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Monday, August 31, 2009

Merdeka!!!Merdeka Long Run

Selamat Hari Merdeka...the nation celebrates 52 years of independence today.

The Seremban group did a 28km long run today.We started at 4:30am from the City Park.I have not been running such a long distance for quite some time.Waking up at 3:30am was difficult for me.However the turnout wasn't great-only 6 of us(Eric,Yee,Wan,Lau,Heng and myself) decided to do the early morning merdeka run.

We finished the run at 8:00am with one long water stop at Yee's house and a brief water stop at S2 Height.The pace was about 6.5minutes/km.I am satisfied with the run although I am quite slow,running about 5oo metres behind Eric,Yee and Wan.

It was a great feeling after completing the 28km as I have been occupied with work,worries of H1N1 etc and lacking of proper training for Penang and Singapore marathons.So,must make more effort to run and train for the next 2 marathons!!

Reaching home after breakfast with fellow runners,I saw the headline on today's The Star newspaper:

PM: Tear down the walls
KUALA LUMPUR: The Prime Minister has called on Malaysians to “repair the bridges and tear down the divisive walls” that exist among the races.
In his National Day message, Datuk Seri Najib Tun Razak said opportunistic people had exploited the friction among the people to cause the bridges, which were painstakingly built by the nation’s founding fathers, to become shaky.


As usual,I can't hold back without commenting on this type of HYPOCRITE statement from our politicians.Politicians are the culprit who create friction among the people.If they are serious to tear down the "wall",they should lead by example:the statements,the actions and the policies they made must reflect their intentions.Otherwise it is just talking c*ck only,a nice slogan for a few weeks during the merdeka month.

MERDEKA!

Tuesday, August 25, 2009

Justice For Gary

My sister in Singapore e-mail me this link:http://justiceforgaryrobert.webs.com/

Sad to see a young handsome guy died after running a half marathon.What went wrong?There are plenty of unanswered questions.I think the effect of this campaign will definitely change the way marathons are organize in the future.

Click on the above link...

Sunday, August 23, 2009

H1N1:Good News

H1N1: No death for 3 consecutive days in Malaysia
2009/08/23
KUALA LUMPUR: No death from Influenza A (H1N1) was reported in the country for three consecutive days, with the death toll due to the virus still at 68 people until today, Health Director-General Tan Sri Dr Mohd Ismail Merican said.


A very good news indeed!!

Seems like the flu bugs spread is slowing down.Lets hope for the best outcome but we must continue to be alert.

However something is still bothering me despite the good news reported by the Health Ministry.Why??

Maybe I don't trust our government.I hope there will be transparency in all confirmed and death datas from H1N1.

I hope the government will not manipulate the H1N1 statistics for what ever reasons-to calm the public,to make our mortality rate on par with world H1N1 mortality rate(he..he..he...don't want to be on top 10 arh??)

Monday, August 17, 2009

H1N1:Malaysia Boleh!!!!

this news from Utusan Malaysia :
H1N1 kini tahap tenat
liau.peiwen@utusan.com.my
KUALA LUMPUR 16 Ogos – Darurat kesihatan tidak boleh diisytihar sewenang-wenangnya walaupun Pertubuhan Kesihatan Dunia (WHO) menganggarkan lima juta atau 20 peratus rakyat negara ini dijangkiti virus Influenza A (H1N1).
Menteri Kesihatan, Datuk Seri Liow Tiong Lai berkata, pihaknya mengakui situasi wabak itu di negara ini adalah tenat, tetapi untuk mengisytihar negara sebagai darurat ia perlu mengambil kira banyak faktor dan kriteria lain.
Katanya, ia termasuk melibatkan pelbagai pihak lain seperti orang awam, kementerian dan Majlis Keselamatan Negara (MKN).
“Ini tidak bermakna kerajaan tidak serius dalam menangani penularan H1N1, malah Timbalan Perdana Menteri, Tan Sri Muhyiddin Yassin ialah Pengerusi kepada Jawatankuasa Kebangsaan Antara Kementerian Untuk Menangani Wabak H1N1,” katanya kepada Utusan Malaysia di sini hari ini


This news is from The Star:

Dr Ismail (Health Ministry Director General)said it was important for those even with the slightest flu symptoms to stay away from public places, from going to work or school, and they should not even take public transport to avoid infecting others.
“The public must be aware that even if they have a slight flu, the A(H1N1) virus can still be spread to others when they cough or sneeze.
“That is why we strongly advise those affected to remain at home until the symptoms cease,” he said



As usual,our flip flop ministers with their flip-flop decisions and statements make the public even more confused.Ask us to avoid crowded places but insisted school children to attend National Day Celebration rehersal.Giving masks to these children did not guranteed the flu virus will not strike them.From the picture above(taken from Utusan Malaysia website) some of them were not wearing mask and some of them did not wear it properly.How do we know none of these children are having fever,cough or flu??

