Monday, August 27, 2018

Rant on this Journey

2 years ago, I started my journey in this medical program, without knowing the dark side of this course, what it has to offer and how it made me apart from my family and somehow,  creating new bonds with so many people that I had never imagined before.

No one ever told me that I will be facing 10 examinations within 2 years including one Professional Exam. And no one ever told me that ill be having extra exams for my generic and elective courses each semesters. The pressure, well, no one ever exposed it to me or I was too ignorant about the facts of a medical students. Well, social media is where people masked it with all the happiness of their lives with only 2% of their pathetic story.

I stepped into this medical world with so many stories that were untold. That only you will know once you stepped into this programme.

Despite of all the dark side, the hardships that I had gone through, it made me appreciate of those small little things, which you will take it as granted unless it is taken away from you, before.
Housemates, foster family, research, my team of APYQs, it was a tremendous experience that will forever be in here, in middle mediastinum (read:heart).

Seizing the good and take the bad things as a part of a learning process, is something that you cant run away. When life give you a lemon, make yourself a lemonade. If life knocks you down, rise up, even no one is there, offering their hands.

Dear parents, or future parents,
If one day your kid got straight A’s for SPM,  CGPA 4.0 for their foundation/pre-degree or any equivalent result  that qualified them to be in the medical programme, please, please, please don’t ever forced them into this programme, unless they are really willing to suffer, and have a great enthusiasm to be part of this healing profession, then go on. Or else, you’re going to lose you kid, and they’re going to hate you for their lifetime.

Parents of medical students,
Give your whole support to them, be a good listener. Monitor them and extra careful when they have nothing much to tell. Don’t let their feeling get buried deep inside into their heart.

It was a pathetic situation seeing my batch mates sleep for just 4 hours daily, coffees in their blood, becoming depressed with all kind of exams, expectations by the mentors and so on. Some even don’t sleep during examination week.

Well, we, medical students knew the importance of sleep during the night and how it helps us with memory consolidation but we are to scare of sleep because of the deadlines, the notes hat piled up like no endings. Thinking like sleeping soundly for a decent 6-7 hours is a crime (well definitely sometimes, I AM part of them. I cant help it.).

For the past two years I’ve been comforting myself that exams is something but not everything. Aishah is going to be well. Keep repeating that, I was, and am.

The take home message(amboi)  from this lengthy post is that, we will be always be thinking that this is something, I need to score this, I think I did it badly, I feel bad, I think making me breathing wasted the oxygen supply of the Earth. (Ok over, hyperbola tahap petala kelapan), the thing is that,

Have some of your time to enjoy, to count the teardrop from the leaves, to dance in the rain, or just listen to the purr of a cat while they’re eating or sleeping.

Have some of you time, spare them to your family especially parents, put them before everything else. If you doubtig of going back home or not, then you should really go back home. They only lives once, and you know in the future, you would wish that you spend more time with them, and make them as your utmost priority.

Have some time and sit back, let others that wanted to surpass you badly, surpasses you. There are things that worth your wrinkles, so make sure you use them well in a useful, on more important tasks.

Love, Aishah.

Friday, August 24, 2018

Human Physiology Explains Hadith Rasulullah saw!


Assalamualaikum everyone!

Couple weeks before Hari Raya Aidil Fitri, it was in the middle of Block 9: Renal and reproductive, when something triggered in my mind. Masa tu lecture Puberty under Dr Hamdi. He asked us to go through the reading materials at home and will have discussion to replace the lecture. Maksudnya he was not going to teach us and replacing the lecture slot with active learning. Banyak jugaklah lecturer start adapting this kind of new way of teaching. Masa year 1 dulu, A/P Dr Willian yang banyak buat lecture macam ni, followed by other lecturers.

Balik kepada cerita asalnya. At the end of lecture, aku ada persoalan tentang hypogonadism and physiology of penile erection. I have no interest to discuss regarding hypogonadism here but more on physiology of penile erection. *Nasib baik aku study elok-elok penile erection ni, dia keluar in block exam weh with 6-7 marks!)

Jadi seorang Aishah pun ajukan soalan kepada Dr Hamdi. Done with hypogonadism part, aku proceed with,
“Is there any relationship between fasting with penile erection?”

Dr Hamdi took some time and he did explain to me using medical jargon (by which I will translate later.)

Stimulation of penile erection requires parasympathetic activation that will make corpora cavernosa to fills will blood and lead to penile erection. And on the other hand, the other stimulus of parasympathetic activity that contributes to relax and digest is by eating. Thus, when you

 Eat àStimulation of parasympathetic activity à penile erection. Bingo!

Having said that, other stimuli of penile erection play their roles as well.
But he added, that is just theoretically and not that conclusive. So just now this thingy triggered my my mind so apa lagi, aku cari kat NCBI! And guess what find out? Hehehehehe…


Yes there are few studies that support this hypothesis and conclusion from that study is that
“Ramadan intermittent fasting might be associated with decrease in sexual desire, frequency of sexual intercourse and serum FSH level.”, Talib, Canguven, Al-Rumaihi, Al-Ansari & Alani.

So jom kita kaitkan dengan hadis Rasulullah;

Sabda Rasulullah s.a.w. maksudnya:
“Hai orang-orang muda, sesiapa di antara kamu yang mampu berkahwin maka hendaklah dia berkahwin kerana ia (iaitu perkahwinan) itu dapat mengawal mata dan kemaluan. Barangsiapa yang tidak mampu, maka hendaklah dia berpuasa kerana ia (iaitu puasa) akan menjadi penjaga baginya”.

Ada satu dkumentasi kat National Geographic yang aku tengok tadi, aku tertarik dengan satu ayat dia.

"Religion explains thing that science can't explain"

The sentence not necessarily true but.. Religion(dalam konteks ni, Islam) is supported by science.. or in other words, Science explains Islam!

p/s: Aku sangat amazed dengan negara barat yang not came from medical background tapi knows the basic medical jargon and they even hafal nama ubat diorang. Unlike Malaysian that lack of awareness to know their ubat. Contohnya ubat tahan sakit. There are few jenis of painkiller, plus, they even know what is NSAIDs and indication of anti-histamine.

Since kita duk war-warkan Malaysia Baharu, so why not kita jadikan Malaysian knows more on basic things and lebih rajin cari maklumat melalui laman akademik. Ni bila kahwin 2 bulan tapi scan baby umur 10 minggu mulalah si suaminya meroyan.


Translation: Our body ada dua komponen untuk berfungsi dengan baik, iaitu somatic nervous system(dapat kita control contohnya berjalan etc) dan autonomic nervous system. Bawah autonomic nervous system kita ada parasympathetic(yang memainkan peranan dalam pencernaan dll) dan sympathetic( memainkan peranan penting dalam situasi genting (fight and flight) seperti kena kejar anjing; dimana adrenaline akan dirembeskan). Dua komponen ni saling berkerjasama dan kita tak dapat kawal tapi kita boleh kawal dari segi stimulusnya. Salah satu kepentingan dia adalah receptorsnya penting as a target untuk ubat-ubatan. Contoh? Ubat hypertension(tekanan darah tinggi) target reseptor untuk sympathetic activity. Macam aku mention tadi, sistem pencernaan akan diaktifkan semasa dan selepas kita makan, dan sistem pencernaan ini dikawal oleh parasympathetic action. Justeru, ereksi zakar(penile erection) juga akan teraktif!

...kalau hampa dok faham jugak, aku tataulah nak explain camne dah....

Love, Aishah