The car is coming around the corner, fast!

Exams? Next Week!

Okay these are photos of my group, A3 - all hunks, plus one angel - Durga.


//All of A3, minus Durga, at Seberang Jaya Hospital. From left -Hijaz, Fazrin, Nicholas, Asyhraff, Hanif, Azrol, Khairul Din.


//Okay, that's me, the first on the left.


//Taken at 14th SMMAMS Conference - The Golden Hour

...

Check out the PMCSA website for all the tips, eh?

For Long Case, listen to this...


//Cat Stevens - Don't Be Shy

Don't be shy just let your feelings roll on by
Don't wear fear or nobody will know you're there
Just lift your head, and let your feelings out instead
And don't be shy, just let your feeling roll on by
On by

You know love is better than a song
Love is where all of us belong
So don't be shy just let your feelings roll on by
Don't wear fear or nobody will know you're there
You're there

Don't be shy just let your feelings roll on by
Don't wear fear or nobody will know you're there
Just lift your head, and let your feelings out instead
And don't be shy, just let your feeling roll on by
On by, on by, on by, on by, etc.

Also, this cover includes piano.

So all the good people, please stand up!

Final Meds, all the best!


//Mock OSCE in the library. A good way of learning (for them and for me as well).

Selamat Maju Jaya kepada Final Meds!
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RM2.70 - what a magic number

Whither Malaysia? The recent oil hike, coupled with our low income per capita ie. diminishing purchasing power truly salting the wound especially those of lower socio-economic group. Mind you, at the moment we are an oil exporting country (net exporter). I bet, sooner or later, full-blown sepsis (or it always been like that before?) will take place, and life will be much tougher then. Quoting one brainy minister - tukar cara hidup! Heh cakap memang sedap. Cuba buat sendiri. Jangan makan free. Jangan minyak free. Jangan dapat claim itu dan claim ini. No elaun keraian. And finally, transparent governance? Hell no!

In relation to that, Malaysian Insider interviewed Hassan Merican. Yup, he is my sponsor. Managing an oil company surely a hectic work. Managing a national oil company is even harder. Why? when the public talk about budget, sedikit terpalit juga PETRONAS. They've done pretty good job actually since 1974.  Heh. Profit (dan taxable to the Treasury) is one thing. Cost is another - Hatta, Zulfa and Nik Sulaiman: care to elaborate?  IHmmm... need to have a lengthy discussion with my father on this. 

Anyway, I think the last paragraph is the coolest. Jawab jangan tak jawab... 

CEO: Petronas will close down in 10 years if it hands over all profits
KUALA LUMPUR, June 6 — Tan Sri Hassan Marican shuns publicity. He hates press conferences and only meets the media when he wants to.

Yesterday, the president and chief executive officer of Petronas had little choice. With pressure on the ground against the Abdullah administration mounting over the 40 per cent fuel price hike and the possibility of street protests growing by the day, he was directed by top government officials to lift the veil of secrecy that shrouds the operations of Petronas.

He painted a dire scenario facing the national oil company, saying that it would cease to exist by 2018 if it was forced to hand over all the profits to the Government to continue subsidising fuel.

Speaking to editors and senior reporters at a special briefing on Petronas’ contribution to the country, Hassan said that at the close of its financial year in March last year, the national petroleum company had given the Government RM52.3 billion in taxes, royalties and dividends which worked out to be 32% of the Federal Government’s revenue.

“Since the formation of Petronas in 1974 to last year, the company gave the Government RM335.7 billion out of a total profit of RM570 billion,” he noted.

He argued that the oil company needed to reinvest its profits in new technologies and in search of new oil reserves. To date, Petronas has reinvested RM178.9 billion of its profits.

"There is one company, which I don't want to name, that gives back every dollar it made to the government concerned. Now it is suffering," he said.

"Any business if you don't reinvest, you cannot expand... so what do you do? The impact is on the shareholders, which in this case is the government. They will be getting less and less, and eventually zero," he added.

Hassan said continental shelf production and reserves have been coming down, being replaced by deep and ultra-deep water explorations.

