Tanda-tanda Barah Payudara

KETULAN pada payu dara memang kerap berlaku. Setiap wanita yang mempunyai ketulan dalam payu daranya tidak sepatutnya membiarkannya tanpa mendapat nasihat, pemeriksaan dan ujian daripada doktor. Langkah ini penting kerana ketulan itu mungkin barah, walaupun kebanyakan ketulan dalam payu dara bukan daripada jenis barah. Kadar barah payu dara di negara barat seperti Amerika Syarikat adalah satu dalam 10 orang wanita. Di Malaysia kadar barah payu dara juga meningkat mencapai kadar negara maju.

Tanda-tanda barah payu dara adalah seperti berikut:

1. Ketulan dalam payu dara. Tanda ini adalah yang paling lazim didapati di kalangan wanita berpenyakit barah payu dara. Ketulan itu tidak menimbulkan kesakitan dan biasanya disedari secara tidak sengaja seperti semasa mandi ataupun semasa pemeriksaan sendiri payu dara.

Kadang-kadang ketulan disedari oleh orang lain seperti suami atau doktor yang memeriksa payu dara. Lazimnya ketulan terdapat pada bahagian atas dan luar payu dara (upper outer quadrant). Barah juga berlaku pada bahagian tengah, atau atas dan dalam payu dara tetapi pada kadar yang rendah.

2. Terdapat ketulan kelenjar yang membesar di bahagian ketiak.

3. Terdapat cairan seperti darah atau nanah yang keluar daripada puting payu dara.

4. Terdapat perubahan pada kulit payu dara. Perubahan yang perlu diperhatikan ialah kulit menyerupai kulit limau oren (peau d'orange) yang berlubang kecil. Keadaan ini menandakan bahawa barah telah merebak dan berkemungkinan besar saluran limfa telah tersumbat olehnya. Perubahan bentuk payu dara juga boleh menandakan terdapat barah padanya.

Semua wanita digalakkan untuk mengenali bentuk dan saiz payu daranya supaya perubahan yang berlaku dapat dikesan dengan cepat. Jika terdapat perubahan pada payu dara seperti yang telah disebutkan, wanita dinasihatkan supaya berjumpa doktor untuk pemeriksaan selanjutnya bagi membuktikan jenis ketulan yang ada dan mendapatkan rawatan yang sepatutnya.

Siapakah yang berisiko tinggi untuk mendapat barah payu dara?

1. Wanita mempunyai risiko 100 kali ganda lebih tinggi daripada lelaki. Risiko ini menjadi lebih tinggi pada era sebelum putus haid. Orang lelaki juga boleh mendapat penyakit barah payu dara.

2. Sejarah keluarga - Risiko barah payu dara bagi seseorang wanita berganda dua tiga kali jika terdapat sejarah penyakit payu dara pada keluarga terdekat (first degree

relatives) seperti ibu, kakak, adik atau emak saudara.

3. Sejarah barah - apabila seseorang wanita telah menghidap barah payu dara, risiko untuknya berulang lagi meninggi empat kali ganda. Ada kajian yang menyatakan bahawa ketulan atau penyakit payu dara yang bukan daripada jenis barah juga boleh meninggikan risiko untuk barah payu dara.

Kajian juga menunjukkan bahawa risiko untuk barah payu dara juga meninggi jika terdapat sejarah barah ovari, melanomas (barah kulit), usus dan rahim.

4. Sejarah haid dan pembiakan - wanita yang mempunyai masa yang lama dalam era reproduktif mempunyai risiko yang lebih tinggi untuk barah payu dara. Ini bermakna wanita itu didatangi haid yang pertama pada umur yang agak awal (9 tahun) dan mencapai alam putus haid pada umur yang agak lewat (55 tahun ke atas). Melahirkan anak merendahkan risiko barah ini terutamanya jika kelahiran anak yang pertama berlaku sebelum ibu mencapai umur 30 tahun.

5. Pemakanan-pengambilan lemak secara berlebihan meninggikan risiko barah ini. Oleh itu wanita digalakkan untuk mengambil banyak sayur-sayuran dan mengurangkan kadar pengambilan lemak dalam makanan.

6. Pengambilan hormon - kajian telah menunjukkan bahawa wanita yang sudah putus haid dan mengguna hormon gantian (HRT- hormone replacement therapy) didapati mempunyai risiko barah payu dara yang lebih tinggi. Risiko ini meninggi hanya setelah lima tahun penggunaan hormon secara berterusan.

