My New Year Gift

My end of the year & new year gift -- L5-S1 prolapse disc with annular tear.

• Annular Tears are the commonest cause of minor sciatica or brachialgia, and are usually the result of trauma to the spine. Tears can be either radial or circumferential, and their natural history is that they usually spontaneously heal after 6 months. In a small proportion of people, the tears do not heal, and go on to become chronic.
• They occur most commonly at C5/6 and C6/7 in the neck, and at L4/5 and L5/S1 in the low back.
• Treatment consists of a series of epidural steroid injections (caudal, lumbar or cervical), or a nerve root block. Topically applied depot steroids (triamcinolone) help to reduce nerve root inflammation, and produce pain relief usually lasting 6 - 8 weeks per injection. Epidurals can produce significant pain relief allowing earlier rehabilitation and recovery. Chronic annular tears may be helped by Intra-discal Electro Thermal Annuloplasty (IDET)

Disc Prolapse

• Disc Prolapses are caused by disruption of the posterior annulus, allowing the central nuclear material to prolapse into the epidural space. Depending on the position and size of the prolapse, there may be single or multiple spinal nerve root compression.
• Some central prolapses can cause compression of the spinal cord producing a myelopathy, or compression of the sacral nerve roots producing bladder, bowel and sexual dysfunction. These, and therefore require urgent referral, investigation, and treatment to prevent permanent neurological damage (paralysis).

Treatment

• Large disc prolapses which are causing severe leg weakness and / or bladder and bowel dysfunction require an urgent surgical referral for Spinal Decompression. Permanent leg weakness and incontinence can occur when treatment for this problem is delayed.
• Smaller disc prolapses which are not producing major leg weakness or bladder involvement can be managed conservatively with a series of Epidural Injections and active rehabilitation

- 2 minggu kene constipation !
- pegi GP, GP kate buah pinggang i bengkak sebab tak pegi toilet. Bagi ubat, telan sampai habis..tak jugak pegi toilet! suke ati je cakap something wrong with my buah pinggang- bengong betul !
- pegi ER, dah siap siap nak X-ray..tak jadi sbb Doc takut pregnant! balik rumah balik...malam merana tak boleh tido!
-next day dapat jumpa specialist terus buat test pregnancy. Confirmed takde pun! terus x-ray and MRI.
- haa...ambik tgk tgk dapat hadiah ni - L5-S1 prolapse disc with annular tear. Patut la sakit yang amat...especially malam. Harusla tak tido lena.
- masuk OT terus, cucuk dgn epidural steroid!
- first nite kat hospital, tak bole tido...berpeluh gile bagai. Hubby menggeletar kesejukan.
- nasib baik tak sambut new year kat hospital!

Headache

My migraine is really getting worse! for some reason my PMS nowadays dah sakit macam dulu but now mesti kene migraine. And this time around lagi teruk rasa macam nak pecah kepala! Hurghh, tak suke. Past few days i was busy doing budgeting & manpower planning for nursing with my boss. Macam nak pecah kepala. I guess that's why this time PMS dapat sakit kepala macam nak pecah! Any solution for this?

Sampai tido malam pun termimpi-mimpi pasal keje, boleh? Mane tak sakit kepala! But hey, it's worth it! :)
Till today still sakit and i wish i can do this......kan best kalau boleh hilang migraine just like this! ahaks....

Blood Sucker

hahahah...blood sucker! benci betul bile kene ambik darah. Sampai 3 kali & 3 tempat baru dapat. Duhhh...sakit ler. Nasib baik dah biasa, but this time around....my segala urat degil and susah nak keluar. Dah dapat sikit cepat beku pulak tu. Pening kepala nurse, sampai 3 org cube ...plus one doctor. Lawak betul...dah keluar bukanyer nak masuk tiub terus, but dia pegi melambak keluar. Huiihhh...degil betul! Nasib baik dah tak heran and to me dah takde rase sakit pun. Alah bisa tegal biasa...( tah betul tah tidak ! )

after 2days...hmmm weird, tidak pernah seteruk ini. Oh, luar gambar lagi teruk lebamnyer Takpe-takpe....demi masa depanku, ku sanggup lalui semuanyer ini.Hwahwahw ah....opss...terketawa lebih pulak!

Appendicitis

The appendix is a small, tube-like structure attached to the first part of the large intestine, also called the colon. The appendix is located in the lower right portion of the abdomen. It has no known function. Removal of the appendix appears to cause no change in digestive function.

Appendicitis is an inflammation of the appendix. Once it starts, there is no effective medical therapy, so appendicitis is considered a medical emergency. When treated promptly, most patients recover without difficulty. If treatment is delayed, the appendix can burst, causing infection and even death. Appendicitis is the most common acute surgical emergency of the abdomen. Anyone can get appendicitis, but it occurs most often between the ages of 10 and 30.

