Sunday 9 September 2012

temuduga SPA

assalammualaikum...




dear diary,



last week, mya dipanggil ntuk temuduga spa gred u41... at 1st, mya decide xnak g intebiu ni coz tkt dpt post jawuh2 if dpt, mya if buleh, xnak tgglkn family jawuh2... skrg pun da keje yg ok, kat hsptl swasta dkt je ngn uma, leh ulang alik... most of my course-mate mmg under JPA scholarship, so, if dpt posting, wajib g, kami terikat 4 taun, if x g kene blacklist.. susah t.... 


nie coursemate mya, sume da berjaye ng keje msg2... really proud of them...



tp, akhirnye, pegi gak intebiu gov ni coz my mom really want me to go.... mya under scholarship gov nie since form 1 g, dulu form 1, under ypj, so berbakti la pade gov ye... patriotik x kami... heeee...  






erm, so mya isthikharah, tawakkal sume, mya pun g la... intebiu nye hari jumaat... ari khamis mya masih bekerja, siap pas blk keje g ikut baraan hospital 2 buah umah g... mmg penat la hr khamis tu... mlm nye baru mya berkesempatan cari sume document yg perlu bawak esoknye... mmg kelam kabut la, baru perasan, mya nye sijil berhenti sekolah xde dlm file sijil.... ohhhhhhhhhhhhhhhhhhhhhh.... tidak........... 
 so, menggeledah la dlm kotak2 lame zaman belaja dulu tu, alhamdulillah, jumpe babe!!!!!! siap ngn fotostet g... ALHAMDULILLAH sgt2.... so, da susun sume, feeling2 perasan cam da lengkap, mya pun tito la dlm kul 12.30 am... 




if ikutkan hati, mmg takut sgt2 nak drive ke putrajaya tu, dgn x tau jalan sume... tawakkal sgt... mya mengamalkan doa ni buat penenang hati supaye sumenye berjalan lancar....



"ROBBI YASSIR WALA TU'ASSIR, ROBBI TAM-MIM BIL HOIRi"
 ya ALLAH kau permudahkan aku, jgn kau susahkan aku... ya ALLAH, kau akhirkanlah dengan kebaikan....


VERSI PANJANGNYE:

 



dlm kul 3.30 am, mya bgn tito, mandi n siap2 sume, dlm kul 4.10am gitu, da gerak nak ke putrajaya... da lame x g cna, so gerak cpt  cket tkt sesat... dlm kul 4.30 am, mya kuar tol tangkak, then, kul 5.40 kuar tol kajang... mmg jalan raya penuh ngn lori sahaja pagi2 nie... menakutkan sggh.... pas kuar tol kajang, berhenti kat petronas ntuk bersiap, solat subuh n breakfast kat ctu... kul 6.30 da gerak ke putrajaya... igtkn jawuh la kan.... hahahahahhaha.... b4 kul 7 da tba kat bangunan SPA tu... gilllleeeerrrrnye awal kan.... he3... dr tol kajang ke putrajaya tu dlm 10 minit je upenye.... n jlnnye mmg sng sgt, ikut je signboard.... ALHAMDULILLAH lagi....



then, mya jumpe kakna n kami g sesame... masuk ke bahagian intebiu tu, sume lelaki.... eh3, nape pule nie... kami bagi surat temuduga SPA, then, duduk dlm mcm dewan tu... ade byk bilik untuk temuduga dlm tu... dekat kul 8, baru la ramai wanita2 yg datng.... ade yg untuk jawatan pegawai syariah, ade yg ntuk jawatan jurutera awam n laen2 yg x smpt ditanye... then, intan atika pun dtg... 2 org senior kami, n 1 org junior... berkenalan ngn 2 org lulusan uia n 2 org lg lulusan usm ntuk jwtn same cam mya... sume da pun bekerjaya n pegi ni ntuk memenuhi tuntutan as a JPA holder.... ade yg mmg da keje RA, PTD n ade yg da keje pegawai U41 di UKM... kebanyakannye keje U41 di swasta.... sume da ade keje tetap.... 



mya punye document x lengkap upenye!!!!!!!  mya x perasan pun kene fotostet transkrip exam, never know that i had one... sekali time semakan kat cna, kawan tye transkrip exam, mya siap tanye semule, what is exam transcript (dgn muke blur2 lg)???? OMG!!!! mmg kesalahan melampau... ish3... peringatan ntuk generasi akan datang, salinan fotostet yg perlu ade mengikut turutan ialah:

1) ic
2) birth certificate
3) sijil spm
4) sijil ijazah/diploma
5) transkrip exam/surat pengesahan kelulusan peperiksaan akhir
6) sijil lain yg berkaitan perkhidmatan eg: ikhtisas


ntuk yg asal, susun mcm list kat atas... ntuk yg sijil2 akademik, susun dr yg plg lame hgga yg latest... contoh: dr spm naik ke sijil ijazah... then, ntuk sijil co-curricular, susun sesuki selepas sijil akademik... mya susun ikut sijil plg latest n tinggi dulu...


untuk jawatan same ngn mya, ade 2 bilik interview, G dan H... G ade 8 org interviewee, H ade 13... mya bilik H... thank god!!!!! coz bilik G, dorg kene tye pasal NKRA/dasar2 goverment/dasar kementerian kesihatan, sume pasal dasar2 tu la... mmg kami sume xtau la kan.... ALHAMDULILLAH again, mya bilik H,
dorg tanye sume mengenai clinical....


soalan yg mya dpt ialah:
1) perkenal diri anda in english
2)what the utmost challenge that you face in your current job
3) in layman word, explain to me how hypertension can lead to death
4) what is gluten free diet
5) what is diet based on blood group. give example.
6) what about group A blood?
7) explain how you manage elderly patient with chronic renal failure step by step

then, dorg senyum n cakap, that's all... siyes, mya terminga2 coz terlalu kejap n simple... 25 mins jer.... soooo santai intebiu nye... ALHAMDULILLAH sgt3...



mya mmg if ikutkan akal, tak nak keje government... gaji x bape masyuk, t posting x pasti katne, pencen umur 60 lg, lbh suke keje yg flexible n byk travels... tp, bile fikir semule, Allah lebih tau ape yg terbaik untuk mya... mya tawakkal 100% kat Allah coz mya da berusaha sebaik mgkn ntuk sume yg mya buat.... if goverment yg terbaik ntuk mya, pasti mya akan dpt keje nie(even document x lgkp).... heeee.... if ini bukan yg terbaik untuk mya, mcm mane bgs pun mya wat ntuk intebiu, ini bukan ntuk mya... setiap yg berlaku pasti ade hikmahnye... mya x kesah sgt, yg penting ikhlas n buat sume keje dgn sebaeknye demi ALLAH...  sbb tu rase santai je ngn intebiu SPA ni, x stress lgsg...




nota kaki tangan: i'm happy with my life... ALHAMDULILLAH...



k diary, next time story mory g ea...


till meet again....


till then...


daaa...





Tuesday 4 September 2012

bone density screening at PP UTHM

asslammualaikum



dear diary



mase tu, mya n medical camp team mya pegi wat bone screening kat pusat perubatan UTHM... as usual, mya act as a consultant.... we arrived there @ 8.30 in the morning... seriously, smbtn kat UTHM nie sgt2 memberangsangkan... maybe coz jarang dpt portable bone density machine ni kan... kat tiga3 hsptl tmpt mya ni pun mmg xde DEXA machine, even GH pun xde... maybe coz not worth it, esp if nak beli ntuk hsptl swasta mcm hsptl mya nie, mmg xla kan... t lmbt bebenor nak blk modal nye... he3...


ni bone sonometer yg kami gune, pinjaman ikhlas dari MESC... act, in my opinion, reading nie just as a marker je, nak tau area mane bone density kite, normal ke, medium risk ke or high risk 4 osteoporosis, tu pun x semestinya tepat, if btl2 nak tau mmg kene cek DEXA... this is just ntuk berjage2 la... yela, portable machine kan, mane nak se efficient DEXA tu... heee....

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portable, easy-to-use Hologic Sahara Clinical Bone Sonometer

Ultrasound bone sonometry ni kire safe, radiation-free modality that provides quantitative assessment of skeletal status. so, ie useful in identifying patients at risk of developing osteoporosis and for assessing their risk of future fracture. < 1 MINUTES, da leh estimate a patient's bone mineral density, based on an ultrasound measurement of the calcaneus (heel bone), the preferred peripheral site proven in numerous studies to predict fracture risk. but kat UTHM ni, kami hanye screen doctors, nurses n lecturer kat ctu je... nak screening sume x mampu deh, ramai sgt... heee... tu pun jenuh mya bercakap x henti2 tau dari pagi sampai petang, kering tekak... 

