2 Talented A's

It took ages to be back here to pen down something in my blog which remained quiscent for sometimes..Good news...I am back. Coping with abundant works and responsibilities, travelling and busy schedule are probably the reasons why .

I choose to review this 2 albums by this 2 young but talented musicians. They compose their own song, collaborated with high profile names in music industry and they have awesome vocal performance. The 2 A's are Alif Satar and Aizat.

I like their genre of music and i think they can go far in the industry ! Way to go boys !

The Key.......Don;t Ever Lose It !!

One fine day, James walked into a kopitiam meeting his friends wearing his favourite green colour t-shirt which picture of a key printed near the chest area. He definitely looked good in his favourite t-shirt, at least to his thinking...ha ha. He greeted the minimal crowd and waived at them.

Friend 1 said jokingly :

" Can i have the key on your chest ? "

James :

" No, you can't , because this is the only key to my heart "

Friend 2 :

" Then ...who owns that key ??"

James :

" To be frank, i don't really know where is the key now. I gave it to someoneand i don't know wether it is well-kept. I do really hope that the key holder return on one fine day and unlock this chain around me or else i wish that i will never ever find the key again AT ALL "


And all of his friends were like ...." WHOAAAAAHHHH ! "
And they were all laughed out loud...

Papedom from Papadom....

This movie bagged this year Best Picture in Malaysian Film Festival beating the late Yasmin's Talentime. It took nearly a year to be showed in the big screens from it's actual scheduled screening. I went to watch it simply because of its award-winning status but even with hilarious scenes to keep one until the end, Papadom was very forgettable.

Papadom weaknesses :

1. Afdlin's acting performance wasn't up to my expectation...while Liyana's role outshine others.
Other supporting roles in the movie did not help much

2. The idea of putting up BORIA performance at the beginning and the end turned to be very
irritating plus the effiminate gestures of all the performers.

3. Very ordinary storyline and it is like " u watch , u laugh and u forget "!


If PAPADOM was honoured Best Picture, i think Malaysia film industry really need new fresh ideas and good directing skills..

Talking About Lipid.....

I was in Kota Kinabalu Shangri-La Tanjung Aru last weekend for this Lipid Talk courtesy of conjoint drug company. The venue was perfect for a weekend getaway...thanks to the sponsor.



The panelists were all the established consultant cardiologists in Malaysia, and we were discussing on high lipid management and treatment strategy and some of new studies in this scope of interest. Prof Sim KH , the NHAM chairman was also there. It was a great meet up with all friends and ex-colleagues all over Malaysia.

Dato' Azhari of IJN never fail to deliver his speech well. He was talking about the hsCRP changes after treatment with combined therapy vs statin alone.

HDL : High Density Lipoprotein (good lipid)

LDL : Low Density Lipoprotein (bad lipid)

5 things to increase your HDL :

1) Exercise /weight reduction

2) Niacin

3) Omega 3

4) Female hormone

5) Red wine (to non-muslim)

If you are diabetic, this will be your target of both LDL and HDL level... failing to achieve ..you need statin !!.. Come to me...i 'll give you for FREE !

Bila Dana Untuk Kesihatan CIPUT !!

Pengumuman berkuat-kuasa di HSB mulai 1 Oktober 2009 ni mendukacitakan... alasan bajet untuk test kit dah tak ada.. Satu kepuasan bagi seorang pakar perubatan untuk mendapatkan diagnosa sesuatu penyakit dengan dibantu oleh ujian makmal selain aspek klinikal yang dilatih semasa Masters atau MRCP . Kegawatan semasa H1N1, peruntukan untuk Tamiflu dan sebagainya sememangnya serba sedikit mencantas budget setiap hospital... Masalahnya ... hal gawat negara, pandemik dunia, kenapalah dana perubatan tak ditambah oleh kerajaan.. sampai ujian ujian penyakit kronik lain diterminasikan buat seketika.

Aspek kesihatan patut diberi perhatian utama ....sebab kita bertarung dengan NYAWA MANUSIA !!!

KAMU YANG BAWAKU TERBANG....

