GOOD LUCK PSY EXAM

Bismillah and alhamdulillah ...


Time moves so fast. Dua bulan sudah berhadapan dengan paeds yang "comel" dan sekarang sudah hampir dua bulan bersama "manusia istimewa" , yang memiliki pemikiran sedikit berbeza dari kita. Detikan waktu sangat mencemburui kita, "anxiety disorder'" kah itu.

Semoga ALlah mempermudahkan urusan kita semua dalam menghadapi satu lagi cebisan ujian dunia...

Isnin : Written and Long case
Selasa: Short case


"Nilai kejayaan akan menjadi sangat berharga andai kita pernah menghadapi kegagalan"


Fad
Psy ...

My mother, your mother, our mother

The month of May reminds me of Mother's Day ...though in fact, every seconds is mother's day....That is why we don't have such mother's day in Islamic calendar. But probably, people are getting busier as they live in so-called "modern" world......they need a special day for their moms..Anyhow people can come out with so many arguments ... In reality, children tend to leave mothers and fathers at home, hoping they are able to cope with their "geriatric" world themselves...Approaching "young adulthood" somehow i can feel what mom and moms feel....Having super power ? grandiosity? The answer is NO...

Definitely the decision to leave your mom at home while you are working somewhere else ( 400 km away from kampung? ) comes with certain reasons...Not solely based on self-interest or materialism ....am i??

Anyway, since i'm not yet working , i can't point my index finger to others, cause who knows the other four fingers will point towards me....

Special attribute to my beloved ummi....

Who should I give my love to?
My respect and my honor to
Who should I pay good mind to?
After Allah
And Rasulullah

Comes your mother
Who next? Your mother
Who next? Your mother
And then your father

Cause who used to hold you
And clean you and clothes you
Who used to feed you?
And always be with you
When you were sick
Stay up all night
Holding you tight
That's right no other
Your mother (My mother)

Who should I take good care of?
Giving all my love
Who should I think most of?
After Allah
And Rasulullah

Comes your mother
Who next? Your mother
Who next? Your mother
And then your father

Cause who used to hear you
Before you could talk
Who used to hold you?
Before you could walk
And when you fell who picked you up
Clean your cut
No one but your mother
My mother

Who should I stay rigt close to?
Listen most to
Never say no to
After Allah
And Rasulullah

Comes your mother
Who next? Your mother
Who next? Your mother
And then your father

Cause who used to hug you
And buy you new clothes
Comb your hair
And blow your nose
And when you cry
Who wiped your tears?
Knows your fears
Who really cares?
My mother

Say Alhamdulillah
Thank you Allah
Thank you Allah
For my mother.

P/s: Miss my childhood when ....

i kissed her before going to school...
she waited for me ...
served me with drink right after reaching home from school...
and many more...

special love goes to her......

Fad

the unique gift of life

Bismillah and alhamdulillah....

"It is interesting that you probably know the exact time, date and place of when and where your birth took place, but this is only because you were told about it. What is less clear is the elusive and mystical moment you truly became aware of your existence"
Almost one month being with 'em ( special people i could say). They are deprived of attention and not knowing their real conditions...The psych ward is also not that conducive, in fact normal people can suffer if end up there just for few days (experimental wise!) From the beginning i don't like yellow-painted ward, i don't know why..The colour looks so fierce, fiery, hot and not "cool" at all. Same goes to respiratory unit in my practised hospital, it seems like all sort of germs are crawling there, having fun despite the ward should be germ-free....Well it doesn't mean i'm obsessed or having visual hallucination but some people just can't stand something..... anyway..

One mail from Islamic Bulletin and the contents are pretty much suitable for our muhasabah, especially when you are dealing with "not normal people" but you try hard to make them become normal again. Feel grateful for what we have......

The Unique Gift of Life

By: Dr. Maher Hathout
IslamiCity* -

The following is excerpted from the book "Islam 2.0" by Dr. Maher Hathout in which he shares a conversation with the Muslim youth.

Your life is a very precious gift from God. Count back to one year before your first birthday, and then try to imagine your state - your state of nothingness. You can not. You may be able to contain and grasp "things," not "nothing." You were born and came to life, not because you wanted to, but because you became. Through a decision by an authority higher than you, and through a process that you did not participate in, you came to occupy a place in existence. (thanx ALLAH and my parents)

With the dramatic event of your birth, you came to life with three huge realities.

First, you are unique. Nobody else is identical to you, not even your identical twin or, in this age of cloning, even your clone, because your psychological, spiritual and energetic content is poured into your physical being in a unique way. When God blows a spirit into each individual, it manifests in a special way. You are one of a kind.