Government said they are worried but their actions do not reflect how they feel.
I am confused...

MALAYSIA BOLEH...

Saturday, August 15, 2009

H1N1:Malaysia Boleh Part2

This news appeared on the front page of The Star newspaper yesterday:

KUALA LUMPUR: Anyone with flu-like symptoms and with high fever that persists for more than 48 hours should now be treated with anti-viral drugs, Datuk Seri Liow Tiong Lai said.
The Health Minister said this was a change from the previous policy of prescribing the drugs only when patients showed symptoms and were suspected to have contracted the A (H1N1) virus.
He said the ministry had directed all public and private hospitals to administer immediate treatment to these patients.


Waking up yesterday and saw this news on The Star.Wow..that is too good to be true!!

I did not believe this news because I don't believe our politicians and government who always issued flip-flop statements.The only way to find out is to go to the ground level to find out what is the real scenario.The informations gathered can benefit me in my daily work and also as a precaution plan on what to do if one of my family members has H1N1.

So I took a quick breakfast and proceed to the Seremban General Hospital.Arrived there at 7.55am and the was a big crowd of patients waiting to seek treatment.I introduced myself to a staff and asked to see the Head of Department of the Out Patient Clinic.The staff was very helpful and brought me to see Dr.F,the person in charge of out patient clinic.Dr.F did not want to answer much of my question but instead directed me to her superior-the Head of Department.Her superior is also a nice friendly lady and she answered all my questions.

Everything went smoothly and I was out of the crowded hospital by 8:30am.I am quite surprise that government staffs are so helpful nowadays;my both encounter with education department and health department went smoothly.

The summary from my conversation with the Head of Department Out Patient Clinic:

1)Statement from talking c*ck politicians doesn't match with directives or guidelines use during treatment of patients by doctors in OPD or wards.That is:doctors will follow criteria on who to give the Tamilflu and not to everyone with fever more than 48hours because of limited supply.So for those hoping to get the anti viral from government hospitals after having fever more than 48 hours....FORGET IT!!

2)Most patients will recover and watch out for danger signs.

Respiratory impairment: any of the following
-Tachypnoea, respiratory rate > 24/min
-Inability to complete sentence in one breath
-Use of accessory muscles of respiration, supraclavicular recession
-Oxygen saturation <92%>Evidence of clinical dehydration or clinical shock
-Systolic BP <> and/or diastolic BP <60mmhg> 2 seconds, reduced skin turgor
Altered Conscious level (esp. in extremes of age)
-New confusion, striking agitation or seizures
Other clinical concerns:
-Rapidly progressive (esp. high fever > 3 days) or serious atypical illness
-Severe & persistent vomiting

For your information,the above criteria for admission to hospitals is very strict.What listed above by MOH shown a quite a severe conditions.Do we have to wait till one is breathless,confused and going to collapse before getting admitted??


3)Do not simply refer to government hospital as they can't cope with many patients.This is what I personally think the government went wrong in the management of this outbreak initially.Government thought the outbreak was mild and they can handle it.They want to manage it on their own.They got hold of all the anti viral.They were supposed to give out instructions and asked the private practitioners to help out since majority of patients seek treatment for cough/flu in the private clinics.But there were no guidelines initially on what to do.The ministry website was quiet until recently.

4)Get our own supply of anti viral.The original anti viral from Roche is currently unavailable.There is a long waiting list for it.She suggested the generic version although it may be less effective.

5)The out patient department has no anti viral drugs.She suggested me to see the physicians in the wards.However at this stage I am not looking for treatment so I did not go to see the physician.

Conclusions:
Don't trust 100% of what the politicians and government promises.Most of the time,promises and feel good statements are to save their own back and to increase their popularity.

Must make own effort to take care of ourselves and our love ones.The government couldn't be bothered much if you died of H1N1.It is just another statistics in their daily death reports.

If government said don't worry,situation is under control then you should be worry.If the government started to worry then you should be panic.If the government is panic then it is too late:DOOMS DAY!!

