August 25, 2009

a crying shame by tp

Love isnt something you delegate.

Let me tell you a little story about three little children and their friends. A little boy by the name of Afiq whose eyes are always looking away, a little girl whose name is Aishah who looks like she is at most two years old but is actually five. And a seven year old boy called Irfan whose smile can brighten up even your darkest days. Unfortunately, he rarely smiles.

Afiq is a child who is almost normal. His right leg curves inwards and his eyes cant really focus at you. He never has an expression, but i know he has feelings because everytime I go to visit, he will get up from his cotbed and throw his arms around me. When I talk to him I sometimes wonder if he understands any of it. But when I am about to leave, he will come awkwardly running to the car so I know I must have touched him, somehow. Sadly I don’t know what is wrong with him. I suspect he is autistic but I don’t know for sure. His files only say that he was put there at the centre by his grandfather a long time ago. And that his mother was a teenager who had been raped. As a result, Afiq is the byproduct of their past lives whom they would rather forget about. Which is a shame really, because if he had been exposed to physiotherapy in the earlier years, his leg would probably be normal.

Aishah is a tiny little being with short straight hair, squinty eyes and a protruding jaw. She has Down Syndrome and is a paraplegic. Her parents probably thought she was a mistake and wrote her off. No one has ever come to visit her since she was placed there 7 years ago. Aishah cries a lot and sometimes bites into her own flesh. There is no mental stimulation for Aishah. She is fed at mealtimes, and that is about it. But when i carry her. She rests her head on my body like a little baby. And I am sold.

And then there is Irfan. Irfan is beautiful. All my friends whom I have brought with me on my visits there will remember Irfan. Both his legs curve inwards and both his palms too. And I don’t know what they call that. The worst part, is even the people in the centre don’t know. I dont know his story either. A beautiful face like that, with deformed hands and legs. Did his parents just reject him because he was not perfect?All I know, is that when he smiles, he makes you forget all your troubles. You lose yourself in his small joys, so pure and innocent.

There are eighty of them at this centre. Abandoned children with various misfortunes ranging from severe cerebral palsy which cause them to not be able to move at all, mental dementia, down syndrome, autisme, epilepsy et cetera to simple mental retardation, which just means that they look physically abnormal. There are even normal children who have no papers and therefore have nowhere to go. Stateless children, they are called. Children of foreign construction workers and such who abandon their offspring to escape the law.

They are all dumped together at one centre, housed in dorms and cared for by minimum wage workers. No therapists see to their development, no parents come and visit. The living environment is stinky and unhygenic. They are shortstaffed and not enough cleaning is done. The sheets don’t get changed as often and the clothes of the infected don’t get sanitized.These children are merely kept alive and this seems to be regarded as a social favor. Once in a while corporations would donate hampers and the more able children will put up a performance or something of the sort to be presented at a charity gala where cheques are handed out and happy photos of them are snapped. These are the kind of photos that make it into newspapers and journals, and as a result when we think of disabled children, we all have this picture at the back of our minds that show these children as being well looked after in a systematic environment. And then the function is over and society forgets all about them all over again. And this goes on and on. All around the country.

I cannot comprehend why in Malaysia, a relatively developed country, this can still exist. I voice my concerns to the Director and the Welfare Department and they say “Memang, kita tak ada therapists.” Why cant they get some? I put some people out there to look around and apparently there is a very big need for all kinds of therapists to come from abroad. They have known about this need for some time. Why has no one done anything about it? In the meantime they keep renovating these centres throughout the country. It keeps looking better and better from the outside, while on the inside the children are starved for love and attention and of the chance to become a viable human being. This is why Malaysia will never have our own Stephen Hawkings or our own Team Hoyt. Because as soon as they are verified as imperfect, families are able to send them away.

I have been wanting to write about this for a while now. But it hasn’t been easy . There is too much to address. How can families abandon their offspring? How can the system let them? Why do we never hear about these children left to survive like this?

It is still not easy. For how do you capture pain and suffering, loneliness and longing, and put into words that would be harder still for people to read? But what my eyes see everyday, my heart is crying out to share. Maybe, just maybe we can change things.

Suddenly,I am reminded of what Kimmy, a nineteen year old boy from Dungun said to me today as I was leaving. He said “Aunty, dah family saya taknak ambil saya, aunty sajalah ambil saya... biar saya jadi anak aunty..i” Oh kimmy! If only it was that simple. Poor poor kimmy! This nineteen year old boy has one blue eye and one brown. He has only 20 percent vision but when the sun is up high, he can do great things with his fingers. Give him a ribbon and he willl braid it into a keyring. Give him building blocks and he will build a cute house with a roof and windows. He has been longing to go home for as long as I have known him. I will never forget how on my first visit there I saw him running to the facilitator, saying “Encik saya nak balik, saya nak balik…” To which the administrator would reply.. "Dah, kita dah telefon, dah mak bapak tak nak mari , nak buat macamana...?” How I wish he wouldn’t say that. It is so hurtful to know your family doesn’t want you.

