Belajar Dari Kisah Pesakit Fibroid Rahim
October 6, 2016
Sekarang tengah rotation Obstetrics & Gynecology (O&G), memang ulang baca hadam faham hafal topik-topik dalam O&G untuk beberapa minggu ni. Memang menarik kaum wanita ni sampaikan kena ada department sendiri. :) Cuma, sama macam di Malaysia rasanya, rata-rata doktor kat department O&G kat hospital sini majoriti lelaki. T_T Boleh dikira dengan jari berapa kali saya jumpa / dapat belajar dengan doktor perempuan.
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| Hospital | 7am |
Kisah benar ni diceritakan oleh doktor yang mengajar saya. Tapi saya olah sikit untuk privasi.
Ada seorang gadis (Nur) berumur dalam lingkungan 20 tahun, doktor diagnose dia dengan fibroid rahim (uterine fibroid). Fibroid ni common je cumanya kita semua tak perasan sebab biasanya takde simptom apa-apa pun. Punca fibroid ni tak dapat dipastikan tapi dalam kajian-kajian, dikatakan dipengaruhi dengan ketidakstabilan hormon.
Ia sejenis benign tumor (ketumbuhan yang bukan kanser) kat rahim dan kesannya pada wanita tu bergantung pada kedudukan tumor tu.
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| Credit - MayoClinic |
Ni pulak bentuk rahim wanita. Rasanya semua ada belajar basic reproductive systems masa sekolah kan? Tahu kan mana uterus (rahim), ovary, fallopian tube, vagina, cervix kan? :)
Di antara 4 kedudukan fibroid, yang submucosal fibroid agak memberi kesan pada wanita tu terutamanya kuantiti haid yang sangat banyak dan ganggu proses nak mengandung. Dalam kes Nur ni, ditakdirkan dalam rahim dia ada banyak fibroid - bukan seketul je tapi berketul-ketul. Nur ni tak rasa sakit apa-apa pun, cumanya masa medical check-up, secara tak sengaja doktor jumpa fibroid ni.
Jadinya sebab Nur akan masuk fasa kahwin, fasa nak mengandung yada yada, doktor sarankan untuk buang fibroid ni. Cuma, agak tricky sebab banyak kuantitinya kan. Procedur ni dipanggil myomectomy - biasanya dibuat pada orang muda pada masa yang sama, nak jaga kesuburan. Kalau orang yang dah berumur 50tahun macam tu, biasanya disarankan untuk buang rahim (hysterectomy).
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| Credit - Google |
Lepas myomectomy, doktor sarankan Nur untuk cuba mengandung secepat mungkin sebab risiko fibroid datang balik tu tinggi. Malangnya, takde rezeki Nur mengandung.
Selepas 10 tahun, Nur disahkan ada fibroid lagi, dan kuantitinya sama banyak macam sebelum ni. Rahim Nur memang dah pelik sangat rupa dia - kesan operation buang fibroid sebelum ni campur dengan kehadiran fibroid baru. Doktor terangkan pasal kebarangkalian untuk hysterectomy (buang rahim) tapi Nur merayu untuk cuba buang fibroid tu sahaja. Jadinya doktor cuba lagi mana yang termampu untuk selamatkan rahim Nur - untuk kali kedua.
Sekali lagi myomectomy dibuat, tapi kali ni dengan risiko tinggi rahim mungkin perlu dibuang. Alhamdulillah, doktor berjaya buang seberapa banyak fibroid yang boleh tanpa perlu buang rahim.
Tapi doktor tak dapat bagi jaminan pun yang Nur akan mampu mengandung.
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| Gambaran rupa rahim lepas dibuang fibroid |
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Beberapa tahun lepas tu, Nur datang balik ke hospital. Dan jeng jengggg. Nur mengandung!
Bukan satu baby, tapi kembar!
Doktor yang rawat Nur ni memang kagum habis dengan keajaiban ni. Rahim yang disangka peluang untuk mengandung tu terlalu nipis, tapi kun fayakun terjadi jugak.
Doktor tu tanya kitorang, "So, what do you think of the moral of this story?"
Pastu dia yang jawab.
Doctors are just normal human beings. We can try our best, we can expect things within our limits of thinking, we can recommend procedures of what we think the best for the patients. But, everything turns back to the Highest One up there. God.
Dalam perubatan ni, ada satu term - prognosis. Prognosis ni ialah anggaran sejauh mana seseorang tu mampu sihat selepas kena penyakit. Contoh orang yang ada kanser otak - kebanyakkannya doktor akan letakkan sebagai poor prognosis. Boleh jadi ditakdirkan, pesakit tu mampu bertahan lebih dari apa yang dijangka. Dan kadang-kadang ada jugak penyakit yang good prognosis tapi berakhir dengan kematian tiba-tiba.
Kat sini kita boleh muhasabah diri yang sesungguhnya manusia hanya mampu merancang, tapi Allah yang menentukan semuanya. :)
Berlapang dada dengan dunia, sebab akhirat lebih utama. :)
p/s - Maaf lah kalau tak faham, saya menaip ni pun dah nak tersengguk T_T
Till next post insyAllah.