Causes

The cause of appendicitis relates to blockage of the inside of the appendix, known as the lumen. The blockage leads to increased pressure, impaired blood flow, and inflammation. If the blockage is not treated, gangrene and rupture (breaking or tearing) of the appendix can result.

Most commonly, feces blocks the inside of the appendix. Also, bacterial or viral infections in the digestive tract can lead to swelling of lymph nodes, which squeeze the appendix and cause obstruction. This swelling of lymph nodes is known as lymphoid hyperplasia. Traumatic injury to the abdomen may lead to appendicitis in a small number of people. Genetics may be a factor in others. For example, appendicitis that runs in families may result from a genetic variant that predisposes a person to obstruction of the appendiceal lumen.


Symptoms of appendicitis may include

* pain in the abdomen, first around the belly button, then moving to the lower right area

* loss of appetite

* nausea

* vomiting

* constipation or diarrhea

* inability to pass gas

* low fever that begins after other symptoms

* abdominal swelling


Tulah sebabnyer Labu ini berpantang now.. :(

Sakit Perut

We had dinner last night at KDE. The crowd was so-so. Saturday night so maybe orang busy with AF that night, that's what my dad sad. Haha...but to me personally i think, KDE is running down from doing business. Food pun lousy. Tempat tu pun dah malap jer i tgk. Cam ala-ala dah tua gitu. I think mostly yang datang sini pun are members only. Nak makan kat sini, to me tak payahlah....buffet dia teruk giler! Unless you nak makan Chinese Food, boleh la makan kat Tai Thong Restaurant, if i am not mistaken. Tu jer yang i rase ok.

My dad wanted to have dinner with his family, so everybody was there..except my big sister. Can't remember mane dia pegi that night. My dad wanted to have BBQ and steamboat for dinner, kenela dgn weather that night...sejuk coz hujan since siang tak henti-henti. Decided to have it kat KDE since that's the nearest place to go from our house. My dad ni kinda malas type of person nak drive jauh-jauh malam- malam ni since he is not too familiar with KL roads ( yelar, siang-siang ade drebar bawak, hehe ) unless his daughter willing to drive, then we can merayau jauh-jauh. Anyway, KDE is located at Taman Tun Abdul Razak ( TAR ), Ampang Jaya and it is within 10 minutes drive from our place, tu yang pi makan kat situ tu. I didn't know that he planned to have BBQ and steamboats for dinner. Or else i will arrange to go to Tupai-tupai since they have BBQ buffet lately ni. Dah last minute, baru my mum called and told us nak pegi KDE. Oklah, ayah nak belanja...so nothing much we can say about it anyway.

But, seriously...tak banyak choice kat situ. It's BBQ steamboat buffet but everything dah dimasakkan. Not like before, you can choose what you want and you can bakar or masak sendiri. Which we prefer that. Ni, boring gile. Food pun kinda sejuk, sesejuk cuaca malam tu. Hehe, the steamboat that they have...hanyalah few choices of yong tau fu kinda things, yang u ambik and tuangkan kuah dalam tu. What the heck!!! Ayah siap cakap lagi, kalau nak makan macam ni baik makan Yong tau fu ampang point tu lagi sedap. Hehehehe.....we all senyap jerlah, since dia yang nak pegi situ. Bosan! Harga buffet dia mak datuk....gile mahal dgn ape yang dia served kita. Tak berbaloi langsung. Might as well we go to seafood terminal ( oh! gile best ! ) or Tupai-tupai which is much-much more cheaper. Gile tak gune punyer KDE!

And the next EARLY MORNING, you know what? we all kene diarrhoea. Tak hingat punye sakit perut! Menyirap sungguh, mane tak nyer, pagi-pagi buta dah bertapa dalam toilet. Dah hujan and angin sepoi-sepoi bahasa, tido lagi baik. Sakit perut tak ingat sampai nak pitam rase! I am pretty sure that makanan yang dok melantak malam semalam yang buat sakit perut macam nak pecah ni. Coz i remember i didn't take lunch earlier. I called my mum, and she told me that my 2 sisters ( yan & adha ) also kene. Sah!!! My hati manis and my parents tak kene. Normally, bende-bende macam ni my hati manis yang paling sensitive. Rupa-rupanye, the 3 of them tak makan ayam last night, the rest bende yang we all "tala" semuanye same except they didn't take ayam. Hampeh punye KDE either ayam tu tak bersih or tak cukup masak. Hangin tul....!!! Penat visit toilet umah ni every single hours. So, KDE ( Duyung Restaurant ) jangan harap i'm going to visit your place for the next one year!!!

ayam yang kureng asam!

at first, ingatkan kupang tu yang bersalah! Cian dia!