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I am Dreaming of...
May 5, 2020
... this pandemic to be over.
I am sure everyone hope for the same too.
It was a hard year, I can say. Beginning from end of January, when the team was given a briefing about the potential spread of Covid19 in Malaysia, then we were taught on how to properly don and doff our PPE. At that time, the cases were still low, there was no social distancing even in the hospital. When the cases increased in number, almost all seminars / teaching sessions / CME have been cancelled. In the middle of March, healthcare workers' leaves were freeze and most of us need to work and go to the health care center as usual.
It is already 2 months since I last met my parents too. I miss hugging them.
I miss the beach, so close yet so far.
I miss travelling.
I miss freedom of playing badminton at the courts with friends.
I miss going to body massage (which my body need it right now).
I miss eating out.
But, I believe everything surely happens for reasons.
I hope by the time this pandemic is over, we already learnt how to appreciate the health more. Always continue all the proper hygiene we have learnt through out the MCO. We will appreciate the moments we can spend with the families too. InsyAllah :)
Day 3 of May Photo A Day - Dreaming of...
SM, Perak, Malaysia
200505
Dalgona Coffee's Impact
May 2, 2020
I was working morning shift that day when my colleague passed over a pending night case. I That was my earliest day of returning to work after 2 weeks of quarantine as I became close contact to 2 positive Covid19 colleagues. Alhamdulillah my swabs turned out to be negative and I need to be non-symptomatic and complete 2 weeks of quarantine.
So, this young lady (Miss A) was in her 20s, with no underlying diseases, presented to us with palpitation and no other symptoms. Basically palpitation is an uncomfortable feeling that the heart is racing or the heart beats too fast. Same feeling when you are about to receive your exam results, or maybe when you see your crush walking around. :)
This same feeling is normal to me ever since I started working too. Haha. Nak masuk kerja selalu nervous sebab tak boleh nak expect much apa akan jadi sepanjang shift. So, I will always expect the worst situation so that I can get more prepared.
Okay, back to the patient.
Palpitation is normal is you feel it after a sprint or physical activities
It is also normal if you are stressed or anxious about anything.
Not to forget, if you drink alcohol or caffeine.
Why? your heart is pumping blood more frequently to the rest of the body to support it. :)
However, if you came to the hospital because of this, the health care staff will definitely need to rule out the emergency causes especially the heart problem. Along with palpitation, you definitely need to visit your doctor if you ALSO feel difficulty to breath / dizziness / collapse / fainting.
For this patient, some blood investigations will be taken - usually:
- full blood count (FBC) - we can see if there is any low hemoglobin, so it can be a sign that your body does not receive enough oygen.
- renal profile (RP) - to check your baseline for kidney function
- cardiac marker (in my hospital setting, we will take troponin I) - here, it can show if there is any problem with your cardiac (heart) muscles, maybe the muscles also do not receive enough oxygen and start to break down.
- electrocardiogram (ECG) is a must - this can show the rhythm of your heart, is the conduction of impulse okay or not
For Miss A, the blood results turned out to be normal and serial ECG was normal (improving sinus tachycardia, without ischemic changes going on)
Back to the history that we already taken at the beginning, she admitted that she drank lots of coffee during this Movement Control Order (MCO). She claimed that prior to this, she drink a cup of coffee as usual and she denied having this symptom.
To my surprise, during MCO, her caffeine intake was 4 TIMES DALGONA COFFEE A DAY!
If I use the viral Dalgona Coffee's recipe, it mentioned to use 2 sachet of Nescafe for one drink. So can you imagine how much sachets she drank a day? T_T
Diagnosis: Palpitation secondary to Caffeine
We re-accessed her after a while and decided to discharge her after she claimed her symptom is much improving and she looked very comfortable. We as well advised her to reduce caffeine intake and to come to ED urgently if she developed any other symptoms (especially chest pain / shortness of breath etc)
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I know that we are encouraged to give all out in everything we do, but please do not jeopardize our health. Okay?