Today I sat in the administration office and discussed how to persuade Kimmy's parents to come and visit at least, if not to take him home. We are going to pay his parents a visit. But to be honest with you,I don’t understand why he would want to go home though. Apparently his parents used to lock him up in a room like a freak. But I guess home is still home no matter what. My poor poor Kimmy.

Children are innocent. That’s what makes them so beautiful. They are untainted by malice and conscious wrongdoings. They are gifts from God for us to raise as we see fit, and through whom we leave our legacy on this earth, however small. How anyone can abandon their children is beyond me.

Perhaps it is a lot easier to love them when they are physically perfect. Easier still if they were beautiful. Which is probably why there are so many abandoned handicapped children in this country. I suppose 50 years of independence may have taught us a lot of things. But Love for the lesser mortal is not one of them.

Why is that? One wonders. We are brought up to be thankful for our blessings. We are raised to sympathize with the less fortunate and be grateful for being better off. We see starvation a million miles away and our hearts weep for them. Why then are we never made to think of the unfortunate in our own backyard? The severely handicapped and the mentally retarded are a stigma in our society. As family members they are shunned and hidden away and most often do not feature in the family portraits. If only we all realize that these are Human Beings, Living Souls, who feel just like us, and have emotions just like us. They too get bored and lonely. They too need love and nurture. Perhaps more so than us, for they cannot seek it, only wait in the hope that they will receive it.

I want so badly to change the way things are for them. And I welcome any suggestions from anyone. For now my girlfriends and I do what little we can to make their world a warmer place. We bring them toys and music, and snacks sometimes. And they have a little something to look forward to everyday. But there is not much else we can do. Because there is too much to do and I don’t know where to start.We cannot help them speak better, or walk better.We are not therapists, not even doctors. Just mothers. We try and go whenever we can to feed and talk to them, play and sing with them, and just hug and love them.

Can any of you help in any way?

August 20, 2009

Ramadhan Al-Mubarak - Selamat Berpuasa!!!

Hi peeps!!
Did you get to listen to that old guy (i am pretty sure it was also him last year kan? Panjang umur!! hehe) in tv announcing the first day of fasting?
Its this Saturday!!!! Tomorrow's the last day for me to stuff myself with food - junks! LOL

With this.. i wanna wish everyone a Happy, Peaceful, Harmony and Meaningful Ramadhan!!! Let us be thankful sebab we get to grab the chance (again) to make use of this holy month of Ramadhan! ALHAMDULILLAH! And let us all hope that we will make a full use of it this time - better than last year or the years before!!! Amin :D

And.... with this i attach a very very good email/piece that i received from a friend today...
Its Fadhilat Solat Tarawikh - 30nights :8)

