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Saturday, July 25, 2009

Late post...but still relevant

It has quite some time after the last visit of Tun Dr Mahathir to IMU..If I'm not mistaken,it was during second week of my rotation schedule. 7 July 2009...That's the day i will remember as long as i can...

After hearing to my friends that they will get involved in presentation/exhibition during Tun's visit to IMU, i felt a little lucky they are...Chance to meet a great leader of Malaysia..

Tun entered the Auditorium hall of IMU about 9.45am...I was sitting at the farthest seat in the Audi, only could barely see him in crowd of people guarded by his body guards...He smiled from the time he entered until he was generous of smile...

Later, Tun was invited to give his speech...He spoke with a very good tone and pace...He stood still while giving speech and sometime inserting some humour into his speech..making people enjoyed with his speech...He shared some of his experience and vision...

Later on, a dialogue session with students was opened with title of "Leadership in medicine"

Some students asked their questions and answered by Tun slowly and with wisdom...i guessed some of the questions were not really meet the title/theme...Neveetheless, Tun gave his best to make it clear to students what they need to do to be a great leader in the field of medicine...

Right after the MC annouced the end of the dialogue session, Tun spend a few minutes to interact with the students...Many students took the chance to take photo with him...and some shook his hand...I was not sure what were they intention to take photo or shake hand with Tun..Maybe just for feeling proud, etc... At that time I was still at my seat..looking from far the situation..deep in my heart, i really want to shake his thing that keep coming in my mind...HOW do really great leader/people shake their hands? Will i shake like them in the future?

After for some time, i thought that i won't have the chance to shake his hand as the crowd that surround Tun was getting larger...

Then, I had an idea..I went out from Audi through rear door..and waited for Tun to come out through the front door...

Luckily, after went through the big crowd, i managed to get close to Tun and i put out my hand to shake him...Suddenly he take my hand with a smile and i shook his hand...

At last, i could feel a handshake of a great leader... :)

Wednesday, July 1, 2009

The other day in GP clinic

Today i came early again. Just in case because the doctor will evaluate my GP posting and part of it is my enthusiasm. Thus, i need to show him that i was really interested in learning J
However, Dr Rasmani opened his consultation room a little bit late. I brought my pharmacology lecture notes should it become handy when i need it especially when patients themselves say drugs names but i did not know anything about it. What a shame..Even a ‘pak cik’ aged more than 50 years old could remember sophisticated drugs name very well..atenolol, enalapril, captopril..These were the words that i heard from an old man today. I was blurred at that time and unable to recall what type of drug was it. Fortunately, i had the notes with me. At least i could flip through and refurbished my brain. It has been quite some time my brain did not have ‘defragmentation’.
One of the cases that i found interesting today was a man infected with cutaneous larva migrans (CLM). Previously this patient left hand was pricked by thorn while he was working in his orchid and had been treated only for the pricked wound. But few days later (today), he came again to the clinic complaining of itchiness and ulcer which migrating. Dr Rasmani quickly made his diagnosis of CLM after looking at history and observing the pattern of ulcer formed. The patient was treated with injection of steroid at the site of infection. According to Dr Rasmani, i was lucky because this was a rare case.
I managed to see how the real scabies, chicken pox, measles and herpes patients presented with and the appropriate managements. Apart from that, I had the chance to listen to a conversation about a patient asking for second opinion about contraceptive pills with the doctor. It was a new and educating experience for me. Furthermore, Dr Rasmani also gave us the opportunity to watch his negotiation with medicine suppliers.
Besides that, today i realised that how easy it was to get a Medical Certificate (MC). Throughout my life i had never known about MC nor asking for it. During this clinic posting i could see almost everyone would ask for MC even though for minor illness such as cough. Moreover some of them asked for MC because they wanted to take care of their sick spouses although they were healthy.
From my observation today, i could describe that most of patients that came to the clinic seeking for treatment were obese or overweight. Majority of them also came with chronic diseases like hypertension and diabetes. This really made me aware that we need to educate our society about healthy diet and exercise as we know it is preventable.
Overall, i understood that being a GP, we need to have at least some knowledge in all medical fields especially O&G and paediatric. This was because we would have patients from all kinds of background and presented with various signs and symptoms.
“This post seems to be so schematic”-mcm report je..skema...

This few weeks i learnt something

I learnt that we should not say ‘i will try’. Instead we should say ‘i must’ or ‘i will’.
Because when we say ‘i will try’, other people tend to think that we are not serious in what we are doing. Let say when someone invites you to his/her house for a function, then you reply ‘i will try to come’. It shows that you are not sure or basically you are not coming at all.
In Malay community we usually use the word ‘InsyaAllah’ inappropriately. When someone request or ask us to come to the surau for ta’lim, for example, we would say ‘InsyaAllah’ with intonation that sounds like we will not be going. For me, this is not appropriate as ‘InsyaAllah’ word, from what i’ve learnt, it means ‘with Allah permission’ (please correct me if i’m wrong). So, we are making a promise, whatever happens we must try to fulfil that promise unless Allah does not let it to happen.
In a nut shell, we must use the correct term at the correct time, context and intonation because what and how we say something will tell people what type of person we be careful in everything we say.