Wednesday, October 28, 2009

Too Phat Review

For the new generation of Malaysia Hip Hop, this is a little bit info on how Hip Hop scene really happen here in Malaysia. haha. I just want to write this entry as a tribute to Too Phat. I guess now i can call them one of the best rappers here in Malaysia and still they is. A little story on how i discover them.

Whuttadilly?

I never knew about this album. I guess i don't need to know about it. I only know that there are 3 songs which is nice in this album which is Jezzebelle, Too Phat Baby and Bomoh. But during that time, Hip Hop was still an underground culture. Know one is really paying attention to this album

Plan B

This is the point where i started to discover Too Phat. I remember that i was in Form 1 or 2 when i first listen to 'Anak Ayam' ( the classic hit single from Too Phat). They were nice and so immature at that time. However, i love it because i was too, an immature. So i guess the tune is really synchronize with me. It was easy to accept their music into my life and my cerebral cortex. Lot of 'classiczz' song from Too phat are in this album. This range from Boogie down, Anak ayam, and Just A friend. The latter two become a big hit in Malaysia. I love Just a Friend because the story crafted in that song was fantastic and humorous.

In fact, this is the first CD i ever bought in my life. When this album out, it was still the tape/cassette era. However, i already have my first CD player/CD walkman at that time so i bought Plan B CD and i played it hundred times. I remember all the song in it.

Other classic song in this allbum are illion, It's on you, and wanna battle. All of this songs featured great Malaysia and Singapore hip hop artist nowadays (but unknown during that time) such as Teh Tarik Crew, Reefa, and other so called Phat Family member. Platinum edition of this album includes Clap to This and The Last Song which is also nice to hear.

360

This is the turning point of Too Phat. From their successful Plan B to become more successful. This album shocked me the first time i listen to it. Even my mother who does not know anything about Hip Hop said that this album is 'bagus and sedap didengar'. Even though not all song are that good but this album include 2 songs that everyone will remember until today which is Just A lil Bit and Alhamdullilah. Alhamdullilah is the best song ever by Too Phat. It was the song which is called by many as the Culture-shifiting song. As Stan by Eminem change the way of hip hop in the west, this song by too phat change the course of hip hop in the east.

Alhamdullilah is beautifully crafted hip hop song and i guess the first hip hop song which combine the element of Nasyid (muslim religious song) into one inseparable tune which ring to our ear for a very long time until now. After this song was released, a lot of hip hop artists in Malaysia start to use this formula and make one on their own. Now Nasyid + hip hop is so common in Malaysia because of this song. Years before this song was released, no one ever think that hip hop can be religious.

Just A Lil Bit featured Warren G from America and the beat for this song is also above expectation.

360 degree album from Too Phat is my 17th birhday gift ( or is it 16th).

Rebirth & Reality

This is by far the last album by Too Phat after their long hiatus after 360. I bought this album for myself. Compare to 360, this album is a little quiet and not much promotion was done for this album. And many called it failure as it does not sell much as before.

However, if i have to choose, i will choose this album as the best from Too Phat.

The best song in this album is Dua Dunia which featured Siti Nurhaliza, the best Malaysian singer up to date. Song was nice but frustrating to Siti Nurhaliza fans as Siti only sing the chorus part of this song and only a bit. Maybe those people does not understand how hip hop song is.

Other great song includes KL, Snap, & How Me Seksi. What i like in this album is, Too Phat look really matured in term of their lyrics, their sentences, their pronouncation. So clear and easy to catch compare to before. The arrangement and the quality of the songs is remarkable.

I would choose this album as the best of Too Phat. Previously Too Phat would rely much on remix and sample song but in this album, they start it fresh. Fresh tune from Too Phat.

Their lyrics are more meaningful in this album as in Dua Dunia, Forgot My Lyrics, KL, and other songs. By listening to this album, you would understand the real Too Phat rather than understanding the hip hop culture in malaysia as they did much in their previous album. The album is more personal to their view as Too Phat and not only highlighting the culture itself. At this point i initially think that Too Phat will become more successful in the future.

however, that is it. No more album from them. Now they are going solo. I guess Malique album entitled Ok! is phenomenon. But Joe Flizzow is a little slow to catch it. I guess if they both work in a same album again, it will be superb.

