Round 1.. kena 3-5

It was the game all Malaysians were waiting for. World Cup 2014 qualifying 2nd round against Singapore. Malaysia vs Singapore- long time arch rivals and nemesis. Of course, Singapore just had to play everything to their advantage, artificial turf with only 6000 seat capacity when Kallang can accommodate 10 times that number. Having naturalised (foreigners who gained Singapore passport through their sports "development" programme) players in their team is a short term tactic to reach glory but at what cause? Well, I don't know. I wont be proud claiming a mixture of nationals as my national team.

Well, we lost 5-3 but not after a good fight back. we were down to 4-1 at one stage and any Malaysia team of the past would have given up just like that. But not this batch.. we fought hard and we closed the gap. Our defensive mistakes again cost us the game. We need to buck up!

Against Arsenal or Chelsea, bolehla nak kata we fought hard but now it is just Singapore.. we just cannot repeat those stupid mistakes again.

However, as any other Malaysians.. I am optimistic that we can get something in the deciding match in Bukit Jalil on Thursday. I will be there to witness history!

CMON MALAYSIA! TANAH TUMPAH DARAHKU!

When Liverpool came to town

YNWA... Walk on...walk on...
mana boleh Liverpool in town and me not watching it? Well, when i was a bit sick I was not in the right frame of mind to book the tickets. Once I''m well, wah! an opportunity not to be wasted just like that. I was in Bukit Jalil during the training as well. TO my surprise, Liverpool supporters came in numbers with 35K at least in the stadium. It was crazy traffic outside!
On the game day, Azam was with me and Qayyum. We were lucky that our tickets were numbered seats and it was for the Standard Chartered customers! Seating was not an issue and we had one of the best views in the stadium!
Harimau Malaya will always be the team that i support and it was great to see the goals scored by Safiq and Safee. Our defence made quite silly mistakes and it was immediately punished by the opportunist Liverpool strikers. Otherwise, i would prefer Fadzli and Muslim to play in the heart of defence rather than Zaquan who i thought was not effective.
6-3 was the scoreline but it did not reflect the game. 4-3 was fair but it was so typical of us to let the goals in during injury time. Anyway.. KUDOS Malaysia !!!

training.. thanx to Yati Jai's ipad2

PakLong with Qayyum nak air

full house!! no doubt..

qayyum peluh2

we were behind the legendary banner

Kuching - COngrats Pak Yo!

Pak Yo (my bro inlaw) found his love who came from Sarawak. It was interesting to be part of the entourage to Kuching for the solemnisation. It was fun and fresh from our trip to Phuket, now its Kuching. Wifey got herself a new kangaroo sack and Qayyim looks so comfortable in it.
We were in Kuching for 3 days before going to Damai Beach Resort in Santubong for one night. It was a wonderful trip and it was another nice break.

the sleepy head..

nice pic on the riverfront

happy cousins to the wedding

the family

with Yo and Amy

the big orang utan behind

Jungle trekking cam real

River Cruise

rugi tak tangkap gambar sini

swimming pool time

dawn at the beach

Phuket trip

The Phuket trip was a gamble. It was our first time travelling , our means wifey me and the kids without extra help! And this was going overseas as well:) We have been postponing our holiday for quite sometime and despite Qayyim still being 5 months old.. Hantam sajalah!
We started really early, having to wake up kids at 3+am is not easy with 4am being the time as we departed from Bukit Jelutong for LCCT!
Phuket was fun and everybody enjoyed their time. Luckily I took wifey's advice to go for the island trips as it was worth it and the children love it! James BOnd Island trip and Phi Phi Island trip was excellent and if I had known this earlier, we would have done it!

jalan-jalan Viewing Point Phuket

kenalah naik gajah..wajib:)

kids and me on our way to James Bond.. free flow Coke:)

Dzaeff konon2 kayak..

blazing hot on the ferry

Phi-Phi entrance

It was enjoyable and we certainly would like to do this again!

Help Dr House.. I need a diagnosis!

