Langkah dan Takah

Sepanjang perjalanan, pelbagai ujian, pancaroba, keindahan dan sebagainya telah ditemui. Perjalanan itu bagai mendaki gunung, tapi perjalanan ke puncak itu banyak takah-takah yang perlu dilalui. Setiap takah mempunyai keindahan dan juga ujian-ujiannya yang tersendiri. Jatuh-bangun, ketawa-tangis, sedih-pilu, rawan-hiba semuanya ditempuhi. Tapi setiap langkah memijak takah untuk ke puncak, banyak pula pengalaman dan ilmu yang diperolehinya sekali gus mematangkan dan memaknakan lagi perjalanan itu - Shahnon Ahmad


Mr.Imran
Bukit Bintang

Menjadi Doktor - Bukan Senang

Ketika bersekolah di tadika, kita sering ditanya mengenai cita-cita kita. Soalan yang sama akan terus ditanya walaupun ketika di universiti. Kita akan terus di asak dengan soalan yang satu ini sehinggalah kita dewasa. Dan, saya pasti jawapan yang diberikan hanyalah seputar menjadi seorang doktor, peguam, hakim, jurutera. Ini adalah jawapan popular ketika kita kecil. Apabila kaki melangkah semakin jauh, kadang-kadang kita tersasar daripada jawapan yang kita berikan. Mungkin kerana ketidakmampuan kita untuk membawa cita-cita itu. Tahap seorang individu dengan individu yang lain adalah berbeza.

Ummi saya seorang doktor – pakar bedah. Hanya itu sahaja yang saya tahu. Saya biasa ditinggalkan ditengah-tengah malam, kadang-kadang jarang sekali berjumpa Ummi kerana kesibukannya. Dulu, saya percaya pekerjaan doktor adalah yang terbaik dan mampu hidup mewah. Persepsi menjadi seorang doktor dan hidup mewah sudah semacam sinonim. Tapi, Ummi cakap tidak. Menjadi seorang doktor bukan bererti kita akan hidup mewah dan senang-lenang.

Menjadi seorang doktor banyak tanggung jawab, banyak juga cabaran juga halangan. Dan, tanggung jawab ini tidak mengenal waktu – hari cuti pun kadang-kadang dipanggil hatta semasa kami bercuti kerana kekurangan doktor. Saya jadi marah waktu itu. Marah kerana Ummi lebih pentingkan orang lain berbanding kami, anak-anaknya sendiri. Kadang-kadang kami memboikot Ummi – bagi tujuan menyatakan kemarahan. Namun, Ummi tak pernah marah dengan kelakuan kami.

Semakin menganjak dewasa, kami mengerti bahawa menjadi seorang doktor perlukan kesabaran yang tinggi, perlu pandai membahagikan masa. Selalunya masa di rumah amat kurang. Banyak masa diperuntuk di hospital – menyelamat manusia. Semakin dewasa juga persepsi bahawa pekerjaan doktor akan membawa untung yang lumayan sudah semakin pudar. Kami bernasib baik kerana keluarga tidak bergocakkan sebagai akibat kesibukkan Ummi. Mungkin kerana kami mempunyai seorang ayah yang memahami. Amat memahami.

Atas sebab-sebab ini jugalah saya tidak mahu beristerikan seorang doktor. Tapi, takdir yang berlaku sebaliknya. Saya mengagumi seorang doktor. Dan, saya mahu dia menjadi seorang doktor – sebagai memenuhi cita-citanya walaupun pada mulanya tidak. Pernah juga saya “memujuk” untuk bersenang-senang di rumah [ apabila kahwin nanti ] dan “melupakan” untuk menjadi doktor. Dan, dia memberikan pelbagai alternatif – masih mahu menjadi doktor. Atas kesungguhan inilah juga, dia perlu di beri sokongan.

Saya percaya di atas setiap usaha yang kita lakukan pasti akan membuahkan kejayaan. Kejayaan itu pasti akan datang cuma bezanya cepat atau lambat. Dengan sebab itu jugalah motto yang saya kira paling sesuai adalah Usaha Tangga Kejayaan. Tanpa usaha mustahil kita akan berjaya. Untuk menipu dalam peperiksaan juga memerlukan usaha [ yang jitu supaya tidak ditangkap ]. Usaha itu pula bukan sekadar usaha. Usaha memerlukan kesabaran, ketekunan juga kegigihan. Bukan sekadar melepas batuk ditangga. Usaha itu juga seperti kata La Fontaine dalam Fables, jangan bergantung pada sesiapa kecuali diri anda sendiri.

Saya juga percaya, belajar untuk menjadi seorang doktor bukanlah terhad hanya itu untuk. Belajar menjadi doktor bererti belajar menjadi seorang manusia. Manusia yang jujur, tabah, yakin serta mampu menongkah arus. Menjadi seorang doktor bukanlah untuk berbangga bahawa “aku bakal doktor”, bukan juga untuk popular dan dipandang tinggi. Jika ini yang terdapat dalam fikiran bakal doktor, maka, anda masih tidak layak digelar “bakal doktor”. Seorang bakal doktor mestilah fasih dan mampu berkomunikasi dengan baik. Saya fikir, masalah ini amat ketara terutama dalam kalangan doktor yang baru berijazah.