7. Obesiti - wanita yang mempunyai berat badan yang berlebihan juga mempunyai risiko yang lebih tinggi untuk barah ini.

Berat badan unggul seseorang bergantung kepada ketinggian dan juga rangka badannya. Untuk mengetahui berat badan unggul, seseorang perlulah mengetahui Body mass index (BMI)nya. Formula untuk mengira BMI adalah seperti berikut:

Berat badan (kg) bahagi dengan tinggi (metres) kuasa dua. Julat BMI yang normal untuk wanita ialah 20-24. Sebelum puan mengambil langkah-langkah untuk menguruskan berat badan, puan perlu mengira BMI puan. Jika BMI berada dalam lingkungan yang normal, puan tidak perlu mengurangi berat puan.

Langkah untuk menguruskan badan memerlukan nasihat doktor supaya langkah yang diambil tidak membahayakan kesihatan tubuh badan secara am. Cara yang paling baik untuk mengurangkan berat badan ialah memastikan tenaga yang diperoleh melalui makanan adalah seimbang dengan penggunaannya.

Jika terdapat berlebihan input, penggunaan tenaga perlulah ditingkatkan seperti senaman untuk membakar lemak lebihan atau pemakanan dikawal supaya tiada lebihan tenaga disimpan sebagai lemak.

by Nazeehah

Benefits of Ramadan

Ramadan is a period of fasting, reflection, devotion, generosity and sacrifice observed by Muslims around the world. While major holidays of other faiths have largely become commercialized events, Ramadan retains its intense spiritual meaning.

The word "Ramadan" comes from the Arabic word for "parched thirst" and "sun-baked ground". It is expressive of the hunger and thirst felt by those who spend the month in fasting. As opposed to other holidays, when people often indulge, Ramadan is by nature a time of sacrifice.

• Through fasting, a Muslim experiences hunger and thirst and sympathizes with those in the world who have little to eat every day.
• Through increase devotion, Muslims feel closer to their Creator and recognize that everything we have in this life is a blessing from Him.
• Through increased charity, Muslims develop feelings of generosity and good-will toward others. The Prophet Muhammad (peace be upon him) once said, "A man's wealth is never diminished by charity".
• Through self-control, a Muslim practices good manners, good speech and good habits.
• Through changing routines, Muslims have a chance to establish healthier lifestyle habits - particularly with regards to diet and smoking.
• Through family and community gatherings, Muslims strengthen the bonds of brotherhood and sisterhood in their own communities and throughout the world.

Ramadan is a very special time for Muslims, but the feelings and lesson we experience should stay with us throughout the year. In the Qur'an, Muslims are commanded to fast so that they may "learn self-restraint" (Qur'an 2:183). This restraint and devotion is especially felt during Ramadan, but we all must strive to make the feelings and attitudes stay with us during our "normal" lives. That is the true goal and test of Ramadan.

May Allah accept our fasting, forgive our sins and guide us all ti the Straight Path. May Allah bless us all during Ramadan and throughout the year, with His forgiveness, mercy and peace and bring us all closer to HIm and to each other.

by Ahmad Huzaini

Why I want to be a doctor ??!!

There are many reasons to become a doctor, and each year thousands of people enter medical school, despite the long years of education and the gruelling working hours facing them. Share your reasons for considering medicine as a career

I want to be an orthopedic surgeon~

Good pay and a steady job. There's always going to be jobs ready in the medical field and travel should be minimal. 12-14 years of school is a drawback but I'll make it.

—Guest Josh

No shame no pain!

I always thought of begin a business major or a economics major, making a lot of money. You know sitting in a big corporate office looking high and mighty sitting at the front. Then I took a second look at that fantasy. who was I kidding, the only reason why I wanted to be in business is because I thought there was money to gain, and I could show off to people who use to downgrade me. As I looked past those hurt feelings and bad memories. I started realizing that I wasn't doing anything good for the people around me. Only blinding myself with arrogance and stupidity. So I started looking for different careers that allowed me to become a helping hand to the people around me, instead of a stuck up person who would turn their back own my people. Something that gave me a since of accomplishment and thoughtlessness. Something that made me smile when I saw the results I wanted and cry when they weren't. Something that gave me discipline that I need. Then I found it... DOCTOR

—Guest The one who strives

To Help Save the Poor...!

