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Google drive link:

https://drive.google.com/file/d/0B6QotD5IQEbKc2lGUm9UQnIyTDA/view

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D-Day!!

Yahoooooooo!!

Officially finish my internship at Qalam Laduni Medical Centre.

Million thanks to QLMC’s staff for their guidance in this four months of my internship. They teach me a lot, and I’ve learn a lot too. I’ve learn lots about traditional medicine and basic information to take care of sick patients and elderly.

It was a great opportunity to be part of QLMC staff although as an intern students.

I was so happy when our patients told us about their changes after receive treatments at QLMC. Some of the patients who unable to walk before now can walk with their two feet.

Before this, at UMK, we only learn about TCM theoretically, but in QLMC we learn it practically.

Thanks to the staff nurse for teaching us lots of medical information. Not to forget the practitioners who teach us lots of information about the massages. And lastly the management team who help us a lot. Thank You.

Hope to see you guys later. Adios!!

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Day 108 of 110

Two days left until I finish my internship!! I’m sooooo excited.. Yeayhhhh..

I beat my own record, away from home for four months. Good girl. Huh!

So today I’m on my morning shift. Again!

What to write again!! Huhu.

I’m not a good writer duhh!! And I have no idea what to write since I’ve wrote lots of things back then.(Really??)

Counting days…..

I can’t believe it, that I almost finish my internship, almost finish my degree life.

UPSR, PMR, SPM, MATRIKS and DEGREE. Next?? Master of course.

At the age of 23 years old, I’ve started to think about my future. Frankly speaking, I don’t even bother to think about it before. Haha.

Opssss… remember Shazleen, this is not your diary. This is padlet. Haha. Sorry!

Around 3pm, my supervisor told us that one of our intern student taking leave (MC). She takes a sudden leave and I was too tired to continued working and double my shift. I wish that she tell us earlier and we can change our shift.

Working is sure tiring compare to studying. We have to face different kind of people every single day. Huh!

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Two days left until I finish my internship!! I’m sooooo excited.. Yeayhhhh..

I beat my own record, away from home for four months. Good girl. Huh!

So today I’m on my morning shift. Again!

What to write again!! Huhu.

I’m not a good writer duhh!! And I have no idea what to write since I’ve wrote lots of things back then.(Really??)

Counting days…..

I can’t believe it, that I almost finish my internship, almost finish my degree life.

UPSR, PMR, SPM, MATRIKS and DEGREE. Next?? Master of course.

At the age of 23 years old, I’ve started to think about my future. Frankly speaking, I don’t even bother to think about it before. Haha.

Opssss… remember Shazleen, this is not your diary. This is padlet. Haha. Sorry!

Around 3pm, my supervisor told us that one of our intern student taking leave (MC). She takes a sudden leave and I was too tired to continued working and double my shift. I wish that she tell us earlier and we can change our shift.

Working is sure tiring compare to studying. We have to face different kind of people every single day. Huh!

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My last day pm shift at QLMC. On the last week at QLMC, I have to make sure that everything that needed in my report is complete. Videos, pictures, interviews.

Deep inside, I felt so sad to left everyone in QLMC. Four months working together create a great memory. But four months away from home,hmmmm..

We work as usual. I remember back then, when we first came. We know nothing, but now we can handle lots of things. But still, we seek for advices when it comes to make an important decision. It was great when I can lessen the SN job at ward. Handling more than 10 patients is not an easy job. Some of the patients will call us every 5 minutes. Fuhhhh!!

We have this one patient who kept calling us, day and night. He will ask us to help him move, drink, and lots more. He actually wanted some attention.

Actually I have no idea what to write in my padlet. Hmmm.

Adios!!

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OFF DAY!!!!!

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It's Sunday!! Fuhhhhh.. Last Sunday at QLMC.
I'm still on my evening shift. Again I’m working at the front desk today. In the evening, the booking table still empty but then I receive lots of call from customers. There are also walk-in customers. So our therapists are fully booked in the evening.

Around 7 o’clock, a walk-in customer came and wants to meet Ustaz. Because it’s her first time visit QLMC, I have to key-in her data in our database after date I checked her BP.

There nothing interesting today since I was so sleepy. I don't know why, maybe I stay up late and woke up early in the morning.
So I think I’ll stop today padlet here.

Adios!!

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6 days left until I finish my internship. OMG!! I can't believe it.
I was a little bit sad because I can't joined Majlis Anugerah Dekan. It's been a long time since the last ceremony for Dean List. Congrats to all students who receive dean list and have the opportunity to go to UMK and receive the certificate. I'm soooo jealous.

Today was a hectic day. Our therapists was fully booked, and there are customers who came without booking. Some of them willing to wait but some of them are not.

After that, we have this one customer who I think have a mental problem (based on our observation). But her family claimed that she has been possessed by ghost (I don't think so). She seem so depressed instead of possessed. She yell asking for her mom and swear bad words. She even struggle and try to escape. She seem human. Huhh.
I've never experience something like this so I found it quite interesting and scary to. I was afraid that she will hit us by the way she look at us and she wandering around crying and yelling. Fuh!

I only get a picture of my sem 6 dean list cert. This cert still under FKP. I want the FHPK dean list cert for sem 7 😢. I hope they will post it soon.

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Majlis Menyambut Ramadhan

It's been a while since I last updated my padlet. Since we are so buzy this week with three event started 17th May till today, 19th.

Today we have an event at QLMC. All the sn, patient's families and many others were invited to join the event.
After finish all of our job at the ward, we join them.

Ikan Bakar and air asam my favorite and also durian. Yummy. Eat together with them make me miss my family. Just a few day before going home. Can't wait!!!

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Muzakarah: Traditional Malay Medicine @ Danau Golf

Today we have another programme which is Muzakarah. But I’m not involved with the programme because he claimed it is not proper for me to join since I’m free hair. So I was left to continue my work at QLMC.

Our lecturers Madam Dalila and Sir Faezi came to join the Muzakarah. Before they go to the Muzakarah, they take a short tour at QLMC. After that they move to Danau Golf to join the Muzakarah.

There only a few customers since morning so I have nothing much to share.

A picture with our lecturers, Madam Dalila and Sir Faezi. Saw lecturers. They came to QLMC for Muzakarah.

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Visit from Pusrawi International College of Medical Sciences (PICOMS)

D-day

Today we have a short visit from PICOMS.

The aim is to introduce QLMC to PICOMS and with hope PICOMS can send their students for practical.

They arrived at QLMC on 11 in the morning. En. Hasbee on behalf of QLMC gives them a welcoming speech and thanks them for willing to make a visit to QLMC. After that Ustaz invite one of them to experience how Ustaz diagnose patients. After done diagnose, we bring them to take a short tour to our facilities. Then they move to Hotel Puri Pujangga for a short talk and lunch.

I hope there will be new practical students as soon as we left to help the sn at the ward. And I hope their management as good as us. Hahaha.

On the evening, we work as usual. Fuhh!!

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Day 100 of my internship!! 10 days before I finish my internship at QLMC. I don’t have much work today since we have only 9 patients left at ward. Some of them are still at their home.

After done with morning massages, we bring the patients to do physiotherapy. We finish all jobs before lunch. While they prepare for lunch I help the patients to sit. Most of our patients are unable to sit by themselves. As usual, I help to feed the patients.

I think that’s all for today. Nothing interesting to be shared with you guys.

Adios!

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OFF DAY @ Short vacay!

Yesterday at 4 30 o’clock we take Uber and start our journey to Tadom Hills resort for a short break. We arrive at Tadom Hills Resort around 5 30 o’clock and check in at the reception.

I was so amazed with the beautiful and uniqueness of the resort which 95% of the facilities was builds using bamboo. The tent, chalet, hut, chairs, tables and many more are made off bamboo. Good place to relax and chillin’ after a hectic day at work.

We rented a hammock because it was the cheapest among all the facilities offered. There actually a hut but hammock sound more interesting then hut which are equipped with bed. You can swing in hammock.

After take a stroll around the resort, we hang out by the lake side restaurant. We ordered English pies. Bonding time with my bff and enjoying the sunset.

For dinner we ordered BBQ for 3pax cost Rm90. I gave 5 stars for the BBQ. With RM30 for each person we can enjoy lamb, chicken chop, grilled squid and sausage and grilled salmon, pasta, fruits and drinks. Recommended!

We wake up early in the morning and having our breakfast. For breakfast they serve variety of food. Worth your money. At 9 o’clock they open the lake called Tadom Splash. Without wasting our time we quickly jump into the water after done with our breakfast. They provide bamboo raft and bamboo platform with the height of 5meter to jump. Since I have issues with height, I volunteer myself to record my friends jumped from the platform. Huahuahua.

Play time over!! We checked out at 12 noon and Good Bye Tadom Hills! Great experience! Tadom Hills Resort checked!

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Again we don’t have much customers today. So we decided to do our video presentation. After done discussing and find the perfect angle to shoot our video. Few days left until we finish our internship so we need to do everything quickly.

We wanted to shows all task given by our supervisors so we recorded all task that we have done. We even interview one of our warded patients. I’m afraid 20 minutes will not enough for me. We have recorded all the treatments so the last thing that we have to do is record our presentation.

Talking in front of the camera is not so easy. But video presentation is lot better than presentation through skype. We only need to upload our video and share the link. Fuh!

