Meet HappyDoc

Tabur 3.0

2011-07-08T16:01:00.002+08:00

For those who resides in K.L and love some actions, I would highly recommends Bukit Tabur as short weekend gateways.

You wont be disappointed with some action and obstacle during the journey to the peak. The breathtaking sceneries ( you can view different side of K.L) , the companions and of course the people you meet along the way to the top make this journey meaningful.

I went there last weekend with my friend SK-Doc and Mr Halal-man. Total time journey to the peak is 2 hours (including rest time) and return journey is only took about 30 minutes.

Conclusion : It really worth for your time and effort.
Level of difficulty : 6.5 out of 10 ( HappyDoc is afraid of height, please dont tell anybody he he)
Picture taken : countless
the experience itself : priceless!

Allow me to share some of the moment captured ...he he
****The credits goes to Olympus camera and the photographer

"The moment"

The hill beside is just waiting for HappyDoc and his friend to be conquered he he...

Ths Klang gate view. Simply superb!

Bulit melawati view with houses in between

KLCC and KL tower view - standing with pride

Race : it just a state of mind

2011-06-28T17:21:00.000+08:00

If u ask me to join marathon 5 years ago. I'll definitely say no. Fullstops. I don't think I can do it at that point of time : )

Long time ago when i was in primary school, sport and me does not get along together.
During the sport time i prefer to stay in the class and do some reading rather than spent my time in the field. Yes i know, it sound very nerdy he he.. (yes I'm a nerd he he) : P

Last Sunday, I did my very first 10 km Marathon which i never thought i may do it in the past. (after hard practice of course he he..) I made it in 1:05:36 which is considered good for my level he he.. I had a lot of fun on the marathon day and i have made new friends along the way.

After all race it just a state of minds. If your minds believe you can do it, then you are already half way doing it. Believe in yourself :)

P/s : My partner in-crime, GymmerDoc finished 12 minutes later than me he he...

City of Angles

2011-06-23T16:39:00.005+08:00

My initial plan going for diving has been postponed.This has bring little frustration to me.
Now, change of plan. The plan B is to visit City of Angle since I've never been there before...he he

After a quick google search and done few clicking at Airasia website (and few transactions involved he he). The plan has became reality. I went there with my partner in-crime : GymmerDoc

K.L and Bangkok are both considered metropolitan city but both are not the same.

1. Public transportation in Bangkok are superb. Every area are well covered with efficient MRT and subway. And i must say K.L is left few years behind.

2. Shopping complexes in Bangkok are closed early as early as 8.30pm. Late buyers are not entertained.

3. I only knew that Bangkok has the enormous shopping complexes in the South East Asia. I thought Pavillion , KLCC and midvalley-the Garden are among the biggest. Later I found out it is actually combinations of few shopping complexes which are connected with sky bridge - thats cheating he he....

4. Food in Bangkok is tastier than in K.L (in term of authentic food) but K.L has more varieties.

5. The focus or main attractions between K.L and Bangkok are different. K.L is more for shopper and business traders but Bangkok is city for entertainment. ops!- i don't want to elaborate further on this...he he. But I believed that it is not they opted to do. Probably their financial status or economy give them hard time.

6. I like Thai language. It sound very soft and polite.

7. Overall, Thai's are very friendly even though sometimes a little difficult to communicate in English.

8. There a lots of places you can spent or accidentally spent your money he he...

I had a good time but i've decided that i'm a "sand and beach" and "sight-seeing" type of person. But it a good experience tough. I need a really good food massage after this trip ended : p

Gold lining clouds

2011-05-14T20:43:00.004+08:00

Every obstacles you went through will make you to stronger.

Passing an exam is not everything in your life. There are lots more other thing matters. At the end of day it just another exam and it is not the end of you day.

When you face an obstacle or when you have not achieve your dreams, look back on what you already had and the people around you who has support you all the way. then you will realized how lucky you are.

Thomas Alva Edison only successfully invented light bulb on the 100th experiment. He take it from the positive site and found 99 ways his experiment not working. If he gave up earlier, i'm pretty sure we wont have light now.

Every clouds has silver lining. Perhaps, this time around, it not just silver, it probably the cloud is lined by gold lining :)

.............like coffee without sugar?

2010-10-08T22:16:00.007+08:00

Note : This entry is a self reminder for happyDoc too : )

When we look at other people, how many time you say this to yourself ?" Look at him.
He had everything, he got the looks, wealth, fame and friend. How I wish I can be like him. "

This is normal... Yup. It is normal to have this kind of reaction.
We only see how lucky other people and how unlucky we are...
But sometimes we need to sit and take a step back and appreciate on what we already have. (Yes you already have a lot, it just you don't appreciate it, and you asking for more? you greedy creatures he he..)
and if you appreciate it you life will be more meaningful, happier and you will be surprise a lot more will comes..... ho ho ho

Remember, the field is always greener on the other site : )

Striking comeback?

2010-10-02T22:36:00.004+08:00

Yup i t has been a year i stopped writing. I must put the blame on the facebook which has make blogging less popular he he... Now everybody is so into facebook, twitter, blackberry, iphone and ipad he he

For the past 1 year i have made new friends, challenge myself with new adventures and even learn from mistakes i made. I'm sure past 1 year is best time and worse time for some of us : )

This Ramadhan is the best, i must say : )
I meets a lot if new friend but at the same time the friendship with my "old" friend remains strength and even closer : )

Hurm...One of my friend said Aidilfitri is less merrier as you grew older (he trying to say its getting boring he he)
But i did not agree with him.

Aidilfitri is the reflection of our self...
Getting older is not necessarily you becoming a boring person...
It how brilliant/creative you are to make your life fun, interesting and lively ; )
When you grew older err I mean mature, you must not think about yourself
Sometime when you make others life cheerful and happy, you will find yourself happier
Happydoc comment : try it yourself, you can never regret!

Eid Fitri

2009-10-01T17:29:00.006+08:00

Salam Eid. I think it still no too late to wish Happy Eid (as Eid is for a month he.. he..). Another celebration of Aidilfitri this years. But this time I felt that the time in one whole month of Ramadhan fly so fast....I realized that, one good about Ramadhan is there less H1N1 case in my working hospital and the whole Malaysia.
It must be because of Allah bless....

One thing I'm not sure why, this year Eid celebration was not as great as before.
Done this, done that, all the preparations but the feel of celebrating Eid was totally different. Not like 4-5 years ago. I still can't figure out what's wrong. What missing.... (scratching head)
But one thing for sure, I completed 30 days of fasting, (like most of us he.. he...) Alhamdulillah.... so, everybody should celebrate our victory.

Another things for sure, It's the spirit of Eid that all us us that we need to celebrate.
Because a body without spirit is a...... death body
So let's keep the Eid spirit alive! Selamat Hari Raya Aidilfitri everybody!!!!!

New face lift

2009-09-29T12:02:00.003+08:00

Happydoc space's got a face lift. Hopefully it is an inspiration for happydoc to write again he.. he..

Spot the word!

2009-08-18T23:08:00.003+08:00

My washroom needs major cleaning work, so I decided to get the necessary thing from the shop. And of course I need a super string powerful detergent he... he... ut then I fond that something very funny on the detergent label. It can kill flu virus? har har har....
I guess it not Tamiflu alone that can kill the flu virus, but this detergent also can do the same thing he he.... I think i just their a marketing strategy but it might confuse the public. I'm not surprise after this if more patient come with clor** poisoining har har...

It must be the air!

