BBW is in town again

Ramai yg menanti kehadiran Big bad wolf mega booksale ni. Kami mula berjinak dgn bbw ni dr thn lps, itupon sbb nmpak iklan dia tulis biggest book sale. Kalau tak, mgkin tak tahu. Sbb sblm2 ni pesta buku kat MIECC kebanyakan nyer pesta buku2 cina. Jd kami bila tgk iklan BBW ni, ingatkan pesta buku cina gak. Tp slps tgk org heboh bercerita psal BBW kat fb, baru tau dia ada mcm2 buku dan buku2nya sgt murah.
Paling best cari buku2 utk anak2....kali ni dia bukak 24 jam non-stop...siap ada kawan yg pergi awal subuh...terbaik...

(gambar courtesy dari mr google of afasz.blogspot.com.. terima kasih ye sbb saya tak sempat amek gambo)

15 Tips You Need To Know To Survive The Big Bad Wolf Book Sale

15 Tips You Need To Know To Survive The Big Bad Wolf Book Sale 

  Book lovers, put on your hunting boots, a bottle of water and a huge suitcase. The Big Bad Wolf is back!

Every year, book lovers go bananas over the Big Bad Wolf Book Sale

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We at SAYS believe that reading a good book is like going on a great adventure. To encourage your awesome reading habit, here is a guide to help you survive the craziest book sale in town:

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1. The hall will be HUGE. Dress sensibly and wear comfortable shoes.

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2. First come first serve. Finders keepers. The earlier you go, the higher your chances of getting first dibs of the books you want.

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3. Prepare yourself mentally. If you are thinking of getting only 3 books, you might actually leave with 13 books instead.

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4. The organisers do not provide shopping baskets for you while you browse for books. Bring your own shopping bag to haul those books around, you will need it.

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5. A bag with wheels, like a suitcase or a trolley, works best. Your arms will thank you.

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6. It will get hot and stuffy. Cool yourself down with a paper fan and drink lots of water.

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7. Avoid the crowd by coming during off-peak hours. (Tip: Early in the morning and late at night)

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8. Pace yourself, there will be 3 million books and it can get overwhelming. The books will be arranged by genre, take your time to browse through the books by picking your favourite genre first.

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9. This is the best time to buy books you could never afford. Bring a checklist of books you want to get. But be prepared that it might not be available during the sale.

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10. See an intriguing book but not sure if it's any good? Use your smartphone or tablet to look up book reviews.

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11. Be a considerate shopper. Put the unwanted books where you found them, don't just chuck them in random places.

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12. Get ready for a long queue. You can speed up payment at the checkout counter by arranging your purchases by price.

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13. If you will be travelling to the venue by taxi, you can get a RM10 cash back when you use MyTeksi.

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14. There will be vendors selling food and drinks at the venue, but you can bring your own water to save a quick buck.

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15. Don't worry if you missed the sale. They usually organise an Aftermath Sale at a smaller scale but with an even bigger discount.

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Enjoy the sale and read on!

Banjir oh banjir

Setiap hujung thn, negara kita akan mengalami angin monsun dan melalui.musim tengkujuh. Antara negeri2 yg seringkalu terjejas ialah kelantan, terengganu, pahang dan johor. Pd thn ini pihak ramalan kaji cuaca mengatakan ia adalah antara banjir yg terburuk pernah berlaku di negara kita.

Dalam suasana gamat dgn banjir ini, salah seorg dr teman sejawat saya yg merupakan pegawai perubatan di kk kerteh terlibat dalam misi bantuan kemanusiaan bersama2 dgn pegawai kesihatan yg lain. Dan ketika misi itu, bot mereka terbalik dan mereka hanyut dibawa arus...kejadian berlaku jam 6pm pd 5 disember. Alhmdulillah mereka semua selamat dan mereka kembali ke pkd pd keesokan harinya...mereka "hilang" lebih 24 jam. Ia merupakan satu kejadian yg amat mengerikan buat sahabat saya ini.

Lip Service

Lip Service

Lip Service is defined as : support for someone or something that is expressed by someone in words but that is not shown in that person’s actions.