Dan, bukan itu sahaja. Bakal-bakal doktor juga harus menguasai bidang-bidang lain walaupun tidak mempunyai kaitan langsung dengan jurusannya. Para doktor akan berjumpa, bertemu dengan pelbagai jenis manusia daripada pelbagai latar belakang. Oleh sebab itu jugalah amat penting untuk seorang bakal doktor memenuhkan dadanya dengan ilmu daripada pelbagai bidang – sekurang-kurang tidak digelar “doktor cetek pengetahuan”.

Menjadi seorang doktor bukan hanya untuk menyelamatkan manusia malah menaikkan martabat bangsa, juga negara. Untuk mendapat gelaran “doktor” bukanlah mudah. Banyak tangga perlu di daki, banyak duri perlu dirasai. Khusus untuk semua bakal doktor, teruslah berusaha walaupun anda perlu mengulangi semesta yang sama untuk beberapa kali. Usaha tanpa mengenal lelah, pasti satu hari kejayaan itu milik anda.

Mr.Imran

Hospital Pantai Puteri

Seribu Impian...

Disenjakala begini
Teringat kembali
Teman-teman lama dahulu
Yang pernah sama mengharungi

Pahit dan manis dirasa
Sehati sejiwa
Tak mungkin ku lupakan segala
Saat suka dan duka

Susah dan senang kita bersama
Rentasi rintangan yang ada
Tiada sempadan yang memisahkan
Kasih sesama kita walau badai tiba

Seribu impian pernah pun kita bina
Demi masa depan...
Tenggelam jauh dalam khayalan
Di buai alam mimpi

Kenangan lalu menjelma
Teringat kembali
Di ketika bergurau senda
Mesranya kita bersama

Seribu impian indah menghias jiwa
Bagaikan permata...
Setinggi langit biru, mimpi kita
Abadi selamanya...

Nyanyian: Casey

Labour Room Action...

I watched 2 deliveries tonight, 1 normal spontaneous vaginal delivery and another 1 is an assisted-vacuum delivery. In both deliveries, I can see the pain and agony the mothers have to go through to deliver her child. I got to witness the smile on their face when they see their baby's face, when they heard their baby cried.  Their newborns are now their ecstacy. They know the pain they had gone through was worth it.

As I was watching the delivery process, it reminds me of my ibu. She must have gone through the same thing, the same pain, and the same smile as she delivered me, and my 5 other siblings, and she nutured us up to today, and she would continue to care for us until her last breath. I have a mother who cares for me and loves me unconditionally. For that, I am eternally grateful.

Wanted babies are loved, care for and attended to for all their needs. Every cries would alarm the mothers.

But what about those unwanted babies? Newborns found in dumpsites, in toilets. What about them? What about the mothers, no, they are not mothers, what about the female homosapiens who delivered the babies? How do they deliver their babies? Don't they experience pain? How do they do it - walking out the door just seconds after delivery? What about the period of time whereby they had to carry their tummy with the fetus inside? Don't they feel anything for that fetus - when they first kick? Aren't the mothers supposed to have a 'kick' in their heart too?

Haih... Let me put it this way lah for easy digestion... 'anak yg sah ni, susah-susah ibunya nk lahirkan, jadinya si ibu sangat la sayang pada anaknya; tapi pada mereka yg anaknya kurang pasti statusnya atau memang ibu ayahnya taknak kan ni, senang-senang je lahir, jd senang-senang jugak la si ibu ni buang anak di merata tempat'.

Membebel lagi aku ni...

A New Beginning? -ObGyn-

If last Friday marked the end of Paediatrics, then today is a new beginning of my second posting in 3rd year of MBBS - Obstetric and Gynaecology.

I began the day with an oath taking ceremony session at the new Main Campus (or what I prefer to call InventQjaya campus). It was actually a 2-in-1 ceremony - oath taking and presentation of academic award for the seniors of Batch 2005 - the kakaks and abangs sulung of the family. From my point of view, it was rather fishy - it's supposed to be an oath taking ceremony for clinical students, which mean it would involve the 4th year students as well, but no 4th year students were seen at the ceremony. Are they having another ceremony for the 4th years? That won't be economical now, would it? During the academic awards presentation, I sort of like came to a hypothesis - the lecturers wanted to boost us by presenting the awards to the seniors in front of us. Well, if it is so, it has worked, on me at least. It sure made me envy their achievements, and hope I could be at their level too.

I know, to be there I need to work harder than what I am doing now. I can't settle down in the comfort zone. I didn't do as well in my medical sciences years, but I hope I can do better in this clinical sciences phase.

After the ceremony, we were briefed by Dr Haizal on how O&G posting would be like. :) O&G posting is much much more organized than what I had experience in Paediatrics - Dr Haizal has arranged everything that was needed - the grouping, the tasks-based learning (TBL) turn-takings, the on-call list, bedside teaching (BST) sessions with the doctors; you name it, everything has been done - all we need to do is just attend the sessions well prepared.