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Hello again!! It’s Saturday!! We expect that there will be lots of customers today but nope! There only a few customers today unlike usual. I think that was because they already visited us last Wednesday which is Wesak Day.

It’s okay because we can give more attention to patients in the ward. Today ustaz examine the patients in the ward and two of them need to do leeches cupping. My friend and I do the leeches cupping while the therapists massage and help the patients do physiotherapy.

As usual the leeches cupping took one to two hour to be done and that was a long wait. I’m sooooo sleepy while waiting the leeches to fall off. They sure eat a lot. Look at the picture, the leech was so big but it won’t stop sucking the patient’s blood. We finish the treatments at almost two o’clock. I was so hungry because I skipped my breakfast.

After lunch we start to check the patients BP and SPO². We separate our task to make our job easier. While my friends check the BP and SPO², I key-in all the data. After finish all the job we take a short break before our shift end.

Few days left. Huahuahua!!

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There is no water again todayyy!!! Huarghhhhh!! I have to bring the mineral bottle downstairs to fill up the water to take a bath. Exercising in the morning 😪

One bottle for each person,. I need a proper bath please.

It's 11 am and there still no water. Hmmm. As for now, we only have three customers. I'm so sleepy because I can't sleep well last night 😪..

Around 12 noon, Miss 'Atikah arrived at QLMC. She met our supervisors En Hasbee and En Fahmi. Abby is the one who explained everything to her and bring her to take a quick tour around QLMC.

She and her friend was diagnose by ustaz. Ustaz suggest them to do reflex and leeches cupping.

After Friday prayer, customers start coming. While my friend assist ustaz, I help the therapist to do leeches cupping. The boy is autism and we need to hold him. He keep refusing the treatment. I ask my friend to help me because the leeches didn't want to bite the boy.

When we get home, there still no water 😪. I heard that the pipe broke that's why there is no water at QLMC 😢.

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Hello everyone..! Counting days..! Tik tok tik tok 😳..

So, today my duty is at the ward. Early in the morning ustaz came to do daily check-up and we have to assist him.

Again! Hectic day!
We need to do leeches cupping for 5 patients. Fuh 😪 Waiting for the leeches to bite and suck the patients blood quite tiring or to be honest, boring 🤔.

We finish our job at 3.30 pm, quite late actually because before this we will finish everything around 2 pm. Fuh 😪 Luckily we have three intern in duty so we can help each other.

No water!!
Luckily we have water in the bottle for emergency time. Fuh 😪 Enough for us to take a quick bath. Water! I need you 😢.

Working doesn't stop our social life. After regain our energy with a quick nap, we go out to find some peace. Peace?? 😂
Karaoke time!! Lalalala~~ Working hard every single day and finish the allowance like water! What the!!
This is why we can't have shift or off day together. Huahuahua. Two hours for karaoke and then movie time!! Karaoke was a plan and movie was a bonus 😂. Actually we wanted to watch alien movie but the movie start at 11 50 pm. We watch King Arthur the legend of the sword, I'm not sure whether the tittle is correct or not. I love the movie because I really love the story of King Arthur, Merlin and the famous sword, Excalibur. Opsss!

I think it is enough for today.
Stay tuned 🌸..

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Wesak Day @ Public Holiday 😱

As expected... Hectic day!! Dancing day 🙊💃🏻! While some of our friends update/posting about the public holiday today, we running here and there dealing with customers.

Fuh!! Look at our booking table 😪.. Due to not enough therapists, my friend and I has to do leeches cupping while waiting the therapist finish massaging the other customers. Some of the customers came without booking, we have to ask them to wait a little bit. Most of them has to do leeches cupping, so it is lucky for us because we can do the leeches cupping first while waiting for massages 💆🏻..

Actually my duty today is at the ward, but due to lots of customers today, I help my friend at the counter. I can wait at the counter while my friend do leeches cupping and vice versa. Leeches cupping usually take about one to two hour to finish.

So damn tired but we manage to do it. Arranging the booking table and finish the treatments.

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Hellooo readers! 🤔 So today I'm still on my am shift..

Since morning until now, about 1 30 pm.. we only have three customers.. So I really really really bored and I'm just playing games since morning 😒..

Meanwhile, I'm thinking what should I put in my intern report.. Not only report, we have to do video presentation also.. Fuh 😅..

I think there should be no problem since we learn a lot here.. A lot I repeat. I bet my video presentation will exceed 20 minutes if I don't plan it carefully. I have lots to show to my supervisor 💁🏻..

Only a few days left untill I finish my internship. I should think about my real job know. But I also have this conflict in my head, should I rest for a few weeks or start working immediately. I really want to spend time with my family. Fuh! I am an adult now. So I should think like one 😨..

Yesterday I heard that our graduation day will be on October 9-11. I don't know if that is the exact date but still long way to go 😴. So I have lots of time to find some money for graduation 👨‍🎓..

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Sleep Day!!!!!! 💁🏻

Off dayyy it's time toooo wash my cloths 😴..
Movie marathon 🚶🏻.............

Payday 💰 💰 Money money moneyy 💸..
Okayyy let me think where should we go 🙊..

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Good Day everyone! I have to wake up early in the morning again for my morning shift. I’m not really a morning person so I’m more prefers evening shift. But I have to work anyway.

Fuh! Waking up with an empty stomach is not really a good start. So I’m drinking Milo to gain some energy early in the morning. Breakfast is essential to provide some energy for us. Working with empty stomach is a bad idea.

So today is Sunday and as usual we know that it will be a hectic day for us. We already prepared mentally and physically. Haha. Because there not so many customers in the morning, I’m helping staff nurse at the ward. After ustaz finish examining all the patients, we immediately start the treatments.

We bring the patients to “terapi alami” and some of them need to do ant therapy. One of our patients need to do leeches cupping. At first, our therapist in charge of doing the leeches cupping but then she has booking. I then take over her place and continue to do the leeches cupping. Whattttt!!!!!!! I have to do it by myself since all the therapists were busy with their job. OMG!!!!! I’m still afraid to touch the leeches with my bare hands, so I use gloves. What if that blood sucking creatures bite me or walk (walk??? Or crawl or what so ever lah) on my hand?? I can die from shock. Grrrrrr!!

I need to do not only one but two of them (it). I I’m sooooo dead. Haha.

So my first attempt to let the leeches suck the patient’s fingers. With shacking hand I tried to focus, praying that that little creature will bite quickly. After a few minutes, tadaaaaaaa! It finally enjoys the taste of the sweet and yummy bloods. Huahuahua. Okayyy next attempt…. I’m all aloneeeeee!!! Help help!!! While the first leech enjoying ‘his’ meal, I’m struggling with this one to let it bite the patient’s toe.

Finally!!!!! I did it.

Waiting the leeches to fall off is sure a long wait. Fuh! The blood is sure good huh?? I’ve wait for an hour and the first leech fall off while the other still enjoying his meal. Hey leech, I’m hungry too T,T. The leeches finally fall off. Yes!! Finally!! Erghhhhh.

I’m free from leeches. After carefully dressing the leeches bite mark, I immediately go to the café to other something that I can drink. Fuh!!

That’s all for today. Thank you for spending your precious time reading my novel-like padlet. Wakakakkaa.

Adios!!

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Again, weekends is always be the busiest day for us. Due to high demand, we have to take one of therapist from Sek 15.

Earlier in the morning, we have foreign customers who come to get a massage. He said he suffer pain in his left shoulder and wanted to get a massage. He is a post-doctoral student in UKM and a special forces and military under prime minister back in his home country, Iran. What a great chance to have foreign customers visited us because usually we only have local customers and a few of them are Chinese and Indians.

He even told us to promote QLMC because some of the students are still not aware the existence of QLMC at Danau Golf UKM. My friend as him which place is the most strategic to promote QLMC. So he suggest to promote at place where there lots of athlete because he said that they really need a massages.

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Bertungku (Hot stone)

Bertungku after giving birth is essential in Malay culture. Bertungku is important to remove or get rid of remaining/excess blood after giving birth, help to recuperate the uterus and help to recover the nerve near the uterus area.

Bertungku is placing a warm stone (warp with leaves and towel) in certain part of the body especially around the uterus area. In Malay culture, we believe that “bertungku” can help to remove all the toxins in the body. The warm stone keep the body warm and produce sweat.

Purpose of “bertungku”:

1.      Get rid of fat.

2.      Help the uterus to shrink to it normal condition.

3.      Help our body to turn back to its normal condition.

Bertungku can be done by ourselves or with the help of professional or better known as “mak bidan”. “Bertungku” can be done after postnatal massages. I’ve share about postnatal massage before this. It is important to take a good care of our body after giving birth to avoid the long term effects such as soreness or pain all over the body after few months or years after giving birth.

Steps of preparing the “tungku”/hot stone:

1.      Heat a stone in a fireplace or stove.

2.      After get enough heat, place the stone on leaves and wrap it with a towel.

(Make sure the heat is suitable to avoid injuries).

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Shocking news!!

Our lecturer will come to QLMC because one of my friends was chosen to be evaluated out of hundred students from our course. Although I know the lecturer will only evaluate her, but I also feel a little bit nervous.

But at the same time, I quite excited to have her visit us here as she can see our workplace.

So again, today is my last pm shift for this week. Fuh!! Starting tomorrow I need to wake up early.