"Going forward, it will be tougher. Resources will deplete for sure. Malaysia has been a producer of oil for more than 100 years," he said.

He also dismissed claims by critics of the government that because the price of crude oil was US$130 per barrel, Petronas was making more money than ever and well-placed to continue subsidising fuel prices in Malaysia.

“A lot of focus is placed on the high oil prices. There is very little talk about costs. The costs to explore and to drill for oil have increased by about 200% over the past three years.”

Hassan said Exxon Mobil made about US$40 billion (RM130.31 billion) last year, an increase of only US$1 billion from 2006, in an environment of higher crude oil prices.

“That is the world’s biggest, most efficient and most well-run oil company. Margins have eroded,” he said.

Hassan said Petronas was now “scraping the bottom of the barrel” as far as finding and extracting oil was concerned.

He challenged critics who said that Petronas was not transparent, saying that the corporation published a very detailed annual report which was deposited in the Parliament library.

“For all intents and purposes, Petronas is a public-listed company because we are rated by agencies like Standards and Poor, and Moody. We do not hide anything,” he added.

In the days ahead, the government may come under severe pressure to explain how it has spent the RM335 billion that it has received from Petronas since 1974. Such a disclosure is going to make many people in the government, past and present leaders, sweat.


So obviously PETRONAS is not the main issue. The core issue is the government - you, the ruling coalition. Sila terangkan balik in black and white what you've spent. Kalau satu juta ringgit boleh disumbatkan dalam satu beg galas, think about this very RM335 billion. That's freaking alot of money! Now they've finished up everything like there is no tomorrow ie. not prep up the country good enough in terms of economy, dan sekarang, pass the buck to rakyat. 


...


Tomorrow there will be the Family Day for The Paats at Bukit Merah Laketown Resort. So I have to drive down south to get there. Mestilah turun. After being away for 6 Aidilfitri, it is imperative to catch up with my cousins whom, some of them I could recognise anymore, due to activation of testosterone and estrogen hormones, heh. 

Oh yes, why Paats?  Its just another name of my grandfather - Hassan @ Paat. Its in Java (Bahasa Jawa) so don't ask me how he was named by my great-grandfather. Surely it is something meaningful. Just like Sufaat - of which in Arabic : 'Pristine Blessing'. And, as of now, there are few Sufaats around (not Yazid Sufaat eh?). Hmmm... I guess the Sufaat clan is flourishing, more or less similar to the Mericans, Al-Saggoff and such. Insha Allah...

Speaking of family, there's nothing more merrier than chitchatting about local issues with them. Lain macam sikit. Well, on Mac 9, right after the GE, we had a rewang session in Pulau Kapas, Rantau Panjang, and guess what... it was like flipping entertanining  - with laughter and sarcasm aloud as there are many sides - staunch-supporter-until-die, sympathisers, activists, don't-bother in the whole family. To the extent I shed tears while grinnning and giggling... haha... kelakar sungguh.


Baiklah ini ada foto-foto merewang. I hope this amalan will continue on... barulah ukhwah!





//Abang Lan berjerih payah...

//Wak Rahman dan Wak Minah memang mantap!

//Berjerih payah 2

//Menyusun ayam di atas kerangka penutup bilah kipas angin - somehow the fried chickens were even more tastier than KFC... seriously. Any guess why?

//Lagi chef-chef

//Pasukan Kompang - ketua pasukan dengan gaya yang bersahaja

//Pasukan Kompang - ketua pasukan dengan gaya yang bersahaja

//Silat. Ini memang terbang habis. Rasa nak menuntut ilmu silat kembali dengan Fahd Razy pula.

//Silat dari sudut yang lain.

//Mempelai...

LAN oh LAN

Siapa kata matapelajaran LAN membosankan?

Mari kita lihat mahasiswa PMC beraksi dalam persembahan LAN mereka...

First - I missed that group. Pity me.

2. A short film. Check the whole movie here:


//Consequences...





3rd - If I'm not mistaken, its Hafizah's group. It was about our Education System. Cool...