The history taking in O&G are just as complicated as Paediatrics history. The only difference is you ask the questions and get the answer directly from the patients in O&G as opposed to Paediatrics, the answers almost always come from a 3rd party, i.e. the mother, or other caretaker.

Physical examination introduction were done by Dr Sabri. :) I just can't wait to do the physical examination by myself, oh, and credit to Ecah for lending me her notes, helped me out a lot.

We went to Hospital Putrajaya in the afternoon. Went to ward 2A, 2B and Labour Room. The beds are always full according to the nurses, so no 'rebut patients' situation would occur I supposed. :p I'm starting my rounds in Labour Room next week, this is where all the actions gonna take place. Wee~! *tak sabar eh*

On a different note, my childhood friend, Nadia, came by CUCMS earlier. She's applying for a place in CUCMS. The mother doesn't want her to continue her studies in Padang, Indon. She has to go back there soon anyway while waiting for other university, and she's gonna study under a tent or something like that.

*dalam hati mula2 pk - alaa, budak2 kecik kt palestin blh study dlm serba kekurangan, why not these ppl? but then again - the kids there, they don't have the facilities, but Malaysians - you guys can always come back home where there are facilities, kan? so why let resources that we have go to waste kan? use it la*

That is it for now. I need to study. I want to study. :) *berangan nak masuk list award recipients jgk :p *

14-year-old addicted to sex after rape

14-year-old addicted to sex after rape

A FORM Two student has confessed to becoming a sex addict after she was raped by a 40-year-old man.

The girl started having multiple partners and would even have sex with up to eight students at the same time.

The sexual acts took place mostly in the storeroom of her school, Metro Ahad reported.

The girl, who only wanted to be known as Roslina, said she lost her self-esteem after the rape.

She started skipping school, smoking, drinking alcohol and having more and more sex.

She claimed that a police report was lodged against the rapist but he was never arrested.

The sexual encounters went on for four months before she and her sex partners who were caught in the act were expelled from the school.

From: http://dailychilli.com/news/301-14-year-old-addicted-to-sex-after-rape

She was expelled from school. Siapa yang akan bertanggungjawab ke atas masa depan dia selepas ni? She still needs guidance. Now that she is not to attend school anymore, she has more time to spend doing what she addicted to now.

Betul ke tindakan pihak sekolah yang membuang pelajar2 yang bermasalah ni? Wajar ke? Kalau pelajar-pelajar yang ke sekolah ni berada dalam situasi yang membawa kepada mereka ni dibuang dari sekolah, jadi membuang mereka dari sekolah ni akan memanfaatkan mereka-kah? Tidakkah apa yang telah mereka lakukan tu jelas menunjukkan kegagalan sistem pendidikan yang sedia ada sekarang ni?

*chop, I'm not making any sense here*

My point is, the girl is obviously troubled, traumatised perhaps? But is it the right thing to do expelling her from school? The word 'expel' seems so extreme. 'Expel' - do you know what would the people think of her when they know she was expel from school? She would be looked at with pandangan serong, sampah masyarakat, etc - which are from my point of view - a social negligence. Sometimes, maybe even most of the time, what makes things worse is not these people not strong enough to face the community again, but it is the community who are not willing to take them back, and hence relapse may occur. Maybe what we can use is 'transfer'. The school decided to transfer her to a facility that will be able to help her to cope with her problem at hand. Doesn't that sound a lot better?

Just me, babbling again. :)

-The End- of Paediatrics

:) yesterday marked the end of my first posting of 3rd year.

I had my long case clinical exam with Dr Musa. The famous Dr Musa. Despite with that kind look on his face like, almost all the time, he is pretty nice actually, and definitely one brilliant doctor. My first time stepping in to his office, I was amazed to look at all those pictures of babies and kids, who are still his patients, thanking him for what he has done for them.

During the exam, I had this patient, name not to be disclose, she's an ex-premi, born at 26 weeks of amenorrheoa and weighing only 1 kg at birth. He did his best for her, she was in the Neonatal Intensive Care Unit (NICU) for 1 month, and then transferred to Special Care Ward for another two months. When she was discharged at 3 month old, she weigh 2.5 kg. Dr Musa thought of how the baby is the only chance for the parents to have their own child, as the mother was 38 year old when she was pregnant with the child. This is just one example of his works. Wow, being a neonatologist can really make a difference in the patients' life.

The written paper that we had yesterday, well..... the SAQs are OK I supposed. 1 rheumatic fever, 1 neonatal jaundice, and 1 more is...eh... cant's remember what; but the EMQ and SAQ...huh! a lil bit difficult there. Passing is no problem (kot, insyaAllah), but to get a score... :) pray hard that I did well.

Paediatrics has been fun. I like kids. I wish to stay longer, but listening to how O&G is, I can't wait to step in to Wad 2A, 2B and L&D. I'm gonna miss paeds, but I'll be back! InsyaAllah, in my 5th year later on.

Well, that is all. I'm flying off to Kuantan for a friend's wedding. What iniatially was planned to be a group's activity...now... I don't know. Whatever. I had my room ready there. I can survive, with God's willing, of course.