1. Kelebihan Solat Tarawih Malam Pertama - Diampuni dosa orang-orang yang beriman sebagaimana keadaannya baru dilahirkan.
2. Kelebihan Solat Tarawih Malam Kedua - Diampunkan dosa orang-orang yang beriman yang mengerjakan solat Tarawih, serta dosa-dosa kedua ibubapanya.
3. Kelebihan Solat Tarawih Malam Ketiga - Para malaikat di bawah ‘Arasy menyeru kepada manusia yang mengerjakan solat Tarawih itu agar meneruskan solatnya pada malam-malam yang lain, semoga Allah akan mengampunkan dosa-dosa mereka.
4. Kelebihan Solat Tarawih Malam Keempat - Orang-orang yang mengerjakan solat Tarawih akan memperolehi pahala sebagaimana pahala yang diperolehi oleh orang-orang yang membaca kitab-kitab Taurat, Zabur, Injil dan Al-Quran.
5. Kelebihan Solat Tarawih Malam Kelima - Allah SWT akan mengurniakan pahala seumpama pahala orang-orang yang mengerjakan sembahyang di Masjidil Haram, Masjidil Madinah dan Masjidil Aqsa.
6. Kelebihan Solat Tarawih Malam Keenam - Allah S.W.T akan mengurniakan kepadanya pahala seumpama pahala malaikat-malaikat yang bertawaf di Baitul Makmur serta setiap batu dan tanah berdoa untuk keampunan orang-orang yang mengerjakan tarawih malam itu.
7. Kelebihan Solat Tarawih Malam Ketujuh - Seolah-olah ia dapat bertemu dengan Nabi Musa a.s serta menolong Nabi itu menentang musuhnya Fir’aun dan Hamman.
8. Kelebihan Solat Tarawih Malam Kelapan - Allah S.W.T mengurniakan pahala orang yang bersolat tarawih sebagaimana pahala yang dikurniakan kepada Nabi Ibrahim a.s.
9. Kelebihan Solat Tarawih Malam Kesembilan - Allah S.W.T akan mengurniakan pahala dan dinaikkan mutu ibadat hamba-Nya seperti Nabi Muhammad s.a.w.
10. Kelebihan Solat Tarawih Malam Kesepuluh - Allah SWT mengurniakan kepadanya kebaikan dunia dan akhirat.
11. Kelebihan Solat Tarawih Malam Kesebelas - Ia meninggal dunia di dalam keadaan bersih dari dosa seperti baru dilahirkan.
12. Kelebihan Solat Tarawih Malam Keduabelas - Ia akan dibangkitkan pada hari kiamat dengan muka yang bercahaya-cahaya.
13. Kelebihan Solat Tarawih Malam Ketigabelas - Ia akan datang pada hari kiamat di dalam keadaan aman sentosa dari sebarang kejahatan dan keburukan.
14. Kelebihan Solat Tarawih Malam Keempatbelas - Malaikat-malaikat akan datang menyaksikan mereka bersolat Tarawih serta Allah S.W.T. tidak akan
menyesatkan mereka.
15. Kelebihan Solat Tarawih Malam Kelimabelas - Semua malaikat yang memikul ‘Arasy dan Kursi akan berselawat dan mendoakannya supaya Allah mengampunkannya.
16. Kelebihan Solat Tarawih Malam Keenambelas - Allah S.W.T. menuliskan baginya dari kalangan mereka yang terlepas dari api neraka dan dimasukkan ke dalam syurga.
17. Kelebihan Solat Tarawih Malam Ketujuhbelas - Allah S.W.T menuliskan baginya pahala pada malam ini sebanyak pahala Nabi-Nabi.
18. Kelebihan Solat Tarawih Malam Kelapanbelas - Malaikat akan menyeru: Wahai hamba Allah sesungguhnya Allah telah redha denganmu dan dengan kedua ibu bapamu (yang masih hidup atau yang sudah mati).
19. Kelebihan Solat Tarawih Malam Kesembilanbelas - Allah S.W.T akan meninggikan darjatnya di dalam Syurga Firdaus.
20. Kelebihan Solat Tarawih Malam Keduapuluh - Allah S.W.T mengurniakan kepadanya pahala sekelian orang yang mati syahid dan orang-orang soleh.
21. Kelebihan Solat Tarawih Malam Keduapuluh satu - Allah S.W.T akan membina untuknya sebuah mahligai di dalam syurga yang diperbuat dari cahaya.
22. Kelebihan Solat Tarawih Malam Keduapuluh dua - Ia akan datang pada hari kiamat di dalam keadaan aman dari sebarang huru-hara pada hari tersebut.
23. Kelebihan Solat Tarawih Malam Keduapuluh tiga - Allah S.W.T akan membina untuknya sebuah bandar di dalam syurga daripada cahaya.
24. Kelebihan Solat Tarawih Malam Keduapuluh empat - Allah S.W.T akan membuka peluang untuk dua puluh tahun ibadat bagi orang-orang yang mengerjakan solat Tarawih pada malam tersebut.
25. Kelebihan Solat Tarawih Malam Keduapuluh lima - Allah S.W.T akan mengangkat seksa kubur darinya.
26. Kelebihan Solat Tarawih Malam Keduapuluh enam - Allah S.W.T akan mengurniakan pahala empat puluh tahun ibadat bagi orang-orang yang mengerjakan solat Tarawih pada malam tersebut.
27. Kelebihan Solat Tarawih Malam Keduapuluh tujuh - Allah S.W.T akan mengurniakan kepadanya kemudahan untuk melintasi titian sirat sepantas kilat.
28. Kelebihan Solat Tarawih Malam Keduapuluh lapan - Allah S.W.T akan menaikkan kedudukannya seribu darjat di akhirat.
29. Kelebihan Solat Tarawih Malam Keduapuluh sembilan - Allah S.W.T akan mengurniakan kepadanya pahala seribu haji yang mabrur.
30. Kelebihan Solat Tarawih Malam Ketigapuluh - Allah S.W.T akan memberi penghormatan kepada orang yang bertarawih pada malam terakhir dengan firman-Nya (yang bermaksud): Wahai hambaku!, makanlah segala jenis buah-buahan yang Engkau ingini untuk dimakan di dalam syurga dan mandilah kamu di dalam sungai yang bernama salsabil serta minumlah air dari telaga yang dikurniakan kepada Nabi Muhammad s.a.w. yang bernama Al-Kautsar.

InsyaAllah, we will try our best to make it to Tarawikh prayers (berimam or sendiri) kan? I pun will try not to miss too much Tarawikh prayers, InsyaAllah :8)

August 19, 2009

a birthday party






Theme : Under The Sea
Food : Tantalizing!!
Cake : Beautiful ;)
Guests : Gorgeous - my fella Ting Tongs yang terchenta xx



p.s. Can anyone spot me??! :8)

my baby is 3

18 August 2009
HAPPY 3rd BIRTHDAY TO
MY ONE AND ONLY
MUHAMMAD KHALISH!!

August 17, 2009

MASIH FRUGAL

  • WOMENS ADIDAS ADIZERO LT RUNNING TRAINERS
  • GUCCI AVIATOR WITH CREST ON TEMPLE
Note : These babies are indeed my first expensive running shoes and my first aviator :8) but of course i got them at discounted prices.. kan ke frugal!! ngeh ngeh..

August 15, 2009

August 14, 2009

h1n1 flu booklet

TQ Sue for sharing!!

To all of you who havent read and seen this booklet from UN, here's a brief look at it.

