What are the 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

Dr Nurul Yaqeen, 2B-12, Level 2, Sunway Medical Center Velocity, Bagan Lalang (2026)

27/01/2026

“Dr, kenapa bila saya susah nafas… tangan dan kaki saya jadi kebas?”

Pagi itu, klinik sudah mula sesak.

Bunyi batuk bersahutan di ruang menunggu. Bau sanitizer masih kuat. Saya baru menutup fail pesakit sebelumnya apabila jururawat mengetuk pintu perlahan.

“Dr… pesakit seterusnya nampak sangat cemas. Nafas laju, tangan menggigil.”

Saya angguk.
“Baik. Suruh masuk.”

Seorang wanita muda melangkah masuk perlahan. Wajahnya pucat. Matanya merah. Kedua-dua tangannya memegang jari sendiri, seolah-olah cuba menghilangkan rasa kebas.

“Doktor…” suaranya bergetar.
“Saya takut.”

Saya tarik kerusi rapat sedikit.

“Kenapa puan takut?”

Dia menarik nafas—terlalu laju.

“Bila saya susah nafas… tangan dan kaki saya jadi kebas. Kadang-kadang sampai ke muka.”
Air matanya jatuh.
“Ini tanda stroke ke, doktor?”

Namanya Puan Pei Pei, 31 tahun.
Seorang wanita muda, sihat sebelum ini.
Didiagnosis bronchitis, tetapi ketakutan yang dibawanya jauh lebih berat daripada batuk itu sendiri.

“Saya fikir ini pengakhiran hidup saya,” katanya perlahan.
“Jantung berdegup kuat. Nafas tak cukup. Jari-jari mencucuk.
Saya ingat… saya akan mati.”

Saya diam seketika.
Sebagai doktor paru-paru, saya pernah lihat banyak paru-paru yang rosak.
Tetapi takut — itulah yang paling menyeksa pesakit.

“Puan Pei Pei,” saya berkata lembut,
“pandang saya. Kita bernafas sama-sama, ya.”

Dia cuba…
Tetapi nafasnya makin laju.
Bahunya naik turun.
Tangannya makin kebas.

“Doktor… saya pening…”

Saya bangun perlahan dan mencapai sesuatu dari laci — sebuah paper bag coklat.

Dia memandang saya, terkejut.

“Doktor… nak buat apa?”

Saya duduk kembali.

“Puan, dengar betul-betul ya.
Ini paper bag, bukan plastik.
Dan ini hanya untuk keadaan tertentu.”

Saya letakkan paper bag itu di tangannya.

“Puan sekarang sedang mengalami Hyperventilation Syndrome.”

Dia terpinga-pinga.

“Hyper… apa, doktor?”

Saya terangkan dengan suara tenang.

“Bila puan panik atau rasa sesak, puan bernafas terlalu laju dan terlalu dalam.
Badan puan buang terlalu banyak karbon dioksida.”

Saya tunjuk ke tangannya.

“Itulah sebabnya tangan, kaki, bibir jadi kebas, mencucuk, kejang, dan kepala rasa ringan.”

Matanya berkaca.

“Jadi… bukan stroke?”

“Bukan,” jawab saya tegas tetapi lembut.
“Stroke biasanya sebelah badan sahaja, mulut senget, atau susah bercakap.
Apa yang puan alami menakutkan, tapi boleh dikawal dan dirawat.”

⸻

🌬️ Rawatan di Hadapan Mata

Saya ajarkan perlahan-lahan.

“Sekarang, puan buat begini.”

👉 Pegang paper bag, tutup mulut dan hidung
👉 Tarik nafas perlahan
👉 Hembus nafas perlahan
👉 Teruskan selama 10–15 minit, atau sehingga:
• kebas berkurang
• nafas jadi lebih tenang
• rasa panik reda

“Kalau puan rasa pening teruk, mengantuk melampau, atau sesak makin kuat — berhenti segera,” saya pesan.

Beberapa minit berlalu.
Nafas Puan Pei Pei mula perlahan.
Bahunya tidak lagi tegang.

Air mata menitis.

“Doktor… kebas saya… dah kurang…”

Saya tersenyum kecil.

“Bagus. Teruskan perlahan-lahan.”

Beberapa minit kemudian, dia mendongak.

“Doktor… saya rasa… hidup semula.”

Saya diam.
Dalam hati saya tahu — bukan paper bag itu yang menyelamatkannya.
Tetapi ilmu, kefahaman, dan ketenangan.

⸻

🫁 Apa yang Sebenarnya Berlaku?

Puan Pei Pei mengalami bronchitis — saluran pernafasan meradang, batuk, rasa sempit di dada.
Bila sesak datang → otak panik
Bila panik → nafas jadi laju
Bila nafas laju → hyperventilation

Dan kitaran ini berulang…
hingga pesakit percaya mereka hampir mati.

⸻

🚨 TANDA AMARAN – Bila Perlu Jumpa Doktor SEGERA

⚠️ Sesak nafas semakin teruk
⚠️ Kebas disertai lemah sebelah badan / mulut senget
⚠️ Sakit dada kuat
⚠️ Batuk berdarah
⚠️ Pengsan

⸻

Dua minggu kemudian, Puan Pei Pei datang semula.