2009-08-12T22:27:00.005+08:00

Few of my good friends get sick and admitted to hospital recently. Nowadays, with unpredictable weather, H1N1 outbreaks, sedentary lifestyle and stress at work, it not a surprised everyone get sick easily.

One of my good friend during my medical school day was admitted for young hypertension with severe headache. He was found to have a big cyst in his brain. The news is shocked to all of my friend and me. Having good friend suffered from a disease is totally different from treating patient....

Dr F is also just recently discharge from hospital for influenza-like illness. Luckily it's not 'that" disease. He is a fighter and win the battle. Now he is back to battle field, jeopardizing himself to treat those who needs help. ( He pay me to said these actually he he...)

Another friend of mine recently, just found out her 6 months old child is going to be totally blind. It's her first child and I run out my words to show my empathy. I just can't imagine what her family going to go through in near future.

What we can do now, is to appreciate one of the greatest God's gift i.e health. As most of us never appreciate it until you loss it.....

p/s please pray for my friends....

Patient or patience?

2009-08-09T00:55:00.002+08:00

It has been long since i haven't write anything. The story that I want to share happened about 2 weeks ago. What I hate most is an arrogant patient with bad attitude. This happened 2 weeks ago when I'm doing my part time job.

The a couple who come for medical advice. The husband is a worker of a medical center in KL and the my pert time clinic happened to be one of the panel clinic. He come for food poisoning and his condition wasn't to bad and actually improving ( most of food poisoning is self-remitting). After explain the diagnosis and treatment to this couple, they seems to satisfied without asking much question.

Now, when it come to the exciting part, MC. I personally don't think this patient need MC because he already on leave on that weekend and the next working day is Monday. The symptoms is improving and Ive already prescribed his medication. The husband seems to be okay with that but his wife start to show arrogant and unsatisfactory gesture. She start to raise her voice. She insisted the MC to be given to his husband because she want it as a "standby" if her husband getting worse on the next day.

The way she talked really pissed me off. I've already explained everything to them earlier and his condition is getting better. His husband is a staff in a medical center in KL, what he can do is just walk to staff clinic on the next day if he did not getting better for better treatment of course.

The whole scenario really testing my patient and ruined my mood that evening. The husband seems to be okay and just relaxed but his wife really needs behavioral therapy for her attitude. Pretty face alone with bad attitude is just such a waste....

Beautifully imperfect

2009-07-29T22:16:00.005+08:00

A funny but yet touching commercial by a multi award winning filmmaker, late Yasmin Ahmad. This is her last commercial I guess. She said "in the end, the little that make them perfect for you.................." (which is very true)

Under maintenance

2009-07-19T12:58:00.005+08:00

It it not the blog who need the maintenance but the writer har har har...
Like this song clips very much... the words said is touching beyond my heart he he..
BTW enjoy it : )

2009-07-06T22:17:00.003+08:00

I witnessed a true love today. This story is about a patient who I thought not so lucky initially because she had lost both of her hands and legs under the surgeon's blade because of her disease. But I was totally wrong, the reality is she was so lucky to have her husband (and children) who love her body and souls (because she only had her body left.....).

She is totally dependent on her loyal husband in every single things. And yet she still looks strong and never show any give-up signs. Her face was so calms and she appears really accepted her bad luck. I really respect both of them. The challenge is so big but yet they still stand still together. I wonder weather can I be like them. It must be something good that she had done in the past and God has pay her back I guess......

I told u so....

2009-07-02T15:50:00.003+08:00

I'm oncall again last weekend. And it's a busy call. The patient that I told you in the previous entry (who refused dialysis) turn bad. But this time, he turn really bad. His blood pressure really low and now he depending on the medication to maintain his blood pressure. My team was called again to review him.

This time his family member was not so fussy and 'pushy". They "listen" my my explanation as I already told them this is what going to happened is they didn't listen to our advice. I try not to give " I told u so" face and I try not to be judgmental. But even after all the trouble they give to me in the past, I still very sorry for the patient. I think the main reason he refused dialysis is because he don't want to burden his family. But he don't want to tell them. For him it's his decision and if he died, he will died with some proud and dignity. He is not young anymore. Life is never easy and some of us is not as lucky as others.......

What an irritating &^%%^$

2009-06-23T21:10:00.004+08:00

I'm not sure weather it because of Monday blues or it because of me. I was doing my round in ICU as my routine. Then i met with one patient who need dialysis long time ago and he and his family keep delaying it and they refused to share the reason. But that okay for me as long as patient and family member understood the consequences of their actions, I will respect their decision.

The not so okay part is meeting with the family members who extremely demanding and fussy with almost cause me lost my temper (well i don't loss my temper easily). They want the best for his father. That part, I clearly understood. But when i say now is the best time to start dialysis, they gave me "that" look and start asking again the question that i has been answered earlier. So I explained to them again and again and we back to square one (again ?). Well i guess work has become tougher and tougher nowadays. God, will give strength and patient to serve the sicks.....

The biggest winner...

2009-06-15T23:20:00.007+08:00

The weather is pretty hot now days. With El-Nina (it's not a name of girl he he..) is expected to visit us somewhere in August, plus hectic day at work, I decided to go swimming to public swimming pool to divert all my stress.

When i strokes, I realized that the journey in our life is just similar when you swimming. Each breath you take you must planned and well coordinated. Each swing you made must synchronized with your leg strokes or otherwise you might not catch enough breath or may not make an efficient moves. Then, all your energy will be wasted. You can't stop or otherwise you may sink or drowned. When u reach one end, it just a new start to the other end. But at the end of day, you are a winner after you completed your lap (Sound .......philosophical? he he...)

What I what to remind myself and others is all of us a winner as we never stop to fight in completing our own cycle of life. Nobody is born as a loser or biggest loser......

To panic or not to panic

2009-06-08T20:42:00.008+08:00

HIN1 virus has reach Malaysia few months ago. But there no reason to panic as our health system is ready for another outbreak ( See, Malaysia health system is not too bad okay....). As I remember the last outbreak was 4-5 years ago (Nipah virus) and we manged it quit well. I still remember during my pre-clinical year in medical school (not so long time ago he he...), my lecturer said a fast spreading viral outbreak (the frightening Ebola virus for example) will dissappeared quickly. If i'm not mistaken, H1N1 is not a fast spreading virus, so it take some time before it totally cleared. Not all infected patient will end up with death. So to all my friend who ask this question, as I said earlier there no reason to be panic. Just be prepared

Second half ?

2009-05-31T23:57:00.005+08:00

Time fly so fast, leaving us behind (because we are to slow to catch it he he...) . Tomorrow is the second half of 2009. Huh.... need to check out back all this year resolution. At least halves of them must be archived he...he... It just depend on what angle you look your life at. Meaning weather you seeing the cup of glass is half full or half empty.... Err... Hey where my 2009 resolution book? Dammm it i lost it ! May be I'll do a new one next year he...he... How about yours? Have you done something great?

Beautiful Minds

2009-05-28T08:10:00.010+08:00

After finished my exam,I struggle to finish my oncall for this month just to make sure my vacation plan comes true. I set up a new record myself, I managed to do 4 oncalls within 8 days he....he....(I feels like superdoc he..he...) One thing for sure, i wont break my record again. So, i'm rewarding myself a trip to Pulau Redang. Far away from KL and i try not to think anything about work or study (at least for few days he he...)

Yes all of this things need to be left behind

Watch : Who need to know the time here, nothing to be rush. The sun will tell you weather it daytime or nighttime and your stomach will tell you when is the eating time he he...

