menci the title of 'doctor' when......

assalammualaikum..

dear diary,

being a dietitian in specialist hospital nie quite interesting...
if specialist hospital yg lg besar, lg interesting, byk muleh bljr....
mase mya start keje kat cni, mya br fresh grad... mase tu blm pun 22 taun....
mmg mencabar la coz sume workmate umur lgkgn 35 - 60 taun...
yela, specialist hospital kan, so sume doktor2 yg pakar2...
dktr pakar2 nie mane ade yg mude2....
nak dpt jd MO pun plg krg 6 taun... lg la nak jd specialist kn....




then, nak jd MO specialist hsptl nie, kene byk experiences....
specialist cnie, mmg hebat2.... very intelligence!!!!! salute ngn dorg...
bile buat ward round same2, discuss bout patient sume, mule2 dulu mmg rase kerdil sgt....
yela, ilmu baru sejemput.... pengalaman keje mmg xde la kan....
tp, lame2, rase best......




bile kite bekerja ngn org yg lbh byk usianye dr kite...
kite pun kene jd matured cket la..... cket je.... heeee....



tp, yg x sukenye ialah, bile ramai yg panggil kite 'doctor'....
 x suke sbb, kite nie just degree holder.... mane ade title doctor tu....
dulu dpt scholarship medic ke indon pun x gi....
conform2 la xde title doctor kn....


asenye patient pggl kami doctor coz x tau nak pggl ape...
kite jumpe mereka same2 ngn doctor, then, discuss pun mengenai medical part,
so, dorg confuse nak pggl ape....
i think, dietitian kene ade 1 name pggln la... tp ape?
if nak pggl dietitian panjang sgt.... if nak bahase melayu, lg la panjang...
pakar pemakanan.... mak aiiihhhh.... buleh berbelit lidah nak sebut..... panjang sgt.... wuwuwuwu...




sbb insiden2 camni la mya ase nak further study ke PHD....
tapi... tapi.... lamenye if nak smbg belaja ke PHD...
nape la mya nie x pandai time degree dulu...
 if x, da leh trs smbg PHD, xyah buat master da..... 
macam intan.... bestnye jadi pandai cam intan.... intan.... nak gak.... wuwuwu....




nak wat camne.... tula, xnak bljr sggh2.... waaaaa.....
suh jd medical doctor, x nak,... then, nak dpt title 'doctor', tp lame sgt if nak smbg smpai PHD....
last2.... gini jela.... heeee....




tapi, gini pun, mya still happy ngn life skrg....
i have a bless-full ohhhhseeeemmmm family n friends.... 
thank you ALLAH for that....
u noe what the best for me...

 "Wahai Tuhan kami, berilah kami kebaikan di dunia dan kebaikan di akhirat, dan peliharalah kami dari azab neraka"

 p/s: always have faith in ALLAH...

 

1st time ade translator woooo

assalammualaikum....

dear diary,

 

motif ltk ini pic??? coz comey sgt... lame x lyn mende2 comey nie...

december merupakan bulan plg sibuk di alam semesta...

mane nak kejar wedding berjemaahnye...
mane nak kejar annual reportnye...

mane nak kejar meeting kemaen byk nye...

mane nak kejar program luar yg melambaknye...

mane nak kejar manage new tender lg....

dgn patient2 yg confirm ramai time cuti sekolah nie 

(ramai sakit time cuti sekolah... esp paeds... sooo synonym...)

x smpt ntuk diri sendiri...

ahad lps, mya kene bg talk ntuk prog chinese chamber.....

sume pendengar ialah chinese...

prog nie wat kat BP Mall...

as a dietitian, bg talk nie ialah lumrah.... 

every month buat seminar/talk 4 community...

ntuk dicember nie, 6 talk da mya buat....

5 talk kat katerina hotel...

1 talk kat BP Mall nie....

tp yg specialnye talk kat BP mall nie, mya ade translator....

lepas mya cakap, another chinese guy nie akn translate ke mandarin so that sume org fhm,

coz ramai chinese kat BP nie, x fasih berbahasa malaysia....

kite cakap, org translate, kite cakap, org translate....

mcm kite nie invited speaker berbangsa asing pule.... perlu ade translator....

neway, still, good experience kn...



time kat BP Mall gak.... time tgh wat med camp tue....
tetibe sorg staff (staff nurse) dtg ngn kwn die sorg nie mcm kenal..... 
tp  x ingat mane penah nmpk muke itu....
then nurse tu pun ckp yg die wakaka crew....
ddehhhhhhhhh.... patut la mcm penah nmpk itu muke....
peminat SHOWDOWN, mestilah eksited cket kan jumpe pemenang nye....
eksited cket je la....  wuawuawua....




mya mmg minat sgt ngn SHOWDOWN nie....
wakaka crew tu mmg group dari muar kan...

