Endoscopy and C. T scan

For those who had abdomen or git problem, the most common test to be done is endoscopy. Well,basically they shove a tube with camera down your throat.

The procedure took at least 5minit. First, a topical analgesic sprayed at the back of your mouth to prevent gag reflex. They put a mouth guard,and the tube is inserted. During the procedure, the patient tend to make a very loud horrible belching sound. I did. I was actually forced to breath through my nore becaure i kept on gagging. The moment the tube entered my stomach, then to duodenum,i can say that it is pretty painful. I am soo done with it!


CT scan? Nothing much to tell except painful intravenous dye injection. Maybe not really painful,just that the dye is somehow hot. I can actually feel the dye seeping through the vessels,into my chest,perineal region and gall bladder. In the end,they couldn't find what is wrong with me. All they can say, "don't take fatty food especially red meat.". Okay,i will try to fast and 'berpantang' from meat,mutton, and seafood. My consultant physician said that if i have another attack during fasting,they will do MRCP. What is that? Ask Mr Goo.

To kill the pain, i took Drotin. Its working this time. Not like cyclopam or spasmo proxyvon.

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A healthy soup for doctors to be...

I met a doctor who is also a dean.
He was famous and had a great white-neck-length-hair.

That day my class was cancelled and instead of going home i greeted him and asked wether we could talk.

I sat on the couch facing face to face with the legendary doctor who happened to have no personal life,4 huge white dogs and finished his MBBS for more than 5 years just because examiners hated his hair. But, he was a proud and 'rock' old man.

I gulped...but it is harder to speak when i tried really hard not to shed a tear.

"Tell me" , he said.

" Its been a very long time since we talked sir. We kinda miss to chat with you, sir."

"Yeah, me too. How was your stay in city? Was the food, the room,friends alright? " a very common question among doctors and staffs.

"Well,of course it is great. I've been really gratefull for that. How's yours sir?",smiling with pearly eyes.

"Great! Tell me how i can help you? "



"I've been wondering if i'm not fit to be a doctor."

He beamed.

"Don't worry! You will get through this! You may say that i'm not good enough or others know better than me. You must realize that everyone is different. You think that you came from a different culture but at least we are asians. We can at least adapt to the food,weather or culture."

But, sir i felt soo lagging behind.

I don't think that should be a problem. I had a lot of Malaysian friends you know. They succeeded and passed MBBS. They too had language problem but they never make it as a huge thing to accomplish. All you need is, to pass all exams and with a blink of eyes you'll be in final year. I bet you are a bit relieved that you are now in third year. 

*nodded* 

Okay, let me ask you something.

How does doctors working with animals talk to their patient? 

(I was too dumbstrucked to agree.)

But sir, i could only learn if  i made a mistake. I have no idea which is which, what is what...

Relax,you'll be fine. This is the time to make mistakes. Mistakes by doctors could cost someones life but you have plenty of time to prevent that from now on.This is a learning process. To become a good doctor requires time and experience in which you will get along the way. Don't worry much ! You'll be there. You just need to pass the basic subjects and continue your journey.

First year is the toughest among all years in MBBS. Once you passed, you should be proud of yourself ! Not everyone can pass, and not just anyone could survive medical field. Either distinction or not is another point. An ordinary student could become a legend just by doing extraordinary things and become a great doctor. A doctor is a profession where hard work counts and results are seen in front of our eyes. Medicine is also a repetitious knowledge that you need to by heart everyday.

All you need to do now is to become an intern who makes excellent differential diagnosis. A good doctor however, comes with experience in which you will be, if you stay in medicine and learn from your mistakes. An excellent student will be able to give different possibilities of diseases and makes an attempt to diagnose patient with the right tests upon symptoms and signs presented. For example, fever as a symptom. An excellent student will be able to say , "Sir, i would like to check for the temperature of the patient and see the pattern of fever. If it is step ladder pattern it could be typhoid fever, if it is rising every third day, it could malaria, and if it is continuous fever spike i might say that it is brucellosis." Again, don't worry bout anything. Just focus on your studies. I am sure that you will do well and become a good doctor.

Anything else?  

No sir. Thank you very much!!!

But just after he stood up, he whispers " Don't you have boyfriend problems?" gleefully.

The easiest way to answer to that question is " No sir, i came from girl school, not much admirers sir." I end our talk with a grin and walked out of his office with a light shoulder and wide spaced paces.



I am very much relieved that i solved 'that matter' before and if another 'that matter' happens again, i will say to him " bring me a ring to my  parents house. " I came here to study. Study medicine. Study how to survive. Study how to mingle with people. Study to become a better person.

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When i felt down,

i did some digging...

finally,

i found this...

i read Muhabah diri...

and my spirit boost up !!!

Here some of little things i want to share...

saya kena ingat..

Dulu,

kan Dayah  pernah kata.

"kalau kita dah usaha sungguh-sungguh,MUSTAHIL Allah tak kasi.."

dan Doughlas pun cakap jugak..