This has not been a productive year for my blog. Entries for this year is appauling if compared to previous years. I must be careful or this blog may go into extinction without me realizing it! In my previous posts, I've given few excuses which was valid mind you! However, one must remember that once one starts blogging, one must continue till one's last breath!
Let me tell you what happened to me since late May. I was sick. I fell sick. The reason why I'm blogging this is so that I can look back at this entry to recall the bitter 2 months experience.
I have no previous history of allergy nor any chronic illnesses. It all started in one of my calls. Initially i had a bit of itchiness in unspecific areas of my body but i thought it was due to the scrub's detergent. But after a procedure where i used the sterile glove, i had a bad urticaria attack. My whole body was red as a lobster and i needed a stat dose of IV antihistamine and steroid! Imagine, me doing the call with an IV branula on the dorsum part of my hand!
The call itself was busy and that created more stress to my body. By the next morning, my urticaria remained and i felt numb over my extremities. It got worse during the Saturday list and on my way back home, it was throbbing. I cant feel my fingers as it felt like exploding. I was in pain and needed a strong analgesic and a short nap to wear it off. The whole week, my symptom was severe urticaria.I was on piriton TDS.
The next week, the symptom changed and I had high grade fever.Of course, it came with a really bad headache where i had to sleep to wear it off. At the same time i was starting to have knee joint pain. Waah.. multiple symptoms! It looked like some connective tissue disease thingy so i had my blood worked up. I recovered from the fever but then the joint pain became more prominent but not static. It went from one joint to another and i remembered waking up with my fingers swollen like mad! The pruritis was bad and i needed to take the pirition regularly to settle the itchiness. It was a terrible time. I was in charge a lot of things then and i dont know how i managed to do it then. I guess I was lucky to have a team around me so when the time came, the plan was executed well. I had my SHOES ( Shadow Housemanchip Oncall Emergency Simulation) programme, State level CVC course and numerous meetings. My head was not right and it was terrible getting off and on bed during that period. I lost my appetite really badly and had to go for early night for weeks.
When i appeared for a meeting about 1 month after my symptoms started, everybody was shocked to see my state. I lost quite significant weight and it was obvious to many. Due to the worry that there was malignancy, an urgent imaging study was done to ascertain that we're not missing something sinister.At the same time, I prepared to ICU in case I react badly to the contrast given; anaphylaxis during the contrast study.
Of course, as with all my previous investigations the result was normal. The pruritis was really bad and I didnt know how to control it. It caused a lot of excoriations on my body and currently I'm having to live with the "injury" inflicted.Everyday I recited the syifa' after my prayers to make it go away as nobody could offer me an explanation or reason what is happening. The symptoms took turns and I was going nowhere.
At this stage, a lot of alternative explanation was offered to me. I went for cupping hoping that it could relief my agony but it did not really work. I lost 7 kilos during this period of time. Bukan senang woo nak hilang berat!!
Somehow, the symptoms reduced and slowly i am recovering. My head is clear and I am able to think straight without feeling drowsy or not in the right state of mind. My appetite was restored but I am not a keen food muncher as I used to be. At least to me, the positive side of al this is i need to maintain the weight i've lost so far! hahahaha
I've gone for two short holidays with the family the last 2 weeks. Hopefully it will help me to recover and Insya Allah, with every disease or illness there is a cure somewhere somehow..

A step to adulthood

early admission

happy n brave

Syariz n Yoke moi

weng lagi..

settle..bloodless.. painless..

and of course.. the promise :)

Tokoh Bestari KRS

Thank u Ustaz Ahmad for nominating me to receive this award. My involvement in KRS or during my time Kadet Putera Islam maybe brief but meaningful.

I was oncall that day but how can I dissapoint Ustaz! A very memorable day meeting other recepients with their interesting achievements.

Ultrasound.. the way to go..

