Move

I'll be leaving my current hospital, the one which I've worked in for the past 3 years, for a much smaller private practice in a month's time. 

Anxious? Yes, but I do sometime feeling hopeful for the future. 

2015 will be a very busy year for me.

Success, bi'iznillah! 

Anak

Mikhail bin Mohd Fitri Ezwan

11 bulan

Aquarium

Boss bagi. Free. Lengkap dengan almari, pam oksigen, penapis air dan hiasan. Dia nak pindah rumah. Tak mahu pening-pening.

Awak ambil sahajalah. Mulalah kelam kabut cari info + tengok youtube tentang bela-bela ikan ini.

Ada tiga ekor ikan emas bulat, tiga ekor ikan ala-ala kolam jepun, tiga ikan emas hitam, dan ikan kecil-kecil buat kawan.

Ada juga tengok ikan arowana di kedai masa cari-cari makanan ikan tadi, ternampak harga kat tepi akuarium; sengih sahajalah. 

Ikan itu pun muka ketat. 

Bas lama.

Ini gambar bas sekolah aku.

Nampak sahaja macam ini, tapi setakat Teluk Intan - Perlis, naik Cameron Highland fully loaded with passenger + camping equipment, panjat bukit Mozac, selamba sahaja.

Tak goyang.

Old is gold, kata mat saleh.

Aku harap benar bas ini tak dilupuskan, walaupun sudah uzur kelak. Kalaupun sudah tidak road-worthy nanti, simpanlah untuk kenangan dan pengajaran buat anak-anak SEMESTI kemudian hari.

Hanya jauhari mengenal manikam.

My other half

This year would probably mark the lowest number of posts in this blog since its first inception in 2006.

Perhaps one of the main reasons is; instead of blogging, I do now have a person that I can talk and share my thoughts to everyday.

That person is none other than my lovely wife.

Insofar, I have not told her the existence of this blog, and I do not think that she is aware of it either.

I do not plan to keep it as a secret - not that it contains anything 'secretive' anyway - I have this dumb idea of letting her to discover this blog completely by chance. I believe it would be more fun and meaningful that way, so to speak. 

Anyway, after a year and a half of marriage, what can I tell you about her?

She has made me believe, after these troubled years, there is a place that I can call home.

She has showed me what it is meant by to live for others and to love unconditionally. 

She has made me believe, once again, in me. 

Just in time when I thought that I had lost it all.

And for that, I love her and I am glad to be able to call her 'my other half', in the fullest sense of the word.

May Allah SWT bless us with a peaceful Dunia and blissful Akhirah.

I love you.

Capsule

Orang cakap, gol/target ini kena tulis somewhere.  

Baru boleh terlaksana dengan jayanya.

Baiklah. In another 5 years, I'm looking forward to have this on my plaque:

Dr. M. Fitri Ezwan bin Ahmad Baki

MBBS (Monash) M.Med Paed (Sydney) FRACGP

InshaAllah.

Berpisah tiada

Perkembangan mutakhir negara tercinta membuatkan aku sedih;

Banyak golongan agamawan/mengaku agamawan yang, walaupun barangkali punya pelbagai ilmu, tapi ada krisis tasawwur yg kronik.

Baby

Part of my job description is to attend the resuscitation for high risk baby delivery. The obstetrician will deliver the baby by means of either normal, instrumental or caesarean, and I have to be there to catch the baby and manage accordingly. 

It is a time-critical care, and you would endeavour to do things correctly in the first few minutes of life, or otherwise the consequences could be detrimental, or God-forbid; fatal.

Often, it requires good management of the airway and ventilation of the newborn. To achieve this, skills like opening and securing patent airway, and delivering adequate amount of oxygen to the lungs are key element to ensure a good outcome. 

It always has been a rewarding moment for me if I can hand back a good, crying and active baby to mom immediately after birth, but sometimes when I had to wheel them up to special care unit or to be retrieved to ICU, it can be heart-breaking.

I probably shall never forget this one particular case:

An emergency code was called on one fine evening for emergency caeser for a poor baby heart-tracing on CTG and scan. Actually, it was an almost flat line. Baby's heart is not pumping.

My colleague from the Obstetric was screaming on the phone to book the case in theatre and rushed her in. 

I came in and they were just about to make the first cut. I prepared my resuscitation cot and waited anxiously.

"*Thick mec, Fitri!" his voice boomed. And shortly after, a flat, 'blue-as-bluehyppo' baby was pulled out, without any signs of movement or effort-to-breath.

The nurse cut the cord and brought the poor baby on the resus cot. I shoved in the laryngoscope inside the baby's mouth and cranked it up; and there it was, mouth-filled with meconium/infant's poo.

Suction was made, but I can't still see the upper part of the air-pipe, and there was a lump of meconium stuck on it, obscuring the view. I can't intubate the child. 

The nurse shouted 'I can't feel the heart beat', and at that point of time, I started the CPR and gave a positive airway pressure, hoping it would push the obstructing mec away.

And it did.

Baby started to move at around 2 minutes of life, and heart rate stable around 5 minutes of life. The baby started to cry and **pink-up shortly afterwards. 

Alhamdulillah. 

We need to take him to special care for IV lines, medication and nutritional support.

As I wheel him up from the theatre, his little hands extended upward and, by God, his cute little fingers were wrapping around my right hand (which, at that point of time, holding the oxygen mask on his mouth). He opened his glistening eyes briefly, and looked straight at me. 

As if, he was trying to say, "don't give up on me".

I can not describe to you the feeling.

I just can't.

I thank Allah SWT for granting me, a lowly slave of Him, such a wonderful opportunity to help others in need.

Alhamdulillah all is well for the baby. He was stable, feeding well soon after and gained good weight. Discharged after a week.

I pray for your good life ahead, dear baby. 

*meconium: infant's poo.

*pink-up: returning to normal skin colour. 

Paediatric

Alhamdulillah.

Enrolled in the postgraduate program of Paediatric by the University of Sydney. 

Courses, lectures, paperworks, reports and exams. Welcome back! 

May Allah SWT grant me hidayah and 'inayah. 

"Rezeki baby" my wife said. 

The ship is yours

Subhanallah. .

Anak, Famili dan kerja.

Alhamdulillah. Aku rasa macam sudah tua. Isteriku pun tegur "Abg nampak mcm dah lain." .

Kalau ada satu dua yang boleh aku kongsikan tentang kehidupan di sini;<.

1. Lelaki harus ada pelan. Be realistic. .

2. Lelaki harus buat keputusan. Firm. .

3. Lelaki harus bertanggung-jawab. .

4. Usia, kesihatan, masa dan rezeki milik Allah S.W.T. Bukan kuantiti yang akhirnya memuaskan anda; tapi keberkatan. Percayalah..

5. Hati dan perasaan ibu-bapa/Mertua perlu dijaga at all cost. .

Baru jantan!