Kolej Perubatan Di Raja Perak atau lebih dikenali sebagai RCMP kini boleh berbangga dengan pencapaian mahasiswa mereka yang aktif dalam dunia sukarelawan dan kemasyarakatan khasnya di komuniti masyarakat Orang Asli. Dengan berbekalkan kekuatan mereka dalam bidang sains kesihatan,mereka memanfaatkan kelebihan yang mereka ada dengan sebaiknya.
Perjalanan panjang mereka di dalam aktiviti kemasyarakatan di luar bandar bermula apabila Rural Medical Mobile Mission [RM3] yang diketuai oleh Prof Dr Karim memulakan langkah sekitar tahun 2010. Mereka menyediakan perkhidmatan kesihatan & kemasyarakatan bukan hanya di belantara semata,bahkan langkah mereka lebih jauh iaitu di bumi Indonesia,Kemboja,India dan Afrika telah membuktikan komitmen mereka.
Walaupun kini [RM3] tidak jelas statusnya, tapi RCMP tidak pernah ketandusan sukarelawan di kalangan mahasiswa dengan kehadiran pelapis-pelapis baru. Kekuatan ini bukan terletak pada institusi semata,tapi dikarenakan kemahuan yang tinggi di dalam berbakti memandangkan bisnes utama mereka adalah manusia. [RM3] boleh berlalu tanpa jasad tapi semangat [RM3] masih membara di setiap pelapis-pelapis baru.
Sukarelawan RCMP kini bergabung dengan NGO luar iaitu Pertubuhan Dakwah & Kebajikan Masyarakat Orang Asli Hulu Kinta Perak yangmana dengan sokongan daripada pihak JAKOA, JAKIM & JAIPk. Dengan memanfaatkan kemahiran mereka di dalam bidang sains kesihatan, dunia sukarelawan kini menjadi lebih bervariasi. Antara kemahiran utama yang ada dan siap dimanfaatkan adalah jurusan perubatan,farmasi,fisioterapi,radio dan nursing.
Bahkan setiap kali program ziarah & anak angkat ke perkampungan Orang Asli, sukarelawan RCMP lebih menonjol dengan pengalaman dan kemahiran mereka ada. Mereka memanfaatkan kemahiran berkomunikasi dengan sebaiknya disamping sentuhan. Setiap jurusan ini memainkan peranan penting dalam setiap program tapi tetap atas kepentingan bersama. Baik MBBS,Farmasi,Fisio,Radio atau Nursing adalah kombinasi terbaik asalkan mereka menetapkan matlamat yang jelas. Pelajar2 jurusan MBBS akan membantu Doktor-doktor dalam setiap slot pemeriksaan kesihatan,pelajar2 Farmasi pula membantu untuk membekalkan obat di samping kaunselling penggunaan obat,pelajar2 fisioterapi menekankan aspek kehidupan cara sehat disamping slot fisioterapi,pelajar2 radio & nursing pula membantu secara keseluruhan. Ada diantara pelajar-pelajar ini juga menjalankan penyelidikan kesihatan dikalangan masyarakat Orang Asli
Pihak JAKIM,JAIPk dan JAKOA juga memberi respon yang positif di atas penglibatan sukarelawan dari RCMP. Ini kerana, apa yang mereka pelajari di dewan kuliah betol-betol dimanfaatkan di lapangan. Tidak hanya agensi kerajaan,NGO lain seperti Malaysia Relief Agency (MRA) juga mendapat manfaat dari hadirnyna sukarelawan-sukarelawan ini.
Pengorbanan bukan hanya dilihat pada wang ringgit tapi juga dinilai dari setiap kudrat yang mereka sumbangkan asalkan masih berpegang pada niat yang jelas. Semoga apa yang mereka sumbangkan ini menjadi jembatan amal jariah & sedeqah walaupun jasad dan nyawa sudah berpisah.
"Sebaik-baik manusia adalah manusia yang bermanfaat kepada manusia yang lain" & manusia yang dapag berbagi apa yang mereka ada untuk dikongsikan bersama orang lain.
Tajuk yang menarik bukan? Ini adalah merupakan judul artikel sebuah kajian yang dijalankan di kalangan tenaga kesihatan terkait gaya hidup mereka. Hasil kajian yang didapati cukup mecengangkan bahkan cenderung memalukan instansi kesihatan. Jika kajian seperti ini dijalankan di Malaysia, mungkin hasil yang diperolehi hampir sama dengan kajian tersebut.
Hi good morning to all of you. My voice is a bit hoarse, so please bear with me. I thought I'll just introduce myself. My name is Richard, I'm a medical doctor. And I thought I'll just share some thoughts of my life. It's my pleasure to be invited by prof. Hopefully, it can get you thinking about how... as you pursue this.. embarking on your training to become dental surgeons, to think about other things as well.
Since young, I am a typical product of today's society. Relatively successful product that society requires.. From young, I came from a below average family. I was told by the media... and people around me that happiness is about success. And that success is about being wealthy. With this mind-set, I've always be extremely competitive, since I was young.
Not only do I need to go to the top school, I need to have success in all fields. Uniform groups, track, everything. I needed to get trophies, needed to be successful, I needed to have colours award, national colours award, everything. So I was highly competitive since young. I went on to medical school, graduated as a doctor. Some of you may know that within the medical faculty, ophthalmology is one of the most highly sought after specialities. So I went after that as well. I was given a traineeship in ophthalmology, I was also given a research scholarship by NUS to develop lasers to treat the eye.
So in the process, I was given 2 patents, one for the medical devices, and another for the lasers. And you know what, all this academic achievements did not bring me any wealth. So once I completed my bond with MOH, I decided that this is taking too long, the training in eye surgery is just taking too long. And there's lots of money to be made in the private sector. If you're aware, in the last few years, there is this rise in aesthetic medicine. Tons of money to be made there. So I decided, well, enough of staying in institution, it's time to leave. So I quit my training halfway and I went on to set up my aesthetic clinic... in town, together with a day surgery centre.