Everyone knows well this landmark of Langkawi Island. Eagles are from bird species that potentially dangerous to other animals in the island. I am in Langkawi again for a week coverage there and maybe it is post raya time, the usually hectic coverage seems to be pretty relaxing . All this pictures were taken by my compact camera , NIKON COOLPIX S8 .





Why did i choose to write something here about this overrated tourist attraction ? He he he simply because the date of its official launch by our PM then, Tun Mahathir was my birthdate...
It is nice when i have extra money , i can book this place to celebrate the day i was born... he he...I guess nothing wrong to be ambitious ...

RENEWING FRIENDSHIPS IN AIDILFITRI MOOD.....Ocean Glow

It has been 15 years for most of us since we last met as we left our high school to pursue our dreams. Things changed and maturity has evolved our life to a better person. It was nearly a quarter of average life of a living person . It was Budiman's idea to organize this much anticipated event since last year but i was busy studying for my master programme to help him out with the plan . It was the perfect time to do it since i am back to nothern state now. Held in Ocean Glow just by the Kuala Perlis seaview area... the event attended by almost 75 people and was a complete success ... Thanks everyone for attending and re-living the DERMA spirit and renewing the friendships...



We took about a mere 2 months' time to prepare and invite all of ex-Dermarian to come together and enjoy this one. Since all the AJK's came from all parts of Malaysia, we ended up meeting, discussing and collecting money totally ONLINE... namely Facebook !


I was the chairman and Budiman incharged of door gifts and invitation, Farah Pawanteh as emcee and treasurer, Ilyana as our secretary, Anuar as event's planner and gift exchange, Yukhairi (photography) and Sarimah (entertainment)



I met Nizam after so long and he appeared totally shocked to see me with my current weight (i was very fat during high school)...and also Yusmanizam who came back from Manchester for Raya and exclusively for the event. Thanks!


The BOYS of DERMA... they were all the same... nice to meet all of them again

This 2 friends are probably among i trusted the most. Budiman (with songkok ) and Yaseer who works as finance lecturer in UITM now. i know them well including their families and backgrounds.


Sarimah and Jawal were singing a Raya song as a duet ...


That special night , we sang MAJU DERMA, our school anthem with a new arrangement...in ROCK ... musically arranged by this live band . They are young but very talented.


The clown for the kids...

Kurniaan di hari Raya

Are We Ready For 2nd Wave ??

I spent my last weekend attending this event organised by Malaysian Medical Association, took place in Renaissance Hotel. A good turn up from the participants and the opening ceremony was done by our Health Minister. This was supposed to be the first conference to involve the general practioners, health sites and KKM with regards to H1N1 issue.

The main agenda was to educate everyone with the current situation of the virus , the expectation of second wave of the pandemic and the multiple vaccine developement. It is my responsibilty to write something here for the benefit of all.

WE ARE NOT OVER YET ! Here are some of the Q and A that i would love to highlight :

1. When do we anticipate the 2nd wave ? What is the importance ?

Following a pandemic, 2nd wave is expected to happen after 6 months following 1st wave. By an estimation from WHO, if we do not do anything to prepare and based on our death rate now, if 2nd wave hits us badly, thousands will die. It is expected beginning in winter or the rainy season in temperate countries ( do you notice the rainy season is about to start ????)

2. How about the detection of the H1N1 ?

The best will be Nasal swab, throat swab and analyzed by RT-PCR . The kit for Rapid Test
varied in its accuracy ranging from a mere 20 % to 80 %

3. When do the vaccine come to our shore ?

It is expected that we 'll get the vaccine by the end of the year. It has been postulated that America has assigned 90 % of the production , followed by France . and the remaining to other countries. One of the known complication is Gullain Barre Syndrome.


4. Is it a deadly virus ??

Most of the cases are mild and self-limiting... almost 99 % recovered with or without treatment.


5. What is the treatment ?

2 options. Tamiflu (oseltamivir) is an oral tablet 75 mg twice daily for 5 days. Even the GP's sell it at RM80 the cheapest now. Tamiflu resistance already been reported . ANother option is Relenza (Zanamivir) in an inhaler form (not for asthmatic patient)

I met with my ex-HUKM colleagues. One of them has already become infectious disease consultant. Congrats ! It is time for me too to get my consultantship too.. he he. A road tour in
Kedah state to complete before Raya and other continous plan for H1N1 made my life busier.

