Prince Court Medical Center

Parainfluenza Virus

 

i ve been away from my blog coz hakak dok bz ngan anak bongsu yang tak sihat. Kisahnya dari a day before kami pergi closing sea games, dia dah bagi tanda2 demam batuk bagai. Even petang sebelum kita pi stadium for closing seagames pun, dia tidur jerrrrr… (sesuatu yang sangat jarang2 berlaku lah tang tidur petang nih).

The next daynya macam ok, but still ada coughing, but malamnya demam panas. so tu dah kira 2,3 hari jadi demamnya. Yang peliknya demam dia malam jer…and panas sangat. Di hari raya haji, pagi tu gak lepas solat raya, bapaknya bawak pi clinic (dia tak berbaju raya pun pagi tu, pi tengok lembu pun ngan baju biasa jer, bila dah nak ke rumah nenek atuknya baru ler dia berbaju raya). So amik gas segala bagai, dapatlah ubat ngan antibiotic. Pun batuk takde perubahan.

Malam masih demam panas cam tu gak…panas sangat, like 40 ok.

Esoknya, seharian dia melepek gak dengan batuk tak hehenti, and kita balik rumah mak mertua aku. Habis jer dinner, badan dia naik balik panas. so that s it lah. aku cakap, malam ni last, kalau masih gak camnih, Zeeshan kena pi spital.

So dia meracau2 la demam malam tu (almost semua jenis petua traditional ke modern aku dah bedal 2,3 malam yang dia tak sihat tu tak menjadik gak). Blood test je tak amik lagi.

That one last nite, berjaga gak lah aku, memang makin kuat panas badan dia, confirm above 40 gak, so sesubuh alam tu, pas laki aku mandi siap, aku turun panaskan nasi yellow soup dia, bekalkan laki aku karipap gak, and ubat2 doctor clinic pun aku sumbatkan sama gak (coz kadang2 hospital nak tau jenis ubat yang dema amik dapat from the clinic), lom kol 7 pagi depa dah pi spital.

Depa pi berdua jer, coz aku nak masak2 bagai sikit, nak buat tu ini, and lelapkan mata sejam 2 coz aku tak tidur sangat malam tu kan, kang nak jaga anak lagi,  sebelum aku sendiri naik grab (rigt after Zeeshan terus kena admitted).  By noon tu aku dah sampai spital…bawak luggage kain baju segala lah…and memang dah dijangka yang dia akan kena admit pun.

cut the story short, 2 nites jugak Zeeshan tidur kat spital, patutnya 3 malam, but hari ketiga siang tu aku mintak discharge. Lagipun on the 3rd day tu orang dah start kerja (last Tues), so aku pun yang tidur hospital bersiap dari bilik anak aku jer. Bapaknya datang pagi tu aku terus pi kerja and dia uruskan discharge Zeeshan.  Biasalah Prince court tuh, minimum 3 jam untuk admit and 3 jam for discharge…huh lemau!

Dah habis process discharge baru aku datang balik noon tu coz dia sekali lagi dok ‘nak mami nak mami’

First nite Zeeshan kat hospital bapaknya ada tidur temankan dia, aku balik coz the next nite nya aku pulak tidur sana but siangnya kami take turn gak, jap laki aku jap aku…coz kita pun ada 2 anak lain kat rumah kan. Some more kakak pun nak kena balik her hostel too. Takpelah sorang parent je kat hospital coz sorang lagi leh merehatkan diri, lagipun bersempit je heh tidur laki bini kat sofa bed tuh, ada gak aku panjat tidur sekatil ngan anak aku. so baik tak yah….

Btw awal2 nya doctor diagnosed him as bronchitis and viral fever.

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His blood test is negative ngan influenza, denggi bagai lah, but rerupanya dia kena 2 virus dalam demam and batuk teruknya tuh. One of the virus dalam batuknya ialah Parainfluenza.

Parainfluenza is a very common virus that can cause both upper and lower respiratory infections including colds, bronchiolitis, bronchitis, croup and pneumonia. Despite the name, it’s not linked to the flu because it is not caused by the influenza virus

What is parainfluenza?
Parainfluenza refers to a group of viruses called human parainfluenza viruses (HPIVs). There are four viruses in this group. Each one causes different symptoms and illnesses. All forms of HPIV cause an infection in either the upper or lower respiratory area of a person’s body.