SM, Perak, Malaysia
200502
I've Been Watching You
September 19, 2018
I was on my way to the thumbprint machine today when I called Hamizah for dinner together. I was ultimately hungry and in need of food STAT. One of the people who will always hang out with me is obviously her :D
At that time, she was actually preparing for a jog. I decided to join her, yes in my working attire. Who cares though. We went to Astaka in Sitiawan which is famous for its huge field (worth 2km run around the field). Finished a round, I decided to stop. Pancit. I was hungry, remember?
But, sorry I can't stay still. I walked to the basketball court to watch a 3-on-3 game. Mizah on the other hand went for another 2km jog. At the basketball court, there was a Chinese uncle playing on his own and I offered myself to join. -_-'' attempting to shoot, surprisingly my skill hasn't worn out yet. :D
Excited.
We talked for quite some time and that uncle even shared few tips to shoot. I told him I am not that used to basketball as I played netball instead during teenagers. He said that the concept is basically similar and I already have the basic skill :)
"You have good hands and you know how to shoot."
Wahaha uncle. Thanks!
Towards 7pm+, he excused himself to leave and took the ball with him. After a while, there was an Indian boy approaching me and started a conversion. He was one of the players from that 3-on-3 game I've mentioned earlier.
"Are you new here? I've been watching you just now. You have good shooting skills. Feel free to join us any time."
Okayyy. Hati bunga-bunga.
Berbaloi rasanya praktis shooting basketball kat arcade. Cumanya static shooting macam tu okay lagi. Kalau dalam basketball game... ke laut jugak. -_-'
Finishing my day at the park with this :)
I miss my childhood era when this stuff is my playground.
I miss climbing.
Adulthood is full of responsibilities. We are surely growing older. May Allah bless.
Ohh, we finally had tomyam campur, somtam and a plate of white rice divided into two. Haha, masing-masing tengah semangat nak jaga kesihatan.
Till then,
Salam.
SM, Perak, Malaysia
180918
Tips Sihat 2018 dari Pertubuhan Kesihatan Sedunia (WHO) - Bahagian 3
January 17, 2018
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| Gambar sekadar hiasan. Missing the sunshine lately haha |
7. Good hygiene.
Kebersihan bukan setakat diri sendiri tapi keliling kita (alam sekitar / makanan / pakaian / rumah).
- Mandi, jangan tak mandi. Kita ni duduk kat Malaysia, cuacanya buat kita berpeluh selalu. Haha
- Basuh tangan sebelum dan selepas makan. Tak lupa jugak bila masuk toilet untuk urusan apa pun. Nanti lain pulak yang dimakannya.
- Sebelum masak, basuh dulu bahan-bahan masakan tu. Masak properly jangan asal nak siap je.
- Jangan meludah / buang sampah merata-rata.
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| I believe clearing our own table at fast food restaurant / food court or anywhere applicable as a good hygiene too :) |
- Tukar cadar / tuala selalu.
- Potong kuku bagi kemas.
- Jangan bersin / batuk pada orang lain / makanan. Tutup mulut dengan tisu / sapu tangan.
- Elakkan bekas air yang terdedah - potensi nyamuk Aedes tumpang membiak T_T
- etc etc etc
Rasanya ramai je aware apa lagi yang perlu untuk good hygiene kan? :)
8. Jangan memandu laju / jangan minum alkohol dan memandu.
Walaupun autobahn kat Germany tu banyaknya takde had laju, rasanya bergantung pada adab masyarakat tu jugak. Contoh macam kat Malaysia ni, memang tak dinafikan cara memandu orang kita selalunya mendukacitakan. Signal tak pandai nak guna, tertib potong kenderaan pun entah kenapa boleh lesap, apatah lagi nak patuhi had laju.
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| The trip I received my first speeding ticket hahadoiii |
Mabuk dan memandu. Dulu masa selalu baca K-entertainment news, banyak jugak la jumpa berita pasal artis ditahan sebab memandu dalam keadaan mabuk.
