A Story of Chaining and Freedom in IndonesiaLautan Jiwa
"Personal stories of ‘pasung survivors’ such as Anto’s, powerfully contribute to understanding the devastating impact that pasung has on the person and their families.
I couldn’t believe it. I was hours away from losing my leg to
diabetes? I was 59 and had become a proud grandfather for
the first time.
I had plans to enjoy my retirement. To spend time with family
and travel the world with my wife, Linda. I couldn’t do any of
this with one leg.
My life as I knew it would end in a blink of an eye.
TRY TO ANSWER THESE QUESTIONS SBEBA QUIZ 2 Gastrointestinal disorders Remya Krishnan
This is the real intended way of learning in Ayurveda medical colleges. Nothing is taught properly and students are hardly taught how to translate the standardised evidences in samhitas into clinical practice.
Also constant updation is required based on this kind of indepth evidence practice for physicians in their whole life .
A Story of Chaining and Freedom in IndonesiaLautan Jiwa
"Personal stories of ‘pasung survivors’ such as Anto’s, powerfully contribute to understanding the devastating impact that pasung has on the person and their families.
I couldn’t believe it. I was hours away from losing my leg to
diabetes? I was 59 and had become a proud grandfather for
the first time.
I had plans to enjoy my retirement. To spend time with family
and travel the world with my wife, Linda. I couldn’t do any of
this with one leg.
My life as I knew it would end in a blink of an eye.
TRY TO ANSWER THESE QUESTIONS SBEBA QUIZ 2 Gastrointestinal disorders Remya Krishnan
This is the real intended way of learning in Ayurveda medical colleges. Nothing is taught properly and students are hardly taught how to translate the standardised evidences in samhitas into clinical practice.
Also constant updation is required based on this kind of indepth evidence practice for physicians in their whole life .
LEARN THE LATEST EVIDENCE-BASED HEALTH, NUTRITION, AND WELLNESS RESEARCH
One of the few physicians who is also a trained chef, Linda Shiue has dedicated her life’s work to bridging the gap between the medical, nutrition, and culinary worlds. She is the founder and director of Thrive Kitchen, a teaching kitchen at a large national healthcare system, where she educates patients on cooking to crave ably delicious, healthy meals. A practicing internist for more than a decade, Dr. Shiue made the journey from the clinic into the kitchen to more effectively support the many patients she saw struggling with lifestyle-related medical issues, despite taking medications. Noticing the gap in conventional Western medical training to address nutrition (only a quarter of medical schools in the U.S. offer a nutrition class), Dr. Shiue formalized her own culinary education, attending San Francisco Cooking School, before staging in the kitchen of Michelin-starred restaurant Mourad in San Francisco and obtaining a certificate in Plant-Based Nutrition from Cornell University.
I sit down with Dr. Shiue to talk about her book, her thoughts on food as medicine, and some of her delicious recipes.
Victor Osyka's Transcend 101 Endeavors, v1, 2016 JulVictor Osyka
Learnings along implementation of long/forever life action steps into daily life. After reading of Ray Kurzweil's book Transcend (2010). From relaxation, medical tests to diet, sports and detox wishes.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: jocham@fultonschools.org
Case Studies in Abnormal PsychologyYou Decide The Case of J.docxcowinhelen
Case Studies in Abnormal Psychology
You Decide: The Case of Julia
This case is presented in the voices of Julia and her roommate, Rebecca. Throughout the case, you are asked to consider a number of issues and to arrive at various decisions, including diagnostic and treatment decisions. Appendix A lists Julia’s probable diagnosis, the DSM-5 criteria, clinical information, and possible treatment directions.
Julia Measuring Up
I grew up in a northeastern suburban town, and I’ve lived in the same house for my entire life. My father is a lawyer, and my mother is the assistant principal at our town’s high school. My sister, Holly, is 4 years younger than I am.
My parents have been married for almost 20 years. Aside from the usual sort of disagreements, they get along well. In fact, I would say that my entire family gets along well. We’re not particularly touchy-feely: It’s always a little awkward when we have to hug our grandparents on holidays, because we just never do that sort of thing at home. That’s not to say that my parents are uninterested or don’t care about us. Far from it; even though they both have busy work schedules, one of them would almost always make it to my track and cross-country meets and to Holly’s soccer games. My mother, in particular, has always tried to keep on top of what’s going on in our lives.
In high school, I took advanced-level classes and earned good grades. I also got along quite well with my teachers, and ended up graduating in the top 10 percent of my class. I know this made my mother really proud, especially since she works at the school. She would get worried that I might not be doing my best and “working to my full potential.” All through high school, she tried to keep on top of my homework assignments and test schedules. She liked to look over my work before I turned it in, and would make sure that I left myself plenty of time to study for tests.