MALAYSIA BOLEH...we are among the top 10 countries in the world with highest number of deaths from H1N1.


Friday, August 14, 2009

Talking C*ck

See how easy to sit in an office and talk c*ck:


PUTRAJAYA, Aug 14 — With the number of reported H1N1 cases continuing to increase every day, the government is concerned that the public, including health practitioners, are not taking the disease seriously.
“Today if I’m running a clinic, if anybody comes with a flu, I will assume it’s H1N1,” said Health director-general Tan Sri Dr Ismail Merican in an interview with The Malaysian Insider.
“Some doctors wait for results to start treatment, we said no need. Let us assume anybody who gets admitted with severe pneumonia in this country, assume it’s H1N1 and start antiviral treatment from Day One,” he added.
“We have seen from those cases, a lot of them were diagnosed late, they saw doctors, and there was a low index of suspicion, you must have a high index of suspicion,” said Dr Ismail on the reported deaths so far.
Malaysia first reported an H1N1 infection in May and the first death was recorded only late last month.
More than 50 people have died since and more than 2,000 people have been infected with the virus.

The government has also responded to the increase in the H1N1 infection, by doubling the antiviral drug Tamiflu stockpile from 10 per cent of the population to 20 per cent.
It is also prepared to increase the number of ICU beds nationwide.
But Dr Ismail said that Tamiflu should not be freely used as the virus may develop resistance to the drug.

Full article and video interview can be found here:
http://www.themalaysianinsider.com/index.php/malaysia/35132-health-d-g-says-doctors-must-assume-all-flu-cases-to-be-h1n1

Very interesting to read all the comments posted by readers...

H1N1:Malaysia Boleh Part1

Seeing so many school children down with fever,cough and flu,I decided to ask the school authority(my children's school)what are they planning to do next.I was told the teachers will check sick looking students every morning for fever.Those with fever will be asked to go home.The school bought a termoscan for RM200+ but after using it for 4 days,the set was unable to detect any fever.Why??

The teachers are supposed to teach and observed students washing hands.Students are reminded daily to maintain good personal hygiene.

I asked the school to close some classes which were badly affected by flu but the school authority was unable to make decision since there is no directive from the Education Department.

So I called up the Negeri Sembilan Education Department and talked to Encik Y.He is a friendly guy and he spent about 15 minutes explaining the current situation to me.

The summary of our conversation:

1)Everything must follow protocols!!There are guidelines to follow.Guidelines are drafted by higher authority after meetings and discussions.One can't simply ordered classes or school to be closed.The school headmaster usually don't dared to make decision unless consulted and approval given by higher authority.Remember:("Saya yang menurut perintah...").

2)Sick students will be sent to outpatient clinic in government hospitals,treated and give MCs so they can rest at home.Other students must attend class.

3)Don't worry as the Health Ministry is currently assessing the situation.He assured me that the government is doing their job well.His actual word is..."Kami sedang memantau keaadaan.."

4)Don't be panic or create panicky situation in the community.Reassure the public.

5)He stressed that schools won't be closed even when the outbreak of flu become worst.His reasons are:
-closure will cause panic in the country.
-closure will bring bad image to our country.
-closure will affect our country's economy.
-closure and national security??(I can't remember well on this,it is something about..."Majlis Keselamatan Negara")

Finally I asked him,what should I do now?
The answer is just do your job and reassure the public.How am I going to reassure the public if myself don't feel safe and secured after talking to him!!??

Part 2 tomorrow:Feeling even worst after discussion with Ministry of Health's staff.

Thursday, August 13, 2009

H1N1:Malaysia Boleh

I am feeling stress out recently partly due to handling of too many flu cases each day.I feel tired and "sick"at the end of the day.However after a good bath,dinner and sleep,I will be OK again by the next morning.Hopefully I will be free from the flu bugs.However my family members are down with flu.


Currently my daughter is down with fever,cough and flu.More than half of her classmates were sick and absent from class.There were only 10 students attending today's class.Her class teacher was not feeling well too.

The flu has now spread to my son and my wife.I suspect it started from my daughter's class.All of them are currently on symptomatic treatment.

I personally feel there is something wrong with the way our government handle the current flu outbreak.There were many cases of death and the hospitals are unable to handle so many patients.

