"UKM's trash"- "SAMPAH UKM"- "国大的垃圾"

This is the place I live- Laman Midah Apartments

Inilah tempat tinggal saya sekarang, di Bandar Tun Razak

这是我住的地方-焦崃



Below is the route I pass through everyday from the wards to my place of stay.

jalan ini perlu saya lalui saban hari

以下是我每天必经之地



Every evening will be the time everyone looks forward to when they can throw off their 1/2kg white coat and can slump on the chair... motionless for a few hours at least..

Tibanya petang setiap hari, gembiralah semua warga UKM dapat pulang ke rumah, menanggalkan kot putih yang diberatkan dengan tendon-hammer, stetoskop, pen torch, dan pocket kumar and clark

夕阳西下,我们终于能弯弯腰,放下包袱, 安心地歇息...





But everytime I reach this part of the road home my heart sinks. Down to the unknown fathoms of sorrow...

Belum lagi baju pemberat ditanggalkan, hati kecilku telah diberatkan sungguh

但一经这处,心情不知不觉地沉重下来...



Why? because this pass, is only used by 3 groups of people.

Kerana jalan peniti ini hanya digunakan khas oleh 3 kumpulan orang


因为这径路别无他人使用,只有.....




Doctors, Nurses and medical students!




ONLY DOCTORS, NURSES AND MEDICAL STUDENTS!




And this is solid proof of origin- the Cooperative store's plastic bag.

Dan inilah bukti terbaik...

而这,就是最好的证据...



Yes! All of them are involved in the healthcare profession and are held in high regard in society. Thus, professionalism aside, qualities like integrity, civic consciousness, responsibility, good moral conduct are expected of them and this should manifest not only when they are involved with patients but should permeate every aspect of their lives.

Golongan inilah mendapat sanjungan tinggi masyarakat, maka secara semula jadi kita mengharapkan yang terbaik daripada mereka, dari semua sudut kemanusiaan... bertanggungjawab, berkesedaran sivik kerana mereka menjadi papan ukur and teladan semua... bukankah begitu?

这群专业人士, 得到大众的的尊敬及崇拜,而同时我们也对他们有所要求- 至少在成为一个负责任的公民.



If professionals like the above act in such an irresponsible, callous and cavalier matter.... What has become of our society? What type of individuals have UKM bred?
Will that augur well for our nation as a whole?

Jika golongan yang disanjungi ini berkelakuan sedemikian... apakah yang masyarakat kita telah menjadi?

上梁不正下梁歪...那接着岂不是屋倒人亡吗?



If you have the chance to stop by HUKM, please take the chance to view the "products" of UKM.

Jika melalui kawasan ini, janganlah lupa melawati kubur sampah ini...

有闲不妨到这观观'奇景'



The many 'colourful' "subjects" HUKM has "produced."



Why can't we let them be you ask? The rains will come, trash floats? aint it?
After a monsoon, problem solved? ain't it?

Mengapa tidak kita biarkan saja, tanya-mu. Hujan akan turun, air akan melimbah, sampah akan dihanyutkan dan masalah KAN diselesaikan? Kedudukannya begitu strategik di tepi parit, besar lagi tu?

等等那倾盆大雨洗净一切不就没事了? 不? 坐落在大渠旁的东西根本不肖一顾吗!




The matter ends not, there. Fouled streams, begrimed rivers, loss of tourist location, disease spread, floods, landslides (water stagnation leads to poor clearance of soil pooled water, leading to increased soil load...) all stems from this act.

Whatever you throw down the waterways- mercury, nickel, lead, pesticide, poison, industrial waste, will be absorbed by microorganisms... being lipid soluble these compounds accumulate up the food chain... a fish eating many contaminated shrimps will have 20X d amount of contamination. sharks and human will have 100000x because we're at the very end of the food chain.

A term called biomagnification

Masalah ini tidak terburai begitu sahaja. Tidak kira apa yang dilupuskan melalui jalan air, akan suatu hari nanti kembali kepada kita. Racun, logam berat, Sisa toksik larut-lemak dan akan dikumpul dalam tubuh hidupan air, dan akan menjadi berganda apabila makhluk besar makan bilangan haiwan yang kecil... manusia, ikan besar seperti tuna mempunyai puluh ribu kali ganda mercuri dalam badan udang. Dan inilah yang akan kita makan.

Kita pandai melempar tuduhan kepada kerajaan apabila sungai Dicemari, pantai dikotori, Sungai melimpah ruah, banjir berlaku, tanah runtuh, penyebaran penyakit berleluasa... tapi sebenarnya salah siapa?

垃圾-不见不闻不代表没有. 别只会把矛头指向政府,偶尔照下镜子- 土崩, 泛滥, ,兮湖浊山...都是我们一手造成...

排泄物,重金属,毒素品倒下河里,迟早会吃回肚里. 它融与体脂--在生物线,生物网里它会愈增, 在线,网末端的动物,比如鲨鱼,量有万倍上...人也不例外...
请别再捕杀鲨鱼...为您健康着想...


methyl mercury levels reach FDA limit for human consumption of 1 ppm. Excess will cause minamata disease.