Handphone : "Ops..... you have reach Happydoc voice mailbox, he will kindly return your call ASAP" (yeah, only when he reach KL back he he....)

Glasses : Err... definitely I don't need it for reading!!!!

Wallet : Err i might need this. Otherwise I might need to work here to pay my chalet bill and my return boat trip he he...

Yes, i'm 'lepak'ing at the beach the whole morning. Nothing to be worried.

This is one of the breathtaking scenery taken from my chalet. Pretty isn't it. The picture tells everything..........

An evening at the beach side. There no stressed out face from office rushing back home with bad odor and dirty shirt.

And this is for you guys ; )
Thanks a lots for reading......

The unsuccesful Transplant story

2009-05-27T22:31:00.007+08:00

This guy serial of misery started 5 years ago. He is just 22 years old at that time. Both of his kidneys betrayed him and suddenly stopped functioning leaving him to no choice but to continue his life with dialysis. Meaning that he had to spent 3 times a week for 4 hours attached himself to the dialysis machine. I believe it 's not an enjoyable things to do. His mother, made a big sacrifice and give on of her kidney to him so that he can have a better quality of life. They both went the big operation without much complication but the stories does not end here. The transplanted kidney work as all of us wish. He goes home with multiple anti-rejection drugs to prevent rejection.

Then the nightmare begin. Six month after successful transplant, he started to have complication following anti-rejection (also called immuno-suppression). These anti rejection drug causes semi-paralysis of human normal immune system and subsequently cause host i.e patient easily infected by bacterial, viral or fungal. He came with a very bad lung infection and nearly died. I believe it must be her mother pray who saved him (apart from our medication). He managed to get through it for the second time (the first time was during the operation) and walk home safe.

Then he came again with second and then third very bad bad lung infection leaving his lung full of scarred tissue (which is no good because it reduce his lung function). The next infection will make it even worse. His lungs almost totally damage and the next thing he might need in the near future is lung transplant, but who is going to be the donor? How about you?

Now, considering he need the anti-rejection drugs for the kidney donated by his mother to work and balancing the side effect cause by those drug i.e severe life thretening infection, it's really a though decision to be made. Either to sacrifice the kidney given by his mother or his own lungs/life? Only God know the best....

Happy Mother's Day (err.. a little bit too late)

2009-05-26T20:37:00.000+08:00

The story this time is a little bit different. Few months ago, I met this mother and her beloved child. She love her child very much even though her child is different from the others. Her child is one of those special child that need special needs and attention.

And now her child is 47 years old and she has been taking take her child for that grace period. Now, her child can amazingly function almost like normal individual and he even have his own job (He now working as teacher assistant)

This special mother with her special child had done fantastic job looking after her child even the people around her said she had done enough, and she should have a rest long time ago. Just imagine if she stopped, her child might not be as successful as now. She even decided not to have another baby so that she can give full attention to her special son. She should be very proud of herself.

The problem now is she is getting older and she knew she might not live longer. She worried nobody will take take of her son like she did. Her only hope is her other child to look after theit brother but it won't be the same.

What running in my mind is, how many of us had the courage and patient like her.........? I believe, not everyone of us can.....

I would like to wish Happy mother's day to all mother all over the world!!!!! All of you are the greatest mom of all......

2009-05-16T23:46:00.003+08:00

I must thank Allah Almighty for the bless. My exam is over now and I'm getting back my life. To all my friend who read this congratulation to all of you. One day, I was on my way to complete my mission before eyes senses something. At the end of road, there was 2 small alley. The right alley is a dark, smelly and full of thrush and the left side is the right way to my mission. It make me thinks, we always choose the wrong path in our life even though we know the right way is waiting for us....

p/s hopefully I can share more stories after this he he...

Post-exam blues

2009-04-07T20:39:00.000+08:00

I just finish first part of my exam yesterday and I've to admit the questions are really tough. The result will be announced this Friday and the not so enjoyable part is I have to come to work immediately the day after the exam day. Today, I really cannot give 100% concentration at work as i always thinks about how the result going to be like. The only thing that I can do now is to pray hard and leave it everything to God. Hopefully I can finish this strong.

2009-02-28T22:40:00.001+08:00

Ying and Yang advocates about balance. Well I'm struggling to maintaine "the balance". After many years not having formal exam, of course it is not easy to start back the "engine" and burn back my "old" midnight candles. What can I do now is to try my best and let God do the rest.

The feeling was rather different when I come to work last Friday. One of the old patient in the ward was pushed out on a wheel chair. But he is not going home because he had no place to go. We have found a shelter for him in Semenyih. That the best that we can do for him. He came to meet us 6 weeks ago. He was very easy to look after. He never complaint about anything, even about the tasteless hospital food. Almost everyday, he had a girl"friend" pay him visit. And what they do is only talk to each other. Yeah just talk, not more than that. What they talk about is a mystery because I could not understand their langguage.

Today he is leaving the hospital to the new place. I'm not sure what he felt about that. His girlfriend still come that afternoon (she has been told earlier he might be leaving today) and she looks confused and I just felt different.........

Are You Going to Finish Strong?

2009-02-18T20:42:00.000+08:00

For those who haven't seen this video, I would like to share it with you guys. It really inspiring me. Not all of us born physically perfect but one thing for sure, that all of us born to be a fighter. It just the matter that how you going to finish your journey.

http://www.maniacworld.com/are-you-going-to-finish-strong.html

Think BIG

2009-02-14T01:05:00.000+08:00

Have you heard about medical speciality named Karnology? Nope? well think again he he.... Actually there no medical unit such name. Last weekend the very first family day I attended (Usually I try to find excuses not to attend it last time he he.. ) The organizer wrongly spelled Cardiology as Karnology on the welcome board. But the name seems had the potential to be famous and to be studied. Maybe I should discover new field in medicine and name it Karnology he he.....

Now I want you to think outside the box. Imagine what else you can do with hair comb, apart from combing your hair? This is what my friend and I invented when we was in Vietnam last time. The mee in the cup had no spoon attached with it. I believe it must be a conspiration he he... The manufacturer try to make more money by cutting down the cost. maybe I should investigate it. The big problem now, is how we going to eat the mee without spoon or chopstick? Then we finally come with this idea. please refer to the picture below.

Err just for your information. It's a new and never have been used comb. We found it in the hotel sanitary bag he... he... BTW the mee in the cup is quite delicious. Maybe eating using hair comb make it tastier har har har....

FRIeND?

2009-02-05T23:06:00.000+08:00

I come across this poem from my friend's blog. I found it really interesting and I would like to share with you guys. Don't read it but understand it.

Written with a pen

Sealed with a kiss

If you are my friend,

Please answer this:

Are we friends or are we not?

You told me once and i forgot.

So tell me now and tell me true,

So i can say, i am here for you.

Of all the friends i’ve ever met,

You’re the one i won’t forget.

And if i die before you do,

I’ll go to Heaven

And wait for you.

A Sad Chinese New Year Story

2009-01-29T21:20:00.000+08:00

Usually when the parent getting old, their children will take the responsible to look after of them. Well, this story is a bit different. Another patient belong to my team, a 27 years ole, Chinese gentleman, had neurofibromatosis involving multiple level of spinal cord with expected complications following surgery. Practically said, he had growth in the spinal cord compressing the spinal nerve which causing him not able to move all his 4 limbs. He spent his last 7 years of life lying on the bed all the time. He was admitted recently because of aspiration pneumonia. Another expected complication for those who are bed bound.

