Semoga Berbahagia =)

Tahniah Ili dan Azlan!

Saya bagaikan tidak percaya yang saya berjaya menjejakkan kaki sekali lagi ke bumi Cik Siti Wan Kembang pada saat-saat kesibukan dan keletihan yang memuncak; dengan satu niat-memenuhi hak seorang Muslim ke atas Muslim yang lain; memenuhi undangan apabila dijemput.

Saya bersyukur kepada Allah kerana memberi peluang kepada saya untuk bertemu kembali dengan 'ahli keluarga besar' saya semasa di Kuantan. Sungguh tidak disangka yang kami semua dapat berkumpul. Dan lebih menggembirakan kerana saya dapat bertemu roomate yang tersayang- Puan Marlisa yang sudah berbadan dua dan 36 minggu rupa-rupanya =)

Tidak terungkap dengan kata-kata akan perasaan saya. Bagi saya Ili amat bertuah kerana kami semua diberi peluang berkumpul bersama walaupun lokasinya nun jauh di pantai timur.

Melihat mereka semua, masih terbayang-bayang dalam kotak fikiran saya akan susah senang yang kami hadapi semasa memerah buah fikiran dan keringat untuk menyalur khidmat masyarakat kepada adik-adik pelajar sekolah di sekitar Kuantan. Khidmat masyarakat yang diberi adalah bukan untuk mendapat kredit merit, bukan juga sebagai platform untuk sekadar membantu meningkatkan kredibiliti diri. Ia lebih daripada itu. Ia bukan sekadar sebuah program untuk pelajar-pelajar sekolah. Ia datang daripada hati yang letih dan risau akan apa yang terjadi kepada masa depan anak-anak bangsa jika mereka tidak dipandu dan disuluh dengan kebaikan. Saya rindu akan semua itu pada saat ini.

Perjalanan pulang saya di dalam pesawat ditemani dengan memori-memori tersebut. Kereta rosak, duit tak cukup, kejar bas, bermusafir bersama-sama, kena 'pancung' oleh ketua fasi dan sebagainya akan saya kenang sampai bila-bila. Susah dan senang berprogram dibayar oleh Tuhan dengan kemanisan nikmat berukhuwah yang masih kekal sehingga kini.

Apa pun, tahniah sekali lagi lagi untuk Ili dan Azlan. Selamat berjaya dan bersabar dalam menghadapi cabaran alam rumahtangga. Semoga melahirkan mujahid dan mujahidah untuk meneruskan perjuangan ini.

Selamat berusaha untuk Wahid, Jepa dan kawan-kawan yang akan menduduki Professional Exam tahun ini. "Wahid, berusaha dan terus berusaha. Semoga kamu sentiasa dirahmati dan dimurahkan rezeki."

Irwan, Pejal, Syibi, Jah dan yang seangkatan, "This is the road not taken by others. But, believe me, it is worth it. Please take care of the Team for us and for the ummah. After all, don't forget, academic is always number one."

Oh, kena ucap terima kasih pada Ilman dan Q juga sebab hantar ke airport tempoh hari. Perjalanan yang penuh suspen. Dan kalau nak tahu, akak adalah orang pertama yang masuk flight hari tu. (I checked in at 6.40pm for a flight scheduled at 7.15pm-what a great relieve!). Kalau tak memang akak terpaksa tumpang NCJ **** balik Seremban =)

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p/s : Saya tidur di sepanjang perjalanan kerana saya post-call. LCCT-PC-Pasir Mas. Semasa di airport, saya tunjuk pada pemandu teksi alamat Ili dan minta dia kejut saya bila sudah sampai. Nasib baik dia tak bawa saya sampai ke Golok. (It was definitely dangerous but I just couldn't help it! - and I don't want to do it again).

Gambar : Kredit untuk Jepa@Facebook

"1,2,3...Push!"

"1,2,3...Push! Teran panjang-panjang. Curi nafas. Sambung. 1,2,3...Teran! Sambung Puan. Kuat semangat." No where else would you listen to that command.

At last, O&G posting has ended. Surely I will miss it very much especially the labour room; which was my passion and where I found most of my satisfaction in O&G.

90% of my on-calls were labour room calls. I really didn't mind with it. Conducting deliveries, encouraging moms to bearing down, resuscitating the newborns and suturing the tears plus teaching the taggers on those matters are my passion and satisfaction. Red alert is a never-wanted-situation but experiencing it gave me of course points of learning on how to deal with it if I'm the leading person.

Respect and humble are keys to survive in labour room. Facing and dealing with the midwives are truly an art of living. They are years-experienced than you. We can ask their opinion but never forget our MO for any decision. The two lives are always the priority. Once the midwives have confidence on you, live is much easier.

