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Showing posts from 2018

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 …