Describe the family dynamics and school pressures experienced by Julia. Under what circumstances might such family and school factors become problematic or set the stage for psychological problems?
In addition to schoolwork, the track and cross-country teams were a big part of high school for me. I started running in junior high school because my parents wanted me to do something athletic and I was never coordinated enough to be good at sports like soccer. I was always a little bit chubby when I was a kid. I don’t know if I was actually overweight, but everyone used to tease me about my baby fat. Running seemed like a good way to lose that extra weight; it was hard at first, but I gradually got better and by high school I was one of the best runners on the team. Schoolwork and running didn’t leave me much time for anything else. I got along fine with the other kids at school, but I basically hung out with just a few close friends. When I was younger, I used to get teased for being a Goody Two-Shoes, but that had died down by high school. I can’t remember anyone wi.
LEARN THE LATEST EVIDENCE-BASED HEALTH, NUTRITION, AND WELLNESS RESEARCH
One of the few physicians who is also a trained chef, Linda Shiue has dedicated her life’s work to bridging the gap between the medical, nutrition, and culinary worlds. She is the founder and director of Thrive Kitchen, a teaching kitchen at a large national healthcare system, where she educates patients on cooking to crave ably delicious, healthy meals. A practicing internist for more than a decade, Dr. Shiue made the journey from the clinic into the kitchen to more effectively support the many patients she saw struggling with lifestyle-related medical issues, despite taking medications. Noticing the gap in conventional Western medical training to address nutrition (only a quarter of medical schools in the U.S. offer a nutrition class), Dr. Shiue formalized her own culinary education, attending San Francisco Cooking School, before staging in the kitchen of Michelin-starred restaurant Mourad in San Francisco and obtaining a certificate in Plant-Based Nutrition from Cornell University.
I sit down with Dr. Shiue to talk about her book, her thoughts on food as medicine, and some of her delicious recipes.
Victor Osyka's Transcend 101 Endeavors, v1, 2016 JulVictor Osyka
Learnings along implementation of long/forever life action steps into daily life. After reading of Ray Kurzweil's book Transcend (2010). From relaxation, medical tests to diet, sports and detox wishes.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: jocham@fultonschools.org
Case Studies in Abnormal PsychologyYou Decide The Case of J.docxcowinhelen
Case Studies in Abnormal Psychology
You Decide: The Case of Julia
This case is presented in the voices of Julia and her roommate, Rebecca. Throughout the case, you are asked to consider a number of issues and to arrive at various decisions, including diagnostic and treatment decisions. Appendix A lists Julia’s probable diagnosis, the DSM-5 criteria, clinical information, and possible treatment directions.
Julia Measuring Up
I grew up in a northeastern suburban town, and I’ve lived in the same house for my entire life. My father is a lawyer, and my mother is the assistant principal at our town’s high school. My sister, Holly, is 4 years younger than I am.
My parents have been married for almost 20 years. Aside from the usual sort of disagreements, they get along well. In fact, I would say that my entire family gets along well. We’re not particularly touchy-feely: It’s always a little awkward when we have to hug our grandparents on holidays, because we just never do that sort of thing at home. That’s not to say that my parents are uninterested or don’t care about us. Far from it; even though they both have busy work schedules, one of them would almost always make it to my track and cross-country meets and to Holly’s soccer games. My mother, in particular, has always tried to keep on top of what’s going on in our lives.
In high school, I took advanced-level classes and earned good grades. I also got along quite well with my teachers, and ended up graduating in the top 10 percent of my class. I know this made my mother really proud, especially since she works at the school. She would get worried that I might not be doing my best and “working to my full potential.” All through high school, she tried to keep on top of my homework assignments and test schedules. She liked to look over my work before I turned it in, and would make sure that I left myself plenty of time to study for tests.
Describe the family dynamics and school pressures experienced by Julia. Under what circumstances might such family and school factors become problematic or set the stage for psychological problems?
In addition to schoolwork, the track and cross-country teams were a big part of high school for me. I started running in junior high school because my parents wanted me to do something athletic and I was never coordinated enough to be good at sports like soccer. I was always a little bit chubby when I was a kid. I don’t know if I was actually overweight, but everyone used to tease me about my baby fat. Running seemed like a good way to lose that extra weight; it was hard at first, but I gradually got better and by high school I was one of the best runners on the team. Schoolwork and running didn’t leave me much time for anything else. I got along fine with the other kids at school, but I basically hung out with just a few close friends. When I was younger, I used to get teased for being a Goody Two-Shoes, but that had died down by high school. I can’t remember anyone wi.
