The reason to go home early..

MDQs together


i just love the cup cakes


victory


sayang..or tanduk ??

Back to work

Its back to OT after a week's break and boy.. what a time to be back. I've been handling OTs on my own for the past 3 days - Most of my colleagues were either on study leave or in Genting for our Annual Anaesthesia conference. I wanted to go but I have to consider my presence here which is important to wifey; hence my delay in blogging ..

It was permanent fixture in OT13 fir three days doing ENT , Plastic and Maxillofacial . I reckon doing the 10hours breast reconstruction on Thursday was very interesting ; not of Nip and Tuck drama but of the anaesthesia technique showed to me. It was a relief to wake up and extubate the patient when the operation finishes which is very rare when one does a marathon.Keeping the MAC low with minimal muscle relaxation infusion ; at the same time on close monitoring of her awareness using "BIS"- a technique which helps to save ICU or PASCA bed for the really needful. I was amazed as well by the result of the op - the breast which was reconstructed looked "normal" and nice. I suppose doing one for a heart broken 29 year old lady with a bad breast cancer would really help to lift up her szest for life.

Doing the dental case alone yesterday was kewl as well. I was the only male in that theatre so I 'm not sure if that was a factor as well !! Surrounded by attractive doctors and nurses hhmm... macam best je tak ? hahahahahaha...

" Oh.. my favourite anaesthetist is back.. "

Wakey..wakey..

Alhamdulillah , Qaisya is 6 days old today. She went a little bit jaundice on the 2nd day but the traditional "jemur" by the window was effective ! Hahaha.. Initially I was tempted to prick her blood and send it for bilirubin level but then , hmm.. maybe i should not be overly concern. Let nature take its course.With her getting full breastfeeds ; I should be more positive. And it turned out well.

Qaisya is definitely the opposite from Dzaeffran when he was at this age. We're having sleepless nights ! She will take smaller feeds compared to Dzaeff but of increased frequency !! She will be awake after 12 am and will demand for her feeds every hour ! Hahaha.. Wifey is a little bit stressed but i guess not every baby is the same. We try to wake her up during the day but she would not be bothered by the noise or distraction !The 7 day leave is actually very useful as I am happily enjoying my break at home with the baby.

Dzaeffran is still confused wondering why his umi is not as free to "layan" him as before ! Mak has been very supportive in ensuring both her grandchildren well taken care off. Luckily Dzaeff goes to the nursery during the day so that everybody was able to catch some sleep. The massaging session for wifey certainly helps and I wish for one soon !!

On another note , I've managed to teach dzaeff kicking the ball ; the first of many training sessions to make him a gifted footballer !! ( this maybe due to the frustration of the "i knew it last minute" Liverpool loss to United during the weekend )

MDQ legacy

MYFTZAL DZAEFFRAN QAYYUM
( The Nobleman of success eternally )

MYRA DURRATUN QAISYA
( The Queen of pearls and affirmity )

Bundle of Joy

Alhamdulillah... All praises for Allah..

My baby girl came into this world on the 27 February 2007 at 7.52pm. ( not 7.48 as I've sms'ed earlier ). The delivery was smooth and baby's Apgar score was full at birth.

Alhamdulillah...

************************************************
( RETROSPECTIVE ENTRY ) 27/2/07

Wifey informed me before we went of to work that she had a bit of "show" ( the blood stained mucous to signal labour ) in the morning. Of course , she refused me doing VE ( vaginal examination ) because her contractions were still weak and irregular then. I did ask her whether she would like to stay at home ; but being her , she wanted to continue work to settle all her unfinished business. Imagine - she actually went to the Bank and Bukit Jelutong that afternoon to do some chores regarding our future home !!

We came back home from the work at 5 pm - then she was already having regular contractions. She was in pain but it was still tolerable. We picked up Dzaeffran from the nursery and quickly packed our stuff for the hospital. Suddenly she told me she can't move as it exagerrates her pain. During this time she still refused VE as she was sure that she needs to go to the hospital soon. I did it anyway because I needed to estimate which stage of labour was she..

Os : 5 cm. very thin. Membrane buldging. station : + 1 !!!!

Daammnnn !! Only now.. I started to panic !!


the distressed mother.. ( just had to post this pic !! She was not amused by my antiques then.. )

We rushed to the hospital and called Patrick ( her Obstetrician ) on the way. Obviously the traffic was bad as it was about 6++ pm. Wifey was by then so much in pain that she was hyperventilating.. puffing away. No communication was established but suddenyl she grabbed my arm.

