Tengok gambo jer lah dulu.. Nak jenjalan pi pasar Ramadhn asih tak larat...
Wednesday, 31 July 2013
Teringinnya nasi dagang....
Tetiber pagi nie rasa teringin sgt nak makan nasi dagang... Slruppp, mana ler nak carik kat area Sabak Bernam nie..... Hmmmmm
Malam ke23
Raya dah nak hampir. Satu persiapan raya pun aku x dak lagi. Baju ada tempah tapi tak siap lagi.
Tudung pun x da lagi apatah lagi kasut. Biar.ah... Tahun ini pakai apa yang ada je lah. Itupun tuhan masih beri peluang pada aku untuk sambut hari raya. Buatnya dlm masa 12 jam lebih aku dibius terus tak sedar?????
Nauzubillahhhh...
The Body Shop... Online Store
Barang yang aku order dari Body Shop udah sampai ke rumah mama... Yahooo..
Tuesday, 30 July 2013
Di ward 7
Sepanjang berada di ward ortopedik, HKL aku menerima layanan kelas pertama. Dua kali aku menerima rawatan di HKL, layanan yang sama diberikan. Kesimpulannya, hospital kerajaan juga bertaraf bintang... Dari porter, pekerja pembersihan, pembekal makanan, nurse, sister, juru x-ray, doktor dan semua kakitangan di HKL sepanjang aku berada 9 hari di sana layak menerima pujian. Semua nya pakar mengendalikan bidang tugas masing masing dengan penuh tanggungjawab. Itu saja tidak cukup, penuh ceria dan tiada maki hamun yang aku dengar seperti yang kerap aku dengar.
Ini boleh jadilan pembakar semangat aku bila kembali bekerja nanti. Insyaallah. Dengan bil perubatan aku (hanya kos peralatan) berjumlah RM26 ribu, apa lagi yang perlu aku katakan...
Bersyukur dan terus bersyukur...
Moga aku segera pulih dan kembali menjalankan tanggungjawab aku kepada majikan...
Risiko Pembedahan Tulang Belakang
Complications of Spine Surgery
A Patient's Guide to Complications of Spine Surgery
Introduction
With any surgery, there is the risk of complications. When surgery is done near the spine and spinal cord, these complications (if they occur) can be very serious. Complications could involve subsequent pain and impairment and the need for additional surgery. You should discuss the complications associated with surgery with your doctor before surgery. The list of complications provided here is not intended to be a complete list of complications and is not a substitute for discussing the risks of surgery with your doctor. Only your doctor can evaluate your condition and inform you of the risks of any medical treatment he or she may recommend.
Anesthesia Complications
The vast majority of surgical procedures require that some type of anesthesia be done before the surgery. This is so that you will not feel, or be aware of the procedure. The simplest form of anesthesia is local anesthesia. Local anesthesia is done by injecting a medication (usually Novocain) around the area of the surgical procedure that "numbs" the skin and surrounding tissue. The most complex form of anesthesia is general anesthesia. General anesthesia is where you go completely to sleep during the surgical procedure. Medications are given by intravenous lines (IVs) to put you to sleep. Special machines breathe for you, monitor your vital signs, and alert the anesthesiologist to any problems while you are asleep. You are kept asleep during the operation by a combination of medications given through the IV line and "anesthetic gases" that you inhale through special machines controlling your breathing. Most spinal operations require general anesthesia. A very small number of patients may have problems with general anesthesia. These can be problems due to reactions to the drugs used, problems arising from your other medical problems, and problems due to the anesthesia. Be sure to discuss these complications with your anesthesiologist.
Thrombophlebitis
When blood clots form inside the veins of the legs, it is referred to as Deep Venous Thrombosis (DVT). This is a common problem following many types of surgical procedures. It is true that these blood clots can also form in certain individuals who have not undergone any recent surgery. These blood clots form in the large veins of the calf and may continue to grow and extend up into the veins of the thigh, and in some cases into the veins of the pelvis.
The risk of developing DVT is much higher following surgery involving the pelvis, and surgery involving the lower extremities. There are many reasons that the risk of DVT is higher after surgery. First, the body is trying to stop the bleeding associated with surgery, and the body's clotting mechanism is very hyperactive during this period. In addition, injury to blood vessels around the surgical site, from normal tugging and pulling during surgery, can set off the clotting process. Finally, blood that does not move well sits in the veins and becomes stagnant. Blood that sits too long in one spot usually begins to clot.
Why do we worry about blood clots? Blood clots that fill the deep veins of the legs stop the normal flow of venous blood from the legs back to the heart. This causes swelling and pain in the affected leg. If the blood clot inside the vein does not dissolve, the swelling may become chronic and can cause discomfort and swelling permanently. While this may seem bad enough, the real danger that a blood clot poses is much more serious. If a portion of the forming blood clot breaks free inside the veins of the leg, it may travel through the veins to the lung, where it can lodge itself in the tiny vessels of the lung. This cuts off the blood supply to the portion of the lung that is blocked. The portion of the lung that is blocked cannot survive and may collapse. This is called a pulmonary embolism. If a pulmonary embolism is large enough, and the portion of the lung that collapses is large enough - it may cause death. With this in mind, it is easy to see why prevention of DVT is a serious matter.