I would love to be a heart surgeon. This passion developed when one of my classmates died of cardiac complications and there was no surgeon in Cameroon, so they had to take her to Barcelona for the surgery and she died. I will one day be a surgeon and save my people's lives.

—Guest alombah

Response...

I'm 15 years old, going on 16, and have contemplated a career as a doctor for more than a few years now. Now to address the question, I want to become a doctor because I feel it will help me to transcend whatever it is humanity is becoming, to become evidence not only to myself and perhaps to others that humanity can still have meaning. To be honest there are so many aspects of society that I have become to hate. The rarity I admire still manages to quench the flame the others spark. If one of these fire bugs were on the operating table and I was the one with the scalpel- I would save them without hesitation, or at least try with every ounce of me till the flat line lullaby plays her farewell. I can't explain why this statement seems so true to me, so I'll explain it with a deterministic approach; it's just part of who I was meant to be (or wanted to be in this moment) since the origin of the universe.

—Guest Denzel

This seems to be a rare response..

I'm interested in the science. There you go. This is the number one reason I'd like to become a doctor - I am fascinated by the techniques science lets us apply in order to save lives or make the last days or years on this earth more bearable. Sure, helping people is great too, and I'm all for being a hero, but my interest in the medical science is the main reason. I hope that's not wrong.

—Guest Kate

Why i want to be a doctor...?

I want to be a doctor because sometimes when I see the way some doctors attend to a dying patient, first, they will ask for money before treating the person. When the person is not having the amount they request they will not treat them. It's bad. People die every day in the hands of doctors, nurses. For instance, I was ill so i went to a nearby hospital to check what was going on in my stomach, I was rolling on the floor but no one could attend to me I had to wait to get a card first while dying. I fell asleep & woke up feeling better so they requested for money. I was so bitter, so i want to be a good & special doctor, best in the whole world to save those who are not capable to afford money for their treatment.

—Guest sunshine

I want to be extraordinary..!

Ever hear about that person who saved a person's life? Or maybe the  time someone was in a dire medical situation where everyone was calling out "is anyone a doctor?" I want to be the person that answers "I am!" and save that person. Though I know this kind of situation is unlikely, I still want to be extraordinary. I have always been fascinated by all the different diseases and how they affect the body. I have also been intrigued by the complexity of all the different functions and how they come together. Though I know it may be hard, I plan on becoming a neurosurgeon. The job is tough but the human brain is the most fascinating thing about people! it's so complex and it allows us to do so much. It stores all of our memories, our imagination, and so much more. I hope to learn more about it. I also hope to become the best in my field. I have high ambitions so wish me luck!

—Guest Lindsey

A calling...~

For years I have pondered what I want to do in life. I have thought about every possible career that came to mind. Out of all of them, doctor stands out the most. Remember your middle school health class that nobody paid attention to? Well, I was the exception. Every time somebody has some sort of body problem, I'm always trying to figure out what it is. Everytime I hear something that has to do with the human body, I search it up on the internet. I didn't realize that I was into medicine untill I started realizing that I search up medical terms more than anything else (and I search up everything) I am the kind of person who likes knowing more about something and does not like not knowing about something. If I hear about something new, I have to research it and understand it in detail. Though I'm only 14 years old, I already have my heart set.

—Guest Naomi

Why I want to be a doctor...

I'm pretty smart, not like I write three pages on an essay that only has to be one, but like I get straight A's without even trying. For years, I had no idea what I wanted to do. Then, my uncle died; he had cancer. To top it off, just a month later, my Aunt Jackie died. Guess who? That's right, cancer. I always knew cancer was bad, but I never really worried about it because hey, I was only fifteen and it can't affect me. But it did and I want to help. I want to go to college and then on to med school. I'm going to get my degree and start helping.

—Guest Andy

Just a suggestion..

If you are interested if helping people, why don't you become a nurse? This is a question you will be asked at med school interviews...

—Guest Guest A

Rediscovering my passion

I first considered being a doctor as a career when my grandfather died of bowel cancer when I was 9. A few years later watching the doctor’s work to save my grandmother from lung cancer reinforced my desire to be a doctor. When I entered high school I was always smart but never at the top of my class. I missed out on direct entry to medicine (Australia) and studied the health sciences. I spent the next 2 years ignoring my desire to be a doctor, something that had previously defined me. In the final year of my degree I looked at what I had majored in and what had attracted me to it. I was a major in physiology but I had a good grounding in genetics, biochemistry, microbiology and pathology. I realised at that point that I was fascinated by the human body as a whole, not its discrete parts. The normal but most importantly the abnormal and what could be done to fix it was where my passion lay. I tried for Med again and succeeded.