" Abang... SROM... " *Spontaneous rupture of membrane

I was.. alamak... habis keretaku !! Hahahahaha... ( As Mafiz said.. luckily leather seat eih ?? )
We arrived at the doorstep and the staff there was very helpful. Wifwey was so weak at this time that I had to carry her out of the car to the wheelchair . ( The last time I carried her like that was during our wedding day - walking down the stairs !!! ) It was so efficient that when Iclosed my car boot she was nowhere to be seen. The staff had carted her to the SECOND floor within seconds !!



She was ushered to the labour room and the staff nurses there prepared her very well. Dr PAtrick was not around yet but Wifey was pushing hard. Of course , no epidural was necessary at this time and she was puffing away on the Nitric Oxide. The nurses told me her OS was 8 cm but I don't think so as they needed to wait for Patrick to come.

When PAtrick arrived and was she was being positioned lithotomically ; with just one push we could already see the baby's head. Haks.. And with another gentle push.. my little baby girl was delivered smoothly with a loud cry ..

Allahu Akbar. Allahu Akbar. Lailahaillallah...


first look on umi's tummy

We were discharged home within 24 hours of birth. The process was so fast and I could not believe that I now have another baby at home. Alhamdulillah...

Sometimes

I have learnt silence from the talkative, toleration from the intolerant, and kindness from the unkind; yet strange, I am ungrateful to these teachers.

Kahlil Gibran

Learning from the past

I'm an avid fan of Malaysian biographies and autobiographies. It is fun and interesting reading for me. Some would find this weird but I just love them. I can hardly go through my physiology and pharmacology but I can religiously go through page by page in one night on these type of books. Going through the lives of our forefathers gave me the insight of how their mind works and most importantly ethics of integrity.

The latest book that i bought and managed to finish it within 24 hours would be the Tun Dr Ismail story ; the reluctant politician. I've always been intrigued by the mystery of being the "Prime Minister" who never was. He was remembered fondly by the elder politicians as an example on what people politics is all about. I was brought up in Taman Tun Dr Ismail , studied in SM Taman Tun Dr Ismail but i never knew who he really was - except as the Deputy Prime MInister who died in office and the first to be buried as a national hero.

Tun was a shrewd no nonsense leader - very nationalistic but fair at the same time. He was seen as pro malay but at the same time realizes the need for unification of races to achieve a true Malaysia. He was liberal in his daily practice ( as how most malay leaders in that era ) that i doubt the book will be translated to malay as many "religious" issues may be questioned. The current crop of university's student leadership that sways towards "real- islam" will definitely question personal habits of gambling and drinking and not focusing on his true contribution towards what we have today.

His contribution was immense - justified by Tunku and Tun Razak's trust on him. He was always viewed as the "third" man of the country after those two figures. Many feared him for his straightforwardness and respected him for his principles. I've been told by his grand nephew how his family continued the tradition on being firm with one's principal - a legacy of famous doctors in Malaysia ( Tan Sri Yahya Awang , TAn Sri Abu Bakar etc ) who stayed in the service till their retirement in order to fulfill "serve the country above self" policy.

Tun was reluctant on being the typical politician - taking all the advantage at helm ( logically who wouldn't ? ). He was a true nationalist and i believe that our history books should highlight him more than what is available in the syllabus at the moment.

I've been tagged : Confessions

LAma tak buat kerja camni. Thanx shah for tagging.

6 weird things you don't know about me:

1. I will always ask wifey everytime after dressing up , do i look fat? My BMi is on the overweight side but somehow my mind keeps denying that fact !!

2. I love listening to X-JApan's songs ( Japanese rock band). I don't understand a word but I listen to it everyday to work in the morning.

3. I still have my eyes caught in action with "amoi-looking" girls... ( kalau wifey baca ni sure... What do you mean abang ?? HAhahahaha !! )

4. I can eat KFC anytime. breakfast , lunch , dinner , supper - continuously. Certainly my favourite dish without fail in any occasion.

5. The only game I've ever played on my PS2 is the Pro Evolution / Winning Eleven series. I have > 50 games of various titles but for the past 3 years.. I've only played the footie game without fail.

6. I still have a favourite bantal ... :)

The rule of the game:
In this game, each person who is tagged starts out by telling 6 weird things about themselves on their own blog, as well as state the rules clearly. At the end, you will need to choose 6 people to be tagged and list out their names. After that, leave them a comment on their blogs letting them know you tagged them and get them to read your blog.