His father passed away long time ago. He was managed alone by his 60 years old mother who help him to eat, bath, doing number 1 and 2. Wait, that not all. His mother is also working as part time maid. What a hard life she had. I must respect her. She is such a very strong lady.

My team and I was managing him. He came in a quite bad condition. He had a very bad lung infection and initially we thought he might not make it. Having said that, we still try our best and explained to her mother that all the possibilities and she might need to prepare for the worse. She cried initially but after that she take it quit well. She know what she had to do is to pray hard. During the stay, she will come in the morning, then went to work and come back to look after her son after that. I'm not sure weather she had time to rest or not. At her age, I thinks what she supposed to do is to play with her grandchildren and should be well taken care by her children.

His son surprised us by showed some improvement day by day. Then, Chinese New Year came. Well it quit impossible to discharge her son at that time, so she spent her eve night with her son in the hospital. But her son is on the way of recovery. We are in the right track and we are very positive about her son this time.

Another surprise happened, after Chinese New Year, this patient bed was occupied by another new patient. The patient passed away peacefully on the night before, unexpectedly. Her mother took it quit well. She was there when her son catch few last breath. I just can't imagine that moment. I felt very sorry for her. Deep in my heart I know how much she love him and how sad she is when she lost her son. Maybe it's the best for both of them. Only God know the best....

Saigon: Part 3

2009-01-25T14:10:00.000+08:00

I keep reminding myself to appreciate more on what I already had in my life especially after I came back from Saigon. I really did enjoy my visit but i must say life is not easy there. Saigon or Ho Chin Minh City is a famous and large city inhabitants by 9 million populations (expected population of 20 million by 2020).

What make HCMC unique, most of the people has a small body habitus and the buildings are really "thin" so that they can maximized all the space that they have. There were millions of motorbike wheeling on the road. Motorbike is the main transportation and you must have your own motorbike before you can tackle a girl he.. he..(my tourist guide told me this) and crossing road it not a simple task because of massive motorbike moving around you.

Million of bikers on the road

They work hard for living and they work with passion. I really admire them for that as compared to some of us that always take easy on our daily work. They motivate me acquired their work culprit. There nothing wrong to be good with your work field right?

The real history of World Wide WEB (Saigon:Part 2)

2009-01-21T13:34:00.000+08:00

I totally have no idea how the communication engineer or electric engineer going to handle a case of communication or electric disruption. All those wire is like forming a spider web (or electronic web he...he...)

But I guess this lady might know the solution since she witnessed how they built it he.. he..
(She still walk with her back straight and look healthy despite her old age, I'm impressed )

One Morning in Saigon (Saigon: Part 1)

2009-01-18T13:05:00.000+08:00

A morning street's view in Saigon was rather different from Malaysia. It's full of color and characters.

An apple a day keep a doctor away!

Meatball noodle, anyone? I think she must be the expert.

This very smart and handsome is on his way to meet his lover he.. he.. (but his lover is still selling meatball noodle he... he...)

This Vietnamese lady had the same breakfast at the same spot for 2 consecutive days (maybe she have it everyday he... he..)

Breakfast with Internet?

I don't think I can lift up that thing and walk along the road for the whole day. She must be a Superwoman! he..he..

OK my ride has arrived. I'm ready for another mission. Let's start the engine. Have a productive day everybody : )

From KL to S*igon (with luv ?)

2009-01-14T06:19:00.000+08:00

Nothing is comparable than having a cup of perfect well roasted coffee at Coffee Bean for beginning of your day. (yes i'm a coffee addict he.. he...) It 6.20am Malaysian time at Malaysia's airport while waiting for my flight for another mission and doing instant blooging he..he... But that not what i want to talk about (for now he.. he...)

I was on call yesterday i must admit it was quite a busy one. I only manage to rest for only few hours on spent the whole night treating patient. There is a patient who was admitted electively for coronary angiogram to see any coronary arteris blockade. But he only came to the ward in the middle or the night eventhough he had the whole day to come earlier. Maybe he had good reason though. After examining and explaining the whole procedure to him than suddenly my staff nurse call me for help. I'm quite surprised because as I know the rest of the patient was very stable and i did not anticipate any problem.

I attended my nurse, this patient's wife was found uncounsious for unknown duration. There was a little bit of frothy saliva at her mouth. An instant glucometer showed her sugar level was only 1.4 mmol which is extremely low. The treatment for her would be intravenous glucose as she can take it orally (because she is unconscious and she might be aspirated). I set up intravenous access and giving her concentrated glucose solution through the intravenous access.

As expected, she regain her consciousness immidiately after that. Later on, after she opening her eyes she told me that she was injecting herself with insulin (for her type 1 diabetes) but did not take any meal after that. She was a bit concern about her husband and forgetten to take dinner. So instead treated her husband I also treating her that night. The moral of story do not ignore your own health because you are too busy looking after others but I think her husband was very lucky to have her beside during hard time : )

Size does matter

2009-01-10T20:16:00.000+08:00

After passing certain age, most of us found that weighing machine our biggest enemy. The reason why is because your Basal Metabolic Rate is automatically slowing down. Some of us really concern about weight (because of cosmetic and health reason) but some of us just don't. Ignorance is not a bliss. By the time they realize, it already to late, damage is already been done. As a reminder, overweight is associated with long list of diseases, namely diabetes, hypertension, obstructive sleep apnea, osteoarthritis and of course heart attack.

Even Oprah had problem with her weight. I watch her show her show last Tuesday and she said, weight problem is not just about diet and exercise problem but it is about love problem. It about how much you care and you love yourself, which i totally have to agree with her.

I also had experience with weight problem few years ago. I believe that everybody agree that losing it and maintaining it is really requiring continuous hard work. Crash diet is not the answer as you will quickly gain back your weight immediately when you start eating back. A friend of my, who will getting married in August this years is trying seriously to lose wight before his big day. His weight is also like Oprah's weight. He has been fat and thin few times, depending on his stress level he.. he...

I would like to share few tips here.

1. Firstly what you need is determination!

2. Avoid flavoured/coloured drinks esp canned drink (as all of this drinks contain very high sugar). Plain water is healthy!

3. Do not eat very late, Oprah's kitchen close at 6 pm. How about yours? (When you eat late, your food is only partially digested at the time you go to sleep and turn to FAT deposit). Supper is a big NO.

4. Do not skip breakfast (because you will binging at lunch)

5. Divide your plate into five portion. Only fill 1/5 of it with rice i.e carbohydrate. Replace other portion with vegetables and protein. With same amount of food, you wont feel hungry.

6. Do snacking while watching TV or movie because you don't know when to stop

7. Careful with cake and dessert, share it with other please... Let them be fat too hah.. hah... Dessert = sweet = high sugar = FAT. Few spoons wont be harmful but 1 plate is just bit too much.

8. Buffet and fast food is BAD

9. Do not strict with your diet. Reward yourself with one day in a week that your can eat without feeling guilty he.. he..

10. Last but not least, exercise is equally important with diet. Exercise more if you eat more. Try to find the balance. Do not over doing or under doing it. Remember exercise is good for your heart as you can release stress by exercise. Bad heart = bad life

Less than perfect

2009-01-05T22:37:00.000+08:00

I was blog hopping 2 days ago and I read one entry that this blogger new year resolution is to be perfect lover... Wait, one second....A perfect lover? Err I totally did not agree with her. How can you be perfect in your relationship and be right all the time?

As always said, a perfect couple complete each others. If you are perfect, there no way that your couple can complete yourlife. Just imagine, if you had a perfect man or woman as your partner, won't she or he make you feels inferior and insecure? It would be very lovely if you have somebody who love you for your imperfectness... (sounds like....true love...)

