I wonder where is my friend gone.

"A" will be the person for this story.

Personally, I feel sad and desperate.

A has changed from a caring, hardworking, helpful and diligent person to someone I couldn't imagine.
What happen? How come that happened and make you changed so much? Why?
I been trusting you so much and you changed in the meantime as well, to someone I can't believe anymore. I wish I was wrong... God, please don't change this good person.

I'm having a day from hell... have a temptation to scream now!

"Don't tell your problems to people: eighty percent don't care; and the other twenty percent are glad you have them. "

- Lou Holtz (I extract this sentence from a desperate house flower picture i like)

Apologize.

This semester elective will be doing at Taman Negara and Pulau Redang. This trip started on Wednesday and hopefully will be back by next Wednesday. 3 days at Taman Negara and 3 days at Pulau Redang. Transport in these 7 days is cars. Guys will have to drive all the way. This is the part which makes my mom mad at me. I know she is worried. I understand and expected that I’ll get scolded once she knew. I, myself, not really agree with these because she will angry but I can’t do anything, some of them insisted to drive for some reasons that I wouldn’t want to know.

(oops… I break my own idiotic rule, I used “I” in this blog)

I’m sorry mom, sorry that I make you worry. I’ll take care of myself and to calm you a bit, I’ll sms you whenever I have spare time.

3 weeks holidays has passed.

My missions have finally completed.
What are them?

1. To buy myself another pair of sport shoe. Why getting another one while the old one still good? This is because the old one required in too many functions that I thought it might be dirty for me to wear into class. My feeling was deeply attacked by someone the night before I went to buy, my mind and body were numb I guess that’s the reason that I could have strange ‘yong qi’ to buy this shoe.
2. Second is to change my spectacle. Why? I got a new spec. last December, why change it after 6 months? My power has obviously increased. But the power for the December’s spec. somehow never increased to that extent that I can see slides in my class. Then why ain’t you changed/complained to the shop? Because I didn’t used it that often during 3 months holidays. So, I didn’t realize. In fact, when I first put it on in Japan Airport, I could sense it is little bit low in power even compared to my previous one. When I came back from Jap, I had already forgotten that. This new spec. cost me RM300+, brand MC. MD is MacDonald. MC le? Marie Claire. Power: R-425, L-200.
3. Lol. I’m on my way go back to KL from this last and 3^rd times back to Melaka. What is the new thing I bought back today? Camera!! Panasonic Lumic DMC-TZ5/TZ15. This is my last aim. I supposed to buy this using my own money. But my mother said she wanted to sponsor me~ lol~ Thanks to her that I could get this by now. If wasn’t her, I probably … the minimum time I need to accumulate that much of money is until December. Which probably will by my present this year?
   

So, I’m telling myself now that I’ll celebrate my birthday a bit early this year because I have already gathered the 3 things I wanted. Thanks to my parents and brother who be my driver. Lol.

Luckily, my parents didn’t kill me yet~.

Last day in Gombak Hospital!

early in the morning, sniff~~ good n clean air~
Red myvi is always the early bird~ lol~ punctuality is important lo!


Thanks to Siew May who drives us there n back in these 3days~~

(give a round of applause~)




Bilik Ceramah: 2nd floor, pediatric wad. Students meeting place.



Today was bored~ and tired~

Clerking~ at first, assigned to general wad. There were hmm... quite a number of patients...but ~ ~ they dun wished to talk~ ~ swt~

Shift back to outpatient wad lo~ met this women whom son was studied 2 years medicine course in UPM then stopped and became a lecturer and now doing his master or don't know what in Liverpool. She was cooperative, nice patient. She complained about sore throat, rhinitis, R lower neck pain.
After taking hx, next destination was tea break at mamak opposite to hospital~ nice roti telor with delicious kari~ but nv drink milo, frens were complained about that~ teh tarik too sweet~
9.40am-- except for MQ'car pool, all of us went to museum Orang Asli. Entrance is free and it just opposite the hospital.












10am-- went back to Hospital lobby waiting to go next station--> Org Asli Kampung and 'waterfall'. About 15-25mins drive from the hospital.
Penghulu has already gone out when we reached. So, we had to visit his herb garden ourselve.












