Yana Azlan: August 2019

Mind your mind.

20/8/2019 -- 1:25 AM

Assalamualaikum. Post harini mungkin agak berbeza dengan post aku yang sebelum ni. This is just my random thoughts, how sick our society is when it comes to mental health. Aku dah lama sebenarnya nak post pasal ni, but i need to aware that this might be sensitive to some people. Tapi aku nak jugaaa create awareness about our mental health issues. Mungkin benda ni tak banyak muncul dekat social media, atau mungkin orang awam (especially moms and dads) kurang ambil berat masalah mental anak-anak. But this thing is real. Setiap kali orang mengadu dekat soc med pasal masalah yang diorang hadapi, sampai lead to depression, rata-rata comment cakap nak attention lah, atau pun kurang amalan (solat, sedekah etc). Please, break the stigma. Setiap orang lain dugaan dan ujian yang Allah bagi. Mungkin kita nampak orang tu happy je, senyum, tapi dalam hati dia kita tak tahu. Apa yang dia tengah struggle, kita tak tahu. Tu sebab tolong, tolong tanya khabar kawan-kawan korang. Especially bila korang tengok dia dah start jauhkan diri dari society. Kita kena kenal diri kita sendiri, you know, bila rasa macam ada something tak kena, cepat-cepat seek for a treatment okay? Aku suka ayat salah sorang lecturer aku ni, "words, actions and hearts should be handled with care. For words when spoken, actions when taken and hearts when broken are the hardest to repair". So people, please aware each and every word and action you do to someone. Tahu tak, 2 out of 5 people might have anxiety, 1 out of 5 people might have depression and 1 out of 10 people might have stress in Malaysia (according to NHMS 2017, State of Adolescents' mental health in Malaysia). So, aku nak bagi brief explanation pasal mental health problem yang common. Dan aku akan include sekali link untuk further information.

Btw, those yang perlukan pertolongan, korang boleh click link ni : https://www.befrienders.org.my

They have emotional support for everyday, 24 hours. Free je, just call the number, 603-79568145. Paling penting, semua maklumat dirahsiakan.

It's time for our society to have the knowledge about various types of mental health problem.

1) Generalized anxiety disorder (GAD)

Anxiety is a feeling of worry, nervousness or unease about something with an uncertain outcome. Anxiety is quite common nowadays. Key word is "worry". We all have anxiety. Tipu lahh kalau kau hidup without worrying anything. Semua orang ada benda yang diorang risau, be it your financial problem, family problem or even relationship problem. It is a normal emotion and a powerful motivator. Tapi, apa yang buatkan benda jadi a bit complicated bila someone ada excessive anxiety and worry about their daily life events with no obvious reasons to worry, dan benda ni really affecting your daily life. Dan key word kat sini is "excessive worry". Patients with GAD have persistent, excessive anxiety and hyperarousal for at least 6 months.

So, apa yang buatkan seseorang tu ada GAD?

A) Faktor genetik. Kalau one of your family members ada anxiety, chance for you to have an anxiety is there. But, this is not solely the main risk factor.

B) Faktor "neurotransmitters" yang tak seimbang dekat bahagian brain kita. Specifically, GABA, serotonin, dopamine and norepinephrine. Semua neurotransmitter ni mostly play a role dalam modulate our mood. Alaaa aku campur cakap english-malay tau sebab susah nak explain dalam satu bahasa je. Kalau tak balance level, boleh trigger certain mental health problem and one of it adalah GAD ni lah. Dan ubat akan acts it's mechanism of action dalam mengawal neurotransmitter dekat otak kita.

C) Environmental factor. Hat ni memang very common factor. It can be from your financial problem, trauma, abuse, ataupun stress dari tempat kerja, ataupun kehilangan orang yang tersayang, ataupun risaukan masalah keluarga, anak-anak (SO ANAK-ANAK JANGAN BAGI STRESS DEKAT PARENTS, AND PARENTS SHOULD DO THE SAME OKAY).

D) Aku nak highlight kan juga, ada certain substance yang addictive macam alcohol, nicotine dan caffeine boleh menyebabkan GAD. Yang ni kita panggil "withdrawal symptoms". Dan ada certain health condition macam hyperthyroidism can cause anxiety.