I believe that, what make people become a good friend or couple is not because how much they look alike each other but how well you can accept your partner's weakness, is more important. For this year resolution, I hope to maintain and appreciate more on what I already had and try to strikes more this year. Lets make our new year resolution comes true! : ) Time will not wait for you.

New year here I come....

2008-12-31T23:27:00.000+08:00

Normally after a victory or a success, we celebrate it and remember it as the one of the sweet moment in our life. For example, we celebrate a work promotion or strikes of A's in college exam. Another example, for Muslims, Hari Raya is celebrated after one full month of fasting.

I had dinner with bunch of my friends on the night of new year, before one of them asked me, "Where are you going to celebrate new year? Then suddenly this question come across my mind, " Why do we have to celebrate new year?" What are we celebrating for? Last year victory? (if any he.. he...) Have you achieved something great last year?

There was a long pause and nobody seems have to good answer for that, neither I. Since new year is public holiday, maybe we just should celebrate it he he........ Sometimes, you don't need good reason to do things. Happy New year everybody!!!

Honesty is the best policy

2008-12-29T12:00:00.000+08:00

I went to one of the Tower record outlet yesterday to check out the latest CD . Suddenly I saw this 2 and half years old cute little boy with his grandfather sitting in front of the big screen in front of the music outlet. He gave 101% undivided concentration to the movie, make himself comfortable like in his house and totally ignoring the crowds. He did really enjoy the movie and the whole scenario look very sweet to me (it looks very sincere). It reminds me, a child will never lies. They will give the most honest opinion that you can get with no hidden agenda. Emm.... it sound like something that we must must learn from them rite?....(thinking)...

LIFE is a stressul event!

2008-12-25T12:43:00.000+08:00

Stress can manifest with multiple presentations. Some might have increased appetite while others might have just have difficulty to sleep at night or the opposite. Stress is equal to mental sickness. It just sometimes very difficult to be diagnosed because you might not aware about it. Mental sickness also can also can cause psychosomatic symptoms (meaning your your mind believe your physical is sick and you can feel it for real). A friend of mine told me that he had a very bad migraine recently, but when i had a conversation with him, i think he is under a lots of stress. A mind vacation is rather helpful rather than taking pharmaceutical medication.

Download stress checklist form from this site :

http://bsu.edu/students/cpsc/media/pdf/Stress-Checklist.pdf

HappyDoc comment:

Do not let stress kills you!

Happydoc Advice:

Do not let stress control you. You should take in-charge and manage it wisely. Life is short. Enjoy it.

and always love yourself before others. Do not let others hurt you : ) Have a good day everybody. Happy holidays....

Opera mask

2008-12-20T23:09:00.000+08:00

I had a this conversation with one of the very senior ward's sister (head of the nurses) who is very dedicated and experienced 2 years ago. I really respect her because she had more than 25 years working with thousand of doctors of different generation and handling millions of patient in different decades of her service. She told me that :

" As medical service provider, when you come to work, you are like wearing an opera mask with heavy make-up. Leave all your personnel's life aside. Patient life is your priority. When you get scolded by the patient or received bad complaint despite your hard work, just smile and swallow it. Keep doing your work and responsible. God will pay all your good work later"

which I, totally agreed with her and I still clearly remember each of her word.

Recently there one or two article in the news paper complaining about medical service and I suddenly recall her word again. Believe me, it is not easy handling sick patient. They need more attention than usual. With limited resources, the attention is given more to those who need more i.e more seriously ill patient. As a result, more stable patient need to wait longer time. But from my experience, most of the dissatisfaction, are caused by miss communication and misunderstanding between the health care provider and patient. At the end of the day, it is not easy to satisfied everybody no matter how hard you tried.

The next question is, why our resources are limited and why we can't practice efficient medical system as in western countries. The reason is very simple, most of medical staff are overwork, underpaid but what they get at the end of day is only series of bad complaint about them. Not fair right? So, they leave the government service as a result of their frustration. This is not my theory as it is happening in front of my eyes.

For most of western countries, medical service is paid by patient's medical insurance. So physically, every hospital is like private hospitals in Malaysia. It's totally opposite of our system where, you pay 5 ringgit and you get most of the medication FOC. If the same system implemented in Malaysia, i believe, a lot of patient is not properly treated because medical insurance itself is not cheap.

I also believe, Malaysia Ministry of Health is trying their best to improve Malaysian health system and really hoping they will give more attention to the problem when providing the service. Money is not everything.

Snow time....... in KL?

2008-12-18T11:57:00.000+08:00

There are Mega sale everywhere in KL! My advice, stay away from KL mega-shopping complexes, keep your credit card in safety box and do not, i repeat do not window shopping at this as this can cause Post-shopping depression (esp when you get your credit card monthly statement he he). This is not a new disease but no effective treatment so far. Few drugs is still under research the the result is not very promising he...he..

Dr F and I was collecting information (not shopping) for our new project at The Pavilion before our steps stopped by the astonishing giant Christmas tree at the main entrance. For this year, the best Christmas tree decoration goes to The Pavilion. KLCC is recycling their gigantic Christmas tree for the third consecutive years. Maybe the they try to save the trees (or save their budget he.. he..)

The night view of this Christmas tree....

While doing some .......... err... data collection for my research, I bumped to this mother with her daughter with a innovative anti-thief/anti-child-missing-device. (Please refer to the picture above) The small little cute child was wearing a small knapsack ,with a long tape attached to her mother's wrist. It looks very practical to me as this the prevent unnecessary announcement of missing child. Personally, I think more parent should get this kind of thing as a small investment for their child safety. If wearing seat belt for the back passenger might save the front seat passenger, wearing this safety anti-child-missing-device might save your child. Thinks about it.

Let's talk about love

2008-12-13T01:09:00.000+08:00

Not all of us have a Cinderella type of love story (love at first sight, get married and live happily ever after types of story). Trust me, life is not as simple as that. A friend of mine had his own story. He is 100% ready for commitment as full time lover but what he get at the end of day is only serial episodes of frustration in his relationship. As wise man says, "You can never get all what you want" and i always believe that. Luckily he still believe in love in still searching for it.

Another friend of mine had different story. She got married to somebody that she "thought" that she knew very well , had a very cute little daughter and left by her husband recently because her husband not sure what he want in his life. Sound ridiculous right? She still feels very sad as his daughter will grew up without father and she not sure how to explain to her daughter when she asked about her father. She still partly believe in love. Good for her.

Wait, there another sad love story. Another friend of mine. She had 3 boys after 5 years of marriage. Looks older then her age. Her face tells everything. She don't ever have to speak. She had suffered a lot from her marriage. She has been totally abandoned by her husband. She rising her kids by her own despite having a husband. The only reason is because her mother in-law does not like her and at the same time, her mother in-law has already arranged somebody for her husband. She try to stand still in her marriage because of her kids. Do you think she she still believe in love? hurm......(thinking).......

Amazing race: Asia

2008-12-08T11:09:00.000+08:00

My friends and I had a wonderful weekend last week. We had travel thousand miles across 3 countries via 4 ports (seaports) to 5 big cities in 72 hours. Sound great huh? he... he... I'll show the route map.

This round, there no "road block" or "de-tour". All the routine must be done by all contestants. I have to admit, it's a long tiring journey but trust me the it really worth for your money and time he he... Lets have a look for some breathtaking moments.

This is how Malaysia looks like from ferry leaving to Batam. Pretty isn't it. The picture tells everything.