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What is the new influenza A (H1N1) virus that has been causing recent outbreaks globally?
The recent outbreaks of disease in people globally are caused by a new influenza (or “flu”) type A (H1N1) virus. There is a human H5N1 virus circulating and causing seasonal influenza and in the past, very occasionally, H1N1 viruses from swine have infected humans. The specific type of the H1N1 virus causing illness now is new or “novel” and in the current outbreak it is clear that this virus is able to infect humans and be passed from person to person. Although part of the virus may have originated from pigs, there is no evidence that the current spread of infection is coming from that source.

How does the influenza A (H1N1) virus spread?
Spread of this new virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.

What should I do to keep from getting infected by the influenza A (H1N1) virus?
First and most important: wash your hands. Try to stay in good general health. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food. Try not touch surfaces that may be contaminated with the flu virus and avoid close contact with people who are sick.

What is a ‘pandemic’?
Influenza pandemics happen when a new human flu virus emerges and spreads rapidly across the globe because humans have no previous immunity against this virus.

Are we at risk of a pandemic?
No one can say whether or not the current situation would evolve into a severe pandemic. But whether it turns out to be a catastrophic health event or little more than a bad flu season, it is important to be prepared for the worst.

What can you do?
Prepare yourself and your family immediately for a possible pandemic. This includes gathering and storing emergency supplies and adopting habits that will reduce the chance of you or your family getting infected and spreading it to others (for example, washing hands regularly, covering nose and mouth when you sneeze or cough, and not spitting in public).

What is the difference between seasonal and pandemic influenza?
Seasonal influenza:
Human viral respiratory infection,
Self-limiting, but can be serious and fatal in the elderly and the very young,
Causes an estimated 250,000-500,000 deaths each year,
Occurs seasonally every year; occurs in winter in temperate areas,
Routine vaccines available

Pandemic influenza:
Global outbreak of new strain of human influenza virus,
Causes increased illness and death worldwide,
Rare event; occurred every 11-42 years over the past two centuries; could cause millions of deaths,
Three pandemics in the past 100 years: 1968, 1957 and 1918,
Vaccines can only be developed once we know the strain of the virus.

Are you at risk?
Seasonal influenza
Everyone is at risk of getting seasonal influenza. It passes easily from person to person through droplets expelled from the nose and mouth of an infected person. These droplets can pass directly into the nose, mouth or eyes of a person who is nearby (less than 1 meter, or 3 feet, away) or indirectly when a person touches surfaces that droplets have fallen onto and then touches his or her nose, mouth or eyes before washing hands. Crowded, indoor environments may promote the chances of such transmission, which may explain the increase in respiratory infections during the winter months. Seasonal influenza can lead to complications and even death. Most complications occur in people aged 65 years and over or in people with pre-existing medical conditions such as heart or lung disease and diabetes. Pregnant women, infants and very young children are also at increased risk of complications from influenza. The World Health Organization (WHO) estimates that each year 3 million to 5 million people have severe cases of seasonal influenza worldwide, and 250,000 to 500,000 people die.

Pandemic Influenza
When a pandemic occurs, everyone will be at risk, not just frail or elderly people. Pandemic influenza passes from person to person just as easily and quickly as seasonal flu. But, unlike with seasonal flu, people will not be immune to this new virus, so more people will become infected. In addition, it is possible that even young and healthy people who do not normally suffer complications from seasonal flu may develop serious complications and even die in a pandemic.
It is important to know, however, that the majority of people who will develop a flu-like illness in a pandemic will recover and develop immunity to the new human virus.

Things you should know about human influenza viruses:
• They spread through infected droplets from breathing passages.
• Droplets are expelled by talking, spitting, coughing, sneezing.
• The droplets spread about 1 meter (3 feet) from the infected person, either directly to other people or indirectly through hands and other surfaces.
• The viruses can live for several hours on hard surfaces, or on cloth and paper.
• If healthy people touch infected hands, doorknobs, keyboards, telephones, etc., they can infect themselves by touching mouths, noses or eyes.
• Sometimes the viruses can spread through the air.
• An infected person is most likely to spread the virus when he or she has fever and a cough.
• It is possible that an infected person will spread the virus a day before showing signs of illness.

How do you know you have influenza?
Seasonal Influenza:
• Fever
• Headache
• Aching muscles
• Exhaustion and feeling weak
• Loss of appetite
• Sore throat
• Runny or stuffy nose
• Dry cough

Pandemic Influenza:
While the first symptoms of pandemic influenza might be similar to seasonal flu symptoms, how the symptoms develop will depend on the nature of the specific virus. It is likely that most people will recover without needing medical attention, but the following symptoms may help you decide if you need to seek medical help:
• Shortness of breath while resting or doing very little work
• Persistent fever for 4 or 5 days
• Painful or difficult breathing
• Coughing up a lot of phlegm or bloody sputum
• Wheezing
• You are feeling better and then you develop a new fever or worsening cough with sputum
• You feel very drowsy and others have difficulty waking you up or note you seem confused or disorientated

Cold or flu?
Learn the differences between influenza symptoms and those of a common cold.