"nak belajar, MASA tue tak penting..yang penting DAPAT.Ingat mak ayah..

dan Jangan pula compare diri awak dengan orang lain..

semua manusia dikurniakan kemampuan yang berbeza..

Belajar cara BIJAK..Buat cara BETUL..."..

kelakar pun ader..dia ni orang Cina tapi cakap dialek Kelantan.

masih terngiang-ngiang nasihat mu Doughlas Wong..

Tanpa di pinta,dia datang kat meja tempat saya study,

Setelah 15 minit dengar budak nie bgi ceramah motivasit..

akhirnya  Doughlas cakap,

"Hawa, aku bukan apa..aku nak nak tolong kau aje.."

Dear Doughlas, i owe you  soo much..Terharu sangat...

Million thanks dude...(*v*)"

Time down ada jer orang bagi nasihat..

Rahmat Allah boleh datang dalam pelbagai bentuk kan??

Other people can believe that you have so much potential..

They care bout you..

So,Why not you??

Huh..(-_-)"..

betul tu..

Dan lagi,

Sophia pernah cakap,

"lagi dekat kita dengan Allah,seribu langkah Allah datang pada Kita.."

Dan lagi,

Ustaz Johari ada pesan,

"Ilmu itu datang dari Allah.Allah yang berkuasa meletakkan ilmu itu di dalam dada kamu..Allah jualah yang mengembalikan setiap sesuatu kepada hambanya yang Soleh dan Solehah. Ilmu itu fitrahnya suci dan tempatnya adalah di dada orang yang hatinya bersih, bersih dari maksiat dan dosa. haruslah diingat bahawa setiap amalan itu perlu dimulakan dengan niat LillahiTaala..kerana Allah,dengan nama Allah..Berdoalah kamu kepadaNYa dengan penuh kesungguhan.Allah itu ada di sekeliling kita. Yakinlah dan bertawakallah kepadaNya."

Kata-kata motivasi dari Amalina Che Bakri,

"saya yang biasa-biasa boleh berjaya sekiranya saya berusaha secara LUAR BIASA"

"Kejayaan bukanlah terletak pada kejayaan tetapi pada USAHA."

"Wau hanya akan naik ke langit apabila di tentang oleh angin."

Dan dari si pencipta taman impian dan imaginasi Walt Disney,

"If you dare to Dream, you can Do it!"

betul lah tu, kenalah bayangkan diri sendiri jawab periksa,kalut ke tidak,cukup masa ke tidak..

Wow,the power of IMAGINATION!

Dan,

"Nothing is impossible to a willing heart"

Bak pepatah Melayu,

"Nak seribu daya,tak nak seribu la dalihnya.."

hehe..manda-mandai tambah pulak..

okayh,sampai di sini sahaja..

Kena sambung study ..!!!

InsyaAllah..

you'll find your way..

Maher Zain_InsyaAllah..

How I end up in India

Recently i received a request from a parent about choosing an offer. Back in 2007 i received the same offer letter from Public Service Department and were asked to go for A-level preparation in Kolej Teknologi Timur. I did not receive any other scholar or offer to other local universities at that time. Even though i received an offer to Sains Asasi in Kolej Matrikulasi Johor, i declined the offer and go for the Public Service Department scholarship.

Dear eve_lasting She told me you were at first were supposed to go to Poland but you end up in India.my question: 1. why did you not go to poland but went to india instead. Thanks, I will appreciate a prompt respond. Auntie N,

Dear Auntie,

Like i mentioned before , I am a JPA/PSD scholar. After the interview with PSD nationwide, we got a letter of offer to do medic in Poland. I personally never knew that the offer does not guarantee that we will be sent to Poland despite of having enough cut off points. 

In one year preparation of Poland bound, we have to seat for AS(advanced level) and A2 level.Poland and Czech bound students took 3 subjects ; Biology,Chemistry and Physics. Whereas, India and Indonesia took 4 subjects ; Biology,Physics,Chemistry and an additional Mathematic subject.

In AS unfortunately, only a few students scored all A's. The subject was tough especially Physics and we had only 3 month  to seat for the exam as compared to the real India bound students who had a comfortable time of 6 - 8 month to study for the subject.

When we have to seat for A2 ( 6 month study), i also have to seat repeat papers in AS paper. With lecturers advice, he told me to take only 2 repeat paper which is Chemistry and Physics because the burden to study AS and A2 at the same time is too much. I prayed and pinned my hopes very high on scoring a greater results in A2 to cover up my points in AS. Alhamdullillah, i managed to score 12/15 points which enables me to secure the scholarship.

These are the cut off points for different bounds:

Poland,Czech ( 1 year bound,3 subject)- 12/15

India ( 2 year bound ,4 subject )- 12/20

Indonesia (2 year bound,4 subject)-13/20

A- 5 point, B- 4 points, C-3 points and so on.

*Note: Not entirely a fact.Based purely from  my understanding.

Some students  in my batch who did not pass cut off points especially the ones who get 11/15 points, still managed to secure the scholar and were sent to Indonesia.However, the scholar money are even less than we get.


