Category Archives: Medicine

Community, Herbals, and Red Velvet: TOTW #11

THoughts of the Week (TOTW) # 11
What happened this week: Started with FCH250: Community Medicine in Urban Setting, Being an LO, 24th birthday and being sick, Herbal medicine. 


In five hundred words, I would aim to share all the thoughts I had in this week. Be it in complete paragraphs or just mere thoughts that come into mind. Here are the things that wrapped up week #11 for 2015.


The Essence of Community Medicine


“Health is not just the mere absence of illness but a complete state of physical, emotional, mental and social well-being.” –Alma Ata declaration of Primary Health Care (1978)


“Public health is everyone’s business”, “health is an inalienable human right”, “The ultimate goal of community medicine is to ensure equitable health for all” are just among the concepts being bombarded to us since our freshie days. And here we are again, refreshing those ideals, engraving them once again in our hearts.


Community medicine has always been close to my heart. I went to Medschool with the purpose of someday somehow be able to serve the far-flung areas in Sulu who never had the chance to even see a real doctor. Now that I am here, how many times have I forgotten those ideals that I had during my first day in medschool? 


And so I hope my two week rotation in Community Medicine with bring all those back to me ^_^ I never really lost them. They were simply “covered” up by all those bio-medical shiz for the past months in ICC.
Going to Singalong all in one Jeepney ride! 

Meet and greet with Dr. Raduvan (not Dra. Duvan! haha) at Fabella Health Center

Scouting the Estero de Paco that separates Brgy 734 from Brgy. 736 (our barangay)

Seems things are pretty peaceful here. 




Liaison Officer, again.


Being a Liaison Officer (LO) is pretty challenging in whatever field of rotation you may choose to be an LO of. I have already experienced being an LO for the whole class for a single course (BDI: Biopsychosocial Dimensions of Illness) which comprises not one, but 5 departments including: Pathology, Microbiology, Parasitology, Psychiatry and Family Medicine. It was exhausting alright, yet fulfilling. A kind of challenge that one must experience once in a while.


This week I embark on another challenge to be an LO for our 2-week rotation in Community Medicine. I thought it would be easier compared to last year where I have to handle five departments and collect papers and evals (evaluation forms) from 158 students (now I only have to deal with one department and 20 evals! Yeay!). The Pros: you get to meet amazing professors and exchange numbers and email adds with them. The cons: you have to think about every schedule, every activity, every paper assignment, every deadline, every day for the next two weeks. Oh well, been there, done that. So what’s wrong in doing it again right?


One of our professors, Dr. Cordero, once said: 

“The LOs are the ‘matured one for the entire rotation’.  Like, they are forced to be matured for that short duration of time: always the one to start the discussion, check the attendance, get all the papers, encourage the students to be early, etc. And then that ‘maturity’ will be passed on to the next LO in the next rotation.”


And he is right ^_^


I pray that I could handle this duty well and may Allah make it easy and worthwhile for me. Ameen.


Meeting with Health workers and Barangay Kagawads: Briefing before going to ocular visits in the community

Herbal Medicine


Well, one of the exciting events this week was our “Herbal Medicine Preparation” session also known to us as the “When Medstudents go Master Chef Mode: Herbal Edition”. In less than 4 hours, we were taught how to prepare syrups, linements and ointments using three of the research-proven local herbal medicines: ginger, oregano and makabuhay.


The Competing teams:

The Secret Ingredients
The Kitchen utensils: recycled and used wisely

Master Chef mode: Time is running out! But hey, pour them gently…

The end products: Ginger linement, Oregano Cough Syrup, and Makabuhay ointment

Birthday Blues


I turned 24 this week. And I was having a very bad flu that day.


Still, Alhamdulillah for all the blessings for the past 23 years. Indeed I could talk all day just trying to enumerate all the great things that happened to me for those years and I have only One to thank for all those things: Allahu Azza wa Jal ^_^ And one of those ultimate blessings I could never ever get tired of being thankful to Him, is for giving us a wonderful mother ^_^ Alhamdulillah! I love you inah!


Here’s a trivia: Of all five of us, I was the only one who was born in our humble home. It was those times that my family was having financial problems that we cannot afford to go even to a lying-in clinic, let alone a hospital. So when I was finally excited to go out to see the world, my father was only able to bring my mom into her room and get a local midwife (Panday) and help my mom in labour. After hours of waiting, tadaaaa! And I was born!


And on that day, my mom would often gleefully share: “On that day, your ama’ (dad) and I were not able to sleep just because we finally had our first son, and we named him ‘Ahmad’”. ^_^


Alhamdulillah!


PS. I don’t usually celebrate my birthdays with cakes and balloons and parties and all. What Islam taught us is that we should be thankful to the Lord Almighty, pray and and ask forgiveness. We should remember death in every day that we become closer to it. And we should be thankful, for sooner we will be able to meet Him as well in Jannah (Heaven) in sha Allah! And with the prophet Muhammad’s (Peace be upon him) Sunnah (examples) he usually fast on the day he was born. Unfortunately I wasn’t able to fast on that day because I was sick -_-


But my dear forever-mates who are so cool bought a delicious red-velvet cupcake for me (and another block-mate who had a birthday the day before mine). And of course, gifts are gifts and one should never refuse gifts given whole-heartedly by loving friends. I LOVE YOU GUYS ^_^ Cheesyness overload haha. For more years of friendship and medical madness!


Excuse my usual disheveled hairdo.
These guys are my awesome forever mates.
That Red Velvet cupcake was ~awesomely delicious!~
yumm!


