Dr Nurul Yaqeen

Dr Nurul Yaqeen Dr Nurul Yaqeen is a lung specialist doctor, with accredited skills & training to help people breathe

✨ SLEEP 2026 | Malaysian Multidisciplinary Sleep Congress (MMSC) ✨🗓 9–11 July 2026📍 NEXUS, Bangsar, Kuala Lumpur“Redefin...
28/04/2026

✨ SLEEP 2026 | Malaysian Multidisciplinary Sleep Congress (MMSC) ✨

🗓 9–11 July 2026
📍 NEXUS, Bangsar, Kuala Lumpur

“Redefining Sleep Health in this Obesity Era”

Sleep is no longer a niche — it’s a critical frontier in modern medicine.
From OSA & obesity to cardiometabolic risks, your role as a clinician has never been more impactful.

👩‍⚕️👨‍⚕️ Who should attend?
✔ Medical Specialists
✔ Pulmonologists
✔ ENT Surgeons
✔ Dentists (Dental Sleep Medicine)
✔ Neurologists
✔ Psychiatrists
✔ Sleep Physicians
✔ General practitioners
✔ Junior Doctors with interest in Sleep Medicine

🔥 Why you shouldn’t miss this:
• Learn from renowned international & regional experts
• Multidisciplinary insights across respiratory, ENT & dental sleep medicine
• Practical updates you can apply immediately in your practice
• Network with like-minded clinicians shaping the future of sleep health

🎓 Pre-Congress Workshops (9 July | Limited Seats):
• WSS Examination Preparatory Crash Course
• Oro-Facial Myofunctional Therapy (OMT)
👉 Includes CPD points (MMA & BRPT)

💡 Early Bird Rates available NOW — secure your spot before seats run out!

🚨 Sleep disorders are rising.
Be the doctor who leads the change — not the one catching up.

“Dr… saya rasa ini cuma batuk biasa je…”Suara Puan Yoon perlahan. Tenang. Seperti seorang guru yang sudah biasa mengawal...
23/04/2026

“Dr… saya rasa ini cuma batuk biasa je…”

Suara Puan Yoon perlahan. Tenang. Seperti seorang guru yang sudah biasa mengawal emosi di hadapan orang lain.

Saya senyum kecil.

“Batuk dah berapa lama, puan?”

“Sejak… Disember. Tapi tak selalu. Ada hari batuk, lepas tu hilang. Jadi saya tak fikir serius…”

Dia ketawa kecil, cuba meringankan suasana.

“Tapi sekarang dah April…” saya balas perlahan.

Dia diam.



Saya meneliti sejarahnya.

Non-smoker. Tiada penyakit kronik.

Namun satu perkara menarik perhatian saya.

“Puan… ada sejarah kanser dalam keluarga?”

Dia angguk perlahan.

“Ayah saya… meninggal sebab kanser pankreas. Umur 70…”

Saya terdiam seketika.

Dalam hati saya sudah mula menyusun kemungkinan.

Faktor genetik.

Kadang-kadang… walaupun kita jaga kesihatan, ada sesuatu yang kita tak nampak—yang diwarisi dalam diam.



“Puan ada kahak berdarah?”

Dia teragak-agak.

“Ada… dua kali. Tapi sikit je…”

“Berat badan?”

“Turun… dari 50 ke 47…”



Saya pandang wajahnya lama.

Simptom-simptom kecil ini… bila digabungkan, ia mula membentuk satu gambaran yang saya tak s**a.



“Puan ada buat X-ray?”

Dia hulurkan file.

Saya buka.

Dan saat itu—

Left perihilar spiculated mass. 3.2 cm.

Saya tarik nafas dalam.



“Puan… kita perlu buat CT scan.”

Dia hanya mengangguk.

“Baik, Dr…”



Beberapa jam kemudian.

Saya duduk di depan skrin.

Satu per satu imej keluar.

Paru-paru kiri—jelas kelihatan ketumbuhan.

Kemudian…

Hati.

Tulang.

Kelenjar.

Dan akhirnya—

Otak.



Saya sandarkan badan.

Sunyi.

Berita ini… bukan mudah untuk disampaikan.



Dia datang semula ke klinik untuk berbincang hasil scan.

“Dr, result dah ada?”

Saya minta dia duduk.

“Puan Yoon… saya akan terangkan perlahan-lahan…”

Dia mengangguk.



“Dalam paru-paru puan… ada ketumbuhan.”

Dia masih tenang.