 

ni pule DEXA scan yg ssh nak dpt kat johor nie... kat JB je ade tau...

   

 

 machine ni takes 15 minutes je tau to perform, uses very little radiation (less than one-tenth to one-hundredth the amount used on a standard chest X-ray), and is quite precise.

as a consultant on that day, basically ni lah yg mya duk membebel sepanjang hari... heeee.....

Osteoporosis

Osteoporosis is a disease characterized by low bone mass and loss of bone tissue that may lead to weak and fragile bones. If you have osteoporosis, you have an increased risk for fractured bones (broken bones).

Osteopenia

Mild thinning of the bone mass. Osteopenia represents a low bone mass and is not as severe as osteoporosis. Osteopenia results when formation of new bone (osteoid synthesis) is not sufficient to offset normal bone loss (osteoid lysis).

 

What are the risk factors for osteoporosis?

· Being female
· Advanced age
· Being Caucasian or Asian
· Low bone mass
· Being thin or having a small frame
· A sedentary lifestyle
· A family history of osteoporosis
· Estrogen deficiency as a result of menopause, especially early or surgically induced
· Anorexia nervosa
· Use of certain medications
· Cigarette smoking
· Excessive alcohol intake

  
ways to improve bone health

  • Exercise regularly, three to four days a week (walking, jogging, playing tennis, dancing). 
  • Avoid smoking and drinking large amounts of alcohol. 
  •  Limit caffeine and carbonated beverages in your diet. 
  •  Get enough vitamin D via early morning sunlight or by eating eggs, fatty fish, and/or drinking fortified milk. 
  • Getting enough calcium on a daily basis by eating a variety of food: Hard Cheese, Slice cheese, Sardines, Tofu, Powder Milk, Fresh milk, Anchovies, Almonds, Yogurt, Spinach, Breads, Kale, Pak-choi, Broccoli  n etc. (Both calcium content and bioavailability should be considered when selecting dietary sources of calcium tau!)

if nak ambil vit D n calcium in supplement form pun ok just normally we only prescribed for fracture pt, osteoporosis pt, or high risk pt. bkn just prescribed pd sume... skrg ni, kami prescribed cal D for calcium+vit D supplementation... Others include alendronate (Fosamax), risedronate (Actonel), raloxifene (Evista), ibandronate (Boniva), calcitonin (Calcimar), and zoledronate (Reclast)...

 tp, supplement ni leh beli sendiri kat farmasi tu yg prob tu... bkn ape, kdg2 they all nie maen makan je ntah pape supplement, n tend to overdose... calcium ni bahaye if overdose, leh calcification at kidney jd renal stone, headache, nausea, vomit, frequent urination,muscle weakness, cholelithiasis...


then, kebanyakan yg mya jumpe selalu confuse antara sakit sendi ngn sakit tulang... mmg kene kene explain byk kali yg ini ialah bone density machine, bkn check synovial fluid/membrane/cartilage sume tu...normally dorg samekan osteoporosis ngn arthritis/gout... totally diff tau...
kat hsptl mya mengamalkan injection of synovial fluid to avoid knee surgery...  supplement pun byk... len kali la nak story mory ye diary, panjang sgt da membebel 4 2day...


k diary...

till meet again...

till then...

daa...


Sunday 2 September 2012

sahabat selamanya

asslammualaikum...


 

dear diary...



 

really bz lately, x smpt nak berdiary ni... Alhamdulillah, hr ni ade mase cket tp pasni kene siapkan report for august... now we are still in syawal month, n mya baru dpt 2 hr berpuasa di bln syawal nie.. insyaALLAH, akn berterusan smpai abes syawal nie... moge tiada aral melintang ye... amin...




this syawal just de same as prev syawal in term of konvoi raye kawan2 sekolah menengah... geng x kenyang2 kami mcm biasa akan berkumpul n konvoi sesame... 




k, ini geng konvoi makan x kenyang2 kami:




mcm membazir myk n ruang je msg2 bwk kete kan, tp nak wat cmne, uma kami sume jawuh2, ssh if 1 kete sume org, t take time bile nak balik uma masing2... yg uma 1 jalan tu, barulah kongsi kete...




kami nie geng makan x kenyang2 coz pantang nampak makanan, melantak je kejenye even baru pas makan.... 


