Saturday, February 28, 2009

tq to all my catz or should i say Zulffi's cat??

smlm pgi2 nak kuar p pasar dgn zulffi n zaffran..

zulffi kata, " sayang, ada ular kat luar rmh.."

aku: ha?mana? eiii takut!!!

zulffi kata " dah mati kucing bunuh kot "

bila kuar rmh aku tgok je ular tu aku dah geli geleman..aku mmg..geli tgok ulat, cacing, ular, pacat dan yg sewaktu dgnnnya...
Zulffi kata ular tu ular betina, n tgh bunting..warna hitam berkilat...geli aku....msti dia cr tmpt sjuk nak btlur..ular tu agak bisa juga kot sb zulffi kata mandevel dia ke apa tah lbih gelap..tnda ular tu bisa...aku pun tak tahu kat mana tuh..heheheh

syukur ada kucing2 tuh yg suke dok tido dpn pntu umah aku...wpun aku agak irritated dgn kucing2 esp Sunquick yg suka gesel2 kat aku , n suker msuk rmh n buat slmba mcm rmh dia smpi naik tgkt atas tp at least ada gak fungsi dia...tq kucing2...klo tk msti ular tu dah msuk umah aku...huhuhu

kat umah aku ni bnyak kucing...asalnya dua tiga ekor, pastu zulffi bg la makan, skali beranak pinak la plak smpi jd penuh kwsn ni dgn kucing..wpun kitrg takla bela scara oficial but sume ada nama...ada terubuk, patin, sunquick, black, tiger...n yg pling sayang Dawn..kucing ni dtg ms subuh ttba tdgar dia mgiau lapar kat luar rmh..ms tu dia kcik lg..jalan pun kengkang lg...so kitrg bela...aku pling syg Dawn sb dia dgr kata..kalo kata jgn masuk, dia tak masuk umah..kalo dia nak msuk aku kata " aaapppp..." trus dia kuar....n klo aku bw zaffran jln ptg2 dawn akn ikut blkg dgn kucing2 lain..jd pngiring kitorg...hehehe...

aku bkn tak suka kucing but aku rimas n geli kena gesel n tmbh aku ada athma, xle bulu2 kucing ni...tp yg aku pling tak suka sb dia suka pnjt atas keta aku n pnuh calar kuku kucing ats kete aku..eiiiiiiiii gerammmmm....

tp, tq sb tlg jaga umah aku....hehehe

PS: ada gmbr ular tu..tpi aku geli nak ltak...aku ttgok dlm kamera pun rs geli geleman....ni nmpk dlm blog ari2..eiiiii takmau ....

Thursday, February 26, 2009

another dentist apmnt kuasa infiniti

dusss...arini apmnt dntal lg..katanya pkul 11pgi..tggu pnya tggu smpila kul 1230 tghri bru msk...perut dah berkeroncong sb tak mkn heavy pg sb mlsssssss gosok ggi..mnum susu n oat aja...huhuhu..msuk2 dktr pun tgh kelaparan n nk cpt2 abis..huhu...

well, dah settle buka wayar suma, misi tnya nak kaler getah apa..aku jawab je Ungu without looking sb dah pnat nganga mulut.sume gelak sb tahu nak cpt siap...huhuh

dah siap psg apa yg ptut, aku tnya dktr " dktor, agak2 lama lagi ke nak pki braces ni..?"
dia kata " saya rs tak lama dah..just nak allign kan gig bongsu dgn gigi lain je.."

aku...ok..tq.....hmmmm..lama tak lama pun yg aku tahu aku sdh fedup okeeee...if sapa2 nak thu, aku dah 4 thun, 3bulan pki braces ni..yer ateng..sdh tjawab kan soklan anda?lama gileee kan...bak kata paknjang aku, "bila nak buka ni?dr sblm kwen, dah kwen n dah dpt anak msih tak buka lagi besi tuh..." hahaha...apa nak buat pak njang...ini sume sb buat ngan dktr master n pakar yg lcturer..evrtg kena ikut jadual uni..student exam, viva bla bla bla....tuh yg lmbt tuh..adehhh...papa pun..saba je la..sb yg pntg satu sen pun tak kuar poket pki braces..huhu..even skrg zaffran pun suka sgt ms nyusu mainkan tgn dia dkt mulut aku,nak korek2 mulut la...brgkli dia bru prsan apa dlm mulut org lain taksama mcm apa dlm mulut ibu dia kot..hahaha...tu dok korek2 mulut sb nak tgok apa bnda yg bling bling dlm mulut ibu..hahaha

nsihat aku : sapa2 nak baiki gigi di usia yg dah tua ni, tak payah la...lupakan aja hsrat ati tuh..nak pki, pakai ms usia muda..ms sekolah or before 21thun..cpt buka...

hehehe..but takle lwn amree sist mklumat lgi...6 thun tuu..adehhh..hehehe

Wednesday, February 25, 2009

syukur dah settle...

25 feb 09

td dah settle intview cnfirm..pnt ja bdebar, tya soklanya dua jer...pnt tggu dr kul 11 smpi kul 1ptg bru pggil..brgkli sb pgarah pun dah lpr agknya, tya soklan pun gitu2 jer..hmm mgkin brkt doa umi abu gak..tq..n zulffi too....

anyway, stress mgu ni dah kurg...dah settle yg utma..tgal sok nk jmpa dntist jer..hope dptla buka braces nih..aku sdh fedup..huhuhuhu

Monday, February 23, 2009

aku mahu pulang...

23 feb 09

aku sgt ingin pulang...pulang ke Bertam ketam, pulang ke pangkuan abumi...utk mengcas tenaga dan emosi yang berantakan, pulang untuk bermanja dgn abumi dan adik2, pulang untuk merasa mskn air tgn umi yg sdap, pulang utk meraikan hari lahir yang semakin bertambah, pulang untuk kmbali semula ke KB dgn smgt bru dan lbih tenang...

aku sgt ingin pulang...pulang ke Elephant's bridge menjenguk nenda tercinta, pulang ke teratak maktok wan, pulang ke hadapan maktok wan, pulang utk mendakap maktok wan menghilangkan rindu yang bersarang, pulang untk menghiburkan hati yang lara di kg...pulang untuk mengembalikan snyuman manis di bibir wan dan maktok...pulang untuk menabur bakti di ketika yg masih ada....

aku sangat ingin pulang.....

tersentak aku sebentar...

