2015.... ups and downs

Lets review my 2015 journey...


End of 2014, Dec...
Lepas resign as research assistant under Mr Avtar kat HTAR Klang start la pencarian kerja baru... Finally Dec dpt kerja kat Kawaguchi Mfcg, kilang plastik.. Interview yg ntah pape.. 1st time ever interviewer x tanya apa2. Just suh kite tanya die apa benda nak tahu... Pelik dah kat ctu... Msuk keje pun dah nk end of dec...


Jan 2015
Memang menyakitkan hati kerja kt kilang plastik ni. Mana x nya rehat 45 min. Time tu la nak mkn, nak solat. Tempat solat x proper. Tempat solat kt meeting room siap warn x leh bukak lampu n econ... Dah la room tu full of furniture.. Tokei kilang ni taiwanese. Mmg inconsiderate. Alasannya not fair to other worker.. Last aku kena sound just becoz bell rang tpi aku bru kuar dri meeting room. He said I'm supposed to be at my desk by then. Bullshit!!! Masa interview x pulak bgitau solat mesti at recess time. Mmg menipu company ni. You u know what, dlm offer letter state work start at 8 finish at 5pm. Tpi xtually they asked us to be at work before 7.40am and finish at 6.30pm. Perghhh.. Nmpk x tipunya. Those yg blik at 6.30pm mmg lucky coz my dept plg awal bole balik at 8.00pm.. Hari ke4 aku keje blik at 10.30pm... Laki aku mengamuk kat rumah... No wonder starting gaji dah gempak RM2500. Rupa2nya die cover sume ot kat ctu. Byk lgi la benda merapu company ni... Malas nk state je. The next day kena sound pasal solat tu aku mc sbb gi hosp ada appointment utk fertility treatment. Aku mmg x bgi tau dorg pasal appointment ni. Masa kat hosp dpt call dri superior tnye y x dtg. Then I said I got MC. Mmg pun dpt MC at that time. Dah pukul 1 lebih dah. Alang2 MC better duk rumah je. Tpi call tu suh aku dtg kilang tunjuk muka kt superior tu. Dia nak tgk aku betul2 sakit ke x. What??? 1st time aku keje ada rule cam tu.. Ingat dkt ke nk pegi sana. If dkt pun I wont go. The next day aku kena sound lgi... Haha. Aku buat bodo je. Then I hand out resign letter.. Yg 1st x diterima coz the date n reason yg they cannot accept. Hari MC they dont want to pay.. So at that time gak tulis bru smpi they satisfied. Berapi dah aku time tu...
Pastu gi interview tmpt lain and accepted tpi declined sbb gaji kecik sgt n sabtu keje.. Plan nk gi kenduri hari sabtu bulan feb... Haha


Feb 2015
Period dtg cm sikit2. Spotting color brown. Lama gak. Pastu mlm sakit dada sbb angin. One day bgun je pagi amik upt and walla... Double line... Mmg x di duga.. Spotting continue smpi sudah.. Then gi klinik bgitau pasal prgnant n spotting. Buat upt lvi kt klinik to confirm. Doc bgi refer letter ke HTAR. Mula2 gi klinik sbb tkut peristiwa lama berulang lgi. Tkut ektopik lgi. X mau la satu lgi fallopian tube kena buang. Dah la ada sebelah je.. Kat HTAR pegi PAC. Scan and luckily ada nmpk sac. So confirmed bkn ektopik... Lega!!! Tpi xnmpk janin pun lgi at dat time. Kena dtg another 3weeks to scan again. Pasal spotting tu dic x kata apa pun. Doc bole kata mgkin bru lgi atau prgnancy x jadi. Siotttt


March 2015
Masa ditunggu... Berdebar2... Spotting masih ada. Even masa gi kenduri msuk jln kg terhentak2 sana sini. Mak ai takut gile. Dgn spotting worsen. Nama dipanggil utk scan.... Then doc bgitau nak dgr berita baik x? Ha???? Dah ada fetus n heartbeats. Alhamdulillah... Bole proceed buat buku merah. Test air gula mgtt (maternal glucose tolerant test), yes... Anda positif ada gdm... So bermula la episod gi klinik 2 mggu sekali utk buat bsp... Scan once a month kt kk. Kat private pun buat jgak. So jadi 2 kali sebulan scan...