Cold
Fever : Rare
Headache : Rare
General Aches, Pains : Slight
Fatigue, Weakness : Sometimes
Extreme Exhaustion : Never
Stuffy Nose : Common
Sneezing : Usual
Sore Throat : Common
Chest Discomfort, Cough : Mild to moderate; hacking cough

Flu
Fever : Usual; high (100°F to 102°F, occasionally higher, especially in young children); lasts 3 to 4 days
Headache : Common
General Aches, Pains : Usual; often severe
Fatigue, Weakness : Usual; can last up to 2 to 3 weeks
Exhaustion : Usual; at the beginning of the illness
Stuffy Nose : Sometimes
Sneezing : Sometimes
Sore Throat : Sometimes
Chest Discomfort, Cough : Common; can become severe

How do you reduce your risk of contracting influenza?
Personal Hygiene
The practice of good personal hygiene is one of the most effective strategies any individual can implement to reduce their risk of being infected by the influenza virus. Important points are:
• Cover the nose and mouth with the sleeve when coughing or sneezing (not with the hand, as that contaminates the hand for touching and spreading organisms further);
• Use a tissue for cleaning/blowing the nose, and dispose of it after use;
• Clean your hands after coughing or sneezing, using a tissue, or touching any surface that may have become contaminated by a prior user. If using a surgical mask, dispose of it carefully after use and wash hands:
° Wash hands with soap and water (preferable)
or clean with alcohol-based hand cleaner;
° When you wash your hands, wash for at least 20 seconds, making sure that all surfaces of hands and fingers are cleaned.
• Become “touch aware”, and avoid touching surfaces that are likely to have been touched by others (door handles, stair railings, etc);
• Avoid handshaking, social kissing, and other social rituals that involve touching others.
• Be careful with respiratory secretions when around other people (e.g. coughing and sneezing). If possible, avoid contact with individuals at risk (small children or those with underlying or chronic illnesses) until respiratory symptoms have resolved.

How do you reduce the chances of spreading influenza?
• Practice good personal hygiene as listed on pages 9 and 10.
• Don’t share eating utensils and drinking glasses.
• Clean utensils used by sick people or surfaces they touch with warm, soapy water or disinfectant.
• Avoid crowded situations that place you in close contact with others.
• Don’t smoke. Smoking makes it easier to catch influenza and increases the likelihood of serious complications.
• Stay home if sick with a fever or cough.

How do you care for yourself and others?
Caring for yourself - The following are a few of the things you or those you are caring for can do to help reduce influenza symptoms. Of course, if the influenza appears to be more severe, you should consult with a medical professional immediately.
• Measure your temperature. If it is not above 38°C (100.4°F), you probably don’t have influenza.
• Rest and completely avoid rigorous exercise.
• Avoid contact with others.
• Stay at home.
• Drink plenty of fluids (a glass of water or juice every hour).
• Take paracetamol (also known as acetaminophen) to reduce fever and relieve pain. (It does not kill the virus, but it makes you feel better.)
• Gargle with warm water to ease a sore throat.
• Use saline (salt) solution nose drops to help relieve a stuffed nose.
• Keep your nose clean with disposable tissues and throw the used tissues in the garbage. Wash your hands afterwards.
• Don’t smoke.

Caring for others
Most patients with pandemic influenza will be able to remain at home during the course of their illness and can be cared for by other family members or others who live in the household. Anyone residing in a household with an influenza patient during the incubation period and illness is at risk for developing influenza. A key objective in this setting is to limit transmission of pandemic influenza within and outside the home. Even though there is a risk of transmitting the virus, people are going to have to take care of each other if they get sick.

Management of Influenza Patients
Physically separate the patient with influenza from non-ill persons living in the home as much as possible. A separate room should be set up so that the sick person can be isolated. To set up a separate room, you may need extra bedding supplies, including sheets, towels and plastic mattress covers.
Consider where you could make up a sickbay that would be isolated from the rest of the house. Also consider how you would ventilate this room. It is important that air from the room is expelled to the outside of the house and not back into the house, so make a plan of how that might be done.
- To minimize the risk of spread, only the caregivers who are absolutely necessary should visit the sick person’s room, and they should always wash their hands thoroughly upon leaving. Wearing of masks can be helpful as long as you realize that it is not a panacea.
- Patients should not leave the home during the period when they are most likely to be infectious to others (i.e., 7 days from the onset of symptoms for adults or until 24-48 hours after resolution of symptoms, whichever is longer). When movement outside the home is necessary (e.g., for medical care), the patient should follow cough etiquette (i.e., cover the mouth and nose when coughing and sneezing) and wear a surgical mask if available.
- How to wear a mask: If you choose to wear a mask, place it over your nose, mouth and chin and secure in place with either the strings or elastic bands provided. Adjust the metallic strip over the bridge of your nose to ensure a secure fit so that leaks are prevented. When removing the mask, do so by touching the straps only. Carefully place the face mask into a plastic bag and tie the bag closed before putting it into a rubbish bin, preferably one with a lid. Remember that masks cannot eliminate the possibility of infection.