Grounding method for Panic attack.

- Korang boleh refer dekat link ni for more information : https://www.webmd.com/anxiety-panic/guide/generalized-anxiety-disorder

- Refer link ni untuk DSM-5 diagnostic criteria for GAD : https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147

- Boleh refer link ni juga untuk info pasal panic attack vs. anxiety attack : https://www.healthline.com/health/panic-attack-vs-anxiety-attack#causes

PLEASE, if you started to have these symptoms, please consult a doctor. The doctor might prescribe you with panic attack medication macam Xanax.

2) Major Depressive Disorder (MDD)

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest, and of course, it affects your daily life. You literally feel sadness out of nowhere. When you wake up, you feel fatigue, takde mood langsung nak hidup, tiba-tiba rasa takde sesiapa (you know what I mean), hopeless, tak berminat dah dengan hobi-hobi sebelum ni dan start jauhkan diri dari society. You can't concentrate well, susah nak focus dekat sesuatu perkara. Dan one of common symptoms is insomnia. Setiap malam cuba nak tidur, tapi tak boleh, and you end up wake up with puffy eyes. Basically MDD ada 3 main stage, mild MDD, moderate MDD dan severe MDD. And most frequent complication is suicide. Some conditions boleh lead to depression, contohnya ada sakit Alzheimer's, parkinson, even menopause can cause depression. And of course, environmental factor yang macam aku mention before ni. So, how long does a doctor takes to diagnose a depression? Only 2 weeks. Symptoms occur everyday for at least 2 weeks, according to DSM-5. So, ask yourself, for the past two weeks, how do you feel about yourself? Do you have any of these symptoms? Please, seek help from right people. You can try to consult a psychiatrist or a psychologist. And trust me, the sooner you overcome the problem, the better outcome you can expect from it. It helps a lot for your recovery process.

- Refer link ni untuk DSM-5 diagnostic criteria for depression : https://www.psycom.net/depression-definition-dsm-5-diagnostic-criteria/

- Boleh refer link ni untuk info lebih lanjut : https://www.webmd.com/depression/guide/major-depression#1

3) Bipolar disorder

Bipolar disorder basically ada dua, Bipolar disorder I and Bipolar disorder II. Bipolar disorder I is defined by manic episodes that last at least 7 days, or the manic symptoms is so severe that requires immediate hospital care. And depressive episode occur at least 2 weeks after that. Bipolar disorder II pun ada dua episode, manic and depressive episodes tapi manic state tak severe macam Bipolar disorder I, so kita term as hypomanic episodes. There is a pattern. 1 week hypomanic episodes, 2 week depressive episodes. Okay sekarang ni, apa beza MANIC dan DEPRESSIVE episodes?

Manic episodes:

"A distinct period when the mood is abnormally and persistently elevated, expansive or irritable mood, increase goal-directed activity or energy, lasting at least 1 week, present nearly everyday." Maksudnya tiba-tiba je ada elevated dalam mood sampai semua benda nak buat. Grandiosity (Keghairahan), ubah cara penampilan, style, inflated self esteem. Kurang perlukan tidur, basically you will become active sepanjang masa sampai rasa taknak tidur. Terlalu excited. More talkactive than usual. Dan biasanya orang kaitkan dengan scenario contohnya kalau dapat gaji, the person boleh habiskan gaji dia dalam masa sehari. Berbelanja untuk unnecessary things.

Depressive episodes:

Sama macam depression, yang ambil masa at least 2 weeks. Boleh refer DSM-5 diagnostic criteria for depression.

- Refer this link for detailed explanation : https://www.webmd.com/bipolar-disorder/mental-health-bipolar-disorder#1

4) Borderline personality disorder (BPD)

Borderline personality disorder ni basically bagi kesan macam mana someone tu fikir dan rasa pasal diri sendiri, dan sampai mempengaruhi kehidupan seharian. "It includes self-image issues, dificulty managing emotions and behavior, and a pattern of unstable relationship". Boleh jadi, faktor orang sekeliling jadi sebab untuk BPD ni, insecurity, selalu overthinking apa yang orang fikir pasal kita, rasa bersalah yang melampau. Even a slightest issue pun boleh trigger the mood. For this one, I suggest you to meet a psychologist. Sebab psychotherapy is more efficient compared to ambil ubat.