Second, you are immortal. Your biological structure, which is the product of the substance of earth, will degrade and recycle in the biological cycle on earth, but your energy, soul and spirit will always be. If you appreciate your uniqueness and your immortality, your individual values, responsibility and accountability will emerge. God reminds us in the Qur'an that;

"[And God shall say.'] "And now, indeed, you have come unto Us in a lonely state, even as We created you in the first instance,' and you have left behind you, all that We bestowed on you [in your lifetime]. And we do not see with you those intercessors of yours whom you supposed to have a share in Gods divinity with regard to yourselves! Indeed, all the bonds between you [and your earthly life] are now severed, and all your former fancies have forsaken you!" (6:94)

"and every one of them will appear before Him on Resurrection Day in a lonely state. " (19:95)

The third reality that comes with the happy event of your birth is a cobweb of expanding circles of relationships. These are different from the countless relationships you acquire throughout your life, such as your friends, neighbors, teammates, and spouses. The first package of relationships that come with your birth day are not subject to your choice; you do not choose your parents, siblings, kin, ancestors, race, gender, place of birth or even country of origin. This category of relationships is a gift form God, you accept, appreciate, and nurture. While the acquired relationships like spouse, friends, and career need prudence.

While you will inevitably gain and lose, everything you lose may be regained, except one thing, time.

It is interesting that you probably know the exact time, date and place of when and where your birth took place, but this is only because you were told about it. What is less clear is the elusive and mystical moment you truly became aware of your existence. This blurry time, when you became cognizant that you are you, and that you actually exist, just snuck up on you. From the moment of that realization, each individual experiences life in a unique way. While you may be exposed to the same circumstances as many others, how you feel, perceive, taste, understand and react to life circumstances is unique to you.

During the predetermined length of your life, you embark on new information, experiences, and habits in which you learn and perform as a human on this planet. While you will inevitably gain and lose, everything you lose may be regained, except one thing, time. If you lose time, it is gone. Any period of time is a chunk of life, both precious and irretrievable. Based on these simple realities, you will have some basic decisions to make: Are you going to waste your life or are you going to use it? Is your life going to center around you or will you reach wider spheres of involvement and concern? Wasting life partially or totally, i.e. in one lump or in installments, all can be considered a crime close to murder or suicide, even if the gradual waste does not seem that dramatic.

There are many forms and ways to waste a lifetime. With a careful look around you, you can recognize many of them: leading an aimless and purposeless life; abusing your own body, mind and soul; eroding the environment, being shallow and inefficient; all are ways to let the wonderful opportunity that we call life slip away. A life centered on your own self is selfish and never provides fulfillment. Since human beings are interdependent, you will not be happy if surrounded by unhappiness, envy, and animosity. A life that is not dedicated to a higher cause is an elusive quest for unattainable happiness.

read more

How unique our life is.. DO appreciate plz..

Fad
Psych posting
18 April09

INSIGHT INSIDE

Bismillah and alhamdulillah...

Perceive life as it is ...

For one week, I have been struggling to understand all the terminologies in psychiatry; they do make sense when we tried to relate things together, joined them all circurmstantially and tangentially. Being one of the selected people ( read in the world) to study psychiatry makes me realize how important happiness is. I think psychiatry is part of myself and part of everyone , and indulging in it pleased me a lot. The pursuit of happiness is something that concerns us all, no matter where we live or what our station in life is. People have their own way to explore the path to finding happiness and please don't misunderstand them. The stigma and labelling are the culprits that destroy their lives further, what will you feel when people labelled you as M** when you think you are not? I kept on correcting to one of my friends ( the patient) that M** is not a medical term, and we don't address such thing, rather we regard those with disease as something out of norm. If they are in the state of denial can we conclude it as poor insight? You judge it !

Recommended book by me

Is that normal to have a swing mood? Have you ever feel depressed with what you have and who you are now? Believe me, everyone has the period of depression at one point of life, be it minor, major, hypo or hyper one. Only a positive minded person plus the supportive environment knows how to cope with the stressful situation. Mind you guys, more people will suffer mental health problem in the year 2020 and it will be among the leading problems together with all sorts of cardiovascular diseases. May Allah bless us all with health and happiness....

How to cope with stress and depression?






The answer is equip ourselves with faith, hope, patience, acceptance....and never underestimate the power of a smile ( credit to my friend! )


We don't want to institutionalise people with mental disorder rather we want them to go back to the community and make them "a function" human being. No deprivation of rights and all.

There is one sister ( patient) will be discharged and she appears very happy. Can't wait to go out of the "world" into another "world".