So here are my victims who are among some of my favourite bloggers.

Dil : The main man... dato'...
Nor: Real time blogger..
Suriana : an old friend up in the east coast confusion..
Ee Van : a macho friend who's done the marathon before..
drfrappucino : a colleague somewhere in the valley
KJ : I'll be surprised if there is a reply !! hahahaha..

Hope all you guys will keep this chain going ! One for the boar new year... oink..oink..

Holiday dilemma

Its the first day of the Chinese Lunar calendar - the year of the boar promises good outcome for those who work for it. To my chinese friends ; a very happy new year and may the year brings you prosperity !!!

*****************************

Obviously , I am on call today. It'll be my last call for the month as I've requested to finish it by this week. It had been a busy 2 and a half week. My mind is a bit tired ; drained by "thinking" while doing my ICU call. Wifey is 37++ weeks now which means that the baby may come out any time now. Dzaeff was delivered spontaneously at 38 weeks therefore I;m predicting my second to be around in the very near future. We haven't decided on any name for her as yet - thanks to wifey's "fickle"ness - not to be helped by her busy working hours and on call. Her department is not as kind as mine - She's still doing calls till term and if she takes the whole 2 months maternity leave ; she would be extended for another year !! A bit cruel i reckon considering us doctors having to work like a dog day by day.

My ICU is still full - I'm stuck with certain patients who are not going anywhere.True enough we are giving full support to ascertain stabilization ; unfortunately things have to move fast as sepsis with multiresistant bugs are just waiting to strike. Tracheostomy for few patients are delayed due to the long holiday. We don't do percutaneous traceheostomy here in UMMC - which certainly slows down all plans and further management.

Managing ICU during a public holiday alone is a challenge. I am sure my colleagues all over the country would agree with the statement. If things are Ok it is OK - but when "drama"s happen all at the same time - it is very frightening as one has to make decisions swiftly. No matter how one calls for help , but life is at stake. Decisions made at that split second will determine whether the patients continue living or die. Sometimes , we wonder , are we just prolonging death or saving lives ?

Talking to patient's relatives is a big challenge. It is not an easy job and I have to do it everyday. Keeping them updated is one thing - informing deterioration is another. Helping families to cope with such critical illness at times can be disheartening. Discussing with families who cannot accept their family member dying is a skill which I am certainly hoping to gain. When things go wrong - denial is difficult to encounter. I believe that strong communication will help to ease the acceptance - but I mean if you are in their shoes - would you be rational as you think you might be ?

Waahh.. philosophical ! I'm thinking too much eih ? Well , its time for my maghrib prayers and night rounds will continue..

************************************

Bed 1 : Day 32 - iatrogenic perforated CBD. abdomen still distended - ileus . Unable to wean off to CPAP because of diaphragm splinting !! Now having gross haematuria !!!

Bed 2 : Day 5 - form 2 boy MVA - hit and run with subdural and subarachnoid bleed with conservative management. splenectomy done and i just extubated him this morning.Not really awake.

Bed 3 : Day 6 - fit foreigner paralysed neck downwards ; C5-C6 fracture corrected. Trachy delayed till Wednesday - no relatives around. very depressed.

Bed 4 : Day 22 - young lady with stage 4 SLE. Needs continous dialysis - lungs not looking good. Just spoke to the family regarding tracheostomy.

Bed 5 : Day 7 - an elderly who recuperated from Perforated Gastric ulcer but now in spesis - nosocomial pneumonia in a chronic COAD patient.

Bed 6 : Day 1 - readmitted to ICU for BIPAP. An elderly lady with a chronic urology problem - pain causes her tachypnoea ; currently comfortable on BIPAP but if the main problem is not adressed - we are not going anywhere.

Bed 7 : Day 38 - a middle aged lady who underwent a simple operation which went wrong .. MAJOR ! Not doing well in every department.

Bed 8 : Day 14 - A middle aged man with ESRF on continuous dialysis , IHD recurrent APO - not doing well at all. reintubated x3 last night.

Bed 9 : Day 10 - an elderly lady whose primary teams were fighting over the proper diagnosis. Still in sepsis with acidosis - not looking good. CVVHD stopped because not going anywhere.

Bed 10 : Day 5 - a referred case from a private setting. Bad pneumonia on a chronic restrictive lung disease - Post tracheostomy looks convincing as She's more awake now. Unfortunately , all breaths are mandatory and none of her own effort despite full GCS !!