April 2015
Spotting makin teruk. Sekali lepas makan rasa cam basah je seluar dalam... Gi bilik air cek... Hurmmm darah kot.. 3 hari jugak la darah. Husband buat xtau je sbb die mmg blurrr bab ni. Tanya ok ke x ok ke x.. Xde inisiatif lgsg nk bwk gi hosp.. Pastu wifenya pun dah down. Anything can happen. Rasa cam pregnancy ni nk berakhir dah. Mgkin akan gugur... Lepas 3 hari dia jadi spotting blik. Mgkin sbb bedrest je time tu. Spotting smpi smggu then bleeding lgi. Kali ni 2 hari.. Pegi HTAR.. Cam biasa scan nmpk bby n heartbeats. Xde ubat pape pun... Tu yg malas nk gi hosp. Threatened abortion katanya... Xde ubat... Remember that I went to fertility treatment bulan Jan. At dat time doc suh reduce weight. So dpt next appt 29.04... Since spotting doc kat kk suh pegi je fertility clinic tu. Pegi2 dpt lah duphaston utk 2 months. 3 kotak baq ang.... Puas hati dpt ubat... Spotting trus terusan menghantui pregnancy ku...


Mei - Jun 2015
Akhirnya spotting stop masa 6 months of prgnancy... Rutin biasa cek up kt kk.. Bsp... Kawal diet... Berat x naik sgt. Hb turun ckit jdi 10+ dri 12.


Julai 2015
Bulan puasa kan.... 11 hari kau x puasa... Masuk wad 3 hari sbb bleeding. Mgkin batuk kuat sgt kot. Cam biasa gi PAC HTAR... Ckp bleeding... Nurse suh tukar baju ngan kain... Hai dlm ckp msuk wad ke... Before ni bleeding elok je suh blik. Mgkin sbb dah 7 bulan lebih time tu.. Dlm wad kena pantau bleeding lgi ke x tu je... Tpi xde bleed dah. Sekali tu je. Kejadian tu la yg mencetuskan fenomena x puasa 11,hari... Start msuk wad x digalakkan puasa... 3 hari gak dlm wad.. Kuar wad husband x bgi puasa. Hurmmm..


Ogos 2015
Cam biasa je.. Scan 2x sebulan.. Everything is ok.. Amniotic fluid ok.. Everything ok cuma baby je kecik ckit tpi still dlm range... But one fine day, I was attacked by asthma. Hahaha.. Gi private klinik cam biasa sedut gas (nebuliser)..
Masa kat kk bgitau la doc pasal attack tu. N dia cek kata still ada bunyi kt paru2. Since ada asma kena refer plak ke doc pakar kesihatan keluarga... Dpt refer bulan 9


Sept 2015
Gi klinik utk cek tahap asma tu. Masa tu dah ok. At the same date sepatutnya kena scan. Ao doc pakar tu pun scan la sekali... Scan punya scan.. Die detect masalah lain pulak. Air ketuban byk (21).. Perghh. Doc cite bla bla bla cause n effects nya n suh refer ke hosp plak. Aduhhh.. Sudah jatuh ditimpa tangga... Dua mggu pas tu pegi la klinik rawatan harian HTAR. Doc scan n mmg confirm air byk. At dat time dah 36 weeks. Since yg scan tu HO so nak kena discuss ngan pakar. Kat rumah lgi dah bgitau husband rasa cam kena admit je pas klinik. N mmg betul pun. Dpt letter utk admit ptg tu jugak... Yeay! Msuk wad lgi... Start 22... 24 raya haji.. Elok je kat rumah gdm diet control kat wad trus kena inject insulin 3 hari msuk wad. Kebetulan patient duk bed sebelah pun lebih kurg sama je unstable lie.. Baby gerak2 xnak duk satu tempat. Kepala atas kejap bawah kejap melintang... Pakar bgi dua option either try pusingkan baby n try normal atau czer. Pusingkan baby mgkin ada complications n since air byk baby mgkin ada tendency utk back to kedudukan asal. So I chose to czer. Malas pk byk dah. Masa tu hari sabtu.. Then dpt tarikh utk czer 29.9... Berdebar gila... Tggal 2 hari je lgi nk czer.. Lastly czerrrrr n lahirlah baby Nur Najla Aqilah after 3 years plus of marriage.. Bulan Jan ni dah msuk 4thn kami... Penantian yg penuh dgn onak duri...