Kali ini, dia tersenyum.

“Doktor… sekarang bila sesak datang, saya tak panik lagi.
Saya tahu… nafas saya yang salah, bukan paru-paru saya rosak.”

Saya senyum.

Itulah sebabnya saya memilih jalan ini.
Menjadi doktor paru-paru bukan sekadar memberi ubat.
Tetapi memulangkan rasa selamat kepada pesakit.

⸻

🌱 Pengajaran Cerita

🫶 Tidak semua simptom menakutkan bermaksud penyakit berbahaya
🫶 Panik boleh meniru penyakit serius
🫶 Ilmu memberi ketenangan
🫶 Rawatan bermula dengan diagnosis yang betul

Jika anda atau orang tersayang:
✔️ Selalu sesak nafas
✔️ Batuk berpanjangan
✔️ Mudah panik bila susah bernafas

Jangan meneka. Jangan pendam.
⸻

⸻
“Doctor, why do my hands and feet go numb when I feel short of breath?”

That morning, the clinic was already busy.

The sound of coughing echoed through the waiting area. The sharp scent of sanitizer lingered in the air. I had just closed the previous patient’s file when the nurse knocked gently on my door.

“Doctor… the next patient looks extremely anxious. She’s breathing fast and her hands are trembling.”

I nodded.
“Alright. Send her in.”

A young woman walked in slowly. Her face was pale. Her eyes were red. Both her hands were gripping her fingers tightly, as if trying to fight the numbness creeping in.

“Doctor…” her voice trembled.
“I’m scared.”

I pulled my chair closer.

“What are you afraid of?”

She inhaled — too fast.

“When I get short of breath… my hands and feet become numb. Sometimes even my face.”
Tears rolled down her cheeks.
“Is this a stroke, doctor?”

Her name was Puan Pei Pei, 31 years old.
A young woman who had been healthy before this.
She had been diagnosed with bronchitis, but the fear she carried was far heavier than her cough.

“I thought this was the end of my life,” she whispered.
“My heart races. I can’t get enough air. My fingers tingle.”
“I thought… I was going to die.”

I paused.

As a lung specialist, I have seen many damaged lungs.
But fear — that is what tortures patients the most.

“Puan Pei Pei,” I said gently,
“look at me. Let’s breathe together.”

She tried…
But her breathing became even faster.
Her shoulders rose and fell sharply.
Her hands grew more numb.

“Doctor… I feel dizzy…”

I stood up slowly and reached into my drawer — a brown paper bag.

She looked at me, startled.

“Doctor… what are you going to do?”

I sat back down.

“Listen carefully.
This is a paper bag, not plastic.
And this is only for certain situations.”

I placed the paper bag gently into her hands.

“You are experiencing Hyperventilation Syndrome.”

She looked confused.

“Hyper… what, doctor?”

I explained calmly.

“When you panic or feel short of breath, you start breathing too fast and too deeply.
Your body releases too much carbon dioxide.”

I pointed to her hands.

“That’s why your hands, feet, and lips feel numb, tingly, tight, and why your head feels light.”

Her eyes filled with tears.

“So… it’s not a stroke?”

“No,” I answered firmly but gently.
“A stroke usually affects one side of the body, causes facial drooping, or difficulty speaking.
What you’re experiencing is frightening, but it is manageable and treatable.”

⸻

🌬️ Treatment Right in Front of Her

I guided her step by step.

“Now, do this.”

👉 Hold the paper bag, covering your mouth and nose
👉 Breathe in slowly
👉 Breathe out slowly
👉 Continue for 10–15 minutes, or until:
• the numbness reduces
• your breathing becomes calmer
• the panic subsides

“If you feel severe dizziness, extreme drowsiness, or worsening shortness of breath — stop immediately,” I reminded her.

Minutes passed.
Her breathing slowed.
Her shoulders relaxed.

Tears fell quietly.

“Doctor… the numbness… it’s getting better…”

I smiled softly.

“Good. Keep going slowly.”

A few minutes later, she looked up.

“Doctor… I feel… alive again.”

I stayed silent.

Deep down, I knew — it wasn’t the paper bag that saved her.
It was knowledge, reassurance, and calm.

⸻

🫁 What Was Really Happening?

Puan Pei Pei had bronchitis — inflamed airways, coughing, chest tightness.
When breathlessness comes → the brain panics
When panic sets in → breathing becomes rapid
Rapid breathing → hyperventilation

And the cycle repeats…
Until patients truly believe they are dying.

⸻

🚨 WARNING SIGNS — Seek Medical Help Immediately If:

⚠️ Shortness of breath worsens
⚠️ Numbness with one-sided weakness or facial drooping
⚠️ Severe chest pain
⚠️ Coughing up blood
⚠️ Fainting

⸻

Two weeks later, Puan Pei Pei returned.

This time, she smiled.

“Doctor… when breathlessness comes now, I don’t panic anymore.
I know it’s my breathing that’s wrong, not that my lungs are failing.”

I smiled.

That is why I chose this path.
Being a lung specialist is not just about prescribing medication.
It’s about returning a sense of safety to patients.