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Julia Measuring Up I grew up in a northeastern suburban town, and.docxcroysierkathey
"Julia Measuring Up I grew up in a northeastern suburban town, and I’ve lived in the same house for my entire life. My father is a lawyer, and my mother is the assistant principal at our town’s high school. My sister, Holly, is 4 years younger than I am. My parents have been married for almost 20 years. Aside from the usual sort of disagreements, they get along well. In fact, I would say that my entire family gets along well. We’re not particularly touchy-feely: It’s always a little awkward when we have to hug our grandparents on holidays, because we just never do that sort of thing at home. That’s not to say that my parents are uninterested or don’t care about us. Far from it; even though they both have busy work schedules, one of them would almost always make it to my track and cross-country meets and to Holly’s soccer games. My mother, in particular, has always tried to keep on top of what’s going on in our lives. In high school, I took advanced-level classes and earned good grades. I also got along quite well with my teachers, and ended up graduating in the top 10 percent of my class. I know this made my mother really proud, especially since she works at the school. She would get worried that I might not be doing my best and “working to my full potential.” All through high school, she tried to keep on top of my homework assignments and test schedules. She liked to look over my work before I turned it in, and would make sure that I left myself plenty of time to study for tests. Describe the family dynamics and school pressures experienced by Julia. Under what circumstances might such family and school factors become problematic or set the stage for psychological problems? In addition to schoolwork, the track and cross-country teams were a big part of high school for me. I started running in junior high school because my parents wanted me to do something athletic and I was never coordinated enough to be good at sports like soccer. I was always a little bit chubby when I was a kid. I don’t know if I was actually overweight, but everyone used to tease me about my baby fat. Running seemed like a good way to lose that extra weight; it was hard at first, but I gradually got better and by high school I was one of the best runners on the team. Schoolwork and running didn’t leave me much time for anything else. I got along fine with the other kids at school, but I basically hung out with just a few close friends. When I was younger, I used to get teased for being a Goody Two-Shoes, but that had died down by high school. I can’t remember anyone with whom I ever had problems. I did go to the prom, but I didn’t date very much in high school. My parents didn’t like me hanging out with boys unless it was in a group. Besides, the guys I had crushes on were never the ones who asked me out. So any free time was mostly spent with my close girlfriends. We would go shopping or to the movies, and we frequently spent the night at one another’s houses. It was an ...
A presentation given by Julie Edge and Anna Disney on caring for children with type 1 diabetes in Year 8. This is meant for parents, carers and children and other practitioners
The first diabetes specialist I was taken to was Dr. Fauzia Moyeen. I believe that was the life changing experience for me. She assisted me to cope not only with my levels, but also with what is commonly called "social discrimination". Social discrimination, for me, was the pity that everyone throws at you until you start feeling you are either about to die or are the most useless creature on planet earth!
Johnny Depp Long Hair: A Signature Look Through the Yearsgreendigital
Johnny Depp, synonymous with eclectic roles and unparalleled acting prowess. has also been a significant figure in fashion and style. Johnny Depp long hair is a distinctive trademark among the various elements that define his unique persona. This article delves into the evolution, impact. and cultural significance of Johnny Depp long hair. exploring how it has contributed to his iconic status.
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Introduction
Johnny Depp is an actor known for his chameleon-like ability to transform into a wide range of characters. from the eccentric Captain Jack Sparrow in "Pirates of the Caribbean" to the introspective Edward Scissorhands. His long hair is one constant throughout his evolving roles and public appearances. Johnny Depp long hair is not a style choice but a significant aspect of his identity. contributing to his allure and mystique. This article explores the journey and significance of Johnny Depp long hair. highlighting how it has become integral to his brand.
The Early Years: A Budding Star with Signature Locks
1980s: The Rise of a Young Heartthrob
Johnny Depp's journey in Hollywood began in the 1980s. with his breakout role in the television series "21 Jump Street." During this time, his hair was short, but it was already clear that Depp had a penchant for unique and edgy styles. By the decade's end, Depp started experimenting with longer hair. setting the stage for a lifelong signature.
1990s: From Heartthrob to Icon
The 1990s were transformative for Johnny Depp his career and personal style. Films like "Edward Scissorhands" (1990) and "Benny & Joon" (1993) saw Depp sporting various hair lengths and styles. But, his long, unkempt hair in "What's Eating Gilbert Grape" (1993) began to draw significant attention. This period marked the beginning of Johnny Depp long hair. which became a defining feature of his image.
The Iconic Roles: Hair as a Character Element
Edward Scissorhands (1990)
In "Edward Scissorhands," Johnny Depp's character had a wild and mane that complemented his ethereal and misunderstood persona. This role showcased how long hair Johnny Depp could enhance a character's depth and mystery.