Gila panjang lebarrr... Tu x msuk cite najla jaundis.. Msuk wad blik 3 hari.

Setelah sekian lama

HUH....

Last post was in 2011 kot.. It has been 3 years since the last post. Ni baru nak start over. From single to married. From a student smpi dah graduate.. 3 years pass so quickly. Tpi still unemployed. X bekerja.. Huhuhu.. Sedih kot. Dalam tiga tahun tu jugak la aku hilang one of my fallopian tube. From completely normal human being to ehem ehem... Lol.. Life!!! So unpredictable..

Kalau dulu before kawin byk sgt fikir anak nak berapa.. Cam ne nak jaga anak la.. Ni dah nak masuk ke thun ke 3 marriage life still xde experience handle baby.. Breastfeed baby.. LIFE.. Like I said. Xpe.. X kesah.. Malas nak amik tahu.. Bukan orang rasa pun apa yang aku rasa. People can talk but they never reduce the pain.

Keluarga in law pun, hurm wat to say.. Bercerita sebelah pihak x guna jugak. Maybe they feel something else. While I thought something else. PITYFUL..

Nak tahu satu cerita x?

My bro in law's wife masuk hospital. Ketumbuhan kot.. I x tau sgt la details why she was admitted, sakit apa, wad apa, bla bla bla... Bukan malas nak ambil tahu but my husband buat bodo jer. sikit pun xnak cerita ngan wife die ni.. They have their own whasapp group which I wasnt invited (not kinda I wasnt invited, its just I left the group becoz at the beginning I dont know wat the hell group in whasapp for... buta teknologi la katakan). Back to the story, they have their own whatsapp group where the chat a lot. My husband kept deleting everything dlm tu.. So I dont know lots of thing lah..
So I felt terpinggir la.. Like I'm not in the family. My husband dah la xnak pergi jenguk pun sister in law die kat hospital. Dah tu I ni considered as bad person la. Supposed family shud take care of each other la kan. Ni I dah jadi some sort like kera sumbang.. The last one in the family to know everything. SEDIH..

I still x faham my husband. He kind of shut every windows and door whereas I lived and still live with  my mother in law (MIL). Satu rumah kot. When they went to the hospital I didnt go with them. Macam I the baddest (max of bad) people in the entire universe. Mcm I have no humanity. This morning I called my husband asking whether he wants to go visit his sister inlaw, he said no. Let it be... Lnatak diorang la die kate... Hey!!! People r going to judge me not you. DAMN. I'm stuck!!! The first day she was admitted, my MIL looked restlessness.. Kehulu kehilir.. Nampak la ketidak tenteraman die.. I just act like nothing happened. Second day pun die go visit together with the entire family. Senyap la rumah tu because everybody left Nampak la keperihatinan dia.

I reckon last time I was admitted to HTAR, xde sape pun dtg visit except for my mum n my dad. Why huh? I told my husband to not let anybody come n  visit me. Cause I might cry as I want to look like I am strong. Xmo nanges2.. Sape xsedih bile dpt tahu pregnant but not inside the womb. Rasa nak meraung wooo..... Allah je yg tahu sedih x sedih. But x tahu la if he doesnt told them. Tpi this morning when I called him asking whether or not he go to visit, he bring back that story. He mentioned about nobody visited me last time.  Curiosity pun bertambah.... Kenapa ye? Lantak la.. X kesah la disayangi ke x disayangi ke oleh ibu mertuaku... Org duduk dekat mana la org nampak.. Biarlah. Allah maha kuasa.. Apa2 pun boleh jadi. Mgkin my death threatening moment tu not a big deal for them. Aku sentiasa mendoakan kesejahteraan mereka. Mmg nampak aku macam org luar this 3 years old marriage ni.

I just want to remember this moment, this feeling... I guess my husband is a black sheep of the family kot. Thats why, they treat me dat way. Afterall, I'm not that talkative, less intresting compared the other menantu.. Sy x pandai ambil hati org tua. I aint dat helpful... Anak pun xde kan... I just sad, lonely and desolated.. Mungkin aku sahaja yang rasa this way. Mereka mmg caring kot. Im not... Last word, aku manusia yang tidak sempurna....

Wallahualam...... Astagfirullahal azim... Allahuakbar... Hope ini bukan fitnah... I am always try to think positive... Tpi x perempuan la klu xde feeling jeles2 ni..

