life is shorter than most have thought

"sebelum kita start solat terawikh orang lakki dang orang puang hok ader malam ning nok kabbo seket ning,ader se pengumumang ning"..suddenly i was enthralled from the first word itself..terlihat kelibat seorang warga emas yg spot diagnosisnya mempunyai osteoarthritis kalo inspek dari jauh.

melalui mic tu he continued his announcement "malam esok kiter nok buak bukker poser surrau kiter ning,jadi oleh sebak tu nok suroh la orang2puang mari awal sikit esok sebelom bukker posa..untok tulung ngiddang makkanang  esok"..huhuhu so extremely simplified bahasa tganu ni..

"orang2lakki hok muder2 kena mari awal jugok tulung..(damn,esok aku oncall)..sbb kiter2hok tinggal ni semua dok orok2belaker doh"..i clearly can see this.memang surau ni..surau Hijau kalo orang kampung ni panggil..memang jemaah satu saf ni adalah orang2tua..mmg semua xlarat.kesian diaorg.

i like to observe the way those elderly conduct themselves..sbb mmg aku mbesar melihat mereka melalui proses penuaan..slh seorg tu pakcik dh kyphosed ..setiap kali next rakaat dia tanya whoever kat sebelah dia..ni rakaat keberapa dah ni?..huhuhu.1 of them tu aku darjah 1 lg dia started pencen dari guru besar kat sekolah kebangsaan Ladang ni..n manymore termasuk yg xdikenali.

sebab menghormati tenaga keupayaan n kinetik mereka2ni terawikh kt sini 8 jer witir 3 rakaat sbb ni special request.(termasuk aku..)..i think geriatric pun mcm best jer nk buat bbndg pediatrik..they are not much different except the size does matter.

..that's why bila orang tanya aku : why need to create a blog n make friends online??..most of the times,i keep the answer to myself..huhuhu.

tp sebenarnya, i was given a foresight that "life is short"..even life is shorter than most have thought,but personally this kind of thought shouldnt slow you down from doing whatsoever that can delight you n of course not harmful to others..

secara subconsciousnya one of my friend gave me an idea (indirectly) that we can 'save' our memories by using technology as a medium..kerana tanpa sedar kita terpaksa menginjak usia.tp utk tidak terlalu optimistik..sekiranya usia kita adalah lebih daripada yang dijangka adalah sesuatu yang bermakna utk secara visualnya kita dapat lihat kembali (tatkala kita berumur 50/60 thn nanti sekiranya Allah masih izinkan kita berada di superficial daripada kedalaman bumi 6 kaki)..apakah nilai seni kita semasa berumur 20/30 thn?bagaimana immatured nya kita before??who are those peoples that were with us back then when we were young?

bagi aku : kadang2kita sibuk utk mengubah org lain sehingga kita lupa utk melihat kelemahan diri kita.jd kbykn isi blog lebih berpusat kpd pengalaman aku sendiri..not for a commercial purposes,seeking a glamorous life,condeming others' ideas or thought,etc..

chit-chatting with an elderly will teach u 'sugar n salt of life'..

suatu ketika in 2006 : i wrote it somewhere in my sketch?scratch book..which i used to keep to myself n note down somethings that impressed me(till now)..

i met with one old pakcik..he told me so much so : but i vaguely remembered every single line to jot it down while listening to it.(selebihnya huraian aku tulis kemudian sendiri).

dia kata "manusia mempunyai 4 unsur alam dlm badan kita yg mpengaruhi nilai hidup(like a Zen plop pakcik ni)..but we musloems have 5 rukun to handle those problems".(aku tulis la sbb bukan
impressed sgt time ni tp sbb aku suka unsur2alam ni,time ni mmg tgh giler tengok anime Naruto hahaha)..

1.AIR : adalah air itu sifatnya apabila ia menitis ia akan merebak(mcm kertas turas ker??).wpun tumpah bermula dengan setitik ianya akan membesar membasahi permukaan yg tertimpa olehnya..ibarat manusia yg berusaha mengumpul harta : sedikit tidak mencukupi,berusaha mengejar kehendak sehingga membesar melebihi kemampuan.Maka bg mengatasi sifat AIR ini jwpnnya PUASA yg bersifat menahan diri kita dr nafsu.(since he told me this as a first element i wrote it slowly..difficult for me to understand this 1st issue..sbb busy mendengo n xtulis sgt)..

2.TANAH : Adapun tanah ini sifatnya seperti apabila mendapat sstu.. semua sikit atau banyak akan kekal mjd miliknya..ibarat biodegradable : plastic,kain,baju kalo dh jatuh ke bumi lama2mereput mjd milik tanah.ini melambangkn sifat kedekut manusia.jd jwpnnya utk mengatasi mslh ini ialah ZAKAT N SEDEKAH..

3.API : semua tahu api ini sifatnya membakar n merebak kalo dah start membakar..paling bahaya ianya mampu membakar semua orang/benda di sekelilingnya kerana memang angkuh n bangga diri tu sifatnya.ssungguhnya syaitan adalah dari api n dari awal kesilapannya untuk ingkar sujudkn dahinya ke tanah disbbkn sifat bangga dirinya.maka utk menyemai sifat tawadduk maka sifatnya adalah SOLAT.