As my friend end their shift at 4pm, I continue to watch over the leeches that are still sucking one of our patient’s blood. Ergh!! 3 months in QLMC and honestly I’m still afraid with that blood sucking creatures. Yuksss. But I can do the leeches cupping by myself now but I’m still afraid to take the leeches in the jar because when it swam in the water I felt like it can be me and hold onto me tightly.

But better than before, I can touch it now although I felt a little bit afraid (a little bit?? Huh). I hope I will have the courage to really touch it with my bare hands. Fuh!

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To be honest, I don’t know what else to share in my padlet. It is day 87 and I’ve wrote 87 padlet for this past three months. I think I’ve share a lot, about my job, treatments we have here and also a little bit of information about the diseases.

As usual, I go to work and do what I need to do. Today I work alone in the pm shift in my other two partners in am shift. Now we only have 3 female therapists and 4 male therapists. We need to carefully arrange the booking table to make sure that we can offer our service as usual in the same time we need to make sure that our therapists get enough rest before serving other customers. We have to make sure the quality of our services.

23 days left until we finish our internship. I think I should start write the report and plan the video presentation that need to be submit later.

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Cupping Class Part 4!
Happy Birthday to me!! Opsss!! Hello May!!
Last month at QLMC. Three weeks until we finish our internships. Still lots to learn I guess.

Cupping Class: The Last Part 5

Our last cupping class. Huhu.

So today, En. Fahmi showed us the demonstration of wet cupping. Thanks to En. Nizam, one of our patient willing to help us in our learning process.

We start our class with introduction to the tools used for cupping. Then we proceed to the demonstration of the cupping.

Steps:

1.      Make sure all our equipment for cupping is enough.

2.      Use swabs to clean the cupping point and then put the cup.

3.      After finish placing the cups, open the cup and use a lancing device to pierce the point. Start in the middle, make a round until at the edge of the cup mark (mark left when the cups suck the skin).

4.      Put the cup back at the point. We can see the blood coming out.

5.      Repeat the steps till done placing all the cups.

6.      Wait about 5 to 10 minutes until the blood start to clot (to make sure that when we open the cup, the blood will not dripping to other part.

7.      Using gauze, wipe the blood at the patient’s body and in the cup. Repeat until done.

8.      Place the cup at the point again to suck the remaining blood left at the points.

9.      Then wipe the points with swabs to clean the blood.

10.  Wipe the points with iodine and then done!

11.  Clean all the tools used and sterilize it.

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Happy Labour Day!
So today is my OFF DAY.
Movie time! Guardian of the Galaxy Vol.2

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It’s the end of April! Counting days!

26 days left before we finish our internships. Today my friend and I kept the patient’s information for April inside their files. At the end of every month, we have to kept the information inside the files and create new invoice in the database. The information of the patients will be kept in database and in the files. In case we have problems with database, we still have the files.

Since on weekend we only have a few patients left in the ward because most of them going back to their home, we have lots of time to do rearrange the files.

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Leukemia

Leukemia is a cancer of blood cells (blood cancer).

Common symptoms of chronic or acute luekemia may include:

1.      Pain in the bones or joints.

2.      Swollen lymph nodes that usually don’t hurt

3.      Fevers or nights sweats

4.      Feeling weak or tired

5.      Bleeding and bruising easily

6.      Frequent infections

7.      Discomfort or swelling in the abdomen

8.      Weight loss or loss of appetite

Today I meet one of the leukemia patient. His eyes are swollen, his left eye swollen bigger than the left eye. He suffers leukemia for years and chooses a traditional medicine to cure his illness. He refuse to do chemotherapy because he afraid it will affect his body.

He had tried lots of traditional medicine and hope that ‘bekam lintah’ will help him to reduce the swollen. He also consumes traditional remedies instead of hospital medications.

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New admission Nur Bahree

This new patient admitted for 4 days only. She is okay but not strong enough to walk by herself. But she suffered senile. Sometimes she’s crying because she wanted to change her diapers, but the SN already changed her diapers. She forget about it and she kept saying that everyone in the ward are so evil because doesn’t want to help her.

She also forgot that she already take wuduk right after the SN help her wear her telekung. She crying because she claimed that she cannot perform her prayer without wuduk. But actually she has it.

In the morning, around 10 o’clock she will start asking for somebody to help her take her wuduk because she wanted to perform her prayer. When everyone told her that it’s only 10 in the morning, she will say that she already late to perform her maghrib prayer.

Everyone was so patients attending her including the other patients that help us to make her calm. Before this she actually stayed at Nursing Home.

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Cupping class cancelled and we worked as usual. I actually don’t have any idea what to write in my padlet every single day because we do the same things every day. I go to work, do my job and then done. Same goes to the next day. The only difference is we change our job, either at front desk or ward.

Two different situation that need patience.

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Saga Hill/Apek Fall

Today as promise, our supervisors En. Fahmi bring us to Saga Hill located at Ampang. Saga Hill is one of the famous hiking spots in Selangor and Kuala Lumpur. We arrived at Taman Saga around 8 o’clock because the maps show us the wrong way. We started to hike and take one hour to reach the peak of Saga Hill. On the top of the hill, a gym facilities is provided and a few hammocks, table and chairs. People can rest before going back or going further to the waterfall.

After rest a few minutes, we continue our journey to the waterfall. Actually we ask a few people that we meet along the trek asking them how far the waterfall from our location. One of the hikers told us that it only take 20 to 40 minutes to the waterfall. Without wasting time, we start to hike to the waterfall. It takes 40 minutes to arrive to the waterfall. The waterfall is not as big as I imagine but the water is so cold.

We rest for about an hour before decided to going back because my friend and I have to go to work at 4pm. We only take one hour downhill. Its rain heavily right after we enter the car.

We arrive at QLMC around 3 o’clock. Tired but worth it.

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OFF DAY

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The patients watching television after done treatments. They spend most of their time watching television or talk to each other.
On the left, En. Hamdan and beside him is En. Zainuddin.

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OT....
We have to stay for another one hour before the night shift sn come. This is because the evening shift sn, Kak Ezreen has emergency at home. She has to leave early and we have to take over watching the ward.
I think there should be two sn on duty for a shift because if anything happen, another sn can stay at the ward watching over the patients.

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New admissions.
Haji Abu Bakar and Radziah.
En. Haji Abu Bakar suffer left stroke and hypertension. He alert but unable to walk by himself. Because he was unable to walk, we start his physiotherapy with standing on the sand. He can't do cycle yet but we hope he can soon.

Mrs. Radziah also suffer left stroke, hypertension and diabetes.
She also cannot walk by herself and the biggest problem is she always refuse to eat. Her husband gave her protein milk and supplements.

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Cupping Part 3

Today we learn about the meridians point to place a cup for cupping, the size of the cup and how many cups can be used. The minimum cup is 1 and the maximum cup is 9.

Before cupping, we must check the blood pressure of the patients to make sure that she/he is in a good condition.

The best date for cupping are 17, 19 and 21 in Islamic calendar.

Point on the body:

1.      Head

2.      Back

3.      At the back of the ear

Tools use:

1.      Sterilize Cups

2.      Gloves

3.      Lancet device

4.      Gauze

5.      Alcohol pad/swab

6.      Mask

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One of our patient do physiotherapy while watched by our therapist. At first, he was unable to walk but after a month staying at QLMC, he now can walk.

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Treatment: Resdung Wap

Ingredients:

1. Lime

2. Pandan leaf

3. Lemon grass

4. ‘Lilin resdung’

5. Betel (Daun Sireh)

Steps:

1. Boil the water

2. Mix all the ingredients inside a pile

3. Pour the boiling water

4. Ready for treatment

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OFF DAY

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Hysteria!
Definition 1: Exaggerated or uncontrollable emotion or excitements.

Definition 2: An old-fashioned term for a psychological disorder characterized by conversion of psychological stress into physical symptoms (somatization) or a change in self-awareness (such as a fugue state or selective amnesia).

Hysteria in Malaysia culture:

Relate with supernatural disturbance such as seeing black figure or women with long hair or many other things. When we speak about hysteria, people will automatically relate it with seeing ghost or the ghost/spirit enter our body.

There is a case in Kelantan where a school had been closed for few days due to the students and the teacher hysteria after seeing black figure wandering around their school.

Sometimes hysteria also affected universities students. Some of the scholars relate hysteria with stress or psychological disorder. And some of citizens relate it with when a human in a very weak state (lemah semangat), spirit can easily entered their body.

Whatever the causes of hysteria, hysteria can be harmful if the person holding a weapon or something that can be harmful to themselves or to others.

Hysteria usually treated with religious way. We must calm down the person who affected with hysteria.

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Hectic weekend!
As usual, weekend will always be the busiest day for us. Things get harder when we have only three women therapists left. Before this everything runs smoothly because we have enough therapists but then they quit for some reason. With only three therapists for women, they have to work harder than before to fulfil the customers demand. Nowadays, the demand is higher than what we can afford to offer. The problem occurs when the customers came without booking their slots in advance. They have to wait if they happen to visit us without any booking.

This is our main weaknesses. Lead time. We have to make our customers wait and ask our therapist to work non-stop. I hope new therapist will be hired soon since the demand is quit high lately.

Weekends will never be an easy days for us.