IBU ATAU PASANGAN??


Orang kata aku lahir dari perut ibu..
Bila dahaga, yang susukan aku.. Ibu
Bila lapar, yang suapkan aku.. Ibu
Bila keseorangan, yang sentiasa di sampingku.. Ibu
Kata ibu, perkataan pertama yang aku sebut.. Ma!

Bila bangun tidur, aku cari.. Ibu
Bila nangis, orang pertama yang datang ....Ibu
Bila nak bermanja.. Aku dekati ibu
Bila nak bergesel? Aku duduk sebelah ibu
Bila sedih, yang boleh memujukku hanya ibu
Bila nakal, yang memarahi aku ? Ibu
Bila merajuk? yang memujukku cuma.. Ibu


Bila melakukan kesalahan? Ibu juga lah yang paling cepat marah..

Bila takut? Yang tenangkan aku.. Ibu
Bila nak peluk? Yang aku suka peluk.. Ibu

Aku selalu teringatkan .. Ibu
Bila sedih, aku mesti telefon ibu
Bila seronok? Orang pertama aku nak beritahu? Ibu
Bila bengang.. Aku suka luah pada ..Ibu
Bila takut, aku selalu panggil.. ? Ibuuuuuuuuuuuuu! !
Bila sakit, orang paling risau adalah ..Ibu
Bila nak exam, orang paling sibuk juga ibu
Bila merajuk, yang datang pujuk aku juga.. Ibu
Bila buat hal, yang marah aku dulu..Ibu
Bila ada masalah, yang paling risau.. Ibu
Yang masih peluk dan cium aku sampai hari ni.. Ibu


Yang selalu masak makanan kegemaranku. . Ibu
Yang selalu simpan dan kemaskan barang-barang aku, Ibu

Yang selalu berleter kat aku.. Ibu
Yang selalu puji aku.. Ibu
Yang selalu nasihat aku.. Ibu
Bila nak kahwin..
Orang pertama aku tunjuk dan rujuk? Ibu


Aku ada pasangan hidup sendiri
Bila seronok ... Aku cari pasanganku
Bila sedih ... Aku cari Ibu
Bila berjaya ... Aku ceritakan pada pasanganku
Bila gagal ... Aku ceritakan pada Ibu
Bila bahagia ... aku peluk erat pasanganku
Bila berduka ... aku peluk erat ibuku

Bila nak bercuti ... Aku bawa pasanganku
Bila sibuk ... Aku hantar anak ke rumah ibu
Bila sambut valentine ... Aku hadiahi bunga pada pasanganku
Bila sambut hari ibu ... Aku cuma dapat ucapkan Selamat Hari Ibu

Selalu...... ..Aku ingat pasanganku
Selalu.....Ibu ingat kat aku
Bila-Bila... ..Aku akan talipon pasanganku
Entah bila....Aku nak talipon ibu
Selalu....Aku belikan hadiah untuk pasanganku
Entah bila.....Aku nak belikan hadiah untuk Ibuku

Renungkan :-

"Kalau kau sudah habis belajar dan bekerja. Bolehkah kau kirim wang untuk ibu? Ibu bukan nak banyak. Lima puluh ringgit sebulan pun cukuplah"
Berderai air mata aku. Hari ini kalau ibu mahu lima ratus sebulan pun aku mampu. Aku
boleh kirimkan. Tapi Ibu sudah tiada. Aku tidak berkesempatan lagi. Bukan lima puluh
ringgit. Lima puluh sen pun tidak sempat aku kirimkan! Hanya yang termampu Al-fatihah,al-fatihah, al-fatihah.


PS: maafkan kakak ummi, sekiranya kakak penah lukakan hati umiabu sblum2 ni...bila difikirkan balik, bnyak yg kakak buat sblm ni yg kdg sgja atau tak..kdg2 kakak terlalu hanyut dgn dunia dan khidupan kakak sndri yg buatkan kakak terlupa pd insan terpenting dlm hidup, abumi...kakak jnji kakak akan jdi anak yg lbih baik utk umi dan abu...insYAllah...sayang abumi


bertambah2 depress aku..

23 feb 09

pg ni mmg bad day aku kot..dr pg smpi skrg bnyak ja bnda yg buat aku stress gile....pg td bgun awal nak siap awal nak pg awal...awal2 lg zaffran dah buat prgai. meragam..bila pam susu, tertumpah lak sb layan zaffran, dtg kje tgok meje bsepah smlm tak kms leklok mkin serabut kpla..huhuhu...

naik plak wad, Sn bciter plak psl DR RMR yg bnyak songeh dgn tah papa punya idea..ada ka ptut nak soh msuk sume blnded diet dgn susu on 120cc air...nak msuk ryles tube pun tak bleh nak lalu..gile apa...pstu bleh lak bertekak dgn mak pt mlm2, call aku mlm2..tah papa tul...ish ish ish...

dgn pt ketogenic diet yg nak start regime, n sume lps kat aku nak pk sorg ...ish ish ish....

stressssss....tak smpt nak prepare utk intrview lg niihhhhh...hhuhuhuhuu

bnyak nak kn baca psl APEX ni...tak baca lg...adehhhhhhhhhhh

rs nak nangis je...stressss...