4.ANGIN : sifat terakhir ni pakcik nk bgtau ..angin ni hebat sebab mana2tempat lubang kecik pun dia masuk.pantang ada kosong kerana sifat ingin mengejar semua benda dunia dan pangkat(did i missed some words here?)..bagi mengekalkn sifat tunduk kita tanpa mengira status  adalah dgn amalan HAJI.

pakcik:okla nak..pakcik nak pi dulu.. 

me : kata agama ada 5 rukun tp baru 4 unsur ni..rukun 1 lagi xceriter lagi..

then he walked away from me n telling that if u can commit yourself for the most important rukun u can conquer and control all the elements (mcm avatar jer pakcik punya skrip)..

me : bgtaula pakcik sy nk complete kn sketch book saya ni(dh start lukis2gambo kartun naruto ni)..

pakcik : if u try to find redha Allah dengan faham kalimah syahadah,n ikut sunnah Nabi kamu akan berjaya..(i just dont know how to write it..so i wrote it as a footnote and put an asterix).

bila aku baca balik hal yg 5 thn yg lepas ditulis adalah sewajarnya ni xperlu aku tulis sbb ni adalah simple.blh jd pakcik ni baca buku Mastika je(dulu glamer buku ni) then cerite kt aku.but the important message here,he had contributed an article for my sketch book for a 23 years old guy's memory as he progresses his aging process.huhuhu

***just in case i'll become so forgetful..i keep reminding myself this narration which stressed on amal jariah..“Sesungguhnya amal soleh yang akan menyusul seorang mukmin setelah dia meninggal dunia kelak ialah ilmu yang dia ajarkan dan sebarkan, anak soleh yang dia tinggalkan, mushaf Al-Quran yang dia wariskan, masjid yang dia bangun, rumah tempat singgah musafir yang dia dirikan, air sungai (irigasi) yang dia alirkan, dan sedekah yang dia keluarkan di kala sihat dan masih hidup. Semua ini akan menyusul dirinya ketika dia meninggal dunia kelak.” (Riwayat Ibnu Majah dan Baihaqi)  

jadi sama2la kita berusaha perbaiki kita sebelum sel2 n tisu2 ini semakin berusia..some of our tissue are just couldnt regenerate back.

akhir kata : 'sstu yg biasa bg kita belum tentu biasa bagi orang lain' SH

wisdom vs genius

jam dinding ward ni dah 11.30pm ..jam iphone 11.20pm baru..

Dr Awang : Dr Mek ke?sorry ..ermm..assalamualaikum.. saya Awang dari pead general ward nk refer satu patient kat doctor :"this patient 6 m.o malay girl with no known medical illness admitted to our ward with complaint of right forearm swelling till the level just above her elbow joint..she presented to us today as the mother worries of the increasing in size of the affected limb.."blom sempat abis ceriter..suddenly ditanya

Dr Mek : so apa diagnosisnya??

Dr Awang : our differential is abscess(pus collection) and the least possible diagnosis is cellulitis(inflammation).we have started high dose iv cloxacillin n iv gentamycin

Dr Mek : patient ni masuk pukul berapa?awak ni tengok patient pukul berapa?kenapa sekarang baru nk refer ..why petang2td x refer..??ni kn dh pukul 11.30pm(jam dinding ward lg accurate ke?)

Dr Awang : MasyaAllah Dr Mek (dlm hati dh panas ni)..mcmana saya xrefer awal saya baru je tengok pt ni.dia admitted pun jam 7pm.biasala kalo kerja banyak ..HO saya tengok dulu sbb saya kena focus la pada more unstable patients (of course we ve to attend them first).kalo saya xfikir pasal patient xder saya nak refer2ni (tangan ke dada n mata ke atas) untuk minta courtesy awak review.with my limited experience this is not merely simple cellulitis.if u dont want to see the case..its ok since i ve tried my best to get your opinion as so called expert review..

Dr Mek : Okla .. okla..nanti saya gi review dia..

**surprisingly, Dr Mek was towards completing her internship who havent done pediatrc posting yet.

The patient actually had multiple intramuscular abscesses of the arm and she underwent emergency opt for evacuation of the pus..the plan was carried out after she was reviewed by the senior doctors n surgeon.

my goodness ..now i can see what Sir Cyril Chantler From British Medical Association used to say:"medicine used to be simple,ineffective and relatively safe".but it is now complex,effective and potentially dangerous.(but i dont really understand the meaning of the word of effective here)
http://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/151/15104.html.

***see how UK saw n tackled this problem years before us (from the link.).(i found this infos somewhere on the softboard in our resource room).