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It’s already day 68! Oh my! Another 41 days left. I miss my home badly T^T. To be honest, it is my first time away from home for almost three months. What? Three months? I beat my own record. My dad kept asking when I will take a leave. I guess he miss me already.

I think I’ve shared a lot of information, my job and task. I’ve read other student’s padlet and they make it so simple. Just a few points and they wrote the same thing every single day. But it’s okay, for me internship is learning process in workplace or in real working environment. That’s why I’ve decided to wrote what my job is and at the same time what I had learn here.

I’ve share lots of information to my reader(s) and I hope some of information I’ve share can help them in many ways.

So, what’s new today?

En. Zainuddin finally wanted to walk again after a week he stop walking. He slowly stands up while holding a wheelchair and walk slowly step by step. I was so excited because before this he refuses to walk when we ask him to do some therapy. I taught that he might feel uncomfortable anywhere but he seem fine. It’s good to see him walk again.

What I’ve done today?

Today I’m on my evening shift and as usual at the evening we need to record and monitors the therapist massaging the patients.

My friend and I arrange the BHD to keep it inside the files. Some of the patients already had their own files and for the new patients, I need to take a new file for them. Although we have all the information in the system, but we need to kept all the record in case if something happen.

I think it’s enough for today.

Adios!

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Cupping class Part 2: Body Balance
Everything effect life and body.

Five elements in order to keep balance in our body:

Ø  Metal

Ø  Water

Ø  Soil

Ø  Woods

Ø  Fire

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Pregnancy/Prenatal Massage!

Some people believe that pregnant women can’t be massage. But actually pregnant women can get a massage but with the correct ways. There are three points that cannot be massages located at our foot.

Pregnancy massages can help the mother to feel relaxed. Massage relieves many of the normal discomforts experienced during pregnancy, such as backaches, stiff neck, leg cramps, headaches or swelling.

In addition, massage for pregnant women reduces stress on weight bearing joints, encourages blood and lymph circulation, helps to relax nervous tension which aids in better sleep and can help relieve depression or anxiety caused by hormonal changes.

So, pregnant women can actually get prenatal massage.

Benefits of prenatal massage:

Headaches can be relieved by massage focusing on the head, neck and shoulders. In addition, maintaining optimal levels of stress relief through massage reduces the chances of migraines or tension headaches by relaxing trigger points and muscle spasms.

Muscle tension created by carrying the extra weight of a baby can be relieved by encouraging blood flow to the afflicted areas. This provides more nutrient-rich oxygen and also increases the flow of lymphatic fluid, which sweeps away toxins and metabolic waste.

Fatigue, backaches, leg cramps and swelling/edema can all be relieved through various types of massage for pregnant women.

The ordinary aches and pains of pregnancy are countered by the release of serotonin, your body's natural anti-pain chemical, which is stimulated by massage.

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New admission
Aida and Ruslan

Aida age … Suffers stroke on left side of her body for one year and three month. She can walk but with help. She actually still a young women compare to other patients.

Ruslan age … also suffers left stroke, hypertension, leg oedema and diabetes. He can walk but with help due to his unstable leg. It’s quite difficult to communicate with him cause he quite all the time and barely talk.

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OFF DAY!

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Emergency again!

Mariam warded to hospital due to SPO² low. Since morning our staff nurse monitored Mariam’s condition because her unstable SPO². Sometimes her SPO² was normal but then it suddenly dropped to 80 something.

After receive permissions from her family, our staff nurse bring her to the hospital. Luckily she is okay.

Actually we already asked her family to bring her to the hospital few days before that, but her family told us to wait. I don’t know what’s wrong with them. As if the death can wait.

She vomited frequently. The staff nurse asked her family again whether the dosage of her milk is correct. And what shocking us the most is her daughter gave us the wrong dosage of milk. Guess what her excuse is? ‘I add the dosage myself, double the dosage prescribe by the doctor’. I don’t know what her problem is but that could bring harm to her mother. Added the dosage of the milk can cause the milk to enter her lungs due to overloaded milk.

Fuh!!

Luckily she is okay now.

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Emergency!
Today as usual I go to work and my duty is in the ward. Everything went normal like the day before. We monitored the therapists massages the patients in the ward.

Then Ustaz came for daily morning check-up for the patients. We started with the male patient then move to female patient. After done check-up, we started assist the patients to do physiotherapy which are cycling, hand exercise and some of them who are unable to move both hand and feet are being seated.

Lunch is ready right after we finish with physiotherapy. While waiting the lunch being served, we help the patients to sit on wheelchair. Some of the patients unable to eat by themselves so we need to feed them.

Right after I finish feed En. Hamdan when suddenly I saw Staff nurse rushing to one of our patient. She told me to take SPO2 device at the desk and I immediately pass it to her. When she put the devices at the patient’s finger, I saw her SPO² reading was 70 below. The normal SPO² reading is 95% above. I’ve started to panic when the staff nurse asked me to call En. Fahmi. He is ready with ambulance to take the patient to the hospital. They go to the hospital immediately along with the patient’s daughter. My friend and I were left to keep an eye on other patients in the ward.

We proceed to do our job, recorded the patient’s blood pressure. It almost 3pm and we call other staff nurse to help us with feeding. Luckily they came and help us with the feeding and change the diapers.

Sadly, the patient died at the hospital due to heart attack.

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Customer’s opinion!

Usually customers only come to receive treatments. And guess what? Today I’ve meet with one of our customers who gave her opinion to me about QLMC. She is actually our regular customers. While waiting her husband to pick her up, she started our conversation. At first she asked about us, how long have we works at QLMC and asked us about our course. Then she started to talk about customer services. Customer service is the most important thing in a business because customer’s satisfaction is our main goal.

And guess what? She also said that mouth-to-mouth promotion is the most important thing. Yes! I’m agreed with her. I’ve share about this type of promotions earlier. She told me that she know about QLMC from her friend. She wanted to try the alternatives treatments because she actually suffers mild stroke. Besides the modern medicine, she wanted also wanted to try alternatives medicine to treat herself.

She also loves the environments at QLMC. The trees, golf field and the fresh air far from bustling city make her calmer and relax. Yes! That’s true! The location of QLMC is actually strategic for a medical centre. Although it’s not in the middle of the city, but it’s actually the environment is suitable for the warded patients and also for the customers.

It’s great to have opinion from our patients.

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Cupping Part 1

So today we have cupping class with En. Fahmi.

Our class started at 8.30 in the morning. En. Fahmi told us to go at Terapi Alami. He then show up with golf beg. What?? We in our cupping class and what with the golf beg. Are you being serious? Can someone please help me relate this situation? That’s was my thought at first. I’m sorry if you reading this En. Fahmi. Haha!

He then take out 6 golf balls and give one ball to each person. He then pointed Farhana as the leader. So, our first task is make a round and we need to pass all the balls to the last person with the condition everyone need to touch all the balls. He gave us 5 seconds. We complete the task in 5 seconds and receive the next task which is passing all the balls through everyone in 2 seconds. Wait! What? Two seconds. Are you serious, again? But we actually manage to complete the task. Yeay! How we manage the task will be our secret. Haha! So the moral of the story.. he wanted to show us how we make decisions and how we solve problems in a short time. Fuh!

Done with the golf balls. Then he gave us the next task. He gave us a questions paper. We need to complete all the questions in two minutes. Again En. Fahmi? Huh! Without any hesitations, we start to answers all the questions. And again?? What’s with the questions huh? It almost two minutes when I read the last question, and guess what?? It stated that, answer only questions number 1 and 2! I’ve answer all the 23 questions with all my heart! Haha! Gotcha!

So what is the moral of the story? And is he actually tried to teach us? Can you guess, cause I don’t want to give the answers. Haha!

Okay next! He told us a little bit about cupping. Where is the origin of cupping and why we need to do cupping. I think I will tell more in our next class.

Adios!

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Kayap (Herpes Zoster)

Reactivation of varicella-zoster virus (VZV) that has remained dormant within dorsal root ganglia, often for decades after the patient’s initial exposure to the virus in the form of varicella (chickenpox, results in herpes (shingles). Although it is usually a self-limited dermatomal rash with pain, herpes zoster (shingles). Although it is usually a self-limited dermatomal rash with pain, herpes zoster can be far more serious; in addition, acute cases often lead to postherpetic neuralgia (PHN) and is responsible for a significant economic burden.

Today I’ve meet with a patient who suffers herpes zoster (kayap). So I wanted to share a little bit about herpes zoster.

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Visitors from Bahagian Keselamatan UKM

Today we have guest from Bahagian Keselamatan UKM. I don’t really sure the exact amount of the guest but I’m pretty sure there are about 30 people. They actually wanted to know about Qalam Laduni.

Actually their office is near Qalam Laduni and that’s why there are curios because sometimes lots of people come to Qalam Laduni.

Some of them already know the existence of QLMC and frequently visit to receive treatments.

They arrive at QLMC at 9.30 am. After finish introduced QLMC to them, we bring them to Terapi Alami. Some of them wanted to check their blood pressure first before walk at Terapi Alami.

They seem so excited with our services.

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OFF DAY!!

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Weekdays always have been the busiest day for us. The booking table also full with customers booking. Luckily I have my friend help me. Teamwork is the most important thing.