Bed 11 : Day 2 - a depressed mother who just lost her child two weeks ago - went overdose with her medication. Not awake yet.

Fuiyooo.. mcm buat round online pulak...

Generations

The young and old..


in between - always in denial...

Kinkin'

I had a full ICU last night. It was managable however - no major disasters , and somehow this week - We had a geriatric ICU on board. Most of our patients are above 70 years of age ! How it came to that , I am not sure - but the person on call during the weekend certainly filled it agely !!

I was called by Cardiac ICU near midnight , telling me they were not able to insert their suction catheter through the endotracheal tube. I went down to have a look because there must be something mechanical that should be corrected easily.

The patient was 1 16 year old girl who just had her op earlier - debulking of nurofibroma. She has this disease called neurofibromatosis
Currently , she has this large tumour encroaching her left lung - effectively she is breathing on only one side of the lung. The surgeons initially wanted to resect most of it but they only managed to take out 10% of the initial 90% planned.

She was on a flexo-metallic tube which is very mobile and flexible. I reckon my colleagues used this in view of her distorted airway - She also had severe kyphoscoliosis which was corrected but still , the trachea was deviated because of the mass.

Hmmmm... i tried it myself and i could not pass through even the smallest catheter through the tube. I looked at the ventilator and it did not show any sign of blockage. It is of common knowledge that flexometallic tubes can be very" flexible" that if the patient bites on it , it will be disfigured.

Called my lecturer and Senior MO on call to have a look. They were quite worried as well , as her physique looks challenging for intubation. Of course , the first thought was to railroad a new tube but unfortunately we were not able to track through either using the bougie or Cook's catheter. Called Prof M up to ask her how was the intubation condition and convincingly she said it was not difficult - Cormack Lehane 1 but of course one has to manipulate one's tube.

We sedated her with propofol and then had a look with the laryngoscope. The cords were visible and we just did it ! Exchanged it tube for tube. And luckily , it was alright. Success !! Hahaha.. Indra laughed at me when i brought the WHOLE DIFFICULT INTUBATION trolley into Cardiac ICU. Well.. better be ready then scrambling in panic isn't it ??


the kinked site..

I left my heart..

I;ve been disturbed by the itch...
Not the 7 year itch !!!!
but the back to nature and outdoor itch.

It was only last week that I tortured my self ,
the pain is still felt ,
but the endorphin euphoria remains..
and the urge for more is increasing...

Trans Titiwangsa perhaps ?? the G7 dream is definitely on for now...

*G7 - 7 highest peak in Malaysia - all above 7000 feet.


*********************************************

Me , wifey , Mal , Azad and Yanti went to the former Mimaland - Gombak area this morning. We left Dzaeffran at home because of Mak's objection. Apparently , Mal recently bought a land there and invited us to visit . Well , it is still "hutan" but Mal is trying to clear the land slowly. The pathway to the place was bad and I did not expect such access !! Imagine - My Perdana tortured and scratched ! Arrgghh.. I was cursing and cursing as we followed the road which used to be the pathway for logging lorries.

Initially wifey had to stay in the car as we had to climb quite a distance - 200m away . Being nearly term is definitely not suitable for such activities ! Luckily , one of Mal's "neighbour" there had a 4 Terrano so he was kind enough to pick wifey up. Pak Rodzi brought us to his piece of land and he certainly made it comfortable for him !

It was good to be back among the greens. I certainly felt the endorphin rush as we walked through the woods this morning. Hmmm.. looks like I'll be looking for similar activities to fulfill my addiction !

Things you don't normally see

They call it the cu-cu train...

I was appauled to find this happening in my ICU ! Menjatuhkan maruah !!!

Sendiri mau ingat

I survived the weekend ! It was tiring but definitely worthwhile climbing Pine Tree Hill ( 4,771" ) and Twin Peak in Frasers Hill. Kudos to OGKL for organizing a very enjoyable and SANTAI event for us. By mantics ; it is indeed stupid to spend one's weekend outdoors - being cold and wet off from the potato couch comfort zone. And somehow , doing this is actually a satisfaction of what one really wants from life..