Apparently, 500 words is not enough haha! ^_^

Salam Kasilasa!
-AIMD

The ICC Essentials

Assalamu Alaykum! (Peace be upon you all!)
Heya! Here we go again with the usual “I am sorry it took me so long to post here again” scenario which I believe I should already get rid of (-_-) Starting today! I never even have a “Date published” tags on my posts…so no one would really know how late I am. haha! But kidding aside, I think the dates really doesn’t matter anymore… If I am writing these experiences and maybe some tips for the next ICCs*, the order of each rotation would not matter: for every block (all 8 of them) have different schedules, and perhaps different experiences as well. So I will just write what I have in my journals, keep them short and concise as possible (which I am really poor at by the way), and hopefully pray that someone would stumble on this blog and read it. haha. 
Anyway, continuing our sharing of stories and learning experiences (?) as an ICC student… I see my calendar here that we are now in our 8th week as an ICC student. Cool! It’s December already and we have 2 more weeks to go for the first semester! Yeay!
Which reminds me, I still have a lot of “weeks”, I mean rotations to cover uuggggh! <(-_-)> oh well.
Back to our main topic for today: The ICC essentials. What is different with being an ICC Student or Junior Clerk is that you will now be more exposed to the patients. Most of your days will be spent not in the classrooms, but in the wards monitoring patients’ vital signs; in the Out-patient Department (OPD) interviewing new and follow-up patients; and if lucky or unlucky, you will also be left ALONE to do your directed physical examinations. (I emphasized the word “alone” because the past 2 years we have been used to doing things by group.) And with that big realizations comes the great need to have your own medical equipment and stuffs.
Here are the important MUST HAVES as an ICC Student:
My ICC stuffs (sorry for the quality, just used my phone here)
MUST HAVE:

1) Your own Stethoscope — No need to explain why. You just don’t become a third year medical student without your own stethoscope

2) Aneroid Sphygmomanometer — (we call it “BP App”) Others prefer the digital one. Either way, it is important to have one anytime you go o duty. Just be sure you really know how to use them 🙂 If you are still not sure, better train with your classmates first. Or here’s a tip: ask your patient what’s their last BP before, with that you know where you are supposed to here the Korotkoffs 😉

3) Calculator — You will be asked to do a lot of computations: BMI, Expected Fetal weight, etc. If you are not a math whiz, better bring a calculator where ever you go. Keep it handy (not too big, you are not an accountant! And not too small that you have to use some ultra thin fiber to press on a single number!) These guys are also very helpful during exams.

4) Medical Tapes! (Micropore) — You can’t live in the wards without these! There are expensive ones (P130) and some fake cheap ones (P35) in Bambang. Buy as much as you can. You will eventually see how handy these things are: from taping IV Canulas to labeling your stuffs to even repairing ripped off papers, Micropores will sooner be your favorite thing in the world! (at least in medschool)

5) Measuring Tapes — Ever wonder when is the time that you will use those freebies that your seniors gave you during your freshie days? Well, this is it! Those handy, pull-and-tuck tape measures will surely be put to use in most rotations as OB, Pedia, Orthopedics, even in Ophthalmology!

6) Clipboard! — Same as above, you know you need them.

7) Paper and Pens — Oh come on! don’t tell me I have to explain this one?

OTHERS (you can borrow them from your friends, but it’s better to have one if you can)

1) Thermometer — for the constant monitoring duties. We have digital thermometers now (P50-P75) in Bambang.

2) Penlight — After your Neuro and Ophtha rotation, you are supposed to have your own penlight. But you can always borrow if you forgot to bring them 🙂

3) Neuro Hammer — Don’t forget to bring this one during ROR (Rhemua-Ortho-Rehab), Neuro and even in IM rotations.

4) Tourniquet — You will be asked to extract some blood for laboratories, or insert an IV Canula, or “line” the patient, and a tourniquet is an essential item for that. Yes, you can use your latex gloves if there are really none of these around. But I say it’s better to have one, it’s pretty cheap anyway (P15-20), and makes you look like an IV-lining expert.

5) Pulse Oxymeter — Not really required and it’s kinda expensive. But if you are pretty rich and you feel lazy counting those pulses by the clock, then perhaps this item is for you.

6) Handy Dsinfectants — Be it a 70% solution of Isopropyl Alcohol or a lemon-scented Alcogel, it’s up to you. If not, you can still find a lot of alcohols scattered around the hospital wards (you see them on their alcohol holders attached to the walls). And I am sure there is at least one of your classmates who have one hehe.



NOT REALLY REQUIRED (You can borrow from your friends in other year levels)
  • Ophthalmoscope –during Ophtha rotation, you will be expected to have at least 2 students sharing one Ophthalmoscope. It’s a good investment if you are really planning to proceed to Ophtha.
  • Otoscope — usually comes with the Ophthalmoscope. For ORL duties.
Tadaa! I think those are the essentials that every ICC must have (or at least have an idea of). Being an ICC Student they say is pretty “benign” compared to the Clerks, but I believe this is the year that we should never put to waste. We have to learn as much as we can in preparation for the hellish year we are about to endure next year 🙂 So, get as many patient as you can! Ask as much questions as you can! Learn how to do things in the wards, how things work, which paper to fill in, etc. 

Hmmm Hope this post will serve its purpose 🙂
Salaam! Logging out!
-AIMD
*In case you were wondering what those “ICCs” are… ICC stands for “Integrated Clinical Clerkship” which refers to the group of students in Learning Unit 5 (LU5 or 3rd year proper) of UP College of Medicine. It is the equivalent of “Junior Clerkship” in other Medical schools. 

LIMS: The Kodachrome Exams.