Arrange the booking table is actually the most difficult things to do. And things will get more difficult when we have walk-in customers. But we have to do the best for our customers to make sure they have the opportunity to get treatments.

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Time sure flies fast. Seem like just yesterday I’ve start my internships and now I’ve only two months left. 53 days to be exact.

I think I’m will miss this place after I left. I’ve learn so much here, not only learned to adapt with working environments, I’ve also learn about life. What we have today, might not be ours tomorrow. Appreciate every single day of our life, every single time we use both of our legs, our hands. We might loss this someday as we grow old.

Help people with all your heart. Because we might need others help someday. I was so grateful that I had this opportunity to help people in need while doing my internship. I was given this huge opportunity to learn and at the same time to help others. My small favours might be a huge one for them.

I have lots of doubt at first, before starting my internship. Because most of our seniors said that they only do small work such as Photostat or printing all the documents and only sit at the office doing nothing all day long. I think I’m lucky then.

Million thanks to QLMC. Give this huge opportunity for me to learn.

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It’s almost a week I haven’t updated my padlet. This is because I’m trying to save my internet data by updating my padlet all at once. I hope our supervisors will able to understand my situation.

So today is the last day of March. Lots of thing happened in this past two months and I’ve learn a lot too.

What should I share today?

So today I would like to share about the improvements of our patients. The most amazing thing is, our patients name En. Zainuddin and En. Nazir now can walk. After a few weeks warded they finally can walk again. I was so happy for them. I would like to interview both when I have suitable time and also with their permission to.

Although we help them with the treatments every single day on the morning and evening, but it’s up to the willingness of the patients to get better. Some of them have the will and really hard working in doing therapy and walking and the result is marvellous. They can walk again after a few weeks. Without their willingness, they will not be able to recover quickly. Because we need to have the will to do something.

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I’m on my pm shift today along with my friends, Abby. As usual, we recorded the time for treatments at the evening. We need to record the time, the therapist name, the patients name and the treatments done.

In the morning, the treatment is whole body massage which takes one hour and one the evening the treatment is reflexology which take 45 minutes. We need to record the time to make sure that the therapist followed the time for the massages.

Other than that, we also recorded other treatments such as physiotherapy and ‘bekam lintah’. For patients who unable to do physiotherapy, we sit them on the wheelchair and bring them outside.

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I was so excited today because our boss brings us to Broga Hill. Hiking! My passion my soul. It’s is actually our fitness training, sort of.
4.45am we start our trip to Broga Hill at Semenyih and arrive at Broga Hill’s carpark at 5 30 am if I’m not mistaken. We get ready and then start to warm up our body before start to hiking. We start hiking at 5 45 am. There are two trek and we choose the new trek which is actually a shortcut to second hilltop Broga. We take about an hour and 15 minutes to reach the third hilltop. It is our first time hiking Broga hills and none of us know the trek so we ask other hikers and finally we reach at the Broga’s third hilltop.
Breakfast on the top of Broga Hills. We bring tuna sandwiches and apple for our breakfast. Hiking is sure tiring especially early in the morning. We manage to catch the sunrise and it was so amazing and beautiful. We share our sandwiches with other hikers since we bring a lot.
We get down from the third hilltop at 8 15 am and arrive at the entrance at 9 15 am. We frequently stop to snap some pictures because the view is so beautiful although there a lot of deforestation activities at certain part of the hill.
At evening, we go to work as usual.
Million thanks to our boss, En. Fahmi because give us the opportunity to hike Broga Hill. We had so much fun.

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Since Monday is our OFF DAY, we request to ustaz to change the class to Tuesday morning.

Today we learn how to diagnose the patients by touching their foot. There are points at our foot which are connected with our body parts or organ. We can diagnose the problem suffer by the patients by put a little bit pressure at certain point and the painful feeling felt by the patients can told us that he/she had problem at certain parts of his/her body.

We will learn more how to diagnose patients in our next class. We only two months left before finish internships and we still have lots to learn.

After finish our class, we work as usual.

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Good Day everyone. Today I would like to share about Gout. Gout is actually a common disease in Malaysia who affected men over 30 and women after menopause. Gout is common in men rather than women. My uncle also suffers from gout for years. So, I know a little bit about gout especially the food that cannot be eaten by the patients.

What is Gout?

Gout is a type of arthritis in which small crystals form inside and around the joints. It causes sudden attacks of severe pain and swelling. Gout can be extremely painful and debilitating, but treatments are available to help relieve the symptoms and prevent further attacks.

Sign and Symptoms of gout:

1. Severe pain.

2. The joint feeling hot and very tender.

3. Swelling in and around the affected joint.

4. red, shiny skin over the affected joint.

Causes:

1. Build-up of substances called uric acid in the blood. If you produce to much uric acid on or your kidney don’t filter enough out, it can build up and can cause tiny sharp crystals to form in and around the joints. These crystals can cause the joints to become inflamed cred and swollen and painful.

2. Obesity, high blood pressure/diabetes.

3. Having close relative with gout.

4. Kidney problems.

5. Eating foods that can cause a build-up of uric acid(red meat, seafood).

6. Drinking too much beer.

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OFF DAY. Movie time!!

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Hello everyone, dear lecturer, supervisor and friends. So today I want to share about reflexology. Reflexology is not a new thing since we already learn about it in TCM.

Reflexology

Reflexology is a non-intrusive complementary health therapy, based on the theory that different points on the feet, lower leg, hands, face or ears correspond with different areas of the body.

Reflexology is a therapy which can be received by anyone at any age, from new born babies to those receiving end of life care, and everyone in between. However, there may occasionally be times when it is not suitable to provide a treatment.

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Chronic Kidney Disease (CKD)
Today we have new admission at the ward. Patient who suffers Chronic Kidney Disease (CKD). His was admitted for three days.

His leg is swollen start from his knee. He also cannot drink more than a cup of water a day.

As we can see clearly, his feet and ankle are swollen. This is one of the symptoms of CKD.

Causes:

1. High blood pressure.

2. Diabetes.

3. High cholesterol.

4. Kidney infections.

5. Kidney inflammation (glomerulonephritis).

6. Polycystic kidney disease.

Below as we can see in the picture, his leg is swollen.

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Lmphoedema

Swelling in the legs caused by a blockage in the lymphatic system, or an inherited condition.

The lymphatic system consists of a series of lymph nodes (glands) connected by a network of vessels (lymphatics), similar to blood vessels.

Fluid surrounding body tissues usually drains into nearby lymph vessels so it can be transported back into the blood. However, if the lymph vessels are blocked, the fluid can’t be reabsorbed and will build up in the tissue.

Unlike oedema, lympoedema is a long-term condition that can cause discomfort, pain and loss of mobility.

It can be cured, but it can be controlled using number of treatments.

The symptoms of lymphoedema can be clearly seen. Based on my observation, the symptoms are:

1. Difficulty with movement due to swelling.

2. Hard, tight skin.

3. Folds developing in the skin.

4. Wart-like growths developing on the skin.

5. Fluid leaking through the skin.

Mr. Abu the patient who suffer lymphoedema for about a year. He told us that sometimes there is blood leaking from his skin.

After treatment using leeches, his foot looks better than before. We can see clearly his fingertips turn to normal skin colour compare to before treatments his foot was black colour. He has problem to walk properly due to his swelling foot.

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Arranging the form from last month in the files and create new files for new patients. Nothing much happen. Actually I afraid you guys might be bored if I write about what I do everyday, because it will be the same. The different is when we meet different type of diseases and different types of person with different behaviors.

I meet lots of people with different behavior every single day. Not only the customers at the front desk, but also family members of the warded patients.

I can't stand with the type of people who ask us to change their mother of father diapers instead of they doing it by themselves. Hello!! They are your parents, not anyone else. Learn to change their diapers at least. Remember how they take care of you and do the same for them.

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Off day and lecture class in the morning.

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Outing again!! It’s good to go outside working environments once a week. So today we go to Taman Tasik Cempaka again but this time we bring along badminton rackets. After finish walked around the lake, we played badminton at the park. After buy some breakfast at McD(What!!??McD after exercise!!) we go back QLMC. I’m on my morning shift today so I need to quickly finish my breakfast and take a bath to go to work. Fuh!! It’s quite tiring but this is my life. Back then at UMK, I usually fill up my schedule with lots of activities. On weekdays I spend most of my time at campus and on weekend I usually fill-up my schedule with outdoor activities such as wall-climbing, kayaking, or hiking. I hope we can go hiking after this (opss!!).

Today is my turn at the ward. After they finish their lunch, I proceed to take their Blood Pressure and ask their improvements day by day. It’s good to hear that most of our patients have some improvements after warded for a few days and receive treatments.

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It’s been two week since we planted the herbs.  The ‘misai kucing’ already flowering and the other herbs also grow more leaf.

I don’t know if my herb ‘Mahkota Dewa’ will bear fruits before I finish my internship at QLMC. Mahkota Dewa can grow 1 to 2.5 meters. I hope it will bear fruits soon!!

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We wanted to promote our services to a company especially manufacturing company to expand our business and attract more customers. As we all know, manufacturing company require hard work and non-stop production. This causes the workers experience lots of problem such as backache, body soreness, and many other due to their job requirement. There for, from this problem we created some opportunity to introduce our services to the company.