When should you stay home?
During a pandemic situation, staff who are identified to perform on-site critical functions should not come to work under any of the following circumstances:
• They are feeling unwell, or have any cold/flu type symptoms (headache, fever, sore throat, cough, body aches, runny nose, nasal congestion, abdominal
pain, cramps or diarrhoea). Staff will be advised to check their body temperature each morning and evening. No staff member should go to work if they have a fever;
• One of their family members has or is suspected to have influenza;
• They are aware that they have had recent contact (<48 style="font-weight: bold;">What should you do if you may have been exposed?
• Monitor your health for 7 days.
• If you become ill with fever and develop a cough or difficulty breathing, or if you develop any illness during this 7-day period, consult a health-care provider.
• At first contact with your health-care provider, remember to give him the following information:
° your symptoms
° whether or not you had direct poultry contact
° where you travelled
• Do not travel while sick, and limit contact with others as much as possible to help prevent the spread of any infectious illness.

NOTE: In the event of a pandemic, you should be prepared for the possibility that you and your dependants may be expected to remain at your duty station because of the risks of travel

Anyone who wants a copy of this booklet can email me and i'll try to send a copy to your email k!


TGIF

Its friday already :8) And i'm on call!! Hope this will be my last call ;p
Also i have 2 invitations today - an akikah and a birthday party.. yes i will try to make it to both events and hope takde la a ring from HSNZ while i'm having fun there. Hmm... catching ups are always fun eh?

So, whats up with me? Not much really.. am still anxiously waiting for a postgraduate placement, if i dont manage to get a placement here, maybe its not meant to be and insyAllah i'll get a place there, amiin! :8)

Lagi.. I am waiting for my release - from MOH to MOE. Bile kah bile kah???

Haaa.. other than that, i recently got in touch with an old friend waay back from my MARA College Banting days! It has been ages!! And Ju****, if you're reading this, please know that i feel wonderful getting in touch with you again!! *hugs*
Oh oh and any of you pretty people reading is a text jargon person? Hahaha.. I am not!! I got to know lotsa new terms used these days from my friend ni LOL
To mention a few : ORLY and SOLZ .. muahahahah

Guess thats it for now. Here are some photos of us (Naddy, Verde and i) at Pavillion, twas last week (a thursday). We had loads of fun, well you do the math people - girls + shopping mall + food + bottomless drinks + goss + time = HELLUVA GOOD TIME!!!



Ladies, look at my oily complexion!! Why why why???! Everybody else looks hot! *sigh*
Naddy, we dont have a photo together?! Baru sedar ;p next time ingat to snap tau!! And Naddy thank you for that lovely ribboned box of dates!! Khalish ske dates, dia yang makan!! hehe
Verde, its always wondrous to be near you! Your laugh is without a doubt infectious!! muahaha And thanks for helping me pass Fynn's BIL gift yeaa *hugs&kisses*

Till next entry people (i donno when but if i manage to snap some photos at that akikah or/and birthday party, maybe i"ll post a new entry tomorro). Have a great weekend ahead, bye!

p.s. I just received a call from HSNZ!!! Aaarrghhh!!! Well friday will always be friday here in KTrg.

August 9, 2009

teeth whitening

Salam pretty people ;D
I've been nicely approached by 2 readers to blog on the above topic. Well, its rather a topic that i could really brag about, but i am not an aesthetic dentist (which they all lagi tahu the current trends and products and price etc) but still i can talk bout teeth whitening.. ngeh ngeh..

Yes, so here goes lovelies, some amount of information on teeth whitening that i know of. A private practitioner would really dig this lah since they do and promote lotsa cosmetic dentistry, which nothing wrong pun, it is us in Min of Health yang practice little cosmetic dentistry *sigh*. OK, so...

Bismillah.. =)

In the blossoming world of cosmetic dentistry, teeth whitening reigns supreme. Universally valued by men and women alike, whitening (or bleaching) treatments are available to satisfy every budget, time frame and temperament. Whether in the form of one-hour bleaching sessions at your dentist’s clinic, or home-use bleaching kits purchased at a pharmacy, teeth whitening solutions abound. Yet only 15 percent of the population has tried the cosmetic procedure, and misinformation on the subject is rife. The long and the short of it is that teeth whitening works. Virtually everyone who opts for this cosmetic treatment will see moderate to substantial improvement in the brightness and whiteness of their smile. However, teeth whitening is not a permanent solution and requires maintenance for a prolonged effect. Well, nothing lasts huh, everything needs touch-ups!!

The term "bleaching" is permitted to be used only when the teeth can be whitened beyond their natural color. This applies strictly to products containing bleach — typically hydrogen peroxide or carbamide peroxide. The term "whitening," on the other hand, refers to restoring a tooth’s surface color by removing dirt and debris. So any product that cleans (like a toothpaste) is considered a whitener. Of course, the term whitening sounds better than bleaching, so it is more frequently used - even when describing products that contain bleach!