Then, Dr.Sassi walked us to the so called 'waterfall'. Along the way, we saw wooden houses, a small river~ then reached the second river. Dr.Sassi asked us to wait there~ wondering y?..hmm... thinking probably need to cross it also~ who knows that's the 'waterfall' she was talking~ oops~ it just a river with a faster water current and deeper ~ hmm.... nvm, it makes those city ppl v v v happy and the leeches are happy too~4 leeches got their stomach full after we visited the place~ lol~ kesian~

(siew may and li xian wearing their shoes after they crossed the first river)

2nd day in Gombak Hospital

Yesterday commander said mission today is to listen systolic murmur and learn CVS/CVA (couldn’t catch what he was trying to say, CVA is stroke, CVS is heart and vascular).

But who knows today was so bored. Arrived at hospital around 7.40am and waited for 15mins inside assembly room (located center of pediatric wad). Dr. Sassikala then came and the first group people all reached before the second group. Dr. Sassi then assigned us to the maternal wad and infectious wad. Four little soldiers first arrived at maternal wad- mission: CLERK!! 1 gynea and 1 obst. patients were resting, 2 delivered mama and their families were awake. Target aimed. *All internal wad patients are Orang Asli. Clerk one of the mama that had his baby delivered on 30^th of May. She stayed in hospital was to deliver baby and w/o knowledge in repro, clerking process went on very unlikely. After left her bedside, she and her family packed to go do their child’s birth cert. Survival rate in maternal wad is pretty low, thus, decided to shift to infectious wad.

Infectious wad, there are TB and leprosy. Transmissible disease? Of course they are. U probably thinking protective glove, mask and isolation rooms. Unfortunately, not as what you’re thinking. None of our soldiers has barriers. According to Dr.Sassi, once TB patient on a week treatment, the patient will no longer be transmissible. There were around seven TB patients and 2 Leprosy. An old man was our target for TB, he told us it feels normal, only symptoms are cough and sweat. A young lady was our target for Leprosy (Hansen’s disease= Kusat in malay), her presenting symptom is patches on hands and feet.
Had breakfast.
Then, meeting room for Talk on Transmissible Diseases by Dr. Sheerema. Learnt bit tactic in ‘war’.

(Left: pictures of li xian, siew may and yap waiting in meeting room)

Then, had a small discussion with Dr.Sassi and ended at 12.30pm.
Wait a min, Where is our yesterday commander? Oops, separates group got the chance to meet him today~ sigh~ that’s y today was bored.

(Below: picture of Gombak Hospital)

Yesterday night, had a small chat with a M207 friend, he ~ er ~ don’t know how to describe but just kinda forcing blogger to join track and field event. He joins 2.2m road relay, v’ball and football but not athletics, then why he insists blogger in joining? I asked, but the answer was “I don’t care…lol” and then he moved away before blogger got chance to fight back. What does it means? It has been a long time since my last 100m run (form 1 was the last athletics run; form 2-5 just ran for fun). Blogger never serious in 100m run b/c it is stress during the process. So, final decision was not to join.
But the next morning, Siew May gave a reminder that 2008 is the last year M107 joins IMU cup. So, it gives blogger the courage to join. Thus, the total is blogger will be joining 4-5 events this year~ God bless me~ ankle please heal completely on time for blogger to perform.

Hospital Gombak trip (2nd til 4th of June 08')

Last group to go this hospital. Hence, comments bout this place are already in the air made by other groups. “Boring…”, “go there early, come back also early…”, “wasting time…”, all these negative comments gave a very negative feeling at the beginning.

Briefly about Hospital Gombak, it is currently the only Hospital in the world treating only aboriginal people (Orang Asli). Dr.Sheerenam (can’t remember exact spelling), public health specialist given us a talk before clerking patients. She emphasized on this hospital isn’t under the ministry of health but under ministry of aborigine (Jabatan Hal Ehwal Orang Asli- JHEOA). This hospital was originally started at Pahang around 1930-1950 by this English guy- Dr. Bourton. The most significant difference about this hospital and others is that they are searching for Orang Asli Patients to give treatment. Patients like us, go hospital without being invited by health workers. They actually go to their kampong fetching them out and then supply them with food and treatment and send them back home.