For doctors -either you are an HO or MO- As to diseases, make a habit of two things—to help, or at least to do no harm—Hippocrates, Epidemics (Book I, Chapter XI), c. 400 BC

Not harming the patients has been a key principle of professional medical practice for at least 2,500 years. Even so, a great deal of harm has been done to patients over the centuries.

since we have been focusing so much on the 'do no harm' we have forgotten the word 'to help'.now it is a time for us to work openly with partnership
..with our colleagues in health care/KK/district hospitals n the patients also -of course.

moral of the story : .Dr Awang perhaps also learnt something from that 'stormy'event..huhuhu..

Sepertimana Sabda Nabi Muhammad S.A.W..

***tips percuma : Rasulullah SAW bersabda: خير الناس أنفعهم للناس
Sebaik-baik manusia ialah yang paling bermanfaat kepada manusia.renung2kn..***

sstu yg biasa bg kita boleh jadi luar biasa utk org lain-SH.


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water for life..

11pm...sambil2 buat ABG routine round for 1 of my patient..my very last patient for that night.then.. i can go for short nap(s)..suddenly adala seorang ayah ni masuk bilik melawat baby dia (maybe dia baru balik terawikh..normally the parents used to visit their ill baby in our NICU after 5 pm and stay there till Maghrib..but lately few of the fathers choose to come even at late midnight)..since i was not reviewing his baby during that time..i just kept myself busy doing other things..(unless he asks me to entertain him..then perhaps i will consider to spend couple of minutes to do so-but i was in hurried also..hehehheh).

normal looking atmosphere in NICU : u can sense this kind of sight when working at very late past midnight..

Father : Staff nurse..ni nak tanya sikit..kenapa baby saya ni xdisapukan air yassin..kan saya dah lama bawak..

(my gudness, i turned my head 180 degree just because my brain got contused with the voice : yeah..i can see a plastic of bottled water and written clearly with a bold black ink "Air Yassin")..

Staff Nurse : Encik...Air yassin ni erk.

Father : Yerla..Penat2 kami letakkn situ suruh lap2 anak saya ni dengan air yasin (why he was so serious about that : i stopped writing for a while..but i didnt want to join the discussion..)

Staff Nurse : Ayah dia..saya memang boleh buat tp kalo encik seorang yang sangat sayangkan anak..kenapa la encik xbasuh tangan and sapu sekarang la air yassin tu ( he deserved that..the sink for hand washing is just next to the patient's incubator..as a matter of fact,we encouraged all parents to cleanly wash their hands and touch their babies to promote father-mother-baby bond.)

Father : mmmm (angrily, he stepped out from the room and went home..)..for me, the staff nurse's answer was a brilliant answer..

Aku geleng2kepala jerla..why he was so serious about the air yassin ..i could not understand..perhaps it was prepared by some great scholars/alim/ustaz ..tp boleh je dia minta dengan baik2..betulla kalo tanya ustaz and google jer dalam internet semua boleh dapat tahu khasiat and fadhilat air yassin (i agree with this) : ni contoh the links  bagi saper yg berminat : http://bin-sahak.blogspot.com/2008/08/air-yasin-untuk-lulus-periksa.html) and of course many more..i can understand this also (we did practice when we were in school long ago-back then)..but the way we pay our salutations to the water is sometimes inappropriate (this i could not understand)..

..........huhuhu...just immediately after i finished that routine oncall round,  i went to ward's pantry in case i can taste few left over kuih from the 'berbuka'..(biasa satff nurse xbawak balik..)..then i saw a line of  bottled drinking water..

guess what?? left like that unnamed..i thought  it is for *wakaf(free for anybody as being donated from some unknown person usually)..

As i nearly grab 1 for me (biasanya ni kursus2 punya air mineral orang malas amik bawak balik mereka selalu tinggalkan wakaf)..suddenly a staff nurse told me "Doktor, to air yassin tu doktor orang buat baca yassin tadi belong to this person..that person.."..then i say : "so why tinggal semua separuh2 ni..nak minum ke xnak (some are still not open)".. SN : yerla doktor..satu sorang tu dapat.. me : OK..

Moral of the story : i also couldnt get it..personally, aku rasa kita kena paham disebalik usaha utk menghubungkan kita dengan Tuhan kena ada usaha yang lagi lebih sebagai insan utk menjayakan sesuatu tanpa bergantung semata2 "divine intervention" macam ni..i believe those kind of stories will repeat by itself again n again..

.....................i just would like to share a very unrelated story of mine long-long-long time ago(but still has some "water elements" inside it : just suddenly it comes to my mind)....................

semasa di tingkatan 5..untuk menghadapi SPM..sememangnya menakutkan la jugak seposen sbb banyak subjek nak kena amik..Biologi,fizik n kimia..ni je yg dibaca..yang lain tu lantakla..and the worst case scenario : ENglish was my worst and least subject to make me happy each time i eyed my results..so teacher2 akan berusaha utk membantula student2 minoriti yang mcm aku..benok benar nak belajo English(tp rasanya normal lagila kalo sekolah kat pantai timur ni..the monsoon just drain out  the language receptors from the brain together with it..)