Sekian utk kali ini...

nak dekat exam.......... then that is the best time to continue blogging... wat a bad choice making decision.... fyp is still somewhere in the air... couldn't think straight tight now... oh god help me...

y life is so unpredictable???

sesungguh manusia itu sangat kompleks...

mampu melahirkan idea dan luahan yang pelbagai...

namun adakah semua yang diperkatakan atau diluahkan itu adalah benar semata-mata ataupun hanya cebisannya sahaja yang lurus?

maka setiap manusia itu dikurniakan akal supaya dapat berfikir dengan lebih matang.

namun tak semua yang menggunakan dengan berhemah..

hanya mengikut rasa semata-mata

pepatah jepun

orang yang banyak bercakap banyak juga menipu... so how true is that saying? judge urself.. outsider is the best observer. but sometime the observer seem to lie as truth is painful to be hear...

how to make JERMAN CHEESE CAKE

ingredients:
1. cream cheese 250g
2. icing sugar              30g
3. wheat flour     40g
4. plain yogurt    2 teaspoon
5. lemon juice    2-3 teaspoon
6. vanilla essence 1 teaspoon
7. yellow egg    2
8. *white egg      2
9. *icing sugar    30g

* to make merenge

Method
1. Mix both cream cheese and icing sugar until it turn to white color.
2. Add yellow egg, vanilla essence, lemon juice and yogurt. Mix thoroughly.
3. In separate bowl, make merenge..... Add icing sugar and white egg and mix until it become white foam like.
4. Add merenge into the first bowl together with flour. Mix them well.
5. Put the mixture into baking cake pan and bake for 2 hour at 180 degree Celsius.

exam toxico

Toxicology exam falls on12th April.... Same date with my birthday... Wat a coincidence.. huhu.. Hopefully that I can answer well in this paper... Huhu..

Thalassemia in powerpoint presentation

to make your life easy... here a powerpoint presentation in this topic...

click here

Thalassemia

What is Thalassaemia?

1.0 Synopsis

This report is about Thalassaemia. Thalassaemia is a inherited disorder of the haemoglobin. I will only cover the two main Thalassaemia's types which are Thalassaemia major and Thalassaemia minor. The report contains the known causes for Thalassaemia, the Symptoms, some of the history of Thalassaemia, and most of all the treatment.

3.0 An Investigation into cause and effects of Thalassaemia

3.1 What Is Thalassaemia?

Thalassaemia may have originated over 50,000 years ago. In a valley south of Italy and Greece now covered by the Mediterranean Sea. The name Thalassaemia is derived from a Greek word meaning sea. But Thalassaemia was recognised as a clinical entity by Dr Thomas Cooley and Dr Pearl Lee who described five cases of Thalassaemia in 1925. (Oscar, Charles, Daniel, Eero, Peter, Munseys, Richard, Roy and Thomas 1987 page 284)

Thalassaemia is an inherited disorder in which there is an abnormality in one or more of the globin genes. To understand more about Thalassaemia you need to know a little about blood and about anaemia. Blood is made up of a lot of red cells in a clear, slightly yellow liquid called plasma. Red blood cell are produced constantly. Blood cells are replaced very quickly. That's why people can often give blood frequently.

The red in a persons blood contains a substance called Haemoglobin. Haemoglobin is very important because it carries oxygen from the lungs to where ever it is needed in the body. It also contains a lot of iron, and when red blood cells are broken down, most of the iron from the Haemoglobin is used again to make new Haemoglobin. People lose some iron from their bodes when urine is passed, this is compensated for when eating food which contains iron. The main reason why people need iron in their food is to make Haemoglobin. (McLaren June 1993 page 1)

3.2 Forms of Thalassaemia

There are two forms of Thalassaemia.
Thalassaemia Major
Thalassaemia Minor (Trait)

3.2.1 Thalassaemia Major?

Thalassaemia major is sometimes known as Cooleys Anaemia, Homozygous, Bete Thalassaemia or Mediterranean Anaemia. Is a serious inherited childhood anaemia. Children with Thalassaemia major cannot make enough haemoglobin. Because of this, their bone marrow cannot produce enough red blood cells. The red blood cells that are produced are nearly empty. (Thalassaemia newsletter Sep 1988 page 1)

