Health is not Cheap

I am not a politician nor a fanatic. But that does not mean I do not care.

I had a lunch with my dad last week and the topic about politic
suddenly emerged. He questioned where the money goes.

I honestly would not know the details since I am not the government
accounts or audit, but being a healthcare personnel, I do know what
government has contributed to the society.

Hospital Ampang is the Hematology centre (blood diseases centre). And
government has invested dimes for patient undergoing transplantation
surgery. You wouldn't want to know the cost. A lot a lot a lot.

Being a malaysian itself , you get some discount when undergoing
treatment in the government. A lot of treatments and medications we
give for free for malaysians.

And most malaysians come to the government because they are not able
to support private. And some go home without paying bills.. Because
they unable to do so..

What's worst is when some others were from foreigners (indon, bangla,
burmese) tHat do not have tHe priviledge but did not pay too!

So where did the money go? - To support Malaysians undergoing some
minor treament and medication for free, vaccination for babies and
childrens, antenatal care, and support people who couldn't afford to
pay PLUS for these NON Malaysians too.

Social welfare which is also under government has done a lot to help
malaysians in need for financial support.

My dad also questioned why government servants get extra priviledge..

I told him, because we serviced the government. And government has
promised us these priviledges. I told him that healthcare priviledges
does not account for only me , but also for my family which also
includes my parents .. until I pensioned, then priviledge only goes to
my husband and kids ..

When he heard he gets the priviledge as well, he kept quiet and smiled.

Just now I was viewing patients in CCU and one patient defaulted
follow up in Serdang Hospital (cardiology centre) because she cannot
support financially. And now she came to hospital due to another heart
attack.

She was supposed to undergo angiogram with stent insertion and do you
want to know how much these procedure cost in serdang hospital? Equal
to Proton. And if in IJN, it doubles. And now, she is searching help
from social welfare ( *tears of pity*)

Who ever said health is cheap?
And because of these advantages, I would think twice if I were to
leave government.

I don't blame my dad or other Malaysians who sometime questioned where
did the money go. But I can only explained in terms of healthcare
sector, which is never cheap.

We moarned with taxes that we have to pay but the tax money has done
good for the healthcare point of view.

To master in .. ?

I always see my self as a consultant. Not a surgeon.

I love medicine. I love paediatric too. Almost the same , only different is age group covered .

Paediatric covers 12 yrs old and below while medicine above 12 yrs old.

I still love medicine more. I feel it could benefit people around me.

and so one day, I was pondering about what to subspecialized in if I specialized in medicine.

I know it is too early to decide but I like to have some goals in life. Something to look forward to rather than stay in comfort plateau.

Medicine is so vast it covers almost the entire system. Heart, brain, eye, skin, lungs, gastrointestinal, kidneys , endocrine...

I have always always in love with cardiology. The Heart. It is too fascinating to learn about the electrical activity, physiology, the vessel territories, the disease etc2 .. I love

Suddenly one fine day, I had a chat with a friend. She asked - what do u wanna specialize in?
I answered -Cardio.

Her sister is a cardiologist in IJN. Very very busy. No time for family at all.

I had pins and needles since.

Last week I had a round with one of tHe specialist I adore. Had a small cHat wHile discussing case.

She asked me not to worry as I'll be exposed to so many during master programme and I will know what to do later. She said that cardiology is very very busy but very very nice .

She asked what kind of life do u want to have in future ? I told her, I want to have both. A time for family is for sure a want in my life.

Neurology ( the brain) or endocrine is a specialization that is very very nice to pursue in, and have time off from hospital too. No calls at night or during offdays/holidays like cardio.

Hhhhmmmm..

I have a heart for hearts but I need to open up to other system as my life may not cope well if I have too many hearts to handle. Sigh.

Hope isthikharah and tahajjud will lead me to a path that is a win win for family and carrier. and I think I'm starting to like neuro ;) I slamed neuroanatomy during my 1st year, who knows I was meant for neuro all along *winx*

xoxo

Sent by DiGi from my BlackBerry® Smartphone

Testing !

