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Tuesday, December 4, 2012

Flyers on Child Safety

Alhamdulillah...

After such little preparation, we did manage to pull off the community project for Peadiatric posting on Child and Safety. I was appointed to do the flyers and I just thought of sharing it here so that anyone can use it. It is in Malay and the infos was extracted from the Panduan Pencegahan Kecederaan Kanak-Kanak untuk Ibu Bapa Malaysia, by Persatuan Pediatrik Malaysia (http://www.scribd.com/doc/21550181/Panduan-Keselamatan-Kanak-kanak)

Flyers : Panduan Keselamatan Kanak-Kanak untuk Ibu Bapa dan Penjaga

the color version

the black n white version

the other side of the pamphlete

These are just the screen shots, if you want the original copy just email me at : zatel.iman@outlook.com and I will email the PDF form...If I notice your mail that is... :D

Friday, October 5, 2012

Being Friends with Patients


After more than 5 years being a medical student, I’m glad I manage to finally learn this before I started working. Of course, I still find that what my mum keeps telling me is partly true ; “being friends with doctors are boring… All they know is to talk about medical stuff and they are only good in socializing with their own kind”. Yes, I’ve seen it, unfortunately… Which is why I’m glad I am a part of a big family that talks about more important things in life at least once a week… hehehe….

I’ve been a friend of patients in the Obstetric ward that sometimes I visit at her workplace here in the social service of PPUKM, and one that wanted to name her newborn baby “iman”. I’ve been friends of most of my case write up patients, even though mostly it’s because I wanted to get the PPD part…(oh dear me!hohoho….), friends of at 3 psychiatric patients with different diagnosis and a few others. Well, not that much really.

This is really something that PPD doesn’t really go details, but being able to befriend with patients is actually that shortcut to getting to all that communication, spiritual, ethical, etc issues that we’re supposed to instill within our hearts as doctors.

Today I made a visit to a friend, an akhawat, at the psychiatric ward. Kak Raja have been in and out of the ward for the past few years. For those who don’t know the story yet, she had been diagnosed with Bipolar II disorder few years back. Currently, the issue is that there might be some Axis II involvement. She is also having trouble with support from the family, trouble with employment, and with the disease currently on the relapse.  For those who had most probably forgotten about Bipolar II disorder, here’s a quick recap:

  1. Presence (or history) of one or more Major Depressive Episodes
  2. Presence (or history) or at least one Hypomanic Episode
  3. There has never been a Manic Episode or a Mixed Episode
  4.  The mood symptoms in Criteria A and B not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
  5. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Its difficult to understand the patients feelings and what they have to put up with, let alone psychiatrict patients. In this case, someone involves in tarbiyyah… We know that studies had shown that religion is one of the protective factors against psychiatric diorders.  But, “studies” does not follow Allah’s rule per say. Being clinical-evidence oriented people, we tend to forget that, and the one that suffer the stigma will be the patients themselves. How do feel about that?

The similitude of the believers in their compassion, mercy, and affection toward each other is like a single body.  When one organ ails, the whole body suffers and reacts.

When one organ ails, the whole body suffers and reacts.

When one organ ails, the whole body suffers and reacts.

When one organ ails, the whole body suffers and reacts.

Being a muslim… how much do we feel this suffer? How much have we done to help?

There is nothing I can do much beside offering my friendship as an act of kindness to relieve one’s heartache from a disease with not such a good prognosis. 

Being a muslim… we are taught that action speaks louder than words and to walk the talk. 

With all the talk, when will the walk start? They say “start now, start small, and start with the closest one to you…”

If I’m not making my point any clearer, let me just end this post with a hadith, one that I pasted beside the door of my house (which I frequently forget to read everyday before going to the ward):


Wallahualam....

p/s: to kak Raja who's probably be reading this, I hope you'll stay strong. As much as you are hopeful for recovery, I am also hopeful to see you stand up strong and functioning as a great daie that you're meant to be. I am grateful for our friendship, and everything I learn and gain in between. Always remember that in this road, you are never alone. Allah and the faithful men are always with you. Wait for it patiently, wait for the day that all the pain will be insignificant even if that day comes after everything ends because Allah NEVER break a promise.... Please be strong... 

with love, your sis, iman...


Saturday, April 14, 2012

Remembering Developmental Milestones

Ahh....Its been a while since I last wrote in my blogs.Its not that I don’t have the time… its just that there is a lot of ups and down to take care and somehow I loss interest to talk about it. I guess there are times where silence is better than the words spoken. But long story cut short, basically I was not well during the middle of my 5th year, took too many MC, couldn’t fulfill 80% attendance, therefore barred from taking the exams, so currently waiting to repeat 5th year which will be in early July. Okay! *catch breath*

Let me also take this opportunity to wish, CONGRATULATIONS!!! to my fellow batch mates who had made it safely through the pro-exam and will be doing their housemenship sometime in May. May Allah help them get through that.. :)

For those whose wondering how am I taking all these, well it was a bit difficult at first, but after that, you move on ya know~ hopefully this will make me become stronger and more prepared in facing difficult situations in the future…InsyaAllah...

Okay! Lets get back to business~!

We are going to talk about, Developmental Asessment! Or developmental milestone~! This is one of the major ‘will-forgot-info’ of the medical student life, well for me at least. So lets find a more easier way to remember DA. 

If we talked about presenting DA to our lecturer, we will present according to the four developmental field;
  1. Gross motor
  2. Fine motor and vision
  3. Hearing and speech
  4. Social behavior

One child can have gross motor developed at 6 month but socially around 9 month or fine motor and vision at 3 month. Therefore, when we want to remember DA, it would help to remember the developmental stages in one particular area according to age rather than what we usually do which is remembering the stages in all 4 field of a particular age. The end result would pretty much be similar, but somehow I find that remembering according to each field is much faster and esiear to understand compare to remembering according to age. If we remember according to age, most of them will only be simple memorization rather than understanding how the child develops.

Therefore, using the DA guide given to us UKM medical student in our 4th year, the Developmental Milestones 0-2 years by Mary Sheridan, I come up with a table of developmental stages according to each field to ease understanding of developmental milestone. 

Basically I divide all field into 3 levels. Why three? Because 2 is not enough and 4 is just too much. 3 is just nice. If you got a problem with that, that's non of my bizweaaak~

Each level may have 2 to 4 age group. Different field is divided differently. Maybe that will make it more confusing, but who cares, this is for me, if you want to remember your way, make your own. Caphice?!

I don’t have time to explain all, if you want to understand just go through the table. I use common sense. Every level have its specific names, these names are given according to what components in that particular level is best be use to assess the development. For example:
  • The Object permanence phase in Gross motor is named in such a way because just by assessing whether the baby have object permanence or not can determine which age they belong to, either 6 month or 9 month. Ain’t that cool?? XD
  • The hearing phase in hearing and speech is because in that certain age group, the baby most prominent feature or the feature we can assess is the hearing, other feature are less prominent. Same goes for the early table manners phase in social behaviour. In that particular age, most of the things that can help us identify the age is by assessing the food related thingy mejigger. 

Geddit? So go ahead, if you find it useful, please feel free to copy, paste, share, use, print or whatsoever. I hope I can make things a little easier for anyone~
Thank you for reading! Have a happy peads posting! XD

*note: please click and download for bigger view




Wednesday, January 11, 2012

Logo Making

I have a thing for making logo,not that i'm good at it.But its kinda fun...:D