You know the irony is that people do not make heroes out average GP (general practitioner), family physicians. They don't. They make heroes out of people who are rich and famous. People who are not happy to pay $20 to see a GP, the same person have no qualms paying ten thousand dollars for a liposuction, 15 thousand dollars for a breast augmentation, and so on and so forth. So it's a no brainer isn't? Why do you want to be a gp? Become an aesthetic physician. So instead of healing the sick and ill, I decided that I'll become a glorified beautician. So, business was good, very good. It started off with waiting of one week, then became 3weeks, then one month, then 2 months, then 3 months. I was overwhelmed; there were just too many patients. Vanities are fantastic business. I employed one doctor, the second doctor, the 3rd doctor, the 4th doctor. And within the 1st year, we're already raking in millions. Just the 1st year. But never is enough because I was so obsessed with it. I started to expand into Indonesia to get all the rich Indonesian tai-tais who wouldn't blink an eye to have a procedure done. So life was really good.
So what do I do with the spare cash. How do I spend my weekends? Typically, I'll have car club gatherings. I take out my track car, with spare cash I got myself a track car. We have car club gatherings. We'll go up to Sepang in Malaysia. We'll go for car racing. And it was my life. With other spare cash, what do i do? I get myself a Ferrari. At that time, the 458 wasn't out, it's just a spider convertible, 430. This is a friend of mine, a schoolmate who is a forex trader, a banker. So he got a red one, he was wanting all along a red one, I was getting the silver one.
So what do I do after getting a car? It's time to buy a house, to build our own bungalows. So we go around looking for a land to build our own bungalows, we went around hunting. So how do i live my life? Well, we all think we have to mix around with the rich and famous. This is one of the Miss Universe. So we hang around with the beautiful, rich and famous. This by the way is an internet founder. So this is how we spend our lives, with dining and all the restaurants and Michelin Chefs you know.
So I reach a point in life that I got everything for my life. I was at the pinnacle of my career and all. That's me one year ago in the gym and I thought I was like, having everything under control and reaching the pinnacle.
Well, I was wrong. I didn't have everything under control. About last year March, I started to develop backache in the middle of nowhere. I thought maybe it was all the heavy squats I was doing. So I went to SGH, saw my classmate to do an MRI, to make sure it's not a slipped disc or anything. And that evening, he called me up and said that we found bone marrow replacement in your spine. I said, sorry what does that mean? I mean I know what it means, but I couldn't accept that. I was like “Are you serious?” I was still running around going to the gym you know. But we had more scans the next day, PET scans - positrons emission scans, they found that actually I have stage 4 terminal lung cancer. I was like "Whoa where did that come from?” It has already spread to the brain, the spine, the liver and the adrenals. And you know one moment I was there, totally thinking that I have everything under control, thinking that I've reached the pinnacle of my life. But the next moment, I have just lost it.
This is a CT scan of the lungs itself. If you look at it, every single dot there is a tumour. We call this miliaries tumour. And in fact, I have tens of thousands of them in the lungs. So, I was told that even with chemotherapy, that I'll have about 3-4months at most. Did my life come crushing on, of course it did, who wouldn't? I went into depression, of course, severe depression and I thought I had everything.
See the irony is that all these things that I have, the success, the trophies, my cars, my house and all. I thought that brought me happiness. But i was feeling really down, having severe depression. Having all these thoughts of my possessions, they brought me no joy. The thought of... You know, I can hug my Ferrari to sleep, no... No, it is not going to happen. It brought not a single comfort during my last ten months. And I thought they were, but they were not true happiness. But it wasn't. What really brought me joy in the last ten months was interaction with people, my loved ones, friends, people who genuinely care about me, they laugh and cry with me, and they are able to identify the pain and suffering I was going through. That brought joy to me, happiness. None of the things I have, all the possessions, and I thought those were supposed to bring me happiness. But it didn't, because if it did, I would have felt happy think about it, when I was feeling most down..
You know the classical Chinese New Year that is coming up. In the past, what do I do? Well, I will usually drive my flashy car to do my rounds, visit my relatives, to show it off to my friends. And I thought that was joy, you know. I thought that was really joy. But do you really think that my relatives and friends, whom some of them have difficulty trying to make ends meet, that will truly share the joy with me? Seeing me driving my flashy car and showing off to them? No, no way. They won’t be sharing joy with me. They were having problems trying to make ends meet, taking public transport. In fact i think, what I have done is more like you know, making them envious, jealous of all I have. In fact, sometimes even hatred.
Those are what we call objects of envy. I have them, I show them off to them and I feel it can fill my own pride and ego. That didn't bring any joy to these people, to my friends and relatives, and I thought they were real joy.
Well, let me just share another story with you. You know when I was about your age, I stayed in king Edward VII hall. I had this friend whom I thought was strange. Her name is Jennifer, we're still good friends. And as I walk along the path, she would, if she sees a snail, she would actually pick up the snail and put it along the grass patch. I was like why do you need to do that? Why dirty your hands? It’s just a snail. The truth is she could feel for the snail. The thought of being crushed to death is real to her, but to me it's just a snail. If you can't get out of the pathway of humans then you deserve to be crushed, it’s part of evolution isn't it? What an irony isn't it?
There I was being trained as a doctor, to be compassionate, to be able to empathise; but I couldn't. As a house officer, I graduated from medical school, posted to the oncology department at NUH. And, every day, every other day I witness death in the cancer department. When I see how they suffered, I see all the pain they went through. I see all the morphine they have to press every few minutes just to relieve their pain. I see them struggling with their oxygen breathing their last breath and all. But it was just a job. When I went to clinic every day, to the wards every day, take blood, give the medication but was the patient real to me? They weren't real to me. It was just a job, I do it, I get out of the ward, I can't wait to get home, I do my own stuff.