Tuesday, February 17, 2009

my poor boy


17 feb 09

td ptg as usual aku p amik zaffran..dia nmpk je aku trus nangis..pdhal sblm tu ok...kak ani bru sdh mndikan dia tgh pakai kan pampers dia...aku amik dia..bg susu ebm pun dia still nangis..so aku amik n pluk mcm BF n aku bg ebm..bru dia ok mnum..then abis sebotol dia nak lg so aku BF dia...then smbil2 Bf tu, kak ani ckp.." qay , Kak Ani nak mnta maaf sgguh2 ni...." aku dah plik napa lak kan..then dia kata. " td Kak ani g solat Zohor..dtg2 blik tgok Zaffran tgah selak ...kak ani tanya bakpo nya...rupanya Zaffran tkepit jari dkat safety gate tuh.." aku.."HUH??" terkesima kejap...

then dia citer yg budak2 suma tgh tido..Zaffran baru je tido so dia g solat jap..anak dia (yg mmg tlg ngasuh bdk2 ) tggu all the kids n baby..then ada sorg bdk nangis, so anak dia nak g nak dodoikan balik bdk tuh..pagar yg asingkan the baby or infants 2,3 org tu left open la..dia pusing jap ja, tgok2 Zaffran dah nangis...Zaffran dah jaga pdhal bru tido dlm 10mnit cmtu...dia bgun trus g dkt pagar tu nak berdiri...so jari dia tersepit celah pntu gate tu..agak bngkak n merah tgn dia...kak ani yg dtg2 tgok dia selak nangis , terkejut n dia kata lemah lutut2 dia...terduduk dia skjap sb tkjut..dia tkut jri patah ke apa....dia kata lg" ni pun Kak Ani dok rs lemah smgt lg ni...Maaf Deh...Kak Ani tggal sementa jahh..buke g mana, g semaye sementa jaa..dok sampaa 10 minit...."

aku tergamam gak but aku snyum ja...aku nak marah pun nak watpa..bnda dah jadi..n aku tahu Kak Ani bkn sngaja..aku tahu dia sgt cermat jaga bdk2 ni..lbih drpd anak dia sndri..but bnda nak jd kan...so aku kata " takpa la Kak Ani, bnd nak jd..dia pun mmg tgah buas...dkt umah pun mmg takle tggal lgsg sb dia dok pnjat sana sini..."

balik2 aku bgtau Zulffi...dia berubah muka kjap..tkjut n sdikit marah brgkali sb anak dia sakit..aku sdih gak n sian kat Zaffran..but nak marah pun takle watpa....kalo dok umah pun brgkali akan jd gak..bnd tak sngaja...mcm aku kata dkat Ija, kalo bleh aku nak ltak anak aku dlm bola getah yg boleh dok dlm tuh supaya dia sntiasa slmat n takde luka apa..but I thnk thats part of growing up..kalo takdak luka apa bkn bdk laki la namanya kan......tgok Pak Njang Ammar Zaffran, jahit kat kpla bapa kali but cerdik gak...heheh

ni Zaffran balik td trs tido n tak jg lgsg kcuali myusu..pnat kot seharian tak tido kcuali 10minit tghri tu je..sbuk nak main kot...n mgkin sb tgn skit...mgkin sb tu dia nmpk ja aku trus nangis sb sdih kot tgn dia skit n nak aku pluk nak cmfort..huhuhu..siannn anak ibu.....

alhamdulillah

17 feb 09

pg td talk aku bjln dgr lncar n bgusnya..syukur..lega sb aku mmpu mnympikn dgn baik wpun bnda yg d pkatakn adalah bnda yg biasa sgt aku guna ari2...wpun after that dicemari sdikit dgn insiden oleh Dr Rmr yg mmg memeningkn kpla ..but empati drpd rkn2 paeds post grad yg lain positif kira aku pun rs agk relax n ok ajer..huhuhuhu....xperla..sorg jer dok yg pningkn kpla n bnyk songeh dgn idea2 yg tk munasarawak..but yg lain ok n baik..ok la....

n then trun2 wad plak, ttbA dpt surat bernote SEGERA...BILA buker..adusss..interview cnfirm nxt week...adussss..bnyaknya nak kena prepare mggu dpn..dgn ketogenic diet prop tak siap lg n then intrview prep..aiyokk...but its a good thing..all these actually bw aku one step ahead ke hdpn dlm kerjaya aku...

aku sbnrnya sdh hampir rs demotivate dlm bkrja...iye la..aku mula keje 2005.. kntrak..bila org lain naik U41 aku msih C41 sb skim lama..then bila dpt interview U41 untk serap ttap di UKM, aku dpt offer USm..so aku pndah USM n ltak jwtn di UKM..takle trnsfer pkhdmatan sb aku bkn tetap...then, bila dah gitu aku kena mula drpd bwh..start balik..wpun aku dah kje hmpir 2thun d ukm, pglmn sblum ni tak dikira...so still kena tggu dlm 3thun utk cnfirm..if bos bertmbg rs n amik kisah dah lama aku dipertimbangkan utk sah dlm sethun d usm but as dia tak mcm tu..so aku kna tggu...aku bru ngadu kat ummi last week yg aku dah tak smngt nak keje..kwn2 yg msuk KKm lbih lmbt dr aku dah lama sah jwtn n dah amik PTK naik gaji sume..but aku still msih tggu nak cnfirm wpun aku dah kje almost 5 thun...aku mmg sgt tak smgt dah....but ummi kata sabar...ada hikmah di sebaliknya...rezki dtg kot lain..mgkin btul....then arini dpt surat utk intview, alhamdulillah... moga2 akn cpt cnfirm but aku rs msti kn tggu smpi nov ni gak...tkpela qay..

mgkin rezki aku kot lain..aku hppy dok sini dr ukm, i hve great frens, great life, great environmnt in the office n at ward..evrytg is cheap here...so life is good except sum thgs yg tk brapa best laa..but so far aku rs ok...

moga2 sume akn ok...