This is the view taken from the first from total of seven Batam Great Bridge. The seawater is jade green!

A fisherman village at Bintan. The steel rods, obscuring the great view.

This is where we stay at Bintan

Sunset at Bintan from our floating water resort

This bird give us a wake up call!

Well roasted and well blended black coffee served in old style Chinese cup with perfect morning seaside view is good starter for another long journey.

Dragon + phoenix + Garuda + Naga = Merlion (horse of the sun and lion of sea)

The "not so good part", heading back to KL i.e going back to work hu... hu...

Last minutes or not unplanned trip can be really exciting. Take some risk and you might be surprised with what waiting for you. I believe nobody is too old for some adventures right? he.. he..

December blues

2008-12-02T18:20:00.000+08:00

I must say, I hates December so much when it comes every year. It reminds me all the unfinished business, unfulfilled dreams and the untouched works for the whole year. It all make me so depressed. To add the so called "enjoyment", we going to celebrate new years soon which technically make me and all of you a year older (or people like to mention it, a year wiser). Now we have to adjust with the "new" age. I wish December never comes. Why time have to fly so fast? Why oh why?..... sigh....

Aging gracefully....

2008-11-26T23:16:00.000+08:00

Case 3

A 21 years old Malay man who is a C*lcom service operator, complaint or sore throat

HappyDoc comment

This case is straight forward. There was no other associated symptoms. From examination he had simple upper respiratory infection (mild) which usually resolved spontaneously most of the time. He asked for one day leave so that he can recover quickly and regain full energy which I think a reasonable request.

We have a brief talk and he told me that he just dropped out his diploma recently and doing his current work as contract basis. He is a cheerful and pleasant types person with good communication skill. He had a bright ambitious face. I advised him to pursue back his study as he is still young and he still have a lot more to learn about life. I believe that he can be a successful person one day. Sound like..... I concern to much .... or maybe it's a sign of aging he he (err...when you start to concern too much and talk a lot he he) and I do like the term aging gracefully very much. Do this term applied to you..........?

Aging gracefully, no botox, no collagen, only cream he he....

More or Less

2008-11-24T00:33:00.000+08:00

Case 2

60 years old Malay lady with background of diabetes, complaint of generalized body weakness

HappyDoc comment

Hurm... A little bit difficult to tackle this lady problem since the complaint is not very specific. Various medical problem can cause generalized body weakness. She controlled her diet well and she just visited her regular doctor recently and was added new medication. On further questioning, she do feels hungry, a bit sweaty and palpitation. A ha, that clue was really helpful! A simple and quick glucometer revealed that her blood sugar is 3.0 mmol (which is very low) She had hypoglycaemic symptoms!

HappyDoc action

She need glucose to correct her hypoglycaemia. Since she was still alert, i immediately grab lollipop and give it to her (the lollipop is reserved as bait for children who did not co-operate during physical examination and it look very cute for a 60 years old granny eating lollipop). But all her symptoms quickly resolved after that.

HappyDoc concern

It will take hours taking about diabetic and the complication. Diabetic is not all about treating blood sugar level alone. Education is the most important part and managing the complication is even harder. A home blood sugar monitoring will alert those with diabetic if their sugar is not well controlled. You need to balance between hyperglycaemia (excessive sugar) and hypoglycaemia. Yeah....It all about balance, like Ying and Yang and just like how hard we try to balance between our work and family (i.e as son/ daughter and as father/mother). It was never easy right?

Al-fatihah

2008-11-19T18:20:00.001+08:00

I received a bad new today. One of patient that my team and I has been taking care for the past 3 months lost her battle. She passed away yesterday due to post-operative complication. It give a big shock to us for a while after my team and I visited her empty bed at ICU today. She was a very pleasant lady and optimist person to start with. She looking forward to do the operation despite knowing the risks and she might not seeing again the world after the operation. She did very well on day 1 until day 3 after the operation before everything turn to a mess yesterday. I feel very sad for her but a part of me telling me that she died for what believe for and she did what she feel right for her. May Allah bless her and placed her with good people. Amin

Sleepless night....

2008-11-15T15:49:00.000+08:00

I did locum (part-time work) at a private clinic yesterday and I've come across these 3 cases:

Case 1

A 19 years old healthy Malay boy who is a cook complaint of insomnia for the past 1 week.

HappyDoc comment:

I need to exclude if this boy had symptoms of depression or taking any stimulant types of drug as this can disturb your normal sleep pattern. The most important question to ask is the lifestyle. If he took a lots of caffeine late night, this can be one of the cause. This boy admit that he work in the shift basis and the symptom worsen when his shift changed. He claimed that if he did not have adequate rest, his work performance on the next day will be affected. He also denied taking sleeping tablet before.

Most of the cases, lifestyle modification alone is adequate. Play some sport in the evening, avoid caffeine after 6pm and do not sleep during day time alone do help fighting your insomnia (Or in other word, practice healthy lifestyle)

HappyDoc action:

I prescribed him just a few tablets sleeping pills with lots of advised (Hurm... I don't know weather he listen to my advised or not) I told him, regular intake of sleeping pill can cause addiction and if he get caught by the police and get his urine tested, he might be face with lots of trouble. I advice him to take only when he really need it.

HappyDoc concern:

Overdose of sleeping tablets can cause death. I don't want this to happened and that why i only gave him 3 tablets only to be used in desperate night. My other concern is he might use it for wrong reason like putting the sleeping pills in the somebody's drinks and do bad thing(figure it out itself, think outside the box he he). My other thought is he might be cheating on me. He is actually a sleeping pills addict he he... Err, maybe all my concern is not true. Probably, I think to much he he...

to be continued......

You are welcome....

2008-11-13T15:03:00.000+08:00

It just a normal working day and i am in the lazy mood for this week (he he...) Then suddenly my hardworking ward clerk pass me a card. Initially, I thought it was a wedding invitation card as school holiday is around the corner but i was totally wrong. It a "Thank you" card from one of my patient who just discharge few days ago. Well, i don't expect it from her and her family as my team and i treated her same as other patient (as stated in our oath). But the good thing is it lift up my mood to work harder on that day.

I realized that a simple thank is rather important. If your staff done a good work, praise them and say thank you to them. If your mother or spouse cook a meal for you, do not forget to thank them as well. Believe me, cooking is not a simple task he... he..and i would like to thank you (yes you) for reading this entry he he... Have a good and productive day everybody : )

O Negative

2008-11-08T00:03:00.000+08:00

What is your blood type?
General speaking,
O -ve = universal donor (generous type of person, scarifies her/himself for other need he he)
AB +ve = universal recipient (he/she can received all types of blood but can only donate for those with same group. What does it sound like?... Selfish? he.. he..)
err... well, this is not totally true actually..

I decided to do something good today. It takes very little effort but lots of courage to do it. I heard the in the morning news, that Malaysia blood bank had a shortage of blood. No wonder it is so difficult to get blood for patient in the ward nowadays. It's a considerately quiet day for me at work today. So, after work decided to drive to Pusat Darah Negara at Jalan Tun Razak for blood donation (sound noble huh he.. he..) This going to be my 6th blood donation over 8 years period. I tried to do it more often but time is the constraint factor. My blood group is O negative, so you decide what types of person I am he... he...

This is my hand with needle in-situ. (I tried not to cry when the nurse poking the needle he.. he... hey it's painful OK, try yourself)

1 pack of blood = 450 ml = 1 life saved

If you are a healthy person, be a good citizen and donate your blood today. Lets do a little contribution for those who need.....