Previously, it was the vaccine issue… pseudo-religious lip service about how Allah has created human beings as perfect and we don’t need any harmful vaccine for our newborns. (Gosh, even though in hindsight, that might not be a case of lip service. More like, a case of sheer stupidity)

In this case, I meant the lip service offered by so-called pious concerned public about the aurat of muslimahs in the healthcare settings in general, and in labour room in specific.

It’s a religious lip service because:
1)The same religious people who want only female doctors for themselves and their wives are also sometimes the same religious people who would make questionable religious statement that sounds like this: “A good wife is someone who will stay at home and take care of the kids, to raise them up as future khalifah of this world.” Sounds so nice, isn’t it?

- Your action of being derogatory towards working mothers is in CLEAR contradiction to your wish to see ONLY WOMEN DOCTORS being in-charge of your female family members. What? Don’t you think those female doctors have their own kids? You expect them to dance attendance on you 24/7 and leave their kids behind at home because your family needs them more?

2)The same religious men who think they sound religiously macho when they say “I want female doctors for my wife because her vagina is NOT for the delectable view of any other eyes but mine” are sometimes also the same men who don’t seem to really care being examined by female doctors for themselves. Hypocrite MUCH?

-I get it! You trust female doctors to not be affected by handsome men the way male doctors will be to beautiful women. Perhaps, in your religious estimation, males being clinically examined by female doctors are not as haram as females being clinically examined by male doctors?

- How about if we insist that we women doctors, do not want to examine male patients? It is not fair to women doctors that they are burdened to dance attendance on BOTH males and females… but their male counterparts are responsible to care for male patients only. And one minute ago, you tell me that you want women to bloody stay at home to fit your expectation of a good, pious wife.

- These people seem to think that at this moment in our healthcare scenario, we KKM doctors have the luxury to choose our specialty based on our gender? Sorry… we are talking about Malaysia. We don’t have unlimited resources like other rich developed countries. But, hey wait a minute, not ONE rich developed country has been able to guarantee that you will get the right doctor according to your gender. Because ‘right’ in the clinical sense, is about being adequately trained and competently able.. and THAT, is NOT gender-classified.

3)The same religious people who insist on being attended by female doctors only are sometimes the same people who suddenly think that being in hospital means that they don’t actually have to perform the five obligatory prayers.
- This is REAL!! Can anybody’s common sense of priority get any more warped than THIS?

4)What do these religious people say when we have female nurses attending male patients? Is that okay, now? You don’t feel the need to question it? To address it?
You know, it’s funny when people go around making rash statements that the government is stupid and only come up with half-baked policies that don’t even work and sometimes tend to backfire on them. It’s funny because our government is the reflection of our public. The public is stupid and expect stupid things without taking into account every little aspects of a good feasible policy and without the common sense of reality check. So government have to stoop to their level of stupidity to cater to their needs, in the hope of being voted again for the next term.
Stupid public and stupid government is JUST like the case of chicken and egg.

***
Now let me give you a scenario to ponder. This scenario is courtesy of my friend and my senior in Newcastle Uni – an O&G medical officer- who posted her thoughts on facebook. Dr. Arneza Syahila

said:

“One day, insyaAllah, Malaysia will provide just female doctors to all women in labour or women with obstetrics/gynae problems in all different parts of the country – in the city, in rural areas, in remote areas and deep deep in the jungle. One day… insyaAllah… one day.
But we haven’t come to that state yet. The reality now is such that, in some rural/remote areas, KKM can only provide one or two doctors in charge of that particular health site. One of them, or even both, can be male doctors.

Imagine if you go to that place for a holiday or balik kampung or whatever, all of sudden your wife faces an obstetric emergency that can be life threatening, and the only doctor available in that locality is a male doctor who cannot do anything because, too bad, he was not given the chance to deal with such emergency cases during his training as a houseman.. simply because male doctors were not allowed to deal with O&G patients in big hospitals. Yes, your wife’s life is in danger and you might lose her. 

Now, try to look at another perspective. Imagine your wife is the only female doctor in that locality with 2 other male colleagues. Obstetric emergency can happen at anytime of the day or night. If the other 2 male colleagues were not well-equipped to deal with obstetric emergencies, your wife has to be on-duty/oncall for 24 hours per day 356 days per year. Will you be happy?
As i said, one day Insya-Allah one day there will be plenty of female doctors in all different parts of the country (termasuk ceruk2 kampung, atas bukit dan di hujung hutan belantara). Just bear in mind, before we can have that luxury of female doctors, we need to accept the fact that public hospitals are teaching hospitals for all these trainee male doctors, so that they can be equipped with some knowledge and experience before they will be sent out to serve at any part of the country.