Sunday, February 15, 2009

keterasaan utk memarahi diri sendiri

15 Feb 09

aku kn bg talk kat post grd doktr this slsa...so since last week aku dah buat slaid yg sgt bnyak...n pgi ni aku trasa gatal tgn nak call dktr yg mnta aku bg talk tu utk tnya way exactly yg dia nak aku ckpkan...n bila dia bgtau, aku rs mcm nak marah diri aku sndri sb boleh kata slaid yg aku buat since last week tak perlu pun.....aku kena buat slaid lain.adeehhhhh....

kenapa nak marah diri sndri?

pertama sebab aku gatal tgn n mulut f tepon dktor tu tanya...iftak aku bg je apa yg aku dah buat sb ms bncg dgn dia dulu dia kata ikut budi bicara aku....adehhhh

2ndly sb ms nak buat slaid mgu lps aku tak nak call n cnfirm kan btul on intipati talk aku tuh nnti..tuh yg rs nak marah sgt diri sndiri...bushhh...satu tumbukan pd diri sndri...

Ps: but ok gak aku call wpun kje aku sia2 last week..sb kalo aku tak call aku p bg talk psl bnda yg tak kna n org takmau dgr...adehhh

Thursday, February 12, 2009

news on makcik

12 feb 09

td neorosurgeon Dr Rahman dtg jumpa Pakcik n makcik..dia discuss psl Op utk buang tumor makcik..katanya, risk utk OP buang tumor agak tinggi sb libatkan 5-12 nerves..so next choice is probably laser surgery yang nak kena tmbak kat tumor tu utk kcutkan saiz about 1hr a day for 21-25 days...huhu..so pakcik n makcik agak dlm kbingungan..taktahu camana...apa kptsn nak buat..but apa2 pun serah pd Doc utk buat kptsn sb dia yg lbih arif...

hmmm...ahad ni Doc nak dtg blik after discuss further ngan yg lagi pakar.....mudah2an sumanya akan ada jalan kluar..sian pakcik n makcik..aku doa moga Allah mudahkan sgla urusan diorg...

budak yang tgh aktif memanjat n bdiri..


kita testing dulu berdiri...dah stabil..ok...


then kita test sedap ke tak....

then kita asah gigi kita dkt sini....

then bila ibu kata.." Kotor la Zaffran..."
zaffran kata , " angkat la Zaffran ibu..Zaffran jnjiiii tak gigit dah...."

zaffran 1st vase


12 feb 09

last 2 days, aku tgh kemas dapur..ttba aku dgr bnyi bnda pecah...aku ke depan..tgok2...pasu SSF mahal aku tuh PECAHHHHH!!!!!!!!!!!!!!!!!!pasu tuh dtgnya dgn kmbarnya...aku ltak kat kabinet tv...zaffran dok main dpn tv tah cmna dia bleh trik bnga tuh n skli ngan vase tuh..pdhal dah lindung dahh drpd dia main...huhuhu..bila aku mcm mjerit..."zaffran!!!!zaffran dah pecah kan pasu mahal ibu!!!!!!!" dia gelak2 je..siap sengih2 nmpk gigi dua btg tuh..huhubaik je duduk atas ummi muka innocent mcm takde apa...aiyokkkkk....tak jd nak mrh tgok muka kiut dia....huhuhu

ummi kata ' g ja beli pasu kayu dkt Rantau Panjang tuh...tak pyh bli pasu2 kaca mahal tuh.." adehhhh....tu pasu ms sblm ada bby...

Pengajarannya : lps ni aku nak smpn suma pasu2 aku...kalo dtg tgok rumah aku tak lawa n bseri lgsg, maaf la yer..ada anak yg serba boleh n aktif ni..huhuhu

Wednesday, February 11, 2009

reply from a fren...macam tau2 je

Wsalam Qay,

Thanks for the reply. Nanti aku suh adik aku send by pos. InsyaAllah kad siap next month.

Aku 2 mgu lepas xbrp sehat demam teruk sbb sini winter aku plak xthn sejuk... sorry xbg berita aku mmg bz struggle dgn study, kerja and persiapan nak kahwin...mmg trying to cope la skrg ni. insyaAllah. aku kdg2 online klau nk contact org ofis kt msia....ko nmpk aku online tego je...tp kalau aku xbls, aku tgh kt lab la tuh...sorry bkn xigt ko, igt tau...cuma life skrg ni sgt bz...kwn2 aku seme complain...bkn ko je. InsyaAllah after dh kahwin seme, settle down kurg la busy skit.

Nanti aku baca blog ko....aku mmg suka baca blog org....nk tulis sendri malas~=P...

ok take care Qay! I miss u too tau


I MISS u toooo dilaaaaa

missing an old fren

11 Feb 09

suddenly arini aku rs miss sgt pd sorg sahabat baik aku yang aku boleh kata one of the people yg kalo aku berada dalam keadaan sesak sgt2,between life n death n tak de tmpt bgntung , aku call dia, dia akan dtg trus kpda aku merentas lautan api, mendaki gunung ganang semata2 utk dtg menolong aku...

we met in KMPP almost 9yrs ago...the mutual interest that we had that is Taekwndo make us close..n the friendship develops n bloom from there till now...she went to UMS after KMPP while I wnet to UKM but she still kept in touch, called me once a while, sent me bracelet n goodies from Sabah, came n met me when she is home and I usually went an stay at her house when she came back for sem's break...then I worked in UKM we met once a while or chat...the hectic life that we lead sometimes does not permit us to be see each other that often but we still keep in touch...eventhough we have our up n down in friendship, she's still my bestest of bestfren...dia yg sggup dtg bssh pyh jd pengapit aku ms aku kwen wpun aku tahu dia sbuk, dia yg sggup dtg amik aku dkt airport mlm wpun dia pnat...dia juga yg snggup bsshpyh utk aku bila aku perlukan dia..so sb tu dia mmg my bestest bestfren....huhuh..sdihnyaaa...

now she's working in Netherland...thousand of miles away...but somtimes she still keep in touch but the space n time diff makes it quite hard to keep intouch that often...sometimes I think its also my fault as I was too busy with my life as a mom and wife....sometimes I dont have time to mel to her even a sentence...I dont know...kdg2 rs bslh gile sb aku takde ms nak chat ngan dia or emel dia...takde ms nak pk psl org lain mlainkan aku dan baby aku...

dil, Im so sori Dil..I should be a better fren...I will try to be a better fren..InsyAllah....I miss u sooo much...ni sume psl lagu Evrything tu la...huhuhu...

another reason Y u should Bf ur babe..not formula fed

from : http://www.massbfc.org/formula/bottle.html

a good one...fuyooooo....see...betapa Allah dah jadikan dah susu ibu tuh susu yang terbaik...nak bg buat apa lg susu formula yg man made tuh..huhuh..another good reason to cont Bf..


