Saturday, May 22, 2010


in TGA (transposition of great arteries), the aorta arises from the right ventricle and pulmonary artery from the left ventricle (normally it's the other way round). consequently there are separate systemic n pulmonary circulation- no communication btwn the two.

that's what one of our little patients suffered from. hence the patient had been cyanotic, n hypoxic. hypoxic state leads to increase production of red blood cell by the bone marrow, thus leads polycythemia(increase in the number of red cells in the blood above the normal value) by which this condition predispose the 3yr olds kid to thrombosis. occasionally he developed convulsion.

to avoid the polycythemia state, his blood was drawn out for about 100cc, which is not a small amount to be drawn from the small vein at once, when u do it drop by drop. so u can expect how the kid whining n nagging aroud, with both hands were punctured n became swollen,n at the same, he's also under oxygen n saline infusion . he's positive for clubbing, explaining the long-standing condition. sometimes he resisted all the intervention, trying to wake up, up to the extent that he became tired of nagging n pushing things away hence fallen asleep.

whose heart can stand looking at the sufferings the lil kid had to bear?i cant help the tears to dwell over but trying to resist it. coudnt stand to see how the kid suffered, hence coming up with the decision- paeds is so not gonna be my major of interest in future. otherwise i'll end up crying before the lil kids seeing them had too much to suffer.

Monday, May 10, 2010

there was a link passed to the folks around, this it is

Why we left and why we will continue to leave...

my comments:
-any where but not singapore or any U* besties. why? go read news n issues la. WWW got all the answers.
today we're having a round at specialised clinics, in endocrinology unit to be exact.

somewhere in 1989, use of MRI as routine in the investigation wasnt yet established here in egypt. any indication for MRI must be well n strictly defined by the particular doctor as the cost for that imaging is high. there're 4 cases in consideration for MRI. but as for the high cost, only few selected cases were allowed n this particular doctor was asked to choose only 2 cases with the most possible positive result to go for the imaging. but he insisted on having all four cases counted in, eventhough the cost for the other 2 cases wont be supported by the hospital but at his own risk. but having to know that wat he did was right, he stuck to his decision.

the result of MRI came out, and all four cases were positive for brain tumor. all the four cases were managed accordingly after then. since then, MRI had been a routine. inspiring though.

"if u know what you are doing is right, then fight for it " -Dr Asyraf, professor of Paediatrics (Endocrinology unit)

Monday, May 3, 2010's 12.41am and i shud be sleeping by now, otherwise im gonna ruin the whole next day.actually wanna write something dedicated to a friend but cant stand the dizziness.
2. we're having o&g round exam on thursday, shud be making it.rabbina yenaggahna ;)
3. .... sambung esok la. zzzzzzzzzzzzzzz