You are currently browsing the monthly archive for August 2010.

I LOVE THY COUNTRY

吾愛吾國

生於斯 長於斯 死於斯

TANAH TUMPAH DARAHKU

Happy 53th Birthday, Malaysia

A Song for all of Malaysian

Dirgahayu tanahairku
Capo 4

G                           D7
Kau persada indah permai
G                        Em
Pepohon menghijau, menghias pantai
C                         D7              G        Em
Putera-puterimu tersenyum riang ria
C                         D7                 G              Em
Tegas, bebas, sejahtera, makmur, maju jaya!
C                                  D
Di bawah naungan payung mahkota

G                           D7
Oh, pertiwiku perkasa
G                 Em
Disanjung, dipuja setiap masa
C                         D7              G        Em\
Berwaspada, sentiasa bersemangat waja
C                         D7              G        Em
Satu bangsa, satu bahasa, satu budaya
C          D          G
Malaysia nusaku tercinta

Chorus

Em                        C
Tumpuan pelancong
D7                      G
Dan juga para peniaga
Em                          C
Batik songket tenunan menawan
G                          D
Terkenal, merata dunia…

Kepadamu, oh pertiwi
Kasihku abadi, sejati murni
Relaku berbakti mesti berkorban diri
Padamu ku curah sumpah setia dan janji
Dirgahayu, oh tanahairku!

Advertisements

In a modern society like Japan, a recent scandal involved “missing” centenarians.

The oldest man in Japan was already dead for past 30 years.

He was last seen when he in his 80s and since then, the authority continue to pay the pension to him and they are presuming he is well and alive after 30 years.

Are the Japan centenarian census being naive or just plain ignorance?

Life come and go,  human is born and human is passing on.

It’s a fact of life.

You can call it science, or you can call it curiosity, the scientists seen to be observe of findings traces of water and evidences of water flows in outer planets i.e Mars and moon.

Here is my postulation:

YOU CAN”T FIND ANOTHER PLACE LIKE EARTH WHERE YOU CAN HAVE WATER, VOCALNOS and LIEF FORM. PERIOD

They are so bloody enthusiastic and confidence in finding a place like earth.

I guess deep in their mind, they are going to find a Pandora planet.

HELLO, you should wake up from you silly dream. Pandora is in a movie call AVATAR. period.

So, please do remember, when the earth is spoiled and polluted or covered with radio-active cloud or old spill filled sea, you can’t take a spaceship and migrate to another planets.

EARTH IS THE ONLY PLACE IN THE UNIVERSE THAT LIEF CAN BE SUSTAIN

EARTH HAD NOT BEEN VERY HEALTHY LATELY. IT”S SUFFERED FROM A RAVAGING CANCER call HUMAN.

There is a gap of knowledge and skills in the newly medical graduates (regardless numbers of years of study).

Therefore, medical graduates are required to undergo 6 different specialties rotation for a period of 2 years in Malaysia.

The training is called housemanship and they are call houseman (HO) which literally means one should regard ward as their house, and should be staying there all days and learn all the skills necessary.

After completing housemanship, they got their full registration and was promoted to medical officer.

I just read a message posted in Facebook where my course mate (a Medical officer) complaining the numbers  and the poor quality of HO.

Well, a MO had the of guiding the HO and also have the role of teaching and supervising their in the procedures.

Let take example, a fresh graduated HO in a medical department, the training of the HO (in medicine specialty must included of)

1. Ability to obtain relevant history of illness, symptoms and signs, diagnosis and a basic management plan

2. Ability to perform basic procedural tasks – setting up branula, abdominal paracentesis, pleural tapping, CPR and CVP insertion

3. Ability to identify acute cases and should be able to takes step for management

Let illustrate a case of dengue.

A houseman must know how to manage a dengue case.

1. History – fever, unwell, retro-orbital pain, myalgia, history of dengue in place of staying, family members got dengue

2. Clinical skill – flushing, petechie rashes, pleural effusion and so forth

3. Investigation – FBC –  leukopenia, thrombocytopenia; liver function test: raised ALT suggest of hepatitis

4. Management:  set up Intravenous drips of normal saline of 5 pints, Full blood count test 3 times a day,  vital signs monitoring – inform if persist tachycardia or blood pressure drop or patient unwell,  review investigation Lab. To transfuse platelet if necessary.

The above just the basic of what a HO is usually will write in the initial management.

The basic plan will be reviewed by a Medical officer and usually the MO will reassess the patient and may added further plan of management.

One of the MO task is to guide and to teach the HO if they miss certain step of management or did not realise the significant.

For instance,  it is important to teach HO to know the important of identify patients of high risk of developed severe dengue haemorrhagic fever and Dengue shock symptoms; Just to remind the HO to study the dengue management guideline and to give encouragement for them to improve.

Don’t know disregard HO management literally. Unless it is totally a wrong diagnosis.

Is there Justice?

Is there Hell?

Or Hell is just a state of mind where soul is condemned to be in state of suffering?

And they are a group of people who make a mockery of justice, who killed and inflict hardship on people.

FOR FOR THOSE Who attempt to fabricate evidence in order to divert the course of justice shall be condemn to HELL.

But I’m a Buddhist, I believe when one create a bad negative effect (karma) and it’s shall return to you.

You may not know it, but trust me, you bad karma shall get you and no one can save you. NOT EVEN GOD. We didn’t need HELL

JUSTICE SHALL PREVAIL.