[Helpful for: LU3 and LU4 (1st and 2nd Year)]
Assalamu Alaykum! (Greetings of Peace!)
We will jump from the topic on “lectures” to one of the dreaded yet fun type of exams: the Kodachrome exams!
This was supposed to be in the later part but knowing the schedule of the exams is already near, I have to push this post up the schedule in hopes of it to be of use somehow. Disclaimer! I am not the best guy to give you these tips, but because no one is doing it, then what’s the trouble of doing it instead? Haha!
So what is a Kodachrome exam? This one goes back in time immemorial when medstudents are still using the real kodachrome machine where pictures of specimens (usually tissues) will be projected on a white screen. (In LU4, you will experience using a real kodachrome machine thru Dr. Dimacali’s lectures in pathology :D). Nowadays we are using the overhead LCD projectors with the ever-so-convenient MS Powerpoint presentations where digital copies of the specimens will be projected and the students will be asked to identify them or answer certain questions in a limited allotted time. The term “kodachrome” is still being used for these kinds of exams.
So how do you nail these exams? Here are some helpful tips:
BEFORE THE EXAM:
1.       Never miss the Histology lectures!
Attend all your histology classes especially those by Dr. Mantaring. Just by attending her lectures, you will eventually feel like a genius who knows it all and you would never have to read the transes again. Nothing beats the experts in teaching you how to identify which is an epithelial tissue and which is not.
2.       Attend the Histology Reviews!
There will always be Histology reviews conducted especially for the LU3 students. The histo-review is usually conducted by the Medical Student Society (MSS) every year. This year’s first Histo-review was held last August 22 in BSLR-E and I hope the LU3s attended that one.
Exam Reviews are really helpful in giving you more ideas and tips on how to top or at least pass the exams. They would more often give you sample exam questions that you can try answering and see for yourself how ready you are for the exam. Never, ever miss the chance to attend any exam reviews. You will be really grateful to these guys later on when taking the exam.
3.       Read your books!
Refer to your Histology books (printed or electronic) and master all those seemingly similar images. They may look all the same to you, but try looking for “key points” in distinguishing which tissues you are looking at. Does it have more adipose, soft or skeletal tissues? Are there more mucous or serous layers? Are we looking at a keratinized or non-keratinized tissue? How do neutrophils differ from basophils, eosinophils and macrophages? Don’t rely on one image only, look for different images and see how you can distinguish them one from the other.
Of course, read the details in each image as well. There will be some questions in the exams that will require you to identify the function or the location where you can find these cells. Master them like how you master the faces and names of each pokemon and their powers. I’m serious!
4.       Review your notes/transes!
Same as your books, transes can also be handy. Important points are far easier to find in your transcriptions as they are already in summarized bullet form. I would prefer the online copies or colored printed copies because you could distinguish which is which (compared to photox copies which are terribly horrible).
5.       Test yourself in online sample quizzes.
If you still have some spare time, go online and find some student-friendly sites where you can test yourself in answering sample questions in histology. They are more often than not similar to what your professor will ask. Take note of your wrong answers and learn why you got it wrong and then immediately review your notes (unless if the topic was not included in the lectures).
6.       Pray.
Perhaps the most important one is this: Pray.
Our lives as medstudents are full of challenges and surprises. And there certain things you are not able to take control of. So first, do your part and study your lectures AND put your trust in God that He may make things easier for you during the exams. Do this every night before your exams and minutes before the exam starts, send a silent prayer, and start with Bismillah (In the name of Allah).
Now here’s what you should do DURING THE EXAM: 

1.       Stay focused.
Relax. Listen well to the instructions. Know how much time you have for each item. Don’t panic after knowing that you will be given only 30 seconds for each item. You have to stay focused all throughout the exam. Each item will only be shown once, so you have to maximize your limited time and focus on each item/question to identify or answer. 
2.       Find a good seat.
Do not sit in the back or the side-most part of the room! You will have a hard time identifying the image! DO NOT BE LATE so that you can choose where to sit. If you are free to sit anywhere, choose the 3rd or 4th seat from the front and a bit in the center and be sure that nothing is blocking you. But if you are arranged by surnames or student number, then you better hope and pray that you will have a good seat with a good view of the slides. If you are still unfortunate, then curse the seating arrangement. 
3.       Identify what you are looking at.
Upon your first view of the slide/image, immediately identify WHAT you are looking at. Is this a lung tissue? A skeletal tissue? A bone tissue? Or just your common adventitious tissues? For LU4/Patho students, is this a normal or an abnormal tissue? I usually do this before reading the question and it should only take you 3-7 seconds to decide. This will give you an idea where to find your answers. If it took you longer than that, then proceed to the question. Usually some questions will already tell you what tissue it is. 
4.       Read the questions carefully.
There are outright simple questions and there are also very hard ones. But the most errors we students commit are giving wrong answers because they read the questions wrong! Read the question twice; be sure that you really know what is being asked! There will be tricky questions with key terms as “EXCEPT”. Always read the questions carefully before answering.
5.       Believe in your first instinct.
This may not apply for all, but more often than not, your first answer will be the right one. After seeing the image and understanding the question well, you must already have a working answer. If your answer is among the choices, believe in your first instinct and choose that one.
6.        Cross out the choices.
If choices are provided, but your first answer is not among them, cross out the most farfetched answers. If there are two choices in your mind, weigh them in and choose the one closest to your first answer. If you are still not sure, take a mental note of which answers you have to choose from and return to this item later on. Remember you have only a limited time for each item, use your time wisely.
7.       Go back to your “undecided” items
If there are still time left after the last item, go back to your undecided items in #6. This is the time that you have to decide and choose among the two answers you have. Or just believe in your “guessing powers”.
Okay! I think this ends my “How to barely pass the Histo/Kodachrome Exam” tips haha. If you think something important is missing in this post, please don’t hesitate to inform me thru anakiluhmd@gmail.com 
Goodluck on your exams guys!
Salam Kasilasa!
Anakiluh, MD
For more posts under the “Life in Medschool Series” (LIMS) click here.

==this is done by a non-professional blogger, so expect a lot of typo and grammar errors :D==

LIMS: Attend your Classes!


]Helpful for: All LUs/Year levels]
Assalamu Alaykum! (Greetings of Peace!)
Being a medstudent means attending to seemingly endless classes: from boring lectures to eye-popping histo-labs and neck-breaking cadaver dissections. What is the purpose of the word “student” anyway if you don’t attend those classes that will—ehem—prepare you in your future professional career? And so, as much as we lazy students want to skip all those classes, we cannot deny the fact that we really need them—badly need them.
But hey! Not all classes will be full of boring 100+ presentation slides; there will also be some cool professors with cool ideas to make their lectures livelier. Ever attended a class where you played games all throughout? How about a whole 3 hours of lecture while standing? Or just sitting back and watch a good movie? (Although I hate the “reflection papers” after those films). And how about professors that suddenly throw firecrackers inside the room to wake you up? Haha! You will experience them once in a while, only here in medschool. The idea here is you must attend your classes regularly! Not just for signing that attendance sheet and just doze off later on. Attend them so that you will learn and discover new things. Some may be not so interesting, but they will still be helpful.
There are some students who prefer reading the books and transcriptions (lecture notes) than attend their classes, while others would prefer attending their classes then review their notes. It’s all up to the student actually if he can really handle it that way. But for me, I believe attending the classes and listening to the experts during their lectures would really make a change. Missing a class and just reading the notes after means you will be missing the key points the lecturer might have highlighted in class the transcribers may have failed to include.
So the very first thing that a student in the Medical field should learn is that Medicine is a life-long process of education. You have to keep on learning and learning, study and discover new things. It never ends with the exams and the agonizing results. Our learning journey only stops when we finally breathe our last. (Meaning until the end of our lives).
And that, my friend is my advice: If you really want o survive in medschool, attend your classes regularly. There may be times that you have to miss them for some very, very good reason, but as much as possible avoid missing the important lectures. Believe me, I have missed a couple of lectures and I regret missing them. (Of course there will also be some exceptions here, but let’s not talk about them haha).
Salam kasilasa!
Anakiluh, MD

For more posts under the “Life in Medschool Series” (LIMS) click here.