I just think that KKM still fail (big time !!) to value us with our hard work and that brings a GOODBYE to KKM from the brilliant doctors sometimes.

OUR PEJABAT PAKAR ..

If you pay a visit to the new Hospital Sultanah Bahiyah , as you walk on the lobby , you will see a glass window office-like area on the first floor.... which is better known as Pejabat Pakar. This is my desk actually.... well-equipped with a computer with high-speed internet, roster for specialist on call , district hospital covering and AIMST medical students teaching stick on to the board, files and papers, student's write-ups and my name stamp. Security card is needed to make an access to this place.



This is actually Medical department section. Head of departments have their own huge room. I never "lepak" here since abundant works need to be done as i sit on my confortable chair.. mmmm....like it never end ... but i am happy to be in this working environment

DERMARIAN RE-UNION AFTER 15 YEARS...

I am delighted for this event to happen. It is a remark of our 15 years being away from our beloved secondary school....Sek . Men . Derma. I was the head prefect a.k.a head of the student committe at that time. With the helping hands from Budiman (his ideas anyway), Ilyana Sudani, Farah Pawanteh (sounds familiar ?) , Sarimah , Yukhairi and others... we set up a committe for this much anticipated event.

The venue will be in this area near the beach in Kuala Perlis which popularly known as OCEAN GLOW... and almost 100 will attend it including their spouses and children. This is a sneak preview of the event's venue.

One has to walk on the small bridge (300 m) to reach to place...

Below are the BBQ buffet menu that we plan to have. It will be so much fun as activities are lined up for the guests. As usual, i was given the honour to once again , give the opening speech . Thanks to all the AJK's for their brilliant commitment....... and i am looking forward to meet up with all of my school friends once again ! Somehow i am saddened by DERMA now because they are no longer champion in every aspects like we used to.

I have been you-tubing lately.... looking for songs that i liked before and songs that i think interesting and sweet. Everyone has different taste in music. I love all kind of music which is soothing to my eardrums.

This is actually the movie theme from Anna and The King ... sung by not so popular Joy Enrique....for those who never "Berhenti Berharap "..


ENJOY !!!

Iftar in KL 2009

I made my way to KL to return my graduation robe and at the same time , spending time for iftar with my KL friends and colleagues from HUKM. Since i left KL, there were lots of thing to catch up with. Above picture showed the table with foods which at the end, we could hardly find anymore spaces to accomodate our plenty of foods...mmm ... thanks to `J' for inviting...wow...very nice place !



Pasembor .....delicious...we got all the foods from nearby Pasar Ramadhan..

Some of the "kuih".

The table was not full yet and we were still at the kitchen

Special drink and yeah ... release my thirst centre.

Second iftar happened in this Tupai=tupai restaurant. Thanks Dr . A for organising. I was the only one who had left HUKM but still my heart is always be with this teaching institution.

We had 2 tables for our group.

The holy month teaches us not to waste things.. and this was the gentle reminder from Tupai2.

My Last Memorable Convo....

15 of August 2009 marked the day i was last involved in a graduation. Being one of the 14 doctors in my unit to receive the scroll of Masters in Internal Medicine. About a quarter of audience were in their mask due to H1N1 pandemic.

To add more memory to this special day , one of the senior lecturer of mine was honoured Professor Emeritus.. Her speech was truly inspirational and she definitely deserved a salute.

Her experience in making a wise decision when i did my training under her was simply phenomenal. Congrats to you Datin Norella CT Kong. It was a privillege to have you as our teacher.

Singapore After Last 4 Years Visit

It has been years since my last visit to Singapore . I have many friends in this LION city that i can hop at their place anytime for accomodation purpose but yeah, the currency and the busy routine life there somehow ruin my intention to pay them a visit.


well...finally i ended up being here again for a TECOS meeting, a study trial to be conducted for a period of 5 years. Few centres in Malaysia are accepted including the hospital i am practising now. It was a good meet up and discussion between delegates from other Asian countries the the heading team from UK and US.