Supplementation of the Breastfed Baby

"Just One Bottle Won't Hurt"-- or Will It?

Marsha Walker, RN, IBCLC

Background
  • The gastrointestinal (GI) tract of a normal fetus is sterile
  • the type of delivery has an effect on the development of the intestinal microbiota
    • vaginally born infants are colonized with their mother's bacteria
    • cesarean born infants' initial exposure is more likely to environmental microbes from the air, other infants, and the nursing staff which serves as vectors for transfer
    • the primary gut flora in infants born by cesarean delivery may be disturbed for up to 6 months after birth (Gronlund et al, 1999)
  • babies at highest risk of colonization by undesirable microbes or when transfer from maternal sources cannot occur are cesarean-delivered babies, preterm infants, full term infants requiring intensive care, or infants separated from their mother
    • infants requiring intensive care acquire intestinal organisms slowly and the establishment of bifidobacterial flora is retarded
    • a delayed bacterial colonization of the gut with a limited number of bacterial species tends to be virulent
    • control and manipulation of the neonatal gut with human milk can be used as a strategy to prevent and treat intestinal diseases (Dai & Walker, 1999)
  • major ecological disturbances are observed in newborn infants treated with antimicrobial agents
    • one way of minimizing ecological disturbances in the NICU is to provide these babies with fresh breast milk (Zetterstrom et al, 1994)
  • breastfed and formula-fed infants have different gut flora
    • breastfed babies have a lower gut pH (acidic environment) of approximately 5.1-5.4 throughout the first six weeks that is dominated by bifidobacteria with reduced pathogenic (disease-causing) microbes such as E coli, bacteroides, clostridia, and streptococci
    • flora with a diet-dependent pattern is present from the 4th day of life with breast milk-fed guts showing a 47% bifidobacterium and formula-fed guts showing 15%. Enterococci prevail in formula-fed infants (Rubaltelli et al, 1998)
    • babies fed formula have a high gut pH of approximately 5.9-7.3 with a variety of putrefactive bacterial species
    • in infants fed breast milk and formula supplements the mean pH is approximately 5.7-6.0 during the first four weeks, falling to 5.45 by the sixth week
    • when formula supplements are given to breastfed babies during the first seven days of life, the production of a strongly acidic environment is delayed and its full potential may never be reached
    • breastfed infants who receive supplements develop gut flora and behavior like formula-fed infants
  • The neonatal GI tract undergoes rapid growth and maturational change following birth
    • Infants have a functionally immature and immunonaive gut at birth
    • Tight junctions of the GI mucosa take many weeks to mature and close the gut to whole proteins and pathogens
    • Intestinal permeability decreases faster in breastfed babies than in formula-fed infants (Catassi, et al, 1995)
    • Open junctions and immaturity play a role in the acquisition of NEC, diarrheal disease, and allergy
    • sIgA from colostrum and breast milk coats the gut, passively providing immunity during the time of reduced neonatal gut immune function
    • mothers' sIgA is antigen specific. The antibodies are targeted against pathogens in the baby's immediate surroundings
    • the mother synthesizes antibodies when she ingests, inhales, or otherwise comes in contact with a disease-causing microbe
    • these antibodies ignore useful bacteria normally found in the gut and ward off disease without causing inflammation
  • infant formula should not be given to a breastfed baby before gut closure occurs
    • once dietary supplementation begins, the bacterial profile of breastfed infants resembles that of formula-fed infants in which bifidobacteria are no longer dominant and the development of obligate anaerobic bacterial populations occurs (Mackie, Sghir, Gaskins, 1999)
    • relatively small amounts of formula supplementation of breastfed infants (one supplement per 24 hours) will result in shifts from a breastfed to a formula-fed gut flora pattern (Bullen, Tearle, Stewart, 1977)
    • the introduction of solid food to the breastfed infant causes a major perturbation in the gut ecosystem, with a rapid rise in the number of enterobacteria and enterococci, followed by a progressive colonization by bacteroides, clostridia, and anaerobic streptococci (Stark & Lee, 1982)
    • with the introduction of supplementary formula, the gut flora in a breastfed baby becomes almost indistinguishable from normal adult flora within 24 hours (Gerstley, Howell, Nagel, 1932)
    • if breast milk were again given exclusively, it would take 2-4 weeks for the intestinal environment to return again to a state favoring the gram-positive flora (Brown & Bosworth, 1922; Gerstley, Howell, Nagel, 1932)
  • in susceptible families, breastfed babies can be sensitized to cow's milk protein by the giving of just one bottle, (inadvertent supplementation, unnecessary supplementation, or planned supplements), in the newborn nursery during the first three days of life (Host, Husby, Osterballe, 1988; Host, 1991)
    • infants at high risk of developing atopic disease has been calculated at 37% if one parent has atopic disease, 62-85% if both parents are affected and dependant on whether the parents have similar or dissimilar clinical disease, and those infants showing elevated levels of IgE in cord blood irrespective of family history (Chandra, 2000)
    • in breastfed infants at risk, hypoallergenic formulas can be used to supplement breastfeeding; solid foods should not be introduced until 6 months of age, dairy products delayed until 1 year of age, and the mother should consider eliminating peanuts, tree nuts, cow's milk, eggs, and fish from her diet (Zieger, 1999; AAP, 2000)
  • in susceptible families, early exposure to cow's milk proteins can increase the risk of the infant or child developing insulin dependent diabetes mellitus (IDDM) (Mayer et al, 1988; Karjalainen, et al, 1992)
    • human insulin content in breast milk is significantly higher than bovine insulin in cow's milk; insulin content in infant formulas is extremely low to absent; insulin supports gut maturation
    • in animal models oral administration of human insulin stimulates the intestinal immune system generating active cellular mechanisms that suppress the development of autoimmune diabetes
    • the lack of human insulin in infant formulas may break the tolerance to insulin and lead to the development of type 1 diabetes (Vaarala et al, 1998)
    • the avoidance of cow's milk protein for the first several months of life may reduce the later development of IDDM or delay its onset in susceptible individuals (AAP, 1994)
    • infants who are exclusively breastfed for at least 4 months have a lower risk of seroconversion leading to beta-cell autoimmunity
      • short-term breastfeeding and the early introduction of cow's milk based infant formula predispose young children who are genetically susceptible to Type 1 diabetes to progressive signs of beta-cell autoimmunity (Kimpimaki et al, 2001)
    • sensitization and development of immune memory to cow's milk protein is the initial step in the etiology of IDDM (Kostraba, et al, 1993)
      • sensitization can occur with very early exposure to cow's milk before gut cellular tight junction closure
      • sensitization can occur with exposure to cow's milk during an infection-caused gastrointestinal alteration when the mucosal barrier is compromised allowing antigens to cross and initiate immune reactions
      • sensitization can occur if the presence of cow's milk protein in the gut damages the mucosal barrier, inflames the gut, destroys binding components of cellular junctions, or other early insult with cow's milk protein leads to sensitization (Savilahti, et al, 1993)