// 3 naughty girls. Introducing... from the left - Arini, Zulaikha, and Fadhilah. Now where's Nurainee ? Heh lupa, I think she was writing names on the blackboard (well you know the drill, right?). Hmmm... I wonder whether they were that naughty oopps hyperactive back in high school... hahaha...


// Seriously, it was hilarous. Even Mujed laughed!


// Here comes Great Teacher Hajar Marlina. She brought shock and awe to the class!


// Yes, this is how Surgery should be taught... with rotan!


// Next, the Kamarul's group. Hats off!


// Trio for choir. My god, it is really like the real choir... Joy to the world... the lord has come...


// From left - Rentap, Leftenan Adnan, dan Tunku Abdul Rahman

A slip out of the tongue

Erratum: It was Deputy Health Minister, not Deputy DG. 2 of them were there, and I ended up confused. Heh.

Our Deputy DG delivered the closing speech for the 14th SMMAMS conference. Too bad, a slip out of the tongue happened.

The catchphrase was - "we doctors have license to heal, as well as license to kill."

And he said that in the Dewan Rakyat. There goes an uproar!

Lesson learnt - being funny in front of the press sometimes can be headache... but the positive side is, you can be as popular as a white elephant...

What the future holds for him?

Selamat Hari Guru. Dari Alif Ba Ta, A B C, 1 2 3... sampailah tahu apa itu Glucagon-like-peptide 1 (GLP 1).

...

Hmmm... 2020 is not that far away. I should be in the mid 30s by then (kalau panjang umur - only Allah knows). Now, it seems the cost of living escalates quite rapidly, therefore stripping away your purchasing power. RM10 ten years ago could go along waaaayyyy.... unlike today - even the freaking fresh cow milk cost more than RM4 per litre. What the heck?

Why I mention about this? The future is still uncertain. And all of us fear of uncertainty. Just like death. Even the Prophet said that the most successful person is one who did alot of preps before the one-way trip to the afterlife. Yup, death is inevitable. Everyone would go thru it. Those who are waiting in line, more often than not will stumble upon a couple of them. My first encounter was my grandma, ten years ago. Then, my neighbour, died of MVAs at such a young, really young and happy and full of beans! Such a destiny... heh not to mention nearly 4 years ago when I had a premonition - palpitations, adrenaline rush, peluh dingin etc. Truly a moment to remember.

Allrite, enough about this. Actually I wanted to touch on savings for your little brother or sister. Well, let's face the fact. 20 years down the road, nobody can guarantee that your parents will be alive, right? Say, you're the eldest, and the youngest is still in the primary school - 6 years old maybe? Fast forward 10 years. He's going for SPM (or whatever high school certs at time 2020). Then uni. Overseas? Local? Which course? On scholarship? Self-sponsored? Haaa... kena banyak benar soalannya. Hence, it has to begin now. Hmmm... at least adalah sikit berapa-berapa a month should then, right? Save it in the KOPP fund or something equivalent... you just need to shop around. Or at least, the blue BSN bank or Bank Pertanian is still around.

Hmmm... what the future holds for him? Sediakan payung sebelum hujan.

...

Tiba-tiba rindu Dublin dan isinya.


// Glen Hansard - Falling Slowly

...

Nakbah. Palestin. Sememangnya meremang bulu roma tengkuk bila merenung kembali parut yang takkan sembuh ini.



Heh, mereka memang musuh. Kalau photojournalist pun ditembaknya, orang awam tak perlu cerita lagi. Thanks to America for funding billions of dollars. Thanks to lobbyists. Thanks to the voters who voted them. Thanks to the impotent Arab league...

...

Palliative care is kinda cool. IMHO, it is like 'borrowed' heaven (heh ada bunyi The Corrs). Hmmm... doing elective in Palliative Care?

4 soalan bocor...

3 minggu lepas, Ustaz Sobri menyampaikan khutbah Jumaat di Masjid Negeri - selalunya aku datang situ sebab penghawa dinginnya kuat, jadi mewujudkan suasana kondusif untuk berehat ie. tidur. Baiklah, berbalik kepada khutbah Jumaat beliau.