Symptoms of HPIVs are like those of the common cold. When cases are mild, the viruses are often misdiagnosed. Most healthy people infected with an HPIV recover with no treatment. However, a person with a weakened immune system is at risk for developing a life-threatening infection.

TYPES

What are the types of parainfluenza viruses?
Four types of HPIV exist. They all cause a respiratory infection, but the type of infection, symptoms, and location of the infection depend on the type of virus you have. The four types of HPIV can infect anyone.

HPIV-1
HPIV-1 is the leading cause of croup in children. Croup is a respiratory illness that manifests as swelling near the vocal cords and in other parts of the upper respiratory system. HPIV-1 is responsible for outbreaks of croup in the autumn. In the United States, the outbreaks tend to be more widespread in odd-numbered years.

HPIV-2
HPIV-2 causes croup in children, but doctors detect it much less often than HPIV-1. It’s seen mostly in the autumn but to a lesser degree than HPIV-1.

HPIV-3
An HPIV-3 infection is mostly associated with pneumonia and bronchiolitis, which is swelling from inflammation in the smallest airways in the lungs. It often causes infections in the spring and early summer, but it appears throughout the year.

With HPIV-3, the exact period of time you’re contagious hasn’t been determined. However, it has been shown that viral shedding, and therefore the risk of passing on HPIV-3, typically occurs within the first 3 to 10 days of symptoms. In rare cases, viral shedding has been seen up to three to four weeks.

HPIV-4
HPIV-4 is rarer than the other types. Unlike the other strains of HPIV, there are no known seasonal patterns of HPIV-4.

CAUSES

How is parainfluenza transmitted?
You can become infected by an HPIV in several ways. An HPIV can survive on a hard surface for up to 10 hours. If you touch a contaminated surface with your hands and then touch your nose or mouth, you can become infected.

The viruses can also infect you through close contact with an infected person. It usually takes between two and seven days after infection for symptoms to occur.

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SYMPTOMS

What are the symptoms of parainfluenza?
Common symptoms of the four types of HPIV are very similar to those of the common cold. They include:

fever
cough
runny nose
stuffy nose
chest pain
sore throat
shortness of breath
wheezing
difficulty breathing

Most often, the symptoms of HPIVs aren’t severe enough to cause concern in healthy adults. But they can be life-threatening in an infant, older adult, or anyone with a compromised or weakened immune system.

If you’re part of a high-risk group and you have HPIV symptoms, you should see a doctor or go to the emergency room.

DIAGNOSIS

How is parainfluenza diagnosed?
If you aren’t part of a high-risk group, your doctor may not diagnose your strain of HPIV. If you have a compromised immune system, your doctor may want to confirm the particular type of HPIV.

Your doctor may do a physical exam to determine if your symptoms match those of HPIVs. For a more accurate diagnosis, your doctor may take a throat or nose swab. They can detect and identify the presence of a virus in a cell culture. Your doctor can also diagnose a specific virus by detecting antigens your body made to fight the virus.

Your doctor may order a chest X-ray or a CT scan of your chest. These are both imaging techniques that allow your doctor to see what’s happening in your respiratory system. X-rays and CT scans can help your doctor determine the extent of symptoms and whether you have complications such as pneumonia.

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So begitulah kisahnya, ai know dia kena batuk demam ni from the school, seriously memang aku monitor anak2 aku punya whereabouts, and lagilah sakit bagai kan. But takper, now he s recovering.  Alhamdulillah. For 2 days dia tak pi school, but for 2 days gak sejak discharged dia asyik nak merengek nak melekat je ngan mak nya. Dok ‘nak mami nak mami nak mami‘….

Dia masih dalam recovering process, ada ubat batuk yang powerrrrrrrrrrrrrrrr, super power for his throat, ada spray for throat gak, memang tekak dia in pain lah sepanjang dia demam sakit tuh. cos of that lah dia asyik demam panas memalam gak, and temp sangat tinggi. Yang buat aku muskilnya dah makan ubat batuk clinic pun ko tak bebaik gak, makin teruk demam panas ko, no wonder ler…virus hebat dok kat badan ko rupanya…ubat batuk tu pun hanya ada kat hospital jer. Aku bagi ubat tu pun waktu malam jer, coz tak sampai sejam dia makan ubat tu dia akan terus tidur (sama la masa kat hospital gak).