Mabuk maksudnya kat sini refer kat kandungan alkohol dalam darah. Setiap negara ada limit masing-masing. Saya pun tak tahu berapa legal limit kat Malaysia. Hoho. Jap, nak cari.
The legal limit is 0.08% (w/v) or 80mg of alcohol per 100ml of blood. A person having a blood alcohol concentration (BAC) higher than 0.08% is considered to be driving under the influence of alcohol. - Jabatan Kimia Malaysia
Wow, surprisingly Malaysia antara negara yang tinggi legal limit nya - 0.08% (maksudnya bila check guna breathalyzer dan convert value, untuk tak kena penalty... orang tu kena kurang dari legal limit ni)
- 0.00% - Czech, Australia, Brazil, Brunei, UAE
- 0.02% - China
- 0.05% - Thailand, South Korea
9. Pakai seatbelt bila memandu dan helmet bila menunggang.
Pernah tak dengar ayat "it’s more dangerous to drive a car than to fly on a plane." Dan based on statistics, kemalangan melibatkan kenderaan atas jalan raya adalah lebih banyak berbanding kapal terbang. Cumanya kalau kemalangan di udara ni, biasanya sesuatu yang sangat serius T_T
Kalau dalam kapal terbang pun kita kena pakai seat belt (yang rata-rata orang tak faham, apa yang bahayanya dalam kapal terbang tu), apatah lagi kalau naik kereta. Untuk yang berbasikal / bermotorsikal, pakailah helmet jugak.
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| Need to get myself a good helmet too T_T |
Untuk budak-budak, guna child safety seat. Mungkin tak significant dalam cara hidup orang Malaysia tapi benda yang baik, apa salahnya kita apply dan amalkan kan?
A thing to ponder... ramai yang kata kalau kat kawasan tak sibuk, tak payah pakai pun takpa. Especially kat kampung yang mendamaikan. Cuma, pengalaman saya sendiri, banyak jugak nyawa terkorban atas jalan raya nak ke kampung saya tu T___T
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Next part will be the final one :D
SS, Perak, Malaysia
180115
Tips Sihat 2018 dari Pertubuhan Kesihatan Sedunia (WHO) - Bahagian 2
January 15, 2018
Okayy, kita sambung dengan point seterusnya yea.
4. Jangan guna tembakau dalam bentuk apa pun.
Tembakau ni dalam English ialah tobacco. Hehe rasa lagi familiar bila guna tobacco -_-' Dan tembakau ni bukan setakat dihisap (dalam rokok, cerut, paip dan seangkatan dengannya) tapi boleh jugak dikunyah. Kalau pernah tengok orang tua zaman dulu, memang banyak dikunyah tembakau... dan biasanya dibalut dengan daun sireh.
Kenapa tembakau ni bahaya? Sebab dia ada nikotin.
Kenapa nikotin ni bahaya? Sebab dia sejenis perangsang... kiranya senang nak addicted.
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| Sejenis rokok di Czech. Gambar kat atas rokok tu - lung operation |
Dan semua orang tahu berapa banyak bahan berbahaya dalam rokok tu, majoriti boleh menyebabkan kanser. So, dengan nikotin, bertambah-tambah bahaya. Merokok tu sendiri bawa risiko banyak masalah kesihatan, pada semua sistem badan! Dari jantung, buah pinggang, paru-paru etc.
Untuk yang merokok, cuba fahamkan kenapa kena berhenti merokok especially ingatlah keluarga tersayang. Cuba cari alternatif untuk bantu korang konsisten berhenti. Untuk yang teringin nak mencuba. PLEASE DON'T. T_T
5. Elakkan / kurangkan alkohol.
Di Malaysia, alkohol mungkin bukan satu isu utama kerana ramainya beragama Islam. Tapi alkohol sama macam rokok jugak, salah satu risiko untuk dapat banyak penyakit - terutamanya penyakit jantung, stroke, darah tinggi dan juga hati. Hati kat sini saya refer as 'liver' okay? Bukan hati perasaan.