⸻

🌱 Lessons from This Story

🫶 Not every frightening symptom means a life-threatening disease
🫶 Panic can mimic serious illness
🫶 Knowledge brings peace
🫶 Treatment begins with the right diagnosis

If you or your loved ones:
✔️ Experience frequent shortness of breath
✔️ Have a persistent cough
✔️ Panic easily when breathing becomes difficult

Don’t guess. Don’t suffer in silence.
⸻

25/01/2026

“Dr, kenapa saya batuk sampai terkencing?”

Saya masih ingat pagi itu.
Hujan renyai di luar tingkap klinik. Senarai pesakit penuh. Seperti biasa.

Pintu bilik konsultasi dibuka perlahan.

Seorang wanita muda melangkah masuk. Wajahnya nampak letih. Matanya sembab, seolah-olah baru menangis — atau sudah lama menahan tangis.

Dia duduk… dan terus tunduk.

Saya senyum, cuba tenangkan suasana.

“Assalamualaikum puan. Saya Dr Nurul. Apa yang boleh saya bantu hari ini?”

Dia tarik nafas panjang.
Seolah-olah ayat yang bakal keluar itu sudah lama terperangkap di dada.

“Dr…”
Suara dia bergetar.
“Saya batuk… sampai terkencing.”

Ayat itu jatuh berat di dalam bilik kecil itu.

Saya diam seketika.
Bukan kerana terkejut.
Tapi kerana saya tahu betapa malunya ayat itu untuk diluahkan.

“Saya minta maaf sebab cakap macam ni, Dr,” katanya cepat-cepat.
“Tapi saya dah tak tahan…”

Nama dia Puan Liyana, 36 tahun.
Pengusaha salon kecantikan.

Dua bulan.
Dua bulan batuk tak berhenti.

“Batuk siang malam, Dr. Tengah buat rambut customer pun saya batuk. Ada yang terus bangun, bayar cepat-cepat, lepas tu tak datang balik…”

Dia senyum pahit.

“Income jatuh, Dr. Saya stress. Saya malu…”

Saya bertanya perlahan, satu persatu.

“Batuk kering atau berkahak?”
“Kering, Dr.”
“Berbunyi?”
“Kadang-kadang.”
“Sesak nafas?”
“Tak teruk… tapi dada rasa ketat.”

Dia genggam beg tangan kuat-kuat.

“Paling teruk…”
“…bila saya batuk kuat, air kencing keluar. Sampai saya terpaksa pakai pad setiap hari.”

Air mata mula bertakung.

“Saya rasa diri saya menjijikkan, Dr.”

Saya hulurkan tisu.

“Puan, awak bukan menjijikkan. Awak sakit. Itu sahaja.”

Dia mengangguk perlahan.

“Dr… saya dah jumpa 8 orang doktor.”
“Macam-macam ubat saya makan.”
“Antibiotik, ubat batuk, steroid tablet…”
“Tapi batuk ni tak hilang.”

Saya berhenti menulis.

“Puan pernah kena Covid sebelum ni?”

Dia angkat muka.

“Ya, Dr. Lebih kurang 3 bulan lepas. Lepas tu… batuk ni bermula. Tak pernah betul-betul berhenti.”

CXR dia? Clear.
Ujian darah? Normal.

Secara teknikal… semuanya “cantik”.

Tapi pesakit di depan saya sedang menderita.

Saya pandang dia dan berkata perlahan,

“Puan Liyana… apa yang puan alami ni bukan dalam kepala puan.
Ini penyakit yang sebenar.”

Dia terdiam.

“Puan mengalami post-Covid bronchitis. Saluran pernafasan puan masih meradang.
Sebab tu puan batuk berpanjangan.
Dan bila batuk kuat… tekanan tu buat pundi kencing ‘terlepas’.”

Air mata dia jatuh laju.

“Jadi… saya bukan lemah, Dr?”

Saya geleng kepala.

“Tidak. Puan kuat.
Bayangkan dua bulan batuk, hilang pelanggan, hilang keyakinan… tapi puan masih datang cari jawapan.”

Hari itu, saya tidak beri antibiotik.
Saya tidak tambah pil.

Saya mulakan inhaler anti-radang, ajar teknik betul-betul.
Saya terangkan, sabar, satu persatu.

“Puan… beri masa pada paru-paru puan untuk sembuh.”

Sebelum keluar, dia berpaling.

“Dr…”
“Kalau lepas ni sembuh…”
“Saya nak datang jumpa Dr semula. Bukan sebagai pesakit…”
“Tapi sebagai orang yang nak ucap terima kasih.”

Saya senyum.

Dua minggu kemudian…
Nama yang sama muncul dalam senarai temujanji.

Kali ini, pintu dibuka dengan lebih yakin.

“Dr!”
Dia senyum lebar. Mata bercahaya.

“Saya nak cerita sesuatu.”

Saya senyum kembali.

“Batuk saya hampir hilang, Dr.”
“Saya dah tak pakai pad.”
“Saya boleh kerja tanpa takut.”

Dia ketawa kecil.

“Customer pun dah datang balik.”

Saya tunduk seketika.
Bersyukur.

Dalam hati saya terfikir…
Inilah sebabnya saya memilih jalan ini.