Assalamualaikum
HK, Czech
161006
Baked Fish Fillets - SUPER DUPER EASY!
October 4, 2016
I am a seafood lover :)
However, as you may know, Czech is a land-lock country. Don't ever expect any cheap seafood - neither raw nor cooked.
A kilogram of frozen pack of medium-sized prawns can simply costs you around 400kc = RM 60+
T____T. Itu yang bila balik Malaysia, tiap kali makan luar kena order seafood.
Fresh fishes are hard to get unless you live in countrysides where there are lakes / pool full of them. Even, you need a license to go fishing. Haha. Oh, you can get kinda 'fresh' carp during Christmas season as carps are traditional food for Czech people on Christmas Eve.
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| Baked Fish Fillets |
I baked this for lunch. My left hand has not recovered yet, I just don't feel good to use it on heavy duty. Nak study pun kebas, apatah lagi potong bawang tumis bla bla bla. Malas jugak sebenarnya. So, the alternative is put everything into the oven. Jadilah makanan niii :D
It is very easy. Really.
- Cut the defrost fish fillets into medium pieces.
- Sprinkle the fillets and vegetables with paprika and black pepper.
- Leave for 5 minutes.
- Put the vegetables into the baking tray, then put fish fillets on top of them.
- Squeeze half a lemon onto them.
- Leave in to cook in the oven with temperature 150 degree Celsius for 30 minutes.
While waiting, you can just proceed with whatever task you are doing.
See, senang pun senang. Sedap pun sedap. Untuk tekak saya lah :)
Oh yea, brokoli tu rasa macam chips :D Boleh la try kalau nak control diri taknak makan chips.
HK, Czech
161004
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| Ataturk Havalimani Airport, Istanbul, Turkey |
Staying at the airport is a 'boring' thing to do. And it is even worst when the free WiFi given is only for 2 hours! T__T
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| Travel light. Konon. |
€55 for a night in 5* hotel!
So, how to request for free meal?
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| how the care point looks like. |
2. Show your boarding pass, wait for the officer to process your request. Then, you will get a paper like this.
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| yep, an A4 paper. Haha |
3. Find the given kiosk/restaurant. In my case, I was only allowed to get meal from Freshly Baked. So.... this is the place. Oh yeah, the meal vouchers are for food from kiosks / restaurants in the food court.
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| Freshly Baked. |
4. Show the meal voucher and ask what can you get. They will serve you :)
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| I had this for breakfast. :) |
So, chicken sandwich and orange juice for breakfast.
It worth at least 15 Lira. Okay la tuu, free kot.
Till then,
I started the school session yesterday, will try to update the blog as frequently as I can.
:)
Take care!
HK, Czech
161004
[PHOTOS & VIDEO] Sně?ka, Czech :)
September 28, 2016
I shared about day trip plan to Sně?ka, Czech on previous post. :) My third time here was at the end of summer 2016, so the weather was just nice, shiny yet windy. Alhamdulillah, my previous 2 trips here were during winter, you can simply imagine snows EVERYWHERE, with icy trails, winter boots, wet socks, white views.
Okay, as I promised before, here are few other photos taken during the hiking trip.
8th September 2016. Thursday.
Keep calm, enjoy and say subhanAllah :) :) :)
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| View of Poland - told ya we were at the border of Poland-Czech |
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| Still confuse to differentiate pine, spruce, fir haha |
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| Just use normal running shoes this time. I expect no snow. |
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| The GREEN hiking trail. |
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| Amanita muscaria - kinda dangerous mushroom that can cause hallucination. Careful not to eat! We learned a lot about mushrooms as there're many mushroom poisoning cases in the hospital |
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| First pit-stop. We had light lunch here. |
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| Cable car in the middle of forest. |
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| Spruce trees I think? |
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| Shadows of us :D |
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| Just random photo, I think. |
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| Mesmerizing isn't it? :D :D |
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| Walking down. The background is the restaurant if I am not mistaken. |
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| SubhanAllah! |
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| The fastest among us. |
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| See the poles? We assumed this pathway is on Polish side, while the other side of the poles is Czech side. |
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| Llama, looks like camel + sheep a bit. |
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| Countryside. |
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| Transit Svoboda n. Upou. There was an uncle, wondering why we took pictures in front of the bus. It's just a bus, he said. Haha. |
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| Group we-fie. |
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| On our way going down. |
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| I just love the green view :) |
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| Near the cable car station, at the end of hiking trail. |
It was a very nice, flexible trip. :)
Meet my reliable friends (from left - Fauzi, Maryam, Adilah, Jawahir, Idris), who will always support each other through thick and thin living in Czech Republic. Not to forget Azila, Faizal, Nabila, Kak Raja as well. Thanks guys! <3
I attached here Maryam's video as well :D
Watch and enjoy!