—Guest Millen

The best thing ever..!

All my life, I've always had this 'attraction' towards medicine. My dad's a surgeon and that plays a big part. He's an amazing person and the fact that he's a surgeon makes him partly 'amazing'. So many hours of labours work, stress, fatigue etc. all for the cause of saving lives. What a beautiful job. It may sound crazy but what better than saving lives; lives which were brought into Earth by God? I'm normally not very outwardly emotional but when it comes to sicknesses and health problems, it upsets me. Why is it fair that people have to suffer when we're fine? Why is it that I can't do anything to save their life? The day I save someone's life is the day I will be satisfied. It's not fair. Why should I be healthy and just 'lives life'? I've decided that medicine is for me and there's nothing that can catch my eyes. I know it's a stressful job but it's so worth it and I can't think of anything better to do with my life than to save others'.

—Guest DeepsB

My doctor dream :)

What can I say? My dad's a doctor and as I grew up, watching him come home from work, talking about his day and the awesome surgeries he did just inspired me! I so want to do what he does one day. Not only because it's inspiring but because doctors have something that many other's don't; the knowledge, commitment and heart to save lives. What an amazing thing the human body is! It only makes sense that there should be someone to heal the body, right?? I'd so love to make a difference to lives one day and I get so excited when I see blood or something guy! It's not gross! It's amazing! I can't wait until that day next year when we dissect a heart, etc. Anyway, my main aim is to save lives and make people happy. What could be better? I really couldn't imagine anything else I'd want to do in life. I've considered architecture but the fact that lives can't be saved keeps staring me in the face. I've decided that that's what important to me.

—Guest Degirl08

I want to help Others... :D

I'm only 13 but I've always wanted to help people and save lives ... I want to be one of the best doctors in my country.

—Guest Brenda

by En. Anwar

Malaysian Way Of Life

There's a lot to gripe about when we talk about Malaysians and their bad habits but there's much to make us smile.  Packing a bottle of sambal belacan or bring along some cup noodles every time we go overseas, because foreign fare is unbearably bland.  Recognising a fellow Malaysian far away from home when we can hear sentences finishing with a "lah".  Bickering among ourselves but sticking up for each other when outsiders criticise us.  Best of all, laughing at ourselves.  In this land where we've lived freely for 53 years, we can all celebrate our Malaysian-ness, because deep down inside, we're all the same.

by Azuani Anuar

STRESS AT WORK?

TIPS TO REDUCE AND MANAGE JOB AND WORLKPLACE STRESS


Tip 1 : Recognize warning signs of excessive stress at work

Signs and symptoms of excessive job and workplace stress:

• Feeling anxious, irritable or depressed
• Apathy, loss of interest in work
• Problems sleeping
• Fatigue
• Trouble concentrating
• Muscle tension or headaches
• Stomach problems
• Social withdrawal
• Loss of sex drive
• Using alcohol or drugs to cope

Tip 2 : Reduce job stress by taking care of yourself

Get moving

Make food choices that keep you going

Get enough sleep

Tip 3 : Reduce job stress by prioritizing and organizing

Time management

Task management

Tip 4 : reduce job stress by improving emotional intelligence

Emotional intelligence in the workplace has four major components : 

• Self-awareness
• Self-management
• Social awareness
• Relationship management

The five key skills of emotional intelligence :

• Realize when you're stressed
• Stay connected to your internal emotional experience
• Recognize and effectively use the nonverbal cues
• Develop the capacity to meet challenges with humor
• Resolve conflict positively

Tip 5 : Reduce job stress by breaking bad habits

Eliminate self-defeating behaviors

• Resist perfectionism
• Clean up your act
• Flip your negative thinking
• Don't try to control the uncontrollable

 Are you like this?

or

 like this?



by Ahmad Huzaini

Simple Things You Can Do to Lose Weight

If you’re like most people, you might have trouble controlling your weight. Or maybe it’s under control, but it won’t go down to where you’d like it to be.

