Monday, December 7, 2009
My second daughter, Nadiah is already home for her summer holidays until end of January 2010. Although she has been home for almost 2 weeks, she still goes to bed not later than 10 pm. and wakes up before 5.00am. the next day. Simply because of the 3 hours difference in time in Australia!
My eldest daughter, Huda is still attending school although the school holidays is only 4 weeks left. Starting from the first day of the SPM exam, she had been on duty as the invigilator in a big school in town. Nowadays, she is seldom at home because of her duty as a warden in the hostel until the SPM exam finishes on the 16th. of December. I could see the tiredness shown on her worn-out face when she comes home, but one thing for sure is, she seldom grumbles...
Well, most of my friends, the ex-SMSJians batch 1974-1978 are planning to attend the Mini Gathering (MG) in Tanjung Malim on the 13th. of December. So, do I. We have been invited by our friends, Prof. Dr. Rosly and Fatimah to attend their first daughter's wedding ceremony. Insyaallah, Fati, I'll be coming with my hubby and children.
We have just celebrated my eldest daughter's birthday more than a week ago, on the 26th. of November. To think of it, Huda is our First Anniversary gift from ALLAH. Alhamdulillah... I could still remember being admitted to Batu Pahat Hospital in Jln Kluang a few days earlier before I finally gave birth to her. How my hubby had spent the night in our car on the night I went into labour. My! He just dozed off and slept very soundly until the nurse had to knock the windscreen several times to wake him up and told him the good news...! Just imagine, Huda was born at 3.03am! Almost everybody was sound asleep at that hour...
Wednesday, December 2, 2009
Wednesday, November 25, 2009
Monday, October 19, 2009
Wednesday, October 7, 2009
An Analysis Of An Unforgettable Experience
My experience as a carer of a chronic patient who is also my beloved mother, is an unforgettable one. I encountered this incident last year, when I accompanied my mother who was being admitted to hospital due to chronic heart failure. This incident made me realise the major role played by carers, and at the same time caused me to reflect on how patients feel.
During my last summer holiday, after I had my final year examination, I had to rush back home because I had news from my father that my mother was admitted to the Cardiac Care Unit (CCU) due to heart failure.
My mother, who has always been very healthy and energetic, had a dual-chamber pacemaker implanted in 2004 due to a history of hypertrophy obstructive cardiomyopathy (HOCM). Being a dedicated primary school teacher, she used to be active and busy with her workloads, duties and responsibilities. However, last year she was diagnosed with pneumonia that eventually exacerbated her heart condition. She was admitted to the CCU three times in two month. I accompanied her on some of her stays in the CCU.
Spending a total of eight days in CCU taught me many things. I witnessed death and dying patients with various heart problems and elderly heart patients without any relatives visiting. I saw poor chronic patients who were unable to afford the cost of surgical procedures and the required devices, and had to wait for financial support from the Human Resource Centre. Most importantly, how did it feel being a carer of a chronic heart patient, especially when the sick person was the person that I loved most; my mother?
Personally, I had the insight of being a carer to my mother. Besides that, I also learnt the dependency of chronic patients on their carers. I felt very sad when I saw many elderly patients did not have any relatives visiting, and they had to rely on the nurses to do everything; morning cleaning, assisting in eating and drinking, having someone on their side to talk to when they got bored, and most importantly, feeling supported and valued.
There was one day when my mother was on the drug trials, she suffered a very bad chest pain; sharp, centralized and continuous. This may have been due to the side effects of the intravenous drug prescribed. Since that trial, she almost gave up with all the medications given by doctors. She was afraid to experience the chest pain again. At this moment, I personally think that family members or carers play a very important role in giving continuous support and affirming the patients about their compliance towards treatments that will lead to a healthier state.
Most importantly, I realised that to be a carer of a chronic heart patient requires a person to have a strong inner self. Imagine that you are the carer of a heart failure patient, and you witnessed death and dying patients around you. At the same time, the person that you look after is also struggling for his or her life. I wonder how carers feel and cope, as I myself, as a medical student, was shocked to witness an elderly patient beside my mother’s bed die one night due to heart complications. As a medical student, I have been exposed to scenarios in tutorials and understand some of the aspects in dealing with chronic patients who are dying. In relation to the elderly patient who died at the CCU, I wonder how would the carers feel and how they found out about this situation. If they lose their strength and started to think negative, the effects would be on patients.