Tuesday, February 10, 2009

Menanti di luar OT

10 Feb 09

pgi ni makcik dah dimasukkan ke OT utk buat VP shunt...its a small or minor op actually according to the neurosurgeon...insyAllah evrtg would be ok..it was supposed to be last night but cancelled dt some emergncy, the surgeon had to cut opened the head of some pt involve in that accdnt thus postponing the op to this morning...today, pakcik came to HUSM once Makcik Milah who is waiting with makcik at the ward called him telling him that makcik is on the way to OT..

I went n met pakcik outside the OT..I cant stay long as I have pts to attend n 2 meetgs today, one at 11am n the othe the mnthly unit meetg..blurghhhhh..bosan....but I hope makcik will be come out safe n sound..n evrytg would be ok InsyaAllah...

the other op is the one that I feel a bit cncerned...huhuh...I know the risk n so on..but makcik had to do the op..probbly this week or the other week...InsyAllah...evrytg will also turn out well...pray hard evryone for makcik....

Monday, February 9, 2009

dugaan yang dtg bertimpa

9 Feb 09

mak tuk n wan sdah ke rmh Maklang..tggal di sana smntra nak recover..abg slps hntr zaid ke asrama pg esok akan ke rmh Maklang mjaga wan kmbli...abu kata wan nmpk mcm tak seronok..probably sb dok d rmh yg tak dikenali n tak biasa..wan wpun ada pg umah mak lang or anak2 yg lain tp dia sllunya tak mau dok lama..tak slsa barngkali..tmbhn plak abg takde...umi cite ms abg dah balik ke Bertam, wan mcm merajuk sb abg takde..dia mcari abg..mkn tak mau,mndi pun tak mau..brgkali terasa khilangan abg..hmm camana la abg nak blik ke korea mgu dpn...mgkin dduk di rmh maklang lbih mmudahkan abumi nak pg jnguk n tlg2 maklang mjaga wan n maktok...kaki mktok yg pth tuh, amik ms 2,3 bln juga nak heal..tmbhn plak mktok dah usia warga emas...lg amik ms nak smbuh....

skrg ni umi ada d KB..tmnkan makcik pakcik dtg ke sini utk buat VP shunt...tumor makcik yg sudah sbsar telur ayam kata dktr, perlu dibedah dgn sgera..tak bleh tggu2 lg..kalo dlm mgu ni juga Ot ksg, probably akna buat trus..risk, 50 -50..taktahu nak kata...aku paham apa yg tersirat drpd apa yg pkcik ceritakan...mgkin tidak mahu mnyebutnya but aku phm..risk utk after Op,mgkin in recovery phase mgkin akan mguji pakcik n esp makcik dan famliy dgn lbih hebat...mlm td aku bgun amik pampers Zaffran, pakcik msih blum tido...pdhal sudah di awal pg..mgkin hati yg resah dan gelisah mbuatkan pakcik tidak boleh lena...tmbhn pula, pakcik tak boleh msuk wad jmpa ngan makcik seawal pg slagi bkn waktu melawat...brgkali pakcik mghitung saat dan jam yg blalu utk bsama makcik...kalo aku, brgkali juga bgitu...makcik spt biasa cool aja...siap bleh melawak lg utk makcik kenenkan Dr faiz , anak sdara kwn pakcik yang hensem dan btugas ti wad 3 Utara tu utk kak lang..hahaha..makcik...spt biasa tidak pnah surut dgn usikan dan snyuman...dia kata, tak tkut pun tido spital ni..kot la berantu ke..hahaa..aku gelak je..mak cik makcik..quran atas kpla pun takkan takut lg..bkn ada apa pun...

apa2pun aku mdoakan yg tbaik utk makcik...kalo ikutkan hati aku juga ingin sntiasa berada di wad menemankan makcik...tp aku juga pnya tgjwb di HUSM ini merawat psakit aku...dan aku juga ada zulffi dan zaffran yg perlu aku tkcre d rmh...apa2 pun, aku bdoa moga makcik trus sht dan akan cpt smbuh spya lps ni bila balik umah maktok bleh berebut mkn lagi spt dulu...amin..

Friday, February 6, 2009

aksi2 cute Zaffran Rizqi


ralit sgguh main dgn playgym dia..


snyuman manja Zaffran utk ibu......


bakal driver F1 malaysia...

penat slps btugas sebagai Fly terminator...hahaha

zaffran dah pandai memanjat

penatnya berdiri....rest kjap

uish..skill baru ni...

tgok saya berdirii....




