Laminating the numbers

Only take criticism from people who you’d ask advice from..

Here I am on a public holiday doing my revision, preparing for tomorrow’s vaccination drive and minding the two kids in the comfort of my own home. Thankfully, the husband is buying pizza for Iftar today which means I don’t have to cook. I just need to prepare drinks and plan simple meals for Sahur tomorrow. I am thinking of fried rice.

My mental noise is interrupting me every now and then with thoughts of how people will perceive this when they see this tomorrow. Harsh critics as we know is poison to one’s success. Maybe a supplement to some. There seems to be a trend that when you decide to do something good or different, there will be a few people who adopts the crabs in a bucket mentality.

Semua salah. Tak seragam. Tak ikut SOP and god knows what else.

I am hoping for a favourable response but I am kind of prepared for the crabs to come and try to pull me down.

TB Chapter – Part 2

I am taking Akurit-2 & Pyridoxine. My regime will be completed by the end of next week at Day 90.

I experienced mild nausea during the first few days on the meds. It reminds me of the bad morning sickness I had in my 2nd pregnancy. My urine did turn a hue of red and orange in the immediate 2-3 hours after swallowing the pills. Initially, I had thought that it would take me a few days to develop that sign. I also had horrible flu-like symptoms which is unpleasant to have during this pandemic. Coincidentally we had staff screening at the clinic that same week using the RTK-Antigen. I tested NEGATIVE for Covid-19.

I noticed I had nightmares too in the first week. I had horrible dreams of Covid-19, dengue fever and other weird disease management. Not sure if it is an after-effect of stress at work or the meds. I did not have insomnia. Instead, I have terrible somnolence. It was as bad as taking Actifed for my occasional runny nose. I did not experience major peripheral neuropathy (so far). My liver function was monitored at 2 weeks and 2 months after starting the treatment. So far, it has been normal.

The paramedic in-charge of my regime allowed me to bring home 2 weeks supply of the medicine. I don’t have to take it at the same time everyday but it would be helpful to stick to one. Akurit-2 is best taken on an empty stomach for better absorption unlike pyridoxine where you can take it at anytime you want. Obviously, I take them together.

I have had people asking me if this would KILL ALL THE TB BACTERIA in my body.

The thing is, Medicine is never 100% guaranteed. There is always a small percentage of patients that will still have active TB one day. On my part, I am doing this for myself, my family and the people around me. I also took my Pfizer vaccine shot whilst on the treatment. I did not experience any major side effects from being on the regime and taking the vaccine. Yes, I did have malaise and a mild fever 24 hours after the 2nd dose of Pfizer but that’s it. Now I feel fine.

Cost of treatment for latent TB

As a Malaysian citizen, I only need to pay RM1 for registration and for every visits to see my attending doctor. I have had two visits. That means on top of the initial RM1, I am paying another RM2. My blood works are FREE. My consultation fee is FREE. My medicine is FREE.

The after effects of Pfizer’s 2nd dose of injection

The ideal window for the 2nd jab is within 21 days but my batch of 6 people were deferred to a different date because of work commitment. But it is still within the 42 days stretch permissible. After the 1st dose, I only had minor discomfort on my injected arm but the 2nd dose made a quite an impact.

The effect started exactly 24 hours after the 2nd dose.

I had my shot in the evening around 3pm. When I woke up the next day, it was just that recognizable discomfort on my arm. Later on in the afternoon, I felt some body ache. A mild one cause I was still able to go to work. I was still able to joke around. But things got worse later in the afternoon. Coincidentally I had to wear the PPE as I had to take some PCR samples from suspected people with Covid-19. throughout the sampling I was OK but after – I felt like I had been hit by a lorry. That is the expression somehow Malaysians use when they describe severe muscle pain. Not that they’ve been hit by one and survived anyway. Or is it a universal expression? I don’t know.

My body was heating up. I had to use my kids paracetamol since I couldn’t find an adult tablet. After my shower, I felt stiff as in I just want to lie down on the bed and watch Youtube (hehe..). And so I did for about half an hour. After that, I went to the kitchen to cook dinner in slow motion. I was dying for a home cooked meal even though I am not a terrific one at it. I managed to cook up a spread of Basmathi rice, scrambled eggs with mushroom, fried chicken and vegetable soup. After the meal, I continued to lie on the bed stretching my body like a kitty cat and ended up having an early turn in for the night.