Being a full time carer makes me think about the support needed by both patients and carers. I was so lucky to have all my friends and seniors, most of whom were interns and medical students. They would understand my mother’s condition both clinically and emotionally. They were always calming me down, lending me their ears and offering their shoulders to cry on. Undoubtedly, sometimes I would feel paranoid and think about the worst of everything. Being a medical student cannot make me run away from being paranoid about sickness, death and dying. Although I had all the medical knowledge and depth of understanding about the issue, it was still hard to face the reality and try to be positive all the time. However, I had no choice other than facing the reality. I had to be strong in order to make my mother to stay strong.
As I was accompanying my mother all the time within the 8 day experience, I got the chance to socialise with some of the elderly patients there and give them some help. One of the ladies, who was hospitalised on the same day as my mother, told me that she was glad and touched to see me accompanying my mother all the time. Therefore, I was thinking about how the patients feel when they have no one to talk to in the hospital, especially in the ICU, where most of the patients are struggling for their own lives. With all the medical equipment and machines surrounding them, and all of the healthcare staffs busy with their own duties, they would surely have no time to talk to the patients.
One particularly demanding thing was the strength needed to keep both my mother and myself to be emotionally positive. At the same time, the bond and relationship between my mother and I was also vital in making sure that my mother would comply with the treatment.
Reflecting back on the incident, I clearly remember about my condition at that moment. I had missed my night sleep almost everyday. My mother had difficulties sleeping at night in the hospital, because she said that if she had shortness of breath, which is quite common among cardiac failure patient, at night, then no one would realise it. Therefore, I kept my mother company, talking and chatting at night when she could not sleep.
Personally, at first, it was hard for me to accept the fact that the person that I used to rely on to share my problems with and seek support now depended on me to give her strength, and most importantly, the strength in continuing her life.
All this while, being a medical student, I always missed looking into the importance of support needed by both carers and patients as an important branch of treatment and management to gain the best health outcome.
However, I am glad that I had learnt something from my mother’s situation. I will always look at patients’ need of support and the role played by carers in providing good care for the patients. Besides that, another important aspect is the support gained by the carers. All of this will eventually lead to the patient’s benefit and the best outcome for them.
It has helped me to think laterally in the management of patients, not only to look at the medical model of the disease, but try to approach one case holistically, taking into account the carers and everyone else around the patients.
Besides that, I also realized about the important role played by doctors and nurses (medical staff) to be able to understand how the patients feel and try to tolerate and get a good insight into the patients. By doing this, a good rapport will be established and at the same time, patients will feel supported and valued.
Apart from getting the insight into how your patients would feel if they do not have any relatives or friends visiting and giving support, a medical practitioner should try to think laterally, to figure out ways that could make their patients comply with treatments and medications. When a good rapport is built between the medical practitioner and the patients, the process would be easier. Another aspect that should be looked into is support networks and the current state of the carers. Do they need support? Holistic approach towards a particular disease is the best way to describe this particular issue.
Apart from that, as a future medical practitioner, I would try to get a better insight on how the patients would feel and how do they comply with the medications. It is important to think about all these issues in order to get a better compliance that will eventually lead to a better health outcome for the patients.
***Actually when Nadiah sent this essay in my email, I was very excited to read it. She had told me before that she received compliments from her lecturer for this Critical Learning Incidence essay which is supposed to be her assignment. So, after persuading her to let me read it, I wish to share her story with my blog followers. As her mother, I was so touched by the essay. Without realizing it, my eyes were filled with tears and how my heart wept as I was reading it for the very first time.. Praise be to ALLAH for having those four girls and a boy as my children. I am very pleased and thankful to ALLAH. If at this age, they managed to show their care and concern towards me, God knows what it would be like in the future, Insyaallah. Syukur Alhamdulillah...
Friday, October 2, 2009
Buat Norlila sekeluarga...salam bahagia dan gembira...aku dan keluarga amat gembira berjumpa dengan family kau dan kalau ke Kuala Rompin...jangan lupa singgahlah ke teratak kami..U memang special, suami dan anak-anak you amat membahagiakan...Salam.