Azad picked me up early Saturday morning to join other OGKL participants in Teratai Dayabumi. In a typical Malaysian time , we started off late ! haks.. We were supposed to be off from KL by 9 am but unfortunately we only moved out of the restaurant at 11 am !! However , it was an opportunity for me to know most of the other 23 members joining this trip ; in the very true spirit of OGKL ukhwah.I felt a bit "amateurish" when comparing my backpack to their haversack. Malu weeihh.. I managed to buy my first hiking stick though - which proved to be very useful during this trip.




We arrived in Frasers Hill at 1pm - and surprisingly it was very cold up there ! The fog was so thick that we can barely see the road during our journey to the starting point.To make it worse , it was drizzling and the temperature was low. I cannot recall Fraser's Hill being cold and windy. Unfortunately , that was the weather for us to start our journey to the highest peak in that area.

The journey to Pine Tree Hills on the map was 5 km , sounds short eih ? haks.. Obviously not. Seeing the organizers being so laid back , I would have thought the track there would be easy and within 2 hours since we only started walking at 3pm. I was SOOO WRONG ! It was wet and very slippery. I fell a few times walking through the thick forest. The climb was not easy as we had to cross 4 other lower hills before arriving on top of Pine Tree Hill ! It took us 5 hours for the gruelling 5 km track. We arrived there at about 6.30 pm.




It was so cold and windy when we arrived that the leader of the trip - decided we should camp there instead of Twin Peak which was just about 1 kilometer away. I was freezing and a friend recorded the temperature to be about 12oC. I did not expect the weather to be so cold hence my pathetic thin clothes. I noticed most of the other climbers brought thin clothings too , so I was not alone in this issue !! I only had one long sleeve t-shirt with my windbreaker.. and I suffered that night !

Pine Tree Hill was certainly not suitable for big group campings - and we had to break the basic rule in camping. Camping on a bare area - on top of the hill ! haks.. literally , we were sleeping on top of the peak which was very-very freezing especially when the wind blows. We did attempt to start a fire - it was difficult at first because most of the woods were wet. Azad was very skillful that he managed to start the small campfire for the team to gather around - keeping oneself warm !

It was so breezy that everytime the wind blew we became unstable ! I can't imagine if it rained heavily that night . Something funny happened to us as well ; the area on top of the peak was not that great - thus when we set our tent it was quite slopy. There were 4 of us in that tent - very small space i can tell you ! However when we woke up at about 5 am , our tent moved more than a meter away from where we set it up ! Luckily there were small trees blocking the movement otherwise we could have just fallen off the cliff ! Scary isn't it !!


We woke up in the morning feeling tired - but we had to continue our journey to reach the Twin peak ! The trip was definitely less challenging and we arrived there at about 10 am in the morning ! It was so satisfying to be up there on top of the world... Looking how vast the Titiwangsa higher ground were. Beautiful view and very soothing. I was so proud to be up there - having to survive the challenging trail. Thank you OGKL..

more pictures in : http://picasaweb.google.com/mafeitz

Achievement

Mystery XI ASEAN 101

I just realized yesterday - after my 12th month of car installment ; my car road tax expired like 1 week ago ! To think that I traveled to Putrajaya and so forth during the last week. Gosh.. malu nya kalau kena tahan.

I called my cousin in law to sort my insurance and road tax , its his business anyway. Then today , at about 3 pm he called me up. Apparently , they cannot renew my road tax because my car number has an unsettled summon with JPJ.

JPJ ? Bila lak kena saman dgn JPJ ?

As I'm not sure whether JPJ does their saman ekor or not , I searched through the net to look for that info.Its very useful huh - rileks.com.my / eservices.com.my / myeg.com.my . i went thorugh the details.. and

I don't have any records of summons with JPJ. None at all. With the police - yups , I have one unsettled summon regarding seatbelt. According to Abang Fathul - that is not the culprit but the JPJ summon. Hmmm.. I don't have any ? Not recorded ? hmmm... really annoying.I can't check my car number online and I have to go directly to JPJ to check.

The most annoying thing is its holiday tomorrow - 1st February - Federal Territory Day cum Thaipusam ; therefore Public Holiday. uuurrgghhh... I have to wait till Friday before I can investigate the problem.

hmmm.. and I am the type of person who will continuously think about this till it is settled... tak boleh tidur laa malam ni...

The beginning of a long lost interest

I've resolute to make myself fitter this year.When that happens , my weight will automatically be reduced. Its not mid life crisis mind you !! Its about keeping one's health. Hearing your circle of friends diagnosed with chronic diseases shows how age is really catching up. No matter how young you feel , the body physiological responsewith time cannot be denied nor stopped.