So begitulah…cecuti kami tak happening pun, just kita pi closing seagames pastuh the next day abang kakak pi IOI Mall main skate, depa pi berduaan jer, grab antau, balik bapaknya jemput. Patut hari Sunday tu lah kita nak pi merasa naik mrt anak beranak (Zeeshan dah hafal scrip ok nak bagi kat orang yang dalam MRT) but kena pulak admit spital.

So cuti 5 hari kami takde le  meriahnya pun. Technically kita cuti 5 hari kan but laki aku cuti weekend tu jer (Germany mana ada cuti raya aji, cuti merdeka ke cuti 4th Monday free, nan hadooooooo).

Insyallah Zeeshan dah getting better, my advise if you bebatuk ke hapa selsema bagai, yang non stop tuh, tolong pakai mask pls. Kalau you tak nak cuti tak nak mc tak nak mengasingkan diri, but please wear mask coz kita kena selamatkan orang lain gak dari gems yang ada dari batuk2 kita tu yek…

coz anak aku pun baru nak sihat, terpaksalah lagi aku reschedule Jakarta trip aku…baru mak kau nak berjalan Shan oi. Takpe, kita pi try lagi naik MRT yek…dia dok teringin nak naik MRT tu lama dah, yet baru je naik LRT pi Stadium, sama je kot feelingnya hiks…

Comment: 7

Prince Court – KLCC

Heharaplah ini bukan entry terakhir for this year. Coz aku memang ada hajat niat to put this as the last final post for 2016 (but i have few other advertorials yang nak kena publish kat sini gak), so tu tak kira ler, im talking about my usual daily entry.

Orang ngah cuti2 gitu kan, aku pun walaupun tak bercuti but mood dah kedaung sama hah.

My family semua melenjan, coz my husband is around. So tu nanti aku dedicatekan satu entry on the ‘kembara 4 beranak’ sepanjang the school holidays, insyallah.

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Aku dah kat sebulan buat appointment for Abang, dia dah macam ada sinus2 gitu lah. gang2 resdung gak. Appointment pagi, of cos laki aku bawak semua askar. Aku kerja, so pagi tu aku pi kerja dulu. Depa kuor kemudian and aku joined depa sejam jer, coz back work ler. Aku pun amik slot gak jumpa the same doctor (he s the one yang look after me for my sinuplasty bagailah), since Aug lepas memang ler dah baik but pastuh datangggggggggggggg balik sinus aku nih. siksa!

tu yang aku pun menyelit sama gak jumpa doctor.

Both of us dapat nasal spray, but advanced for me. One of the sprays yang doctor tu  bagi, tak pernah lagi aku pakai sebelum ni so hasilnya sangat menakjubkanlah. Tak yah citer details sangat kot hahahha…maleh. but tu lah kena follow up balik jumpa doctor bulan Jan nih, ngan abang pun sama.

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Budak ni, ada kes kat spital masa nih. I did IG kan cerita dia. Boleh masa kita ngah lelepak, dia memang ler ngah main ngan anak arab sorang nih. but waktu aku turned back, tetiba aku nampak dia ngah simbah air botol suam dia kat pala budak tu. Budak tu pun ngekek2 bagai, yelah budak mana paham benda tu elok ke tak.

Melompat la hakak merah ko! Terus aku tarik dia, sound dia. sorry2 kat bapak arab tu tapi mata apaknya amboi, marah jeling kat hakak hikss…

Jadi dia diam ler berminit2.

Tak lama tu dia datang kat aku, so aku pujuk dia, nak dia bermanners sikit untuk pi mintak maaf kat the anak and pak arab tu. Pun tak nak. So kena ler aku sama diheret dalam kes nih untuk fix kan balik. Bolehlah korang pi tengok kat IG akak the vid (lelaju laki aku amik vid bila tengok mak nak pi buat drama hahahaha). bukan drama pun, aku nak dia berminta maaf kat depa jer, supaya dia tau yang dah buat salah, kena say sorry.