My last call was the most peaceful I had with 1 hour interval of empty labour room (so, around 1 hour of sleep!). I never had that situation before as my labour room was usually full with extended beds. Owh, I must thank my MOs for always be patient with me when I woke them up for difficulties I faced and also special thank to my staff nurses for helping me a lot!!!

I just can't imagine if I'm the one who is in labour or whose perineum being sutured. It must be very painful. That's why I would always try my best to treat my patient with gentle; but once in a while I just couldn't maintain it =(

My usual advice to my patients before I discharged them to ward:

"Lepas ni Puan nak berpantang di mana, dengan siapa? Saya tak kisah Puan nak berpantang dekat mana atau dengan siapa, yang penting minum air banyak-banyak; bagi luka cepat sembuh, najis lembut-tak dapat sembelit dan banyak susu untuk bayi. Lepas ni Puan kena bincang dengan suami macam mana hendak merancang keluarga ye."

They said every husband should observe their wife delivering their babies; so that husband would appreciate wife better. For me, every child should also observe how difficult and struggling were their moms to deliver them so that they would at least not hurting their moms' heart.

"We have man kindness to his parents; in pain did his mother bear him, in pain did she give him birth," Surah Al-Ahqaf (46) : 15

Narrated by Abu Hurairah; a man came to Allah's Apostle and said, "O Allah's Apostle! Who is more entitled to be treated with the best companionship by me?" The Prophet said, "Your mother." The man said, "Who is next?" The Prophet said, "Your mother." The man further said, "Who is next?" The Prophet said, "Your mother." The man asked for the fourth times, "Who is next?". The Prophet said, "Your father." (Sahih Al-Bukhari).

After all, goodbye O&G. I know there are a lot more knowledge that I haven't gained but I hope that my little experience would be beneficial for me in the future. Thank you to all my consultants, specialists, MOs and colleagues for the guidance. I wish to all colleagues who are really interested in O&G to go for it. It is a sacred job; helping honoured and noble persons on earth - wives and moms.

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Lesser Time to Live - Revisited

"We have enjoined them concerning his parents - his mother carries him in her womb while suffering from weakness upon weakness and then weans him in two years - That's why We commanded him to: "Give thank to Me and to your parents, and keep in mind that to Me is the final goal."

Surah Al-Luqman (31) : 14

My mother; Puan Wan A'sah is at the left side

To my mother,

I still remembered when you had once said, "The birthday is for the children to thank and dedicate their appreciation to their mother after all the difficulties that she had gone through the pregnancy and labor. It is for the mother to be praised."

It is very true.

So, thanks mom for being such a good friend and example for us.

Thanks for always being by my side since the past 26 years.

Your prayer is very precious for me.

Please pray for my success in the world and hereafter.

You are indeed the greatest mother for me.



To my father,

The one who sacrificed a lot for the family though it was hardly apparent in the eyes of the children.

Thanks for your continuous support to me for the past 26 years.

You are indeed my hero in life.

Two pampered daughters in the family (they 'fought' each other to get attention). The rest would blame the date of delivery of them for their behavoir =p

To Madihah Naim,

You are a teenager right now.

So, please act like one =p

You need to learn on how to stand on your own (do not wait for me if you do not understand in your study, try to solve it first)

In any way, I enjoyed 'bullying' and 'fighting' with you since the past 14 years =p

Happy Birthday, Madihah Naim Mustapa (and to me) =)

"Indeed, We've created man from an essence of clay,

then placed him as a drop of semen in a firm resting place,

then changed the semen into a leech-like mass, then leech-like mass into a fetus lump,

then a fetus lump into bones, then clothed the bones with flesh,

and then We brought him forth as quite a different creature

so blessed is Allah, The Best Creator of All.

Then, after living for a while you shall die,

then most surely you shall be raised to life again on the Day of Resurrection."

Surah Al-Mukminun (23) : 12 - 16

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O&G in February

O&G in February...

I was in gynae ward for 3 weeks. I was exciting learning new things but at the same time was very tired with it. Physically tired with work and emotionally upset with the 'outsome of social illness'. I felt upset with all the extramarital pregnancies that I met. I felt more upset when I couldn't do much about it...I could only slowly talked to them (hardly found suitable time) and the least I did was offering my prayer for them.