Then adala teacher ni bagi aku(few other students also who labelled to be a needy one) sekoleksi karangan(5 ceriter kot) : to be remembered by heart u know..every single word and line..tp dalam banyak2 karangan tu ada 1 je yg aku tertarik..karangan yang bertajuk : WATER..i read this over n over..the story line was so simple..it started with an introduction what is the word means?then it goes deeper to its content. The writer was perhaps 12 years old Indian girl (i assumed by looking at her handwriting)..she did not state her name on that paper (of course)..but i guessed it's SHE since she said  that the water is her life..holier than anything..it was Gangga..Then the whole story was about how proud she is by the name and the spirit that she carries along with the sacred name..what amused me was the story seems so alive till i read it over n over and studied about the Ganges River after that. I learnt how a sincere work like her can affect others in different ways..i was not interested to squeeze my brain with those words..what's more important to me was the way she put the myths and facts together..can i write the same story if the exam's questions were exactly the same.of course not (hehehheehe..i kept the lame old reason with me,boleh ke aku rosakkan ceriter ni yang dh perfect just to make me pass the exam).

enjoy this : I ve seen how polluted it was with my naked eyes in 2006,now im not sure.....huhuhu

(sesiapa yang berminat utk melawat India lagi sila tag me in..Hisam Muhammad ada berani??)..

Okla my last quote for this entry : If there is magic on this planet, it is contained in water...so renung2kn..

"sesuatu yang biasa bagi kita boleh jadi luar biasa utk org lain"-SH

eyes are the window to the brain (kids do know this)..

Details

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17 Ramadhan 2011 :Retrospective entry.

aku suker untuk mengongsi ceriter2 dan pengalambn melihat pesakit dengan mata kasar akun sendiri..(mungkin dimata koranf lainla plop penafsirannya)..

menjaga clinic di bulan2 posa ni seronok sbb pesakit xramai..satu lagi honeymoon time adlh pada musim tengkujuh di mana byk kawsan dilanda banjirr besar.. pun pesakit xramai.i would like to share one memorable case of mine..i saw this  one particular patient few days ago..huhuhu..patient ni aku pernah jumpe kt ward dulu in 2008 n she is just like a bayangan wajah kelmarin buat aku kerane insedens kat ward during that admission.(senang nk ingat sbb mmg dia masuk masa hampirr2 nakn raya.so patient ICU xbyk time2 dekat nak raya.

dipendekkn cerito nye si baby ni mpunyai mslh jantong gagal berfungsi disebabknnya berlubang..then jangkitam kuman paru2 hinggap mnerukkn lagi keadaanya.maka lama le duduk ward sementara nk tunggu IJN call-IJN wont accept any patient with concurrent infection since it is not suitable for them to proceed with heart surgery,patient might succumb due to the infection instead of heart failure..(lastly we managed to get a slot for her and the correction was done : settled 1 problem).

However, dipendek2km lagi ceritenya..kerana lama bergantung mesin pernafasan kami telah nasihatkn paremtnya utk buat pembedahan tracheostomy(tebuk je lubang pernafasan kt leher n masuk tuib org kampung otak kimia panggil)..for her mmg sesuai sgt2la sbb tube pernafasannya yg biasa endotracheal tube tu mmg akan ada masalah nk jaga kalo patient terlelu lama pakaainya.eg jangkiitan kuman ICU,kerosakn paru2disebabkn mesin ventilator,tiub tercabut keluar n many2more.

contoh jer..not the patient : with endotracheal tube..

a baby of mat saleh with tracheostomy tube..

The problem is : it was soooo difficult to convince the parents that the only solution left was to proceed with tracheostomy tube to protect the airway..nak kate xpahem dh parents nya educated..nak kata paham ??dh berminggu2 tunggue nak dapatknn consent(persetujuan)..the child conditions were on n off okay n most of the time x ok..some say it is more less you are handling a small patient who keeps trying to die..why they just could not see the bigger issue rather than the small worry of the tube-cosmetically-ugly looking.i couldnt understand this(mmg xboleh terima alasan ni).

Eventually they consented for the operation(but maybe NOT for the mother)..good for the patient perhaps.actually when the patient grows up the tube possibly can be taken out as the airway will become more firmer and stronger to support the air passage..then dah siap operation the mother seemed so stressed out..and nak dijadikan ceriter si baby ni mendapat ruam2 merah yang xsignifikan..setelah di beri penerangan.."it could be just anon specific rashes in which will disappear in 1-2 days time by itself"..she still refused to understand the answer given..okla..we can give a lotion to ease the child but this is not the ultimate management since it will heal by itself.