Weight loss, however, doesn’t have to be stressful or complicated. A few simple habit changes could make a big difference — over the long term.

Will these changes take you from being 100 pounds overweight to slim and sexy in four weeks? Not at all. These are simple things that are designed to make gradual and sustainable changes.

Create some simple habits, and the weight will come off. Eventually.

This is not a step-by-step guide, and you will probably not want to implement every suggestion. Choose those that would work best for you.

1. Weigh yourself and chart it. Each morning, weigh yourself on a digital scale and log it immediately. Your weight, of course, will fluctuate from day-to-day, and your sense of accomplishment or disappointment shouldn’t hinge on your daily weight. However, your weight can be used as a useful feedback system to see what you’re doing right and to motivate you. I’d recommend using the trend-oriented spreadsheet used in the Hacker’s Diet.

2. Plan your meals. This is probably the No. 1 thing you can do to lose weight. First, use a calorie calculator to estimate how many calories you need to maintain your current weight. Now, if you want to lose a pound a week, you’ll want to cut that total by 500 calories per day to hit that goal (3,500 calories equals a pound of fat). If you want to lose weight slower, you can cut your total daily calories by less. I wouldn’t recommend more than a pound a week (which is about 50 pounds a year).

Now plan each meal so that you fit within the calorie limit for that meal. This might take some time to calculate (try FitDay), but once you have your favorite meals planned, this isn’t too hard. You can have a listing of 400-calorie meals and 200-calorie snacks that are interchangeable. The key, of course, is sticking to the meal plan — don’t let yourself deviate. You’ll get used to it after a few days.

3. Plan healthy snacks. Just as you plan your meals, you should plan your snacks. See the above item on allocating your daily calories to snacks. Instead of just snacking on whatever’s available, or rushing to a vending machine or convenience store when you get really hungry, you should plan to have healthy snacks in between meals. Fruit, veggies, yogurt, dried fruit and similar snacks are all good choices.

Be sure to plan some unhealthy snacks sometimes too. You don’t want to completely deprive yourself — make it a fun thing. Some dark chocolate on one day, some berries on another, and an occasional binge work for me.

4. Find lower-fat alternatives. Take your favorite foods and find lower-fat alternatives. If you love burgers, for example, you can make turkey burgers or soy burgers (there are some good ones, trust me). If you like French fries, make your own and bake them. Bake chicken instead of frying it. Get low-fat milk and yogurt instead of the higher-fat versions. Baked chips instead of greasy ones. While you shouldn’t give up fat completely, and in fact some types of fat are good for you in moderation, it’s important to remember that fat is high in calories (more than twice as calorie-dense as protein or carbs), and lowering your fat intake to a more moderate amount will also lower your calorie intake. Adding fruits and veggies is another good way to lower fat intake, as they take up a lot of space in your stomach without adding too many calories or fat.

5. Eat slowly, and then wait 20 minutes. If you scarf down your meals, you are probably overeating because of it. I know, because I have to slow myself down a lot. The thing is, it takes awhile for our brains to get the message that we’re full. So if we eat quickly, we will actually eat past fullness. You’ve probably had that painful, “I’ve eaten way too much!” feeling, and it’s because of fast eating. The trick is to teach yourself to eat slowly. You’ll get full on less food.

Another trick is to eat a sensible serving (a moderate plate, not stacked up is a good rule of thumb) without eating seconds right away. If you’re still a little hungry, wait for at least 20 minutes before eating any more. Often your hunger will go away.

6. Think long term. You won’t lose weight overnight. Well, you could lose weight quickly, but you don’t want to — it’ll come back just as quickly. What you want is gradual weight loss that stays lost. A pound a week is a good rate — again, that’s 500 calories a day less than you need to maintain your current weight, and it’s about 50 pounds a year. Both are achievable, and both are sustainable. Of course, you’ll need to make adjustments as you go along, in case you’re taking in too little or too many calories, but the main thing is not to try for immediate and quick weight loss, but long-term loss. Don’t worry about the ups and downs every day, but look at trends over weeks and months. It’ll happen, if you stick with it and do it moderately.

7. Stop drinking calories. Calories in soda, coffee, tea, alcohol, juice and other beverages are very sneaky, because you don’t realize how many calories you drink a day. Juice, for example, seems healthy, but really you’re getting none of the fiber of fruit and all of the calories. Eating an orange would give you the same benefits, and make you more full.