3.2.2 Thalassaemia Minor?

People with Thalassaemia Minor, sometimes known as Trait, carry Thalassaemia but they are not ill. They are completely healthy and normal but some of them have slight anaemia. Most people with Thalassaemia Minor do not even know that they have it. It is only discovered if the person has a special blood test or if they have a child with Thalassaemia Major. It is important to know if you have Thalassaemia Minor later in life. The reason for this is that it may cause some problems if the person and their partner wants to start a family. Thalassaemia minors red blood cell are also different from normal blood cells. (Thalassaemia Newsletter July 1988 page 1)

3.3 Carriers of Thalassaemia

3.3.1 Number of people who are carriers of Thalassaemia around the World, Australia and Victoria

There are 100,000 children born in the world with Thalassaemia major. In Australia there are about 300 people with Thalassaemia. In Victoria there are about 180 people. There may also be 60,000 people to 100,000 people in Victoria who carry Thalassaemia Minor but don't even know it. (Hall 1994)

3.3.2 Who is likely to carry Thalassaemia?

People who are likely to carry the gene of Thalassaemia are people with Mediterranean descent, for example Cyprus, Egypt, Greece, India, Italy, Lebanon, Malta, Middle East, Turkey and some parts of South East Asia.

3.3.3 Can Thalassaemia major patients also carry other illnesses?

Thalassaemia major patients can also carry other illnesses such as Sickle Cells, Diabetes, liver dis.-function, and other illness that non Thalassaemia people can get for example Cancer.

3.4 What known cause for Thalassamia?

There is not a known cause for Thalassaemia except that is inherited through the genes.

3.5 What are the Symptoms? Are they detected early in childhood?

Children with Thalassaemia major are normal at birth but become anaemic between the ages of three months and eighteen months. They become pale, do not sleep well, do not want to eat, and may vomit their feeds. If children with Thalassaemia major are not treated, they have miserable lives. They usually die between one and eight years old.

3.6 What is the "quality of life" for a Thalassaemic?

A chronic illness always causes some limitation of quality of life, especially when it requires frequent and complex treatment, as Thalassaemia does. The treatment should not interfere with a Thalassaemic's life. In particular doctors and hospitals should make the effort to arrange out-patient visits and visits for transfusions so they interfere as little as possible with normal life. Treatment should not interrupt schooling or work. (Thalassaemia newsletter Dec 1991 page 2)

3.6.1 How long can a person with Thalassamia major live?

These days most Thalassaemics grow up to become adults, and earn their own living. Most also find a partner and get married. Now a number of Thalassaemia major patients have their own children.

It is very hard to know the answer for Thalassaemics who are well at present. The disorder and its influence are changing almost from day to day, because of advances in treatment. Thalassaemic patients are now living longer. Today it is reasonable to think that people with Thalassaemia major, who have been well treated from the beginning, may well live as long as people without Thalassaemia. Only time will tell. Even so Thalassaemics live with more risks than non Thlassaemic, because of the amount of medication and treatment they receive. But all medical treatments include some risk. (Thalassaemia newsletter Dec. 1991 page 2)

3.6.2 Can people with Thalassaemia major and minor have healthy children?

People with Thalassaemia major can have babies only if their partner does not carry any sort of Thalassamia. But all Thalassaemia major's patients children will carry Thalassaemia minor.

If a Thalassaemia major partner does not carry any Thalassaemia gene none of the children would have Thalassaemia major. (Thalassaemia newsletter June 1993 page 2)

3.6.3 What stages does a woman with Thalassaemia go throw states before, during and after pregnancy?

For a woman with Thalassaemia to have children they must have normal sexual development. Many young woman with Thalassaemia are not having their periods, or whose periods have started and then stopped. In this case they can be treated medically so that they produce eggs. If they are not physically fit, a pregnancy could be risky for them and the baby. An expected

mother should be fit, meaning they must use their pump regularly, her serum ferritin level should be around 1000 and her heart and liver should not have been damaged by iron overload. However, even if they are not perfectly fit, there is a chance that they could have a fairly normal pregnancy. Woman are advised to stop Desferal when they are trying to become pregnant, or as soon as they are pregnant. There is no evidence that Desferal can harm the foetus, but in general it is a good idea for any pregnant woman to not take drugs during pregnancy. Mothers who breast feed can start taking Desferal again as soon as the baby is born. Desferal does not pass from the mother's body into milk and so cannot harm the baby. Before a woman with Thalassaemia decides to have a baby they must take account about the long-term future, their own health, and survival or whether they will have support from their family's.