Singapore has change a lot but better. The road system is enhanced and the cleanliness of the city centre is superb. The people are well-groomed and the facilities are at their tip-top condition. I started to love this city again and hopefully i will come back for more.....i had some thinking about migrating here one day once i get myself established in my career profile..

SINGAPORE.....keep it up....you make neighbouring cities kinda jealous ! ha ha

When Women On Their Bended Knees

During my recent visit to Penang (again??... yeah) for a neurology course, I managed to catch this much anticipated movie at the GSC in the largest Penang Mall, Queensbay. I know that this romantic comedy flick will be a major hit because Anne Fletcher directed it, Sandra Bullock came back to comedy genre and Ryan Reynolds is a huge star in the making.


A great laughter with a great deal of family value. Stunning performance from both Sandra and Ryan. They fell in love in 3 days which i think the magnificent Alaskan scenary had done something to contribute. It showed us that the more you learn about somebody, the characters and their emotions as well as their family background, the HATE can drastically change to the LOVE..



I bet some viewers had their touching moments at the movie climax when Margaret decided to reveal the truth at their wedding ceremony.. even a tough guy can sob !! ha ha

A recommended movie to be watched with your loved ones ! and i wish i can be just like Andrew Paxton.... rich, handsome, and the best part is to have a woman on her bended knees to propose...ha ha a!

JUST LIKE ME....

Being not far from home, I was looking at the old photos from home collection the other day, trying to gain some memories of my past. I realized that i only have few limited photos of myself as a toddler. The few photos were at their lowest quality and turned blur. My parents were not into picture-taking as well.

This is not me of course, but i somehow look exactly like my sister's little son, Hanzalah, whose nickname is Hans. I decided to take plenty of photos of him because i wanted him when he grows up, being someone famous, someone educated and someone far better than me (i hope), he will not lose the memories of his childhood era.

He is just like me....kinda make me remember my childhood dreams......i wish he will follow the the right path to be SOMEBODY...not just anybody..

MITIGATION PHASE OF H1N1 OUTBREAK !!

H1N1 yang menular seluruh dunia bagaikan menyentap semua bertindak , bagai reflex yang sudah hyper. Alhamdulilah , setakat ini tiada kes kematian H1N1 di dalam negara. Seluruh tenaga pekerja kesihatan semacam exhausted dengan wabak ini, membendung dan merawat kes kes positif. Sekarang kita telah memasuki fasa mitigasi. Apa tu ??

Mitigasi adalah fasa kita membendung komplikasi kerana H1N1 is everywhere in our community. Mengikut kenyataan akhbar 10 JUlai oleh KKM dan diperkukuhkan dengan pelaksanaan, kes kes di rawat kini sebagai seasonal flu dimana kes kes yang ditahan di wad adalah kes moderate to severe sahaja dan mereka ini sahaja diambil throat swab.

Yang pentingnya pesakit ada ILI (Influenza-like-illness) symptoms. Pengalaman terlibat dalam kawalan wabak dan jugak tempoh mitgasi memang memenatkan, menjadi hotline seluruh negeri bertanya tentang protokol.. memang penat tapi exciting !! Etika batuk yang baik juga adalah penting ..

Clinical assessment tool for moderate to severe influenza:

Patients with ILI and any of the following parameters should be considered for admission to the of nearest designated hospital :

Respiratory impairment: any of the following
Tachypnoea, respiratory rate > 24/min
Inability to complete sentence in one breath
Use of accessory muscles of respiration, supraclavicular recession
Oxygen saturation < 92% on pulse oximetry

Decreased effort tolerance since onset of ILI
Respiratory exhaustion
Chest pains

Evidence of clinical dehydration or clinical shock
Systolic BP < 90mmHg and/or diastolic BP < 60mmHg
Capillary refill time > 2 seconds, reduced skin turgor

Altered Conscious level (esp. in extremes of age)
New confusion, striking agitation or seizures

Other clinical concerns:
Rapidly progressive (esp. high fever > 3 days) or serious atypical illness
Severe & persistent vomiting