End.

Tuesday, October 27, 2009

Where is the wise? Short post.

1. I am shocked to find out that some Malaysian are saying Thanks God when indonesia was hit by earthquakes lately. Why? Why do we laugh and say Thanks to God when there are people dying? How bad are we as a Malaysian? How can we deserve to live on this world with an attitude like this?


Monday, October 26, 2009

case Summary

Maybe this time i would write case summary in my entry here. haha. Just for fun. realizing that i have clerked so many patient, why don't i share some of them with the people. By the way, information here is so confidential so all the identification information will be changed or removed.


Case 1 A 69 years old male presented to the hospital with the chief complain of localized abdominal pain and distension for 4 days. The pain is localized at the epigastric region, stabbing in nature, non-radiating and aggravated by taking food. It is associated with nausea and vomiting. the vomitus contain partially digested food particles. The distension at the epigastric region was noticed by the patient himself after the epigastric pain occured. On further questioning, patient also loss his appetite and weight since 4 months ago and had an altered bowel habit since 2 months ago. Patient was having difficulty in passing hard and small amount of stool. There were no blood noticed in the stool. On examination, patient is comfortable however looks cachexic. Pallor was noted on conjuctiva however there is no jaundiced noted on sclera. There is mild pedal oedema noted. Abdominal examination reveals a hard, tender and fixed mass measuring around 8cm X 10 cm oval shape mass in the epigastric region. Liver and spleen are not enlarged and kidneys are not ballotable. Mild shifting dullness can be elicited on percussion. The mass is also dull on percussion. Bowel sound is present and no bruit heard on auscultation of abdomen.

Per rectal examination done and no mass is noted.

Other systems reveal no abnormality.



Diagnosis: You think about it! hahaha.

Saturday, October 24, 2009

Layu


Aku lihat layu dalam Melayu
Aku pasti bukan aku seorang saja yang nampak
Ada juga bercadang bertanya tuan punya
Tapi bercampur risau dengan tak tergamak
Nanti dikata tak bersyukur, dikata tak sedar diri
Jadi aku menyendiri, memerhati dan akhirnya mengakui
Yang kita sendiri
Membiarkan bunga raya melayu ke kanan
Dan dibiar bunga tak cantik mekar di kiri

Aku lihat layu dalam Melayu
Tanah air kita yang punya
Kita siram, kita baja tapi angin api kita lupa
Mereka merancang masa menjilat bangsa

13 harimau bertukar menjadi mangsa
Kita lupa nenek moyang kaya-raya
Jangan sekali-kali digadai harta-bendanya

Ku lihat layu dalam Melayu
Ku lihat layu dalam Melayu
Ku lihat layu dalam Melayu

Takkan Melayu hilang di dunia
Ya... tapi apa guna tak hilang di dunia
Kalau kewujudan tidak dirasa
Petah berbahasa kudrat tak berjasa
Orang berbudi kita hanya tahu merasa
Selalu lari bila dirapat
Selalu malu bila soalan diaju
Selalu segan memberi pendapat
Rela mengikut dari meneraju
Belum nyanyi sudah bersorak
Suka berjanji dalam borak
Bukan kata tak ada otak
Cuma tak berfikir di luar kotak

Ku lihat layu dalam Melayu
Ku lihat layu dalam Melayu
Ku lihat layu dalam Melayu

Aku jadi sayu
Bunga menangis dia mendayu
Mahu jadi cantik tetapi ragu
Aku merayu
Bangunlah semula hidup kembali
Jangan tunggu matahari mati
Cepatlah mekar sebelum terlerai

Perjuangan kita belum selesai

Perjuangan kita belum selesai

Perjuangan kita belum selesai

Taken from Layu by Malique (album : OK!)

Friday, October 23, 2009

Traditional Medicine = Palliative Medicine

This happen today.. During my bed side teaching with one of our senior lecturer in surgery.

It happen when one of my colleague was presenting a case of Colorectal cancer, early stage cancer, Duke's A.

My Colleague (A): Patient is planned for surgery however he refuse the surgery and planning to seek alternative medicine.