But, mak nya ni sapu lotion ni bukan sahaja kat tempat ruam malah semua dalam mata2 n mulut anak dia..hidung sekali..just to express her anger and she did it that way so we will take the message(it was me who oncall-ed on that day)..WTH..then suddenly when i asked her :'why u did this..this is so barbaric..even Orang Asli pun saya xpayah ajar nak pakai lotion ni"..mak(screaming n scolding mode) : Doctor! saya rasa baik anak saya mati jer doctor senang terus abis ceriter ..Me: "astagfirullah mak dia..kita dah la berusaha jauh untuk selamatkan dia..awak ni senang2 jer nak lepaskan kemarahan dgn melakukan pertkara mcm ni..MALAS SAYA NAK LAYAN orang macam awak ni..nak menangis...menangis la dulu..xder masa saya nak layan..lagi 1 jam saya datang..make sure staff nurse! semua yg disapu tu di buang balik.."...when i came back 2-3 hours later she already back to her sanity..the she asked for an apology..sbb tu wajah ni aku xlupakan sebab for the first time i scolded a parent just to confront her who did such a stupid mistake(i feel sorry also..)

see..if u would like to apply the lotion just spare the vital parts(even OA pun tau).

Now the child is already 2 y.o 3 m.o ..she is active, playful and cheerful..except she is bit delayed in her developmental milestones..a month ago she just started to walk without aids and she learnt quite impressively as now she slowly can run..she enjoys scribbling meaningfully..drawing some cartoon characters that she likes etc..but the sad thing she has microcephaly which later on we should anticipate some learning difficulties perhaps..

That's why ..most of the time..we look but we didnt see(orang xberapa nk puteh kata)..mata sering menipu kita.bila mata memndang belum tentu ianys melihaat...pandanglah rezki Allah yang Maha Pemurah sebelom kita komplem dugaan rezk yang tidak cukup3 dengan melakukan tindakan luar kawalan yang membawa mudarat..

kerana terbiasa dengan kwsalahan kecil2..kita masih mampu menerime kesilapn yang terpampang didepab mata kerana dalam hidup yang mwmgikut umur biology, mata mengalami penuaan seiring pertambahn umur kita.visual akuiti menjadi semakin hebat.kanta mata mampu menangkap imej2 diskrit mahupun yang xdiscrete di mana kita seringkali mampu melihat kuman di seberang tetapi GAJAH didepan HIDUNG xnampak.

favorite exam question : but trust me till now i also couldnt master this pathway.
(this is how our eyes connected to the brain..see how the colours get into our mind..) 

Kita nmpk kuman wpun jauh kerana kehebaatan mata bersenggkonghkol denga otak kite.adalah suatu yAng amat menyedihkn bilamana Kuman yg kita bimbang itu sebenanya langsong xder mudaratnyer buat kita.

**This Entry done at 0215H 17 Ramadhan bertujuan menguji sensitiviti dan sensibiliti mata anda : so jgn hairan kalo banyak kesalahan tatabahasa/ejaan/susunan kosa kata kerana aku ingin bawa korang menjiwai mood mata aku sendiri time ni..berbekalkn clear cornea korang aku xrisau sure mata korang mampu bersengkongkol dengan occipital lobe korang untuk membaca cerita di atas dengan tatabahasa yg betul.Lagipun memang aku nak praktikkan teknik penulisan yang di panggil At-ta'kid di dalam bahasa Arab iaitu menjelaskn yg kabur(*maybe my ex schoolmates are a great learner/teacher for this..hehehe)..but now technologies lead us to an easy life(depends how u define it)..u can google this online nahwusharaf.WordPress.com...adik2..mari belajar bahasa Arab :

TA’KID (kusut, rumit, rancu)

والتعقيدُ: أنْ يكونَ الكلامُ خَفِيَّ الدلالةِ على المعنى المرادِ.

Adanya kalam (kalimat) samar dalam penunjukan makna yang dimaksud.

والخفاءُ إمَّا منْ جهةِ اللفظِ، بسببِ تقديمٍ أوْ تأخيرٍ أوْ فَصْلٍ، ويُسمَّى تعقيدًا لفظِيًّا، كقولِ المتنبِّي:

Kesamaran itu baik dari segi lafazhnya, disebabkan takdim (mengedepankan yg seharusnya dibelakang ), ta’khir (mengakhirkan yg seharusnya didepan), atau fashl (pemisahan). Maka dinamakan ta’kid lafzhiy. Seperti contoh perkataan penyair:

جَفَخَتْ وهم لا يَجْفَخُونَ بها بهم = شِيَمٌ على الحسَبِ الأغَرِّ دلائلُ

JAFAKHAT WA HUM LAA YAJFAKHUUNA BIHAA BIHIM = SYIYAMUN ‘ALAL-HASABIL-AGHARRI DALAAILU.

فإنَّ تقديرَه: جَفَخَتْ بهم شِيَمٌ دلائلُ على الحسَبِ الأغرِّ، وهم لا يَجفخونَ بها.

Karena sesungguhnnya takdirannya adalah:
JAFAKHAT BIHIM SYIYAMUN DALAAILU ‘ALAL-HASABIL-AGHARRI WA HUM LAA YAJFAKHUUNA BIHAA.
Adat kebiasaan saling menasehati atas leluhurnya yg mulia, membanggakan mereka. Tapi mereka tidak banggakan diri dengan kebiasaan itu.