Wpun memang tak ikhlas sorrynya (again, gotta see the vid dalam IG), but we made it.

Habis ngan doctor, aku terus blah, but depa stayed la coz nak amik docking ler, nak amik tunggu ubat segala, tak kuasa hakak nak melepak ler kan.

but lunch hour, depa mai KLCC so kami dapat le lunch sesama. Thing is when in KLCC depa suka benau ngan food court level 2 KLCC tuh, sebab memasing ada food idaman ler. Lain le aku dah muak, coming to my 13 years :)

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Habis makan, pun depa halau aku. Sambung balik kerja le but lunch break pun tak abis lagi coz depa nak merendek dalam Petrosains. Petrosains tu memang depa punya yearly project. Balik habis kerja, aku make up beria ler ingat nak join depa sekali laki aku cakap you balik dulu lah, kitorang nak lelama lagi dalam nih. Ler tak sudah2 lagi kooooooooooooo, memang diorang suka benau explore dalam tuh. Yelah setiap tahun ada je bebenda baru yang Petrosains provide. Harga tix for family package is RM40.

Lepas maghrib baru depa kuor dari KLCC, hamik hang…RM35 parking depa kena bayar hahahaha (aku seasoned parking).  Itu dalam 7, 8 hours gak.

Dah tu sambung pulak makan steak, depa ajak aku join but hish idok koser la haku dah ngan baju2 tidur dok sedap main chess online kat hp hah :) .

All in all, semoga 2016 ni untuk korang banyak yang manis dari yang pahit masam segala.  Doakan for 2017, insyallah lebih baik dari sebelumnya, baik dalam kehidupan, pekerjaan/study, apa sahaja. Doa bebaik je lah.

Comment: 4

Dysphagia and Myasthenia Gravis…

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remember about my dysphagia story, hazab nak menelan makanan or even air pun boleh tercekik. I hv been having that for 2 months lah, and alhamdulillah dah recovered wpun blum 100% but the percentage is getting better and better everyday.  So I had a follow up check up and the result of 2 blood tests came back (one was the one they sent to Australia, one was local).  Jadinya memanglah I have the dysphagia but also this Myasthenia Gravis. Boleh berlipat lidah nak menyebut.

Dalam bahasa lagi mudah nak memaham is muscle weakness, tu yang jadi dysphagia. Sort of lah.

So alhamdulillah dah better a bit, and also I met up my sinus Doctor and tak perlu do any procedures, coz the spray yang dia supplied sebelum ni helped me so well. All good.

I dont have to come back and if any of it datang balik, of cos ler kena pi revisit back the doctors la kan, which of cos tak nak dah. Berbulan turun naik hospital, eii idok la hakak dah nak do the same heh.

Can I selit tanya a bit, if you have the cordless vacuum cleaner, the best one yang mana you highly recommended sangat? Dyson (i have their normal vacuum ordy so the cordless one maybe at the last choice), how bout Morphy Richard or Electrolux or anything yang you rasa good to get? a cordless one yah, can please recommend? thanksss

Comment: 7

3 doctors in a day X 2!

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sekuat mana pun supermak, penat gak if dah kulu kilir walaupun tempat tu beraircond. It s all dalam satu combo, the body the mind the health.

i was supposed to meet my 2 doctors for my sinus and dysphagia issue. Very straight forward which I assume by noon patutnya dah settled. So when I got there, macam biasa, register dulu, all planned and ikut as per jaduallah.

but first appointment starts lambat, i think lam 30min delayed. So 2 kali menunggu, while registration and di klinik atas. Bila dah jumpa first doctor, hah…the drama begins. He wants me to do the xray. Jadi after meeting him tu ai lari turun bawah pi buat xray, bukan boleh terus dapat slot, kena tunggu jugak, lam 15min or so. Then buat xray, tukar baju yadayada, naik balik lari to the clinic and kena lagi menunggu for another 20min. I dah missed my 2nd appointment with another doctor.

So nurse dah kabaukan (doctor gak suruh) yang i kena datang lambat sikit for the 2nd appointment.

