Friday, April 17, 2015

Stay and play

I had fun this week. Not fun "fun" but fun in administrating my anaesthetics. I guess after doing lots of bread and butter cases, you do long for that stress in planning an anaesthetic for your patients. Patients may come with multiple problems and to avoid any further issues, one needs to plan which technique to use. 

Honestly, the anaesthetics is not an issue. Anaesthesia is safe and you can be assured that you are well taken care off. Its the issues that might crop after, as an example: a patient may need to go for a surgery to settle some sepsis source issues but at the same time, just recovered from a bout of pneumonia. Giving GA can be simple but the patient may end up in ICu for post op monitoring and what further happens will be delayed discharge due to more time taken to recuperate. 
I was faced with these patients isssues this past few weeks. Therefore, i do have to resort to techniques which would minimize risk. ie peripheral nerve block and TCI. I had fun with the TCI remifentanil today as it made my nurses go like, " what the heck is my doctor doing?" haha 
Alhamdulillah, what is important of how this knowledge can be put into practice.And it becomes a satisfaction when you have options to decide with when you have to solve the pressing issues. 

Friday, April 10, 2015

Putrajaya Duathlon - Ironman70.3 2015

Ironman.. the final frontier..
Last year we entered the relay event in Putrajaya 70.3 in the hope of being a part of the carnival. Unfortunately, it was classified DNF when Kamal could not continue and the mood became sombre. It was not satisfying especially for me being the runner, i had to wait for at least 5 hours in the hot sun before it was my turn to run. Azad had to leave for Vietnam last year, and the atmosphere was none to feel at all. Because of that experience, rasa taubat cam nak join relay..
 This year somehow, i guess the participant numbers must have not been encouraging, the event organizer decided to have Duathlon as well. The distance was not too bad and despite me not having enough training, i registered without hesitating as i know how the atmosphere can be like. To me what is important is to join the event and finish it, janji habis! Haha 
Azad was as enthusiastic as ever as he registered immediately when i mooted the idea. It was something doable and i was happy to have somebody with me. The gameplan was simple, Janji Habis despite kena potong by those who can be double my size hahaha 
We took the opportunity to collect the bib and place our bicycles the day before. The atmosphere was as how i imagined. Memang best, the brand ironman.. 
We were early. Azad and I woke each other up and with our cars convoyed to Putrajaya. Parking was ample and from that early morning, it was electrifying. we took the opportunity to pray subuh at the mosque which i thought was excellent! Never that i thought the venue would be so close by that it was convenient to pray in jamaah.
How did i perform, well.. the first 5km run was a breeze for me. I was comfortable and not too tired. I did not push myself but i did run all the way. My knees were doing fine. The cycling bit.. huhuh.. this is a total weakness as my only cycling training these past few months was on the trainer; even that it was not too long on it. So as expected, i could see people passing me easily as i struggled in this mere 45km race! My sister has been completing the 160km regularly and if she were to join this event, im sure she'd sayur me anytime! hahaha And the nighmare was at km40 i think, when my right knee jammed on me! total lock..dammnnn.. I wasl ucky i did not fell down but managed to cool myself down before restarting. I was really lucky i did not end up with a DNF hahaha
 Of course, the final 5km was a lenggang kangkung all the way. I could not be bothered to run as i was not going any faster anyway. Alhamdulillah, everything was in due time and i managed to finish it in one piece! haha Memang rasa tak puas hati tengok orang potong but i am thankful i managed to do it despite my lack of training due to my injury.Azad was not too far from me after he caught up during the cycling leg. In fact his time was at least 6-7 minutes better than mine during this leg!!
 It was cool to see my friends like Aktar and Shah completing their half ironman distance in a convincing time.. Hmm.. i started before them but they have surpassed me by miles! Hahaha
All in all, i enjoyed the event. It may not be my best performance but my most satisfying. I will come back, and camana triathlon dream?? I need to realize it..