Bukan kerana gelaran.
Bukan kerana kepakaran.

Tetapi kerana setiap batuk ada cerita.
Dan setiap cerita… perlukan doktor yang sanggup mendengar sampai habis.

⸻

🌿 Pengajaran Kisah Ini
1. Batuk berpanjangan bukan perkara remeh, walaupun X-ray dan darah normal.
2. Post-Covid bukan sekadar “dah negatif” — kesannya boleh berpanjangan.
3. Pesakit bukan perlukan lebih banyak ubat, tetapi diagnosis yang betul.
4. Malu, stress, dan emosi pesakit adalah sebahagian daripada penyakit, bukan kelemahan.
5. Paru-paru yang dirawat dengan tepat boleh sembuh — dan hidup boleh kembali normal.

Jika anda atau orang tersayang mengalami batuk berpanjangan, sesak nafas, atau simptom selepas Covid, jangan diamkan.

————-

“Doctor, why do I cough until I wet myself?”

I still remember that morning.
A light drizzle outside the clinic window.
A fully booked clinic, as usual.

The consultation room door opened slowly.

A young woman stepped in. She looked exhausted. Her eyes were swollen, as if she had been crying — or had been holding back tears for a long time.

She sat down… and immediately lowered her gaze.

I smiled gently, trying to ease the atmosphere.

“Good morning. I’m Dr. Nurul. How can I help you today?”

She took a deep breath,
as if the words she was about to say had been trapped in her chest for far too long.

“Doctor…”
Her voice trembled.
“I’ve been coughing… until I wet myself.”

The sentence landed heavily in the small room.

I paused —
not because I was shocked,
but because I knew how much courage it took for her to say that out loud.

“I’m sorry for saying something so embarrassing, Doctor,” she said quickly.
“But I really can’t take it anymore…”

Her name was Puan Liyana, 36 years old.
She runs a beauty salon.

Two months.
Two months of relentless coughing.

“I cough day and night, Doctor. Even while doing customers’ hair. Some of them stand up, pay quickly, and never come back.”

She gave a bitter smile.

“My income dropped. I’m stressed. I feel ashamed…”

I asked gently, one question at a time.

“Is the cough dry or with phlegm?”
“Dry, Doctor.”
“Any wheezing?”
“Sometimes.”
“Shortness of breath?”
“Not severe… but my chest feels tight.”

She clenched her handbag tightly.

“The worst part…”
“…when I cough hard, urine leaks out. I’ve had to wear pads every day.”

Tears welled up.

“I feel disgusting, Doctor.”

I handed her a tissue.

“You are not disgusting.
You are unwell. That’s all.”

She nodded slowly.

“Doctor… I’ve seen eight doctors already.”
“I’ve taken all kinds of medicines.”
“Antibiotics, cough syrups, oral steroids…”
“But this cough never went away.”

I stopped writing.

“Have you had Covid before?”

She looked up.

“Yes, Doctor. About three months ago.
After that… this cough started. It never really stopped.”

Her chest X-ray? Clear.
Blood tests? Normal.

Technically… everything looked “perfect.”

But the patient sitting in front of me was clearly suffering.

I looked at her and said softly,

“Puan Liyana, what you’re experiencing is not in your head.
This is a real medical condition.”

She went quiet.

“You have post-Covid bronchitis.
Your airways are still inflamed.
That’s why the cough persists.
And when the coughing is forceful, the pressure causes urine leakage.”

Tears streamed down her face.

“So… I’m not weak, Doctor?”

I shook my head.

“No. You are strong.
Imagine coughing for two months, losing customers, losing confidence — yet still coming to seek answers.”

That day, I didn’t prescribe antibiotics.
I didn’t add more pills.

I started her on anti-inflammatory inhalers, carefully taught her the correct technique, and explained everything patiently.

“Give your lungs time to heal,” I said.

Before she left, she turned back.

“Doctor…”
“If I get better…”
“I want to come back and see you again. Not as a patient…”
“But just to say thank you.”

I smiled.

Two weeks later,
her name appeared again on my appointment list.

This time, the door opened with confidence.

“Doctor!”
She smiled brightly. Her eyes sparkled.

“I need to tell you something.”

I smiled back.

“My cough is almost gone.”
“I don’t wear pads anymore.”
“I can work without fear.”

She chuckled softly.

“My customers are coming back.”

I lowered my head for a moment.
Grateful.

And I thought to myself…
this is why I chose this path.

Not for the title.
Not for the prestige.

But because every cough carries a story.
And every story deserves a doctor who listens until the very end.

⸻

🌿 Lessons from This Story
1. Chronic cough should never be ignored, even when X-rays and blood tests are normal.
2. Post-Covid doesn’t end with a negative test — its effects can linger.
3. Patients don’t always need more medication, but the right diagnosis.
4. Shame, stress, and emotional distress are part of the illness, not weakness.
5. With proper treatment, lungs can heal — and life can return to normal.

If you or your loved ones are experiencing persistent cough, breathing difficulties, or post-Covid symptoms, don’t suffer in silence.

16/01/2026

“Dr, kenapa saya selalu batuk sampai pengsan?”