My Lecturer ( H) : Pardon?

A: Alternative medicine

H: You mean palliative care lah..!

A: No doctor, he actually want to try traditional medicine other than the surgery..

H: Same la. Traditional medicine is palliative care la. Further more it will make patient life more short.. palliative lah.



We all laugh. Don't know why but it make sense. Traditional medicine can be palliative. It is palliative in this situation.

For Adenocarcinoma of the rectum in early stage Duke's A, if you removed it you will have 80%-90% chances of having a quality life. If you did not... it will take only months to spread to other organ and will cause you to suffer until the day you die.


Wednesday, October 21, 2009

Adapting (Malay's not Malay)

I was born Malay and do not talk with me about Malay custom and belief if you yourself do not engage this custom and belief for 23 years of life. So I was lucky to be born in a family which still have their custom and tradition so i would not lost like anyone else. With the concept of 1Malaysia being adapted here in Malaysia, it id becoming more difficult to classify whether a custom or belief is owned by which race.

What i want to highlight here is regarding some practice done by Malay which is actually no longer can be practice today. It is outdated. Not to say i am to modern on this but it is a simple thing and with little effort to think, you might get my point here.

The first thing is regarding toilet paper. How many Malay use toilet paper? Count them by your finger. I do believe that malay sometime don't want to change. I was kind of annoyed by some Malays who simply classify a malay using toilet paper as non-malay. The saying of " Toilet paper? u want to be chinese ka?" or " Not clean lar, only chinese do that" is common.

What i discover is, toilet paper is not created for the chinese nor western people or people who are unhygiene. It is a hygiene product. I learn this by using only 0.0001% of my brain.

Simple question: Which one is cleaner? 1. People using water and hand to clean their **** or people who are using toilet paper and water?

Can anybody just think about this? Obvious.

" Who told you to wipe your *** with a toilet paper and forget to use the water? That is unhygiene. But to use both, is much more hygiene.

This is because, your hand will be contaminated when you use it to clean your butt. How can you say this is the most hygiene practice? It is not. Even though you clean your hand with those soap product that claimed to kill 99% of bacteria in your hand, it will not clean your hand effectively. So to clean it is to prevent your hand from touching the most contaminated area in your body.


Another thing is about eating with hand. Most of Malay would scold their children or maybe classified someone as non-malay, or 'lupa daratan" if a malay eat with spoon and fork.

The saying " You already forgot your race ka? You are Malay, use hand la" or " Kacang lupakan kulit sudah, makan pun guna sudu" are common.

The problem is, which one actually is much better. Using your hand that contains numerous bacteria ( for your infoormation, our hand contains a million of normal flora a.k.a bacteria that cannot be removed by cleaning using soap or alcohol. They are our friend) or using a spoon and fork which is hardly have normal flora. Yes spoon and fork can contain bacteria but compare it to our hand, too obvious that our hand cannot be so clean because it contain moisture and media for those bacteria to live, but spoon and fork do not. Bacteria on the spoon is often contaminated from other outer source. But our hands have their own population grwoing for generation.

So eating using utensils is much more hygiene that hand. But Malay would always reject this tradition.

However, some practice of Malay cannot be denied. For example, squatiing toilet. Okay. This is funny. By rejecting the two point i have discussed above, Malay today are adapting to the sitting toilet so rapidly. They did not care of this change. They would say that sitting toilet is much better than squatting. Squatiing is old timer.

They did not realize that physiologically, squatting toilet is the better toilet for us. Squatting is a position which bring benefits to our body. By squatting, you can increase venous return to your heart. You will increase intrabdominal pressure which will help in passing your faeces out from the anus. You don't have to strain a lot when you squat. Another thing is for the girls. Do people know that the best position for delivering a baby is by squatting? Yes. this position is still adapted now in Obstetric practice during delivery. You may not realize that McRobert position that is use if the baby shoulder is stuck is actually a squatiing position on the bed. And this position is often teach to pregnant mother so that in emergency case like that, they can quickly do this position and deliver the baby safely.

Most of western women do not know how to squat, and this is difficult for them when they are pregnant and some obstructed labour happen.

