psychology: the patients.

Bismillahirrahmanirraheem.

Salam 'alaik.

We had our second practical lesson for medical psychology subject this morning. Today, we've been given the opportunity to interact with two patients (we didnt know their problem at the beginning), mine with moderate depression and the other with obsessive-compulsive disorder: an anxiety disorder that causes people to have unwanted thoughts (obsessions) and to repeat certain behavior over and over again for instance handwashing, locking doors or counting. We were divided into two groups of 4 and 3 members each. Our task was to make contact with them and we've been given the freedom to talk about whatever we wanted within 7 minutes.


groupmates.

I was in a group of three, together with Zikri and Neo. The first student was a bit nervous and didn't get enough time to prepare therefore he didn't manage to get many information which I thought was quite an advantage for me since my goal was to gain as much informations as possible related to her daily lives that allow us to make diagnosis. I would say it started a bit awkward(?) I dont know... I'm not good conversing with strangers and the fact that this lady was not a regular patient I used to see in wards made me a bit anxious. It was different compared to talking with patients in internal medicine subject, at least for me. In wards, I know what informations are necessary and would be useful in making diagnosis, for instance is it painful, to where it's spreading, what ceases the pain, etc etc... Yet talking to a mentally unstable patients made me worried and restless because they are extra sensitive and I wasn't sure what's the best way to talk to them, you know.. since we're total strangers and all. And I wouldn't have known if any of my questions made her feel offended. As we know, gaining trust from the patient is super important to ensure the effectiveness of the treatment. And good doctor-patient relationship relies on communication between them.




our supercute instructor. kekeke :p

After that, we sat on the ground and talked about our opinion regarding the activity today. The discussion has proven me that different people obviously have different way of thinking and different goals. As we went through the problems, we can see our weakness in communicating with patients. I guess I did okay, but somehow I wasn't fully satisfied with my performance. I didn't manage to gain 100% of my patient's trust. All I did was asking for relevant informations, listening to her complaints and made some remarks on that. I think I was more like interrogating(?) her. Haha. Whereas the student after me was more like sharing her experiences, giving advices and recommendations which seemed good to me-more like a consultation session. And of course, here the language barrier is the major factor that is limiting the our communication with the patients. English is not my mother tongue and the lady-my patient aint a native English speaker either. So the conversation turned out to be a bit forced *imo* and didn't come out naturally. It was hard for her to explain certain things and it was difficult for me to understand what exactly she was trying to say. One important thing that I've learnt today is that it's really uncommon for Czechs to have body contact between doctor-patient which I think is quite surprising. They usually openly display affection towards each other. But slight touch on hands, shoulders or knees are considered very intimate and they may take it wrongly. Different to our culture back in Malaysia, holding the patients' hands while comforting them is quite normal (but not between man and woman for sure! it'll be mistaken as sexual harassment).

I've always have this mindset that mentally unstable patients are disoriented, loss in their own world.. to put it simply: crazy. I've once visited a psychiatry ward in HUSM and all I could see were patients talking nonsense. But today being a medical student I could see how broad the psychology field really is. People with depression are sick too. Most of the time, we don't even realize that how serious this problem could be. I used to think that being stressful is okay, I'll just get over it later. However there are some people seem to not capable of solving this problem. This if prolonged can lead to other serious problems. Just talking about stress made me think about the activated sympathetic system that leads to vasoconstriction of peripheral vessels and later on will develop hypertension. I wont talk about the harmful effects of hypertension. I'll just leave it to pathophysiology exam later. Hehe :P

I feel pity for this lady because she found her life empty. There is no one that she can really hold on to and nobody seems to understand how she feels. The main problem is that she lost interest in things that she used to love before. Somehow I'd give props to her because she's brave enough to seek for help, i mean not everyone would admit that they are in need of help right? Most people tend to suppress their feelings and eventually are bound to succumb. Till then I didn't realize how lucky I was. I have family and friends that will always be the shoulder to cry on whenever I'm in need and I'm very grateful for that. And most importantly, I have God who'll always be there, at my highest high or my lowest low.

"And when My servants ask you, [O Muhammad], concerning Me - indeed I am near. I respond to the invocation of the supplicant when he calls upon Me. So let them respond to Me [by obedience] and believe in Me that they may be [rightly] guided."
[Al-Baqarah, 2:186]


Alhamdulillah ^^


credit: Patrick for the photos

electrocardiogram, equals to lubdub lubdub

Bismillah...




Countdown....
7hrs to go.
more than half of ecg sheets to be revised.

massive headache.
tachycardia, due to release of stress hormone.


urrghhh.....



O Allah, please make ease for what's best for me.

"If Allah should aid you, no one can overcome you; but if He should forsake you, who is there that can aid you after Him? And upon Allah let the believers rely." [Ali'Imran, 3:160]

Lebarkan pintu hati, mulakan langkah pertama.