Captain Jack Sparrow: The Pirate with Flowing Locks
One of Johnny Depp's iconic roles is Captain Jack Sparrow from the "Pirates of the Caribbean" series. Sparrow's long, dreadlocked hair symbolised his rebellious and unpredictable nature. The character's look, complete with beads and trinkets woven into his hair. was a collaboration between Depp and the film's costume designers. This style became iconic and influenced fashion trends and Halloween costumes worldwide.
Other Memorable Characters
Depp's long hair has also been featured in other roles, such as Ichabod Crane in "Sleepy Hollow" (1999). and Roux in "Chocolat" (2000). In these films, his hair added a layer of authenticity and depth to his characters. proving that Johnny Depp with long hair is more than a style—it's a storytelling tool.
Off-Screen Influenc
Have you ever wondered about the lost city of Atlantis and its profound connection to our modern world? Ruth Elisabeth Hancock’s podcast, “Visions of Atlantis,” delves deep into this intriguing topic in a captivating conversation with Michael Le Flem, author of the enlightening book titled “Visions of Atlantis.” This podcast episode offers a thought-provoking blend of historical inquiry, esoteric wisdom, and contemporary reflections. Let’s embark on a journey of discovery as we unpack the mysteries of ancient civilizations and their relevance to our present existence.
La transidentité, un sujet qui fractionne les FrançaisIpsos France
Ipsos, l’une des principales sociétés mondiales d’études de marché dévoile les résultats de son étude Ipsos Global Advisor “Pride 2024”. De ses débuts aux Etats-Unis et désormais dans de très nombreux pays, le mois de juin est traditionnellement consacré aux « Marches des Fiertés » et à des événements festifs autour du concept de Pride. A cette occasion, Ipsos a réalisé une enquête dans vingt-six pays dressant plusieurs constats. Les clivages des opinions entre générations s’accentuent tandis que le soutien à des mesures sociétales et d’inclusion en faveur des LGBT+ notamment transgenres continue de s’effriter.
From Stress to Success How Oakland's Corporate Wellness Programs are Cultivat...Kitchen on Fire
Discover how Oakland's innovative corporate wellness initiatives are transforming workplace culture, nurturing the well-being of employees, and fostering a thriving environment. From comprehensive mental health support to flexible work arrangements and holistic wellness workshops, these programs are empowering individuals to navigate stress effectively, leading to increased productivity, satisfaction, and overall success.
MRS PUNE 2024 - WINNER AMRUTHAA UTTAM JAGDHANEDK PAGEANT
Amruthaa Uttam Jagdhane, a stunning woman from Pune, has won the esteemed title of Mrs. India 2024, which is given out by the Dk Exhibition. Her journey to this prestigious accomplishment is a confirmation of her faithful assurance, extraordinary gifts, and profound commitment to enabling women.
Is your favorite ring slipping and sliding on your finger? You're not alone. Must Read this Guide on What To Do If Your Ring Is Too Big as shared by the experts of Andrews Jewelers.
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1. The Beginnning
It was 1988, I was a 3years old little girl. A kindergarden playful kid in Nagayo Kindergarden. Who
would wonder that I will be diagnosed with Type I diabetis Mellitus , well, that's what really happened.
I called it “takdir” from Allah SWT.
I cant really remembered how, or why or when I was diagnosed.
Being pushed into the alleyway of the hospital ( it was in Japan), with the ceiling light soo bright I used
both my hands to cover my eyes. I was hurried into, somewhere emergency. Maybe the Emergency
Department? People in white coats and stetescope hanging at their neck, mumbling and talking in
Japanese language about me? Or was it my condition? It was a total darkness afterwards.
I opened both of my eyes. A blink of once and twice, and I noticed I was a white room. Beds were
arranged perfectly in each corner. I'm warded, definitely.
My days were filled with visiting interns and medical students, doing round, diagnosing me. Long
cases, Short cases, u named it. I was their guinea pig and subject of their classes.
The endocrinologyst and his team were really a helpful team. It was Dr ….Papa and mama was taught
about the disease and its complications and the needs to take care of me. We were surrounded by
beautiful smiles everyday , friendly nurses and supportive team in the hospital .
Finally , I was discharged home with my insulin stocks and etc. My life as a kindergarden little girl was
occupied by being a Type I diabetic. No ice cream, chocholates or sweet beverages and dessert as
frequent as the rest of the other childrens. It dont really bother me much. I prefer fruits and mama's
cooking, more delicious.
Primary school
I was at 2 years of my diagnosis when I entered primary school. Mama has been always, and never
failed to provide me with my lunch, pack like the Japanese “ Obento”. Pretty cute looking, covered in
those Japanese handkerchief. My friends being curious, always came and asked,
“What's inside there, Athirah?”