Masuk balik jumpa first doctor tengok hasil xray (i didnt wait for the copy, takpelah dalam system ada, malas heh nak tetunggu). So memang obviously for something else. Remember about my blood yang sent to Melbourne? Itu baru half way came back, oi mak, stress haku lah.

kena lagi buat blood test, n docking ubat, tidak ler kuasa hakak nak menunggu dik oit, ubat kemudian, i nak pi jumpa 2nd doctor dulu. Met the 2nd doctor for sinus, poppak kena buat lagi ctscan pulak, omang!!!

Turun balik, buat scan, bukan gak terus dpt slot macam biasa, tunggu at least 15min. Abis scan, naik balik pi ngamik docking ubat yang first doctor tuh, and turun amik ubat dulu. Tunggu lagi, ni lam 5-10min, sambil tunggu tu beratur kat stall makan nak tapau coz i baru terasa lapar but baru nak bayau, number pulak naik, tinggalkan je food dulu, pi amik ubat, and sambung balik beratur.

Kemudian pi balik registration counter, buat satu lagi registration coz i kena jumpa the 3rd doctor of the day, ini reference dari first doctor.

so tunggu lagi 15-20min kot, siap registered, lari balik opis. Bebusuk min time menunggu mostly memang 15min lah, paling lama tu lam 40min.

Ngam2 abis tu aku lari plak balik opis, tapi memang kejap, about 15min je plus 15min pergi balik (tau lah bus van tourists kat depan KLCC tu double park coz orang nak berdiri amik gambar backgroundkan KLCC, tak pepasal jadi 1 lane jer!).

So rushed balik pi hosital, ngam2 depan pintu clinic dah 2.30pm! aku rasa aku memang termengah sweating sangat hari tu heh. Spent ngan doctor sorang ni (my first time with him), for lama gak.

Sambil tu the first doctor punya staff nurse dok riuh called banyak kali suh buat blood test (ai ada datang balik in between but system depa down bagai ke hapa so aku tak nak lah menunggu, a such waste of time), jadi bila habis ngan 3rd doctor ni, kat situ gak buat amik blood.

Habis je, lari pulak pi naik atas untuk jumpa the doctor no 2 yang pagi tu, coz he nak go through ngan ctscan sebelum tu. Habis ngan dia, tunggu amik docking ubat, ya allah pun lama jugak! orangnya aku ngan arabian jer but lama benau, sampai aku dah bebangun tanya. Dapat docking tu, pergi turun (oh btw, most jalan turun naik ni ai pakai tangga, lambat nak tunggu lift!) so pi balik amik docking ubat yang satu lagi klinik, combinedkan dedua.

turunnnnnnnnnnnnnn balik pi amik number ubat, and tunggu lagik, meanwhile nasi yang aku beli dari tengahari langsung tak berusik, bawak kulu kilir! Yang ni je semua dah kol 5 rasanya.

Habis settled semua, aku dok dalam kereta, makan kuih seketul (and facetime with my laki) to express my letihness hoih!! In between satu hari kejadian ni bear in mind i have to answer all emails also calls, ada gak call yang ‘kak saya dah depan rumah akak nih, nak kena tekan doorbell ke kak, ada orang kat rumah ke kak’ adoiii ko tekan je lah doorbell tu ada le laki aku kuor  nanti, udahlah masa tu akak tengah buat blow blow test ngan staff nurse. Calls yang related to blog nak engage bagai sume aku dik sok boleh dik, akak ngah kekangan masa sangat nih.

tu yang balik tak masak langsung, jadi aku ajar laki aku cara masak sardin untuk pagi ni nya menu (i usually masak malamnya so anak2 boleh bawak bekal lauk nasi bagai to school, also for their lunch the next day). Takpelah sardines je lah level korang hari ni coz mak ko dah tepeleot benau.

Amik Zeeshan pun lambat sikit, coz aku balik sampai rumah ngam2 pun bukak balik laptop and kerojer jap.

Start le makan ubat bagai.

So apapun, sebenaunya the 3rd doctor insist nak admit kak merah ko nih, soonest by esok (yakni today) at least for 2-3 days. Oh my idok le akak…………lagi serabut kang aku dok spital pikirkan hal rumah. So dia bagi ubat segala and i have to come back again by this week to see him.