- Refer this link for more information : https://www.mayoclinic.org/diseases-conditions/borderline-personality-disorder/symptoms-causes/syc-20370237

5) Schizophrenia

Aku rasa ramai tak tahu pasal term Schizophrenia ni. Schizophrenia is best defined by "split mind" which contain two main psychotic phenomena; hallucinations and delusions. Risk factors? Boleh jadi from genetic, kalau both parents ada Schizo, chance untuk anak ada adalah tinggi sebanyak 45%. Next, of course the neurotransmitters involved. Biasanya dopamine, serotonin, GABA, norepinephrine. Okay lah ni apa yang aku belajar masa sem lepas untuk subject psychiatric. Ini just brief explanation je okay so untuk pathophysiology takyah laaaa cerita. So Schizophrenia ada dua, positive symptoms and negative symptoms.

Untuk positive symptoms, ada halusinasi dan delusion. Halusinasi ni contoh macam tetiba nampak/dengar/rasa something yang unreal. It is not there tapi you can see it. Delusion pulaaa macam paranoid, false belief. Contohnya rasa ada FBI nak datang tangkap, atau rasa ada orang nak bunuh atau intip setiap pergerakan. Haa lebih kurang laa macam ni. Sebenarnya tu mainan fikiran sebab imbalance neurotransmitter ni lah, specifically dekat bahagian mesolimbic pathway (dopaminergic pathway). Lagi satu, disorganized speech. Contohnya cerita pasal topik nak beli kuih, tetiba masuk topik nak beli rumah. cOnToHHHHH. Macam takde pattern dan connection masa bercerita.

Untuk negative symptoms, affects psychomotor retardation. Maksudnya, kurang pergerakan fizikal, emosi dan ucapan. "Affective flattening" common term used to describe person with Schizophrenia. Maksudnya, orang tu kurang ada emotion expression. Kita tak boleh teka dia happy ke, sedih ke, basically kurang ungkapan. He or she may not react at all to circumstances that usually evoke strong emotions in others. Next, lack of interest, amotivation/lack of motivation. Kurang involve dengan society. I've visited psychiatric ward before, and to my surprise, people with Schizophrenia is quite common dalam ward tu.

- Refer this link for more information : https://www.webmd.com/schizophrenia/mental-health-schizophrenia#1

- Also refer this link for DSM-5 diagnostic criteria for Schizophrenia : https://www.psycom.net/schizophrenia-dsm-5-definition/

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It breaks my heart whenever I see people struggling with their mental health problem. I wish i can hug and comfort those people. I have nothing much to say, but I wish you to have a happy life ahead and may you have a wonderful life without worries. Trust me, you won't be forever in the "dark" world. Not forever. I'm proud of you because you've survived until this day, and tomorrow and forever. Surround yourself with good people, good vibes. I wish He, The Almighty takes your pain away and give you a very meaningful moments. Don't be sad. A lot of people want you to be happy. You are loved by many. You are going to be okay.

"The only person without stress is a dead person" - Hans Selye (Father of stress research)

20/8/2019 -- 4:47 AM

Third year (SEM 2) [End of Zombie life?]