Reducing the risk of developing DVT is a high priority following any type of surgery. Things that can be done to reduce the risk of developing DVT fall into two categories:
- Mechanical - getting the blood moving better
- Medical - using drugs to slow the clotting process
Mechanical
Blood that is moving is less likely to clot. Getting YOU moving so that your blood is circulating is perhaps the most effective treatment against developing DVT. While you are in bed, other things can be done to increase the circulation of blood from the legs back to the heart. Simply pumping your feet up and down (like pushing on the gas pedal) contracts the muscles of the calf, squeezes the veins in the calf, and pushes the blood back to the heart. You cannot do this too much!
Pulsatile stockings do the same thing. A pump inflates these special stockings that wrap around the calf and thigh every few minutes, squeezing the veins in the calf and thigh pushing the blood back to the heart. Support hose, sometimes called TED hose, are still commonly used following surgery. These hose work by squeezing the veins of the leg shut. This reduces the amount of stagnant blood that is pooling in the veins of the leg - and reduces the risk of that blood clotting in the veins. Finally, getting you out of bed walking will result in muscle contraction of the legs and keep the blood in the veins of the leg moving.
Medical
Drugs, which slow down the body's clotting mechanism, are widely used following surgery of the hip and knee to reduce the risk of DVT. These drugs include simple aspirin in very low risk situations, and heparin shots twice a day in moderately risky situations. In conditions that have a high risk for developing DVT, several very potent drugs are available that can slow the clotting mechanism very effectively. Heparin can be given by intravenous injection, a new drug called Lovenox can be given in shots administered twice a day, and Coumadin can be given by mouth. Coumadin is the drug of choice when the clotting mechanism must be slowed for more than a few days because it can be taken orally.
In most cases of spinal surgery, both mechanical and medical measures are used simultaneously. It has become normal practice to: use pulsatile stockings immediately after surgery, have you begin exercises immediately after surgery, get you out of bed as soon as possible, and place you on some type of medication to slow the blood clotting mechanism.
Lung Problems
The success of your surgery includes taking care of your lungs afterwards. It is important that your lungs are working at their best following surgery to ensure that you get plenty of oxygen to the tissues of the body that are trying to heal. Lungs that are not exercised properly after surgery can lead to poor blood oxygen levels and even develop pneumonia (an infection in the lungs).
There are several reasons that your lungs may not work normally after surgery. If you were put to sleep with a general anesthetic for your surgery, the medications used for the anesthesia may temporarily cause the lungs not to function as well as normal. This is one reason that a spinal type anesthetic is recommended whenever possible. Lying in bed prevents completely normal function of the lungs and the medications you take for pain may cause you not to breathe as deeply as you normally would.
You can think of the lung like a large sponge. All the small air pockets where the blood receives oxygen are like the small holes in a sponge. If the small holes collapse, or squeeze together, no air can get into the holes to supply oxygen to the blood. When we breathe deeply, the lungs expand and all the individual holes of the sponge fill with air. Coughing does the same thing because we increase the pressure of the air coming into the holes of the sponge. Lungs that have collapsed areas not only do not move oxygen into the blood, they cannot remove the fluids and mucous normally produced by the lungs. This can create an area that is ripe for developing bacteria that can grow and produce a lung infection, or pneumonia.
After surgery, you will need to do several things to keep your lungs working at their best. Your nurse will encourage you to take frequent deep breaths and cough often. He or she will be there to coach you. Getting out of bed, even upright in a chair, allows the lungs to work much better. Therefore, as soon as possible, you will be allowed to get into a chair. The respiratory therapist has several tools to help maintain optimal lung function. The incentive spirometer is a small device that measures how hard you are breathing and gives you a tool to help improve your deep breathing. If you have any other lung disease, such as asthma, the respiratory therapist may also use medications that are given through breathing treatments to help open the air pockets in the lungs.
Infection
Any time surgery is performed, there is a risk of infection. However, infections occur in less than 1% of spinal surgeries. An infection can be in the skin incision only, or it can spread deeper to involve the areas around the spinal cord and the vertebrae. A wound infection that involves only the skin incision is considered a "superficial" infection. It is less serious and easier to treat than the deeper infection. Surgeons take every precaution to prevent infections. You will probably be given antibiotics right before surgery - especially if bone graft, metal screws, or plates will be used for your surgery. This is to help reduce the risk of infection.
If the surgical wound becomes red, hot, and swollen and does not heal, it may be infected. Infections will usually cause increasing pain. You may run a fever and have shaking chills. The wound may ooze clear liquid or yellow pus. The wound drainage may smell bad.