Bismillahirrahmanirraheem.

Salam ‘alayk.



Di saat yang lain dah melangkah jauh.. adakah kamu masih mahu beku di situ?

Saya yakin.......

“Apa pun (kenikmatan) yang diberikan kepadamu, maka itu adalah kesenangan hidup di dunia. Sedangkan apa (kenikmatan) yang ada di sisi Allah lebih baik dan lebih kekal bagi orang-orang yang beriman, dan hanya kepada Tuhan mereka bertawakal.....” [Asy-Syura,42:36]

Dan yang pasti...

“Dan Allah menciptakan langit dan bumi dengan tujuan yang benar, dan agar setiap jiwa diberi balasan sesuai dengan apa yang dikerjakannya, dan mereka tidak akan dirugikan.” [Al-Jasiyah,45:22]

Sebab saya takut.......

“Pantaskan Kami memperlakukan orang-orang yang beriman dan mengerjakan kebajikan sama dengan orang-orang yang berbuat kerosakan di bumi? Atau pantaskan Kami menganggap orang-orang yang bertaqwa sama dengan orang-orang yang jahat?” [Sad, 38:28]

“Patuhilah seruan Tuhanmu sebelum datang dari Allah suatu hari yang tidak dapat ditolak (atas perintah dari Allah). Pada hari itu kamu tidak memperoleh tempat berlindung dan tidak (pula) dapat mengingkari (dosa-dosamu).” [Asy-Syura,42:47]

Dan yang saya harapkan...

“Dan orang-orang yang beriman dan mengerjakan kebajikan, sungguh, mereka akan Kami tempatkan pada tempat-tempat yang tinggi (di dalam syurga), yang mengalir di bawahnya sungai-sungai, dan mereka kekal di dalamnya. Itulah sebaik-baik balasan bagi orang yang berbuat kebajikan, (iaitu) orang-orang yang bersabar dan bertawakal kepada Tuhannya.” [Al-Ankabut,29:58-59]

“Bagi orang-orang yeng berbuat baik, ada pahala yang terbaik (syurga) dan tambahannya (kenikmatan melihat Allah). Dan wajah mereka tidak ditutupi debu hitam dan tidak (pula) dalam kehinaan. Mereka itulah penghuni syurga, mereka kekal di dalamnya.” [Yunus,10:26]

Saya juga mengidamkan syurga yang mahal itu.

Seorang sahabat berkata; change is never easy. You fight to hold on and you fight to let go.

Kata orang, better late than never.

Kata saya, kita tak pernah terlambat. Selagi ada masa....
InshaAllah.

Tempatkanku di kalangan orang-orang yang beruntung.

Tetapkan hatiku di jalan ini ya Allah.......

unravel the hidden YOU.

dah rase menyampah nak highlight baris-baris ayat dalam buku gabak.
dah nak muntah hijau tilik nota berjela-jela.
dah letih nak duduk kat kerusi sepanjang petang sampai ke tengah malam menghadap slides...

rase perlu unwind?
perlu berseronok?
perlu bersosial jumpa kawan-kawan?

apa lagi... JOMMMMM ramai-ramai memeriahkannya~!!!



untuk maklumat lanjut, sila lawati czemsahradeckralove.blogspot.com atau kunjungi laman czemsahk di FB. jgn lupa klik butang "I'm Attending" *winks*



credit: irfan shahmi.

post-mortem.

Bismillahirrahmanirraheem.

Salam 'alaik.

Kali ni, biar hati yg berkata-kata.

Alhamdulillah. Alhamdulillah. Alhamdulillah. Segala puji buat Allah, Tuhan sekalian alam yang bukakan pintu hati utk join Syahadatul Haq kali kedua. Kesyukuran tak terhingga dipanjatkan pada Yang Esa kerana sekali lagi "dipilih" utk yg menjadi "yang istimewa" dalam kalangan yang ramai-ramai di luar sana.

Mungkin tak ada orang lain yang akan baca entry kali ni, dan mungkin tak ada orang pun yang buka tapak lubuk fikiran & luahan hati seorang Shafiqa Izzati ni.. Tapi insyaAllah saya jadikan ni sebagai peringatan & teguran untuk diri saya sendiri. Dan partly sebagai medan amal saya jugak supaya boleh jadi saksi untuk perbicaraan akhir saya kelak.

11.47pm. Sangat penat. Esok kelas pagi. Dan exam minggu ni insyaAllah. Saya pun tak ada idea nak tulis apa. Tapi hati saya sesak. Saya tertanya-tanya sendiri, apa yang buatkan saya rasa sebegini? Sedangkan saya tak cukup masa & terlalu banyak tanggungjawab yang perlu saya tunaikan minggu ni. Tapi saya pilih untuk menulis. Dan saya sangat berharap masa yang saya peruntukkan utk spill out di sini dapat redakan kesulitan di hati saya, dan insyaAllah juga peroleh redho dari-Nya.