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| Sejenis beer di Czech. |
Tapi alkohol pun boleh bagi kesan kat jantung dan hati perasaan sebenarnya. Boleh tengok orang yang sangat bergantung pada alkohol, apa kesan jangka panjang dalam hidupnya - duit habis, masalah kerja, masalah keluarga, masalah sosial, seks bebas.
Untuk perempuan yang mengandung, alkohol boleh bagi kesan pada baby tu T__T Dalam medical kita panggil fetal alcohol spectrum disorder. Bila ada word 'spectrum', maksudnya kesannya luas, boleh jadi tumbesaran, IQ, anggota badan. Anything can happen. Kesian okay bila dari baby dah kena hadap macam-macam dari kesilapan maknya.
6. Kawal stress (untuk kesihatan fizikal & mental)
Stress. Satu perkataan yang tak asing lagi dalam hidup kita.
Yang kalau berterusan tanpa dikawal boleh menyebabkan depression.
Depression is a mental disorder. Memang perlukan rawatan dari segi sokongan dan ubatan.
Dan stress ialah benda yang memang susah nak elak sebab aktiviti harian kita menyumbang kepada stress. Traffic jam, problem tempat kerja, kos hidup yang mendesak etc.
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| Untuk yang jenis release stress dengan makan.... ni tricky sikit haha |
Tips:
- Dari agama, solatlah. Kalau masyarakat tak beragama (macam kat Czech dulu) buatlah apa-apa meditasi, yoga dan sebagainya.
- Dengar muzik yang menenangkan.
- Tonton atau baca bahan-bahan yang kelakar. Benda lawak ni boleh release hormone happy.
- Spend time dengan orang tersayang - tak kisah la bercuti ke, main game ke, tengok movie ke.
- Massage / berehat / tidur
- If it's getting worse, seek help - kaunseling / support group etc.
Till next points :)
SS, Perak, Malaysia
180115
Tips Sihat 2018 dari Pertubuhan Kesihatan Sedunia (WHO) - Bahagian 1
January 12, 2018
Korang tahu tak azam tahun baru yang paling famous dan sentiasa popular dalam list manusia satu dunia ni apa sebenarnya? Nak kaya? Nak famous?
Nope.
"I want to be fit and healthy"
"I want to lose weight"
Hehe cliche kan? Tapi dari satu website yang saya suka baca, Psychology Today, dia ada explain kenapa kita susah nak achieve azam-azam tu. Feel free to read yourselves. Tapi insyAllah saya akan share jugak dari apa yang saya dah baca :)
Kalau ada yang dah follow twitter WHO, korang mesti dah pernah nampak gambar kat atas ni.
Kalau ada yang belum follow, I highly recommend you to follow :) Menarik jugak bila baca isu-isu semasa dan kisah-kisah menarik pasal kesihatan sedunia ni. Banyak tips sebenarnya WHO ni share kat Twitter tu.
Tapi itulah, semuanya bergantung pada setinggi mana disiplin dan sekuat mana azam kita :D
"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." - WHO
Kalau nak translate dalam bahasa Melayu, kita boleh simpulkan yang sihat tu ialah bila tahap 1) fizikal, 2) mental, 3) sosial kita dalam keadaan sejahtera dan bukan sekadar tiada penyakit atau kelemahan.
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| Used to be my everyday view :) Rinduuuu. |
Anyway, let's go through the tips.
1. Amalkan pemakanan yang sihat.
Senang cakap kan? Tapi memang susah nak buat. Hahaha.
Realiti satu, makanan sihat agak mahal berbanding makanan segera etc.
Realiti dua, kita dikelilingi dengan promosi yang banyak. Sana sini makanan segera. Sana sini kafe, restoran, kedai makan yang presentation nya ya Allah, memang tak terkawal nafsu weh.
Realiti tiga, makanan kurang sihat memang sedap. Kan? Hahaha.
Untuk pemakanan yang sihat, point utamanya kita cuba amalkan apa yang tengah dipromotekan sekarang - Kempen Suku Suku Separuh.