6 Feb 09

actually last Friday lg event ni jd but aku tak smpt nak mnulis...last week aku ltak zaffran dlm cot dia..smbil aku bring2 lg atas katil smbil tggu Subuh masuk..msa tu dia dah jaga sb mlm tu dia tido awal....ttba ja aku nmpk kpla dia tak terjengul kluar dr cot..aku tgok dia dah bleh bdiri sndri smbil tgn pgg tepi cot dia tuh nak tmpung bdn dia...aku ingat mcm tipu je tuh, so aku baringkan dia balik,,dia punya la marah..dia pgg tepi cot tu n dia tolak ngan kaki dia, spya bleh bdiri kat tepi cot tu.... ishhh..cptnya anak ibu dah nak bdiri..merangkak pun blum....nak memanjat dah..skrg ni, tepi sofa pun dia dah bleh pgg n bdiri..but kena jaga2 gak sb kaki tak stabil lagi..tkut tblik...kalo duduk je, msti dia akan pnjat atas org n cuba utk bgun b diri...n sllunya bjaya..td dia dok pgg anak tgga ptama rmh aku...aku dok 'aaaapppp.'' dia brnti jap..pastu smbg balik..but bila aku dok tgok2 dia tak jd truskan..baru testing market kot.hahaha.. cpt je anak ibu mbesar.huhuhu..lps ni tak sdar dah bleh berlari dah...huhuhu

zaffran 1st shoes

6 Feb 09


ini kasut zaffran yang pertama...dan sudah semestinya Baby Pooh...hahahaha
aku tak bercadang pun nak blikan lg kasut utk zaffran, but last week pg berderat skjp ke Kbmall ms lunch, aku ternmpk kasut ni..n ada 50% off..hohoho

so aku pun sambar la utk Zaffran..wpun aku nmpk bsar n Hajra pun kata besar, but kaki zaffran pun pjng..mcm abah n ibu...nanti sat ja dah bleh pakai..lgpun, by the time dia bleh jalan dah boleh pakai..hahahah

ada2 je alasan utk justify knapa nak bli gak ksut ni..hahahh..murah apa tgh sale...kalo tak..uishhh..kasut bby yg tak reti jalan lg pun sama mahal ngan kasut ibu...ish ish ish....

tpi bila bg kasut kat zaffran, msuk mulut lak dia...hmm..dia suma bnda msuk mulut...hahaha..bila pkikan kat kaki dia, n bg dia bdiri atas jalan dpn umah smbil tgok kucing, dia mcm syok ja sb dapat bdiri n tak skit kaki dia..hehehe.. takpela eh anak ibu...nnti dah bleh jalan kita pakai kasut ni eh..

Tuesday, February 3, 2009

hati yang sendu

3 feb 09

today aku dtg dr awal pg, hati mmg sudah berlagu sendu...hmmm..aku mls nak bicarakan bab itu...bab yang tiada noktah atau titiknya....akukah yang tllu emosi atau akukah yang terlalu egois??hmmm

pg td abg msg..dia kata wan dok berjaga ja smlm...dia yg mabuk menunggu wan tgh weng tak lena..
dia kata satu pglmn baru bgnya....then pakcik plak call, mnta aku cnfirmkan balik tntg GL utk op nnti..makcik dijangka dtg HUSM mgu dpn ni..hari AHad...pakcik kata tumor di otak mkcik mbuatkan air dlm otak tak bleh lalu sbb sluran tllu smpit n mnyebabkan hydocephalus..so nak dtg HUSM nak buat VP shunt...hmmm...dktr kat KMC dah call sdnri neurologist di HUSM so probably ahad akan dtg ke sini or mybe sabtu....well..another brita yg buatkan hati aku btmbh sendu...makcik nak kn op, sapa nak jaga anak2 dia suma..sian pakcik n makcik...

then ms aku nak kuar lunch, Lang call nangis2..aku dah panik..ingt knpa..eksiden ke apa..hilang wallet ke apa..then dia kata takde apa, dia kata dia sdih sb sb dktr nak simen kaki maktok sb jari klingking maktok patah...maktok tjatuh 2,3 mlm lps sb tersepak tilam ke apa ms nak amik kain kat wan..nsib abu ada..ingt tcbut sndi kaki ja..but rupanya patah jari...sdih sgt rs bila pk..sapa nak jaga wan plak..wan plak bkn sihat lg..mmg ada makcik milah tlg2 n ammar tggu but sian kat maktok nak jalan suma camana...aku takle nak pk..kalo aku bleh blik tlg maktok msti aku akan balik..but bila dah bkhwin dan punyai tgjwb sndri, kdg2 aku rs trikat utk aku pulang k kg n esp bila keadaan camni..hmmm..tahla...

aku harap, moga Allah akan pmdhkan pjlnn sumaorg esp maktok, wan n org2 di skllg yg nak tgok n tlg maktok...amin..

Ya Allah, lapangkan lah dadaku dalam mhadapi semua ujian ini..hilangkan rs sdih yang bertapa di dadaku..hilangkan lah resah hatiku...

Monday, February 2, 2009

kenapa la anak lelaki melayu kita jd macamni..

2 Feb 09

aku tgh geram ni....hishh geram...nmpk tak tulisan ni wrna merah n bold lagi????geram ngan apa?bkn bnda but org....since last 2weeks aku kena ajar sorg studnt attachment dr usm jg la...dia ni mmg dok dgr dah problem dr dulu lg...suka hilang mcm biskut chipsmore, pastu akan bg alasan yg tah..logik la gak tp buat org mls nak komen...mcm skli tuh tnya napa tak dtg kls, dia ckp " dia g teman mak dia g pasar sb takde org nak teman mak dia.." wat???? apa daaa...alasan cmtu pun bleh pki ke....aku dok byg dia mcm selekeh je, muka tak bleh caya punya..kaki auta....but skli bila tgok..hmmmm muka decent..dressing smart, ckp pun bsopan santun...no wonder la sumorg mcm sort of trima pki ckp dia...kwn2 aku kata dia layak jd salesman..pndi auta hahah..mgkin gak kot..aku ok mula2...but then, ms mggu 1st, ari 1st kena practical ngan aku kat paeds dia dah buat aksi chipsmore dia...tak mai...msg tak balas, bila call tak ngkat...then bila call lg dia letak....aku geram gak..tp lantak ko la nak blaja ke tak..tak nak sudah...aku pun tak brapa sht...hmm but silap org la to mess up with....

