Assalamulaikum w.b.t ~
Setelah setiap orang mengatakan masing2 ad personal thing to do during weekend... dan aku seolah2 xde mende nak buat time weekend kononnyer... Padahal hari ni family ade family gathering kat Pantai Remis sampai esok petang.. Tp, menangis sendiri untuk melihat orang lain gembira adalah ihsan yang amat dituntut dalam Islam.. Bak kate Fatimah Syarha... Kalo orang lempang kita sekali. Kita maafkan, itu ihsan. Kalau orang lempang kita sekali lagi, kita lempang die balik, itu namanya keadilan. Contoh lain, Kalo orang buat khianat kat kita, kita maafkan dia. Itu ehsan. Then, kalo orang buat khianat kat kita, kita cari pembelaan. Itu namanya keadilan.. Ihsan dan adil adalah sama-sama penting untuk ditegakkan dalam Islam. Kalau tak, orang yang jahat akan terus jahat dan tamak.. dan orang yang baik akan terus pasif dan zuhud.. Kalau kita terpecahkan cawan kawan kita, kita memang senang mintak maaf.. Kawan dgn rela hati akan maafkan..tp, cuba kita betulkan keadaan tu balik... Macam dinding yg dah kene paku, kalo cabut balik paku tu, still ad kesankn? bole cantik balik x dinding tu? tentu boleh.. plaster je la balik.. so, cawan yg tadi tu ganti la balik... x susah pon... Oh, ape kaitan dgn tajuk?
Makanya, di pagi sabtu yg indah lagi permai menelusi highway Akleh yg agak lengang menuju ke Institut Paediatri, HKL dgn mind set, kelas akan bermula pada pukul 930 am. Lalu, dgn penuh disiplin 920 sudah terpacak di depan rumah sakit kanak-kanak itu.. Rupa2nya kelas start 1000... Bagus sngt la ketua aku ni kn... @.@ menunjukkan keperihatinan dan sngt memahami kawan2 setelah bersama 6 tahun lamanye... suka dtg lambat.. memang memahami.. Tp, x sume kawan2 macam tu... yg tu golongan minoriti je kot.. Terima kasih sebab mase org lain je yg sangat berharga. Itu ihsan.. :D
Fortunately, jadi candidate no. 2 la plak.... 1st patient, 5 months old baby girl, examine her cardiovascular system... Tengok muka baby ni dah pelik dah... Ad sumthing wrong.. huhu... Mate x bukak lansong, tp x tidur.. sebab baby tu gerak2 n bile usik die ad la macam nak menangis... cek tangan die... ok. hmm.. cek sebelah tngk lg... ok.. then, x palpate pulses la plak.. bengong. terus inspect precordium.. hmmm... palpate thrill, heave.. ok. Then, time utk menggunakan stetoscope... Adus... dengar.......... hmmm... dengar lagi.........hmmmm......... tadi x kire pulse, so ak g kire pulse time ni....
Ok. Doktor tnye.. done?? hmmm... nak cek kaki die jap.. cek kaki kanan.. ok. cek kaki kiri plak... hmmm..ok... done... Present..... Finding, ad 1 je... polydactyly. Dr expect ad finding on auscultation... Tp, ak cakap no murmur.. Dr cam x percaye.. Die dengar plak... Then, Dr admit, mmg hardly to be heard.. Then, kaki pon ak x jumpe finding yg die nak.. Die cek, finding tu mmg dah xde... ngeh2... Die tunjuk, sebenarnye sebelum ni kaki die bentuk camni... Rocker-bottom foot? hmmm.... betul. Lepas tu, Dr ckp lagi, let say I say this baby only can survive for a few months only... Ok.. She might have congenital disorder... What disorder? Do you think this baby syndromic or what? hmmmm.... I'm not so sure.. Sanye, baby ni ad PDA.. sebelum ni mmg boleh dengar jelas, n memang PDA bole close after birth.. Then, it might be happen to this baby la... N actually this baby is a Patau Syndrome baby... It's not compatible with life, but she survive up to this age... Alhamdulillah...
Patau syndrome is a trisomy 13, a chromosomal disorder due to non disjunction during meiosis. The incidence is 1 in 10,000 live birth. So, the trisomy 13 disrupt the normal course of development. they might have microcephaly, sloping frontal, microopthalmia, corneal abnormalities, low-set or malformed ears, 60-80% have cleft lip and palate, severe growth retardation, polydactyly, 80% have VSD, PDA, ASD, polycystic kidneys, seizures, deafness, midline anomalies involving scalp, pituitary, palate.. 33% die in 1st month, 50% by 2nd month. 90% by 1 year from FTT.
Tp, mak die... Mungkin kite nmpk mak die boleh senyum kat kite.. Tp, tu ke sebenarnye ape ade dalam hati mak tu.. Anak bole pergi bile2 je.. x normal pulak tu macam anak orng lain.. Respect dekat ibu2 yg ad anak special ni.. dorg sngt2 tabah, sabar, redha.. x mudah nak jage, nak didik anak2 spesial mcm nih.. Tp, ganjaran yg Allah bagi tu mmg xde tolak bandingnyer.. Mmg kite cakap senang, sebab bukan kite di kasut mereka... Nak hadapinye, hanya Allah je yg tau... Kita ni pon bile susah cket, dah merungut.. Allah x uji lagi dgn ujian besar2.. Br fail exam cket, dah macam end of life.. Ape? Memang ak x paham, sebab bukan aku yg alaminyer... betol2. Tp, Allah cakap dalam quran : Adakah kamu mengaku beriman, sedangkan kamu belum diuji? hmmm.....
2nd patient, 1 year old boy, examine his face.. Mmg obviously mate kanan die ad problem.. Br dekat cket, mcm nak nangis.. bg toy, nasib baik cairr.. Periorbital swelling + erythyma with whitish discharge. He even could not open the right eye. The opposite eye looks normal.. Dr nak ak sebut proptosis. Actually, x rse pon proptosis sebab ingat mate besar gitu sebab swelling tu per se.. huhu...Yes, adik tu khusyuk main dgn toy ak bagi.. Try pegang mata die, terkejut... sakit. nasib baik x nanges.. try palpate lymp nodes sanye, tp xde yg palpable pon... Ok, bawak keluar pentorch.. Dr, kate I'm happy when u take out the torch.. but, u don't know what to do.. Gulp. Try nak tngk pupillart light reflex.. Tp, bile shine je, die bawak lari mate die... hu.. Tp, dr expect kite cek for white pupil = leukocoria =.=' Mmg ak x expect la nak cek pon... adus. Adik ni sanye ad Retinoblastoma with superimposed infection at right eye.. Mse tekan tu, discharge mmg keluar la.. sakit. yg sebelah lg, x perasan la leukocoria itu... huhu... Dr tnye, dah sedia ke nak exam? Mmg tak r kn... Dah sedia ke nak jadi HO sye?? hmmm....
Retinoblastoma is a rapidly developing cancer that develop in the cell of retina. In the developed world, Rb has one of the best cure rates of all childhood cancer (95-98%), with more than 9 out of every 10 sufferers surviving into adulthood.
See u next 6 months.. =.='
Wassalam...
Nota Hati : Nak jumpe Dr Kamarul lagi 1 esok! ^^ *kita dah hampir, teruskan langkah....*