Was the pain, was the suffering the patients went through real? No. Of course I know all the medical terms to describe how they feel, all the suffering they went through. But in truth, I did not know how they feel, not until I became a patient. It is until now; I truly understand how they feel. And, if you ask me, would I have been a very different doctor if I were to re-live my life now, I can tell you yes I will. Because I truly understand how the patients feel now. And sometimes, you have to learn it the hard way.
Even as you start just your first year, and you embark this journey to become dental surgeons, let me just challenge you on two fronts.
Inevitably, all of you here will start to go into private practice. You will start to accumulate wealth. I can guarantee you. Just doing an implant can bring you thousands of dollars, it's fantastic money. And actually there is nothing wrong with being successful, with being rich or wealthy, absolutely nothing wrong. The only trouble is that a lot of us like myself couldn't handle it.
Why do I say that? Because when I start to accumulate, the more I have, the more I want. The more I wanted, the more obsessed I became. Like what I showed you earlier on, all I can was basically to get more possessions, to reach the pinnacle of what society did to us, of what society wants us to be. I became so obsessed that nothing else really mattered to me. Patients were just a source of income, and I tried to squeeze every single cent out of these patients.
A lot of times we forget, whom we are supposed to be serving. We become so lost that we serve nobody else but just ourselves. That was what happened to me. Whether it is in the medical, the dental fraternity, I can tell you, right now in the private practice, sometimes we just advise patients on treatment that is not indicated. Grey areas. And even though it is not necessary, we kind of advocate it. Even at this point, I know who are my friends and who genuinely cared for me and who are the ones who try to make money out of me by selling me "hope". We kind of lose our moral compass along the way. Because we just want to make money.
Worse, I can tell you, over the last few years, we bad mouth our fellow colleagues, our fellow competitors in the industry. We have no qualms about it. So if we can put them down to give ourselves an advantage, we do it. And that's what happening right now, medical, dental everywhere. My challenge to you is not to lose that moral compass. I learnt it the hard way, I hope you don't ever have to do it.
Secondly, a lot of us will start to get numb to our patients as we start to practise. Whether is it government hospitals, private practice, I can tell you when I was in the hospital, with stacks of patient folders, I can't wait to get rid of those folders as soon as possible; I can't wait to get patients out of my consultation room as soon as possible because there is just so many, and that's a reality. Because it becomes a job, a very routine job. And this is just part of it. Do I truly know how the patient feels back then? No, I don't. The fears and anxiety and all, do I truly understand what they are going through? I don't, not until when this happens to me and I think that is one of the biggest flaws in our system.
We’re being trained to be healthcare providers, professional, and all and yet we don't know how exactly they feel. I'm not asking you to get involved emotionally, I don't think that is professional but do we actually make a real effort to understand their pain and all? Most of us won’t, alright, I can assure you. So don't lose it, my challenge to you is to always be able to put yourself in your patient's shoes.
Because the pain, the anxiety, the fear are very real even though it's not real to you, it's real to them. So don't lose it and you know, right now I'm in the midst of my 5th cycle of my chemotherapy. I can tell you it’s a terrible feeling. Chemotherapy is one of those things that you don't wish even your enemies to go through because it's just suffering, lousy feeling, throwing out, you don't even know if you can retain your meals or not. Terrible feeling! And even with whatever little energy now I have, I try to reach out to other cancer patients because I truly understand what pain and suffering is like. But it's kind of little too late and too little.
You guys have a bright future ahead of you with all the resource and energy, so I’m going to challenge you to go beyond your immediate patients. To understand that there are people out there who are truly in pain, truly in hardship. Don’t get the idea that only poor people suffer. It is not true. A lot of these poor people do not have much in the first place, they are easily contented. for all you know they are happier than you and me but there are out there, people who are suffering mentally, physically, hardship, emotionally, financially and so on and so forth, and they are real. We choose to ignore them or we just don't want to know that they exist.
So do think about it alright, even as you go on to become professionals and dental surgeons and all. That you can reach out to these people who are in need. Whatever you do can make a large difference to them. I'm now at the receiving end so I know how it feels, someone who genuinely care for you, encourage and all. It makes a lot of difference to me. That’s what happens after treatment. I had a treatment recently, but I’ll leave this for another day. A lot of things happened along the way, that's why I am still able to talk to you today.
I'll just end of with this quote here, it's from this book called Tuesdays with Morris, and some of you may have read it. Everyone knows that they are going to die; every one of us knows that. The truth is, none of us believe it because if we did, we will do things differently. When I faced death, when I had to, I stripped myself off all stuff totally and I focused only on what is essential. The irony is that a lot of times, only when we learn how to die then we learn how to live. I know it sounds very morbid for this morning but it's the truth, this is what I’m going through.
Don’t let society tell you how to live. Don’t let the media tell you what you're supposed to do. Those things happened to me. And I led this life thinking that these are going to bring me happiness. I hope that you will think about it and decide for yourself how you want to live your own life. Not according to what other people tell you to do, and you have to decide whether you want to serve yourself, whether you are going to make a difference in somebody else's life. Because true happiness doesn't come from serving yourself. I thought it was but it didn't turn out that way.
Also most importantly, I think true joy comes from knowing God. Not knowing about God – I mean, you can read the bible and know about God – but knowing God personally; getting a relationship with God. I think that’s the most important. That’s what I’ve learnt.
So if I were to sum it up, I’d say that the earlier we sort out the priorities in our lives, the better it is. Don’t be like me – I had no other way. I had to learn it through the hard way. I had to come back to God to thank Him for this opportunity because I’ve had 3 major accidents in my past – car accidents. You know, these sports car accidents – I was always speeding , but somehow I always came out alive, even with the car almost being overturned. And I wouldn’t have had a chance. Who knows, I don’t know where else I’d be going to! Even though I was baptised it was just a show, but the fact that this has happened, it gave me a chance to come back to God.