KETERANGAN:
pada syair diatas terdapat FASHL/memisah antar fi’il (JAFAKHAT) dan muta’allaqnya (BIHIM) dengan kalimat sempurna yg mempunyai makna tersediri (WA HUM LAA YAJFAKHUUNA BIHAA).
Kemudian terdapat TA’KHIR mengakhirkan lafazh (DALAAILU) dari muta’allaqnya (‘ALAL-HASBIL-AGHARRI) sekaligus terjadi FASHL antara maushuf (SYIYAMUN) dan sifatnya (DALAAILU) dengan muta’alliqnya sifat yang seharusnya ada dibelakang (‘ALAL-HASBIL-AGHARRI).

وإمَّا منْ جهةِ المعنى بسببِ استعمالِ مَجازاتٍ وكِناياتٍ، لا يُفْهَمُ المرادُ بها، ويُسَمَّى تَعقيدًا معنويًّا، نحوُ قولِكَ: (نَشَرَ الْمَلِكُ أَلْسِنَتَه في المدينةِ)، مُريدًا جواسيسَه، والصوابُ:(نَشَرَ عيونَه). وقولِه:

Adapun kesamaran dari segi makna, disebabkan penggunaan majaz atau kinayah yang tidak difahami maksudnya, maka dinamakan ta’kid ma’nawiy. Contoh perkataanmu : ” raja itu menyebarkan ALSINATAHU/LIDAH-LIDAHNYA di kota itu” dengan maksud penyelidik-penyelidiknya. Maka yang benar ” menyebarkan ‘UYUUNAHU/MATA-MATANYA”. Dan sebagaimana dalam syair (bahar thowil):

سَأَطْلُبُ بُعْدَ الدَّارِ عَنْكُمْ لِتَقْرُبُوا * وَتَسْكُبُ عَيْنَايَ الدُّمُوعَ لِتَجْمُدا

SA ATHLUBU BU’DAD-DAARI ‘ANKUM LI TAQRUBUU = WA TASKUBU ‘AINAAYAD-DUMUU’U LI TAJMUDAA.
Aku akan mencari rumah yang jauh dari kalian agar kalian dekat di hati. Dan kedua mataku akan menumpahkan habis air matanya agar MEMBEKU (merasakan bahagia karena telah dekatnya hati)

حيث كَنَّى بالجمودِ عن السرورِ، معَ أنَّ الجمودَ يُكَنَّى بهِ عن البُخْلِ وقتَ البكاءِ

dimana dimaksudkan penggunaan kinayah dengan kata “JUMUD/BEKU” untuk mengungkapkan rasa bahagia, padahal sesungguhnya kata “JUMUD/BEKU” adalah kinayah untuk sulitnya air mata mengalir di saat sedang menangis.

akhir kata : connect your good eyes' sight with your brain..otherwise you will become like this

okay selamat NuzulQuran 2011 : selamat berpuasa

"sesuatu yang biasa bagi kita, boleh jadi luarbiasa untuk orang lain " -SH

Reply to:

towards making the awareness as everybody's business'.

Kebiasaannya blog aku wujud dlm keadaan xder mende nk buat..but for this blog it is very spontaneous..this entry is meant to promote an awareness among colleagues..

mengimbau kenangan suatu pagi di daycare : dlm usaha menyiapkn kerja2 administrasi jabatan(yg xpernah habis aku rasa)..kelibat pesakit mmg x boleh nk elak dr mencuri sensori konsentrasi retina di papan skrin PC..personally i love to see the pt walking in n out with their parents to our daycare-80% of our DC pt are thallasemia- it signifies that they have faith in us n still trust us to treat them.More importantly the continuation of care for them is a part of our core business(my HOD used to say this).

Di manakah huruf ' I ' ?? ..no wonder girl we always forgot  about our role..since we always forget the word 'I'  in our  daily works.(lukisan plg menonjol di Daycare kami).

i love to see the mother who's struggling to help us restrain the child when we poke n bleed them..later,they will have a chitchat/gossip session among them while waiting for the transfusion to be finished..having lunch together n sharing whatever meal they bring/buy on that particular day with other parents..

suddenly my eardrums catched an echo of catchy conversation..memdengo celoteh father yg bpeluh berjalan dgn bersongkok kelihatannya usia yg agak terlebih matang.. stlh di call oleh isterinya (the wife came earlier with 2 children whom scheduled for their -xpernah kenal ayah pesakit ni bkmungkinan besar dia dtg utk pertama kali so xder sessi nk bbual rancak dimulakan..(i used to talk with the parents if i know n recognize them).

father : buat apa doktor sibuk2nk check darah saya ni,keturunan sy semua elok,darah sy elok(gema nada dia mampu menggagapkn HO)-partly bcoz the mother gave the urgent call for him to come - in which it was not so urgent im supposed,and this possibly irritated him.
HO : ayah dia ni namanya ni  'family screening', utk tujuan dokumentasi n kami kena check utk tujuan kaunseling kalo diperlukn kmdn hari(pandai jugak HO ni)
father:sy dh 2 kali pi klinik Marang then sampel hilang bila datang utk check result, ni nk cucuk lg -now the voice even more clearer n louder (it is not uncommon to experience this in gvmnt settings).im so sorry to tell this true fact to our pt.
HO : tp ni peluang utk amik sekali la ayah dia..nanti senang sini blh buat test terus bsama darah ahli keluarga yg lain(terus memujuk : dgn separuh keyakinan result will be available soon).
father: doktor ni org sini ker?
HO: sy org KL
father : sy pun org KL doktor tp pindah ke sini..tuela kalo ikutkn org2KL ni jarang ada mslh darah mcm ni..