The chance of having a baby with Thalassaemia minor decrease if their partners have Thalassaemia minor. (Thalassaemia newsletter June 1993 page 2) and (Thalassaemia newsletter, Dec. 1991 page 2)

3.7 Treatment

3.7.1 History of treatment and Victoria treatment

In the 1940's, blood transfusions were introduced to treat Thalassaemia major patients on a rare bases due to a concern about transfusional iron overload causing organ damage or dysfunction and ultimate fatality. These transfusions had the effect of raising the haemoglobin levels from three to eight grams and therefore increasing the life expectancy between sixteen to eighteen years.
In the late 1960s, high transfusion on average high transfusion regimens were introduced involving regular blood transfusions on average every 4-8 weeks, depending upon individual requirements. The aim of this regimen is to maintain haemoglobin levels as close as possible to the normal range. Desferrioxamine was given by a daily intramuscular injection and was effective for up to 6 hours following each injection. Occasionally there were side-effects associated with this method, example hypotension, nausea and vomiting. (McLaren 1993 page 2)

3.7.2 What is the major treatment now?

The only treatment for Thalassaemia major is regular blood transfusions, usually every three or four weeks. Most children who have these transfusions, usually every three or four weeks grow normally and live quite happily into their early twenties. But to live longer, they need other treatment as well.

After each blood transfusion the red cells in the new blood are broken down slowly over the next four months. The iron from the red blood cells stays in the body. If it is not removed, it builds up and can damage the liver, the heart and other parts of the body. If this damage is not prevented most people with Thalassaemia major die when they are twenty years old.

At present the only way to remove the extra iron from the body is to give injections of a drug called Desferal (correct name is Desferrioxamine) This medication starts between the ages of 4 to 8 years old. Desferal is injected under the skin. The injections are given using a portable battery operated pump. This slowly empties in a 5/10ml syringe over 10/12.5 hours. The pump is used 5-7 nights of every week, therefore treatment takes place in the home. Usually the parents are responsible for the this until the child is able to take over. Desferal pick up the iron and carries it out in the urine. (Thalassaemia newsletter Sep 1988 page 1)

3.7.3 Do Thalassaemia person need to be on a special diet?

Thalassaemia major patents should try to keep away from high in iron foods such as red meat, liver, kidney, green leafy vegetables such as spinach, some breakfast cereals, wholemeal breads and alcohol. Although this is recommend, patients do not have to stick with this diet. (Thalassaemia newsletter July 1991 page 3)

3.7.4 Is the treatment effective?

This treatment is very successful and most children treated with blood transfusions and Desferal can now lead fairly normal healthy lives. But the treatment is unpleasant and often upsetting, it also interferes with their desire for an active social life sometimes medication is neglected. (Thalassaemia newsletter May 1988 page 3)

3.7.5 How is the treatment improving?

Treatment today is more advanced then what it was. A Thalassaemia person can enjoy a good quality life, lively in normal activities such as sport, study, work, marriage and family

An oral version in pill or liquid form, would greatly improve the quality and productivity of the lives of Thalassaemia major patients would be better. There have been scientists working on this pill it is known as L1. The results from the L1 have been good except of one specific side affect called "Neutropenia" which reduced the ability of the body to cope with infections so the Thalassaemic person has a risk to infections and can die due to this. But Ciba Geigy (company which researches, and will make the drug when it is discovered) promised to be more involve on the oral chelators. Ciba Geigy believe the oral chelator will be available before 1996 to 1997. Also scientists believe that a cure for Thalassaemia is possible through gene therapy and bone marrow transplantation. Gene therapy would correct the defected gene in Thalassaemia patients. This is done by transferring normal gene into the patients own bone marrow cells. But A bone marrow transplant proven to be a success however the odds against success with possible death over failure. (Newsletter Lifeline 1990)

3.7.6 Where are Thalassaemic people in Victorian treated?

Thalassaemia Major patients are treated at Monash Medical Centre in Clayton. The Doctor who is charge of all Thalassaemia Major patients is Dr Don Bowden.