Just like the movies ; ESP - a telephatic message to a good friend was somehow conveyed. I was considering an email I received last week regarding an interesting mountain climbing trip next week. I even filled up the form and was really thinking hard. For all you know , Azad emailed me the event ! He was keen to go for it too ! And of course that made my decision to become TIDAK SYAK LAGI..

We'll be climbing the twin hills in Frasers next Saturday. It is organized by the OGKL club ( Orang Gunung KL ) whose members we met last Friday night during their weekly "meeting". Meeting them was a pleasure as they were friendly and I did not feel too alienated. Obviously , I am keeping a low profile for now as I don't really know them yet. I am sure after this trip I will have lots to say and laugh about ! Trips like these brings out either the best or the worst in you. I am excited and can't wait for the weekendI must say their line of activities for the past few years is impressive and commendable. I reckon , this will be my last bash before the arrival of my second child.

I am really on about this trip. It'll be my first climb after Kinabalu in 2005. Wow.. Lets just do it !!

Over the weekend

I had a very hectic weekend ! Organizing a dinner is a highly stressed job ! It is not easy to make things run smoothly right from the table arrangement , your committee , the food , the entertainment. I'm glad its all done now ! Thank you very much to my colleagues who had done a very good job to make Anaesthesia Nite a memorable one. My MC did not receive his script until about 6.30pm before the event ! It was supposed to be given to him 2 days back but somehow it did not happen !! However , he was a very talented man and managed to lighten up the event .


I had to go on stage because nobody from the doctor's side is interested in performing , even for the fun of it ! I wished we had more of the creative ones in the department so that I don't have to come up with something which is entertaining ! I managed to coax my 7 professors to be on the stage and be my back up dancers !! hahaha.. it was hillarious ! I enjoyed it myself but I am sure that the profs will ensure that I 'll be at the end of the line...

The food was good. Obviously I did not have the appetite to eat. Sayang .. wished that I could eat more. It was nice of the hotel to provide us with 2 special vouchers ; for our grand prize lucky draw ! I wanted to fix it as we could have won the 2days one night stay in Royale Bintang - but corruption is not my game.I did not win anything , but seeing everybody enjoyed themselves was satisfying.

*********************************

Malaysia lost.. I missed the match but managed to catch the higlights when i returned home. I am proud of the Malaysian team. We fought really hard and gave Singapore quite a scare. Kudos Malaysia for the excellent performance and I hope to be able to attend the 3rd placing match hopefully in KL.

A satisfactory display

MALAYSIA 1 SINGAPORE 1


I was satisfied. It was great to be back in the old familiar territory of passion and undivided support for your country. I was there in Shah Alam stadium witnessing a true grit performance by our football team. Expecting them to play in the likes of Brazil , Argentina or Germany is definitely out of reach. Even the EPL standard is far much better than the mediocre game play we have here. From a lowly ranked team of 153rd in the world what do you expect ? Be mindful and realize where we are.

We played a good game last night against the defending champions of ASEAN champion , our once upon a time small neighbour - Singapore. I reckon it was the first time that the national side was cheered all along the game and not the usual jeer and frustration. We played all our might and i believe the fans could feel the determination and motivation to win. It was satisfying to see the national heroes fighting for every ball and displaying their best performance. Game play ? It was not smooth but enough to entertain the fans all around Malaysia.

We scored through our "zidane" - Hardi Jaafar with a beautifully executed shooting way outside the box that went to the top left corner of Lionel Lewis ( Singapore goalkeeper ). Eventhough we are not quite sure whether it was the real intention to score or a fluke from a cross - who cares ! We scored the first goal and the stadium erupted !! Suddenly all hopes were high and the sight of glory was beyond beckoning. Unfortunately , due to our lack of concentration - Mohd Noh Alam scored through a free header - our short centre back not able to shackle him off from a beautfully executed cross. Memories of our national heroes fumbling was at sight.

Uncharacteristicly , we showed character. We fought back - clawing and threatening to score. There were few chances which was wasted by Hairuddin by his bad first touch and Eddy Helmi after a brilliant dribble ! It was exhilarating and exciting. Adrenaline was running high and everybody cheered well. When the no 5 Singapore defender tried to waste time during the final minutes of the game - all Malaysians stood up and roared in anger ! He was showed the red card for showing the unsportmanshiplike behaviour and the whole stadium became havoc ! Some even shouted.. YAHUDI !! YAHUDI !!! to everyone's tickle bone.