Contact your doctor immediately so the wound can be treated and antibiotic medication can be prescribed if necessary. The superficial wound infection can usually be treated with antibiotics, and perhaps removing the skin stitches. The deeper wound infections can be very serious and will probably require additional operations to drain the infection. In the worst cases, any bone graft, metal screws, and plates that were used may need to be removed.
Hardware Fracture
In many different types of spinal operations, metal screws, plates, and rods are used as part of the procedure to hold the vertebrae in alignment while the surgery heals. These metal devices are called "hardware". Once the bone heals, the hardware is usually not doing much of anything. Sometimes before the surgery is completely healed the hardware can either break - or move from the correct position. This is called a "hardware fracture". If this occurs it may require a second operation to either remove the hardware or replace the hardware.
Implant Migration
Implant migration is a term used to describe the fact that the implant has moved from where the surgeon placed it initially. This usually occurs fairly soon after surgery - before the healing process has progressed to the point where the implant is firmly attached by scar tissue or bone growth. If the implant moves too far, it may not be doing its job of stabilizing the two vertebrae. If it moves in a direction towards the spine or large vessels - it may damage those structures. If you have a problem with implant migration, your surgeon may have to perform a second operation to replace the implant that has moved. Your doctor will check the status of the hardware with X-rays taken during your follow-up office visits.
Spinal Cord Injury
Any time you operate on the spine, there is some risk of injuring the spinal cord. This can lead to serious injuries to the nerves or the covering of the spinal cord - the dura. The spinal cord is a column of nerves that connects your brain with the rest of your body, allowing you to control your movements. The nerve fibers in your spinal cord branch off to form pairs of nerve roots that travel through the small openings (foramina) between your vertebrae. The nerves in each area of the spinal cord connect to specific parts of your body. Damage to the spinal cord can cause paralysis in certain areas and not others, depending on which spinal nerves are affected.
Persistent Pain
Some spinal operations are simply unsuccessful. One of the most common complications of spinal surgery is that it does not get rid of all of your pain. In some cases, it may be possible to actually increase your pain. Be aware of this risk before surgery and discuss it at length with your surgeon. He or she will be able to give you some idea of the chance that you will not get the relief that you expect.
Some pain after surgery is expected, but if you experience chronic pain well after the operation, you should let your doctor know.
Sexual Dysfunction
The spinal cord and spinal nerves carry the nerve signals that allow the rest of your body to function, feel sensation - and even have sex. Damage to the spinal cord and the nerves around the spinal cord can cause many problems. If a nerve is damaged that connects to the pelvic region, it could cause sexual dysfunction.
Transitional Syndrome
One of the interesting things about how the spine works is that it behaves like a chain of repeating segments. When the entire spine is healthy, each segment works together to share the load throughout the spinal column. Each segment works with its neighboring segment to share the stresses imposed by movements and forces acting on the spine. However, when one or two segments are not working properly, the neighboring segments have to take on more of the load. It is the segment closest to the non-working segment that gets most of the extra stress. This means that if one or more levels are fused anywhere in the spine, the spinal segment next to where the surgery was performed begins to take on more stress. Over time, this can lead to increased wear and tear to this segment, eventually causing pain from the damaged segment. This is called a transitional syndrome because it occurs where the transition from a normal area of the spine to the abnormal area that has been fused.
Pseudoarthrosis
The term "pseudo" means false and "arthrosis" refers to joint. The term "pseudoarthrosis" then means false joint. A surgeon uses this term to describe either a fractured bone that has not healed or an attempted fusion that has not been successful. A pseudoarthrosis usually means that there is motion between the two bones that should be healed, or fused, together. When the vertebrae involved in a
Source: Complications of Spine Surgery | University of Maryland Medical Center http://umm.edu/programs/spine/health/guides/complications-of-spine-surgery#ixzz2baWVduMj
University of Maryland Medical Center
Hari ini...
Situasi selepas
13 hari pembedahan
7 hari keluar hospital
£ Memang bahagian pinggul dan punggung masih rasa kebas dan sakit. Aku masih tak boleh angkat punggung untuk ubah kedudukan badan ketika berbaring. Dalam kereta juga. Kalau nak ubah kedudukan badan kena bantu angkat punggung sekali.
£ Balutan luka masih belum dibuka
£ Antibiotik telah habis hari ini
£ Jalan masih pakai tongkat
£ Baru pagi ini aku dapat buang air besar dengan norml... Seksanya Tuhan jer yang tahu. Kesan bius katernyer...
£ Selang dua hari ke klinik berdekatan untuk pantau tekanan darah.. Kerana semasa di ward agak tinggi bacaan nya...
Lama sungguh kesan bius ini ya. Kalau dipegang pun sakit kulitnya.
Lagi info...
Efek Samping Anestesi
Beberapa komplikasi mungkin dirasakan oleh sebagian pasien setelah mendapatkan anestesi terutama jika prosedur dan dosis tidak diberikan secara tepat.