14/8/2019 -- 1:07 AM

Cinta dan Rahasia - Yura Yunita ft. Glenn Fredly

Assalamualaikum ~~ Untuk post kali ni, aku asyik repeat lagu ni je, Cinta dan rahasia. Tapi cover punya by syarif & his wife. Seperti biasa, setiap sem wajib update blog tentang kehidupanku yang terkini. Haaahh begituuuuuuu. Life's good. Even better than before. Hehe mungkin sebab dah ada kenalan baru kot 😃 Aku rasa bulan 8 ni memang banyak keluar jalan-jalan lahhh. Awal bulan haritu pergi Johor, pastu balik rumah sehari, balik kampung pulaaa untuk raya haji. Ni 16 August pergi kedah pulaaa sebab poksu kahwin. Then 25 August dah masuk UM, check in kolej ibnu sina untuk 26 August ada workshop "Know your medicine". 31 August kenduri kahwin poksu belah lelaki pula. Busyyyyyyyy kannn?! Tapi bagus lah, takde lah otak aku tepu je asyik duduk rumah tengok korean drama je kan. Ohhhh dengan bangganya aku nak cakap yang aku dah jarang layan korean drama. Dannnn aku dah start diet balik, tapi kalini sekali dengan exercise. Nak target berat 55 kg susah betul laaaaah. Btw, Alhamdulillah aku dan rakan-rakan dapat menginap semula dekat Kolej Kediaman Keenam (KK6) untuk final year kami disini. Ehhhhhh dah final year student lahhhhhh!! Tak sabarnya nak graduate pastu PRP pastu kahwin. Hahaha ok lah kalau ibu baca, mau kena marah haha.

1) SCHEDULE

So untuk sem 2 third year ni, atau sem 6, aku rasa better dan kurang stress dari sem lepas. First, sebab dari 9 subjects sem lepas, jadi 7 subjects untuk sem ni. Kurang lab dari sem lepas. TAPI, banyak naaaaaaaak mampuihh presentation, lepastu kitorang ada debates dan moot court trial. Dan banyak juga kena designs macam brochure, poster (hat ni aku suka la). So basically ni assignment aku untuk sem 6 (takde siapa nak tahu kan? saje je cerita):

a) Problem based learning.
Kena buat sustained release aspirin tablet, as an anti-platelet. Untuk sem ni, Advanced solid dosage form ni je yang kena masuk lab, yang lain cuma kat lecture hall je.

Strong baby

Sustained-release aspirin tablet

After one month

Aku ada video untuk korunkkkkkk

b) Toxicology brochure.
About carbon monoxide poisoning. Aku kena design untuk brochure toxicology.

c) Psychiatric websites.
For ADHD, Attention Deficit Hyperactivity Disorder. Aku dapat design untuk website tu. Boleh click link ni untuk hasil kerja kitorang: https://umapharmaceutical.wixsite.com/adhd/adhd

d) Renal and cancer debates.
Untuk debate ni antara benda baru untuk aku, sebab aku tak pernah masuk debate pun. Motions given about one month before rasanya, each group akan diberi 3 motions. So kita kena prepare points (regardless you are a government or opposition) sebab nanti, pukul 12 malam (one day before debate) baru tahu kita dapat topic apa (out of the three topics) and 10 minutes before debate start, baru tahu kita government or opposition.

Motions given:

1. This house supports organ donation to be made mandatory for all citizens.

2. This house supports the introduction of psychiatric treatment to all cancer

patients.

3. This house would impose heavy taxes to sugar, alcohol, and cigarette to

prevent cancer

Group aku dapat motion 3, heavy taxes to sugar, alcohol and cigarette to prevent cancer. Dan dapat as opposition (memang target opposition). So result? based on voting, supposedly kitorang seri. Tapi sebab include vote from lecturers, government menang. Nevertheless, it was a great experience!

Muka stress ke

e) Moot court trial for ethics and regulations.

This one quite interesting sebab kita umpama berlakon dalam court. Lebih kurang macam debate, cuma kita tak cakap alternately. So lepas pihak lawan settle dengan hujah mereka, group kitorang pulaa bagi hujah. Then there will be about 20 minutes Q&A between the two groups, or from Dr. Riyanto. Kitorang punya topic, Nicotine liquid used in vape, e-cigarette and shisha should be sell in pharmacy....... means our team supports this statement. Dan kena kemukakan sebab.

Moot court trial

f) Renal poster.

Again, aku yang kena design tapi this time, instead of voting, aku yang volunteer..... sebab minat.

g) Evidence-based presentation and report.

Aku ingat lagi, dalam satu minggu tu aku dapat dua presentation dengan satu moot court trial.

Done! Letihnya masa niii

h) Biotechnology assignment.