SS, Perak, Malaysia
160928
Day Trip Plan to Sně?ka, Czech
September 27, 2016
My interest towards hiking started when I joined the hiking trip to Sně?ka, Czech (previous posts HERE and HERE) during my 2nd or 3rd year in Hradec Kralove, Czech. Since then, I began exploring the maps myself to see more hiking trails and routes so that I can go on my own (either solo hiking or with friends). Taking people for hiking trips is challenging a bit, as I am not that sure about others' fitness. Basically, I will choose the easy / medium trail and add at least 2-3 hours to the time estimation given by the maps.
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| On the way to Snezka |
And I trained myself to wait for others and be patient with them - I hope I improved this part.
Well, you can easily go faster when you are alone but you will go further if you proceed in a group. Right? :)
Oh yea, again, I share with you the best map to use if you are travelling / hiking / cycling in Czech.
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| From Prague (182km), from Hradec Kralove (71km) |
Day Trip to Sně?ka, Czech
Personally, it is mental torturing and rushing to do IF you are a first timer plus IF you start from Prague. So, I would recommend to start from my town, Hradec Kralove. Otherwise, rent a car and drive early from Prague OR stay a night there :)
The nearest bus station is Pec pod Sně?kou - which simply means Furnace under Sně?ka. From what I read, this town is said to be famous with furnace factories - for heating system. You can expect the feeling is 'a bit' like Cameron Highlands or similar.
This is my recommended schedule.
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| My recommendation |
Once you arrived at Pec pod Sně?kou, you can expect a small supermarket beside the bus station. I highly suggest you to buy food and drinks here if needed, the prices are doubled & tripled up there!
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| Pec pod Snezkou bus station |
Then, walk along the road (refer arrow in screenshot above) until you reach a T-junction. Turn left. Walk up the hilly road until you arrive at a large parking area on your right. From the parking area, you can easily see a small bridge and this is the beginning of the hiking trails.
The first one - GREEN trails. Once you are on this trail, you will easily find the next connections through out the trip :) The whole hiking trip will take about 7-8 hours for beginners like most of us.
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| green - yellow - red - blur |
GREEN --> YELLOW --> RED --> BLUE hiking trails
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| The starting point of GREEN trail. |
Let's enjoy few teaser of views you can expect to enjoy :)
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| GREEN trail |
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| End of GREEN trail |
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| Change to YELLOW trail |
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| Yellow trail - 2.5km to Snezka |
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| RED trail |
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| This signboard simply show you are actually walking along the border of Czech-Poland. Change to BLUE trail |
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| BLUE trail |
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| Towards the end of hiking trip :) |
I will post MOREEEE pictures in the next post insyAllah. :) Stay tune!
Enjoy the views guys, I hope you get the chance to come here in the future. Ameen ^_^
SS, Perak, Malaysia
160927
Let's Meet in Jannah, Abanglong Sayang
September 26, 2016
I am in Malaysia again. And I am glad I made this decision.
Just to let people know, my dearest abanglong passed away last Tuesday night. It will be a week today. Only Allah knew my feeling to be far away that time. Staying alone at home there, made me more vulnerable to tears. Well, I spent almost all days during my summer break with him, regardless at the hospital or at home. I sat beside him in the car. We watched tv together. We shared interest in books together.
He is simply my abanglong. :)
I guess my parents will feel his absence even more.
Lumrah hidup di perantauan. Being far away from your family. And if there is any emergency, you usually will not make it on time. Yes, I didn't have the chance to see him before the burial. I arrived home 2 days after that.
My abangngah works far away and it took him at least 10 hours to arrive just few minutes before the burial. That's only journey from rural area in Sarawak. Apatah lagi dari Czech ni.
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I would like to copy and paste my appreciation post from my Facebook. To thank you (who knows the situation) who prayed for him when he was in the hospital last time. :)
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| Sebak setiap kali bukak purse nampak gambar ni. He lost weight so much. |
Terima kasih tak terhingga kepada ahli keluarga dari belah ayah dan mak - bapa saudara, mak saudara, sepupu, anak buah, pengasuh & keluarga kerana berada di sisi mak ayah sepanjang saya dan abgngah masih berusaha untuk pulang dari perantauan.
Terima kasih sekali lagi pada keluarga dan juga jiran tetangga, ahli-ahli masjid, rakan taulan ayah & mak, rakan-rakan abglong, orang-orang KgTrosor dan sekitarnya kerana membantu pengurusan jenazah abglong. Lancar semuanya alhamdulillah.
Terima kasih rakan-rakan yang berada di sisi saya dan mesej-mesej rakan semua yang mendoakan abglong saya. Terima kasih kepada insan-insan yang saya temui sepanjang perjalanan dan memudahkan urusan.
Dan terima kasih untuk semua yang terlibat merawat abglong di Hospital Sg. Siput, Hospital Ipoh dan Hospital Serdang.
For abglong, sorry for not being by your side. I'm sure you were calm and happy to leave the world by the way people described your smile and how smooth the whole process was. Thank you for being my best abglong I could wish for. :)
Let's meet in Jannah, abglong sayang. <3
MOHD HANIS ASYRAF BIN ABDUL MUTAI
5/11/1985 - 20/9/2016
SS, Perak, Malaysia
160926
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