Test.. Test..

Can u see meee??


Just got to know that post can be made by writing an email !! Noob
Sent by DiGi from my BlackBerry® Smartphone

no bag. only RM10

I am a big spender. I admit.

To cover my guilt, I ONLY bring RM10 to work, never more but often less. So that I would spend appropriately on food. Eat only from the warungs and no pizzas, mcDs or nandos.

and...

I don't bring my purse to work. No ATM. No credit card. GOOD !

Which also means,  I don't bring along my license when driving .. For the past... *counting fingers*
Seven months !! ...

I do but very very seldom. Probably once a month I drive to work with driving license along.

and I have been walking around without my MyKAD too !...tsk tsk tsk
you may wonder what kind of person I am silently. "Unique" HUH -_-

Oh well, let's hope my working ID will save me when I'm in trouble ;))

Reason why I don't bring purse because I don't bring a bag to work. I go to hospital , bag-less.
So much hassle to stop by in the medical staff's room-park my bag-work-take my bag-go home. H.A.S.S.L.E!

and it is adding more weight on my shoulder.

I go to work with my white-coat on. Which contains stethoscope,  2 small note books, punch card, a lot of pen, 2 phones, a charger, a lot of scribble papers,car keys and sometimes my medical handbook. WEIGHT!!

and, I like it not wearing any bag ! so, people wouldn't know if I'm running late, or if I'm going off early than I should have. SMART kannnnnn? (i hope none of my bosses find out about this post)

Bag-less and RM10 to work daily is a double win, for me =)

Scent

A scent registers in our memory area including the environment you were in , the people you were with and maybe the feeling you had at that time. Brain do wonders huh ;)

In my case, it is always true. For some reason I believe human registers better memory with something simple i.e pictures and scent.

Just recently, hubby and I had our weekend getaway at Tanjong Jara Resort, Terengganu and we used body cream sample from L'erbolario called Papavero after shower and it smells super nice. First time with papavero. While I was unpacking at home, I smelled Ijul's used pjs and it smelled papavero. First thing that came to mind was Tg Jara !!, great time we had there flashed back. Missed.

Sometimes, when u smell something familiar for example a person wearing a perfume which another person wears, you can catch it up pretty quickly.

Another scenario was when I went to my Uncle's doa selamat few months back.  Greeted and salam-ed him and he smelled like Kaabah. He wore perfume bought @ Mekkah which have a scent smell similar to kaabah.
Tears started to pool, memories flashed back to blissful and peaceful environment. Place that I greatly missed.

Have you heard that when you are leaving your small child for a while, cover him/her with your used clothes so that he/her won't have trouble sleeping at night?

I believe scent is a powerful tool and so I usually tried my best to wear only "my signature" perfume which I ought to find (love wearing different kind of perfume) but so far, I have been loyal to my body cream I bought from L'erbolario. You know, so that people will miss me or remember me even more HAHA.

Honestly, after trying L'erbolario, I don't feel like downgrading myself.

I have tried  bodyshop and now I just go there for their vitamin E and great body mists, Crabtree? - nothing great much. L'occitane?- more to scent but moisture ? NAY!

L'erbolario "Petali & Fiori" was awesomatic ! I loved it and most importantly, Ijul loved it too ! you should try L'erbolario ! I am planning to get papavero soon !

For room/home scent, very very important. Makes us feel at home , a comfort feeling.
I always trust "karma karmet" for their great scent in living area. Owns by Bambang Soteto , remember him from Hairkunst entry last year? Yes, the owner of hairkunst is also managing karma karmet .. They have a shop at Tropicana Mall. Nothing beats karma karmet. I have tried those 100-200RM range , none last longer and especially not in my memory space.

 I feel a scent is a great way to create memory and to flashback great memories.

Spread some nice scents !

Dian Pelangi Malaysia ;)

Alhamdulillah, Mama has opened a boutique !!

She was aired in Nona 2 weeks ago, and now the shop is finally open !!!