Trust me, most male doctors don’t even like being in the labour room. But they have to be there for the safety of their future patients.
Sincerely, 
An O&G MO / An ex-rural doctor

***

I am a woman doctor. Before I was a Psychiatric MO, I had gone through 6 postings in housemanship training. My first posting was in Obstetrics and Gynaecology.

And let me tell you this. You women may request only female doctors for yourselves. You men may request only female doctors for your wives. But not ALL of you will get what you wish for. You DO, of course, have the option of going to the private hospital and insist for it.

Before you huff and puff and storm off with holier-than-thou self-righteous ramblings, hear me out. I am a woman doctor. I am a Muslim doctor. And the last time I check, aurat is not just what is below the belt.

We understand that you are shy, but you don’t have to make it as though KKM (or government) or Muslim O&G doctors are not Islamic-conscious. You don’t have to make it as though you are the only pure Muslim around who cares about protecting the aurat of muslimahs out there.You don’t have to make it sound as though we CHOOSE to continue training male doctors in labor room out of sheer sadistic pleasure of making you squirm in acute embarrassment.

Because we don’t.

We continue to train all doctors regardless of gender in the field of obstetrics and gynaecology because we don’t have the luxury to send ONLY female doctors to every single nook and cranny of the countries – in a large amount of them, too, if your expectations is to be catered – simply so that your wife don’t have to suffer the embarrassment of being CLINICALLY attended by their male Muslim brothers. We continue to train all doctors regardless of gender in the field of Obs&Gyn so that when these doctors are sent to serve in the remote areas, they know enough basic knowledge and necessary procedures to be able to become safe doctors to the public over there – the public who don’t have the luxury of big city hospital to demand gender-specific doctor.

It’s for the sake of the public safety.

Your expectations should stand the test of reality check! Because, being religious is not just about making ‘hukum’.

Being religious is also hand to glove with being practical.

And what we are doing, is not even against the Islamic teaching in the first place. Ulama have debated over this issue a long time ago. When it is darurat, it is allowed for cross-gender interaction in the medical field. And nowadays, we practice chaperoning female patients with another female colleague. If you are questioning the state of darurah that we are having in the medical field after all I have said above, then I am done with you because you are obviously the sort who will never see reason.

All I want to say in this post is one thing: get off your high horse, oh you of pseudo-religious smartass! Your lip service can do nothing to save the public. You are making it worse for us, doctors and for them, patients.
Your pseudo-religious lip service is –metaphorically and literally – making the public sick.

ISU TUNTUTAN HANYA DOKTOR WANITA DI BILIK BERSALIN : Pandangan Peribadi Dr.Har

ISU TUNTUTAN HANYA DOKTOR WANITA DI BILIK BERSALIN : Pandangan Peribadi Dr.Har

  >> Sunday, December 1, 2013

Berikut adalah pandangan peribadi Dr Har, tidak mewakili mana2 institusi atau organisasi yang berkaitan. Mohon dibaca dengan lapang dada dan fikiran, kerana pastinya akan ada pandangan yang bertentangan, berlawanan dan tidak secocok dgn pegangan peribadi pembaca. Artikel ini juga sekadar nukilan biasa, bukan satu kertas kerja ilmiah. Bukan juga suatu usaha yang sengaja mahu menghalalkan yang haram dan mengharamkan yang halal. Semoga Allah SWT sentiasa memberi petunjuk-Nya yang mulia kepada setiap kita yang ikhlas mahu meraih keredhaan-Nya!

Sejak akhir-akhir  ini, semakin lantang desakan agar perkhidmatan jagaan perubatan mengkhusus , di mana aspek gender diketengahkan semula setelah sekian lama perkara ini tidak ditimbulkan, menggunakan peruntukan keadaan darurat selama ini. Semakin kuat tekanan menuntut pesakit wanita hanya dirawat oleh perawat dan doktor wanita sahaja, terutamanya semasa berada di bilik bersalin.

