Lesson #1
You need not be a fierce, arrogant, egoistic, bigheaded person swollen with pride to be called a BOSS. You need not humiliate, underestimate, degrade, put down or disgrace everyone else around you to become a LEADER. You need not yell, shout or ‘bark’ at those working under your supervision once you become a PROFESSOR or a CONSULTANT. You can still be humble, nice, friendly, soft-spoken, and you can even drink and make jokes with your fellow colleagues, but still be a respected, appreciated, well-loved, BIG BOSS.
Lesson #2
Allah can take our lives anytime, anywhere, without any warning, without any sign. He has innumerable ways of ending the lives of His slaves. One minute you may be well and healthy, driving your car to a friend’s place, or back from your college.. The next thing you know, you are already in a different world altogether, a ‘world’ with no means of turning back. No more chance to perform taubat, ibadah, or good deeds as much as you possibly can. No more opportunity to apologize to the people whom you are guilty towards. No longer able to settle unpaid debts, no more chance to repent over the countless mistakes and sins you may have repeatedly done. We do not know the manner of our death, dan di bumi mana kita akan mati. We can only pray that Allah will grant us with husnul Khatimah, while trying our best to achieve it, insyaALLAH..
Lesson #3
Suicidal attempts are quite common rupanya, we had 3 suicidal cases in a week. 2 of them were Chinese, another was Malay, but schizophrenic. Any form of depression, stress or sorrow, if we do not return and humble ourselves to our Creator and seek for help and solution from Him, anyone can end up taking his or her own life to leave the world and the problems in it behind. Tp kita sebagai org Islam, kita kan ada Allah, and the simplest way to put it, like they say, a man who kneels in front of Allah and gantungkan segala harapan kpd Dia, can stand up in front of anything… Instead of saying "Oh Allah, I have a big problem", why not we say "Oh big problem, I have Allah".. Apa2 pun yang terjadi, gembira atau sedih, musibah atau nikmat, kembalilah pada Allah…
Lesson #4
Most of the suicidal and murder cases, were believed to have a relation with WOMEN based on the suggestive histories. Even the 1st murder case ever recorded in this world, Qabil who killed Habil, was also due to women factor. Rasulullah S.A.W. pun pernah bersabda, "Tidaklah aku tinggalkan fitnah yang lebih besar bagi kaum lelaki melebihi fitnah wanita” (HR Bukhari dan Muslim). Lelaki, berhati-hatilah. Wanita, usahalah dan jagalah diri, jangan sampai diri kita menjadi fitnah buat mereka…
Lesson #5
I heard before, the concept of tawakkal can be likened to a mayat yg dimandikan oleh pengurus jenazah, the body is incapable of doing anything, hanya berserah bulat2 pada si pemandi mayat… Amru Khalid ckp salah satu anologi tawakkal ibarat kepasrahan hati di hadapan Allah sebagaimana pasrahnya mayat di hadapan org yg memandikannya. Macamana org yg memandikan mayat membolak-balik tubut mayat seenaknya. Begitulah kita katakan pd Allah, "Ya Allah, lakukanlah semua yg Kau kehendaki, aku pasrah dan redha dgn apa yang Kau lakukan terhadapku, aku bertawakkal padaMu, kerana aku yakin Kau tidak akan sesekali menjerumuskanku menuju kemudharatan".. Tapi tak bermakna kita tak perlu usaha, ya..
Lesson #6
Bila tengok mayat, terdetik dalam hati, “Wahai arwah, aku jua insyaAllah akan menyusulmu suatu hari nanti…”
Day 1 (Monday)
4 cases:
1. Sudden natural death - IHD
2. MVA - comminuted skull fracture
3. Suicide - CO poisoning (serious mmg PINK)
4. Murder - laceration wound a.k.a. "luka sayat" at abdomen + stab wound causing massive haemothorax
Day 2 (Tuesday)
4 cases:
1. Drowning - the one who drove himself into Lombong Tasik Prima. He was a known case of psychiatric illness; the body had started to decompose by the time it reached us. I assisted this case and unconsciously backed off a bit because of the strong ‘scent’, but was told, “Apa duk jauh tu, datang la dekat2 ni haa, amik bau dulu”.. Hmm.. ok fine.. lepas assist the autopsy, terus tak boleh makan daging.
2. Sudden natural death - IHD
3. MVA - massive cardiac tamponade
4. Suicide - CO poisoning
Day 3 (Wednesday)
We had no incoming cases, but because there is no rest in Forensic Serdang, so we had puzzles to solve that afternoon. 2 sets of mixed up bones of 2 bodies found months ago had to be reassembled into their respective normal anatomical position, and the question was – Determine the cause of death.
