Shah Alam 21k night run

After the talk during the day, guess what i did that night? haha

I DID NOT PRACTICE AT ALL FOR THIS RUN. And i registered post hajj aritu kononnya motivation la to start running again. Haha My mileage before this run was probably only 6km per week itupun tak tentu!

I've totally lost my fitness and slowly trying to regain it back. I had second thoughts about not coming for this run but its the new year, so i have to change something! Haha so belasah je la. Lets see how far i can go. I sort of "retired" last year and hence i can say that i've not run competetively for almost a year! I registered for few but chickened out at the very last minute because i did not have the motivation. 2016 lain sket aa.. 

 Puncak Event became the main organizer for this run. ALhamdulillah, bisnes Deeno and Pak Am maju jaya as they are organizing more races now. Doing really well insha Allah and I will supportthem in any way that i can. Termasukla join the race hehe 

 The running route was phenomenal. It was superly humid but that is not my excuse for doing a very slow time. Obviously, i did not train for this run so it was a disaster. If it was 10km i would have been not too bad. But 21km?/ haha memang gila lah. But then again, 10km is of not so much challenge. The pain of reaching the finishing line is something i've missed for at least one year. Ada umph lari 21km! But definitely not 42km hahaha yang itu kalau tak train memang cari nahas! 

 I ran for 10km and after that a leisurely walk for the next 11 km hahaha seriously! Felt good at the beginning thinking eh.. macam boleh je ikut pace. But reaching 8km i knew it was my delusion haha time tu pun kaki cam nak cramp! hahaha So better slow down as if i injure myself tak habis the route, lagilah buat malu! 

Managed to reach the finish line in one piece. NO obvious injury but at times twitches je lah. Alhamdulillah, yang penting tak injured. I do need to buck up for my project this year! Especially to get back my fitness. It made such a difference when you are fit! I do hope to find time in between my busy days to run insha Allah. 

UPM Fiqh Medic talk 16/1 #DIAgnosis2

I came early to the event. It was not difficult to drive from Shah Alam to Serdang. The UPM medical department is just beside Serdang Hospital. The students who received me did not know who I was. It was okay ..takpela.. haha  Im not as famous as Ben or Anwarlah kan. haha 

Our slot was due at 11am as the third slot. We were his sideshows.  I was keen to listen to the talk of the earlier slots. It was about Medic fiqh by Ustaz Fauwaz Fadzil Noor. Alhamdulillah, I was not disappointed. He was a good speaker and I am lucky to have his book with me. A souvenir signed by Ustaz Fauwaz himself. He is the son of Allahyarham Ustaz Fadzil Noor (past president of PAS). I am sure he will follow his dad's footsteps.

 He dazzled the crowd with his persona and jokes. The mood was elated after his session. I said oh no.. we have to keep the momentum going. Me and Azah were due to speak about Depression among medical students. Honestly, if we were not careful it can be a very dry topic for a forum. We had to step up! 

 I wasi n my Maharaja Lawak mode haha I am lucky it sort of click otherwise it could have been a disaster! I must apologize to the moderator as she was the person whom i picked for the crowd's entertainment.We broke the ice and the crowd was certainly concentrating on our event.

I started of by defining definition and the data which depicts that in general 1/3 of medical students anywhere in the world facing this problem. 

Azah was at her usual best - "mini" Prof Muhaya; a true inspiration and role model to the medical students. 

It was an enjoyable session and I thank the organizing committee for inviting us. Of course, my hunch was my name will not be the first in their minds to invite but Insha Allah, I will always give my best to share and hopefully the crowd benefited. :) 

Jom meh dengar

This year the Diagnosis team will try to engage the public more besides our incoming write ups. Insha Allah, sharing is caring.

A spin off from our earlier engagement with CUCMS. Insha Allah, semoga bermanafaat. 

Can/t intubate Can't ventilate - Sux magic.

(This is a very technical post - mind the terms but I want to keep this as an entry) 

After a long lapse of this possibility, we had this episode recently. This was something all anaesthetist feared and the nightmare happened.

This patient had a BMI of just 30 however the airway was suspect from the beginning. His mouth opening was small, a Malampati 4 and he had a thick short neck. However, it was not we have not encountered such patients before so the case was to proceed as planned. I was there to help up my colleague and this meant we had 2 consultants standing by. 

The issue about difficult airway is IF YOU LOSE THE AIRWAY. This means the inability to oxygenate the patient and that can be catastrophic. If one can continue to oxygenate, then the attempt for laryngoscopy and intubation can theoretically be as long as possible. 

At the same time, patient was suspected of having an acute abdomen which means the risk as gastric content regurgitation to be high! So it was a catch 22 situation. 

Traditionally RSI (rapid sequence induction) will be the gold standard to secure such airways. The arrival of sugammaddex (direct reversal of Rocuronium) has changed the airway management to a certain extent, however traditionally one would still use suxamethonium as the mainstay for safety. Especially in a centre where one might not have the full equipment for back up. 

True enough, this patient had a very anterior position of the vocal cord despite a satisfactory tube on the C blade of CMAC. The view on the Long blade was 3B at least and no way of manipulating to get it a 2 or 1. It was difficult to negotiate the tube to be placed in the trachea. 

As i've mentioned before, we had BIG issues trying to bag mask the patient when the saturation dropped, and by the 3rd attempt it was almost impossible to mask ventilate the patient. He desaturated badly and in my mind i was already thinking of attempting a direct invasive airway.