So squatting is physiology. But i do not know why, Malay are trying to abandone this practice. Not only Malay, all other races too. A consultant in Hospital Likas here in Kota Kinabalu once said that the hospital is upgrading the toilet to become sitting toilet but opposed by him because for him, a obstetric ward should have only one toilet which is squatting toilet.


As a conclusion, i am not a person who opposed things blindly like someone else did. For toilet paper, you have an option to use it or not. If you want, you get the benefit, if you don't, at least you wash your ass with water and washed your hand with soap, still no wrong in that. For spoon and fork,, i would never ask people to abandon the technique of eating by hand. Even i would teach my children and future generation to use hand to eat because i don't want them to dependent on utensil. If you stuck somewhere without spoon, you stillc an eat. For toilet issues, i guiess it is your option to use squatting or sitting. Sometime, old people prefer sitting because squatiing make their knee ache. So it depends on the situation. I believe my parent are so clever because my house have 2 toilet, one is sitting and one is squatting. We have choice to use which one. So in the end, unless you do no harm, you are free to choose. But once you burst out racist statement like "toilet paper is for chinese", you are causing harm, and you must start to use your brain in the future to make sure that no more harm can be done by you, to you, others, and your future generation.

Sunday, October 18, 2009

Open House Day

So today is my open house day. I went to a friend open house for lunch and a restaurant open house for dinner. What i want to highlight is regarding the restaurant open house. 

Do you ever went to an open house organized by a restaurant? Today is my first time. I realized that it is a good tactic for advertising the restaurant. They open the restaurant to everyone and provide generous amount of food to everyone. So nice. 

So for the end of this year Raya, I have explored that open house is not limited only to a house which is open for everyone during raya. This year, other than the open restaurant, i also heard of open table organized by my senior. What you need to do is to come to the restaurant he went then you can order food and he will pay. 

In the end, open house is not a fixed custom. All we need is to spent our money to charity, to give food to everyone. 

I am so full, i can't write anymore. 

p/s: Anyway, the restaurant i went for open restaurant dinner today is Casa Raya restaurant which is located in Alam mesra, Kota Kinabalu. Everyone can try to eat there. I often went there for my dinner. This is not a free ad. I just want to mention it as this is the first time a restaurant gave me free food. I will remember it. 

Friday, October 16, 2009

Sahabat Kartika

Edisi khas bahasa melayu.

Saya berasa sangat aneh pada zaman sekarang ini. Terutamanya apabila mendapat tahu yang mahasiswi di University Malaya menubuhkan kelab sahabat kartika dan menjadikan Kartika seperti idola mereka.

Masalahnya, sebagai muslim, kesalahan kartika adalah dosa besar kerana meminum arak malah di tempat awam. Hukuman yang dikenakan ke atas kartika, hanya Tuhan sajalah yang tahu. Cuma apa yang kita tahu beliau akan dijatuhkan hukuman sebat atas kesalahan yang dia lakukan.

Jika direnung kembali, perlukah orang sebegini dijadikan idola?

Pencuri yang mencuri, dijatuhkan hukuman penjara 6 bulan, adakah pencuri ini perlu dijadikan idola.

Pembunuh yang membunuh dan dijatuhkan hukuman bunuh, adakah pembunuh ini perlu dijadikan idola?

Sahabat pembunuh? Sahabat pencuri? sahabat peminum arak?

Lucu.

Namun ada motifnya penubuhan kelab ini untuk memperjuangkan falsafah dan hukum agama namun sepatutnya mereka lebih berhati-hati kerana isu ini sudah dipolitikkan malah penubuhan kelab ini lebih menjadikan isu ini bersimpang siur dan boleh menyebabkan salah faham di kalangan masyarakat tidak kiralah muslim ataupun tidak.

Mungkin kalau ditukar nama menjadi sahabat wanita, sahabat dia, adalah lebih elok daripada menggunakan nama kartika.

Dunia sekarang, buat jahat pun boleh di sanjung. entah kalau aku pergi minum arak dan bersetuju menerima hukuman sebat, akan ada kelab sahabat chucky charlie atau sahabat ascap23?

Entah. Siapa tahu?

Listening story

Everyday learning about how to take history. Haha. Sometimes i feel boring to learn about it. but to use it is interesting.