2 cases:
1. Murder
2. Murder jugak
Hm, I’m not supposed to be telling you the answer. Both were murdered but how? You need to find out yourselves nanti. Kang soalan bocor tak seronoklah, sbb another 16 are going to be posted in Hospital SERDANG later
Day 4 (Thursday)
- Hospital CME from Anaesthesiology department
- Lecture on Gunshot injury by Prof Karim + special police guests to demonstrate on weapons – wah, berat bangat rupanya senapang tu.. pistol yg kecik pun berat jugak.. tapi berat2 pun, sempat lagi bergaya..
- Finishing report, filling up logbooks, preparation for our CME presentation on Friday
Day 5 (Friday)
- CME day – 2 presentations by HOs, 2 by students in the morning
- Afternoon - MAKAN!! Best sgt, macam-macam ada. Nasi Bukhari, fruits, custard cocktail, kuih-muih, Chocolate indulgence cake… alhamdulillah, kenyang perut..
- After Jumaat, we had 1 more case to assist, an MVA. Hmm, merasalah potong kepala org..(kalau siapa yang tak pakai spec tu, bawaklah spec tipu punya. sebab habuk skull tu akan berterbangan di udara dan sangat mudah utk memasuki mata anda. Dia guna cutter mcm nak potong POP tu)
- After the autopsy at about 4.20pm, we proceeded with a lecture entitled “Suicide” by Prof Karim.
- He wanted to continue with 2 other CME presentations by another 2 groups of students who had not presented earlier, but since the cases were similar by the ones presented by the H.Os, so Prof cakap tak payah. Hm, kalau tak, tak tahu la balik pukul berapa.
Each case had its own storyline and history. Histories which I’m not sure if I should reveal. Looking at death notes left before suicidal attempts, the cries of their grief-stricken family members, the ways or methods they had chosen to end their own life, the faces of shocked relatives during pengecaman mayat… All seemed to be like a drama in front of us. But we were quickly reminded, it was real. We dealt with police and investigative officers for the 1st time. Rupanya diorang juga manusia biasa, cuma nampak hebat and segak sket sebab pakai uniform smart.. When I asked Prof if we would have the chance to go to the court, he said, “Senang je nak masuk mahkamah ni. Buat nakal-nakal sket, dapatlah masuk mahkamah!” Aduh, nakal-nakal ni usah disebut, biarlah ia berakhir di posting Orthopaedics..
Alhamdulillah, by Allah’s will, we had the chance to encounter a variety of manners and causes of death. From natural causes, to suicide, murder, and accidents.
To be continued… sory mcm essay 3000 words pulak.. skit je lagi eh..
aku just nak tunjuk gambar je..
so next group hkl dpt la idea sket2..
pintu masuk utama - sini biasa penuh dengan van jenazah/trak polis or waris2 yg tgh tunggu
kaunter depan..
bilik kaunter depan - biasanye MA akan duk sini..nak masuk bilik ni kena pakai kad..post mortem report pn blh tgk sini..tp kena hati2..sebab ape tu kena tanye hielmi..hehe
meeting room - briefing 1st day buat kat sini by Dr. Nurliza, forensic anthropologist (yg handle kes altantuya tu)
korang mesti kenal gambar yg paling kanan tu
2nd day - sesi x tahu buat ape
2nd day - hari yg xde kes
Salam dengan Apley dia
DS Najib dalam meeting room tu time kes Nuri terhempas
buku2 forensic ni boleh bace, tp kena tulis nama dulu
gallery - tempat student2/HO observe post mortem..ade 2 row kerusi..boleh muat around 20 org kot
8 UIA + 2 IMU
waiting for post mortem at gallery
freezer utk adult..untuk paed ade sebelah kiri..sebelah kanan tu tempat mandi/kafan/solat jenazah..kat situ jugak tempat kitorang sembahyang zohor/asar jemaah..
belakang tiang ni ada bilik persediaan..situ boleh amek mask, apron, shoe cover etc. utk assist post mortem..polis pn ada duduk situ sepanjang post mortem
ada 2 table..tp biasa doctor pakai satu je..
bilik belakang cermin kaca tu utk kes2 autopsy yg high risk
yang ni x yah explain lah
each item tu akan jadi bahan bukti..so kita kena record dia punye jenama, size, colour etc.
1) Here, not too busy as expected. I think we all saw 4-5 cases. There were two days without any case. So ok la.
2) For the future students, maybe u should prepare before you come.