"'I want to pray, i want to become a good daughter and i want to become independent.
Previously i was not a good daughter, and now the hidayah comes and i want to become a good person. Please write me the solat time so that i can pray when the times come, " explained one sister when i asked about her first to - do thing after leaving the ward.
"Then you must wear scarf (tudung) and you will be a good muslim too.. Yes i am interested in wearing scarf and i like to eat, so i want to work in a restaurant, i can eat and can earn money as well" .

I'm revealing this simply to open our eyes that the idea of keeping them and educating them do help them in life provided they comply with the medications. I really hope we have the INSIGHT to see the INSIDE of their hearts. Put ours into their shoes, understanding them and inshaAllah we will gain more strength too....
Now i know why Islam teaches us to visit the sick one, to send one to the graveyard, to help the needy..list goes on....

mashaAllah Islam is very beautiful but sadly very few practise Islam as ADDIN, take some, leave some and patch the hole......


May Allah swt helps us in our way towards HIM and all the best for all..


Fad

Congratulation..to whom shall we address?

Bismillah dan alhamdulillah...

We are done! The saying that goes everywhere and elsewhere..Congratulations to all fellow Paeds friends for a great perseverance in the face of difficulty!
Admit that i have been struggling for the past 8 weeks with the workloads, assignments and all those side stuff that somehow made me totally a "busy" person....
thing passed and the past is what we miss most...

This morning, the short case session went on well though the nervousness shielded my real capabilities...It was frustrating when you got quite a simple case and yet you could not do it better/ best......blaming ? point all fingers towards you. Really im hoping for the best and hopefully "hyperreflexia" elicited from the child this morning was the real "hyperreflexia"
I don't know how to express things further but plz ....

Can't wait to see the other world of medicine...Psychiatry posting next week !!!

Gulp.. gulp..gulp..

To all friends who helped me a lot during my ophtal and paeds....Bunch of thank you.


It is the prayer that brings our hearts closer....

Say yes to.......

your beautiful smile that sends a message of warmth and friendliness to others
your kind words that establish friednship as permitted in Islam and dispel rancour
acceptable charity that brings happiness to the poor and feeds hungry...............................


270309

SEDARI DIRI

Bismillah dan alhamdulillah...

Minggu ini minggu ketiga bersama bayi-bayi dan kanak-kanak comel, Tapi ada juga kanak-kanak yang sudah "tidak comel". Kenapa? Paediatric dikira sampai lah seseorang itu berumur 18 tahun.
Paling "best" bila seorang kanak-kanak umur 3 tahun memanggil saya "achik". "Macam mak sedara dia, "kata ibu kepada kanak-kanak yang namanya Haiqal.
Sama seperti nama anak saudara juga, Haiqal ( anak saudara yang berumur 3tahun). Tapi perangai mereka berdua macam langit dengan bumi. Pesakit di wad ni bukan sekadar kanak-kanak biasa, tapi banyak juga yang kanak-kanak istimewa. Yang paling saya kagumi adalah ketabahan seorang ibu dalam menjaga anak-anak istimewa mereka. Mungkin di sudut hati mereka kita tidak pasti, tetapi sekurang-kurangnya nilai penghargaan dan kesyukuran mereka tergambar dalam percakapan mereka dan prihatinnya pada anak-anak mereka. Kanak-kanak dalam usia sedemikian sudah belajar erti penderitaan dan keredhaan. Paling menyedihkan sekiranya anda berpeluang melawat bilik ICU. Masing-masing tidak berada pada GLascow Coma Scale 15 dengan pelbagai devices yang disambung pada tubuh-tubuh kecil mereka. Ibu mana yang mampu menahan melihat penderitaan anak mereka?

Ini bukanlah pati utama entri ini. Lebih pada tazkiyattunnafs dalam memahami erti kehidupan di dunia. Untuk diri saya dan anda semua, hidup kita ( di dunia) tidak lama, ibarat singgah sebentar untuk berteduh dari panas. Tapi perjalanan ini terasa begitu lama , kerana kita perlu bercucuk tanam sementara untuk memastikan ada bekalan untuk perjalanan ke destinasi kita seterusnya. Tetapi sepanjang persinggahan ini, banyak yang kita belajar , dari sekecil-kecil perkara sehinggalah sebesar-besar hal yang menuntut kita untuk memahami erti hidup ini.