Different patient will gave different history. It is nice to know what others experienced in their life.

Sometimes during on call, i like to talk to some patient not regarding their medical illness but about other thing, their story. I like to listen to them and sometimes this is therapeutic as telling someone your story can relieve your pain.

Somehow, i start to realize the importance of history taking. It can make someone comfortable. You will feel comfortable if you tell other regarding your problem. Telling someone who is willing to listen.

A good speaker is the one who listen.

By this statement, do you realize that there is a lot of bad speaker in this world. When you look at all the people in the media, they talk, they talk brilliantly, you cannot beat them in their manifesto, fact and the flow of their talking. When they meet people, they mixed well with other quickly, people start to think that this kind of people is reliable. However, in the end, people would say " dia tu cakap kosong ( only know how to speak without making thing real)". Why this happen? because this people don't know how to listen.

Listening is much more powerful than speaking. By listening to other, you can control them easily but by talking non stop to them, the rate of people comply with you is lower.

Lstening skill also important in our life. When someone talk, we listen. Wait until there is dot in their line than you can start to speak.

Do you realize since our grandmother's era that lot of people hate people who do not listen?

These people are called 'degil'. Somehow, since a long time ago they realize that you must know how to listen and not only talk.

So now, everytime someone talk to me, i try to listen to them. Honestly i am also not a good listener. But i will do my best.

Sunday, October 11, 2009

Stench of Hatred

It is funny to see people who has this stench of hatred yet annoying. We can see that as world become modernized and everything is compete-able, everyone seem to not know how to differentiate this two thing, competition and envious hatred. 

I do not know how to comment on people like this. But i do know who are and who are not. 

Sometime. everything that you do is always wrong for this type of people, all you write is wrong, and what you say is always incorrect. Contrast to you, everything they do is always write, everything they say is always correct. It is funny. 

I guess lot of people are going grow up like this and lot more to be born. Who are there to be blame? 

In my opinion, this thing happen because of how that people grew up, how their mother nurture them with envy and always put them in the 'rat race'. Mother always want to the best or their child and no one could be better than them. 

In the end, what i've read in Adibah Amin book a few months ago make sense. Maybe really mother is the one who are causing all the havoc in this world. It was a joke, but it make sense. 

However, mother do their part and being an envious person is not totally because of mother. it is by ourselves. 

Maybe people say i was ignorant but what i do is to make sure that I did not step into someone else line. So i became 'acuh tak acuh'. I do my own thing, with one person that i want to the thing together, i don't want to get much socialize, i am keeping myself and the one i trust in my side but i do not have intention to collect other by my side. 

People say that i was bumptious... but to think about it...why do they say that? This lead back to the topic i have written here. Envy, envious, envious hatred. 

I guess i have my own target and plan right now, i'm gonna stick to that. 

And in my mind there is only my mother, father, sister,

my special one

a friend or friend who will be part of the plan, our plan, and that is it. 

p/s: i think we should stop the habit of getting to know others and compare it with ourselves. Because we are too imperfect, others should not be like you.  haha. 



Eminem relapse 2 will be released soon. 

Saturday, October 10, 2009

Papadom

Who say Malaysia's Movie is dead? Not until i watched this very beautiful crafted comedy movie. This movie is so damn good until i want to watch it once again. 

The last good malaysia's movie that i saw was Upin and Ipin. However, it is still restricted to be a kids movie. I want to see real movie. Not kids movie.For the past few years, those film such as Sepet won film festival award and everything, but i try to appreciate it but i can't. I guess every award winning movie must be hard to understand like Sepet or Gubra or something. However, papadom has proved that a simple movie can be so good and deserved to be award the highest rank in Malaysia's movie nowadays. 

I want to watch Papadom not because I knew from the beginning that it is so good but the fact that it won multiple awards before it even play in local cinema make me grab my wallet and bought those ticket to watch it. I want to see in what aspect that make this movie won that awards. Is it really good? I want to mock it if it turn to be hopeless. 

Now i know why Papadom deserve that awards. This is a very good movie. A creative fresh new movie. Whoever has not yet watch it, please go and watch it and judge it by yourself. From my judgement, i gave this movie 5/5. It was so nice. 


