt who are LOA to always try to eat, as u hv to hv enough energy and protein to combat ur illness. But when u are in their shoes, u’ll know how much they suffer. Another lesson learnt from this sickness.

WORDLESS WEDNESDAY: YESTERDAY

es soda gembira. mmg gembira meminumnya *happy2*-image google

favorite saya adalah nimrod. die senget dan haywire dan x stabil asyik langgar org je. supercute!

p/s i still wanna put some words on the pix hehe ;)