LIMS: Your Classmates: Your Future Colleagues


[Helpful for: All LUs/Year levels]
Assalamu Alaykum! (Greetings of Peace!)
So you made it to the most prestigious Med-school in the country. Congratulations! And say, Alhamdulillah (All praise is due to Allah)! And now you are part of a class composed of the selected crèmes among the crèmes of the crops; you all came from brilliant pasts, young minds who had very amazing accomplishments, those who graduated with flying colors in their past academic career (be it in college or high school). And yes, believe it or not, you are now part of that team!
Yeah. That was too much praise I think. Not a good thing to do. Huhummm.
Being the most prestigious school with the highest standard and the hardest “way to enter”, you can expect no less from those who really qualified and got accepted in each class. They are usually the Laudes (Suma, Magna, etc.) from the famous schools around the country. There will even be some who came from abroad. There are also the young geniuses who skipped high-school and went straight to medschool: The 40 IntarMed Direct entrants. You will meet them every day in class, be amazed by them, and you would never even believe that you are part of the class (Well, at least that was how I felt then).
But hey, do not be intimidated (like me). You were there because you were chosen as well. You went through the same screening processes, and among the thousand great minds and souls who applied, only 160 were chosen for each class, and you are indeed one of them. So be thankful to Allah for that opportunity to grow and train in this institution. And never ever be arrogant.
Meet new friends from your class. Look for those who have the same dreams and aspirations as you. Find those whom you share a common interest. Believe me, these guys might be geniuses but they are still humans: they love to watch movies, Korean series, play guitar, draw, sing, dance or just do nothing but sleep. Just explore and you will surely find a lot of good buddies among them.
It might be hard to remember all their names in the beginning and you will end up confused who is who. But by the end of the year you will surely get by. Be open and learn new things with them. Your Class will be your team throughout your academic medical career. And they will also be your future colleagues when you become doctors one day. So start building your network now, start from your classmates, start from your colleagues.
After spending more than two years in Medschool, I have met a lot of new friends in my class. All of them are pretty awesome with their own unique stories and characters. I have worked with my group-mates for years and we already know each others’ strengths and weaknesses and we always try to help each other. This is indeed important in medschool as you will be indulged in so many group works, and having a good team dynamics is a crucial thing.
So, make it a mission to meet and know all the names and faces of your 159 classmates 🙂 You will always end up working with most of them in one of your future rounds somehow. And you never know, you might find that “special someone” among them. Haha.
Any suggestions? Email me. My new email address for non-professional, non-academic purposes is anakiluhmd@gmail.com
Salam Kasilasa!
Anakiluh, MD

For more posts under the “Life in Medschool Series” (LIMS) click here.

And so the third year begins.

Assalamu Alaykum!
Alhamdulillah I am back! 😀 It’s been like, what, 5 months since my last post in this humble blog of mine? I already had fears that I would end up having a neglected blog that nobody would visit anymore. But Hey! After checking my stats, wow, mashaAllah! I still have 80 readers per day! ^_^ That is pretty many for me by the way haha.
So what’s new with our orphaned, Tausug, Muslim aspiring-to-be-doctor? Naah nothing much, aside from now being called a “Kuya” and referring himself as a not-yet LU5 student… (LU stands for “Learning Unit”, LU5 is equivalent to “Third year proper med” in other schools). Wait what? Anakiluh is already a third year student?
Hashtag unbelievable! Haha.
Really. I myself is still in this stage of “I still can’t believe this is happening!” situation. I just can’t believe that I am already a third year student and I am half-way there to the finish line! Yeah! (well we have to pass through inhumane, death-defying hardships before that, but let’s think about those later 🙂 
As I look back through the years that passed (just the past 2 years, I mean), it feels like so many happened in such short time! It feels like living a dream that wasn’t. I just can’t believe I am still here standing, alive, unharmed (yet), and still smiling (yet) and still hopeful (yet) and excited (again, yet) to achieve this wonderful dream of becoming a great doctor! 
The Class 2017 on their first day as LU5 students 🙂 @ Buenafe Hall, UPCM. Photo (c) Meggie Monzon
So what’s ahead of us now? What are we expecting this year?
I still don’t know for sure. Our classes just started last week and our consultants and professors (as well as our senior colleagues) are telling us this would be the most “benign” year so better make use of it doing self studies (*ehem* what did I just say? *ehem*). This year is the “calm before the storm” as we popularly say it… Although we don’t want to believe that it would be that too benign… come on, this is medschool, nothing is benign here. It’s all malignant!
The exciting thing that I am so much expecting this year, is the rotations to the different departments 😀 Although we will not yet be given pretty heavy works (not until next year upon entering the clerk slavery company), it is still exciting to go through the different departments and start feeling what it’s like to be a real doctor somehow. 
Also, we just said goodbye to Friday Exams! Enough with those weekly exams! (Thank you! Thank you so much for this!) NO MORE WEKLY EXAMS! Wooohooo! And welcome to the never-ending piles of paperworks! @[email protected] 
Oh well, there is really no space for complaints or regrets here…
nobody said medschool is an easy life. We chose this path and there is no turning back.
So for you guys still wanting to enroll in medschool. Don’t waste your life here, go find another things that would make the world better. Just kidding 😛
Okiedokie! Welcome to LU5 Ahmad!
Let’s do our best!
(Can you be more serious please? In life, and all?)
Salam Kasilasa,
Anakiluh, MD
(Sorry for this seemingly unorganized post 😛 Just missed blogging randomly)
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And oh! Check out my posts in Bubblews.com! => &Anakiluh
Join the site as well! It’s a pretty awesome site!