Few things I’d learnt though:
1. Trust in the Lord your God with all your heart – this is so important.
2. Is to love and serve others, not just ourselves.
There is nothing wrong with being rich or wealthy. I think it’s absolutely alright, cos God has blessed. So many people are blessed with good wealth, but the trouble is I think a lot of us can’t handle it. The more we have, the more we want. I’ve gone through it, the deeper the hole we dig, the more we get sucked into it, so much so that we worship wealth and lose focus. Instead of worshipping God, we worship wealth. It’s just a human instinct. It’s just so difficult to get out of it.
We are all professionals, and when we go into private practise, we start to build up our wealth – inevitably. So my thought are, when you start to build up wealth and when the opportunity comes, do remember that all these things don’t belong to us. We don’t really own it nor have rights to this wealth. It’s actually God’s gift to us. Remember that it’s more important to further His Kingdom rather than to further ourselves.
Anyway I think that I’ve gone through it, and I know that wealth without God is empty. It is more important that you fill up the wealth, as you build it up subsequently, as professionals and all, you need to fill it up with the wealth of God. gb(255,� \ , 2 �N �>P lay: inline !important; float: none;">Don’t let society tell you how to live. Don’t let the media tell you what you're supposed to do. Those things happened to me. And I led this life thinking that these are going to bring me happiness. I hope that you will think about it and decide for yourself how you want to live your own life. Not according to what other people tell you to do, and you have to decide whether you want to serve yourself, whether you are going to make a difference in somebody else's life. Because true happiness doesn't come from serving yourself. I thought it was but it didn't turn out that way.
Also most importantly, I think true joy comes from knowing God. Not knowing about God – I mean, you can read the bible and know about God – but knowing God personally; getting a relationship with God. I think that’s the most important. That’s what I’ve learnt.
So if I were to sum it up, I’d say that the earlier we sort out the priorities in our lives, the better it is. Don’t be like me – I had no other way. I had to learn it through the hard way. I had to come back to God to thank Him for this opportunity because I’ve had 3 major accidents in my past – car accidents. You know, these sports car accidents – I was always speeding , but somehow I always came out alive, even with the car almost being overturned. And I wouldn’t have had a chance. Who knows, I don’t know where else I’d be going to! Even though I was baptised it was just a show, but the fact that this has happened, it gave me a chance to come back to God.
Few things I’d learnt though:
1. Trust in the Lord your God with all your heart – this is so important.
2. Is to love and serve others, not just ourselves.
There is nothing wrong with being rich or wealthy. I think it’s absolutely alright, cos God has blessed. So many people are blessed with good wealth, but the trouble is I think a lot of us can’t handle it. The more we have, the more we want. I’ve gone through it, the deeper the hole we dig, the more we get sucked into it, so much so that we worship wealth and lose focus. Instead of worshipping God, we worship wealth. It’s just a human instinct. It’s just so difficult to get out of it.
We are all professionals, and when we go into private practise, we start to build up our wealth – inevitably. So my thought are, when you start to build up wealth and when the opportunity comes, do remember that all these things don’t belong to us. We don’t really own it nor have rights to this wealth. It’s actually God’s gift to us. Remember that it’s more important to further His Kingdom rather than to further ourselves.
Anyway I think that I’ve gone through it, and I know that wealth without God is empty. It is more important that you fill up the wealth, as you build it up subsequently, as professionals and all, you need to fill it up with the wealth of God.
Berat badan berlebihan dan bentuk badan tak proporsional, ni mungkin antara masalah utama yang dihadapi oleh rakyat Malaysia. Difahamkan, Malaysia adalah negara pertama di ASEAN dan ke tiga Asia yang rakyatnya mengalami berat badan berlebihan. Status yang mengerikan ini pernah dibacakan di Dewan Rakyat oleh Timbalan Menteri Kesihatan, Datuk Rosnah Shirleen tahun lepas.
Apakah yang dikatakan dengan berat badan berlebihan? Sudah pasti anda biasa mendengar tentang BMI ataupun Body Mass Index. BMI adalah kira2 matematik yang melibatkan tinggi dan berat badan (kg/m2). Walaupun BMI ini disifatkan subjektif dikarenakan faktor otot dan tulang tapi ia masih dapat dijadikan kayu pengukur asas dalam menentukan berat badan ideal seseorang. Kali ni, tak perlu sibuk-sibuk nak jelas panjang-panjang pasal Obese dan segala macam sebab aku da pernah tulis " Berbicara tentang Obese dan Kesihatan". Kalau rajin pergila baca yeps :) Untuk entry kali ni, aku nak bercerita pasal skipping sebagai alternatif olahraga efektif dalam menurunkan berat badan dan mengekalkan berat badan yang ideal. Dalam banyak-banyak olahraga, skipping dikenal pasti olahraga yang paling banyak bakar kalori dalam satu menit. Ini link untuk butiran lanjut Fat Burning Chart Skipping sebagai alternatif aktiviti fizikal memang lah sangat-sangat dialukan buat semua orang. Dengan bermodalkan tali skipping, ruangan sekankang kera dan keupayaan melompat. Mudah bukan? Tapi disebalik itu, masih terdapat pelbagai beda pendapat dikalangan ahli berkenaan olahraga ini terutama buat mereka yang mempunya BMI > 27.5. Antara yang dimbimbangkan adalah, impak yang dikenakan oleh berat badan terhadap sendi-sendi penyangga berat badan seperti lutut dan tulang belakang. Kalau fikir-fikir secara logikpun, sponge basuh pinggan kat dapur pon boleh penyek kalau bagi daya yang kuat dari atas. So, faham-fahamla. Walaubagaimanapun, masih terdapat banyak alternatif olahraga fizikal yang dapat dilakukan bagi mereka yang mempunya berat badan berlebihan sebelum mencuba skipping ini, antaranya adalah berbasikal, berenang dan berjalan kaki. Setelah dirasakan BMI sudah optimal atau hampir optimal maka bolehla mencuba skipping :) Semua olahraga yang disarankan adalah percuma,betul tak? Kenapa harus berbelanja lebih kalau ada yang percuma?