What Papadom all about?

This movie is not actually regarding Papadom ( an indian cracker that is eaten with rice, sometime briyani, and curry). The story is about a father who love his daughter so much until he cannot be apart from his daughter. 

In the movie, element of father daughter relationship is highlighted and some other element such as racial relationship, college student life, actor and celebrity life also included. I like the way this movie show the unity among three races in Malaysia; Malay, Chinese and Indian. 

The intro of this movie is so exciting. Different from other, it started with a 'boria' song and it was so funny to watch people in the street suddenly dancing with the song. With only a song, the introduction is made simple and easy to digest. 

laughter is there all along the movie. No part where you can relax. You have to prepare your guts to laugh out loud in this movie. 

Surprisingly, i could not believe that people would cry watching a comedy movie. but this is what special about this movie, behind the laughter and comedy, the strong heart touching element was inserted without you realizing it. Until you suddenly become labile, laugh in one second, three seconds later you were crying. ( i did not, but my companion did. However, i know why lot of girls in the movie were crying. I also touched by this movie but my ego is much higher than the touching part). 

Usually what failed Malaysia's movie is the ending. Lots of movie rush to the end, whether happy or not. But, this movie did not. It guide to from phase to phase until the end occur. And in the happy ending part, you would still cry and laugh. This two different component seem to mix well in this movie. 

In the end, in the credit part, they will be some 'the making clip' that will sure make you all laugh and have a big smile while walking out from the cinema. 


What i like about the movie?

1. Interesting and easy to understand intro. 
2. Good and easily digested ending
3. All the actor here was 5/5. everyone play their role the best. 
4. Tears was not faked, or even if it did, it look very real. 
5. Simple language to understand
6. Jokes easy to catch and 'slumber'. 
7. Message is clear.
8. Plot is flowing smoothly. 
9. It highlight racial relation in our country. 
10. No boring part at all. 

Conclusion

You need to see this movie and judge it yourself. However, everything written here is based on my mere opinion. Sometimes, a very good movie, but someone still does not like it. You know.... sometime people just cannot judge universally and more to engaging everything locally by their own taste from where they originate. 





 

Loss

I don't have any idea to write cause my head is feeling dull right now after having a severe headache for 2 days, non-stop, and not relieve by medication. For once i am thinking of doing lumbar puncture to myself to check whether i got meningitis or something in my meninges or brain. So painful. However, I just take a day sleep but it does not relieved the pain also. 

However, i am so grateful and thankful to God today because suddenly the pain disappear and i am back functioning as normal. Still i feel some pain when i do something that increase my intracranial pressure such as sneezing or coughing. 

Maybe the fact that i suddenly recover is because something has shock me very hard. What is it? It was my car as usual. 
Just around 3 months ago i've spend around rm800 to repair my car, and a few days ago, my car also fall sick along with its owner, that is me. I was having a bad headache and my car was having a bad clutch and flywheel. 

With a little bit of headache, i sent her to a workshop and a few hours later they call me and said " to repair this, you need around rm900". Suddenly my headache disappear. Damn!

having a car is a gift and a curse. having an old 1983 car is more to a curse. RM900? I only have rm400 in my bank and it is supposed to be used to buy food for me for the next month. Now? I had to use it for my car. I need to borrow some money from a friend, thank god friend is there to help me. I promise to pay it as soon as possible. I will. 

I was feeling like crazy today. Because i just paid rm900 to a workshop. I can buy a lot of thing with that. I can buy a new hard disk, a new cloth, i can go and eat McD everyday for a month i guess. I was sad, mad, angry,.... 


One more thing that make me angry, the gear problem started a years ago and everytime i went to a wotkshop to fix it, they change the gear oil. Gear oil is not cheap. I have changed it around 3 times. 

The problem does not resolved then i had to check from the internet and within a few seconds, i found that the problem that i am having for the last one year is not related with the gear and gear oil but the clutch. damn. 

Thank god internet was created in this world. 



Now my car driving smoothly on the road. She was so happy, she want to go vroom vroom. I am not. 

Tuesday, October 06, 2009

Patient Patient.