Selain permintaan tersebut datang dari wanita sendiri, tidak kurang hebatnya kaum lelaki selaku suami yang begitu bertegas mahu tuntutan in dipenuhi segera! Tentu sekali cemas para sang suami apabila bimbang dihukum dayus kerana tidak dapat memastikan aurat isteri mereka sentiasa tertutup dan terpelihara semasa bersalin – dengan adanya doktor lelaki yang memeriksa dan menyambut kelahiran bayi. Hingga dikhabarkan, adanya para suami yang berani bertindak mengambil risiko menyambut kelahiran bayi mereka sendiri di rumah kerana semata-mata tidak mahu membawa isteri ke hospital kerana bimbang aurat isteri tidak dapat dijaga dari pandangan lelaki ajnabi.

Disebabkan suami bukanlah seorang yang terlatih dalam aspek ini, sudah terdapat beberapa insiden kelahiran di rumah  yang melibatkan komplikasi kepada ibu dan bayi yang lahir seperti tumpah darah (postpartum haemorrhage), lekat uri ( retained placenta) dan bayi lemas (neonatal asphyxia). Bagi kami yang terlibat secara langsung dalam penjagaan ibu dan bayi (maternal & neonatal health), komplikasi ini amat serius sekalipun belum banyak kes yang dilaporkan. Memang adat orang bersalin, komplikasi ini adalah risiko yang terpaksa dihadapi oleh setiap ibu yang menyabung nyawa melahirkan seorang manusia baru ke dunia. Namun, pencegahan dan rawatan segera perlu dilaksanakan untuk mengelakkan mortaliti (kematian) dan morbiditi (kecederaan) kepada ibu yang sewajarnya terus sihat untuk menjaga & menyusukan anak yang baru lahir.

Dr Har akan menghurai pandangan mengikut corak soal dan jawab.

Soalan (1) : Boleh tak pesakit meminta hanya doktor dan perawat perempuan sahaja yang dibolehkan membuat pemeriksaan organ reproduksi seperti VE (vaginal examination), buat calitan Pap dan semasa melahirkan kandungan?

Jawapan (1)

Tentu sekali boleh. Ini berpandukan prinsip etika perubatan : prinsip autonomi atau prinsip kebebasan pesakit sama ada bersetuju atau tidak mendapatkan rawatan, disamping memilih siapa yang merawat.

Di Fakulti Perubatan UKM, melalui modul Perkembangan Kendiri dan Profesionalisme ( Personal & Professional Development –PPD) pada tahun tiga semasa posting klinikal O&G, Dr. Hard an rakan-rakan tenaga pengajar di Jabatan O&G sering menasihati pelajar perubatan agar memenuhi dan menghormati permintaan pesakit khususnya jika dia tidak selesa dan merasa malu diperiksa oleh seorang doktor lelaki.  Jangan sekali-kali memperlecehkan permintaannya dan cuba sedaya mungkin mencarikan doktor wanita untuk membantu.

Namun pesakit dan suami juga harus faham, pergiliran dalam sistem bekerja seharian bagi para doktor di hospital dan klinik kerajaan khasnya, menyebabkan ada kemungkinan tiada doktor perempuan yang bertugas pada satu-satu waktu tersebut. Jika ini berlaku, agak sukar doktor hendak memenuhi kehendak dan permintaan pesakit. Namun, kami tetap akan mencuba!

Satu lagi, mintalah bantuan dari perawat dan doktor dengan baik tuturkata, berbudi bahasa dan bersopan santun. Tak perlulah marah-marah, menengking dan mengherdik. Bukankah kita ini terkenal dengan budi bahasa dan adab sopan? Terutama mereka yang tergolong dalam lingkungan pencinta ad deenul haq, Islam yg mulia ini – lebih lagi diharapkan dapat menunjukkan akhlak yang baik dan terpuji.

Soalan (2) Memandangkan sudah ramai bilangan doktor wanita di Malaysia, hendaklah diwujudkan satu polisi awam di mana hanya doktor perempuan sahaja yang merawat pesakit wanita di bilik bersalin, dengan itu terpeliharalah aurat mereka dari dilihat lelaki selain suami.