Now we still search the suitable company to send them a letter to inform them that we offer lots of services in QLMC. We hope we will be able to attract the company and make them promote our business to their workers. We wanted to be well-known not only in Selangor area but all over Malaysia. Not only that, we also hope that we will be able to help people with health problem to be healed.

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Promotion is a medium for a business to promote their product and services to attract customers. Nowadays, promotions through social media become one of the effective ways to promote products and services. Promotion through social media also does not require much cost compare to other promotion methods such as through newspaper or commercial on television. But how far do people believe on advertisement on social media compare to commercial and newspapers.

QLMC use new papers as a medium to promote their business to community. Promotion through new papers is actually brings more good because people are more likely to believe news and mouth- to-mouth promotions. QLMC use Harian Metro as a medium to promote their business and introduce their business to citizens. Lots of people visited QLMC after read the news about QLMC in the new papers of Harian Metro.

Not only advertisements, testimony is also important for a business to gain trust from customers. We need to share the testimony from our customers after receive treatments in QLMC especially for the warded patients. This is important to gain trust from the customers.

I think that’s all for today, I will continue to share more information tomorrow.

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It's been a month since I started my internship at QLMC and I think I already wrote lots of information about my job and task given by our supervisors.

Like I mention before, I do the same job every single day, at ward or at the front desk. The only different is I meet different types of diseases and different type of customers.
Therefore, I choose to share the information about the diseases.

But today I wanted to share about day care service offers by QLMC.

What is day care services?

Day care service is daily care service offer by QLMC for patients who wanted to get treatments but don't want to be warded at QLMC. Some of our customers choose day care service for their parents because they unable to wait until the treatments is done or they go out station and there is no one who can take care of their mother or father.

We offer the same services as the warded patients, but with different price. For day care, we only charge RM130 included treatments and meals.

Day care service is offer only when there is empy bed in the ward. If there is no empy bed in the ward, we will not be able to accept the patients for day care. Currently we have 16 patients at the ward and we have 2 empy bed.

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Last night, one of our patient experience hypoglycemia. Our staff nurse prepare some glucose water to treat the patient.

Hypoglycemia, also called low blood glucose or low blood sugar, occurs when the level of glucose in your blood drops below normal. For many people with diabetes, that means a level of 70 milligrams per deciliter (mg/dL) or less. Some people might have different number.

Symptoms of hypoglycemia tend to come on quickly and can vary from person to person. You may have one or more mild-to-moderate symptoms listed in the table below. Sometimes people don’t feel any symptoms.

Severe hypoglycemia is when your blood glucose level becomes so low that you’re unable to treat yourself and need help from another person. Severe hypoglycemia is dangerous and needs to be treated right away. This condition is more common in people with type 1 diabetes.

Symptoms:
Mild-to-moderate
- shaky or jittery
-sweaty
- hungry
-headache
- blurred vision
- sleepy or tired
- dizzy or lightheaded
- confused or disorientated
- pale
Severe:
- unable to eat or drink
- seizures or convulsions (jerky movements)
- unconsciousness

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Today I wanted to share the picture of 'Bekam Lintah'. As you can see below, the picture of leeches sucking one of the patient blood at the point mark by ustaz.
We need to spray water to the leeches to avoid its body dry. Leeches can expand when it suck out blood from human body. It's getting bigger and bigger than its normal size. Sometime the leeches don't want to bite and we need to prick the point to trigger the leeches with the bloods. We will let it suck the blood until its fall itself. Coffee and 'minyak gamat' will be use to dressing the point where the leeches bite. The bleeding wont stop quickly without proper dressing. This is because leeches saliva contain anticoagulant to avoid the blood to clot.

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Fifth day of internship!! And I've learned another thing today. MEDICINAL LEECHES. Yes!!! The blood sucking creatures.

Everytime I heard about leeches, I get the warm fuzzy feelings. Because I hate that little blood sucking creatures that suck human or animal blood to grow and reproduce.

Leeches always be my number one enemies for my passion, which is hiking. Although the leeches on the mountain is smaller than medicinal leeches, but I will run as fast as I can to avoid this little creatures. I guess now I need to be friend with the leeches because soon I have to take a good care of them. OMG 😱. Leeches, be good to me okay.

Leeches have anticoagulant, clot dissolving, anti-inflammatory, vasodilating, bacteriostatic and anesthetic effects that can be used to treat a variety of diseases and conditions.

Blood loss from leeches is minimal. When they’re full they naturally fall off.

Medicinal Leeches or Hirudo Medicinals, use for Bekam Lintah here in QLMC.
So, today En. Fahmi gives us some information about the leeches, how to handle the blood sucking creatures properly and the system that is use to calculate the leeches everyday.

Everyday, the water inside the  jar that contain leeches need to be change to make sure that the leeches surrounding is clean. The dead leeches need to be remove from the jar. To make sure it is easy to calculate the inventory for leeches, a table is use. Everytime the therapist take the leeches, they need to write the time, and the quantity of the leeches. Oxygen is piped to the jar to avoid the leeches die. Leeches is quite sensitive with chemical substances.
It is easy to differentiate the leeches that is in a good condition and in a bad condition. The leeches with green like or drak choco color belly without any wave-like at the yellow line of their body considered as healthy and vice versa. The leeches that are not healthy will be put in another jar that contain rock from river to allow the leeches to heal. It wil, take a few days until the leeches became healthy again.

Medicinal Leeches became quite popular nowadays and lots people came to experience the treatments.

So today I share the information I received from En. Fahmi about the leeches. Next time I will share how the treatments is done. So, stay tuned and enjoy my internship story in this padlet.

Enjoy the picture of the leeches, the disgusting blood sucking little ceatures but have lots of medicinal benefits.

Adios!

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Medication.

QLMC is a traditional medical center and we use traditional treatments to treat our patients. But, we we don't deny the medication prescribes by the doctors for our patients to control their illness.

Below are the list of medication that need to be take by our patients.

1. Treat high blood pressure (hypertension).
- perindopril
- metoprolol
- amcodipine
- bisoprolol
- conversyl

2. Diabetes.
- Insulin
- Janumet ( type 2 diabetes melitus)

3. Cholesterol.
- simvastatin

4. Epilepsy.
- leveracitam

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Today is my OFF DAY but we have class with ustaz. Our topic for today was the Philosophy of Malay Traditional Medicine.

The Origin of Traditional Malay Medicine:

Some believe it is started when the birth of the child of Prophet Adam.

In Traditional Malay Medicine, we believe that human are made of 5 elements which are water, fire (blood), wind, soil (body itself) and also spirit.

Diagnose disease using Traditional ways:

-          Based on the time, date, months.

-          The date of birth.

-          Name (total letter in the name)

Determine body heat (body temperature):

-          Betel Leaf:  The leaf is put at the armpit to determine the body temperature. This is because the betel leaf is sensitive to the heat. It will wither and the colour of the leaves turns brown to blackish colour.

-          Cotton: Damp the cotton in the water and then put the damp cotton at the nostril or at the ear.

-          Blood: Count the pulse. If the pulse is fast, our body temperature is high.

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Aerobic again! It was so fun we can go out every Sunday to do some exercise instead of doing nothing at home. It’s been two weeks since we last jog because of this rainy season. It’s only rain on the evening. Exercising is important to maintain our health. Not only to burn calories but to increase our stamina.

We arrive at Taman Tasik Cempaka at 7 50 am and the aerobic was about to start. My friend and I join the aerobic for about half an hour and then we decided to jog around the lake. There are lots of people jog and join the aerobic at the lake. It’s good that people nowadays realise the importance of exercising.After that we go to pasar pagi to buy some food for breakfast before working.

As usual, weekend is always been so busy because we have lots of customers. Some of them already booked their slots but some of the customers just walk-in. It’s good to hear that some of the customers know this medical centre from their relatives and friends. Some of the customers also bring their family and friends to receive treatments in QLMC. Mouth to mouth promotion is sure the best marketing strategies because we able to deliver information based on our own experience.

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Pay Day!!! Yeay!! After a month of hard work we finally receive our reward (allowance).

Allowance is like a motivation for us to do our job. Although we came as internships student,  we also need some motivation too. Working while learning is not an easy task. Not only we have to finish our job at our workplace, we also need to update our report and finish the task given by our industrial supervisor.

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Vertigo
Is a symptom, rather than a condition itself. It’s the sensation that you, and the environment around you is moving or spinning.
This feeling may be barely noticeable, or it may be so severe that you find it difficult to keep your balance and do everyday tasks.
Attacks of vertigo can develop suddenly and last for a few seconds, or they may last much longer. If you have severe vertigo, your symptoms may be constant and last for several days, making normal life very difficult.
More women suffer vertigo compare to men because the changes of hormone in the body when menstrual.
Other symptoms associated with vertigo may include:
 -Loss of balance which may lead to difficulties to stand or walk.
 -Feeling sick or being sick.
 -Dizziness.
Causes:
Caused by a problem with the way balance works in the inner ear, although it can also be caused by problems in certain parts of the brain.
 Benign paroxysmal positional vertigo (BPPV) – where certain head movements trigger vertigo
- Migraines or severe headaches
- Labyrinthitis- an inner ear infection
- Vestibular neuronitis- inflammation of the vestibulat nerve, which runs into the brain that help to control balance.
 Additional symptoms: High temperature, ringing in your ears (tinnitus) and hearing loss.
 Eating habits
Treatments:
- Simple head movements  (Epley Monoeurve)
- Simple exercise to correct the symptoms
-Sleep with head slightly raised on two or more pillow.
- Avoid bending down to pick up items.
- Avoid extending your next.
 Massages.