Dian pelangi is a brand from Jakarta , owned by Dian herself who is a very talented, pretty and very young lady too ! Dian pelangi offers colourful outfit which mostly find them unique and irresistable.  And even before my mom brings the shop to Malaysia, Dian already has many followers especially among hijabers. Her hijab style is Fantageous ! She brings style to hijab !

Saturday , 10th March 2012, Dian pelangi malaysia was officially opened in Bangsar Jalan Telawi by TYANA.


TYANA is a unique name whereby the owners combined their names to one. TY is from KATHY, my mom's nick, and Ana is from Datin Ana Zakaria. They have been awesome together and have worked really hard to ensure their dream of opening a boutique be true. And what you see today, is their dream came true.

I took a leave for this special event, which was the soft launching of Dian Pelangi MALAYSIA.

We waited for the guests to be settled from 2pm-245pm. Our guest of honor on that day was Datin NorJuma. And she is another beauty inside out that I adore personally.

We had few delegates from Indonesia Embassy, fellow medias, relatives, friends and Dian followers which also Liked Dian Pelangi Malaysia page.

The event went well Alhamdulillah ! The two mommies opening speech were sweet and motivational.


The fashion show was a jaw-dropped. I really had my jaw opened during the runaway.

There were 7 models , 3 were Malaysians who were not well trained model but still looks just like one of them. And 4 indonesian models who studied in Malaysia, tall, and can model very well too!!!! With all of them wearing Dian collections, they all were just mesmerizing ! All DP collections were to die for !!

I feel like I want all of what they were modelling. Even a crumpled hijab looked stylo ! hehe..

The event ended at 5.30pm which followed by a high-tea and 10% OFF for Dian Pelangi collections ! First day was ALHAMDULILLAH. I could not express more but I am definitely proud ;)
A BIG CONGRATULATIONS to Mama and Aunty Ana ;)


They organised a hijab workshop by Dian which was free of charge on the next day 11/3/2012. I was not able to attend as I had to work. But I heard the turn out was great ! 40 ++ hijabers attended the workshop !

Do visit us !! I'll be around during my off days which will not necessarily falls on weekend.

We are situated at BUTIK DIAN PELANGI, No 17-1, Jalan Telawi 2, Bangsar. 
Same row as Devi's corner, above Lanna Restaurant , Next to Mimpi kita, Opposite La Bodega ;) 
Don't forget to LIKE us on DIAN PELANGI MALAYSIA facebook page and follow us on twitter @DianPelangiMY

Hope to see some familiar faces around !! spread this good news ! and look forward for another section in Nona this week or next ! ;)


p/s : i had my girls worn Dian Pelangi during my Wedding Reception last year ;)

 xoxo =)

tough call

we get difficult calls sometime that we were forced to face.
calls which is difficult for us and for the patient's relatives.

there was this one particular time of the day, where this patient suddenly desaturated, and then collapsed.
we attempted intubation and infused inotropes to keep the heart beating and keep the blood flow good.

That patient, lasted through the day.. but when night came by, fate turned around.

His peripheries suddenly became cold and blue, he desaturated even on high oxygen flow.
His heart slowed, his pressure went haywire and we attempted CPR and maximised the inotropes.

After 20minutes of CPR, he did not revived but his heart showed electrical activity. His eyes were fully dilated.

He had pulse which were very very feeble , that some of us thought it was just our imagination as it was too difficult to palpate.

We continued CPR for another 20minutes, and one of us stopped the inotropes.

Formally, CPR is commenced for 20 minutes before we confirmed death.

After another 20minutes CPR, he did not revived and electrical activity to the heart started faded and later, went flat lined.

Question is, are we at fault for stopping the inotropes? in most cases, they never revived after 20minutes of CPR even on maximised inotropes.

In my view, we are not wrong. We could just let inotropes run and stop CPR, and the heart will eventually stop too. Eyes were dilated is already a sign of brain death. A brain death is as good as death. And it is normal for a heart to show some activity after a person already dead because organ died at different time. and by continuing inotropes, will just make the process longer.

tough call huh?