Actually ada lagi drama2nya…but nak type pun tak sanggup. xray copy ni pun yang from the ctscan, tetiba je dah kat tangan akak staff nurse sorang tu bagi. yang satu lagi xray copy tu abaikanlah, maleh akak nak pi tuntut.

Aku rasa pasnih aku kena heret laki aku ikut sama lah so kita boleh bebagi tugas, specially part2 isi form part2 yang nak kena beratur amik ubat tunggu docking bagai nih, aku jadi stress betul ngan semua2 nih. Ini memang kita one man show but tu lah yang patutnya half day punya keje jadi 1 day aku dok spital, with 30min opis keje pi balik.

Yelah, hari ni memang my veryyyyyyyyyyyyyyyy long day, tak menyangkan akan jadi begini capeknya but itulah dramanya.

Oh my dysphagia progress, ada berkurangan. But lesser by 10%lah, at least ada lah dropnya gak. Tapi ada issue lain plak.  On the health cerita, entry lain lah, ini untuk the dramatic Monday blues…

 

Comment: 2

My dysphagia story…

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Hi hello assalamualaikum…

ada ke orang baca blog akak lagi ni? hiks…

ai nak cerita about my dysphagia. Itu le penyakit yang akak dok hadap sejak now dah 4 weeks lah.  Dysphagia is difficulty or discomfort in swallowing, as a symptom of disease. Kepayahan dan kesiksaan untuk menelan makanan mahupun minuman. Food tu logic le gakkan, ini air pun susah. Kesian kan hehehee….

How why? Kita go to that lelater lah coz I m still on going treatment lagik gak. Apapun bila recall balik it was during the bulan puasa, sebab kita puasa so akak takde la bother sangat, makan minum pun masa sahur and berbuka tu kan, but dah memang terasa sangat masa tu. Kalau makan if 10 suap le let say, 2,3 kali suap akak tercekik. Kalau kita tercekik pun lawannya ngan air kan, kekdahnya ngan air pun tercekik gak.

Jadi masuk minggu kedua untuk raya tu, lagi worst lah, masa tu lagi terasanya. Jadi abis cuti raya, first day kerja tu gak petangnya akak pi clinic. Doctor kat clinic macam very sure akak dah kena dysphagia but to confirm tu akak kena pergi specialist and hospital ler kan.

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So the next day nya, masa kat opis my luck dapat gak lah the slot noon tu jugak at Prince Court. Lari register bagai jumpa Doctor and kena buat blood test bagai. Tunggu setengah jam, depa couldnt get the right tube (for special case), so kena balik and depa suh datang semula at 3pm. Sambung lari kerja balik opis and bila datang balik terus buat blood test. The next one terus kena pergi buat nerve conduction test, this was about 21/2 jam. Omang sakitnya lahai, bila tang kuasa tinggi power letrik maknek tu ler…

Nerve conduction test is lso called a nerve conduction velocity (NCV) test–is a measurement of the speed of conduction of an electrical impulse through a nerve. NCS can determine nerve damage and destruction. During the test, the nerve is stimulated, usually with surface electrode patches attached to the skin.

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Akak pernah buat ni dulu tapi kat muka, long time ago bout 6 years ago dululah, tapi this time around kena buat kat whole badan…ada part tu sampai terlelap tapi hujung2nya sakittt…sampai akak dok cakap dik dahlah dik, tak tahan…2 orang lab ladies tu pun sian gak tengok but no choice ler kan.

Habis sudah tu, akak kena pi satu lagi bahagian yang therapy kat bawah tu, buat booking slot untuk the next day nya. Ingatkan nak habiskan hari tu but jam pun dah 5 lebih so kena tomorrownya, akak beli dulu all these kinds of foods, hard and moist and drinks untuk bawak jumpa the Speech therapy. Bukanler jumpa speech ni nak suh akak belajar bercakap pulak bagai tapi dia nak tengok the digestion bagai…so kena buat semua test2 ni dulu baru Doctor leh go further.