 



 

 mase ramadhan lg la, kami berbuka puasa same2 kat medan ikan bakar, makan ikan stim + ikan sweet sour + kupang berlada + sotong goreng tepung + udang butter + kailan ikan masin + kuih popiah basah + fresh orange 1 jug + watermelon juice 2 jug, leh je kami abeskan selicinnye... seb baek ade surau kat medan ikan bakar tu, leh makan puas2, x terkejar2 nak g cari masjid...  pas makan, solat, then g jalan2 uptown, then melantak tutti frutti lagi... mmg makan jenis x tau nak kenyang masing2... he3...


 

 

 

konvoi raye dimulekan ngn uma kochek... supposely ke uma lily sekali tp lily g antar adik die ke airport, so. g uma kochek je... kwn2 laen yg duk area ctu, sume bz n da start keje, kami ber 7 je la yg ade ntuk konvoi raye... but, tiap kali ape2 event pun, muke2 nie juge la yg rajin dtg ngn bbrpe org yg len, yg x dpt join konvoi kali ni, mmg tiap taun muke yg same... hwar3... y3?? 

 

 

 

 kami sume juge bekerjaya... kebanyakan dr batch kami ialah bidang engineering... tp, ade sorg dietitian, sorg pmbntu pharmacy, sorg lecturer(yg lecturer ni pun lec ntuk bhgn eng, so kire bdg eng gakla) n lily ialah lawyer.. intan pun join slh 1 konvoi last year tp skrg die kat canada, siapkan phd die... ika last minute ade emergency family prob, muge2 sume ok... sape g ea yg ade taun lps... ish, lupe pule... xpela, ade 7-8 org ni pun ok da eccelli... heeee...

 

 

 

ape yg kelakanye, kami sll buke cerite yg kami nie sbnrnye time sekolah dulu, bukannye 1 geng pun... tp, bile sume da kerja, masuk je jadi 1 geng coz da xde istilah geng2 nie... yg ade ialah istilah kawan2 lame yg menghargai hbgn msg2 (hak3, ayat touching pule, if kwn2 len bace nie, ade kene gelak)... sume pun da ade geng keje masing2, geng Uni msg2, tp, kwn2 lame mne leh lupe kan... 

 

 


hbgn persahabatan nie kire hbgn silaturrahim... mengeratkan silaturrahim tu kire ibadat juge kan... memutuskan silaturrahim pule dikire berdosa... mya harap sgt, sume hbgn yg mya pernah wujudkan, x kan terputus... moge setiap hbgn kite nie dirahmati oleh Allah... status perhubungan itu mungkin berubah2, tp, jgnlah smpai terputus, tp, msh ade yg tdk mengerti, msh ade yg memutuskan silaturrahim hanye kerane status berubah... btl2 x fhm n x dpt terime konsep tu... erm....

 

 

 

Dalam surah Al-Nisa ayat 1, Allah berfirman yang bermaksud:

Bertakwalah kepada Allah yang kamu selalu meminta dengan menyebut namaNya, serta peliharalah hubungan silaturahim kaum kerabat.


Demikian juga dengan surah al-Hujuraat, ayat 10, Allah menegaskan dalam firmaNya yang bermaksud:

Sebenarnya orang-orang mukmin itu bersaudara. Maka damaikanlah di antara dua saudara kamu yang bertengkar itu dan bertakwalah kepada Allah supaya kamu beroleh rahmat.

 

 

 

Takwa dan silaturahim selalu digandingkan di dalam Al-Quran dan merupakan dua hal yang tak boleh dipisahkan. Maksudnya jika orang itu bertakwa kepada Allah, tentu dia akan menyambungkan silaturahim dan kalau dia tidak bertakwa kepada Allah tentu dia akan memutuskan hubungan silaturahim.


 

Mengekalkan hubungan persahabatan memerlukan usaha dan memakan masa yang lama tetapi ia sangat berbaloi.  bcoz, apabila mya berkawan, mya berkawan untuk seumur hidup. ble teringtkn kwn2 mesti ingat kenangan time dolu2. Sahabat kita mungkin akan berubah2 suatu hari nanti tapi apa yang pasti kenangan kita dengan mereka takkan pernah berubah n hbgn tu ttp akan kekal. Insha Allah..

 

 

till meet again diary...

 

till then...

 

sayonara...