..,......ok i think better we stop here the rest of the conversations were just craps...

Jelas.. teramat terang segelintir masyarakat kita masih jauh dr konsep dan pengetahuan permasalahan thalasemia ..apabila disebut isu genetik hampir rata-rata mendapat idea yg kurang tepat.Thalasemia ini yg mana hampir 5% rakyat msia adlh carrier bukanlah suatu malapetaka keturunan yg sering dipikirkan.Ianya sememangnya bawaan genetik tetapi harus di ingat kemungkinan susur galur nenekmoyang kita mendapatnya scr spontan.Secara statistik,pduduk tganu dgn anggaran 1 juta orang -maka pandai2la kira prevalens pesakit kerana bagi setiap pkhwinan sesama carrier akan hasilkn 25% kebarangkalian thalasemia major.

tp kalau nak lagi details baca jer text book perubatan..in which  we dont like to do so most of the time..

Namun kita kena ingat di dunia ni mslh thalasemia bukannya baru..in fact,negara Msia ni bukannya fames pun utk thala..our neighbor thailand far more famous than us..n utk pgthn semua Maldives sebuah negera yg berpenduduk 300 000 org (2006) adlh negara ttinggi di dunia mghadapi prevalens penyakit thalassemia.. 20% adalah carrier di mana setiap 120 kelahiran akan ada 1 major n for this reason they fight this problem very well..even makcik2yg jual popia goreng simpul n samosa kt maldives pun tahu.(may be doctor2kt maldives pun ada yg thalasemia major).

gambar hiasan : but they are Maldivian kids.

Most of us may be dont know about maldives..apa yg special sgt Maldives ni adlh ianya mungkin mengulang sejarah Atlantis.it is constantly facing coastal erosion as a consequence of global warming ..dlm tempoh kurang 40 thn maldives djangka lenyap dr peta dunia (time tu toksah sibuk nk melancong ke maldives :).surprising kn !! jangka hayat satu negera lg pendek bbndg penduduknya..(but i believe they are doing something hard to fight mother nature as hard as they r fighting with thalasemia..why dont us?)

kepulauan yang membentuk Maldives

very nice island...

maldives ni adik2..
mpunyai 1190 pulau kecik tp 200 jer yg berpenghuni.xsaper tahu dr mana asal usul maldivian..but their complexion is almost similar like south asian eg Indian subcontinent.tp kbykn org maldives mengaku kmungkinan mrk adlh dr susurgalur arab yg berdagang semasa mggunakn laluan sutera.maldives dulu fames utk org2 kaya bcuti.tp lg fames last year bila ada 1 insidens dicetuskn oleh seorang rakyat maldives yg muda mempersoalkn ketidakpercayaan nya pd Islam (Maldives ni bbangga dgn nearly 99.99% islam n it is automatically muslim which it is a-no-choice-situation after u r given birth).ni mencetuskn fenomena bantahan dunia luar terutama barat n eropah..but for maldivian they just dont care.(kn dh melalut2..)..u can google it for further stories(sure u can know better).

so back to our issue..adalah jgn salah kalkulus bg mental calculation ni dgn idea2kita yg kurang bernas..utk kita merasakan kita tidak bernasib baik.semua harus berusaha gigih demi kesejahteraan bersama.Sebagaimana rakyat Maldives yang bersungguh merawat penyakit Thalasemia dgn semua org bekerjasama..

so for my colleagues(doctors or non doctors)..lend your hand.together we support them with the knowledge.

with this current entry.. i also would like to show my compliments n congratulations to some of our patients who are so energetic n actively contribute to the development of the existing programme for thalasemia..a credit should be given to them..the followings are the photos.

Jualan Amal sempena Ramadhan di Bazar Ramadhan Gong Badak

Thala's corner..ice blended : memang sedap....i ve tried it.

u can choose the choices of the flavors' options.

at the back : Sahar n nabilla and fadzilah (front)

CEO of the business..

sesiapa yg berada di sekitar tganu n terutama kuala terengganu jgn lupa meramaikn n memberi sokongan anda utk majukn bisnes mereka..

so that's all for this latest entry : rasanya ni la entry terpanajng.. Akhir kata ni semua kita mampu menyumbang ke arah kebaikan and kesejahteraan bersama..i love this iklan

Akhir kata : sesuatu yang biasa bagi kita mungkin luar biasa bagi org lain -SH.

kids : u have grown up..

Watch this vid, then you will know..probably among us, we are just like one of them..except we just don't realize it yet.

