new leukemic patient
8 year old girl, presented with one week history of fever, pallor and easy bruising.
Hb 6.2g/L, total white count 30x10^9/L, platelet 16 x 10^9/L.
liver 2cm, shotty cervical lymph nodes, no gum hypertrophy.
Blasts cell seen from peripheral blood film.
clinical diagnosis: ALL.
refer to oncology centre
Wednesday, May 23, 2007
Saturday, May 12, 2007
Nurses day
my ward nurses reminded me today is nurses day. asked them what they want.
Well, they requested secret recipe cakes + pizza hut..
treat them pizza + a secret recipe cakes. The cake cost me RM130, Pizza RM133.20.
rather expensive.
once a year event
Well, they requested secret recipe cakes + pizza hut..
treat them pizza + a secret recipe cakes. The cake cost me RM130, Pizza RM133.20.
rather expensive.
once a year event
Friday, May 11, 2007
leukaemic patient that refused treatment
newly diagnosed in 31/1/2007 at a local university hospital. stayed one week at hospital as preparation for chemotherapy. Somehow the child was very apprehensive/afraid of needle. I think must be needle phobia.
Then the parents made decision to bring her back without chemotherapy.
presented to me 1 months later with extreme pallor. advised again by so many people for chemotherapy. yet parents still refused.
all they want is to blood transfusion and then discharged.
true enough to my prediction. they came in again in another months time. extreme pallor, with lots of bruises. transfused blood again. being told that their illness is very critical.
White cell count of 173 x 10^9/L.
Discharged after blood transfusion.
readmitted one week later with sudden loss of consciousness. collapsed at home.
sent to ICU one day. died after 8 hours of admission.
parents said i want chemotherapy now......
Then the parents made decision to bring her back without chemotherapy.
presented to me 1 months later with extreme pallor. advised again by so many people for chemotherapy. yet parents still refused.
all they want is to blood transfusion and then discharged.
true enough to my prediction. they came in again in another months time. extreme pallor, with lots of bruises. transfused blood again. being told that their illness is very critical.
White cell count of 173 x 10^9/L.
Discharged after blood transfusion.
readmitted one week later with sudden loss of consciousness. collapsed at home.
sent to ICU one day. died after 8 hours of admission.
parents said i want chemotherapy now......
misdiagnosis
one patient with 3 episodes of fitting. came to me.
A CT brain was done, it showed a small 1cm x 0.5cm at frontal cortex. subsequently radiologist reported as a small meningioma over the left frontal cortex.
Urgent referral was made to Mahkota Medical Centre. No such brain lesion was noted from the 2nd scan.
Patient's father called and said why i told him that there is a brain tumour. Since the radiological report say so, i have to tell them such thing.
Any discrepancy have to be born by the respective radiological doctor. and not me.
:)
A CT brain was done, it showed a small 1cm x 0.5cm at frontal cortex. subsequently radiologist reported as a small meningioma over the left frontal cortex.
Urgent referral was made to Mahkota Medical Centre. No such brain lesion was noted from the 2nd scan.
Patient's father called and said why i told him that there is a brain tumour. Since the radiological report say so, i have to tell them such thing.
Any discrepancy have to be born by the respective radiological doctor. and not me.
:)
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