“Tapi Dr… saya tak merokok…”

“Ya. Kanser paru-paru boleh berlaku walaupun tidak merokok… dan kadang-kadang ada kaitan dengan faktor genetik… seperti sejarah kanser dalam keluarga.”

Dia tunduk perlahan.



Saya sambung.

“Dan… dari scan… kita nampak ia sudah merebak ke beberapa bahagian lain…”

“Merebak…?”

“Otak, hati, tulang, dan kelenjar…”



Air mata mula mengalir.

“Dr… saya cuma batuk je…”



Beberapa minit berlalu dalam sunyi.

Kemudian dia bersuara semula.

Kali ini… nadanya berbeza.

Lebih dalam. Lebih berat.



“Dr…”

“Saya tak mahu rawatan agresif.”

Saya terdiam.

Dia sambung.

“Anak-anak saya semua dah besar…”

Air matanya jatuh satu persatu.

“Saya dah lihat ayah saya… terseksa dengan kemoterapi masa dia lawan kanser pankreas…”

Dia genggam tangannya kuat.

“Saya tak nak lalui benda yang sama…”



Dalam detik itu…

Saya bukan hanya seorang doktor.

Saya adalah saksi kepada trauma seorang anak… yang kini berhadapan nasib yang hampir sama.



Saya jawab perlahan.

“Puan… rawatan sekarang berbeza dengan dulu. Kita ada pilihan—bukan semua perlu kemoterapi. Ada rawatan yang lebih targeted, lebih ringan kesannya…”

Dia diam.

Mendengar.

Tetapi saya tahu… hatinya masih bergelut.



“Dr…” dia bersuara lagi.

“Kalau saya nak lawat anak saya… dia belajar di US sekarang…”

Soalan itu menusuk hati saya.

Antara harapan… dan realiti.



Saya tarik nafas perlahan.

“Puan… mungkin sesuai nanti…”

Dia pandang saya.

“…setelah kita berjaya stabilkan keadaan puan dulu.”

Dia mengangguk perlahan.

Seolah-olah faham… masa bukan lagi sesuatu yang panjang untuk dirancang.



Rawatan dimulakan.

Namun perjalanan tidak mudah.

Satu hari—

Saya dipanggil ke wad.

Sakit kepala yang teruk.

Tekanan dalam otak meningkat.

Saya masuk ke bilik.

Dia baring lemah.



“Dr…”

“Saya penat…”



Dia pegang tangan saya.

“Saya selalu pesan pada murid saya… jangan tangguh perkara penting…”

Air matanya mengalir.

“Tapi saya sendiri… tangguh jumpa doktor…”



Saya diam.



“Kalau saya datang awal…”

Dia berhenti.

“…mungkin lain kan, Dr?”



Saya jawab perlahan.

“Mungkin… kita ada lebih banyak masa.”



Malam itu, saya duduk lama.

Fikir tentang satu perkara—

Seorang guru.
Seorang anak.
Seorang ibu.

Yang hanya bermula dengan…

batuk biasa.



Pengajaran:

* Batuk berpanjangan bukan sesuatu yang remeh
* Sejarah keluarga kanser boleh meningkatkan risiko (faktor genetik)
* Tidak merokok bukan bermakna tiada risiko
* Rawatan kanser hari ini lebih pelbagai—bukan hanya kemoterapi
* Setiap pesakit ada hak untuk memilih rawatan mereka
* Dan yang paling penting—jangan tangguh untuk dapatkan pemeriksaan



Jika anda mengalami:

* Batuk lebih 2–3 minggu
* Kahak berdarah
* Berat badan turun tanpa sebab

Jangan tunggu sehingga terlambat.




——————-
“Doctor… I think this is just a normal cough…”

Puan Yoon’s voice was soft. Calm. Like a teacher who had long learned how to keep her emotions in control.

I gave a small reassuring smile.

“How long have you been coughing?”

“Since… December. But not all the time. Some days I cough, then it goes away. So I didn’t think it was serious…”

She let out a light laugh, trying to ease the moment.

“But now it’s April…” I replied gently.

She fell silent.



I reviewed her history.

Non-smoker. No chronic illnesses.

But one detail caught my attention.

“Do you have any family history of cancer?”

She nodded slowly.

“My father… passed away from pancreatic cancer. He was 70…”

I paused.

In my mind, possibilities began to form.

Genetic risk.

Sometimes… even when we take care of our health, there are things we cannot see—things we inherit silently.



“Any blood in your phlegm?”

She hesitated.

