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hospital work and clinic start right up to late evenings after one year of this ordeal i gave up on prof aj camn i walked off his department and join the plumbers looking back it must be the biggest career mistake i have done fast forward to 2025 i am now just a humble plumber plying my trade in subang jaya medical centre coming to 40 years now had i persisted with prof aj camn i could have been an electrician instead of just a humble plumber this animal in 1986 way back in malaysia did not even exist now of course there are plumbers and electricians everywhere now in 2025 posted by pearls and gem at 7 43 am no comments wednesday april 17 2024 ya ayyuhal walad oh my dear son oh my dear son you ask papa what do we do next we are now beyond puasa enam well my dear son at you relative young age you still have long to go if you continue the fervour you did the last 10 days of ramadan you will end sooner than later a burnt out chap i advise you guys to de escalate ie if for example you are doing like papa the al ghazali s weekly wirid in a day say at 500x each quantum de escalate to say a hundred time each or 200 each over the whole day maintain your obligatory prayers as before and try to at least do it once a day at our local mosque say magrib isya or subuh this very important to balance out the craps you get from un suspecting ustauzs available on the internet nowadays too any of them they have auniversity in perlis churning out these people who spread hate and division try to maintain contact with the mosque as it is not for prayers it serve as your contact and centre to ilm in short my dear son choose whatever wirid you like spread it out over day but start with cash early in the morning well before subuh prayer if you are a wee bit lazy give a longer post subuh wirid add a wee bit of daily quran this is best if you guys want to be permanently head damaged like papa at your age phd go to my library and start reading hamka s tafsir al azhar 2 to 3 pages a day whatever you do the accent is on istiqamah berdikit dikit dulu but amplify the volume with the coming years at papa s age and people papa s age when the house is already saying goodbye goodbye and the grave is welcoming we have no choice but to escalate i would still do my al ghazali wirid full the weekly plan complete in one day no longer to be counted as you go by the minutes and hours still wake up say one hour or one hour and a half before subuh and inter sperse the tahajud prayers and tasbih prayer with the wirid probably covering half of the wirid before subuh and the rest between breakfast time and lunch at every nooks and corners available during papa s morning hours at the hospital no more need to count just go by feeling and time papa s daily dose of quran now is limited to 41 al fatihah and 41 al ikhlas daily before subuh prayer papa try to daily daily tasbeeh prayer before subuh as well this is a very cooling prayer and if done with istiqamah will only take less than 18 minutes i know many out there say the hadith on tasbeeh prayer is not strong but even the great dr maza the doyen of neo salafism in malaysia agrees that the hadith is hassan i dont get myself embroiled in these arguments and counter arguments i just do it the rest of the day i have the other favourite such as nabi yunus s doa and wirid some favourite asma al husna and the greatest zikr of all la ila ha illa hu wahdahu laashari kala lahul mulku wala hul hamdu wahuwa ala kulli shai in qadir etc etc etc tengok keadaan papa could easily do a thousand in the pool at kgns mixing the profane and the sublime so to speak you will find you will like the profane the exercise because you got addicted to the sublime the wirid the haj people mostly recite just this at the field of arafah during their wukuf time there is a well known hadith which alluded to this wirid being the tress and beautiful plants that you plant in heaven your estate in jannah is a vast open plain stretches far beyond the horizon a cool place this wirid will be the trees that you plant for your garden in jannah or some thing to that effect i could not recall the hadith exactly but off the cuff it alludes to that please do check the authenticity of the hadith papa has wild imagination oftentimes i read to much during your age at school in kb in the 60 s papa used to cycle from jalan teliput into down town kb to visit carnegie library to read philosophical works of scopenhaur jung freud of which papa that time could not comprehend a thing even read the works of evangelicals like dr norman vincent peale then after having my morning fill cycle back to prepare for afternoon school session at the world famous sultan ismail college papa probably was in form 2 or form 3 then at mckk i was introduced to bertrand russel in later life graduated to al ghazali abdal qadir al jilani etc and etc not forgetting hamka s tafsir al azhar so now all those years of junks are just creeping out enjoy your