Monday, August 30, 2010

Cerita Elective Posting - Ajal Maut Tak Kenal Masa

Salam ramadhan buat anda, semoga Iman anda semakin bertambah di kala bulan suci yang menghampiri akhirnya ini. Alhamdulillah, saya diberikan peluang untuk berkongsi satu cerita dengan sahabat2 pembaca sekalian, satu kisah berdasarkan pengalaman saya sendiri, melakukan elective posting selama 4 hari di unit Medical (a.k.a. Internal Medicine) di Hospital Sultan Abdul Halim, Sg. Petani. Banyak pengalaman menarik yang saya perolehi di sana, tapi di sini saya nak kongsi satu cerita jer. 80% of the story will be delivered in English since it is easier.

The story is about a patient named Puan Salmah (bukan nama sebenar) aged 50’s. She was presented to the hospital with septic arthritis (jankitan kuman dalam sendi) of the knee joint which leads to septicaemia (kuman aktif merebak dalam darah).

On the first day of my posting, the patient was just transferred to the ward from the ICU, but later in the afternoon, the doctors noticed signs of developing respiratory failure, as a result, finally the doctors decided to do an intubation, the intubation was successful after the third attempt by a senior MO from Gen. Anesthetic (GA) department, after two attempts from a HO and junior MO failed. From there, I realized how difficult it is to intubate a living human being compared to a model (patung). The patient was then sent back to the ICU since she needed assisted ventilation. I took the chance to accompany the doctor and nurses to send the patient to the ICU.

Yesterday, which is my third day of posting, the patient is back in the ward, and responding well to the doctors. Today, during the morning ward round with the specialist, the patient looked lethargic with shortness of breath, but still responding to the doctors.

But later, after the round has finished, while the doctors are working with case files and I was reading some of the files, suddenly a nurse called the senior MO who was in charge at that moment. Later on, I noticed that the curtain around the patient was pulled and the head nurse was assisting the doctors. Usually, when the head nurse personally help the doctors, it most likely something serious, so I decided to join the doctors behind the curtain.

I was shocked to know that the patient has developed septic shock (extreme drop of blood pressure), the doctors and nurses were extremely busy doing everything they can do to resuscitate the patient. It was the first time for me to see clinically an emergency management of a patient in shock, with multiple IV lines and multiple sympathomimetics administrations with maximum dosage and speed.

Earlier the patient is still responding to external stimuli like pain and voices, but later, with the blood pressure remaining low, the patient become unconscious, so the doctors decided to intubate her, a senior doctor from GA/ICU was called to do the procedure. Despite everything that the doctors did, the patient suddenly went into cardiac arrest (if I were not mistaken) so CPR was performed. I was asked by the senior MO to help the team, we took turns in doing the chest compression while another doctor did the bagging (assisted ventilation with ambu-bag).

Doing CPR on a real patient is definitely a tough job, it’s tiring, so it’s better to have few doctors, preferably with strong hands. My hand was shaking after the CPR, not just because the fatigued muscles, but also due to the thought that I was helping these doctors to keep this patient alive as long as we could. The thought of doing CPR while hoping the patient will come back to life and looking at her motionless face and body, that’s not something that could be described simply by words. The CPR was done for nearly half an hour since at her age, she’s still considered as young.

Then, the final moment came, the senior MO told us to stop doing the CPR, she said there’s no more hope, and we did everything we could. She also told the nurse to call the patient’s sons (around late 20’s to late 30’s) who were waiting outside the cubicle while telling one of the HO to continue the bagging process. When the sons came in, she told them to whisper syahadah to their mother’s ears. I was touched, because she’s a non-muslim, but she calmly reminded the gentlemen to help their mother perform her last syahadah. Even when the sons stopped for a while (maybe due to sadness), she still reminded them so they don’t stop whispering syahadah to the patient.

Akhirnya, saya bersama seorang HO, pergi bertemu anak2 pesakit berkenaan, dan kami menyampaikan takziah daripada semua doctor dan jururawat yang terlibat. Saya juga sempat mengingatkan mereka agar mengambil peluang sepuluh malam terakhir bulan Ramadhan ini, untuk berdoa sebanyak mungkin buat arwah ibu mereka, moga2 memperoleh keberkatan Lailatul Qadr. Lega bila melihat mereka menerima dan redha dgn kematian tersebut sebagai satu takdir daripada Allah S.W.T.