Thalasaemia Run 2015

My knee was getting better and i needed a better motivation to be active again. I am getting back the fat i lost few years back. Luckily there was a bib available for the run organized by UiTM FOM. I was non hesitant to join the 8km run despite not running for the past 2 months!! 
The run was held in kepong which the taman was famous for its evening layang-layang session. The affair was moderate but definitely well organized. The students were enthusiastic organizing this. I saw Adli during parking and he gave me Abid's bib. Apparently Abid had to go for a course in Singapore and i was damn lucky to have it for me to join this run.
The run was not that bad. I followed Adli's pace earlier but only managed to keep up till km 5. He has definitely improved and i guess his preparation for his first ever half which will be in two weeks had been optimal. I was exasperated but tried to maintain my cool keeping behind him haha Imagine not running for 2 months and now you're trying to run all the 8km non stop. Memang tak larat hahaha
I enjoyed the run and was happy that my knee and legs were able to cope. At least i have this trial so that my Putrajaya Duathlon the week after will not be too bad, or so i hope.. 

Tuesday, April 07, 2015

Its your place now

Call me sentimental but when i saw my own scrubs with my name embroided on it, I felt good. I felt belonged. Haha Memang jakun nak baju sendiri :) 
March has been a good month as the cases doubled compared to February. Things are getting busier and the cases we are getting is getting more complicated. Maybe not too complicated as other places that i know but enough la. You don't want to be too ambitious that it can cause you more problems than anticipated. Its a mixed feeling honestly, as one would love to just do the simple cases and chill with the remuneration, at the same time missing the intensity of high risk cases. The high risk cases were the main reason why I joined anaesthesia. Its the balance i guess, and perhaps a good mix would fulfill my needs. 
We had our first anniversary Open day recently. KPJ is very good at this, creating events and making the whole staff work as a family. It is very difficult not to like KPJ management with the approach that they make. It was a hot Saturday afternoon but that did not deter us from enjoying the day. 

Monday, March 23, 2015

Chess NAG 2015 weekend

The commitment by parents is no joke. 3 days of National Age group competition. Dzaeffran participated in the under 10 category. It was the first time for him and for me! Haha This was an opportunity that does not come often. He is fortunate enough to be in the school's elite chess club. SKBJ has a strong tradition in chess and for Dzaeffran to be able to be part of the team is an achievement. 
 In a way, he represented Chess Club of Selangor to go against other participants from around the country. I was never really involve in the chess scene and it was such an eye opener. This competition is definitely for the top chess players in the country! haha i was jittery too as i don't really know how he would fare. Players looked ready to maul their opponents!  As long as tak last.. my motto.. haha
                                          Papa sent him on Saturday.
 The competition was held in Olympic Hotel, right smack in central KL. This used to be the main hotel for our athletes, being in the same vicinity as stadium Merdeka and Negara. Such memories from the past! 
                                          Bosan menunggu haha
Dzaeffran played 8 games and won 4. It was clear where he was in the rankings as i could see the level of his gameplay against his opponents.Still,  I don't think i could do what he did in the 3 days. I could see how he can be really focused and at the same time to cool.. haha What i appreciated most was his perseverence despite being at a disadvantage in the game. Memang never die attitude and he'd fight till the end not giving up. Insha Allah, that will be a good trait for him to have in facing his life in the future. 
Good job my son.. it was such a pleasure to be by your side watching you :) 

Thursday, March 12, 2015

Dude.. where's my fix!

We had a busy day yesterday. The cases kept coming, semi emergency and emergency. It was past Isha' and i have just finished my trauma case.

"Ada kes lag ini doctor... fetal distress.. EM LSCS"

Ohhh.. i am in need of my fix. My mocha pods.

"Alamak... habis la pulak.. ada kopi tak?"

"Kopi cap kapal api adalah doc.."

"Belasah jer la.. double shot please!!"

And the double shot super long black of kapal api kept me awake till i cannot sleep overnight!!  hahaha 

