Tuesday, January 1, 2013



Osteoarthritis (OA) of the knee is the most common type of OA and a common cause of disability. Early diagnosis and treatment can help to manage the symptoms of knee OA.

Treatment Options

For the treatment of knee OA, your doctor may sometimes recommend a steroid injection into or around the joint. The pain relief is usually only temporary, and your doctor will limit the number of steroid injections that you can receive.

Another type of injection therapy is called visco-supplementation. This involves the injection of hyaluronic acid derivatives into the joint. Hyaluronic acid is a normal component of joint fluid. However, the response to hyaluronic acid injection, as with steroid injection, is variable and usually temporary.


Surgery is usually only offered for severe cases that have not responded to the other forms of therapy (see section on Osteoarthritis). Both the type of surgery and the decision for surgery are made following careful discussions between you and your doctor.

Some of the more common types of surgery include:

This is suitable for early OA of the knee, and is considered a minor procedure during which the orthopaedic specialist uses an ‘arthroscope’ to look inside the joint. This is a form of ‘keyhole surgery’. During the procedure, the surgeon will be able to clean up damaged portions of the joint, or stimulate repair in areas where the cartilage has been lost.

This procedure is suitable for younger patients (generally less than 50 years old) with limited OA of the knee. During this procedure, the bones around the joint are cut to allow the alignment of the joint to be corrected. Symptom relief can sometimes be achieved for up to 10 years following this procedure.

Joint Replacement
In late stages of OA, the joint has become so damaged that the best treatment is to replace the joint with an artificial one, which is typically made of a metal alloy together with a plastic component. The entire joint may be replaced (total joint replacement), or if OA is limited to only one part of the joint, then the surgeon may choose to only replace that part (unicompartmental/partial joint replacement).

Friday, November 30, 2012


Thursday, November 29, 2012



ON the morning of Nov 19 we were nervous wrecks.
Mixed feelings and thoughts filled our minds, waiting for the UPSR results.
Finally, when it was announced my second daughter achieved 4A’s and 1B, a sense of relief and proud achievement for us as parents.
For her to achieve such a feat was a tremendous achievement in itself.
When our daughter was three years old, we notice there was something different about her.
She has never uttered a proper comprehensible word, was quiet, reserved and demonstrated slower reflexes than others.
Compared to her sister and cousins, she would be the odd one out. At times engrossed in her own world, we could sense part of her emotional disconnection to those around her.
If she wanted certain things, toys or food, most of the time she would be practically holding and guiding her parents’ hands rather than mentioning or taking it by herself.
As concerned parents, we took her for various specialist tests, including a physical ENT review, and reports suggested a speech deficiency problem with a probable case of a mild form autism.
The experts even suggested we consider enrolling her in a government special school rather than a normal primary school.
However, we were resolved and determined to help her at all costs, not to prove her critics wrong but mainly to fulfill our responsibilities as parents of a ‘special’ child.
We started to develop her motor speech capabilities during her third year. Various speech therapies, countless hours over weekends and working days were spent over the years. We even chauffeured a recommended elderly therapist from PJ to Shah Alam.
We explored pre-schools providing certain motor and human skills development until her fifth year.
We even bought knitting toys to strengthen and improve her mind and physical coordination. To excite her creative side, we even enrolled her into art classes and piano lessons.
When she was six, we started to concentrate on her phonics skills, enrolled her into a preschool specialising in reading skills, to prepare her for the next stage, primary school.
We ensured reading milestones were met, both in Bahasa and English. Against the early suggestion, we registered her into the nearby normal primary school.
Along the way, we also taught and guided her to read the Quran. It was very slow and frustrating in the beginning.
We kept our expectations low during her early primary years. To give her an ‘academic handicap’, we even had to justify and explain her history to the teachers at times.
Later we realised this was a mistake and we avoided such ‘handicap-reasonings’ from our parent-teacher discussions and just let teachers treat her on equal footing with the rest of her friends.
Over time, we could see our daughter’s positive progression in the academic subjects, co-curricular activities and even her circle of friends grew.
We really felt the emotional side of hers had ‘come out’ and we could connect. This was also evident when she was appointed as a school librarian and also deputy class monitor.
During the last two years of parent-teacher discussions, we somehow felt vindicated when positive remarks were given by teachers that saw her as being a normal student, performing even better than her normal contemporaries.
For that, we are forever grateful to all her teachers, therapists, relatives and friends who we came into contact and gave us support.
To all parents who can relate to the experience or even more difficult instances, we pray you persevere and never lose hope in your ‘special’ child.
Your sacrifices, hardwork and effort will eventually be rewarded, however small, in the end. Insya Allah.
Proud parents, Shah Alam

Tuesday, January 3, 2012

Back To School

To my children - the holiday season is over and welcome back to school. Start your normal routine. It's going to be an interesting 2012 school term as long as you stay focus and discipline and most importantly you must enjoy every moment of it. Student days are the best period in life. Abah and umami will always be here for you - supporting you physically, mentally, emotionally, intellectually and of course financially. To all my I'll bosses - good luck, do your best and be good. To Irfan, Sarah, Muneerah and the special buck bacam Maira Zahra - I love you soooooo much!

To ummi, I hope your patient will continue to be at FIRST CLASS!! Love you honey!!

Monday, December 19, 2011

Holiday in London 2011

Sweet memories captured at various places in London and this is one of London's landmark - the Big Ben.