Most of us start out with sparkling white teeth (i said most because there are a few people born with teeth that are slightly to the darker shades), thanks to their porcelain-like enamel surface. Composed of microscopic crystalline rods, tooth enamel is designed to protect the teeth from the effects of chewing, gnashing, trauma and acid attacks caused by sugar. But over the years enamel is worn down, becoming more transparent and permitting the yellow color of dentin — the tooth’s core material — to show through. During routine chewing, dentin remains intact while millions of micro-cracks occur in the enamel. It is these cracks, as well as the spaces between the crystalline enamel rods, that gradually fill up with stains and debris. As a result, the teeth eventually develop a dull, lackluster appearance. Teeth whitening removes the stains and debris, leaving the enamel cracks open and exposed. Some of the cracks are quickly re-mineralized by saliva, while others are filled up again with organic debris.

There are two types of discoloration - extrinsic and intrinsic. Extrinsic stains are those that appear on the surface of the teeth as a result of exposure to dark-colored beverages, foods and tobacco, and routine wear and tear. Superficial extrinsic stains are minor and can be removed with brushing and prophylactic dental cleaning. Stubborn extrinsic stains can be removed with more involved efforts, like teeth bleaching. Persistent extrinsic stains can penetrate into the dentin and become ingrained if they are not dealt with early. Intrinsic stains are those that form on the interior of teeth. Intrinsic stains result from trauma, aging, exposure to minerals (like tetracycline) during tooth formation and/or excessive ingestion of fluoride. In the past, it was thought that intrinsic stains were too resistant to be corrected by bleaching. Today, cosmetic dentistry experts believe that even deep-set intrinsic stains can be removed with supervised take-home teeth whitening that is maintained over a matter of months or even a year.

So, what can cause staining?
Age: There is a direct correlation between tooth color and age. Over the years, teeth darken as a result of wear and tear and stain accumulation. Teenagers will likely experience immediate, dramatic results from whitening. In the twenties, as the teeth begin to show a yellow cast, teeth-whitening may require a little more effort. By the forties, the yellow gives way to brown and more maintenance may be called for. By the fifties, the teeth have absorbed a host of stubborn stains which can prove difficult (but not impossible) to remove.
Starting color: We are all equipped with an inborn tooth color that ranges from yellow-brownish to greenish-grey (Yes sirree!!!), and intensifies over time. Yellow-brown is generally more responsive to bleaching than green-grey.
Translucency and thinness: These are also genetic traits that become more pronounced with age. While all teeth show some translucency, those that are opaque and thick have an advantage: they appear lighter in color, show more sparkle and are responsive to bleaching. Teeth that are thinner and more transparent — most notably the front teeth — have less of the pigment that is necessary for bleaching. According to aesthetic dentists, transparency is the only condition that cannot be corrected by any form of teeth whitening.
Eating habits: The habitual consumption of red wine, coffee, tea, cola, carrots, oranges and other deeply-colored beverages and foods causes considerable staining over the years. You know, i take coffee everyday, like twice a day!! Gosh, if i dont kan, my teeth will be sparkling and melepak!! *sigh* But i gotta have my caffeine dosage everyday, for my sanity!! LOL In addition, acidic foods such as citrus fruits and vinegar contribute to enamel erosion. As a result, the surface becomes more transparent and more of the yellow-colored dentin shows through.
Smoking habits: Nicotine leaves brownish deposits which slowly soak into the tooth structure and cause intrinsic discoloration.
Drugs / chemicals: Tetracycline usage during tooth formation produces dark grey or brown ribbon stains which are very difficult to remove. Excessive consumption of fluoride causes fluorosis and associated areas of white mottling.
Grinding: Most frequently caused by stress, teeth grinding (gnashing, bruxing, etc.) can add to micro-cracking in the teeth and can cause the biting edges to darken.
Trauma: Falls and other injuries can produce sizable cracks in the teeth, which collect large amounts of stains and debris.

Right. Next - what are the options? In-Office/Clinic Whitening - Significant color change in a short period of time is the major benefit of in-office whitening. This protocol involves the carefully controlled use of a relatively high-concentration peroxide gel, applied to the teeth by the dentist or trained technician after the gums have been protected with a paint-on rubber dam. Generally, the peroxide remains on the teeth for several 15 to 20 minute intervals that add up to an hour (at most). Those with particularly stubborn staining may be advised to return for one or more additional bleaching sessions, or may be asked to continue with a home-use whitening system.


It costs RM1200 and up (not so sure tho), available at your private GPs.

Professionally Dispensed Take-Home Whitening Kits - Many dentists are of the opinion that professionally dispensed take-home whitening kits can produce the best results over the long haul. Take-home kits incorporate an easy-to-use lower-concentration peroxide gel that remains on the teeth for an hour or longer (sometimes overnight). The lower the peroxide percentage, the longer it may safely remain on the teeth. The gel is applied to the teeth using custom-made bleaching trays that resemble mouth guards.


Take-home whitening kit cost: I really dont know exactly, but i reckon few RM hundreds (?).