The MO and IMU students recommend this book: http://www.amazon.com/Simpsons-Forensic-Medicine-Bernard-Knight/dp/034061370X (i think this one la, coz i remember only the simpson) This is basic for medical students. Enough kot.(i'll recheck again with the IMU students).
Besides than that, i realized that, this posting is the best time to 're-learn' anatomy. Bring along your netter from kuantan. Rugi la if x bawak.
3) The cases we saw during that 5 days were mainly head trauma. So, we learnt about basal skull fractures & the type of skull fractures. The word 'contusion' will appear like every minute during the autopsy.
4) If the specialist is present that day, you can ask her permission to be near to the dead body rather than just sitting at the gallery. Too far la, and u can't appreciate the forensic evidence from far.
5) There is also 1 MO. She is actually a bit strict, but, at the end of the day, she was nice actually. Do approach her and be polite. She will be very happy and responsive if you are able to answer her question. And she expect you all to know the basic forensic & anatomy. So, better get the book. You can learn a lot from her.
6) Make good friends with the MA. Especially those at the counter. You will know the benefits. Not appropriate to mention it here. (nanti kantoi pulak)
7) For parking, inside hospital area, 1 day will cost you rm10. U have two choices; (1) park inside the hospital, and get your ticket chop by the Ketua MA at the forensic, and you get a free parking & (2) park your car besides the MMA building; will cost only rm3/day.
8) as usual, being a malaysia; must talk about food. For lunch, best place is at the kafeteria near the klinik pesakit luar (located behind the forensic building).
I think that's all kot. Other HKL members, plz add if i miss some crucial points.
Location: Hospital Tengku Ampuan Rahimah Klang
Members: Me, Zanaridah, Azi, Us, Adilah, Wani Sanusi, Ain
Degree of severity of the posting: minimal
Time of daily reporting (lapor diri setiap hari): 9 am
Time balik: varied according to available cases (huhuuu). As belows:
Monday: 1 sudden death case observed (26 year old newly married man died due to AMI), we went back at 12pm
Tuesday: No case observed. No activity for the whole day except for study group (or chat group???) Went back at 3.30pm
Wednesday: 1 MVA case & 1 decomposed body case oberved. Went back at 3pm
Thursday: 3 MVA cases observed. Went back at 4.15 pm
Friday: No case observed. Teaching (or rather we listened to the specialist's (Dr Khairul Azman) experience). Went back at 12.30pm
All in all, we never assisted in any case. The Specialist is EXTREMELY KIND, lending us his textbooks & sharing his experiences (to a bunch of girl who loves to sembang? err..). We got excited to get the 1st hand story of Teoh from the one who did the post mortem :p The MO is our senior (IIUM) who is EXTRA COOL and treat us just like her juniors.
All in all our Forensic posting in Klang was the mild type of forensic experience (not too harsh, and not inadequate I guess); enough to shoo me away from Forensic :D The others?
A week in Forensic Department, Hospital SERDANG was like a week in Orthopaedics, in a sense that we had to attend seminars, lectures, case presentations/department CME, hospital CME, and at the same time assist autopsies, prepare for our own CME presentation, and finish a report by Friday which was like a case write-up. Most importantly we had to go back after 5 every day! Mmg lah balik pukul 5
But the best thing was, all the staffs, from the PPK to the ‘small’ big boss, were all very very friendly, down to earth, funny, cooperative, and everyone was willing to teach and share their knowledge.. They spoke and borak2 to us as if we were their staffs and kids yg dah kenal sejak sekian lama, and they all regarded us as their fellow colleagues who are therefore permitted to use some but not all of the basic facilities, and... obliged to treat them makan2 at the end of the week – ni yg paling seronok =)
1 week felt like a month!
We were given a new logbook, not for RM3 but for free, and the rule was simple. Each student had to observe 10 cases, and perform/assist at least 2.
So, we divided ourselves into pairs, so that each group will have the chance to assist. On the very 1st day, the ‘breathtaking’ experience started. Wah, breathtaking indeed. Sampai tak bernafas dalam autopsy room tu. Yelah, 1st timers kan. In the morning of our 1st day, we had the 'joy' of observing 2 cases after our brief orientation by MA Hairi.. And in the afternoon, dah takde observe2 dah. Wear your gowns and assist!
The sight of them cutting off human organs seemed very familiar. Let me try and recall… oh ya, pagi2 kalu pegi pasar, kat bahagian jual daging tu mcm tu lah diorang potong. But this time, the aroma was even more incredibly incredible! ;)
To be continued…
Silalah berkumpul di kaunter depan Forensic Department at 8am. Nanti dah cukup corum, kita lapor diri sama2 kat MA yg bertugas ok. InsyaAllah see you all soon :)