As I begin my 2nd yr in Medschool…

Bismillah.
Alhamdulillah, another year in Medschool had just started. It’s June already and I still can’t believe that I am already done with my first year, and I am now starting my second year here in UP College of Medicine. Really, I am still grasping the truth that those were not dreams at all! Am I still dreaming?
The letter I received carrying the Good news Alhamdulillah.
I can still remember last year, some days before the results of the official List of students accepted to the UPCM will be released (these 160 guys and gals will later be known as the UPCM Class 2017). I was getting anxious and hopeless then, as days go by and I still haven’t received any confirmations from them. UPCM was the only Med-school I applied for (because I am so lazy working on another application papers) and most of the students who applied are all exceptional (and except for me). And due to the impending desperation then, I already started filling-up another application form from another Med-school just to be on the safer side of the road. Then Alhamdulillah, the great news finally arrived 🙂 
And now, a year after all those roller-coaster experience in the college, MashaAllah, I realized that indeed there are still a load of things I have to know before I can grab that dream of becoming a Doctor someday. Yes, I am done with the first year of struggling to survive (Alhamdulillah) and yet it still feels like I am just at the doorsteps of this bigger world I am about to enter… (So I better be really, really, really, really, prepared before going into that “dark” world. Hehe)
And so, before I enter the second year of hardships, there are a lot of people I wanted to acknowledge first and give my utmost gratitude and thanks. (I have already done this last year, but I just wanted to mention it again here… 🙂
First and foremost, to Allahu Subhanahu wa Taala. Who made things always possible midst all the little things that we have in this world. I am always grateful for every little thing that Allah had given us and my family. In accepting those prayers that are best for us, and changing those that might be bad for us. Unto you we worship, ad only unto you we ask for guidance and forgiveness. Ameen.
Next, I am deeply in debt to former Senator Santanina Rasul and her Family. She and the Rasuls had done so many great things to us fellow Tausugs (especially the Youths). From my High School days as one of their AAR Scholar, to my temporary employment as Regional Assistant of LIPAD (An NGO promoting adult literacy) and until to the very beginning of my application in UPCM, they never stopped believing that we can do something great amidst our little means. Indeed, they have moved mountains just to support us in pursuing our dreams, training us to become better and more service-oriented youths of Sulu… They instilled in us the idea that “the best way to express your love to your country, is to go back and serve the community.” Magsukul tuud Maam Nina for everything 🙂 In shaa Allah, I will always return to our humble place (Sulu) and serve the people of Sulu!

To my very first FAMILY in med-school, the Regionalization Student Organization or RSO with our very own Tatay, Dr. Abdel Jeffri Abdulla. Being a Regionalization Program (RP) Student is one thing I am never ever going to regret and something I am indeed thankful of. I am always happy every time I am with RSO (wweeeeeh drama na naman). Sa RP 2017 tsaka sa Exe-Comms last year, pasensya na kayo na palagi kong nabibigo mga expectations niyo sa akin last year, haha! Try ko bumawi this taym, in shaa Allah. Sobrang salamat sa lahat ng learning, laughter, and lakwatsa (immersions hehe). Let’s keep the spirit and shout: FOR THE NATION, THROUGH THE REGIONS!
Sa UP Manila-Association of Muslim Students (AMS), sa ibang MSAs ng ibang schools dito sa Manila, sa mga kapatid kong Muslims na nakilala ko dito, kelan ba next activity natin? Alhamdulillah, Allah na ang nagbigay daan na makilala ko kayo at hindi ako tuluyang mawala sa landas (naudhubillah). Mahirap man ang buhay para sa mga Muslim dito sa Manila, pero kung may mga kasama kang mga kapatid na may matibay na paninindigan at Iyman, mashaAllah, nothing is impossible! (With His help of course). Fasbiruw ya ikhwatul muslimiyn, fainnakum ‘alal haqq!  
Sa mga classmates, seatmates (back-seat boys), SGD-mates, Trans-mates, at Anatomates!!! Tsaka sa lahat ng naging partners ko sa mga group works natin (may group works ba ako? Hehe joke lang) kitakits next year! Haha. [parang extended Trans-greeting lang to…] Basta salamat din sa inyo. At first, I worried about being out-of-the-picture; that being with the ‘nerds’ of UPCM would make me feel hanging in the air (especially na 2 lang kaming Muslim at galing pa sa “other schools” haha). At ang laking “maling akala” pala. Akala ko puro aral lang alam ng mga taga-UP, hindi naman pala. Meron ngang hindi nag-aaral eh haha. Peace! I love you guys (cheesy)!  Basta, kahit may mga iba’t-ibang storya at mga buhay tayo, at kahit minsan na ako lang talaga ay umiiwas sa ibang activities natin (alam niyo naman na di ako pwede sa inuman mga pre), I am still proud to be part of this class… Class Twenty-Seventeen, Reign Supreme!
The Class 2017
To special friends who keep on cheering me up and believing that I can still go on (kahit sobrang bugbog na ako sa stress ng medskul), maraming-maraming salamat sa inyo. I may not be able to mention all your names here, but believe me, you are always in my heartfelt thanks (naks naman!) 
And most importantly (of course) I would not be able to survive my first year in Med-school with all those financial expenses and emotional stresses without my very beloved Family. Malaggu’ in pagsukul ku pa Tuhan pasal awn aku pamilya makasi, malasa, matuyu’ tumabang ha mga biya’ miskin-miskin, kulang-kabus biya’ kámu’ ini. Magsukul ha mga inaun iban amaun ku (di’ ta na kamu ngánan, adakala awn kalupahan ku hehe) ha pagtabang laung ha Ina’ ku kailu. Magsukul ha pagpautang kámu, hehe, In shaa Allah maka-puas da kami ha adlaw susungun (Ameen). Magsukul tuud ha duwa lingkatan magulang ku (hi Kakah Raiy iban hi Inn) naglugtu’ tuud isab nag-usaha, gimuwa’ hula nagbinsana’ sin baran, ha supaya lumuhay-luhay in pag-gastu sin pag-iskul namu’. OK na dih na kita magdrama, hehe, kayngatan niyu na yan.
And lastly, to my very beloved Inah. The only woman I have ever truly loved since the day I learn how to smile (don’t ask me anung fetal development stage yun, di ko na maalala ahaha). Words are not enough to show you how much we are grateful that Allah had given us such a loving, caring, very strong and good humored Mother like you (ayiieee nagpapa-sweet na naman ako). We love you inah! Misan dih namu’ na magkaiyan kaniyu verbally, we always wanted to see your smiles every day 🙂
Ayan. Balik eskwela na. 
Bismillah!