Ques: how many aborigines in peninsular Malaysia?
Around 150,000. 1.5 or 15 or 0.15% of the population in Malaysia.

Ques: where do they live?
It is divided into 3 types: interior, fringes and urban type. Interior are places where helicopters are required to access, fringes places only allowed 4-wheel-drive cars to go in. At the beginning, they were using the Air Force big huge helicopters, but because of availability usage, they bought a small private helicopter located in Terminal 3, Ampang, for access. If I’m not wrong, every year RM900,000 is paid into this helicopter.
Aborigine people is like that, they will never come out and see doctor when they are sick, only when they are very ill and if only it is accessible, they will come to this hospital. This is the reason why they need to search for them and take care of their health. *Beware, it is not only the patient who come out, everyone in the family will follow if one of them sick.* so, the third difference about this hospital is transition wad, place for their family members to stay.

Ques: Do they pay for everything?
Tricky. In private as well as government hospitals, we paid for screening, consultant fees, medicine, surgery, and hospital stay, basically everything. About 77% of orang asli are self-employed, they hunt things for survival, income of them are basically less than our poor people, which is

Ques: what are the most common communicable diseases?
Malaria, Leprosy (19.3 out of 100,000 people) and TB (103 out of 100,000 people). However, due to epidemiological transition, non-communicable diseases like DM, HTN and obesity strike them. Altogether, they have this double attack.

It took Von Vee 37mins from Vista Komenwel B to Hospital Gombak, which is farther than Klang Gate. First impression to this hospital wasn’t that bad as the rumors in the air. It’s quite clean compared to Hospital Seremban, probably because Serembam is congested with patients. The air was fresh and cleans on my first step out of Siew May’s car. While waiting for our doctor and other group members, general inspection around this hospital was done. This Malaysia government is rich le… they got mostly 4 wheel drive (ford, Toyota) as their ambulance with few van type of ambulance. 3 blocks of building here. Chance to visit 2 of them today. The first block has general, maternal, pediatrics and infectious diseases wad. Assembly place is at pediatrics floor. First thing to observe in this beautiful morning was PLACENTA. A mother had just delivered a baby this morning. Placenta with a cauliflower like umbilical (if not wrong) is dropped off after delivery. Quite disgusting to see this rubbery brunch of ‘cauliflower’ in the morning without breakfast. Grouped into 2, first group has 10 people, and the second group has 16people. Out patient department was the ‘target zone’ this morning and Dr.Khairi (don’t know how to spell his name) is our ‘commander’ for first group. Mission was to ‘shoot’ at least one patient among 2 people (clerking) and present it to the ‘commander’. Yap, Siew May, Huong Wei and blogger got 3 very common chief compliant histories. Yet it is common, after discussion with Dr., we realized that it was hmm… incomplete histories. 40 y/o and 22y/o male diagnosed with HTN few months ago came here for follow-ups. Another 29 y/o male, aborigine with unexplained dizziness and headache. 22 with HTN? Oops~ so young? Ok, probably due to genetics or if it is a secondary cause of HTN. Never thought of that until Dr. asked us. Shame on us. Haha… After followed the 40 y/o guy into Dr.’s room and were told that the patient wasn’t taking any medicine for HTN b4 this. Human lies. -_-lll …

And then the last guy with unexplained dizziness and headache for 3 months had a week stay in this hospital because were suspected to have dengue fever, discharged but the headache yet gone. Couldn’t figure out the cause of this. ‘Commander’ suspected it would be anemia. If it is the case, then why it was not diagnosed at the time they check for dengue by pricking the patient?

During our discussion, we talked bout DM (5 main symptoms: vision, polyuria, thirsty, bleed easily, malaise). Old people with general malaise are to be suspect with DM, told by ‘commander’. What is normal glucose level then? 4.2 to 6.2 but this old male had 7.9 value, 3 and half hours after breakfast. Then, commander also mentioned that ACEI is the first choice for HTN.

Discussed also about differentiation between dengue and malaria, scabies, gout, OA, RA…

Mission completed and left hospital around 1pm.