I wanted to report the symptoms on Mysejahtera but found out that the button is not available. Not to find fault with it but more of a notification so that the vaccine provider could collect this data and analyse the stats. This means I need to report it on the website under consumer vaccine report. I woke up this morning feeling better though. Even the discomfort on my arm has worn off. I guess the worst part of the 2nd dose is over.

An exhausting lunch call week

We used to enjoy doing lunch call as we get to go back home one hour early. Some are willing to take another person’s call just to get those perks. Those who’d give up theirs are those who’d prefer to take a hearty lunch or a power nap just before the 2pm session starts. Those were the good old days.

Now it is not so much fun anymore as there are added responsibilities and mental burden. Taking Covid-19 samples that walk into your clinic, having endless discussions with the specialist on who is eligible for which investigation, covering the rural clinic the week after and other miscellaneous ‘lunch call Doc’ duties.

I am getting old. Lol.

I usually end up exhausted when I reach home everyday. I couldn’t even muster enough energy to cook up a meal. Thankfully, my son has had his dinner at his grandmothers house. Yet, I am still overweight. HA HA HA. All those stress eating later at night doesn’t help. The cookies, the crackers and cups of hot choc or tea are the main culprits. I don’t even have time to finish my Takdir Yang Tertulis series because my little free time is taken up by my much needed sleep and my assignments.

My misc task this week is to prepare a talk regarding the Covid-19 vaccine to an audience of healthcare workers. Like most people, I copy pasted the slides. I had an erratic sleep habit because my daughter likes to have those short wake-up moments in the middle of the night just to ask for a hug or a blanket. Sometimes I can resume my sleep. Otherwise, I’d had to wake up, smell the coffee, switch on the laptop and keep up with my assignments. So, it can be like a really early turn in at 830pm only to wake up later at 3am. Or shutting the eyes by 11pm and waking up at my normal hours of 530 in the morning. I hate the occasional, extreme, sleep-deprived hours of sleeping at 11pm, forced to wake up at 200am, trying to get back to sleep finally at 4am, only to be waking up again at 530am. That gives me a headache. I think it happened once this week. But it got me bothered, groggy and slightly disorientated the next day. I can’t even remember where I parked my car and there were only 2 parking lots at the clinic.

I did however learnt a few things about myself this week.

  • If things have to happen, I will by hook or by crook, make it happen
  • Resilience is my middle name.
  • Patience is my forgotten middle name but have lately resurfaced as my mental health is getting better. I owe it to the brief absence of my husband few days of the week. HA HA HA. Kidding. But yeah, I am using less profanity on the road. Maybe there is not much cars anyway because school is still closed.

well, that is to name the few. I believe there will be more surprises to come for lunch call staff. I can just feel it.

Vaccinator Team in action

Being in the middle of the medical fraternity food chain, puts you in a position where you have to cover for those above you or below you. In other words, you clean the mess or be the diving midwife (bidan terjun). The national vaccine programme started on the 24th of February 2021. It was officiated by the PM, Tan Sri Datuk Muhyiddin Yassin. On the same Friday, the first few vaccinator team members had their jabs including myself. Our moments were very low-key. No banners, no speech, just sign the consent, had the vaccine, observed for 30 minutes and then we were good to go. We received the Pfizer brand where 1 vial = 6 people.

The following week, there was an officiating ceremony at my state by the Chief Minister. I was told that I need to do some briefing for the participants. I was expecting that the CM will be one of them with his entourage. Maybe bodyguards or office staff. Turns out it was a big event for all the big guns in the state. I was flabbergasted. I was not prepared for this. I mean, what kind of honourifics do they use? how best should I address them? The last thing I want is to piss off an official just because I got the name wrong. shouldn’t you have like at least a specialist to give the briefing? why have an ikan bilis like me?! Until now, I still cannot brain the logic of having a medical officer doing this very important task. ni memang nak throw me under the bus ke apa.

I still ploughed through the sessions. Thankfully, there were no mean comments. The officials were quite nice actually apart from a few who had their nose stuck in the air. After the morning session, my team had a quick lunch and zohor prayers. We had an appointment at TYT’s place. 12 people are due to be vaccinated there. Again, another briefing. I was totally exhausted from the adrenaline. There was another medical team on standby from the emergency department. They sent an emergency physician to lead the team. I felt relieved. At least, there is a specialist I can consult should shit happens.

My day ended at 6pm. That’s just the 1st dose. I wonder if I have to see them on the 2nd dose.