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Sushi, kuih raya, fruits salad and ice lemon tea ni antara yang akak bawak lah untuk dia tengok camne susah ke hazab akak menelan. After few tests and memakan minum she confirmed that memang akak ada part of dysphagia and before that I have to meet Dr Kuljit pulak. He s an ENT doctor, he used to look after my sinus, pun 6 years ago.

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oh masa lunch break tu jugak akak dapat lari tengok my bff’s baby, kat parking Prince Court kebetulan anak sulungnya ngah check up ngan doctor hahaha so kita dating dalam kereta jer…lawanya sedap bau baby, Hannah Tasneem.

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habis selesai episode tu sume untuk 2 hari, jadi takde perubahan kan. So the next Mondaynya akak kena pergi lagi. Pepagik dah lari pi kerja dulu, then rushed pergi hospital, buat registration for 2 doctors, then pergi jumpa my 1st doctor ENT. Sesambil tu akak punya sinus pun menjadi balik yelah dulu pun buat baloon sinuplasty dah over 6 years so memang macam kembali semula sangat. From meeting Doctor Kuljit, for my sinus is fine, tu akak dapat nasal spray lah but related to dysphagia, he wants me to go and meet Datuk Dr Ryan pulak.

Ye gitu ko kan…berpass2 dah akak merah ko ni hahahah…from one doctor to another katanya.

Went down dulu, ada masa akak pergi amik ubat dulu (menunggu dock amik ubat pun lama haish!!), pastu terus akak register untuk slot with Datuk Dr Ryan (i got the slot untuk petang tu jugak). Alang2 tu yang akak register, tu belum lagi nak cakap nak dapat GL bagai segala, hish tertekan kengkadang. Habis je dapat ubat, terus rushed back pi jumpa balik Doctor Hamidon.

My nerve test punya result memang ada ‘goyang sikit’…sikit je lah. My blood test, can only come back to me after 3 weeks, depa had to send to Australia. begitu sekali yek.

Settled sini ngam2 lunch break, lari kejap around there amik some stuff and balik opis to have my late lunch with my bff.

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Pompuan yang hanya aku boleh jumpa 2,3 kali setahun sahaja…wanted to take leave to spend time with her but my schedule tak boleh sangat so late lunch pun jadilah. I got a birthday present from her, Dior lipstick and Dior highlight powder. Both products memang so miracle, super best. Thank you Ima love u. Then akak abis makan tu terus sambung naik kerja, but turun balik at 3pm coz I have an appointment at 330pm tu kan.

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heret pompuan ni sama, she temankan at the hospital. Tunggu agak lama gak lah, biasa ler ada doctor yang on time tengok kes ada doctor kita takde luck, memang kena tunggu lama. So from here Datuk Dr Ryan confirms that aku kena buat endoscopy.

sigh…yang tu ok ler lagik. ada satu lagi option dia nak buat, tu nangis akak kang…

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Jadi endoscopy session kena buat the next Wednesday nya, tak boleh ler tunggu lagi, kang lagi lambat banyak dramanya. Meanwhile no changes on my dysphagia, masih sama. So untuk pertama kalinya suami temankan (all these while memang aku pergi sendiri jer) ini pun aku tak suruh pun but dia offered himself hahahaha gamaknya kang balik dari spital takut aku weng weng kot.

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What is endoscopy? Endoscopy is a nonsurgical procedure used to examine a person’s digestive tract. Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor.

Hari tu akak patutnya ada divisional punya raya but for the first time kena skip, dah berangan nak pakai baju ngengelip ler ngan lashes melentik hahaha takpe ler, health lagi important kan. Pagi tu masuk, RD tunggu luar, so expected lam 2 1/2 jam patut akak dah settled le kan and dah boleh bangun. Tak sedor hapa pun. Full bius dia bagik, abis tu dah dia rodok lam tekak bagai kan.

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Sedar pun bila laki aku dok tetiba dah kejut, terus makan, staff nurse ada bagi sandwich and air coz akak kena puasa dari malamnya tu kan. Sama je siksa nak menelan hahaha….so lepas tu jumpa Doctor and he couldnt find anything through endoscopy. But he took some samples ler and akak kena datang balik on Saturday.