We really fought hard during the dying minutes and I can tell you we tried till the whistle blown by the undecisive referee. It was such an experience.

I wish I didn't have the dinner this Saturday night - more being in the organizing committee. Damn !! I would have skipped it to attend the return leg in Singapore.

Viva MALAYSIA !! I wish you all the best in the second leg. I would not expect much though - as it is tough to win in Kallang but nevertheless , if it is the same gutsy display showed on Saturday - I am happy as there is hope for Malaysian football.

1428

Interestingly , we do not celebrate the new year in Islam as how we celebrate the Gregorian new year. It is ashamed even amongst the muslims , we fail to practice reciting the end of year and new year prayers. It is not exactly a rukun , but instead of doing our usual waiting the 0000 countdown outdoors with fireworks galant display during the "Masihi" new year , perhaps we should direct our celebrations towards the 1st day of Muharram.This should go inline with Perlis' Mufti !!!

Maybe for the first time in many years ( that i can remember off) , this year we had a live telecast of these prayers from the National Mosque on New Year's eve. I was a bit surprised but glad that maybe we are starting to appreciate our own legacy.

Happy New Year to my brothers and sisters !!

***********************************************

Wifey is in her 33rd week of pregnancy now. Wow , how time flies. In about a months time , I shall be receiving a new member of my legacy. Compared to Dzaeffran's pregnancy , wifey and I are a bit more relaxed and not too anxious . I suppose the small gap between Dzaeff and his sibling contributed to this. However , i reckon this pregnancy is more tiring for wifey as I could see her abdomen really buldging out ; being tired almost everyday as compared to Dzaeff.

By EDD ( estimated date of delivery ) , the baby should be out on the 9th of March. However , wifey gave birth spontaneously at 38 weeks - thus making the new baby maybe popping out in mid February. aisey... that near ahh ?

Lets just pray to Allah , whenever will it be , let it be smooth and with his blessings.

Lady luck

I am not sure how many of you are aware that Malaysia is in the semi finals of the ASEAN football Federation Cup ? Formerly known as Tiger Cup ? I've been following the national team's progress but i realized that I did not blog it as compared to previous years.

In the last edition we were in the semi finals but we lost badly to Indonesia on home ground. 4-1 if i am not mistaken and we only needed a draw with the Indons to qualify for the finals.I was in the stadium and we were all so frustrated. After that , Selangor took Eli Aboy and Bambang into their Premiere League team.

This time around , somehow we had lady luck with us. We didn't do too well against Thailand in the group match and Myanmar just needed a small margin win against the Philippines to knock us out dead. Somehow , The pinoys defended really well and denied Myanmar the semi final spot. I myself did not expect us to qualify after the loss to Thailand. And to everybody's shock - Myanmar drew and we qualified !! Yeh!!! but not so glorious..

We will be up against Singapore - defending champion. It is a tall order but I reckon we can do it. Our side is depleted without our top strikers ; Akmal Rizal , Indra Putra ; long term injury. Our hopes are now with Hairuddin Omar , Nizaruddin Yusof , Hardi Jaafar - who showed strength and determination to win for Malaysia . Unfortunately , the quality is of suspect and I am not quite sure whether determination and spirit can overcome the Singaporeans.

Singapore are with 5 imports - only to make it so unfair. However , I do believe that we can do it.. We can do it !!! I will be at the stadium on Tuesday and cheer myself out for Malaysia's glory !! Hahaha...

Location..action !!

Received sms and phone calls from my friends..



" What film are they shooting at your mum's place ?? "

" Wahhh.. bikin film nampak !! "


Well , I went to have a look myself and could not believe I have Badul's potret hanged galantly in the living room !! Hahaha.. that was funny.

Anyway , FYI they are filming the next season of Puteri ( TV3 sitcom ) at my mum's place in TTDI. So check it out !! Drop over if you would want to meet up with Nora Danish !! I haven't had the time to go there yet during office hours as I would love to have a pic with the cast..

Being 31

To Azad and Mafiz..

Happy Birthday no 31 !!! Fuiiyoo.. makin tua la kita noo...

Surviving sepsis

Working on your own in ICU ( Intensive Care Unit ) can be a bummer at times. It does not help when you don't have a dedicated intensivist ( specialises in ICU care ) to guide you managing patients. It is very ashamed to say that in our centre ( which was suppose to be one of the main referral centres in Malaysia) do not have one !! What happened to them you may ask ? well , to make a long story short - they left because of frustration as well as good offers from other centres. And guess who are managing the very ill patients here now ? Substandard care ? hmmm... it depends on one's point of view...