3.8 Incidence of Thalassaemia

3.8.1 Is Thalassaemia in Victoria increasing, stable or decreasing?

In Victoria Thalassaemia major is decreasing, due to new screening, during which a sample is taken from the umbilical cord at an early stage of pregnancy to determine if the foetus has Thalassaemia major or not. If Thalassaemia major is found the baby will be terminated.

But Thalassaemia minor is increasing. This is because these is a large amount of people who are migrating here from South East Asia. (Hall 1994)

a walk to remember

A novel that I recently read.. Its about a man who remembered about his true love during his teenage time in 1958. He fall in love with a girl that he never expected to be fall in love with. Their world are very different. But yet at the end, that love is a love that touch his heart. He falls for her heartlessly. He could resist to fall for her. He tried to avoid her but he can't.

fungal toxin... aflatoxin

powerpoint presentation

Fungal toxin is toxin that produced by fungi..

i am strong........

hehe... i should be strong. but somehow i can't bear the strong side of me when you did what you did to me... i am crying. can't believe that after so many time didn't cry in my life.. huh.. seems that you have the power to make me cry. you know the soft spot of me. you did great i pretty sure. i need some time to heal perhaps...

pemandangan indah

port dickson...

things to ponder at....

a Japanese saying says that, those who talk more lie more... is that true? i do believe that is true.. why because i can lot of people around me who talk a lot are lier... only half of what they say are true. the rest are something that they created to make the story even dramatic.

Bill Cosby once said that, "I dont know how to make people laugh. But to make people cry is easy". Hurm... what that suppose to mean? You think for yourself!!!

kenapa?

kenapa perlu keliru?
kenapa perlu ragu-ragu?
kenapa perlu cemburu?
dan kenapa perlu begitu?

kamu kata kamu x suke kat die...
but then kamu marah bile org lain dekat ngan die...
is that fair?
tau lar kamu tu hot kan.. but that not the point..
kalau you think u re that hot..
then why dont u try to find another guy that is better than him?

y bother if u r not intrested in him?
y u must to be confused?
are u the one that not happy if people around u happy?
if that so... then u're not a person.. u're full of urself..
be grateful of wat u have..
we're not going to snatch that person from u..
we're just want to be fren with him..
thats all...

pls be more considerate...
i dont ask for ur money..
i dont want ur bf...
i just want u to understand..
is that really difficut to give?

do think about other people feelings to..
ur silence answer everything..
u make us frustrated dear...
we love u..

we are not the one that stab u from the back...
if we are u dont have to wait till today to see our true color..
we wont hide it..
do believe in us..
dont let our frenship lost just becoz a guy..

guy you can find any time, any where
but true frens are hard to find..
do think peacefully..

if u still dont understand this
i hope dont ever think of getting near to me again..
i dont be a fren of those that not believe in me..
i dont mind to lose a fren that have that attitude.

SYAFIZA

everything dat I do was wrong...

i am the only one that do wrong in this entire world. For them I am the bad guy... Everything is my fault. They never commit wrong doing. They always really good at take care other people's feeling... That what they thought lar... huh.. Hate that kind of people that have that attitude. No body is perfect. So just forgive and forget. Don't drag everything into a single problem that i mistakenly done. I'm sorry for that. After what you have backbiting me you said that I'm the that take it seriously... What the .....? Shit... Bloody hell... You are the one suppose to ask for forgiveness. Not me... But as for me.. I forgive you. I am not that stupid to put our friendship at stake. It is not that we are only here for a week or two. We have another year to spend together. That would be rather difficult to live that whole year in disgust and hatred. So... Remind yourself to not over act and be cool.. I mean no harsh here. Just peace and harmony..

How Do I See Myself In Three Years Time?

            In three years times I will finished my studies. I at that time might have got temporary jobs. I’m not that kind of person who loves to sit back at home during long holidays. At that time I might not graduate yet and for sure I can’t get job that suit my qualification. So, instead of just doing nothing at home I rather work to get some pocket money. That would not be my first time job because I have experience before. After finishing my SPM in 2005 I had a job in Midvalley Megamall. I worked as a cashier in Carrefour Hypermarket. By doing this job I have experienced a lot of things and I get to know many people. That was a nice job and the salary wasn’t that bad. I got RM 714 basic and that was not included the allowance and overtime. There is one time where I got almost RM1000. The pay worth to what I’ve done. Not only that, I also had a job as a cashier also nearby my house at Guardian Pharmacy in 2008. The job I took was about 3 months while waiting to enter IIUM Kuantan Campus after finishing my matriculation. So, this time I didn’t any problem for to get a job. The job is not only for money but also to gain some working experience. Then I also can get to know new friends.