(*thank you Azrul to link it on FB)..but each time i watch this vid over and over..the message becomes more clearer..it is so hard to be a grown up.

kehidupan kanak-kanak berkemungkinan besar adalah period terbaik untuk kita.. walau sepahit mana pun pengalaman yang ditimba.Kesusahan membesar di tengah2 masyarakat yang terlalu dinamik sememangnya suatu cabaran bukan semua kanak-kanak mampu galas..apatah lagi untuk memahaminya.

Definisi kesukaran masih tidak wujud di dalam kamus kehidupan kita..sebagaimana tidak pernah wujud kegusaran kematian dan sakit pada diri kita time tu sebegitulah bahagianya kehidupan yang dihadapi ketika saiz tapak kaki masih kurang daripada 9 inci. Hakikat untuk meneruskan kehidupan tanpa fikiran yang berat memikirkan masa hadapan adalah suatu nikmat apatah lagi janji2 Tuhan untuk mereka2 amatlah menggembirakan hati sekecil saiznya sebuku penumbuk ini..

it could be just like us when we were small back then..playing around at wherever n whenever.

kids used to enjoy themselves even before God..no worries.

even ..we altered our school atmosphere into somethings  more -less like a playground.

do we have the chance to join this group of people when we  have grown  up years later..

So we are we now..look at our palms : we have grown up..the creases are fabricated as we age and grow up..this hands probably have done so many mistakes and ruined so many things..But remember kids : we have grown up..sooner or later we will just again become sort of childish again n then we will have a very very very long rest to our permanent address..

"sesuatu yang biasa bagi kita, berkemungkinan luarbiasa bagi orang lain"-SH

i told u so...guts feelings u should never ignore.

Suddenly, my mind is open for a memory of a kid once i saw before..more importantly the parents of course are also in the picture..a story of unexpected consequence that haunts you again and again...and again!

suatu pagi post oncall..weekend somemore..kena la jalan laju2..sebab kepala dah tercari2 bantal..dari NICU terus ke PICU.jalan shortcut biasa yang xpernah busy adalah lorong belakang wad a.k.a tempat sidai kain..berlari2 saie sambil memerhatikan kompleks maternity yang masih dlm pembangunan (nothing so special about the complex except it blocks your vision for a breathtaking sun-rising view of Pantai Batu Buruk..)

u can no longer see the beach..but the tip of the Rhu trees perhaps  is good  enough..

Then suddenly a father who was drying some clothes there, stopped me.."ingat lagi x saya doktor? anak saya doktor..dia masuk lagi arini..tp lagi teruk doktor"..i tried my best to recall this politely soft spoken-nearly tearful -guy with a bad news for every single doctor to hear that kind of statement..then eventually i recognized him.."saya rasa saya ingat ..ada apa dengan anak encik"?..

"saya xboleh nak ceriter la doktor..sy dh puas menangis dah doktor, nak tengok dia pun saya xsanggup." he continued.

I decided to go to the ward and have a look what's so 'bad' about the child...i was both surprised and sad...my goodness, her left eye almost popped out..(never seen before for a less-experience health staff like me.it is just like in a book's of spot diagnosis photo..even more diagnostic looking : even worse).

in case u dont know how a proptosis looks like..

Zreeettt...i rolled and re-winded backward the films...The poor kid just was as active as usual when she presented to us..the only complaint was( a bit weird ..anyhow it's still a complaint)..c/o : mild bluish mark below the edge of the eye following fall from her bed..BUT what concerned the parents was the neighbor's child who had 100%ly same story line (who was admitted also last month) found to have a brain tumor after underwent CT (to cut it short)-kemungkinan besar ianya berbeza. 

Following that, an opinion(in fact twice) sought from the Eye's team which revealed normal result as we worried any trauma causing this lesion and it is so close to the eyes indeed.

Obviously, the parents tried to request a CT also for their child.i can read their mind..it is so simple 6th sense to gain...but clinically she showed NO abnormality except the worries of the parents...i understood that well enough, but deep down in my heart i can share the worries also.

It's my gut feeling of uneasiness is totally NOT an indication to request a CT to be carried out..i can see the  frustration of the parents.We explained to them the problems and our findings till that point of time..She was discharged with appointment but unfortunately they missed it.

The disease progressed at home after 3 weeks of discharge..till it came to the terminal part of the story...it was a mass pushing the eye and NO doubt now CT is highly indicated....sigh..shit.and to make it worse the mass was so malignant looking..she was sent to HUSM for further treatment.since then i did not follow her story up.

Sehinggalah satu petang Ramadhan..seseorang memberitahu yang adik ini telah kembali ke Rahmatullah dan diagnosisnya Eye Tumor..i knew this would happen. and again of course we could not help much.

intelligence of the unconscious..occasionally

Above all, this single story has been haunting me for so long(for a lesson to be learnt)..and im sure it will do so and so on...how the deeper worries of your gut feeling is, the more likely he/she will "crump"..there is such no term of "surest way".

"suatu yang biasa bagi kita, boleh jadi luar biasa buat org lain-shafie hashim"...

**semoga rohnya dicucuri rahmat yg Esa...Amiiiin