Over-the-Counter Whitening - The cheapest and most convenient of the teeth whitening options, over-the-counter bleaching involves the use of a store-bought whitening kit, featuring a bleaching gel with a concentration lower than that of the professionally dispensed take-home whiteners. The gel is applied to the teeth via one-size-fits-all trays, whitening strips or paint-on applicators. In many cases this may only whiten a few of the front teeth unlike custom trays that can whiten the entire smile.

Over-the-counter teeth whitening - I think Colgate punye cost less than RM100, but again, i am just shooting here.

The bleach preference for in-office whitening, where time is limited, is powerful and fast-acting hydrogen peroxide. When used in teeth bleaching, hydrogen peroxide concentrations range from approximately nine percent to 40 percent. By contrast, the bleach of preference for at-home teeth whitening is slower acting carbamide peroxide, which breaks down into hydrogen peroxide. Carbamide peroxide has about a third of the strength of hydrogen peroxide. This means that a 15 percent solution of carbamide peroxide is the rough equivalent of a five percent solution of hydrogen peroxide.

Yes, so.. How white can you go??
Teeth whitening results are subjective, varying considerably from person to person. Many are immediately delighted with their outcome, while others may be disappointed. Before you embark on any whitening treatment, ask your dentist for a realistic idea of the results you are likely to achieve and how long it should take to achieve them. Expectations play a major role in teeth whitening.

In the dental office, before-and-after tooth color is typically measured with shade guides. These are hand-held displays of wide ranges of tooth colors. Dentists also use them in choosing crown and other restoration shades. The standard-setter among them has long been the Vitapan Classic Shade Guide. This shade guide standard incorporates 16 shades, systematically arranged from light to dark into four color groups, and provides a universal tooth-color terminology.

While whitening can occasionally lighten tooth color by nine or more shades, most of those who bleach their teeth are likely to see a change of two to seven shades

Moving on... Hmm... ahaa, so what are the risks??!!
Teeth whitening treatments are considered to be safe when procedures are followed as directed. However, there are certain risks associated with bleaching that you should be aware of:
Sensitivity: Bleaching can cause a temporary increase in sensitivity to temperature, pressure and touch. This is likeliest to occur during in-office whitening, where higher-concentration bleach is used. Some individuals experience spontaneous shooting pains (“zingers”) down the middle of their front teeth. Individuals at greatest risk for whitening sensitivity are those with gum recession, significant cracks in their teeth or leakage resulting from faulty restorations. It has also been reported that redheads, including those with no other risk factors, are at particular risk for tooth sensitivity and zingers. Whitening sensitivity lasts no longer than a day or two, but in some cases may persist up to a month. Some dentists recommend a toothpaste containing potassium nitrate for sensitive teeth.
Gum irritation: Over half of those who use peroxide whiteners experience some degree of gum irritation resulting from the bleach concentration or from contact with the whitening trays. Such irritation typically lasts up to several days, dissipating after bleaching has stopped or the peroxide concentration lowered.
Technicolor teeth: Restorations such as bonding, dental crowns or porcelain veneers are not affected by bleach and therefore maintain their default color while the surrounding teeth are whitened. This results in what is frequently called “technicolor teeth.”

And.... to extend the longevity of newly whitened teeth, dentists are likely to recommend:
At-home follow-up or maintenance whitening — implemented immediately or performed as infrequently as once a year.
Avoiding dark-colored foods and beverages for at least a week after whitening.
Whenever possible, sipping dark-colored beverages with a straw.
Practicing excellent oral hygiene — brushing and flossing after meals and at bedtime.

In addition to the aforementioned risk factors, a number of caveats should be considered before undergoing teeth whitening:
No amount of bleaching will yield “unnaturally” white teeth.
Whitening results are not fully seen until approximately two weeks after bleaching. This is an important consideration if you are about to have ceramic restorations and want to be sure the color matches that of your newly bleached teeth.
If cosmetic bonding, porcelain veneers or other restorations are part of your treatment plan, they should not be placed until a minimum of two weeks following bleaching to ensure proper adhesive bonding, function and shade matching.
To avoid the technicolor effect, tooth-colored restorations will likely need replacement after bleaching.
Recessed gums often reveal their yellowish root surfaces at the gum line. That yellow color has proven difficult to bleach.
Pregnant or nursing women are advised to avoid teeth whitening. The potential impact of swallowed bleach on the fetus or baby is not yet known.

Yes.. hmm..faham ke? Do ask if ada yang tak brape nak paham or my use of words are not public friendly, but i am pretty sure all of you reading understood kan kan?!! hehe..

(sparkling pearly teeth! Yes i chose Leighton Meester's photo because i simply cant wait for GG Season 3!!!)




*rasa mcm bagi CDE plak!!*

August 4, 2009

We are in Kuala Lumpur and by we, i meant Khalish and i :8)

checklist :

- Nini & Iman (duhh!!)
- Mauin, Farah & kanak kanak ribena
- Dilah and her new bundle of joy =)
- Verde, Fynn & Naddy
- Liza!!
- Yanie ma shawty
- a lovable geek (which is weird)
- maybe Abang & E (unlikely, but saje la bubuh gak!)
- shopping for Khalish's baju raya!!! Yippie 'D