Komplikasi bisa bersifat sementara, namun ada pula yang berefek hingga cukup lama. Di bawah ini adalah beberapa efek samping anestesi:
1. Nyeri di sekitar tempat suntikan.
2. Nyeri punggung bagian bawah dalam kasus anestesi spinal.
3. Penurunan tekanan darah.
4. Kerusakan saraf.
5. Karena overdosis anestesi, pernapasan pasien dan sistem peredaran darah bisa saja mengalami masalah.
6. Mati rasa pada mulut.
Monday, 29 July 2013
Lagi pasal foot drop...
Drop Foot Complications
Regardless of the foot drop cause for the specific patient, the fact remains that a dropped foot can produce many difficulties, including the inability to:
- Raise the foot at the ankle
- Point the toes upward at the body (this movement is known as dorsiflexion)
- Walk normally in the heel-to-toe fashion.
Foot Drop Considerations
Patients with dropped foot should be aware of the following:
- Foot drop may be experienced in one or both feet. If the dropped foot is caused by a low back condition, it is typically experienced in one foot.
- Drop foot is a temporary or permanent condition, depending on its cause and treatment.
- Foot drop may be simplistically diagnosed by having difficulty raising up on their heels.
Foot Drop
Selain dari masalah tulang belakang, aku juga ada masalah yang dipanggil "foot drop" di kaki kiri.
Kaki kiri aku tak boleh angkat dari jari2 hingga pergelangan kaki. Menyebabkan aku terpaksa angkat lutut tinggi untuk mengangkat kaki kiri. ( jalan dah tak betul dan nampak sangat cacatnya.)..
Masalah foot drop aku bermula Nov 2011 ketika aku ditukarkan ke bahagian baru. Cara kerja serta gerak kerja disini amat pantas dan aku perlu berjalan banyak serta menguruskan kerja2 ad hoc hingga satu masa aku diserang sakit belakang yang kronik dan aku sedar aku tak boleh angkat kaki kiri aku.
Ini membuatkan aku kembali ke Ortopedik HKL... Dah hingga lah aku mendapat keputusan untuk dibedah pada 17.7.2013. Walaupun Miss Azlin memang dah warn aku yang foot drp ini mungkin tak akan sembuh... Tapi aku optimis... Cuba sahaja. Foot drop tak okay mungkin sakit belakang okay. Tawakal tu anAallah...
Ini dari internetan...
Foot Drop
Foot drop, sometimes called "drop foot," is the inability to lift the front part of the foot. This causes the toes to drag along the ground while walking.
To avoid dragging the toes, people with foot drop may also lift their knee higher than normal. Or they may swing their leg in a wide arc.
Foot drop can happen to one foot or both feet at the same time. It can strike at any age.
In general, foot drop stems from weakness or paralysis of the muscles that lift the foot. It can have many different causes. Treatments for foot drop vary according to the cause.
WebMD takes a look at the most common causes and treatments
What Causes Foot Drop?
Foot drop is a symptom of an underlying problem, rather than a disease itself. It can be temporary or permanent. Causes of foot drop include:
- nerve injury
- brain or spinal disorders
- muscle disorders
Here's some more detail on these causes:
Nerve injury. Most commonly, foot drop is caused by an injury to the peroneal nerve. The peroneal nerve is a branch of the sciatic nerve that wraps from the back of knee to the front of the shin. Because it sits very close to the surface, it may be easily damaged.
An injury to the peroneal nerve may also be associated with pain or numbness along the shin or the top of the foot.
Some common ways the peroneal nerve is damaged or compressed include:
- sports injuries
- diabetes
- hip or knee replacement surgery
- spending long hours sitting in crossed-legged or squatting position
- childbirth
- large amount of weight loss
- Injury to the nerve roots in the spine may also cause foot drop. (Ini punca masalah aku...)
Brain or spinal disorders. Neurological conditions can contribute to foot drop. These include:
- stroke
- multiple sclerosis (MS)
- cerebral palsy
- Charcot-Marie-Tooth disease
Muscle disorders. Conditions that cause the muscles to progressively weaken or deteriorate may cause foot drop. These include:
- muscular dystrophy
- amyotrophic lateral sclerosis (Lou Gehrig's disease)
- polio
How Do Doctors Treat Foot Drop?
Treatment for foot drop will depend on the specific cause. Early treatment may improve your chances of recovery.
Treatments include:
- light-weight braces
- shoe inserts (orthotics)
- physical therapy
- surgery
Light-weight braces are the most common treatment. They're used to support the leg.
Physical therapy is used to help strengthen foot and leg muscles. It may improve a person's ability to walk. In some cases, electronic devices that stimulate the leg nerves during walking may be appropriate.
Surgery may be recommended to try to repair or decompress a damaged nerve. In cases where foot drop is permanent, surgery to fuse the foot and ankle joint or to transfer tendons from stronger muscles can improve gait and stability.