Diet dan olahraga yang tepat menjamin kepada kebugaran badan seseorang. Dan ini diiyakan dalam pepatah arab "Al Aqlu Salim Pi Jismi Salim" yang bermaksud, akal yang sihat terletak pada badan yang sihat. Jadi, bagaimana ingin menerjemahkan ini kepada realiti? Jawabanya terletak kepada kita sendiri.
Diet dapat diartikan sebagai persoalan pemakanan atau lebih teperinci adalah, sejumlah makanan yang diperlukan oleh tubuh dalam kadar tertentu untuk memastikan metabolisme tubuh dapat berfungsi secara optimal bergantung kepada usia, jantina dan aktiviti seharian. Tapi, ini cuma definisi yang hanya dipakai apabila kita bercakap tentang pemakanan sihat, hakikatnya adalah keterbalikkannya. Diet yang tepat dan benar sangat mempengaruhi kepada faktor kesihatan. Jadi benarlah kata pepatah arab tersebut.
Tapi, harini kita digemparkan dengan penemuan yang agak mendukacitakan tapi mungkin mengembirakan bagi pihak yang lain. Kenapa dikatakan berdukacita? Kerana, pada sidang parlimen beberapa waktu yang lalu, Timbalan Menteri Kesihatan mengatakan Malaysia adalah juara Obese peringkat ASEAN dan naib juara peringkat Asia. Suatu pencapaian yang tak sewajarnya kita kecapi. Tapi, bagi pihak yang lain ini mungkin awal kepada proses kekayaan iaitu melalui pengenalan pelbagai jenis obat 'magik' yang mampu menurunkan berat badan berlebih.....hummm, indah khabar dari rupa...
Melalui kajian yang dijalankan aku secara peribadi tapi lebih spesifik kepada Orang Asli. Cara hidup dan diet adalah dua indikator terpenting yang mampu mempengaruhi status 'Obese' seseorang. Buktinya, pada kajian yang dijalankan pada tahun 1993 pada Orang Asli, didapati peratusan mereka yang mempunyai Diabetes adalah dibawah 3%, manakala penemuan Obese dikalangan mereka adalah jauh sama sekali.
Tapi, seiring waktu, Orang Asli ini telah mengalami perubahan secara sosioekonomi dan sosiodemographi. Jika dulu, mereka berpindah randah dari satu tempat ke satu tempat dan tinggal jauh di pedalaman tapi sekarang sudah banyak berlakunya transformasi. Kerajaan telah memperkenalkan Rancangan Penempatan Semula (RPS) dan menyediakan pelbagai fasiliti asas termasuk kepada perhubungan. Bila bicara ekonomi, sudah ramai yang beralih arah dari pertanian secara tradisional kepada penanaman berkelompok yang diterapkan oleh agensi-agensi kerajaan seperti FELCRA, Lembaga Getah Malaysia, Lembaga Koko Malaysia dan banyak lagi.
Alhasilnya sekarang, dengan perubahan asas kepada cara hidup dan diet seperti orang di bandar telah turut mepengaruhi status kesihatan mereka. Kesimpulan mentah yang diperolehi, telah terjadi kenaikan yang significant bahkan membimbangkan. Dulu, Orang Asli tiada kencing manis, darah tinggi dan Obese dikarenakan cara hidup mereka yang masih banyak melakukan aktiviti-aktiviti menuntut kosumsi kalori yang tinggi. Tapi harini, dengan perubahan cara hidup dan pemakanan, turut merubah status kesihatan mereka.
Dan ini kita berbalik kepada kita masyarakat Malaysia ammnya, adakah kita sedar akan hakikat ini? Di sini ingin dikatakan bahwa, cara hidup dan diet yang tidak sihat telah mempengaruhi kita semua kepada kesihatan yang tidak sihat. Makanan segera, berlemak, kedai makan 24jam, teh tarik, roti canai dan pelbagai lagi begitu idnetik dengan cara hidup kita sekarang. Tak percaya? Malaysia adalah satu-satunya negara yang ada kedai makan 24 jam di dunia. Malaysia lah negara yang mempunyai kadar Obese tertinggi di ASEAN, bahkan juga di Asia Pasifik.
Diet yang tidak sihat bukan bersendirian dalam menentukan status kesihatan seseorang, tapi cara hidup juga turut menyumbang. Kita pada harini, kurang melakukan aktiviti-aktiviti fizikal. Ini dikarenakan terdapat pelbgai kemudahan dalam urusan seharian. Jalan jauh, takpa ada kenderaan. Tukar channel TV, takpa ada remote. Naik bagunan, takpa ada lift dan begitula seadanya.
Cara hidup dan diet inilah yang sebenarnya akar permasalahan kepada mereka yang mempunya berat badan berlebihan. Tapi hakikat ini sering dinafikan. Dan selalu mengambil jalan mudah iaitu, obat 'magik' kurus. Dari sinilah akan muncul kesempatan kepada orang yang suka mengambil kesempatan seperti penjual-penjual obat kurus. Adakah produk mereka dijamin selamat?Adakah obat mereka mematuhi piawaian yang ditetapkan oleh Kerajaan Malaysia?Adakah obat ini tidak mengandungi kesan sampingan? Dan adakah obat ini betul-betul diperlukan? Jawabannya adalah tidak sekiranya kita kembali memikirkan dua faktor tadi, iaitu diet yang tepat dan cara hidup yang sihat.
Dan begitulah seadanya penulisan kali ini. So, fikir-fikirkanlah. "Al Aqlu Salim Pi Jismi Salim"
Sebetulnya, aku tertarik nak menulis topik ni sebab aku melihat perubahan yang significant kat junior aku sorang ni....tak caya?jom kita tengok dia sket.....Btw, dia pon ada menuliskan bagaimana dia boleh kurus dengan jalan yang sihat. selamat beramal semuanya :)
Apakah itu Leptospirosis? Leptospirosis adalah penyakit berjangkit yang disebabkan oleh patogen genus Leptospira, yang boleh berjangkit secara langsung atau tidak langsung daripada haiwan kepada manusia. Apakah penyebab Leptospirosis? Leptospirosis disebabkan oleh bakteria gram negatif dari genus Leptospira. Leptospira pertama kali dikenal pasti sebagai penyebab Penyakit Weil di Jepun, yang biasa berlaku ke atas pelombong arang batu. Genus Leptospira mempunyai sekurang-kurangnya 18 spesies dikelaskan berdasarkan hubungkait DNA dan lebih daripada 300 serotip berdasarkan ujian makmal.
