“Alhamdulillah, sejak tukar kepada pam putih saya dah tak ada semput lagi.“
Pam putih tersebut adalah sejenis pam penyedut untuk rawatan penyakit kronik paru-paru mengandungi serbuk ubat gabungan ipratropium dan fenoterol.
“Merokok ke..encik?“
“Merokok ! Tak boleh berhenti, dok. Satu kotak sehari. “
“Ada pam ni, boleh nak terus rokok. Dah doktor kata boleh lapangkan paru-paru !“
Parah.
Bukankah merokok itu haram disisi agama 1. Bahkan menggunakan pam berniat mempermudahkan dirinya untuk terus hidup tanpa sesak nafas dan membolehkan dia meneruskan merokok. Salah faham.
“Saya tahu, haram. Tapi saya tak nak berhentilah. Takut.“
Chronic obstructive pulmonary disease (COPD) adalah penyakit kronik paru-paru dihidapinya disebabkan terdedah dengan bahan racun rokok 2 sejak sekian lama, lebih 20 tahun.
Takut menerima kebenaran bahawa paru-parunya sudah rosak. Payah.
Sanggup teruskan merokok, meletakkan diri dalam kemudaratan. Walhal, dia juga mempunyai penyakit kencing manis dan darah tinggi sebagai penambah perisa kepada risiko mendapat penyakit kardiovaskular seperti serangan jantung atau angin ahmar (strok) 3.
*KELEPAK!* – bunyi yang hadir dari tamparan tangan si isteri yang duduk di sisinya ke bahu sang suami.
“BANG, HARAM TU ! BERHENTILAH !” – seru si isteri.
Hendak berubah datang pada dirinya sendiri, memerlukan motivasi yang tinggi, serta bertindak tanpa melengahkannya. Tuhan tidak akan ubah sikapnya itu melainkan dia sendiri yang mulakan perubahan 4.
“Teruskan saja puan bebel pada suami puan ni. Itu dah jadi nasihat berterusan. Bukan budak kecik saja kena bebel. Dah tua-tua pun boleh kena bebel juga kalau perangai susah nak berubah.” Pesanan buat si isteri.
RUJUKAN:
1. Pejabat Mufti Wilayah Persekutuan. Bayan Linnas Siri Ke-18: Merokok: Hukum Dan Penyelesaiannya. 10 May 2015. Available from: https://muftiwp.gov.my/ms/artikel/bayan-linnas/2634-bayan-linnas-siri-ke-18-merokok-hukum-dan-penyelesaiannya
2. Laniado-Laborín R. Smoking and chronic obstructive pulmonary disease (COPD). Parallel epidemics of the 21 century. Int J Environ Res Public Health. 2009 Jan;6(1):209-24. doi: 10.3390/ijerph6010209. Epub 2009 Jan 9. PMID: 19440278; PMCID: PMC2672326.
3. Roy A, Rawal I, Jabbour S, et al. Tobacco and Cardiovascular Disease: A Summary of Evidence. In: Prabhakaran D, Anand S, Gaziano TA, et al., editors. Cardiovascular, Respiratory, and Related Disorders. 3rd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2017 Nov 17. Chapter 4. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525170/ doi: 10.1596/978-1-4648-0518-9_ch4
4. Quran Al-Karim. Surah Ar-Ra’d. Chapter 13. Verse 11. Available from: https://quran.com/ar-rad/11
GP General Practitioner 
Hi Dr Raimi, I have read your blog regarding GCFM and I have a few questions.
Is it really necessary to have 2 years experience in primary care to be able to register for GCFM?
Because in the brochure it only mentions that it needs 2 years experience in primary care in order to sit for the final exam.
LikeLiked by 1 person
Hi Najmi,
The answer is “Yes.”
For your information, the AFPM collects your experience in two ways:
1. You work in primary care/GP for 2 years first, and then you start enrolling in the course.
2. You may start enrolling in the course even if you don’t have enough primary care experience yet. In this case, the 2-year course while enrolling can also serve as your 2 years of experience in Primary Care/GP before taking the GCFM professional exam.
I hope this information is clear and helpful to you.
LikeLike
Thanks for answering Dr Raimi.
I have another question though as I am from a GP background.
Do you know what does it mean by Borang B/F with employer’s letter? They need those in order for me to register for the GCFM.
LikeLiked by 1 person
I think ‘Borang B / F’ is specifically related to those working in private GP settings. You may contact the AFPM secretariat directly for more information.
LikeLike