“Yes… twice. But very little…”

“Your weight?”

“It dropped… from 50 to 47…”



I looked at her closely.

These small symptoms… when put together, began to paint a picture I didn’t like.



“Have you done a chest X-ray?”

She handed me the file.

I opened it.

And in that moment—

Left perihilar spiculated mass. 3.2 cm.

I took a slow breath.



“We need to do a CT scan,” I said gently.

She nodded.

“Okay, Doctor…”



A few days later.

I sat in front of the screen.

The images appeared one by one.

Left lung—a clear mass.

Then…

Liver.

Bones.

Lymph nodes.

And finally—

The brain.



I leaned back.

Silence.

This… was not easy news to deliver.



The day she returned—

“Doctor, are the results ready?”

I asked her to sit.

“Puan Yoon… I’ll explain this slowly…”

She nodded.



“There is a growth in your lung.”

She remained calm.

“But Doctor… I don’t smoke…”

“Yes. Lung cancer can occur even in non-smokers… and sometimes it is linked to genetic factors… like a family history of cancer.”

She lowered her gaze.



I continued.

“And from the scan… we can see that it has spread to several other areas…”

“Spread…?”

“To the brain, liver, bones, and lymph nodes…”



Tears began to fall.

“Doctor… I only had a cough…”



Minutes passed in silence.

Then she spoke again.

This time… her voice was different.

Deeper. Heavier.



“Doctor…”

“I don’t want aggressive treatment.”

I paused.

She continued.

“My children are all grown up…”

Her tears fell, one by one.

“I saw my father… suffer through chemotherapy when he was treated for pancreatic cancer…”

She clenched her hands.

“I don’t want to go through the same thing…”



In that moment…

I was not just a doctor.

I was witnessing the trauma of a daughter… now facing a similar fate.



I spoke gently.

“Treatment today is different. Not all options involve chemotherapy. We have targeted therapies, immunotherapy—some are much more tolerable…”

She stayed silent.

Listening.

But I knew… her heart was still struggling.



“Doctor…” she asked again.

“If I want to visit my child… he’s studying in the US now…”

That question pierced deeply.

Between hope… and reality.



I took a slow breath.

“It may be possible…”

She looked at me.

“…after we manage to stabilize your condition first.”

She nodded slowly.

As if she understood… that time was no longer something she could plan freely.



Treatment was started.

But the journey was not easy.

One day—

I was called to the ward.

Severe headache.

Increased pressure in the brain.

I entered her room.

She lay there, weak.



“Doctor…”

“I’m tired…”



She held my hand.

“I always tell my students… don’t delay important things…”

Tears streamed down her face.

“But I delayed seeing a doctor…”



I stayed silent.



“If I had come earlier…”

She paused.

“…would things be different?”



I answered softly.

“Perhaps… we would have had more time.”



That night, I sat alone for a long time.

Thinking about one thing—

A teacher.
A daughter.
A mother.

All beginning with…

a simple cough.



Lessons:

* A persistent cough is not something to ignore
* Family history of cancer may increase risk (genetic factors)
* Not smoking does not mean zero risk
* Cancer treatment today is not limited to chemotherapy
* Every patient has the right to choose their treatment
* Most importantly—don’t delay seeking medical attention



If you or your loved ones have:

* A cough lasting more than 2–3 weeks
* Blood in phlegm
* Unexplained weight loss

Please don’t wait. Don’t ignore the signs.



“Dr… saya cuma berdengkur je… takkan sampai rosakkan jantung?”Itu ayat pertama yang keluar dari mulut Encik John, 70 tah...
22/04/2026

“Dr… saya cuma berdengkur je… takkan sampai rosakkan jantung?”

Itu ayat pertama yang keluar dari mulut Encik John, 70 tahun. Wajahnya tenang… tapi matanya menyimpan seribu persoalan.

Saya diam seketika. Soalan itu… nampak ringkas. Tapi jawapannya… boleh mengubah hidup seseorang.

---

Encik John bukan orang biasa.

Seorang warga Amerika yang sudah menetap di Filipina sejak 5–6 tahun lalu. Seorang yang aktif — masih bersenam, menjaga kesihatan, disiplin.

Tapi… setiap malam…

Dia berdengkur.

Bukan sehari dua.

Puluhan tahun.

---

“Dr, saya dah pakai mesin CPAP ni… tapi kenapa masih tak cukup?”
Dia hulurkan telefonnya.

Saya lihat bacaan mesin.

AHI 12.2.
Tekanan 16 cmH₂O.
Penggunaan 29 daripada 30 hari.