“Doktor… saya takut.”
Suara Encik Kong bergetar. Lelaki berusia 37 tahun itu duduk di hadapan saya, wajahnya pucat, matanya merah dan cengkung. Tangannya menggenggam kuat tepi kerusi, seolah-olah sedang menahan sesuatu yang lebih besar daripada sekadar batuk.

“Takut apa, Encik Kong?” saya bertanya perlahan.

Dia menarik nafas pendek.
“Saya selalu batuk kuat… sampai gelap mata. Pernah pengsan. Hari tu hampir kemalangan, doktor… saya batuk masa memandu.”

Jantung saya berdegup laju.
Ini bukan cerita biasa.

⸻

“Saya ingat batuk biasa…”

Encik Kong mula bercerita.
Batuknya bermula seperti ramai orang lain — batuk kering, berpanjangan.
“Saya ingat batuk biasa je. Kerja stress. Rokok… saya merokok sikit.”

“Sikit?” saya pandang tepat ke arahnya.

Dia tunduk.
“Sebungkus sehari…”

Batuk makin teruk. Setiap kali batuk, dadanya bergegar kuat, mukanya merah, urat leher menonjol.
Kemudian… dunia jadi gelap.

“Mula-mula pening. Lepas tu… kosong. Bila sedar, saya dah terbaring.”

Saya diam.
Dalam kepala, satu diagnosis mula membentuk wajahnya.

⸻

Hampir hilang nyawa di jalan raya

“Doktor tahu tak apa yang paling saya takutkan?”
“Apa?”

“Anak saya.”
Suara Encik Kong pecah.

“Hari tu saya hantar anak ke sekolah. Tiba-tiba batuk datang… kuat. Mata saya kabur. Nasib baik kereta depan brek awal. Kalau tidak…”

Dia berhenti bercakap.
Air mata jatuh satu-satu.

Saya pegang pen. Tangan saya sendiri terasa sejuk.

⸻

Pemeriksaan yang meresahkan

Paru-parunya berbunyi kasar.
X-ray menunjukkan keradangan teruk.
CT scan mengesahkan bronchitis yang sangat teruk, saluran udara bengkak, sempit, penuh kahak.

Saya pandang Encik Kong.

“Encik Kong, ini bukan batuk biasa. Ini boleh membahayakan nyawa.”

Dia menelan air liur.
“Sebab tu saya pengsan ke, doktor?”

⸻

“Kenapa batuk boleh sampai pengsan?”

Saya jelaskan perlahan, satu demi satu.

“Bila encik batuk terlalu kuat dan berulang-ulang, tekanan dalam dada meningkat mendadak.
Tekanan ini akan menghalang darah daripada kembali ke jantung.”

Encik Kong mendengar tanpa berkelip.

“Bila darah ke jantung berkurang, bekalan darah ke otak pun menurun. Otak kekurangan oksigen.”

Saya berhenti seketika.

“Itulah yang dipanggil cough syncope — pitam akibat batuk.”

Dia terdiam lama.

“Jadi… saya boleh mati?”

Soalan itu menikam hati saya.

“Ya. Kalau berlaku ketika memandu, berenang, atau jatuh hentak kepala — risikonya sangat tinggi.”

⸻

Rawatan bukan sekadar ubat

Kami mulakan rawatan agresif.
Ubat sedut dos tinggi.
Ubat cairkan kahak.
Steroid untuk kurangkan radang.
Antibiotik.

Saya larang dia memandu buat sementara waktu.

“Doktor, saya kena kerja…”

Saya pandang tegas.
“Nyawa encik lebih penting. Anak encik perlukan ayah mereka hidup.”

Itu membuatkan dia diam.

⸻

Perjalanan saya sebagai doktor paru-paru

Malam itu, selepas klinik sunyi, saya duduk sendirian.
Kes seperti Encik Kong bukan yang pertama.

Saya teringat zaman houseman dulu.
Letih. Menangis dalam bilik air.
Pernah terfikir, “Kenapa aku pilih bidang ni?”

Tapi setiap kali saya lihat pesakit yang hampir hilang nyawa…
Setiap kali saya dengar suara bergetar seorang ayah, seorang ibu…

Saya tahu —
Inilah sebabnya saya jadi doktor paru-paru.

Kerana nafas bukan sekadar udara.
Ia adalah kehidupan.

⸻

Detik yang menyentuh hati

Beberapa minggu kemudian, Encik Kong datang semula.

Wajahnya lain.
Batuknya jauh berkurang.
Matanya lebih hidup.

“Doktor… saya dah berhenti merokok.”

Saya senyum.
“Bagus.”

Dia keluarkan telefon.
Gambar anaknya.

“Hari tu saya fikir… kalau saya mati, siapa nak pegang tangan dia pergi sekolah?”

Suara saya sendiri hampir pecah.

⸻

Pengajaran dari kisah Encik Kong

👉 Batuk berpanjangan bukan perkara remeh.
👉 Batuk sampai pitam adalah tanda bahaya.
👉 Bronchitis yang teruk boleh membawa maut jika diabaikan.
👉 Berhenti merokok boleh menyelamatkan nyawa — bukan esok, tapi hari ini.