(Nowdays, PSD has been really strict about the cut off points. those who do not pass, PSD will not grant the scholar any further and they soon have to search for other opportunities and compete with the recent SPM leavers.1 year bounds are luckier than the 2 year bounds as if, unfortunately they didn't make the cut off point, they have to compete with juniors two years younger their age.) 

For Czech bound students, they have to undergo 3 obstacles;

-AS,A2 level,IELTS

-Entrance exam

-Interview

For Poland bound student, no interviews or entrance exam were conducted. We were told to fill a registration form to be given to an Agent  ( an official agent to handle student entries to unis by PSD) handling this matter.

Knowing that we do not have any entrance exam or interview and depending fully on A-level and IELTs results, we waited for the results anxiously. As soon i pass the cut off points, we were told by PSD to wait for the phone call from PSD. In no time, PSD announced the results for students who could fly to Poland. Those who can go to Poland were relieved, and for us who can't go to Poland were deeply devastated.. The placement is very much in  doubt for us but we just keep quiet because we don't want people saying we are being ungrateful. 

Our main dissatisfactions are ;

-even a high scorer in AS and A2 are not qualified to fly to Poland

-even a low scorer  but pass the final pointers could fly to Poland.

Our assumption was, either 

-the placement was sent in random or

- there is not enough seat for International quota in Poland.

In one case, she asked the agent about why she did not qualify to fly. But,there is no satisfying answer for her. She managed to call the university in Warsaw and were told that the university did not receive her 'form'. We do not know what kind of form was it actually.

Our doubt was:

-Does the result since AS is considered for Poland qualification ? If so, why there are some student who scored less in AS managed to fly too?

-How the Agency determine which student qualified to go to Poland? By total AS and A2 pointer or the total marks secured?

Nevertheless,PSD tried to place us in India as per agreement stated in the huge blue card. Bare in mind, the offer letter content to where ever it is, is merely an offer, not an official agreement. 

While waiting, we got a call from JPA calling us to attend a meeting in JPA building in Putrajaya for a pre departure briefing. In that call, we were given three choices;

- Study  MBBS in India for 5 and half year 

- MBBS twinning program of Malacca Manipal Medical College (MMMC)

or decline the scholar and study in Malaysia.

After three days or so, we chose what we think best for ourselves.Alhamdulillah,none of my friends who can't go to Poland decline the scholar. Althounh, i did hear rumours about a student who wants to stay in IMU and apply for PIDN instead of PILN.

As for me, i chose to do FULL TIME INDIA purely because of India's best clinical exposure,hands on examination on patients and HIGHER scholar money. (i am being really honest here...and plus i thought we would live in city , sort of mini-Sepang with Giant.. twinning program is in a remote area,very much like MARA-style area...took 1 hour by bus to reach town )

So, in such a RUSH we prepared our health check ups,vaccinations,documents(certificate translations),signature from parents employer ,visa and passport within one week and off we go to India. 

During my studies in India for 3 three years so far, there is no apparent issues on our Universitys' accreditation. Frequent visit by the Malaysia Medical Association(MMA)  to our college ensures our MBBS certificate is recognised by LAN and Malaysian Health Society.

I hope my story will answer your query. I often used "WE" rather than "I" to show you MANY of us couldn't go to Poland/Czech.The above information and dissatisfactions came by collective discussions with my friends not long time ago. These are the insights of what happened to us and does not represent our disloyalty towards the Goverment or PSD management. 

**********************************************************************************

thanks sweetheart. another question... my son also has an offer to do medicine in UIA. if you are in his position now, which you would choose?

 Dear Auntie,

Emm, if it was me..considering my parents economic status i certainly will choose any offer that comes with a scholarship.

Not to mention JPA will pay for universities fees, monthly allowance, accomodation allowance,book allowance etc..

If both programmes offer scholarship, i will definitely choose Poland.

During my interview with JPA, i always set my mind if the officer ask me the same question either to study in Malaysia or oversea, i will say this,

"sir..i personally think that knowledge can be acquired anywhere in the world provided we as the students are willing to put enough effort. I think that the medical education in Malaysia is at the same par with the other countries.Hence, me choosing this oversea scholarship is clearly about the rare experience that will someday be a great journey to myself mentally,emotionally and spiritually. "

I have friends who at beginning were bounded to India scholar, but later didn't manage to get it and later got a placement in UIA. Most of them if given another chance to do well in Pre-u level, they wanted to secure the scholar and go to India instead.

Note : Names and identity are not mentioned in detail to protect the integrity of the beholder.
You are free to share the entry with anyone interested in it.

 ************************************************************************




These are the answers i gave to the lady. This letter does not portrays my disappointment to anyone. It is just a sincere experience-telling-story to anyone wanting to know the risks ,pros and cons of taking scholarship within or outside Malaysia. I will soon post some more story about the reality of Indian Health Education. Whether the legend of India being GREAT at clinical exposure or not. Do wait for me. I hope my decision to study in India based on legendary clinical exposure is the best.