Intipatinya, sewaktu di hari akhirat kelak, kita akan ditanya empat soalan cepumas. Cara ditanya itu (OSCE, long case, MCQ, EMQ, essay atau viva), hanya Allah saja yang berhak. Namun, yang pastinya kita tidak boleh menipu - segala bukti telah pun Allah sendiri yang simpan.

Soalan pertama; Umur yang diberi, ke mana kamu luangkan?

Soalan kedua: Harta yang kamu dapat, dari mana kamu dapat, dan ke mana kamu belanjakan?

Soalan ketiga: Kesihatan yang kamu nikmati, ke mana kamu gunakan?

Soalan keempat: Ilmu yang kamu pelajari, ke mana kamu aplikasikan?

Sesungguhnya, mati tidak pernah mungkir, hanya kita saja.

2000++

Spamming is the abuse of electronic messaging systems to indiscriminately send unsolicited bulk messages. While the most widely recognized form of spam is e-mail spam, the term is applied to similar abuses in other media: instant messaging spam, Usenet newsgroup spam, Web search engine spam, spam in blogs, wiki spam, mobile phone messaging spam, Internet forum spam and junk fax transmissions.

Spamming remains economically viable because advertisers have no operating costs beyond the management of their mailing lists, and it is difficult to hold senders accountable for their mass mailings. Because the barrier to entry is so low, spammers are numerous, and the volume of unsolicited mail has become very high. The costs, such as lost productivity and fraud, are borne by the public and by Internet service providers, which have been forced to add extra capacity to cope with the deluge. Spamming is widely reviled, and has been the subject of legislation in many jurisdictions.[citation needed]

Individuals who create electronic spam are called spammers.[1]Spamming is the abuse of electronic messaging systems to indiscriminately send unsolicited bulk messages. While the most widely recognized form of spam is e-mail spam, the term is applied to similar abuses in other media: instant messaging spam, Usenet newsgroup spam, Web search engine spam, spam in blogs, wiki spam, mobile phone messaging spam, Internet forum spam and junk fax transmissions.

Currently my inbox's unreads are reaching 2000++. Thanks to spam. Haha. Spam is one thing. Phishing (did ebay or your bank email you?) is another. False linking (it says free gifts but end up at xxxxgraphy)? Million dollar scheme? Letter asking for help from Central Bank of Africa? Jokes? Empat X graphy? Chain email? Hmmm...

...

Penang 2


//Selain belajar di PMC, saya juga ada syarikat sendiri, yang membekalkan barang-barang kebersihan - tisu, sabun, cecair cucian lantai, sabun basuh pinggan. Haha kaya aku!


//Yang ini bukan di Pulau Pinang, tapi di Merbok. Arif Hikmat. Dulu rendah saja, sekarang mengalahkan aku.

...

Photojournalism - verb + time (event)

http://markhancock.blogspot.com

Lagi satu, yang mendapat banyak anugerah...

http://www.mediastorm.org

Aku juga impikan aku boleh buat juga.

Terbangkan aku kembali ke Turki

Divanyolu Caddessi - dari Byzantium hinggalah ke Uthmaniyyah


// 3 beranak yang mencorakkan dunia...


// Hening...


// Kaunter 'korban' sempena Hari Raya Eid Adha. Memang tiada di tanah air!


// "Hanya 210 YTL1" - janganlah berlengah lagi...


// Yildiz Camii - di siang hari.


// Yildiz Camii - sewaktu senja.

Turki : Mencari rezeki


// Secawan teh di tepi dunia - Urfa, Turki


// Osman dan Celaluddin. Mereka berdua boleh berbahasa Arab (loghat Syria). Fuh lega! Ada juga teman berborak...


// Hasan, penjual roti bijan Simit di lebuh Istiqlal, Taksim, Istanbul.


// Selim, pelayan di kafe stesen bas (otogar). Seorang graduan pertanian, dan bercita-cita membuka sebuah ladang kapas sendiri...

Selamat Hari Ibu

Selamat Hari Ibu kepada ibu-ibu. Seharusnya hari-hari adalah hari ibu, bukan?