            In three years time, I would become someone new. I am not a young teenager anymore and will become a young adult. At that I have to become more independence. All those that I learned during my university life will come to the climax. I have to apply all what being teach and to start thinking of getting a more responsible adult. I have to depend not to others but to myself. Everything that I do at that time will affect the rest of my life. If I do something bad, it can bring bad consequences to me again. Then I have to bear to what I’ve done. So at that time I must be more responsible and always doing deep thinking before taking any decisions as it will influenced my life. I also in that time will become more innovative and creative in any way. That can help me a lot. By being innovative and creative I can blend myself well in the society and do well to myself.

            Being a second child in a family cost me a lot to lighten the burden of my parents in raising the other children. I told myself that I will help them and that is the very important thing to do. I must help them as they have done a lot since I was a baby. So why should I forget that when I’m being an adult. That is one of way to educate myself to become a daughter and later if I get marry I also suppose to be responsible. So that would be my first and biggest experience. I have 6 other siblings and most of them still study. I have promised myself before during my school time that I don’t want my sisters to suffer as I am during study. To think of money every day can affect studies. I want them to get all they need to become a successful student. It is not an easy job to study and at the same time worrying of my parents work day and night just to raise me and my other siblings. I’ve done that period and I find it really make me headache to have no money to eat and at the same to think if my father give me money, are they at home have enough food. So I don’t want that scene to ever happen again after I get a job. I want to be a very responsible daughter in my family. So, in three years time I get a job and fulfilled my promised.

            I am a really optimistic person. I think of getting cash flow every single day. Besides of working, I would really love to do some business. I want to become a successful person in my life. I want people to know me as a role model in business management. I want to have my own company. I was thinking of opening a bookstore like MPH. I want my store to be all around Malaysia and even to be worldwide. I love reading and that inspire me to doing this bookstore. I am very keen towards this idea of having bookstore. For my first branch, I will make it a family business where all my family members are the workers in this very first store. Later if my store becomes successful then I will hire people outside of my family. The reason of having workers within my family members is that I want to give opportunity to get better pay and to teach them about the business. Later they can help me to manage my other branches of bookstores.

            Getting a job enables me to start collecting properties. I want to buy a bungalow in future with 5 storeys with 2 of them underground. That was my dream during my primary school. So I want to make it reality. Then I want all my family to live with me. Other than that, I want to buy a Honda C-RV. That was my dream car. During my form 2, I read a novel entitle “Kau Untukku” by Aisya Sofea. In that novel, there is a guy named Ahmad Fuad and use that car. Ever since I read that book, C-RV becomes my dream car. But in order to make all my dreams come true, I must become a diligent person. I also want to give my parents money for them to go to Makkah for pilgrimage. Since during my school days they were busy raising me and my other siblings until didn’t ever think about themselves. That will be my present to them. InsyaAllah.

            That is all what I see myself in three years time. There will be a lot more to go. Besides those, I want to become a good Muslim also. I want to succeed both in this world and the hereafter.

panorama from my house

wat u give u'll get it back...

dis event happens all the time... my roommates slalu wat bising among them. So y shouldn't i do the same? If u can do it, I can too... Hukum karma kan... The different between us is that she did back biting... Kecoh satu campus aku bising.. And as for me, i just kept it to myself. But sometime I did told my best frens but not all the time. Only if I really can't bear the situation. Japanese proverb says that those who talk a lot, lie a lot... One more thing is that the person that hate me always full of herself. She cannot accept if someone better than her.. My english teacher said that to be a good communicator we must
1) be a good listener
2) be non-judgemental
3) be amphetic

So.... I'm trying to be like that....
Am I the one who is doing wrong here? Hurm.... perhaps I did. Watever.. I dont care about u. U're not the who pay for my expenses rite.. So I dont have to really take care of ur feeling... Gi MAM r....

taman desa versus korea during winter

starting to change

hurm... my english lecturer once said, to write better u must read a lot. She only can influence me to read but me myself hold the key to open my chest to read!!... Hopefully in a year time i'm be able to read and speak english well and much better...