A walk to remember

2008-11-03T22:17:00.000+08:00

"Once upon a story in Melaka...."

Dr Frapp and me was attending a weekend seminar recently at Melaka, the historical city. It was a fully sponsored trip and I must thanks AZ for organizing such a great event. Everything went smooth until Dr Frapp and me decided to get back to KL earlier since we already had personnel programme planned earlier. Dr Frapp and me leaving the hotel after had our dinner there.

The first half of journey was considered quiet boring. Then, suddenly a saw very thick mist on the other side of the road. I start to feel uneasy but i did not mention about it to Dr Frapp hoping that it's all my illusion. Few minutes after that. there was funny noise from my car. Shooot... why things must go wrong in the middle of the night and we are 128 km away from KL. I slowed down my car and park it at the roadside. After having quick unprofessional look, i noticed that my timing belt is 1/4 gone. To make thing worse, i cannot start my engine after that. Now we stuck in the middle of nowhere and in the middle of night hu.. hu.... (But I kind of enjoys it actually he he.. A dull predictable life with everything goes smooth is sometimes boring right? he he) But I definitely freak out if I was alone at that time....

This is where the event take place.

Help from PLUS came after we waited 1/2 hour in dark. I managed to start back my engine and we decided to get back on the wheel and drive slowly to KL like 50 km/h... So, 128 km from KL, driving at 50-60 km/h.....Yeah you do the calculation.........Dr Frapp and me were singing together all along the way as we tried to minimize my car energy usage by not turning on the radio (I realized later this action was unnecessary he he) and we quiet enjoy it he he...

We finally reached KL at 1 a.m tired and sweaty. Our total journey is 4 hours instead of 2 hours. That night trip would be the longest journey ever from Melaka to KL but it going to be the unforgettable one. Today, I learned a new lesson, "It is not how fast you can get to your destination matter but how and whom you share your journey with is more important........."

Convocation day

2008-11-01T02:06:00.000+08:00

My younger brother had an accident recently. He was on his motorbike with his friend before a reckless lady driver in a white Kancil hit my brother from the back. He felt, kiss the road and hit his face badly leaving multiple abrasion wound.

To make thing worse, he loss his consciousness after the accident and he was bought immediately to Hospital Serdang.Lucky for him, he regain his conscious but he couldn't recall anything about the accident even where the accident took place. The last thing that he can remember is he is eating mee bandung and the next thing happened is he wake in hospital bed with wound all over his body. Thank God (Almighty Allah) he had no neurological deficit and his CT brain was normal, no intracranial bleeding. My diagnosis is: cerebral concussion with multiple superficial abrasion wound (especially over the face-habislah saham jatuh).

The not so good thing is, his convocation day (for his degree) is in 4 days time. Just imagine he is going to walk on the stage, received his scroll with face full of scars, had picture taken, and that picture is going to be hang in my parent house permanently. But wait, take it from the positive site, at least he can take the scroll by his own rather than somebody else take it for him. And that convocation picture, i believe that a little touch from photoshop will solve the problem right he he... there no problem without solution...

Mickey Mouse : What should i do?

2008-10-28T00:19:00.000+08:00

My house has been invaded by rat. And this rat has leave unwanted "fertilizer" in my kitchen. It's going to be very embarrassing if a doctor had leptospirosis (a disease brought by rat) and this directly reflects my hygiene. I decided to give this nasty little rat a lesson. So, I bought a rat cage with a undeniably delicious cream cracker inside the cage as a bite. Guess what, BINGGO! on the next day, a small black rats trapped in that cage. I thought that going to be the end of story, but new problem arise. Err... what I am going to do with that rats? I'm in dilemma!

The criminal in the cell

Call her Mickey (I just gave her that name he.. he..)

I've ask few of my friends, and these are some of their suggestions:

1. Just throw the rat in the jungle. <---- Hey.... where to find jungle in KL
2. My grandparent used to kill them with boiled water.<---- Sound inhuman he he... I'll have trauma to eat meat soup after this he.. he...
3. Throw in the river then. <--- Now, I have to jeopardize my life just to throw this nasty rat to Sg Klang?
4. Make peace with her, let it go. She learned her lesson.<---- Yeah and I can get leptospirosis in exchange?
5. Turn the rat into rat satay. Must be delicious.<---- hey I'm not an exotic animal eater you creature....

Now, Mickey is in the cage waiting for her sentence. I leaved her outside my house while thinking what should be done. Would you guys help me? hu... hu....

Good thing comes in TWO

2008-10-25T01:47:00.001+08:00

For most of medical devices, there will be only 1 device per packet. This is practiced to maintain the sterility of that particular devices. I am preparing to take my patient's blood in late afternoon to check her oxygen level. Suddenly i noticed something was not so right when I'm grabbing the packet of syringe. This particular packed that I'm holding contained 2 syringes! Which i never encountered since i practice medicine for the past 5 years. I decided that would be my lucky syringe. My guess is, something great is going to happen on me he... he... as always said, good things always come in TWO......

Sweet moment....

2008-10-25T01:08:00.000+08:00

It was lunch hour on a rainy afternoon. This is another chronic patient of mine (considering she has been in hospital for 2 months) and this this 2 kids is her grandchildren. As everybody knows, hospital meals, are suc*s. What happened on that day, this two cute kids were bringing their grandmother lunch in a small classic "mangkuk tingkat". It just like one of the memorable Petronas commercials. I just couldn't find the exact word to describe that sweet captured moment. This poor auntie was so excited to see her grandchildren and at the moment she smiles, all her disease/burden seem to be cured/relieved temporarily. This all reminds me that, small things does matter in our life. Even a simple thing like sending text messages to your parents or friends can be very meaningful to them. So, start doing it today ......!

Reunited again...

2008-10-22T23:59:00.001+08:00

Do you feel tired working?
Do you feel tired running your own life?
Do you feel tired been in the hassle city life?

Maybe what u need is a break!

This is what you can get 45 minutes drive from KL

peaceful mind......

something that totally different

like sleep under thousand of stars....

And this is what u can get for 3 hours drive from kl...

the ultimate peacefulness...

that you might forget that you had experience it before

Wonderful view + great companions + lots of laugh + great memories = PRICELESS

CSI:KL (Part 2)

2008-10-15T13:35:00.000+08:00

After considering that small piece of bone might belong to famous missing person like Sharlini or Azam, we decided that justice need to be served. The unburied bone's soul might be still lingering in my house compound and option 1 is the best.

So, our initial plan need to wait. National responsibilities comes first. I drove to nearest police station (which is not so near) and hand over the bone to the right hand. The policeman in-charge was in shock initially after receiving that small piece of bone. After a short discussion with his other colleague, he decided to show the bone to more senior person and get back to us after that. After leaving my name and contact number, we leave the police station hoping that another mystery would be solved.

Day after days time passing by, they still no news from the police site. Until one day my fried Dr Frapp decided to ring them. The answer given it quite frustrating, they said that piece of bone is most likely belong to mammal. But until this moment, we still believe that bone is belong to human (Err BTW... human belong to mammals group right?)

CSI:KL (Part 1)

2008-10-11T14:46:00.000+08:00

Disclaimer: The main characters and place has been changed for safety purpose, do not continue reading this entry if you are pregnant, having history of heart attack or suffering from urinary incontinent as this can caused undesirable effect. You have been warned!