MUAR babe!!!!! bangge den.... heee.... 
 then, gebang2 cket gtau yg mya minat SHOWDOWN tue...
that guy yg wakaka crew tu pun eksited gak la kan ade gak peminat yg kenal die....
heeee.... 




tp, siyesly wakaka crew nie mmg kreatif.... 
lagi2 dorg org muar...
lg la mya support....
pantang dgr MUAR.... conform support la....
yg Vokal pun ade org MUAR kan...
dgr Muar je eksited....
heeeee.... patriotik babe!!!!




tp, IMAM MUDA xde org muar la pulop.... 
ustazah pilihan pon xde....
if x, double triple sokong.... 
org muar x suke msk rancangan keagamaan ke???
ke coz kat muar nie x byk sekolah tahfiz/pondok nie....
ntah la ea.....



soooo....
hr nie br rilex cket....

prog luar sume da abes....

br lepas disuss ngn new tender bout the contract....

hope new tender nie best la!!!! penat la layan kerenah if x best nie!!!!

erm.... k la, nak abes lunch hour da....

kene smbg keje yg melambak....

till meet again diary...

till then...

daa...

p/s: x sangke org muar ramai yg berbakat seni upenye.... ramai penyanyi asal muar.... husband ella pun org muar.... waduh.... bile org muar nak berbakat keagamaan ke, genius ke.... jadi imam muda 3 ke... jd angkasawan ke.... wuwuwuwuwu.....

atkin diet

assalammualaikum

dear diary

entry nie ditujukan khas buat my dear Lily yg tgh diet tue.... she manage to reduce weight 2 kg per weeks.... hebat r lily.... he3... sangat sokong gf2 yg nak reduce weight nie.... it's for their own good.... as a diet consultant, i'm not really restrict any type of weight loss program if it's suits the patient... coz, somehow, everyone is diff... betulll.... 1 diet x semestinye sesuai ntuk semua org... kan3.... (angguk2 geleng2 tunjuk2 ikut telunjuk... ie2, saye2, kiri kanan ikut saje kate saye nie... lol...) coz everyone have their own hormone level and even the enzyme....

tp, apepun program penurunan berat badan nie, make sure it's doesn't involve unusual medication n diet modification.... coz it's our body who need to digest everything.... cian lah kat organ kite.... zaman skrg nie zaman kualiti udara kite x sebagus mane, sayur2 sume pun ade bahan kimia.... immune bdn kite x sekuat org2 zaman dulu.... ramai da anak2 muda skrg yg da start kene diabetic, HPT, even renal prob tau... cian nenok.... baru umur 40 an da kene start dialysis, manyak mahal tau?????? gaji sebulan abes ke dialysis je!!!! then, skrg, byk sgt pusat dialysis kat malaysia nie berbndg dulu... omg2, no3.... so, diet wisely dear!!!

slh satu diet yg popular sejak zaman mya study lg ialah atkin diet mcm yg Lily practice nie... atkin diet nie involve very limited consumption of carbohydrate and high intake of protein... atkin diet nie membantu turunkan berat bdn coz bile sumone mkn byk protein, protein nie lebih thermogenic berbanding carb and fat so that our body need extra calories to metrabolizes protein, then it increase our BMR and reduce our weight. ie melibatkn ketosis yg berlaku apabile badan x cukup bekalan glucose sampai simpanan glycogen pun da xde... so, bdn kite gune lemak la.... thats y sng nak kurus.... so, truly, it may have amazing effect in reducing weight...

******

nie la piramid atkin diet nie.... sumber google...

1. Induction (permulaan dan pengenalan)  - 2 minggu atau lebih, mengikut keadaan dan berat badan.

2. Ongoing Weight Loss (penyusutan berat berterusan)

3. Pre-maintenance

4. Lifetime Maintenance

Semasa 2 Minggu Induction:

1.) Elakkan carb mcm nasi, mee, bihun, kuey tiaw, laksa, spegeti n yg seangkatan...

2.) Elakkan Roti, roti berserat, roti bun, rotiBoy, roti canai, roti jala, roti bakar, roti pastriesn yg senagkatan..

3.) Elakkan Gula – gula pasir, gula melaka, gula merah, madu, gula-gula dan apa-apa yang bergula tinggi.