Dan untuk anda yang sedang membaca ini…

Jika anda, atau orang yang anda sayang:
• Batuk berpanjangan
• Batuk sampai pening, gelap mata atau pengsan
• Sesak nafas
• Mudah penat

Jangan tunggu sampai terlambat.

⸻

📍 Paru-paru kita hanya ada satu set. Bila rosak, ia tak boleh diganti.

⸻

————

“Doctor, why do I cough until I faint?”

“Doctor… I’m scared.”
Encik Kong’s voice trembled. The 37-year-old man sat in front of me, his face pale, his eyes red and sunken. His hands gripped the edge of the chair tightly, as if holding on to something far heavier than a cough.

“What are you afraid of, Mr. Kong?” I asked softly.

He took a short breath.
“I keep coughing… so violently that everything goes dark. I’ve fainted. Once, I nearly had an accident — I started coughing while driving.”

My heart skipped a beat.
This was not an ordinary story.

⸻

“I thought it was just a normal cough…”

Mr. Kong began to explain.
It started like it does for many people — a dry, persistent cough.

“I thought it was just a common cough. Work stress. Smoking… I only smoke a little.”

“A little?” I looked straight at him.

He lowered his gaze.
“One pack a day…”

The cough worsened. Each bout shook his chest violently, his face turning red, the veins on his neck bulging.
Then… darkness.

“First I feel dizzy. Then… nothing. When I wake up, I’m already lying on the floor.”

I stayed silent.
In my mind, a diagnosis was already taking shape.

⸻

A near-fatal moment on the road

“Doctor, do you know what scares me the most?”
“What?”

“My child.”
His voice cracked.

“That day I was sending my child to school. Suddenly the coughing came… hard. My vision blurred. Luckily the car in front braked early. If not…”

He stopped speaking.
Tears rolled down his cheeks.

I tightened my grip on my pen. My hands felt cold.

⸻

Disturbing findings

His lungs sounded harsh and coarse.
The chest X-ray showed severe inflammation.
A CT scan confirmed severe bronchitis — swollen, narrowed airways filled with mucus.

I looked at Mr. Kong.

“This is not a simple cough. It can be life-threatening.”

He swallowed.
“Is that why I faint, doctor?”

⸻

“How can coughing cause fainting?”

I explained carefully, step by step.

“When you cough violently and repeatedly, the pressure inside your chest rises suddenly.
This pressure prevents blood from returning to the heart.”

Mr. Kong listened without blinking.

“When less blood reaches the heart, less blood is pumped to the brain. The brain becomes temporarily deprived of oxygen.”

I paused.

“This condition is called cough syncope — fainting triggered by severe coughing.”

He was silent for a long moment.

“So… I could die?”

That question pierced my heart.

“Yes. If it happens while driving, swimming, or if you fall and hit your head — the risk is very high.”

⸻

Treatment beyond medication

We started intensive treatment.
High-dose inhalers.
Mucus-thinning medications.
Steroids to reduce inflammation.
Antibiotics.

I advised him not to drive for the time being.

“Doctor, I need to work…”

I looked at him firmly.
“Your life is more important. Your child needs a father who is alive.”

That silenced him.

⸻

My journey as a lung specialist

That night, after the clinic had quietened, I sat alone.
Cases like Mr. Kong’s were not new to me.

I remembered my early years as a house officer.
Exhausted. Crying alone in the bathroom.
Wondering, “Why did I choose this field?”

But every time I see a patient standing at the edge of losing their life…
Every time I hear the trembling voice of a father or a mother…

I know —
This is why I became a lung specialist.

Because breathing is not just air.
It is life itself.

⸻

A moment that touched the heart

A few weeks later, Mr. Kong returned.

He looked different.
The cough had significantly improved.
There was light in his eyes.

“Doctor… I’ve quit smoking.”

I smiled.
“Good.”

He took out his phone.
A photo of his child.

“That day I thought… if I die, who will hold my child’s hand and walk them to school?”

My own voice almost broke.

⸻

Lessons from Mr. Kong’s story

👉 A chronic cough should never be ignored.
👉 Coughing until fainting is a danger sign.
👉 Severe bronchitis can be fatal if left untreated.
👉 Quitting smoking can save lives — not tomorrow, but today.

And to you who are reading this…

If you or someone you love has:
• A persistent cough
• Coughing with dizziness, blackout, or fainting
• Shortness of breath
• Easy fatigue

Do not wait until it’s too late.

⸻

📍 We only have one pair of lungs. Once damaged, they cannot be replaced.

⸻

09/01/2026

“Kerana Takut Nak Buat Biopsi, Akhirnya…”

Ada pesakit yang masuk ke dalam hidup saya bukan sekadar sebagai kes perubatan,
tetapi sebagai peringatan yang sangat menyakitkan — tentang masa, ketakutan, dan pilihan yang tertangguh.

Hari itu, saya bertemu Puan Rajeswary, 35 tahun.

Masih muda.
Wajahnya pucat, nafasnya pendek-pendek.
Dia duduk di kerusi roda, dadanya naik turun dengan cepat.

⸻

“Doktor… saya susah nafas.”

Itu ayat pertama yang keluar dari mulutnya.

“Susah nafas dah lebih tiga minggu,” katanya perlahan.
“Kadang-kadang macam dada ditekan.”