Instead, drink water. Lots of it, all day long. Water makes you full, without giving you calories. It’s the perfect weight-loss drink, available at your local tap.

8. Read about weight loss. This might seem like a weird tip, but I’ve found it to be true. If you keep your focus on your goal, you will most likely achieve it. But if you lose focus, you’ll lose motivation, and soon you’ll stop any progress. What you should do is read about weight loss — success stories, tips, etc. — to return you to that focus and motivation. Any time you’re losing motivation, read some articles about weight loss or exercise or eating healthy.

9. Exercise for just 5 minutes. In the grand scheme of things, eating fewer calories is much more effective than trying to burn the calories through exercise. For example, you could burn a few hundred calories with 30 minutes of hard exercise, but you could easily gain those back with a bowl of cereal or some other snack. So if you really want weight loss, you’ll have to focus on what you eat.

However, exercise does help. Burning even 200 calories a day can add up (an extra couple of pounds a month), and you don’t need to exercise too long to do that. And even better, exercise makes you feel good, and feel like you’re getting in shape. It makes you healthier, of course, and will get you toned.

My recommendation is to start with just 5 minutes a day. That won’t get you to 200 calories, but it’s a start, and that’s what’s important. Just do 5 minutes a day for the first week. Any kind of exercise will do — try a few pushups, a few crunches, a few jumping jacks, and a couple minutes of running in place. After a week, increase it by 2 minutes. Do that for a couple of months, and soon you’re doing 20-25 minutes a day. That’s about all you need.

10. Just get through a tough 3 days. If you reduce your caloric intake, as per Item #2 above, you will feel hungry at first. And that’s not easy. Hunger makes us want to give in. But just tell yourself that it’s just for 3 days. After that, it will start to get easier. You’ll get used to it, and it won’t seem like deprivation.

Post written by Leo Babauta.

this is not fat  !   :)

by : Nazeehah 

Kenapa Mahu Menjadi Doktor?

“Kenapa anda mahu jadi doktor?”, saya melemparkan soalan ini, selepas mempertontonkan kepada pelajar di IMU tadi video dari koleksi Stephen R. Covey.

Pelajar yang hadir tersenyum-senyum.

“Sebab minat biologi?”, saya bertanya.

Ramai yang ketawa. Itu mungkin alasan semasa di Tingkatan 4 dahulu.

“Sebab suka tolong orang?”, saya terus bertanya.

Ramai yang mengangguk.

“Well, come on. Ramai yang hantar anak buat perubatan supaya boleh rawat ibu bapa sendiri nanti. Tetapi realitinya, kamu bukan manusia pertama boleh muncul memberikan rawatan jika berlaku apa-apa kepada ibu bapa. Malah ketika di bilik pembedahan dan wad kecemasan, ahli keluarga bukanlah calon terbaik untuk merawat ahli keluarga sendiri. Namanya, profesionalisma”, saya menyambung provokasi.

“Kamu nak tolong suami, isteri dan anak-anak? Rasa saya, suami doktor, isteri doktor dan anak-anak doktorlah yang paling banyak kena berdikari”, saya terus mencucuk jarum.

“Saya selalu beritahu isteri, bahawa apabila awak berjaya jadi specialist nanti, jangan lupa bahawa orang yang paling banyak berkorban ialah tiga orang ini. Anak-anak kita. Merekalah yang berkorban, melepaskan masa yang sepatutnya kita beri kepada mereka, agar kita berjaya”, saya berkongsi cerita.

Saya sengaja mengacah pelajar-pelajar di IMU supaya berfikir bersungguh-sungguh, mengapa mereka memilih bidang perubatan.

Jika anda seorang perempuan yang bakal menjadi doktor, anda perlu tahu bahawa walaupun negara amat terdesak kepada adanya ramai tenaga pakar, anda tidak akan diberikan ‘kemudahan’ untuk menjadi pakar. Anda tidak ada cuti bersalin, seandainya anda ‘termengandung’ semasa sedang membuat program pakar. Anda tidak menerima sebarang elaun untuk membeli buku. Semua kena guna duit sendiri. Kursus dan seminar yang anda hadir, anda mesti membayarnya sendiri. Mungkin anda terpaksa menawarkan diri menjadi AJK agar dapat dikecualikan dari yuran, walaupun anda tahu akibat menjadi AJK itu. Semua orang mahu anda bekerja seperti orang lain, ketika anda terdesak menghadapi peperiksaan. Tiada belas, tiada insentif.

