Sunday, January 24, 2010

The Fatal Chicken Pox !


Ramai antara kita pernah dijangkiti Chicken Pox.....VZV (Varicella Zoster) dan jangkitan ini sebenarnya adalah lebih berbahaya kepada orang dewasa berbanding kanak-kanak . Berbentuk vesikel yang secara tipikalnya dari bahgaian atas badan dan sekitar kepala dan merebak ke seluruh badan yang lain. Rawatan adalah ubat anti-viral bernama Acyclovir (Zovirax)


Kes komplikasi Chicken Pox boleh membawa maut dan 3 komplikasi yang disebut boleh menyebabkan prognosis yang teruk adalah :

1) HEPATITIS AKUT
2) VARICELLA PNEUMONIA
2) ENCEPHALITIS...

VZV adalah "highly contagious" ... jadi segera dapatkan rawatan doktor sebelum komplikasi yang boleh membawa maut..

Friday, January 22, 2010

When I Grow Up


FACEBOOK has done wonders in reconnecting people... This is a picture taken merely 18 years ago when i were in high school. Cikgu Azizah is the first teacher i added as my FB friends and almost all of them in this down to memory lane picture are now my FB friends.

Nobody can predict what life ahead waiting for us when we grow up. Some succeded like a true champion while some missed every chances in life.

To me.,.i evolved and designed my life to be like what i want it to be.... and it is a happy moment to realize that DREAMS are not impossible to fulfill if we work it out and plan properly..sooner or later it will be OURS !!

Saturday, January 9, 2010

Acoustica In My Brain With Sound In My Ear


A patient was referred to my neurology clinic by a very junior emergency doctor who had made an impression of TIA (transient ischaemic attack) involving veterobasillar insufficiency. On further questioning, he had complained of unsteady gait, seeing "double" when looking to the left and slight reduction in hearing abilities. He had lateral rectus palsy (6th cranial nerve) and he manifested left cerebellar signs. Even without an MRI scan , i already can predict this is a problem with lesion in cerebello-pontine.
I was called by a radiologist 3 days later to inform my already expected findings of this benign tumour called ACOUSTIC NEUROMA.,.. or the other name for it...VESTIBULAR SCHWANNOMA. .. A semi-urgent referrral to Penang GH for neurosurgical intervention was made then.
This tumour is associated with Neurofibromatosis Type II.
To junior doctors, be precise in history taking and physical examination to get a proper diagnosis , after all our job acquired us to do so...

Monday, January 4, 2010

Yasmin's The Very Last Offering...



Yasmin left the industry with good remarks on her creative art direction and this film is supposed to be the last one she directed before she succumbed to massive stroke. I managed to catch the sneak preview in GSC Gurney Plaza, Penang recently and yeah ... the cynical Malaysian jokes that we were all been raised up with , were everywhere through out the entire 1 1/2 hour show.



Muallaf or being called the Sabians, potrayed religious issues which every religion teaches us to be a good person but this film did not comparatively discuss the details of it. Ipoh town was Yasmin's personal favourite when it comes to movie location.


After watching the film, it seemed that this film was simply forgetable...and only 10 peoples watching it on that Sunday and to my surprise ,,, i was the only Malay...mmmm.