Skip to main content

Posts

Featured post

New Entry Master of Pathology Malaysia

It's been a while since I've updated this blog. Maybe I am having a thought block. Everytime I wanted to write something, I frozed.

I need to do some non medical reading just to step out from this phenomenon. I've bought a book by G25..and I just found out that the book was banned in Malaysia. However, I am still going to finish reading it.

Anyway, this year Master in Pathology is a little off compare to previous year. It has been Mid August and the application for HLP has not been started yet. I do not know why because I am not involve in any of this thing.

Otherwise, for the entry of next year Master of Pathology, the date for Pre entrance course has been set on 13 November 2017 in Hospital Putrajaya.

The entrance exam will be held later on 8-9 January 2018 in HUSM.

So this year ( or technically next year) exam will be held in Kubang Kerian Kelantan. Prepare your holiday and book your ticket to Kelantan. There will be a lot of shopping to be done there....or maybe you sh…
Recent posts

The New Malaysia! : Labuan Now Is the Opposition.

It was finally over. Malaysian has spoken. The choice has been made.

I am so grateful to be one of the people that witness a historical event in Malaysia, the change of government after 61 years. Hopefully Malaysia will head to a new and better direction after this.

It was very difficult to talk about politics in recent years and months before the election. As a government servant, eventhough as a citizen, we are entitled for our own opinion but everytime we spoke, there will be fear that our position will be jeopardized based on our political preferences.

I can say that most of the government servant are not supporting the previous BN government because we as government servant are the one who can see how our government works in the first place. When the previous government said that our economy is good, we in the governent saw different thing. We saw how much budget was cut and how difficult it is to provide a high quality services without proper funding. When goverrnent issues that…

Melliodosis is a protean disease

One of my lecturer in medical school always told us that melliodosis is a protean disease. He told us that it can be presented with so many different thing. Patient can come with pneumonia, or maybe cellulitis, or soft tissue abscess, or just fever without any other apparent cause.

Protean according to him is a mythical God during ancient roman time which usually pictured as a man having multiple face on one head. Thus according to him, melliodosis can be pictured like that too.

I am glad ( why?) to work in a state where meliodosis is not uncommon - Sabah, Malaysia. I have encountered quite a number of patient, most of them did not survived because of this disease. It is very difficult to diagnosed by a non experienced clinician. Because it did not have a spesific type of clinical presentation, many misdiagnosed it for other condition. I, too, has fell victim into such cases.

How can you expect a diabetic patient presented with mild fever and cough, very stable, able to walk, make jok…

Bacterial Identification: How do they do it?

Magic.
Magic is far from getting a correct identification of bacteria.
I am pretty sure 90% of medical doctor do not know what is going on with the blood culture they have taken from a patient. They would only expect that some result will be handed to them stating the name of the bacteria and what antibiotic that is susceptible to it. It is just like magic. They must be some magical machine that we use by entering a certain amount of blood and it magically processes until a piece of paper came out at a different port as a culture result.
The process however are more complicated than that. With the help of technology ,however, we were moving ahead quickly to the future where magic could really happen like what I had described above.
Microbiologist used to culture the blood specimen everyday. Once it reaches the lab, a drop of blood will be streaked on to a culture plate and put into an incubator. One day later, the culture plate will be reviewed. One day later also, if the culture did not …

High Risk Life in Microbiology

People asked me whether I am afraid working with bacteria, virus, and any other thing that would scare other people. Yes, all of this can be the cause of death for me, and billions other people in this world. Everyday thousand of people acquired infection, and some are not lucky enough to survive it. There were many very pathogenic microorganisms that could kill us. Are we going to be killed by them? Maybe.

Safe work environment is important in handling specimen that could potentially kill you. All over the world, microbiology laboratories were equipped with the safest equipment to prevent us from getting work related infection.  Almost everyday, there will be a new development of tools and diagnostic technique that will eliminate the risk of getting infection. It is important for a microbiology lab to update it facilities and knowledge regarding this matter, no one wants to be dead doing their daily routine work. Some do it for money, to feed their families, some are just crazy and…

Pre-Entrace Exam Course for Pathology Postgraduate: The 'Politics' and Campaigning.

Before you get frustrated any further by the title of this post, this is far from politics that you imagined when you click the link.

When we sign up to enter Master / Doctor of Pathology course in 2015, we were told to fill up in that application on which field we want to continue further study. Whether we choose Anatomical Pathology, Chemical pathology, Hematopathology, Genetics pathology, or Clinical Microbiology. Since then, the application has been changed. Now candidates do not need to specify which area they want to pursue.

Does this mean the government will choose the field for you? No, far from it. You have to make your own decision. I have described briefly before on which field you need to choose based on how you wanted your life to be.

They will eventually ask you to fill up another form when you go for Pre-Entrance exam course. So if you are still not decided, I suggest you start asking yourself now before going for that course. Some people were caught off guard and have …

Be A Good Doctor!

If you read my blog (I am still skeptical that people actually read this blog), you will realise that I am no supporter to a scam doctor, or greedy doctor, who sell products like vitamins, water, air, dirt, any whatsoever and using their title to make that product look...medicinal.

Recently, I found out that many of my friend doctors, start selling herbal product and re-posting testimony of that herbal product in social media like it was nothing. Shameful.

Doctors supposed to be a teacher and educates everyone about real medicine, the science behind it. Not promoting non evidence based product, more over selling them for extra money. If this trend continues, then the same thing will happen again... The same thing that happen before that produce such group like antivaccine group, homebirth group, all the pseudoscience group.

I do not understand why money is so important for medical doctor. You can see that many doctor in Malaysia are complaining about underpayment and I agree that it i…

Snake Bite and Bacterial Infection

Most cat and dogs will cause Pasteurella multocida infection. I was curious however these few days because I found that a culture from a patient with snake bites grew Morganella morganii and to my surprise, I am the only one who were actually surprise about this. Google does not. This is because there were a few study (however scarce) regarding snake oral flora and they found out that Snake do have Morganella spp inside their mouth. 

Bacterial infection in snake bite commonly cause by Gram Positive bacteria, mainly Staphylococcus aureus, followed by Coagulase Negative Staphylococci, and Streptococci.
Gram Negative that commonly cause bacterial wound infection in snake bite includes Enterobactericiae; E.coli the most common, Klebsiella Pneumoniae, Morganella morganii and Pseudomonas aeruginosa.
Culture from the snakes fangs, fangs sheaths, venom of various snakes has shown heavy colonisation with many bacteria including: E.coli,Morganella spp, Group D Streptococci, Aeromonas spp, and anae…