The doctors at outpatient clinics were overworked.One of my church member who brought her maid to outpatient clinic for cough was given Panadol and asked to rest at home.The maid was having cough for more than two months.My friend was trying to tell the doctor that the illness has been there for sometime and pleaded the doctor to investigate.The doctor said:"Just take this medicine and rest.Everyone is having cough now including myself.The weather is bad.If not well,come back again!"

Feeling frustrated and angry with the doctor,my friend contacted me and I asked her to bring her maid for a chest Xray.The chest Xray shown a pulmonary tuberculosis!!(PTB) and currently the maid is on treatment.

I also feel frustrated when I contacted the Education Department today.More on this later...need to rest my tired mind.

Tuesday, August 11, 2009

Can't Believe This!!

Unconventional Methods To Prevent Influenza

KUALA LUMPUR, Aug 9 (Bernama) -- Avoiding masturbation and homosexual activities are among preventive measures one could take against Influenza A (H1N1), according to an eminent practitioner of complimentary therapy.Dr. V. M. Palaniappan said that such activities caused the body to develop friction heat which in turn, produced acid and made the body hyperacidised."Thus, the body becomes an easy target for H1N1 infection," he told Bernama, emphasising however, that normal sexual union between members of the opposite sex was absolutely safe.The former associate professor of ecology at Universiti Malaya has authored several books on complementary therapy called, 'Ecological Healing System'.Dr Palaniappan said his 33 years of research had shown that high acidity in the body resulted in loss of immunity, thus making people more susceptible to viral diseases like Influenza A (H1N1).Hence, to prevent acidity, it was essential to consume alkaline food and drinks that could neutralise excess acid in the body.Dr Palaniappan recommends coconut water, which is alkaline, and therefore could be used as a herbal medicine for the prevention of H1N1.

I can't believe this when I accidentally came across this article while searching for some information on H1N1.One "doctor" recommends coconut water to prevent H1N1.!!

Usually when this type of "quack advice" started to appear,it shows that there is certain amount of panic in the community.People in the community will start looking for alternative treatment for illness when the current scientific medical did not give them a cure.

Dealing with many people with flu like illness daily,I can certainly said people are very worry and scared at this moment.

The government must do more to eliminate this fear as the death toll is increasing daily.

Monday, August 10, 2009

My SCKLM Certificate

I received my SCMKL certificate few days ago with a note from the race director apologising for the hiccup during the event.Seems like the organiser did a good job by sending out the certificate promptly.Well done and I am sure runners have forgotten about all the bad experiences by now.Personally I will run again in the next year SCKLM and I hope all runners will do the same.Let's forgive and forget.Give the organiser a chance to improve and hopefully we will get a better event next year.

By the way...where is my Sundown certificate???Checking with forumers in Singapore,none of the runners have received their certificate.Sundown certificate will be more important and meaningful to me as that was my first marathon.It has been more than 2 months since Sundown and I think the organiser is not bothered to send the certificate.Better send them an email to "wake them up" !!

Sunday, August 9, 2009

Are you ready for H1N1??

Sunday August 9, 2009 MYT 1:38:00 PM
A(H1N1): Eight more deaths reported

KOTA KINABALU: The number of deaths from Influenza A (H1N1) virus rose to 26 nationwide on Sunday with the Health Ministry confirming that eight more people have died from the deadly virus.

Frightening statistics and mortality figures issued daily.

Are you ready for this?????


At a recent briefing to the National Influenza Pandemic Task Force meeting (July 27, 2009), Dr Tee Ah Sian, director of communicable diseases of WHO, painted a possible scenario for the Malaysian A (H1N1) pandemic.

For our 27.7 million population, if simply 20% are at risk and exposed, then some 5.5 million people will contract the A (H1N1) flu. Based on other serious influenza statistics, if 2% to 9% require hospitalisation then, some 110,000 to 500,000, respectively, would need hospital care.

If the case fatality rate is estimated to be from 0.1% to 0.5%, then some 5,500 to 28,000 of infected patients would die, respectively.

In the latest updates of the most seriously ill patients identified and confirmed infections, the global case fatality rate has risen from the 0.4% to 0.66%.

WHO estimates and warning that some 110,000 to 500,000 people in Malaysia would have to seek hospitalization in the A(H1N1) outbreak and that there could be as many as 5,500 to 28,000 deaths from the deadly flu.

Seems like it is just the beginning for the number of dead to rise from 26 to 5,500 or more!!

Hope this will not happen.Pray hard!