I was so fed up iwth my patient's relative today. What happen is, i
was going to clerk this patient and that patient agree to be clerk by
me. Patient autonomyis my first priority. However, suddenly this one
relative (maybe the son of that patient) suddenly acting clever and
tell me " If you want to ask questions, ask the doctor, not the
patient, can you see this patient is sick, why must you ask
question?".

Fair enough, i don't want to start a fight, we are professional, thus
i had to leave that patient but more spesifically the relative. The
wife of that patient already agree with me, and the patient also. I
guess patient autonomy does not apply for their relatives.

Fair enough, we still need to respect our patient, and we need to obey
them. if they refuse their medication also no problem nowadays because
patient have their autonomy.

What i want to highlight here is regarding 'asking question' or in
medicine it is called history taking. We could not say in malay "
ambil sejarah" because everyone will be blurred with that term.

History taking is one superior tool in making diagnosis in medicine.
Layman would picture doctor to read x-ray, holding stethoscope,
holding needle, and handle sophisticated modern machine to diagnose a
disease. However that is not the most important tool in medicine.
History of the patient is much more important.

More often drama and tv shows are showing doctors like house and
Grey's anatomy doing boombastic medical procedure to diagnose their
patient but to tell the truth, the part where they took history was
cut and they only show important question asked by them. So it would
not be boring.

In reality, we are spending at least 20 minutes to talk to the patient
and to ask them everything regarding their problem.

This is the first sentence that i heard when i enter medical school.

"80% of the diagnosis are made from history taking".

So asking question to patient is so important until all medical
doctors, i am sure, from everywhere in the world, they would need to
prepare themselves to be good in taking history before they can become
a good doctors.


However, most of patient and their relatives, did not understand that
history taking is used to diagnose patient. They think doctor just ask
question and talk with them without any purpose. I remember a friend
telling me that he read in the newspaper regarding a complain from
someone who complained that a doctor was insulting her father because
that doctor asked about her father occupation. She said that her
father was obviously poor by the way he dress thus why that doctor
need to ask about occupation some more.

It was a blunt with no guide complain. Occupation (social history) is
so important so that you are not only looking to the financial status
but more on to look what actually patient do in their work. poor man
can be sitting in the street begging for money, and poor man can also
work by lifting 200 pounds of wood on his shoulder everyday. If both
of this poor man present with inguinal hernia. is it the beggar or the
heavy lifter would be predispose to recurrent after treatment?

Doctors are looking beyond the scope of the disease. We take care of
patient not only in hospital but after discharged. Where the patient
would go, are the patient to continue his old job.. everything.


So, i hope that people would understand that asking question is
important in diagnosing a problem. It is common sense.

Doctors are people who want to knoe and solve the problem. So they
asked question. And they need to know.


p/s: A long time ago. when i was in secondary school. a friend tell me
a story about his grandfather. the story goes like this.

His grandfather would not talk a single word when he came to see a
doctor. When the doctor ask what is his problem, he would scold the
doctor by saying " you are the doctor, then you are the one who need
to tell me what is my problem!".

that time, i believed that that old man is right. But time change as
we became wise, now i would clearly and firmly said that he is totally
wrong. Doctor would not know wnything if you did not tell. History
taking contribute 80% of your diagnosis. Thus, if you did not tell,
doctor can only make it 20% or less. Tomorrow you will end up with
more catastrophic consequences.

Monday, October 05, 2009

Kena percaya

After multiple discussion with my friend, she insist to believe what she used to believe. She still want to believe that 'Kena himpit' is caused by demons, hysteria is caused by demons, everything is demonic. We are living with demons and ghost in this world.

How do you fix a fixed belief?

You just cannot. No matter what you do.

In the end, one party have to admit and to give in. Maybe what we believe is much more important that the reality.

Without fix belief, i guess no religion and faith would remain for more than a thousand years in this planet. What we believe is what make us survive until today. And somehow, they would be explanation for everything.

For example, since stone age, human are reproducing until it reach almost 6 billions in number today. However, did anyone at that time know that this is caused by two gamets joined together? no. Not until science describe it. And people start to understand it after that. And we accept it.

We remember the suffering of Gallileo when he described regarding the shape of the earth. He suffered and later we understand that he was right.