“Whats for lunch today, Etty'?
And some, does wonder why I never or very seldom bought foods/ snacks from the canteen.
Probably, Mama already taught me that it is healthier to eat home-cook-food, thus not favoring the
outside food. Sometimes, mama bought nasi lemak from the stalls, or bihun goreng.
I hardly remember the type of insulin I am using back then , and did I injected any insulin during
school hours? At 7years old, i'm allowed to inject myself, or was it 8years old. Nevertheless its an
achievement!
No Ramadhan fasting for sure. Mama says its a No No . “Ada diabetik, tidak boleh puasa”
“You are diabetic, u cant fast”.
2. Probably, Mama was too worried if her daughter developed hypoglycemia or my blood sugars went
haywire or went into coma at school.
I just follow her order. LOL! Very obidient little girl am I?
My parents did not allow me to go for any of the out-of-school activites such as camping/ etc. Too
worried probably.
It was once in a bluemoon that my Pandu Puteri teacher asked me if I want to go to the district camp.
I asked mama and she agreed and allowed it, of course with much concern. Overtly concern.
I was a standard 5 pupil that year. Mama prepacked me with sugary juice in boxes and sweets. My
camping bag was hugely filled with my hypokit. She even came everyday to look at how I am doing . It
was at an event at SS11 or SS14 Subang Jaya.
Clinic has been a routine visit for me, every 4 to 6 monthly. Prof Fatimah was the one who patiently
handle me-with-care as my dad is very protective of me. I always heard of arguments been made inside
the room or even outside, not just with Prof but the diabetic nurse and the rest of the team.
I was too naïve to join the conversation, well, i'm just a kid , remember?
Papa do a lot of reading on diabetic. That's why he can argue and made suggestions. Journals and
online website. He theoritically can be at the same level with the medical practitioner I guess.
He is the one without failed went to the PDM Selangor branch to buy the things needed; lancets,
needles and so on. I never went out-of-stock, and I can just ask Papa myself if the things are nearing
finish. He – never allow me to attend any of the diabetic children's camp.
“You can learn about diabetic through life, and reading, and learn and keep learning by mistakes”
I agreed. I do learn by self-experience. Deep down I know papa just wanted the best for me.
The Highschool years
Entering high school, a prefect, and I participated in a lot of activities. I was among the top student in
class.
Weekend will be a busy scheduled for me.
I joined the karate team after I get soo inluenced by The Karate Kid movie. Obsessed.
Martial arts needs a lot of discipline.
And practise requires energy and proper food intake before each clases.
And I always have my hypokit inside my bag.
Twice, did we practise for the district karate tournament.
One of it was during the fasting month! I do had my hypoglycemia and hyperglycemia moments but it
is very seldom. Training was tough but it was very much enjoyable.
What interest me next was the traditional dance. Zapin was my favorite. That too, needs a lot of focus.
And proper diabetic care. Foot care, good glucose control, and food intake.
3. I rarely check when I had the activites, I only based it on symptoms.
Palpitations, fatigue and trembling are the most occurred symptoms of my hypoglycemia events. I
hurriedly drink juices, as that spikes my BG fast. If I am at home, the fastest that I can make is Milo. 3
spoonful or more and I will be OK.
Sweets to me doesnt really work.
I will checked my BG aterwards.
In the event of my hyperglycemia, I feel the coldnesss. I kept urinating. And feel amazingly thristy.
That just makes me give a bolus jap and another BG after 30minutes.
The routine follow up in the paediatric diabetic clinic was still University Malaya.
Mama was the person who accompanied me to the clinic visit while papa sent us to the University
Hospital.
“Masuk seorang”
“ Go in alone” Mama said. Maybe she's training me to become an adult. To think like adult.
I had the oppurtunity to discuss my problems with the attending doctor, yet the management is still on
their shoulder.
Finishing high scool, and it was the 10th
year of my diabeticversary. What do I master? I was allowed
to make changes to the basal/bolus regime of mine. Too many in and out of school activites, and
sessions with friends and events, I really have to make my own decision and not to ponder both of my
parents.
Reaching the HBAic goal was my most problematic issue, as it never went down to 8mmol/l.
Being a teenager, I have more freedom. Or me, being myself. To explore the surrounding and
experience life. Everywhere I went, never I forgot to bring insulin and my glucometer in my bag.
“ Have u ever missed your japs?” one of my friend asked. Truly, lots of people asked me that question.
“No and never !” I answered.
Why do I want to miss it? It is all about self-discipline and knowing the consequences that may arises
in the event of not taking the japs. I have been living my life with diabetic through all these years, and
if it be taken from me, I will miss the everyday injections and the checking of BG.