Compliance? Sangat baik.

Tapi masalahnya…

Masih belum terkawal.

---

“Encik John… bila bangun pagi, rasa segar tak?”

Dia geleng.

“Tak, Dr. Saya bangun macam… tak tidur langsung.”

---

Saya tarik kerusi, duduk berhadapan dengannya.

“Encik John… saya nak tanya satu soalan jujur.”

Dia angguk.

“Berapa lama Encik alami masalah tidur ni?”

Dia tarik nafas panjang.

“Sejak… mungkin 2017. Tapi berdengkur… sejak muda lagi.”

---

Dan di situlah… cerita sebenar bermula.

---

Tahun 2008.
Seorang doktor keluarga pernah beritahu…

“Awak tak ada sleep apnea.”

Tahun 2012… perkara sama diulang.

Dua kali peluang… terlepas.

---

“Dr… saya mula ada jantung berdebar-debar… 3-4 kali setahun.”

Atrial fibrillation.

Irama jantung jadi tidak menentu.

Dia terbang ke Seattle, Washington.

“Doktor di sana buat prosedur… cath ablation.”

Saya angguk perlahan.

Rawatan itu bukan kecil.

Itu… tanda penyakit sudah melangkah jauh.

---

Saya pandang tepat ke matanya.

“Encik John… pernah tak ada doktor beritahu… berdengkur ini mungkin puncanya?”

Dia diam.

Perlahan… dia menggeleng.

---

Di dalam hati saya…

Ada rasa sebak yang s**ar digambarkan.

---

“Encik John…”

Saya tunduk sedikit, nada suara diperlahankan.

“Sleep apnea… bukan sekadar berdengkur.”

“Sewaktu Encik tidur… saluran pernafasan tertutup berulang kali.”

“Setiap kali itu berlaku… oksigen jatuh.”

“Jantung Encik… dipaksa bekerja lebih kuat… berpuluh, beratus kali setiap malam.”

---

Dia terdiam.

Matanya mula berkaca.

---

“Dr… maksud Dr… selama ni… jantung saya… ‘diserang’ setiap malam?”

Saya angguk perlahan.

“Ya, Encik John.”

---

Sunyi.

Bilik itu tiba-tiba terasa sempit.

---

“Kalau saya tahu dari dulu…”
Suara dia mula bergetar.

“…mungkin saya tak perlu lalui semua ini.”

---

Saya genggam pen… cuba menahan emosi.

Sebagai doktor… ini bukan kali pertama saya dengar ayat itu.

Tapi… setiap kali…

Tetap terasa berat.

---

Namun kisah Encik John belum selesai.

---

“Dr… saya juga tak boleh tidur.”

Insomnia.

Walaupun pakai CPAP.

Walaupun mesin menunjukkan “OK”.

Tidur tetap… tidak berkualiti.

---

“Encik John… otak kita ada jam sendiri. Circadian rhythm.”

“Kalau jam ini terganggu… walaupun kita ‘tidur’, badan tak betul-betul berehat.”

---

Dia mengangguk perlahan.

“Patutlah… saya bangun malam… pergi tandas 1-2 kali… lepas tu susah nak tidur balik.”

---

Saya senyum kecil.

“Dan ubat tidur yang Encik ambil sejak 2017… hanya bantu sementara.”

---

Dia termenung.

---

“Dr… saya takut.”

Itu ayat paling jujur hari itu.

---

“Saya dah jaga kesihatan… saya tak merokok… saya bersenam…”

“…tapi kenapa jadi macam ni?”

---

Saya pandang dia lama.

Kemudian saya jawab perlahan.

“Encik John… kadang-kadang… bukan apa yang kita nampak… yang membahayakan kita.”

“Tapi… apa yang berlaku ketika kita tidur.”

---

Air matanya jatuh.

---

Saya tarik kerusi sedikit dekat.

“Encik John… berita baiknya…”

Dia terus angkat muka.

---

“Kita masih ada masa.”

---

Kami berbincang panjang.

Laraskan semula CPAP.
Perhalusi rawatan insomnia.
Betulkan ritma tidur.
Pantau jantung dengan lebih rapi.

---

Sebelum dia bangun…

Dia melihat kepada saya.

“Dr… terima kasih… sebab akhirnya… ada orang jelaskan semuanya.”

---

Saya senyum.

“Tugas saya bukan sekadar merawat, Encik John…”

“…tapi memastikan pesakit faham… apa yang sedang berlaku pada tubuh mereka.”