Jawapan (2)

Untuk menjaga hak dan autonomi pesakit sentiasa terpelihara, sebagaimana hak pesakit wanita yang mahukan hanya doktor dan perawat perempuan yang merawatnya, prinsip perubatan juga menggariskan tidak wajar diwujudkan satu ketetapan yang memaksa pesakit dan menafikan hak dan autonomi untuk memilih siapa doktornya. Maka sekiranya seorang pesakit mahu seorang doktor lelaki memeriksanya, begitu juga sebaliknya, ia wajar mendapat apa yang diinginkannya.

Sekiranya peraturan tersebut mahu diimplementasi dengan adil dan saksama, sudah barang tentu perlu  juga ditetapkan pesakit lelaki  hanya boleh dirawat oleh doktor dan perawat lelaki. Namun mengikut pengalaman peribadi saya menjadi pengamal perubatan selama lebih dua puluh tahun ini, hampir tidak pernah kedengaran desakan dan keperluan sebegitu. Jika para suami menggunakan alasan tubuh badan isterinya hanyalah untuknya dan tidak boleh dilihat oleh lelaki lain melainkan dalam suasana darurat, wajar juga para isteri juga mendesak agar pihak hospital menyediakan doktor dan perawat lelaki sahaja untuk suami mereka agar tiada perempuan lain yang boleh melihat tubuh badan suaminya!

Perlu barang diingat, amalan perubatan dilingkungi oleh kod etika yang tegas, bertujuan menjaga kebajikan para doktor dan pesakitnya. Sekiranya seorang doktor lelaki diperlukan menyambut kelahiran bayi, dia tidak dibiarkan berdua-duaan dengan pesakit wanitanya. Kod etika mewajibkan dia memastikan adanya kehadiran `chaperon’ ataupun pihak ketiga pada setiap kali dia perlu merawat pesakit yang berlainan gender dengannya. Majlis Perubatan Malaysia (MMC) menghuraikan tentang kehadiran chaperon melalui artikel 3.3 dalam Good Medical Practice Guidelines:

A doctor must always examine a patient, whether female or male, or a child, with a chaperon being physically present in the consultation room, with visual and aural contact throughout the proceedings.

These requisites are designed to allow the doctor to proceed with clear, unhampered clinical examination of the patient, as he deems appropriate for the purpose of arriving at a proper diagnosis, without later having to defend his actions.

( Seorang doktor mestilah sentiasa memeriksa seorang pesakit sama ada lelaki atau wanita atau kanak-kanak, dengan kehadiran seorang peneman (chaperon) yang sentiasa hadir secara fizikal di bilik konsultasi tersebut, yang boleh melihat dan mendengar segala kejadian sepanjang pemeriksaan dijalankan.  

Ketetapan ini direkabentuk untuk membolehkan doktor meneruskan pemeriksaan klinikal dengan jelas dan tidak terganggu, sebagaimana yang dirasakan perlu untuk membuat diagnosis, tanpa kemudiannya perlu dia mempertahankan segala tindakan yang diambilnya.)

Soalan (3) Mengapa perlu pelajar perubatan lelaki dilatih mengendalikan kelahiran dan memeriksa alat kelamin wanita? Sepatutnya, doktor lelaki hanya perlu dilatih untuk merawat pesakit lelaki sahaja, sebagaimana juga doktor wanita hanya untuk mengendalikan pesakit wanita sahaja

.

Jawapan (3) 

Sekolah-sekolah perubatan di dunia diamanahkan untuk melatih para doktor yang mempunyai kompetensi atau kemahiran asas dalam bidang perubatan. Termasuk dalam kemahiran asas tersebut adalah kebolehan memeriksa sistem reproduksi wanita dan lelaki serta mengendalikan segala masalah kesihatan yang berkaitan. Maka setiap pelajar perubatan lelaki mestilah belajar bagaimana hendak melakukan pemeriksaan dalaman (VE), membuat calitan Pap dan menyambut kelahiran bayi, sebagaimana juga pelajar perubatan perempuan mesti boleh memeriksa bahagian sulit badan lelaki dan memasukkan saluran tiub atau catheter ke dalam salur kencing lelaki.

Soalan (4) Mengapa ada segelintir doktor lelaki Muslim yang memilih kepakaran perbidanan dan ginekologi sebagai bidang pengkhususan mereka? Tidakkah mereka merasa berdosa apabila sentiasa melihat aurat wanita yang bukan isteri mereka?

Jawapan (4)

Soalan tersebut perlu dijawab sendiri oleh pakar O&G lelaki Muslim yang telah membuat pilihan tersebut.