Wednesday, March 11, 2015

Qayyum's chess tourney SKBJ open

Somehow or rather, MDQ1 loves extra co-curricular activities. I would not be surprised as I do know from whom he inherited the trait from. Last night he asked wifey whether he could join the angklung team and as the tigress..  of course no! haha He has been joining lots of activities that we thought we should limit his multi involvement for now .SKBJ is quite famous for her angklung group (got this info last weekend) but on top of what he is involved in now, cukupla dulu!
Last weekend, as one of the 30 elite members of the chess club, he was enrolled in the school's first junior chess tournament. What made the competition impressive was the participation from schools from all around the country, as the event was nationally rated.
 MDQ1 was scheduled to play in the u-12 category as there were only the u-9 and u-12 for the taking. I thought it is good for exposure especially the tournament feel. It is different from the normal social play. Tactics, intimidation, aura.. a lot of external factors that may help with your game. 
What i like about the school's chess club is their commitment; they have a coach on board and he trains them every week. Qayyum knows a number of opening and he is quite good at it, though may not be a champion or winner material at the moment. He is better off than i was at his age, main chess pun belasah je.. tau pun tactic; 4 step checkmate hahaha
Qayyum won 3 out of his 8 games. I had the opportunity to watch him play and honestly, i am amazed with his calmness. He is totally a poker person as if having no emotions. He is brave to play whoever as evident with his first opponent; he was 12 and big sized; totally intimidated if it was me. He played on and scored a win with this guy haha He has a good heart and his determination is strong. He was willing to fight till the end! I appreciated that trait a lot as he was definitely not a quitter. In the game i saw, he lost his queen early but he fought on to redeem his queen! I saw the opponent panicking but becasue qayyum was too relaxed, he made a silly mistake and paid the price! Haha cool job la budak ni..
Insha Allah, he will be joining the national junior chess open in KL during the school holidays. We will see how he will fare insha allah. 

March limbo

We are coming to mid March and the cases has picked up. Last month, the number of cases we had were awful. I guess because of the festive period of chinese new year. It is a reflex to feel a little bit worried when the number of cases declined after a good high towards the end of 2014. Being green in private practice, i reckon its normal to have that worry since my income depends a lot on the number of cases i do! Haha Its purely business, if there is none, then i will not be paid. 
That is the difference when one works as an employee and becoming independent. The services we offer is considered a business and soon enough, we are affected by GST. It is unfortunate because it will not be really our charges that will escalate, but the total cost to the consumers ie patients. We will see what will be transpired when it comes. 
 I have myself been a slacker in updating my blog.Life has been hectic at home too when wifey when for her courses during the weekend. What courses? haha a mix of duniawi and ukhrawi! Alhamdulillah, I am glad that she now have something outside the house as an interest. It is good for your mental health being involved in something other than your personal life. It releases your stress though it can create more stress haha
February has also been a reflecting month for me. Life is plentiful and I am thankful to Allah for his blessings. The future is bright and it is about options and steps that we take. Some risky some playing safe but the decisions made should be with knowledge and a bit of wisdom. 
Happy March everyone! 

Saturday, February 28, 2015

Sometimes we have to be more than what we are

Having being told of one having a terminal illness can be a nightmare. Its the sudden news of a diagnosis which brings death to the front. The one reason why some of us can be obsessive in going for medical checks often is the big letter C. A taboo to be spoken about but a definite prognosis beckons. Being in the medical field, it is often a situation where you don't really want to be involved in. Unfortunately for some of us, breaking this news becomes a responsibility. 
I will come across these patients in different stages. Most often, the point where surgical intervention is needed, either in emergency situations or after electively discovered. Honestly i cannot imagine being in their shoes, having being told, yup.. you have the big C. 
I sat down and talked to one of my patients the other day. Even though i was there for pre op assessment, i spent more time being a doctor rather than as anaesthetist. The unfortunate diagnosis was confirmed just few days back and it is a big one. I am sure he is still in shock, I could see in his eyes the tears but he holds it back as we talk. His family is in shock with the wife not really accepting it well. The psycho social aspect in this matter is very important; as the mental health should also be reviewed. Its important, as fighting cancer can be a mind blowing journey with full of uncertainties. 
Yup, it was just a short discussion of what it is all about. I encourage him to read about what he has, so that when he meets up with the oncologist, he and his family will be ready for questions rather than listening and absorbing. That is the usual practice in asian community. As the one managing them, we should explain that the treatment for cancer is a journey which needs a lot of strength and courage, full family support an istiqamah. Yang penting usaha bukan semata-mata berserah sahaja. And whatever the result will be, we redha. 
It was something i felt i had to do, the chat. As i believe as doctors, we are still human. Being humane and providing empathy is something that we should all do. I am not sure whether i did help but i do really hope i did especially for the stage which he is at, at the moment. 
My prayers for his oncoming journey.