In Pagburus bukun ula-ula (2)

[Bahagian hika-ruwa. Bassaha naa in bahagian nakauna dayndiy: Pagburus: bahagian 1]
          Ha lawm sin siyam bulan jumati ini katán. Mataud pa dugaing indaginis ngiy’ parasahn bang in babai nagbuburus sa’ wala’ natu’ na siyabbut dayndiy. Yan in pagtikdag sin anak ha lawm tiyan, in hapdus niya di’ agun mabista. Sa’ sandalan da sin Ina’ ta. Yan in bug-at sin bata’ yaun ha lawm tiyan niya, kahunitan na siya agun manaw. Sa’ sandalan da sin Ina’ ta. Yan in ngiy’ parasahan sin baran. Sandalan nila ra. Sampay dumatung in sangput pag-anak amun wayruun na sumibu’ sin sakit niya. Allahu Akbar! in hunit sin mag-anak di’ hikasipat in sakit niya (Alhamdulillah biháun, awn na manga anesthesia; sa’ ha wala’ pa in manga modern facilities wayruun hipag-ubat kanila). Bihadtu na in sakit biya’ da kaw iyuturan lima. Sa unu? Siyandalan nila ra. Ha pagbugsak ta pa sikaan, hat kakitaan in anak nila yaun na nagkukulihik nagtatangis, maka-uyum pa sila. Malawa’ katan in sakit iban ngiy’ parasahan liyabayan nila. Masha Allah.

          Hangkanda isab siyabbut sin Rasul (SAW) in Ina’ nakatuw ha hambuuk hadith niya bang hisiyu in subay natu’ ibanan. Hangkan isab nasabbut in Sulga’ yaun ha pád siki sin Ina’ natu’. Hangkan isab mabilang “shahid” in manga sila magkawafat ha pag-anakan. Hangkan isab di’ tuud kitaniyu ampunun sin Tuhan sa lugay diyurugalan kátu’ in Ina’ natu’. Bat taymanghud ku, bukun ula-ula in pagdá nila, pagburus nila kaymu. Bukun ula-ula in sakit tiyahanan nila psal pag-anak kaymu. Bukun ula-ula in pagpalaggu nila kaymu, biy’sugan pa kaw sin ulung iban paglasa (misan biya’diin na in taud sin dusa mu kanila!).
          Hangkanda manga taymanghud ku, ayaw natu’ dihilan sakit atay in manga kainaan natu’. Ha waktu, pag-ubus mu mabassa in siyulat ku, kadtu kaw kan ina’ mu. Gulgula madtu, siyuma sila. Baytai sin kalasahan mu tuud sila. Bang kaw malayu’ kanila anduw’ tawagi, misan da kuman text. Pangayu’ kaw kamaapan kanila. Ayaw nakaw tumagad sin “Mother’s Day” ampa mu ini hinangun. Ayaw na kaw tumagad sin yaun na ha kukulangan hi Ina’ mu masuuk na mabut in kamatay. Anduw’ taymanghud ku, lasaha hi Ina’ mu, ayaw mu tuud siya pasári.
          Pa manga taymanghud ku awn na asawa bihaun, ayaw niyu pasári in asawa niyu. Anduw’ lasaha niyu sila labi pa rayng ha paglasa niyu pa baran niyu. Ayari niyu sila marayaw, pasal tantu di’ tuud kitaniyu makasibu’ sin pagsandal nila, pagsabar nila ha tiyap-tiyap magburus sila ha anak niyu. Pa kitaniyu isab ini manga kasubulan wayruun pa asawa, ayaw kitaniyu huminang sin salummi’-lummi’ hinang hikamula sin baran sin taymanghud natu’ kababaihan. Ayaran natu’ in manga taymanghud natu’. Bang ha susúngun awn na kitaniyu ma-asawa, bihadtu ra isab; subay natu’ sila ayaran. 
          Balikan ku biya’ salawat. Magsukul kitaniyu muna-muna pa Tuahn Rabbul Álamiyn amun tag-amulahi sin katán ini. Magsukul kita niyu pa manga Ina’ natu’ tunggal kalasahan. Pasal taymanghud, in pagburus nila kaymu, bukun tuud ula-ula.
          Magsukul ha panaynghugi, pamasahi  ha siyulat ku ini. Salam iban kasilasa pa kaniyu katan!
===============================Wakap==================================
(In manga patta’ kiyawa ha : http://my.opera.com/muhacir/blog/2011/03/05/paradise-lies-at-the-feet-of-your-mother; http://themyesterioumuslimahshaven.blogspot.com/2012/06/mothers-value.html;
In kaybanan manga information diy ha hál sin pagburus iban sin indaginis magjatu halawm niya, nakawa dayng ha kitab “William’s Obstetrics, 22nd Edition”

In pagburus bukun ula-ula (1)