Last assignment of the sem. Senang je tapi aku yang tak faham 😆

2) PHARMNIGHT

Untuk pharmnight, memang third year students yang akan organize event ni. It was tiring to be honest, but I enjoyed every moments we've created together. Gitteww. Aku join biro publisiti. Of course, kena design semua tu, baju, notebook, invitation card, handle FB & Insta, logo, theme etc. Dan aku, fira dan alu ada extra job kena jadi usher. Yang designing tak penat, usher ni haa yang penat sebab setiap kali ada perjumpaan, kitorang kena involve sekali sebab ada protocol run. Kadang kadang sampai pukul 11 malam baru balik. Tapi seronok lah. So pharmnight dekat Crystal crown hotel, betul betul sebelah rumah sewa aku. Aku dengan housemates memang pergi dinner tu jalan kaki je lah. Seronooookkk tapi siap bawaaa baju semua. Sebab kena datang awal untuk protocol run dan early dinner.

The night itself was amaaaaaazing. Dr Maszlee Malik joined our pharmnight event. Dengan bangganya aku nak cakap yang aku ushers dia naik pentas. Hehe. Kitorang early table, so sepanjang malam tu kitorang kena berdiri, sambil tengok performances. Then kena ushers lecturers, sponsor dan VIP naik pentas untuk award. The performances was amazing, sumpah bangga jadi student pharmacy UM ni. Talented (well except me) habis lah masing masing. Nahhh aku belanja sikit gambar pharmnight 2019. Thank you for those yang involve dalam menjayakan event kali ini.

Notebook -- with my design.

Housemates' kasut untuk dinner. Masing-masing cantik!!

By biro deco

Hehee

Sebelum busy

Thank you semua! Saya sangat terharu

Dapat bungaaa juga

Fira per, partner in crime gitu

Alwirah 😍

With the Director of Pharmnight 2019

Yana, Fira dan Nana 😍

Usher kena berdiri. Fenatttt fite falam fuuu fau

❤️ Housemates ❤️

❤️ Buddies ❤️

❤️ Protocol team ❤️

❤️ Batchmates ❤️

3) FINAL EXAMINATION

Final macam biasa, tarikh semua rapat-rapat. Cuma ada dua cuti je. Semua start pukul 8:30 pagi. Nasib baik dekat main examination hall je, takde dekat dewan tunku canselor. So macam biasa, aku, fira, hawa dan suri akan grab pukul 6:45 pagi. Sampai dalam 7:10 pagi. Memang suka pergi awal-awal sebab taknak rushing. Nanti jammed, lepastu senang nak prepare before masuk. Of course lerrr aku baca notes dulu before masuk. Sekarang ni, result pun dah dapat. Emmmm okay la boleh laaaa. Aku tak pandai pun lepas masuk UM ni. Hahaha, so terima je lah apa pun yang dapat. Tapi aku sentiasa berusaha laaaa nak improve result aku untuk exam yang akan datang. Untuk sem ni, aku ada buat dua notes je, untuk toxicology dan cancer. Sebab dua subjects ni memang menghafal semata-mata. Dan terlalu banyak ubat (lagi-lagi cancer) kena memorise. Sangaaaaaaaaat banyak. Aku pun tak faham camne aku boleh lulus. Tapi Alhamdulillah, semua subjects lulus, termasuk National Forensic Exam untuk pharmacist. Haa cakap pasal ethics and regulations, sem ni aku belajar pasal law that governs poisons. Ada dua main books, 1) Poison act and regulations 1952, 2) Dangerous drug act and regulations. Sumpah aku sangat berminat dengan subject ni, sebab lain dari yang lain apa yang aku belajar. Lagi satu, this subject memang specifically for pharmacist, and we get to know our roles dalam jual-beli, dispense, etc poisons. Bukan senang-senang je boleh dispense ubat without Type A licence. Tapi apa-apa pun, memang berterima kasih sangat dekat Mr. Robin sebab ajar kitorang. He was UM pharmacy student.

Aku bawa fira balik rumaaahhhh sebab family aku pergi kedah. So kitorang pun mencucuk langit dan berhuhu

Last paperrrrrrr kita gi tengok wayang

Thank you firaxsyafiq sebab belanja

Maka dengan itu, selamat lah paper 7 subjects

Ni je dapat gambar sebabbbb rushing ada meeting PHC

End of Third year!

