Wednesday, November 25, 2009

Laugh...

I am not serious lately. It seems that i have 'pathological laughing'. People might want to laugh to listen this thing. But it was serious for me. I don't want to be rude to anyone but it happens. My friend said that it was in my brain. Huhu...

Sometimes when we ask opinion, certain people are always try to be judgment and it was terribly tough for me. I can't explain to anyone what i am facing. At this moment of time, i really need Allah.

53:43 That it is He Who granteth Laughter and Tears;

People might think that i was doing it purposely but the fact was Allah is the one who grant me this 'pathological laughing'. I only have Allah to solve this problem. I really need to cry in front of Him to make sure that all of these things gone. Ya Allah, pelase helps me...

Monday, September 28, 2009

Feedback..

I felt so touched with the feedback that i received from one of my lecturer regarding my perception on elective. It motivates me:)

Dear Ummu Afeera

Wa..salam wrb

I have read whole 6 pages- its like a reflective diary rather than a perception. I appreciate your feelings to become a NOBLE MUSLIM doctor- and I can't say any consolation words for the bad things you have experienced- these are normal/natural matters that happens in hospitals in many parts of the world- but in my experience I have also seen the thing the opposite in some instances- 'A doctor ia an angel - next to GOD'.

So you have to be very careful in this 'slippery world'- as you said 'to beautify iman in my heart'- try to practice that very hard - your AD will help you to be away from all evils. Dont worry about learning- if you are in the right track, Allah will help/guide you to become a NOBLE MUSLIM doctor, insAllah.

I will pray for your mental peace and deep feelings/understanding for the underserved and be away from worsts

I am really happy to read your 'perception' beyond elective2- your English not that bad.

Thanks. Keep up Ummu!!

nasrin

Last...

Procedure

I have a lot of opportunity to perform and observe procedure. I really want to be good in my skill. I had seen a doctor who doesn’t know how to intubate a child here. Soon later I heard that the child had died. I also see one doctor that noticed that there is ST elevation in a patient that alleged a motor vehicle accident. The doctor doesn’t start streptokinase or anything to manage that condition. Later patient died because of cardiogenic shock. I am afraid if I became like those doctors. Maybe I made a wrong judgment as I did not know much. Hopefully Allah will give me more knowledge and wisdom.

During my electives also, I met few doctors who always love to teach and good in their practice. I wish that I can become like that.

Last

I wrote a very long perception and my English was terrible. My writing will make the one that read it had a great migraine. It’s better to stop here. The great lesson that I learn from my elective is that Allah knows. Allah knows the best place that I should go. I hate this place but it teaches me a lot.

But it is possible that ye dislike a thing which is good for you, and that ye love a thing which is bad for you. But Allah knoweth, and ye know not. (Albaqarah:216)

Teacher...

I met two of my teacher in hospital. One of them was shocked to see me. I believe that I am the worst student that she had ever had. Long time ago, I quarreled with her during assembly as I don’t agree with her rules. She teaches me Al Quran Sunnah. I also once asked her the reason to study all that as it will never benefit me. Once a time I hate Islam. I have the knowledge but I hate it. But Allah changes me. I think she is happy to see that I have change. I also missed her and I really hope to see her again as I want to ask for her forgiveness for all my wrong doing. I hope that Allah made me istiqamah in this road forever.


I also met another teacher but I don’t introduce myself. She brought her father to hospital and he cursed her a lot. I don’t want her to know that I am her student as it will make her embarrassed.

Retinoblastoma..

I knew about retinoblastoma through my reading from Reader’s Digest. The story is about how one picture save a life.

I met one baby during my elective. The baby’s eyes look abnormal to me. When I asked the mom, she said that her baby has retinoblastoma and is under HKL follow-up.

Sometimes Allah teaches us certain thing beautifully.

I remember Prof Latiff’s question on Ramsay-Hunt Syndrome and I met one case on that. I am excited as I know the diagnosis when my external supervisor asked about it. But I forgot cranial nerve examination. I am blurred at that time that cranial nerve seven is facial nerve. Allah teaches me a lesson. Allah doesn’t want me to be proud about myself.