Kiyasulat sin pitsa 3 sin bulan February tahun 2013.
Bismillah. In hisulat ku ini dedicated pa katan sin bangsa Fatima, luba na in manga kainaan ha tilibut sin dunya ini.
    Dayng namán ha manga kahadis-hadisan sin Panghu’ natu’ Nabiy Muhammad (Salla Allahu ‘alayhi wa sallam) sampay pa manga ka-áyat-ayatan ha Qur’an mahamulliya, malaggu’ tuud in panghalgai sin Islam ha manga kababaihan, labi-luba na in manga sila kainaan. Bang ta asubuhun mayta’, hambuuk ha manga salaggu-laggu parsababan diy amuna in gaus nila tumatas sin hambuuk hinang landu’ in hunit, sakit iban bug-at niya. Amuna in pagburus.
          Manga taymanghud ku, bukun langug-langug in pagburus.  
    Dayng namán ha katagna’ sin pagburus sin hambuuk babai, mataud na indaginis metabolic changes in jumatu ha baran niya. Yan na in ngumiy’ in parasahan kahaba’ adlaw (sampay mabut magsuka), dumaran in panghinglaw, pag-ubus di’ na kaingatan bang unu in parasahan niya. Ha lawm sin 3 bulan makauna (1st trimester) magsaddiya na yan in baran niya ha bata’-bata’ yaun na inut-inut timubu’ ha kulangan-bata’ (uterus) sin ina’. In makauna 3 bulan ini mahalga’ tuud ha paglaggu’ sin bata’ pasal dayndiy tumagna’ in pagdevelop sin manga mahalga’ udjut-baran (organs) sin bata’-bata’ biya’ na sin utuk (brain) iban sin jantung (heart) niya. 
          Pag-abut tuw bulan pa taas inut-inut na yan lumaggu’ in bata’-bata’. Ha manga waktu ini (luba na ha hika-upat bulan) tumagna’ na magfunction in jantung sin bata’-bata’, tumagna’ na in paglibut sin dugu’ niya magdihil, maghatud sin tiyap-tiyap kalalagihan sin tiyap-tiyap udjut-baran niya. Dayndiy tibuuk na in tamuning (Placenta) sin bata’, amun mahinang muna-muna parsugpatan sin Ina’ pa anak niya. Hambuuk ha maka-ajayb ha tamuning ini, misan sila yaun nahinang sapantun “parsugpatan” sin duwa, diy’ tuud misan maglamugay in dugu’ sin ina’ iban sin anak. Misan awn sakit in Ina’ ha rugu’, diy’ tuud malamin in anak misan unuhun. Allahu Akbar! Sangat Makawasa in Tuhan!
          Agun in katán sin nutrients dayng ha pagkaunun sin Ina’ harap na madtu katan pa anak niya lumabay ha tamuning yadtu. Biháun kumusug na kumaun in Ina’ pasal bukun na hambuuk tau, bat duwa na in piyapakaun niya ha lawm baran niya; subay di’ na siya pagpasád ha pagkaun. Tumagna’ na sambil in pagtawagun “pangiram” sin ina’ (Allahu Alam mahi awn bihadtu).  Sa’ misan bihadtu, sibu’ da kumaun mataud atawa kan kumaun tiyu’-tiyu’ in Ina’, in kamatauran sin pagkaun harap da madtu pa anak… Di’ tuud hapdiun in anak pasal manglawag tuud in baran sin Ina’ dugaing dán amun hika-support sin anak niya.

          Sawpama in mineral Iron. In Iron (Fe) ini malaggu’ panyap kalagihan ha paghinang sin dugu’-pula pagtawagun Red Blood Cells (RBC). Na in Iron content ha baran sin kababaihan bukun burus tiyu’-tiyu’ da (2.5 g) bang mu papagsilangun iban sin ha kausugan (hangkan isab labi mataud cases sin kababaihan in awn Anemia).  Maluhay ra isab magkalawa’ in Iron ha baran natu’ pasal kulang da in taud nila ini in magka-retain ha baran (magkará agun katan ha najis iban ihi’). Hilamud ta pa in taud sin dugu’ magkalawa’ kanila bulan-bulan ha kahaba’ awn sila bisíta.

          Na biya’diin na bang sila magburus? Bang burus in babai, in kamatauran (bang bukun katán) sin Iron niya harap madtu katán pa anak. Nasabbut natu’ sin kalagihan in Iron ha paghinang dugu. Na maglagi ra isab in anak ha yadtu pasal awn na siya dugu’ isab kaniya kandiy dayng ha Ina’ niya. Misan pa yan  biya’diin in taud sin Iron ha ina’ (mataud na ka atawa tiyu’-tiyu’),  in katán yadtu hiruhal sin Ina’ pa Anak niya! Magpati-ág na in Ina’ malayngkan sibu’ da sila maglagi hádtu! Maa shaa Allah! Hambuuk ini malaggu’ pamintangan kátu’ niyu sin bunnal tuud “Pagjihad” in pagburus sin manga kababaihan.

Suysuy ha pag-iskul

Ha laum sin Classroom namu: BSLR-East

Bismillah
Waypa aku nakatagna’ magstory about sin kabuhi’ ku bihaun (buhi’ pa isab kita, hehe). Dih ku na maraih ini katagnaan bang daing hain nagtagna’ in class namuh, sa unu bang unu na in yari bihaun, sulayan ta hisuysuy. Kalu awn makawa’ ta misan maniyu’-tiyu’ pangadjian (naks).
Kahapun, Alhamdulillah ampa naubus in 2nd exam namu’ ha OS205 (Thorax), amuna in Cardiac Physiology. Unu ta’ ini?
In piyaghindu’ kamu’ indaginis-barapa ha pasalan sin jantung (heart) sin tau. Malingkat tuud, mataud aku kiyaingatan bahgu pangadji’an. Ha laum sin duwang ka pitu limabay, hinduan kami ha mga topic: Cardiovascular Physiology (bang biyariin magpump in jantung natu’) iban unu-unu na in kumugdan related ha Cardiovascular System atawa CVS. Daing ha topic Cardiac Cycle (unu na mayan in magjatu ha tiyap-tiyap “tibok ng puso”; pila in taud sin dugu’ mag-guwa), Hemodynamics (pagdagan sin dugu’ daing ha jantung pa baran, sambil magbalik); sambil pa Clinical aspects sin CVS biya’ sin Electrophysiology (ECG, amun daran pagkakitaan ha mga hospital; biyariin pagbassa kaniya) sambil mga X-Ray (Cardiac radiology) iban mga kasakit-sakitan sibu da ha hambuuk pasyente (Cardiac Diagnostics) sambil pa mga kawman (CVS Epidemiology). 
Hambuuk ha mga preceptorials namu’ 
Ha laum sin 2 weeks yadtu, tiyagnaan na kami sambil hinduan sin mga mastal namu’ bang biyariin in pagconduct Physical Examination (CVS History taking and PE); bang biyariin in pagkawa-Blood Presure (BP; bukun tuwih maluhay bang first time mu hehe). Hinduan da isab kami ha Procedures in Chest PE (Palpation, Percussion and Auscultation: amun pag-usal sin stethoscope ha daghal sin patient; feeling namu Doctor na kami katan hehe) iban dugaing-dugaing pa mga kapanyapan pag-usalun ha pag-check up sin CVS. Huun, enjoy tuud mag-iskul bang kaw mabaya’ tuud umingat. In masakit hadja ha pag-iskul ha Medicine, bang dumatung na in Exams…