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Anxiety disorders

Feel more than temporary worry or fear. For a person with an anxiety disorder, the anxiety does not go away and get worse over time. This feelings can interfere with daily activities such as job performance , school work, and relationships. There are several different types of anxiety disorders. Examples include generalized anxiety disorder, panic disorder, and social disorder.

We have a patient who suffer generalized anxiety disorder. She is a primary school teacher. After she was diagnosed with anxiety disorders , the doctor suggest that she should get treatment from psychiatrist.

Based on her story, she was stressed with his job as a teacher because of the new system which is online based system. She spend most of her time in front of the computer to settle down all the documents and the Wi-Fi was not so helpful. She also afraid to stay at home alone because of she afraid that she might do something that can bring harm to herself. She often feel stress, shoulder pain, having sleep difficulties and tired. Due to this problem, she take her sick leave until the school holiday to treat herself.

Treatments

Ustaz suggested a few suitable treatments to treat her anxiety disorders without any medication intake.

- Counseling

Ustaz gave counseling to increase her confident level and reduce her anxiety.

- Reflexology

Relieve tension and treat illness.

- Massages

Relive anxiety, headaches, insomnia related to stress.

Improvements

After visit QLMC for 5 days , there are improvements on the teacher health.

- Confidence increase

- Less anxiety

- Able to sleep properly

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Terapi Tanah

Laying on the bed for a long time and rarely exposed to sunlight can cause dry scaly skin. Other than that, the skin become dry and scaly due to lack of unsaturated fatty acids and vitamins and also dehydration.
As we get older, our skin undergoes a number of changes. This condition commonly affect the elderly.

Usually we only need to apply some skin Moisturizers to reduce the dry scaly skin. But in QLMC, we use nature to treat the skin condition. Soil is use instead of Moisturizers. We rub soil from terapi alami to the patient’s skin to moisturize the skin. We need to rub the soil until the skin became normal again.

The picture below show one of our patient who suffers dry scaly skin. We rub the soil that has been damp to the skin and leave it until the soil is dry.

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OFF DAY

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It’s Sunday and we have our first outing together.  En. Fahmi brings us to Taman Tasik Cempaka to join aerobic held at the park every weekend. We arrive at the park at 7.40am. At the time we arrive, the aerobic is not yet start. So we decided to just jog around the park.

By the time we finish jog around the park, the aerobic team started to do some preparation and lots of people start to gather around. We spend about an hour at the park before headed back to QLMC. But before that we stop at the ‘pasar pagi’ to buy some food for breakfast.

We have so much fun together. After a month here we have the chance to go out and do some activities. I hope we will have the chance to do lots of activities soon.

At the evening, we work as usual. We usually have lots customers on weekend. And today our last customer arrived at 11pm and I finish my shift at 11.20pm.

Our happy faces after done aerobic and jog at Taman Tasik Cempaka.

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Today we have an interesting task which is planting the herbs. Gardening is always my favourite thing to do. I have my own garden at the back of my house.  I spend my semester break to plant vegetables and flowers. I usually plant chilli, tapioca, lady finger, sweet potato, pineapple, eggplant, banana, lemongrass and many more. I also love to plant flower such as sunflower, Ros Jepun and roses since these are my favourite flowers.

Our industry supervisor wrote the name of the herbs on a piece of paper. We need to choose the papers. Each of us chooses a paper and I got Mahkota Dewa (God’s Crown). There is Misai Kucing (Java Tea), Ulam Raja, Belalai Gajah (Sabah Snake Grass), Pecah Kaca, Pokok Daun Rerama. The task is we need to plant the herbs and take care of it for three months. We also need to list the benefits and the use of the herbs.

1. Mahkota Dewa (God’s Crown)

Widely used in Malaysia and Indonesia. Believe to help kills the cancer cells. Mahkota Dewa product’s is sold in forms of tea, coffee, capsule and dried fruit.

Scientific name                : Phaleria macrocarpa

Place of origin   : Papua/Irian Jaya

Alkaloids             : Detoxification and able to neutralize the toxins in the body.

Saponins             : 1. Anti-bacterial and anti-virus

2. Enhance the immune system.

3. Reduces blood sugar level.

4. Reduce blood clotting.

Flavonoids          : 1. Help in blood circulation and prevent blood clot in the vein.

2. Decrease the cholesterol level and fat at the vein wall.

3. Reduce the risk of heart disease.

4. Contain anti-inflammation.

5. Anti-oxidation.

6. Reduce the pain if there is bleeding or inflammation.

Polyphenols      : Serves as Anti-histamine (anti-allergy)

Part use               : Parts of plants used as medicine are the leaves; meat and fruit. The leaves and fruit skin can be used fresh or dried, while the fruit flesh is used after drying.

Next time I will write information about other herbs that we planted today. As we all know, herbs is used widely to treat various diseases. Although there is no precise amount of herbs that should be consume, but still herbs is alternative way in healing some diseases. Some people choose herbs instead of conventional medicine because they believe herbs bring no harm to them compare to medicine.

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Hello dear readers. It almost a month since we started our internship. We learn lots of thing, whether it is good or bad. If you read through my padlet, I often share about the diseases and some information. This is because if I wrote about my job and what I do, it will be the same every single day.

Ward

On the morning we will make sure the therapist massage the patients. The time and type of massages should be jot down. For reflexology it will take 30 minutes to finish and for whole body massage it will take an hour. After finish massage, we assist the patients to do physiotherapy such as cycling, hand exercise, walking, sit and stand and walking at Terapi Alami. At 12pm, we provided lunch to the patients. We proceed to take their BP reading. At the evening, the patients will be massages once again to make sure their muscle will not stiff. They will have tea time at four o’clock and dinner at 7 o’clock. At night, we let them rest or watching television until they fall asleep.

Front Desk

At the front desk we just have to key in the customers information, assist Ustaz while he do medical check-up. Although it seem like a simple job, but acing customers is not that easy. We need to be patient even when we were scolded by the customers.

I already write this in my padlet before. So that was my duty every single day. That’s why I prefer to wrote information about diseases instead of wrote my job.

If I learn something new, I’ll definitely share with you guys. So, stay tuned okay. Thank you and Good Bye.

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Back pain.
Back pain is very common and normally improves within a few weeks or months.

Pain in the lower back (lumbago) is particularly common, although it can be felt anywhere along the spine – from the neck down to the hips.

In most cases the pain isn't caused by anything serious and will usually get better over time.

There are things you can do to help relieve it. But sometimes the pain can last a long time or keep coming back.

How to relieve back pain

The following tips may help reduce your backache and speed up your recovery:

stay as active as possible and try to continue your daily activities – this is one of the most important things you can do, as resting for long periods is likely to make the pain worse

try exercises and stretches for back pain; other activities such as walking, swimming, yoga and pilates may also be helpful

take anti-inflammatory painkillers, such as ibuprofen – remember to check the medicine is safe for you to take first and ask a pharmacist if you're not sure

use hot or cold compression packs for short-term relief – you can buy these from your local pharmacy, or a hot water bottle and a bag of frozen vegetables wrapped in a cloth will work just as well

Although it can be difficult, it helps if you stay optimistic and recognise that your pain should get better, as people who manage to stay positive despite their pain tend to recover quicker.

We also suggested to massage the patients if they suffer back pain.
The pain can be relieved after massage.

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I will continue to share information of diseases and conditions that suffer by the patients who visit QLMC to get treatments.

So today I wanted to share about slipped disc.

A slipped disc means that one of the discs of cartilage in the spine is damaged and pressing on the nerves.

It's also known as a prolapsed or herniated disc.

Symptoms of a slipped disc

A slipped disc can cause back pain and neck pain. Other typical symptoms are numbness, a tingling sensation and weakness in other areas of the body.

The sciatic nerve is often affected in cases of slipped disc. It's the longest nerve in the body and runs from the back of the pelvis, through the buttocks, and down both legs to the feet.

If pressure is placed on the sciatic nerve (sciatica), it can cause mild to severe pain in the leg, hip or buttocks.

Not all slipped discs cause symptoms such as pain, weakness or tingling. Many people will go their whole life not knowing they have slipped a disc.

What causes a slipped disc?

A slipped disc occurs when the circle of connective tissue surrounding the disc breaks down, allowing the soft, inner gel-like part of the disc to bulge out.

The damaged disc can put pressure on the whole spinal cord or on a single nerve root, where a nerve leaves the spinal cord.

This means a slipped disc can cause pain in the area of the protruding disc and also in the area of the body controlled by the nerve that the disc is pressing on.

It's not always clear what causes a disc to break down, but age is a common factor in many cases.

As you get older, your spinal discs start to lose their water content, making them less flexible and more likely to split (rupture).

Smoking can also be associated with a slipped disc because it causes the discs to lose their natural flexibility.

Other factors that can put increased pressure and strain on your spine include:

bending awkwardly

heavy or awkward lifting

sitting for long periods, particularly when driving

being overweight or obese

weight-bearing sports, such as weightlifting

severely injuring your back, such as during a fall or car accident

These situations can weaken the disc tissue and sometimes lead to a slipped disc.