Misalnya isteri saya, kerana 2 minggu cuti yang diperuntukkan untuk kecemasan dan lain-lain, sudah pun digunakan bersalin, lupakanlah kenduri kendara di kampung, lupakanlah ibu bapa, 6 bulan tiada cuti.

Bukan calang-calang kerja.

Anda mahu menjadi pelajar perubatan kerana mahu menolong orang? Tolonglah diri sendiri kerana anda yang amat memerlukan pelbagai pertolongan itu nanti.

“Maka, apa tujuan anda mahu menjadi doktor?”, soalan yang sama saya ulang sekali lagi.

Pelajar-pelajar itu termenung. Sesi soal jawab tiada soalan, kerana semua soalan adalah untuk ditanya kepada diri sendiri, dan diri sendirilah yang perlu menjawabnya.

PERSOALAN NILAI

Kuliah kali ini adalah tentang nilai. Apa nilai yang dibawa dalam sebuah pekerjaan? Dalam sebuah kehidupan.

Jika seorang isteri mengungkit di hadapan suami, bahawa kerja rumahnya, kerjanya ‘melayan suami’, tidak mungkin mampu dibalas walaupun dengan bayaran RM2000 sebulan, maka nilai apakah yang ada pada dirinya? Saya tidak bermaksud membela lelaki yang tidak tahu menghargai isterinya, tetapi dalam kes ini, si perempuan itu sudah menjatuhkan dirinya.

Hanya ‘bibik’ sahaja yang buat kerja rumah untuk duit. Maafkan saya, hanya pelacur sahaja yang meletakkan harga pada layanannya terhadap seorang lelaki.

Seorang ibu membuat kerja rumah kerana NILAI KASIH SAYANG. Seorang isteri juga melakukan apa yang ia lakukan atas NILAI KASIH SAYANG. Maka tanpa kasih sayang, perkahwinan adalah beban. Malah sumber kebencian.

Menentukan nilai, sebagai pendorong kita melakukan sesuatu adalah sangat penting. Nilai itu akan mencorakkan tingkah laku kita terhadap pekerjaan yang kita lakukan.

NILAI DUIT

Kalau pekerjaan diukur dengan nilai wang, maka kita akan berhadapan dengan banyak masalah, walaupun wang berjaya diperolehi.

Sekarang ni sudah menjadi satu trend kepada dua industri, kalau boleh saya katakan industri. Yang pertamanya adalah industri perubatan, dan yang keduanya, industri berkaitan petroleum. Trend yang saya maksudkan di sini, adalah perpisahan di antara seorang suami atau isteri dengan pasangannya, serta anak-anak, kerana prospek kerjaya dan desakan nilai wang itu tadi.

Sudah menjadi kebiasaan, pasangan yang sudah berumahtangga, berpisah sementara (bukan calang-calang sementara) demi melepaskan isteri yang bekerja sebagai jururawat di luar negara, khususnya di negara Teluk. Begitu juga dengan mereka yang terbabit dengan industri petroleum, bekerja di negara Teluk dan Afrika, menyahut saranan majikan untuk meningkatkan kerjaya dan pendapatan dengan berhijrah ke negara yang menagih kepakaran kita. Ia hebat, menggiurkan… tetapi output daripadanya merunsingkan saya.

Itu, belum lagi dikorek kisah suami di Johor, isteri di Pulau Pinang atau Kuala Lumpur.

Trend ini berlaku dan merebak di dalam masyarakat, dan saya ditakdirkan Allah bertemu dengan outputnya. Saya bertemu dengan anak-anak remaja, yang ayah mereka pulang ke Malaysia 4 kali setahun. Saya bertemu dengan kes, suami main kayu tiga ketika isteri meninggalkannya gersang setahun di tanah air. Saya juga bertemu dengan kes isteri yang mem’poligami’kan suaminya dengan bersuamikan orang lain semasa di perantauan. Dan kes-kes ini membiak dari semasa ke semasa. Tidak pernah menjadi tajuk berita.

Tentu sahaja, hasil kewangan dari kenaikan pangkat dengan bekerja jauh dari pasangan dan anak-anak, boleh mengubah nasib keluarga. Tetapi perubahan itu apakah ke arah positif atau negatif? Maka yang dikejar dalam sebuah rumah tangga dan perkahwinan, apakah boleh disandarkan pada nilai material?