Only the diabetic will feel excited looking at Bgs and only diabetic will feel the exitement of a perfect
Bgs level.
To have a good HBAic is the highest achievement.
The college years
Welcoming college years, I for once requested my insulin to be changed to Novorapid and Lantus. I I
4. browsed the internet and by far these are the best insulin types as per reviewed by diebetic himself or
herself.
“Who can handle a 30minutes wait before meal after the bolus jap?”
Teenage life is a drama. Action-packed, ruined plans, with meadow moment at times. It was
unpredictable.
When I woke up late for classes, I miss my breakfast and had brunch instead.
The weekend birthday celebrations, the meals after classes, coffee sessions and midnight snacks.
Movies and popcorns!
“If I stay up late to revise and study, I will take snacks definitely” I mentioned during one of the
doctor's visit
“You have to limit your snacks, it is not good” the doctor advised.
“But I will be sleepy” he noticed my eyes rolling.
“Check you BG then” he knew i'm being rebellious.
Ridiculous. To follow the advices and rules is not easy. Teenagers are not robot. We are not
programmed. Life is a moving game. We need to adapt. It's the survival of the fittest.
The Islamic Prophet Muhammad (pbuh) pronounced: "Seek knowledge even as far as China"
We need experiences. We are learning.
The University years
Thus it was the year 2005 that I continued my study to Ukraine. By far and foremost, the farthest
country I have ever been in my life.
“ Where on earth is Ukraine anyway?” one of my friend asked.
“Do you know Turkey? The black sea? Or Rusia? Poland? They're just neighbours!”
The East Europe region, the ex Soviet.
“ It's not as popular as the UK or Australia or India, perhaps?” I feel a little offended by such questions.
Not all students are granted the oppurtunity to study in among the best universities for medicine.
“ It's the individual and attitude that counts”
“ You're gonna miss the Malaysian Maggie Mee “ she giggled.
My annual luggage back composed of a year stock of dry spices, to flavorings, and unbelievablingly,
insulins and its needles, glucometer lancets and strips.
I entered medical school. It was 6 years in duration. And I gained a lot of experiences by living far and
apart from my family. Most of my friends know I have diabetic. I'm not hiding it for if emergency
happens, they wouldnt get panicked.
“Don't forgot to put sweets and chocs and juices in you handbag!”, remind Mama
The first 2 years of medical student, I still went for University Malaya endocrinology clinic
appoinments. It was each during my summer holiday, including ophthalmology eye check and boods .
The most common question I received was “ Does your parents have diabetic too?”
5. “I'm Type 1 , its different”
People always thought of diabetic patients are fobidden to eat like normal people does. We require
discipline, a good carbohydrate count and a healthy lifestyle.
After classes, I went for aerobic classes or gym. I do jog everyday too. Really, it was influenced by
seeing those beautiful bodies of the Ukrainian ladies.
They are like dolls, perfect with no flaws. Very stylish.
Every year, I made eurotrips. It was planned before our final year exam.
Once you are a doctor, you are married to your work. True enough
How I do miss travelling ! Backpacking in the Europe!
I always prepared a letter for the imegresen checkpoint, provided by my endocrinologyst. Stating about
me a diabetic type I on insulin, and the diabetic bracelet is another proof it.
“Always bring extra vial, insulin needles, and glucometer lancets and strips” Mama will remind me via
phonecalls.
I had an episode of getting sick during one of the trip . It was in Barcelona. I had fever, and felt very
weak to go out , enjoying the city. .
“you guys just go out and enjoy yourself! I will be fine here, trust me” and I felt into a deep slumber
sleep.
3 hours later, my friends were back with dinner and food packed for me. They bought for me a
porridge, vegetarian. Halal. That is most important when choosing food on a trip. And I had a hot milk
with me. How refreshing. I felt relive by the goodness of the taste when I tried to take it into my
mouth , slowly at first and when they started sharing the scenaries and lookabout, I felt much more
alive and just can't wait for tomorrow to come.
I am back to my normal me, no fever the next day. I should thank each and everyone of you.
Shahida, now a wife and happily married to Acheh.
Ainaa, a cardiologyst medical officer in Sarawak Cardiology Hospital Kota Samarahan
Hanisah , an ENT medical officer in Queen Elizabeth Hospital Kota Kinabalu
Aibaq, a medical officer in Klinik Kesihatan Rompin
There were others too, especially the Egypt trip. The most amazing trip ever!
A note ; Go out and experience life. Being diabetic is not a major issue.
The housemanship years
The most troubled ever years of my diabetic are during the housemanship.