Leptospirosis yang tergolong dalam kelas zoonosis merupakan penyakit berjangkit paling umum menjejaskan kesihatan manusia dan haiwan di dunia. Penyakit Weil pula adalah sejenis Leptospirosis tahap serius. Baca Informasi Selanjutnya
Untuk dijadikan cerita, cukupla informasi di atas sebagai pengenalan untuk kelanjutan kisah berikutnya. Jika nak tahu lebih lanjut, jangan memalu la klik "Baca Informasi selanjutnya" or surf mana-mana source informasi yang ada. Kalau sumbat semua, ibarat aku nak bagi kuliah kesihatan lak.
Yang pasti raya Aidilfitri 1433H penuh lain dari yang lain, ibarat melaksanakan transformasi hari raya. Hari raya disambut penuh sederhana di Wad Hospital Raja Permaisuri Bainun. Suatu pengalaman yang tak dapat dilakarkan dengan kata-kata. Dan untuk pertama kali jugakla, sejak akil baligh ni tak dapat sembahyang raya.
Kita hanya mampu merancang, tapi Dia juga sebaik-baik perancang. Kami sekeluarga ditakdirkan meraikan kedatangan 1 Syawal di Hospital Raja Permaisuri Bainun (HRPB), hospital di mana tempat sehari-hari aku menimba ilmu. Nak dikatakan tak meriah pagi syawal tu bolehla, tapi selesai je solat Hari Raya di Masjid Hospital, 'full house' wad aku. Ibarat pihak hospital mengadakan rumah terbuka di wad aku. Nak gambarkan suasana macam pasar pon ade, tapi dalam kedukaan semua meraikan 1 Syawal dengan penuh bermakna bersama orang tersayang. Itulah nikmat terbesar Aidilfitri yang aku dapat rasakan selama mana berada di sana.
Leptospirosis dan aku?Apa kaitannya? So, bermulalah kisah aku dan leptospirosis. Nama Leptospirosis akhir-akhir ni makin hangat diperkatakan, nama pasar dia 'penyakit kencing tikus'. Sesuai namanya, Leptospirosis adalah merupakan jangkitan kuman disebabkan penularan daripada air kencing tikus yang mengandungi kuman Leptospira. Nak dikatakan adakah ianya mematikan?Sudah tentu ianya mematikan tetapi prognosisnya juga baik sekiranya cepat diubati ibarat kisah aku, alhamdulilah. :)
Seminggu sebelum 1 Syawal, iaitu beberapa hari sekembalinya aku daripada perkampungan Orang Asli Kuala Mu, Sungai Siput aku terkena demam panas. Demam yang teramat panasla, coz time amik temperature badan aku, dalam 40°C. Kepala ni pon berdenyut-denyut tak tertahankan, sakit yang amat sangatlah orang kata. Apabila kepala da sakit berdenyut-denyut, perasaan pening nak rebah takyah cakapla, selalu ada semua tu. Pada masa bersamaan, letih-letih badan, mual muntah, cirit -birit dan berpeluh semua ada. Ibarat satu pakej, semua datang bersamaan.
Tapi dek kerana memikirkan ianya cuma demam biasa, so aku cuma ambil panadol ajela untuk meredakan suhu badan yang 'spiking' ni. Alhamdulilah, suhu badan turun jugakla tetapi masih di atas suhu badan normal. Dalam 3-4 hari jugakla aku main tarik tali dengan demam ni, asal malam je demam dan asal demam je malam. Hinggalah nak dijadikan cerita, aku dan member 'research' aku, Mr Najib berencana nak buat audit research di Kompleks Rawatan Harian, Hospital Raja Permasuri Bainun tetapi rencana tinggal rencana. Dek kerana keletihan melampau, rencana asal ditukarkan dirumah aku sendiri. So, buatlah audit di rumah aku. Masa ni, demam da naik turun balik da hingga member aku risau dengan kondisi kesihatan aku. Dalam-dalam buat audit, pelbagai kesimpulan awal yang kami buat berdasarkan kepada jenis demam, latar belakang seminggu terakhir aku dan simptom-simptom yang ada. Apa yang kami rumuskan adalah; Leptospirosis, Malaria, Dengue, Thypoid dan Pyrexia Unknown Origin (PUO). Dikarenakan hasil kesimpulan yang kamirumuskan itu semua 'kaw-kaw', akhirnya aku memutuskan untuk klinik, yang pasti bukan ke klinik swasta memandangkan klinik swasta agak terbatas dalam melakukan penyelidikan makmal lanjut jika terbukti andaian-andaian penyakit di atas. Maka diputuskan ke Klinik Kesihatan Greentown (sebelah hospital je pun).
Klinik Kesihatan Greentown, Ipoh
Penantian hari pertama di klinik sungguh menyiksakan, betul kata orang 'waiting is suffering'..haha..Tapi, proseduer tetap proseduer. Dalam 30 menit aku sudah mendapat giliran untuk berjumpa doktor (bilik no6). Dan sesuai SOP, doktor akan menanyakan apa keluhan aku dan sedikit latar belakang berkenaan sakit dan latar belakang seminggu terakhir aku. Hasil informasi yang terkumpul, doktor tersebut juga menduga keterkaitan aku dengan 'kencing tikus' ni, tapi untuk memastikan kesahihannya, ujian darah harus dilakukan. Dan daripada hasil yang diperolehi, hematokrit aku begitu rendah, lymphocyte pula sebaliknya iaitu begitu tinggi menunjukkan ada jangkitan kuman. Dek kerana sejarah seminggu terakhir aku di hutan, aku juga diarahkan untuk mengambil sample darah untuk Malaria tapi keputusan adalah pada hari berikutnya. Besoknya aku diarahkan kembali ke klinik untuk melakukan pemeriksaan ulangan dan pemeriksaan darah untuk Malaria. Hari pertama aku klinik berakhir, setelah Mr Najib membawa aku pulang dan berehat. Dengan berbekalkan antibiotik (Doxyciline), Vitamin C, B complex, ORS dan paracetamol aku pulang ke rumah. Nak cerita pasal puasa, takde maknanya coz da hangus pepagi semasa aku hypoglycaemia. Malam tu terasa amat panjang bagi aku, dengan demam yang kembali menganas. Muntah yang tak henti-henti, diarhea dan sakit-sakit badan kian bermaharajalela. Aku rasa da TKO da tapi malam yang panjang tu berhasil dilewati juga.