4.) Elakkan Buah-buahan (lepas 2 minggu baru mule mkn semule cket demi cket...)

5.) Elakkan minuman bergula, jus buah-buahan, air bergas. kurangkan kopi.

6.) Elakkan snek biskut manis, nachos, popcorn, jeruk manis.

7.) Elakkan segala bentuk kacang untuk 2 minggu. Tak kira kacang biasa, gajus, kuah kacang, dhal.

8.) Elakkan makanan berproses seperti kentang goreng, bebola ikan, bebola sotong.

9.) Elakkan makanan bertepung seperti kek, biskut, kuih-muih.

Contoh sarapan 

1.) Telur rebus – 1 biji – (0.6 grams carb)

2.) Chicken slice – 2-3 keping – (0.0 grams carb)

3.) Air suam – 1-2 glass – (0 gram carb)

4.) Keju – 2 keping – (1 gram carb)

Makan Tengahari / Malam

1.) Ikan panggang – 1-2 keping – (0 gram Carb)

2.) Sup Ayam – 1 mangkuk – (0.5 – 1 gram Carb)

3.) Ayam goreng – 1-2 ketul – (0.5 – 1 gram Carb)

4.) Sayur-sayuran hijau – 1 mangkuk – (1 – 3 grams Carb)

5.) Telur goreng – 1-2 biji – (1 – 1.5 gram Carb)

*********

diet yg melibatkan ketosis nie msh lg controversi sbnrnye.... kajian menunjukkan diet nie x elok for our organ function..... in long term, it's not good for our renal coz basically atkin diet will make we eat more than requirement of protein and it will burden our kidney........ then, kebanyakan mknn tinggi protein nie biase la kan, mesti tinggi lemak/cholesterol/purine..... so, even dorg kurus t, dorg may have high risk ntuk renal prob n high cholesterol n even gout.... then, otak adelah organ yg bergntg pd glucose as an energy so if glucose xde, sblknye bergntg pd ketosis, sumone tu akn hlg fokus dan otak tdk dpt berfungsi dgn baek... n normally people with atkin diet akan rase x sebertenaga mcm b4.... nie la facts yg mya bljr sejak zaman uni dulu... byk prove n clinical evidence....

tapi, skrg nie, ade gak pndpt mengatekan yg ketosis yg terhasil nie bgs n tiade -ve side effect lgsg.... ketone nie kan dlm kmpln alcohol, so ade pndpt mengatekan, ketone nie dpt mengaktifkan dan menggembirakan pengamal diet nie dgn khdrn natural alcohol nie.... gluconeogenesis from protein pun leh happen, so xde mslh bab glucose ntuk otak kite....

just the problem is still the high intake of protein food that burden the kidney... high protein diet normally will be given to weight bearing athlete... mcm atlit angkat berat kite kan, dorg mkn 3 ke 7 biji telur sehari ntuk build muscle.... dorg mmg sentiase exercise so, cholesterol is not a prob.... but still, effect to the kidney is still uncertainty....

so, stkt nie, mya mmg menggalakkan org berdiet care balance meal..... which is still low carbohydrate diet.... mkn sume nutrient kecuali ats sbb kesihatan...  air manis mmg jgn ambil lgsg if nak cpt kurus.... bykkn mkn buah-buahan esp yg low GI... then, stok lemak lame tu, turunkn dengan exercise n high fibre intake.... same mcm plate method pd entry yg awal2 dulu.... nasi ambil 1/4 je.... sayur setengah pggn.... protein 2-3 exchange (80-100g ayam) sekali makan .... jgn skip makan esp dinner.... dinner before 7pm.... mlm supper je but 3 hours b4 sleep....

 

* Melajukan BMR: kesan termik makanan

Zat makanan	Protein	Karbohidrat kompleks	Lemak dan gula
Thermic Effect	30%	20%	3%

 

* Tips: Frekuensi makan ↑  +  makanan TE ↑  à   BMR  ↑↑





n in my personal opinion, ketosis nie bgs ntuk cpt turunkn stok lemak lame tu.... ienye berbeza ngan ketoacidosis mcm yg diabetic patient sll dpt tu, yg tu mmg bahaye.... tapi.... high intake of protein tu yg problem, burden organ function.... msh research2 g journal terbaru nie.... stkt  nie, msh berpegang ngn ape yg mya pelajari selame nie.... 4 me, everythig must have clinical evidence.... testimonial is not valid....





k, x smpt nak tls byk2....



byk lg nak story bab diet nie...


next time ye...


till meet again diary...


till then...
daa....