Sunday, August 2, 2009

Adidas King of the Road 2009 Race Report

Race:Adidas King of the Road
Place:Shah Alam
Time;6:30am
Date:2/8/2009

Drove alone from Seremban at 4.50am to Stadium Shah Alam,the starting point for this year Adidas King of the Road 22km run.Lau,Woon,Heng,Khoo and a friend was in another car.I decided to drive myself since I have to return home early after the race.

I reached the stadium at 5:30am and there were many runners arriving at the same time.
Met Derrick at the car park and together we went to collect our first wristband at the entrance of the stadium.

I saw Mr.Krishnan of Adidas Malaysia at the entrance but did not stop to talk to him.After some warm up and toilet call I gathered with the rest of the runners at the starting point.

Few minutes before 6:30am.Tan Sri Khalid,Menteri Besar of Selangor arrived and the crowd were cheering him.Most runners are pro-Pakatan???The race was flagged off by Tan Sri Khalid at 6:30am.

I was running with Yee and Eric.I can't see the rest of the Seremban gang.We proceed out from the stadium and there was the first slope climb.Soon I was running alone without Yee and Eric in sight.I presumed they were ahead of me since both of them are good runners.However 25minutes into the run,Yee and Eric came running from the back and over take me.Soon they disappeared without a trace.They are fast and strong!!

About 50 minutes into the run,Woon overtook me and I managed to tailed him for the next km until I lost him.There were no distance markers throughout the race route and I can only roughly judged the distance covered by the time.

Without much training for the past 3 weeks,I found myself exhausted after an hour of run and my legs muscle began to ache.I stopped twice to apply the 'deep heat' ointment at the 1 hour mark and at 1:30h mark.

Finally managed to complete the race,22km with a timing of 2h 9min 30sec and got myself a medal.I was worried initially I would not get a medal since there were many good runners joining this race and the organiser only gave out 200 medals for my category.

After the race,I made myself to the drinking stations and have to wait in a long queue for 100 plus and cold Milo.

Managed to talk to Yee, Eric and was introduced to Loke who overtake me half way during the race.Since I did not joined the rest for breakfast,I went home at 9:30am.On my way out of the stadium,I saw blogger Kenny Sia running into the stadium.I have read his blog and was very surprised to see him in person.He is definitely overweight!Kenny...better do more running lah.

The good points of Adidas KOTR:
1)Good weather-cloudy and cool
2)Good traffic control
3)Starts punctually.Lucky the YBs never start to give speeches.

The bad points of Adidas KOTR:
1)Water stations not organised.Few volunteers unable to cope with preparing drinks for runners.Some runners have to wait to be served.
2)Volunteers giving out wristbands did a very poor job!!The wristbands were all over on the road.Runners have to stop and bend down to collect the wristband themselves.
3)Certain part of the route was badly congested with traffic and runners have to inhale much of the car fumes especially during the last part of the route.
4)No goodies bag after the race.
5)No foods after the run.Only Nestle coco crunch but that also have to wait for a long time.
6)Long wait to get water /Milo after the race.
7)Low medal quality-different thickness and slightly bend.
8)Unable to get intended vest size(mention earlier in earlier posting)
9)No distance markers along the route.
10)No positions number for runners.

The final results of Seremban group:
1)Eric 1h 58min
2)Yee 2h 1min
3)Woon 2h 3min
the rest:Lau,Heng,Khoo,Khoo's friend-did not revealed their timing but stated that they did not get any medal for their category.

Overall I think the race was ok for me despite lack of training.Worth the money??I think it was ok if one paid RM35 to run but if one had to pay RM50 for this race then I think it was not worth the money especially so if one can't even get a medal.

My Seremban group of runners always feel curious why I usually did not join them for breakfast after a run or race.Usually I will rush off to church which start at 10.00am.Today's preaching was on giving thanks to God.It is very meaningful to me as God has been very good to me and my family.
Psalm 100
A psalm. For giving thanks.

1 Shout for joy to the LORD, all the earth.
2 Worship the LORD with gladness; come before him with joyful songs.
3 Know that the LORD is God. It is he who made us, and we are his ;we are his people, the sheep of his pasture.
4 Enter his gates with thanksgiving and his courts with praise;give thanks to him and praise his name.
5 For the LORD is good and his love endures forever;his faithfulness continues through all generations.

Now back to my future running plan.Yee has drafted a training plan for me to train for the coming Penang Bridge Marathon and I intended to follow them.Hopefully I will get a better result.