Saya terus minta X-ray dada.

Hasilnya membuatkan bilik konsultasi terasa sunyi.

👉 Paru-paru berair di kedua-dua belah.

Saya memandangnya lama.

“Puan… ada apa-apa masalah kesihatan lain sebelum ini?”

Dia terdiam.
Matanya melarikan pandangan.

⸻

Rahsia yang disimpan setahun

Perlahan-lahan dia membuka cerita.

“Doktor… sebenarnya…”
suara mula bergetar,
“ada ketulan besar di payu dara kiri.
Dah hampir setahun.”

Saya menahan nafas.

“Kenapa tak periksa lebih awal?”

Air matanya jatuh.

“Saya takut, doktor.
Takut jarum.
Takut ada parut.
Takut orang tahu…”

Anaknya?
Dia masih muda.
Ketakutan itu… sangat manusiawi.

Saya periksa.
Memang jelas:
• Ketulan besar di payu dara kiri
• Beberapa ketulan kecil di payu dara kanan

Saya nasihatkan dengan penuh berhati-hati:

“Puan… kita perlu buat biopsi payu dara untuk tahu apa sebenarnya.”

Dia terus menggeleng.

“Tak boleh, doktor.
Saya takut jarum.
Saya tak nak parut.
Saya juga tak mahu chemotherapy.
Saya tengok orang menderita… rambut gugur… muntah…”

Saya diam.
Kadang-kadang, ilmu kalah dengan ketakutan.

⸻

Air di paru-paru… membawa kebenaran

Keadaan nafasnya semakin teruk.
Kami terpaksa mengeluarkan air dari paru-paru kiri untuk membantunya bernafas.

Saya masih ingat saat laporan makmal sampai.

Sel-sel kanser ditemui dalam cairan paru-paru.

Dan yang lebih menyayat hati…

👉 Sel-sel itu datang dari kanser payu dara.

Saya panggil Puan Rajeswary semula.

“Puan… ada perkara berat yang saya perlu jelaskan.”

Dia memandang saya, seolah-olah sudah tahu.

“Air di paru-paru puan… mengandungi sel kanser.”

Dia menangis teresak-esak.

“Jadi… memang kanser ya, doktor?”

Saya mengangguk perlahan.

⸻

PET-CT: kebenaran yang tidak boleh disembunyikan lagi

Kami teruskan dengan PET-CT scan.

Keputusannya… sangat menyedihkan.

Kanser itu:
• Bermula di payu dara
• Merebak ke kedua-dua belah paru-paru
• Merebak ke tulang
• Merebak ke kedua-dua belah payu dara
• Dan ada air dalam selaput jantung (pericardial effusion)

Saya duduk lama sebelum bercakap.

“Puan… kanser ini sudah berada di tahap sangat lanjut.”

Dia terdiam lama.

“Kalau saya buat biopsi dulu…
kalau saya tak takut dulu…
semua ni boleh dielakkan ke, doktor?”

Soalan itu…
yang paling menyakitkan untuk dijawab.

“Saya tak boleh janji semuanya, puan.
Tapi peluang rawatan pasti lebih luas jika datang lebih awal.”

⸻

Bila rawatan bukan lagi untuk menyembuhkan

Air dalam selaput jantung itu berbahaya.

Kami terpaksa merujuk beliau kepada:
• Pakar Jantung → untuk prosedur pericardial tap (mengeluarkan air di sekeliling jantung)
• Pakar Paliatif → untuk mengurangkan sakit, sesak nafas, dan memastikan beliau tidak menderita

Bila kami berbincang tentang chemotherapy sekali lagi,
dia hanya menggeleng perlahan.

“Doktor… saya dah penat.
Saya cuma nak… tak sakit.”

Hati saya runtuh.

Jangka hayatnya mungkin:
⏳ beberapa hari
⏳ atau beberapa minggu
tanpa rawatan chemotherapy.

⸻

Sebelum dia keluar bilik

Puan Rajeswary memegang tangan saya.

“Doktor… tolong beritahu orang lain…
jangan jadi macam saya.”

Saya genggam tangannya kuat.

“Saya janji.”

⸻

Refleksi seorang doktor paru-paru

Dalam perjalanan saya menjadi doktor paru-paru,
saya belajar satu perkara yang sangat pahit:

👉 Takut kepada prosedur kecil boleh membawa kepada penderitaan yang jauh lebih besar.

Biopsi mungkin meninggalkan parut kecil.
Chemotherapy mungkin ada kesan sampingan.

Tetapi kanser yang dibiarkan
akan meninggalkan luka yang tidak boleh disembuhkan.

⸻

Pengajaran dari kisah Puan Rajeswary

🌿 1. Susah nafas bukan perkara remeh
🌿 2. Ketulan di payu dara tidak boleh dibiarkan
🌿 3. Takut jarum dan parut tidak sepatutnya menghalang rawatan
🌿 4. Rawatan awal memberi pilihan — rawatan lewat hanya memberi kesakitan
🌿 5. Jangan biarkan ketakutan menentukan nasib hidup

Dan yang paling penting…

🌿 Datang awal bukan tanda lemah.
Ia tanda sayang pada diri sendiri dan keluarga.