Namun saya ingin menegaskan di sini, semua pakar O&G lelaki, baik yang Muslim atau yang bukan Muslim, yang saya kenali secara peribadi adalah terdiri dari pengamal perubatan yang amat professional dalam tugas mereka, amanah, berwibawa, cekap dan amat teliti menjaga kerahsiaan (confidentiality) pesakit. Mereka tidak menganggap amanah tugas menjaga dan merawat wanita yang memberi mereka kelebihan (advantage) untuk melihat aurat wanita sebagai satu kesempatan memenuhi nafsu syahwat yang liar. Sekiranya seseorang doktor itu melanggar batas kesusilaan dan mengeksploitasi pesakit yang mempercayainya, dia mesti diadukan kepada pihak atasan untuk diambil tindakan tegas, kerana tindakan tidak sopan itu mencalarkan kredibiliti dan integriti profesyen kedoktoran yang perlu sentiasa dipertahankan.

Diharapkan penjelasan yang diberikan dapat menyuluh sedikit pencerahan kepada kekaburan yang sekian lama berlegar di sekitar isu ini. Mudah-mudahan ia dapat membantu para bakal ibu dan ayah membuat keputusan terbaik, paling selamat dan paling bijak untuk kesejahteraan anak yang bakal lahir. Janganlah lantaran tegas mahukan kepatuhan kepada peraturan Islam, agama yang indah dan paling bertimbangrasa yang merupakan rahmat kepada sekelian alam ini, kita mengambil risiko besar mempertaruhkan nyawa ibu dan bayi dengan membuat keputusan terburu-buru dan kurang bijak, mengenepikan bantuan profesional dan terlatih. Dalam masa yang sama juga, janganlah kita terlalu mengambil enteng ataupun tidak langsung kisah dengan garispanduan dan peraturan agama yang bertujuan membimbing kita ke arah kebaikan semata-mata.

Nasihat Dr. Har kepada wanita dan suami yang mahu memastikan kehamilan dan kelahiran bayi kesayangan mereka terus menerus patuh-syariah (syariah - compliant) untuk melakukan beberapa langkah berikut :

1.      Sekiranya mempunyai kelebihan rezeki dan kemampuan ekonomi, dapatkan rawatan dari pakar O&G wanita Muslimah yang mempunyai klinik di kebanyakan hospital swasta atau di klinik pakar khas di hospital awam. Mohon maaf kerana setakat ini, inilah satu2nya cara terbaik untuk memastikan kehamilan dan kelahiran bayi anda dijaga oleh seorang doktor Muslimah.
2.     Nyatakan dari awal lawatan antenatal di klinik dan hospital awam, tentang hasrat dan permintaan anda meminta agar sekiranya perlu diperiksa bahagian dalaman dan dikendalikan proses kelahiran, seboleh mungkin oleh doktor  atau perawat perempuan.
3.     Kehadiran suami di sisi isteri semasa di bilik bersalin boleh membantu permintaan tersebut dipenuhi seboleh mungkin. Nyatakan sekali lagi hasrat dan hajat anda yang mahukan kehadiran doktor dan perawat wanita kepada petugas bilik bersalin ketika saat sakit bersalin tiba – dengan tegas namun penuh harapan, hormat dan sopan. Percayalah, anda akan dapati para petugas ini juga manusia biasa, yang mahu dihormati dan dihargai. InsyaAllah, hajat anda akan cuba dipenuhi oleh mereka.  
4.     Berdoa agar mendapat rezeki yang baik  semasa hendak melahirkan – seperti kebetulan dalam shift tersebut, semua doktor yang bertugas adalah doktor perempuan. ( Ini pernah berlaku kepada beberapa orang pesakit saya yang gigih bermunajat sepanjang kehamilan, memohon Allah SWT menetapkan segala berjalan lancar menurut syariah.
5.      Memohon kepada Allah SWT yang Maha Mengetahui, agar pasukan doktor dan jururawat yang bertugas semasa saat kelahiran bayi kita nanti, adalah kelompok petugas yang paling cekap, berpengalaman dan berwibawa yang akan membantu kelahiran yang selamat, tanpa mengira apakah gender, agama anutan dan kepercayaan mereka.
   
   

Wallahu a'lam

Loves : Dr Har