NILAI – HARGA – KORBAN

Nilai berkadar terus dengan harga. Tinggi nilai, tinggilah harga. Tinggi harga, banyaklah korban dan pengorbanan yang diperlukan bagi mendapatkannya. Untuk bekerja dengan gaji RM10,000 sebulan, apakah harga yang perlu dibayar untuk nilai material RM10K itu? Kehancuran rumah tangga, kepincangan emosi dan identiti anak-anak, dosa… itulah harga yang mungkin perlu dibayar untuk nilai material yang dijadikan asas bekerja.

Anak-anak yang mewah dengan nilai material ini, gersang dan menderita pada nilai kasih sayang dan perhatian ibu bapanya. Sering saya ulang, ‘mereka adalah generasi yang kesunyian’.

Jangan terkejut, dengan hanya 3 hari perkenalan, seorang remaja boleh menjadi mangsa lelaki yang berniat jahat. Mengapa begitu mudah? Lelaki itu memberi sesuatu yang tiada diperolehi remaja tersebut di dalam keluarganya iaitu KASIH SAYANG dan PERHATIAN.

Malam ini saya mahu pelajar-pelajar yang hadir ke kuliah ini, melatih diri mereka dengan tabiat ‘Begin With the End in Mind‘. Lihatlah apa yang menanti di hujung perjalanan mereka sebagai seorang doktor perubatan.

TENTUKAN NILAI SEAWAL PERJALANAN

Maka, semenjak mereka di bangku pengajian, soal nilai yang ingin dibawa pada kerjaya di masa hadapan, mesti ditentukan.

Anda boleh mengambil sikap tidak mengendahkan hal ini, bekerjalah selagi mampu, kejarlah habuan material yang dikejar selama ini, tetapi anda perlu meneliti harga yang perlu dibayar. Perhatikan di mana korbannya? Harga dan korban itu mungkin rumah tangga, mungkin pesakit, dan yang paling besar, mungkin sistem itu sendiri.

Hati saya amat terhiris, mendengar kawan-kawan saya dan isteri, mengeluh tentang satu demi satu penceraian yang menimpa pasangan doktor. Sama ada kedua-dua suami dan isteri itu doktor, atau salah seorang daripada mereka.

PROVOKASI DEMI MASA DEPAN

Atas provokasi inilah, saya mengajak adik-adik di bangku pengajian perubatan, untuk menyemak hubung kait bidang ini dengan Tujuan Hidup mereka. Kenang kembali siapa mereka di alam ini? Kenal diri, dan kenallah Ilahi.

Kita sebagai hamba Allah, menjaga tali kita dengan Dia yang disembah. Yang diabdikan diri kepada-Nya. Ia hablun minaLlah.

Kita sebagai khalifah, menjaga tali kita dengan manusia ciptaan-Nya, kerana kita ditugaskan menjadi saluran kebaikan-Nya ke alam ini. Ia hablun minannaas.

Buat baik kepada sesama manusia, boleh dengan sedekah, boleh dengan memimpin tangan si buta di pinggir jalan. Namun sedekah hanya sekali sekala, orang buta bukan setiap hari kita jumpa. Jalan kebaikan yang paling utama, adalah pada menjadikan kerja sebagai ibadah. Memberi kebaikan kepada manusia, melalui pekerjaan yang dikurniakan Allah kepada kita.

JIKA KERJA JADI IBADAH

Jika kerja jadi ibadah, Allah adalah ‘CEO’ kita. The unsung hero beroleh quwwah, untuk terus membuat kebaikan, biar sekecil mana pun di mata insan.

Jika kerja jadi ibadah, ia jalan Taqarrub kepada Allah. Tidak tergamak menghambur dosa, kerja dibuat sebaik yang upaya.

Jika kerja jadi ibadah, biar sempit jalan KEPERLUAN, asalkan luas perjalanan mencapai TUJUAN.

Ubah paradigma, betulkan nilai pada kerja.

Teruskan cita-cita kalian menjadi doktor. Ia cara terbesar, kamu zahirkan syukur kepada-Nya.

Kita hamba-Nya, kita Khalifah-Nya.

 Petikan dari : ABU SAIF @ www.saifulislam.com

"Erti Hidup Pada Memberi"

by : Muhammad Anwar