life to the fullest my son but always always always the billah lillah must be there in the background and foreground life is fragile at all ages even at your ages posted by pearls and gem at 8 51 pm 1 comment monday april 1 2024 5 best things to do on laylatul qadr dr omar suleiman ru sha jo nina yazman this last 10 days of ramadan is laylatul qadr territory if you are in makkah now it would be impossible to enter the haram even if you arrive 2 hours before magrib one can say what one likes with respect to the arabs in general but laylatul qadr is very serious business in the arab world they know their quran as the good shaykh suleiman above mentioned in passing in the last 10 days you do the same as what you have been doing everyday solat zikr quran but just increase the volume papa will add but x10 more in term of volume and do it mostly in between magrib subuh if you have to sleep sleep very little try sleeping just after the terawik prayer before 9 30 then wake up at 12 and start work of course the best is to iktikaf fully in the masjid the last 10 days but we all work that remains a reality nowadays we work papa s personal modus operandi has now changed a wee bit from what papa advised you guys some 5 years back i have adopted imam al ghazali s recommended weekly schedule untruncated and compressed into half a night as my daily zikr starting at 11 pm or on the dot at 12 am on waking up take ablution and do his 1st zikr 1 ya allah ya allah ya allah or allah allah allah x1000 less than 20 minutes 2 la ila haillallah x1000 approx 24 minutes one cycle of 2 rakaat tahajjud prayer 3 ya hayyu ya qayyum x1000 less than 20 minutes 4 la haw la wala quwwata illa billah x1000 approx 22 minutes 2nd cycle of tahajjud prayer 5 allah humma solli ala muhammad wa ala ahli muhammad or interspersed with slightly elongated versions occasionally if you like x1000 approx 25 to 35 minutes if you intersperse with the elongated version and longer if you do like the one in the last rakaat of our solat 6 astagfirullah astagfirullah astagfirullah x1000 only 14 minutes but i usually do the whole longer personal version taught to me by an indonesian shaykh shaykh al mendalingi from mendaling sumatera given ijazah by the saudis to teach in the haram in bahasa indonesia papa met al mendalingi in the haram while leading the medical haj mission in 1984 astagfirullah hal azim allazi la ila ha illa huwal hayyul qayyum wa atu bu ila rabbir firli waliwa liddaya wal mukmini wal mukminat tak sampai hati papa tak berdoa untuk kedua orang tua papa itu saja papa boleh doakan dan buat kepada kedua yang tersayang buat masa ini this addition does not take long anyway allahualam kalau betul ilmu yang di perturunkan olih the good old shaykh itu betul lah kalau tak betul tak rugi ini papa punya philosophy tak perlu debat dengan sesiapa benda amalan seperti ini dalam hal ugama children please avoid those tok gurus with blinkers just too many of them around nowadays they will take away the sweetness of berugama especially in your later lives followed by 3rd cycle of 2 rakaat tahajjud prayer 7 subhanallah wa biham dihih subhanallah hil azim x1000 approx 30 minutes followed by 4 rakaat of solatul tasbih dalam 2 salam 20 minutes between 5 to 5 30 when you guys joins papa for sahur i listen to al basit on the net with direct transliteration by pickthal excellent video or read the quran i love listening between 630 am to 830 m try to get a short nap before going to work in sjmc hospital another short nap after zohor in between asar and berbuka 8 la ila haillallah hu wahdahu la sharikallah lahul mulku wa lahul hamdu yuhyi wayumit wahuwa ala kulli shai in qadir x1000 approx 70 minutes a potpourri of other short wirid in between nook and corners while at work and while waiting for berbuka 1 rabbana atina fiddunya 2 allahuma innaka affuwun 3 doa dan wirid nabi yunus 4 some favourite asma al husna esp ya latiff ya salam 5 hasbunallah wani mal wakeel 6 subhanallah wa bi hamdih astagfirullah wa atu bu ilaik pokoknya children dont leave any space unfilled this last 10 days of ramadan it is not just about the 1000 bulan it is about being close to him papa view the annual ramadan month as a great open university for all humanity the last 10 days is allah s gift to mukmin and after the ramadan we will certainly percolate downhill a lot with our zikr volume almost certainly to just a mere fraction of what we are doing now it is very ok with a lot of istiqamah insyaallah we go up a couple of planes higher in our relationship with him from previous years it is stepwise like climbing a staircase next year up another staircase until constant zikrullah in your ripe old age no longer becomes work it will be pleasure insyaallah itu saja meaning hidup ini we want to be close to him we dont want to remain static like a man running on a threadmill year in and year out not going any where ru sha jo nina yazman laylatul qadr is dowable grab it posted by pearls and gem at 3 07 pm no comments saturday