Monday, October 19, 2020

still pending...

 

Months had passed since the disease crawled along the earth; I was lucky, the region I worked in had been freed from the terror. During the past few months, I had suited up for a few times to take throat swab for suspected cases but however none of them was positive. The tension had regressed to sub-normal and although I still follow strict protocol at work and wear mask while wandering around. Some of the public had started to neglect the necessity of taking precaution.

Life was nevertheless better than in the past but pending the international situation, we are still sitting on a bomb…

Reverting to normal life will be a dream for the next 2 years as no country will open up their border easily. Any foreign travel will be started with quarantine and ended with quarantine which lasted 2 weeks each; I do not have the luxury to spare the time….returning to Homeland will be a dream for everyone of us…

Monday, April 27, 2020

MCO and beyond


The successful implementation of 3 stages of MCO had flattened the curve and moving toward the lifting of such measures. The government had not revealed any detail and apparently is at the drafting stage.
The South Korea had demonstrated a similar situation as in Malaysia during this Covid 19 rampage. A cool period which both countries shown a good control and later an outbreak due to a specific religious cluster leading to a massive uproar of figure. The advance in technology of South Korea had however enable them to produce rapid test kit, GPS + mobile phone tracking system which enable the authorities to track down the victims, suspects and contacts. Their daily cases had decreased steadily since earlier this month and approaching single digit recent 1 week.
Malaysia lacking of those tools had however maintained a good control and paving itself toward a similar path.
The price was a total lock down jeopardizing its economy and daily routine of its peoples. The problem Malaysia facing at the moment is producing a good exit strategic for MCO.
The key to the success of South Korea controlling the Covid19 was not the tools they have but the self awareness of its peoples.
As quoted by Eun A Jo in an article posted in THE DIPLOMAT:
While important, these governmental measures would not have been effective without the large-scale cooperation of the public, the imperative for which was painfully learned.”   
The painfully lesson of MERS in the 2015 causing many fatalities was due to withholding of information by the authority. The amendment of its infection control act had empowered the minister of health to collect essential data for contact tracing and also allow the public to assess crucial information regarding the spread of the disease.
It is a trust of both parties where violation of human right was definitely noted during the stage of pandemic.
The Malaysia had however lack of similar condition where people was not terrified by any plague like disease in the past 20 years. I remembered during my days as a house officer, the central part of Malaysia was haunted by the Nipah encephalitis. Initially it was considered as a JE outbreak but later it was proven otherwise. When I left Malaysia, SARS was terrorizing the Fareast; I remembered the KK I worked in had only 2 N95; which were the only PPE we had.
For all those years, my homeland has not been disturbed like what we had experiencing at the moment.
Well, it had been a good fight with the cooperation of the rakyat as the figure had been showing progression as time passed. However the challenge had only started as the exit strategy had to be implemented in a near duration.
The self awareness of rakyat is the most crucial part for the maintenance of the post MCO phase as China had shown the resurging of figure as they lifted the lock down. With more than 500+ arrest a day, our fellow rakyat will have to do better to ensure we had a smoother transition from the lock down.
The DG had however stressed on travel ban and it is a good news as our neighbor countries are not doing as well as we had so far.  

Tuesday, March 31, 2020

lock down....


It had been one of the worst periods since my practice. I had been through the SARS and it was kacang puteh compare to our current condition. At that period, we knew who to be aware of, but now we don’t.
Wearing PPE is currently not practice in my setting at the moment, but yet it might just hit us any moment.
Home land had deteriorated since early March after the big castle gathering leading to a massive cluster. Lock down implemented and it had gradually evolved to curfew-like condition in some area.
I had made calls on regular basis checking my parents living down south. Good news was my brother had returned from China and currently staying in the house, levering the burden of my sister-in-law. With my brother at home, everything is cooled and I really thank him for handling matters around my house at the moment.
Only less than 20 countries that were spared from this disastrous plague, most the heavily bashed country had started the lock down measure which proven by China to be effective in controlling the spread.
Medical staff elsewhere around the world had been battling the disease with their best effort and yet I am currently still comfortably sitting at my desk…I felt sorry that I couldn’t help my fellow Malaysian counterpart to ease their burden. I could just only pray for them hoping that they could hold on to the fight and win the battle eventually.