I do appreciate the presence of my current Consultant in the ICU. Even she admitted that she is not qualified on paper to manage patients in ICU but i know that she is trying her best to sort out the rot which is so obvious seen in this department. I am very impressed with her as she took ICU as her responsibility when she knew it is not something that she is very learned on. At least now , we get the primary team in charge of the patient to do something about the patient rather than wait and let them die !! Few angry sparks had flew but I guess that is the way to go to reclaim the "lost" Anaesthetist power in UMMC !!!

Working under few different Intensivists in two different centres had given me just enough the experience to handle patients in my current centre. I can now really appreciate what Dr Tai and Shanti was trying to instill in us during my earlier stint in HKL. It was tough , rigorous but it was worth it. When I was in Selayang after that , Dr Suresh ( another cool-joe consultant) showed me that ICU can be fun as well !! Currently , i am not learning much in terms of what ICU is all about - but being a doctor and Masters student ; there is a lot to learn from every patient.

The only thing I hate about ICU is not about the micro patient care , invasive procedures on very ill patients or resuscitating the almost dead... but when doctors become reluctant to accept that death is the completion of life ; advocating pointless prolongation of death.

Monday blues

pre part 1 


now this.. 

Working hard on Sunday

I changed my call with Fatma and doing her Sunday call rather than Saturday. Wifey is on call on Sunday therefore it would be more than logical for me to change !

I've just finished my afternoon rounds and the good news is I have only 4 patients in the ICU !!! Haks... well , we've closed half of our ICU because we are having an outbreak of Acinebacter Baumanniiat the moment.The ICU need to clean up the area involved ( which is very very unlikely to do unless it is thoroughly cleaned for 2 weeks !! ) Our UMMC bug is a very dangerous one as it is multi resistant to the commonly used antibiotics we have in ICU ( don't they all ??) . If we are to bring in a patient with a surgical wound , if the bug infect the patient most likely they will die because of this infection. Therefore , we are not taking admissions today and this is definitely more good news for me !!!

Seeing only 4 patients may look easy from the outside but it is not !! I've been trying to salvage and doing a lot of trouble shooting & adjustment here and there since morning ! I am lucky now that we have another person who's taking referral calls from all around the hospital. I am thankful that i have only these 4 for now but when we are fully operational I can imagine the hecticness!

Ahh.. patient bed 16 suddenly went very very tachycardic they said ..hmm.. think its AF.. have to go !!!

A scary picture

scary outcome 

Did you read the STAR today ? A very worrying event just like a clipse from a Hollywood movie. According to the report , heavy rainfall with strong winds mimicking typhoon is expected during the weekend . Eventhough the Klang Valley is not expected to be affected , it is not very reassuring looking at the sattellite picture.
My concern ? Tomorrow's Visit Malaysia Year 2007 launching by Pak Lah by switching on the Giant Ferris wheel.

I do pray for the best and not another scene from a Hollywood blockbuster..


The eye 

Snail tale

Internet services has been frustrating this week. Since the underground cable alleged to be faulty after the under water earth quake during the new year , the service has been severely interrupted. I guess bloggers all around the world felt this as I noticed that not all updated their blogs.I was in this category as well , waiting in agony for my pages to be downloaded to avail.

I had a busy ICU call on Tuesday and my Aptitude Assessment was yesterday. Obviously , I did not have the patience to wait for my modem to stop blinking. I did not study much during the last 6 months therefore had to burn the midnight oil for the past two weeks. Did it remain in my head ? Hahaha.. Obviously not as how I hoped it to be. The collection of past year questions were really useful as it showed me the way to answer questions .

The MCQ was tricky but for the first time in my life , I was thinking while doing it. Hahaha.. Seriously , I guess only now that i figured out the strategy to not loose marks in the negative marking system. What was i doing in med school ? The SAQ ( short answer question ) was satisfactory. Note to self : Read the questions thoroughly before attempting to answer !!! Viva was alright as long as you talk all the way during the 10 minute session even though you sound a bit stupid at times !

Alhamdulillah , passed the first hurdle !!!

Hello 2007 !!

And how did I celebrate this new year ?

" You are the chosen one !!! "

join me.. 
A true die hard Star Wars fan i guess !!
Happy new year ahh !!