---

Dia melangkah keluar dari bilik.

Perlahan.

Namun kali ini…

Langkahnya lebih yakin.

---

Dan saya duduk sendirian.

Berfikir.

Berapa ramai lagi…

Yang masih menganggap berdengkur itu perkara biasa?

---

Pengajaran dari kisah ini:

1. Berdengkur bukan perkara remeh.
Ia mungkin tanda Obstructive Sleep Apnea (OSA) — yang boleh menjejaskan jantung.

2. OSA boleh menyebabkan masalah serius seperti Atrial Fibrillation, darah tinggi, dan penyakit jantung.

3. Rawatan CPAP perlu dipantau dan dioptimumkan.
Pakai sahaja tidak cukup — bacaan dan simptom perlu seiring.

4. Insomnia dan gangguan ritma tidur boleh wujud serentak dengan OSA.
Rawatan perlu menyeluruh, bukan satu aspek sahaja.

5. Diagnosis awal boleh mencegah komplikasi besar.

---

Jika anda atau orang tersayang:

✅ Berdengkur kuat
✅ Mudah letih walaupun tidur lama
✅ Ada darah tinggi atau masalah jantung
✅ Sering terjaga malam

Jangan tunggu sehingga terlambat.

---

📅 Klik link untuk temujanji:
https://encoremed.io/smcv /154

---


———-

“Doctor… I just snore… it can’t possibly damage my heart, right?”

That was the first thing Mr. John, 70 years old, said to me. His face looked calm… but his eyes carried a thousand unspoken questions.

I paused for a moment.

The question sounded simple.
But the answer… could change a life.



Mr. John was no ordinary patient.

An American who had been living in the Philippines for the past 5–6 years. Active. Disciplined. He exercised regularly and took care of his health.

But every night…

He snored.

Not for days.
Not for years.

For decades.



“Doctor, I’ve been using this CPAP machine… but why is it still not enough?”

He handed me his phone.

I looked at the data.

AHI 12.2.
Pressure 16 cmH₂O.
Usage: 29 out of 30 days.

Compliance? Excellent.

But the problem was…

It still wasn’t controlled.



“Mr. John… when you wake up in the morning, do you feel refreshed?”

He shook his head.

“No, Doctor… I wake up feeling like I didn’t sleep at all.”



I pulled my chair closer.

“Mr. John… I need to ask you something honestly.”

He nodded.

“How long have you had this sleep problem?”

He took a deep breath.

“Since… maybe 2017. But the snoring… since I was young.”



And that’s where… the real story began.



In 2008,
a family doctor told him:

“You don’t have sleep apnea.”

In 2012… the same thing.

Two missed opportunities.



“Doctor… I started having palpitations… about 3–4 times a year.”

Atrial fibrillation.

An irregular, chaotic heartbeat.

He flew to Seattle, Washington.

“The doctors there performed a catheter ablation.”

I nodded slowly.

That wasn’t a minor step.

That meant… the disease had already progressed.



I looked straight into his eyes.

“Mr. John… did anyone ever tell you… your snoring might be the cause?”

He went silent.

Slowly… he shook his head.



Inside me…

A quiet heaviness settled.



“Mr. John…”

I softened my voice.

“Sleep apnea… is not just snoring.”

“While you sleep… your airway collapses repeatedly.”

“Each time that happens… your oxygen drops.”

“Your heart is forced to work harder… dozens, even hundreds of times every night.”



He froze.

His eyes welled up.



“Doctor… do you mean… all this time… my heart has been ‘under attack’ every night?”

I nodded gently.

“Yes, Mr. John.”



Silence.

The room suddenly felt smaller.



“If I had known earlier…”
His voice trembled.

“…maybe I wouldn’t have gone through all this.”



I held my pen tightly… trying to steady myself.

As a doctor, I’ve heard that sentence before.

But every time…

It still feels heavy.



But Mr. John’s story didn’t end there.



“Doctor… I also can’t sleep.”

Insomnia.

Despite using CPAP.
Despite “okay” machine readings.

His sleep remained… unrefreshing.



“Mr. John… our brain has its own clock — the circadian rhythm.”

“When that rhythm is disrupted… even if you ‘sleep’, your body doesn’t truly rest.”



He nodded slowly.

“That explains why I wake up at night… go to the bathroom 1–2 times… and then struggle to fall back asleep.”



I smiled gently.

“And the sleeping pills you’ve been taking since 2017… only help temporarily.”



He stared into the distance.