Hmm... Lagu ini memang bikin saya berair mata... lagi-lagi kalau ada jumpa pesakit yang sebaya dengan ibu.

Akhirul kalam, jangan lupa ibu (dan bapa) dan setiap doamu...



Mega nan cerah
Kelam tiba-tiba 
Itu tandanya
Ada bencana
Saat itu ku sendirian di sisi
Kubur bonda sunyi dan sepi
Masih terngiang
Kata-kata nasihat
Pedoman dan belaian kasih bonda
Tapi kini bonda telah pergi
Pergi nya tiada kembali

Sewaktu mula ku
Melangkah dewasa mencari ilmu
Tugas utama
Ku merantau jauh meninggalkan bonda
Akan ku tunaikan hajatmu bonda
Tapi di dalam menghadapi cabaran
Ku terlupa tugas ku di rantauan
Apakah makan minum mu terjaga
Adakah nasib mu terbela

Oh Tuhan ampunkan dosa ibuku
Masukkan ia kedalam jannahmu
Selamatkan ia dari nerakamu
Terangi kuburnya dengan sinarmu
Sedih nya hatiku
Dibuai mimpi mu
Hatiku di alun kecewa dan sengsara
Dosaku ibarat air di lautan
Hidupku sebagai anak durhaka

Oh bonda ampukan kesalahanku
Tak tersengaja
Ku mengasarimu
Hatiku kesal tiada terkira
Kau pergi didalam kecewa
Tidak ku tertahan
Menanggung seksaan
Setelah kau tiada
Dugaan yg mendatang
Ampuni dosaku
Redha kan hidupku
Kau lah mithali pedomanku

Sayu mengenang
Saat manis itu
Tangan bonda
Mengusap pipiku
Terpancar senyuman di wajah bonda
Agar anak nya beroleh jaya
Didikan islam diberi sempurna
Walaupun tanpa suami tercinta
Yang telah terkorban kerna iLahi tabah menghadapi hidup yg sunyi...


...


Jumaat ini Hari Guru. 16 Mei. Banyak sebenarnya cikgu yang sudah lama tak berjumpa...

Why one cannot be a 'hero'...

Hmmm... BMJ recently published this one piece of article. A reflection and reminder, for those who are excited to go for a relief mission following a disaster - typhoon, earthquake, famine... and the list goes on.

BMJ 2006;332:244 (28 January), doi:10.1136/bmj.332.7535.244

reviews

Personal views

Do doctors who volunteer their services in disasters overseas do more harm than good?

Recently we returned from the area in Pakistan affected by October's earthquake, having provided care to people suffering in its aftermath. Nothing could have prepared us for the distressing scenes we saw. Whole generations have been lost; millions of people have been left homeless and thousands of children orphaned.


Figure 1
Should there be a system for checking the background of care providers in disasters such as the Pakistan earthquake?

Credit: TOMAS MUNITA/AP/EMPICS


As in all recent natural disasters there was an outpouring of charity from the public and a rush to the scene of scores of emergency relief organisations. These ranged from recognised, regulated official organisations to unregulated and ad hoc groups.

Many individual overseas medical professionals volunteered their help and inundated the afflicted areas. However, although well meant, their help led us to question whether volunteer doctors do more harm than good.

We were alarmed at the number of patients who had received some form of care but were then neglected

We found several issues of concern. Firstly, it was notable from the outset that there were numerous foreign doctors operating makeshift clinics in camps for the survivors. Many were unable to communicate with patients because of language barriers and, surprisingly, were even reviewing patients without translators.

We were alarmed at the number of patients we saw who had received some form of care but were then neglected, with no follow-up plans, which resulted in many patients suffering avoidable complications. We saw patients who had been immobilised in plaster for weeks because of uncertainty about possible fractures and for whom no review had been arranged. Most of these patients had no clinical indication for a plaster cast and had now, as a result of the immobilisation, suffered subsequent muscle atrophy and joint stiffness. A medical director of one camp had his concerns about a particular team that had arrived: it was obvious that some members of the team were learning plaster techniques and applying plasters when a clear clinical need wasn't apparent. Unfortunately, because of the obligation felt by the overburdened local staff all help was gratefully received without question. It was horrifying also to hear from some local people that "doctors were using us as guinea pigs." Sadly this seemed in some cases to be not far from the truth.