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| Credit - http://nutrition.moh.gov.my/risalah/ |
Tips lain:
- Kurangkan processed food (contoh: buat burger patties sendiri)
- Kurangkan air bergula (minuman bergas especially!) Instead, banyakkan minum air kosong. Ada yang recommend 2L sehari.
- Kurangkan makanan yang deep fry. Banyakkan rebus ataupun guna minyak sayuran macam olive oil.
- Selain dari gula, kena kurangkan garam jugak. Trust me, hypertension can develop without we realise it. Tiba-tiba je boleh jadi krisis T_T
As someone who learned about healthy meals, memang rasa sangat cliche. Sentap jugak sebenarnya. Sebab saya pun struggle nak buat. Hahaha.
Kena disiplin okay?
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| Avokado - contoh makanan sihat yang mahal hahaha. |
2. Jadi aktif setiap hari (dengan cara kita sendiri).
Memang senang kan kalau duduk rumah goyang kaki. Too bad that I am one of the best examples right now. T_T Adoiiii, struggle betul rasa nak bergerak.
Semua orang ada kerja masing-masing yang berbeza keperluannya kan? Ada yang kerja perlukan dia rush ke sana ke sini sampaikan kalau check pedometer (kira berapa steps kita sehari), memang orang tu tak pernah kurang dari 10,000 steps at least. Tapi ada jugak yang kerja perlukan dia duduk menghadap komputer atau dokumen lain yang berkenaan.
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| My favourite thing to do. :) |
What can we do?
- Kalau yang berkemampuan, boleh la register gym. Saya rasa point utama untuk gym ni ialah... bila kita dah bayar yuran bulanan etc, kita akan pergi sebab taknak duit tu membazir macam tu je.
- Kalau nak berjimat, banyak sangat video-video exercises yang kita boleh tengok kat Google / YouTube. Dari jenis yang perlukan instruments sampailah ada yang badan sendiri je instrument nya! Hehe.
- Banyakkan berjalan. Tak kisah lah cara apa sekalipun - window shopping, parking jauh-jauh, berlari setempat etc.
3. Ambil vaksin.
A bit nervous to start working soon, potensi untuk jumpa orang yang against vaccines ni banyak je. Untuk yang ada baby, tolonglah ambilkan vaksin untuk anak. Stick to the vaccination table.
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| Credit - http://www.myhealth.gov.my/jadual-imunisasi/ |
Kita kena faham kenapa kena vaksin. Prevention is ALWAYS better than cure. Bila kita terima vaksin ni, bukan bermaksud memang 100% terhindar dari penyakit. Kalau penyakit tu nak berkunjung pun, ada possibility. Cuma, bila dah vaksin, simptom-simptom penyakit tu tak teruk sangat dan kurang komplikasi yang serius.
Boleh baca SINI untuk faham lebih detailed kenapa orang reject vaksin (sumber WHO). Isu utama orang yang anti-vaksin ialah 1) kandungan vaksin, 2) kesan vaksin.
1) Kandungan
- Argument nya ialah kandungan DNA babi dalam vaksin. Timbalan Menteri Kesihatan Datuk Seri Dr Hilmi Yahya dah keluarkan keterangan yang takde DNA babi dalam vaksin yang kita dapat ni.
- Dan boleh baca sini untuk keterangan dari Pejabat Mufti Wilayah Persekutuan.
2) Kesan vaksin
- Tak dinafikan akan ada kesan jangka pendek - contohnya demam, sakit kat tempat cucuk, lemah badan etc.
- Tapi bukti kesan jangka panjang yang berkaitan masalah kekal atau kematian sangatlah sedikit
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Hehe, sebenarnya boleh je nak buat semua points dalam satu post. Tapi ya Allah, panjang betul jadinya. InsyAllah saya pecahkan jadi beberapa bahagian. :)
Selamat membaca.
Dan selamat beramal.
Mengamalkan cara hidup yang sihatttt yeay! :D
SS, Perak, Malaysia
180112
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