There is a lot of thing in this world which maybe right but we try to reject them bluntly with out fix belief. It is not a good thing actually. We need to open our mind regarding everything. Another fix belief prohibit this from happening. Do you realize that many elderly people in our society ask us not to doubt because it can cause us to be 'lost' 'murtad' or etc. This is another fix belief.

if you look back in the past, when Islam is in its peak of civilisation, lots of scholar are thinking beyond what have been told to them. They succeed. But we? We afraid.


In the end we need to believe what they believe. If we don't, we might get serious harm seriously. We might get killed just to say something openly. Even though that saying can be deny by other intelligent fact but usually people react not by defending their believe but killing whoever said that nonsense thing of them.


I remember regarding big bang theory, Georges lemaitre. No one believed his theory, even einstein does not believe him. However, now, we do know that he is right. maybe 98% right. Then every religion start to realize that big bang is indirectly mention in their holy book.

However, Lemaitre once said that he do not want religions to conclude his theory because there is so much thing to explain and to explore before you can conclude something. I guess he is right. Religion is right, but we must never conclude it at the early phase of our understanding, because

in the end, there is so much thing to explore before you can understand your own Creator in this world. We are tiny.

Sunday, October 04, 2009

DIGI BROADBAND DON'T BUY

AT FIRST I WAS RECOMMENDING DIGI BROADBAND FOR EVERYONE. IT WAS FAST AND SMOOTH. MY ROOMATE USE IT FOR AROUND 2 WEEKS AND YOUTUBE WAS LIKE HIS NEW TELEVISION CHANNEL. NO LAGGING. VERY STABLE CONNECTION. 

AFTER ENOUGH TIME OBSERVING THE BEHAVIOUR OF DIGI BROADBAND, I WAS SATISFIED WITH IT AND IT WAS TIME TO GET ONE FOR MYSELF. aND THIS IS WHAT HAPPEN. 

During the first week of using it. two thumbs up. So fast compare to other broadband provider. I was happy and i can do my work more smoothly now. 

HOWEVER

after that, suddenly Digi got a problem. Spesifically only in my campus Universiti Malaysia sabah. When i use it in KK, no problem, but in UMS.. It was not like its getting slow or something, but it does not want to connect at all. everytime i click connect and error will occur

'error 619 connection to remote host cannot be established so the port used for that connection is closed'. 

What is that mean? 

So, patiently i went to Digi centre trying to ask about it. Guess what, Digi centre is only hundreds metre from my campus. but the connection there in their own place is super fast like i used to has before the problem started. 

Then i asked, what is going on with the connection in UMS?

This is the part where i don't like the much. The part where everyone there in Digi does not know anything. The answer is " maybe (MAYBE?) there is some problem in UMS, we have 2 people in charge there. maybe they are fixing it now. " 

basically, no one knows about it. I was disappointed yet i had to believe that they are doing something. So let it be. I wait. But the problem does not resolved until now and i am really stress with it. I want to do my work now, slow connection also can but cannot connect at all? 

Now i am searching on whom i need to report this problem since Digi centre itself is not reliable.. i don't know. 

PaintBall

So this is it. Today was my first time playing paintball. After thinking of either i want to go or not, in the end i am there playing that game. 

I really want to play that game since that game was opened just beside my house in my hometown but i don't have anyone there to play with me. So when my batch (leader: Kim) organized this event, i was so excited yet still thinking whether it is worth it or not. 

So the game went smoothly this morning with only a few stress out period in the group but maybe only stress on Kim the organizer not the other, but it is ok. The game was held for fun and fun can come in many way. It can come by running and get multiple shot, or it can come by staying in the base without getting shot, or it can come by running and not getting shot, or running and get to shot someone. haha. In the end, I guess everyone is having fun in their own way. 

Maybe a pro won't play like we do, it's ok. We are not. haha. 


p/s: I don't know why, i always discuss with my friend nadrin regarding our strategy of winning, but when the game start, all the strategy gone. I remember looking at him running so quickly to the front but a few seconds later running back and get shot several time. Hahaha. 


It is for fun. 

p/s: Girls are so great in this game. In the end of every game, several girls will survive but all the guys were already down. haha.