Dapek medical leave terus on that day and balik rumah buat keje, masak bagai segala. My last meal that day was at 4ish pm gitu, and esoknya akak boleh rasa lagi the food dok kat hujung tekak. Macam tu le setiap hari masalah akak, liquid je went down tapi for food kena flush ngan air pun siksa. Even minum air pun walaupun dia turun tapi hazab sangat…..

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My session was on Saturday morning jadi tak nak le gak bawak kids, pun husband temakan. Ingatkan kena pergi sorang which I dont mind gak hahaha but dah dia nak gi sama. Yelah kita biasa independent kan.

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lamo gak menunggu, pakcik sebelah dok main chess online, melentok2 sedap ke main….dapat je slot ngan Dr Ryan, nothing can be found from the samples (which is very good news lah) so he wants me to do something yang 2nd option akak cakap tu. Yang tu akak kena awake and sedar untuk dia masukkan the whatever dalam tekak kerongkong akak untuk tengok akak swallow. Which my answer is big no ler kan. Sedangkan ubat induce dulu pun Prof Zainul masukkan kat bawah tu pun akak dah sepak dia. Hahahaha….

Tapi tak major ler, if I dont want, is fine coz from the sample dia tak jumpa apa. Which is memang related to nerve gak lah, dan bermakna kena go back to my first doctor. My frens sume suh buat jer, amboi bukak tekak ko yang kena rodok bolehlah cakap senang.

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Hari tu gak, akak mintak slot untuk Prof Hamidon and alhamdulillah dapat. He showed again his study on one Malay girl (she was 19yo back then), can read through link here http://www.ncbi.nlm.nih.gov/pubmed/16898323

An acute pharyngeal-cervical-brachial (PCB) variant of Guillain-Barre syndrome presenting with isolated bulbar palsy.

Abstract

Acute Guillain-Barre syndrome (GBS) is characterized by an acute onset of limb weakness and areflexia. There are a few rare variants that have been described and one of them is the pharyngeal-cervical-brachial (PCB) variant (oropharynx, neck, and proximal upper limb muscles). However, in this patient, the only presentation was bulbar involvement with fast recovery within days. This is likely to be the milder form of PCB that has rarely been described before. A 19-year-old Malay lady presented with progressive dysphagia associated with nasal voice for one week duration. There was no limb weakness. Examination showed generalized areflexia. Pharyngeal and palatal muscles were markedly weak. Cerebrospinal fluid (CSF) examination showed raised protein level. Nerve conduction studies revealed generalized demyelinating motor polyneuropathy consistent with GBS. The patient fully recovered within three days and was discharged well.

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This is Prof Dr Hamidon Basri. So to conclude. there s no medicine for my dysphagia or whatever it is called. Why? got to wait for my blood test from Aussie tu. How? pun the same answer. My plato skang is masih lagi status yang sama. Already 4 weeks dah kan. I m seeing him again and Dr Kuljit for sambungan sejarah2 dysphagia akak lah ngan sinus (ini dah alang2 sekali jalan). Jadi tiada ubat, kena cuba baik dengan sendirinya. Tu pasalnya walaupun sedang gumbira riang ria hari raya, bila tang makan tu kesiksaan sangat.

I dah tak makan while driving anymore coz takut kena attack lagi, but bila makan pun, air is a must wajib ada. I dah tau a bit how to control untuk tak nak tercekik or sort of, ada le caranya but itu bila kena attack ler, kalau tak nak kena tu pun boleh but sangat menyusahkan dan melambat heh. Family n kenkawan pun siksa tengok aku makan hahaha tu ler orang kata kang lagi senang diet. Kononnya kan, ada le kurang sikit berat tu turun but tidaklah mendadak.  My tekak memang rasa full (coz the food tak pernah nak turun habis), but my perut akan lapar termasuk jugak my mind so itu sume mainan ler. Lagipun manusia kena le makan.

I hope plato tu akan turun coz ari tu janji Doctor patutnya after 3rd week dah stabil semula but ni dah 4th week kan. Masuk minggu ke 6 aku dah kena jumpa semula, jadi I shall update back on my dysphagia story, insyallah the next time. My case is very rare and i m the chosen one. Orang dengar pun macam kelakar but tu lah, Allah pilih saya coz saya kan istimewa :) .

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