But sometimes medicine gives me satisfaction. There is one old lady came with left-sided weakness. The doctor suspected that she is having CVA and want to discharge her after giving a referral letter and medication. I examine that patient before as I did an ECG on her. At that time, I saw that her breast already ulcerated and I know that she had breast carcinoma and it already metastasized to brain. I told the doctor about that. The doctor did an examination and then she was admitted to surgical ward.

I am not a doctor yet but I can feel ‘something’ that made me happy.

Memorable moment...

I prayed to Allah to beautify iman in my heart. The most memorable moment during my elective happened in Ramadan. I can felt that Allah is so close to me.

When My servants ask thee concerning Me, I am indeed close (to them): I listen to the prayer of every suppliant whe1n he calleth on Me: Let them also, with a will, Listen to My call, and believe in Me: That they may walk in the right way. (Surah Al Baqarah:186)

In that verse Allah said that He is close to His servant. Allah knows everything. No matter what, inside or out, there is one thing of which there is no doubt, Allah knows.

Being in A&E made me familiar with death. And sometimes death was something normal for me.

There once I see a Chinese patient died. I do not feel anything. No sense of empathy in the children who pay tribute at his father's last. I do not feel anything.

I also saw an Indian family mourn the death of their mother. Worst, I smiled at that time. Why do they act like this? I can felt that my heart becoming likes a stone with every passing day. I whisper to Allah that I should not become like this

"O Allah, does my heart getting sicker?”

No doubt that Allah listens to our whisper. Allah gave me one experience to teach me about death.

That morning there was a young woman brought into Red Zone. She had a difficulty in breathing. But doctors do not perform active management because she was diagnosed with colorectal carcinoma. She is on palliative care. No CPR, nothing to do. They just fit instruments to take readings of Sp02 and blood pressure. They also put cardiac monitor in her chest. Then everyone left. Everybody knows she will eventually go whatsoever. I was left alone with her at that time.

I can see that the heart beat is gradually decreasing. Allah inspires me to recite syahadah in her ears. Honestly I never saw any dying human before and that was my first experience.

What happened? Although these women are not moving, her pupil already dilated but each time syahadah being recited, her heart beat will increase, become static and then back down. That happened several times. It made me feels so afraid, I started to cry. Everyone said that a doctor should not cry but I am terribly afraid. I could feel the woman struggled with the agony. I also feel that the angel of death is too close to me. I do not know the explanation of what happened from the medical point of view. Doctors have also mentioned about the PEA but I do not really understand it. I continue reading Lailahaillallah. Finally, her heart rate down to 30 and then become asystole showing that she is death.

Each soul has its Given Date. Her soul already meets with its Eternal Fate. I then helped remove all equipment is in patient's body. I tried all my best efforts to remove it slowly. Her mother came in at that moment. I cannot utter a word. I hate myself. Sometimes I am weak and I felt that I cannot become a doctor. I am not professional. Only Allah knows the reason behind everything. Only Allah knows why He chose me to become a doctor.

That woman was only 34 year old. She is so young. It made me think about something. Tomorrow could be my Day. Who know?

After completion of my business, I run to the prayer room. That Dhuha prayer is the most meaningful Dhuha prayer in my life, hoping for mercy and forgiveness from Allah.

The story doesn’t stop there. Back from the prayer room, I continue my task as usual. There is a PC that open reading AlQuran and Allah gave me a strong jolt when the reading that time - kullu nafsin dzaiqatul maut - every soul will taste death. I can feel that Allah is very close. I am afraid with what had happen. Allah knows that I am getting worst everyday and He remind me with the experience.

Bullying..

There is one patient admitted to yellow zone. He is having seizure and he looks restless. The doctor suspected that he is having meningoencephalitis. His parent looks so worried. But what happen behind the curtain made me terribly sad. The MAs slap him, pinch his nose and put their leg in the patient’s face. I cannot believe my eyes and I am sad that I cannot do anything.

I do not know whether that was a treatment or something because there is also one incident involves one female patient. She had syncope. The nurses and the MAs said that she is lying. They pinch the patient’s nose and her nail. Then they used syringe and gushed water in the patient eyes. After that, the patient wakes up. Huhu… I don’t really understand whether that was ‘treatment’ or anything else.