Keesokan harinya, member aku Mr Najib datang untuk bawak aku kembali ke Klinik Kesihatan Greentown. Masa dia datang, nak bukak pintu rumah pon aku tak lepas hingga terpaksa aku suruh dia buka sendiri. Keadaan dalam rumah takyah cakap da, hancur dan tak terurus. Tak cakap banyak, Mr Najib terus bawa aku ke klinik. Dekat klinik, kondisi kesihatan aku makin memburuk. Aku makin 'mamai' dan tak berapa nak sedar, cermin mata da entah ke mana perginya. Dalam nak ambil keputusan darah kali kedua, aku da jatuh tersungkur semasa menunggu. Dek kerana keadaan yang tak stabil, Mr Najib bawakkan aku wheel chair dan dudukla aku atas tuh. Masa jumpa doktor aku da tak berapa nak sedar, apa yang doktor tanya dan jawab pon aku da tak tahu. Last-last, aku sedar da atas Ambulans menuju ke Hospital Raja Permaisuri Bainun. Apa yang jadi dekat Jabatan Kecemasan dan Trauma, lagila aku tak tahu apa-apa. Dari Jabatan Kecemasan, aku dipindahkan ke wad perubatan. Dan di wad aku cuma beberapa jam sahaja. Doktor-doktor yang ada tak dapat melakukan pemeriksaan lanjut tanpa informsi yang secukupnya hingga terpaksa menunggu kehadiran ahli keluarga aku. Kebetulan hendak dijadikan cerita, 15hb Ogos memang mak ayah aku nak datang dengan tujuan beraya tapi keadaan sekarang menjadikan ianya sebuah perencanaan Yang Maha Hebat dari Nya. Mr Najib memaklumkan kepada mak ayah aku yang sudah diperjalanan iaitu di Karak Hihgway. Sekitar jam 7pm baru mak ayah aku sampai ke hospital. Diarenakan keadaan aku yang makin tidak stabil, BP 101/53, RBS 4.4mmg/dL. Doktor memutuskan memindahkan aku di ICU. Sewaktu menyampaikan khabar kepada kedua orang tua aku, Dr Kher, Pakar Perubatan mengatakan harapan cuma 50-50 dan pasti aku terkena jangkitan Leptospirosis melalui lecet di ibu jari kaki kanan aku. Berita yang amat berat untuk diterima kedua orang tua aku tapi mereka pasrah dan reda. Dikarenakan aku sudah dipindahkan ke ICU, tugas merawat dan menjaga aku terletak di tangan staff-staff ICU dan kedua orang tua aku dibenarkan puang untuk berehat. Jika dihitung, seharian mak ayah aku di atas perjalanan iaitu dari Dungun, Terengganu hingga Ipoh, Perak dan akhirnya di Hospital. Betul-betul perjalanan yang melelahkan apatah lagi di bulan Ramadhan. Yang pastinya, kisah aku pada hari pertama berakhir di ICU.
Hospital Raja Permaisuri Bainun (HRPB), Ipoh Perak
Setelah hampir 16 jam tidak sedarkan diri, baru akhirnya aku bangun setelah terjaga sewaktu Staff Nurse tengah membersihkan dan merapikan aku. Sedar-sedar, dikiri kanan tangan terdapat dua set IV Cannular, satu Art Line di radial artery dan satu Central Venous Line di area fossa cubiti tangan kanan aku. Catheter yang dimasukkan malam sebelumnya sudah dilepaskan. Sakit tak sakit, yang pasti aku tak sedar bila masa semua itu dimasukkan especially Art Line dan Central Venous Line. Kalau masa sedar, mahunya aku berteriak menahan sakit. Walaupun aku sudah sedar, tetapi aku masih bingung dan masih merasakan pening dan muntah-muntah. Bagi pelawat yang datang ziarah pon aku da tak berapa nak cam tapi Dr Karim, Dr Tharam dan Kak Nora bolehla aku cam. Pengarah Hospital datang melawat pon aku da tak sedar. Betapa kuat penangan tikus ni. Tapi masa ayah aku masuk, confirm aku kenal dan air muka gembira jelas terpancar dari riak muka ayah aku. Mana taknya, aku da sedar jika dibandingkan semalam. Mak dan adik aku masih di apartmen aku kerana keletihan semalam belum habis.
Doktor-doktor pakar kembali memantau keadaan aku, suatu perkembangan baik katanya. Antara pakar yang ada ketika itu, Dr Kher dan Dr Najjah, yang lain semuanya senior MO. Tapi pening da muntah-muntah masih taknak berengang dari aku. Adoinyer..Hari kedua aku dihabiskan di ICU, pelbagai test serologi dilakukan dan berapa puluh CC darah diambil pon aku da tak sedar. Kemudian, mak dan adik aku datang. Sepupu aku, Mr Zukifli pon ada datang jenguk. Dikhabarkan, Abg Kipli da datang semalam lagi tapi aku je tak sedar. Da name tak sedarkan diri, macam mana nak sedar dengan keadaan sekeliling.