march 16 2024 case history 23 doc i don t want bypass surgery cml a 64 year old indian gentleman saw me some 16 years ago when he was just turning 48 in er sjmc at 2 am in the context of an acutely developing anterior wall myocardial infacrtion heart attack involving total 100 blockage of the left anterior descending artery he was duly admitted right straight to the cath lab where the occluded artery was duly openned with balloon angioplasty and drug eluting stent implanted at the same sitting the proximal right coronary artery that had 75 stenosis significant critical flow blockage was also ballooned up and stented he had 2 stents implanted that wee hours of the morning he was lost to my clinic follow up for years following covid epidemic until last week he presented at my outpatient clinic with gerd pain pain in the epigastric region moving up to the chest like a heartburn type of discomfort a blood test for trop t sensitive was taken and i gingerly put him on the threadmill his resting ecg was normal looking but hardly 3 minutes when he started walking the ecg showed evidence of myocardial ischemia the stress test was duly stopped back in the clinic his trop t sensitive result proved positive he has acute coronary syndrome he was duly admitted and planned for coronary angiogram the next day doc whatever your finding by hook or by crook i don t want bypass surgery when patients like cml give this kind of preemptive decision interventional cardiologists like me have a wee bit of heart burn because doing an angiogram on people like cml with chronic badly controlled lipid level with clinic f u which at best are irregular etc etc and etc it is like going to have breakfast at manhattan fish market we dont know what is going to be the fish on the plate for that morning if the lesions turn out to be complex ad hoc angioplasty and stenting there and then straight on the table without prior detailed discussion with or without his spouse or partner being present can be wee bit stressful to the interventional cardiologist we want to discuss further with patients and family but the doc i dont want surgery full stop is usually a stiff order but an order is an order he was very specific with what he wanted and his wife was present at the initial discussion i proceed video 1 this was his right coronary angiogram alhamdullillah the proximal stent in the right coronary artery is still very patent despite 15 years plus albeit with minimal in stent restenosis renarrowing about 20 25 of diameter of stented part in the distal rca are two tandem lesions about 90 to 95 each critical the rca at this point and the distal run off overall looks good for either angioplasty and stenting and also good for the surgeon video 2 the left anterior descending artery cine showed a critical 90 stenosis before the fully patent stent implanted 15 years ago to the ostium of the left main stem artery they was no adequate landing zone for any stent implantation if one is planning to stent this artery without encroachment in the left main stem artery infact the ostial lad disease seems to spread into the distal lms vessel given a luminal narrowing of about 50 at the distal lms this is a surgical option video 3 a spider cine view of the lms lesion 50 narrowing here and subtending into the ostial lad vessel with 90 narrowing video 4 a ap cranial cine view of the left arterial system highlighting the 90 narrowing at this juncture ipointed to mr cml sir you have a very tight right coronary blockage 2 narrowings in the distal right about 95 both of them and a tight lesion in your proximal lad before your old stent your left and right stents seemed to be holding very well despite 15 years with little non significant re narrowing the left narrowing involved the left main stem the 1st option is cabg since at present time the available data seems to point to a better long term result i will stop here and discuss the cine with you again tomorrow with your wife present and give you time to consider a surgical option doc is my disease dowable with angioplasty and stent what is the risk and how long will it take for me to get back to work i have an oversea trip coming up a week s time i dont want surgery the ball park figure for risk of mortality for chaps like you with this good looking lesions and distal vessels run off and normal left ventricular ejection fraction of normal 62 i think in my estimation around less than 1 you can begin work tomorrow evening your oversea trip next week insyaallah can proceed video 5 i gingerly and carefully passed an 18 1000 inch bmw stainless steel guide wire with a soft end into the right coronary artery with xray guidance with the guide wire in place i passed a small balloon a semi compliant balloon 2 5mm diameter and 15 in length over the guidewire going thru the artery gliding in the artery in a monorail fashion video 6 the two tight lesions were dilated several times with the balloon in placed at that spot of constriction with pressure...