Tuesday, September 22, 2009
Friday, September 11, 2009
Macam mana kalau saya tukar profesyen sempena bulan Ramadhan dan menjelang Syawal ini?Memandangkan saya sedang bercuti panjang ni, ok juga rasanya kalau nak menambah pendapatan. Beg dah ada tu. Untung juga kalau berniaga kuih dan biskut raya. Oleh sebab dah dekat nak Raya ni, tinggal 8 hari saja lagi, iklankan saja dalam blog. Kakitangan awam dah dapat gaji kan? Jadi, siapa yang nak beli, datang aje lah ke rumah. Siapa dulu, dia yang dapat. "First come , first serve!"
Salam semua. Selamat menjalani ibadah puasa dan ibadah-ibadah yang lain sempena bulan Ramadhan yang mulia ini. Di samping itu, pastinya ibubapa dan ahli keluarga sedang rancak membuat persiapan untuk Raya seperti mengemas dan menghias rumah serta penyediaan kuih dan biskut raya. Bagi yang berkerjaya, kuih raya jenis tunjuk-tunjuk. Kena semak balik senarai pesanan kuih yang telah di buat sebelum puasa dulu. Betul tak apa yang diorder, itu yang kita dapat? Budget ok tak? Ada yang dah lari budgetnya? Bonus dapat RM250 aje untuk Raya! Selebihnya akan dapat dalam bulan Disember. Itupun untuk kumpulan sokongan aje. Yang lain minta maaf banyak-banyak. Tak ada rezeki...
Ooh... Idaklah teman berminat nak meniaga kuih dan biskut Raya pulak! Biaq la untung besaq mana pun, bagi orang lain la rezeki tu. Cukup lah dengan gaji cikgu aje. Cikgu kecik, gaji pun kecik lah. Tak pe dah rezeki...
Yang sebenonye goodie bag dan kuih serta biskut raya semua tu hasil usaha titik peluh Cik Nama ( sama nama ). Memang setiap tahun Lila akan membuat, mengedar dan menjual kuih dan biskut Raya tu. Golongan artis pun ada yang menjual kuih raya Lila, tapi sampai Kuala Lumpur dah ditampal dengan nama syarikat lain pula. Harga pun dah lain...
Kalau di Batu Pahat ni, Lila berniaga kuih rayanya di Batu Pahat Mall. Lokasinya di tingkat basement parking lot, berhampiran dengan escalator. Gerai untuk bulan Ramadhan saja. Kalau nampak gerai Lila Delight Cookies yang bosnya berbadan gempal, berkulit cerah dan bercermin mata , betul lah tu.
Semoga hasil titik peluh Lila akan dapat menambah rezeki keluarganya. Kalau bukan bulan puasa, Lila berniaga di Restoran Syam. Dia menyediakan sarapan pagi dan makan tengahari. Waktu malam, ibu dan adiknya pula yang mengambil alih. Dalam bulan Ramadhan ni, Restoran Syam ditutup. Memang Lila ni berbakat dan berkelulusan dalam bidang memasak ni.
Saya pula hanyalah seorang guru kecil. Nama kami berdua saja yang serupa namun kami berbeza...
Saturday, September 5, 2009
Saturday, August 29, 2009
- Ramadhan: ertinya panas terik
- Bulan di turunkan Al Quran dan disebut (syahru ramadhana)
- Berlakunya Perang Badar Kubra dan mendapat kemenangan.
- Bulan di mana Nabi mengambil balik Mekah dari tangan Musyrikin dan berakhirnya penyembahan berhala.
- Di dalamnya dipilih ada malam Al-Qadar yakni lebih baik daripada 1000 bulan.
- Dipilih untuk ibadat puasa.
- Dipilih untuk ibadat lain seperti Tadarus Al Quran.
- Kamu akan dinaungi Ramadhan. (bagi yang telah meninggal dunia terlepas dari siksaan kubur.
- Bulan penuh keberkatan.
- Di malamnya adalah lebih baik drpd 1000 bulan.
- Amalan sunat sama dengan solat fardhu.
- Manakala solat fardhu mendpt 70 kali ganda.
- Bulan sabar dan pahalanya adalah syurga.
- Bulan menambah rezeki
- Memberi makanan untuk berbuka puasa banyak pahalanya.
- Bulan keampunan - doa yang paling makbul iaitu doa sebelum berbuka puasa dan juga pada sepertiga malam.