What is a houseman? According to Wikipedia.com – a junior doctor , but Ho are the male worker who
works in a home, and follow the guide. That was not far from the truth.
Who doesnt? Even the non diabetic doctors had stress that could just cracked up the head, less sleep
6. than they ever had in life, unproper diet, missed meals, feeling tired and the anxiety and changes in life
that could all raise up the stress hormone. All of these will effect the blood sugar.
Once work become an enjoyable thing in life, even the stress could be handle with care.
Nothing does stop me for living a normal lifestyle.
I have to adapt with the changing life schedule.
I can't be too strict with my mealtime, I cant realy hope that everyday will be perfect. I can't blame
diabetic for not letting me be the best that I can be.
By being able to control these, it slightly makes me feel independent and not putting diabetic as the
reason for not getting what I want to do or achieve in life.
Of course, with the support of the my family , bestfriends and friend and loved one. “Loved” one. Past
tense. A broken relationship. Ouch! It does happened. A history.
The best experience was during the Emergency Department posting. I called it the “ Adrenaline-push”
department. Work is always “fast and furious”, colleagues are fun, witty, and the feeling of togetherness
makes us a whole big family.
“Have u eat?” “have u check your dxt – blood glucose” That's some of the usual questions been asked.
Sometimes I do have one of those days where my blood glucose went haywires. Either its a
hypoglycemia event, or hyperglycemia event. In any hypos event, I hurriedly grabbed a small dextrose
50% 50ml slurped it. Tasted really sweet, I nealry vomitted.
Hyperglycemia is far the most occurred events. Can I just blame the hormone? The one beautifully
called, the cortisol, the growth hormone all due to the workstress and workloads. Even anxiety and
eagerness plays a big factors in contributing to the changes of blood glucose.
Do I have to remind that housemens never or very seldom get enough sleep? Well, that could be a
factor too.
My Hbaic never went up to 10mmol/l, nevertheless never been lower than 8mmol/l.
Really , I miss ED Selayang Hospital. It was second to Medical Department.
I was under Hospital Selayang follow, Dr Foo was the head of the endocrine team there.
She once offered me if I want to try the insulin pump, a 1 month trial programme for diabetic patients,
but of course the cost that she explained later just pull off my interest in it.
“RM 20,000 for a pump?” that amount just beyond my economy capability.
“Really, it is that expensive?” I gave the look with both eyebrows raised up, a look of surprised.
As a houseman we were paid approximately RM3000-4000 a month, and with all the money used to
pay for bills, cars and you just name it, life in the big city does need one to utilise almost 80-90% of the
monthly salary.
I can get broke by just buying the pump.
I could easily get broke by the end of the month too.
7. I've live this long with insulin japs, so why would I change ? But maybe I will, once my economy is
more stable.
Young Leaders in Diabetic
The greatest thing that ever happened being a part 1 diabetic is when I was chosen to represent
Malaysia as one of their young leaders in the IDF Young Leaders programme year 2013. It was really
an eye opener. It was a priceless experience. People from all over the world from almost 83 countries
and almost 127 adolescents with Type 1 diabetic are gathered in Melbourne, Australia.
A one week programme was scheduled for us including outdoor activites, morning exercises, learning
about diabetic and its discrimination worldwide, plans and what we think about the negative and
positive impact of being a diabetic as adolescent, the power of advocacy , ways to create plans to let the
public knows about what Type 1 DM, in differentiate from Type 2.
The public always blame the sugary and carbohydrate food, less physical exercise and overweight,
family history as the cause of diabetic. These are not far from the truth, but it was far away from the
truth for Type I
People should be educated about the difference between these common 2 types of diabetic. There are
other types, lest to be discussed now.
The most percentage of type 1 DM are due to the antibodies inside their body, attacking the pancreatic
Beta Langerhans cell, causing the organ unable to produce the hormone insulin. Insulin is an important
hormone in the carbhydrate metabolism in the breakdown of carbohydrate into its simple form.
During the whole week programme, I got to meet different people from all over the world.
Some already used insulin pump for almost 15 years, some less than 5 years. I got to know about CGM
- continous glucose monitoring. An amazing device which could showed to us in real-time how is the
blood glucose currently is.
By pumping , it was so much easier as we can key in the blood glucose and the pump will calculate the
amount of insulin needed for the exact amount of food.
First thing first, you need to be good at carbohydrate counting. I roughly can estimate the
carbohydrate amount as I have been living with diabetic for more than 10 years
I generally avoid temptation unless I can't resist it.
A diabetic. A doctor
Currently working as a Medical Officer in Sabah, who ever thought working in Sabah could be soo
much fun and interesting. A new place, different ethnics and cultures, learning the Sabahan slang,
expereince the wonders of nature, The Land Below the Wind should be given a salute for its uniquecity.