Salam 21 Ramadhan buat semua umat Islam....
Sharing pic dari Internet...
Tadi sudah keluar dengan mama. Mama drive aku dok sblh....
Pergi bayar duit keta. Keluarkan duit untuk blanja.. Then pg guardian. Beli penimbang berat dan support kaki (utk foot drop) aku...
Jam 9.00 pagi semua settle. Orang lain mula membanjiri pekan... Aku dan mama lak dah settle n nak balik umah. Huuuu selamat dari jam di minggu akhir puasa.
Sebelum balik umah, ajak mama singgah pantai kejap. Tapi ada orang lepak lepak. Tak jadi lah kami lihat air laut... Tak ada rejeki kami....
Salam Ramadhan ke 20
Hari ini dah 12 hari aku selamat operate... Syukur yaAllah...
Selamat berbuka puasa semua... Aku berbuka berdua dengan mama. Sejak keluar hospital 23.7.2013 aritu aku terus balik kampung... Berehat di sini...
Sunday, 28 July 2013
Ubat tahan sakit: acugesic
Hanya tiga puluh biji dibekalkan kepada aku selepas keluar wad. Jadilah. X bleh makan banyak katernyer...
ACUGESIC
| Manufacturer | CCM Duopharma BioTech |
| Distributor | CCM Duopharma BioTech |
| Contents | Tramadol HCl |
| Indications | Severe acute & chronic pain. Painful diagnostic or therapeutic measures. |
| Dosage | Oral Adult & adolescent >14 yr 1 cap/tab. Inj Adult & adolescent >14 yr 50-100 mg IV, IM, SC. Childn from 1 yr 1-2 mg/kg body wt. Max: 400 mg. |
| Administration | May be taken with or without food. |
| Contraindications | Acute intoxication w/ alcohol, hypnotics, analgesics, opioids or psychotropic drugs. |
| Special Precautions | Myasthenia gravis, renal & hepatic impairment, head injury, increased intracranial pressure, shock, resp disorders, impaired consciousness, w/drawal syndrome. Childn <12 yr. Pregnancy & lactation. May impair ability to drive or operate machinery. |
| Adverse Drug Reactions | Sweating, dizziness, nausea, vomiting, dry mouth, fatigue. View ADR Monitoring Website |
| Drug Interactions | CNS depressants, MAOI, carbamazepine. |
Antibiotik ku....
Cefuroxime axetil is a second generation oral cephalosporin antibiotic. It was discovered by Glaxo now GlaxoSmithKline and introduced in 1987 as Zinnat.[1] It was approved by FDA on Dec 28, 1987.[2] It is available by GSK as Ceftin in US[3] and Ceftum in India.[4]
To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefuroxime axetil tablets and other antibacterial drugs, cefuroxime axetil tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.
DESCRIPTION
Cefuroxime axetil tablets contain cefuroxime as cefuroxime axetil. Cefuroxime axetil tablets is a semisynthetic, broad-spectrum cephalosporin antibiotic for oral administration.
Chemically, cefuroxime axetil, the 1-(acetyloxy) ethyl ester of cefuroxime, is (RS)-1-hydroxyethyl (6R,7R)-7-[2-(2-furyl)glyoxyl-amido]-3-(hydroxymethyl)-8-oxo-5-thia-1- azabicyclo[4.2.0]-oct-2-ene-2-carboxylate, 72-(Z)-(O-methyloxime), 1-acetate 3-carbamate. Its molecular formula is C20H22N4O10S, and it has a molecular weight of 510.48.
Cefuroxime axetil is in the amorphous form and has the following structural formula:
Cefuroxime axetil tablets are uncoated and contain the equivalent of 250 or 500 mg of cefuroxime as cefuroxime axetil. Cefuroxime axetil tablets also contain the following inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, hydrogenated vegetable oil, microcrystalline cellulose and sodium lauryl sulfate.
Friday, 26 July 2013
Klinik Anestetik
Mission
Objectives and Function
- To provide anesthetics, intensive care and related services of high quality and consistent with established high standards of care.
- To increase awareness among patients and other caregivers about anaesthesia and the role anaesthetists play in their treatment and eventual recovery.
- To actively carry out Continuing Professional Development (CPD) for the staff of the department inclusive of doctors, nurse and paramedics as we believe that CPD activities will eventually translate into high standards of patient care.
- To promote good teamwork and excellent working relationships among all members of the department.
- To carry out continuous quality improvement activities so that it becomes a tool for improving the standard of services and is institutionalized in the department.
- To carry out clinical research which may include the use of new drugs that are about to be registered in the country.
Buah cherry Malaysia
Pokok ini aku tanam tiga tahun lepas... Dalam pasu sahaja...
Rasa buahnya masam masam.. Boleh buat jus katernyerrr...
Selamat malam.....
Aku dilarang membongkok 6 bulan selepas pembedahan
- perlu memakai "lumbar corset" sekurang kurangnya 3 bulan...