- 10 hari pertama mulanya rahmat 10 hari kedua pengampunan dan 10 hari terakhir bebas dari api neraka.
AMALAN-AMALAN DI BULAN RAMADHAN
- Mengucapkan Selamat Menyambut Bulan Ramadhan.
- Menempah pakaian untuk Ramadhan.
- Niat puasa sebulan pada permulaan Ramadhan
- Hendak tidur bacalah 4 ayat terakhir Surah Al Kahfi supaya dapat bangun malam.
- Berazam melakukan Terawih 20 rakaat (bukan 8 rakaat).
- Bertadarus secara bersemak (bukan sendirian).
- Solat berjemaah setiap waktu.
- Solat jemaah di masjid/surau.
- Amalkan Qiyamulail walaupun pendek.
- Sahur di waktu akhir
- Sahur - untuk mengelakkan makanan tidak hadam, elakkan makanan pedas dan tutup sahur dengan air susu.
- Mandi Janabat sebelum Imsak.
- Kurangkan tidur
- Tunaikan Solat sunat fajar (Solat Sunat Subuh)
- Tunaikan Solat Dhuha
- Tidur waktu cuti (satu jam sebelum Zohor)
- Tunaikan solat Rawatib
- Jaga pancaindera.
- Elakkan gosok gigi pada waktu petang
- Hadiri majlis ilmu.
- Buat baik pada ibubapa
- Isteri hendaklah taat pada suami.
- Banyakkan bersedekah.
- Berbuka dengan 3 biji kurma dan air yg belum dipanaskan oleh api.
- Berbuka bersama orang tua.
- Jemput tetamu berbuka.
- Kurangkan berat badan
- Banyakkan ik'tikaf di masjid (lelaki sahaja).
- Baiki hubungan suami isteri.
- Baiki hubungan jiran.
- Isteri jauhi daripada keluar rumah dengan memakai mekap dan perhiasan.
- Elakkan berbelanja berlebihan
- Kuatkan kesabaran
- Banyakkan selawat, istighfar dan ,bertasbih.
- Berazam beramal (pada malam Lailatul Qadar).
- Mengejut anak dan isteri di malam Lailatul Qadar.
- Elakkan menonton TV yang membangkitkan nafsu.
- Elakkan mendengar radio berunsur hiburan.
- Berdoa dengan nada lembut dan merayu.
- Jauhkan bercumbu dengan suami/isteri.
- Mendoakan ibu bapa sama ada hidup atau yang telah meninggal dunia.
- Melazimkan solat awal waktu.
- Elakkan bersiar2 yang menjadikan pandangan liar sebelum berbuka.
- Elakkan banyak berhutang.
- Mempunyai perasaan sedih melepaskan Ramadhan ditakuti tidak bertemu lagi Ramadhan yang akan datang.
- Tunaikan zakat fitrah.
Thursday, August 27, 2009
Bahan (A) dikisar
9 ulas bawang merah
5 ulas bawang putih
3 batang serai
100g udang kering – direndam dan dikisar
1kg ikan kembung – direbus, ambil isi dan kisar
5 sudu makan rempah kari ikan
1 liter santan pekat
3 sudu makan kerisik
100ml air (anggaran)
1 kuntum bunga kantan – dihiris
Beberapa keping asam gelugur
Garam dan gula secukup rasa
1 peket spaghetti – direbus lembut
Tauge – dibuang ekor
1 batang timun – dibuang kulit dan dihiris.
2 biji bawang besar dihiris (jika perlu)
Daun kesum dan daun selasih dihiris
Limau kasturi dibelah dua
Chaipo (lobak masin halus)
Sambal belacan - Cili merah
1. Panaskan minyak dan tumis bahan (A) hingga berbau.
2. Masukkan pes rempah dan kacau hingga keluar minyak.
3. Tuangkan santan dan kacau sekali sekala hingga mendidih.
4. Masukkan isi ikan, kerisik, air dan asam keping. Kacau hingga mendidih.
B Bubuh hirisan bunga kantan, gula dan garam. Bila naik minyak, tutupkan api.
5. Letakkan spagheti ke dalam mangkuk. Taburkan tauge, bawang besar (jika perlu), timun, daun kesum, daun selasih dan chaipo. Bubuh sambal belacan dan tuangkan kuah panas-panas.