skli hari slsa dia dtg, dgn muka ksihan mai jmpa aku...aku buat bodoh ja...dia kata dia nak bg MC..aku tnya knpa tak dtg..dia kata dia tak sht...pstu dia kata, dia tak reply call sb takde kredit...aku dlm hati..ye la tuh..haaa. auta lg ..auta lg...aku n cik azi call apasal tak ngkat??kena guna kredit ke nak gkat kol....syarikat tepin mana la dia guna tuh..dah tu dia kan dok kat umah dia..takde ke tepon rumah?mak ayah dia takde hp nak bls msg?blah la...alasan ja...aku ngepek gak la pg tuh kat dia...awak ni nak balaja ke tak nak..awak ingt praktikal ni main2 ke...awak amik mudah ja..nak dtg tak nak dtg...ikut suka awak...yg MC tuh utk 18hb ja..tp yg 19hb mana? dia kata.."saya masih tak sedap bdn.sb tu saya tak dtg..." chewahhhh....aku yg dmm truk pun dtg gak keje wpun tak dpt cuti ...pndinyerrrrrr bg alasan...

then dia ada la a few days...tu pun buat keje halai balai...tah papa...knowledge..hmmm..hmpesss.then ttba sabtu tuh ttba hntr msg kata tak le dtg ahad sb dia dok kat shah alam kndri rmh kkk dia..nak blik takde tket .dia nak mnta cuti..aku kata dia kn mnta ngan bos cuti.aku takle bg cuti..napa tak mnta ngan bos awal2...dia kata dia ingt dia dpt midterm break...aku kata lg kat dia..aku dah bgtau last week yg dia tak le mid term break.so yg dia pg jg KL tu buat apa dah tau kna dtg hari ahad...dia tak bls..but esoknya dia dtg...ok la...tuptup Rbu lps raya cina tak dtg..khmis tak dtg...ahad smlm tak dtg...aku dah gerram sb kad pt aku pd dia...aku msg soh dia dtg hntr..but dia tak dtg pun...pg ni ttba dia muncul mcm David copperfield..dia ckp kat Pn Rimei yg dia bru smpi smlm...tnya dr mana smpi?sb umah dia kat Kb ni je..'dr bercuti ' kata dia..ewah ewah,..sdapppp ja dia g bcuti2 mesia yerrr masa tgh praktikal ni...sng hati ja tinggal...ish ish...Pn rimei soh hntr kad pt aku..aku tggu dr pg, ttba sblm lunch Kak Na attenden klinik dtg hntr...dia just tggal atas kaunter tulis nm aku...

spine less boy..da buat mistakes dnt have the guts nak dtg mgadap aku..nak hntr kad kuning pun tkut...bkn aku nak mgamuk ke apa but aku nak la gak berleter skit kat dia..hahahha..apa dia ingt dia bleh elak aku slmanya?hmm sok dia nak kena present kes, aku tak sbr nak tgok pt mana yg dia amik..siap la dia nanti aku akan hentam dia dlm bilik tuh dgn rmi org...geram aku...

aku bkn nak marah sgt ke apa...but aku gram..dia amik mudahh ja bab ngaji ni..dia tu dah last sem.kalo dia tak lulus ni, abis fail..kena repeat sem..kalo kena repeat aku org prtama akan kata ..GOOD FOR U!!!!!!bkn aku dgki ke apa, but aku nak dia balaja drpd mistakes dia...dia ingt bila dah keja bleh buat cam ni ke..nak dtg, dtg..tak nak dtg sudah...n time prktikal ni la kutip sbrapa bnyak ilmu yg dpt utk guna bila kje nnti...ingt bila dah kje ada ke org nk ajar kita bnda2 ni..tmbh2 bila kn hntr hosp pdlamn ke, yg takde senior ke..awak nak tnya sapa....amik mudah ja suma bnda...tak ksian ke dia kat mak bapak dia...n aku tak phmnya...mak bapa dia tak amik tahu ke pljrn anak dia..siap bleh mnta tmnkan ke psar lgi...aku tahu yg dia dah fail a few paper bcos sikap camni la..tak peduli..tak hntr assgmnt, tak dtg...hmmm...tahla...

aku sllu dgaq abu citer psl student dia yg tah papa, amik mudah n smbil lewa ajaq student...tak sgka nak jd kat aku..aku tahu aku ni cengei mcm abu gak bab ngajar student...aku bkn garang..but aku nak studnt aku blajar n tak amik mudah apa yg aku ajar..mgkin ilmu aku tak sbnyak mana but apa yg aku bleh tlg ajr aku kgsikan..aku nak studnt aku excel...aku ikhls nak tlg..bkn aku dpt duit lbih pun ngajar diorg..lg pnt n abiskn ms n air liur aku ada la...but aku ikhlas nk tlg..but kalo dah taknak tlg diri sndri...lantak p la kat hampa...aku tak mau peduli.....sukahati....yg rugi bkn aku..tapi kamu dan diri kamu sndri....

PS: kisah2 ni dah sinonim aku dgr dr abu tntg plajar2 dia di uitm..esp yg lelaki...knapa la bdk llki mlayu kita ni truk sgt skrg???nauazubillah..mnta dijauhkan aku dan ahli kluargaku, anak2ku drpd sikap macamni....

PSS: to the boy , u know who u are...IM GIVING U ZERO..ZILCH..NADA...no matter apa awak dah buat which is not much and bcos u didnt even fill up the criteria that Im assesing u for......well...cos out of 10days u just come 3days...camana u nak dpt pnuh smua kriteria tu kan...

hmm..kejam sgt ke aku?