We saw other examples of woefully inadequate and dangerous care when reviewing patients on our rounds in the camps. Medical notes were non-existent or, if available, inadequate. Many patients were left with complications after surgery done by inexperienced surgeons and lacked any follow-up.

We were surprised that at no point during our mission were we asked for our credentials. It was assumed that the members of our team were all senior doctors from Britain. It was disturbing that we found that several consultants and specialists working at the camps were shown, on further simple inquiries, to be junior doctors, and in some instances nurses and physiotherapists passed themselves off as doctors.

At one camp two medical students who supervised the daily medical care of several hundred patients were left frustrated at the continual influx of volunteer doctors who had varying management plans that changed as frequently as the doctors. In another camp we found many patients who had been given a cocktail of analgesics and antibiotics for indeterminate periods, prescribed by different volunteer doctors— giving rise to concern about adverse events and antibiotic resistance. Another shocking example of dangerous care was when a volunteer doctor prescribed aspirin for a child with epigastric pain who had already been prescribed diclofenac, ibuprofen, and mefenamic acid by another volunteer.

What we experienced made us question the competence of some volunteer doctors and to ask whether there is or should be a system for checking the background of care providers in such disasters. The examples we saw also raise the question of whether we should, when we volunteer, allow the level and quality of care that we provide in our home countries to be compromised in such environments.

Despite the best intentions of volunteers, it would surely be better for all concerned if they attached themselves to the various well established and regulated bodies that organise the provision of care in such large scale disasters. This would, we hope, eradicate the well intended but unregulated and uncoordinated care provided by medical volunteers. Unregistered organisations should be discouraged from organising and sending medical personnel to disaster areas under their auspices.

All the recognised aid organisations should make more of an effort to communicate with each other better and to coordinate their efforts to provide a structured relief effort in such harsh environments.


Hasan Tahir, consultant physician and rheumatologist

Academic Rheumatology and Osteoporosis Unit, Whipps Cross University Hospital, London hasan.tahir@whippsx.nhs.uk

Zafar Iqbal, general practitioner and sports physician

Carlton House Surgery, Enfield

...





// The Presidential Debate...

Video 2 of 5
Video 3 of 5
Video 4 of 5
Video 5 of 5

It is really a memorable moment in PMC, particularly for PMCSA, right?

Ceria dan Duka

Kehidupan di Pulau Pinang kadang-kala penuh dengan keriangan. Mungkin sebab banyak makanan yang sedap-sedap... seperti di Medan Selera Taman Desa Mawar, Air Itam.


//Ceria sentiasa... Nik Farhan dan Asyhraff.

Bagaimana pula dengan duka? Jika tiada, kita ini bukan manusia. Bak mutiara A. Samad Said:

Bagi penyair yang gundah,
Daun gugur pun kelihatan indah.


Sebenarnya rasa seriyau ini timbul selepas saja pulang dari 'GP attachment'. Bertugas sebagai GP sememangnya mencabar. Sudahlah menjadi 'first point of contact' dan juga 'gatekeeper', ditambah pula dengan urusan medico-legal seperti KWSP dan SOCSO. Cubaan...

Ada yang benar-benar memerlukan.

Ada juga yang kelihatan mementingkan diri sendiri.

Ada juga yang anak sendiri tidak mahu tolong ibu-bapanya.

Hmmm... KWSP untuk simpanan hari tua. Supaya dapat berdikari walaupun sudah lanjut usia. Anak-anak pun kenalah hulur tangan dan wang juga. Titik. Jika sakit, kita boleh ikhtiar lagi, seperti SOCSO / PERKESO. Peranan kami, hanya sekadar menasihati dan memberi pandangan. Jika KWSP nak luluskan atau tidak, itu masuk cerita lain. Hmmm... empathy. Jika terlalu bersimpati, lambat-laun kita juga yang bingung...

Begitulah peringatan dari Tuhan, bukan?

...

Blame

Let's demotivate ourselves!