Tekanan darah aku mulai tinggi sebelum dan semasa di ward. Sedangkan aku tiada penyakit ini sebelum ini. Pemantauan perlu dibuat. Stress kah aku?????
19.8.2013 (Jumaat)
Hari Kedua...
Pagi ini bangun pagi seperti biasa. Hanya baring sahaja. Pagi ni rasa nak cuba g bilik air lah. Tapi tunggu nanti nanti bila dah pagi sikit...
Jam 9.00 aku cuba bangun dri katil. Masih sakit dan peninggggggg. Dewi ada. Tapi panggil nurse juga. Mereka larang untuk berjalan selagi pakar fisio tak datang. Tpi aku berdegil. Aku nak juga pergi.. Alasan aku tak boleh buang air guna bekas.
Nak tak nak. Sister dan dua lagi jururawat serta dewi pimpin aku turun dengan susah payah. Tiub darah kotor kiri kanan diangkut. Turun katil kerusi roda dan tunggu. Ditolak aku hingga depan pintu tandas. Aku bangun dan berjalan sendiri ke dalam... Syukurrr....
So hari kedua ini sudah berjalan....
9.30 pagi
Miss Azlin dan teamnya datang lagi. Hari Jumaat yang mulia ni check luka. Tampalan belakang aku dibuka dalam keadaan aku mengiring. So tak nampak Miss Azlin dan yang lain lain. Hanya dengan suara sahaja. Kata mereka luka aku okay. Syukurrrr lagi YaAllah... Kau permudahkan aku mengharunginya...
Petang ni kena pergi x-ray...
18.7.2013 hari pertama
Group spine dah berlalu. Sejam kemudian Aku dikunjungi oleh group pakar bius. Mereka check penggunaan mesin morphin yang dibekalkan. Hanya 001. Satu penggunaan sahaja dari semalam. jam 11 malam. Syukurlah. Aku berjaya melawan rasa sakit ini. Syukur ya Allahhhhh.
Seorang sister menunjukkan skala kesakitan lagi padaku. Aku bagi 3 markah. Hehehe.. Dan mereka kata mereka akan tanggalkn mesin itu. Syukurlah...
Tahap kesakitan aku sekarang tiada pada luka pembedahan. Lebih kepada lenguh dan kebas di paha, punggung dan pinggang. Masih tak bangun coz Tiub kencing / Urinary Catheter (UT) masih dipasang. Begitu juga kedua tiub yang mengalirkan darah kotor. Masih bergayut di kiri dan kanan badan aku diikat dikatil. Pergerakan terbatas.
Aku juga hanya minum. Tidak makan lagi memandangkan takut muntah. Lagipin time time sekarang, bagilah makanan paling sedap di dunia... Aku hanya mampu memandang.
Jam 11 pagi. Nurse datang dan check air kencing dan katanya boleh buka Tiub kencing / Urinary Catheter (UT). Katanya tak elok lama2. Takut jangkitan. Atau jika mahu aku boleh tangguh hingga esok (jumaat). Namun aku ambil keputusan untuk buka hari ini.
Bebas dari satu tiub.. Syukur YaAllah...
Esok perlu pergi x-ray pula...
Thursday, 25 July 2013
Sehari selepas pembedahan (17.7.2013)
Malam tadi tidurku hanya sekejap. Terjaga jaga dan terbuka buka mata. Tapi syukur.ah. Tiada rasa sakit luka pembedahan...
Jam 5 pagi nurse datang seperti rutin seharian. Check BP. Rendah seperti malam tadi. Semalaman aku dibiarkan berehat tanpa ganguan....
Mama bersiap untuk pulang setelah seharian menunggu aku di luar dewan bedah serta semalaman menemani aku di ward.
Mama pulang jam 8 pagi. Byeee jumpa petang ni...
Tinggal Dewi menemani aku... Dewi penyelamat episod ini... Terima kasih dewi...
Masih tiada rasa sakit. Morphin yang dibekalkan hanya sekali aku picit malam tadi. Untuk mengetahui bagaimana rasanya... Kecik ati plak dia kalau aku tak guna... Hehehe.
Jam 9.00 pagi Miss Azlin dan kumpulannya datang berjumpa aku.
Dia datang dekat dgn aku hingga aku bisa memegang tangannya dan mengucapkan terima kasih.
"Foot drop" aku mungkin tak dapat disembuhkan lagi... Uratnya membengkak dan sudah terlalu lama tertekan.
"Ada pula tulang yang tumbuh yang menghalang mereka menjalani pembedahan seperti biasa..." Kata Miss Azlin.
Tak tahu dari mana tumbuhnya tulang itu. Subhanallah...
Esok mereka akan buka balutan luka pembedahan dan lihat secara keseluruhannya.
Terima kasih semua...
Kesakitan itu...
Tiba di ward... Mama dan Dewi mnnti setia.
Katil aku diparking seperti sebelum operation, dan palang2 dinaikkan.