“Doctor… I’m scared.”

That was the most honest sentence that day.



“I’ve taken care of my health… I don’t smoke… I exercise…”

“…so why did this happen to me?”



I looked at him for a long moment.

Then I answered softly.

“Mr. John… sometimes… it’s not what we see that harms us.”

“But what happens… while we are asleep.”



A tear rolled down his cheek.



I moved my chair closer.

“Mr. John… the good news is…”

He looked up immediately.



“We still have time.”



We discussed everything in detail.

Optimizing his CPAP settings.
Addressing his insomnia properly.
Resetting his sleep rhythm.
Monitoring his heart more closely.



Before he left…

He looked at me.

“Doctor… thank you… for finally explaining everything.”



I smiled.

“My job is not just to treat, Mr. John…”

“…but to help my patients understand what is happening in their bodies.”



He walked out of the room.

Slowly.

But this time…

With more certainty in his steps.



And I sat there alone.

Thinking.

How many more people…

Still believe that snoring is harmless?



Lessons from this story:

1. Snoring is not trivial.
It may be a sign of Obstructive Sleep Apnea (OSA) — a condition that can affect the heart.
2. OSA can lead to serious complications such as atrial fibrillation, hypertension, and heart disease.
3. CPAP treatment must be optimized.
Using it is not enough — the data and symptoms must align.
4. Insomnia and circadian rhythm disorders can coexist with OSA.
Treatment must be comprehensive.
5. Early diagnosis can prevent major complications.



If you or your loved ones have:

✅ Loud snoring
✅ Persistent fatigue despite long sleep
✅ High blood pressure or heart problems
✅ Frequent awakenings at night

Don’t wait until it’s too late.



📅 Click here for an appointment:
https://encoremed.io/smcv /154



“Dr, bila saya boleh sembuh?”Soalan itu keluar perlahan… hampir berbisik.Namun cukup kuat untuk membuat saya terdiam sek...
09/04/2026

“Dr, bila saya boleh sembuh?”

Soalan itu keluar perlahan… hampir berbisik.
Namun cukup kuat untuk membuat saya terdiam seketika.

Saya memandang wajah seorang remaja lelaki di hadapan saya.
Kurus, pucat… dan matanya penuh keletihan yang tidak sepatutnya ada pada usia 13 tahun.

Namanya Adam.



“Adam dah berapa kali masuk wad tahun ni?” saya bertanya lembut.

Ibunya menarik nafas panjang.

“Dr… hampir setiap minggu…”
Suara itu bergetar.

Adam hanya tunduk.



Kisah Adam bermula sejak dia masuk sekolah asrama.

Pada mulanya, semuanya nampak baik.

“Mak nak Adam jadi kuat… berdikari…” kata ibunya, sambil mengusap bahu Adam.

Namun, beberapa minggu kemudian…

“Mak… Adam susah nak nafas malam tadi…”

Satu serangan.
Kemudian satu lagi.

Dan akhirnya… hampir setiap malam.



Di wad, saya melihat Adam buat pertama kali.

Bunyi wheezing kuat setiap kali dia menarik nafas.
Dadanya turun naik laju.
Muka cemas… seperti sedang “berperang” untuk setiap hela nafas.

“Cepat, start neb sekarang,” saya arahkan jururawat.

Mesin neb mula berbunyi…
Asap halus keluar perlahan… masuk ke paru-parunya yang sempit.

Saya berdiri di hujung katil.

Sebagai doktor paru-paru… ini bukan kali pertama saya lihat keadaan begini.
Tapi setiap kali… rasa itu tetap sama.

Cemas. Berat. Dan penuh tanggungjawab.



“Dr… kenapa jadi macam ni?” tanya ayah Adam.

Saya duduk di sebelah mereka.

“Adam ada asthma yang agak teruk… dan ada trigger yang kuat di sekeliling dia.”

“Trigger?”

Saya mengangguk.

“Kawasan sekolah berhabuk… debu… mungkin juga faktor lain di rumah.”

Ibunya terdiam seketika.
Kemudian perlahan berkata…

“Bapak saya… selalu merokok dalam rumah…”

Saya pandang mereka.
Tidak menyalahkan.
Tapi mereka faham.



Hari demi hari, keadaan Adam tidak banyak berubah.

Neb setiap hari.
Masuk wad hampir setiap minggu.

Akhirnya…

“Mak… Adam tak larat…”
“Adam nak balik…”

Dan keputusan yang paling berat terpaksa dibuat.