Bihaini in taud sin hipag-exam namu’. every week.
Bang ku itungun katan, marai’ hika 13 atawa 14 exam na ini (grabe in taud, agun tiyap-tiyap hangkapitu awn kami exam =( pagubus mahunit pa katan. Bunnal, wayruun maluhay ha mga exams bang kaw nag-iskul na ha Medicine. Bukun nakapila na kami naka-experience amun mangasubu ha baran mu: “Kaya ku pa baha’ tuud ini?” (haha, way aku nagdrama mga taymanghud, asal normal na kunu’ in bihayni). Muna masusa bahasa pasal kiyahunitan na tuud; pag-ubus dai’-dai’ da yaun, Ok na isab. Hehe.
Daipara, magsukul aku mataud da isab mga taymanghud yari ha Manila amun masi-masi magpatumtum kaku’. Muna-muna na in mga taymanghud ku ha UP AMS (UP Association of Muslim Students), in mga bagay ku ha CIPYML.

Left side: UP AMS Med students  (future doctors inshaAllah), Ate Furqaan Lim, Ate Hanna Marohom, and me.
Right Side: Muslim Doctors from PGH (UPCM Alumni), Dr. Bainary Macaurog, Dr. Angie Dugasan, adn Dr. Al-Radjid Jamiri

Awn waktu pagkalupahan ku laung sin mataud pa sabab mayta’ subay masi-masi aku di’ pagkalawaan “hope”. Subay ku tumtumun hi Inah ku yadtu ha hula’ iban mga taymanghud ku, nagtutuyu’ ha mammayan maka-iskul kami marayaw. Subay ku tumtumun in katan sin liyabayan ku, sambil nakasud aku ha iskul ini Alhamdulillah. Subay ku tumtumun in mga bangsa ku ha hula’ naglalagi tabang, wayruun misan hipag-paubat ha baran nila. Subay ku tumtumun mayta’ aku yari. Wayruun na aku hikasabab mayta’ aku di’ mag-iskul, magtuyu’ marayaw. (Nah. Ha hal yan, maraih subay magbalik na aku magbassa sin notes ku haha; nakonsyensya na in bhoy.)

Kiyarihilan in bhoy chance magpatta iban steth. hehe feeling doctor, misan magkawa B, dih pa maingat.

Bunnal Mahunit magDoktor. Sa bang kaw taptap in pangindu’a pa Tuhan iban pangayu tabang kaniya, tantu paluhayun niya in katan, in shaa Allah! 🙂

Daindiy ku naa tubtuban in suysuy, kalu kaganapan da ha susungun inshaAllah.
(Bisita man kamu pa hambuuk site ku: Tausug 101)

Salam Kasilasa!
-Anak Iluh

Wayruun mahunit bang mu paglugtuan

Bismillah..
Malugay na aku wayruun nakasulat diy ha blog ini. Ha laum sin pila bulan limabay daing ha kasuwd aku pa UP College of Medicine, agun nagsunud-sunud na in mga hinang madtu-mariy. Kahaba’ hangka pitu awn kami exams. Kansa misan biyariin in baya ku magpost, agun kahunitan na aku manglawag time misan da kuman mag-update sin blog ku laung kailu. Higanap mu pa in pag-iyanun “Adaptation Stage” ku ha hula’ ini landuh in layu’ pa hula’ ku kalasahan; bukun hat ha layu’ niya ha hal pag-untasun (distance), sa’ sambil na ha layu’ sin piyagbiddaan sin tilibutan ku atawa ka “environment”. Bunnal niya, kiyahunitan tuud aku.
Sa’ laung sin hambuuk taymanghud nagpatumtum kaku’:

“Wayruun tau piyag-anak maingat na asal manaw.” 

Ay ma’na, wayruun maluhay ha katan sin hinang kabayaan mu, miyumuhut-muhut mu abutan. Subay in katan ini labayan panandas iban hunit; iban subay tuud paglugtuan iban pagsabaran. 
Alhamdulillah, magsukul aku pa Tuhan Rabbul ‘Aalamiyn ha katan sin ni’mat iban sahaya diyhil niya kamu’. Magsukul aku Kaniya, pasal misan biyariin in taud sin panandas limabay kaku ha lugay ku diy ha Manila, masi-masi awn mga taymanghud yan ha raig ku: magpatumtum kakuh sin unu in kalagihan ku hinangun, sin unu hangkan mayta aku yari, sin subay dih tuud aku magparaug ha tiyap-tiyap “challenges” dumatung kakuh. In shaa Allah in katan ini subay labayan paglugtu-an iban pagsabar.
Magsukul aku pa Allah, diyhilan niya aku Ahli marayaw. Dihilan niya aku maumaas makasi iban matuyu’ mag-ipat kamu iban nagpabuntul kamu pa ran marayaw. Magsukul aku ha katan sin tau, kiyakilahan ku iban nagdihil kaku’ “inspiration” ha supaya masi-masi tumindug. Magsukul aku ha katan sin ilmu’ pangadji, ha pangaddatan iban pangatayan marayaw diyuhal Niya kamu, Alhamdulillah.
In shaa Allah, masi-masi aku maglugtu’ magtuyu’ karna’ Allah ha pag-iskul, ha mammayan awn mahati ku, awn maingat ku amun mausal ku ha susungun pa kawman ku; pa ahli ku; pa ummat ku.
Salam Kasilasa.