Dengan aku ada morphin untuk mengurangkan kesakitan. Yang perlu aku tekan sahaja untuk mengurangi kesakitan itu...
Setelah itu, datang kumpulan pakar bius menanyakan tahap kesakitan aku.
Aku kata "tiada sakit".
Dia keluarkan skala 1-20 dan tanya skala sakit aku dimana....
" kosong (0)"... Memang aku tidak merasa sebarang kesakitan ketika ini...
Cuma pening dan kebas- kebas di pinggang dan punggung... Itu jer
Pasukan itu beredar meninggalkan aku. Dengan tube darah kotor di kedua kiri dan kanan katil, tiub air kecil dan morphin yang bermesin...
Mama menghampiri aku dan mencium aku. Dengan aku menolak mengatakan aku muntah tadi...
Bertaut kembali kasih sayang ini. Ingatkan aku telah pergi....
Syukur ya Allahhhhh....
Malam itu aku tidur ditemani mama dan Dewi... Bertemankan sepi dan rasa yang amat tidak selesa...
Selamat malam semua....
Sedar selepas pembedahan
Aku sedar namaku dipanggil berkali-kali..
Katil aku diparking kat mana tah. Aku x sedar..
Aku ingat aku bertanya nurse..."dah pukul berapa ni...?
" Pukul 9.30 mlm" satu suara menjawab.
Dalam kepeningan aku cuba buka mata dan aku lihat hanya ada satu orang yang berada di samping aku. Menguruskan apa tah. Aku ingin muntah dan mengapai2 cari org atau bekas namun tiada. Senang cerita, muntah sahaja dan ianya mengenai leher dan bahu aku. Baru ku pekik cari nurse. Dan aku mulai marah kerana tinggalkan aku sendirian.
Kata maaf diungkap dan dibersihkan ala kadar.
10.10 malam
Kemudian aku dibawa ke tempat lain. Dimana dua orang nurse dari wad 7 sedang menunggu untuk bawa aku balik. Sementara aku dibangunkan untuk salin katil, sekali lagi aku muntah...
Dan lepas segalanya selesai, aku ditolak ke wad....
Melayang- layang lagi perasaan ini....
Aku terus terbanggggggggggg....
pembedahan-TLIF sambungan...
Dewan bedah 7 HKL
Masuk dalam tu perasaan berdebar makin kuat.
Sekurang kurangnya ada 7 orang berada di situ. Ada dua katil. Satu kosong manakala satu lagi katil ada bantal2 bulat serta empat segi yang besar diletakkan di atas katil berjarak2. Kompom itu katil bedah aku.
YaAllah... Permudahkanlah segalanya... Aminnnn
Kuingat pesan mama semalam... Agar serahkan segalanya kepadaNya...
Dengan kadar cepat mereka menanggalkn baju putih yang aku pakai. Selimutkan aku dengan selimut plastik yang dikembangkan dengan apatah...
Melakatkan pita2 pelekat di dada dan jari tgn dikepit..
Line untuk masukkan ubat bius juga mula dipasang di kiri dan kanan tangan. Dua di tangan kiri dan satu di tangan kanan.
Sebelum dibius ( melalui mulut) dr ajar mengucap dua Kalimah Syahadah dan istighfar.. Namun aku masih jaga...
Terdengar suara dr.
"X jalan nie, beri ikut tgn jer.."
Dan terasa satu suntikan di tangan kanan aku dan kemudian aku hilang dibuai mimpi....
Ramadhan 16
Selamat berbuka puasa semua.....
Moga bertambah keimanan dan ketabahan mengharungi Ramadhan alMubarak 2013
Hari pembedahan TLIF: tujuh tujuh tujuh
17.7.2013
Nurse dah mai check BP... Agak tinggi juga. Sama seperti semalam. Jam 7.30 dah kena pergi dewan bedah.
6.00 pagi
Solat subuh dan berdoa mohon segalanya selamat dan lancar. Aminnn...
7.00 pagi
Nurse mai antar baju putih line merah untuk pakai pergi dewan bedah. Disuruh bersiap2.
7.10 pagi
Aku dah ready dengan baju putih. Cap kaler apa tah. Lupa. Hijau atau biru...
7.45 pagi
Porter datang dengan katil dri bilik bedah. Katil yng berlainan dari katil aku.. Aku diiringi jururawat cantik manis. Maryam Jameelah namanya. Secantik orangnya. Lemah lembut... Bersama sama aku dibawa fail fail serta dokumen perubatan aku. Darah empat pain (dalam kotak beku bertutup biru tua). Selama nurse bersiap2 dokumen aku, katil aku parking depan bilik ward aku. Huuuu time ni rasa best giler. Coz aku tahu pas ni aku akan ditolak ke bilik bedah.
Opsss sebelum ditolak aku kena makan dua biji ubat. Dan sebekas kecil air seperti garam yang membuatkan aku hampir termuntah. (Aku memang tak leh makan ubat yang berunsurkan cecair).