The whole story took place during recent Ramadhan month. It was a boring Wednesday morning and unusually very quiet morning. No sound of bird chipping and the sun shines lazily on that day. Dr Frapp and me were discussing about our next secret project and we were about to leave my house to meet our new informer. I just moved out my car from my porch before Dr Frapp give me a strange look. And guess what? He almost freak out!... He noticed a strange looking shinning white object which was hidden underneath my car staring at him. He took a few steps closer before he called my name.

"Hey Happydoc, look at this. You won't believe what i just have found. I thinks it a piece of human bone! What do you think?"

(This is what it look like)
Picture courtesy of Dr Frapp (my camera was malfunction at that time he he..)

Let take a step closer...
This is what it look like in close up...

What do you think it is....?

I tried to stay calm and cool as usual. "Dr Frapp it may be not a part of human bone as you thought !"tried to comfort our feeling.

But after using our rusty applied anatomy knowledge, we decided this is 97% belong to human or at least mammal. It look like a part of jaw bone with intact denture cut into half. Unlikely to be from dogs, cats or fish because the canine tooth was not too sharp.

"Perhaps a stray dog dug it from a shallow grave and dumped it here" i tried to rationalized our finding. (knowing all grave should be at least at least 7 feets down below he.. he..)

"Hmm it could easily came from a young adult of between 14 - 17 years of age old... possibly Asian female" Dr Frapp explaining his own theory to me in serious tone.

After serious discussion at my porch yard, finally we came out with 3 so called brilliant options ):

1. If this is a human bone - we need to send it to the police, they may come and turned my car porch to homicide crime scene. Just imagine yellow police tape, chalks, numbered card and police photographer in my yard. What would be my neighbors think of me? This all will ruined my good reputation. I'll be in the news prime time. I definitely need to get new identity after this or new makeover at least.

2. Show it to our forensic colleagues at the hospital for confirmation - if it is homosapien i.e human.. send it to the police.Let them handle it from there.

3. Throw it into the my neighbors compound and it now became their business. Muahaha! <---- this is totally my evil twin's idea. Not me. har.. har...

Time is passing by and we still not decided what we going to do with that small piece of bone. If you are in our position, what would you do......?to be continued.....

Because it's free....

2008-10-05T22:53:00.000+08:00

TB is a very ancient disease. It has been exist for centuries and the incidence is still high now especially in the third world country. Partly contributed by AIDS which cause falls of human immunity system and subsequently facilitate TB infection.

Malaysia is categorized as third world country and incidence of TB is considerably high. Unfortunately, cost of anti-TB treatment is roughly RM 1500++ per month (excluding 5% gov tax he... he...), minus the doctor consultation and registration fees. However, all of this cost is covered by Malaysian health system as TB is categorized under communicable disease which technically make the treatment is FOC. Yes it is free, regardless your nationality. Last week i had another international student who was diagnosed with TB and she only has been in Malaysia for only 1 1/2 months. Guess where she come from...?

Yes, she came from Botswana........ and the treatment is free i.e paid by tax payer which is you! Does it sound fair? Err..... by the way can anybody tell me which part of world Botswana is...?

Life cycle...

2008-10-02T22:56:00.000+08:00

Fact : A Butterfly only live for 5 days
Fact : Tortoise can live until 150 years
Question : How long can you live?

Well, i believe nobody can answer this question. General speaking, patients with stage IV lung cancer, only have 6 months down the line from the time of diagnosis. But, some of them survives for few years (with palliative chemotherapy) while one or two of them succumbed even after the next day after diagnosis been made.

Having few months of exposure working in a respiratory centre in KL teach me that, it is not easy telling somebody that you had cancer and you going to die soon, please do whatever you want quickly while you had time left.

I have come across in a few occasion, patient thanking me after i told them the bad new. Just imagine this, 'Pakcik, Pakcik nie kena kanser paru2 peringkat akhir. Then that unfortunate Pakcik replied back, Terima kasih doktor (for telling me the bad news?). After a while, i realized these group of people, have suffered from illness caused by the cancer for quite some times. Breaking the news answered their doubtful and they can prepare for their death.

Another question is, have we prepare for our?

Mystery solved, but....

2008-10-01T01:12:00.000+08:00

My patient who going to celebrate raya at hospital this year had full investigation report today. It explain her full sign and symptoms as her presentation was not very typical. Her mystery has been solved! but it is not a good news, not for her or us . She was diagnosed with Multiple Myeloma (a types blood cancer) by presence of significant plasma cell in her bone marrow and positive urine for Bence-Jones protein. This all explained why she was immunosuppressed, causing her getting severe form of infection. Let's put yourself in her position. After went through major operation, been admitted to ICU, underwent multiple (of course) painful medical procedures, multiple needle poking for tones of blood investigations, she had multiple course of chemotherapy waiting for her after raya. I feel very sorry for her. Her eyes really tell all the hard time she went through . But i do believe this, "Allah tidak akan menguji hambanya jika hambanya tidak mampu menghadapinya. Dan segala ujian itu adalah untuk menyucikan dosa-dosanya yang telah lalu...." I believe she will be awarded better life later.... Amin..... Selamat raya aidilfitri.

30 Ramadhan...

2008-10-01T00:23:00.000+08:00

Today is the last day for sahur this year which is equal to last day of puasa, meaning that tomorrow is Aidilfitri. This pic was taken while waiting for my food. It make me think weather this ramadhan is better as compared to my last Ramadhan. Did i gained anything extra? Hurm..... (thinking)....

Raya@hospital.com

2008-09-28T15:23:00.000+08:00

There only 2 days left before Raya. Everybody is leaving kl heading their hometown (and also leaving me working till the last day hu... hu...) All the shopping complexes were full with last minutes shoppers. For this year, i think the best raya decoration goes to midvalley megamall. The kampung ambient created at the concierge lift up everybody raya's mood.

Leave that first. I'm doing my weekend round this morning and plan to discharge my Muslim patient before the eve. Then i come to this one patient. She had multiple medical problems with few issues unsettled. Her long list of investigation seems adding more confusion rather than solving her case. It's almost impossible to let her to go home for raya festival. Finally i open my mouth, "Makcik, doktor rasa mungkin tahun nie makcik kena raya kat hospitallah..., Makcik punya rawatan ni banyak yang tak habis lagi..." Then she looks at me with her sorrow eye.... "Tak perlah doktor, makcik ikut jer. Buat lah ape yang doktor rasa terbaik" . What a surprise, knowing she never leave this hospital for 2 months and she really want to go home last time.

Moral of story, don't take things for granted. Most of us never appreciate our loves one until they not with us. So for this coming raya, please do appreciate your loves one....

You can never tell......

2008-09-27T06:09:00.000+08:00

He is "the great teacher". He teach thousands of doctors (include me) and he still doing it. Recently, he is admitted for his relapse of blood cancer (old enemy strikes backs)

It scares me to thinks about it. Anybody (yes even me) may have cancer. Then, you need to thinks how you going through it, when to be strong and when to stop fighting....

Last year I met this 7 y.o child. He loss both of his vision at very young age due to untreatable eyes disease. His mother almost cry when she told the whole sad story to me. All the hard time this young child has gone through. But this 7 years old child unexpectedly upon his mouth and says, " dun worry mum, I'm OK. Everything is going to be fine....." try to comfort his mother . He impressed me with his words and i don't expect to hear those word from him. He really inspire me

And to my great teacher get well soon, and please teach more doctors. May Allah bless u... always..

Meet Happy Doc

2008-09-27T01:05:00.000+08:00

Hello... Happy Doc is a happy person but he do feel sad sometimes... He sees life from different perspective and he would like to share his thought with others.