Adam berhenti sekolah asrama.



Namun… cabaran belum berakhir.

Rawatan steroid tablet terpaksa diberikan.

Pada awalnya, serangan berkurang sedikit.
Tetapi…

“Dr…” Adam tunduk.
“Saya tak s**a muka saya sekarang…”

Saya melihat wajahnya.

Jerawat mula memenuhi p**i.
Badannya mula berisi.

Seorang remaja… yang sedang membesar…
yang mula sedar tentang penampilan diri…

itu bukan perkara kecil.



“Orang ejek saya gemuk…” katanya perlahan.

Ibunya terus memegang tangannya.

Saya menarik nafas dalam.

Sebagai doktor… kita rawat paru-paru.
Tapi sebagai manusia… kita juga perlu faham hati.



Saya berbincang dengan ibu bapanya.

“Kita ada satu pilihan lain… rawatan injection biologics.”

“Selamat ke, Dr?”

“Sesuai untuk kes Adam… tapi perlu komitmen. Setiap bulan… sekurang-kurangnya 6-9 bulan.”

Mereka berpandangan.

Kemudian ayahnya berkata…

“Kalau itu peluang untuk Adam… kami buat, Dr.”



Bulan pertama.

Adam datang dengan wajah yang masih sama… letih.

Bulan kedua.

“Dr… saya rasa… kurang sikit sesak…”

Bulan ketiga.

Adam masuk bilik saya dengan langkah yang berbeza.

Lebih ringan.
Lebih yakin.



“Dr!” dia tersenyum.

Saya hampir tak kenal budak yang sama.

“Dah lama tak masuk wad kan?” saya bertanya.

Dia menggeleng laju.

“Dah lama, Dr… dah boleh main bola sikit-sikit…”

Ibunya di sebelah… mengesat air mata.



Perlahan-lahan… steroid dihentikan.

Jerawat mula berkurang.
Berat badan kembali stabil.

Dan yang paling penting…

Adam mula dapat semula hidupnya.



Sebelum dia keluar dari bilik, dia berpaling.

“Dr…”

Saya memandangnya.

“Sekarang… saya dah sembuh ke?”

Saya tersenyum.

“Adam… asthma ni kita tak panggil ‘sembuh’ sepenuhnya…”

Wajahnya sedikit berubah.

Saya sambung perlahan…

“Tapi… kita boleh kawal. Sampai Adam boleh hidup macam orang lain. Aktif. Sihat. Bahagia.”

Dia terdiam.

Kemudian… tersenyum.

“Okay, Dr… saya nak jadi kuat.”



Hari itu… selepas Adam keluar…

Saya duduk seketika.

Terfikir…

Perjalanan menjadi doktor paru-paru bukan sekadar merawat penyakit.

Ia tentang…

Melihat seorang anak hampir putus harapan…
Kemudian bangkit semula.

Melihat ibu bapa yang hampir putus asa…
Kemudian kembali tersenyum.

Dan setiap kali pesakit bertanya…

“Dr, bila saya boleh sembuh?”

Kadang-kadang… jawapannya bukan sekadar tentang ubat.

Tapi tentang harapan.
Tentang usaha.
Tentang perjalanan… yang kita tempuhi bersama.



Pengajaran Cerita
1. Asthma bukan sekadar penyakit — ia boleh mengubah kehidupan seorang anak jika tidak dikawal dengan baik.
2. Kenal pasti trigger adalah kunci penting dalam rawatan (debu, asap rokok, persekitaran).
3. Rawatan moden seperti biologics boleh mengubah hidup pesakit yang asthma teruk.
4. Kesan sampingan ubat bukan sekadar fizikal — ia juga memberi kesan emosi, terutama pada remaja.
5. Sebagai ibu bapa, sokongan emosi adalah sama penting dengan rawatan perubatan.
6. Sebagai doktor, kita bukan hanya merawat paru-paru… tetapi juga jiwa pesakit.



Jika anda atau anak anda mengalami masalah batuk berpanjangan, sesak nafas, atau asthma yang tidak terkawal, jangan tunggu sehingga keadaan menjadi teruk.

👉 Click link for clinic appt :
https://encoremed.io/smcv /154





————————

“Doctor… when will I be cured?”

The question came out softly… almost a whisper.
But it was strong enough to make me pause.

I looked at the young boy sitting in front of me.
Thin, pale… with eyes carrying a kind of exhaustion no 13-year-old should have.

His name was Adam.



“Adam, how many times have you been admitted this year?” I asked gently.