Pengalaman melihat seorang pesakit meninggal dunia di depan mata, mengajar saya, betapa kematian itu tak mengenal masa dan usia. Manakala, pengalaman membantu doktor2 cuba menyelamatkan nyawa pesakit berkenaan, mengajar erti betapa besarnya tanggungjawab yang akan dipikul di masa akan datang. Bukanlah suatu pengalaman yang seronok, tapi bagi saya, ianya satu pengalaman yang cukup bermakna. Juga, pengalaman melihat wajah anak2 yang kesedihan dan kepiluan di saat kematian ibu mereka,tak mampu bayangkan diri saya untuk menghadapi saat itu suatu hari nanti. Moga Allah S.W.T mengurniakan kesihatan yang baik buat ibu saya dan ibu2 anda, dan semoga Allah S.W.T. mengurniakan ‘husnul khatimah’ buat ibu bapa saya yang tercinta dan juga ibu bapa anda. Akhir sekali, moga Allah S.W.T. menjadikan saya dan rakan2 saya, doktor muslim yang cemerlang, yang mampu merawat jasad dan roh pesakit2 kami.

Semoga kisah yang dikongsikan dapat memberi serba sedikit manfaat buat anda yang membaca, sememangnya kematian itu merupakan suatu peringatan yang amat besar. Ayuh beramal sebanyak mungkin di sepertiga terakhir Ramadhan ini, moga-moga dapat bertemu Lailatul Qadr, dan moga kita keluar daripada madrasah Ramadhan ini dgn keampunan Allah dan suci dari dosa, kalau mati pun boleh masuk syurga insyaAllah.

Wallahu’alam, wallahu musta’an.

Tuesday, August 10, 2010


Finally, the exams are over and I'm going home after nearly 2 years, would be great to spend Ramadhan and Eid with my family this year. Ouh how i miss them so much especially the little ones, Iffah and Abbas. Sadly i won't be meeting my brother Ahmad for a while since summer in New Zealand is in Nov/Dec, gotta wait until one of us finish our studies. Gonna be a long journey, I'm getting 10 hours transit in Doha and 10 hours transit in KLIA since I'm taking a flight to Penang from LCCT at Thursday's morning.

Lets appreciate the chance of meeting Ramadhan Al-Mubarak as much as we can, make it better than the previous years.

Daughtry - Home

Monday, August 2, 2010

The Chosen One

Just a quick update, I was reading the facebook when I suddenly noticed that Maher Zain just updated his FB page with a link to his latest music video, The Chosen One. A video specifically made to respond to recent attacks to our beloved Prophet Muhammad s.a.w. through cartoons and facebook. See how beautifully the message is conveyed about Rasulullah's s.a.w. teaching, it's really touching and make me miss the beloved Prophet s.a.w.! A video based on the sunnah from the Sirah Nabawiyah.

Just click the full screen button or u can watch the bigger version here: The Chosen One. I have to resize the video to make it fit in this blog, especially since it is in wide screen mode.

"Sesungguhnya pada diri Rasulullah s.a.w. itu contoh teladan yang terbaik."

In a time of darkness and greed

It is your light that we need
You came to teach us how to live
Muhammad Ya Rasool Allah

You were so caring and kind
Your soul was full of light
You are the best of mankind
Muhammad Khaira Khalqillah
Sallu ‘ala Rasulillah, Habib Al Mustafa
Peace be upon The Messenger
The Chosen One

From luxury you turned away
And all night you would pray
Truthful in every word you say
Muhammad Ya Rasul Allah

Your face was brighter than the sun
Your beauty equaled by none
You are Allah’s Chosen One
Muhammad Khaira Khalqillah
Sallu ‘ala Rasulillah, Habib Al Mustafa
Peace be upon The Messenger
The Chosen One

I will try to follow your way
And do my best to live my life
As you taught me
I pray to be close to you
On that day and see you smile
When you see me
Sallu ‘ala Rasulillah, Habibil Mustafa
Peace be upon The Messenger
The Chosen One

Sallu ‘ala Rasulillah, Habibi Mustafa
Peace be upon The Messenger
The Chosen One

Jom pulun untuk 3 lagi paper!!!