Monday, March 2, 2020

about the Indian dress


It is one of the darkest periods since I started my practice…When I returned for my training, SARS was haunting our society. We had massive community transmission, in-hospital transmission and the disease itself was so terrifying, patient suffered from severe respiratory distress and face either death or serious sequels in the future. However it was a period where we knew who to watch out for; only those febrile would transmit the disease. Febrile patient was seen outside the ED, rapid test was done to confirm if they were safe.
SARS- COV-2 is not same as its predecessor; those infected might not have fever, just only cough or ASYMPTOMATIC….We had facing the enemy we cannot see… blind folded…
The local authority had however made the hospitals believed that by screening fever at the gate could stop the disease. Slow down – yes, but STOP might not be practical…. Eventually all measures would fail as the only way to stop the disease is do what KJU did, which could not be attained by any democratic country. We are apparently losing the war, slowly.
The local authority had however had a good start by controlling the face mask distribution and production during the early stage of the disease. The safety supplement for all the hospital had been raised from week to almost 30 days at the moment. Nowadays, you do not need to queue a long duration to buy face mask (limited to 2 per week[ 3 starting at the end of the week]),  but some area are still facing shortages, however there are a few apps that could show you the storage of every pharmacy in the country.
Even now the local authority is still trying to tell the local peoples that there is a limited spread of the disease in only a few families instead of community transmission; but for us, the defense line had retreated from the immigration gate to the city street…
The declaration of community transmission would cause massive panic causing a further dampened the supply of face mask. If the truth is revealed, people would panic and wish to put on their mask all the time outside their residence. Imaging that you would need to supply one face mask to 23 million peoples every day (the current production is 8 million per day)…A lot of people had started to buy cloth to make their own washable cloth face mask (which could be reinforced by adding a middle pouch to insert a non woven fabric to strengthen its protection ability); Ving said that the textile shop was filled with peoples trying to buy cloth, it would take a few hours waiting time to be served.
There is still no local transmission case noted at the southern part of the country. I sincerely pray that it would stay the same for as long as it could.

Saturday, November 2, 2019

Grace.....


For the past 4 years, I had been attending funeral from time to time….it creeps me but that is life…
2 years ago, one of my radiologist colleague past away due to a malnutrition complicated from a rare tumor surgery. He suffered from malnutrition and later passed away during an admission. A shocking news for all of us.
6 month ago, my classmate’s daughter passed away at the age of 14 due to cancer. 1/2 month ago, one of our church members was killed by her daughter in her sleep. Both the mother and daughter suffered from psychiatric illness…the daughter was arrested and currently under the custody of police.
I had a rough time both at work and my personal life for the past 1 year. At one time, I felt that I was tormented and wished to do something to ease my pain; either but letting other suffered or indulged myself on something which I don’t deserve. Well, I was lucky that I didn’t cross the red line. Grace had happened from time to time and I was reminded by those events. Thanks to the Great One which had mercy on me…

Monday, October 28, 2019

confuse....


It had been six months since I wrote down anything…tons of event had occurred and I was disturbed and not in the mood to write anything ….
From Yun’s choice of college, traffic accident, rabbits fallen ill till job disturbance…anyone of it could lead to an insomniac night…
I am glad most of the events were settled and I could take a temporary rest at the moment, but frankly said, there are still a few events which might get out of control anytime..

the journey to Chandpur


The small bus charted had picked us up at 6am from the airport and we were scheduled to board the 7:30am ship to Chandpur. It was a short trip of 5km but it had taken us 1+ hour to reach the pier. The last 500m was the culprit as the road to the dock was filled with peoples and vehicles. The small bus could hardly moved initially but the bus driver had squeezed our way and we finally reached the dock.
It was a double storeys boat which looked something like the ferry in the Huckleberry Finn. The missioner had bought us 1st class ticket with cabin. Air-conditioned room with bed was allocated to us. Although I was very tired from the red eye flight, I couldn’t close my eyes as I was so disturbed by what I had seen. It is definitely a developing country; uncountable bricks company along the river back, transportation ship, fisher boat had filled the river. 
The ship's canteen was selling delicious food but I was reluctant to take any as the missioner had kept warning us regarding about dysentery they had been through eating outside food. Some prata was distributed among us and I found that it was nothing difference that what I had in the past.
We arrived at the pier of Chandpur 5 hrs later. A few tuk-tuk were hired and the ride was as dangerous as I could imagined; 2 person stuck at the front seat with the driver with 3 more person at the backseat. Half of my body was hanging outside the tuk-tuk. Luckily the ride was a short one.
The mission house was along the stadium road opposite the railway and river canal. It had a large pond besides it. 1 office at the front a small path along the pond led to a 3 storeys hostel.
A kiwi based foundation ran the facilities which consists a hostel for students from the mountain area. The students was recommended by the local village headman and sent to Chandpur which was 2-3 days travelling from their original village. The boys stay in the hostel and studied at the mission school 1+km away. The mission school is a foreign school which teaching medium is English. It is a private school which is available to those affordable only.
I had stayed in the hostel for the next 4 days...It was an eventful tour and I had learnt a lot. When I left the place, I decided that I would do something to change my situation.
The flight back to K city was smooth; red eye flight and I arrived in Survanabumi Airport early in the morning and made a transit back to K city later.
I acted to change my life after the trip....