Adios!

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I will continue to share information of diseases and conditions that suffer by the patients who visit QLMC to get treatments.

So today I would like to share about Epilepsy.

Epilepsy is a condition that affects the brain and causes repeated seizures.

The cells in the brain, known as neurons, conduct electrical signals and communicate with each other in the brain using chemical messengers. During a seizure, there are abnormal bursts of neurons firing off electrical impulses, which can cause the brain and body to behave strangely.

The severity of seizures can differ from person to person. Some people simply experience an odd feeling with no loss of awareness, or may have a "trance-like" state for a few seconds or minutes, while others lose consciousness and have convulsions (uncontrollable shaking of the body).

Some people may only have a single seizure at some point during their life. If they do not have a high risk of having further seizures, they would not be regarded as having epilepsy.

Causes of epilepsy.

cerebrovascular disease (problems with the blood vessels that supply the brain) – such as a stroke or subarachnoid haemorrhage

brain tumours

severe head injuries

drug abuse and alcohol misuse

infections that can damage the brain – such as meningitis

problems during birth that cause a baby to be deprived of oxygen – such as the umbilical cord getting twisted or compressed during labour

some parts of the brain not developing properly

Seizure triggers

For many people with epilepsy, seizures can occur without any obvious trigger. However, certain circumstances or the use of certain substances can sometimes precede a seizure. These include:

stress

lack of sleep

drinking alcohol

some medications and illegal drugs

in women, monthly periods

flashing lights (this is an uncommon trigger that affects only 5% of people with epilepsy, and is known as photosensitive epilepsy)

About my lateness to update my padlet, it is because I have no data. I had no money because my I haven't receive my scholarship yet.

Adios

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OFF DAY

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Today I would like to talk about the improvement of the patient’s health after receiving treatments in QLMC. I would like to write the improvement based on my observation. Later I will share my interview with the patients.

En. Ahmad.

Stroke left side of his body. Before this he cannot move and stand on his own, but now he can stand and move his hand and finger a bit. He seems so happy with his improvement day by day. He will be discharged next week.

It’s good to know that they have lots of improvement after receive treatments in QLMC. Although some of people might see it as a small improvement, but to the patients it’s a miracle for them.

Every day, the therapist will massage the patients in the morning and evening. After massage, the patients need to do physiotherapy which is cycling, hand exercise, leg exercise and walking. This will help the patients to slowly recover until they will be able to walk again.

En. Jefree

En. Jefree also suffer stroke on his left side of his body. At first, En. Jefree unable to move and using ryles tube because he was unable to eat normal food. He also cannot talk. But now he can sit, talk and eat normal food. Although he cannot walk, but still he improve a lot and seem to get better.

Okay that's all for today. I will share more about the patients that now recover after getting treatment here in QLMC.

About my lateness to update my padlet, it is because I have no data. I had no money because my I haven't receive my scholarship yet.

Adios

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Sitting at the front desk require you to be patient and able to communicate well with customers. You will meet lots of customers with different behavior. Some of them are good and some of them might be impatient to. Being scolded by impatient customers become common things happen to us. We have to admit it as our mistake although sometimes it obviously their own mistake. Remember, "customers is always right".

In QLMC, we encourage our customers to make appointment or booking before visit us to avoid waiting for a long period of time. Especially in weekend, lots of customers visit us and all off our therapist is fully booked.

Today I was scolded by one of our customer who impatient because he already wait for a long time. I've already told them before that ustaz will only available starting 4pm since he have seminar in Cyberjaya. He insist to come at 3pm and told me he just want to get full body massage. But then he told me that he wanted to meet ustaz before treatments. I told him to wait but he quite impatient. After express his unsatisfied feeling to us, he just wanted to get massage.

I've meet lots of customers with different behaviors. Some of them are impatient but some also willing to wait for long period of time. There also customers who booked but come too early than promise time. Some of them come without booking but wanted to do treatment immediately.Before this, I just meet group members who become sleeping partner in group assignment. Fuh, I think I rather deal with group sleeping partner compare to dealing with customers.
But I need to adjust with this new environment and new experience immediately.

Let me finish my story here.

Adios!

Always smile and be happy with your job

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Hello!!

It’s Friday already. Day 19 of internship at QLMC. Almost a month since I’ve started my internship.

So today I would like share about diabetes. Diabetes is the most common disease that affected people worldwide.

What is diabetes?

Diabetes is a lifelong condition that causes a person’s blood sugar level to become too high.

There are two main types of diabetes:

Type 1 diabetes:

Where the body’s immune system attacks and destroys the cells that produce insulin.

Type 2 diabetes:

Where the body doesn’t produce enough insulin or the body’s cells don’t react to insulin.

Type 2 diabetes is more common than type 1. During pregnancy, some women have such high levels of blood glucose that their body is unable to produce enough insulin to absorb it all. This is known as gestational diabetes.

Symptoms:

·         Feeling very thirsty.

·         Urinating more frequently than usual, particularly at night.

·         Feeling very tired.

·         Weight loss and loss of muscle bulk.

·         Itching around the penis or vagina, or frequent episodes of thrush.

·         Cuts or wounds that heal slowly.

·         Blurred vision.

Causes:

·         The amount of sugar in the blood is controlled by a hormone called insulin, which is produced by blood and into cells, where it’s broken down to produce energy.

·         When food is digested and enters your bloodstream, insulin moves glucose out of the blood and into cells, where it’s broken down to produce energy.

·         However, if you have diabetes, your body is unable to break down glucose into energy. This is because there’s either not enough insulin to move the glucose, or the insulin produced doesn’t work properly.

·         Although there are no lifestyle changes you can make to lower your risk of type 1 diabetes, type 2 diabetes is often linked to being overweight.

Normal and diabetic blood sugar ranges:

Healthy individuals:

·         Between 4.0 to 6.0 mmol/L when fasting.

·         Up to 7.8 mmol/L 2 hours after eating.

People with diabetes:

·         Before meals 4 to 7 mmol/L

·         After meals 9mmol/L (type 2)

Today I learn how to test blood sugar level using blood glucose meter. We can check our blood glucose level using the device. Thanks to fatihah cause willing to be my first patient. I was so afraid to prick her fingertip but manage to do it somehow. What a brave girl. Bravo! (clap hands).

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Hello again!

So today I wanted to share about the activities in the ward.

We have 17 beds in the ward. Currently all the bed is fully occupied. Today we have three new patients.

4.30 a.m.

Early in the morning, SN and therapist will help the patients to take a bath.

6.00 a.m.

SN will take the patient’s BP.

7.00 a.m.

Breakfast time!

8.00 a.m. -11.00 a.m.

The therapist will start to massage the patients in the ward. After finish massaging the patients, the SN and practical students will help the patients to do physiotherapy and Terapi Alami. I need to write the time of the treatments start and end. The massage treatments take an hour to finish massage the whole body and 30 minutes for reflexology.

Ustaz will visit the patients to do some check-up.

12.00 p.m.

Lunch. Some of the patients are unable to eat by themselves, so we need to feed them.

3.00 p.m.

Take the patients BP again.

4.00 p.m.

Tea time.

4.30 p.m.

Treatments for pm shift. Reflexology and therapy.

7.00 p.m.

Dinner.

8.00 p.m.

Check the BP again.

In the free time, we will use that time to key-in the data. We will take turns to have our lunch and dinner since we don’t have specific time for rest time.

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Hello Readers.

Almost a month since I started my internship here at QLMC. And I’ve learnt lots of thing and meet a lot of people. I started to love my job and the patients in the ward. Although it is quite tiring, but I have fun here with my friends. We have the chance to learn lots of thing.

Today, after finish doing our job at the ward, we arranging the file contain warded patient’s information. The file is quite messy and we have to arrange it by alphabetical order. We organise the file together with En. Fahmi.

We take about three hour to arrange the file. I take out all the files from the drawer, categorise it by the first alphabet in their name. Some of the forms have been separate from the file and we need to find the file to put the form inside. It is quite tiring because there are a lot of files but we manage to finish our job before end of our shift.

The files contain the information about the current patients in the ward and the patients who warded before. We arrange it by alphabetical order to make it easy for us to find the files in the future.

So today I spend most of my time to arrange the files.

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Just get home after working. It’s my first pm shift for this week. Started last week, our pm shift starts at 4pm and end at 11pm. Fuh! I’m on evening shift today and morning shift tomorrow. Erghh! I have to wake up early in the morning again tomorrow.

So today I wanted to share with you the important of family supports to the patients.

Most of the patients in QLMC (ward) aged 60 years old and above have different background and different sickness. Some of them warded in QLMC for a long time and some of them only warded for a few days only. There is no problem with patients who warded for a few days only. But some of them seem to be left here in QLMC and their child rarely visits their mother or father in the ward. The saddest part is when they keep asking when their children will visit them.

Although some of them was senile, but they still remember their children’s name. They frequently asked me when will their children come, I just can say they will come when they are free.

Moral support is actually the most important ingredient in the process of recovery of the patients. Moral support from their children or relative can lift up their spirit to get better day by day. Without a good support, they will feel left out and neglected. They spirit to recover will slowly fade away.

So, if any of your family members suffer chronic diseases, make sure to give moral support to them and fight along with them. This is because they need our support in their toughest time in life.

Adios!

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Today is my OFF DAY :)