People who litter are no better than the stuff that they throw.

Sampah, dibuang oleh sampah

废物,才会乱丢垃圾




You're action, Kills


Perbuatan anda membunuh

此行为侵害众生





Please make this lowly habit a thing of the past. we must shed the tag
"1st world country with 3rd world mentality"

Usah biar negara kita masih ditanggap penduduknya jahil! Kalau tidak tukarnya tabiat kita tidak akan terhenti sahutan bahawa mentaliti kita masih tinggal atas pokok sungguhpun ada bangunan kembar petronas

别再让这陋习流传在我国人民内. 我们是时间长大了.



I am ashamed today. For being a UKM medical student.



Adakah anda selesa melalui kawasan tersebut melihat keadaan sekeliling?



羞!羞!羞! 我羞!



Preserve the environment, and may your health be preserved... Let us do what we can, and it's as simple holding on to the piece of paper, till you reach a dustbin.





Beratkah cebisan kertas kecil tu sehingga anda perlu melepaskannya serta-merta di mana jua? Tidak beratkah pula mata anda memandang kejijikan dan kekotoran buatan sendiri? Bawalah ia dalam tangan sehingga terjumpa tong sampah... aku merayu



相信那张纸没千斤重吧? 居然如此, 能不能将它握在手里, 直到看见垃圾桶?
想信这是举手之劳? 谢谢....




For a better Malaysia

Untuk negara kita yang makmur

为国家,为环境,为自己..



The title of the post refers to items and not humans.
Tajuk merujuk kepada benda dan bukannya orang
其上标题指向物体,非人体.

Surviving Med School

Written by Jeff Wonoprabowo --

Throughout the year, one question loomed over me, haunting me like a bad dream: "Do I really want to go through all of this to become a doctor?" It's a question I think is harder to answer now than when I was in college, especially now that I’ve started to see what I am getting myself into.

One day while I was in high school, I was sitting on the couch in front of the television. I’m not sure what I was watching. I do remember my mom calling me away from the tv set. She called me into the living room because she wanted to talk. I found it rather odd; it seemed totally out of the blue. But, I suppose, this shouldn’t have come as a surprise. Conversations with mom sometimes seem, at least to me, to come right out of left field. That evening my mom defied the stereotype that all Asian parents want their children to become a doctor or a lawyer. She sat me down to tell me she didn’t want me to become a doctor. That conversation was in high school.

The thing is, I was never the child who grew up with dreams of becoming a doctor. When my mom found out she was pregnant, she decided that in order to stay at home with me she would have to start her own business. She started a data entry business. As a result, I grew up around computers and decided that one day I wanted a career that involved computers.

But here I am, now a medical student. Although I have only completed the first year, I’m on my way towards earning the right to add the initials M.D. behind my name. Not that I need any more letters; my last name is long enough.

It’s scary, though. I have put myself on a path towards becoming a physician -– a path that is long and quite expensive. Should I continue down this path, I know I will find myself in a very rewarding career with enough money to keep a roof over my head and food on the table.

It's a frustrating journey. There's a ton of information that is force-fed during the pre-clinical years. At times it's a challenge to see how some of it is even relevant to patient care. More than once during my first year, I wondered if I really want to do this. It was almost a monthly cycle; it coincided with exams that came about every five weeks. I hated exam weeks. Actually, I still do. But those were the times when I wondered, considered, and longed for being somewhere else. I enviously think about friends who have finished school and are earning a good paycheck. Then I take a look at the numbers on the statements I receive from my lender. It is always a little shocking to see how quickly those numbers grow. Sadly, the balance of my checking account has the opposite trend.

Yet there are times where I am truly grateful for the chance to be where I am. And there are many more times where I am excited about the possibilities of where I’m headed. Because medicine -– being invited into the depths of patients’ lives –- is exciting. I wouldn’t blog about medical school if I thought it was boring, depressing, and monotonous. On second thought, I probably would. But if you're reading this site, you probably wouldn't be my target audience.

Sure, it can be hard and time-consuming. Obviously it can be very frustrating. But after having spent six weeks in the wards with attendings, residents, and medical students (2 at the beginning of the school year and 4 after), I think I have found a source of inspiration and motivation. It's not about the prestige; I don't think all the training is worth what prestige is left in the profession. It's not about the money; there are easier and shorter paths to earning a decent living. It’s not about being your own boss; the current medical system has made that terribly difficult. It's all about the patients.

And now I think I've found the answer to that looming question. I just hope my answer doesn't get lost in the deluge that will come in the form of my second year...