I handle most of the NCD ( non communicable disease ) patients in my clinic. That includes diabetic
patient. All are type 2 diabetic patient. None of them are type 1. Treating diabetic patients are my
interest. I will spend more time explaining and educate them the best I can. Sometimes, I do need a
translator as they couldnt understand either Malay language or English. Not being choosy , but I feel
8. good when I see they came back on the next appoinnt looking better than previously . And better Hbaic.
And the most important is theyre happy with their life, and with diabetic.
Nowdays, my life is more adjusted. I seldom miss my coffee. Coffee is my morning drug. I will miss
lunch if clinics are busy but definitely dinner will be at home.
A gift for myself
2014. I am a diabetic for 27years.
And i'm on insulin pump now! That was like a dream come true. The rest of the dreams are still not
accomplished, yet.
I had trouble choosing the color for my pump casing. Of course my favorite color is always been purple
but the pink casing looks soo cute. I had asked my friend around to give me ideas on choosing which
color suits me best, and what I received is a different answer. That makes me more undecisive.
“Pink suites you, its a sweet color. But maybe purple is the best choice. You are a one of a kind
girlfriend, with a mysterious self, at times, so choose purple. But its all up to you. Its a gift to yourself”
what a statement he gave me that day when I asked for his opinion.
Finally , I chose purple. Pink will get stain easily , and it will be soo obvious.
It is almost a year since I started pumping. To give myself an insulin bolus nowdays are much easier.
There are few buttons on the pump which is soo easy to master. What I have to do are to key in the
approximate amount of carbodyrate of the food and the insulin will calculate it for me. It just need a
simple click of confirmation before the bolus could be given. A needle connects the pump with our
skin. Hygeine is a very important aspect when changing the resorvier.
I am using Paradigm 522 by Medtronic.
Being a diabetic on pump, I dont have to bring my insulin pen as I used to do. Memories of having to
jap myself in public and receive all the awe seeing me with the injection and then came all the
questions of “ what is that?” or “ are you a diabetic?”.
Sometimes I feel very irritated with all those questions. Maybe because I have to keep telling people
around me the same answer since I was a small kid. At times, I do go to toilet or by the corner just to
give myself a bolus.
Tell me about checking my blood sugar in public. People always gave that weird eyeeing look. Eyeball.
“You are sleeping with it?” my boyfriend once asked.
“I just take it off during the bath, or when changing the resorvier and infusion set” I explained that It
will be as slightly similar to a functioning pancreas but without the glucagon function.
“A Robocop!” we both laughed!
New experience I gained, new world I see. I learned how to dive after my houseman, and the
underwater sea is a whole new world. Medtronic is not a waterproof device. Animas are, but yet to
enter the Malaysian market. So does dexcom and johnson and johnson.
9. I do put on the pump with me and when it is about time that we jump underwater, only then that I
suspend and take it off. Once I get back unto the boat, I will put it back on , start mode.
The 27th
year Diabetic Anniversary
Work nowdays are not as busy as when I was a houseman. Stress came from different factors in life.
Being an adolescent I have more freedom to choose my own food. And by living own my own, I can
decide on what food I want to cook and prepare for each meals. I will chose healthy over delicious,
definitely. And my carbohydrate counting skills has been much improve since I used pump.
My Hbaic for the first time ever, is 6.0mmol/l. It has been below 7.5mmol/l after 3 months of starting
the insulin pump. I never regretted changing the japs to pump. I was a bit suspicious initially.
As we get older, we look through the life experiences and it is because of problems that we grow
mentally, spiritually and emotionally.
You only live once, but if you do it right, once is enough
Dr Nurul Athirah Naserrudin
Type 1 Diabetis Mellitus
Malaysia.
10. I do put on the pump with me and when it is about time that we jump underwater, only then that I
suspend and take it off. Once I get back unto the boat, I will put it back on , start mode.
The 27th
year Diabetic Anniversary
Work nowdays are not as busy as when I was a houseman. Stress came from different factors in life.
Being an adolescent I have more freedom to choose my own food. And by living own my own, I can
decide on what food I want to cook and prepare for each meals. I will chose healthy over delicious,
definitely. And my carbohydrate counting skills has been much improve since I used pump.
My Hbaic for the first time ever, is 6.0mmol/l. It has been below 7.5mmol/l after 3 months of starting
the insulin pump. I never regretted changing the japs to pump. I was a bit suspicious initially.
As we get older, we look through the life experiences and it is because of problems that we grow
mentally, spiritually and emotionally.
You only live once, but if you do it right, once is enough
Dr Nurul Athirah Naserrudin
Type 1 Diabetis Mellitus
Malaysia.