I am fortunate that i am able to attend courses organized by the WINFOCUS group. I went for the Trauma Life Support a month ago and currently attending the one focussed on echocardiography. Its a structured simple course organized for critical care use and I am thankful that I've been blessed to take up this opportunity.Besides regional anaesthesia, this would be the other new thing i've really learnt recently.

Ultrasound usage for critical care is essential for my everyday clinical practice. This is more so during oncall. I've had few cases previously where i thought having the necessary skill in ultrasound imaging could give me advantage in determining the most possible diagnosis for me to proceed with the management.

I've been blindly using the ultrasound machine in ICU for the last one year. (blind as in no formal teaching telling my how to do it properly).I did not have too much difficulty to handle the machine as I'm quite used to it with my blocks and IV access. Its just when it comes to echo, you just learn it as you see how your consultant doing it. The results? i was only able to see whether the heart is contracting or not.. or the contraction is good or otherwise.. hahahaha but at least its better than nothing right?
I'm very impressed with how they came up with the syllabus as it was easy to understand and brings a whole new spectrum to my future practice. Understanding concepts and answering why and how certainly satisfied my intellectual hunger. Having the world expert to teach is a plus point and i must thank WINFOCUS Malaysia to initiate such a wonderful project. Of course the highlight of the day was doing the simulation training and having an all anaesthetist team (Hady, Shahnaz) & cardiac surgeon(Adli) is not as easy to handle as you think it is! hahahaha

Can you speak up please?

I took my IELTS Listening, Reading and Writing components yesterday and tomorrow I will have my short interview for my speaking component in KL. I took the exam in 2006 before joining the Masters programme as a pre-requisite.At that time i just took it without any practice. Unfortunately it is valid for only two years and i have to renew my so called "standards".
This time around there is a bit of pressure as i have to obtain a band score of 7 in all components. I managed to do so the last time around with zero practice and hopefully this time around should not be a problem. But then.. hahaha nanti kena resit baru tau.. ahahaha
I did feel that bit of pressure especially during the start of the essay paper.. ingatkan dah tera nak amik exam2 ni.. still i was obviously startled :) The funny thing about the essay was i am so used to the "keyboard" blogging style that i kept writing and then erasing before writing again. With the keyboards you just press backspace isn't it? hhahaha
Well.. another clue of what my future plan will be? TUUNGGGUUU..

Floating like a butterfly

It was my dean's vision : to have his staff "floating" around the world in between airports, catching one conference after another to present our latest findings. Our presence in the faculty was only for necessary obligations with students & juniors wanting to follow our footsteps towards academic glory. Waa... macam real..
Well, i had a go at this last month and indeed March was such a busy month for me. Juggling teaching, clinical work, oncall with conferences week after week is not an easy job i must say! I had a preview of this "vision" but at local-regional level. Still young to establish myself internationally.. hahaha but Insya Allah.

Basic Life Support Ultrasound Course WINFOCUS
It started off with me attending a 2 day course in basic critical care ultrasound organized by WINFOCUS Malaysia. It was an important event because of the increasing usage of ultrasound in my daily clinical practice. Being oncall is tough especially making important decisions and ultrasound imaging is helpful to assist me in that. I was a participant in this course and glad that i went for it!

AMEA Medical Education COnference IMU

I was then in my Alma Matter; IMU for Asian Medical Education Conference. I was slotted in the IMU Rhimes rejected Awards oral presentation session ( it was too good to be true if it was selected!). It was good to be back in Bukit Jalil and I am certainly impressed with the current infrastructure that they have. The facelift was done well that I was then proud to tell Hady and Suraya this was the place i was from :) A lot have changed and meeting back Mei Ling ( The Pro-Vost) was good:0 She was enthrilled to see her alumni there. She remembered me for my involvement in students activities then.Of course, i can never answer when she asked, " Why UiTM not IMU ?" hahaha.. maybe later eih?


sapa tu?