Turning point. Saya tak mampu dan tak layak nak katakan yang saya dapat rasa hidayah dari Allah tu datang pada saya. Tapi apa yang saya mampu jamin adalah program kali ni dah bagi impak yang sangat besar pada saya. Saya terasa. Sungguh. Dah berulang kali rasanya saya luahkan pada kakak-kakak yang first time saya rasa indahnya Islam, sort of terbuka pintu hati tu masa join PMS di Scotland 2 tahun setengah yang lepas. Dan saya dapat lihat perubahan diri saya sepanjang tahun yang berikutnya. Malangnya, "rasa" tu hilang. Saya sendiri pun tak pasti bila dan bagaimana. Saya tak boleh nak tuduh environment Malaysia yang tak support perkembangan saya. Partly salah saya sendiri jugak sebab tak ada usaha keras utk pulihkan keadaan dan biarkan diri terus hanyut.

Saya rasa berkali-kali juga saya disapa dengan perasaan "saya perlu berubah" tapi saya tak cukup kuat untuk grab seeratnya. Lantas, perasaan tu hilang juga akhirnya. Tapi kali ni, ketukannya kuat. Dinding yang saya bina sekeliling zon selesa saya tiga perempat roboh. Alhamdulillah. Saya sangat bersyukur utk itu. Dan saya berhasrat untuk robohkan satu perempat lagi dinding yang bersisa. Tak perlu saya ceritakan masa silam saya. saya tak mahu buka pekung di dada. Dan kalau boleh saya mahu buang terus kisah lampau saya, tak kiralah apa yang saya pernah buat, atau apa yang saya pernah fikir. tapi saya sedar, butang BACKSPACE, DELETE dan ESCAPE tak ada dalam kehidupan kita. Alhamdulillah. Saya bersyukur utk itu juga. Sebab masa lampau saya merupakan salah satu eleman penting utk saya lihat masa depan saya. Sebagai peringatan dan sebagai teladan utk diri saya sendiri.

Apa yang saya perlu lakukan sekarang adalah maju ke depan. Saya ingin termasuk dalam "golongan beruntung" sampai bila-bila. Dan untuk itu, saya perlukan "tiang-tiang" stabil utk kukuhkan "binaan" saya. Saya perlukan tangga utk bolehkan saya panjat ke bumbung. Saya tak mampu nak gapai bintang. Tapi saya kira melihat bintang dari bumbung lebih indah dari sekadar berbaring di tanah. Angin di bumbung lebih nyaman. dan keberanian utk berdiri di tempat tinggi tu tak semua orang mampu miliki. Saya rasa istimewa. Support system di sekeliling saya wujud selama ini. Mungkin saya saja yang terlepas pandang. Selfish dan hanya berjalan mengikut langkah kaki saya tanpa menoleh ke kiri dan ke kanan. Alhamdulillah. Kekaburan mata saya sebelum ini dah dirawat. Penglihatan saya sudah pulih. Mungkin bukan 100%. Tapi saya pasti dalam tempoh 2 3 minggu lagi saya akan pulih sepenuhnya, insyaAllah. Saya akan cuba makan ubat mengikut masa yang ditetapkan selain daripada jaga diet saya, sebab saya yakin "doktor" lebih arif tentang ini.

Baju saya lencun di saat saya titipkan perasaan saya kali ni. Betul saya terasa. Terasa dengan diri sendiri. Sebahagian diri saya dah menzalimi sebahagian diri saya yang lain. Dan sekarang saya rasa saya perlu adil pada diri saya yang sebahagian lagi. dah lama "saya" tertindas. Saya rasa tak perlu utk saya berterusan mengasihani "diri saya". Dan saya juga tak mahu menghukum "saya yang satu lagi". Saya kira langkah terbaik adalah buang yang keruh dan ambil yang jernih. Sebab saya tahu..


"this path might be difficult, but the final destination is certain" Allahuakbar!

Bantu saya ke arah itu.......



yang jujur berbicara,
HATI.

The Road to be Taken. SH'11

Bismillahirrahmanirraheem..

Salam 'alaik.

"And thus we have made you a just community that you will be witnesses over the people and the Messenger will be a witness over you. And We did not make the qiblah which you used to face except that We might make evident who would follow the Messenger from who would turn back on his heels. And indeed, it is difficult except for those whom Allah has guided. And never would Allah have caused you to lose your faith. Indeed Allah is, to the people, Kind and Merciful."
[Al-Baqarah, 2:143]





Come and join us this weekend. Let's fulfil our obligations, and spread the kalimah.


Fastabiqul khairaat.
Zetty v Zahraa'