Ada orang yang dikurniakan Allah dengan kebolehan yang mengagumkan. Dalam konteks dunia pelajar, apa yang dapat saya perhatikan ada yang selalu beroleh kejayaan dalam ujian mereka ( ujian dunia pelajar seperti peperiksaan) . Kadangkala mata kasar manusia akan bertanya sejauh mana usaha dia sehingga Allah memberi kejayaan sedemikian. Banyak professional yang berkongsi resepi dan rahsia kejayaan mereka , rata-rata berpendapat "kembali kepada ALlah" sebagai konsep yang utama dalam mencapai kejayaan. Seteleah berusaha, berserahlah kepada-Nya untuk menentukan pengakhiran itu. Tetapi masalah kita selalu tidak menilai pada hati. Kurang yakin pada ketentuanNya. Dan yang paling penting " Kita HambaNYa, maka kita layak diuji"

Itulah pegangan saya dalam melayari kehidupan ini. Sebagai manusia biasa kita tertakluk pada sunnatullah dan syariatullah dan kita tiada hak untuk mempersoalkan soal takdir dan ketentuan. Agak rumit untuk dibicarakan tetapi apabila kita meletakkan dan menyerahkan segala-galanya pada Allah, inshaAllah penentuan Allah adalah yang terbaik...

Semoga kehidupan kita diiringi dengan rahmatNya sentiasa.

Thalassaemia ..the dilemma

Bismillah and Alhamdulillah....


Thalassaemia, something which is not too new for us. Though it was not covered in details during my 1st and 2nd year, at least nothing to worry much because there is another chance for it....a MUST understand topic in your 4th year, including its management aspect from as tiny as doses for iron chelation.

It is not the genetic issue that concerns me most (it is to be worried in fact....) but it is about the ethical aspect behind the prevention technique which will be discussed further ...

Just a little bit freshy and juicy notes on thalassemia...
It stems out from the topic of anaemia, though can be from other branches too, but this is much easier i suppose.

Everyone knows anaemia is due to three major headings : failure to make red cells, increased loss and destruction of red cells.Haemolysis is part of destruction of red cells where it is further divided into immune and non-immune.Then another branches from non - immune which are congenital and acquired.Under congenital part, here goes haemoglobinopathies where thalassamia resides under this heading together with sickle cell.

Thalassaemia is defined as mutation of DNA coded for alpha and beta genes. So if beta thalassemia, there will be absence or reduced production of that (beta) gene....

See the outcomes: from "their" eyes....






Refer for further details in your notes and sites ok....

Something new which i read from my lec's notes is on Preimplantation Genetic Diagnosis ( PGD) that is the climax actually...all those folks' theories may be well reside in your mind already ...Let us know something new!

PGD: it is one of the methods in antenatal diagnosis of any disease ( about 500 diseases) So what is so eager-to- tell about this?

an-in vitro fertilisation when the embryo is about 5 days of age.
"an alternative within prenatal diagnosis services which avoids terminating affected on-going pregnancies"

Mr wiki has some answers: http://en.wikipedia.org/wiki/Preimplantation_genetic_diagnosis

How Islam views this technique and to what extent does Islam allows this? When considering to balance out the evils, we opt for the less evil one...Allah did plan something for it becomes a cause of TEST which will determine our level of Taqwa,and if we change things which is somehow the real thing that Allah wanted it to be, would it be some curiosity behind it? Advancement in medicine and technology lead people to go astray? or this is what Allah wants as He mentioned that whatever given in Quran are for those who have the ability to think and create more. Al- Quran is a guided tool for HIS servant to live the life .

The Fiqh of Medicine: Responses in Islamic Jurisprudence to developments in Medical Sciences; the prevention and termination of pregnacy; page 217;

"if the condition of the foetus is so diseased as to cause unnecessary suffering to the foetus later when it is delivered and during its life, would that be an indication to terminate the pregnancy? . Islamic fiqh dealt with termination of pregnancy before 40 days and up to 120 day. What about the welfare or even the mere survival of other members of the family which was considered and accomodated by Muslim fuqaha of the past balanced against the 'rights' of a foetus to be born severely handicapped and defective? The High Council for Islamic Legal Opinions in Kuwait issued a declaration on 29 Sept 1984 which allows abortion to take place if continuation of the pregnancy would cause harm to the woman or if it is certain that the foetus will be born with severe deformation, or physical or mental deficiency, neither of which will be cured"

It is such a long topic to be discussed and think of. Anyhow let us proceed to answering a medical aspect of it and not leaving the "religio-etihical" issues behind. It is very important if we know something and decide whether or not it is in line with Islamic fiqh. That is why a medical proffesional must know Fiqh in depth and not just sitting on the fence or rather more seriously let the ignorance overrides the rights to know ......

"It is your responsibility and you have to be responsible for all your responses"

Annurfad
Paeds posting
090209