President and Provost of IMU.
Presenting my idea on simulation emergency training for medical students was an experience because i had international fellow presenters in my session. Honestly, i did not expect the conference to attract such interest from the medical educationist fraternity around the world! I had butterflies in my stomach before my presentation! hahaha and was glad when it was over!
Another thing which i did not expect was when i saw myself in the Alumni shout-out board in IMU's lobby. Wow.. hahahaha I knew about the exact presentation in the website but i did not expect to see myself there.. malu jugak hehehe

Acute Care Workshop MSQH

Prof YK Chan was given the honour by MSQH to run this workshop in HKL and i must thank her for including me in her team. I've been involved with her interest for the past few years and getting her recognition to give a talk and as a fascilitator is such a priviledge. Its not easy to be recognized by Professors and i guess meritocracy did pave the way. I gave a talk on "Transport of The Critically Ill" and it was well received.

3rd World Congress of TIVA/TCI, Singapore

My poster was accepted for this Congress and it was an opportunity that i could not resist. This was my first participation in World level conference. I was nervous to present the poster as i knew it did not have enough merit to compete amongst the best. The experience was overwhelming and something for me to have at the back of my mind the next time we are to present in ternationally.


It was an overwhelming experience being side by side with the world renowned anaesthetists who methods i use in my daily practice. Remifentanil-MINTO? Propofol-SHNIDER? It was cool to have a picture with them:)

Minto & Shnider

April will be the MSA ASM ; and being in the fascilitators' team for our advanced regional workshop will be a first for me.
I have a lot of invites to talk in the coming months... hmmm.. truly academic am i? siapa sangka...

Dzareif >60 days

MDQ4 aka Dzareif has really grown! He was 3.3kg at birth and looked small then. With breast milk power? waaaa.. a whopping 6.2 kg during his 2 month's scheduled immunisation! He is heavy to carry anyway.. hahaha and the way he fits nicely into the sink during our trip to Singapore was cute!
Dzareif is certainly different when compared to his elder siblings; he is much more demanding and tend not to settle easily. A "breast" session is not enough for him as he needs to be held closely before going to sleep. It was a far contrast from Dzaeffran who'll just doze off after milk, and only making "some" noise when its the next session! Wifey was weary during her 2 month's maternity leave.. hahaha

We tried to catch the hot air balloon in Putrajaya l;ast month with Dzareif having a go on a trip before Singapore. It rained though and we did not see high flying balloons.. but bringing all four for a trip hmm.. is not an easy job for an individual with your eldest being 6?! And i can't imagine how wifey will cope with them when i leave for ..... ( hehehe.. a new venture which i will reveal when everything is confirmed.. :)

Destination forever

This past one month has been on sad theme all along. Deaths were all over. Of course, the Tsunami that hit Japan became the news of the year. My condolonces to all the families affected by the natural disaster. News everyday seems to surface the dearth destruction which initially seemed mild. The Japan government is really smart in revealing as well as witholding information from the public. It looked not so bad but as time goes on, we saw what mother earth can do to even the most prepared population of the earth. Of course, the Nuclear crisis which has brought Fukushima out of Japan's map for the next 20 years is another story.

A legendary Mountain climber, Zaidi Bidin passed away early this month while climbing Nambuyokon. A beautiful blog was written by the person who resuscitated him during that trip. Thank you Gideon. It was a surprise, as he had been doing this all his life but when its time, it will be itself no matter where you are. Alfatihah to somebody i never really knew personally but a personality which shone during his burial. I was fortunate to be there and looking at those who came , who like me never really knew him that well was a blessing.

Nurleena's dad passed away peacefully at home one fine morning. It was only a few year's back she lost her mum after a brave fight against cancer. Her father became sick recently and just deteriorated. I was asked for opinion in that early stage but kept mum about it on her request. Brave on Nurleena, I'm sure your dad was glad to know you are around to take care the rest of the family when he is gone. My condolonces again.

Auntie Jau, Nurrun's mum passed away last weekend i her sleep. She herself was battling cancer and her death was unexpected. Nurrun came back with her children a day after and i guess having another death in a short span from her dad must have been difficult.

Well, we can never tell when our turn will be next. However, we have to always keep that thought in everything that we do.