And the magic came.. sux effect came to and end and the patient breathed spontaneously. And this spontaneous breathing was the thing that kept him alive. His saturation picked up straight away without the muscle relaxation. 

It was a sigh of relief.. ultimately safe this time around. Thank god for suxamethonium property of being a depolarizing muscle relaxant! 

We woke up this patient as how the protocol would recommend us to do so. We explained to him what had happened. The next step was supposed to be awake fibreoptic intubation - unfortunately we did not have that facility. Thus we had to transfer the patient to our sister hospital so that this case can be managed accordingly. 

It wasa heart stopping moment, i have not had this type of situation for quite some time. It tested our ability to think as based per protocol. It made both of us reflect on the importance of having plans B and C all ready when disaster strikes.

Alhamdulillah..

Marissa in school now

Alhamdulillah, everything went well today. It was Marissa's first day of formal school. Like many other kids her age, the anxiety is not as prominent as how it was for kids 20 years ago. They are used to the environment because of their kindergarten. Hence it was a breeze to see them beginning their new chapter in life. 

 The orientation for SKBJ was last Thursday, and as how they have experience it many times before, everything went well and smooth. I am sure once Marissa is used to the school buildings she will enjoy school. The school is really nice to be at and i pray that they enjoy school as how i used to when i was their age. 

 When Qaisya was in standard one, i knew i could rely on Qayyum to guide her. With Qaisya i was a bit sceptical therefore i arranged mama to monitor their first day of school. Qaisya did well in being the big sister, alhamdulillah. I guess they do mature with age.

Insha Allah Marissa, Walid pray that you will enjoy school and do well in your studies. You have always been the strong willed one.

Kais pagi makan pagi

 The best peribahasa for my current job and position.
Kais pagi makan pagi,
Kais petang makan petang,

p/s check out my scrubs cap.. haha fanatic..

The force awakens review

Kecoh-kecoh satu Malaysia and I was part of the craze as well! Haha We actually watched it on the first day of release, it was supposed to be buying school clothes day but we got diverted. How can I not watch it and my kids were as excited as well to be watching it on 3D. Haha I did not have to book in advance because it was a working day. Sure banyak tiket nye show pagi-pagi and it certainly was.

 First of all whatever the souvenir was available, belasah bought all haha and of course the excitement watching it again. And bila credits mula tu pun I was like.. fuiyyoo..fuiyyoo.. haha memang true fan lah! 

 JJ Abrams did justice to the franchise. He was not too CGI thus the excitement felt real. The battle scenes were amazing and simply mesmerizing! For the hardcore fans this movie was what everybody waited for. The speculation and theories which came out in 1985 after the ROTJ resurfaced and it was interesting to discuss amongst friends :) Haha 

However, the storyline was too predictable, macam remake. So for that value memang kureng ah.. but who cares! This is the Star Wars that we all waited for! I can still remember the disgust and disappointment when Episode 1 was released. It did not capture the trilogy spirit but it was enough to make people understand why there was 4,5 and 6. Now 7 is up and the expectation is high to see what is in store for 2017 - Episode 8.

Resolutions and expectations

Every year everybody will make their own resolutions. I have without fail being religious to this practice. Alhamdulillah, i have managed to achieve my targets year in year out. 2015 was memorable as the only objective was to fulfill my 5th pillar of Islam obligation. It was a wonderful journey and a reflection of my future endevours.

IMAN

This would be a life long challenge. More so after hajj. It is a struggle to keep the motivation as how it was duirng the hajj period. The things that you have to do in your daily life and balancing it with core ibadah. It is not easy to stay istiqamah but i guess that is what hajj is about. Its the after maintainence and not about the induction!  To rethink and rediscover the inner peace you had at that time. Insha Allah, so help me God! :) 

IDEAL BMI

As usual, getting myself into the ideal weight category will always be the aim. It was successful 2 years back but since coming back home, it was an almost impossible task. Last year was worse, as the amount of effort put into exercise was almost non-existence! Haha.. Partly it is because of my current job which can be unpredictable at times. However, it should not be an excuse I feel. Therefore, I want to get myself fit again. This is the only way to reduce my weight to an ideal BMI. The food is Malaysia is too non forgiving and it is the time to look for in doing my run or cycling would be the main issue. 

CAREER

Being in the private service now, there is not much career advancement, probably looking more at increased remuneration. Haha Well, this will depend on the progress of my centre. Alhamdulillah, the one year so far has been adequate and I thank god for that. I should expect my day cases to be more complicated by the day as the centre is growing as well. Unless, i have another offer from another place.. this would really have to be good if i decide to switch camps. I do miss my cardiac though especially off pump CABGs. Im not sure what opprtunity would beckon, but i am disappointed that the previous centre where I was not keen on having me be a part of their team. I am not sure why but i guess Allah knows best. Husnuz Zon.. hehe i will try to find ways to be able to practice cardiac anaesthesia again.

BOOK

This will be an interesting year as a spin off to Diagnosis 2's success in 2015. My challenge is to produce my own book, and perhaps a collaboration for a future widecreen adaptation later. Insha Allah, I am looking forward to this and we'd see how this will fare in the coming future. It is not a simple task to produce a bestseller but Insha Allah, I can only try.

Insha Allah, Bring it on 2016!! 

First post 2016

Salam Tahun baru 2016!!
Last year I was on top of the world, looking for connections haha