4) PUASA DAN RAYA

Puasa tahun ni sebulan, ok la semua tahu. Bongok la yana, betul betul la. Aku sebenarnya dah mengantuk ni sebab dah pukul 3:12 pagi. Hahaha tapi kena settlekan juga sebab nanti nak pergi kedah. Ok lah gais kita dengar satu lagu ni:

Night changes - One direction

Sambung balik. Study week aku masa bulan puasa dan ada baki sikit masa hari raya. So memang melepu lah kat rumah sewa tu study je memanjang. Penat lah jugaaaaaaaaaa. Dan raya tahun ni dekat rumah belah ayah, puchong. So tema warna tahun ni purple. Then petang tu balik kampung pulaaa. Kat bawah ni gambar raya tahun 2019. Penuhilah mata kau dengan warna unggu kehidupan #tibatiba

Ibu & Ayah

❤️ Family ❤️

Ibu & Ayah

Pastu ayah ajak bergambar sekali

Tapi macam hampeh gambar dia hahah

aliaH

najihaH

Najwa

"Ok semua buat buat gelak"

Lopek la diorang ni

Cousin generasi Y. Sentiasa bertiga

Aq tau aq gemok tp aq nak post gak sebab gambar ni nampak SmArT

5) HOSPITAL AND COMMUNITY PHARMACY ATTACHMENT

Hospital attachment kitorang buat 5 hari after habis final exam. Buat dekat PPUM. So basically 60 of us dah dibahagikan kepada beberapa kumpulan. Aku dengan fira macam biasa lah, tak pernah ada jodoh kalau bab bab kumpulan ni. Dia sesi pagi, aku petang. Or terbalik. Kitorang pergi buat lawatan ke beberapa jenis PHARMACY yang terdapat di PPUM ni. Ada in-patient pharmacy, out-patient pharmacy, psychology pharmacy, pediatrics pharmacy etc. Great experience, sebab aku dapat tengok macam mana nanti aku kerja, kalau dapat hospital pharmacy. Agak busy jugaa, dan nanti masa PRP, akan rotate tempat. Contohnya, 3 bulan dekat in-patient pharmacy, 3 bulan dekat out-patient pharmacy. Depends laaaa dapat mana. Then kitorang kena siapkan report for both hospital and community attachment. Untuk community pula, masa nak cari farmasi area UM tu lah yang mencabar sikit. Aku ingat lagi, aku dengan fira cari farmasi sampai pergi naik LRT dekat subang jaya, ada sampai nak dekat KL kitorang cari. Email beberapa buah farmasi termasuk Caring pharmacy, BIG pharmacy, AA pharmacy. Alhamdulillah dapat Caring Pharmacy, dekat je dengan rumah sewa. Target kitorang, of course nak sama-sama, then nak ada transport (kalau boleh nak bus hijau selangor yang free tu), sebab kalau hari2 grab, kering laaaa poket. Pastu nak shift pagi je. Taknak malam. Semua dapat dekat Caring pharmacy ni. Pharmacists in charge (Ms Leong and Ms Liew) pun baikkkkkk sangat. Really helpful, banyak knowledge yang aku dapat. Nanti kalau rajin, aku share pulaaa apa yang aku dapat sepanjang community pharmacy ni. Kitorang buat untuk 10 hari je. So hari hari, lepas subuh akan masak untuk bawa bekal pergi pharmacy, sebab nak diet dan nak save duit. Tapi sekali sekala tu ada lahh pergi makan nasi lemak ke, or beli makanan luar. Tempat tu strategik sebab penuh dengan makanan hahaha, ada McD, pizza, dominos, shih lin. Then setiap kali customer datang je, aku dengan fira dengan sepantasnya mencatat "case" customer tu untuk tulis dalam report. Kitorang pun ada tolong check stock dan pricing dekat ubat-ubat. Aku sukaa sebab aku boleh sesuka hatinya pegang poisons group B and C kat sini. Last 2 days before habis, kitorang bawaa laptop sebab nak completekan report, so aku boleh bersenang lenang dekat rumah sepanjang cuti yang berbaki sebulan ni.