⸻

Jika anda atau orang tersayang:
• Ada ketulan di payu dara
• Susah nafas berpanjangan
• Takut untuk buat biopsi atau rawatan

📍 Berbincanglah dengan pakar. Jangan biar ketakutan mencuri masa depan.

👉 Tempah temujanji klinik bersama kami

X Ray dada : Kiri - sebelum pleural drainage. Kanan - selepas pleural drainage
———————

“Because She Was Afraid of a Biopsy, In the End…”

Some patients enter my life not merely as medical cases,
but as painful reminders — of time, fear, and choices that were delayed.

That day, I met Mrs. Rajeswary, 35 years old.

Still young.
Her face was pale, her breathing shallow and rapid.
She sat in a wheelchair, her chest rising and falling with effort.

⸻

“Doctor… I’m short of breath.”

That was the first sentence she said.

“I’ve been short of breath for more than three weeks,” she whispered.
“Sometimes it feels like something is pressing on my chest.”

I immediately ordered a chest X-ray.

The result made the consultation room feel painfully quiet.

👉 Fluid in both lungs.

I looked at her for a long moment.

“Madam… have you had any other health issues before this?”

She fell silent.
Her eyes avoided mine.

⸻

A secret kept for a year

Slowly, she began to speak.

“Doctor… actually…”
her voice trembled,
“there’s a large lump in my left breast.
It’s been there for almost a year.”

I held my breath.

“Why didn’t you get it checked earlier?”

Tears streamed down her face.

“I was scared, doctor.
Scared of needles.
Scared of scars.
Scared of people finding out…”

She was still young.
That fear… was very human.

On examination, it was clear:
• A large lump in the left breast
• Several smaller lumps in the right breast

I advised her gently but firmly:

“Madam… we need to do a breast biopsy to know what this really is.”

She shook her head immediately.

“I can’t, doctor.
I’m afraid of needles.
I don’t want scars.
And I don’t want chemotherapy.
I’ve seen people suffer… hair falling out… vomiting…”

I fell silent.
Sometimes, fear overpowers knowledge.

⸻

Fluid in the lungs… revealing the truth

Her breathing worsened.
We had no choice but to remove the fluid from her left lung to help her breathe.

I still remember the moment the lab report arrived.

Cancer cells were found in the lung fluid.

And what hurt even more…

👉 Those cells originated from breast cancer.

I called Mrs. Rajeswary back into the room.

“Madam… there is something very serious I need to explain.”

She looked at me, as if she already knew.

“The fluid in your lungs… contains cancer cells.”

She broke down in tears.

“So… it really is cancer, doctor?”

I nodded slowly.

⸻

PET-CT: a truth that could no longer be hidden

We proceeded with a PET-CT scan.

The results were devastating.

The cancer had:
• Started in the breast
• Spread to both lungs
• Spread to the bones
• Involved both breasts
• And caused fluid around the heart (pericardial effusion)

I sat quietly for a long time before speaking.

“Madam… this cancer is at a very advanced stage.”

She was silent for a long moment.

“If I had done the biopsy earlier…
if I hadn’t been afraid…
could all this have been prevented, doctor?”

That question…
was the hardest one to answer.

“I can’t promise everything, madam.
But the treatment options would have been far wider if you had come earlier.”

⸻

When treatment is no longer about cure

The fluid around her heart was life-threatening.

She had to be referred to:
• A Cardiologist → for a pericardial tap (to drain fluid around the heart)
• A Palliative Care team → to relieve pain, breathlessness, and ensure she did not suffer

When chemotherapy was discussed again,
she simply shook her head.

“Doctor… I’m tired.
I just want… not to be in pain.”

My heart broke.

Her life expectancy might be:
⏳ a few days
⏳ or a few weeks
without chemotherapy.

⸻

Before she left the room

Mrs. Rajeswary held my hand.

“Doctor… please tell others…
don’t become like me.”

I held her hand tightly.

“I promise.”

⸻

Reflections of a lung specialist

In my journey as a respiratory physician,
I’ve learned one very painful lesson:

👉 Fear of a small procedure can lead to far greater suffering.

A biopsy may leave a small scar.
Chemotherapy may have side effects.

But untreated cancer
leaves wounds that can never heal.

⸻

Lessons from Mrs. Rajeswary’s story

🌿 1. Shortness of breath is never trivial
🌿 2. A breast lump must never be ignored
🌿 3. Fear of needles or scars should not delay treatment
🌿 4. Early treatment gives options — late treatment gives only pain
🌿 5. Do not let fear decide your future

And most importantly…

🌿 Seeking help early is not a sign of weakness.
It is an act of love for yourself and your family.

⸻

If you or your loved ones:
• Have a breast lump
• Experience persistent shortness of breath
• Are afraid of biopsies or treatment

📍 Talk to a specialist. Don’t let fear steal your future.

👉 Book a clinic appointment with us

Chest X Ray : Left - Before pleural drainage. Right - After pleural drainage

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://chestspecialistmalaysia.com/, https://www.sunwaymedical.com/velocity

Alerts

Be the first to know and let us send you an email when Dr Nurul Yaqeen posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr Nurul Yaqeen:

Dr Nurul Yaqeen