His mother took a deep breath.

“Doctor… almost every week…”
Her voice trembled.

Adam kept his head down.



Adam’s story began when he entered boarding school.

At first, everything seemed fine.

“I want Adam to be strong… independent…” his mother said, gently rubbing his shoulder.

But a few weeks later…

“Mom… I couldn’t breathe well last night…”

One attack.
Then another.

And eventually… almost every night.



In the ward, I saw Adam for the first time.

Loud wheezing every time he inhaled.
His chest rising and falling rapidly.
A look of fear… as if he was “fighting” for every breath.

“Start nebulization now,” I instructed the nurse.

The nebulizer machine began to hum…
A fine mist slowly entered his struggling lungs.

I stood at the end of the bed.

As a respiratory physician… this wasn’t my first case like this.
But every time… the feeling is the same.

Anxiety. Weight. Responsibility.



“Doctor… why is this happening?” Adam’s father asked.

I sat beside them.

“Adam has quite severe asthma… and there are strong triggers around him.”

“Triggers?”

I nodded.

“The school environment… dust… possibly other factors at home.”

His mother fell silent for a moment.
Then slowly said…

“My father… smokes inside the house…”

I looked at them.
Without blaming.
But they understood.



Day by day, Adam’s condition didn’t improve much.

Daily nebulizers.
Weekly hospital admissions.

Finally…

“Mom… I’m tired…”
“I want to go home…”

And the hardest decision had to be made.

Adam left his boarding school.



But the challenges didn’t end there.

He had to start oral steroid treatment.

At first, his attacks reduced slightly.
But then…

“Doctor…” Adam lowered his gaze.
“I don’t like how I look now…”

I looked at his face.

Acne had started covering his cheeks.
His body was becoming heavier.

A teenager… growing up…
becoming aware of his appearance…

This was not something small.



“People make fun of me… say I’m fat…” he said softly.

His mother immediately held his hand.

I took a deep breath.

As doctors… we treat lungs.
But as humans… we must understand the heart.



I discussed with his parents.

“We have another option… biologic injection therapy.”

“Is it safe, Doctor?”

“It’s suitable for Adam’s case… but it requires commitment. Once a month… for at least 6-9 months.”

They looked at each other.

Then his father said…

“If that’s a chance for Adam… we’ll do it, Doctor.”



First month.

Adam came in looking the same… tired.

Second month.

“Doctor… I feel… a bit less breathless…”

Third month.

Adam walked into my room… differently.

Lighter.
More confident.



“Doctor!” he smiled.

I almost didn’t recognize him.

“Long time no admission, right?” I asked.

He shook his head quickly.

“No more, Doctor… I can even play football a little…”

His mother beside him… quietly wiped her tears.



Slowly… the steroids were stopped.

His acne began to fade.
His weight stabilized.

And most importantly…

Adam started to get his life back.



Before leaving the room, he turned back.

“Doctor…”

I looked at him.

“Now… am I cured?”

I smiled.

“Adam… asthma isn’t something we call ‘completely cured’…”

His expression changed slightly.

I continued gently…

“But… we can control it. Until you can live like everyone else. Active. Healthy. Happy.”

He paused.

Then… smiled.

“Okay, Doctor… I want to be strong.”



That day… after Adam left…

I sat quietly for a while.

Thinking…

The journey of becoming a respiratory physician is not just about treating disease.

It is about…

Seeing a child almost lose hope…
Then rise again.

Seeing parents almost give up…
Then smile again.

And every time a patient asks…

“Doctor, when will I be cured?”

Sometimes… the answer is not just about medication.

It is about hope.
Effort.
And the journey… we walk together.



Lessons from the Story
1. Asthma is not just a disease — it can deeply affect a child’s life if not well controlled.
2. Identifying triggers is crucial (dust, smoke, environment).
3. Modern treatments like biologics can be life-changing for severe asthma patients.
4. Medication side effects are not just physical — they impact emotional well-being, especially in teenagers.
5. Parental emotional support is just as important as medical treatment.
6. As doctors, we don’t just treat lungs… we also care for the patient’s soul.



If you or your child are experiencing chronic cough, breathlessness, or uncontrolled asthma, don’t wait until it becomes severe.

👉 Click link for clinic appointment:
https://encoremed.io/smcv /154



Address

2B-12, Level 2, Sunway Medical Center Velocity
Bagan Lalang
55100

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00
Saturday 09:00 - 13:00

Telephone

+60397729191

Website

https://www.sunwaymedical.com/velocity

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