Notable Replies :

As a person who initially wanted to be a doctor (and went through all the pre-requisites, the MCAT, etc.) and who then decided instead to become a nurse, I have to say that in my practice, neither medicine nor nursing has much to do with the patients and has everything to do with insurance companies and attempting to manage patient care with inadequate and dwindling resources. I work in the ER and when we admit patients to the hospital and I speak to admitting doctors (who often don't even know the patient and are chosen to take care of them based on which insurance the patient has), it turns my stomach to think of being the MD on the other end of the phone having to come up with a plan of care for a complete stranger that he or she may or may not meet for another 24 hours depending on their schedules. It's sick and it's scary from a professional liability standpoint. Dealing with our aging population and their 10 chronic illnesses day in and day out is not fun, it's not mentally stimulating and it's not glamorous- it's work. The bottom line is that once you get through your learning curve, work is still just work as it would be in any other job. I had to ask myself how much I was willing to sacrifice in my personal life for something that ultimately would end up still being just a job at some point. Life is very short and at the end of your days, where do you want your memories to come from and where do you want your life to have been spent?

reply2
I hate to be the cynic, but is it about the patients? As you can see from the replies, the more time someone spends in health care the less it becomes about the patient. I keep thinking it is going to get better. It certainly isn't about patients in med school. In the first ridiculously painful year there was always second year to look forward to when I got to barely talk to a patient. Then there was third year when I got to touch a patient, however pointlessly in the learning like a leech phase. Finally, I'm a fourth year where my contribution is actually minimal and if I wasn't here then someone else would do it more efficiently and probably better. These thoughts don't go away once you "hit the wards" as some have suggested. Yet, I will keep hoping that eventually this medicine stuff actually allows me to be in service of people. But yes, I'm doing this blindly and with the faith that it will someday matter. I may never enjoy medicine (memorize stuff you don't care about and apply occasionally...it actually isn't challenging...who knew!), but the hope is that it will someday matter.

reply3
I've been waiting for this article for a very long time. Since my first year in med school 6 years ago actually :). In the Caribbean we have 5 years of Med school then we graduate as medical doctors with the MBBS (bachelor of medicine and bachelor of surgery). We have one year of internship afterwhich we go from provisional registration to fully registered medical doctors, unleashed to the public ;)

I just completed my internship year and have been recently unleashed :) Our days/months/years in med school are quite a lot different to those in the US and other 1st world countries. We have patient interaction and contact from as early as our 2nd semester in 1st year on the wards!! i remember in my 3rd year, i was very competent in basic procedures as iv cannunlation, incision and drainage of abscesses and removal of chest tubes. in 4th year my colleague and i, (under direct supervision) applied our first skull traction on our orthopaedic rotation....applying the Steimann pin was petty stuff for us then.
So, basically we had a lot of hands on experience and really got our hands dirty throughout our training. Having completed my first year as a Doctor and applied all that i learned as a student, repairing episiotomies, delivering countless babies and actually doing an above knee amputation (having scrubbed in countless times as the assistant), it became quite clear to me why doctors either make or break in their profession.

"there are some things in this life that money just cannot buy!!!"

...and the satisfaction, pride and overwhelming joy that the privelege of assisting another human being where they cannot assist themselves is most definitely one of them. Too many doctors focus on the money! hands down!!

Dont get me wrong, there were countless days and nights i'd cry because of stress....i was broke with, sleepless nights, lack of food, disappointing results after my greatest efforts, crticism, condemnation and harsh words from my seniors and most of my high school friends were buying their first cars or home and living "the life"....the list goes on. I now realise that this journey cannot ever be compensated in financial rewards/returns and that i must seek that elswhere. Hence, i started my own business and now have money coming in to me whether i'm there or not, whether i'm sleeping or awake and i have this peace of mind now when i go to "work" and have to deal with all the stress and the "heirarchy". Now, the moment when i truly opened my eyes was when i decided to volunteer my medical skills at a free health clinic in a rural community where access to health care and availabilty of doctors and medical services is dismal. But it was "that feeling" when the patients left all smiles because they got free advice, counseling, medications, ultrasounds, eye tests, you name it...it was that feeling that gave me inner peace and removed all doubt and panic that i'd chosen the wrong path. the money will come (esp if you diversify your income) but peace of mind must be earned and you will cherish it forever.

Thank you for your article and everyone's comments. No one or way is right or wrong yet each comment has so much emotion attached....why are some negative and others positive? because we all live the struggles day in and day out but some choose to face them and find ways to overcome whilst others choose to run for fear that they've made the worst mistake of their lives......what do you choose??

For me. The answer still isn't clear. I never wanted to be here and the stress is killing my relationships... is it worth it? I don't think so.
But what the hell. No turning back so I'll do what I can.

toodeedelum...

I guess I'm forbidden to study.

The more I study the worse my results become... yep yep I've studied harder than my two previous sems combined but my results this time are the worst of the lot. Chiew....

I tot I had something to prove and I studied thru and thru. Yet all I managed to achieve was prove myself wrong. Stupid isn't it?

But I guess I was nvr made for exams. What I can say now is that as alwiz knowing what youre doing is good enough. Jz don't go through it blindly and regret later... slugging really doesn't work for me.

Oh well!

Hmmm... din noe I could be affected this way by results. Maybe its not per se la. Jz frustrated that all the effort was not rewarded. Oh well I've put it behind me gua..

Dum d dum...

Hmmm... I guess nothing is wat it appears to be these days...

PPL you think shunned you cud b very affected coz you started avoiding them too...

PPL you tot you're very close with can hv peak and troughs that you have no idea of coz it was never shared and therefore you cannot anticipate and thus cannot react well... I guess feeling less for everything bodes better... dun put too much heart into it...you never know...