3 hari aku habiskan waktu di ICU. Lumayan lama la jugak tapi memang terasa lama tyme last2 da sedarkan diri. Almaklom pesakit-pesakit disekeliling semuanya tak sedarkan diri. So, wad ICu memang terasa sunyi dan membosangkan dan yang ada cuma bunyi mesin. Ada bunyi 'beep-beep', ada 'teeeeeet' dan macam-macam bunyila tapi suara orang hanya terbatas pada doktor-doktor dan staff nurse. Dan selama aku berada di ICU, banyak jugakla staff nurse yang jage aku baik aku sedar mahupun tak sedar. Jutaan terima kasih diucapkan. Nak cari tak sure jumpa balik or tak coz tak tahu. Yang aku dapat trace pon sorg dua je, Staff Nurse Noryza yang jaga aku dua hari berturut-turut. Dan yang kedua aku ingat sebab name dia pelik, kalau tak salah Staff Nurse Fadilat. Ternyata tugas nurse2 ni memang tak dapat digambarkan dengan kata-kata jugakla, kalo tiada nurse jenuh jugak doktor2 nak buat kerja. Sekali ucapan terima kasih tak terhingga. Hingga hari last di ICU, SN Noryza yang hantar aku balik ke wad biasa iaitu wad 5B.
Balik-balik di wad 5B, SN pon sambutla dengan ramahnya dan kata; 'dah sedar pon sekarang berbanding masa mula-mula masuk tapi ingat tak lagi mase mula-mula masuk?'. Dah dinamakan tak sedar, jawab jela ntahla kak, tak ingat apa-apa pun. Tapi yang penting 'Alhamdulilalh' katanya. Awal-awal aku ditepatkan di kubikel akut, tapi dikarenakan dah sedar, aku dipindahkan ke katil 35 iaitu di kelas kedua. Tapi kelas kedua dan ketiga rasa sama je. Yang beza aku dapat conquer TV yang betul-betul depan TV. Dapat jugak hilang bosang:D . Dalam aku ralik-ralik dalam wad, tetiba camla dekat satu suara yang unik yang aku pernah dengar je tyme mula-mula datang. Ternyata benar, suara yang unik tu rupanya suara MO yang incharge aku mula-mula masuk. Nama MO tu, Dr Elizabeth. Di senyum je tengok aku. Ada waktu kosong, Dr Elizabeth ada la cerita tentang cerita-cerita yang lucu gakla masa mula-mula aku masuk iaitu waktu dia nak assessment (ambil keterangan) kesihatan aku. Antaranya adalah, waktu dia mintak no talifon mak ayah aku, dia kata aku jawab nak buat apa. Kami gelak sama-sama. Tapi sepanjang perawatan, beliau tetap mengatakan ianya amat mencabar dan sukar. Selain Dr Elizabeth, ada MO, Dr Kaw. Dua-dua MO ni suka senyum, tapi Dr Kaw aku suka sebab dia bagi aku discharge alias balik rumah walhal MO lain belum berpendapat yang sama. Hehe. Walupun dibenarkan discharge, tapi tetap merayakan Hari Pertama Syawal di hospital bersama pesakit-pesakit lain berserta anggota keluarga masing-masing. Pagi syawal tuh, wad 5B macam pasar pon ada, tapi macam tapak perkelahan pon ada coz ahli keluarga pesakit yang datang bawa pelbagai juadah hari raya untuk diraikan bersama dan tak terkecuali akula. Tapi aku lain sikit, coz aku makan kat Taman Teraputik Hospital, ada suasana sikit :D
Dalam menyambut kedatangan Syawal di hospital ni, tengok jugakla perjuangan doktor2 dan nurse2 yang berkorban dan meraikan Syawal jauh dari keluarga ni. Antara yang terkesan, ada akak SN ni, SN Rujaemah ni kerja dari malam raya sampai petang hari raya pertama. Kalau ikut shiff, da dua shiff dia cover. Dasyat dowh. Ada gak aku tanya, tak letih ke?Dia pon jawab, nak buat camna, staff kurang. Tapi takpe, lepas ni akak dapat cuti panjang, katanya lagi sambil senyum. Kalau doktor2 especially HO tu aku tahula waktu deme bertugas, iaitu dari matahari tak naik lagi sampai matahari tenggelam balik. Sama-sama dasyat la, lama-lama deme jugak yang tumbang coz keletihan. Dalam wad ni jugak,aku nak berterima kasih dekat SN Rujaemah, SN yang lain aku lak nama dia tapi nanti aku cari dalam wad balik :D, Dr Sandeep, Dr Lee, Dr Kaw, Dr Elizabeth dan banyak lagila..
Pengalaman menyambut syawal di hospital da menutup kedukaan keluarga aku seketika. Mungkin da nampak aku OK kot. Tapi jika dibandingkan dengan pesakit-pesakit lain yang masih di dalam wad, mungkin syawal ini kurang serinya bagi mereka, tapi apa pun kedatangan Syawal tetap diraikan walau dengan apa cara sekalipun. Walaupun hari pertama raya aku dibenarkan keluar, tapi aku masih dikehendaki datang untuk beberapa hari berikutnya untuk ujian darah. Yela, satu MO benar aku balik dan yang lain masih ragu-ragu, maka diambil lah jalan tengah iaitu aku tetap harus datang ke wad walaupun dah discaj dari wad. Takpela, asalkan hari raya aku tak berlama-lama dalam wad :D.
Kisah ni mungkin tak seberapa jika dibandingkan dengan kisah pesakit-pesakit lain tapi cukup bermakna bagi aku secara peribadi. Dan kisah ini juga mungkin tak lengkap secara keseluruhan, memandangkan sumber informasi hanya terbatas kepada ahil keluarga terdekat dan lingkungan terdekat pada waktu itu.
Walauapapun dan bagaimanapun, aku dan keluarga secara peribadi mengucapkan jutaan terima kasih kepada semua pihak yang terlibat baik secara langsung mahupun tak langsung. Semoga Allah membalas jasa-jasa kalian setimpalnya. Wallahualam.