Ubat ini bertujuan menahan muntah serta pening selepas pembedahan. Diiringi hanya sedikit air putih.
8.00 pagi
Aku tiba depn pintu bilik bedah. MO dari bilik bedah menyambut dan melihat dokumen yang aku tandatangan. Sekali lalu dia minta aku sahkan tandatangan aku untuk pembedahan spine. Pemindahan darah. Pembedahan serta bius kalu tak silap aku. Semunya aku sahkan.
Darah satu2 dibuka dan diletakkan atas selimut dihujung kaki aku.
Staff nurse masih setia berada di samping aku.
Pindah katil...
Selepas semuanya selesai aku ditolak masuk ke dalam. Dari situ aku dapat tahu bilik pembedahan aku nombor tujuh (7). Staff nurse ward aku pulng ke ward dan aku sempat melambai padanya.
8.10 pagi
Katil aku ditolak parking di hadapan bilik bedah 10. Segalanya terang dan jelas di hadapan mata aku.. Kelibat2 pakar bius, doktor dan lain lain kakitangan berjalan pantas.
SeBelah kiri aku seorang wanita india
Sebelah kanan aku pula seorang wanita cina
Kedua duanya tua dan uzur.
Aku cuba pejamkan mata tapi rasa ingin tahu masih kuat dan aku masih melihat keliling. Katil2 kami dikerumuni doktor2 bius dan doktor apa tah. Memang ramai. Yang interview aku ada empat lima orang dr. Tanya pasal pernafasan dan lain lain. Dr. Jaya juga ada. Dr. Amiruddin dan dr. Ahmad Nizam yang sempat aku lihat tanda nama mereka.
8.40 pagi
Aku masih parking dihadapan bilik pembedahan 10.
Dr. Amiruddin menyuruh aku bangun sebentar dan makan sebiji ubat. Dengan hanya sedikit air.
"Cukup ker air banyak tu?"
Aku mengangguk sahaja. Mula terasa berdebar2.
"Manalah tahu setengah orang tu nak bergelen air."
Dan mereka2 dan aku ketawa jua...
8.45 pagi
Aku mula ditolak ke dewan bedah tujuh (7)
Syukur lagi yaAllah... Aku memang minat angka tujuh.
Hari ini 17.7.2013.
Ward aku ward 7
Dewan bedah aku no 7
Di dewan bedah........ Sambung pas ni ek... Aku nak rehat kejap. Dah agak lama duduk...
Wednesday, 24 July 2013
Persediaan...
Hanya menerima kunjungan ketua bahagian dan dua orng sahabat dari pejabat ku bertugas. Memang itu kemahuanku. Tiada pelawat untuk ku berehat dengan secukupnya.
Family...?
Juga aku rahsiakan.. Tidak mahu mengganggu dan menyusahkan mereka di bulan ramadhan yang mulia ini.. Namun dah dikatakan family.. muncul jua. Moga Allah jua yang membalas budi baik mereka. Aminnnnn
Mama?
Keresahan hati itu membuatkan tekanan darahku tidak stabil. Naik mendadak...
Mama mahu menemani aku semalaman sebelum pembedahan. Namun aku halang. Aku tidak mahu sesiapa pun melihat aku ke dewan bedah... Syukur mama memahami. Aku suruh mama datang ke hospital sehari sebelum dan petang aku menjalani pembedahan.
Tidak perlu tunggu aku dan iring aku... Lagaknya seperti dlm drama pulak. Huhuhu aku tak suka...
Realitinya aku mahu sendirian...
Hari kedua: 16 Julai 2013
Bermula hari kedua di HKL. Tanpa ditemani siapa2. Alone..
Proses biasa. Semalam ambil darah.
Harini pakar spine yang diketuai oleh Miss Azlin akan datang melawat.
Jam 10 pagi lebih dalam tujuh orang dr. Datang. Tak banyak sesi soal jawab berlaku kerana kebanyakkkannya telah diterangkan semasa di klinik ortopedik tempoh hari. Dalam ati nak tau banyak gilerrrr. Tapi malu. Huhuhuhu
Dan aku tahu masa Miss Azlin terhad.
Jam 11 pagi dr. Jaya, pakar bius plak datang dan tanya soalan2 serta check bukaan mulut. Aritu aku yang berjalan g jumpa dr. Bius kat tempat nurse. Kali ni dr yang datang jumpa pesakit. Terima kasih.
Aku akan mula berpuasa jam 12 malam ini. Pas buka dah kena puasa balik...
"Puasa ramadhan dan puasa utk perubatan" adalah ayat paling popular dalam ward dan juga dikalangan nurse dan pramusaji. Huhuhu mula2 masuk pelik gak.. Memang la puasa ramadhan. Tapi bila fikir2.. Kat hospital rupanya. Ramai yang puasa atas sebab perubatan sebab nak scan, nak operate dll. Hmmmmmm
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