The best moment was when I was in-charge of all the onco patients. In the first 2 days, I mixed up the cases while presenting to the specialist...I was not sure which patient was which...ovarian ca? cervical ca? endometrial ca? peritoneal ca? For what I knew, they came for chemotherapy. I was also very blurred with all the chemo regimes - cisplatin, carbo-taxol, ECO, EMACO, gemcitabine..etc and which one is for which cancer..huhuhu...luckily I have SN Siti, our experienced onco nurse to help along the way =). After a few days, I found oncology is very interesting though very challenging (including inserting branula for them =P). I was always inspired by their spirit to fight with the cancer. Most of them came for chemo with smile and hope. It was very few looked depressed or in tears (maybe they have enough of it until they have no more tears). I missed my onco patients...I really meant it. For all of them, my prayers are for you. Be strong. Be strong. If you can be that strong facing life, I must be able to do so.

For all I know, I never like working in OT since student time...but I could never run away from it. I just can't imagine if I'm the want who perform the operation. But so far, I enjoyed working in OT with all the cool MOs and surgeons =) Hopefully, no more OT after housemanship..hehehe..

For my on call, as usual...busy till next morning regardless of ward call, what more if labour room call.

Now, I'm in clinic. Life changes a bit. But still many things to learn though I'm approaching my final month in the posting (oh, I haven't plan for my leave =p). So, keep moving forward!

The challenge during housemanship is to maintain the enthuthiasm to learn despite unmerciful working hours and burden. Learning is the motivation to continue working. Otherwise, I must have been collapsed since long time ago. Why sacrifice life for others? But that's the way I've chosen. No regret about it. I learn because I want the knowledge for my work. I work because of the trust on the limited knowledge I have...and I am accountable for it.

After all, the ultimate reason why am I living and doing things in this world is because I'm going to die. Once I died, I have no more chance to do something to protect myself from the hellfire in the hereafter.

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p/s: I missed my IIUM friends and lecturers very much!

Ward 1A

This week; being in the 4th week in antenatal ward, my working life is full of excitement;

First and foremost, of course with all good colleagues, MOs and staffs in ward which make the working environment and atmosphere less stressful. Credits to my fellow colleagues: Nithiya, Fadilah, Izni, Khairie, Fitri, Azrin, my MOs : Dr. Brintha, Dr. Teoh, Dr Iram.

Secondly, I learn a lot of lesson in obstetrics. I am so happy as I started to appreciate what I've learnt in medical school. I thank my MOs, specialist and consultant for the guidance.

Thirdly, I went back early during my turn for night round...thanks to the cool MO for the understanding.

Many more exciting moments during this week, but I'm just too tired to jot it down. Anyway, I love working in ward 1A =)

Tomorrow I'm on call in labour room. I really hope it will be good call. I don't mind if patients come and we have double beds; and we deliver all the babies safely. I just don't want any deceleration, non reactive CTG, poor progress, secondary arrest or instrumental delivery...and if possible to leave all patients with intact perineum =p

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Next Graduant

Congratulation to my sister.

First class honour - Degree in Library Science, UiTM

I was not there as I was still tagging in O&G department that day...quite difficult to have a day off..huhu

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Ladies, mothers, babies

One good thing working in O&G department is I seldom see a truly ill-looking patients except for cancer patients in gynae ward (or maybe I haven't seen enough). No intubated patient, no ventilator machine sound, no continuous SPO2 monitoring, no nebulizer, no nasogastric tubes, no stab PD seen. Everyday when I walked into the ward, it was so chill with the pregnant mothers patiently waiting for delivery.

I like O&G. I like the subject itself and I like to serve the mothers, babies and women. Among other rotations in the posting, I just like working in labour room though it is full with mixture of many sounds and voices. The satisfaction of helping the mothers in giving birth for the babies is indescribable with words. I prayed for every baby that I handled for them to be a good child to their parents.

I'm now in antenatal ward with all the good and sporting colleagues. But, TDS rounds really make me sick...it is funny to review post SVD patients or PP patients during night rounds. The MO also did not see the patient like other patients. Nothing much change the night rounds. New cases and acute cubicle patients are more worth it to be reviewed. Regardless how much or loud we talk about it, nothing will change. So the best way is to change our mind setting about it so that works do not seem so stressful (but it's really tiring). Though I'm approaching 4th week in antenatal ward, there are so many things that I need to learn for the sake of my patients.

My aim before graduating from O&G department is I must learn and know the proper way of doing TAS. I need to work for it.

After all, up to this point, I don't think I want to pursue in O&G, just because I do not have full interest in working in OT (I can do it but I don't think I want to do it forever)...huhuhu...my mother must be still praying for me to do O&G (she hopes so, but she doesn't stop me if I want to do other things).

To all my patients and mothers-to-be (regardless which gravida you are), please behave...i'm on call on this Sunday; being on 4th call; covering both antenatal wards...please no non reactive CTG, no high BP, no pre eclampsia, no PPH, no jaundiced baby. I just want you to stay safely in ward or I safely send you to labour room for delivery =)

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