Wednesday, August 10, 2011

The real lesson from the Jais-Damansara Utama Methodist Church controversy

by Nik Nazmi Nik Ahmad

AUG 11 — The recent controversy over the Selangor Islamic Religious Department (Jais) raid on the Damansara Utama Methodist Church (DUMC) reminded me of a visit I made to a shelter for Muslim HIV patients in Subang Jaya a few years back.
One of the members of my PKR division was active in a mosque in that area. She introduced me to the shelter, which was being run by the local Muslim community.
Such institutions are important for, as we all know, the stigma against people living with HIV and AIDS is still rampant in our society and hence many of them have a tough time re-integrating with their families and communities upon leaving hospital.
The fact is some Muslim HIV and AIDS patients who are so ostracised are given a lifeline by the charitable works run by the Christian churches. This of course doesn’t reflect well on Malaysia’s Islamic religious authorities who are supposed to be looking out for the welfare of all Muslims with their hundreds of millions of ringgit of resources.
In Islam, it’s considered a very sad, pitiful thing for a Muslim to die cut off or isolated from his or her fellow believers. I’m sure this is the case with any other faith. So whenever churches engage in charitable work that involves Muslims, their kindness is viewed with suspicion.
Interestingly enough, the church involved in this episode was conscious of this fact, and so worked with the Muslims to repatriate any Muslim HIV patient they had back to the care of their community. Unfortunately, some of their friends and family refused to have anything to do with them, and so there was no other option but for them to remain under the care of the church.
From an Islamic perspective, the blame for a Muslim dying outside the faith community should rest not only on the individual but on his or her community who did not come to their aid during their hour of need as well. Muslims have duties that are obligatory for them individually (fardu ain) and duties that are obligatory for them collectively (fardu kifayyah). This is clearly the latter, where if no one in society takes up this duty the entire society is to be blamed.
Yes, these people may have intentionally cut themselves off from their kith and kin. Yes, some of them might have been involved in drugs or illicit sex (although it’s a conveniently ignored fact that many HIV infections in Malaysia are from partners, parents or through blood transfusions). But that does not mean that they deserve to not be treated with dignity, as human beings or to die outside Islam.
Islam’s emphasis is always on the mercy of God. Whatever someone’s past may be, his or her salvation ultimately lies in repentance and through God’s mercy and forgiveness.
By starting their own shelter, the group of Muslims from Subang Jaya fulfilled their fardu kifayyah and deserve credit for this.
When I visited the shelter to present a small donation to them, I was amazed at the good work they had done. They had converted a terrace house into a discreet shelter that can accommodate about 12-15 patients at one time. They were probably flouting planning laws as the shelter was in a residential area. Furthermore, running such a place isn’t cheap and they had to sustain their efforts through massive, constant fundraising efforts. But at least they were doing something.
During my visit, I realised that the shelter was teeming with other visitors. There were not only officers from the Prison Department and hospital (many of the shelter’s inmates are handed over from prisons and hospitals) but also the church leader mentioned above, who was transferring his Muslims charges to the shelter.
Compared to those who write sensational articles about conspiracies against Islam or complain about why Christians are engaged in charitable works among Muslims, these were exemplary Muslims who chose the path of action instead of just empty talk.
I asked them if they had approached the religious authorities to get funding. They told me they had, but were informed that the religious authorities had their own plans instead and so did not receive a single sen. One wonders why this noble project was not given support from the get-go, especially since the “official” HIV shelter was still in the “planning stage”?
I therefore share the view that we should be questioning how the zakat money is being spent in Malaysia. In spite of the hundreds of millions of ringgit collected for zakat and similar levels of state government grants for Islam, many deserving Muslims are unable to get assistance due to outdated policies and bureaucratic inertia. With the huge resources at our disposal, this is simply wrong.
The zakat money can certainly be better managed. For instance, I was privately shocked at being given a souvenir after attending an event to present zakat to the poor! Although one must assume in good faith that the money for the gift wasn’t taken out of the zakat, it was still sending the wrong message. VIPs are given too many “souvenirs” that we don’t really need — it’s a nice gesture but at the end of the day the money could have been put to better use.
This reminds me of a story involving my great-grandfather, Haji Wan Musa Abdul Samad, who was the mufti of Kelantan from 1908 to 1916. When the Sultan and the authorities wanted to build a concrete version of Masjid Muhammadi (Kelantan’s state mosque) to replace the previous wooden structure, he resigned in protest as he believed that the zakat fitrah (which is paid by Muslims at the end of Ramadan) — which they wanted to use to fund the new mosque — must be only given to the poor and not used for development.
My point is that the Umno-owned newspapers are missing the point by trying to pin the blame on the Christians (for engaging in charitable works among Muslims) and poor Muslims (for being recipients of the charity). Malaysian Muslims should rather be asking why some of our fellow ummah are falling through the cracks despite the many resources at our disposal to help them.
Recently, a constituent of mine told me the story of the blind Jewish beggar. At the market, the beggar would curse Prophet Muhammad s.a.w. as a lunatic or a sorcerer. When the Prophet learned about this, he decided not to get angry but instead would visit the beggar every day to feed him without saying a word. The beggar would eat contentedly without realising that it was the same person he was cursing every day who was feeding him.
When the Prophet passed away, Caliph Abu Bakar as-Siddiq took over the responsibility. But when Abu Bakar first fed the beggar, the beggar became angry and shouted that this was not the same man who used to feed him all this while.
Abu Bakar immediately cried and revealed to the beggar that the person who has been feeding him all this while was the Prophet himself. The beggar could not believe it, remembering how cruel he was to the man who showed him only kindness.
Is our response reflective of the Prophet’s exemplary personality?
We should be concentrating on helping poor Muslims (and non-Muslims), rather than intimidating religious or ethnic minorities.
* The views expressed here are the personal opinion of the columnist.